La presente investigación es una aproximación antropológica en la que describimos la tradición médica tradicional, orientado al entendimiento y explicación de esta realidad social sincrética médica. / Tesis

El presente estudio tiene como objetivo la exploración de las concepciones sobre la salud en un grupo de curanderos de la selva peruana. Los participantes fueron dos curanderas y ocho curanderos de las ciudades de Pucallpa, Tarapoto e Iquitos. Se trabajó desde la metodología cualitativa y se llevaron a cabo entrevistas individuales para poder recoger y analizar la información generada. Encontramos que su concepción de la salud incluye las siguientes dimensiones: espiritual, emocional, corporal, mental y vincular. La espiritualidad resalta como un elemento transversal que acompaña el entendimiento y la práctica concreta de los curanderos en el campo de la salud. Asimismo, el cuerpo destaca como el lugar en donde se concretizan todas las demás dimensiones. Esta mirada multidimensional expresa la concepción integral que los curanderos tienen acerca de la salud y que incluye todas las dimensiones del ser humano. Palabras clave: salud, curanderos, espiritualidad. / The present study aims to explore the conceptions of health in a group of shamans from the Peruvian jungle. The participants were two women and eight men from the cities of Pucallpa, Tarapoto and Iquitos. We worked from the qualitative methodology and we conducted interviews in order to collect and analyze the information. We found that their conception of health includes the following dimensions: spiritual, emotional, corporal, mental and relationships. The spirituality stands out as a transversal element that goes within the understanding and the practical experience of the shamans in the health field. In addition, the body enhances as the main object of intervention. This multidimensional point of view expresses the integral conception that the shamans have about health, and that includes all dimensions of the human being. Keywords: health, shamans, spirituality. / Tesis

Postcolonial critiques have emphasized the need for Western psychology to become more reflective of the histories, worldviews, and lived realities of historically marginalized communities across the globe (Comas-Díaz, 2000; Duran & Duran, 1995; Pickren, 2009). These works have included the contributions of liberation psychologists who advocate for the need to privilege the knowledge systems, concerns, and perspectives of local communities when proposing avenues for psychological research, intervention, and theoretical development (Watkins & Shulman, 2008). Recognizing the legacies of colonialism in North America, U.S. psychologists working with Indigenous communities have advocated for better collaboration with grassroots elders, teachers, and community groups, noting the importance of recognizing the validity of Indigenous epistemologies and the colonizing tensions that still exist between Indigenous healing systems and Western psychology (Duran, Firehammer & Gonzalez, 2008; Gone, 2007; Gone & Alcántara, 2007). Against this backdrop, the present research was carried out as an immersive, long-term ethnographic study in collaboration with Alma de Mujer (Alma), a community of Indigenous-identified women in central Texas, who are committed to creating accessible spaces for their communities to practice Indigenous lifeways and healing. Employing reciprocal ethnographic methods, the author spent two years participating in events and gatherings with the Alma community, as well as conducting in-depth interviews. Community members were consulted on an ongoing basis about the development of the research. The document centers on four objectives: First, the author traces the history of the Alma community as it emerged from social liberation and psychospiritual healing movements over the latter half of the 20th century. Second, based on the women's stories, the author presents community members' narratives about how healing is situated within the community's Indigenous knowledge systems. Specific attention is given to the holistic and reciprocal nature of healing in these stories. Third, the author includes contributions from Indigenous healers who remark on their experiences of the tensions between Indigenous healing systems and Western mental health institutions. Fourth, the author concludes with a personal critical reflection as a trainee in Western psychology and considers how dialogues between local Indigenous communities and Western psychology might be further explored. / text

Thesis advisor: Dwayne E. Carpenter / The thesis offers an introduction to curanderismo and a critical analysis of the legacy of nineteenth century curandera and folk saint Teresita Urrea. The daughter of an indigenous servant in rural Mexico, Teresita ultimately became an icon of powerful social influence, a political threat to the Mexican dictatorship, a harsh critic of formalized medicine, and an enemy of the Catholic Church. Her legacy, however, is nuanced by her complex and, at times, contradictory life. / Submitted to: Boston College. College of Arts and Sciences. / Discipline: Romance Languages and Literature. / Discipline: College Honors Program.

El presente estudio tiene como objetivo la exploración de las concepciones sobre la salud en un grupo de curanderos de la selva peruana. Los participantes fueron dos curanderas y ocho curanderos de las ciudades de Pucallpa, Tarapoto e Iquitos. Se trabajó desde la metodología cualitativa y se llevaron a cabo entrevistas individuales para poder recoger y analizar la información generada. Encontramos que su concepción de la salud incluye las siguientes dimensiones: espiritual, emocional, corporal, mental y vincular. La espiritualidad resalta como un elemento transversal que acompaña el entendimiento y la práctica concreta de los curanderos en el campo de la salud. Asimismo, el cuerpo destaca como el lugar en donde se concretizan todas las demás dimensiones. Esta mirada multidimensional expresa la concepción integral que los curanderos tienen acerca de la salud y que incluye todas las dimensiones del ser humano. Palabras clave: salud, curanderos, espiritualidad. / The present study aims to explore the conceptions of health in a group of shamans from the Peruvian jungle. The participants were two women and eight men from the cities of Pucallpa, Tarapoto and Iquitos. We worked from the qualitative methodology and we conducted interviews in order to collect and analyze the information. We found that their conception of health includes the following dimensions: spiritual, emotional, corporal, mental and relationships. The spirituality stands out as a transversal element that goes within the understanding and the practical experience of the shamans in the health field. In addition, the body enhances as the main object of intervention. This multidimensional point of view expresses the integral conception that the shamans have about health, and that includes all dimensions of the human being. Keywords: health, shamans, spirituality.

La presente investigación es una aproximación antropológica en la que describimos la tradición médica tradicional, orientado al entendimiento y explicación de esta realidad social sincrética médica.

Curanderismo is a holistic form of traditional medicine primarily used by Latin American populations and Hispanic communities in the United States. This type of care focuses on several aspects of health including physical, emotional and spiritual (supernatural). Hispanics are the largest ethnic minority population in the United States and yet healthcare access to this population remains limited by various barriers including lack of insurance, legal status, language, poverty, and other structural factors. Within this context, exploring the perceptions and role of traditional medicine, like curanderismo, as a form of healthcare becomes crucial in understanding and addressing the unique healthcare needs of diverse populations. This research uses the ethnographic method of semi-structured interviews contextualized with participant observations to explore the views and experiences of Hispanic young adults on curanderismo, in efforts to understand how Hispanic individuals perceive and navigate their health care choices while retaining aspects of their cultural background. My findings indicate that the term “curanderismo” does not accurately represent how Hispanic young adults in the United States identify the practices associated with curanderismo. I argue that there are stigmas associated with curanderismo that reflect structural barriers to care that contribute to healthcare disparities within the Hispanic community and further argue that elder female figures have a significant influence on the continuation of curanderismo among Hispanic young adults.

Depuis la seconde moitié du 19e siècle, le paysage religieux guatémaltèque a subi d’importantes transformations. L’apparition et l’expansion phénoménale de nouveaux mouvements protestants ont entrainé une réorganisation progressive de l’espace religieux jusqu’alors homogène et déclenché l’affrontement idéologique de différents systèmes de croyances. Dans cette coexistence parfois tumultueuse, le chamanisme doit, à sa façon, lutter pour conserver une place de choix et éviter d’être relégué au passé. Par l’analyse de l’activité thérapeutique, ce mémoire vise la compréhension de la dynamique relationnelle chamanique/pentecôtiste. Le portrait du contexte religieux et l’historique des développements servent tout d’abord de base à l’étude des perceptions mutuelles entre chamanes, pasteurs et convertis. Cette dernière permet non seulement d’apporter un élément nouveau en se penchant sur la vision qu’ont développée curanderos et brujos à l’égard du pasteur pentecôtiste au sein du pluralisme médico-religieux guatémaltèque, mais permet également l’approfondissement et la compréhension de la perception dégradante et archaïsante de cette mouvance évangélique à l’égard des croyances ancestrales. Ce croisement des regards et l’observation des rituels curatifs respectifs m’amènent ainsi à considérer de près les prolongements entre ces deux univers à priori distincts alors que certaines continuations sur le plan thérapeutique sont perceptibles. L’enquête de terrain révèle finalement qu’en parallèle à ces opinions et concordances, des impacts négatifs sont engendrés sur les pratiques chamaniques, amenant les détenteurs du savoir traditionnel à opérer des modifications apparentes sur le plan de leurs propres pratiques rituelles et croyances en fonction du système de valeurs pentecôtiste. / Since the second half of the 19th century, the Guatemalan religious landscape has undergone important transformations. The advent and the exceptional expansion of new protestant movements have prompted the progressive reorganization of the religious space which was, until then, relatively homogenous and triggered ideological confrontations between the various belief systems. In this tumultuous coexistence, shamanism must struggle to preserve its pertinence and to avoid falling into oblivion. By analyzing the therapeutic activity, this thesis aims at elucidating the shamanic-pentecostal relational dynamic. The portrait of the religious context and the historical developments are used as a basis for the study of the mutual perceptions between shamans, pastors and converts. This approach allows us to shed some new light onto the curanderos and brujos’ perceptions of the pentecostal pastor within the guatemalan medico-religious pluralism. However, it also allows us to deepen our understanding of the degrading perception of ancestral beliefs within the pentecostal movement. These viewpoints and the observation of the respective curative rituals thus lead me to consider closely the connections existing between these two a priori distinct universes whereas certain continuations on the therapeutic level between the two belief systems can be perceived. The field investigation finally suggests that in parallel to these perceptions and similarities, the presence of the pentecostal movement have influenced shamanic practices, leading holders of traditional knowledge to operate apparent modifications into the plan of their own ritual practices, customs and beliefs according to the pentecostal system of values. / Desde la segunda mitad del siglo XIX, el paisaje religioso guatemalteco ha sufrido importantes transformaciones. La aparición y la extensión fenomenal de nuevos movimientos protestantes conllevaron una reorganización progresiva del espacio religioso hasta entonces homogéneo y han desencadenado la confrontación ideológica de distintos sistemas de creencias. En esta coexistencia, el chamanismo debe, a su manera, luchar para conservar un lugar destacado y evitar quedar relegado al pasado. Mediante el análisis de la actividad terapéutica, esta tesina se propone por objetivo comprender la dinámica de la relación entre el chamanismo y el pentecostalismo. El retrato del contexto religioso y la crónica de la evolución sirven en primer lugar de base al estudio de las percepciones mutuas entre chamanes, pastores y conversos. Este último permite no solamente aportar un nuevo elemento examinando la visión que desarrollaron curanderos y brujos respecto al pastor pentecostal en el seno del pluralismo médico-religioso guatemalteco, sino que también permite la profundización y la comprensión de la percepción arcaizante del evangelismo respecto a las creencias ancestrales. Este cruce de las miradas y la observación de los rituales curativos respectivos me llevan así a considerar de cerca las prolongaciones entre estos dos universos a priori distintos mientras que algunas continuaciones a nivel terapéutico son perceptibles. La investigación de campo revela finalmente que en paralelo a estas opiniones y concordancias, se generan impactos negativos sobre las prácticas chamánicas, llevando a los chamanes a realizar modificaciones aparentes en sus propias prácticas rituales y creencias en función del sistema de valores pentecostal.

Depuis la seconde moitié du 19e siècle, le paysage religieux guatémaltèque a subi d’importantes transformations. L’apparition et l’expansion phénoménale de nouveaux mouvements protestants ont entrainé une réorganisation progressive de l’espace religieux jusqu’alors homogène et déclenché l’affrontement idéologique de différents systèmes de croyances. Dans cette coexistence parfois tumultueuse, le chamanisme doit, à sa façon, lutter pour conserver une place de choix et éviter d’être relégué au passé. Par l’analyse de l’activité thérapeutique, ce mémoire vise la compréhension de la dynamique relationnelle chamanique/pentecôtiste. Le portrait du contexte religieux et l’historique des développements servent tout d’abord de base à l’étude des perceptions mutuelles entre chamanes, pasteurs et convertis. Cette dernière permet non seulement d’apporter un élément nouveau en se penchant sur la vision qu’ont développée curanderos et brujos à l’égard du pasteur pentecôtiste au sein du pluralisme médico-religieux guatémaltèque, mais permet également l’approfondissement et la compréhension de la perception dégradante et archaïsante de cette mouvance évangélique à l’égard des croyances ancestrales. Ce croisement des regards et l’observation des rituels curatifs respectifs m’amènent ainsi à considérer de près les prolongements entre ces deux univers à priori distincts alors que certaines continuations sur le plan thérapeutique sont perceptibles. L’enquête de terrain révèle finalement qu’en parallèle à ces opinions et concordances, des impacts négatifs sont engendrés sur les pratiques chamaniques, amenant les détenteurs du savoir traditionnel à opérer des modifications apparentes sur le plan de leurs propres pratiques rituelles et croyances en fonction du système de valeurs pentecôtiste. / Since the second half of the 19th century, the Guatemalan religious landscape has undergone important transformations. The advent and the exceptional expansion of new protestant movements have prompted the progressive reorganization of the religious space which was, until then, relatively homogenous and triggered ideological confrontations between the various belief systems. In this tumultuous coexistence, shamanism must struggle to preserve its pertinence and to avoid falling into oblivion. By analyzing the therapeutic activity, this thesis aims at elucidating the shamanic-pentecostal relational dynamic. The portrait of the religious context and the historical developments are used as a basis for the study of the mutual perceptions between shamans, pastors and converts. This approach allows us to shed some new light onto the curanderos and brujos’ perceptions of the pentecostal pastor within the guatemalan medico-religious pluralism. However, it also allows us to deepen our understanding of the degrading perception of ancestral beliefs within the pentecostal movement. These viewpoints and the observation of the respective curative rituals thus lead me to consider closely the connections existing between these two a priori distinct universes whereas certain continuations on the therapeutic level between the two belief systems can be perceived. The field investigation finally suggests that in parallel to these perceptions and similarities, the presence of the pentecostal movement have influenced shamanic practices, leading holders of traditional knowledge to operate apparent modifications into the plan of their own ritual practices, customs and beliefs according to the pentecostal system of values. / Desde la segunda mitad del siglo XIX, el paisaje religioso guatemalteco ha sufrido importantes transformaciones. La aparición y la extensión fenomenal de nuevos movimientos protestantes conllevaron una reorganización progresiva del espacio religioso hasta entonces homogéneo y han desencadenado la confrontación ideológica de distintos sistemas de creencias. En esta coexistencia, el chamanismo debe, a su manera, luchar para conservar un lugar destacado y evitar quedar relegado al pasado. Mediante el análisis de la actividad terapéutica, esta tesina se propone por objetivo comprender la dinámica de la relación entre el chamanismo y el pentecostalismo. El retrato del contexto religioso y la crónica de la evolución sirven en primer lugar de base al estudio de las percepciones mutuas entre chamanes, pastores y conversos. Este último permite no solamente aportar un nuevo elemento examinando la visión que desarrollaron curanderos y brujos respecto al pastor pentecostal en el seno del pluralismo médico-religioso guatemalteco, sino que también permite la profundización y la comprensión de la percepción arcaizante del evangelismo respecto a las creencias ancestrales. Este cruce de las miradas y la observación de los rituales curativos respectivos me llevan así a considerar de cerca las prolongaciones entre estos dos universos a priori distintos mientras que algunas continuaciones a nivel terapéutico son perceptibles. La investigación de campo revela finalmente que en paralelo a estas opiniones y concordancias, se generan impactos negativos sobre las prácticas chamánicas, llevando a los chamanes a realizar modificaciones aparentes en sus propias prácticas rituales y creencias en función del sistema de valores pentecostal.

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