TRADITONAL HEALING CARE IN HIV/AIDS IN RURAL ZIMBABWE

这项研究探讨了在使用传统的加热在护理和治疗的人与艾滋病毒/艾滋病，和rituatju：艾德管理的情绪，心理和精神上的影响艾滋病毒感染。特别是，本论文的研究旨在了解，通过检查传统的加热在绍纳社会，如何有目的地增强治疗过程中高度带电的符号和仪式化的通信转换艾滋病毒感染的具体经验和死亡的文化表现。鉴于津巴布韦农村地区艾滋病毒感染者的大部分护理和治疗是由传统治疗师提供的，他们在治疗咨询中如何代表艾滋病毒直接影响到个人对艾滋病毒感染体验的意义和解释。因此，重要的是要考虑如何理解社会和文化构建的疾病因果关系，改变疾病的意义。这个问题将通过绍纳治疗过程的性能的文本分析进行探讨。本研究将探讨以下命题：（1）传统疗愈的仪式语言将揭示a）健康与疗愈的心理与社会层面，B）疾病经验中的身、心、灵的整合，以及c）通过疗愈语言对人、自我与社会的建构;（2）传统治疗的仪式语言通过使用从有限的过去继承的关于疾病和死亡的文化信仰，以表演方式重新配置了今天对艾滋病毒感染的解释和意义;（3）通过仪式语言，传统取暖器、助手和病人创造了对艾滋病毒感染的不幸的整体理解，影响了艾滋病毒感染对患者的主观意义和日常生活体验：数据将包括以下六个组成部分：（1）初步的快速健康评估;（2）对绍纳治疗过程中所有治疗行为（治疗者、患者和翻译）的人种学研究;（3）行为后评价;（4）回顾性疾病叙述;（5）治疗结果的纵向检查;（6）自愿艾滋病毒检测。研究设计包括三组比较。主要的比较将是精神媒介（第1组）和占卜师（第2组）之间的评估艾滋病毒感染的民族医学解释模型，并确定每种诊断方式所采用的不同的表演策略。第二个层次的比较将在传统护理组（第3组）和生物医学护理组（第4组）之间进行，以探讨仪式治疗对艾滋病毒感染者生活质量的影响。第三个层次的比较是灵媒的翻译者（第五组）、占卜者（第二组）和灵媒（第一组）之间的比较，以确定祖先的语言报告是如何调整或改变翻译过程的。

This study examines in the use of traditional heating in the care and treatment of people living with HIV/AIDS, and the rituatju:ed management of the emotional, psychological and spiritual effects of HIV infection. In particular, this dissertation research seeks to understand, through an examination of traditional heating in Shona society, how the purposeful enhancement of the therapeutic process with highly charged symbols and ritualized communication transforms the embodied experience of HIV infection and the cultural performance of dying. Given that traditional healers provide the majority of care and treatment for HIV infection in rural Zimbabwe, how they represent HIV within therapeutic consultations directly affects personal meanings and interpretations of the embodied experience of HIV infection. Therefore, it is important to consider how understanding the socially and culturally constructed causality of disease that transforms the meaning of illness. This question will be explored through a textual analysis of the performance of the Shona therapeutic process. The following propositions will be examined: (1) The ritual language of traditional healing will reveal a) the psychological and social dimensions of health and healing, b) the integration of the body, mind and spirit in the experience of illness, and c) the configuration of the person, self and society through therapeutic language; (2) The ritual language of traditional healing performatively reconfigure the interpretations and meaning of HIV infection today by using cultural beliefs about disease and dying inherited from a circumscribed past; (3) Through ritual language, traditional heaters, their assistants, and patients create a holistic understanding of the misfortune of HIV infection that affect the subjective meaning and everyday lived experience of HIV infection for the afflicted: Data will include the following six components: (1) a preliminary rapid health assessment; (2) an ethnographic study of all the performances of healing (healer, patient and interpreter) within the Shona therapeutic process; (3) post- performance evaluation; (4) retrospective illness narrative; (5) longitudinal examination of therapeutic outcome; and (6) volunteered HIV testing. The research design involves three group comparisons. The primary comparison will be between the spirit mediums (Group 1) and the diviners (Group 2) to assess the ethnomedical explanatory models of HIV infection and identify the different performative strategies employed by each diagnostic modality. The second level of comparison will be between the traditional care group (Group 3) and the biomedical care group (group 4) to explore the effects of ritual healing on the quality of life with HIV infection. The third level of comparison is between the spirit mediums' interpreters (Group 5), diviners (Group 2) and spirit mediums (Group 1) to determine how the reported speech of the ancestors is adjusted or altered the process of translation.