Abstract

PIP: 3 distinct systems of ideas about health and illness, types of persons dedicated to curing, and treatments and remedies are recognized to coexist in Chile. In the 9th region, the Mapuche traditional indigenous system operates alongside the traditional popular system which resulted from the blending of prehispanic and medieval European medical beliefs and practices and the western, official, scientific medical system. Relations between the western and the 2 traditional systems have been characterized by distrust, lack of esteem, and rejection, both because the western system belongs to the dominant social sectors and because it lacks a frame of reference for understanding medical practices different from its own. The Mapuche medical system is one of the aspects of Mapuche culture that has best withstood cultural change, perhaps because its magicoreligious basis expresses the central core of Mapuche culture. It is transmitted by oral tradition and formal teaching to young Mapuche who receive signs of their vocation. The Mapuche medical system is practiced predominantly in the 9th health region. It is a personalistic system, in which recognized causes of illness are generally attributed to 3rd parties. Illnesses are produced by 3 types of agents including malicious spirits or forces which assume different human, animal, or natural forms and persons with evil powers or those contracting with them. Illnesses may also result from the failure to satisfy a norm, duty, or divine calling. Even in cases in which a disease or injury is recognized to be due to natural causes, a magicoreligious type of cause is believed to originate the condition. A field study conducted in 1987 in a Mapuche community produced evidence within the community of 2 women working in the traditional Mapuche system and 3 in the traditional popular system. Members of the community also consulted at least 6 traditional Mapuche and 5 traditional popular medical specialists in nearby communities, as well as 2 western health centers located 10 and 27 km away.