Race, class, religion, citizenship, educational background, and (for 14 years) parental status divided us. Language brought us together. Curiosity and intellectual companionship kept us going.
Véronique and me in the village (1993) (photo by Philip Graham)
Initially, Véronique (given that personal name in the French colonial-style school she attended) grabbed the chance to practice her grade-school-era French with me, an uninvited visitor in her village bordering the rain forest. As for me, while I struggled to learn the tonal West African language surrounding me, I immediately felt grateful to find a woman who spoke a language I knew. Later, as my grasp of Beng developed, Véronique turned out to be a naturally gifted language teacher. She happily shared her love of her native language, finding ways to explain the nuances of proverbs, metaphors, and secret speech. From there, our friendship blossomed.
During my first month in her village in east-central Côte d’Ivoire, Véronique and I met daily as she oriented me to the new worlds confronting me. “Why do babies wear so much jewelry and make-up?” was the first question I had asked our new village father. “That’s secret women’s business,” he answered. “Ask my cousin, Véronique.” I did, and Véronique immediately explained the medical goal of this symbolically resonant bead and face paint, distinguishing it from that purely decorative bead and face paint.
Amenan readily distinguished the linear and circular medicinal treatments from the decorative eyeliner and eyebrow pencil adorning this baby boy (1993) (photo by Alma Gottlieb)
Back in 1979, both my academic mentors had firmly instructed me to choose a village with a population of fewer than 500 people for the year-plus of doctoral research I would conduct in rural West Africa, so I could get to know everyone in a face-to-face community. Véronique tried to convince me to remain in her village of 1,500 for the next 14 months. But my advisors’ instructions remained firmly in my head. So, after a month of browsing among the 20 or so Beng villages, my husband and I left Véronique’s welcoming space and moved to a village of 250 notoriously suspicious people some 2.5 miles up the road.
The tiny village I chose to live in during our first stay in Bengland (1979) (photo by Philip Graham)
Véronique warned me repeatedly that the residents of the village I selected—the seat of the local, secretive, traditional religion—had strong reasons to reject me. Attentive to these warnings, my husband encouraged me to remain with my new friend in her village. Stubbornly, I ignored both their urgings and promptly experienced firsthand all that Véronique had predicted.
But Véronique forgave me my arrogance; by the time I confessed my decision, our friendship had been sealed. As Philip and I packed up our suitcases, Véronique made me promise that I would return once a week to spend the day with her. And, so I did. Moreover, over the following 14 years, when we returned twice to Bengland (the second time, with our son, then six years old), we lodged in her compound.
Amused, Véronique watches our six-year-old son observing two girls pounding corn (1993) (photo by Alma Gottlieb)
*
My writer-husband has written that “anthropology is gossip with footnotes.” Véronique had never heard of anthropology when we met, but by Philip’s definition, Véronique turned out to be a consummate anthropologist par excellence.
Every week of our first year’s stay, I drove or biked 2.5 miles to chat with Véronique in her village. No sooner had we completed the long, formulaic greetings required of a hostess-and-guest than Véronique launched into a monologue consisting of all the village goings-on I had missed over the past six days. Véronique was literate—one of two women in her village who had gone to elementary school—but she didn’t need to jot down notes about any of the week’s events to keep them in her mind. Out poured a list of the week’s highlights, from quotidian to momentous.
From these sessions, I soon learned the meaning of fɛn plã na. Literally, the expression means two days. But its reach is more than that, with two standing in metonymically for several. A better translation would be, in the past few days or, even more vaguely, recently. And so, within an hour of my weekly arrival, I heard about everything that, according to Véronique’s all-seeing ethnographic eye, had happened fɛn plã na. As Philip once described Véronique (referring to her by her Beng name, Amenan) as she eagerly approached us with village news, “Amenan was already making a beeline to us, her juicy-gossip face firmly in place—at times like this, Amenan was most Amenan.”
Nothing was out of bounds for Véronique’s skilled storytelling. I learned about breastfeeding woes suffered by a new mother, and a strange condition afflicting the rectum of an old man. I heard how a young girl had been sent to Abidjan as a companion for a childless aunt, and about the latest rants of the village madman. I learned who had broken the weekly sacred day by cursing a relative, and whose domestic dispute ended up in the village chief’s court. After this rich news catch-up, we would settle down under the shade of her coffee trees for a more systematic conversation about a topic of interest to us both, whether wily hyena folktales or witchcraft. But Véronique’s expansive mind was such that one recounting led to five more. I soon learned to restrain my impulse to return to the original story and let Véronique’s prodigious memory, knowledge fund, and chain of associations take her where they would.
Véronique and me in our signature spot under her coffee trees (1980) (photo by Philip Graham)
*
The balance of power between the two ends of this financially unequal relationship tilted constantly. Véronique gave me intellectual gifts that became symbolic capital fueling my career. I brought material gifts that Véronique and her family valued (first, soaps, baby clothes, and dried fish; then, furniture; finally, we funded the construction of a new house and, more recently, an adult daughter’s business venture, and treatment for a serious sinus infection that threatened my friend’s eyesight). Véronique also readily offered advice whenever I solicited it (how should I respond to learning that the chief of our tiny village had blacklisted me, or to my husband who was angry with me for not fully translating something he needed to say?); I timidly returned the favor on the rare occasions that Véronique solicited advice (two of her daughters were fighting, or her Ghanaian husband had disappeared yet again). In these ways, across the darkness created by drastically divergent social histories, the sunlight of common humanity shone through.
Véronique and me walking to interview her uncle, the king of the Savanna region (1980) (photo by Philip Graham)
It was obvious enough what I gained from our relationship. But beyond the day-to-day gifts I could bring her (and the larger investments I was able to make later), what did Véronique have to gain?
I believe Véronique longed for a conversation partner of a different type from what her beloved family and neighbors offered. After all, she had attended school through the fifth grade. That modest level of education gave her expanded life experiences, compared to those of her peers. Following her five years at a Catholic elementary school, the nuns coordinating her education must have seen the bright spark of deep intelligence that drew her to me, for they soon offered Véronique a year’s job as an assistant, accompanying them as they conducted a regional program to promote rural health.
Based in the nation’s second-largest city of Bouaké some 80-miles-and-a-world away from her home territory, the program brought young Véronique from village to village—mostly, inhabited by Baulé people, not Beng. Her cultural horizons expanded as she gauged similarities to, and differences from, her homeland. She learned how to help women birth and breastfeed, how to diagnose diseases from Guinea worm to tetanus. She came to juggle two distinct religious systems—the spirit- and ancestor-based cosmology of the Beng world view, and the monotheistic cosmology of Christianity. And she gained knowledge of a new biomedical pharmacopeia that complemented the healing forest herbs she already knew. Beyond these technical funds of knowledge, making the rounds of villages beyond her own made Véronique a new sort of cosmopolitan. Returning to the somewhat insular bounds of her own village must have felt confining. By the time Philip and I showed up unannounced one hot September day in 1979 that surely started out like any other hot September day, I must have offered food for a hunger that had long but quietly gnawed in her belly.
*
Véronique was born to political and religious privilege on both sides: her father’s older brother was king of the Savanna region, while her mother’s brother was the most senior Master of the Earth of her village.
L: Véronique’s paternal uncle, King Bonde Como, of the Savanna region (1980); R: Véronique’s maternal uncle, Kokla Kouassi, senior Master of the Earth (1980) (photos by Alma Gottlieb)
Dire poverty underlay all these rich cultural inheritances. More comfortable walking barefoot than wearing the rubber flipflops I once bought her, Véronique did, and did not, exude royalty.
From a lifetime of work—rising by 6 am to walk deep into the forest to chop down trees for firewood, carry a log on her head back to the village, use it to light a fire, then bathe babies, cook breakfast, and wash the dishes, all before returning to the forest for a full day of hard farming in her rice and vegetable fields, followed by cooking dinner, washes the dishes, and bathing the babies again—Véronique’s clothes were as threadbare as her neighbors’. Nor, at something like 4’ 9”, did her height visually mark her status. Her tall husband sometimes teased her in his lilting Ghanaian English: “She’s just a Pygmy, a regular Pygmy.”
Véronique carrying her baby grandson on her back and a log on her head
Yet, as Véronique walked through the village, her tiny frame commanded attention far beyond its dimensions. Everyone greeted her, and, as she returned the greeting, more often than not, she was asked for advice. A baby wasn’t eating, a child had developed a mysterious rash, a fever wasn’t disappearing, and what did Véronique advise?
Véronique helping a young relative learn to walk (1993) (photo by Alma Gottlieb)
Sometimes, she sold home-grown medical treatments for a shotglass of grain alcohol she made; more often than not, she dispensed herbal remedies at no charge. If her preparations healed, she was thanked; if they didn’t have the desired effect, I never saw her blamed—confidence in her knowledge, unshaken.
Whether working or relaxing, Véronique was widely appreciated by relatives and neighbors as an impromptu babysitter.
This set of photos of Véronique taking care of multiple infants (including “dry-nursing” one from her milk-less breast) was taken on a single day in 1993 (photos by Alma Gottlieb)
Her skill in massaging infants’ heads widely was especially sought out by new mothers.
Véronique massaging an infant’s head (1993) (photo by Alma Gottlieb)
Our own bonds spilled over beyond fictive kinship. I was present at the home birth of one of her daughters who, as coincidence would have it, bore the same Beng day name as mine. Véronique made sure to instruct baby Amwé that I was an important person in her life.
Véronique points to me and asks her baby Amwé, whose birth I observed, “Who’s that?” (photo by Alma Gottlieb)
Nor did her skills remain confined to the gender-stereotyped world of women. Men paid attention when Véronique directed animal sacrifices. On several occasions, she asked me to buy trapping line in the Bouaké market so she could set traps and hunt small animals.
Véronique overseeing the apportioning of meat from a sheep that was slaughtered in honor of Philip’s recently deceased father (1993) (photo by Alma Gottlieb)
*
This week, I learned that Véronique had finally succumbed to an illness that had caused her much suffering over the past month. Medical care being what it is across much of the continent that Europe underdeveloped, her illness will forever remain unidentified. Two doctors to whom her daughter Lucie took her for consultations claimed they couldn’t do anything for her, and the emergency money I wired to Lucie didn’t make a difference.
Maybe it was pulmonary complications caused by chickenpox—which my American dermatologist, on hearing about the symptoms, named as a likely cause. Maybe it was something else. Maybe Western biomedicine could have effectively treated it, and Véronique would be alive today. My dermatologist said that had Véronique been in an ICU, round-the-clock nursing care would at least have alleviated the symptoms, and perhaps held death at bay. Or maybe Western biomedicine could not have identified or treated the disease, and no medicines yet exist that would have kept her alive.
Being a continent away, my imagination and guilt are both running riot. What if? I keep asking myself. But, no What if can rewrite history. The global North and the global South cohabit the same planet yet continue to produce human experiences worlds apart. As I contemplate how I can honor the ordinary-yet-extraordinary life that my friend Véronique lived, she continues to peer over at me through her framed photo.
Véronique’s signature look (1980) (photo by Alma Gottlieb)
Those wry, wise eyes remind me daily that we humans must constantly endeavor to bridge all that separates us. Our distinctive subjectivities may conspire with the institutional structures that divide us to keep us from ever fully knowing each other. But, as Véronique implied when I once expressed surprise that she—then, a 30-something woman—was good friends with an elderly woman well into her 70s—trying to see each other across our multiple divides is all we’ve got.
Véronique continues to watch over me in my home office as I work at my desk (2021); (photo by Philip Graham)
I began interviewing authors of fabulous new anthropology books for this space back in 2016. While completing 11 interviews, I also amassed a backlog of more terrific books whose authors I planned to interview. One thing led to another, and my embarrassingly accumulating backlog fell hostage to a pandemic. I’ve finally harnessed my guilt and bundled these beauties into a group. No author interviews this time (who has time for that in a pandemic?), but below, you’ll find capsule descriptions of why I love every entry in this archive.
To be sure, my selection is idiosyncratic. I don’t claim that these books are the only works in anthropology worth reading that were published in the past few years. Yet, individually, each of these books grabbed my attention because of its brilliant analysis of some topic(s) I judge to have critical importance to the world. Plus, the writing in all these books is oh-so-readable. Collectively, they remind us: Anthropology is not only alive and well, the discipline continues to offers unique insights into vexing issues in ways that only long-term immersion can produce.
Acknowledgments: In curating this collection, I’m inspired by Philip Graham‘s “Some Books You May Have Missed” posts for the literary/arts magazine, Ninth Letter, for which he serves as Editor-at-Large. (You can read his latest literary rundown of great new fiction and creative non-fiction here.)
So, here goes.
*
C. Richard King, Redskins: Insult and Brand (University of Nebraska Press)
In the aftermath of George Floyd’s murder, one of the many critical lessons that at least some of white America has learned is this: Representation matters. In that sense, Richard King‘s brilliant book provided an overdue argument that at least one sports team has finally heard. In 2020, the Washington Redskins at last acknowledged the racist foundation to their team’s name, which they changed (temporarily) to the Washington Football Team (with a new name soon to be announced here). The placeholder name may be boring— but boring is better than offensive. For its part, King’s scholarly exercise in a theoretically and historically informed argument can now be considered a paragon of engaged, critical anthropology. A review in the Chicago Tribune called this a “must-read book.”
Amy Starecheski, Ours to Lose: When Squatters Became Homeowners in New York City(University of Chicago Press)
Over the past two pandemic years, real estate stories have dominated the news, from personal tragedies (eviction stories following job loss) to personal triumphs (the privileged few scooping up “deals” outside major metropolitan areas). Lurking behind those individual tales chronicling the human joys and costs of gentrification lies a broader story of economic trends (falling prices in some markets, skyrocketing prices in others). In that sense, this book by anthropologist/oral historian Amy Starecheski remains more timely than ever. A beautifully crafted narrative balances individual tales of urban squatters’ experiences across three decades of New York City’s increasingly unaffordable housing market with “big-picture” trends of macroeconomic, political, and legal developments in New York and beyond. This book contains so many lessons about where and how to make a livable space for “home.” A “recommended” book by Choice.
Rosa De Jorio, Cultural Heritage in Mali in the Neoliberal Era (University of Illinois Press)
Rosa De Jorio‘s early research in West Africa concerned women’s political participation in Mali. In this book, De Jorio focuses on the same country but has switched gears to focus on cultural heritage. Political scientists rarely pay attention to artistic and cultural performances, while art historians rarely focus on political structures. In a broad sense, this book might be characterized as an engagement of political perspectives with humanistic spaces. As such, I take this work—based on careful field research in urban Mali over the course of 16 years—as a model for how scholars working elsewhere might unpack the questions De Jorio asks here surrounding the politics of culture and the culture of politics. Jean-Loup Amselle calls this book “in the tradition of Michel Foucault’s work.” The title appeared in the Interpretations of Culture in the New Millenium series (now closed), edited by Norman E. Whitten, Jr.
Jane C. Desmond, Human-Animal Relations in Art, Science, and Everyday Life (University of Chicago Press)
Some years ago, I made a case for an anthropology of infancy. In this book, Jane Desmond makes something of a similar case for an anthropology of animals. In both arenas, subjects communicate with us in ways that we adults/humans understand only partially, and with difficulty—as if through a scrim. Of course, the same can be said for all communication among human adults . . . but the barriers appear more extreme and daunting with both human infants and non-human animals. In a provocative set of thematically linked essays (think: pet cemeteries, taxidermy, roadkill), Desmond makes a persuasive case for developing a robust ethnography of non-human animals and, perhaps more broadly for an inter-species ethnography. An NPR review called it “an important and moving book.” The title appears in the terrific new Animal Lives series at Chicago edited by Desmond.
Jennifer Cole and Christian Groes (eds.), Affective Circuits: African Migrations to Europe and the Pursuit of Social Regeneration (University of Chicago Press)
If the predominant narrative of Covid-19 emphasized immobility, that memo didn’t reach African migrants. Over the past two years, refugees fleeing Africa’s multiple postcolonial catastrophes have continued to seek more hospitable living spaces. This rich collection co-edited by Jennifer Cole and Christian Groes thus speaks to continuing hemispheric challenges, even as it centers personal experience. Moving discussions humanize the dehumanizing images, statistics, and political directives that dominate so much discussion of African migrants in Europe. Eleven case studies range from intimate topics such as child fostering, bi-national marriages, and coming-of-age rituals to explorations of the ways that government actors, laws, and policies shape migrants’ lives. As such, this volume serves as a welcome, “bottom-up” corrective to the “top-down” trope of “migrant crisis” that too often frames both government policies and journalists’ stories coming out of the EU. The book won the Most Notable Recent Collection Award from the Council on Anthropology and Reproduction.
Andrew Bank, Pioneers of the Field: South Africa’s Women Anthropologists (CambridgeUniversity Press)
The notion of a “scholarly canon” is a bit of an oxymoron. Do what passed as the great works in any given field in the past still deserve pride of place today? By contrast, in re-reading “the classics” year after year, what hidden treasures might we have overlooked because of unconscious biases surrounding what “counts” as quality scholarship . . . and who “counts” as serious scholars? The brilliant scholars who have become so demonized by the U.S. right of late in promoting critical race theory prompt us to recognize the importance of regularly revisiting “the canon,” to rethink our understanding of history with new eyes and new questions. In Pioneers of the Field, historian of science Andrew Bank has done our discipline a great favor by reminding us of six brilliant women scholars of the early/mid-20th century whose work had a major impact both within and beyond South Africa. If you’re an Africanist up on your early British social anthropology, you might at least have heard of Audrey Richards, Monica Wilson, and Hilda Kuper, but if Winifred Hoernlé, Ellen Hellman, and Eileen Krige weren’t even on your radar, they will be now. Elizabeth Colson called this volume a “major contribution to intellectual history.” No History of Anthropology course should neglect this correct-the-record book.
Ana Mariella Bacigalupo, Thunder Shaman: Making History with Mapuche Spirits in Chile and Patagonia (University of Texas Press)
There’s a good reason this marvelous book received Honorable Mention for the 2017 PROSE Award for Anthropology offered by the Association of American Publishers. Ana Mariella Bacigalupo challenges stereotypical images of shamans as either extinct or anachronistic religious practitioners long left behind by history. Based on extraordinary research that Bacigalupo conducted from 1991 to 2015, the book serves, at once, as a biography of a single Mapuche shaman who accepted the author into her life in a deep, cross-cultural friendship; and an argument for a reëxamination of how we define what counts as “religion” in the modern world.
Naomi Leite, Unorthodox Kin: Portuguese Marranos and the Global Search for Belonging (University of California Press)
When I lived in Lisbon in 2006-07, I found myself shocked and appalled at the extent to which the nation’s long, rich, and traumatic Jewish history had been rendered virtually invisible. In this riveting book, anthropologist Naomi Leite profiles a small group of Portuguese who are actively reclaiming their ancestral Jewish ancestry hidden from them, and from the nation, for centuries. With its beautiful narrative writing allied with a thoughtful analytic engagement linking hyper-local spaces in Lisbon with hyper-global spaces of international Jewish tourists, it’s easy to see why the book won two awards and was a finalist/honorable mention for two more:
Timothy R. Landry, Vodún: Secrecy and the Search for Divine Power (University of Pennsylvania Press)
This intriguing work offers another fascinating look at international religious tourism. In this case, Western tourists travel from the U.S. and Europe to Bénin, homeland of the famed religion of Vodún (a.k.a. “voodoo”), in search of a West African spirituality. Becoming apprenticed to a Vodún priest, Timothy Landryoffers, at once, an outsider’s and insider’s look at Vodún practice from the intertwined perspectives of practitioner, acolyte, seeker, and casual tourist. Along the way, he engages with issues ranging from the challenges inherent in representation of a stigmatized religious tradition to the ethical quandaries inevitably brought on by participant-observation. The book won the Clifford Geertz Prize in the Anthropology of Religion from the Society for the Anthropology of Religion. It appears in the Contemporary Ethnography series that I edit for Penn Press.
Michelle Johnson, Remaking Islam in African Portugal: Lisbon—Mecca—Bissau (Indiana University Press)
Grounded in rich fieldwork in both Guinea-Bissau and Portugal conducted across 20 years, this book is an ethnographer’s dream. Oozing with gorgeous ethnographic details, the book at the same time tackles all the issues one could hope to think about concerning West African Muslims’ lives in Europe. Challenges of racism. Challenges of Islamophobia. Challenges by mainstream Muslims of heterodox practices. All these big-picture issues frame the stories Michelle Johnson exquisitely tells. Those stories center stunning discussions of life-cycle and other rituals—including a never-before-described practice of “writing on the hand” to initiate young students into learning the Qu’ran. Along the way, Johnson explores how immigrant African women and men rethink and adapt rural practices of female genital cutting, pilgrimages to Mecca, and funerals to urban neighborhoods in a European capital. Paul Stoller predicts: “Given the depth of its analytical insights and the grace of its presentation, this is a work that will be read, savored, and debated for many years to come.” This fabulous book appears in Indiana’s Framing the Global series.
Cati Coe, Changes in Care: Aging, Migration, and Social Class in West Africa (Rutgers University Press)
Hot off the press, this new ethnography, like Johnson’s, sings with all that contemporary anthropology can offer. Over the course of 20+ years, Cati Coe has lived and conducted research for long periods both in Ghana, and in the U.S. with Ghanaian migrants. The result is just the sort of rich ethnography that centers global flows, while also remaining deeply grounded in knowledge of intimate practices of the local. A short film accompanies the book, available online here. The book appears in Rutgers’ wonderful Global Perspectives on Aging series, edited by Sarah Lamb.
1. The moment that any transfer of power occurs from one individual or regime to another is fraught—ritually, sociologically, emotionally.
Why? This is a liminal period–“betwixt and between,” as the great anthropologist Victor Turner described it–neither fully in one political space, nor in another. Liminal moments offer options for creativity, inviting artistic license. They also represent spaces of danger.
Here’s what I’ve learned about the liminal times of interregnum–those intervals between political regimes–from West Africa.
For the better part of two years, I lived in small, rain-forest villages hosted by the Beng people of Côte d’Ivoire. Their practices for seating a new king are a study in (ritual) risk management.
The late King Bonde Chomo of Bengland, Côte d’Ivoire (photo by Alma Gottlieb)
Beng people rank a king’s inauguration as an extended moment of extreme spiritual danger. During the days and, especially, hours before the installation concludes, witches reportedly roam freely during the daylight hours, taking advantage of the temporary power vacuum. As the time approaches for the king to be ritually seated, the witches’ work increases to a fever pitch, culminating in maximal damage during the moments right before the climactic ritual. It is said that more people die during the interregnum period than at any other time. Babies and children never attend a king’s investiture: parents fear that their weakness and youthfulness would render them especially vulnerable to the power of witches. Likewise, a pregnant woman assiduously avoids the event, protecting her fragile fetus.
Some in the modern world might dismiss such accounts as anachronistic relics of an ancient era. I suggest otherwise.
At the broadest level, let’s take “witchcraft” as a metaphor for the unleashing of any illegitimate and mystical power aimed at causing harm in the lives of ordinary humans. (That’s how the Beng perceive witches.) It becomes clear how the ritual drama of Beng kingship illuminates the events of last week in the American capital. The insurgents attacking the U.S. Capitol building played the role of witches, spreading spiritual chaos.
The much-photographed costume of the fiercest-looking insurgent was worn by one Jacob Anthony Chansley–an Arizonan man who forsook his prosaic name in favor of “Jake Angeli,” with its obvious religious reference to “angel.” But his attempt to wield spiritual power was not only through reference to Christianity. In a second perverse act of cultural appropriation, the terrorist also drew on indigenous religious traditions, calling himself a “QAnon Shaman.”
Voice actor/conspiracy group QAnon follower appropriating stereotypical image of a shaman to visually persuade others of his power (spiritual and otherwise) (Getty Images–source here)
That is not just a meaningless moniker. The now-notorious Arizonan claims spiritual powers equivalent to those of the classic shamans of the Mongolian steppes. Chansley has categorized himself as a “multi-dimensional or hyper dimensional being” and claims he can “see into these other higher dimensions that these entities – these pedophiles, these rapists, these really high up people … that they can almost hide in the shadows in.”
Beyond Chansley, QAnon–the amorphous collection of groups with which Chansley associates himself–itself displays many qualities of a religious cult. For one thing, its strangely spelt name hints at a secret identity: Anon[ymous]. The secrecy encoded in its very name implies mystical foundations.
Then, too, the conspiracy-oriented group promotes hyperbolic but vague claims drenched in sensationalist innuendo: Satanic kidnapping, pedophilia, child trafficking.
Moreover, according to NY Times reporter Kevin Roose, QAnon followers have also been “flooding social media with false information about Covid-19, the Black Lives Matter protests and the 2020 election.” Some have, additionally, embraced anti-vaccine and anti-child-trafficking movements; others make further “claims about the assassination of John F. Kennedy, the existence of U.F.O.s, and the 9/11 ‘truther’ movement.”
What’s more, its messages are sometimes penned in cryptic language.
All these features smack of religious cults.
Dare I point out that this shambolic collection of creative but unrealistic fears constitutes a veritable witches’ brew?
Chansley is now in custody. I’m guessing that the higher powers with which he claims to be in touch may not prove persuasive in a court of law.
*
But Chansley is just the side show. The main act, of course, is Donald Trump. These past four years. Trump has turned into a religious cult leader par excellence.
Trump may not drape himself flamboyantly in bearskins or sport buffalo horns, but his toxic narcissism produces just the sort of charismatic charlatanism in which certain types of religious cult leaders have long specialized. Allying himself with flashier devotees merely highlights the religious fervor he ignites on his own.
As I watch reruns of the mob scene that Trump incited, I imagine that the great French sociologist, Emil Durkheim, would have recognized the energy as effervescent, when large gatherings of people create great emotional intensity dedicated to serving ancestral spirits. Tragically, the religious fervor we witnessed in the U.S. capital produced tragedy rather than spiritual enlightenment.
*
Last week in Washington, D.C., the bureaucrats in charge of security failed our nation miserably. Eventually, a systematic inquiry will determine whether this failure originated in inattentive incompetence or coordinated sedition. (All signs are currently pointing toward the latter.)
For now, I humbly point out what those in charge might have learned from Beng villagers (assuming they actually wanted to protect the nation): moments of political transition represent the most dangerous times of civic life.
During periods of political interregnum, society cannot be too cautious. Leaders must take all conceivable steps to protect the vulnerable and safeguard the polity, lest the forces of chaos–modern-day witches–avail themselves of the power vacuum and take charge.
2. The institutionof democratic rule is strong, sturdy, and stable–until it’s not.
In the village, my Beng friend Yacouba once told me, “When the walls have holes, the cockroaches get in.”
Yacouba had in mind the ravages of his two co-wives. In his view, their endless bitter arguments were causing all their children to constantly fall sick; one had even died.
Yacouba’s cockroach lesson might be applied to the broader house of civil society. Once foes scratch cracks into the walls of an institution, elements of destruction expand those chips and find their way in.
In Côte d’Ivoire, the initial challenge to the modern nation’s first democratic elections occurred in 1994. The past 26 years have seen more failed coup attempts than I have counted, punctuated frequently by violent civil unrest and two periods of out-and-out civil war. Today, the nation remains as unstable as it was at the beginning of those early political challenges. Côte d’Ivoire’s recent history should serve America as a warning.
During the past week, we have heard many journalists and political experts write that America is on a precipice. But, if we want to be honest with ourselves, we must acknowledge that, from the nation’s earliest days, America began in violent efforts to either subjugate or annihilate people of color–first, native peoples; then, Africans kidnapped and brought to these shores while enslaved. To claim that we are on a precipice now implies that this is the first time we face stark choices concerning racism. In truth, we have been balancing uneasily on that precipice since the founding of the republic.
Nevertheless, each time we venture farther out on that cliff, we come closer to toppling over its edge.
The lessons of Côte d’Ivoire’s difficult modern history are still something from which it’s not too late to learn. There’s still time to conduct thorough inquiries into who organized last week’s insurrection and then prosecute them. All of them. Even if he neither resigns nor is removed from office via the 25th amendment nor is impeached, Donald Trump can, and should, ultimately be judged–ideally in court, but certainly by history.
Meanwhile, we have an interregnum to plow through.
Recently, I checked in with Dr. Bjørn Westgard, to see how he was doing.
Back in the ‘90s, Bjørn was enrolled in a wildly demanding, combined M.D./Ph.D. program at the University of Illinois, where I had the pleasure of serving as his academic advisor. After completing his medical school coursework, Bjørn conducted doctoral research in cultural anthropology in a small town in northern Senegal, studying the complexities of intersecting local and global medical systems as they sometimes complemented one another and sometimes competed. He intentionally combined “bottom-up” and “top-down” perspectives, interviewing everyone from village-based farmers and healers to biomedically trained nurses and doctors. (From that research, Bjorn is fluent in French and Wolof, the most widely spoken language in Senegal; he also speaks Serer and Mandinka, two linguistically unrelated languages spoken in the region of his research.)
When it came time to choosing a medical specialty in which to pursue his residency, Bjørn surprised me: he decided against his early interest in pediatrics or family medicine and opted instead for emergency medicine.
Initially, I was disappointed: I thought that working in ER rooms would waste Bjørn’s formidable scholarly skills. How could he get to know transient patients and put his extensive training in biomedical cultural sensitivity to work? Of course, Bjørn had already thought through that concern. “There are more return patients than you’d think,” he explained. Bjørn understood what few others in the U.S. yet knew: that many, many uninsured Americans used emergency rooms for routine medical services. That included the poor and the undocumented—for all of whom, Bjørn (with his ample wading into the deep waters of culturally sensitive issues) would have special insights.
Bjørn had an additional reason for selecting emergency medicine that made equally compelling sense. “There’s so much wrong with the American medical system, and a lot of it is encapsulated in ERs,” I remember him explaining. “As an anthropologist, I can start addressing the systemic problems if I have a position working in the belly of the beast.” At the time, no one was talking about this problem in such clear ways–at least, not in public conversations about healthcare policy. I remember being instantly both impressed and persuaded: Bjørn was making the right decision.
Besides, if I thought about everyone I had ever known, Bjørn would have been my first pick for an ER doctor. He has the sort of calm temperament and clear, logical mind that would make him the obvious choice for captaining any sinking ship.
Fast-forward fifteen years, and Bjørn now finds himself working as Research Director and Senior Staff Physician at Regions Hospital, aLevel 1 Trauma Center in Minneapolis thatsees over 90,000 Emergency Center visits every year. A Fellow of the American College of Emergency Physicians, Bjørn holds secondary medical appointments in emergency departments of four other hospitals in Minnesota and Wisconsin.
Clearly, Bjørn has harnessed the wisdom he gained from studying pluralistic health practices in a small town in Senegal to the technical skills he gained in studying medicine. With his incredible combination of scientific and humanistic talents, I was unsurprised to learn that Bjørn is now leading a medical team that is fashioning policy responses to COVID-19 for the state of Minneapolis.
On his home page, Bjørn describes his approach to medicine this way:
My teaching and research have focused on Emergency Department use for preventable conditions among priority populations, “food deserts” and diet-related Emergency Department visits, longitudinal changes in Emergency Department use among the homeless, supportive housing, and reducing health disparities in emergency care.
Who could be more qualified than an ER physician-anthropologist such as Bjørn Westgard to understand the COVID-19 crisis in both scientific and human terms?
(You can read a brief bio of Bjørn Westgardhere and his LinkedIn pagehere.)
Recently I had a conversation with Dr. Bjorn Westgard about this long COVID-19 moment—about what he has learned, and what he can teach the rest of us.
BW = Bjorn Westgard
AG = Alma Gottlieb
AG: An ER doctor in New York, Dr. Cameron Kyle-Sidell, recently claimed that ER doctors around the world may have drastically misjudged the nature of the COVID-19 beast when it enters the lungs, and may have unintentionally harmed patients by keeping them attached to respirators administering too much pressure on fragile lungs. His claims are quite striking and disturbing! If this ER doctor is right, it’s tragic to think of what damage might have already been done by mis-calibrating those respirators. What do you think of his claims, medically? And, why do you suppose he posted this video on YouTube for general consumption?
BW: This has gotten a lot of play. Unfortunately, his understanding of high-altitude pulmonary edema is a little off, and no one has put anything together about his critique that is systematic or peer-reviewed. However, multiple physicians from China, Italy, and New York in particular (on some emergency medicine podcasts and the like) have raised the possibility that treating COVID using ventilator parameters for ARDS [acute respiratory distress syndrome] may be incorrect, at least initially.
The ventilator management of these patients doesn’t sound incompatible with early ARDS, but it is still very controversial. I just got into a heated argument with an intensivist earlier today for even bringing up the above. There is fear among all sorts of health professionals right now, especially among those who tend to “know what they know” with the most certainty. So the idea of managing critical pathophysiology that might be different from what is expected–requiring a veritable,Kuhnian paradigm shift–can be very anxiety- and anger-provoking.
To add further fuel to that fire, there has also been discussion of a possible hemoglobin issue (oxygen carrier in the blood), but there has been nothing other than a pre-press 3D computer modeling paper out of China in the rapid-fire literature to support that idea. However, a group from NYU did use machine learning to predict severe disease, with results that could support the idea of ahemoglobinopathy. I even have colleagues in my other Board specialty, hyperbaric medicine, who are working on a trial to use hyperbaric oxygen to get around the possible hemoglobin issue. I think there’s probably more to the receptor for COVID, which is present in all of the body’s vasculature, which could potentially trigger inflammation and coagulation that way, and that inflammation and small clots, which we’re finding everywhere in coronavirus patients, could be causing diffuse injury.
It’s fascinating to watch the accretions of science and knowledge in the age of the Internet and social media. Already, cranks are hawking conspiracy theories and supplements in response to the “censored” knowledge above.
As an emergency physician and an anthropologist, I’m a bricoleur of the contingent and the emergent, by trade. I’ll consider new ideas if they make pathophysiologic sense, and I have no doubt that someone will examine these ideas further and more systematically, so I’ll keep watching for more evidence. For now, I’ll care for the patient in front of me and adjust their vent settings as needed.
AG: That sounds like a good strategy both for an ethnographer and a doctor. But then, I always thought that all doctors ought to have training in anthropology.
BW: I hope I didn’t give you the impression in my last email that I was resistant to the ideas presented, just that I’m looking for more information, whether from personal, clinical experience or other data. I’m just not generally inclined to change my clinical practice in response to social media. I’m in the middle of our Thursday morning residency conference right now, and we’re discussing initial and ICU ventilator settings, given developing information, and it’s fascinating to hear an intensivist colleague suggest that “we’re all in the same boat here, the attendings [fully credentialed, attending physicians], the fellows, the residents, and the med student . . . we’re all learning together as we go.”
AG: Speaking of combining social and technical approaches, we’ve been reading about efforts to systematically calculate social contacts for COVID-19 patients, to help track the socio-geographic spread of the disease. What do you think of those?
BW: Very cool. I’m trying to get our state to do something similar using an app I’ve worked with a team to develop. I’m arguing with our Department of Health, who have difficulty appreciating how technology might help. But they’re also feeling less pressure to consider novel options, since our state is doing relatively well.
AG: Here’s something else I thought you might have a lot to say about . . . the whole “herd immunity” question strikes me as so interesting for anthropologists. I’ve been reading a lot about this recently. This piece in the Boston Globe really caught my attention.
First, there are the epidemiological questions. How accurate is the concept of “herd immunity” to begin with? As a doctor and scientist, I assume you’ll have much to say about that.
Second, there are the sociological implications. How can your perspective as an anthropologist speak to the epidemiological factors? If the US (and/or other nations) adopts a “herd immunity” approach at some point (before a vaccine is widely available), what sorts of people will be allowed—or even encouraged–to be exposed to the virus? What sorts of people should be allowed, or even encouraged, to be exposed to the virus? Are those two groups of people the same? Or, will socioeconomic disparities intervene, and might large numbers of the wrong people (the most vulnerable) end up being exposed to the virus? I’m thinking about this because, over the past two weeks, many mainstream journalists in the U.S. have begun noting racial disparities in COVID-19 mortality. Of course, that’s no surprise to anthropologists (and some other social scientists), though it seems to be surprising plenty of politicians. Thinking about these social factors, are there new risks to perpetuating racial disparities with a “herd immunity” strategy?
Third, there are the symbolic/conceptual/philosophical implications. As a scholar steeped in sensitivity to discursive implications, what are the ramifications of using a metaphor of (non-human) animal behavior for human behavior, in evoking “herd” immunity?
The maddening “organism at the edge of life” (as virologist E. P. Rybicki describes viruses) that is far too dangerous to appear this beautiful
BW: I haven’t had time until after my shift this evening to get to your questions, but I like them. It prompts me to reflect and consider with a wider lens.
I’m not an expert in infectious disease or epidemiology, but my understanding is that “herd immunity” is primarily a statistically useful concept that expresses the aggregate balance between immune systems and infectious vectors such that there’s enough immunity to prevent ongoing transmission. But when you get into the immune system, things become very complex very quickly. Talking about vaccines and immune medications (like those being discussed as treatments forcytokine storm, for example), the questions pertain not just to the dose of a drug in the volume of an aqueous human, but also to what the most productive triggers are for the bodily machinery churning out the immunity widgets of antibodies. The questions become: What is needed to trigger the production of immunity? How effective is the immunity that is produced? Does it wane, and if so, when?
And all that is without discussing the social patterns of intermixing that we all experience, and which have become the main means by which we are currently intervening upon the spread of this pandemic. I think that’s where the concept of “herd” becomes interesting. Anthropologists and many others are comfortable with the idea of the population as a biopolitical concept generated by a certain kind of governmentality. But how do we, the multitude, deploy that in an effective, self-governing manner?
It seems to me that the concept of the “herd” could allow us to conceive of our collective biology, our animality, in a way that is positive and potentially collectively empowering, rather than biostatistically disempowering. That said, it seems clear that a “herd immunity” strategy that treats the lot of us like chattel (the flip side of the “herd”), positing that we should all “put on our big boy and big girls pants” and accept that a lot of people must die, will undoubtedly do more harm. We’re seeing this in those areas of the country where few or late actions have been taken to mitigate the spread of coronavirus.
It’s my hope that we’ll use available information from around the world to develop better methods that capitalize upon our current collective engagement. It seems like “flatten the curve” has brought the collective back to the biostatistical. Hopefully, well-thought-out approaches to “reopening” and easing social/policy measures could do the same. But the evidence for these measures is thin, and we are all learning about one of my favorite areas or research, complex population models of disease. This is another area where science is being built daily, as the pandemic provides some of the first empirical test cases for these tools.
But it is disheartening that in areas both with and without aggressive measures, we see the impact of racial and socioeconomic disparities. Those disparities are at play in health inequities and inequitable care in the best of times. Now, resources are strained, so it would be almost unthinkable that those factors would not be significantly at play in the pandemic. In areas with less, or late, social and political measures to isolate people, the historic clustering of populations through systemic segregation, with associated increases in population density and decreases in access to resources, lead tosyndemic conditions. In areas with more social and political measures to isolate people, many who work low-end jobs become unemployed, with all the accompanying fears and hardships, while those who keep their low-end jobs–clerks, janitors, service workers, etc.–are left out in public in positions that put them in contact with large numbers of potentially infectious people. So, between the two groups, disparities in rates of infection and adverse outcomes should come as no surprise.
I’ll get back to you with more, as this is the next bit of thinking required. In Minneapolis, the group I’ve assembled between HealthPartners and the University of Minnesota are going to consider how to model this process to provide guidance for the long term of the pandemic.
AG: Yes, racial disparities are emerging with disturbing alacrity and intensity in the US. But, as you say, that’s hardly a surprise, for all the reasons concerning systematic, structural disempowerment that have characterized US society since Europeans set foot on these shores. Those sorts of disparities have begun to be part of a growing national conversation since the Civil Rights movement of the ’60s, and they took on new force more recently with the Black Lives Matter movement. One of the components of the current horrible moment that I’m actually finding most heartening is the extent to which social conditions ARE finding their way to being front and center of many conversations. It strikes me that this moment of national (and global) crisis offers America new opportunities to expand that conversation and really take its lessons seriously in a new way for the first time in US history. And, medical researchers and doctors will be at the forefront of that conversation. Someone like you, with your dual training, is especially well positioned to think systematically about just how to operationalize those lessons in ways that work with public health protocols. That’s why I’m excited about our continuing conversation!
BW: I think it’s very clear that this virus is hitting communities in both indiscriminate ways (with some reportedly healthy individuals going on ventilators or even ECMO life-support machines) and in VERY discriminating ways, hitting poorer communities and those of color. What I haven’t heard exactly is any discussion about ways to focus resources on those communities that are hardest hit, which is disappointing but not unexpected, given the current national leadership.
I actually think race and structural inequalities and violence have very much come to the fore within medical practice. It’s just that our sphere of influence is limited. For example, in Minnesota, our healthcare system has an Equitable Care Committee that has done a lot of great work, although it has vacillated between focusing on equitable care and health equity, depending upon what we think we can actually achieve. Residents and med students, particularly the med students, are very aware of disempowerment, and it’s one of the things I teach about when I’m on shift [teaching residents]. In fact, next week, I’ll be drawing directly from anthropology in giving a talk as part of a panel at our Society for Academic Emergency Medicine national meetings (now online!) about teaching residents to be “structurally competent”—meaning, thinking about larger, structural issues that shape the experiences they see in particular patients.
What’s most difficult is to figure out how to get beyond the clinical domain and affect pathologies upstream, closer to their source. It helps one understand why Paul Farmer long ago advocated for large-scale wealth transfers between north and south, and why we need to do the same in the U.S. That’s actually some of what was achieved by the Affordable Care Act but then was largely undone or undercut by recent tax cuts for the wealthy. So it’s good that these issues are front and center, but I think they could be even more so. And it’s good that we’re thinking communally, as I said before, but the idea that we might differentially focus collective resources upon communities that are hardest hit seems to meet resistance with predictable frequency.
AG: In Rhode Island, where I now live, there’s actually a vigorous initiative (Beat COVID-19) with just that emphasis. Beyond the capital, the two cities hardest hit in Rhode Island are Central Falls and Pawtucket, both of which have large, immigrant communities of color (mostly from Latin America and Cape Verde). The current rate of infection in both those cities currently surpassess that of New York City. Nationally, these two small cities are invisible in news reports, but locally, a multidisciplinary coalition has formed that is forging creative approaches to reach these communities. The coalition includes a normally unlikely set of folks, including a local doctor, representatives from the state’s Department of Health and the two cities’ police departments, marketing specialists, local community organizers and advocates, translators, and even yours truly, as an academic critic. I’ve been heartened to see a far more open-minded approach to reaching these communities than I would have imagined. For example, since many residents of these neighborhoods feel more comfortable speaking either Spanish, Portuguese, or Care Verdean Kriolu, a new COVID-19 hotline in these three languages now welcomes callers, and there are now public service announcements in those three languages that are being promoted online in all sorts of social media spaces where people from these communities are likely to read them. I’m so impressed by what I’m seeing that I’m starting to consider this local initiative a model for communities elsewhere.
Once COVID-19 starts hitting the white heartland–as now seems inevitable–because of resistance both by Republican governors and local residents to maintain social isolation procedures, and insistence to “re-open” the economy prematurely and indiscriminately–it will be interesting to see how those communities respond to the crisis suddenly invading their families. As a physician, I imagine you must feel quite frustrated by those conditions.
BW: Just look at the largely white nationalist forces that have hijacked what began as small-business protests about state efforts to enact social-distancing policies, in an effort to minimize the impact of the COVID surge.
Photo by MEGAN JELINGER via Getty Images A local militia group is seen at a rally to protest the stay-at-home order amid the Coronavirus pandemic in Columbus, Ohio, on April 20. For the third time that week, hundreds of protesters gathered at the Ohio State House to protest the stay home order that was in effect until May 1. Source here.
Those folks are having trouble getting on board with just the baseline collective actions needed for public health. Currently, so many folks in the rural parts of the country see this crisis as an urban thing. But if we look back at the influenza pandemic of (supposedly) 1918-19–which actually lasted three years (my grandfather nearly died of it in 1921)–the initial wave hit densely populated areas, but the next waves were largely rural. And today, if you look at rural areas, they’re as disproportionately disadvantaged as are many of the low-income, urban communities from which we’ve divested as a society. In fact, rural America overall is actually less insured, has less access to services, and is more dependent upon government transfers of resources than is most of urban America. So, I’d really like us to be able to see both of those kinds of communities with one gaze.
AG: That makes a lot of sense both politically and intellectually. It will be interesting to see if white conservatives come around to that position, once they are affected.
Since you’re enjoying thinking about epistemological issues raised by COVID, I wonder what you might think of an e-mail I recently received.
A prominent medical school has decided to confer MD degrees a little early, for med students who had completed all their training and were scheduled to receive their degrees within a few months. (The e-mail subject line read: “Emergency Powers Exercised: Approved Early Degree Conferral of 4th Year Medical School Students.”)
That will allow these brand-new medical residents to start practicing in COVID-19 hotspots and help alleviate the hospital crisis in those areas. Seems like a great idea–this is a good time to challenge bureaucracy, right?
But I also saw an online petition on a related question that made me more nervous–to grant “registered nurse” (RN) licenses to “licensed practical nurses” (LPNs), who have quite a bit less training than registered nurses do. That struck me as way riskier. But perhaps I’m being too conservative. Maybe LPNs are actually being asked to do the work of RNs in this crisis, and so they should be credentialed and salaried accordingly. What do you think?
BW: I definitely agree with deploying fourth-year medical students early. It strikes me as a safe move at this time in their training.
However, in areas that are not already seeing surge conditions, I think the country would be best served by deploying medical students to docase-contact tracing.
And I agree with you that granting RN licenses to LPNs is riskier. Credentials are indicators of different kinds of training, and their significance should be maintained, though that’s the professional in me coming out and maintaining boundaries.
As with many things at the moment, one could simply and temporarily alter practice parameters for surge or crisis standards of care.
AG: I recently read another, especially thoughtful piece in the New York Times, about when to “re-open America”—with the intentionally provocative title, “Restarting America Means People Will Die. So When Do We Do It?” A staff writer for The New York Times Magazine moderated a panel discussion with five people with varying backgrounds (a minister, an economist, a global health specialist, a civil rights specialist, and a bioethicist). They raised sociological issues related to those raised in the Boston Globe piece about “herd immunity”–but from broader perspectives, and more critically, I think. Lots of food for anthropological thought here. As a physician-anthropologist, you can, I imagine, bring special perspectives to this emerging national conversation about how we think about risk in “re-opening society.”
BW: There definitely needs to be attention to those who are at higher risk for contracting and dying from COVID-19, and to those communities whose residents don’t have a choice about going back to work. It’s really a matter of whether people are forced to be at risk, or are allowed to be agents of their own risk and that of their loved ones. Are we going to make re-opening businesses opt-in?
Unfortunately, the baseline state of affairs in America is far from a level playing field. Some people will, essentially, be forced to work so that states don’t have to pay them unemployment benefits, and small business owners will be forced to run risk so they can qualify to get loans and other state-funded stimulus funds. Yet, somehow, there’s no national conversation questioning whether oil, airlines, and other large industries should be bailed out.
I think we could consider restarting by focusing on the social and the scientific. I think most of us would be doing better with all of this isolation, quarantine, and lockdown if we had a few more people to connect to. If you look at places that are opening up, or even how we started this all, we could start clustering in smaller groups, 10 people or fewer. Just folks who you would know were sick. And we could get the kids back together. Given the low likelihood of adverse effects in children, the fact that they have been much less symptomatic, but that they are also very good at transmitting disease to each other (just ask any parent of a daycare child), getting them back together would get us started with herd immunity. Bioethicist and oncologist, Zeke (Ezekiel) Emanuel was one of the first to say that we should probably get summer camps up and running. To me, that makes sense. But, again, it’d have to be opt-in, both for those who run the place and those who go to camp.
AG: Scholars and doctors aren’t the only ones talking about how to protect ourselves from this virus. I just discovered a pretty awesome rap video about COVID-19 from Y’en a Marre, a group from Senegal (here). Any thoughts?
BW: Y’en a Marre are a great group. They were instrumental inmobilizing the youth vote to get Wade out of power in Senegal, so I feel like they’re always “au service du peuple et de la nation” [in the service of the people and the nation]. It’s so interesting how hip-hop and other forms of art in a smaller country, fending for its own identity and economy with a smaller media space due to the constraints of language, can be called on–if not officially (like this probably was), then culturally–to serve the body of the nation. In this new video of theirs, I love how they’re all doing scientific activities–looking at charts, microscopes, and blood specimens–instead of just striking stereotypical poses in hazmat suits. It’s a solid video. I can’t imagine many hip-hip artists in the States pulling something similar off with the same tone–in Minnesota, maybeAtmosphere, but not many others in the national mediasphere.
Senegalese group, Y’en a Marre, in a new music video (singing in Wolof) advocating safety measures to protect against COVID-19 Source here
AG: You mentioned that you’ve just co-authored a short piece about COVID-19 that you’ve submitted to a medical journal. Can you talk a bit about the orientation of that article? Were you able to insert an anthropological perspective into an article for a medical journal?
BW: In Minnesota, we’ve just had a huge decline in visits to the emergency department and to the hospital for just about everything. Most of the news outlets have covered it, but no one has published any numbers or more detailed reports of what’s not coming in. I’m fine with a slowish day in the ER, but across the country, particularly in those places not seeing the surge, the changes in patient volume have had devastating effects on clinics, hospitals, and health systems that have to operate at near full capacity and with razor thin margins in normal times just to stay afloat. So, at the same time as we have surge, we’re also seeing mass furloughing and pay cuts for nurses, doctors, and even (gasp) administrators.
So we just pulled the numbers for before and after our great Governor Walz’s announcement of a statewide “peacetime emergency,” comparing volumes and visits to a year ago, and we found a 70% drop off in strokes, and a 50% drop off in heart attacks, but also declines in really painful things like kidney stones, too. And, who’s not coming in? Well, it’s the elderly, children, and those who have insurance through Medicare. Much of this drop is likely prudence on the part of high-risk individuals, but we know there’s also some desire to not burden the health systems with non-COVID related care, as well as some fear of actually contracting coronavirus in healthcare settings.
Similar trends have been seen in China, Taiwan, South Korea, and Europe, as well as in chronic care. In Minnesota, the HealthPartners Institute has a chronic care surveillance group, and they saw visits drop off by 90% in three days after the statewide announcement.
We’re interested in doing follow-up studies, monitoring for the effects of delayed or deferred care, both acute and chronic, and seeing who comes back first, and with what.
AG: That sounds like an important set of considerations I haven’t yet seen anyone talking about in the press. Everyone is so focused on the now of the emergency, and how to extricate ourselves from it, that few I’ve seen are allowing themselves the luxury of imagining ancillary questions such as those you’ve just raised. Again, I imagine your training in anthropology makes it easier for you to keep your eyes focused not only on the big picture, but on seemingly unrelated factors that, in the end, turn out to be deeply related. That’s what we do in anthropology, right?
Well, let’s end on a positive and practical note. Last week, the team you’re leading produced a new app, “SafeDistance,” to provide up-to-date information about COVID-19 incidence in micro-neighborhoods.
Online, the website for the new app describes it this way:
SafeDistance is a free, non-profit app and website that crowdsources symptom data to help detect, predict, and prevent the spread of COVID-19, while assuring your privacy.
· Personalized, social distancing recommendations
· Neighborhood-level COVID-19 risk map
· Privacy assured – no account required, you remain anonymous
Can you talk about what sorts of social knowledge about Minnesotans factored into how you designed the app for ordinary people?
BW: The basics are maintaining privacy while collecting data of actionable utility. So we’re focusing on anonymity–both to allay privacy concerns, and also to make it an easy tool to begin using. Instead of identifying individuals, we’re mapping and doing analytics by neighborhood. This approach allows both individual users, and anyone else who is interested in the data from a more sociogeographic perspective, to have some granularity to what they’re seeing.
If you look at most of the data that’s out there, even the Johns Hopkins and Unacast or SafeGraph data, it’s mostly out there in county form, which is fine if you’re interested in the temperature of the pandemic locally, but it doesn’t tell you the weather and how much caution you should be exercising. Right now, that’s not a huge deal, because we’re all being very cautious with our efforts to self-isolate, mask and the like. But as we open up, and we find that our prior efforts burn out and COVID-19 flares up in different spots, we’ll probably have to dial up and dial down and differentiate our self-protective and collective efforts to deal with the virus. As I said, the “1918” influenza pandemic actually lasted until 1921, so it’s like [epidemiologist] Mike Osterholm has said, we need tools to figure out how we’re going to live WITH this virus, since it’s unlikely that we’ll just out and out defeat it–at least, until an effective vaccine is available globally.
AG: You initially launched the app in and for Minnesota, but it’s now available for anyone across the U.S. via auser-friendly website. Do you imagine it could have equal relevance anywhere in the country?
BW: If all the app does is give users good information and maps that convey the details of the pandemic in their neck of the woods, I’ll be satisfied.
But the detailed neighborhood maps that will be produced in the app from new user data will soon be available nationwide. If the data that are generated can be combined with other datasets to get us to a geospatial SEIR model that would allow us to predict more accurately when and where future outbreaks might occur, that would be a real contribution to fighting this pandemic–as well as to science more generally.
Well, it’ll likely only be the former, but hope springs eternal.
N.B. Another version of this post appears on the website of the anthropology journal, Public Anthropologist. You can find it here.
UPDATE, June 19, 2020: Bjorn has just published a co-authored article analyzing changes in the numbers and kinds of patients arriving at ERs in one large, public Minneapolis hospital. You can request a copy here: https://www.researchgate.net/publication/342111120_An_analysis_of_changes_in_emergency_department_visits_after_a_state_declaration_during_the_time_of_COVID-19
Early generations of anthropologists offered all sorts of definitions. No matter what their specifics, the various definitions inevitably shared one feature: “culture” is identifiable. Above all, it encompasses a set of beliefs and behaviors that, together, are premised on an enduring set of values.
Or something like that.
And, as such, culture (it was thought) offers a source of stability. It occupies broad swaths of time and space: associated with a delimited place, and occupying long patches of history. For these reasons, culture makes for a certain level of predictability in the lives of community members.
Starting in the 1960s, anthropologists started questioning those assumptions. Marxists pointed out that ever since, oh, the advent of capitalism, or feudalism, or agriculture (pick your favorite starting point), “culture” has been perpetuated by the ruling class. Once the poor get fed up enough, they protest; eventually, they revolt. Then, suddenly, what passed for an enduring model of “culture” turns into a set of values to be challenged, and “culture” — or, one particular version of it — doesn’t seem so reliable or inevitable.
This “Occupy Everything” poster featured on Day 14 of the Occupy Wall Street movement of 2011 summed up a great deal of diverse social justice perspectives that sheltered under the umbrella of the global social movement. Source here.
Around the same time, feminists began pointing out that “culture” has been perpetuated by men-in-power. Once women get fed up enough, they protest; eventually, they revolt. See above.
One can repeat similar arguments focusing on many other oppressed groups: racialized minorities, religious minorities, ethnic minorities, citizenship minorities, language minorities . . .
Nor is oppression the only reason for change. “Culture” also mutates when people from different backgrounds meet up, live near each other, work with each other, eat each other’s foods, dance with each other at street fairs, marry each other, have children with each other.
This ethnic-restaurant map of Queens, NY–an area of 109 square miles/52 square kilometers–hints at the extent to which large numbers of people from diverse cultural backgrounds (21,000 of whom live in every square mile) encounter each other daily. Source here.
You get the point. “Culture” turns out to be way less permanent, less bounded, less intractable than early anthropologists claimed.
Not that the idea of culture is worthless. Contra some serious critics (Lila Abu-Lughod famously urged anthropologists to “write against culture“), I still find plenty of value in the notion. That’s because I see a lot of space between worthless and intractable. Culture can be malleable, adaptable, dynamic, while still remaining rooted in something. And, although the values that buttress culturecan change, while they are active, they are powerful. They lie behind many (perhaps, for the privileged few, most) of our decisions.
Still, in pop culture, the current generation of anthropologists’ critiques of what culture is, and isn’t, hasn’t taken hold. Instead, in texts ranging from newspaper articles to corporations’ reports, we easily read disturbingly essentializing claims about “the Chinese” and “the French” and “the Muslims” as if all Chinese people, all French people, and all Muslims were easily interchangeable, eagerly sharing all values and forever speaking with one voice.
Or we read simplistic assertions about “corporate culture” in the halls of this or that company, as if all employees endorsed and enacted daily the corporation’s stated idealistic goals.
Along comes COVID-19.
The maddening “organism at the edge of life” (as virologist E. P. Rybicki describes viruses) that is far too dangerous to appear this beautiful
Of course, the most poignant takeaway of COVID-19 is the tragic demise of its most vulnerable targets.
But alongside the wrenching announcement of the day’s latest mortality statistics, as a cultural anthropologist, I find myself fascinated to read “culture” changing before our eyes — weekly, daily, even hourly. What we took as immutable practices grounded in deep-seated values are turning out to be far more pliable than most of us imagined.
Take the case of exercise. For the first few days of their local “lockdown,” people who got their workout in gyms despaired. How could they stay fit with health clubs closed?
Enter human ingenuity. Gyms have figured out ways to run “live” classes online. The acronym du jour — WFH for work from home — is expanded by some clubs to WFHBT: work from home better together. Buttressing that conceptual adaption is a simple technical one. Don’t have weights at home? How about using any heavy-ish household item you have lying around that you can hold? Say, pasta sauce jars, six-packs . . . or suitcases.
Coach Andrew Samuels of New York’s Mile High Run Club models creativity in suggesting the “suitcase squat.” Source here.
In such cases, people substitute one space for another. The exercise formerly done in the gym is now done in one’s living room.
But for some urbanites, studios may prove way too tiny to offer space for exercise. City-dwelling coaches are undaunted. Some suggest finding new purpose in a balcony.
Coach Marni W. of New York’s Mile High Run Club demonstrates lunges on her tiny balcony. Source here.
For fitness enthusiasts, daily habits of organizing one’s life around outings to the gym morph into organizing one’s life around coaches’ new online classes. That may entail switching work and sleep schedules to accommodate new class times. But the stable source, here, remains the commitment to “fitness,” no matter where, when, and how. That part of local culture and its underlying values remains stable.
But, for a stronger challenge to “culture,” let’s look at a different physical practice common to most of us: that of ordinary walking. For those who learn to walk competently some time in the second year of life, walking becomes a rote activity by the third year. As adults, we rarely contemplate our gait, pace, or stride. No matter where in the world we live, we have a sense of exactly how much distance we should put between us and the next person in order to avoid being judged creepy or reported as criminal. In a New York City subway, that space might be just an inch or two; in rural Sweden, it might be quite a few feet.
Whatever the interpersonal space bubble that feels “natural” to us while out in the world, we must all now confront our unconscious body awareness as we constantly re-calibrate distance. Keeping six feet from the nearest person may now require crossing the street to avoid being too close to the person approaching you on a narrow sidewalk.
Previously, such an action might have seemed, at best, rude; in some contexts, it could have been deemed racist. (As a short film by Cydney Cort called “Passing” once suggested, even speeding up while walking on the same side of the sidewalk can be motivated by racialized fear). Now, not crossing the street to avoid someone approaching you might be assessed as thoughtless, selfish, even potentially murderous.
Normally, producing such a 180-degree turn in what constitutes proper etiquette doesn’t happen overnight. Anthropologists and sociologists from Erving Goffman on have chronicled the deep-seated values that lie behind bodily practices as basic as walking styles. Those values tend to make somatic habits relatively resistant to quick or arbitrary changes.
French sociologist Pierre Bourdieu termed such practices, habitus. He spent much of his celebrated career studying how we experience and embody entrenched assumptions about the world and our place in it, and how these assumptions shape everything from architectural styles to taste in dinnerware.
But with COVID-19, much of what heretofore passed for habitus has suddenly become its evil twin. An attempt at a friendly hug might as well be a curse.
If maintaining a span of two meters from the nearest human may require doing a sort of dance down the sidewalk, suddenly, we are all turning into novice choreographers, performing an awkward solo tango across the street. What was heretofore a routine somatic movement becomes a basis for uncomfortable improvisation.
Perhaps the professional dancer, actor, and jazz musician can teach us a thing or two. All these artists learn the art of improvisation as part of their training. It may seem odd to think of improvisation as something to be learned. But improvisation is actually a discipline that students practice in dance, theater, and music classes. Ironically, it turns out that the art of improvisation is, indeed, a teachable skill, and the rest of us non-artists are suddenly being required to master it. If you’ve got an artist friend or relative, ask them for some tips.
Gwendolyn Baum is one of many dancers now offering online classes — including how to plan for a dance audition. Source here.
Artists are now designing striking face masks, teaching us to find beauty in even this new health requirement while enjoining others to do the same.
Abiquiú, NM-based artist, Suzie Fowler-Tutt, showing off her hand-sewn face mask color-coordinated with her hair adornments. Source here.
Powerful new works of art, such as this one by performance artist, Miles Greenberg, may speak to how many people feel these days — alone, awkward, defenseless, shackled.
This short but moving work of performance art by Miles Greenberg is part of a COVID-19-themed series for Document Journal. Source and video here.
But artists no longer have a monopoly on improvising new ways to cope with unprecedented challenges. Many who never considered themselves especially creative are finding themselves inventing new ways to cope with challenges and celebrate what remains noteworthy.
Neighborhoods are now organizing weekly shout-outs to thank those who risk their own health daily to care for the sick.
Every Friday night at 7 pm, residents up and down the street of this suburban neighborhood in RI stand outside their houses to clap, bellow, and bang their gratitude for local health care workers. Source here.
And those whose jobs put them daily in harm’s way are, themselves, figuring out the life-saving art of improvisation. In the U.S., thanks to an infuriating two months of inattention to the looming pandemic on the part of the Trump administration, medical professionals at risk of infection because of inadequate supplies are actually making their own masks.
In the U.S., lack of preparation for COVID-19 by the Trump administration propels hospital workers to sew masks. Unsurprisingly, this is feminized labor. Source here.
Workers in plenty of private businesses are also digging deep to find new modalities.
Distilleries that otherwise produce vodka have found a new use for excess alcohol: they are re-purposing that newly-hyper-valued substance into one of the rarest commodities of the day, sanitizing wipes.
Inside supermarkets, managers are getting creative about indicating six-foot intervals delimiting where people should wait on the checkout line.
Photos: Alma Gottlieb
Meanwhile, gig-economy musicians position themselves outside those supermarkets, where they entertain customers awaiting their turn to enter at safely-spaced intervals.
Photos: Alma Gottlieb.
With all this creativity occurring in the economy, I find all the more reason for us to take another look at the homeless.
And, no, I don’t mean because they are especially vulnerable. They are, but we already know that. We’ve known that for a long time. Too many books have been written about their vulnerability, with not nearly enough done to address it. Here, I’d like to point out something we rarely think about when we consider the situation of those who live on the streets.
By necessity, the homeless are masters of improvisation. From whatever tragedies led to their plight, they must scrounge anew for food and safe spaces daily. As if that weren’t enough, they must often manage these demanding tasks while being stigmatized, mocked, even arrested or assaulted. Although the homeless are more frequently the object of derision than admiration, their life skills in the face of almost unimaginable obstacles are extraordinary. Along with artists, they, too, could teach the rest of us some important life lessons.
As an anthropologist who researches the lives of homeless people in Leipzig, Germany, Luisa Schneider writes in a new poem:
Even as many in the middle class (and beyond) are now coming to appreciate for the first time the low-paid workers who (often, invisibly) make their privileged world work — producing payroll checks, bagging groceries, cooking restaurant meals, packing and delivering packages, cleaning houses, teaching children — the one group that remains invisible for their life skills is the homeless. When this COVID-19 state of emergency finally passes, might this moment of global reflection produce new policies of compassion for helping the homeless to find new living quarters, while also helping them adapt their formidable survival skills to new careers?
What levels of grit and ingenuity are required to amass and transport daily this collection of necessary life goods as an impoverished, homeless urban nomad across the streets of NYC? Source here.
But that biomedical level has its counterpart in sociological factors — inevitably, given that humans are, above all, a social species.
The new catch-phrase guiding our lives is “social distancing.” For some, the required new habits of isolation are causing great loneliness and worse. For others, the phrase couldn’t be more of a misnomer, as people with access to advanced technology forge ingenious ways to stay in touch with those they hold near and dear. In the global North, Zoom is making geeks of technophobes.
I do not mean to underplay the suffering that the most vulnerable are enduring. Of course, that group includes not just the homeless but also the incarcerated and the medically compromised — the elderly, and those with the now-famous list of “underlying medical conditions” that, especially, stress the heart (diabetes, cancer, obesity, serious organ issues) as well as the lungs (asthma and respiratory conditions).
But it also includes the sociologically most vulnerable — the poor. And, in most parts of the world, that means, especially — for historical reasons having everything to do with the past half-millenium of European colonial expansion — people of color. Maps plotting those five groups — the homeless, the incarcerated, the medically vulnerable, the poor, and Black and Brown populations — are disturbingly close to isomorphic.
In a future post, I will explore these sorts of social vulnerabilities in this COVID-19 moment. Here, I want to end on a different note.
COVID-19 is forcing us to do no less than not only reinvent ourselves as individuals, but reinvent components of who we are as communities. For those who fear change but recognize the suddenly urgent need to embrace it, artists and the homeless alike offer powerful models of inspiration.
The transformations now occurring at every level of society will offer anthropologists research topics for years to come — starting with reëvaluating some unexpected benefits of what we might have formerly dismissed as fragility, and what we mean by “culture.”
Like the ducks and brants my husband and I see congregating regularly by the dozens along the shore’s edge of Narraganssett Bay near our coastal home, we humans are a social species. (Audobon’s description of the Brant: “Feeds in flocks at most times of year”),
Whether indoors or out, whether in small numbers or large, whether in person, online, or at a distance, we crave others. And not only for emotional needs. Also, for economic and survival reasons. With precious few exceptions, we modern humans haven’t survived the past ~100,000 years as hermits.
So, it’s no surprise that, when the bizarre daily habitus of “social distancing” becomes the “new normal,” we suffer. We were meant to.
Lesson 2:
Like the Leonardo da Vincis or Zora Neale Hurstons we read about in chronicles of our most creative ancestors, we humans are a clever species.
Okay, so, we’re not all Albert Einstein or Sappho. But, whether working at an easel or a computer, whether laboring alone or in a team, whether doing work of the mind, heart, or body, we specialize in problem solving. We haven’t survived the past 100,000 years as modern humans by walking over cliffs en masse as lemmings do when they run out of choices.
https://www.youtube.com/watch?v=AOOs8MaR1YM
Yes, life and society have apportioned privileges unequally, contributing to unequal doses of resiliency at the individual level. That is a heavy burden that psychologists specialize thoughtfully in addressing, even as our politicians ignore their responsibility in producing the structural inequalities that create such unequal apportioning. Once we emerge from this global crisis, even our most heartless politicians should have greater awareness of what it takes at the structural level to sustain a compassionate community.
For now, it’s important for all of us to remember that, collectively, we are a resilient lot. Unlike every other species, we’ve figured out brilliantly how to safely move through, and even inhabit, every environment on earth, from sky to water, from arctics to tropics.
Now is not a time for despair. The tiny creatures underlying today’s global crisis will not defeat us.
Lesson 3:
The bad news:
Coping with COVID-19 won’t be fun. Some among us will suffer more than most—financially, emotionally, logistically.
Those who survive on daily coffee and lunch dates, and weekly dinner parties or movie outings, may become especially frustrated and depressed.
A very small number of those among the most vulnerable of us–especially the elderly, those with compromised immune systems, and those in both categories–will not survive a viral attack.
That is a potential source of collective tragedy we must all work hard to mitigate.
The good news:
We are learning to thoughtfully prioritize scarce resources, with the greater good in mind.
The community spirit being promoted by this pandemic has other positive effects. For those with Internet access at home, social media offer us amazing alternatives for remaining in touch with those near and dear to us. They also help us find our way to many new communities that can offer solace.
And those are only the headline heroes. We will have far more heroes who will never make the headlines.
On my neighborhood list-serv, someone who loves to cook has offered to bake a loaf of bread, and personally deliver it on foot, to any elderly or quarantined neighbor who requests one. To be realistic, she clarified the approximate radius of how far she might walk to deliver samples of her kitchen’s output. Another neighbor soon magnified the offer: he’ll drive to pick up the loaves and deliver them by car to anyone farther than the generous baker’s walkable zone.
And that was only Day Two since my state’s governor declared first steps of “social distancing.”
Not convinced of our species’ capacity for creative and even limitless commitment to one another, no matter how far the physical distance required? Check in soon for more encouraging ethnography, large and small.
Meanwhile, remember: As a species, we’ve got this.
In elementary school, the first “robin red-breast” of spring signaled warmer days, colorful flowers, and a promise that the school year wouldn’t last forever. I considered robins my friends.
Of late, I’ve come to perceive those same songbirds as my enemies.
This year, thanks to non-stop April rains, the blueberry bushes in our back yard have burst with fruits as they’ve never done before. My husband and I have inspected the branches daily with equal doses of anticipation and dismay as their output has transformed from tiny, hard, green things, to pinkish-purple promises, to blue balls of deliciousness.
Keeping vigilant over every move toward the berries’ sweet inevitability, we’ve had to do more vigorous battle with their other major, neighborhood fans, the robins.
As a delicate bird alights on a twig, I play schoolyard bully and drive her–or, is it him?–away. (I’m embarrassed to say, I don’t know my adversary’s gender.) The robin flits across my neighbor’s yard, only to return a few minutes later.
Philip wickedly points out that some wild chirping in a nearby tree might signal a nest filled with robin babies, and who’s to say I’m not depriving babies of needed nourishment?
Despite usually being a sucker for all things baby, I don’t buy this bid for maternal solidarity and return to my war of words.
“Shoo! Go find your meal elsewhere!” I holler, clapping my hands firmly for extra emphasis. The call of a future blueberry clafoutis dominates my decision.
*
My Biology 101 level of understanding of evolution assures me that humans sit comfortably atop something we easily term the “food chain.”
Merriam-Webster defines “food chain” as:
an arrangement of the organisms of an ecological community according to the order of predation in which each uses the next usually lower member.
When I picture the food chain, a very human-centric model readily comes to mind. (You can tell I’m not a vegetarian.)
How can my husband and I be competing as equals with a small-brained creature so much lower on the evolutionary scale?
Maybe my human arrogance is misplaced. Given that we seem to have the same taste in fruit, who’s to say birds and humans can’t be classified as equals, at least when it comes to dessert?
Then I remember an image from some fields in West Africa where I used to hang out. Come the growing season, birds showed up en masse, excited about the feast of tiny baby corn and rice kernels suddenly enticing them. But any success they enjoyed would come at the expense of the villagers–subsistence farmers, whose food supply they were stealing.
So, farmers enlisted children from the age of three on to serve as a young army. From dawn to dusk, groups of children occupied the fields. To entertain themselves during any intermittent periods of truce, the children brought along homemade flutes, drums, and dolls. Whenever some birds showed up, the kids took a break from their play time to shoot little pebbles at the flying invaders. Their aim was impressively accurate, thanks to homemade slingshots. Deployed over the course of a couple of weeks by those youthful armed forces, that simple technology–a Y-shaped piece of wood, with strips of red rubber tied to two ends and linked by a small piece of leather, to cup the pebble–saved the year’s crops.
The Beng knew what every farmer has known since the advent of agriculture. Never mind brain size or evolutionary scales. For that matter, never mind cute images of birds as characters in children’s books. (Think, Make Way for Ducklings). A food competitor is a food competitor.
It’s true that a more “live and let live” approach to the natural world might re-orient the food chain toward a more cooperative image–say, a non-hierarchical circle, rather than a tiered pyramid.
Still, like farmers everywhere, Beng villagers don’t romanticize the quest for food. Once humans figured out how to plant seeds, everything changed. We’re not just digging roots and killing animals wherever we may find them, we’re setting out clearly demarcated territories for what we consider our food sources–and defending those boundaries not only against our human neighbors, but against other species, as well. If that means chasing away cute robins from our blueberry bushes, so be it.
In the U.S. these days, it’s common for urbanites to dismiss rural residents as less sophisticated–at best, country bumpkins; at worst, ignorant racists. But knowledge comes in many forms. From their distant perch in the rain forest of West Africa, Beng farmers–as rural as they come–have, as usual, taught me a thing or two.
What can an anthropologist (who specializes in humans) learn from an unlikely species (like a goose)?
Plenty, it turns out.
My husband and I went goose-banding the other day, thanks to my husband adventurous spirit in discovering a creative, public-outreach program organized by our coastal state’s Department of Environmental Management (“DEM”).
Knowledgeable staff from that department’s Division of Fisheries and Wildlife instructed a small group of citizen-scientists how to herd geese scattered around a large pond, via a strategically managed caravel of kayaks.
These three kayakers took one path, while two other kayakers took a different path toward geese scattered around this large pond. Eventually, all five kayaks rounded up some 70 geese and converged as a caravel. [photo by Alma Gottlieb]
The geese are moulting their flight feathers right now. For a few vulnerable weeks every summer, they’re stuck in the water and can’t fly. Scientific teams takes annual advantage of this brief, flight-less period to herd them for identification. (Biologists band nearly 150,000 geese in North America each year.)
In early summer, Canada geese lose their flight feathers, revealing these blood-filled ribs bereft of feathers. [photo by Alma Gottlieb]
In their temporarily terrestrial state, the birds are easily guided by kayaks that surround them to funnel the creatures ever more tightly into a compact group.
Once nudged gently to a small spot along the shore, our geese found themselves directed into a square enclosure assembled on the spot by more volunteers and staffers.
Geese herded by kayakers on the eastern edge of Long Island (North Fork, NY) three years ago [photo source here]
Staffers and volunteers building a temporary enclosure to keep the herded geese in a small space while awaiting being banded. [photo by Alma Gottlieb]
Thus corralled into a manageable space, the geese next endured the more intrepid volunteers among our group learning to wrangle them, one by one.
My husband, Philip Graham, was among the volunteers who risked getting scratched after entering the pento catch individual geese. [photo by Alma Gottlieb]
The wrangler then gently handed her temporary prisoner off to a staff partner.
This volunteer bravely caught dozens of geese, handing each to a staffer outside the pen, to band the bird. [photo by Alma Gottlieb]
The partner then sat with the goose and managed to clip an aluminum band, imprinted with a unique number, around one leg of each goose.
Staffer clamping a numbered band onto a goose’s leg. [photo by Alma Gottlieb]
Then the goose endured gentle poking around under its tail feathers to have its sex identified.
Two staffers identifying a goose’s sex. [photo by Alma Gottlieb]
Other volunteers (including yours truly) recorded the tag numbers, along with the bird’s age (adult/juvenile) and gender.
I found my scholarly niche–recording data. [photo by Philip Graham]
Later that day, the scientists on the team would share the data with a federal registry office staffed by biologists–the Bird Banding Laboratory of the U.S. Geological Survey, Biological Resources Division, in Laurel, Maryland.
At some time in the future, if a hunter shoots one of those geese (or anyone encounters one of these geese anywhere), s/he should contact that lab to share the goose’s banded number. Scientists will use the data to understand more about the lifespan, habits, and vulnerabilities of the geese. Perhaps global warming-induced change might be inferred. As the lab’s website explains:
So much for the day’s mechanics, and the long-term goals of this worthy scientific project.
As for me, here’s what I learned from thinking about our day’s outing as an anthropologist.
1. Geese are the subject of powerful human stereotypes.
“Mean,” “stupid,” and “herd-like” recurred as assumptions readily evoked by friends and neighbors who heard about my husband’s and my plan to go goose-banding.
A large flock of Canada geese (Branta canadensis) taking off from the Ridgefield National Wildlife Refuge in Washington state
2. Geese are widely reviled in urban and suburban America.
From my non-scientific sample of friends and neighbors, I conclude that geese are commonly condemned for their repulsive, slippery, and pervasive droppings on lawns, outdoor running tracks, and park greens alike. Nor did my friends express admiration for their loud honking.
Goose droppings are the frequent subject of cartoons
In fact, my pals all expressed grave disappointment on learning that my husband and I declined to kill all the geese we encountered at close range.
Despite their image as dirty, loud, aggressive beasts, geese also enjoy a fleeting reputation for their graceful, “V”-shaped migrating flights. As long as they remain far overhead, humans seem willing to cut them some slack and enjoy their passing beauty.
Classic, “V”-shaped winged migration of Canada geese
4. Geese aren’t as dumb as they seem.
Inside our pens, some birds climbed on top of others, making thoughtful efforts to turn their mates into ladders and escape over the top of their pen.
Well, it’s true that they failed at these efforts. Perhaps their brains required just a few more synaptic connections to discern that they needed one more storey of goose floor to reach over the pen’s top edge.
Still, I admired some of their perseverance.
The goose on the left has perched on the backs of its buddies, trying to scramble out of the enclosure. [photo by Alma Gottlieb]
5. Geese don’t just represent factory-like replicas of their species.
The birds we banded actually displayed individual personalities.
When we herded them into the pens, a few squawked mightily. Some even stuck out their tongues and hissed. Others vaguely whined. Some complied with docility. Most remained quiescent, thinking their private goose thoughts.
The goose in the foreground was among the most vociferous squawkers. [photo by Alma Gottlieb]
6. Geese feel emotions.
As the kayakers approached the shore, the staffers instructed us to hide quietly behind the marsh grasses.
If the birds spotted or heard us, the staff warned us volunteers, the geese would become scared. That might stress them even more.
Several of us volunteers hid behind these tall marsh grasses lining the shore. From behind this dense green wall, our view was quite limited. Reciprocally, we remained hidden from the view of the approaching geese, to avoid scaring them any more. [photo by Alma Gottlieb]
7. Age matters.
While the adults in our pens varied impressively in their behavior, the goslings collectively seemed far less variable. In fact, they all appeared vulnerable. They found themselves easily trapped under the weight of the larger, older geese. I’m sure I even noticed some of them sweating. The biologists in our group became nervous about the risk of the juveniles being crushed to death and instructed the wranglers to extract the babies first.
Thankfully, they were all rescued in time.
*
So what did I learn about humans from my day hanging out with these water fowl?
It’s true that Canada geese occupy a far lower point on the evolutionary scale than do humans.
Butthat’s precisely what struck me about the occupants of our temporary enclosures.
Even the (evolutionarily) lowly Canada geese are complicated, intentional, worthy of respect for individuals, and defy our essentializing stereotypes.
Shouldn’t the same apply in spades to our fellow humans?
Cultural anthropologist, Robbie Davis-Floyd, is a leading anthropologist in the fields of childbirth, midwifery, and obstetrics.
A Senior Research Fellow in the Department of Anthropology at the University of Texas-Austin, she has studied childbirth practices firsthand in the U.S., Mexico, and elsewhere, and has promoted the work and legitimacy of midwives around the world.
Robbie Davis-Floyd (back row, right) honored by the North American Registry of Midwives (NARM) for helping create a nationally recognized certification process for professional midwives in the U.S., Mexico, and Canada
She has also lectured as a featured, keynote speaker at over 1,000 universities and health practitioners’ conferences in the US and internationally, always taking the opportunity to learn more about the maternity care systems of the countries she has visited.
Robbie Davis-Floyd speaking at the 2014 Symposium of the California Endowment
Considering the cumulative impact of her energetic and creative efforts on many fronts to promote healthy childbirth without unnecessary, high-tech interventions, it is probably no exaggeration to say that Robbie Davis-Floyd has long served as the “public face of anthropology” to the international childbirth movement. Her work has been instrumental in bringing anthropological insights into the global childbirth arena and in effecting humanistic changes in childbirth practices in many countries. Indeed, given the impact of her work, she is considered a “living legend” among birth activists both within and beyond anthropology.
Despite the enormous impact of her research, writing, and speaking on childbirth practices in the U.S. and elsewhere, birth is by no means the only topic that Davis-Floyd has studied. She’s recently given birth to a delightfully readable, new book, The Power of Ritual, co-authored with neuroanthropologist, Charles Laughlin.
Cultural anthropologist, Claire Farrer, has called the new volume “an exquisite and informative book,” writing:
I wish that this book had been available during my long teaching career–I would have used it in all my relevant courses!
Beyond professors and students, because of its breezy writing style, combined with its captivating examples from common experiences in Westerners’ lives, the book will surely appeal to many “ordinary” readers. Birth educator, Debra Pascali-Bonaro, has written:
Before I read The Power of Ritual, I thought I knew what ritual was, yet now I know that it is so much more–it can be everything from a simple conversation-opener to a powerful healing process, from an individual’s daily habits to full-scale ceremony. I have learned much from this book that I can apply to my own life to enable me to more consciously perform my daily, family, and professional rituals.
Robbie and I recently chatted about the book online. You can read our conversation below.
Meanwhile, you can learn more about Robbie Davis-Floyd’s work on her website here, including her C.V. You can also find a view of Davis-Floyd’s many published books here, and downloadable PDFs of most of her dozens of published journal articles and book chapters here.
RDF: Robbie Davis-Floyd
AG: Alma Gottlieb
*
AG: You’re well known for helping develop and promote the anthropologies of childbirth, midwifery, obstetrics, and reproduction. Your fans may be surprised at the focus of this book on ritual. Yet, your first book (developing from your dissertation), Birth as an American Rite of Passage, used ritual as an analytic frame.
In that sense, would you say that The Power of Ritual reprises the conversation about ritual that you began nearly 30 years ago? Or, takes it in new directions? Or both?
Put differently (and more broadly), why would an anthropologist of childbirth write a book about ritual?
RDF: I’ve come full circle, as I did not start out as a birth anthropologist! My original graduate training was in both Folklore and Anthropology, and my interest in ritual was sparked by one of my Folklore professors, Roger Abrahams, whose writings on ritual I found enticing.
I did my Master’s thesis on the folklore of a Texas madam, Edna Milton, who for many years ran the notorious Chicken Ranch in La Grange, Texas—featured, after its closing, in the movie, The Best Little Whorehouse in Texas. The article I wrote about how Edna’s masterful use of jokes and other forms of language manipulation kept her in total control of the Chicken Ranch, its customers, and its employees was published in the Journal of American Folkore and was widely used for teaching for many years, as it clearly shows how jokes and folktales can be used for manipulation, plus it is hysterically funny!
In the middle of my PhD studies, I took some time off to spend a year traveling around Mexico and learning Spanish. I returned to Mexico often and worked with two shamans—Don Lucio, a traditional shaman and “weather-worker” (trabajador del tiempo) from a small village in central Mexico, and Edgardo Vasquez Gomez, a wealthy businessman living in Cuernavaca who had traveled the country in his younger years studying sorcery (brujeria), magic, and traditional healing, and later combined that with the teachings and philosophy of the Russian philosopher, G. I Gurdjieff. Both had large followings, and both could actually manipulate energy and perform what I experienced as magic. If you combined them into one person, you would get someone very like Carlos Castaneda’s Don Juan.
I know that Castaneda’s work has been discredited, but the two shamans I worked with were real—as were the effects of the (very different types of) rituals they performed. We used to joke that Edgardo was Don Juan. In my doctoral program, I later wrote several long papers on myth, ritual, and shamanism in Mexico and expected to do my dissertation research with those two. (That was before computers, and those papers, sadly, were lost in a house fire.)
But then I had a baby, got “bitten by the birth bug,” and decided, instead, to research women’s childbirth narratives, as I was still in folklore mode. Yet the more women I interviewed, the more one question grabbed me:
Given the highly individual nature of each woman’s birth experience for that woman, why is birth treated in such a standardized way in American hospitals?
I began to research the scientific literature on birth. I soon realized that the vast majority of “standard obstetric procedures” did nothing to make birth safer. Instead, they made it more predictable and controllable—while unnecessarily harming women and babies in the process.
Davis-Floyd has chronicled how fetal heart rate monitors keep women attached to a bed and claim attention on a machine’s readouts, rather than on a laboring woman’s subjective experience
At first, I was confused. Like most people, I had assumed that obstetrics was based on science. When I realized it wasn’t, I had to ask the most basic anthropological question: Why? Why would doctors do things to women that didn’t make birth safer? The explanation hit me like a bombshell.
’”Standard obstetric procedures” do not come from the logic of science but, rather, from the logic of ritual. Like most rituals, they reflect the core values of their culture—in this case, the culture of technocratic societies.
They are designed, as so many rituals are, to try to control the uncontrollable forces of nature, to keep fear at bay–in this case, fear of both death and lawsuits. So, I switched from simply analyzing women’s birth narratives to a focus on analyzing obstetric procedures as rituals.
To fully explore this notion, I needed to understand ritual more, and its primary characteristic– the use of powerful symbols to convey meaning. I took a summer seminar at the University of Virginia with Christopher Crocker on what was then called “symbolic anthropology” (now “interpretive anthropology”). I also taught myself medical anthropology, which I had never formally studied. But I had to become an expert in it, as pregnancy and childbirth had long ago become defined as medical events.
After reading almost everything that Victor Turner, Clifford Geertz, Arnold van Gennep, and many others had written about ritual, I saw that birth, which used to be a physical and social rite of passage replete with social rituals, had become a completely medicalized rite of passage. The rituals that characterize birth everywhere had become medical rituals, officially disguised as “standard procedures.”
Dissatisfied with the many definitions of ritual I read, I created my own:
a ritual is a patterned, repetitive, symbolic (and often transformative) enactment of a cultural (or individual) belief or value.
Obstetric rituals enact the core values of what I called “the technocracy”—a term that came to me from Peter Reynolds, via his book, Stealing Fire: The Atomic Bomb as Symbolic Body, but that I redefined:
a technocracy is a hierarchical, bureaucratic, capitalist, and (still) patriarchal society organized around the supervaluation [a word I coined] of the progressive development of high technologies and the global flow of information via those technologies.
I generated a list of what we might perceive as characteristics of rituals: symbolism, rhythmic repetition, order, formality, framing, performance, acting, stylization, staging, and often, intensification toward a climax. In my dissertation (which became my first book, Birth as an American Rite of Passage), in a chapter called “Birth Messages,” I dissected each standard obstetric procedure—its official rationale, the scientific evidence against it, women’s highly varied responses to it—and explained how it acted as a ritual by enacting, displaying, and transmitting specific core technocratic values and beliefs to women, their partners, and their practitioners.
In Birth as an American Rite of Passage, Davis-Floyd analyzes the wheelchair as a powerful symbolic statement conveying the clear message that the woman in labor is “disabled”
At first, some ritual scholars like Ron Grimes argued that I was metaphorizing obstetric procedures as rituals, but that they were not really rituals—they were like rituals—because most scholars saw ritual as religion-based. But since the publication of my book in 1992, and its second edition in 2003, my analysis of hospital birthing practices as rituals has held, and its framework for understanding the characteristics of “secular ritual“ (using childbirth as an example) has been widely used.
AG: What a fascinating intellectual history! So, for this book on ritual, how did you decide to collaborate with a co-author who specializes in neurological approaches to human experience?
RDF: From analyzing birth narratives, I saw that women’s perceptions of themselves and their ability to give birth were profoundly affected by technological hospital rituals (such as IVs, electronic fetal monitoring, Pitocin induction or augmentation, episiotomies, immediate cord clamping, etc.). So I knew there was a missing piece in my growing understanding of ritual. It seemed clear that ritual can affect the human brain–but how?
Davis-Floyd’s research has helped document the much higher likelihood of a C-section once a woman’s labor is “induced,” or accelerated, with Pitocin
I searched the literature but found no answers until, one day, while browsing the book stalls at the annual American Anthropological Association conference, I saw a book way at the back of the Oxford exhibit booth. That particular book was literally glowing at me—in much the same way that I could often see the reins of energy that Edgardo held in his hands glowing during group meetings. I pulled the book out, and my life changed! It was called The Spectrum of Ritual, and it gave me the answers I was looking for. Here, finally, was the missing piece—the neurophysiology of ritual, the explanations for how ritual works on the brain and, thus, where it gets its power over us humans—starting with its multiple roles among animals.
A few years later, I met one of its authors, Charles Laughlin, at a conference. We both had read everything the other had written, so our meeting was intense and our ensuing friendship equally so. We eventually decided to co-author a book on The Power of Ritual–because I wanted to expand my study of ritual into other arenas besides birth, while Charlie wanted to put his highly esoteric work on ritual (characterized by what he termed ”neurognosis”) in more straightforward language, so he could make it accessible to people with IQs lower than 180. I kept telling him, “Just dumb it down and tell stories”!
AG: Did you run up against differences in approach?
RDF: Not really. Charlie accepted my definition of ritual as the one we would use. We also used most of my list of the characteristics of ritual. At some point, though, we realized that some factors on my original list, such as the fact that rituals generally work to preserve the status quo yet, paradoxically, can also be used to generate rapid social or religious change, were actually effects of ritual, not characteristics.
In this book, I finally was able to write about my long-ago work with the two Mexican shamans. Unfortunately, it was all from memory, since, as I previously mentioned, the graduate school papers I had written about those experiences had all burned up in a house fire.
AG: This book begins with a theoretical discussion of how to define and analyze ritual, but it ends with a surprisingly down-to-earth section offering models for how contemporary readers might create their own rituals for important moments in their lives, whether for menarche, meditation, lucid dreaming, prayer, birth (as Melissa Cheyney has shown, homebirthers in particular create lots of rituals for honoring, de-medicalizing, and helping them through the labor process–see her article, “Reinscribing the Birthing Body: Homebirth as Ritual Performance”), death, or other significant events or experiences.
When we think about “engaged anthropology,” we usually have more economic or political transformations in mind. Would you consider the “how-to” section of the book another variety of “engaged anthropology”?
RDF: Yes! And also of “applied anthropology.” Anthropological understandings gained from studying people and their lifeworlds should be expressed in ways that enable people to apply them to their own lives and use them for their own purposes. We need to come down out of our ivory towers and make our work relevant and useful in immediate ways. That is why Charlie and I put so many personal examples of ritual into our book—to engage readers with those experiences and help them directly apply them, should they wish to do so.
AG: So, what’s next?
RDF: Our refinement of both of our life’s works in this book is now feeding back into the third edition of Birth as an American Rite of Passage, which I am working on now, and which will be a complete revision and update (this time with a co-author, the amazing Missy Cheyney). Another full circle!
But I‘ve never confined myself completely to birth and related subjects. In addition to ritual and symbol, I’ve also intensively studied cults (as described in The Power of Ritual), medical doctors who became holistic healers (as described in From Doctor to Healer: The Transformative Journey), futures planning via global scenarios, and aerospace engineers. But those are stories for another time. That’s one of the great values of anthropology. Once you have the tools, you can study any phenomenon that captures your interest!
AG: Any other future projects in the works?
RDF: Betty-Anne Daviss and I are in the process of finishing Childbirth Models on the Human Rights Frontier: Speaking Truth to Power—a sort of follow-up to our book, Birth Models That Work(2009), which has been called “seminal” (though we would have preferred “ovarial”) because it was the first book to describe truly functional birth practice models that are woman-centered and evidence-based—as opposed to the dysfunctional, non-evidence-based maternity care models that predominate almost everywhere.
This new follow-up volume describes models that are way more “out on the edge”—in high-poverty, disaster, and war zones, for example. It also discusses birth models that are more iconoclastic, while addressing professional bullying and competition among doctors, and the de-skilling of obstetricians in techniques for vaginal breech birth.
Our next project will be an edited volume called The Global Witch Hunt: The Ongoing Persecution of Woman-Centered Birth Practitioners. Its purpose is to call attention to the often-intense persecution of some of the most skilled midwives and obstetricians in the world, who will often go out on a limb to honor the wishes for a normal birth of women considered high-risk, by attending them at home or in hospital, but then get punished for putting the woman, not the protocols, first. The “witch-hunted” practitioners will tell their own stories in each chapter, while we co-editors (Betty Anne-Daviss, Hermine Hayes Klein, and myself) will contextualize those stories in the Introduction and Conclusion.
In another vein, for years I have been writing short stories, which I hope to publish some day in a book called Robbie’s Reader: Vignettes of My Magical Life—for my life has indeed felt magical, primarily because my anthropological research and international talks have taken me all over the world, filled my life with adventure, and given me great stories to tell!
Among the Mbendjele gathering-hunting people who live in the Republic of Congo,
“women’s laughter manages to keep men in line.”
Drawing from ethnographic research by Jerome Lewis, anthropologist Chris Knight relates that among the Mbendjele, “senior women exercise a special privilege, seeing it as their enjoyable role to bring down anyone who seems to be getting above themselves.”
To explain what “getting above themselves” might include, Knight enumerates an impressive list:
greediness
selfishness
dishonesty
cheating
laziness
arrogance
boastfulness
carelessness
cowardice
intolerance
moodiness
impulsiveness
aggression
possessiveness
not providing enough to eat
threats of, or attempts at, violence
chasing another woman
not having sex often enough.
Why should we care about Mbendjele women’s complaints about their men’s bad behavior?
Given that all humans began (evolutionarily speaking) as gatherer-hunters in sub-Saharan Africa, anthropologists have long pointed out the special insights that contemporary hunter-gatherers of Central Africa hold for our species history. Expanding on writings by anthropologist Chris Boehm, Knight uses the example of laughing Mbendjele older women to develop a broad-ranging theory of how laughter may have evolved as a unique human pleasure.
Why not learn from your Mbendjele sisters and take up coordinated public laughter at out-of-control men as your next power move?
In fact, our newly-elected women Members of Congress have already gotten a brief but great head start.
I’m guessing that Mbendjele women would recognize their strategy.
Maybe the next group press conference held by our women MoCs critiquing unjust laws and unethical practices (patriarchal and otherwise) will be accompanied by a full-scale, Mbendjele-style laugh-in. Our species’ long evolutionary history might well support it.
