Ed Bruner: In memoriam

August 8, 2020

Ed Bruner at his home in Illinois (2005)

Ed Bruner passed away yesterday, at 95–peacefully, at home. I wish my daughter and I could have been with him, but–Covid.

Ed started out as my senior colleague in the anthropology department at the University of Illinois. He soon became a mentor, then writing/editing buddy, then dear friend, then adoptive grandfather of my daughter. With 37 years of a richly multi-layered relationship, how do I begin to mourn?

I will post some memories soon. For now, I just wanted to inform my anthropology colleagues that our discipline has lost a great scholar.

Meanwhile, if you’re not familiar with Ed’s wonderful writings, a few of his many brilliant articles are available for download on his ResearchGate page here–catch them while you can.

August 8, 2020

Some especially strong memories of Ed Bruner will always remain. Here’s one.

In my early years as a professor, he and Ann Anagnost and I co-created a graduate course (on Symbolic and Interpretive Anthropology) and co-taught it twice. I learned so much about how to teach from that semester, watching Ed masterfully lead discussions like an orchestra conductor. He always knew when to lecture, when to call on the quiet student, when to apologize for having been unclear or unfair, and how to lighten the moment when two students risked having their theoretical disagreement turn nasty. In that classroom, Ed taught me to be an anthropologist of our students, to pay attention to their realities and meet them where they were. He also modeled the righteousness of democracy.

Although Ann and I were un-tenured assistant professors, and Ed was already a full professor and had been head of the department many years earlier, he treated the two of us as fully his equals. We co-created the syllabus, each of us meticulously responsible for one-third of the readings and leading one-third of the class sessions; we divided up all other responsibilities equally, even the grading–Ed never shirked on his share of work. In that classroom, Ed modeled egalitarian values that I still try to live out.

There’s also this: When Ann and I both became visibly pregnant toward the end of our second round of co-teaching, Ed never made us feel out of place, as many male colleagues might have, for our bulging bellies. In fact, he joked about his disadvantaged position as the only non-pregnant instructor. Although he came of age well before the second wave of feminism changed America, Ed’s basic humanity led him to feminist stances, even if he didn’t know to call them such. So, when I started schooling him in the basic tenets of feminism, he was a quick study. I was just giving him a vocabulary for something he already knew–that women are human.

In my next post, I’ll address that hunger to learn.

August 9, 2020

Ed Bruner celebrating his 91st birthday in our Illinois home (2015)
Photo by Alma Gottlieb

August 9, 2020

Soon after I arrived as a new professor at the University of Illinois, a graduate student in my department offered me his version of a rundown on all my new colleagues, complete with some juicy nicknames he’d concocted. His moniker for Ed Bruner: “What’s-New Ed?” This grad student gently mocked Ed for having switched intellectual paradigms more than once. I was intrigued and resolved to understand what lay behind such multiple shifts.

What I discovered was a voracious appetite for knowledge. Ed frequently asked me what I was reading and told me excitedly about what he’d just read. For years, he was a member of an interdisciplinary reading group that exposed him to new trends in the humanities. In mid-career, reading interpretive theory led him to migrate away from the positivist orientation of his graduate school training and help forge what became known as interpretive anthropology. Ed edited two influential collections of essays (one, with Victor Turner, one of my own mentors in grad school) that marked the interpretive turn in anthropology. To further cement this major shift and legitimize humanistic perspectives in anthropology, Ed helped found the Society for Humanistic Anthropology, and (ever generous) he (anonymously) funded its Victor Turner Prize in Ethnographic Writing.

For all his humanism, Ed also loved science. His first major in college was engineering; his son became an engineer; and he never relinquished his fascination with the latest STEM discoveries. Into his 90s, Ed was always the first person I knew to buy (and master!) the latest cell phone model; I learned about GPS technologies installed in cars from Ed, who once proudly gave me a detailed tour of his new car that had one of the first GPS technologies available. Once my son started working as a software engineer for Apple, Ed enjoyed geeking out with Nathaniel about the most minute of tech niceties. When the field of anthropology was being torn apart by bitter and rivalrous claims between the humanistic and scientific ends of the discipline, Ed wrote a piece for the major anthropology newsletter gently taking us all to task for seeing the two perspectives as mutually exclusive. When that disciplinary rupture started tearing apart our own department, Ed’s was always the calm voice of reason at faculty meetings at which reason was in short supply.

Ed’s intellectual adventurousness didn’t only lay in theory–he also lived it. He conducted his earliest research with Native Americans, then switched to study Indonesia (and learned the Indonesian language). Late in life, he started a major new fieldwork project of studying tourist behaviors around the world. Observing American tourists in Asia, Africa, and the U.S., Ed helped forge Tourism Studies as a serious discipline.

Ed and Cookie Bruner (left) interviewing Maasai performers for tourists in Kenya (1984)

Ed’s book, Cultures on Tour, a compilation of his best articles on the topic, is must-reading on every Tourism course syllabus.

Back in 2014, a session at the annual meeting of the American Anthropological Association addressed Ed’s impactful work on tourism. That session was so strong that the participants decided to publish their talks. Such projects always take more years than anyone predicts. As Ed’s health declined, awaiting the publication of that book became one of the things that kept him going.

Ed Bruner at a session on tourism organized by Naomi Leite and Queetzil Castañeda in his honor at the American Anthropological Association (2014)
Photo by Alma Gottlieb

When The Ethnography of Tourism: Edward Bruner and Beyond appeared last October, Ed felt gratified that much of his life’s work had firmly found its place in the scholarly world.

For my part, Ed’s scholarly globe-trotting gave me courage to contemplate my own major fieldwork switch (from Côte d’Ivoire to Cabo Verde). I was thrilled when Ed agreed to write what turned into a magisterial chapter for a book I edited (The Restless Anthropologist), thoughtfully and honestly looking back on his (then) 60 years of global field research.

Ed didn’t only read scholarly work; he also devoured fiction. Once, my writer-husband, Philip Graham, mentioned a list-in-progress he kept of his favorite works of contemporary world fiction, to share with his students. Ed begged for the list and soon started reporting his impressions of the books he was reading. After plowing through the initial list of hundreds of novels and short story collections, he kept requesting Philip’s periodic updates.

In short, Ed was a model for his students, and for me, of how to be a scholar–not the kind of scholar who revels in the trivial, or who defends a single idea to the grave, but the kind of scholar who remains perpetually intellectually alive and open to the world of ideas.

August 11, 2020

Today’s more personal memories of Edward M Bruner . . .

When she was three years old, our daughter Hannah declared that she needed us to find her a grandfather. Both of her biological grandfathers had died before she was born, and she felt that lack early. I asked her if she had anyone in mind. She asked me to list all the older men in our lives who she knew. When I got to Ed’s name, she stopped and said, “That’s my grandpa.”

At that point, our daughter had only met Ed a few times. Until they were old enough to balk, my husband and I regularly dragged our children to conferences, dinner parties, lectures, classes, and even some faculty meetings (poor things), to keep them an active part of our lives. That meant, they got to know a lot of adults. At the cocktail parties that Ed and his wife Elaine (“Cookie”) hosted, Hannah was usually the only child present. Ed had always taken kind notice of Hannah: asked her what she’d like to eat, found her a cozy spot to sit, asked if she was afraid of his large dog (she was, and Ed removed the animal to another room). Clearly, Hannah (always emotionally wise beyond her years) intuited that Ed was someone who was sensitive to other people’s realities, even those of a far different age category. Hannah picked well.

Over the next 23 years, Ed indeed became our daughter’s grandfather. (He already had grandchildren from his son, but they lived a couple of states away.) Year after year, Ed and Cookie bought our growing daughter the perfect, age-appropriate presents for her birthday and for Chanukah. When she was young, there was a stuffed panda bear about three times Hannah’s size, which occupied a very large corner of her bed for many years.

In middle school and high school, there was an increasingly sophisticated set of jewelry gifts. In college, there was a designer purse. When Ed was heartbroken that he couldn’t travel to Rhode Island to attend Hannah’s college graduation in 2017, he sent the largest flower bouquet he could.

Nor did Ed’s involvement end at charming and extravagant gifts. In elementary school, Ed-as-Grandpa came to Hannah’s school performances; in high school, he watched her cheerleading gymnastics. When the first serious boyfriend entered Hannah’s life, Ed insisted on meeting him and giving him The Grandfather Talk (complete with You’d-Better-Treat-My-Darling-Granddaughter-Right sort of warnings). When Hannah had an offer of an internship at a very prestigious art gallery in NYC the summer after her junior year in college, Ed helped subsidize her overpriced NYC studio sublet (which happened to be close to the old site of Stuyvesant High School, the competitive high school that Ed had attended decades earlier). When it came time (a few years back) to donate his professional papers to the Wenner-Gren Foundation and figure out what to do with his extensive library, Ed had Hannah sort through his books and papers and organize and pack them up.


Elaine (“Cookie”) Bruner, Hannah Gottlieb-Graham, and Ed Bruner in our Illinois home (2015)
Photo by Alma Gottlieb

Last week, Ed learned from his doctors that the end of his days on this earth was approaching, and he wrote me a farewell note. After tearing up, I shared the terrible news with Hannah. Immediately, she called Ed on FaceTime and they had their final conversation. By now, Hannah had a new partner. She’d hoped to introduce Andrew to Ed on a trip back to Champaign-Urbana (for a dear friend’s wedding) this past May, but, to everyone’s deep dismay, Covid postponed that trip (and wedding) until next May. Hannah fretted greatly about the delay in seeing her rapidly aging grandfather; last week, her worst fears were confirmed.

It meant the world to her that she was able to introduce Andrew to Ed over FaceTime. I don’t know what Ed said in that final conversation, but it must have been just the right thing. Ever an anthropologist, Ed must have managed to intuit Hannah’s mood and speak to it because, although Hannah emerged crying, she also emerged in peace.

Thank you, Ed, for that final gift to your beloved, adopted granddaughter–and for living out your scholar’s understanding of the bonds of kinship. Anthropologists have long known that what we used to call “fictive kinship” can feel as real, as deep, and as meaningful as any bonds forged by biology. Ed demonstrated that theoretical insight as lovingly as anyone might.

August 12, 2020

Last installment of my thoughts about Edward M Bruner (at least for now).

Ed and I were 30 years apart. When we met, he was twice my age. That age difference might appear to offer an unpromising basis for a friendship. In choosing friends, most of us tend to find a path to people who are like us in some obvious ways. Age and gender often rank high on the list of shared criteria. For Ed and me, somehow, neither of those differences interfered with our friendship.

My inspiration was my long-ago Beng friend, Amenan Véronique. One late afternoon, while we were chatting in her compound in the rain forest of Côte d’Ivoire, Amenan excused herself from a conversation, to take dinner over to someone across the village. When I asked about the recipient, Amenan said she was bringing the dish to a very elderly woman who couldn’t easily cook for herself any more. I asked if she was an aunt–in those villages, most people are related to each other in some way or another. Amenan surprised me by telling me that they weren’t related at all–they were friends. At the time, Amenan was in her early 30s, and the age gap further surprised me. “Age doesn’t matter for friendship,” Amenan quietly declared. Ed re-taught me that lesson.

Over the years, Ed and I indeed became friends, of the sort that, in most places, women typically reserve for each other. Ed told me about changing dietary decisions and showed off a new suit or cashmere sweater he’d bought himself. We regularly confided in each other about family issues. As he aged, he asked my opinion about whether he should get this or that medical treatment for this or that condition. That sort of vulnerability that is the hallmark of a good friendship is harder to establish across age and gender divides; to Ed, it came easily.

None of those intimacies prevented Ed from critiquing my work when he thought I needed to rethink a point in a manuscript-in-progress. But it did mean that his critiques were delivered especially kindly, and that I took them especially seriously.

Four years ago, telling Ed that Philip and I would be retiring and moving to Rhode Island was the hardest Goodbye I had to say when we left east-central Illinois after 33 years. Ed was already 91, and increasingly feeble. Nevertheless, he managed to give a beautiful speech at the retirement party my department hosted.

Ed Bruner speaking at my retirement party from the. University of Illinois (May 2016)
Photo by Philip Graham

We left unspoken our worries that we might not see each other again. I am grateful that I did see Ed during a trip back to Champaign-Urbana a year later.

Thank you, Ed, for our 37 years of friendship.

What Anthropology Teaches Us about COVID-19, Part 4: A Conversation with Physician-Anthropologist, Dr. Bjørn Westgard

Recently, I checked in with Dr. Bjørn Westgard, to see how he was doing.

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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, a Level 1 Trauma Center in Minneapolis that sees 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.

Over the years, Bjørn has researched heart disease among Somalis in Minneapolis (with support from the National Institute for Health); has specialized in hyperbaric oxygen therapy for certain medical conditions; and has helped create an innovative program finding housing and lifestyle amelioration for homeless people in Minneapolis.

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 Westgard here and his LinkedIn page here.)

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 a hemoglobinopathy.  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 for cytokine 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 to syndemic 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 do case-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 in mobilizing 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, maybe Atmosphere, 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 a user-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

What Anthropology Teaches Us about COVID-19, Part 3: A Few Thoughts about Culture, and What We Can Learn from Artists . . . and the Homeless

What is “culture”?

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.

Source here.

Or does it?

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.

Unlikely neighbors enjoy dancing together at a street fair in the Mountain View section of Anchorage, Alaska — which is currently America’s most ethnically diverse neighborhood. Source here.

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 culture can 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.

Source with video clip here.

Inside supermarkets, managers are getting creative about indicating six-foot intervals delimiting where people should wait on the checkout line.

Meanwhile, gig-economy musicians position themselves outside those supermarkets, where they entertain customers awaiting their turn to enter at safely-spaced intervals.

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:

while you wait it out at home

part of an expanding digital universe

connected to those you love

millions of us

have no doors to close behind us

or doors behind which

violence waits

or loneliness

or emptiness

or fear

(Source here.)

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.

*

At the biomedical level, the most urgent lesson of this COVID-19 moment, of course, remains: isolate, isolate, isolate. For understanding the epidemiological challenges of this infectious disease emergency, we can turn to readable digests and thoughtful analyses of the week’s scientific COVID-19 findings such as this one, by the brilliant infectious disease specialist, Dr. Bill Rodriguez.

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.”

Source here.

What Anthropology Teaches Us about COVID-19, Part 2: An Optimist’s Scenario

Here’s what I imagine could–and should–emerge from this viral nightmare.

Locally, stranger-neighbors will (re)discover each other. Re-appreciate the bonds of co-residence.

This image has an empty alt attribute; its file name is Elevator-Friends-300x200.jpg
  • Translate that appreciation into forging new relationships, even new neighborhood groups. Friendly elevator chats, book groups, block parties, children’s after-school clubs.
This image has an empty alt attribute; its file name is Homework-Club-300x235.png
  • Remember that our common humanity unites us more than our cultural differences divide us.

Online, new connections and groups will form.

  • In this often scary and lonely world, like-minded folks will find their way online to one another, whether as individuals or in groups.
  • The non-tech-savvy will discover their Inner Geek and figure out how to connect virtually.
https://www.aphasia.org/wp-content/uploads/2020/03/Virtual-Chat-2.png

Politicians who specialize in policies of the heartless–generously supporting their own kind, and pretending their ilk have a monopoly on being human–will recover their souls.

  • Re-learn empathy for anyone other than their immediate families and business associates.
  • Translate that empathy for other humans into public policy supporting those other humans.

Globally, political leaders will recognize that it is actually possible to band together with parallel, even coordinated, strategies for the common good.

  • Translate that realization into new, viable policies to counteract climate change.
  • Dismantle the fossil fuel industry.
  • Enact international legislation promoting sustainable energy.
  • Invest in civic-minded engineers and their research.
  • Save the planet.

It’s true that I have a reputation for being a bit of a Pollyana in my family.

Still, even I don’t dare hope that any or all the above will happen overnight. Once the microscopic creatures causing COVID-19 chaos have (mostly) died off, we will need time to remember who we were.

But, also, time to think about who we want to be.

This horrible moment provides an important opportunity for us—as individuals, as communities, as nations, and as a globalized species—to rethink, well, everything.

What Anthropology Teaches Us about COVID-19, Part 1-Early Thoughts

Lesson 1:

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.

Face masks are for front-line health workers, and for those with disease symptoms, to prevent them from spreading disease when they must go out and about.

Some stores are limiting the amount of COVID-related items they’ll allow shoppers to buy. Hoarders of masks and toilet paper are being shamed in cartoons, and warned everywhere to change their behavior.

Individuals aren’t the only ones being monitored. Stores are, too.

New York City has already issued $275,000 in fines to stores that have charged more than 10% higher-than-usual prices on hand sanitizers, disinfectant wipes, and face masks. The fines will apply for at least two months.

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.

In the U.S., for those with limited Internet and data access, new options are emerging daily to provide access. Companies are actually offering expanded smartphone data at no charge, creating new Wi-fi hot spots, and offering free international phone calls.

No doubt, these profit-oriented corporations will return to greedy practices once the pandemic subsides.

But for now, at least some of them are actually being part of the solution. Their unusual pivot reminds us that, as a species, we will survive this challenge, as we survived all known pandemics—the Black Death, HIV-AIDS, Ebola and others.

Not only that, but if we live up to our vaunted cleverness, we may actually emerge stronger.

The moment will produce many heroes.  

Front-line health staff will bravely reduce the suffering of patients. 

Humane politicians will offer financial supports.  Germany has “promised companies ‘unlimited’ credit to keep them afloat” in an economic package . . . worth at least 550 billion euros ($614 billion) initially — the biggest in Germany’s post-war history.” Politics will even make strange bedfellows. Mitt Romney has just endorsed Andrew Yang’s proposal (at last for now) for a universal basic income.

Brilliant infectious disease specialists will analyze all available data and translate statistical and arcane knowledge into readable syntheses for ordinary readers.

Medical researchers will eventually create a vaccine.  The EU has already invested an emergency $89.4 million into the project.

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.

Writing about Coffee

Despite being a lifelong non-coffee-drinker, I somehow found myself reading two fantastic books about coffee recently.

The first, Miriam Sagan’s A Hundred Cups of Coffee, hijacked me from reading the OTHER coffee book I’d just started. Sagan’s series of short meditations inspired by drinking a cup of coffee (and, occasionally, tea) here, there, and everywhere got me thinking profound thoughts as only Miriam (poet extraordinaire) can, about life, death, and everything in-between.

The second–David Liss’ The Coffee Trader–is another wildly compelling read about coffee, but in a totally different register. It’s a historically based novel set in 17th-century Amsterdam and has way more fascinating character development than a book with this good/fast a plot by rights should have.

Beyond the obvious (human) characters, the major, implicit (non-human) character is the relationship among the highly problematic trio of Secrecy, Trust, and Mendacity. I won’t say more about the gripping story other than to predict that if you are a fan of (or are intrigued by) one or more of the following, you’ll probably love this novel: coffee / Sephardic Jewish history / early-modern Europe / Dutch history / the development of global commodity capitalism / Jewish-Protestant relations / a gripping story (with sub-plots within sub-plots).

Enjoy both these each-in-its-own-way-amazing books over your favorite cuppa (fill in the blank).

The Blueberry Wars

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?

Three baby robins in a nest, with open mouths waiting for food.  Source: http://clarksilerfamily.blogspot.com/2016/06/born-into-family.html.

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.

Goose Lessons

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 pen to 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:

Because birds are good indicators of the health of the environment, the status and trends of bird populations are critical for identifying and understanding many ecological issues and for developing effective science, management and conservation practices.

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.

3. Conflicting stereotypes describe humans’ attitudes toward geese.

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.

But that’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?





Birth as Ritual/Ritual as Birth

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

 

Davis-Floyd serves as a Board member of the International MotherBaby Childbirth Organization (IMBCO) and its new International Childbirth Initiative (ICI): 12 Steps to Safe and Respectful MotherBaby Family Maternity Care. She is also Senior Advisor to the Council on Anthropology and Reproduction, and Associate Editor of Medical Anthropology Quarterly.

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 GeertzArnold 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!



When Women’s Laughter Keeps Men in Line; or, What Gathering-Hunting Women of Central Africa Have in Common with Nancy Pelosi, Alexandria Ocasio-Cortez, et al.

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.

Here, my aim is far less ambitious.

Let’s call this a Memo to the [Increasingly Empowered] White-Clad Women of the U.S. Congress: 

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.

 

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