For hysterical women, I prescribe marriage

I’m very, very committed to human rights.

But there is a way to approach them. If you want to stop forced marriages, you can’t just walk into a village and say “Hey, y’all are wrong! Do things my way, it’s better” and expect that to work. You look in and see why forced marriages are working. Who is supporting them- is it the religious leaders? Is it families who like the dowries they bring? Then you look at who is against them, because there will be people who are against any given cultural practice. How does this practice function? I promise you, it’s more complicated than “They are woman-hating Muslims.”

Then you start looking about what you can do about it. Can the groups who locally oppose them be better organized? Can you create incentives against forced marriages? For example, if you could bring in pink-collar jobs, you would give people incentives to keep their girls in school rather than marrying them off young. If you can expose the local Islamic leadership to Islamic authorities that speak against forced marriage, maybe you can convince them that forced marriage is an un-Islamic practice. If you support the local women’s group’s income generating activities, maybe they can develop the capacity to care for women disowned by their families.

You gotta work within a culture, in their own context, with respect to the fact that people generally do what they do for a reason.

The hardest thing I dealt with in Cameroon was when a 16 year old Muslim girl- a student of mine- came up to me and asked me my advice. She was a lesbian. She admitted her only sexual thoughts were about women. In a country with some very strange ideas about homosexuality, where the names of suspected homosexuals are regularly printed in newspapers to single them out for harassment.

She had seen a marabou, a priest and a traditional healer. Nobody could change how she was, so she came to me. WTF was I supposed to tell her. “Gay is okay, here is your rainbow flag!” Obviously not. I did the best I could, explaining that in my culture we consider it to be normal, and that lesbians can get married, have kids, etc. (major concerns of hers in a culture where family is everything.) I told her I couldn’t give her much advice about Cameroon, because obviously it’s different. I advised her that she might want to try to get out of the village and into a larger city with a gay scene- I had certainly met other lesbians in Cameroon. I talked about the gay civil rights movement in America, and my hope that one day…probably decades from now…that coud reach Africa. But in the end I all I could really say was “Good luck. You’re gonna have to be strong to live the life you have.”

I still don’t know if I did the right thing. I heard she went into the city and got involved in a cult. The cities are hard places on young women alone. Anyway. It’s easy to sit on your couch and know the truths of the world, but out there where things are different there are not clear answers.

But that has zip-all to do with the complaint in the OP! The OP is decrying the fact that faith healing is being presented as sensible treatment in the Science section of the NYT. And we can argue back and forth about culture all day long, but at the end of the day, the actual ‘faith’ part of faith healing (prayer and such) does not work. You want to argue different counseling approaches in different cultures, fine. Do it in a different thread, because that is an entirely different topic than what this thread is about.

Yes, yes, people respond to incentives and institutions can be strongly path-dependent. This is political science 101 stuff. That self-enforcing institutions are difficult to change should not stop us from identifying bad ones and the false claims that presuppose them. It is certainly difficult to change the status of women in a patriarchal, traditional society, but this does not mean we should accept that the fucking djinn cause women’s problems because a charismatic Magic Arab says so. These aren’t alternate perspectives any more than our destructive yet culturally accepted beliefs are and should be treated in a similar manner, not given the veneer of science and respectability.

Which is what the OP is actually about.

I would, however, potentially go see a band called Magic Arab.

I’m hoping for a combination of Godspeed You! Black Emperor and Food for Animals.

It also kind of sounds like a good brand name for hookah tobacco. Hey man, quit bogarting my Magic Arab!

Where are the peer reviews of these studies? Where is the evidence that they were double blind, given this statement?

Why would you trust these studies given this statement?

Considering this statement, doesn’t this overview admit that “real” acupuncture is no better than a sham?

I wasn’t under the impression that the doc in the article thinks that faith healing works. What I got was that sometimes what’s needed is a placebo, and faith healers occupy an ideal place in their society for placebos. I was recently read a book called Bad Science, and it had a chapter on placebos the American equivalent of faith healers. Apparently, going to a doctor you believe in, and having an in-depth discussion about your problems is itself a powerful medicine, even if the doctor is a homeopath.
I think what the guy who wrote the article is saying is that sometimes (especially for psychological problems like conversion disorders) a little dose of abra-kadabra works.

Placebos are not the equivalent of faith healing, and even if they were, the optimal use of placebo therapy would not be to tell a patient with symptoms of mental illness that they’re possessed by a devil and need to get married.

Placebos are above all supposed to do no harm*, and the treatment provided by the moonlighting mullah sounds like it has plenty of potential for harm.

That’s not a placebo - it’s part of good medicine (and even the doc who wrote the article briefly acknowledges that psychiatrists provide such supportive therapy).

Could have fooled me. He says on the basis of one anecdote that “To my surprise, I found a concerned faith healer who was sometimes more successful in treating the mentally ill than the few medically trained psychiatrists and general practitioners in the country.” That’s an unsupported opinion that, if published, deserved to be in the Religion section rather than Science.

*What’s understated (and, I suspect, underreported) is that even supposedly innocuous placebo drugs and treatments can have serious side effects - which makes sense given the power of the mind to rationalize an inert substance as powerful medicine.

That sounds very much like the old Texas admonishment of “She just needs someone to give her six inches” that was a common refrain back in the day.

So almost everything is bigger in Texas…

There was the Texan visiting Chicago on a business trip who picked up a girl in a bar. Before getting down to the deed, he says: “Ah have ta warn ya, m’am. Ah’m from Texas, and ah’m big.” A minute or so into it, he stops and says: “Gollee, m’am, Whut part of Texas are you from?”

He never said the “and then the Djinn was dispelled from her body and she got better…Faith healing works!” He was stating the traditional healing practices do sometimes have therapeutic value, despite whatever weird stuff they tack on. OMG shocking!

Yes, perhaps the faith healer’s practice was not optimal. Few things are optimal in remote villages. A faith healer you can go to is potentially better than a mental health specialist that you can’t see. A good question would be how public health workers can incorporate traditional healers into a public health system. This has been done with great success in many areas. If you teach a trusted healer a bit of germ theory, you can get a lot done in places where a Western trained doctor is never going to go.

Crazy Like Us is a really interesting book about the spread of the American mental health mindset into other countries, and how what seems like obvious solutions to us may indeed be totally inappropriate for other contexts. It’s a good easy read and I recommend it to anyone interested in culture and health.

Big pussy? Dallas.

It started out as Woo.

But Homer gave it Hoo.

I love the intercourse of Iraqi and American culture.

Puff the Magic Arab lives in the Mid East…