© 2013 A.S. Kurlenkova, R.M. Khayrullin
Alexandra Kurlenkova talks to Radik Khayrullin
Khayrullin Radik, Doctor of Medical Sciences, Professor, Head of the Department of Human Anatomy, Medical Faculty, Ulyanovsk State University.(http://www.ulsu.ru/com/faculties/fmed/anatpeople/lecturers/khajrullin/)
Key words: medical anthropology, P4 medicine, Leroy Hood, Paul Pierre Broca, Karl Ernst Von Baer, Zinaida Ermolieva, Sergey Botkin, anatomy, physical anthropology, ethnomedicine, Avicenna, compliance.
Abstract: R. M. Khayrullin pays attention to such questions as individualized approach to patient care (the goal ‘to treat the patient, not the disease’); new challenges to modern public health systems (rise of cardiovascular diseases, obesity, oncology); “P4 Medicine” by Leroy Hood (Predictive, Personalized, Preventive, Participatory); compliance of patients. The interview addresses differences in understanding the subject and methods of ‘medical anthropology’, the Soviet academic tradition, as well as possibilities of uniting natural-science and ethnographic approaches in studies of human health and diseases.
In this interview Professor R.M. Khayrullin presents his view of medical anthropology. On the one side, he carries on the Soviet-time tradition of understanding medical anthropology as investigation of human biological variation, and, on the other, extends this understanding adding various social/ cultural healthcare systems to its subject field. This position is illustrative in that there are multiple interpretations and approaches to medical anthropology existing in Russian science. The Soviet anthropology, including the research tradition called ‘medical anthropology’, was developing independently from its ‘namesakes’ in universities of the USA and Western Europe. This scientific tradition explores changes in disease manifestation among different people depending on constitution of their body and environment. This tradition goes back to works of Russian physical anthropologists (T.I. Alexeeva, B.A. Nikityuk, and others). If the main focus of social / cultural anthropology is society / culture, than physical anthropology explores individual and group variability on the level of morphology and anatomy. Physical (biological) anthropologists rely on quantitative methods and natural-science epistemological premises. Similar to this tradition are studies of human biological adaptation to environment, conducted by the US biological anthropologists and evolutionary biologists.
In this interview I asked Prof. R.M. Khayrullin several questions to elicit peculiarities of understanding medical anthropology in the Soviet/ Russian academic tradition.
Please read the full article in the Russian version of the Journal.
Mikhel’, D.V. (2000) Filosofskii analiz strategii telesnosti sovremennoi zapadnoi tsivilizatsii [Philosophical analysis of corporal strategies of modern Western civilization]. Dissertatsiia na soiskanie uchenoi stepeni doktora filosofskikh nauk [Doctor of Philosophy dissertation], Saratov: SGU.
Tishkov, V.A., Tishkov, V.V. (1988) Dialog mezhdu antropologiei i meditsinoi. O knigakh A. Kleinmana “Patsienty i tseliteli v kul’turnom kontekste”, “Sotsial’nye korni distressa i bolezni”, “Zametki na poliakh. Diskurs mezhdu antropologiei i meditsinoi” [Dialogue between anthropology and medicine. On books of A. Kleinman ‘Patients and Healers in the Context of Culture’, ‘Social origins of distress and disease’, ‘Writing at the margin : discourse between anthropology and medicine’], Zhurnal prikladnoi psikhologii [Journal of applied psychology], 1, p. 37–50.
Kharitonova, V.I. (2010a) Integratsiia meditsin v Rossii: idei i voploshchenie, [Integration of medicines in Russia: ideas and implementation], Razvitie traditsionnoi meditsiny v Rossii. Opyt, nauchnye issledovaniia, perspektivy: materialy nauchno-prakticheskoi konferentsii s mezhdunarodnym uchastiem 20-21 avgusta 2010 g. [Development of traditional medicine in Russia. Experience, scientific research, prospects: materials of the conference on August 20-21, 2010], Ulan-Ude: Izdatelstvo GUZ RTsMP MZ RB, p. 97–102
Kharitonova, V.I. (2010b) Idei komplementarnoi i integrativnoi meditsiny v sovremennoi Rossii [Ideas of complementary and integrative medicine in contemporary Russia], Filosofskie problemy biologii i meditsiny, Vypusk 4. Fundamental’noe i prikladnoe: sbornik materialov 4-i ezhegodnoi nauchno-prakticheskoi konferentsii [Philosophical issues of biology and medicine. Issue 4. Fundamental and applied: proceeding of materials of the 4th annual conference], Moscow: Izdatelstvo «Printberri», p. 217–220.
Entsiklopedicheskii slovar’ [Encyclopedic dictionary] (2009)