On 18 May 2008 at 11:27, Jim Clark wrote:

 
> I also wonder about how specific this treatment was, which would have
> implications for the "knowledge" underlying the surgery?  If someone
> had a pain in the belly, for example, would a treatment involve
> opening up the belly?  Unfortunately soft tissue operations analogous
> to trepanation presumably leave no anthropological record.  I'm
> thinking that a procedure specific to the skull might imply more
> sophisticated knowledge than a blanket approach to any localized pain. 
> 

Perhaps not directly related, but at least in the same ballpark is this 
anthropological observation. I recall watching a film shown by Ronald 
Melzack, the pain guy, possibly when I took a course from him as an 
undergraduate at McGill, but more likely much later when he gave an 
invited lecture at Bishop's. 

In order to illustrate the varieties of painful experience and that what 
is painful in one culture may not be considered painful in another, he 
showed some extreme examples. One was of an African suffering some 
ailment, possibly depression. The treatment administered by the native 
practitioner (can I call him a witch doctor?) was, apparently without 
administering any drugs to relieve pain,  to incise the patient's scalp 
in the midline, peel it back on both sides, and vigorously scrub the 
skull with a scraper. The patient endured this calmly and willingly while 
sitting under a tree,  obligingly holding a pan to catch the blood 
dripping off his head. It was, as you might expect, hard to watch. 

I don't recall whether that example made it into Melzack's classic work, 
_The Puzzle of Pain_ but similar examples, such as the "hook-hanging 
ritual" of India (see Kosambi, 1967) did.

Oh, yes. Let's not forget that there are people who advocate trepanation 
(including _self_-trepanation) as a means to a higher state of 
consciousness. They used to have much remarkable material available at 
their website (http://www.trepan.com/) but at the moment there's nothing 
there except eerie music and a promise. Wikipedia (under "voluntary 
trepanation" fills in the gory details. 

 Ref: Kosambi, D. (1967). Living prehistory in India. Scientific 
American,  v 216, 105 

Stephen
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Stephen L. Black, Ph.D.          
Professor of Psychology, Emeritus   
Bishop's University      e-mail:  [EMAIL PROTECTED]
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