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spirit and healing in africa - University of the Free State

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esearch starts (as it is <strong>in</strong> conventional approaches, <strong>in</strong> which <strong>the</strong> body is considered a fixed,<br />

unchang<strong>in</strong>g entity that forms <strong>the</strong> basis <strong>of</strong> actions <strong>and</strong> <strong>in</strong>sights <strong>of</strong> <strong>the</strong> researcher or medical<br />

practitioner).<br />

3.3.3 The gaze technique<br />

In a relation <strong>of</strong> discipl<strong>in</strong>ary power, <strong>in</strong> <strong>the</strong> monitor<strong>in</strong>g <strong>and</strong> manipulat<strong>in</strong>g <strong>of</strong> an <strong>in</strong>dividual body, <strong>the</strong><br />

body transforms <strong>in</strong>to an object aris<strong>in</strong>g from discipl<strong>in</strong>ary power <strong>and</strong> <strong>the</strong> survey<strong>in</strong>g eye. In <strong>the</strong><br />

Foucauldean framework, this process is closely related to <strong>the</strong> discipl<strong>in</strong>ary gaze. Butchart<br />

(1998:17) expla<strong>in</strong>s that <strong>the</strong> gaze “refers both to how th<strong>in</strong>gs have appeared to medic<strong>in</strong>e <strong>and</strong> to <strong>the</strong><br />

techniques by which medic<strong>in</strong>e has made th<strong>in</strong>gs appear, <strong>in</strong> com<strong>in</strong>g to have particular knowledge<br />

<strong>of</strong> <strong>the</strong> human body”. The gaze is <strong>the</strong> technique applied by <strong>the</strong> guard or <strong>the</strong> medical practitioner<br />

dur<strong>in</strong>g <strong>the</strong> observation <strong>of</strong> <strong>the</strong> prisoner or <strong>the</strong> patient. This technique is, by def<strong>in</strong>ition, also <strong>the</strong><br />

boundary <strong>of</strong> <strong>the</strong> practices <strong>of</strong> <strong>the</strong> guard or <strong>the</strong> doctor, because <strong>the</strong> act <strong>of</strong> see<strong>in</strong>g <strong>and</strong> <strong>the</strong> method <strong>of</strong><br />

observ<strong>in</strong>g are determ<strong>in</strong>ed by, <strong>and</strong> limited to, <strong>the</strong> patient’s socio-cultural values <strong>and</strong> <strong>in</strong>sights.<br />

The gaze, that is <strong>the</strong> technique or way <strong>the</strong> medical practitioner observes his or her patient, is also<br />

<strong>the</strong> discipl<strong>in</strong>ary power by which <strong>the</strong> practitioner is created. The body is <strong>in</strong>vented under<br />

exam<strong>in</strong>ation only after <strong>the</strong> creation <strong>of</strong> <strong>the</strong> practitioner. Both <strong>the</strong> medical practitioner <strong>and</strong> <strong>the</strong><br />

body are objects <strong>and</strong> effects <strong>of</strong> <strong>the</strong> discipl<strong>in</strong>ary medical gaze controll<strong>in</strong>g <strong>the</strong> relation. So <strong>the</strong> gaze<br />

should not be seen simply as a specific skill that <strong>the</strong> medical practitioner has to acquire; it is also<br />

a power regime govern<strong>in</strong>g <strong>the</strong> way people speak, see <strong>and</strong> act. Thus, <strong>the</strong> gaze is <strong>the</strong> creator <strong>and</strong><br />

<strong>in</strong>ventor <strong>of</strong> <strong>the</strong> medical practitioner, who becomes <strong>the</strong> object <strong>and</strong> effect <strong>of</strong> discipl<strong>in</strong>ary power<br />

him or herself before exert<strong>in</strong>g discipl<strong>in</strong>ary power over <strong>the</strong> body <strong>of</strong> his patient.<br />

3.3.4 Discipl<strong>in</strong>ary power <strong>and</strong> transformation<br />

When discuss<strong>in</strong>g missionary medical power from a Foucauldean perspective, importance is<br />

attached to <strong>the</strong> gaze <strong>of</strong> <strong>the</strong> medical missionary, which turns <strong>the</strong> relationship between <strong>the</strong> medical<br />

missionary <strong>and</strong> African body <strong>in</strong>to one <strong>of</strong> discipl<strong>in</strong>ary power over physical be<strong>in</strong>g with <strong>the</strong> aim <strong>of</strong><br />

transform<strong>in</strong>g <strong>the</strong> patient.<br />

Moral sanitation<br />

At <strong>the</strong> time when missionary practices existed <strong>in</strong> Africa, <strong>the</strong> human body was viewed as “an<br />

anatomical conta<strong>in</strong>er <strong>of</strong> disease which <strong>the</strong> hospital medic<strong>in</strong>e produced as its object <strong>and</strong> effect”<br />

(Butchart 1998:74). Based on <strong>the</strong> anatomical approach <strong>of</strong> medical science, a shift <strong>in</strong> localiz<strong>in</strong>g<br />

diseases had taken place so that disease was now localized, specified <strong>and</strong> classified <strong>in</strong> relation to<br />

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