Wednesday, May 22, 2013

Better Sore than Sorry

     I have been wanting to spend some time exploring pain as a cultural process for a while now. While not a direct insight into the process of pain, fitness movements and subcultures provide valued frameworks of health ideologies that give insight into a culture's view of pain. With a little digging, fitness beliefs often incorporate views of pain into their discourse. Seattle is a really health conscious city and so approaches to health and fitness flourish and are diverse. One of the fitness movements to open up shop here is the CrossFit training method. At first, CrossFit seems somewhat unique in an area where more spiritual and holistic movements such as yoga and pilates have long been thriving. CrossFit emphasizes qualities of endurance, durability, adaptability and capability and uses somewhat graceless pieces of equipment like dumbbells, pull-up bars and kettlebells. Workouts are challenging, simple, 'results-orientated' and are modeled off of military and police force training camps.  The CrossFit movement endorses these terms and qualities as assumed 'goods', therefore laying the moral groundwork for health and fitness emphasizing the transformative power it brings. Sometimes termed 'Elite' fitness, the implicit point of view is that CrossFit training brings one to the highest level of fitness they are capable of, according to idiosyncratically set goals but held against the same standard (e.g. military and police training). This both pushes trainees to meet what are societally expected fitness goals and pulls them into the not so personal state of mind that links together form and function (common terms in CrossFit advertising and text), thus supporting the problematic binary of "no pain, no gain". For example,  web-text on gym websites emphasizes strength with an implicit moral underlay; "The stronger I am in here the better I will be out there"(CrossFit Belltown). "Out there" is a big motivating component in CrossFit; the qualities and characteristics one cultivates in CrossFit training theoretically should help you face your everyday life with more confidence and resilience. Coincidentally, these are two qualities crucial in a recovering economy. Below are some images from gym websites that I found particularly supportive of these links:

CrossFit LiS

The Spartan reference is pretty self-explanatory, with strong valuations placed on the bodily aesthetics of Ancient Greek athletes and a battling mentality, even posing personal challenges as a battle against one's self. 



South Seattle CrossFit
Redefinition of the self is stressed ; vocabulary revolves around transformation, evolution (a glossed usage here) and meeting challenges.

The Lab on Eastlake




This gym's ethos is centered on one of the dominate trends in CrossFit discourse, that of the scientific object/subject and the scientization of fitness. Many gyms focus on fitness as an experience in and of itself which contrasts to this gym's focus on fitness as an obtainable standardized object that can be measured and weighed.

What makes this movement so interesting to me are the many ways the CrossFit mentality penetrates other health practices the individual participates in. In this case, CrossFit's influence can be seen in eating habits (e.g. the Paleo diet), birthing and even child rearing practices (which will be the topic of my next post on this subject). I find an important link here between the moral 'good' of strength and the experiences of pain and challenge in the other 'goods' characteristic of CrossFit (e.g. self-sufficiency and independence). Morality can be curiously linked to health states at times and these links can be very telling of the psychology of a culture making CrossFit a good subject for the study of health and disability. 

CrossFit Belltown

Wednesday, May 8, 2013

Tiger Bones and Vashon Elm


I recently read an article in Quartz about the supposed explosion of vulnerable and endangered fish-part imports to China for 'medicinal purposes' (Guilford 2013). I put this phrase in quotes because it is clear this issue goes far beyond just medicine and to reduce it to a simple procurement practice for China's medical industry is to discredit what else is at stake here; Western medicine v. Traditional Chinese Medicine (TCM), the omnipotence of medical science and 'scientific truth' v. 'traditional medicine' just to name a few. This wasn't a particularly strong article, and so from here I diverge, but it did do a good job of positing TCM against logic (suggesting the two were mutually exclusive) and I feel this juxtaposition is a good jumping off point for discussion. Popular Western discourse and texts that address TCM as an alternative health strategy often take an immediate position of resistance when the animal parts is discussed.  That resistance often divides 'moral' therapeutic options from 'immoral' and 'unnecessary' use of animals and consent to their use only if 'the benefits outweigh the costs', regardless how little these benefits and costs are understood. This need to compartmentalize and crystalize medicine and its justifications may be a little reckless and I think we get ourselves into ideological trouble here if we ignore this misunderstanding. We can recognize the importance of sharks, tigers and seahorses to our eco-system and the global tourism economy but should be able to do so in collaboration with, rather than in opposition to, Traditional Chinese Medicine. 

But it is not just TCM that is being framed as an issue of scientific rationalism and exceptionalism. Threat of species decimation is not reserved solely for over-fishing and poaching but reaches to all other vulnerable biological populations that are capable of exploitation, more often than not by the advanced industrialized world. Unfortunately this advancement does not equate to mutual respect and appreciation between exporter and importer and so those doing the importing of vulnerable populations all too often do so to the detriment of the exporter. Regardless, 'resource talk' is a good discourse to analyze when trying to better understand things like shark fin soup and rhino poaching that persist despite decades of initiatives and 'bans'. Our Western, 'rational' selves hold the sentiment that if there is a viable alternative treatment, further threatening these species is in moral negation with any medicinal benefit offered. This is a big "if" because with the tenuous understanding Western Medicine has of TCM the judgment of what is a "viable alternative" to say, the use of tiger bone for arthritic pain (Bensky, D., Clavey, S. & Stoger, E. 2004) is subject to all manner of contingencies, speculations, disbelief and otherwise unstable beliefs.

Timber imports to the U.S. resonate here along side the vulnerable and endangered fish-part issue in China. Similar to the continued use of vulnerable and endangered species in TCM despite there being Western surrogates (e.g. chemotherapy, radiation, biopharmaceuticals), though there are alternatives to Amazonian hardwoods (e.g. composites), we continue to import the real-deal at harmful rates (Bueno de Camargo 2008). We are Brazil's biggest timber importer and since we have these alternatives readily available, I see nothing more elusive and exotic about fish-part consumption in China compared to deforestation in the Amazon. The Seattle Urban Hardwoods showroom location is a few blocks from my work and I walk by often on my lunch breaks. Filled with furniture made from large slabs and beams of solid wood, the store evokes a timber butcher-shop more than it does a furniture store. While many of the pieces are salvaged locally, using wood in this way and charging what they do (you don't even want to know) provides fuel for the ongoing timber trade that is wiping out forestlands globally.  Some of the woods they use are endangered but were growing with some effort in Washington when they were salvaged; trees grow great and plentiful here which can deceive an otherwise eco-conscious individual. A significant number of elm pieces were claimed from Vashon Island, a tiny island just a short ferry-ride away from the Seattle waterfront. My grandparents lived there on several forested acres while I was growing up. I can only imagine that many of these Vashon pieces were taken directly from their land, eroding away Vashon's jungley charm and making it more welcoming to day-trippers from the city, taking away with them the very authenticity that brought them there in the first place (!). Authenticity matters though. According to Globalwood.org, some towns rebuilding their waterfront boardwalks after Hurricane Sandy choose to re-build with a tried and true Brazilian hardwood, Ipe, over composite or native alternatives, which some towns have chosen, because they did not "offer the same experience" aesthetically. (Wood Products Prices in the U.S., 2013).  This "experience" is what can be culled from the fish-part trade argument as a major source of conflict and perhaps, if left unaddressed, the reason why these species will eventually vanish. 

It is this taste for exoticism that I want to highlight from the exotic fish-part trade in TCM as an attempt to reconcile the East v. West divide we reinforce with evidence-based medicine (or Chinese Elm I-beams) involving double-blind trials and big data. Western Medicine is often framed as being 'backed-up' by data from scientific and clinical trials while TCM is swindled of its legitimacy, 'backed-up' by no less than several millennia of usage and cultivation.  Here's some data of another kind:  A 2008 study on the use of tiger in TCM for medicinal and health tonic (wellness promoting) purposes revealed that although 93% of participants agreed the ban on farmed tiger parts trade should be kept in effect, 43% admitted to using tiger containing products (e.g. plasters, wines) with 71% of this group showing preference for products from wild tigers as opposed to products from farmed tiger, a dangerous partiality if I ever saw one (Gratwicke, B., Mills, J., Dutton, A., Gabriel, G., Long, B., et al. 2008). These attitudes show that the Chinese are aware of and purport to be in support of tiger conservation but nonetheless choose tiger products anyways, a rationality that tends to confound Western media. It is this gap in understanding, on both sides of the Pacific, that will be crucial to a more sustainable management of this issue. This article also suggested that a lot of these products could contain counterfeit tiger bone but that it is difficult to decipher this in the market and, while meaningful nonetheless, is a little outside my argument.  
I only hope this portrait takes away some of the mysticism of TCM believers and their seemingly irrational choices. A deeper understanding is urgently needed, however, as medical pluralism spreads globally and as popular presses, like Quartz, pick up stories for exploitation and exaggeration to the Western public. Reconciling these disparities between suspicion and belief, logic and experience may help throw in to relief the deeply held judgments against believers of an ancient and intricate form of medicine and, just maybe, furniture makers alike.


References

Bensky, D., Clavey, S. & Stoger, E.
     2004     Chinese Herbal Medicine Materia Medica 3rd Ed., Eastland Press: Seattle. 

Bueno de Camargo, Mariane
     2008     United States Markets for Brazilian Plantation Wood. World Forest Institute.

Globalwood.org
     2013     "Wood Products Prices in the U.S.," accessed May 7, 2013,    http://www.globalwood.org/market/timber_prices_2013/aaw20130201f.htm.
                          
Gratwicke, B., Mills, J., Dutton, A., Gabriel, G., Long, B., et al.
     2008     Attitudes Toward Consumption and Conservation of Tigers in China, PLoS ONE 3(7): e2544.

Guilford, Gwynn
     2013    "China is plundering the planet's seas-and it's doing it 12.5 times more than it's telling anybody," Quartz, April 30, 2013, accessed May 4, 2013, http://qz.com/78803.