Research Article
Living with illness uncertainty: nature cure caregiving in Kerala, South India
Abstract
First promoted in India as part of M.K. Gandhi’s anti-colonial project, nature cure (prakr̥ti jīvanaṁ) draws on the metaphor of vitality to frame the body as having a natural wisdom—a vital force—that works to restore health and balance. In Kerala, South India, patients forge mentorships with nature cure healers to repair their ill bodies, revive the toxic environment, and respond to moral collapse. Based on long-term ethnographic fieldwork, this paper offers a person-centred analysis of one practitioner, Dr Vinod, as he instils trust in two chronically ill patients facing uncertain futures. First, I demonstrate the limits of public categorisations of alternative medicines in India for representing the multiplicity of healers and their care strategies. Despite nature cure being outwardly centred as a mode of self-healing, Dr Vinod does not engage liberal conceptions of autonomy and independence, nor does he solely critique biomedicine. Rather, Dr Vinod attends to patients’ histories and the specific arrangements of kinship, caste, class, and gender shaping their vulnerabilities, to transform feelings of doubt into those of trust amid illness uncertainty. In this way, alternative healers hold the capacity to reconfigure socially embedded lives. Second, to illuminate how naturopathic care tactics reveal the relational dimensions of illness experience, I draw on and expand the work of philosopher Havi Carel. Carel argues that bodily doubt shapes the experience of chronic illness in three ways: loss of faith in one’s body, loss of transparency, and loss of continuity. Engaging with Cheryl Mattingly’s approach to narrative phenomenology, I demonstrate how Dr Vinod moves a step further, asking how articulations of illness and loss are inherently intersubjective. Empathetic to his patients’ social worlds, Dr Vinod gently intervenes in their lives, forging therapeutic ties to support them—all the while outwardly claiming that the locus of healing lies in the self.
Keywords
carenature curenaturopathyalternative medicineillness experienceillness narrativesKeralaSouth IndiaCopyright statement © The author(s) 2023. This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License
Cite this article Sheldon (2023), ‘Living with illness uncertainty: nature cure caregiving in Kerala, South India’, Journal of the British Academy, 11(6): 119 https://doi.org/10.5871/jba/011s6.119

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There are multiple, sometimes conflicting narratives of ageing. This article surveys those influential in British culture since c. 1900. There is a particular focus upon gender which is often overlooked in common narratives, especially the fact that women have long outlived men, on average, and are still the majority of people defined as ‘old’. This large age group, aged from their 60s to past 100, is subject to much stereotyping and generalisation, for example that they are all dependent ‘burdens’ upon younger people, and that they are incapable of learning new skills. This article challenges these generalisations by stressing the great diversity of the age group including between rich and poor, fit and frail, and highlighting their contributions to society and the economy through paid work, unpaid volunteering, care for aged and younger relatives including grandchildren and financial support for younger people.

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