Abstract
Ein Abschnitt über traditionelle Krankheits- und Therapiekonzepte führt in das im Südwestbalkan vorhandene, aber langsam schwindende traditionelle Wissen ein. Es wird diskutiert, unter welchen Bedingungen solche Wissensbestände als Ressourcen auch im Einwanderungsland genutzt und daher in schulmedizinische Therapien integriert werden können. Die Untersuchung zeigt, dass chronifizierter Schmerz - und anderer körperlicher Krankheitsausdruck - nicht nur Ergebnis des einschneidenden Migrationsprozesses ist, sondern häufig Folge einer langjährigen sozialen, rechtlichen und ethnischen Marginalisierung im Aufnahmeland, kombiniert mit individuellen und historischen Prämissen.
The purpose of this investigation are Kosovo Albanian immigrants in Switzerland, suffering from cronic pain and other specific chronical illnesses. The study focusses on the causales before, during and after the migrational process, which have promoted the illness and its chronification. Working with the ethnopsychoanalytical method according to G. Devereux, the author squired regularly six Kosovo Albanians during several months and questioned them about their daily-life- and illness-experiences. The case studies presented here are based on these recorded conversations, interpretatory observations and insights, which are gathered by a supervision accompagnying the investigation. Cognition leading for the unterstanding of illness was the model of the "transitional space" of D. W. Winnicott. The absence of this transitional space can be problematic for the migrational process. A chapter to the issue of traditional concepts of illness and therapy broaches the rich, but vanishing traditional knowledge of the southwestern Balkans. It is discussed, how far such ressources of knowledge could benefit the migrational situation and add to professional western medicine. The investigation shows, that chronical pain - as well as other physical expression - is not only the result of an incising migrational process. The consequences of a long term social, legal and ethnic marginalisation in the reception country, in combination with individual and historic premises can also contribute to chronical illness.