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59 pages 1 hour read

Death Without Weeping

Nonfiction | Book | Adult | Published in 1992

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Chapter 7 Chapter Summaries & Analyses

Chapter 7 Summary: “Two Feet Under and a Cardboard Coffin: The Social Production of Indifference to Child Death”

The main focus of this chapter is how the crisis of infant and child mortality is understood among the communities of the Brazilian Northeast. Specifically, this chapter takes on the profound normalization of and indifference to child death in such communities. The author argues that this indifference―although genuine―is not a personal phenomenon, but instead a social phenomenon. Furthermore, the author argues that this indifference is a function of class status—that the circumstances that predicate rampant infant mortality also predicate the means to normalize it within local culture.

To explore this hypothesis, Scheper-Hughes begins with a personal account of witnessing an infant die while she was a volunteer worker, and being singled out by the infant's mother and family for the "inappropriateness" of her grief. Returning as an anthropologist, the author meets with medical and civil officials, but even accurate figures on rates of infant death are hard to come by. The problem, she claims, is compounded as much by residents' underreporting―due to their reliance on home births and midwives―as much as officials' crude record-keeping practices. These attitudes, the author argues, stem from a cultural and political posture that normalizes the adverse, unequal systems that precipitate child death―systems perceived to be intractable. At the end of the chapter, the author remarks upon the role of religion in providing a basis to normalize the abnormally-high rates of infant death in the context of complicating birth-control options, as well as offering consolation for fates of women and their "angels."This represents a key class-based distinction: what these poorer women are forced to deal with and accept is not just the preventable deaths of their children, but an overall lower lever of control over their reproductive lives as a whole.

Chapter 7 Analysis

Chapter 7 looks into the connection between local, cultural attitudes normalizing child death and the systems that precipitate this child death. The object of this chapter is to draw a connection between these "internal" attitudes and the external patterns of class conflict that draw critical resources away from the shantytowns. Both this "indifference" and its status as a "social production" invite the analogy of a mechanism, in which the "indifference" is necessary to the orderly function of social and economic life on the Alto. Proper outrage at the tragedy, one might surmise, would stop the machine. To this end, the normalization of infant death fulfills an important function; this chapter investigates where and whence this normalization comes from. In doing so, however, the accumulated accounts present a more complicated picture of agency than the author originally hypothesizes, and suggests more of a distinct character to the culture of Bom Jesus and the Alto than is originally presented.

Specifically, the "indifference" to child death, although theoretically instilled by the medical and technical structures, is endogenous to the lower classes―that is to say, specific to their circumstances and associated belief systems. Infant death in middle-class families is rare, rare enough that it is a tragedy, and, what's more, these deaths are an individual event. This is not so among poorer residents. Although every death is accompanied by real grief and mourning, these deaths are instantly contextualized within a larger pattern, and even expected, as is revealed in personal accounts and interviews. Whether from complications, dehydration, malnutrition, or infection, poor women learn to accept infant and child death in a way middle- and upper-class women simply do not. This has to do with the level of control over one's economic and reproductive life. 

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