Assignment: Health and Human Services.
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Case Study
Some cultural practices used to treat illness produce marks on the body that can mimic abuse. Coining and cupping are two such examples. Coining is a form of dermabrasion commonly used in Southeast Asian cultures to rid the body of “ bad winds” by bringing bad blood to the surface (Harris, 2010). The process of coining involves applying ointment to the skin and using a coin or spoon to firmly rub the skin until purple-colored spots and patches appear on the skin. The result is a distinct, symmetrical pattern of bruises typically on the back, shoulders, chest, temples, and forehead that resolve without residual effects (see Figure 4.9). Cupping is another cultural practice used to treat illness. Cupping has been practiced by Russian, Asian, and Mexican cultures (Harris, 2010). A heated cup is applied to the skin, which creates suction on the skin, causing bruises that have been mistaken for abuse (see Figure 4.10). Both of these practices leaves burns or bruises on the child’s skin, but they are cultural norms.
FIGURE 4.9 Coining. © Ty ler Olson/Shutterstock
Consider these related questions:
Are coining and cupping child abuse? Why or why not?
When do cultural practices cross over to being abuse?
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