This article is not about the recipients of medical treatment in the Arab World, and unless you read it in an oblique way, it is not about the pathology of Arabs either. Neither am I trying to make any reference to the award winning UK film ‘The English Patient’, even though there is an English connection of some sort. I am referring here to Oxford philosopher R. G. Collingwood who offered an explanation of human action by means of a medical metaphor. For him, every action involves three parties: agents, patients and instruments. In a surgical operation, the agent is the surgeon who acts, or operates, on the patient by means of instruments which could be material or human.
Human agency has been at the centre of attention for the human sciences. While earlier social theories favoured simplistic formulas that ascribe agency to vague entities such as society, language, the market and history – contemporary ones moved towards various forms of complex agency rather searching for a single agent. But whenever I think of Arab culture it seems to me that these theories do not provide sufficient tools to understand what is going on, precisely because they overlook the other end of the process: patients. Understanding forms of patiency in Arab culture as important as understanding forms of agency since the former affects to a great extent how people view their world.
When people talk about their lives they usually do it in a way that suggests that they are not in control of their own destiny. There is often someone, or something, more powerful that is shaping their lives. Various conspiracy theories which are constantly offered to explain events around us attest to this. Many would insist that globalisation is a Western conspiracy against Arab and Muslim cultures, or in a slightly different version, that it is a conspiracy to maintain Western hegemony over developing countries by means of entities such as the WTO, the IMF and the World Bank. This view extends to regional politics as well. You will often be told that all that events taking place in the region are manifestation of a US-Israeli plot that has been devised a long time ago and is simply unfolding. Needless to say, the same applies to the local scene here in Jordan where the government is constantly involved in all sorts of conspiracies against citizens. During the bird-flue episode, one old man whom I had conversed with on the bus insisted that the disease was a hoax that the government came up with just to make the lives of people harder. He went on to describe at length how in the olden days they used to eat the flue-infected chickens which his mother cooked.
If you think this kind of rhetoric is limited to “the masses”, educated or not, then think again. It is there in the words of the elite: journalists, politicians, bureaucrats, intellectuals and artists. Let me bring an example from recent memory. The media war between Hizbullah and Israel has been an important side to the war in Lebanon, not only in trying to fix certain narratives of what had happened and what was happening, but also determining reference points for victory and defeat in the minds of audiences once the war was over. Israel’s rhetoric was “we want to destroy Hizbullah”, Hizbullah’s was “we do not want to be destroyed”. When the Israeli Army was killing hundreds of civilians in Lebanon and Hizbullah was raining northern Israel with katyushas, Nasrallah’s justification was “what we are doing is a reaction, not an action”. The underlying message was “they are making us do this”. The agent was Israel.
Understanding Arab patiency is key, in my opinion, for understanding the social, political and cultural dynamics in Arab societies. It is key for development, be it economic, social or political – for diagnosing problems and finding solutions. I am not referring here to various ‘empowerment’ programmes which many NGOs are busy running – as useful as these can be. What is required is a true understanding of dominant world-views which affect the way people act. Otherwise, any talk about development will remain at best partial and at worst cosmetic.
(This piece appeared in ‘Venture’ magazine no.6, Sept 2006)