Theoretical formulations in anthropology are affected by the cultural environment in which they are constructed and by the social identities of those who propagate them (Maquet 1964;Berger and Luckmann 1966).' Exemplary of the dialogue between science and society is the recent change in the study of women's roles under the stimulus of the woman's movement. While this development has set the stage for reorienting the study of man toward the study of humankind, other interpretive barriers continue to influence the analysis of sex role behavior. Anthropologists, socialized in the Western academic tradition and affected by what Karen Sacks refers to as the "state bias'' (Sacks 1976), have assumed the universal applicability of their cultural dichotomies and have proceeded to discuss male-female power relations in terms of these structural oppositions and hierarchies'. Misinterpretations also arise from a tendency toward emphasis on individual goals and actions and from assumptions about society as the outcome of individual choices, the maximization of self-interest, and competition for power'.The purpose of this paper is to question the utility of approaching the study of sex roles in terms of individual strategies and competition for power. This is pursued within the context of the study of health-related behavior. The incidence of a folk illness and symptomatology derived from the Cornell Medical Index are utilized as indices of patterned power differentials associated with sex role expectations in an Egyptian village4. After an introductory discussion of the choice/self-interest maximization model and definitions of power and authority, a short description of adult sex roles in the study community is outlined. This is followed by a brief account of the folk illness 'uzr and a hypothesis linking the incidence of the affliction with power differentials. Finally, data that illustrate the patterned incidence of stress and illness as functions of asymmetrical power relations are presented and indices that are independent of the folk medical system are employed to illuminate structural principles associated with perceived stress and subservient status.
choice, power, and structural constraintsSome recent studies have reintroduced women into the arena of anthropology, not as role performers, but as social actors engaged in the manipulation of their environment Some recent studies have reintroduced women into the arena of anthropology as social actors engaged in the manipulation of their environment and the exercise of choice. The purpose of this paper is to question the utility of approaching the study of sex roles in terms of individual strategies and competition for power. This is pursued within the context of the study of health-related behavior. The incidence of a folk illness and symptomatology derived from the Cornell Medical Index are utilized as indices of patterned power differentials associated with sex role expectations in an Egyptian village.sex roles, power, and illness 137