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Kotodama (言): the spirit of words in medicine in Japan

IntroductionThe spirit in the word

In Japanese tradition, kotodama (言) refers to the belief that words carry spiritual power capable of influencing reality. The term combines koto (言, word) and tama (, spirit). Japan was historically called kotodama no sakiwau kuni (言の幸わう国)—‘the land where the mysterious workings of language (words) brings bliss’.1 This was not a mere poetic flourish. Speaking certain words was understood to invite their manifestation. For instance, naming misfortune could summon it.

The West, too, has long recognised the power of language—but differently. Among the ancient Greeks, this fascination produced the vast, meticulously worked-out art of rhetoric, the most comprehensive academic subject in Western culture for two thousand years.2 Where kotodama treats words as forces that shape reality directly, rhetoric treats words as tools for persuasion and precise communication. Western biomedicine has inherited this orientation: diagnosis names conditions definitively, informed consent requires accurate…

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Posted in: Journal Article Abstracts on 04/10/2026 | Link to this post on IFP |
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