'Tomorrow comes when tomorrow comes': managing Aboriginal health within an ontology of life-as-contingent

The authors have worked in Australian Aboriginal communities within the Wiradjuri area of central-western New South Wales. Examining what appear to be distinctive Aboriginal approaches to time, we argue that these stern not from a different notion of time as Such but, rather, from the relationship between the social and the self which places a distinctive value on the use and management of time. One way to access the dynamic between time and self is to realise that life is understood as fluid and contingent rather than predictable. This continually subverts the idea that time is measurable and controllable; that life is lived within domesticated sedentary space; and that planning ahead and self-discipline are virtues. Yet these are notions central to practices associated with contemporary health care. A majority of health care providers, whether Aboriginal or not, are trained in the Australian mainstream health system and may consequently underestimate the implications of different ways in which a person acts on the temporal/spatial dimensions of her life, and how this influences ways in which she manages time in relation to her health and well-being. Temporal concepts, such as 'planning', 'discipline', 'future', 'boredom', or 'patience', as well as that of the 'long-term' with regard to managing illness or money, interact with the ways in which Aboriginal people experience themselves as ill or in need of health care, influencing how they act on medical advice. We argue that the key to understanding the use of time lies not in the concept of time per se but in what is involved in developing a responsive social self when the time/space dimensions of the day to day are informed by a fluid and thus contingent ontology of that day to day.