<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0256-9574</journal-id>
<journal-title><![CDATA[SAMJ: South African Medical Journal]]></journal-title>
<abbrev-journal-title><![CDATA[SAMJ, S. Afr. med. j.]]></abbrev-journal-title>
<issn>0256-9574</issn>
<publisher>
<publisher-name><![CDATA[Health and Medical Publishing Group]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0256-95742012000600079</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Trauma and violence in the later stone age of southern Africa]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morris]]></surname>
<given-names><![CDATA[Alan G]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,University of Cape Town Department of Human Biology ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2012</year>
</pub-date>
<volume>102</volume>
<numero>6</numero>
<fpage>568</fpage>
<lpage>570</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.za/scielo.php?script=sci_arttext&amp;pid=S0256-95742012000600079&amp;lng=en&amp;nrm=iso&amp;tlng=en"></self-uri><self-uri xlink:href="http://www.scielo.org.za/scielo.php?script=sci_abstract&amp;pid=S0256-95742012000600079&amp;lng=en&amp;nrm=iso&amp;tlng=en"></self-uri><self-uri xlink:href="http://www.scielo.org.za/scielo.php?script=sci_pdf&amp;pid=S0256-95742012000600079&amp;lng=en&amp;nrm=iso&amp;tlng=en"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[BACKGROUND: Antemortem and perimortem fractures in skeletons recovered from Later Stone Age burials in southern Africa demonstrate that people were, on occasion, the victims of severe trauma attributable to interpersonal violence. METHODS: Case studies are presented of cranial vault depression fractures on 4 different individuals and a young adult female who had 2 bone arrowheads embedded in the lower vertebrae. These are compared with other cases from the literature. RESULTS: The evidence from the archaeological skeletons suggests that interpersonal violence was a regular occurrence among prehistoric foragers. Additional cases show healed fractures of other bones, but these probably represent injuries from day-to-day activities rather than violent conflict. DISCUSSION: The ethnographic depiction of the San as &#8216;harmless people&#8217; is probably inaccurate, or, at best, only representative of the situation in northern Botswana in the 1960s. Damage to the bones indicates that the cause of the trauma was intentional violence. Explanatory models that suggest intense competition between hunter-gatherer groups are probably more accurate than ones that suggest that the groups were non-aggressive. CONCLUSION: Historical references to the San as aggressive and dangerous adversaries may be more accurate than revisionist historians have argued.]]></p></abstract>
</article-meta>
</front><body><![CDATA[ <p align="right"><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b>RESEARCH</b></font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="4"><b><a name="top"></a>Trauma    and violence in the later stone age of southern Africa</b></font></p>     <p>&nbsp;</p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b>Alan G Morris</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">PhD. Department    of Human Biology, University of Cape Town</font></p>     <p>&nbsp;</p>     <p>&nbsp;</p> <hr size="1" noshade>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"><b>ABSTRACT</b></font></p>     ]]></body>
<body><![CDATA[<p><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b>BACKGROUND:</b>    Antemortem and perimortem fractures in skeletons recovered from Later Stone    Age burials in southern Africa demonstrate that people were, on occasion, the    victims of severe trauma attributable to interpersonal violence.</font>    <br>   <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b>METHODS:</b>    Case studies are presented of cranial vault depression fractures on 4 different    individuals and a young adult female who had 2 bone arrowheads embedded in the    lower vertebrae. These are compared with other cases from the literature.</font>    <br>   <font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b>RESULTS</b>:    The evidence from the archaeological skeletons suggests that interpersonal violence    was a regular occurrence among prehistoric foragers. Additional cases show healed    fractures of other bones, but these probably represent injuries from day-to-day    activities rather than violent conflict.    <br>   <b>DISCUSSION:</b> The ethnographic depiction of the San as &#145;harmless people&#146;    is probably inaccurate, or, at best, only representative of the situation in    northern Botswana in the 1960s. Damage to the bones indicates that the cause    of the trauma was intentional violence. Explanatory models that suggest intense    competition between hunter-gatherer groups are probably more accurate than ones    that suggest that the groups were non-aggressive.    <br>   </font><font size="2" face="Verdana, Arial, Helvetica, sans-serif"><b>CONCLUSION:</b>    Historical references to the San as aggressive and dangerous adversaries may    be more accurate than revisionist historians have argued.</font></p> <hr size="1" noshade>     <p>&nbsp;</p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The presence of    healed bone fractures in prehistoric skeletons is frequently noted in palaeopathological    analyses. The identification of perimortem occurrences is less frequent, but    elicits considerable interest because of the potential to shed light on fatal    events.<sup>1</sup></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Traumatic bone    lesions can be classified into those that occurred antemortem (with evident    signs of healing), perimortem (without healing but with apparent signs of bone    damage while still 'green') and postmortem (with signs of dry bone damage after    soft-tissue decomposition). Bone-breaking trauma in living individuals includes    violent acts, accidents, wear and tear and fractures secondary to bone disease.<sup>2,3</sup>    The timing of the breakage in the life of the individual has to be considered,    in addition to the cause.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Case studies are    presented of antemortem and perimortem fractures in skeletons recovered from    Later Stone Age burials in southern Africa, demonstrating trauma attributable    to interpersonal violence.</font></p>     ]]></body>
<body><![CDATA[<p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>Evidence of    violence in the Later Stone Age (LSA) in South Africa</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Patterns of bone    breakage in skeletal remains in archaeological sites in South Africa (SA), such    as those studied by Morris in the Northern Cape and Pfeiffer on the Cape coast,<sup>4,5</sup>    are consistent with injuries caused by accidental trauma and suggest a low incidence    of such trauma in these foraging groups. But, independent studies by Morris    and Pfeiffer have noted 10 specific cases of antemortem and perimortem breaks    consistent with violent rather than accidental trauma (<a href="/img/revistas/samj/v102n6/79t01.jpg">Table    1</a>).<sup>6,7</sup></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">In order for a    bone fracture to indicate intentional violence, it must be unlikely that it    resulted from an accidental or disease process. Such confirmation is not possible    for the bulk of post-cranial breaks as evidence of the cause of a lesion is    seldom unambiguous. Only one unambiguous case has been seen in SA,where 2 arrow    points remained embedded in the lower thoracic vertebrae of a young adult female    from Quoin Point on the southern Cape coast (<a href="#f1">Fig. 1</a>).<sup>8</sup>    Reconstruction of the event indicated that the victim was likely to have been    lying on the ground in a prone position when the arrows were shot into her lower    back.<sup>1,8</sup> Although the exact cause of death could not be confirmed,    the unhealed wounds suggested that death occurred soon after injury.</font></p>     <p><a name="f1"></a></p>     <p>&nbsp;</p>     <p align="center"><img src="/img/revistas/samj/v102n6/79f01.jpg"></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">In contrast, cranial    lesions provide solid evidence of violent intent when the nature of the impact    point can be identified. In the cases described here, Pfeiffer noted that the    punctured nature of the cranial lesions were indicative of impact with a pointed    object such as a digging stick (unlike broader lesions characteristic of an    object such as a falling rock or tree branch).<sup>7</sup> Although such lesions    could have been accidental, the context of the skeletons and their archaeological    association tended to confirm non-natural injury.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The same pattern    of non-natural injury is true for skeletons from Melkbosstrand and Modder River,    where several individuals buried in shared graves demonstrated unhealed cranial    lesions.<sup>9,10</sup> A single grave in Melkbosstrand contained the remains    of an adult woman and a juvenile; both had gashes to the cranium consistent    with a blow to the head with a linear instrument.<sup>9</sup> Pfeiffer and van    der Merwe reported the surprising discovery of the skeletons of 3 LSA children    in the Modder River area; all bore cranial injuries inflicted with an instrument    much like a digging stick, as opposed to a sharp-edged implement, such as an    arrow or a stone knife.<sup>10</sup></font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">A comparable case    of perimortem injury was found at the site of Langklip near Hermanus on the    southern Cape coast; the unpublished excavation of the remains of 8 individuals    - currently stored in the Department of Human Biology at the University of Cape    Town - was undertaken by F. Silberbauer in 1978. The burials in a partly calcified    sand dune were recovered after disturbance, but postmortem breakages were readily    visible and distinguishable from perimortem breaks. One healed vertebral arch    fracture was evident on one of the recovered lumbar vertebrae. The partial cranium    of an adult female presented evidence of perimortem damage, with a sharply depressed    circular fracture, representing a small impact site on the right parietal on    the quadrant nearest the bregma (<a href="#f2">Fig. 2</a>). The striking similarity    of this lesion to those noted by Pfeiffer and van der Merwe suggested trauma    from a digging stick.<sup>10</sup></font></p>     <p><a name="f2"></a></p>     <p>&nbsp;</p>     <p align="center"><img src="/img/revistas/samj/v102n6/79f02.jpg"></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Archaeological    excavations on the southern Cape coast have revealed 3 cases of antemortem cranial    injury in LSA foragers; all subjects survived their insults and lived for some    time afterwards.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">In the first case,    an old man from Snuifklip was recovered from a consolidated sand dune at Vleesbaai,    west of Mossel Bay;<sup>11</sup> 2 depressed fractures indicated that he had    been hit over the head twice. Although one fracture had great potential to cause    serious injury, the man survived, indicating that the brain and meninges were    undamaged. Again, the lesions were similar to those caused by a digging stick    or similarly shaped weapon.<sup>10</sup></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">In the second case    reported by Pfeiffer, antemortem injury was noted in an adult male skeleton    from a cave at Andrieskraal in the Gamtoos Valley.<sup>7</sup> The individual    had a depressed healed fracture on the anterior-superior area of the right parietal    bone, with cracks extending across both parietals and the frontal bone.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The third specimen,    excavated in the 1930s from Whitcher's Cave near George, has not been described    previously because of its fragmentary nature; previous work has concentrated    on the more complete crania. Examination revealed a deeply depressed fracture    on the inferior aspect of the right parietal. Subsequent healing had rounded    the feature, confirming that the victim had survived the injury. Consistent    with the aforementioned cases, the damage was noted to be highly localised.    The impact site was rounded, although deeper anteriorly, suggesting impact from    behind (<a href="#f3">Fig. 3</a>).</font></p>     <p><a name="f3"></a></p>     ]]></body>
<body><![CDATA[<p>&nbsp;</p>     <p align="center"><img src="/img/revistas/samj/v102n6/79f03.jpg"></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>Discussion</b></font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Ethnographic evidence    for the Kalahari San has been used to argue that simple foraging communities    were inherently peaceful and, wherever possible, avoided violence in their search    for conflict resolution.<sup>12,13</sup> Yet historical evidence and some ethnographic    data suggest that violence was more common than previously assumed. Lee noted    that violence among San groups focused on disputes over women, and he recorded    a surprisingly large number of fatal interactions.<sup>14</sup> If his data    are statistically extrapolated, the murder rate among the Dobe Kung was greater    than 30/100 000. This is 3 times higher than the New York City murder rate in    the 1970s, and twice as high as the peak New York murder rate of 14.5/100 000    in 1990.<sup>15</sup> It closely resembles the 2010 murder rate in Cape Town    of 41.1/100 000, compared with an average global murder rate in the same year    of 6.9/100 000.<sup>16</sup> However, crime statistics do not adequately explain    the archaeological data. Where personal conflict is the motive, the overwhelming    majority of deaths are of men, which is not the case in this data set of 10    individuals.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">The death of the    woman from Quoin Point is the least ambiguous case; the intention of the incident    could only have been to kill.<sup>8</sup> All ages and both sexes are represented    in the described cases, with an apparent preponderance of females. Could these    have been ritual murders? The children from Modder River were certainly too    young to have been guilty of sexual or ritual transgressions, alluding to the    idea that they were perhaps the victims of inter- rather than intra-group violence.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Humphreys has suggested    that the rich linguistic tapestry of the Kalahari is inconsistent with territorial    and band flexibility and, instead, indicates a long period of more rigid ethnic    identity with language as a marker.<sup>17</sup> Although gene flow between    small forager populations is an obvious necessity to prevent inbreeding, the    modern linguistic diversity suggests that either political or geographical separation    of groups must have existed for a substantial period of time. Humphreys proposed    that languages were markers of rigid territoriality among LSA foragers. The    evidence of violence indicates that such territoriality was actively defended.</font></p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Osteological evidence    of prehistoric violence supports a model where foraging groups did indeed behave    in a manner inconsistent with the modern ethnographic model of the gentle San.    However, much research remains to be done. Of greatest importance is the need    to systematically gather as much information as possible concerning antemortem    and perimortem fractures in the full set of LSA remains from different places    and times in southern Africa.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>Acknowledgements</b></font></p>     ]]></body>
<body><![CDATA[<p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> I would like to    acknowledge Susan Pfeiffer and Tony Humphreys for sharing ideas and data over    the years. The Research Committee of the University of Cape Town financially    supported this project.</font></p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="3"><b>References</b></font></p>     <!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">1.&nbsp;Morris    AG. Missing and Murderend. Cape Town: Zebra Press, 2011.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=546143&pid=S0256-9574201200060007900001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">2.&nbsp;Lovell    NC. Trauma analysis in paleopathology. 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Cambridge: Cambridge    University Press, 1979.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=546156&pid=S0256-9574201200060007900014&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">15.&nbsp;The Disaster    Center. New York Crime Rates 1960 to 2010. New York: The Disaster Center, 2010.    <a href="http://www.disastercenter.com/crime/nycrime.htm" target="_blank">http://www.disastercenter.com/crime/nycrime.htm</a>    (accessed 31 January 2012).</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=546157&pid=S0256-9574201200060007900015&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">16.&nbsp;United    Nations Office on Drugs and Crime (UNODC). Global Study on Homicide. Geneva:    UNODC,2011.</font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=546158&pid=S0256-9574201200060007900016&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><!-- ref --><p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">17.&nbsp;Humphreys    AJB. Behavioural ecology and hunter-gatherers: from the Kalahari to the Later    Stone Age.South African Archaeological Bulletin 2007;62(186):98-103. </font>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=546159&pid=S0256-9574201200060007900017&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>&nbsp;</p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2">Accepted 15 March    2012.</font></p>     <p>&nbsp;</p>     <p>&nbsp;</p>     <p><font face="Verdana, Arial, Helvetica, sans-serif" size="2"> <b><i>Corresponding    author:</i></b> <i>A G Morris(<a href="mailto:alan.morris@uct.ac.za">alan.morris@uct.ac.za</a>)</i></font></p>      ]]></body>
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