RESUMO
The aim of this paper is to convey the relevance of a Gramscian perspective in medical anthropology, stressing his anti-essentialist way of reasoning about 'nature'. The author claims that Gramsci's understandings of the bodily life of the state can deconstruct naturalized realities in ways that are helpful for the ethnographer engaged in the political anthropology of embodiment and the management of health, persons, and life itself. The paper is presented in three parts. An attempt is made, first, to frame the relevance of Gramsci for Italian medical anthropology and second, to explore the components of the Gramscian concept of 'second nature' within the perspective that he himself calls 'an anthropology'. Third, an example is given of how the proposed Gramscian insights could inform an ethnography on the biopolitical aspects for the early detection of Alzheimer's disease, which is currently being carried out in Perugia.