A SCHOLARLY BOOK REPOSITORY
This is the most comprehensive approach ever made to the human skeleton as a biological entity. It provides a holistic view, from the molecular and cellular level up to functional gross anatomy. The book synthesizes the latest research in a wide range of fields, including forensics, anthropology, cell biology, orthopedics, biomechanics, functional anatomy, and paleontology. Throughout the book the skeleton's functional and dynamic aspects are emphasized.
The first part of the book focuses on bone as living tissue: its composition, formation, growth and remodeling capabilities, and mechanical properties. The second part examines individual bones in the human body, combining strictly anatomical information with discussion of the major functions of each body section. For example, the chapter describing the axial skeleton is paired with one on the mechanics of breathing. The final part of the book surveys the archaeological and forensic applications of skeletal biology, including the estimation of age, sex, race, and stature; the effects of fracture and pathology on bone; and the modes of reconstructing skeletal remains. Elegant, detailed illustrations of the individual bones from several views and of the regions of the skeleton enhance the text.
The book begins with a readable, authoritative review of human fertility in its natural state. Leridon summarizes and evaluates current knowledge, drawing together rare statistical data on physiological variables as well as demographic treatments of these data. After discussing the classical framework used by demographers, Leridon undertakes a "microdemographic" analysis in which he focuses on the individual and explicates the biological processes through which social, psychological, and economic factors affect fertility. He isolates its components—fecundability, intrauterine mortality, the physiological nonsusceptible period, and sterility—then reviews the composite effect of variation in any one component.
Leridon considers situations of controlled fertility: contraception, abortion, and sterilization. The author also presents valuable new data from his own investigations of varying risks of intrauterine mortality. Finally, he shows how the previous approaches can be complemented by the use of mathematical models.
As anyone who takes up a new sport quickly discovers, even basic athletic moves require high levels of coordination and control. Whether dribbling a basketball or hitting a backhand, limbs must be synchronized and bodies balanced, all with precise timing. But no matter how diligently we watch the pros or practice ourselves, the body’s inner workings remain invisible.
The Hidden Mechanics of Exercise reveals the microworld of the human body in motion, from the motor proteins that produce force, to the signaling molecules that activate muscles, to the enzymes that extract energy from nutrients. Christopher Gillen describes how biomolecules such as myosin, collagen, hemoglobin, and creatine kinase power our athletic movements. During exercise, these molecules dynamically morph into different shapes, causing muscles, tendons, blood, and other tissues to perform their vital functions. Gillen explores a wide array of topics, from how genetic testing may soon help athletes train more effectively, to how physiological differences between women and men influence nutrition. The Hidden Mechanics of Exercise tackles questions athletes routinely ask. What should we ingest before and during a race? How does a hard workout trigger changes in our muscles? Why does exercise make us feel good?
Athletes need not become biologists to race in a triathlon or carve turns on a snowboard. But Gillen, who has run ten ultramarathons, points out that athletes wishing to improve their performance will profit from a deeper understanding of the body’s molecular mechanisms.
Top scholars and scientists in neuroscience and ethics convened at the Library of Congress in Washington, D.C., in May 2005. They included Michael Gazzaniga, director of the Center for Cognitive Neuroscience at Dartmouth College; Marcus Raichle of the Washington University School of Medicine in St. Louis; Harvard University provost Steven Hyman; Judy Illes, cofounder of the Stanford Brain Research Center; University of Virginia bioethicist Jonathan Moreno; Stacey Tovino of the Health Law and Policy Institute at the University of Houston Law Center; and Stanford law professor Hank Greely.
Ackerman weaves the invigorating arguments and discussions among these and other prominent scholars into a seamless and dynamic narrative. She reveals the wide array of issues that have emerged from recent research, including brain imaging, free will and personal responsibility, disease diagnosis and prediction, brain enhancement, and the potential social, political, and legal ramifications of new discoveries. Translating these complex arguments into an engrossing account of neuroethics, she offers a rare view of science—and ethics—in the making.
Throughout his remarkable career, Donald Pfaff has demonstrated that by choosing problems and methods with care, biologists can study the molecular mechanisms of brains more complex than those of fruit flies, snails, roundworms, and other invertebrates. His half century in the lab, starting with his discovery of hormone receptors in the brains of mammals and leading to the first detailed account of a neural circuit for mammalian behavior, puts him in a unique position to survey the origins and development of behavioral neurobiology and the current state of research. How the Vertebrate Brain Regulates Behavior offers a close-up, conversational perspective on scientific struggles and successes throughout a fifty-year quest to understand how behavior is regulated in a complex organism.
In graduate school, when Pfaff expressed a desire to study behavioral regulation, his advisor suggested focusing on hormones. Pfaff’s investigation into the hormonal basis of female sexual behavior in laboratory rats led him to a comprehensive appreciation of how hormone-dependent neurons work through neural circuits to produce discrete behaviors among all vertebrates. This breakthrough, along with other researchers’ findings, established a link between molecular biology and neuroscience that opened up a fruitful new field of inquiry.
Pfaff’s approach is to focus on one solvable problem and explore it from many angles. He begins with a single observed behavior and traces its regulation through a series of biological mechanisms—from hormones to genes to neural circuits. Pfaff’s relentless pursuit of his goals continues to inspire neuroscientists today.
This book is an entry into the fierce current debate among psycholinguists, neuroscientists, and evolutionary theorists about the nature and origins of human language. A prominent neuroscientist here takes up the Darwinian case, using data seldom considered by psycholinguists and neurolinguists to argue that human language--though more sophisticated than all other forms of animal communication--is not a qualitatively different ability from all forms of animal communication, does not require a quantum evolutionary leap to explain it, and is not unified in a single "language instinct."
Using clinical evidence from speech-impaired patients, functional neuroimaging, and evolutionary biology to make his case, Philip Lieberman contends that human language is not a single separate module but a functional neurological system made up of many separate abilities. Language remains as it began, Lieberman argues: a device for coping with the world. But in a blow to human narcissism, he makes the case that this most remarkable human ability is a by-product of our remote reptilian ancestors' abilities to dodge hazards, seize opportunities, and live to see another day.
This book documents how the rise of modern capitalism and efforts to protect those most vulnerable to its harmful effects contributed to the social stigmatization of short statured children. Short boys bore the brunt of this discrimination by the mid-twentieth century, as cultural notions of masculinity deemed smallness a troubling trait in need of remedy. These boys became targets of growth hormone treatment, a trend accelerated by the development of effective HGH therapy in the late 1950s.
With a revisionist twist, Medeiros argues that HGH therapy was not plagued by a limited number of sources of the hormone but rather a difficult-to-access supply during the 1960s and 1970s. The advent of synthetic HGH remedied this situation. Therapy was available, however, only to those who could afford it. Very few could, which made short stature once again a mark of the underprivileged class.
Today, small boys with dreams of being taller remain the key customer base of the legitimate arm of the HGH industry. As gender and economic class disparities in treatment continue, some medical experts have alluded to patients’ parents as culprits of this trend. This book sheds light on how medicine’s attempt to make up for perceived physical shortcomings has deep roots in American culture.
Of interest to historians and scholars of medicine, gender studies, and disability studies, Heightened Expectations also offers much to policy makers and those curious about where standards and therapies originate.
This new collection of essays on HIV viruses spans disciplines to topple popular narratives about the origins of the AIDS pandemic and the impact of the disease on public health policy.
With a death toll in the tens of millions, the AIDS pandemic was one of the worst medical disasters of the past century. The disease was identified in 1981, at the height of miraculous postwar medical achievements, including effective antibiotics, breakthrough advances in heart surgery and transplantations, and cheap, safe vaccines—smallpox had been eradicated just a few years earlier. Arriving as they did during this era of confidence in modern medicine, the HIV epidemics shook the public’s faith in health science. Despite subsequent success in identifying, testing, and treating AIDS, the emergence of epidemics and outbreaks of Ebola, Zika, and the novel coronaviruses (SARS and COVID-19) are stark reminders that such confidence in modern medicine is not likely to be restored until the emergence of these viruses is better understood.
This collection combines the work of major social science and humanities scholars with that of virologists and epidemiologists to provide a broader understanding of the historical, social, and cultural circumstances that produced the pandemic. The authors argue that the emergence of the HIV viruses and their epidemic spread were not the result of a random mutation but rather broader new influences whose impact depended upon a combination of specific circumstances at different places and times. The viruses emerged and were transmitted according to population movement and urbanization, changes in sexual relations, new medical procedures, and war. In this way, the AIDS pandemic was not a chance natural occurrence, but a human-made disaster.
Essays by: Ernest M. Drucker, Tamara Giles-Vernick, Ch. Didier Gondola, Guillaume Lachenal, Amandine Lauro, Preston A. Marx, Stephanie Rupp, François Simon, Jorge Varanda
Assessing rhetorical principles of contemporary health issues
Hypochondriacs are vulnerable to media hype, anorexics are susceptible to public scrutiny, and migraine sufferers are tainted with the history of the “migraine personality,” maintains rhetorical theorist Judy Z. Segal. All are influenced by the power of persuasion.
Health and the Rhetoric of Medicine explores persistent health conditions that resist conventional medical solutions. Using a range of rhetorical principles, Segal analyzes how patients and their illnesses are formed within the physician/patient relationship. The intractable problem of a patient’s rejection of a doctor’s advice, says Segal, can be considered a rhetorical failure—a failure of persuasion.
Examining the discourse of medicine through case studies, applications, and analyses, Segal illustrates how illnesses are described in ways that limit
patients’ choices and satisfaction. She also illuminates psychiatric conditions, infectious diseases, genetic testing, and cosmetic surgeries through the lens of rhetorical theory.
Health and the Rhetoric of Medicine bridges critical analysis for scholarly, professional, and lay audiences. Segal highlights the persuasive element in diagnosis, health policy, illness experience, and illness narratives. She also addresses questions of direct-to-consumer advertising of prescription drugs, the role of health information in creating the “worried well” and problems of trust and expertise in physician/patient relationships. A useful resource for critical common sense in everyday life, the text provides an effective examination of a society increasingly influenced by the rhetoric of health and medicine.
Antiquity’s most prolific and influential medical writer and practitioner.
Galen of Pergamum (129–?199/216), physician to the court of the emperor Marcus Aurelius, was a philosopher, scientist, medical historian, theoretician, and practitioner who wrote forcefully and prolifically on an astonishing range of subjects and whose impact on later eras rivaled that of Aristotle. Galen synthesized the entirety of Greek medicine as a basis for his own doctrines and practice, which comprehensively embraced theory, practical knowledge, experiment, logic, and a deep understanding of human life and society.
His treatise Hygiene, also known as “On the Preservation of Health” (De sanitate tuenda), was written during one of Galen’s most prolific periods (170–180) and ranks among his most important and influential works, providing a comprehensive account of the practice of preventive medicine that still has relevance today. Also included in this two-volume edition are two shorter treatises on the relationship between health and wellness. Thrasybulus explores the theoretical question of whether hygiene is part of medicine or gymnastics, and in so doing delineates the interrelated roles of doctors and physical therapists. On Exercise with a Small Ball strenuously advocates that activity’s superiority to all other forms of exercise.
Antiquity’s most prolific and influential medical writer and practitioner.
Galen of Pergamum (129–?199/216), physician to the court of the emperor Marcus Aurelius, was a philosopher, scientist, medical historian, theoretician, and practitioner who wrote forcefully and prolifically on an astonishing range of subjects and whose impact on later eras rivaled that of Aristotle. Galen synthesized the entirety of Greek medicine as a basis for his own doctrines and practice, which comprehensively embraced theory, practical knowledge, experiment, logic, and a deep understanding of human life and society.
His treatise Hygiene, also known as “On the Preservation of Health” (De sanitate tuenda), was written during one of Galen’s most prolific periods (170–180) and ranks among his most important and influential works, providing a comprehensive account of the practice of preventive medicine that still has relevance today. Also included in this two-volume edition are two shorter treatises on the relationship between health and wellness. Thrasybulus explores the theoretical question of whether hygiene is part of medicine or gymnastics, and in so doing delineates the interrelated roles of doctors and physical therapists. On Exercise with a Small Ball strenuously advocates that activity’s superiority to all other forms of exercise.
The definitive English edition of the “Father of Medicine.”
This is the second volume in the Loeb Classical Library’s complete edition of Hippocrates’ invaluable texts, which provide essential information about the practice of medicine in antiquity and about Greek theories concerning the human body. The first two treatises, Prognostic and Regimen in Acute Diseases, are manuals respectively on how to predict the course and outcome of acute diseases and how to apply appropriate dietetic measures. Sacred Disease, The Art, and Breaths are rhetorically polished monographs, each arguing in favor of a specific hypothesis: that sacred disease is a misnomer; that medicine is a legitimate art; and that air plays important roles in life and health. Law sketches a new model of medical education; Decorum summarizes a public address on the components of medical wisdom; and Dentition collects pediatric aphorisms dealing mainly with the nursing of infants and ulcerations of their tonsils, uvula, and throat.
This Loeb edition replaces the original by W. H. S. Jones.
The works available in the Loeb Classical Library edition of Hippocrates are:
Volume I: Ancient Medicine. Airs, Waters, Places. Epidemics 1 and 3. The Oath. Precepts. Nutriment.
Volume II: Prognostic. Regimen in Acute Diseases. The Sacred Disease. The Art. Breaths. Law. Decorum. Dentition.
Volume III: On Wounds in the Head. In the Surgery. On Fractures. On Joints. Mochlicon.
Volume IV: Nature of Man. Regimen in Health. Humors. Aphorisms. Regimen 1–3. Dreams.
Volume V: Affections. Diseases 1–2.
Volume VI: Diseases 3. Internal Affections. Regimen in Acute Diseases.
Volume VII: Epidemics 2 and 4–7.
Volume VIII: Places in Man. Glands. Fleshes. Prorrhetic 1–2. Physician. Use of Liquids. Ulcers. Haemorrhoids and Fistulas.
Volume IX: Anatomy. Nature of Bones. Heart. Eight Months’ Child. Coan Prenotions. Crises. Critical Days. Superfetation. Girls. Excision of the Fetus. Sight.
Volume X: Generation. Nature of the Child. Diseases 4. Nature of Women. Barrenness.
Volume XI: Diseases of Women 1–2.
The definitive English edition of the “Father of Medicine.”
The medical treatises collected under Hippocrates’ name are essential sources of information about the practice of medicine in antiquity and about Greek theories concerning the human body. In this seventh volume of the ongoing Loeb edition of the Hippocratic Collection, Wesley Smith presents the first modern English translation of Books 2 and 4–7 of the Epidemics (the other two books are available in the first volume).
In the casebooks and notes that make up the seven books called Epidemics—the title originally meant ‘visits’—we can watch ancient physicians observing patients, noting and pondering symptoms, evaluating treatments, and developing theories about the body. They appear to be physicians’ notebooks from several areas of the Aegean basin. Smith supplements his clear translation with explanatory notes.
The works available in the Loeb Classical Library edition of Hippocrates are:
Volume I: Ancient Medicine. Airs, Waters, Places. Epidemics 1 and 3. The Oath. Precepts. Nutriment.
Volume II: Prognostic. Regimen in Acute Diseases. The Sacred Disease. The Art. Breaths. Law. Decorum. Dentition.
Volume III: On Wounds in the Head. In the Surgery. On Fractures. On Joints. Mochlicon.
Volume IV: Nature of Man. Regimen in Health. Humors. Aphorisms. Regimen 1–3. Dreams.
Volume V: Affections. Diseases 1–2.
Volume VI: Diseases 3. Internal Affections. Regimen in Acute Diseases.
Volume VII: Epidemics 2 and 4–7.
Volume VIII: Places in Man. Glands. Fleshes. Prorrhetic 1–2. Physician. Use of Liquids. Ulcers. Haemorrhoids and Fistulas.
Volume IX: Anatomy. Nature of Bones. Heart. Eight Months’ Child. Coan Prenotions. Crises. Critical Days. Superfetation. Girls. Excision of the Fetus. Sight.
Volume X: Generation. Nature of the Child. Diseases 4. Nature of Women. Barrenness.
Volume XI: Diseases of Women 1–2.
This journey to the beginnings of the physician’s art brings to life the civilizations of the ancient world—Egypt of the Pharaohs, Greece at the time of Hippocrates, Rome under the Caesars, the India of Ashoka, and China as Mencius knew it. Probing the documents and artifacts of the ancient world with a scientist’s mind and a detective’s eye, Guido Majno pieces together the difficulties people faced in the effort to survive their injuries, as well as the odd, chilling, or inspiring ways in which they rose to the challenge. In asking whether the early healers might have benefited their patients, or only hastened their trip to the grave, Dr. Majno uncovered surprising answers by testing ancient prescriptions in a modern laboratory.
Illustrated with hundreds of photographs, many in full color, and climaxing ten years of work, The Healing Hand is a spectacular recreation of man’s attempts to conquer pain and disease.
A path-breaking work at last available in paper, History, Medicine, and the Traditions of Renaissance Learning is Nancy G. Siraisi’s examination of the intersections of medically trained authors and history from 1450 to 1650. Rather than studying medicine and history as separate traditions, Siraisi calls attention to their mutual interaction in the rapidly changing world of Renaissance erudition. With remarkably detailed scholarship, Siraisi investigates doctors’ efforts to explore the legacies handed down to them from ancient medical and anatomical writings.
In The Human Body in the Age of Catastrophe, Stefanos Geroulanos and Todd Meyers uncover a fascinating story of how medical scientists came to conceptualize the body as an integrated yet brittle whole. Responding to the harrowing experience of the Great War, the medical community sought conceptual frameworks to understand bodily shock, brain injury, and the vast differences in patient responses they occasioned. Geroulanos and Meyers carefully trace how this emerging constellation of ideas became essential for thinking about integration, individuality, fragility, and collapse far beyond medicine: in fields as diverse as anthropology, political economy, psychoanalysis, and cybernetics.
Moving effortlessly between the history of medicine and intellectual history, The Human Body in the Age of Catastrophe is an intriguing look into the conceptual underpinnings of the world the Great War ushered in.
“The history of medicine in Pennsylvania is no less vital to understanding the state’s past than is its political or industrial history,” writes James Higgins in The Health of the Commonwealth, his overview of medicine and public health in the state. Covering the outbreak of yellow fever in 1793 through the 1976 Legionnaire’s Disease epidemic, and the challenges of the present day, he shows how Pennsylvania has played a central role in humanity’s understanding of—and progress against—disease.
Higgins provides close readings of specific medical advances—for instance, scientists at the University of Pittsburgh discovered the polio vaccine—and of disease outbreaks, like AIDS. He examines sanitation and water purification efforts, allopathic medicine and alternative therapies, and the building of the state’s tuberculosis sanitaria. Higgins also describes Native American and pre-modern European folk medicine, the rise of public health in the state, and women’s roles in both folk and scientific medicine.
The Health of the Commonwealth places Pennsylvania’s unique contribution to the history of public health and medicine in a larger narrative of health and disease throughout the United States and the world.
Originally composed in Latin by Gilbertus Anglicus (Gilbert the Englishman), his Compendium of Medicine was a primary text of the medical revolution in thirteenth-century Europe. Composed mainly of medicinal recipes, it offered advice on diagnosis, medicinal preparation, and prognosis. In the fifteenth-century it was translated into Middle English to accommodate a widening audience for learning and medical “secrets.”
Faye Marie Getz provides a critical edition of the Middle English text, with an extensive introduction to the learned, practical, and social components of medieval medicine and a summary of the text in modern English. Getz also draws on both the Latin and Middle English texts to create an extensive glossary of little-known Middle English pharmaceutical and medical vocabulary.
Contributors. Florian Besch, Calum Blaikie, Sienna R. Craig, Barbara Gerke, Isabelle Guérin, Kim Gutschow, Pascale Hancart Petitet, Stephan Kloos, Fernanda Pirie, Laurent Pordié
In the 1850s, "Drapetomania" was the medical term for a disease found among black slaves in the United States. The main symptom was a strange desire to run away from their masters. In earlier centuries gout was understood as a metabolic disease of the affluent, so much so that it became a badge of uppercrust honor—and a medical excuse to avoid hard work. Today, is there such a thing as mental illness, or is mental illness just a myth? Is Alzheimer's really a disease? What is menopause—a biological or a social construction?
Historically one can see that health, disease, and illness are concepts that have been ever fluid. Modern science, sociology, philosophy, even society—among other factors—constantly have these issues under microscopes, learning more, defining and redefining ever more exactly. Yet often that scrutiny, instead of leading toward hard answers, only leads to more questions. Health, Disease, and Illness brings together a sterling list of classic and contemporary thinkers to examine the history, state, and future of ever-changing "concepts" in medicine.
Divided into four parts—Historical Discussions; Characterizing Health, Disease, and Illness; Clinical Applications of Health and Disease; and Normalcy, Genetic Disease, and Enhancement: The Future of the Concepts of Health and Disease—the reader can see the evolutionary arc of medical concepts from the Greek physician Galen of Pergamum (ca. 150 ce) who proposed that "the best doctor is also a philosopher," to contemporary discussions of the genome and morality. The editors have recognized a crucial need for a deeper integration of medicine and philosophy with each other, particularly in an age of dynamically changing medical science—and what it means, medically, philosophically, to be human.
This fourth edition of Health Care Ethics provides a contemporary study of broad and major issues affecting health care and the ethics of health care from the perspective of Catholic teachings and theological investigation.
It aims to help Christian, and especially Catholic, health care professionals solve concrete problems in terms of principles rooted in Scripture and tested by individual experience.
Since the last edition of Health Care Ethics, there have been many changes in the fields of health care medicine and theology that have necessitated a fourth edition. Ashley and O'Rourke have revised their seminal work to address the publication of significant documents by the Church and the restructuring of the health care system.
Features of the revised fourth edition:
• Discusses significant Church documents issued since the third edition includes "The Splendor of Truth" (Veritatis Splendor), and the "Gospel of Life" (Evangelium Vitae); the "Instruction on the Vocation of Theologians"; the Catechism of the Catholic Church; and the Revised Ethical and Religious Directives for Catholic Health Services.
• Examines the implications of managed care techniques.
• Probes such changes in the practice of medicine as the new emphasis on preventive care, the involvement of individuals in their own care, greater use of pharmaceuticals in psychiatry, and the greater role of genetics in diagnosis and prognosis.
• Explores the quest for more compassionate care of the dying.
• Updates the bibliography.
Health Care Ethics is a comprehensive study of significant issues affecting health care and the ethics of health care from the perspective of Catholic theology. It aims to help Christian, and especially Catholic, health care professionals solve concrete problems in terms of principles rooted in scripture and tested by individual experience; however, its basis in real medical experience makes this book a valuable resource for anyone with a general interest in health care ethics.
This fifth edition, which includes important contributions by Jean deBlois, C.S.J., considers everyday ethical questions and dilemmas in clinical care and deals more deeply with issues of women's health, mental health, sexual orientation, artificial reproduction, and the new social issues in health care. The authors devote special attention to the various ethical theories currently in use in the United States while clearly presenting a method of ethical decision making based in the Catholic tradition. They discuss the needs of the human person, outlining what it means to be human, both as an individual and as part of a community.
This volume has been significantly updated to include new discussions of recent clinical innovations and theoretical issues that have arisen in the field:
• the Human Genome Project• efforts to control sexual selection of infants• efforts to genetically modify the human genotype and phenotype• the development of palliative care as a medical specialty• the acceptance of non-heart beating persons as organ donors• embryo development and stem cell research• reconstructive and cosmetic surgery• nutrition and obesity• medical mistakes• the negative effects of managed care on the patient-physician relationship• recent papal allocution regarding care of patients in a persistent vegetative state and palliative care for dying patients
This book illuminates issues in medical ethics revolving around the complex bond between healer and patient, focusing on friendship and other important values in the healing relationship. Embracing medicine, philosophy, theology, and bioethics, it considers whether bioethical issues in medicine, nursing, and dentistry can be examined from the perspective of the healing relationship rather than external moral principles.
Distinguished contributors explore the role of the health professional, the moral basis of health care, greater emphasis on the humanities in medical education, and some of the current challenges facing healers today.
Where should physicians get their ethics? Professional codes such as the Hippocratic Oath claim moral authority for those in a particular field, yet according to medical ethicist Robert Veatch, these codes have little or nothing to do with how members of a guild should understand morality or make ethical decisions. While the Hippocratic Oath continues to be cited by a wide array of professional associations, scholars, and medical students, Veatch contends that the pledge is such an offensive code of ethics that it should be summarily excised from the profession. What, then, should serve as a basis for medical morality?
Building on his recent contribution to the prestigious Gifford Lectures, Veatch challenges the presumption that professional groups have the authority to declare codes of ethics for their members. To the contrary, he contends that role-specific duties must be derived from ethical norms having their foundations outside the profession, in religious and secular convictions. Further, these ethical norms must be comprehensible to lay people and patients. Veatch argues that there are some moral norms shared by most human beings that reflect a common morality, and ultimately it is these generally agreed-upon religious and secular ways of knowing—thus far best exemplified by the 2005 Universal Declaration on Bioethics and Human Rights—that should underpin the morality of all patient-professional relations in the field of medicine.
Hippocratic, Religious, and Secular Medical Ethics is the magnum opus of one of the most distinguished medical ethicists of his generation.
The term bioethics was first used in the early 1970s by biologists who were concerned about ethical implications of genetic and ecological interventions, but was soon applied to all aspects of biomedical ethics, including health care delivery, research, and public policy. Its literature draws from disciplines as varied as clinical medicine and nursing, scientific research, theology and philosophy, law, and the social sciences—each with its own distinctive vocabulary and expressions.
A Handbook of Bioethics Terms is a handy and concise glossary-style reference featuring over 400 entries on the significant terms, expressions, titles, and court cases that are most important to the field. Most entries are cross-referenced, making this handbook a valuable addition to the bookshelves of undergraduate and graduate students in health care ethics, physicians and nurses, members of institutional ethics committees and review boards, and others interested in bioethics.
A sampling of terms from the handbook: AbortionDNR (Do Not Resuscitate)Eugenics Gene therapy Living will Natural lawPrimum non nocere Single-payer systemSurrogate consent Schiavo case
Sample Definitions:
Formalism: In ethical theory, a type of deontology in which an action is judged to be right if it is in accord with a moral rule, and wrong if it violates a moral rule.
Xenograft: Organ or tissue transplanted from one individual to another individual of another species. (See Transplantation, organ and tissue)
Exploring the moral foundations of the healing relationship, Edmund D. Pellegrino and David C. Thomasma offer the health care professional a highly readable Christian philosophy of medicine. This book examines the influence religious beliefs have on the kind of person the health professional should be, on the health care policies a society should adopt, and on what constitutes healing in its fullest sense.
Helping and Healing looks at the ways a religious perspective shapes the healing relationship and the ethics of that relationship. Pellegrino and Thomasma seek to clarify the role of religious belief in health care by providing a moral basis for such commitment as well as a balancing role for reason. This book establishes a common ground for believers and skeptics alike in their dedication to relieve suffering by showing that helping and healing require an involvement in the religious values of patients. It clearly argues that religion provides crucial insights into medical practice and morality that cannot be ignored, even in our morally heterogeneous society.
Central to the authors' message is the concept of patients' vulnerabilities and the need to help them recover not only from the disease but also from an existential assault on their personhood. They then show how this understanding can move caregivers to view their professions as vocations and thereby change the nature of health care from a business to a community of healing.
Physicians, nurses, administrators, clergy, theologians, and other health professionals and church leaders will find this volume helpful for their own reflections on the role of religion in the health care ministry and for making a religious commitment integral to their professional lives.
The image of the female caregiver holding a midnight vigil at the bedside of a sick relative is so firmly rooted in our collective imagination we might assume that such caregiving would have attracted the scrutiny of numerous historians. As Emily Abel demonstrates in this groundbreaking study of caregiving in America across class and ethnic divides and over the course of ninety years, this has hardly been the case.
While caring for sick and disabled family members was commonplace for women in nineteenth- and early-twentieth-century America, that caregiving, the caregivers' experience of it, and the medical profession's reaction to it took diverse and sometimes unexpected forms. A complex series of historical changes, Abel shows, has profoundly altered the content and cultural meaning of care. Hearts of Wisdom is an immersion into that "world of care." Drawing on antebellum slave narratives, white farm women's diaries, and public health records, Abel puts together a multifaceted picture of what caregiving meant to American women--and what it cost them--from the pre-Civil War years to the brink of America's entry into the Second World War. She shows that caregiving offered women an arena in which experience could be parlayed into expertise, while at the same time the revolution in bacteriology and the transformation of the formal health care system were weakening women's claim to that expertise.
"Frohock goes beyond the often irreconcilable differences between scientific biomedicine and alternative care by clarifying the social and legal dilemmas they present. . . . A noteworthy contribution forcing us to rethink what medical care is all about."—Jeffrey Michael Clare, Journal of the American Medical Association
"The book does more and better than simply provide a social-scientific proposal. It also gives not only a hearing but a voice to those who follow alternative therapies. . . . Frohock's accounts of their stories—along with the stories of the medical professionals—are eloquent and fascinating."—Allen Verhey, Medical Humanities Review
"Contains a storehouse of valuable information about the historical, philosophical, and psychological bases of alternative approaches to healing."—Marshall B. Kapp, New England Journal of Medicine
"Frohock introduces us to the scientific naturopaths and to physicians who believe in the mind's power to heal, to charismatics who believe in but cannot explain their powers, to those who test God and those who merely accept. He writes so well that I felt I had met these people."—Arthur W. Frank, Christian Century
Since 1970 a medical sciences curriculum has been taught jointly by Harvard Medical School and the Massachusetts Institute of Technology. In 1978, a doctoral program was founded to prepare physical scientists and engineers to address research at the interface of technology and clinical medicine. This volume describes, analyzes, and evaluates those first 25 years of the largest lasting collaborative educational and research program between two neighboring research universities.
Containing introductory comments by the presidents of both institutions at the time of the inauguration of the program, this volume presents historiographic and autobiographical chapters by senior officials and faculty of both universities who helped to guide it through its first quarter century. Evaluation of the program and follow-up data on the first graduates are included as well. Courses are listed in the appendices, as are curricula, faculty, theses topics, and major research projects.
Burnout is common among doctors in the West, so one might assume that a medical career in Malawi, one of the poorest countries in the world, would place far greater strain on the idealism that drives many doctors. But, as A Heart for the Work makes clear, Malawian medical students learn to confront poverty creatively, experiencing fatigue and frustration but also joy and commitment on their way to becoming physicians. The first ethnography of medical training in the global South, Claire L. Wendland’s book is a moving and perceptive look at medicine in a world where the transnational movement of people and ideas creates both devastation and possibility.
Wendland, a physician anthropologist, conducted extensive interviews and worked in wards, clinics, and operating theaters alongside the student doctors whose stories she relates. From the relative calm of Malawi’s College of Medicine to the turbulence of training at hospitals with gravely ill patients and dramatically inadequate supplies, staff, and technology, Wendland’s work reveals the way these young doctors engage the contradictions of their circumstances, shedding new light on debates about the effects of medical training, the impact of traditional healing, and the purposes of medicine.
In his most mind-bending book yet, Ball makes that disconcerting question the focus of a tour through what scientists can now do in cell biology and tissue culture. He shows how these technologies could lead to tailor-made replacement organs for when ours fail, to new medical advances for repairing damage and assisting conception, and to new ways of “growing a human.” For example, it might prove possible to turn skin cells not into neurons but into eggs and sperm, or even to turn oneself into the constituent cells of embryos. Such methods would also create new options for gene editing, with all the attendant moral dilemmas. Ball argues that such advances can therefore never be about “just the science,” because they come already surrounded by a host of social narratives, preconceptions, and prejudices. But beyond even that, these developments raise questions about identity and self, birth and death, and force us to ask how mutable the human body really is—and what forms it might take in years to come.
In this concise, straightforward analysis, Jost challenges the historical and theoretical assumptions on which the consumer-driven health care movement is based and reexamines the empirical evidence that it claims as support. He traces the histories of both private health insurance in the United States and the CDHC movement. The idea animating the drive for consumer-driven health care is that the fundamental problem with the American health care system is what economists call “moral hazard,” the risk that consumers overuse services for which they do not bear the cost. Jost reveals moral hazard as an inadequate explanation of the complex problems plaguing the American health care system, and he points to troubling legal and ethical issues raised by CDHC. He describes how other countries have achieved universal access to high-quality health care at lower cost, without relying extensively on cost sharing, and he concludes with a proposal for how the United States might do the same, incorporating aspects of CDHC while recognizing its limitations.
Along the way she makes these principal points: She criticizes as politically conservative the idea that diseases result from a multifactorial web of causes. Placing responsibility for disease prevention on "society" is ideological, she argues. In connection with the air traffic controllers she questions whether it is in a union's best interests to claim that workers' jobs are stressful. She shows why there are no entirely neutral answers to questions about the toxicity of environmental pollutants. In a final chapter, Tesh urges scientists to incorporate egalitarian values into their search for the truth, rather than pretending science can be divorced from that political ideology.
Unfortunately, most hospitals that have formed alliances with a previous competitor or nearby teaching facility have found that they are not yet achieving the savings originally forecast. Weil finds that these shortcomings often have been caused by the difficulties in achieving a strategic fit between two partners, in finding a middle ground when differences in culture and values surface, and in implementing operational efficiencies. The book concludes with a discussion of a number of ways in which networks might cut costs in the future.
Health Networks will be of interest to medical practitioners and administrators, as well as to students in health services management programs.
Thomas P. Weil is President, Bedford Health Associates, Inc., management consultants for health and hospital services.
Arguing that health care should be a human right rather than a commodity, the distinguished contributors to this volume call for a new social covenant establishing a right to a standard of health care consistent with society's level of resources. By linking rights with limits, they offer a framework for seeking national consensus on a cost-conscious standard of universal medical care. The authors identify the policy implications of recognizing and implementing such a right and develop specific criteria to measure the success of health care reform from a human rights perspective.
Health Care Reform also offers specific and timely criticism of managed competition and its offspring, the Clinton plan for health care reform. Because health care reform will inevitably be an ongoing process of assessment and revision—especially since managed competition has not been implemented elsewhere—this book will last beyond the moment by providing vital standards to guide the future evolution of the health care system.
With original contributions from leading social science health policy analysts, this volume addresses the full context of health system change. Believing that the analysis of health care change is too important to be left to economists alone, Mark A. Peterson has collected a mulitdisciplinary group of experts who revisit the contentious debate over the market approaches to health care and consider the disparate effects of these approaches on cost, quality, and coverage of both managed care and Medicaid and Medicare. While market enthusiasts applaud the enhanced efficiency, reduced excess capacity, and abatement of the decades-long health care cost explosion, a backlash has emerged among many providers and the public against the perceived excesses of the market: diminished access to care, commercialization of the physician-patient relationship, and exacerbated inequality. Contributors assess these varied responses while examining the impact that market-based applications are likely to have for future health policy making, the significance of the U.S. experience for policy makers abroad, and the lessons that these changes might provide for thinking sensibly about the future of our health care system.
This volume will be useful for public policy analysts, economists, social scientists, health care providers and administrators, and others interested in the future—and in understanding the past—of American health care.
Contributors. Gary S. Belkin, Lawrence D. Brown, Robert G. Evans, Martin Gaynor, Paul B. Ginsburg, Marsha Gold, Theodore R. Marmor, Cathie Jo Martin, Jonathan B. Oberlander, Mark V. Pauly, Mark A. Peterson, Thomas Rice, Deborah A. Stone, William B. Vogt, Kenneth E. Thorpe
Focusing on the particular needs of disadvantaged groups—the elderly, children, people with AIDS, the mentally ill, the chemically dependent, the homeless, the hungry, the medically uninsured—these essays develop strong policy statements. The authors describe the growth in U.S. health care programs, from Kerr-Mills to Medicare, Medicaid, and subsequent revisions, and stress the serious omissions resulting from incremental policy expansion, both in identifying disadvantaged groups and in implementing programs. They report the weakness of the U.S. health care system compared to systems of other technologically developed countries.
Contributors. Deborah A. Stone and Theodore R. Marmor, Judith Feder, Alice Sardell, Bruce C. Vladeck, Michael Lipsky and Marc A. Thibodeau, Daniel M. Fox, William E. McAuliffe, M. Gregg Bloche and Francine Cournos, Lawrence D. Brown, James A. Morrone
In History and Health Policy in the United States, seventeen leading scholars of history, the history of medicine, bioethics, law, health policy, sociology, and organizational theory make the case for the usefulness of history in evaluating and formulating health policy today. In looking at issues as varied as the consumer economy, risk, and the plight of the uninsured, the contributors uncover the often unstated assumptions that shape the way we think about technology, the role of government, and contemporary medicine. They show how historical perspectives can help policymakers avoid the pitfalls of partisan, outdated, or merely fashionable approaches, as well as how knowledge of previous systems can offer alternatives when policy directions seem unclear.
Together, the essays argue that it is only by knowing where we have been that we can begin to understand health services today or speculate on policies for tomorrow.
If we can decode the human genome and fashion working machines out of atoms, why can't we navigate the quagmire that is our health care system? In this important new book, Julius Richmond and Rashi Fein recount the fraught history of health care in America since the 1960s. After the advent of Medicare and Medicaid and with the progressive goal to make advances in medical care available to all, medical costs began their upward spiral. Cost control measures failed and led to the HMO revolution, turning patients into consumers and doctors into providers. The swelling ranks of Americans without any insurance at all dragged the United States to the bottom of the list of industrialized nations.
Over the last century medical education was also profoundly transformed into today's powerful triumvirate of academic medical centers, schools of medicine and public health, and research programs, all of which have shaped medical practice and medical care. The authors show how the promises of medical advances have not been matched either by financing or by delivery of care.
As a new crisis looms, and the existing patchwork of insurance is poised to unravel, American leaders must again take up the question of health care. This book brings the voice of reason and the promise of compromise to that debate.
In Mexico City or Nairobi or Manila, a young girl in one part of the city is near death with measles, while, not far away, an elderly man awaits transplantation of a new kidney. How is one denied a cheap, simple, and effective remedy while another can command the most advanced technology medicine can offer? Can countries like Mexico, Kenya, or the Philippines, with limited funds and medical resources, find an affordable, effective, and fair way to balance competing health needs and demands?
Such dilemmas are the focus of this insightful book in which leading international researchers bring together the latest thinking on how developing countries can reform health care. The choices these poorer countries make today will determine the pace of health improvement for vast numbers of people now and in the future. Exploring new ideas and concepts, as well as the practical experiences of nations in all parts of the world, this volume provides valuable insights and information to both generalists and specialists interested in how health care will look in the world of the twenty-first century.
Recent data show wide disparity between Japan and the United States in the effectiveness of their health care systems. Japan spends close to the lowest percentage of its gross domestic product on health care among OECD countries, the United States spends the highest, yet life expectancies in Japan are among the world’s longest. Clearly, a great deal can be learned from a comprehensive comparative analysis of health care issues in these two countries.
In Health Care Issues in the United States and Japan, contributors explore the structural characteristics of the health care systems in both nations, the economic incentives underlying the systems, and how they operate in practice. Japan’s system, they show, is characterized by generous insurance schemes, a lack of gatekeepers, and fee-for-service mechanisms. The United States’ structure, on the other hand, is distinguished by for-profit hospitals, privatized health insurance, and managed care. But despite its relative success, an aging population and a general shift from infectious diseases to more chronic maladies are forcing the Japanese to consider a model more closely resembling that of the United States.
In an age when rising health care costs and aging populations are motivating reforms throughout the world, this timely study will prove invaluable.
This breakthrough volume argues that educational attainment, high socioeconomic status, an older retirement age, and accessible medical care have improved the health and quality of life of seniors. Along the way, it outlines the economic benefits of disability decline, such as an increased rate of seniors in the workplace, relief for the healthcare system and care-giving families, and reduced medical expenses for the elderly themselves. Health at Older Ages will be an essential contribution to the debate about meeting the medical needs of an aging nation.
To that end, this book draws on new data-an extensive longitudinal survey of Union Army veterans born between 1820 and 1850-to examine the factors that affected health and labor force participation in nineteenth-century America. Contributors consider the impacts of a variety of conditions-including social class, wealth, occupation, family, and community-on the morbidity and mortality of the group. The papers investigate and address a number of special topics, including the influence of previous exposure to infectious disease, migration, and community factors such as lead in water mains. They also analyze the roles of income, health, and social class in retirement decisions, paying particular attention to the social context of disability.
Economists and historians who specialize in demography or labor, as well as those who study public health, will welcome the unique contributions offered by this book, which offers a clearer view than ever before of the workings and complexities of life, death, and labor during the nineteenth century.
Public silence in policymaking can be deafening. When advocates for a disadvantaged group decline to speak up, not only are their concerns not recorded or acted upon, but also the collective strength of the unspoken argument is lessened—a situation that undermines the workings of deliberative democracy by reflecting only the concerns of more powerful interests.
But why do so many advocates remain silent on key issues they care about and how does that silence contribute to narrowly defined policies? What can individuals and organizations do to amplify their privately expressed concerns for policy change?
In Healthy Voices, Unhealthy Silence, Colleen M. Grogan and Michael K. Gusmano address these questions through the lens of state-level health care advocacy for the poor. They examine how representatives for the poor participate in an advisory board process by tying together existing studies; extensive interviews with key players; and an in-depth, first-hand look at the Connecticut Medicaid advisory board's deliberations during the managed care debate. Drawing on the concepts of deliberative democracy, agenda setting, and nonprofit advocacy, Grogan and Gusmano reveal the reasons behind advocates' often unexpected silence on major issues, assess how capable nonprofits are at affecting policy debates, and provide prescriptive advice for creating a participatory process that adequately addresses the health care concerns of the poor and dispossessed.
Though exploring specifically state-level health care advocacy for the poor, the lessons Grogan and Gusmano offer here are transferable across issue areas and levels of government. Public policy scholars, advocacy organizations, government workers, and students of government administration will be well-served by this significant study.
The Health Care Safety Net in a Post-Reform World examines how national health care reform will impact safety net programs that serve low-income and uninsured patients. The “safety net” refers to the collection of hospitals, clinics, and doctors who treat disadvantaged people, including those without insurance, regardless of their ability to pay. Despite comprehensive national health care reform, over twenty million people will remain uninsured. And many of those who obtain insurance from reform will continue to face shortages of providers in their communities willing or able to serve them. As the demand for care grows with expanded insurance, so will the pressure on an overstretched safety net.
This book, with contributions from leading health care scholars, is the first comprehensive assessment of the safety net in over a decade. Rather than view health insurance and the health care safety net as alternatives to each other, it examines their potential to be complementary aspects of a broader effort to achieve equity and quality in health care access. It also considers whether the safety net can be improved and strengthened to a level that can provide truly universal access, both through expanded insurance and the creation of a well-integrated and reasonably supported network of direct health care access for the uninsured.
Seeing safety net institutions as key components of post-health care reform in the United States—as opposed to stop-gap measures or as part of the problem—is a bold idea. And as presented in this volume, it is an idea whose time has come.
In Health Humanities Reader, editors Therese Jones, Delese Wear, and Lester D. Friedman have assembled fifty-four leading scholars, educators, artists, and clinicians to survey the rich body of work that has already emerged from the field—and to imagine fresh approaches to the health humanities in these original essays. The collection’s contributors reflect the extraordinary diversity of the field, including scholars from the disciplines of disability studies, history, literature, nursing, religion, narrative medicine, philosophy, bioethics, medicine, and the social sciences.
With warmth and humor, critical acumen and ethical insight, Health Humanities Reader truly humanizes the field of medicine. Its accessible language and broad scope offers something for everyone from the experienced medical professional to a reader interested in health and illness.
The authors of these eight essays examine the social and ethical implications of new biomedical technologies—from behavior control to organ transplants and human experimentation. They also examine the shortcomings in our system of medical care—from the disappearance of the general practitioner to problems of medical care for the poor.
In an introductory essay, Irene Taviss analyzes the allocation of resources to biomedical research and medical care and considers problems related to human experimentation, organ transplantation, and genetic and behavior control. She also discusses possible controls in these fields—legal controls as well as formal professional codes and informal professional practices. In discussing the rare disease phenylketonuria, a cause of mental retardation, Samuel P. Bessman and Judith P. Swazey point out the dangers of a hasty decision to institute legislative controls of diseases on the basis of inadequate scientific evidence. In separate essays, Edmund D. Pellegrino and Louis Lasagna examine the problems of establishing professional controls over different kinds of human experimentation. Everett P. Mendelsohn, Judith P. Swazey, and Irene Taviss present an overview of the new behavior control technologies and point out the dilemmas that have resulted from these developments. Victor Sidel's essay examines the effects of new technologies on the practice of medicine and the potential effects on society. The two final essays deal with the organization and delivery of medical care. Mark G. Field reports on the problems caused by medical specialization and the disappearance of the general practitioner and proposes some remedies. John H. Knowles analyzes medical manpower shortages in various specialties and the effects of these shortages on the health care of the nation.
In this seminal collection of articles on health care in the Third World, sociological perspectives are applied to medical issues in revealing ways. Fourteen essays (all but two of which are original to this volume) examine the social production of health, disease, and systems of care throughout the developing world. The volume covers a range of areas—central Africa, Nigeria, Singapore, Taiwan, Indonesia, Nepal, China, United Arab Emirates, Oman, and Mexico—and a broad scope of topics, from emergency care, the AIDS epidemic, and women's health care, to public health programs and national health care policies.
Contributors address the central question of whether health systems in developing areas should emphasize the role of clinical medicine and individual physicians or community and preventive medical resources. The major health problems faced by these societies—inadequate sanitation, infectious disease, high infant-child mortality, and a lack of family planning—indicate the greater need for health educators and public health workers despite many poor nations' desire for Western doctors. Other topics that are examined include the process of seeking medical aid; the relationship between traditional and modern medicines; medical education, hospital care, and communication between doctors and patients in developing countries; and the relevance and application of sociology in Third World settings.
This volume seeks to draw attention to the significance of medical sociology for understanding Third World health problems and to show how examining developing societies may necessitate reframing or modifying some Western sociological notions. In addition, these essays stretch the boundaries of medical sociology to include Third World issues.
In August 2004, South Africa officially sought to legally recognize the practice of traditional healers. Largely in response to the HIV/AIDS pandemic, and limited both by the number of practitioners and by patients’ access to treatment, biomedical practitioners looked toward the country’s traditional healers as important agents in the development of medical education and treatment. This collaboration has not been easy. The two medical cultures embrace different ideas about the body and the origin of illness, but they do share a history of commercial and ideological competition and different relations to state power. Healing Traditions: African Medicine, Cultural Exchange, and Competition in South Africa, 1820–1948 provides a long-overdue historical perspective to these interactions and an understanding that is vital for the development of medical strategies to effectively deal with South Africa’s healthcare challenges.
Between 1820 and 1948 traditional healers in Natal, South Africa, transformed themselves from politically powerful men and women who challenged colonial rule and law into successful entrepreneurs who competed for turf and patients with white biomedical doctors and pharmacists. To understand what is “traditional” about traditional medicine, Flint argues that we must consider the cultural actors and processes not commonly associated with African therapeutics: white biomedical practitioners, Indian healers, and the implementing of white rule.
Carefully crafted, well written, and powerfully argued, Flint’s analysis of the ways that indigenous medical knowledge and therapeutic practices were forged, contested, and transformed over two centuries is highly illuminating, as is her demonstration that many “traditional” practices changed over time. Her discussion of African and Indian medical encounters opens up a whole new way of thinking about the social basis of health and healing in South Africa. This important book will be core reading for classes and future scholarship on health and healing in Africa.
David M. Craig traveled across the United States to assess health care access, delivery and finance in this country. He interviewed religious hospital administrators and interfaith activists, learning how they balance the values of economic efficiency and community accountability. He met with conservatives, liberals, and moderates, reviewing their ideas for market reform or support for the Affordable Care Act. He discovered that health care in the US is not a private good or a public good. Decades of public policy and philanthropic service have made health care a shared social good.
Health Care as a Social Good: Religious Values and the American Democracy argues that as escalating health costs absorb more and more of family income and government budgets, we need to take stock of the full range of health care values to create a different and more affordable community-based health care system. Transformation of that system is a national priority but Americans have failed to find a way to work together that bypasses our differences. Craig insists that community engagement around the common religious conviction that healing is a shared responsibility can help us achieve this transformation—one that will not only help us realize a new and better system, but one that reflects the ideals of American democracy and the common good.
Christie Kiefer vividly brings home the meaning of poverty in peoples’ lives as he examines both their access to—and their lack of—health care.
Aimed at both students and professionals in the field, this book argues that individuals serving the poor have the means and obligation to address the root causes of ill health of the poor, not just the symptoms. These causes, Kiefer argues, are overwhelmingly social and political. In a ringing indictment of the factors that perpetuate poverty, he declares that the work of healing at its best must include advocacy.
Health Work with the Poor offers to both health workers and activists a wealth of practical information. Kiefer’s trenchant analysis of the factors that help cause and perpetuate poverty offers students the needed intellectual framework not only to accomplish short-term change but also to strive toward long-term social advocacy. Each chapter ends with a set of discussion questions—a real boon for instructors. Appendices on Internet resources for the study of poverty and on a proposed program detailing how to teach health workers in a way that promotes social awareness make this book a valuable resource for courses on poverty and health. It will also be an indispensable manual for all those who work with the poor.
The essays incorporate several indicators of quality of life, especially real per capita income and health, but also real wages, education, and inequality. And while the authors use traditional measures of health such as life expectancy and mortality rates, this volume stands alone in its extensive use of new "anthropometric" data—information about height, weight and body mass index that indicates changes in nations' well-being. Consequently, Health and Welfare during Industrialization signals a new direction in economic history, a broader and more thorough understanding of what constitutes standard of living.
Health and Social Change in International Perspective brings together an unprecedented interdisciplinary series of approaches to understanding the social dimensions of health change around the world. The seventeen contributors—demographers, epidemiologists, economists, anthropologists, public health scientists—are among the intellectual leaders of efforts to respond to the world’s health challenges.
Moving beyond the limits of established theories about demographic and epidemiologic transition, this book offers broad explorations of the social causes and consequences of health change. Consensus is reached on some matters, but critical debate and controversy predominate in others. The authors address several critical questions: What are the forms and structures of health transitions? Do these changes assume universally consistent patterns, or are health transitions particularistic, reflecting space, time, and community? What are the methodological issues in definition and measurement? And how can understanding improve health policy, interventions, and the research agenda?
Exploring new frontiers of a vital topic, Health and Social Change in International Perspective is an invaluable resource for social and health scientists working to understand world health change.
The decade of the 1990s witnessed enormous changes in the international environment. The Cold War conclusively ended. Biotechnology and communications technology made rapid advances. Barriers to international trade and investment declined. Taken together, these developments created many opportunities for peace and prosperity.
At the same time, with the end of superpower domination, ethnically based intranational conflicts brought on widespread suffering. And while globalization expanded opportunity, growth, and incomes, it increased inequality of incomes and decreased human security. Moreover, as countries have become more closely linked, insecurity in one country has affected security in other countries.
Between 1850 and 1900, Milwaukee’s rapid population growth also gave rise to high death rates, infectious diseases, crowded housing, filthy streets, inadequate water supplies, and incredible stench. The Healthiest City shows how a coalition of reform groups brought about community education and municipal action to achieve for Milwaukee the title of “the healthiest city” by the 1930s. This highly praised book reminds us that cutting funds and regulations for preserving public health results in inconvenience, illness, and even death.
“A major work. . . . Leavitt focuses on three illustrative issues—smallpox, garbage, and milk, representing the larger areas of infectious disease, sanitation, and food control.”—Norman Gevitz, Journal of the American Medical Association
“Leavitt’s research provides additional evidence . . . that improvements in sanitation, living conditions, and diet contributed more to the overall decline in mortality rates than advances in medical practice. . . . A solid contribution to the history of urban reform politics and public health.”—Jo Ann Carrigan, Journal of American History
An 1865 report on public health in New York painted a grim picture of "high brick blocks and closely-packed houses . . . literally hives of sickness" propagating epidemics of cholera, smallpox, typhoid, typhus, and yellow fever, which swept through the whole city. In this stimulating collection of essays, nine historians of American medicine explore New York's responses to its public health crises from colonial times to the present. The essays illustrate the relationship between the disease environment of New York and changes in housing, population, social conditions, and the success of medical science, linking such factors to New York's experiences with smallpox, polio, and AIDS.
The volume is essential reading for anyone interested in American public health and the social history of New York.
The contributors are Ronald Bayer, Elizabeth Blackmar, Gretchen A. Condran, Elizabeth Fee, Daniel M. Fox, Evelynn M. Hammonds, Alan M. Kraut, Judith Walzer Leavitt, and Naomi Rogers. David Rosner is a professor of history at Baruch College and The Graduate School of the City University of New York. Robert R. Macdonald is the director of the Museum of the City of New York.
A publication of the Museum of the City of New York
Choice Reviews 1995 November
This is one of a series of books focusing on the impact of disease intended to enhance the understanding of both past and present regarding reactions to periodic epidemics. Robert B. Macdonald, director of the Museum of the City of New York, which supports this series, states: "The individual and collective responses to widespread sickness are mirrors to the cultural, religious, economic, political, and social histories of cities and nations." Rosner selected eight renowned and respected individuals to describe the reactions and responses to smallpox, polio, and AIDS epidemics in New York City since 1860, and the efforts of officials and professionals to deal with the impact of disease. Essayists present disease broadly from economic, social, political, and health perspectives. Causes of epidemics include the expected and usual: thousands of immigrants pouring into the city, inadequate water and food supplies, lack of sewage disposal, unemployment leading to poverty. An unexpected cause was the avarice of real estate investors, inexorably driving up housing costs.
Highly recommended for all students of history, public health, health policy, and sociology. Upper-division undergraduate through professional. Copyright 1999 American Library Association
Contributors. Warwick Anderson, Charlotte Furth, Marta E. Hanson, Sean Hsiang-lin Lei, Angela Ki Che Leung, Shang-Jen Li, Yushang Li, Yi-Ping Lin, Shiyung Liu, Ruth Rogaski, Yen-Fen Tseng, Chia-ling Wu, Xinzhong Yu
This timely book explores the troubled intertwining of religion, medicine, empire, and race relations in the early nineteenth century. John Rankin analyzes the British use of medicine in West Africa as a tool to usher in a “softer” form of imperialism, considers how British colonial officials, missionaries, and doctors regarded Africans, and explores the impact of race classification on colonial constructs.
Rankin goes beyond contemporary medical theory, examining the practice of medicine in colonial Africa as Britons dealt with the challenges of providing health care to their civilian employees, African soldiers, and the increasing numbers of freed slaves in the general population, even while the imperialists themselves were threatened by a lack of British doctors and western medicines. As Rankin writes, “The medical system sought to not only heal Africans but to ‘uplift’ them and make them more amenable to colonial control . . . Colonialism starts in the mind and can be pushed on the other solely through ideological pressure.”
Janzen explores the manner in which power and information, including science, are legitimized in the preservation and improvement of health. Institutional validity and knowledge empower citizens and health practitioners to gain the upper hand over the region's principal diseases, including malaria, tuberculosis, typhoid, and HIV/AIDS.
Health and Community Design is a comprehensive examination of how the built environment encourages or discourages physical activity, drawing together insights from a range of research on the relationships between urban form and public health. It provides important information about the factors that influence decisions about physical activity and modes of travel, and about how land use patterns can be changed to help overcome barriers to physical activity. Chapters examine:
• why urban and suburban development should be designed to promote moderate types of physical activity
• the divergent needs and requirements of different groups of people and the role of those needs in setting policy
• how different settings make it easier or more difficult to incorporate walking and bicycling into everyday activities
WINNER, 2017 RACHEL CARSON PRIZE, SOCIETY FOR THE SOCIAL STUDIES OF SCIENCE
In 2002, Sierra Leone emerged from a decadelong civil war. Seeking international attention and development aid, its government faced a dilemma. Though devastated by conflict, Sierra Leone had a low prevalence of HIV. However, like most African countries, it stood to benefit from a large influx of foreign funds specifically targeted at HIV/AIDS prevention and care.
What Adia Benton chronicles in this ethnographically rich and often moving book is how one war-ravaged nation reoriented itself as a country suffering from HIV at the expense of other, more pressing health concerns. During her fieldwork in the capital, Freetown, a city of one million people, at least thirty NGOs administered internationally funded programs that included HIV/AIDS prevention and care. Benton probes why HIV exceptionalism—the idea that HIV is an exceptional disease requiring an exceptional response—continues to guide approaches to the epidemic worldwide and especially in Africa, even in low-prevalence settings.
In the fourth decade since the emergence of HIV/AIDS, many today are questioning whether the effort and money spent on this health crisis has in fact helped or exacerbated the problem. HIV Exceptionalism does this and more, asking, what are the unanticipated consequences that HIV/AIDS development programs engender?
“AIDS is more than an epidemic disease,” Treichler writes, “it is an epidemic of meanings.” Exploring how such meanings originate, proliferate, and take hold, her essays investigate how certain interpretations of the epidemic dominate while others are obscured. They also suggest ways to understand and choose between overlapping or competing discourses. In her coverage of roughly fifteen years of the AIDS epidemic, Treichler addresses a range of key issues, from biomedical discourse and theories of pathogenesis to the mainstream media’s depictions of the crisis in both developed and developing countries. She also examines representations of women and AIDS, treatment issues, and the role of activism in shaping the politics of the epidemic. Linking the AIDS tragedy to a uniquely broad spectrum of contemporary theory and culture, this collection concludes with an essay on the continued importance of theoretical thought for untangling the sociocultural phenomena of AIDS—and for tackling the disease itself.
With an exhaustive bibliography of critical and theoretical writings on HIV and AIDS, this long-awaited volume will be essential to all those invested in studying the course of AIDS, its devastating medical effects, and its massive impact on contemporary culture. It should become a standard text in university courses dealing with AIDS in biomedicine, sociology, anthropology, gay and lesbian studies, women’s studies, and cultural and media studies.
In How to Respond Better to the Next Pandemic Allen Buchanan argues that, contrary to widespread opinion, the primary cause of flawed COVID-19 policy was not defective leadership, but rather institutional failure. Decisions were made through processes that lacked the most basic safeguards against the large-institution “yes-man” and group-think phenomena and included virtually no provisions for holding decision makers accountable. More fundamentally, policy makers did not fulfill the crucial duty to provide plausible public justifications for their decisions. They disguised the fact that scientific opinion was divided on the appropriateness of the policies they endorsed and labeled those who disagreed with them as anti-scientific. In some cases, they responded to criticism, not by engaging it on the issues, but by branding their critics as quacks.
As the COVID-19 pandemic has affected every corner of the world, changing our relationship to our communities, to our jobs, and to each other, the most pressing question has been—when will it end? Researchers around the globe are urgently trying to answer this question by racing to test and distribute a vaccine that could end the greatest public health threat of our time. In How to Make a Vaccine, an expert who has firsthand experience developing vaccines tells an optimistic story of how three hundred years of vaccine discovery and a century and a half of immunology research have come together at this powerful moment—and will lead to multiple COVID-19 vaccines.
Dr. John Rhodes draws on his experience as an immunologist, including working alongside a young Anthony Fauci, to unravel the mystery of how vaccines are designed, tested, and produced at scale for global deployment. Concise and accessible, this book describes in everyday language how the immune system evolved to combat infection, how viruses responded by evolving ways to evade our defenses, and how vaccines do their work. That history, and the pace of current research developments, make Rhodes hopeful that multiple vaccines will protect us. Today the complex workings of the immune system are well understood. The tools needed by biomedical scientists stand ready to be used, and more than 160 vaccine candidates have already been produced. But defeating COVID-19 won’t be the end of the story: Rhodes describes how discoveries today are also empowering scientists to combat future threats to global health, including a recent breakthrough in the development of genetic vaccines, which have never before been used in humans.
As the world prepares for a vaccine, Rhodes offers a current and informative look at the science and strategies that deliver solutions to the crisis.
Malaria is an infectious disease like no other: it is a dynamic force of nature and Africa’s most deadly and debilitating malady. James C. McCann tells the story of malaria in human, narrative terms and explains the history and ecology of the disease through the science of landscape change. All malaria is local. Instead of examining the disease at global or continental scale, McCann investigates malaria’s adaptation and persistence in a single region, Ethiopia, over time and at several contrasting sites.
Malaria has evolved along with humankind and has adapted to even modern-day technological efforts to eradicate it or to control its movement. Insecticides, such as DDT, drug prophylaxis, development of experimental vaccines, and even molecular-level genetic manipulation have proven to be only temporary fixes. The failure of each stand-alone solution suggests the necessity of a comprehensive ecological understanding of malaria, its transmission, and its persistence, one that accepts its complexity and its local dynamism as fundamental features.
The story of this disease in Ethiopia includes heroes, heroines, witches, spirits—and a very clever insect—as well as the efforts of scientists in entomology, agroecology, parasitology, and epidemiology. Ethiopia is an ideal case for studying the historical human culture of illness, the dynamism of nature’s disease ecology, and its complexity within malaria.
Taking its title from a Jewish public health mantra, Healing the Land and the Nation situates antimalarial medicine and politics within larger colonial histories. By analyzing the science alongside the politics of Jewish settlement, Sufian addresses contested questions of social organization and the effects of land reclamation upon the indigenous Palestinian population in a decidedly innovative way. The book will be of great interest to scholars of the Middle East, Jewish studies, and environmental history, as well as to those studying colonialism, nationalism, and public health and medicine.
High blood pressure is one of our most severe public health problems, and any national health policy must take account of the dilemmas posed by hypertension. This disease is widespread in the United States, affecting between 10 and 30 percent of the adult population. Of the 24 million Americans so afflicted, only about three million are thought to be adequately treated; yet treatment of all hypertensives would cost perhaps five billion dollars a year.
In their ground-breaking study, Weinstein and Stason apply the tools of cost-benefit analysis to examine the policy implications of existing approaches to hypertension. Their conclusions have important consequences for allocating the resources available to combat the disease, and they identify the salient questions to be answered by new research. The authors' recommendations would lead to significant changes in current approaches (the much-publicized effort to screen for new cases, for instance). They suggest that criteria for case-finding and treatment be radically altered to take account of differences in the complications of high blood pressure as a function of age, sex, and race. They stress patient compliance as the single most important factor in reducing deaths—considerably more important right now than screening. Their research priorities include: determining the extent to which early or mild hypertension affects the rate of complication; pinning down the role that side-effects of medication play in the demonstrably poor adherence of patients to treatment; and developing alternative programs to improve patient adherence.
“A practical, highly informative, and sympathetic guide.”
—The Washington Post
Most of us will become a caregiver at some point in our lives. And we will assume this role for the most personal reason imaginable: wanting to help someone we love. But we may not know where to start, and we may be afraid of losing ourselves in this daunting task.
Former first lady Rosalynn Carter, a longtime advocate for caregivers and mental health, knows firsthand the challenges of this labor of love. Drawing upon her own experiences and those of hundreds of others whose stories she gathered over many decades, Mrs. Carter offers reassuring, practical advice to any caregiver who has faced stress, anxiety, or loneliness.
Helping Yourself Help Others, reissued here with a new foreword, is as relevant as ever. Long before the COVID-19 pandemic inspired national conversations about the vast undervaluing of unpaid caregiving, the dangers of burnout, and the merits of self-care for relief, Rosalynn Carter was shining a light on these matters and everything else that caregivers confront. Filled with empathy, this encouraging guide will help you meet a difficult challenge head-on and find fulfillment and empowerment in your caregiving role.
This comprehensive and authoritative handbook, written by scientists, identifies many hazards that parents tend to overlook. It translates technical, scientific information into an accessible how-to guide to help parents protect children from even the most toxic substances.
“Esther Sternberg is a rare writer—a physician who healed herself…With her scientific expertise and crystal clear prose, she illuminates how intimately the brain and the immune system talk to each other, and how we can use place and space, sunlight and music, to reboot our brains and move from illness to health.”—Gail Sheehy, author of Passages
Does the world make you sick? If the distractions and distortions around you, the jarring colors and sounds, could shake up the healing chemistry of your mind, might your surroundings also have the power to heal you? This is the question Esther Sternberg explores in Healing Spaces, a look at the marvelously rich nexus of mind and body, perception and place.
Sternberg immerses us in the discoveries that have revealed a complicated working relationship between the senses, the emotions, and the immune system. First among these is the story of the researcher who, in the 1980s, found that hospital patients with a view of nature healed faster than those without. How could a pleasant view speed healing? The author pursues this question through a series of places and situations that explore the neurobiology of the senses. The book shows how a Disney theme park or a Frank Gehry concert hall, a labyrinth or a garden can trigger or reduce stress, induce anxiety or instill peace.
If our senses can lead us to a “place of healing,” it is no surprise that our place in nature is of critical importance in Sternberg’s account. The health of the environment is closely linked to personal health. The discoveries this book describes point to possibilities for designing hospitals, communities, and neighborhoods that promote healing and health for all.
THIS EDITION HAS BEEN REPLACED BY A NEWER 2004 EDITION.
With the publication of The Harvard Guide to Women's Health, women will have access to the combined expertise of physicians from three of the world's most prestigious medical institutions: Harvard Medical School, Massachusetts General Hospital, and Brigham and Women's Hospital. For complete information on women's health concerns, physical and psychological, this A to Z reference book will be the definitive resource.
By visiting the sites, gathering local historical accounts, interviewing local citizens, and photographing remaining artifacts, Bullard has done a masterful job in providing the answers to why these vibrant social centers came to be and why they faded.
Homicidal insanity has remained a vexation to both the psychiatric and legal professions despite the panorama of scientific and social change during the past 200 years. The predominant opinion today among psychiatrists is that no correlation exists between dangerousness and specific mental disorders. But for generation after generation, psychiatrists have reported cases of insane homicide that were clinically similar. Although psychiatric theory changed and psychiatric nosology was inconsistent, the mental phenomena psychiatrists identified in such cases remained the same. The central thesis of Homicidal Insanity is that as psychiatric theory changed, psychiatrists regarded these phenomena variously as symptoms of mental disease or the disease in itself. It is possible to trace these phenomena throughout the history of Anglo-American psychiatric theory and practice. A secondary thesis of the book is that psychiatrists have used these phenomena as predictors and markers in the practical matters of preventing insane homicide and of testifying in the courts to defend the irresponsible and expose the culpable.
The secrets locked in our genes are being revealed, and we find ourselves both enthused and frightened about what that portends. We look forward to curing disease and alleviating suffering—for our children as well as for ourselves—but we also worry about delving too deeply into the double helix. Abuses perpetrated by eugenicists—from involuntary sterilization to murder—continue to taint our feelings about genetic screening.
Yet, as Ruth Schwartz Cowan reveals, modern genetic screening has been practiced since 1960, benefiting millions of women and children all over the world. She persuasively argues that new forms of screening—prenatal, newborn, and carrier testing—are both morally right and politically acceptable. Medical genetics, built on the desire of parents and physicians to reduce suffering and increase personal freedom, not on the desire to “improve the human race,” is in fact an entirely different enterprise from eugenics.
Cowan’s narrative moves from an account of the interwoven histories of genetics and eugenics in the first half of the twentieth century, to the development of new forms of genetic screening after mid-century. It includes illuminating chapters on the often misunderstood testing programs for sickle cell anemia, and on the world’s only mandated premarital screening programs, both of them on the island of Cyprus.
Neither minimizing the difficulty of the choices that modern genetics has created for us nor fearing them, Cowan bravely and compassionately argues that we can improve the quality of our own lives and the lives of our children by using the modern science and technology of genetic screening responsibly.
This is a landmark introduction to the facts and hopes of gene therapy: an exciting, albeit controversial, technique that could bring about a new age in medical treatment. Modern medicine has had relatively little to offer children with disorders such as thalassemia and severe combined immune deficiency. Many of these young patients still face repeated hospitalizations and, often, an early death. In gene therapy, a child with life-threatening genetic disease caused by a defect in a single gene will he treated with the gene’s normal counterpart. Successful development of somatic cell gene therapy is potentially the most effective new therapeutic approach to helping these children lead normal lives.
With unusual clarity of style, Eve K. Nichols (author of the acclaimed Mobilizing Against AIDS) explores the potential for gene therapy and identifies those who are candidates for it. She reviews methods for diagnosing genetic diseases and evaluates current forms of therapy. Having provided a biomedical background for understanding somatic cell gene therapy, Nichols takes a thoughtful look at complex and sensitive issues surrounding ethical, economic, and policy aspects of manipulating human genes. A straightforward analysis of the current limitations and future potential of gene therapy concludes her broadly accessible account.
This book is is derived from the annual session of the prestigious Institute of Medicine. Distinguished participants in this meeting, such as Leon Rosenberg (Dean of the Yale Medical School), Philip Leder (Harvard Medical School), David Martin (Vice President, Genentech, Inc.), James Wyngaarden (Director of the National Institutes of Health), and LeRoy Walters (Director of the Center for Bioethics, Georgetown University), have contributed expert perspectives that will establish this book as a standard of excellence for future studies. A preface by Frank Press, President of the National Academy of Sciences, provides an insightful overview of this promising new therapy.
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