In the sixties, Fitzhugh Mullan was an activist in the civil rights struggle. While in medical school, Mullan was shocked by gaps in what the students learned, and the lack of humanity in the classroom. Later, Dr. Mullan was outraged at the conditions he discovered when he began to practice. He helped found the Student Health Organization, organized the Controversial Medical Collective at Lincoln Hospital in the Bronx, and struggled to offer improved medical care to those who needed it most and could afford it least.
This landmark book charts the state of medical school and practices in the 1960s and 70s. This new edition is updated with a preface in which Dr. Mullan reflects on the changes in the medical field over the last thirty-plus years.
Fitzhugh Mullan is Murdock Head Professor of Medicine and Health Policy at George Washington University. He worked at the U.S. Public Health Service where he attained the rank of Assistant Surgeon General (1991-1996). Dr. Mullan is the co-founder of the National Coalition for Cancer Survivorship and the author of numerous books, including Plagues and Politics: The Story of the United States Public Health Service, and his most recent book, Narrative Matters: The Power of the Personal Essay in Health Policy.
Born almost totally deaf, Philip Zazove has spent his entire life beating the odds first by excelling in public schools during an era when most deaf children went to special schools, then by aspiring to become a medical doctor. When the Phone Rings, My Bed Shakes is the remarkable story of his determination and achievement in realizing his dreams.
Despite his stellar record at Northwestern University, Zazove was rejected by a host of medical schools. This only caused him to press harder, which won him acceptance at Rutgers University. He transferred to Washington University in St. Louis where, again against all advice, he decided to specialize in family practice. In vignettes of his patients, some amusing, others moving, he reveals the dedication and humanity that have made him a respected and well-loved doctor. His story will inspire all who read it.
This biography illuminates the life and achievements of the remarkable woman scientist who revolutionized the concept of radiation risk.
In the 1950s Alice Stewart began research that led to her discovery that fetal X rays double a child's risk of developing cancer. Two decades later---when she was in her seventies---she again astounded the scientific world with a study showing that the U.S. nuclear weapons industry is about twenty times more dangerous than safety regulations permit. This finding put her at the center of the international controversy over radiation risk. In 1990, the New York Times called Stewart "perhaps the Energy Department's most influential and feared scientific critic."
The Woman Who Knew Too Much traces Stewart's life and career from her early childhood in Sheffield to her medical education at Cambridge to her research positions at Oxford University and the University of Birmingham.
Gayle Greene is Professor of Women's Studies and Literature, Scripps College.
Women physicians in nineteenth-century America faced a unique challenge in gaining acceptance to the medical field as it began its transformation into a professional institution. The profession had begun to increasingly insist on masculine traits as signs of competency. Not only were these traits inaccessible to women according to nineteenth-century gender ideology, but showing competence as a medical professional was not enough. Whether women could or should be physicians hinged mostly on maintaining their femininity while displaying the newly established standard traits of successful practitioners of medicine.
Women Physicians and Professional Ethos provides a unique example of how women influenced both popular and medical discourse. This volume is especially notable because it considers the work of African American and American Indian women professionals. Drawing on a range of books, articles, and speeches, Carolyn Skinner analyzes the rhetorical practices of nineteenth-century American women physicians. She redefines ethos in a way that reflects the persuasive efforts of women who claimed the authority and expertise of the physician with great difficulty.
Descriptions of ethos have traditionally been based on masculine communication and behavior, leaving women’s rhetorical situations largely unaccounted for. Skinner’s feminist model considers the constraints imposed by material resources and social position, the reciprocity between speaker and audience, the effect of one rhetor’s choices on the options available to others, the connections between ethos and genre, the potential for ethos to be developed and used collectively by similarly situated people, and the role ethos plays in promoting social change. Extending recent theorizations of ethos as a spatial, ecological, and potentially communal concept, Skinneridentifies nineteenth-century women physicians’ rhetorical strategies and outlines a feminist model of ethos that gives readers a more nuanced understanding of how this mode of persuasion operates for all speakers and writers.
A provocative call to rethink America's values in health care.
A provocative chronicle of how US public health has strayed from its liberal roots.
The Covid-19 response was a crucible of politics and public health—a volatile combination that produced predictably bad results. As scientific expertise became entangled with political motivations, the public-health establishment found itself mired in political encampment.
It was, as Sandro Galea argues, a crisis of liberalism: a retreat from the principles of free speech, open debate, and the pursuit of knowledge through reasoned inquiry that should inform the work of public health.
Across fifty essays, Within Reason chronicles how public health became enmeshed in the insidious social trends that accelerated under Covid-19. Galea challenges this intellectual drift towards intolerance and absolutism while showing how similar regressions from reason undermined social progress during earlier eras. Within Reason builds an incisive case for a return to critical, open inquiry as a guiding principle for the future public health we want—and a future we must work to protect.
What makes women sick? To an Ecuadorean woman, it’s nervios from constant worry about her children’s illnesses. To a woman working in a New Mexico electronics factory, it’s the solvents that leave her with a form of dementia. To a Ugandan woman, it’s HIV from her husband's sleeping with the widow of an AIDS patient. To a Bangladeshi woman, it’s a fatal infection following an IUD insertion. What they all share is a recognition that their sickness is somehow caused by situations they face every day at home and at work.
In this clearly written and compelling book, Lesley Doyal investigates the effects of social, economic, and cultural conditions on women’s health. The “fault line” of gender that continues to divide all societies has, Doyal demonstrates, profound and pervasive consequences for the health of women throughout the world. Her broad synthesis highlights variations between men and women in patterns of health and illness, and it identifies inequalities in medical care that separate groups of women from each other. Doyal’s wide-ranging arguments, her wealth of data, her use of women’s voices from many cultures—and her examples of women mobilizing to find their own solutions—make this book required reading for everyone concerned with women’s health.
What makes women sick? To an Ecuadorean woman, it’s nervios from constant worry about her children’s illnesses. To a woman working in a New Mexico electronics factory, it’s the solvents that leave her with a form of dementia. To a Ugandan woman, it’s HIV from her husband's sleeping with the widow of an AIDS patient. To a Bangladeshi woman, it’s a fatal infection following an IUD insertion. What they all share is a recognition that their sickness is somehow caused by situations they face every day at home and at work.
In this clearly written and compelling book, Lesley Doyal investigates the effects of social, economic, and cultural conditions on women’s health. The “fault line” of gender that continues to divide all societies has, Doyal demonstrates, profound and pervasive consequences for the health of women throughout the world. Her broad synthesis highlights variations between men and women in patterns of health and illness, and it identifies inequalities in medical care that separate groups of women from each other. Doyal’s wide-ranging arguments, her wealth of data, her use of women’s voices from many cultures—and her examples of women mobilizing to find their own solutions—make this book required reading for everyone concerned with women’s health.
We all drink water and water-based fluids, yet most of us take water for granted. We assume that when we turn on the tap to fill our glass, bathtub, or washing machine, clean water will flow. But is it really safe? And if it is not, what can we do about it? The doctors who have written The Water We Drink provide readers with practical information on the health issues relating to water quality and suggest ways we can improve the quality and safety of our drinking water.
Most of us do not realize that any small amount of contaminants found in drinking water may, over time, increase our susceptibility to many of the chronic illnesses that are becoming increasingly prevalent in our society as the population ages, illnesses such as Alzheimer’s disease and cancer. Contaminants have also been linked to increased rates of infertility.
TheWater We Drink begins with a review of the history of water, disease, and drinking water as it relates to disease and sanitation. The manner in which drinking water is currently regulated is described, along with information on water sources and treatment. The authors then examine health issues relating to drinking water, including infectious diseases, cancer risks, estrogens and fertility, and the effects of mineral and heavy metal content. They look at the benefits and risks of bottled waters and of water purification systems currently available to consumers.
The book also provides clear, understandable lists of contaminants levels in drinking water both regulated and unregulated by law, cancer causing contaminants of drinking water and their sources, and the mineral and sodium contents of commonly used bottled waters. A helpful glossary of terms, as well as a bibliography of additional agencies, books, and web sites to consult for more information on drinking water and health, are also provided.
This collection of original essays discusses the increasingly rapid spread of AIDS among women, considering the varying experiences and responses of women of color, lesbians, and economically impoverished women. The essays range widely from policy assessments to case studies, focusing on women as sufferers, caretakers, policy activists, community organizers, and educators.
In this major synthesis of cross-cultural research, 34 distinguished scientists study 25 common metabolic and degenerative diseases characteristic of all advanced Western nations and then examine their incidence in developing countries, among both hunter-gatherers and peasant agriculturalists. Thus the authors provide a unique opportunity to compare epidemiological data reflecting modern modes of life with data influenced by habits and diets dating back 400 generations to the advent of agriculture, and even 200,000 generations or more to the dawn of man.
The results confirm the view that diseases like hypertension, lung cancer, diverticular disease, and appendicitis are maladaptations to environmental factors introduced since the Industrial Revolution. They also demonstrate that such diseases become more prevalent when Western lifestyles are adopted in primitive societies. Certain studies reveal a regression of disease incidence when exercise is increased and a diet high in starch and fiber, low in fat and salt, is resumed—characteristics of a simpler way of life. Western Diseases greatly broadens our perspective on some of the most vexing health problems in our society. It will be an essential reference for epidemiologists, nutritionists, and gastroenterologists in particular.
After September 11, with New Yorkers reeling from the World Trade Center attack, Chief Medical Examiner Charles Hirsch proclaimed that his staff would do more than confirm the identity of the individuals who were killed. They would attempt to identify and return to families every human body part recovered from the site that was larger than a thumbnail. As Jay D. Aronson shows, delivering on that promise proved to be a monumentally difficult task. Only 293 bodies were found intact. The rest would be painstakingly collected in 21,900 bits and pieces scattered throughout the skyscrapers’ debris.
This massive effort—the most costly forensic investigation in U.S. history—was intended to provide families conclusive knowledge about the deaths of loved ones. But it was also undertaken to demonstrate that Americans were dramatically different from the terrorists who so callously disregarded the value of human life.
Bringing a new perspective to the worst terrorist attack in U.S. history, Who Owns the Dead? tells the story of the recovery, identification, and memorialization of the 2,753 people killed in Manhattan on 9/11. For a host of cultural and political reasons that Aronson unpacks, this process has generated endless debate, from contestation of the commercial redevelopment of the site to lingering controversies over the storage of unclaimed remains at the National 9/11 Memorial and Museum. The memory of the victims has also been used to justify military activities in the Middle East that have led to the deaths of an untold number of innocent civilians.
Every year, millions of healthy women undergo a variety of screening tests without understanding why or the meaning of the outcome. If you are among those women, overwhelmed by information and baffled by results, this is the book you've been waiting for. In straightforward, personable prose, A Woman's Concise Guide to Common Medical Tests surveys a wide variety of standard tests commonly suggested by doctors.
Using the recommendations of the U.S. Preventative Health Services Task Force as a starting point, physicians Michele C. Moore and Caroline M. de Costa describe and explain screening tests for STDs and other communicable diseases, diabetes, thyroid disease, bone loss, various genetic tests, pregnancy, and cancer (including breast, colon, and skin). A section on common blood tests demystifies the numerical results that can be virtually impossible to interpret for women outside the medical profession. The authors detail what is considered "normal" as well as what's not-to help women make sense of their results.
As practicing physicians, both authors have fielded patients' questions about standard screening tests and understand what women should know but often feel afraid to ask about. For each test, there is an explanation of why it may be ordered, how it is done, what sort of preparation may be involved, and what risks may be incurred.
As the health-care industry continues to evolve, the amount of medical information available to women about their health can be overwhelming and confusing. Without being encyclopedic or intimidating, A Woman's Concise Guide to Common Medical Tests offers all the facts you need about screening tests, all in one place.
A massive undertaking, the antimalarial program was to biomedical research what the Manhattan Project was to the physical sciences.
A volume in the Critical Issues in Health and Medicine series, edited by Rima D. Apple and Janet Golden.
Waiting for Cancer to Come tells the stories of women who are struggling with their high risk for cancer. Based on interviews and surveys of dozens of women, this book pieces together the diverse yet interlocking experiences of women who have tested positive for the BRCA 1/2 gene mutations, which indicate a higher risk of developing breast and ovarian cancer. Sharlene Hesse-Biber brings these narratives to light and follows women’s journeys from deciding to get screened for BRCA, to learning the test has come back positive, to dealing with their risk. Many women already know the challenges of a family history riddled with cancer and now find themselves with the devastating knowledge of their own genetic risk. Using the voices of the women themselves to describe the under-explored BRCA experience, Waiting for Cancer to Come looks at the varied emotional, social, economic, and psychological factors at play in women’s decisions about testing and cancer prevention.
In The White Plague, René and Jean Dubos argue that the great increase of tuberculosis was intimately connected with the rise of an industrial, urbanized society and—a much more controversial idea when this book first appeared forty years ago—that the progress of medical science had very little to do with the marked decline in tuberculosis in the twentieth century.
The White Plague has long been regarded as a classic in the social and environmental history of disease. This reprint of the 1952 edition features new introductory writings by two distinguished practitioners of the sociology and history of medicine. David Mechanic's foreword describes the personal and intellectual experience that shaped René Dubos's view of tuberculosis. Barbara Gutmann Rosenkrantz's historical introduction reexamines The White Plague in light of recent work on the social history of tuberculosis. Her thought-provoking essay pays particular attention to the broader cultural and medical assumptions about sickness and sick people that inform a society’s approach to the conquest of disease.
What Freud Didn't Know, well-supported by research and groundbreaking in theory, combines neuroscience and psychology to explain how the amygdala region of the brain evolved to unconsciously record, store, and activate emotional memory loops and imagery associated with painful events, especially those of childhood. This book is the first to bring together diverse, post-Freudian discoveries to produce a coherent three-step practice for understanding problematic aspects of the human mind which can be mastered easily, in a clinical or self-help setting. Stokes explores recent breakthroughs, many in marked contrast to Freud's views, which will change how we view psychological and emotional problems and their treatments.
Grounded in current theories about brain circuitry, What Freud Didn't Know integrates ideas about mindfulness, habitual thinking, and insight imagery and provides readers with the tools to rescript their personal narratives for psychological well-being. As an alternative approach to treating stress, most types of depression, anxiety, and phobias without prescription drugs, Stokes's three-step practice can be used to build resiliency and inner peace.
At the heart of With Shaking Hands is the account of elder Americans in rural Iowa who have been diagnosed with PD. With a focus on the impact of chronic illness on an aging population, Samantha Solimeo combines clear and accessible prose with qualitative and quantitative research to demonstrate how PD accelerates, mediates, and obscures patterns of aging. She explores how ideas of what to expect in older age influence and direct interpretations of one's body.
This sensitive and groundbreaking work unites theories of disease with modern conceptions of the body in biological and social terms. PD, like other chronic disorders, presents a special case of embodiment which challenge our thinking about how such diseases should be researched and how they are experienced.
Disability and literacy are often understood as incompatible. Disability is taken to be a sign of illiteracy, and illiteracy to be a sign of disability. These oppositions generate damaging consequences for disabled students (and those labeled as such) who are denied full literacy education and for nonliterate adults who are perceived as lacking intelligence, knowledge, and ability. What It Means to Be Literate turns attention to disabled writers themselves, exposing how the cultural oppositions between disability and literacy affect how people understand themselves as literate and even as fully human. Drawing on interviews with individuals who have experienced strokes and brain injuries causing the language disability aphasia, Elisabeth L. Miller argues for the importance of taking a disability materiality approach to literacy that accounts for the embodied, material experiences of disabled people writing and reading. This approach reveals how aphasic writers’ literate practices may reinscribe, challenge, or even exceed scripts around the body in literacy (how brains, hands, eyes, mouths, voice boxes, and more operate to make reading and writing happen) as well as what and how spaces, activities, tools, and materials matter in literate practice. Miller pushes for a deeper understanding of how individuals’ specific bodies always matter for literate practice and identity, enabling researchers to better account for, and counter, ableist literate norms.
Daniel Burston chronicles Laing's meteoric rise to fame as one of the first media psychogurus of the century, and his spiraling decline in the late seventies and eighties. Here are the successes: Laing's emergence as a unique voice on the psychiatric scene with his first book, The Divided Self, in 1960; his forthright and articulate challenges to conventional wisdom on the origins, meaning, and treatment of mental disturbances; his pioneering work on the families of schizophrenics, Sanity, Madness and the Family (coauthored with A. Esterson). Here as well are Laing's more dubious moments, personal and professional, including the bizarre experiment with psychotic patients at Kingsley Hall. Burston traces many of Laing's controversial ideas and therapeutic innovations to a difficult childhood and adolescence in Glasgow and troubling experiences as an army doctor; he also offers a measured assessment of these ideas and techniques.
The R. D. Laing who emerges from these pages is a singular combination of skeptic and visionary, an original thinker whose profound contradictions have eclipsed the true merit of his work. In telling his story, Burston gives us an unforgettable portrait of an anguished human being and, in analyzing his work, recovers Laing's achievement for posterity.
From the authors of The Harvard Guide to Women's Health
This concise guide goes beyond facts and figures to get to the practical theories of women's emotional health. Here, in one volume, is what the experts know about maintaining emotional well-being in women, and about preventing, recognizing, and treating the psychological disturbances and disorders that women experience in their own way.
Just as depression and anxiety are more common among women, many psychiatric disorders are exacerbated by the natural rhythms in a woman's life cycle, such as menarche, menstruation, pregnancy, childbirth, and menopause. This book offers expert insight into why and how such patterns occur, as well as coping strategies for insomnia, substance abuse, domestic violence, and sexual abuse which can occur at any stage of life. Most importantly, the authors answer such pressing questions as: What works best for treating panic attacks and phobias? Should psychotherapy be used in tandem with drugs? How does one choose among group, individual, or family therapy? What are the benefits and drawbacks of drugs such as Prozac? Of beta blockers? Of tranquilizers? Are psychiatric problems passed on to one's children? What are the merits of acupuncture, hypnosis, meditation, sex therapy?
From the complexities of schizophrenia and obsessive-compulsive disorder to the delicate practicalities of sexual response, this guide offers all that a woman might want to know about protecting her psychological health.
According to a major health survey, nearly half of all Americans have been mentally ill at some point in their lives—more than a quarter in the last year. Can this be true? What exactly does it mean, anyway? What’s a disorder, and what’s just a struggle with real life?
This lucid and incisive book cuts through both professional jargon and polemical hot air, to describe the intense political and intellectual struggles over what counts as a “real” disorder, and what goes into the “DSM,” the psychiatric bible. Is schizophrenia a disorder? Absolutely. Is homosexuality? It was—till gay rights activists drove it out of the DSM a generation ago. What about new and controversial diagnoses? Is “social anxiety disorder” a way of saying that it’s sick to be shy, or “female sexual arousal disorder” that it’s sick to be tired?
An advisor to the DSM, but also a fierce critic of exaggerated overuse, McNally defends the careful approach of describing disorders by patterns of symptoms that can be seen, and illustrates how often the system medicalizes everyday emotional life.
Neuroscience, genetics, and evolutionary psychology may illuminate the biological bases of mental illness, but at this point, McNally argues, no science can draw a bright line between disorder and distress. In a pragmatic and humane conclusion, he offers questions for patients and professionals alike to help understand, and cope with, the sorrows and psychopathologies of everyday life.
Because autism is an increasingly common diagnosis, North Americans are familiar with its symptoms and treatments. But what we know and think about autism is shaped by our social relationship to health, disease, and the medical system. In The Western Disease Claire Laurier Decoteau explores the ways that recent immigrants from Somalia to Canada and the US make sense of their children’s diagnosis of autism. Having never heard of autism before migrating to North America, they often determine that it must be a Western disease. Given its apparent absence in Somalia, they view it as Western in nature, caused by environmental and health conditions unique to life in North America.
Following Somali parents as they struggle to make sense of their children's illness and advocate for alternative care, Decoteau unfolds how complex interacting factors of immigration, race, and class affect Somalis’ relationship to the disease. Somalis’ engagement with autism challenges the prevailing presumption among Western doctors that their approach to healing is universal. Decoteau argues that centering an analysis on autism within the Somali diaspora exposes how autism has been defined and institutionalized as a white, middle-class disorder, leading to health disparities based on race, class, age, and ability. The Western Disease asks us to consider the social causes of disease and the role environmental changes and structural inequalities play in health vulnerability.
A War of Nerves is a history of military psychiatry in the twentieth century—an authoritative, accessible account drawing on a vast range of diaries, interviews, medical papers, and official records, from doctors as well as ordinary soldiers. It reaches back to the moment when the technologies of modern warfare and the disciplines of psychological medicine first confronted each other on the Western Front, and traces their uneasy relationship through the eras of shell-shock, combat fatigue, and post-traumatic stress disorder.
At once absorbing historical narrative and intellectual detective story, A War of Nerves weaves together the literary, medical, and military lore to give us a fascinating history of war neuroses and their treatment, from the World Wars through Vietnam and up to the Gulf War. Ben Shephard answers recurring questions about the effects of war. Why do some men crack and others not? Are the limits of resistance determined by character, heredity, upbringing, ideology, or simple biochemistry?
Military psychiatry has long been shrouded in misconception, and haunted by the competing demands of battle and of recovery. Now, for the first time, we have a definitive history of this vital art and science, which illuminates the bumpy efforts to understand the ravages of war on the human mind, and points towards the true lessons to be learned from treating the aftermath of war.
Weine investigates the survivors’ attempts to reconcile the contrasting, collective memories of having lived in a smoothly functioning, multiethnic society with the later memories of the ethnic atrocities. He discusses the little-known group concept of merhamet. Denoting compassion, forgiveness, and charity, merhamet was a critical cultural value for the Bosnian Muslims.
Weine also explores how ethnic cleansing was justified from the vantage point of psychiatrists who played prominent roles in instigating the horrors. He also provides personal portraits of leaders such as Jovan Raskovic and Radovan Karadzic. He concludes by describing the recovery efforts of survivors—how they work to confront the destructive nature of their memories while trying to bring about healing, both individually and collectively.
Torture is banned because it is cruel and inhumane. But as Shane O’Mara writes in this account of the human brain under stress, another reason torture should never be condoned is because it does not work the way torturers assume it does.
In countless films and TV shows such as Homeland and 24, torture is portrayed as a harsh necessity. If cruelty can extract secrets that will save lives, so be it. CIA officers and others conducted torture using precisely this justification. But does torture accomplish what its defenders say it does? For ethical reasons, there are no scientific studies of torture. But neuroscientists know a lot about how the brain reacts to fear, extreme temperatures, starvation, thirst, sleep deprivation, and immersion in freezing water, all tools of the torturer’s trade. These stressors create problems for memory, mood, and thinking, and sufferers predictably produce information that is deeply unreliable—and, for intelligence purposes, even counterproductive. As O’Mara guides us through the neuroscience of suffering, he reveals the brain to be much more complex than the brute calculations of torturers have allowed, and he points the way to a humane approach to interrogation, founded in the science of brain and behavior.
Torture may be effective in forcing confessions, as in Stalin’s Russia. But if we want information that we can depend on to save lives, O’Mara writes, our model should be Napoleon: “It has always been recognized that this way of interrogating men, by putting them to torture, produces nothing worthwhile.”
At the beginning of the twentieth century, “hysteria” was a medical or psychiatric diagnosis applied primarily to women. In fact, the term itself comes from the Greek, meaning “wandering womb.” We have since learned, however, that this diagnosis evolved from certain assumptions about women’s social roles and mental characteristics, and is no longer in use.
The modern equivalent of hysteria, however, may be borderline personality disorder, defined as “a pervasive pattern of instability of self-image, interpersonal relationships, and mood, beginning in early adulthood and present in a variety of contexts.” This diagnosis is applied to women so much more often than to men that feminists have begun to raise important questions about the social, cultural, and even the medical assumptions underlying this “illness.” Women are said to be “unstable” when they may be trying to reconcile often contradictory and conflicting social expectations.
In Women and Borderline Personality Disorder, Janet Wirth-Cauchon presents a feminist cultural analysis of the notions of “unstable” selfhood found in case narratives of women diagnosed with borderline personality disorder. This exploration of contemporary post-Freudian psychoanalytic notions of the self as they apply to women’s identity conflicts is an important contribution to the literature on social constructions of mental illness in women and feminist critiques of psychiatry in general.
From the authors of The Harvard Guide to Women's Health
Heart disease is the number one killer of women in this country. Every year half a million American women die of heart problems--and another 2.5 million are hospitalized for heart disease. This book brings the risks and realities of cardiovascular disease for women into clear focus. Where previous books have concentrated on men, The Women's Concise Guide to a Healthier Heart recognizes and clarifies the significant differences between men and women in the diagnosis and treatment of cardiac conditions.
The book lays out in plain English all that we currently know about preventing, recognizing, and living with a heart problem. Does an aspirin a day prevent heart disease in women? Does moderate alcohol consumption help or hurt? What about weight gain in middle age? Estrogen replacement therapy? These are the kinds of everyday, life-and-death questions that are addressed specifically for women in this concise guide. It considers questions of cholesterol and diabetes, stress and depression, diet and smoking. It explores diagnostic procedures and surgeries and explains their differing reliability and benefits for women and men.
Helpfully illustrated and easy to use, clear and comprehensive on every heart problem and related symptom and behavior, this book is the best resource for any woman wishing to understand the health and workings of her heart.
Without a map, navigate by the stars. Susan Tweit began learning this lesson as a young woman diagnosed with an autoimmune disease that was predicted to take her life in two to five years. Offered no clear direction for getting well through conventional medicine, Tweit turned to the natural world that was both her solace and her field of study as a plant ecologist. Drawing intuitive connections between the natural processes and cycles she observed and the functions of her body, Tweit not only learned healthier ways of living but also discovered a great truth—love can heal. In this beautifully written, moving memoir, she describes how love of the natural world, of her husband and family, and of life itself literally transformed and saved her own life.
In tracing the arc of her life from young womanhood to middle age, Tweit tells stories about what silence and sagebrush, bird bones and sheep dogs, comets, death, and one crazy Englishman have to teach us about living. She celebrates making healthy choices, the inner voices she learned to hear on days alone in the wilderness, the joys of growing and eating an organic kitchen garden, and the surprising redemption in restoring a once-blighted neighborhood creek. Linking her life lessons to the stories she learned in childhood about the constellations, Tweit shows how qualities such as courage, compassion, and inspiration draw us together and bind us into the community of the land and of all living things.
Surgery is the most martial and masculine of medical specialties. The combat with death is carried out in the operating room, where the intrepid surgeon challenges the forces of destruction and disease. What, then, if the surgeon is a woman? Anthropologist Joan Cassell enters this closely guarded arena to explore the work and lives of women practicing their craft in what is largely a man's world.
Cassell observed thirty-three surgeons in five North American cities over the course of three years. We follow these women through their grueling days: racing through corridors to make rounds, perform operations, hold office hours, and teach residents. We hear them, in their own words, discuss their training and their relations with patients, nurses, colleagues, husbands, and children.
Do these women differ from their male colleagues? And if so, do such differences affect patient care? The answers Cassell uncovers are as complex and fascinating as the issues she considers. A unique portrait of the day-to-day reality of these remarkable women, The Woman in the Surgeon's Body is an insightful account of how being female influences the way the surgeon is perceived by colleagues, nurses, patients, and superiors--and by herself.
The improbable and powerful true story of a single mother with prosthetics for both legs who travels the globe with her young daughter in a Land Rover.
“A harrowing memoir. . . . Readers may not want to follow in [Shinn’s] footsteps, but they will never be bored with her as a companion.” —Kirkus Reviews
The Wounds That Bind Us is the improbable true story of Kelley Shinn, an orphan at birth who loses her legs at the age of sixteen to a rare bacterial pathogen. She becomes an avid off-road racer and, as a single mother, attempts to drive around the globe in a Land Rover with her three-year-old daughter in tow to bring light to the plight of land mine survivors. With unflinching honesty, exceptional lyricism, and biting humor, Shinn (“that’s two Ns and no shins”) takes readers on a wild journey—literal and emotional—filled with striking characters and landscapes, heartbreaks, and hard-won insights, ultimately arriving at a place of profound redemption.
Told with the energy and intensity of the adventure story it is, this terrifically rich and nuanced examination of a life is also a careful meditation on renewal—a remapping of the world. Guided by the narrator’s keen introspection and her ability to look resolutely at harrowing sorrows and still find hope, joy, and meaning, The Wounds That Bind Us will resonate deeply, long after the last page.
A thirteenth-century treatise on the theory and practice of ophthalmology, this unique work provides a window on what passed for medical knowledge of the eye during the late Middle Ages. Although little is known of the author, Benevenutus Grassus, he seems to have roamed Italy in the early thirteenth century as a medical practitioner specializing in diseases of the eye.
Women seeking to express concerns about childbirth or to challenge institutionalized medicine by writing online birth plans or birth stories exercise rhetorical agency in undeniably feminist ways. In Writing Childbirth: Women’s Rhetorical Agency in Labor and Online, author Kim Hensley Owens explores how women create and use everyday rhetorics in planning for, experiencing, and writing about childbirth.
Drawing on medical texts, popular advice books, and online birth plans and birth stories, as well as the results of a childbirth writing survey, Owens considers how women’s agency in childbirth is sanctioned, and how it is not. She examines how women’s rhetorical choices in writing interact with institutionalized medicine and societal norms. Writing Childbirth reveals the contradictory messages women receive about childbirth, their conflicting expectations about it, and how writing and technology contribute to and reconcile these messages and expectations.
Demonstrating the value of extending rhetorical investigations of health and medicine beyond patient-physician interactions and the discourse of physicians, Writing Childbirth offers fresh insight into feminist rhetorical agency and technology and expands our understanding of the rhetorics of health and medicine.
Although he founded no school of his own, D. W. Winnicott (1896–1971) is now regarded as one of the most influential contributors to psychoanalysis since Freud. In over forty years of clinical practice, he brought unprecedented skill and intuition to the psychoanalysis of children. This critical new work by Adam Phillips presents the best short introduction to the thought and practice of Winnicott that is currently available.
Winnicott’s work was devoted to the recognition and description of the good mother and the use of the mother–infant relationship as the model of psychoanalytic treatment. His belief in natural development became a covert critique of overinterpretative methods of psychoanalysis. He combined his idiosyncratic approach to psychoanalysis with a willingness to make his work available to nonspecialist audiences. In this book Winnicott takes his place with Melanie Klein and Jacques Lacan as one of the great innovators within the psychoanalytic tradition.
American women invest millions of dollars, as well as much time and energy, in a quest for a body that meets our culture’s standard of beauty—slenderness. Since we define a woman’s sexual attractiveness as essential to her social worth, it is no wonder that “fat is a feminist issue.”
Commercial weight loss organizations have come under attack from feminist scholars for perpetuating the very social values that cause women to obsess about their weight. In Women and Dieting Culture, sociologist Kandi Stinson asks how these values are transmitted and how the women who join such organizations actually think about their bodies and weight loss. As part of her research, Stinson fully participated in a national, commercial weight-loss organization as a paying member. Her acute analysis and sensitive insider’s portrayal vividly illustrate the central roles dieting and body image play in women’s lives.
As she experiences the program and interviews other members, Stinson discovers that the women view the causes and cures of being overweight according to five distinct, though often overlapping, concepts: self-help, work, religion, addiction, and feminism. Drawing extensively on the dieters’ own words, Stinson explores each of these concepts and outlines how they form interrelated patterns which, when analyzed, yield an exciting new perspective on the transmission of cultural values.
Armed with fresh insights into how women feel about weight and their bodies, Stinson finally ponders the question: Can one be a feminist and still wish to lose weight?
In a century characterized by dramatic health-care remedies—bloodletting, purging, and leeching, for example—hydropathy was one of the most celebrated alternative forms of medical care. Unlike these other cures, however, hydropathy, which entailed various applications of cold water, also staunchly advocated the reformation of such personal habits as diet, exercise, dress, and way of life. Susan E. Cayleff explores the relationship between this fascinating sect of nineteenth-century medicine and the women who took the cure.
Wash and Be Healed investigates the theories, practices, medical and social philosophies, institutions, and the most prominent proponents of the water-cure movement and studies them in relation to the diverse reform networks of the nineteenth century. Documenting the popularity and importance of hydropathy among female activists, Cayleff argues that the water-cure movement was overpowered by allopathic (or orthodox) medicine which viewed hydropathy as a crackpot therapeutic largely because of its close association with nineteenth-century social activism. The book gives us an alternative view of social and sexual relationships which should contribute to the growing awareness among scholars that the history of health and healing must be more than the history of allopathic medicine.
"I'm embarrassed to say I thought I knew anything substantial about Wisconsin agriculture or its history before I read this book. 'Wisconsin Agriculture' should be required reading in history classes from high school to the collegiate level. It makes me thankful that Jerry Apps has such a sense of commitment to Wisconsin's agricultural heritage--and to getting the story right." --Pam Jahnke, Farm Director, Wisconsin Farm Report Radio
Wisconsin has been a farming state from its very beginnings. And though it's long been known as "the Dairy State," it produces much more than cows, milk, and cheese. In fact, Wisconsin is one of the most diverse agricultural states in the nation.
The story of farming in Wisconsin is rich and diverse as well, and the threads of that story are related and intertwined. In this long-awaited volume, celebrated rural historian Jerry Apps examines everything from the fundamental influences of landscape and weather to complex matters of ethnic and pioneer settlement patterns, changing technology, agricultural research and education, and government regulations and policies. Along with expected topics, such as the cranberry industry and artisan cheesemaking, "Wisconsin Agriculture" delves into beef cattle and dairy goats, fur farming and Christmas trees, maple syrup and honey, and other specialty crops, including ginseng, hemp, cherries, sugar beets, mint, sphagnum moss, flax, and hops. Apps also explores new and rediscovered farming endeavors, from aquaculture to urban farming to beekeeping, and discusses recent political developments, such as the 2014 Farm Bill and its ramifications. And he looks to the future of farming, contemplating questions of ethical growing practices, food safety, sustainability, and the potential effects of climate change.
Featuring first-person accounts from the settlement era to today, along with more than 200 captivating photographs, "Wisconsin Agriculture" breathes life into the facts and figures of 150 years of farming history and provides compelling insights into the state's agricultural past, present, and future.
World Agriculture and the Environment presents a unique assessment of agricultural commodity production and the environmental problems it causes, along with prescriptions for increasing efficiency and reducing damage to natural systems. Drawing on his extensive travel and research in agricultural regions around the world, and employing statistics from a range of authoritative sources including the United Nations Food and Agriculture Organization, the author examines twenty of the world’s major crops, including beef, coffee, corn, rice, rubber, shrimp, sorghum, tea, and tobacco. For each crop, he offers comparative information including:
Wangari Muta Maathai is one of Africa’s most celebrated female activists. Originally trained as a scientist in Kenya and abroad, Professor Maathai returned to her home country of Kenya with a renewed political consciousness. There, she began her long career as an activist, campaigning for environmental and social justice while speaking out against government corruption. In 2004, Maathai was awarded the Nobel Peace Prize for her leadership of the Green Belt Movement, a conservation effort that resulted in the restoration of African forests decimated during the colonial era.
In this biography, Tabitha Kanogo follows Wangari Maathai from her modest, rural Kenyan upbringing to her rise as a national figure campaigning for environmental and ecological conservation, sustainable development, democracy, human rights, gender equality, and the eradication of poverty until her death in 2011.
Today, native plants and water conservation are subjects of vital interest to cities, offices, homeowners, and agriculture alike, as all are affected by the growing shortage of water in the Intermountain region.
This comprehensive volume provides specific information about shrubs, trees, grasses, forbs, and cacti that are native to most states in the Intermountain West, and that can be used in landscaping to conserve water, reflect and preserve the region's landscape character, and help protect its ecological integrity. The book is an invaluable guide for the professional landscaper, horticulturist, and others in the Intermountain nursery industry, as well as for the student, general reader, gardener, and homeowner.
Water Wise is both convenient and comprehensive. The heart of the book presents hundreds of species, devoting a full page to each, with a description of appearance, habitat, landscape use, and other comments. Color photographs illustrate each plant described. A reader-friendly introduction provides important background on the ecology of the Intermountain West, along with full descriptions of native plant habitats and associations.
An accessible resource of accurate native plant information for all readers, Water Wise will be indispensable to professional landscapers and amateurs alike.
This working manual provides complete information on the technical aspects of designing, building, and maintaining waterwise landscapes in the Mountain West. Written particularly for professionals, including landscape designers, architects, contractors, and maintenance and irrigation specialists, it has an attractive, well-illustrated, user-friendly format that will make it useful as well to DIY homeowners and to educators, plant retailers, extension agents, and many others.
The manual is organized according to landscape principles that are adapted to the climate of the intermountain region. Beginning with planning and design, the topical principles proceed through soil preparation, appropriate plant selection, practicalities of turfgrass, use of mulch, and irrigation planning, winding up with landscape maintenance. Designed for onsite, handy use, the book is illustrated with color images of landscapes, plants, and materials. Tables, charts, diagrams, landscape plans, plant lists, checklists, and other graphic resources are scattered throughout the manual, which is written in an accessible but information-rich style. Water-Efficient Landscaping in the Intermountain West answers, more comprehensively than any other single book, the need for professional information that addresses both growing awareness of the necessity for water conservation and the desire for beautiful, healthy yards and properties.
As long as humans have existed, they’ve worked and competed with plants to shape their surroundings. As cities developed and expanded, their diverse spaces were covered with and colored by weeds. In Weeds, Zachary J. S. Falck presents a comprehensive history of “happenstance plants” in American urban environments. Beginning in the late nineteenth century and continuing to the present, he examines the proliferation, perception, and treatment of weeds in metropolitan centers from Boston to Los Angeles.
In dynamic city ecosystems, population movements and economic cycles establish and transform habitats where vegetation continuously changes. Americans came to associate weeds with infectious diseases and allergies, illegal dumping, vagrants, drug dealers, and decreased property values. Local governments and citizens’ groups attempted to eliminate unwanted plants to better their urban environments and improve the health and safety of inhabitants. Over time, a growing understanding of the natural environment made “happenstance plants” more tolerable and even desirable.
In the twenty-first century, scientists have warned that the effects of global warming and the heat-trapping properties of cities are producing more robust strains of weeds. Falck shows that nature continues to flourish where humans have struggled: in the aftermath of Hurricane Katrina, in the abandoned homes of the California housing bust, and alongside crumbling infrastructure. Weeds are here to stay.
Forests have been at the fault lines of contact between African peasant communities in the Tanzanian coastal hinterland and outsiders for almost two centuries. In recent decades, a global call for biodiversity preservation has been the main challenge to Tanzanians and their forests.
Thaddeus Sunseri uses the lens of forest history to explore some of the most profound transformations in Tanzania from the nineteenth century to the present. He explores anticolonial rebellions, the world wars, the depression, the Cold War, oil shocks, and nationalism through their intersections with and impacts on Tanzania’s coastal forests and woodlands. In Wielding the Ax, forest history becomes a microcosm of the origins, nature, and demise of colonial rule in East Africa and of the first fitful decades of independence.
Wielding the Ax is a story of changing constellations of power over forests, beginning with African chiefs and forest spirits, both known as “ax–wielders,” and ending with international conservation experts who wield scientific knowledge as a means to controlling forest access. The modern international concern over tropical deforestation cannot be understood without an awareness of the long–term history of these forest struggles.
“From the first logging operation to the closing of the last mill this book is so thorough, so comprehensive, so well organized, and so useful that it must take its place with the outstanding monographs of economic and western history.” —Journal of Economic History
The old-growth forests of Minnesota, at one time covering 70 percent of the state, played a major role in the development of the Upper Mississippi Valley. Telling the complete history of the white pine industry, Agnes Larson brings us back to a time when Minnesota’s lumber business was thriving. Larson recounts the development of the region with a wealth of information, including the building of the railroads and bustling mill towns; the daily lives of lumberjacks, loggers, river-drivers, and jam-breakers; and the final devastation of the forests.
“An excellent contribution to the regional history and historical geography of the Upper Great Lakes area and the upper Mississippi Valley.” —Geographical Review
Agnes M. Larson (1892–1967) was professor of history at St. Olaf College.
Bradley J. Gills is adjunct professor of history at Grand Valley State University.
A close associate of Chico Mendes, Gomercindo Rodrigues witnessed the struggle between Brazil's rubber tappers and local ranchers—a struggle that led to the murder of Mendes. Rodrigues's memoir of his years with Mendes has never before been translated into English from the Portuguese. Now, Walking the Forest with Chico Mendes makes this important work available to new audiences, capturing the events and trends that shaped the lives of both men and the fragile system of public security and justice within which they lived and worked.
In a rare primary account of the celebrated labor organizer, Rodrigues chronicles Mendes's innovative proposals as the Amazon faced wholesale deforestation. As a labor unionist and an environmentalist, Mendes believed that rain forests could be preserved without ruining the lives of workers, and that destroying forests to make way for cattle pastures threatened humanity in the long run. Walking the Forest with Chico Mendes also brings to light the unexplained and uninvestigated events surrounding Mendes's murder.
Although many historians have written about the plantation systems of nineteenth-century Brazil, few eyewitnesses have captured the rich rural history of the twentieth century with such an intricate knowledge of history and folklore as Rodrigues.
Wild Forests presents a coherent review of the scientific and policy issues surrounding biological diversity in the context of contemporary public forest management. The authors examine past and current practices of forest management and provide a comprehensive overview of known and suspected threats to diversity.
In addition to discussing general ecological principles, the authors evaluate specific approaches to forest management that have been proposed to ameliorate diversity losses. They present one such policy -- the Dominant Use Zoning Model incorporating an integrated network of "Diversity Maintenance Areas" -- and describe their attempts to persuade the U.S. Forest Service to adopt such a policy in Wisconsin.
Drawing on experience in the field, in negotiations, and in court, the authors analyze the ways in which federal agencies are coping with the mandates of conservation biology and suggest reforms that could better address these important issues. Throughout, they argue that wild or unengineered conditions are those that are most likely to foster a return to the species richness that we once enjoyed.
The Wildlands and Woodlands vision, as described in two previous Harvard Forest publications, calls for collaboration among conservationists and willing landowners to permanently protect at least 70 percent of the New England landscape as forests by 2060. Another 7 percent of land that is currently in agriculture would remain intact for wildlife and people. This series advocates a balanced approach to conservation and preservation; most land would be actively and sustainably managed for wood, food, and other values, while continuing to provide clean water and air, wildlife habitat, recreation, and support for human lives in a changing environment. About a tenth of the forest, along with associated wetlands, streams, ponds, and other habitats, would comprise large wildland reserves.
This 2017 report offers new data on progress toward these goals and outlines complementary uses of the forest and agricultural landscape with thoughtful and efficient development of rural villages and towns, suburbs, and cities—to support people and nature across New England. It ends with recommendations to protect and care for the land that can forge a bright future for New England, provide a regional example for the nation, and help mitigate global environmental change.
Wars in the Woods examines the conflicts that have developed over the preservation of forests in America, and how government agencies and advocacy groups have influenced the management of forests and their resources for more than a century. Samuel Hays provides an astute analysis of manipulations of conservation law that have touched off a battle between what he terms “ecological forestry” and “commodity forestry.” Hays also reveals the pervading influence of the wood products industry, and the training of U.S. Forest Service to value tree species marketable as wood products, as the primary forces behind forestry policy since the Forest Management Act of 1897.
Wars in the Woods gives a comprehensive account of the many grassroots and scientific organizations that have emerged since then to combat the lumber industry and other special interest groups and work to promote legislation to protect forests, parks, and wildlife habitats. It also offers a review of current forestry practices, citing the recent Federal easing of protections as a challenge to the progress made in the last third of the twentieth century.
Hays describes an increased focus on ecological forestry in areas such as biodiversity, wildlife habitat, structural diversity, soil conservation, watershed management, native forests, and old growth. He provides a valuable framework for the critical assessment of forest management policies and the future study and protection of forest resources.
In recent years, some policymakers and conservationists have argued that natural resources will be protected only if economic benefits accrue to those who are responsible for caring for the resources. Such commercial consumptive use of wild species (CCU) provides an economically viable alternative to more ecologically destructive land uses, and could help accomplish the overall goals of biodiversity conservation.
Yet many questions remain: Will the harvest of wild species be sustainable? Will habitats be protected? What tradeoffs are implied for the populations and ecosystems under management? While this debate goes on, researchers and managers are confronting an array of real-world problems in managing harvested populations of wild species. Wild Species as Commodities presents a balanced, scientifically rigorous consideration of the link between CCU and biodiversity conservation. The outgrowth of a four-year World Wildlife Fund study, the book is both a synthesis of findings and a practical guide. Topics examined include:
forestry, fisheries, sport hunting, and nontimber forest products the economics of wild species use social and institutional frameworks required for sustainability ecological impacts biodiversity consequences of ecosystem specialization conservation benefits of wild species use management principles and guideline.
Wild Species as Commodities provides a primer on the CCU-biodiversity link, and an interdisciplinary analysis of the major economic, social, and ecological factors involved, along with guidelines for incorporating biodiversity conservation into commercial harvesting programs. It is a highly accessible source of information, concepts, and management approaches for professionals in resource management and wildlife conservation, and academics in conservation biology, environmental and ecological economics, and environmental studies.
Zoos, aquaria, and wildlife parks are vital centers of animal conservation and management. For nearly fifteen years, these institutions have relied on Wild Mammals in Captivity as the essential reference for their work. Now the book reemerges in a completely updated second edition. Wild Mammals in Captivity presents the most current thinking and practice in the care and management of wild mammals in zoos and other institutions. In one comprehensive volume, the editors have gathered the most current information from studies of animal behavior; advances in captive breeding; research in physiology, genetics, and nutrition; and new thinking in animal management and welfare.
In this edition, more than three-quarters of the text is new, and information from more than seventy-five contributors is thoroughly updated. The standard text for all courses in zoo biology, Wild Mammals in Captivity will, in its new incarnation, continue to be used by zoo managers, animal caretakers, researchers, and anyone with an interest in how to manage animals in captive conditions.
Whether they see themselves as King of the Wild Things or protector of Toto, children live in a world filled with animals--both real and imaginary. From Black Beauty to Barney, animal characters romp through children's books, cartoons, videos, and computer games. As Gail Melson tells us, more than three-quarters of all children in America live with pets and are now more likely to grow up with a pet than with both parents. She explores not only the therapeutic power of pet-owning for children with emotional or physical handicaps but also the ways in which zoo and farm animals, and even certain purple television characters, become confidants or teachers for children--and sometimes, tragically, their victims.
Yet perhaps because animals are ubiquitous, what they really mean to children, for better and for worse, has been unexplored territory. Why the Wild Things Are is the first book to examine children's many connections to animals and to explore their developmental significance. What does it mean that children's earliest dreams are of animals? What is the unique gift that a puppy can give to a boy? Drawing on psychological research, history, and children's media, Why the Wild Things Are explores the growth of the human-animal connection. In chapters on children's emotional ties to their pets, the cognitive challenges of animal contacts, animal symbols as building blocks of the self, and pointless cruelty to animals, Melson shows how children's innate interest in animals is shaped by their families and their social worlds, and may in turn shape the kind of people they will become.
Despite declining stocks worldwide and increasing health risks, artisanal whaling remains a cultural practice tied to nature’s rhythms. The Wake of the Whale presents the art, history, and challenge of whaling in the Caribbean and North Atlantic, based on a decade of award-winning fieldwork.
Sightings of pilot whales in the frigid Nordic waters have drawn residents of the Faroe Islands to their boats and beaches for nearly a thousand years. Down in the tropics, around the islands of St. Vincent and the Grenadines, artisanal whaling is a younger trade, shaped by the legacies of slavery and colonialism but no less important to the local population. Each culture, Russell Fielding shows, has developed a distinct approach to whaling that preserves key traditions while adapting to threats of scarcity, the requirements of regulation, and a growing awareness of the humane treatment of animals.
Yet these strategies struggle to account for the risks of regularly eating meat contaminated with methylmercury and other environmental pollutants introduced from abroad. Fielding considers how these and other factors may change whaling cultures forever, perhaps even bringing an end to this way of life.
A rare mix of scientific and social insight, The Wake of the Whale raises compelling questions about the place of cultural traditions in the contemporary world and the sacrifices we must make for sustainability.
Publication of this book was supported, in part, by a grant from Furthermore: a program of the J. M. Kaplan Fund.
This volume presents the results of a five-year study of wildlife-management policies in national parks. It synthesizes interviews with individuals inside and outside the National Park Service, provides a comprehensive review of published and unpublished literature, and draws on the collective experience of the authors with various units of the system over the past three decades. Among the topics examined are:
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