front cover of Bodies of Work
Bodies of Work
Civic Display and Labor in Industrial Pittsburgh
Edward Slavishak
Duke University Press, 2008
By the end of the nineteenth century, Pittsburgh emerged as a major manufacturing center in the United States. Its rise as a leading producer of steel, glass, and coal was fueled by machine technology and mass immigration, developments that fundamentally changed the industrial workplace. Because Pittsburgh’s major industries were almost exclusively male and renowned for their physical demands, the male working body came to symbolize multiple often contradictory narratives about strength and vulnerability, mastery and exploitation. In Bodies of Work, Edward Slavishak explores how Pittsburgh and the working body were symbolically linked in civic celebrations, the research of social scientists, the criticisms of labor reformers, advertisements, and workers’ self-representations. Combining labor and cultural history with visual culture studies, he chronicles a heated contest to define Pittsburgh’s essential character at the turn of the twentieth century, and he describes how that contest was conducted largely through the production of competing images.

Slavishak focuses on the workers whose bodies came to epitomize Pittsburgh, the men engaged in the arduous physical labor demanded by the city’s metals, glass, and coal industries. At the same time, he emphasizes how conceptions of Pittsburgh as quintessentially male limited representations of women in the industrial workplace. The threat of injury or violence loomed large for industrial workers at the turn of the twentieth century, and it recurs throughout Bodies of Work: in the marketing of artificial limbs, statistical assessments of the physical toll of industrial capitalism, clashes between labor and management, the introduction of workplace safety procedures, and the development of a statewide workmen’s compensation system.

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front cover of CT Suite
CT Suite
The Work of Diagnosis in the Age of Noninvasive Cutting
Barry F. Saunders
Duke University Press, 2008
In CT Suite the doctor and anthropologist Barry F. Saunders provides an ethnographic account of how a particular diagnostic technology, the computed tomographic (CT) scanner, shapes social relations and intellectual activities in and beyond the CT suite, the unit within the diagnostic radiology department of a large teaching hospital where CT images are made and interpreted. Focusing on how expertise is performed and how CT images are made into diagnostic evidence, he concentrates not on the function of CT images for patients but on the function of the images for medical professionals going about their routines. Yet Saunders offers more than insider ethnography. He links diagnostic work to practices and conventions from outside medicine and from earlier historical moments. In dialogue with science and technology studies, he makes a significant contribution to scholarship on the visual cultures of medicine.

Saunders’s analyses are informed by strands of cultural history and theory including art historical critiques of realist representation, Walter Benjamin’s concerns about violence in “mechanical reproduction,” and tropes of detective fiction such as intrigue, the case, and the culprit. Saunders analyzes the diagnostic “gaze” of medical personnel reading images at the viewbox, the two-dimensional images or slices of the human body rendered by the scanner, methods of archiving images, and the use of scans as pedagogical tools in clinical conferences. Bringing cloistered diagnostic practices into public view, he reveals the customs and the social and professional hierarchies that are formulated and negotiated around the weighty presence of the CT scanner. At the same time, by returning throughout to the nineteenth-century ideas of detection and scientific authority that inform contemporary medical diagnosis, Saunders highlights the specters of the past in what appears to be a preeminently modern machine.

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front cover of The Republic of Therapy
The Republic of Therapy
Triage and Sovereignty in West Africa’s Time of AIDS
Vinh-Kim Nguyen
Duke University Press, 2010
The Republic of Therapy tells the story of the global response to the HIV epidemic from the perspective of community organizers, activists, and people living with HIV in West Africa. Drawing on his experiences as a physician and anthropologist in Burkina Faso and Côte d’Ivoire, Vinh-Kim Nguyen focuses on the period between 1994, when effective antiretroviral treatments for HIV were discovered, and 2000, when the global health community acknowledged a right to treatment, making the drugs more available. During the intervening years, when antiretrovirals were scarce in Africa, triage decisions were made determining who would receive lifesaving treatment. Nguyen explains how those decisions altered social relations in West Africa. In 1994, anxious to “break the silence” and “put a face to the epidemic,” international agencies unwittingly created a market in which stories about being HIV positive could be bartered for access to limited medical resources. Being able to talk about oneself became a matter of life or death. Tracing the cultural and political logic of triage back to colonial classification systems, Nguyen shows how it persists in contemporary attempts to design, fund, and implement mass treatment programs in the developing world. He argues that as an enactment of decisions about who may live, triage constitutes a partial, mobile form of sovereignty: what might be called therapeutic sovereignty.
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