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Adaptive Oncogenesis
A New Understanding of How Cancer Evolves inside Us
James DeGregori
Harvard University Press, 2018

Popular understanding holds that genetic changes create cancer. James DeGregori uses evolutionary principles to propose a new way of thinking about cancer’s occurrence. Cancer is as much a disease of evolution as it is of mutation, one in which mutated cells outcompete healthy cells in the ecosystem of the body’s tissues. His theory ties cancer’s progression, or lack thereof, to evolved strategies to maximize reproductive success.

Through natural selection, humans evolved genetic programs to maintain bodily health for as long as necessary to increase the odds of passing on our genes—but not much longer. These mechanisms engender a tissue environment that favors normal stem cells over precancerous ones. Healthy tissues thwart cancer cells’ ability to outcompete their precancerous rivals. But as our tissues age or accumulate damage from exposures such as smoking, normal stem cells find themselves less optimized to their ecosystem. Cancer-causing mutations can now help cells adapt to these altered tissue environments, and thus outcompete normal cells. Just as changes in a species’ habitat favor the evolution of new species, changes in tissue environments favor the growth of cancerous cells.

DeGregori’s perspective goes far in explaining who gets cancer, when it appears, and why. While we cannot avoid mutations, it may be possible to sustain our tissues’ natural and effective system of defense, even in the face of aging or harmful exposures. For those interested in learning how cancers arise within the human body, the insights in Adaptive Oncogenesis offer a compelling perspective.

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Addiction
Entries and Exits
Jon Elster
Russell Sage Foundation, 1999
Addiction focuses on the emergence, nature, and persistence of addictive behavior, as well as the efforts of addicts to overcome their condition. Do addicts act of their own free will, or are they driven by forces beyond their control? Do structured treatment programs offer more hope for recovery? What causes relapses to occur? Recent scholarship has focused attention on the voluntary aspects of addiction, particularly the role played by choice. Addiction draws upon this new research and the investigations of economists, psychiatrists, philosophers, neuropharmacologists, historians, and sociologists to offer an important new approach to our understanding of addictive behavior. The notion that addicts favor present rewards over future gains or penalties echoes throughout the chapters in Addiction. The effect of cultural values and beliefs on addicts, and on those who treat them, is also explored, particularly in chapters by Elster on alcoholism and by Acker on American heroin addicts in the 1920s and 1930s. Essays by Gardner and by Waal and Mørland discuss the neurobiological roots of addiction Among their findings are evidence that addictive drugs also have an important effect on areas of the central nervous system unrelated to euphoria or dysphoria, and that tolerance and withdrawal phenomena vary greatly from drug to drug. The plight of addicts struggling to regain control of their lives receives important consideration in Addiction. Elster, Skog, and O'Donoghue and Rabin look at self-administered therapies ranging from behavioral modifications to cognitive techniques, and discuss conditions under which various treatment strategies work. Drug-based forms of treatment are discussed by Gardner, drawing on work that suggests that parts of the population have low levels of dopamine, inducing a tendency toward sensation-seeking. There are many different explanations for the impulsive, self-destructive behavior that is addiction. By bringing the triple perspective of neurobiology, choice, and culture to bear on the phenomenon, Addiction offers a unique and valuable source of information and debate on a problem of world-wide proportions.
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Autism and Gender
From Refrigerator Mothers to Computer Geeks
Jordynn Jack
University of Illinois Press, 2014
The reasons behind the increase in autism diagnoses have become hotly contested in the media as well as within the medical, scholarly, and autistic communities. Jordynn Jack suggests the proliferating number of discussions point to autism as a rhetorical phenomenon that engenders attempts to persuade through arguments, appeals to emotions, and representational strategies.
 
In Autism and Gender: From Refrigerator Mothers to Computer Geeks, Jack focuses on the ways gender influences popular discussion and understanding of autism's causes and effects. She identifies gendered theories like the “refrigerator mother” theory, for example, which blames emotionally distant mothers for autism, and the “extreme male brain” theory, which links autism to the modes of systematic thinking found in male computer geeks. Jack's analysis reveals how people employ such highly gendered theories to craft rhetorical narratives around stock characters--fix-it dads, heroic mother warriors rescuing children from autism--that advocate for ends beyond the story itself while also allowing the storyteller to gain authority, understand the disorder, and take part in debates.
 
Autism and Gender reveals the ways we build narratives around controversial topics while offering new insights into the ways rhetorical inquiry can and does contribute to conversations about gender and disability.
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The Book of Minor Perverts
Sexology, Etiology, and the Emergences of Sexuality
Benjamin Kahan
University of Chicago Press, 2019
Shortlisted for the Modernist Studies Assocation Book Prize

­Statue-fondlers, wanderlusters, sex magicians, and nymphomaniacs: the story of these forgotten sexualities—what Michel Foucault deemed “minor perverts”—has never before been told. In The Book of Minor Perverts, Benjamin Kahan sets out to chart the proliferation of sexual classification that arose with the advent of nineteenth-century sexology. The book narrates the shift from Foucault’s “thousand aberrant sexualities” to one: homosexuality. The focus here is less on the effects of queer identity and more on the lines of causation behind a surprising array of minor perverts who refuse to fit neatly into our familiar sexual frameworks. The result stands at the intersection of history, queer studies, and the medical humanities to offer us a new way of feeling our way into the past.
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A Contagious Cause
The American Hunt for Cancer Viruses and the Rise of Molecular Medicine
Robin Wolfe Scheffler
University of Chicago Press, 2019
Is cancer a contagious disease? In the late nineteenth century this idea, and attending efforts to identify a cancer “germ,” inspired fear and ignited controversy. Yet speculation that cancer might be contagious also contained a kernel of hope that the strategies used against infectious diseases, especially vaccination, might be able to subdue this dread disease. Today, nearly one in six cancers are thought to have an infectious cause, but the path to that understanding was twisting and turbulent.

A Contagious Cause is the first book to trace the century-long hunt for a human cancer virus in America, an effort whose scale exceeded that of the Human Genome Project. The government’s campaign merged the worlds of molecular biology, public health, and military planning in the name of translating laboratory discoveries into useful medical therapies. However, its expansion into biomedical research sparked fierce conflict. Many biologists dismissed the suggestion that research should be planned and the idea of curing cancer by a vaccine or any other means as unrealistic, if not dangerous. Although the American hunt was ultimately fruitless, this effort nonetheless profoundly shaped our understanding of life at its most fundamental levels. A Contagious Cause links laboratory and legislature as has rarely been done before, creating a new chapter in the histories of science and American politics.
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Etiology, Concept and Prophylaxis of Childbed Fever
Ignaz Semmelweis; Translated by K. Codell Carter
University of Wisconsin Press, 1983

    In 1859 a Hungarian obstetrician named Ignaz Semmelweis, reflecting on his years as resident in the Vienna maternity clinic, wrote a graphic account of his attempt to diagnose and eliminate the then epidemic scourge of childbed fever.  The resulting Etiology triggered an immediate and international squall of protest from Semmelweis’s colleagues; today it is recognized as a pioneering classic of medical history.  Now, for the first time in many years, Codell Carter makes that classic available to the English-speaking reader in this vivid translation of the 1861 original, augmented by footnotes and an explanatory introduction.  For students and scholars of medical history and philosophy, obstetrics and women’s studies, the accessibility of this moving and revolutionary work, important both as an historical document and as a groundbreaking precursor of modern medical theory, is long overdue.
    Semmelweis’s exposure to the childbed fever was concurrent with his appointment to the Vienna maternity hospital in 1846.  Like many similar hospitals and clinics in the major cities of nineteenth-century Europe and America, where death rates from the illness sometimes climbed as high as 40 percent of admitted patients, the Viennese wards were ravaged by the fever.  Intensely troubled by the tragic and baffling loss of so many young mothers, Semmelweis sought answers.  The Etiology was testimony to his success.  Based on overwhelming personal evidence, it constituted a classic description of a disease, its causes, and its prevention.  It also allowed a necessary response to the obstetrician’s already vocal, rabid, and perhaps predictable critics.  For Semmelweis’s central thesis was a startling one - the fever, he correctly surmised, was caused not by epidemic or endemic influences but by unsterilized and thus often contaminated hands of the attending physicians themselves.
    Carter’s translation of this radical work, judiciously abridged and extensively footnoted, captures all the drama and impassioned conviction of the original.  Complementing this translation is a lucid introduction that places Semmelweis’s Etiology in historical perspective and clarifies its contemporary value.  That value, Carter argues, is considerable.  Important as a model of clinical analysis and as a chronicle of early nineteenth-century obstetrical practices, the Etiology is also a revolutionary polemic in its innovative doctrine of antisepsis and in its unique etiological explanation of disease.  As such its recognition and reclamation allows a crucial understanding, one that clarifies the roots and theory of modern medicine and ultimately redeems and important, resolute, pathfinder.

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Hunger So Wide And So Deep
A Multiracial View of Women’s Eating Problems
Becky Thompson
University of Minnesota Press, 1996
The first of its kind, A Hunger So Wide and So Deep challenges the popular notion that eating problems occur only among white, well-to-do, heterosexual women. Based on in-depth life history interviews with African-American, Latina, and lesbian women, Becky Thompson's book chronicles the effects of racism, poverty, sexism, acculturation, and sexual abuse on women's bodies and eating patterns. By demonstrating how these girls and women use eating to "make a way outa no way," A Hunger So Wide and So Deep dispels popular stereotypes of anorexia and bulimia as symptoms of vanity and stresses the risks of mislabeling what is often a way of coping with society's own disorders. With its multicultural focus, this book not only brings women of color and lesbians into our picture of eating problems, but also clears up many demeaning and sexist ideas about these problems among white women. By featuring the creative ways in which women have changed their unwanted eating patterns and regained trust in their bodies and appetites, the author offers a message of hope and empowerment that applies across race, class, and sexual preference. "Becky W. Thompson has provided a rigorous and impassioned study of eating problems, casting a special light on the experiences of women of color. Linking unhealthy eating patterns to the oppression women suffer in a society both sexist and racist, Thompson breaks new ground and offers hope for the multitudes of women who have swallowed their pain." Evelyn C. White, editor, The Black Women's Health Book "Thompson is making an important contribution to the field of eating disorders. The diversity of these women's experiences makes it particularly crucial that we hear their perspectives. Thompson's work should help us to reevaluate our assumptions about race, ethnicity, sexism, and violence in the etiology and maintenance of eating problems." Eating Disorders: The Journal of Treatment and Prevention "Compelling stories appear in her book." San Jose Mercury News "Eating disorders have been a disastrous and dangerous problem for women for decades. A Hunger So Wide and So Deep sheds light on the seldom-noted fact that eating disorders do not discriminate. A Hunger So Wide and So Deep should be read by all women with eating disorders, parents who want to raise healthy children, and friends, lovers, spouses, and siblings of the women who struggle with eating disorders." Hispania News "In a Hunger So Wide and So Deep, psychologist Becky Thompson refutes this media image of the victims of eating disorders and builds a foundation for an entirely different perception of what causes these diseases. Her results are both surprising and alarming. Thompson argues-quite convincingly-that eating disorders happen most frequently in women of color, lesbians, and women under severe economic distress. Hunger is stuffed full of footnotes and references to statistics, studies, psychological profiles and other data to bolster her well-reasoned argument that eating disorders are most often caused by a post-traumatic stress disorder (PTSD) response to racism, sexism, homophobia and other abuses suffered by women. Thompson's theories are complicated but never murky and are presented in a clearly delineated manner that never deteriorates into academese. Hunger refutes an enormous number of popularly held theories about eating disorders. Thompson's research belies the notion that it is teens and college students who are most at risk for these diseases; according to Thompson's studies, women in their 30s are the most frequent victims of eating disorders. And her most potent find, that non-white, non-heterosexual women are also frequent victims means a total redefinition of what these illnesses are about. Thompson urges a second look at our national obsession with weight and proffers theories and practices that could save the lives of women of all colors and sexual orientations." Lambda Book Report "A Hunger So Wide and So Deep is a wonderful book: gripping, creative and profoundly humane. In lucid prose Becky Thompson offers an original explanation for women's eating problems. She argues that many women turn to food-bingeing, dieting, purging, or starving- as a sensible means of coping with physical and psychic 'atrocities' deriving from 'racism, sexism, homophobia, classism, the stress of acculturation, and emotional, physical, and sexual abuse.' Thompson breaks new ground by examining the experiences of lesbians, women of color and working-class women. Her inclusive approach produces a serious challenge to the stereotype that eating problems stem primarily from a concern with thinness." Women's Review of Books "In addition to an excellent analysis of the issues, we get a real sense of each of the women she interviewed. Although well documented and an asset to other researchers, the book is also accessibly written and an important read for anyone who wants to understand more about eating problems and women's bodies." Body Image Task Force Newsletter "Becky Thompson criticizes current feminist theory on women and eating disorders for utilizing gender almost exclusively as the category of analysis, ignoring race, class, and sexuality. She demonstrates that women of color and women of many classes and sexual orientations can be included in feminist analyses in a more meaningful way than simply saying 'these groups are affected, too'." Feminist Collections "Thompson's A Hunger So Wide and So Deep provides a bridge between the micro- and macroanalyses of eating disorders. Thompson's is the only study to my knowledge that deals systematically with race and sexualities, and it is this diversity of interviewees as well as Thompson's careful listening that shapes her analysis. More than even the feminist therapists, Thompson allows her interviewees to tell their stories. Most significant, Thompson derives her theory of disturbed eating from the stories the women told, while not reducing the behavior to personal problems." NWSA Journal "This book offers a message of hope and empowerment across race, class and sexual orientation. This book represents the postmodern challenge to us all: to question the dominant stories and pay attention to each individual's knowledge about her own life. It has been refreshing to read this book and, using these descriptions with others I see, to bring help and vision from one woman to another." Journal of Feminist Family Therapy Becky W. Thompson is an assistant professor of sociology at the Center for Research on Women at the University of Memphis and coeditor (with Sangeeta Tyagi) of Beyond a Dream Deferred: Multicultural Education and the Politics of Excellence. She is the author of A Promise and a Way of Life: White Antiracist Activism and Mothering without a Compass: White Mother's Love, Black Son's Courage.
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Origins and Evolution of Behavior Disorders
From Infancy to Early Adult Life
Stella Chess and Alexander Thomas
Harvard University Press, 1987
Beginning in 1956, Stella Chess and Alexander Thomas tracked the lives of 133 children from infancy to young adulthood, examining in detail their psychological development over a twenty-five-year period. The result was the groundbreaking New York Longitudinal Study. This book, first published in 1984, presents a complete report of the study, including analyses of the data and exploration of such fundamental questions as gender differences, antecedents of adult behavior patterns, and factors that contribute to depression and other disorders. Special emphasis is given to the clinical evaluation and treatment of patients with behavioral abnormalities. The authors discuss key findings: the important role of parental guidance, the continuities and discontinuities across developmental stages, the crucial effects of temperament on psychological development, and the usefulness of a “goodness of fit” model for understanding the relationship between person and environment and for describing the evolution of behavior disorders.
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Origins of Psychopathology
The Phylogenetic and Cultural Basis of Mental Illness
Fábrega Jr., Horacio
Rutgers University Press, 2002
What are the origins of human psychopathology? Is mental illness a relatively recent phenomenon, or has it been with us throughout evolution?

In Origins of Psychopathology, Horacio Fárega Jr. employs principles of evolutionary biology to better understand the significance of mental illness. He explores whether what psychiatry has categorized as mental disorders could have existed during earlier phases of human evolution. Fábrega approaches the prominent features of mental disorders as adaptive responses to the environment and life’s circumstances, which in turn can only be understood in the context of our evolutionary past. Taking his cue from theoretical issues raised by research into primate behavior and early hominid evolution, he poses the question: What, if any, aspects of mental illness are rooted in our evolution? Does mental illness occur in primates and other animals, and if so, what does this tell us about mental illness in human evolution? How has mental illness played an adaptive role? How has the development of language and higher cognitive functions affected characteristics of psychopathology?  Fábrega synthesizes insights from both the clinical and the evolutionary points of view. This facet of psychopathology, which involves its origins and manifestations viewed across the expanse of human evolution, has, until now, been largely neglected in psychiatric education, theory, and practice.
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The Science and Fiction of Autism
Laura Schreibman
Harvard University Press, 2007

Autism is a complex and incurable constellation of bizarre behaviors, impaired cognition, limited language, and most distressingly, a lack of responsiveness to other people, and it has been the center of impassioned debates for decades. What is it? What causes it? How can it be treated?

In The Science and Fiction of Autism, one of the country's leading experts in behavioral treatments approaches autism through the context of its controversies, showing where extraordinary and unfounded claims have falsely raised hopes, stirred fears, and ruined lives. Arguing that autism is an entirely biological disorder, however complex its neurological origins, Laura Schreibman lays waste to the beliefs that it is caused by "refrigerator mothers" or the MMR vaccine, as well as to the simplistic claims that it can be cured by a variety of unsubstantiated treatments.

Drawing from her own long clinical experience with autistic children and their parents, Schreibman arms her readers--students, educators, psychologists, and parents alike--with information and arguments to deal with the onslaught of good, bad, deficient, and irrelevant ideas about autism.

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Seven Countries
A Multivariate Analysis of Death and Coronary Heart Disease
Ancel Keys
Harvard University Press, 1980

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Twenty-Two Years
Causes and Consequences of Mental Retardation
Stephen Richardson and Helene Koller
Harvard University Press, 1996

Twenty-Two Years presents the results of a unique longitudinal study of the first 22 years in the lives of more than 200 young people with varying degrees of mental retardation. By following their paths through available services, job histories, leisure activities, friendships, and marriages, the authors provide objective information about the quality of life of young people with mental retardation.

The book makes a unique contribution by determining what factors in childhood predict who will and who will not require mental retardation services and, for those who disappear from services, why some fare better than others. Most important, the results help answer a question that haunts parents: "What will happen when my child grows up?"

This study expands on an internationally acclaimed clinical and epidemiological study of children with mental retardation published in 1970. It provides prevalence rates by severity of mental retardation, gender, social class, and family stability, and shows how these change over time.

The authors confirm the central role of biomedical factors in the etiology of severe mental retardation. For the etiology of mild mental retardation, the book examines the relative contributions of biomedical and intergenerational genetic factors as well as psychosocial adversity. The book should be of interest to a broad range of clinicians, researchers, and students, as well as the families of people with mental retardation, and it will serve as a model for future epidemiological and follow-up research.

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