Beyond the Body Proper includes nine sections conceptually organized around themes such as everyday life, sex and gender, and science. Each section is preceded by interpretive commentary by the volume’s editors. Within the collection are articles and book excerpts focused on bodies using tools and participating in rituals, on bodies walking and eating, and on the female circumcision controversy, as well as pieces on medical classifications, spirit possession, the commodification of body parts, in vitro fertilization, and an artist/anatomist’s “plastination” of cadavers for display. Materialist, phenomenological, and feminist perspectives on embodiment appear along with writings on interpretations of pain and the changing meanings of sexual intercourse. Essays on these topics and many others challenge Eurocentric assumptions about the body as they speak to each other and to the most influential contemporary trends in the human sciences.
With selections by: Henry Abelove, Walter Benjamin, Janice Boddy, John Boswell, Judith Butler, Caroline Walker Bynum, Stuart Cosgrove, Michel de Certeau, Gilles Deleuze, Alice Domurat Dreger, Barbara Duden, Friedrich Engels, E. E. Evans-Pritchard, Judith Farquhar, Marcel Granet, Felix Guattari, Ian Hacking, Robert Hertz, Patricia Leyland Kaufert, Arthur Kleinman, Shigehisa Kuriyama, Jean Langford, Bruno Latour, Margaret Lock, Emily Martin, Karl Marx, Marcel Mauss, Maurice Merleau-Ponty, Nancy K. Miller, Lisa Jean Moore, John D. O’Neil, Aihwa Ong, Mariella Pandolfi, Susan Pedersen, Gregory M. Pflugfelder, Rayna Rapp, Nancy Scheper-Hughes, Kristofer Schipper, Matthew Schmidt, Peter Stallybrass, Michael Taussig, Charis Thompson, E.P. Thompson, Anna Lowenhaupt Tsing, Victor Turner, Terence Turner, Jose van Dijck, Keith Wailoo, Brad Weiss, Allon White
Examining medical pluralism in the United States from the Revolutionary War period through the end of the twentieth century, Hans Baer brings together in one convenient reference a vast array of information on healing systems as diverse as Christian Science, osteopathy, acupuncture, Santeria, southern Appalachian herbalism, evangelical faith healing, and Navajo healing.
In a country where the dominant paradigm of biomedicine (medical schools, research hospitals, clinics staffed by M.D.s and R.N.s) has been long established and supported by laws and regulations, the continuing appeal of other medical systems and subsystems bears careful consideration. Distinctions of class, Baer emphasizes, as well as differences in race, ethnicity, and gender, are fundamental to the diversity of beliefs, techniques, and social organizations represented in the phenomenon of medical pluralism.
Baer traces the simultaneous emergence in the nineteenth century of formalized biomedicine and of homeopathy, botanic medicine, hydropathy, Christian Science, osteopathy, and chiropractic. He examines present-day osteopathic medicine as a system parallel to biomedicine with an emphasis on primary care; chiropractic, naturopathy, and acupuncture as professionalized heterodox medical systems; homeopathy, herbalism, bodywork, and lay midwifery in the context of the holistic health movement; Anglo-American religious healing; and folk medical systems, particularly among racial and ethnic minorities. In closing he focuses on the persistence of folk medical systems among working-class Americans and considers the growing interest of biomedical physicians, pharmaceutical and healthcare corporations, and government in the holistic health movement
The Body Multiple juxtaposes two distinct texts. Alongside Mol’s analysis of her ethnographic material—interviews with doctors and patients and observations of medical examinations, consultations, and operations—runs a parallel text in which she reflects on the relevant literature. Mol draws on medical anthropology, sociology, feminist theory, philosophy, and science and technology studies to reframe such issues as the disease-illness distinction, subject-object relations, boundaries, difference, situatedness, and ontology. In dialogue with one another, Mol’s two texts meditate on the multiplicity of reality-in-practice.
Presenting philosophical reflections on the body and medical practice through vivid storytelling, The Body Multiple will be important to those in medical anthropology, philosophy, and the social study of science, technology, and medicine.
During the late 1970s and 1980s, "cancer" underwent a remarkable transformation. In one short decade, what had long been a set of heterogeneous diseases marked by uncontrolled cell growth became a disease of our genes. How this happened and what it means is the story Joan Fujimura tells in a rare inside look at the way science works and knowledge is created. A dramatic study of a new species of scientific revolution, this book combines a detailed ethnography of scientific thought, an in-depth account of science practiced and produced, a history of one branch of science as it entered the limelight, and a view of the impact of new genetic technologies on science and society.
The scientific enterprise that Fujimura unfolds for us is proto-oncogene cancer research--the study of those segments of DNA now thought to make normal cells cancerous. Within this framework, she describes the processes of knowledge construction as a social enterprise, an endless series of negotiations in which theories, material technologies, and practices are co-constructed, incorporated, and refashioned. Along the way, Fujimura addresses long-standing questions in the history and philosophy of science, culture theory, and sociology of science: How do scientists create "good" problems, experiments, and solutions? What are the cultural, institutional, and material technologies that have to be in place for new truths and new practices to succeed?
Portraying the development of knowledge as a multidimensional process conducted through multiple cultures, institutions, actors, objects, and practices, this book disrupts divisions among sociology, history, anthropology, and the philosophy of science, technology, and medicine.
In health care delivery and health care research, basic concepts of cultural behavior are ignored—at a high personal and financial cost—because both fields are dominated by technical solutions and quantitative analysis. They have little use for what is often regarded as irrelevant information.
In this wide-ranging book, written for students and non-specialists, Gesler applies cultural geography to health care and shows that throughout the world, in western and developing countries alike, the social sciences can inform the medical sciences nd make them more effective and less expensive.
The ethnography pieces together the voices of pregnant Japanese and Israeli women, their doctors, their partners, the literature they read, and depicts various clinical encounters such as ultrasound scans, explanatory classes for amniocentesis, birthing classes, and special pregnancy events.
The emergent pictures suggest that although experiences of pregnancy in Japan and Israel differ, pregnancy in both cultures is an energy-consuming project of meaning-making— suggesting that the sense of biomedical technologies are not only in the technologies themselves but are assigned by those who practice and experience them.
Ethnicity and Medical Care equips health professionals with the ethnographic data they need to deliver better health care within American communities of urban blacks, Chinese, Haitians, Italians, Mexicans, Navajos, and Puerto Ricans. Each chapter, dealing in turn with one of these seven American subcultures, reviews the available demographic and epidemiological data and examines sociocultural influences on each major phase of illness.
Topics range from culture-specific syndromes such as susto or “evil eye,” to concepts of disease based on blood perturbations or God's punishment, to lay-referral networks, consultation of mainstream and non-mainstream sources of medical care, and adherence to treatment regimens. But ethnic behavior often entails general styles of interaction—attitudes toward authority figures, sex-role allocations, and ways of expressing emotion and asking for help—that are carried over into the healthcare setting. Accordingly, Ethnicity and Medical Care also offers general guidelines for providing more personalized, culturally relevant care for any ethnically affiliated patient.
A fascinating ethnography of microbes that opens up new spaces for anthropological inquiry
The trillions of microbes in and on our bodies are determined by not only biology but also our social connections. Gut Anthro tells the fascinating story of how a sociocultural anthropologist developed a collaborative “anthropology of microbes” with a human microbial ecologist to address global health crises across disciplines. It asks: what would it mean for anthropology to act with science? Based partly at a preeminent U.S. lab studying the human microbiome, the Center for Genome Sciences at Washington University, and partly at a field site in Bangladesh studying infant malnutrition, it examines how microbes travel between human guts in the “field” and in microbiome laboratories, influencing definitions of health and disease, and how the microbiome can change our views on evolution, agency, and life.
As lab scientists studied the interrelationships between gut microbes and malnutrition in resource-poor countries, Amber Benezra explored ways to reconcile the scale and speed differences between the lab, the intimate biosocial practices of Bangladeshi mothers and their children, and the looming structural violence of poverty. In vital ways, Gut Anthro is about what it means to collaborate—with mothers, local field researchers in Bangladesh, massive philanthropic global health organizations, with the microbiome scientists, and, of course, with microbes. It follows microbes through various enactments in scientific research—microbes as kin, as data, and as race. Revealing how racial categories are used in microbiome research, Benezra argues that microbial differences need transdisciplinary collaboration to address racial health disparities without reifying race as a straightforward biological or social designation.
Gut Anthro is a tour de force of science studies and medical anthropology as well as an intensely personal and deeply theoretical accounting of what it means to do anthropology today.
Cover alt text:
Black background overlaid with a pink organic path suggestive of a human digestive system. Title appears within the guts as if being processed.
Scholars in folklore and anthropology are more directly involved in various aspects of medicine—such as medical education, clinical pastoral care, and negotiation of transcultural issues—than ever before. Old models of investigation that artificially isolated "folk medicine," "complementary and alternative medicine," and "biomedicine" as mutually exclusive have proven too limited in exploring the real-life complexities of health belief systems as they observably exist and are applied by contemporary Americans. Recent research strongly suggests that individuals construct their health belief systmes from diverse sources of authority, including community and ethnic tradition, education, spiritual beliefs, personal experience, the influence of popular media, and perception of the goals and means of formal medicine. Healing Logics explores the diversity of these belief systems and how they interact—in competing, conflicting, and sometimes remarkably congruent ways. This book contains essays by leading scholars in the field and a comprehensive bibliography of folklore and medicine.
How functional medicine leverages systems biology and epigenetic science to treat the microbiome and reverse chronic disease.
Each body is a system within a system—an ecology within the larger context of social, political, economic, cultural, and environmental factors. This is one of the lessons of epigenetics, whereby structural inequalities are literally encoded in our genes. But our ecological embeddedness extends beyond DNA, for each body also teems with trillions of bacteria, yeast, and fungi, all of them imprints of our individual milieus. Nested Ecologies asks what it would mean to take seriously our microbial being, given that our internal ecologies are shaped by inequalities embedded in our physical and social environments.
Further, Rosalynn Vega argues that health practices focused on patients’ unique biology inadvertently reiterate systemic inequities. In particular, functional medicine—which attempts to heal chronic disease by leveraging epigenetic science and treating individual microbiomes—reduces illness to problems of “lifestyle,” principally diet, while neglecting the inability of poor people to access nutrition. Functional medicine thus undermines its own critique of the economics of health care. Drawing on novel digital ethnographies and reflecting on her own experience of chronic illness, Vega challenges us to rethink not only the determinants of well-being but also what it is to be human.
A bold new indictment of the racialization of science
Decades of data cannot be ignored: African American adults are far more likely to develop Type 2 diabetes than white adults. But has science gone so far in racializing diabetes as to undermine the search for solutions? In a rousing indictment of the idea that notions of biological race should drive scientific inquiry, Sweetness in the Blood provides an ethnographic picture of biotechnology’s framings of Type 2 diabetes risk and race and, importantly, offers a critical examination of the assumptions behind the recruitment of African American and African-descent populations for Type 2 diabetes research.
James Doucet-Battle begins with a historical overview of how diabetes has been researched and framed racially over the past century, chronicling one company’s efforts to recruit African Americans to test their new diabetes risk-score algorithm with the aim of increasing the clinical and market value of the firm’s technology. He considers African American reticence about participation in biomedical research and examines race and health disparities in light of advances in genomic sequencing technology. Doucet-Battle concludes by emphasizing that genomic research into sub-Saharan ancestry in fact underlines the importance of analyzing gender before attempting to understand the notion of race. No disease reveals this more than Type 2 diabetes.
Sweetness in the Blood challenges the notion that the best approach to understanding, managing, and curing Type 2 diabetes is through the lens of race. It also transforms how we think about sugar, filling a neglected gap between the sugar- and molasses-sweetened past of the enslaved African laborer and the high-fructose corn syrup- and corporate-fed body of the contemporary consumer-laborer.
An important contribution to medical anthropology, this work defines the principal causes if illness that are reported throughout the world, distinguishing those involving natural causation from the more widely prevalent hypotheses advancing supernatural explanations.
Bringing together essays by nineteen respected scholars, this volume approaches dementia from a variety of angles, exploring its historical, psychological, and philosophical implications. The authors employ a cross-cultural perspective that is based on ethnographic fieldwork and focuses on questions of age, mind, voice, self, loss, temporality, memory, and affect.
Taken together, the essays make four important and interrelated contributions to our understanding of the mental status of the elderly. First, cross-cultural data show that the aging process, while biologically influenced, is also culturally constructed. Second, ethnographic reports raise questions about the diagnostic criteria used for defining the elderly as demented. Third, case studies show how a diagnosis affects a patient's treatment in both clinical and familial settings. Finally, the collection highlights the gap that separates current biological understandings of aging from its cultural meanings.
As Alzheimer's disease and other forms of dementia continue to command an ever-increasing amount of attention in medicine and psychology, this book will be essential reading for anthropologists, social scientists, and health care professionals.
In An Uncertain Cure, Cassandra White goes deep into the shantytowns of Rio de Janeiro to give a riveting account of the contemporary leprosy experience among poor and working class Brazilians. In this ethnographic treatment of leprosy sufferers, White exposes the web of historical, socioeconomic, religious, and political forces that complicate the path to wellness and perpetuate high rates of infection. Drawing on nearly ten years of research, White shows how anthropological research can contribute to more effective treatment of chronic infectious diseases around the world.
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.
In Women as Healers, thirteen contributors explore the intersection of feminist anthropology and medical anthropology in eleven case studies of women in traditional and emergent healing roles in diverse parts of the world. In a spectrum of healing roles ranging from family healers to shamans, diviner-mediums, and midwives, women throughout the world pursue strategic ends through healing, manipulate cultural images to effect cures and explain misfortune, and shape and are shaped by the social and political contexts in which they work. In an introductory chapter, Carol Shepherd McClain traces the evolution of ideas in medical anthropology and in the anthropology of women that have both constrained and expanded our understanding of the significance of gender to healing-one of the most fundamental and universal of human activities.
The contributors include Carol Shepherd McClain, Ruthbeth Finerman, Carolyn Nordstrom, Carole H. Browner, William Wedenoja, Marjery Foz, Barbara Kerewsky-Halpern, Laurel Kendall, Merrill Signer, Roberto Garcia, Edward C. Green, Carolyn Sargent, and Margaret Reid.
While offering a critique of neoliberal health policies, Your Pocket Is What Cures You remains grounded in ethnography to highlight the struggles of men and women who are precariously balanced on twin precipices of crumbling health systems and economic decline. Their stories demonstrate what happens when market-based health reforms collide with material, political, and social realities in African societies.
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