A SCHOLARLY BOOK REPOSITORY58 start with W start with W
Throughout history, Western society has often viewed sickness as a punishment for sin. It has failed to prevent and cure diseases—especially diseases tied to sex—that were seen as the retribution of a wrathful God. The Wages of Sin, the remarkable history of these diseases, shows how society's views of particular afflictions often heightened the suffering of the sick and substituted condemnation for care. Peter Allen moves from the medieval diseases of lovesickness and leprosy through syphilis and bubonic plague, described by one writer as "a broom in the hands of the Almighty, with which He sweepeth the most nasty and uncomely corners of the universe." More recently, medical and social responses to masturbation in the eighteenth and nineteenth centuries and AIDS in the twentieth round out Allen's timely and erudite study of the intersection of private morality and public health. The Wages of Sin tells the fascinating story of how ancient views on sex and sin have shaped, and continue to shape, religious life, medical practice, and private habits.
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.
In India, you can still find the kabaadiwala, the rag-and-bone man. He wanders from house to house buying old newspapers, broken utensils, plastic bottles—anything for which he can get a little cash. This custom persists and recreates itself alongside the new economies and ecologies of consumer capitalism. Waste of a Nation offers an anthropological and historical account of India’s complex relationship with garbage.
Countries around the world struggle to achieve sustainable futures. Assa Doron and Robin Jeffrey argue that in India the removal of waste and efforts to reuse it also lay waste to the lives of human beings. At the bottom of the pyramid, people who work with waste are injured and stigmatized as they deal with sewage, toxic chemicals, and rotting garbage.
Terrifying events, such as atmospheric pollution and childhood stunting, that touch even the wealthy and powerful may lead to substantial changes in practices and attitudes toward sanitation. And innovative technology along with more effective local government may bring about limited improvements. But if a clean new India is to emerge as a model for other parts of the world, a “binding morality” that reaches beyond the current environmental crisis will be required. Empathy for marginalized underclasses—Dalits, poor Muslims, landless migrants—who live, almost invisibly, amid waste produced predominantly for the comfort of the better-off will be the critical element in India’s relationship with waste. Solutions will arise at the intersection of the traditional and the cutting edge, policy and practice, science and spirituality.
Covering an incredibly wide range of subjects, from minerals and machines to patients and pharmaceuticals, and from experimental physics to genetic engineering, Pickstone's Ways of Knowing challenges the reader to reexamine traditional conceptualizations of the history, philosophy, and social studies of science, technology, and medicine.
Drawing on many years among urban and rural Yaka, Devisch analyzes their understanding of existence as a fabric of firmly but delicately interwoven threads of nature, body, and society. The fertility healing ritual calls forth forces, feelings, and meanings that allow women to rejoin themselves to the complex pattern of social and cosmic life. These elaborate rites—whether simulating mortal agony and rebirth, gestation and delivery, or flowering and decay; using music and dance, steambath or massage, dream messages or scarification—are not based on symbols of traditional beliefs. Rather, Devisch shows, the rites themselves generate forces and meaning, creating and shaping the cosmic, physical, and social world of their participants.
In contrast to current theoretical methods such as postmodern or symbolical interpretation, Devisch's praxiological approach is unique in also using phenomenological insights into the intent and results of anthropological fieldwork. This innovative work will have ramifications beyond African studies, reaching into the anthropology of medicine and the body, comparative religious history, and women's studies.
Trained as a druggist when he was in his early twenties, Bonsall traveled the world, spent eight years on a tea plantation in India, and settled in Philadelphia, where he worked in the city surveyor’ s office. But in March 1862, when he was in his mid-forties, the lure of serving his country on the battlefield led Bonsall to join the 81st Pennsylvania Infantry as a hospital steward.
Bonsall enjoyed his life with the Union army at first, comparing bivouacking in the woods to merely picnicking on a grand scale. “ We are about as jolly a set of old bachelors as can be found in Virginia,” Bonsall wrote. But his first taste of the aftermath of battle at Fair Oaks and the Seven Days’ Battles in Virginia changed his mind about the joys of soldiering— though he never lost his zeal for the Union cause.
Bonsall details the camp life of a soldier from firsthand experience, outlines the engagements of the 81st, and traces the Battle of Fredericksburg and the Peninsula Campaign. He records facts not available elsewhere about camp conditions, attitudes toward Union generals and Confederate soldiers, and troop movements.
From the end of June to late October 1862, Bonsall’ s illness kept him from writing in his journal. He picked up the record again in December 1862, just before the Battle of Fredericksburg, Virginia, in which the Union suffered a staggering 10,200 casualties and the 81st Pennsylvania lost more than half its men. He vividly describes the bloody aftermath. Bonsall’ s horse was shot out from underneath him at the battle of Gettysburg, injuring him seriously and ending his military career. Although he was listed as “ sick in hospital” on the regiment’ s muster rolls, he was labeled a deserter in the U.S. Army records. Indeed, after recovery from his injuries, Bonsall walked away from the army to resume life in Philadelphia with his wife and child.
Published for the first time, Bonsall’ s journal offers an unusually personal glimpse into the circumstances and motives of a man physically ruined by the war. Seventeen illustrations, including some drawn by Bonsall himself, help bring this narrative to 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.
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.
A landmark work, this history of medical thought from antiquity through the Middle Ages reconstructs the slow transformations and sudden changes in theory and practice that marked the birth and early development of Western medicine.
Editor Mirko Grmek and his contributors adopt a synthetic, cross-disciplinary approach that conveys a complete and varied vision of our medical past, with attention to cultural, social, and economic forces as they have affected the historical flow of knowledge and the practice of medicine. The various chapters by an international group of scholars, isolate key ideas behind the history of medicine in the West: charity and aid for the sick; medical scholasticism; the concept of disease; intervention with surgery or drugs; and the regimen of health. Throughout, they highlight the links between socioeconomics in general, with a focus on the physician, and the scientific ideas, beliefs, and techniques behind prevailing medical practices. The result is a multifaceted history, unparalleled in its scope, of the myriad influences on the development of medical thought, and of the impact of that thought on other branches of knowledge and on human behavior across the centuries.
•How do I answer a "why" question?
•What do I say to a patient who believes a miracle will happen to cure them?
•What if I'm not religious? How can I talk about it?
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.
A Wall Street Journal Top Ten Book of the Year
A First Things Books for Christmas Selection
Winner of the Expanded Reason Award
“This important work of moral philosophy argues that we are, first and foremost, embodied beings, and that public policy must recognize the limits and gifts that this entails.”
—Wall Street Journal
The natural limits of the human body make us vulnerable and dependent on others. Yet law and policy concerning biomedical research and the practice of medicine frequently disregard these stubborn facts. What It Means to Be Human makes the case for a new paradigm, one that better reflects the gifts and challenges of being human.
O. Carter Snead proposes a framework for public bioethics rooted in a vision of human identity and flourishing that supports those who are profoundly vulnerable and dependent—children, the disabled, and the elderly. He addresses three complex public matters: abortion, assisted reproductive technology, and end-of-life decisions. Avoiding typical dichotomies of conservative-liberal and secular-religious, Snead recasts debates within his framework of embodiment and dependence. He concludes that if the law is built on premises that reflect our lived experience, it will provide support for the vulnerable.
“This remarkable and insightful account of contemporary public bioethics and its individualist assumptions is indispensable reading for anyone with bioethical concerns.”
—Alasdair MacIntyre, author of After Virtue
“A brilliantly insightful book about how American law has enshrined individual autonomy as the highest moral good…Highly thought-provoking.”
—Francis Fukuyama, author of Identity
A provocative call to rethink America's values in health care.
Primary care has come into the limelight with the passage of the Patient Protection and Affordable Care Act, the unchecked and unsustainable rise in American health care expenditures, and the crest of Baby Boomers who are now Medicare-eligible and entering the most health care–intensive period of their lives. Yet how much is really known about primary care? What Matters in Medicine: Lessons from a Life in Primary Care is a look at the past, present, and future of general practice, which is not only the predecessor to the modern primary care movement, but its foundation. Through memoir and conversation, Dr. David Loxterkamp reflects on the heroes and role models who drew him to family medicine and on his many years in family practice in a rural Maine community, and provides a prescription for change in the way that doctors and patients approach their shared contract for good health and a happy life. This book will be useful to those on both sides of primary care, doctors and patients alike.
What Nostalgia Was unearths that history. Thomas Dodman begins his story in Basel, where a nineteen-year-old medical student invented the new diagnosis, modeled on prevailing notions of melancholy. From there, Dodman traces its spread through the European republic of letters and into Napoleon's armies, as French soldiers far from home were diagnosed and treated for the disease. Nostalgia then gradually transformed from a medical term to a more expansive cultural concept, one that encompassed Romantic notions of the aesthetic pleasure of suffering. But the decisive shift toward its contemporary meaning occurred in the colonies, where Frenchmen worried about racial and cultural mixing came to view moderate homesickness as salutary. An afterword reflects on how the history of nostalgia can help us understand the transformations of the modern world, rounding out a surprising, fascinating tour through the history of a durable idea.
Regardless of the fate of national health care reform, public policy makers will have to make difficult and tragic choices about which health services are more or less important. This volume, the first comprehensive examination of setting mental health services priorities, systematically explores the history, ethics, and politics of setting priorities for public mental health services. Because mental health services have traditionally been given lower priority and less generous benefits than general health services, they form a striking case study for priority setting.
Written by mental health care practitioners and scholars, What Price Mental Health? explores the social factors that most influence attempts to set priorities; offers case studies at the state level; illustrates priorities at the federal level and in the private sector; and identifies the ethical criteria that must be applied in any attempt to set priorities.
This volume is conceptionally rich for those familiar with mental health care research, but written in a style understandable to the general reader. Policy makers will find the book useful in the on-going debates about mental health care. Psychologists, public health professionals, researchers and students of psychology, public policy and public health will find this study an absorbing and informative addition to the mental health field.
In this riveting third book of the Dr. Abby Wilmore series, Dr. Abby returns to her medical clinic in Grand Canyon National Park. Happy to be reunited with her staff and her partner, Dr. John Pepper, Abby is back treating park visitors and personnel as well as local residents. However, a wave of heart attacks among apparently healthy hikers creates a new puzzle, and soon there are rumors of people using performance-enhancing drugs. Abby’s situation deteriorates when a new female friend suddenly disappears, and Abby berates herself for missing the woman’s depression.
As Abby struggles with the disappearance of her friend, Dr. Pepper is preoccupied by a mysterious threat from his past and becomes badly
injured in an apparent fall. While he recuperates, Abby takes over much of the clinic work while they provide a home for Pepper’s troubled teenage niece and an adopted stray dog.
Abby soon discovers that there is something more sinister behind the recent troubling events. In this exhilarating follow-up to The Color of Rock and Where Light Comes and Goes, Abby must learn to confront her past in order to stand up for the ones she loves.
Renowned sociologist Charles L. Bosk has been observing medical care for thirty-five years. In What Would You Do? he brings his extensive experience to bear on these questions while reflecting on the ethical dilemmas that his own ethnographic research among surgeons and genetic counselors has provoked. Bosk considers whether the consent given to ethnographers by their subjects can ever be fully voluntary and informed. He questions whether promises of confidentiality and anonymity can or should be made. And he wonders if social scientists overestimate the benefits of their work while downplaying the risks.
Vital for practitioners of both the newly prominent field of bioethics and the long-established craft of ethnography, What Would You Do? will also engross anyone concerned with how our society addresses difficult health care issues.
Through in-depth interviews with Latinx immigrants in northern California, Carrillo examines three circumstances—place, gender, and immigration status—that intersect to influence an individual’s access to health care, food assistance, and other benefits. She demonstrates that place of residence affects undocumented immigrants’ ability to get care since more services are available in urban areas, where many immigrants cannot afford to live, than suburban areas, where public transportation is limited. She also shows that while both men and women who are undocumented have difficulty obtaining care, men often confront more challenges. Undocumented women who are pregnant or mothers are eligible for some government safety net programs and rely on informal coethnic networks or a “guiding figure”—a relative, friend, neighbor, or coworker—who explains how to get care and makes them feel confident in accessing it. Most undocumented men, in contrast, are not eligible for public programs except in a medical emergency and often lack someone to guide them directly to care. Men sometimes steer one another to jobs through worker centers—where they may learn about various services and take advantage of those that increase their employability, like English or computer classes—but a culture of masculinity leads them to downplay medical problems and seek health care only in a crisis.
As undocumented immigrants navigate this exclusionary system, Carrillo finds that they resist the rhetoric stigmatizing them as lawbreakers. Dismissing the importance of “papers” and highlighting their work ethic, they question the fairness of U.S. immigration policies and challenge ideas about who deserves care.
Carrillo offers concrete recommendations, such as improving labor conditions and reexamining benefit eligibility, to increase access to care for not only undocumented immigrants but also people who have been excluded because of their race, criminal record, gender identity, sexual orientation, or disability. She argues that working with and across populations creates a powerful form of solidarity in advocating for inclusive care.
When Care Is Conditional provides compelling insights into how safety net and immigration policies intersect to affect people’s everyday lives and calls for a cultural shift so that the United States can provide unconditional care for all.
In When Sickness Heals, Dr. Siroj Sorajjakool draws on more than ten years of studies on health benefits in relation to spirituality, especially focusing on the function of "meaning." He expounds on his theory that healing is primarily the function of meaning, and meaning transcends sickness and even death itself. He concludes that what people ultimately seek in life is the healing of their souls.
Sorajjakool brings many Eastern and Western resources to his conversation on health, meaning, and healing. He incorporates the perspectives of theologians and philosophers like Paul Tillich, Carl Jung, Søren Kierkegaard, Raimundo Panikkar, Dietrich Bonhoeffer, and John Macquarrie; as well as references to religious texts, including yin and yang, and alchemy.
A clear, distinct understanding of spirituality in clinical contexts is presented, with an argument for the role of meaning in the healing process, based on evidence that there may be healing even in the face of death. Sorajjakool identifies the transitional processes people may go through as they seek to make sense of their experiences during a health crisis. He suggests an alternative approach to spiritual assessment and provides methods of spiritual care that speak to the soul.
Book 2 in the Dr. Abby Wilmore Series
Where Light Comes and Goes brings back Dr. Abby Wilmore, the young family physician who was the protagonist of Miller’s first novel, The Color of Rock. Abby has accepted the directorship of a summer clinic in Yellowstone National Park where she hopes to expand her medical skills. She arrives to find herself working above the increasingly restless Yellowstone supervolcano, treating visitors, staff, and locals, all while evading the advances of a lecherous concession manager and maintaining a long-distance relationship with her partner who stays at the Grand Canyon Clinic. As tremors in the park escalate and the lakes seethe with bubbling gases, Abby learns that some-one is mysteriously killing the bison.
What follows is an engrossing mystery unfolding in a spectacular setting with rich, quirky, and endearing characters and unexpected plot turns. While an overworked Abby makes new friends among her clinic staff and patients, tension builds as the volcano seems to be moving closer to a major eruption and the bison killings become more frequent. Soon, Abby finds herself in mortal danger as the story races to a thrilling and unexpected conclusion.
Sandra Cavallo Miller demonstrated in The Color of Rock that she is a gifted storyteller. Where Light Comes and Goes deftly combines a gripping mystery set in the accurately depicted routine of a busy medical practice amid the wonders of Yellowstone’s magnificent scenery and wildlife. This is entertaining reading at its best.
Dr. Alex Reddish, a faculty member at the residency, enjoys Maya’s company every week. He longs to know her better but also knows she is involved with a prominent cardiologist. A former shy chess champion, Alex has worked to remake himself into a more socially engaged person, though he cannot completely shed his reclusive past. His professional life is complicated by two resident physician advisees: a depressed and poorly performing man, and a seductive woman. And now someone seems determined to harm him.
Maya and Alex turn accomplices when they try to unravel a spate of unusual illnesses afflicting residency staff, and discover disturbing trends. As Maya and Alex become closer, they must also tackle their personal pasts and individual demons, and find the courage to move forward.
This is the only comprehensive and critical account, in a single volume, of the leukocytes. It cuts across scientific and clinical disciplines to provide a unified review of granulocytes, monocytes, and lymphocytes, both as individual cell types and as they form an integrated system of defense against the body's foreign invaders. Sections on each cell type discuss first normal and then abnormal aspects of morphogenesis and morphology, the kinetics of production, distribution, life span, metabolism and function. Specific disease states are reviewed in the context of pathophysiological mechanisms.
Readable, and beautifully illustrated with photomicrographs, electron micrographs, diagrams and drawings, this book will serve a broad audience of physicians and scientists as well as students seeking a basic grounding in the field. More than 6,000 references are cited; the reader will find a perspective on the historical development of leukocyte biology as well as a current summary of a rapidly changing field. Not only hematologists, but workers in the basic disciplines of immunology and cell biology, and in the clinical fields of oncology, genetics, infectious disease, surgery, and related areas, will turn to this book as the fundamental teaching and reference work on white cells.
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.
These markets are widely acknowledged but no one has explained how they became so central to the medical system in a nation famous for its “drug wars”—until now. Drawing from federal, state, industry, and medical archives alongside a wealth of published sources, Herzberg re-connects America’s divided drug history, telling the whole story for the first time. He reveals that the driving question for policymakers has never been how to prohibit the use of addictive drugs, but how to ensure their availability in medical contexts, where profitability often outweighs public safety. Access to white markets was thus a double-edged sword for socially privileged consumers, even as communities of color faced exclusion and punitive drug prohibition. To counter this no-win setup, Herzberg advocates for a consumer protection approach that robustly regulates all drug markets to minimize risks while maintaining safe, reliable access (and treatment) for people with addiction.
Accomplishing this requires rethinking a drug/medicine divide born a century ago that, unlike most policies of that racially segregated era, has somehow survived relatively unscathed into the twenty-first century.
By showing how the twenty-first-century opioid crisis is only the most recent in a long history of similar crises of addiction to pharmaceuticals, Herzberg forces us to rethink our most basic ideas about drug policy and addiction itself—ideas that have been failing us catastrophically for over a century.
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.
Just what is a human being? Who counts? The answers to these questions are crucial when one is faced with the ethical issue of taking human life. In this affirmation of the intrinsic personal dignity and inviolability of every human individual, John Kavanaugh, S. J., denies that it can ever be moral to intentionally kill another.
Today in every corner of the world men and women are willing to kill others in the name of "realism" and under the guise of race, class, quality of life, sex, property, nationalism, security, or religion. We justify these killings by either excluding certain humans from our definition of personhood or by invoking a greater good or more pressing value.
Kavanaugh contends that neither alternative is acceptable. He formulates an ethics that opposes the intentional killing not only of medically "marginal" humans but also of depersonalized or criminalized enemies. Offering a philosophy of the person that embraces the undeveloped, the wounded, and the dying, he proposes ways to recover a personal ethical stance in a global society that increasingly devalues the individual.
Kavanaugh discusses the work of a range of philosophers, artists, and activists from Richard Rorty and Søren Kierkegaard to Albert Camus and Woody Allen, from Mother Teresa to Jack Kevorkian. His approach is in stark contrast to that of writer Peter Singer and others who believe that not all human life has intrinsic moral worth. It will challenge philosophers, students of ethics, and anyone concerned about the depersonalization of contemporary life.
By focusing on one particular type of NGO—those organized to help prevent the spread and transmission of HIV in Kenya—Megan Hershey interrogates the ways these organizations achieve (or fail to achieve) their planned outcomes. Along the way, she examines the slippery slope that is often used to define “success” based on meeting donor-set goals versus locally identified needs. She also explores the complex network of bureaucratic requirements at both the national and local levels that affect the delicate relationships NGOs have with the state. Drawing on extensive, original quantitative and qualitative research, Whose Agency serves as a much-needed case study for understanding the strengths and shortcomings of participatory development and community engagement.
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.”
William James is known as a nineteenth-century philosopher, psychologist, and psychical researcher. Less well-known is how his interest in medicine influenced his life and work, driving his ambition to change the way American society conceived of itself in body, mind, and soul. William James, MD offers an account of the development and cultural significance of James’s ideas and works, and establishes, for the first time, the relevance of medical themes to his major lines of thought.
James lived at a time when old assumptions about faith and the moral and religious possibilities for human worth and redemption were increasingly displaced by a concern with the medically “normal” and the perfectibility of the body. Woven into treatises that warned against humanity’s decline, these ideas were part of the eugenics movement and reflected a growing social stigma attached to illness and invalidism, a disturbing intellectual current in which James felt personally implicated. Most chronicles of James’s life have portrayed a distressed young man, who then endured a psychological or spiritual crisis to emerge as a mature thinker who threw off his pallor of mental sickness for good. In contrast, Emma K. Sutton draws on his personal correspondence, unpublished notebooks, and diaries to show that James considered himself a genuine invalid to the end of his days. Sutton makes the compelling case that his philosophizing was not an abstract occupation but an impassioned response to his own life experiences and challenges. To ignore the medical James is to misread James altogether.
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.
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.
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.
Of some twelve thousand Union Civil War surgeons, only fourteen were Black men. This book is the first-ever comprehensive exploration of their lives and service. Jill L. Newmark’s outstanding research uncovers stories hidden for more than 150 years, illuminating the unique experiences of proud, patriotic men who fought racism and discrimination to attend medical school and serve with the U.S. military. Their efforts and actions influenced societal change and forged new pathways for African Americans.
Individual biographies bring to light Alexander T. Augusta, who challenged discriminatory laws; William P. Powell Jr., who pursued a military pension for twenty-five years; Anderson R. Abbott, a friend of Elizabeth Keckley’s; John van Surly DeGrasse, the only Black surgeon to serve on the battlefield; John H. Rapier Jr., an international traveler; Richard H. Greene, the only Black surgeon known to have served in the Navy; Willis R. Revels, a preacher; Benjamin A. Boseman, a politician and postmaster; and Charles B. Purvis, who taught at Howard University. Information was limited for five other men, all of whom broke educational barriers by attending medical schools in the United States: Cortlandt Van Rensselaer Creed, William B. Ellis, Alpheus W. Tucker, Joseph Dennis Harris, and Charles H. Taylor.
Newmark presents all available information about the surgeons’ early lives, influences, education, Civil War service, and post-war experiences. Many of the stories overlap, as did the lives of the men. Each man, through his service as a surgeon during the war and his lifelong activism for freedom, justice, and equality, became a catalyst of change and a symbol of an emancipated future.
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.
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.
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.
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.
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.
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.
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.
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.
For much of the developed world, health care for a surging elderly population looms as one of the most daunting problems of the coming decade. In this book, contributors from diverse disciplinary backgrounds and countries discuss resource allocation for the elderly and debate plans for the years ahead. Essays focus on five general issues: the meaning of old age, the goals of medicine and health care for the elderly, the balance between the needs of the young and old, the pressures of other social priorities, and the role of families, especially the burden on women, in long-term care.
In consideration of the difficult moral and practical issues involved, the editors conclude the volume with a special report containing policy recommendations from representatives of eight countries (the United States, Belgium, the Czech Republic, Germany, Hungary, the Netherlands, Sweden, and the United Kingdom). This important volume will be of interest to policymakers and a broad spectrum of health care professionals, as well as to anyone interested in the fate of the elderly or in coming health care challenges.
Ill people are more than victims of disease or patients of medicine; they are wounded storytellers. People tell stories to make sense of their suffering; when they turn their diseases into stories, they find healing.
Drawing on the work of authors such as Oliver Sacks, Anatole Broyard, Norman Cousins, and Audre Lorde, as well as from people he met during the years he spent among different illness groups, Frank recounts a stirring collection of illness stories, ranging from the well-known—Gilda Radner's battle with ovarian cancer—to the private testimonials of people with cancer, chronic fatigue syndrome, and disabilties. Their stories are more than accounts of personal suffering: they abound with moral choices and point to a social ethic.
Frank identifies three basic narratives of illness in restitution, chaos, and quest. Restitution narratives anticipate getting well again and give prominence to the technology of cure. In chaos narratives, illness seems to stretch on forever, with no respite or redeeming insights. Quest narratives are about finding that insight as illness is transformed into a means for the ill person to become someone new.
Drawing on the work of authors such as Oliver Sacks, Anatole Broyard, Norman Cousins, and Audre Lorde, as well as from people he met during the years he spent among different illness groups, Frank recounts a stirring collection of illness stories, ranging from the well-known—Gilda Radner's battle with ovarian cancer—to the private testimonials of people with cancer, chronic fatigue syndrome, and disabilities. Their stories are more than accounts of personal suffering: they abound with moral choices and point to a social ethic.
In this new edition Frank adds a preface describing the personal and cultural times when the first edition was written. His new afterword extends the book’s argument significantly, writing about storytelling and experience, other modes of illness narration, and a version of hope that is both realistic and aspirational. Reflecting on both his own life during the creation of the first edition and the conclusions of the book itself, Frank reminds us of the power of storytelling as way to understanding our own suffering.
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