How do market forces influence the media in China? How does the Party both introduce and try to contain the market's influence? How do commercial imperatives both accommodate and challenge Party control? 

Yuezhi Zhao interviewed a wide range of scholars, media administrators, and media professionals to answer these and other questions. Working in China in 1994 and 1995, she monitored media content, carried out extensive documentary research in Beijing, and held off-the-record meetings with Chinese media insiders. What she found informs an in-depth look at the intertwining nature of the Communist Party and the news media in China, how they affect each other, and what the future might hold for each. 

A rare on-the-ground portrait, Media, Market, and Democracy in China is must reading for scholars, media and business professionals, and policymakers who need to understand what happened to China and its mass media during a period of dynamic growth and change.

Using a sample of European newspapers and their TV listings as a stepping stone, Media, Markets and Public Spheres presents an overview of changes in European public spheres over the last fifty years. With in-depth analyses of structural changes in press and broadcasting, changing relations between media, and changes in media policies, this book explores how and why the media decisively influence most aspects of society. Media, Markets and Public Spheres will be useful to students in media and communication studies and European studies, as well as for those studying sociology and political science.

Rick Rockwell and Noreene Janus examine the region country by country and deal with the specific conditions of government-sponsored media repression, economic censorship, corruption, and consumer trends that shape the political landscape. Challenging the notion of the media as a democratizing force, Media Power in Central America shows how governments use the media to block democratic reforms and outlines the difficulties of playing watchdog to rulers who use the media as a tool of power.

Award-winning author David J. Park argues that the battle against global warming is also a fight for media reform. With his new book Media Reform and the Climate Emergency: Rethinking Communication in the Struggle for a Sustainable Future, he critically examines how advertising, the digital infrastructure, and journalism advance the climate emergency and lays out a path of reform to help create a more sustainable world. The production and consumption of goods and services within consumer societies lead to unsustainable greenhouse gas emissions, and Park finds that much of mass communication is either dependent upon or closely tied to the success of this social organization. As a result, he suggests successful environmental movements creatively dismantle or reform institutional infrastructures that extend the planetary global warming crisis and the unsustainable consumption of nature.

Communication policies and industries are part of these infrastructures. Advertising evolved to propel a new consumer society that would encourage the over-consumption of goods and services with harmful and unsustainable production processes. Our digital infrastructure is largely premised upon the surveillance of online consumer habits and preferences, with the goal to create individualized messages to more effectively persuade people to increase their consumption habits. Much of commercial journalism resists the drastic and immediate regulatory changes necessary to address the worst aspects of this crisis. This is because so many of the needed changes challenge the media’s source of income, their libertarian philosophy, and the general status quo, which is preferred by elites. Bound to foster conversations among scholars, activists, politicians, and those who work in the communication industries, this book rethinks mass communication and highlights how immediate reform is needed in the struggle for a sustainable planet.

"This book is the perfect primer for understanding media in the digital age. We are in an era when newspaper, radio, and television are fast becoming archeological concepts. Herein are the reasons why."
---Nicholas Negroponte, founder and chairman of One Laptop per Child and cofounder of the MIT Media Laboratory

"Congratulations to Neuman and colleagues for a fascinating exploration of how previous new media were constructed, whether things could have been otherwise, and what can be learned for future media."
---Sonia Livingstone, Department of Media and Communications, the London School of Economics and Political Science

In Media, Technology, and Society, some of the most prominent figures in media studies explore the issue of media evolution. Focusing on a variety of compelling examples in media history, ranging from the telephone to the television, the radio to the Internet, these essays collectively address a series of notoriously vexing questions about the nature of technological change. Is it possible to make general claims about the conditions that enable or inhibit innovation? Does government regulation tend to protect or thwart incumbent interests? What kinds of concepts are needed to address the relationship between technology and society in a nonreductive and nondeterministic manner? To what extent can media history help us to understand and to influence the future of media in constructive ways? The contributors' historically grounded responses to these questions will be relevant to numerous fields, including history, media and communication studies, management, sociology, and information studies.

W. Russell Neuman is John Derby Evans Professor of Media Technology and Research Professor, Center for Political Studies, Institute for Social Research, at the University of Michigan.

DIGITALCULTUREBOOKS: a collaborative imprint of the University of Michigan Press and the University of Michigan Library

Media studies courses, particularly introductory courses, are often narrowly focused on US and Western European canons. Instructors for introductory media studies courses wishing to expand the offerings in their curricula will find in these essays new ways of approaching foundational concepts and issues in the field, including globalization, social difference, and diverse media cultures. Scholars wishing to expand their research into specific media forms or representational issues can also turn to these case studies for approaches from beyond the US. By including a variety of media and several geographical areas, the collection introduces readers to the formal, technological, and cultural diversity of global media studies.

Edited by Juan Llamas-Rodriguez with contributions from Anthony Adah and Añulika Agina, Maria Corrigan, Benjamin Han, Anna Shah Hoque, Meryem Kamil, Angelica Marie Lawson, Lilia Adriana Perez Limon, Sonia Robles, Kuhu Tanvir, David Tenorio, and Rachel van der Merwe.

The Media Welfare State: Nordic Media in the Digital Era comprehensively addresses the central dynamics of the digitalization of the media industry in the Nordic countries—Sweden, Norway, Denmark, Finland, and Iceland—and the ways media organizations there are transforming to address the new digital environment. Taking a comparative approach, the authors provide an overview of media institutions, content, use, and policy throughout the region, focusing on the impact of information and communication technology/internet and digitalization on the Nordic media sector. Illustrating the shifting media landscape the authors draw on a wide range of cases, including developments in the press, television, the public service media institutions, and telecommunication.

An exploration of the representational culture of Alzheimer’s disease and how media technologies shape our ideas of cognition and aging 
 

With no known cause or cure despite a century of research, Alzheimer’s disease is a true medical mystery. In Mediating Alzheimer’s, Scott Selberg examines the nature of this enduring national health crisis by looking at the disease’s relationship to media and representation. He shows how collective investments in different kinds of media have historically shaped how we understand, treat, and live with this disease. 

Selberg demonstrates how the cognitive abilities that Alzheimer’s threatens—memory, for example—are integrated into the operations of representational technologies, from Polaroid photographs to Post-its to digital artificial intelligence. Focusing on a wide variety of media technologies, such as neuroimaging, art therapy, virtual reality, and social media, he shows how these cognitively oriented media ultimately help define personhood for people with Alzheimer’s. Media have changed the practices of successful aging in the United States, and Selberg takes us deep into how technologies like digital brain-training and online care networks shape ideas of cognition and healthy aging.

Packed with startlingly fresh insights, Mediating Alzheimer’s contributes to debates around bioethics, the labor of caregiving, and a national economy increasingly invested in communication and digital media. Probing the very technologies that promise to save and understand our brains, it gives us new ways of understanding Alzheimer’s disease and aging in America.

Happel primarily lived and worked in the vigorous port city of Hamburg, which was a “media center” in terms of the access it offered to a wide library of books in public and private collections. Hamburg’s port status meant it buzzed with news and information, and Happel drew on this flow of data in his novels. His books deal with many topics of current interest—national identity formation, gender and sexualities, Western European encounters with neighbors to the East, confrontations with non-European and non-Western powers and cultures—and they feature multiple media, including news reports, news collections, and travel writings. As a result, Happel’s use of contemporary source material in his novels feeds our current interest in the impact of the production of knowledge on seventeenth-century narrative. Mediating Culture in the Seventeenth-Century German Novel explores the narrative wealth and multiversity of Happel’s work, examines Happel’s novels as illustrative of seventeenth-century novel writing in Germany, and investigates the synergistic relationship in Happel’s writings between the booming print media industry and the evolution of the German novel.

Medicaid, one of the largest federal programs in the United States, gives grants to states to provide health insurance for over 60 million low-income Americans. As private health insurance benefits have relentlessly eroded, the program has played an increasingly important role. Yet Medicaid’s prominence in the health care arena has come as a surprise.

Many astute observers of the Medicaid debate have long claimed that “a program for the poor is a poor program” prone to erosion because it serves a stigmatized, politically weak clientele. Means-tested programs for the poor are often politically unpopular, and there is pressure from fiscally conservative lawmakers to scale back the $350-billion-per-year program even as more and more Americans have come to rely on it. For their part, health reformers had long assumed that Medicaid would fade away as the country moved toward universal health insurance. Instead, Medicaid has proved remarkably durable, expanding and becoming a major pillar of America’s health insurance system.

In Medicaid Politics, political scientist Frank J. Thompson examines the program’s profound evolution during the presidential administrations of Bill Clinton, George W. Bush, and Barack Obama and its pivotal role in the epic health reform law of 2010. This clear and accessible book details the specific forces embedded in American federalism that contributed so much to Medicaid’s growth and durability during this period. It also looks to the future outlining the political dynamics that could yield major program retrenchment.

For over thirty years, David F. Kelly has worked with medical practitioners, students, families, and the sick and dying to confront the difficult and often painful issues that concern medical treatment at the end of life. In this short and practical book, Kelly shares his vast experience, providing a rich resource for thinking about life's most painful decisions.

Kelly outlines eight major issues regarding end-of-life care as seen through the lens of the Catholic medical ethics tradition. He looks at the distinction between ordinary and extraordinary means; the difference between killing and allowing to die; criteria of patient competence; what to do in the case of incompetent patients; the meaning and use of advance directives; the morality of hydration and nutrition; physician-assisted suicide and euthanasia; and medical futility. Kelly's analysis is sprinkled with significant legal decisions and, throughout, elaborations on how the Catholic medical ethics tradition—as well as teachings of bishops and popes—understands each issue. He provides a helpful glossary to supplement his introduction to the terminology used by philosophical health care ethics. Included in Kelly's discussion is his lucid description of why the Catholic tradition supports the discontinuation of medical care in the Terry Schiavo case. He also explores John Paul II's controversial papal allocution concerning hydration and nutrition for unconscious patients, arguing that the Catholic tradition does not require feeding the permanently unconscious.

Medical Care at the End of Life addresses the major issues that inform this last stage of caregiving. It offers a critical guide to understanding the medical ethics and relevant legal cases needed for clear thinking when individuals are faced with those crucial decisions.

In this book Paul Carrick charts the ancient Greek and Roman foundations of Western medical ethics. Surveying 1500 years of pre-Christian medical moral history, Carrick applies insights from ancient medical ethics to developments in contemporary medicine such as advance directives, gene therapy, physician-assisted suicide, abortion, and surrogate motherhood. He discusses such timeless issues as the social status of the physician; attitudes toward dying and death; and the relationship of medicine to philosophy, religion, and popular morality. Opinions of a wide range of ancient thinkers are consulted, including physicians, poets, philosophers, and patients. He also explores the puzzling question of Hippocrates' identity, analyzing not only the Hippocratic Oath but also the Father of Medicine's lesser-known works.

Complete with chapter discussion questions, illustrations, a map, and appendices of ethical codes, Medical Ethics in the Ancient World will be useful in courses on the medical humanities, ancient philosophy, bioethics, comparative cultures, and the history of medicine. Accessible to both professionals and to those with little background in medical philosophy or ancient science, Carrick's book demonstrates that in the ancient world, as in our own postmodern age, physicians, philosophers, and patients embraced a diverse array of perspectives on the most fundamental questions of life and death.

This book is the first comprehensive examination of medical ethics in the Renaissance. It investigates the ethical considerations, evaluations of procedures, and techniques of problem-solving in the writings of European physicians and surgeons from the mid-sixteenth through the mid-seventeenth centuries.

While much of the medical practice and literature of the Renaissance remained a continuation or reinterpretation of ancient medicine, Winfried Schleiner reveals an emerging self-conscious field of medical ethics that should be considered modern, as it increasingly separates medicine from theology, the cure of the body from that of the soul. The exceptions to this trend appear in the discussions of certain sexual topics, such as masturbation, by physicians close to the Counter-Reformation. Analyzing the writings of Protestant, Catholic, and Jewish physicians—the latter developed the most secular medical ethics of the era—he probes the dominant and emerging philosophical ideas together with conceptions of the role of physicians and of physical well-being.

Schleiner selects several topics to explore the development of ethical ideas in depth: placebos and the broader issue of lying to patients; the treatment of hysteria; masturbation; and the prevention of sexually transmitted diseases—subjects that are still highly charged moral as well as medical topics today.

This pioneering study will be of value to ethicists and to historians of science, medicine, and Renaissance and gender studies.

In a single convenient resource, this revised and updated edition of a classic text organizes and presents clearly the documents of the Catholic Church pertaining to medical ethics. Introductory chapters provide the context for interpreting the Church's teachings and theological values, guiding the reader in how to apply the teachings to particular ethical dilemmas and helping the reader to understand the role of conscience within the Catholic tradition.

The teaching of the Church in regard to health care ethics is pertinent not only for health care professionals and students, but for all who are concerned about the common good of society. Medical Ethics examines specific teachings of the Church on over seventy issues in clinical and research ethics, including abortion, AIDS, artificial insemination, assisted suicide, cloning, contraception, euthanasia, gene therapy, health care reform, organ donation and transplantation, organizational ethics, stem cells, surrogate motherhood, and withholding and withdrawing life support.

O'Rourke and Boyle bring this fourth edition up to the present day by incorporating recent papal documents regarding the social aspects of health care, assent to Church teaching, and the 2008 papal instruction Dignitas personae, an extremely influential document that illuminates such controversial dilemmas as prenatal adoption, frozen embryos, and genetic diagnosis.

In a single convenient resource, this book organizes and presents clearly the documents of the Catholic church pertaining to medical ethics. Introductory chapters provide the context for interpreting the Church's teachings and guide the reader in applying the teachings to particular ethical quandaries.

This third edition has been updated to incorporate the statements issued since the preparation of the second edition. The authors have revised the introductory chapters to include ideas from the papal encyclical Splendor Veritatis and "Instruction of the Ecclesial Vocation of the Theologian," published by the Vatican Congregation for the Doctrine of the Faith, concerning the various levels of the teachings of the Church. Other new statements included in this edition are relevant topics from the papal encyclical Evangelium Vitae (abortion, euthanasia, amniocentesis, suicide and withdrawing life support); the Vatican Congregation of Doctrine and Faith on uterine isolation; the U.S. bishops on the care of anencephalic infants, genetic testing, and cloning; and the Pennsylvania Catholic Conference on the treatment for rape in Catholic hospitals.

Governments throughout the industrialized world make decisions that fundamentally affect the quality and accessibility of medical care. In the United States, despite the absence of universal health insurance, these decisions have great influence on the practice of medicine.

In Medical Governance, David Weimer explores an alternative regulatory approach to medical care based on the delegation of decisions about the allocation of scarce medical resources to private nonprofit organizations. He investigates the specific development of rules for the U.S. organ transplant system and details the conversion of a voluntary network of transplant centers to one private rulemaker: the Organ Procurement and Transplantation Network (OPTN).

As the case unfolds, Weimer demonstrates that the OPTN is more efficient, nimble, and better at making evidence-based decisions than a public agency; and the OPTN also protects accountability and the public interest more than private for-profit organizations. Weimer addresses similar governance arrangements as they could apply to other areas of medicine, including medical records and the control of Medicare expenditures, making this timely and useful case study a valuable resource for debates over restructuring the U.S. health care system.

U.S. health care has changed dramatically during the past century. A new breed of physicians use new machines, vaccines, and ideas in ways that have touched the lives of virtually everyone. How and why did these changes occur?

The biographical essays comprising this volume address this question through the stories of six scientific innovators at the University of Michigan Medical School. Michigan was the first major U.S. medical school to admit women, to run its own university hospital, and, by the turn of the century, was recognized as one of the finest medical schools in the country. The people whose stories unfold here played a central part in defining the place of medical science at the University of Michigan and in the larger world of U.S. health care.

Introductory sections are followed by biographical profiles of George Dock, Thomas Francis, Albion Hewlett, Louise Newburgh, Cyrus Strurgis, and Frank Wilson. Drawing on extensive archival research, the authors provide a richly textured portrait of academic medical life and reveal how the internal content of science and medicine interacted with the social context of each subject's life. Also explored is the relationship between the environment (the hospital, the university, and the city) and the search for knowledge.

These narratives expand our perspective on twentieth-century medical history by presenting these individuals' experiences as extended biopsies of the period and place, focal points illuminating the personal nature of medicine and locating the discipline within a social and institutional setting.

Medical malpractice has been at the center of recurring tort crises for the last quarter-century. In 1960, expenditures on medical liability insurance in the United States amounted to about $60 million. In 1988, the figure topped $7 billion. Physicians have responded not simply with expensive methods of "defensive medicine" but also with successful pressure upon state legislatures to cut back on the tort rights of seriously injured patients. Various reforms have been proposed to deal with the successive crises, but so far none have proved to be effective and fair.

In this landmark book, Paul Weiler argues for a two-part approach to the medical malpractice crisis. First, he proposes a thorough revision of the current tort liability regime, which would concentrate available resources on meeting actual financial losses of seriously injured victims. It would also shift the focus of tort liability from the individual doctor to the hospital or other health care organization. This would elicit more effective quality assurance programs from the institutions that are in the best position to reduce our current unacceptable rate of physician-induced injuries.

But in states such as New York, Florida, and Illinois, where the current situation seems to have gone beyond the help of even drastic tort reform, the preferred solution is a no-fault system. Weiler shows how such a system would provide more equitable compensation, more effective prevention, and more economical administration than any practical alternative.

How often are patients seriously injured through faulty medical care? And what proportion of these people receive compensation for their injuries and suffering? This is the first book that tries to answer these questions in a careful, scholarly way. Among its important findings is that at most one in ten patients injured through medical negligence receives compensation through the malpractice system.

The focus of public attention has been on the rising cost to physicians of malpractice insurance. Although Patricia Danzon analyzes this question thoroughly, her view is much broader, encompassing the malpractice system itself--the legal process, the liability insurance markets, and the feedback to health care. As an economist, she is concerned with the efficiency or cost-effectiveness of the system from the point of view of its three social purposes: deterrence of medical negligence, compensation of injured patients, and the spreading of risk. To provide evidence of the operation of the system in practice, to distinguish fact from allegation, and to evaluate proposals for reform, she has undertaken a detailed empirical analysis of malpractice claims and insurance markets. It is a major contribution to our understanding of how the system works in practice and how it might be improved.

The “virality” of diseases—their tendency to circulate simultaneously as biological and media phenomenon—is very familiar to us today. We are all too aware, in our digital age, of how lies, rumors, and misinformation circulate alongside epidemic disease. Medical Misinformation in Early Modern Germany explores the genealogy of this phenomenon and locates the origin of virality––the notion that information and disease circulate analogously––at the turn of the sixteenth century. It investigates literary texts alongside popular vernacular medical pamphlets to reveal the emergence of the notion of the “contagious” in the context of both media and disease. The growth of print, alongside the development of new forms of media, new literary genres, and new forms of visual representation led writers and thinkers to reconsider the ways in which information could be communicated. These anxieties were often expressed through metaphors of disease, creating an emergent rhetoric of virality. 

How the politics of “medical necessity” complicates American health care

The definition of medical necessity has morphed over the years, from a singular physician’s determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In this book, Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives.

From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner’s close reading of medical necessity’s production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity.

Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept.

Competent physicians make accurate diagnoses. How are accurate diagnoses made? This readable book gives some important answers to that question. Experienced physicians were presented with diagnostic problems and asked to solve them. Through the use of trained actors serving as “patients” and with a variety of supplementary techniques, the investigators were able to dissect the process by which diagnoses, right and wrong, are made.

Reporting on the most comprehensive investigation of clinical reasoning yet conducted, the authors present data and conclusions of importance not just to medical educators but to anyone interested in the psychology of problem solving. Rigorous attention to methods, thorough grounding in contemporary theories of problem solving, and a healthy respect for the complexity of real-life situations characterize this remarkable study.

A sampling of its salient findings only suggests the richness of this book. Successful diagnosticians begin to form hypotheses almost as soon as they encounter a patient. They entertain a limited number of hypotheses, but these are tested repeatedly during a workup. New findings are treated as confirming, refuting, or not contributing to the solution contemplated; more elaborate schemes based on a knowledge of probabilities are not used. A common error is to relate new information to a working hypothesis, although the information is, in fact, non-contributory. The performance of even an experienced physician varies markedly from case to case. Two of the most important determinants of competence are information and experience; problem-solving skills without a rich supply of facts are insufficient for diagnostic acumen.

A personal account of the aging body and advanced technologies by a preeminent philosopher of technology

Medical Technics is a rigorous examination of how medical progress has modified our worlds and contributed to a virtual revolution in longevity. Don Ihde offers a unique autobiographical tour of medical events experienced in a decade, beginning in his 70s. Ihde offers experiential and postphenomenological analyses of technologies such as sonography and microsurgery, and ultimately asks what it means to increasingly become a cyborg. 

Runaway medical costs, long-term care, market competition, for-profit medicine, nursing shortages—these are but a few of the issues that swirl around in the late twentieth century’s volatile health care scene. How much of the system do we want to change, and how much do we want to keep? Health policy expert Eli Ginzberg examines such crucial questions in his characteristically broad-gauged perspective. Framing the issues in their historical, political, and professional contexts, the author analyzes how we have arrived at the current crisis.

The book focuses on the three sides of the medical triangle that have separate and sometimes conflicting goals: the physicians want to provide the most health care for the most money; the government, which furnishes 40 percent of the system's funding, wants to limit the money it pays out for health care; and the public, with over a billion annual visits to doctors, wants the most health care for the least money.

Ginzberg explains how the core components of our health care system—the community hospital and physicians who have long practiced in a fee-for-service mode—are under attack, and he indicates the factors that make it uncertain whether the destabilization will slow down or accelerate. Moreover, can key health care centers maintain their leadership in a time when new dollars for health are scarce? How will the floundering state of foundations affect medical care in local communities?

In his final chapters the author zeroes in on the special concerns of the public: high-need patients (including those suffering from cancer, catastrophic illness, and the infirmities of old age, or those who are mentally ill or chronically poor), nursing shortages, unsuccessful cost containment, and lack of consensus within the medical triangle about the major issues on our nation's health agenda.

The first comprehensive edition and translation of Old English writings on health and healing in more than 150 years.

Unlike elsewhere in Europe, vernacular writings on health and healing had a major place in early medieval England. These texts—unique local remedies and translations of late antique Latin treatises—offer insights into the history of science and medicine, social history, scribal practices, and culture. Some cures resemble ones still used today; others are linguistically extravagant, prescribing ambitious healing practices. Alongside recipes for everyday ailments such as headaches are unparalleled procedures for preventing infant mortality, restoring lost cattle, warding off elf-shot, or remedying the effects of flying venom.

Medical Writings from Early Medieval England presents the first comprehensive edition and translation from Old English of these works in more than 150 years. Volume I includes The Old English Herbal, Remedies from Animals, Lacnunga, the Peri Didaxeon, and a compendium of miscellaneous texts.

In 1537, Florentine Duke Alessandro dei Medici was murdered by his cousin and would-be successor, Lorenzino dei Medici. Lorenzino's treachery forced him into exile, however, and the Florentine senate accepted a compromise candidate, seventeen-year-old Cosimo dei Medici. The senate hoped Cosimo would act as figurehead, leaving the senate to manage political affairs. But Cosimo never acted as a puppet. Instead, by the time of his death in 1574, he had stabilized ducal finances, secured his borders while doubling his territory, attracted an array of scholars and artists to his court, academy, and universities, and, most importantly, dissipated the perennially fractious politics of Florentine life.

Gregory Murry argues that these triumphs were far from a foregone conclusion. Drawing on a wide variety of archival and published sources, he examines how Cosimo and his propagandists successfully crafted an image of Cosimo as a legitimate sacral monarch. Murry posits that both the propaganda and practice of sacral monarchy in Cosimo's Florence channeled preexisting local religious assumptions as a way to establish continuities with the city's republican and renaissance past. In The Medicean Succession, Murry elucidates the models of sacral monarchy that Cosimo chose to utilize as he deftly balanced his ambition with the political sensitivities arising from existing religious and secular traditions.

In these essays, a diverse group of ethicists draw insights from both religious and feminist scholarship in order to propose creative new approaches to the ethics of medical care. While traditional ethics emphasizes rules, justice, and fairness, the contributors to this volume embrace an "ethics of care," which regards emotional engagement in the lives of others as basic to discerning what we ought to do on their behalf.

The essays reflect on the three related themes: community, narrative, and emotion. They argue for the need to understand patients and caregivers alike as moral agents who are embedded in multiple communities, who seek to attain or promote healing partly through the medium of storytelling, and who do so by cultivating good emotional habits. A thought-provoking contribution to a field that has long been dominated by an ethics of principle, Medicine and the Ethics of Care will appeal to scholars and students who want to move beyond the constraints of that traditional approach.

The colonial encounter between France and Morocco took place not only in the political realm but also in the realm of medicine. Because the body politic and the physical body are intimately linked, French efforts to colonize Morocco took place in and through the body. Starting from this original premise, Medicine and the Saints traces a history of colonial embodiment in Morocco through a series of medical encounters between the Islamic sultanate of Morocco and the Republic of France from 1877 to 1956.

Drawing on a wealth of primary sources in both French and Arabic, Ellen Amster investigates the positivist ambitions of French colonial doctors, sociologists, philologists, and historians; the social history of the encounters and transformations occasioned by French medical interventions; and the ways in which Moroccan nationalists ultimately appropriated a French model of modernity to invent the independent nation-state. Each chapter of the book addresses a different problem in the history of medicine: international espionage and a doctor’s murder; disease and revolt in Moroccan cities; a battle for authority between doctors and Muslim midwives; and the search for national identity in the welfare state. This research reveals how Moroccans ingested and digested French science and used it to create a nationalist movement and Islamist politics, and to understand disease and health. In the colonial encounter, the Muslim body became a seat of subjectivity, the place from which individuals contested and redefined the political.

A witch doctor casting an evil spell in a steaming jungle village; a young medical-school graduate cleaning a machete wound in a rat-infested thatched hut; a world-renowned scientist doing research in Mexico City—all were part of the mid-twentieth century medical scene in Mexico, a country of great cultural, socioeconomic, and geographical contrasts.

Gordon Schendel, in collaboration with Dr. José Alvarez Amézquita and Dr. Miguel E. Bustamante, relates the history of medicine and public health and welfare in Mexico. This absorbing story begins with a great indigenous culture; continues with Spanish Colonial rule, the unproductive first century of independence from Spain, and the years of revolution; then concentrates on the modern nation.

The Aztec civilization evidenced a knowledge of pharmacology and the fundamentals of health far in advance of contemporary European societies. And almost one hundred years before the Pilgrims landed on Plymouth Rock, New Spain boasted a comprehensive "Public Health Administration" and a hospital system that served all classes. However, throughout Mexico's three centuries as a Spanish colony and its first century of independence, millions of its citizens suffered abysmal poverty. Thus when the Republic of Mexico entered its post-Revolutionary era, the majority of its citizens were plagued by superstition, illiteracy, malnutrition, and the other "diseases of the poor."

The principal part of this story tells how Mexico attacked these problems, and how in a few short years it became a leader and a model for all Latin America in the fields of medicine and public health and welfare. The book is based on Mr. Schendel's research and observations and on his many interviews with doctors and govemment officials. It will be of interest to the medical profession and to concerned laymen of all nationalities, for it illustrates how a dynamic nation met challenges that all countries of the world, developed and underdeveloped, must face.

At the temple of Kom Ombo near Aswan, an enigmatic frieze depicts the deified pharaoh Imhotep receiving a set of elaborate implements, some of which strikingly resemble modern surgical instruments: side by side with eye-of-Horus amulets one finds what surely must be forceps. Evidence of the medical practice of ancient Egypt has come down to us not only in pictorial art but also in papyrus scrolls, in funerary inscriptions, and in the mummified bodies of ancient Egyptians themselves.

Bruno Halioua and Bernard Ziskind provide a comprehensive account of pharaonic medicine that is illuminated by what modern science has discovered about the lives (and deaths) of people from all walks of life--farmers, fishermen, miners, soldiers, scribes and priests, embalmers, construction workers, bakers, prostitutes. From mummies and medical papyri we are able to recognize the aches of osteoarthritis, imagine the occupational hazards faced by press-ganged stonemasons, and learn of the gynecological complaints of courtesans. In presenting these stories Halioua and Ziskind throw light on some of the most enduring questions about life and death in antiquity: about physicians whose skills predate Hippocrates by twenty-five centuries and were first made famous by Homer; about the remedies and techniques they employed, at once strange and strangely familiar; about the men, women, and children they treated; and about the diseases and injuries they were called upon to heal.

"People who live in California deny the past," asserts Alejandro Murguía. In a state where "what matters is keeping up with the current trends, fads, or latest computer gizmo," no one has "the time, energy, or desire to reflect on what happened last week, much less what happened ten years ago, or a hundred." From this oblivion of memory, he continues, comes a false sense of history, a deluded belief that the way things are now is the way they have always been.

In this work of creative nonfiction, Murguía draws on memories—his own and his family's reaching back to the eighteenth century—to (re)construct the forgotten Chicano-indigenous history of California. He tells the story through significant moments in California history, including the birth of the mestizo in Mexico, destruction of Indian lifeways under the mission system, violence toward Mexicanos during the Gold Rush, Chicano farm life in the early twentieth century, the Chicano Movement of the 1960s, Chicano-Latino activism in San Francisco in the 1970s, and the current rebirth of Chicano-Indio culture. Rejecting the notion that history is always written by the victors, and refusing to be one of the vanquished, he declares, "This is my California history, my memories, richly subjective and atavistic."

In Medicine Show, inner conflict is wonderfully realized in the clash of down-home plain speech and European high culture utterances. Freely translating and adapting Catullus (Latin), Villon (Middle French), Corbiere (French), Hikmet (Turkish), and Orpheus (Greek), and placing them alongside Jagger and Richards, skinheads, and psalms, Tom Yuill’s book mirrors an old-style hawking of wares, with all the charm and absurdity that results when high culture meets pop, when city meets small town, and when provincialism confronts urbanity. Here, the poems talk to one another, one poem nudging the cusps of many others, those poems touching still others' circumferences. Yuill, by invoking the Rolling Stones as muses and as background music, offers cover versions of Shakespeare, Keats, and Dylan Thomas, ultimately giving us a new kind of verse, funneled through the languages and rhythms of his masters' voices.

A personal journey of bringing together Western science and Indigenous ecology to transform our understanding of the human role in healing our planet

I used to be an ecologist. . . . Now, I am a community gatherer, working to help bring healing beyond just the land. I am a story-listener. I am a storyteller. I am a shaper of ecosystems. I work on bringing communities together, in circle, to listen to each other.

A farm kid at heart, and a Nlaka’pamux woman of mixed ancestry, Dr. Jennifer Grenz always felt a deep connection to the land. However, after nearly two decades of working as a restoration ecologist in the Pacific Northwest, she became frustrated that despite the best efforts of her colleagues and numerous volunteers, they weren’t making the meaningful change needed for plant, animal, and human communities to adapt to a warming climate. Restoration ecology is grounded in an idea that we must return the natural world to an untouched, pristine state, placing humans in a godlike role—a notion at odds with Indigenous histories of purposeful, reciprocal interaction with the environment. This disconnect sent Dr. Grenz on a personal journey of joining her head (Western science) and her heart (Indigenous worldview) to find a truer path toward ecological healing.

In Medicine Wheel for the Planet, building on sacred stories, field observations, and her own journey, Dr. Grenz invites readers to share in the teachings of the four directions of the medicine wheel: the North, which draws upon the knowledge and wisdom of elders; the East, where we let go of colonial narratives and see with fresh eyes; the South, where we apply new-old worldviews to envision a way forward; and the West, where a relational approach to land reconciliation is realized.

Eloquent, inspiring, and disruptive, Medicine Wheel for the Planet circles around an argument that we need more than a singular worldview to protect the planet and make the significant changes we are running out of time for.

How is medicine doing at the end of the twentieth century? While there has been no end of studies of our health care system and proposals for changing it, there have been few credible studies of the risks and benefits of widely used medical treatments. We simply do not always know whether one treatment is better than another or whether a particular drug is worth the price.

Medical technology assessment is the discipline that studies what does and does not work in medicine. Howard Frazier and Frederick Mosteller are leading figures in this field. In Medicine Worth Paying For they attempt something completely new: to distill the methods and knowledge base of their highly specialized discipline into a text that is accessible—and therefore of great value—to a nontechnical audience.

This book calls attention to the importance of technology assessment in medicine—the rigorous evaluation of the effects of medical treatments—with particular reference to medical innovations. Also, making use of a series of carefully selected cases, the authors identify important policy implications that can be drawn from the study of successful medical innovations. These case studies of medical successes are a rich source of examples of the effects, good and bad, of the application of technology to health care and of attempts to influence the diffusion of technologies in health care.

Medicine Worth Paying For should be of interest to a variety of readers, particularly those concerned with health policy, investigators studying health services, those in the health professions, nonprofessionals who wish to maintain and improve the performance of the health care system, and others who simply want a system that provides benefits greater than risks at an acceptable financial cost.

Why did enduring traditions of economic and political liberty emerge in Western Europe and not elsewhere? Representative democracy, constitutionalism, and the rule of law are crucial for establishing a just and prosperous society, which we usually treat as the fruits of the Renaissance and Enlightenment, as Western European societies put the Dark Ages behind them.

In The Medieval Constitution of Liberty, Salter and Young point instead to the constitutional order that characterized the High Middle Ages. They provide a historical account of how this constitutional order evolved following the fall of the Western Roman Empire. This account runs from the settlements of militarized Germanic elites within the imperial frontiers, to the host of successor kingdoms in the sixth and seventh centuries, and  through the short-lived Carolingian empire of the late eighth and ninth centuries and the so-called “feudal anarchy” that followed its demise. Given this unique historical backdrop, Salter and Young consider the resulting structures of political property rights. They argue that the historical reality approximated a constitutional ideal type, which they term polycentric sovereignty. Salter and Young provide a theoretical analysis of polycentric sovereignty, arguing that bargains between political property rights holders within that sort of constitutional order will lead to improvements in governance.

How should the medieval family be characterized? Who formed the household and what were the ties of kinship, law, and affection that bound the members together? David Herlihy explores these questions from ancient Greece to the households of fifteenth-century Tuscany, to provide a broad new interpretation of family life. In a series of bold hypotheses, he presents his ideas about the emergence of a distinctive medieval household and its transformation over a thousand years.

Ancient societies lacked the concept of the family as a moral unit and displayed an extraordinary variety of living arrangements, from the huge palaces of the rich to the hovels of the slaves. Not until the seventh and eighth centuries did families take on a more standard form as a result of the congruence of material circumstances, ideological pressures, and the force of cultural norms. By the eleventh century, families had acquired a characteristic kinship organization first visible among elites and then spreading to other classes. From an indifferent network of descent through either male or female lines evolved the new concept of patrilineage, or descent and inheritance through the male line. For the first time a clear set of emotional ties linked family members.

It is the author’s singular contribution to show how, as they evolved from their heritages of either barbarian society or classical antiquity, medieval households developed commensurable forms, distinctive ties of kindred, and a tighter moral and emotional unity to produce the family as we know it. Herlihy’s range of sources is prodigious: ancient Roman and Greek authors, Aquinas, Augustine, archives of monasteries, sermons of saints, civil and canon law, inquisitorial records, civil registers, charters, censuses and surveys, wills, marriage certificates, birth records, and more. This well-written book will be the starting point for all future studies of medieval domestic life.

This work explores the role of orality in shaping and evaluating medieval Icelandic literature. Applying field studies of oral cultures in modern times to this distinguished medieval literature, Gísli Sigurðsson asks how it would alter our reading of medieval Icelandic sagas if it were assumed they had grown out of a tradition of oral storytelling, similar to that observed in living cultures.

Sigurðsson examines how orally trained lawspeakers regarded the emergent written culture, especially in light of the fact that the writing down of the law in the early twelfth century undermined their social status. Part II considers characters, genealogies, and events common to several sagas from the east of Iceland between which a written link cannot be established. Part III explores the immanent or mental map provided to the listening audience of the location of Vinland by the sagas about the Vinland voyages. Finally, this volume focuses on how accepted foundations for research on medieval texts are affected if an underlying oral tradition (of the kind we know from the modern field work) is assumed as part of their cultural background. This point is emphasized through the examination of parallel passages from two sagas and from mythological overlays in an otherwise secular text.

A provocative new approach to medieval culture

In Medieval Identity Machines, Jeffrey J. Cohen examines the messiness, permeability, and perversity of medieval bodies, arguing that human identity always exceeds the limits of the flesh. Combining critical theory with a rigorous reading of medieval texts, Cohen asks if the category “human” isn’t too small to contain the multiplicity of identities. As such, this book is the first to argue for a “posthuman” Middle Ages and to make extensive use of the philosophical writings of Gilles Deleuze to rethink the medieval.

The medical tradition that developed in the lands of Islam during the medieval period (c. 650-1500) has, like few others, influenced the fates and fortunes of countless human beings. It is a story of contact and cultural exchange across countries and creeds, affecting many people from kings to the common crowd. This tradition formed the roots from which modern Western medicine arose. Contrary to the stereotypical picture, medieval Islamic medicine was not simply a conduit for Greek ideas, but a venue for innovation and change.

Medieval Islamic Medicine is organized around five topics: the emergence of medieval Islamic medicine and its intense crosspollination with other cultures; the theoretical medical framework; the function of physicians within the larger society; medical care as seen through preserved case histories; and the role of magic and devout religious invocations in scholarly as well as everyday medicine. A concluding chapter on the "afterlife" concerns the impact of this tradition on modern European medical practices, and its continued practice today. The book includes an index of persons and their books; a timeline of developments in East and West; and a section on further reading.

Medieval Joke Poetry examines the intersection of jokes, laughter, insults, and poetry in a collection of thirteenth- and fourteenth-century medieval Iberian songs known as the Cantigas d’escarnho e de mal dizer. Written in Galician-Portuguese, these “songs of mockery and insult” make up a heterogeneous corpus whose witticisms are by turns funny and vicious, crudely obscene and exquisitely sophisticated, playful and deadly serious.

Benjamin Liu’s readings disentangle the complex verbal strategies of these joke-poems in order to reveal the latent cultural tensions that underlie their humor. Wordplay, double meanings, and deliberate combinations of incongruous ideas are intended to elicit laughter, even as they gesture toward the rupture of accepted cultural categories in such manifestly hybrid paradoxes as an “Albardan cavaleiro” (noble buffoon), a “mouro cruzado” (Crusader Moor), or a male “dona salvage” (wild woman). Liu shows how these jokes operate in such varied cultural contexts as the arts of augury and divination, pilgrimage, prostitution, interfaith sexuality, and medical malpractice.

Throughout the Middle Ages, Christians wrote about Islam and the life of Muhammad. These stories, ranging from the humorous to the vitriolic, both informed and warned audiences about what was regarded as a schismatic form of Christianity. Medieval Latin Lives of Muhammad covers nearly five centuries of Christian writings on the prophet, including accounts from the farthest-flung reaches of medieval Europe, the Iberian Peninsula, and the Byzantine Empire. Over time, authors portrayed Muhammad in many guises, among them: Theophanes’s influential ninth-century chronicle describing the prophet as the heretical leader of a Jewish conspiracy; Embrico of Mainz’s eleventh-century depiction of Muhammad as a former slave who is manipulated by a magician into performing unholy deeds; and Walter of Compiègne’s twelfth-century presentation of the founder of Islam as a likable but tricky serf ambitiously seeking upward social mobility.

The prose, verse, and epistolary texts in Medieval Latin Lives of Muhammad help trace the persistence of old clichés as well as the evolution of new attitudes toward Islam and its prophet in Western culture. This volume brings together a highly varied and fascinating set of Latin narratives and polemics never before translated into English.