The rural community presents not only distinct health care delivery challenges but also ethical problems for clinicians and administrators of small, rural health care facilities. Health care delivered in a rural context—in closely knit, tightly interdependent small community settings—poses unique ethical considerations for clinical practitioners. For example, a provider in a resource-poor rural setting may be faced with treating a family member, friend, business associate, or neighbor, since the role separation between clinician and patient that predominates in the urban setting is less likely to occur in a small town. Because of the unique rural context, the solutions that health care providers develop to resolve complex ethics dilemmas may differ from solutions reached in urban areas. The Handbook for Rural Health Care Ethics is designed to be a useful resource for clinicians and administrators in rural settings. It draws on the available research and real-life examples to paint a picture of challenging, yet all-too-familiar ethics conflicts while offering strategies for a proactive, preventive approach to ethical issues.

William Sloane Coffin offers here a powerful antidote to the politics of the religious right with a clarion call to passive intellectuals and dispirited liberals to reenter the fray with an unabashedly Christian view of social justice. Refusing to cede the battlefield of morality to conservatives, he argues that “compassion demands confrontation,” as he considers such topics as homophobia, diversity, nuclear weapons, and civil discourse. Coffin became famous while chaplain at Yale in the 1960s for his active opposition to the Vietnam War. Jailed as a civil rights “Freedom Rider,” indicted by the government in the Benjamin Spock conspiracy trial, he attained popular immortality as Reverend Sloan in the Doonesbury comic strip. The seven pieces collected here are peppered with memorable aphorisms and pithy, political one-liners meant to turn bitterness to anger and anger to action.

What image of Latin America have North American fiction writers created, found, or echoed, and how has the prevailing discourse about the region shaped their work? How have their writings contributed to the discursive construction of our southern neighbors, and how has the literature undermined this construction and added layers of complexity that subvert any approach based on stereotypes? Combining American Studies, Canadian Studies, Latin American Studies, and Cultural Theory, Breinig relies on long scholarly experience to answer these and other questions. Hemispheric Imaginations, an ambitious interdisciplinary study of literary representations of Latin America as encounters with the other, is among the most extensive such studies to date. It will appeal to a broad range of scholars of American Studies.

The hidden curriculum (HC) in health professional education comprises the organizational and institutional contexts and cultural subtexts that shape how and what students learn outside the formal and intended curriculum. HC includes informal social processes such as role modeling, informal conversations and interactions among faculty and students, and more subterranean forces of organizational life such as the structure of power and privilege and the architectural layout of work environments. For better and sometimes for worse, HC functions as a powerful vehicle for learning and requires serious attention from health professions educators. This volume, of interest to medical and health professionals, educators, and students, brings together twenty-two new essays by experts in various aspects of HC. An introduction and conclusion by the editors contextualizes the essays in the broader history and literature of the field.

This book, written from the perspective of a practicing primary care physician, interweaves patients’ stories with fascinating new brain research to show how addictive drugs overtake basic brain functions and transform them to create a chronic illness that is very difficult to treat. The idea that drug and alcohol addiction are chronic illnesses and not character flaws is not news—this notion has been around for many years. What Hijacked Brains offers is context and personal stories that demonstrate this point in a very accessible package. Dr. Barnes explores how the healthy brain works, how addictive drugs flood basic reward pathways, and what it feels like to grapple with addiction. She discusses how, for individuals, the combination of genetic and environmental factors determines both vulnerability for addiction and the resilience necessary for recovery. Finally, she shows how American culture, with its emphasis on freewill and individualism, tends to blame the addict for bad choices and personal weakness, thereby impeding political and/or health-related efforts to get the addict what she needs to recover.

This collection reconsiders the life and work of Emile Jean-Horace Vernet (1789–1863), presenting him as a crucial figure for understanding the visual culture of modernity. The book includes work by senior and emerging scholars, showing that Vernet was a multifaceted artist who moved with ease across the thresholds of genre and media to cultivate an image of himself as the embodiment of modern France. In tune with his times, skilled at using modern technologies of visual reproduction to advance his reputation, Vernet appealed to patrons from across the political spectrum and made works that nineteenth-century audiences adored. Even Baudelaire, who reviled Vernet and his art and whose judgment has played a significant role in consigning Vernet to art-historical obscurity, acknowledged that the artist was the most complete representative of his age. For those with an interest in the intersection of art and modern media, politics, imperialism, and fashion, the essays in this volume offer a rich reward.

Horizons of Enchantment is about the peculiar power and exceptional pull of the imaginary in American culture. Johannessen’s subject here is the almost mystical American belief in the promise and potential of the individual, or the reliance on a kind of “modern magic” that can loosely be characterized as a fundamental and unwavering faith in the secular sanctity of the American project of modernity. Among the diverse topics and cultural artifacts she examines are the Norwegian American novel A Saloonkeeper’s Daughter by Drude Krog Janson, Walt Whitman’s Song of Myself, Rodolfo Gonzales’s I Am Joaquín, Richard Ford’s The Sportwriter, Ana Menéndez’s In Cuba I Was a German Shepherd, essays by Samuel Huntington and Richard Rodriquez, and the 2009 film Sugar, about a Dominican baseball player trying to make it in the big leagues. In both her subject matter and perspective, Johannessen reconfigures and enriches questions of the transnational and exceptional in American studies.

Medical professionals are often viewed as a special breed of stoic figures whose tough grace allows them to stay strong as they confront human frailty and tragedy on a daily basis. Human is a new anthology that aims to dispel this unhelpful line of thought, revealing a more realistic picture of individuals shaped by forces—good and bad—just like the rest of us. Collecting writing from medical students around the world, Human aims to demystify medical education by showing the vulnerability in a group typically viewed as indestructible. It also seeks to remind medical trainees that, even though it may feel like their lives have been put on hold for the sake of their education, they are continually growing and evolving, and as worthy of love and a full life as anyone else—in short, that they are human.

The Universal Declaration of Human Rights, adopted by the United Nations in 1948, recognizes the individual’s right “to a standard of living adequate for the health and wellbeing of himself and his family, including food, clothing, housing, and medical care.” More than sixty years later, despite the rapid advancement of science and technology and the proliferation of humanitarian efforts, inadequate nutrition remains a major health and social problem worldwide. Food insecurity—chronic malnutrition, persistent hunger, even starvation—still afflicts more than one in seven of the world’s people. As Butterly and Shepherd show, hunger is not the result of inadequate resources and technologies; rather, its cause is a lack of political will to ensure that all people have access to the food to which they are entitled—food distributed safely, fairly, and equitably. Using a cross-disciplinary approach rooted in both medicine and social science to address this crucial issue, the authors provide in-depth coverage of the biology of human nutrition; malnutrition and associated health-related factors; political theories of inadequate nutrition and famine; historical-political behaviors that have led to famine in the past; and the current political behaviors that cause hunger and malnutrition to remain a major health problem today.

Trauma is a disease of epidemic proportions that preys on the young, killing more Americans up to age thirty-seven than all other afflictions combined. Every year an estimated 2.8 million people are hospitalized for injuries and more than 180,000 people die. We take for granted that no matter how or where we are injured, someone will call 911 and trained first responders will show up to insert IVs, stop the bleeding, and swiftly deliver us to a hospital staffed by doctors and nurses with the expertise necessary to save our lives. None of this happened on its own. Told through the eyes of a surgeon who has flown on rescue helicopters, resuscitated patients in trauma centers in Houston and Chicago, and operated on hundreds of trauma victims of all ages, Hurt takes us on a tour of the advancements in injury treatment from the battlefields of the Civil War to the state-of-the-art trauma centers of today.