front cover of Affirmative Action in Medicine
Affirmative Action in Medicine
Improving Health Care for Everyone
James L. Curtis, M.D.
University of Michigan Press, 2003
Affirmative action programs have significantly changed American medicine for the better, not only in medical school admissions and access to postgraduate training but also in bringing a higher quality of health care to all people. James L. Curtis approaches this important transition from historical, statistical, and personal perspectives. He tells how over the course of his medical education and career as a psychiatrist and professor--often as the first or only African American in his cohort--the status of minorities in the medical professions grew from a tiny percentage to a far more equitable representation of the American population.
Advancing arguments from his earlier book, Blacks, Medical Schools, and Society, Curtis evaluates the outcomes of affirmative action efforts over the past thirty years. He describes formidable barriers to minority access to medical-education opportunities and the resulting problems faced by minority patients in receiving medical treatment. His progress report includes a review of two thousand minority students admitted to U.S. medical schools in 1969, following them through graduation and their careers, comparing them with the careers of two thousand of their nonminority peers. These samples provide an important look at medical schools that, while heralding dramatic progress in physician education and training opportunity, indicates much room for further improvement.
A basic hurdle continues to face African Americans and other minorities who are still confined to segregated neighborhoods and inferior school systems that stifle full scholastic development. Curtis urges us as a nation to develop all our human resources through an expansion of affirmative action programs, thus improving health care for everyone.
James L. Curtis is Clinical Professor Emeritus of Psychiatry, Columbia University College of Physicians and Surgeons.
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The Chosen Primate
Human Nature and Cultural Diversity
Adam Kuper
Harvard University Press, 1994
The great debates about human origins, cultural history, and human nature confront us with two opposing images of human beings. One view emphasizes biology, the other emphasizes culture as the foundation of human behavior. In The Chosen Primate, Adam Kuper reframes these debates and reconsiders the fundamental questions of anthropology. Balancing biological and cultural perspectives, Kuper reviews our beliefs about human origins, the history of human culture, genes and intelligence, the nature of the gender differences, and the foundations of human politics.
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Contested Citizenship
Immigration and Cultural Diversity in Europe
Ruud Koopmans
University of Minnesota Press, 2005
From international press coverage of the French government’s attempt to prevent Muslims from wearing headscarves to terrorist attacks in Madrid and the United States, questions of cultural identity and pluralism are at the center of the world’s most urgent events and debates. Presenting an unprecedented wealth of empirical research garnered during ten years of a cross-cultural project, Contested Citizenship addresses these fundamental issues by comparing collective actions by migrants, xenophobes, and antiracists in Germany, Britain, France, the Netherlands, and Switzerland. 

Revealing striking cross-national differences in how immigration and diversity are contended by different national governments, these authors find that how citizenship is constructed is the key variable defining the experience of Europe’s immigrant populations. Contested Citizenship provides nuanced policy recommendations and challenges the truism that multiculturalism is always good for immigrants. Even in an age of European integration and globalization, the state remains a critical actor in determining what points of view are sensible and realistic—and legitimate—in society. 

Ruud Koopmans is professor of sociology at Free University, Amsterdam. Paul Statham is reader in political communications at the University of Leeds. Marco Giugni is a researcher and teacher of political science at the University of Geneva. Florence Passy is assistant professor of political science at the University of Lausanne, Switzerland.
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Hispanic Spaces, Latino Places
Community and Cultural Diversity in Contemporary America
Edited by Daniel D. Arreola
University of Texas Press, 2004

Hispanics/Latinos are the largest ethnic minority in the United States—but they are far from being a homogenous group. Mexican Americans in the Southwest have roots that extend back four centuries, while Dominicans and Salvadorans are very recent immigrants. Cuban Americans in South Florida have very different occupational achievements, employment levels, and income from immigrant Guatemalans who work in the poultry industry in Virginia. In fact, the only characteristic shared by all Hispanics/Latinos in the United States is birth or ancestry in a Spanish-speaking country.

In this book, sixteen geographers and two sociologists map the regional and cultural diversity of the Hispanic/Latino population of the United States. They report on Hispanic communities in all sections of the country, showing how factors such as people's country/culture of origin, length of time in the United States, and relations with non-Hispanic society have interacted to create a wide variety of Hispanic communities. Identifying larger trends, they also discuss the common characteristics of three types of Hispanic communities—those that have always been predominantly Hispanic, those that have become Anglo-dominated, and those in which Hispanics are just becoming a significant portion of the population.

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Inclusion
The Politics of Difference in Medical Research
Steven Epstein
University of Chicago Press, 2007

With Inclusion, Steven Epstein argues that strategies to achieve diversity in medical research mask deeper problems, ones that might require a different approach and different solutions.

Formal concern with this issue, Epstein shows, is a fairly recent phenomenon. Until the mid-1980s, scientists often studied groups of white, middle-aged men—and assumed that conclusions drawn from studying them would apply to the rest of the population. But struggles involving advocacy groups, experts, and Congress led to reforms that forced researchers to diversify the population from which they drew for clinical research. While the prominence of these inclusive practices has offered hope to traditionally underserved groups, Epstein argues that it has drawn attention away from the tremendous inequalities in health that are rooted not in biology but in society.

“Epstein’s use of theory to demonstrate how public policies in the health profession are shaped makes this book relevant for many academic disciplines. . . . Highly recommended.”—Choice

“A masterful comprehensive overview of a wide terrain.”—Troy Duster, Biosocieties

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National Conversations
Public Service Media and Cultural Diversity in Europe
Edited by Gavan Titley, Karina Horsti, and Gunilla Hultén
Intellect Books, 2014
Public service broadcasting is in the process of evolving into “public service media” as a response to the challenges of digitalization, intensive competition, and financial vulnerability. While many commentators regard public service as being in transition, a central dimension of its mission—to integrate and unify the nation while respecting and representing plurality—is being reemphasized and relegitimated in a political climate where the politics of migration and cultural diversity loom large in public debate. Through a series of thematic chapters and in-depth national case studies, National Conversations examines the reshaping of public service media and the concomitant development of new guiding discourses, policies, and program practices for addressing difference and lived multiculturalism in Europe. 
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Rethinking Multiculturalism
Cultural Diversity and Political Theory
Bhikhu Parekh
Harvard University Press, 2000

Bhikhu Parekh argues for a pluralist perspective on cultural diversity. Writing from both within the liberal tradition and outside of it as a critic, he challenges what he calls the "moral monism" of much of traditional moral philosophy, including contemporary liberalism--its tendency to assert that only one way of life or set of values is worthwhile and to dismiss the rest as misguided or false. He defends his pluralist perspective both at the level of theory and in subtle nuanced analyses of recent controversies. Thus, he offers careful and clear accounts of why cultural differences should be respected and publicly affirmed, why the separation of church and state cannot be used to justify the separation of religion and politics, and why the initial critique of Salman Rushdie (before a Fatwa threatened his life) deserved more serious attention than it received.

Rejecting naturalism, which posits that humans have a relatively fixed nature and that culture is an incidental, and "culturalism," which posits that they are socially and culturally constructed with only a minimal set of features in common, he argues for a dialogic interplay between human commonalities and cultural differences. This will allow, Parekh argues, genuinely balanced and thoughtful compromises on even the most controversial cultural issues in the new multicultural world in which we live.

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Rethinking Urban Parks
Public Space and Cultural Diversity
By Setha Low, Dana Taplin, and Suzanne Scheld
University of Texas Press, 2005

Urban parks such as New York City's Central Park provide vital public spaces where city dwellers of all races and classes can mingle safely while enjoying a variety of recreations. By coming together in these relaxed settings, different groups become comfortable with each other, thereby strengthening their communities and the democratic fabric of society. But just the opposite happens when, by design or in ignorance, parks are made inhospitable to certain groups of people.

This pathfinding book argues that cultural diversity should be a key goal in designing and maintaining urban parks. Using case studies of New York City's Prospect Park, Orchard Beach in Pelham Bay Park, and Jacob Riis Park in the Gateway National Recreation Area, as well as New York's Ellis Island Bridge Proposal and Philadelphia's Independence National Historical Park, the authors identify specific ways to promote, maintain, and manage cultural diversity in urban parks. They also uncover the factors that can limit park use, including historical interpretive materials that ignore the contributions of different ethnic groups, high entrance or access fees, park usage rules that restrict ethnic activities, and park "restorations" that focus only on historical or aesthetic values. With the wealth of data in this book, urban planners, park professionals, and all concerned citizens will have the tools to create and maintain public parks that serve the needs and interests of all the public.

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Shattering Culture
American Medicine Responds to Cultural Diversity
Mary-Jo DelVecchio Good
Russell Sage Foundation, 2012
"Culture counts" has long been a rallying cry among health advocates and policymakers concerned with racial disparities in health care. A generation ago, the women's health movement led to a host of changes that also benefited racial minorities, including more culturally aware medical staff, enhanced health education, and the mandated inclusion of women and minorities in federally funded research. Many health professionals would now agree that cultural competence is important in clinical settings, but in what ways? Shattering Culture provides an insightful view of medicine and psychiatry as they are practiced in today's culturally diverse clinical settings. The book offers a compelling account of the many ways culture shapes how doctors conduct their practices and how patients feel about the care they receive. Based on interviews with clinicians, health care staff, and patients, Shattering Culture shows the human face of health care in America. Building on over a decade of research led by Mary-Jo Good, the book delves into the cultural backgrounds of patients and their health care providers, as well as the institutional cultures of clinical settings, to illuminate how these many cultures interact and shape the quality of patient care. Sarah Willen explores the controversial practice of matching doctors and patients based on a shared race, ethnicity, or language and finds a spectrum of arguments challenging its usefulness, including patients who may fear being judged negatively by providers from the same culture. Seth Hannah introduces the concept of cultural environments of hyperdiversity describing complex cultural identities. Antonio Bullon and Mary-Jo Good demonstrate how regulations meant to standardize the caregiving process—such as the use of templates and check boxes instead of narrative notes—have steadily limited clinician flexibility, autonomy, and the time they can dedicate to caring for patients. Elizabeth Carpenter-Song looks at positive doctor-patient relationships in mental health care settings and finds that the most successful of these are based on mutual "recognition"—patients who can express their concerns and clinicians who validate them. In the book's final essay, Hannah, Good, and Park show how navigating the maze of insurance regulations, financial arrangements, and paperwork compromises the effectiveness of mental health professionals seeking to provide quality care to minority and poor patients. Rapidly increasing diversity on one hand and bureaucratic regulations on the other are two realities that have made providing culturally sensitive care even more challenging for doctors. Few opportunities exist to go inside the world of medical and mental health clinics and see how these realities are influencing patient care. Shattering Culture provides a rare look at the day-to-day experiences of psychiatrists and other clinicians and offers multiple perspectives on what culture means to doctors, staff, and patients and how it shapes the practice of medicine and psychiatry.
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Why Some Like It Hot
Food, Genes, and Cultural Diversity
Gary Paul Nabhan
Island Press, 2004

Do your ears burn whenever you eat hot chile peppers? Does your face immediately flush when you drink alcohol? Does your stomach groan if you are exposed to raw milk or green fava beans? If so, you are probably among the one-third of the world's human population that is sensitive to certain foods due to your genes' interactions with them.

Formerly misunderstood as "genetic disorders," many of these sensitivities are now considered to be adaptations that our ancestors evolved in response to the dietary choices and diseases they faced over millennia in particular landscapes. They are liabilities only when we are "out of place," on globalized diets depleted of certain chemicals that triggered adaptive responses in our ancestors.

In Why Some Like It Hot, an award-winning natural historian takes us on a culinary odyssey to solve the puzzles posed by "the ghosts of evolution" hidden within every culture and its traditional cuisine. As we travel with Nabhan from Java and Bali to Crete and Sardinia, to Hawaii and Mexico, we learn how various ethnic cuisines formerly protected their traditional consumers from both infectious and nutrition-related diseases. We also bear witness to the tragic consequences of the loss of traditional foods, from adult-onset diabetes running rampant among 100 million indigenous peoples to the historic rise in heart disease among individuals of northern European descent.

In this, the most insightful and far-reaching book of his career, Nabhan offers us a view of genes, diets, ethnicity, and place that will forever change the way we understand human health and cultural diversity. This book marks the dawning of evolutionary gastronomy in a way that may save and enrich millions of lives.

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A World You Do Not Know
Settler Societies, Indigenous Peoples and the Attack on Cultural Diversity
Colin Samson
University of London Press, 2014
Lists over 3,500 theses in progress on 1 January 2017 in both history and other departments, classified according to period and area Gives full details of title, supervisor and university Helps postgraduate students to select a topic and a supervisor, to publicise their topic and to discover others working in related fields Provides an overview of the amount and variety of current historical research for higher degrees
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