Over the past few decades, maternal childbirth injuries have become a potent symbol of Western biomedical intervention in Africa, affecting over one million women across the global south. Western-funded hospitals have sprung up, offering surgical sutures that ostensibly allow women who suffer from obstetric fistula to return to their communities in full health. Journalists, NGO staff, celebrities, and some physicians have crafted a stock narrative around this injury, depicting afflicted women as victims of a backward culture who have their fortunes dramatically reversed by Western aid. With Beyond Surgery, medical anthropologist Anita Hannig unsettles this picture for the first time and reveals the complicated truth behind the idea of biomedical intervention as quick-fix salvation.
 
Through her in-depth ethnography of two repair and rehabilitation centers operating in Ethiopia, Hannig takes the reader deep into a world inside hospital walls, where women recount stories of loss and belonging, shame and delight. As she chronicles the lived experiences of fistula patients in clinical treatment, Hannig explores the danger of labeling “culture” the culprit, showing how this common argument ignores the larger problem of insufficient medical access in rural Africa. Beyond Surgery portrays the complex social outcomes of surgery in an effort to deepen our understanding of medical missions in Africa, expose cultural biases, and clear the path toward more effective ways of delivering care to those who need it most.

William K. Jones reviews the seminal US Supreme Court decisions that restrict the First Amendment in order to protect persons against defamatory falsehoods, invasions of privacy, and related psychic harm. Covering cases ranging from a restaurant owner dri

During the Potato Famine of the nineteenth century, about one million Irish people perished from starvation and disease, while more than two million fled the country in fear and desperation, with some 850,000 landing in New York City. After a difficult journey, many found themselves impoverished, taking dangerous jobs, and battling miserable living conditions in an unfamiliar urban landscape. These circumstances resulted in high rates of illness, injury, and death compared with other immigrant groups and native-born Americans.

In this profound study, Meredith B. Linn explores three kinds of afflictions—typhus fever, tuberculosis, and work-related injuries—that disproportionately affected Irish immigrants, tracing how existing medical ideas and technologies intersected with American prejudices to further conspire against this once culturally distinct group. Linn makes a compelling case for how Americans’ interpretations of the visible bodily changes wrought by typhus fever and injuries contributed to essentializing and dehumanizing biases against these new immigrants, while tuberculosis—with its symptoms of fatigue, pallor, and emaciation—enabled Americans to see individuals beyond stereotypes and to recognize the equal humanity of the Irish.

Drawing upon extensive archaeological records, folkloric sources, and historical documents, Linn presents what she terms a “visceral historical archaeology”—a perspective rooted in historical archaeology and medical anthropology—to illuminate the experiences of these immigrants. She investigates their health-related ideas and practices and reveals their efforts to heal themselves using popular remedies from Ireland and several new American commodities. Laden with heartrending stories from real working-class Irish and their American doctors, this richly illustrated book provides new perspectives about urban experience in the context of the Irish diaspora and invites contemplation about how illness, injury, and healing have affected the lives and reception of newcomers to the US.