This book examines why physicians are often surprisingly reluctant to follow guidelines for treating patients based on research data. It assesses the merits of these concerns—which include worries about legal liability, financial incentives, the scientific validity of the data, and the objectivity of the issuer of the guidelines. It also proposes ways of developing more useful data and more effective guidelines that would reduce their objections.
Margaret Charles Smith, a ninety-one-year-old Alabama midwife, has thousands of birthing stories to tell. Sifting through nearly five decades of providing care for women in rural Greene County, she relates the tales that capture the life-and-death struggle of the birthing experience and the traditions, pharmacopeia, and spiritual attitudes that influenced her practice. She debunks images of the complacent southern “granny” midwife and honors the determination, talent, and complexity of midwifery.
Fascinating to read, this book is part of the new genre of writing that recognizes the credibility of midwives who have emerged from their own communities and were educated through apprenticeship and personal experience. Past descriptions of southern black midwives have tended to denigrate their work in comparison with professional established medicine. Believed to be the oldest living (though retired) traditional African American midwife in Alabama, Smith is one of the few who can recount old-time birthing ways. Despite claims that midwives contributed to high infant mortality rates, Smith’s story emphasizes midwives' successes in facing medical challenges and emergencies.
Effective peace agreements are rarely accomplished by idealists. The process of moving from situations of entrenched oppression, armed conflict, open warfare, and mass atrocities toward peace and reconciliation requires a series of small steps and compromises to open the way for the kind of dialogue and negotiation that make political stability, the beginning of democracy, and the rule of law a possibility.
For over forty years, Charles Villa-Vicencio has been on the front lines of Africa's battle for racial equality. In Walk with Us and Listen, he argues that reconciliation needs honest talk to promote trust building and enable former enemies and adversaries to explore joint solutions to the cause of their conflicts. He offers a critical assessment of the South African experiment in transitional justice as captured in the Truth and Reconciliation Commission and considers the influence of ubuntu, in which individuals are defined by their relationships, and other traditional African models of reconciliation. Political reconciliation is offered as a cautious model against which transitional politics needs to be measured. Villa-Vicencio challenges those who stress the obligation to prosecute those allegedly guilty of gross violation of human rights, replacing this call with the need for more complementarity between the International Criminal Court and African mechanisms to achieve the greater goals of justice and peace building.
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