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Circumcision and Medicine in Modern Turkey
Oyman Basaran
University of Texas Press, 2023

An investigation of how the expansion of modern medicine in Turkey transformed young boys’ experiences of circumcision.

In Turkey, circumcision is viewed as both a religious obligation and a rite of passage for young boys, as communities celebrate the ritual through gatherings, gifts, and special outfits. Yet the procedure is a potentially painful and traumatic ordeal. With the expansion of modern medicine, the social position of sünnetçi (male circumcisers) became subject to the institutional arrangements of Turkey’s evolving health care and welfare system. In the transition from traditional itinerant circumcisers to low-ranking health officers in the 1960s and hospital doctors in the 1990s, the medicalization of male circumcision has become entangled with state formation, market fetishism, and class inequalities.

Based on Oyman Başaran’s extensive ethnographic and historical research, Circumcision and Medicine in Modern Turkey is a close examination of the socioreligious practice of circumcision in twenty-five cities and their outlying towns and villages in Turkey. By analyzing the changing subjectivity of medical actors who seek to alleviate suffering in male circumcision, Başaran offers a psychoanalytically informed alternate approach to the standard sociological arguments surrounding medicalization and male circumcision.

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Duty to Serve, Duty to Conscience
The Story of Two Conscientious Objector Combat Medics during the Vietnam War
James C. Kearney
University of North Texas Press, 2023

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The Gray Zones of Medicine
Healers and History in Latin America
Diego Armus and Pablo F. Gómez
University of Pittsburgh Press, 2021

Winner, 2022 Outstanding Academic Title, CHOICE Awards

Health practitioners working in gray zones, or between official and unofficial medicines, played a fundamental role in shaping Latin America from the colonial period onward. The Gray Zones of Medicine offers a human, relatable, complex examination of the history of health and healing in Latin America across five centuries. Contributors uncover how biographical narratives of individual actors—outside those of hegemonic biomedical knowledge, careers of successful doctors, public health initiatives, and research and medical institutions—can provide a unique window into larger social, cultural, political, and economic historical changes and continuities in the region. They reveal the power of such stories to illuminate intricacies and resilient features of the history of health and disease, and they demonstrate the importance of escaping analytical constraints posed by binary frameworks of legality/illegality, learned/popular, and orthodoxy/heterodoxy when writing about the past. Through an accessible and story-like format, this book unlocks the potential of historical narratives of healings to understand and give nuance to processes too frequently articulated through intellectual medical histories or the lenses of empires, nation-states, and their institutions.

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Into Africa
A Transnational History of Catholic Medical Missions and Social Change
Wall, Barbra Mann
Rutgers University Press, 2015
Winner of the 2016 Lavinia Dock Award from the American Association for the History of Nursing

 Awarded first place in the 2016 American Journal of Nursing Book of the Year Award in the History and Public Policy category


The most dramatic growth of Christianity in the late twentieth century has occurred in Africa, where Catholic missions have played major roles. But these missions did more than simply convert Africans. Catholic sisters became heavily involved in the Church’s health services and eventually in relief and social justice efforts. In Into Africa, Barbra Mann Wall offers a transnational history that reveals how Catholic medical and nursing sisters established relationships between local and international groups, sparking an exchange of ideas that crossed national, religious, gender, and political boundaries.
 
Both a nurse and a historian, Wall explores this intersection of religion, medicine, gender, race, and politics in sub-Saharan Africa, focusing on the years following World War II, a period when European colonial rule was ending and Africans were building new governments, health care institutions, and education systems. She focuses specifically on hospitals, clinics, and schools of nursing in Ghana and Uganda run by the Medical Mission Sisters of Philadelphia; in Nigeria and Uganda by the Irish Medical Missionaries of Mary; in Tanzania by the Maryknoll Sisters of New York; and in Nigeria by a local Nigerian congregation. Wall shows how, although initially somewhat ethnocentric, the sisters gradually developed a deeper understanding of the diverse populations they served. In the process, their medical and nursing work intersected with critical social, political, and cultural debates that continue in Africa today: debates about the role of women in their local societies, the relationship of women to the nursing and medical professions and to the Catholic Church, the obligations countries have to provide care for their citizens, and the role of women in human rights.
 
A groundbreaking contribution to the study of globalization and medicine, Into Africa highlights the importance of transnational partnerships, using the stories of these nuns to enhance the understanding of medical mission work and global change.
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The Language of Birds
Norbert Scheuer
Haus Publishing, 2018
It is 2003, and Paul Arimond is serving as a paramedic in Afghanistan. The twenty-four-year-old has no illusions of becoming a hero. Rather, he has chosen the army to escape the tragedies of his past and his own feelings of guilt. As a result, he finds himself in the same land, now war-torn, where an ancestor of his, Ambrosius Arimond, a late eighteenth-century traveler and ornithologist, once explored and developed the theory of a universal language of birds.

As visceral horrors and everyday banalities of the war threaten to engulf Paul, he, like his great-great-grandfather, finds his very own refuge in Afghanistan’s natural world. In a diary filled with exquisite drawings of birds and ruminations on the life he left behind, Paul describes his experiences living with two comrades who are fighting their own demons and his befriending of an Afghan man, Nassim, as well as his dreams of escaping the restrictive base camp and visiting the shores of a lake visible from the lookout tower. But when he finally reaches the lake one night, he finds himself in the midst of a chain of events that, with his increasingly fragile state of mind, has dramatic—and ultimately heartbreaking—consequences.

A meditative novel that shows a new side to the conflict in Afghanistan, The Language of Birds takes a moving look at the all-too-human costs of war and questions what it truly means to fight for freedom.
 
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Medical Malpractice and the American Jury
Confronting the Myths about Jury Incompetence, Deep Pockets, and Outrageous Damage Awards
Neil Vidmar
University of Michigan Press, 1997
In this landmark book, Neil Vidmar looks beyond the common perceptions of medical malpractice litigation and finds a system that is fair, impartial, and intelligent. Firmly grounded in a wealth of empirical data, the author presents a fresh look at a civil jury system that has been maligned as out-of-touch, capricious, and disposed to awarding exorbitant, unjustified amounts to plaintiffs whenever they have the opportunity. In an era when tort reform is high on the congressional agenda, Medical Malpractice and the American Jury is almost alone in voicing reason and fact.
Written in a thoroughly inviting, jargon-free style, Medical Malpractice and the American Jury places those cases that go to trial in the broader context of litigation, noting that only about ten percent of malpractice cases ever result in trials. Of those that do go to trial, the author notes, more than two out of three cases are decided in the doctor's favor--repudiating the view that jurors are inherently biased against doctors and are motivated more by sympathy for the plaintiff than by the facts of the case.
Neil Vidmar comprehensively addresses all the claims that have been leveled against the performance of malpractice juries. For example, he compares actual jury decisions on negligence with neutral physicians' ratings of whether negligence occurred in the medical treatment and finds a remarkable consistency--repudiating the view that jurors are unable to understand experts or uncritically defer to their opinion.
"Medical Malpractice and the American Jury is quite simply the most compelling, comprehensive examination of the American jury system yet written. It brings reason and fact to the debate in a way that puts the lie to the many myths surrounding medical negligence cases. For anyone genuinely interested in just solutions, this book should be required reading. To act in ignorance of its findings invites disaster." --Trial
"For anyone really interested in the evidence about the daily grind of the courthouse mill, Neil Vidmar's Medical Malpractice and the American Jury is a good place to start." --Washington Post Book World
Neil Vidmar is Professor of Social Science and Law, Duke Law School, and Professor of Psychology, Duke University.
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Medical Malpractice
Theory, Evidence, and Public Policy
Patricia M. Danzon
Harvard University Press, 1985

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.

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Parenting on the Frontlines
Stories of Love, Loss, and Wonder
Kelly Cooper Paradis
Michigan Publishing Services, 2023

Each day of working parenthood is a rollercoaster of success and failure. My child ate a carrot! Then spit it out on the dog. I got to work on time! But there is a mystery stain on my dress shirt and this Tide stick is definitely making it worse. Also yes, that was “Baby Shark” I was humming while accidentally unmuted on the Zoom call, and no, I am not going to be able to sew an octopus costume from scratch by Friday. Please tell me there is something available at Target. 

As a parent, we live through levels of both joy and sorrow that we didn’t even know existed before. And we wonder—is it only me? Am I alone in this? In Parenting on the Frontlines, we explore both the lighter and heavier sides of working parenthood. The stories shared here are written by healthcare workers at Michigan Medicine, but all caregivers will find pieces to which they can relate. Most importantly, we want you to know that you are not alone on your journey, no matter where it takes you. 

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Saber’s Edge
A Combat Medic in Ramadi, Iraq
Thomas A. Middleton
University Press of New England, 2010
The National Guardsman, the citizen soldier called upon to fight for this nation in a time of war, is one of the least understood — and perhaps one of the most compelling — figures of the Iraq War. Saber’s Edge is the story of a middle-aged Vermont firefighter called upon to be a soldier in the worst place on earth — Ramadi, Iraq. In a few short weeks Thomas A. Middleton went from being a suburban dad to a combat medic traveling between platoons, filling in for other medics and engaging in some of the fiercest and most crucial fighting of the war. This is the war as experienced from the ground level: days of tedium interspersed with the adrenalin of combat; moments of lighthearted laughter broken by the sorrow of loss. This is also the story of the unique wartime perspective of our guardsmen. Unlike the raw, unformed young recruit, the mature guardsman often comes with the burdens of family, experience, and a developed sense of self. Accordingly, Sgt. Middleton’s story chronicles the inner conflict created by his long-time professional role as a healer and his newfound life as a warrior in the urban battlefields of Iraq. Thrust into a culture and theater of war that he is little equipped or trained for, the author tries to make sense of his actions. Coarsened by combat and increasingly disdainful of the local population, he receives solace and insight from his life-long faith and ultimately emerges as a man who understands his role in the world. Saber’s Edge is also the story of the Green Mountain Boys of Task Force Saber: a story of comradeship and communion amid fierce street fighting in a crucial theater of the Iraq War (the eventual site of the “Al Anbar Awakening”). Based on the author’s first-hand experiences and interviews with other soldiers, Saber’s Edge presents a riveting account of modern urban warfare and the inspiring story of one man reconciling his actions in warfare.
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Spiritual Caregiving
Healthcare As A Ministry
Verna Benner Carson
Templeton Press, 2004

With today's cumbersome insurance procedures, government regulations, endless paperwork, and concerns about malpractice rates, many health care professionals are asking: "Why am I doing this? Am I making a difference to my patients? Is there a better way—and if so, what is it?" In this book, Carson and Koenig examine the state of the health care system with the goal of providing healthcare professionals and caregivers the inspiration and practical tools to reclaim their sense of purpose.

The book begins with an evaluation of the current system from the perspective of the spiritual vision that initially motivated and nourished many caregivers. The authors then pose a vision of a health care system that supports and nurtures the spirituality of patients and their families, of which some elements already exist.

An overview is provided on the preparation necessary for health care professionals to offer spiritual care when there are major implications—for people with chronic illnesses, psychiatric issues, devastating injuries, and those preparing for surgery, facing death, and those living with chronic pain. Also explored are ways that health professionals and caregivers can maintain their own spiritual health even as they work to bring about healing, comfort, and solace to others.

Woven throughout the book are the personal narratives of physicians, nurses, chaplains, health care educators, community resource workers, administrators, therapists, and psychologists—all from a wide range of religious traditions. Their examples inspire and assist professionals in renewing the spiritual focus of health care.

 

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Structures of Indifference
An Indigenous Life and Death in a Canadian City
Mary Jane Logan McCallum
University of Manitoba Press, 2018

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Suing for Medical Malpractice
Frank A. Sloan, Penny B. Githens, Ellen Wright Clayton, Gerald B. Hickson, Dougl
University of Chicago Press, 1993
Medical malpractice suits today can result in multi-million-dollar settlements, and a practicing physician can pay $100,000 or more annually for malpractice insurance. Some complain that lawyers and plaintiffs are overcompensated by exorbitant judgments that add to the rising cost of health care. But there has been very little evidence to show whether these arguments are true. In this timely work, six experts in health policy, law, and medicine study nearly 200 malpractice claims to show that, contrary to popular perceptions, victims of malpractice are not overcompensated and our legal system for dealing with malpractice claims is not defective.

The authors survey claims filed in Florida between 1986 and 1989 by people who suffered permanent injury or death during birth or during treatment in an emergency room. How often did illegitimate claims result in financial awards? What was the relation between the injury and the amount the patient lost economically? How much did the plaintiffs actually recover? How did the claimants choose their lawyers and what kind of relationship did they have?

Contrary to common perceptions, in the majority of cases the claims were merited, and the authors found that claimants were on average substantially undercompensated—only about one-fifth of plaintiffs recovered more than their economic loss caused by injury or death. The evidence in this book suggests that placing dollar limits on malpractice cases is unjustified and that our tort system is not so faulty after all.
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Unequal Time
Gender, Class, and Family in Employment Schedules
Dan Clawson is professor of sociology at the University of Massachusetts, Amherst. Naomi Gerstel is a distinguished university professor of sociology at the University of Massachusetts, Amherst.
Russell Sage Foundation, 2014
Life is unpredictable. Control over one’s time is a crucial resource for managing that unpredictability, keeping a job, and raising a family. But the ability to control one’s time, much like one’s income, is determined to a significant degree by both gender and class. In Unequal Time, sociologists Dan Clawson and Naomi Gerstel explore the ways in which social inequalities permeate the workplace, shaping employees’ capacities to determine both their work schedules and home lives, and exacerbating differences between men and women, and the economically privileged and disadvantaged. Unequal Time investigates the interconnected schedules of four occupations in the health sector—professional-class doctors and nurses, and working-class EMTs and nursing assistants. While doctors and EMTs are predominantly men, nurses and nursing assistants are overwhelmingly women. In all four occupations, workers routinely confront schedule uncertainty, or unexpected events that interrupt, reduce, or extend work hours. Yet, Clawson and Gerstel show that members of these four occupations experience the effects of schedule uncertainty in very distinct ways, depending on both gender and class. But doctors, who are professional-class and largely male, have significant control over their schedules and tend to work long hours because they earn respect from their peers for doing so. By contrast, nursing assistants, who are primarily female and working-class, work demanding hours because they are most likely to be penalized for taking time off, no matter how valid the reasons. Unequal Time also shows that the degree of control that workers hold over their schedules can either reinforce or challenge conventional gender roles. Male doctors frequently work overtime and rely heavily on their wives and domestic workers to care for their families. Female nurses are more likely to handle the bulk of their family responsibilities, and use the control they have over their work schedules in order to dedicate more time to home life. Surprisingly, Clawson and Gerstel find that in the working class occupations, workers frequently undermine traditional gender roles, with male EMTs taking significant time from work for child care and women nursing assistants working extra hours to financially support their children and other relatives. Employers often underscore these disparities by allowing their upper-tier workers (doctors and nurses) the flexibility that enables their gender roles at home, including, for example, reshaping their workplaces in order to accommodate female nurses’ family obligations. Low-wage workers, on the other hand, are pressured to put their jobs before the unpredictable events they might face outside of work. Though we tend to consider personal and work scheduling an individual affair, Clawson and Gerstel present a provocative new case that time in the workplace also collective. A valuable resource for workers’ advocates and policymakers alike, Unequal Time exposes how social inequalities reverberate through a web of interconnected professional relationships and schedules, significantly shaping the lives of workers and their families.
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A Union for Appalachian Healthcare Workers
The Radical Roots and Hard Fights of Local 1199
John Hennen
West Virginia University Press, 2021
History at the intersection of healthcare, labor, and civil rights.

The union of hospital workers usually referred to as the 1199 sits at the intersection of three of the most important topics in US history: organized labor, health care, and civil rights. John Hennen’s book explores the union’s history in Appalachia, a region that is generally associated with extractive industries but has seen health care grow as a share of the overall economy.

With a multiracial, largely female, and notably militant membership, 1199 was at labor’s vanguard in the 1970s, and Hennen traces its efforts in hospitals, nursing homes, and healthcare centers in West Virginia, eastern Kentucky, and Appalachian Ohio. He places these stories of mainly low-wage women workers within the framework of shake-ups in the late industrial and early postindustrial United States, relying in part on the words of Local 1199 workers and organizers themselves. Both a sophisticated account of an overlooked aspect of Appalachia’s labor history and a key piece of context for Americans’ current concern with the status of “essential workers,” Hennen’s book is a timely contribution to the fields of history and Appalachian studies and to the study of social movements.
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What Do I Say?
Talking with Patients about Spirituality
Elizabeth Johnston-Taylor
Templeton Press, 2007
Health care professionals, clergy, chaplains, social workers, and others who counsel people in medical crisis often find themselves faced with deeply painful questions: Why is this happening to me? Am I dying? Why should I live? I'm just a burden to others.
Here is a workbook that suggests healing verbal responses to such expressions of spiritual pain. The author, an internationally recognized expert in spiritual caregiving, points out that wanting to help is one motivation for learning these skills, but there are also evidence-based reasons: helping patients express their innermost feelings promotes spiritual healing; spiritual health is related to physical and emotional health; spiritual coping helps patients accept and deal with their illness; and patients tend to want their health care professionals to know about their spirituality.
Lessons, tips, and exercises teach how to listen effectively, with guidelines for detecting and understanding the spiritual needs embedded in patients' conversations. Suggestions are provided for verbal responses to patients who express spiritual distress, including tips for building rapport, using self-disclosure, and praying with patients. A FAQ section deals with frequently asked questions and miscellaneous information, such as:
•What do I do when a patient talks on and on and I have to leave?
•How do I answer a "why" question?
•What do I say to a patient who believes a miracle will happen to cure them?
•What if I'm not religious? How can I talk about it?
By practicing and using these healing techniques, Taylor explains, healthcare professionals will be able to provide patients responses to their questions that allow them to become intellectually, emotionally, and physically aware of their spirituality so they can experience life more fully.
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