A SCHOLARLY BOOK REPOSITORY175 start with C start with C
A vivid sense of a colonial culture characterized by an anxious and assertive white masculinity emerges from Anderson’s description of American efforts to treat and discipline allegedly errant Filipinos. His narrative encompasses a colonial obsession with native excrement, a leper colony intended to transform those considered most unclean and least socialized, and the hookworm and malaria programs implemented by the Rockefeller Foundation in the 1920s and 1930s. Throughout, Anderson is attentive to the circulation of intertwined ideas about race, science, and medicine. He points to colonial public health in the Philippines as a key influence on the subsequent development of military medicine and industrial hygiene, U.S. urban health services, and racialized development regimes in other parts of the world.
In The Colonial Politics of Global Health, Jessica Lynne Pearson explores the collision between imperial and international visions of health and development in French Africa as decolonization movements gained strength.
After World War II, French officials viewed health improvements as a way to forge a more equitable union between France and its overseas territories. Through new hospitals, better medicines, and improved public health, French subjects could reimagine themselves as French citizens. The politics of health also proved vital to the United Nations, however, and conflicts arose when French officials perceived international development programs sponsored by the UN as a threat to their colonial authority. French diplomats also feared that anticolonial delegations to the United Nations would use shortcomings in health, education, and social development to expose the broader structures of colonial inequality. In the face of mounting criticism, they did what they could to keep UN agencies and international health personnel out of Africa, limiting the access Africans had to global health programs. French personnel marginalized their African colleagues as they mapped out the continent’s sanitary future and negotiated the new rights and responsibilities of French citizenship. The health disparities that resulted offered compelling evidence that the imperial system of governance should come to an end.
Pearson’s work links health and medicine to postwar debates over sovereignty, empire, and human rights in the developing world. The consequences of putting politics above public health continue to play out in constraints placed on international health organizations half a century later.
A young physician, Dr. Abby Wilmore, attempts to escape her past by starting over at the Grand Canyon Clinic. Silently battling her own health issues, Abby struggles with adjusting to the demands of this unique rural location. She encounters everything from squirrel bites to suicides to an office plagued by strong personalities. While tending to unprepared tourists, underserved locals, and her own mental trials, Abby finds herself entangled in an unexpected romance and trapped amidst a danger even more treacherous than the foreboding desert landscape.
Sandra Cavallo Miller’s debut novel transports readers to the beautiful depths of Arizona and weaves an adventurous and heartwarming tale of the courage and strength it takes to overcome personal demons and to find love.
Synthesizing recent research regarding the prevention and control of adolescent smoking, this book offers the reader a convenient compendium of what is known about adolescents and tobacco use; it also highlights areas where additional research is needed. Based on their assessment of the considerable amount of information presented, the authors recommend various ways to help slow--or even reverse--the recent rise in teenage smoking. A comprehensive antitobacco program might include, for example, antismoking media campaigns based on social marketing strategies, clean indoor air laws, and the increase of cigarette prices.
Combating Teen Smoking will appeal to a broad spectrum of readers concerned about the problem of adolescent tobacco use, including policymakers who are actively seeking ways to help reduce teen smoking.
Peter D. Jacobson is Associate Professor, University of Michigan School of Public Health. Paula Lantz is Assistant Professor, University of Michigan School of Public Health. Kenneth Warner is Richard D. Remington Collegiate Professor of Public Health and Director, University of Michigan Tobacco Research Network. Jeffrey Wasserman is Consultant, the RAND Corporation and Senior Project Director, The MEDSTAT Group. Harold Pollack is Assistant Professor, University of Michigan School of Public Health. Alexis Ahlstrom is Research Associate, University of Michigan School of Public Health.
After his wife lost four pregnancies, Jon Cohen set out to gather the most comprehensive and accurate information on miscarriage-a topic shrouded in myth, hype, and uncertainty. The result of his mission is a uniquely revealing and inspirational book for every woman who has lost at least one pregnancy-and for her partner, family, and close friends.
Approaching the topic from a reporter's perspective, Cohen takes us on an intriguing journey into the laboratories and clinics of researchers at the front, weaving together their cutting-edge findings with intimate portraits of a dozen families who have had difficulty bringing a baby to term.
Couples who seek medical help for miscarriage often encounter conflicting information about the causes of pregnancy loss and ways to prevent it. Cohen's investigation synthesizes the latest scientific findings and unearths some surprising facts. We learn, for example, that nearly seven out of ten women who have had three or more miscarriages can still carry a child to term without medical intervention. Cohen also scrutinizes the full array of treatments, showing readers how to distinguish promising new options from the useless or even dangerous ones.
Coming to Term is the first book to turn a journalistic spotlight on a subject that has remained largely in the shadows. With an unrelenting eye and the compassion that comes from personal experience, Jon Cohen offers a message that is both enlightening and unexpectedly hopeful.
How global health practices can end up reorganizing practices of care for the people and communities they seek to serve
Commodities of Care examines the unanticipated effects of global health interventions, ideas, and practices as they unfold in communities of men who have sex with men (MSM) in China. Targeted for the scaling-up of HIV testing, Elsa L. Fan examines how the impact of this initiative has transformed these men from subjects of care into commodities of care: through the use of performance-based financing tied to HIV testing, MSM have become a source of economic and political capital.
In ethnographic detail, Fan shows how this particular program, ushered in by global health donors, became the prevailing strategy to control the epidemic in China in the late 2000s. Fan examines the implementation of MSM testing and its effects among these men, arguing that the intervention produced new markets of men, driven by the push to meet testing metrics.
Fan shows how men who have sex with men in China came to see themselves as part of a global “MSM” category, adopting new selfhoods and socialities inextricably tied to HIV and to testing. Wider trends in global health programming have shaped national public health responses in China and, this book reveals, have radically altered the ways health, disease, and care are addressed.
This new book for students and professionals emphasizes a functional approach to aural rehabilitation refined during the past several years. It details the use of an integrated therapy strategy designed to meet a variety of needs for each client while simultaneously working on multiple communication skill areas. Particular care has been taken to address the different requirements of deaf and hard of hearing adolescents and adults, including information about the unique needs of the culturally Deaf population. Throughout this practical text, clinicians receive encouragement to learn American Sign Language to enhance communication with Deaf clients.
Communication Therapy calls upon the expertise of various authorities well-versed in integrated therapy. They explain fully the state-of-the-art practices for all therapy areas, from global areas in communication therapy, to technology for aural rehabilitation, auditory skills, speechreading, speech and voice, pronunciation, and language skills, and telephone communication training. Case studies demonstrate the effectiveness of the integrated approach, making this book a significant advancement in communication therapy.
This book tells the story of one groundbreaking approach to medicine that attacks the problem by focusing on the wellness of whole neighborhoods. Since their creation during the 1960s, community health centers have served the needs of the poor in the tenements of New York, the colonias of Texas, the working class neighborhoods of Boston, and the dirt farms of the South. As products of the civil rights movement, the early centers provided not only primary and preventive care, but also social and environmental services, economic development, and empowerment.
Bonnie Lefkowitz-herself a veteran of community health administration-explores the program's unlikely transformation from a small and beleaguered demonstration effort to a network of close to a thousand modern health care organizations serving nearly 15 million people. In a series of personal accounts and interviews with national leaders and dozens of health care workers, patients, and activists in five communities across the United States, she shows how health centers have endured despite cynicism and inertia, the vagaries of politics, and ongoing discrimination.
Many of the book’s contributors are leaders in their academic fields, from public health and social work, to community psychology and urban and regional planning, and to social and political science. One author was the 44th president of the United States, himself a former community organizer in Chicago, who reflects on his earlier vocation and its importance. Other contributors are inspiring community leaders whose work on-the-ground and in partnership with us “outsiders” highlights both the power of collaboration, and the cultural humility and other skills required to do it well.
Throughout this book, and particularly in the case studies and examples shared, the role of context is critical, and never far from view. Included here most recently are the horrific and continuing toll of the COVID-19 pandemic, and a long overdue, yet still greatly circumscribed, “national reckoning with systemic racism,” in the aftermath of the brutal police killing of yet another unarmed Black person, and then another and another, seemingly without end. In many chapters, the authors highlight different facets of the Black Lives Matter movement that took on new life across the country and the world in response to these atrocities. In other chapters, the existential threat of climate change and grave threats to democracy also are underscored.
View the Table of Contents and introductory text for the supplementary instructor resources. (https://d3tto5i5w9ogdd.cloudfront.net/wp-content/uploads/2022/02/04143046/9781978832176_optimized_sampler.pdf)
Supplementary instructor resources are available on request: https://www.rutgersuniversitypress.org/communityorganizing
The third edition of Community Organizing and Community Building for Health and Welfare provides new and more established ways to approach community building and organizing, from collaborating with communities on assessment and issue selection to using the power of coalition building, media advocacy, and social media to enhance the effectiveness of such work.
With a strong emphasis on cultural relevance and humility, this collection offers a wealth of case studies in areas ranging from childhood obesity to immigrant worker rights to health care reform. A "tool kit" of appendixes includes guidelines for assessing coalition effectiveness, exercises for critical reflection on our own power and privilege, and training tools such as "policy bingo." From former organizer and now President Barack Obama to academics and professionals in the fields of public health, social work, urban planning, and community psychology, the book offers a comprehensive vision and on-the-ground examples of the many ways community building and organizing can help us address some of the most intractable health and social problems of our times.
Free and informed consent is one of the most widespread and morally important practices of modern health care; competence to consent is its cornerstone. In this book, Becky Cox White provides a concise introduction to the key practical, philosophical, and moral issues involved in competence to consent.
The goals of informed consent, respect for patient autonomy and provision of beneficent care, cannot be met without a competent patient. Thus determining a patient's competence is the critical first step to informed consent. Determining competence depends on defining it, yet surprisingly, no widely accepted definition of competence exists. White identifies nine capacities that patients must exhibit to be competent. She approaches the problem from the task-oriented nature of decision making and focuses on the problems of defining competence within clinical practice. Her proposed definition is based on understanding competence as occurring in a special rather than a general context; as occurring in degrees rather than at a precise threshold; as independent of consequential appeals; and as incorporating affective as well as cognitive capacities.
Combining both an ethical overview and practical guidelines, this book will be of value to health care professionals, bioethicists, and lawyers.
Essential and in-depth The Complete Vegetarian is an invaluable guide for health professionals and the growing number of people who have adopted or want to adopt a vegetarian lifestyle.
Compound Remedies examines the equipment, books, and remedies of colonial Mexico City’s Herrera pharmacy—natural substances with known healing powers that formed part of the basis for modern-day healing traditions and home remedies in Mexico. Paula S. De Vos traces the evolution of the Galenic pharmaceutical tradition from its foundations in ancient Greece to the physician-philosophers of medieval Islamic empires and the Latin West and eventually through the Spanish Empire to Mexico, offering a global history of the transmission of these materials, knowledges, and techniques. Her detailed inventory of the Herrera pharmacy reveals the many layers of this tradition and how it developed over centuries, providing new perspectives and insight into the development of Western science and medicine: its varied origins, its engagement with and inclusion of multiple knowledge traditions, the ways in which these traditions moved and circulated in relation to imperialism, and its long-term continuities and dramatic transformations. De Vos ultimately reveals the great significance of pharmacy, and of artisanal pursuits more generally, as a cornerstone of ancient, medieval, and early modern epistemologies and philosophies of nature.
Anne-Emanuelle Birn and Theodore M. Brown bring together a group of professionals and activists whose lives have been dedicated to health internationalism. By presenting a combination of historical accounts and first-hand reflections, this collection of essays aims to draw attention to the longstanding international activities of the American health left and the lessons they brought home. The involvement of these progressive U.S. health professionals is presented against the background of foreign and domestic policy, social movements, and global politics.
This ground-breaking rhetorical analysis examines a 1987 Massachusetts law affecting infertility treatment and the cultural context that makes such a law possible
Elizabeth C. Britt uses a Massachusetts statute requiring insurance coverage for infertility as a lens through which the work of rhetoric in complex cultural processes can be better understood. Countering the commonsensical notion that mandatory insurance coverage functions primarily to relieve the problem of infertility, Britt argues instead that the coverage serves to expose its contours.
Britt finds that the mandate, operating as a technology of normalization, helps to identify the abnormal (the infertile) and to create procedures by which the abnormal can be subjected to reform. In its role in normalizing processes, the mandate is more successful when it sustains, rather than resolves, the distinction between the normal and the abnormal. This distinction is achieved in part by the rhetorical mechanism of the double bind. For the middle-class white women who are primarily served by the mandate, these double binds are created both by the desire for success, control, and order and by adherence to medical models that often frustrate these same desires. The resulting double binds help to create and sustain the tension between fertility and infertility, order and discontinuity, control and chaos, success and failure, tensions that are essential for the process of normalization to continue.
Britt uses extensive interviews with women undergoing fertility treatments to provide the foundation for her detailed analysis. While her study focuses on the example of infertility, it is also more broadly a commentary on the power of definition to frame experience, on the burdens and responsibilities of belonging to social collectives, and on the ability of rhetorical criticism to interrogate cultural formations.
The Concept of Heart Failure surveys the development of our ideas, both clinical and theoretical, on important aspects of cardiac and pulmonary disease, from the eleventh to the mid-eighteenth century. Before a unified and centralized concept of congestive heart failure was established, individual parts of the syndrome were regarded as discrete clinical entities. As a result, discussion of the syndrome is scattered throughout medieval and Renaissance literature.
Dr. Saul Jarcho, a noted clinician and medical historian, renders a great service in gathering together many little known sources and, with rich commentaries on each author, making them accessible to the modern reader. His translations of Latin, Arabic, and other texts are fluent and skillful. With its thorough documentation, concluding overview, and appendix on the relation between suffocative catarrh and pulmonary edema, The Concept of Heart Failure will be a rich resource for clinicians and historians alike.
Since the 1980s, increasing numbers of hospitals in the United States have formed internal ethics committees to help doctors and other health care professionals deal with complicated ethical questions, especially those regarding the end of a life. But it is only in recent years that German hospitals have followed suit. In Conflicts of Care, Helen Kohlen offers the first comprehensive look at the origin and function of these committees in German hospitals. Using a mix of archival research, participant observation, and interviews, Kohlen explores the debates that surrounded their formation and the functions they have taken on since their creation.
Knowledge has increased so greatly since the first appearance of this famous book that the author not only has extensively revised the earlier text, but has added to it considerably. Several new chapter include material on pulmonary hypertension, the Taussig-Bing malformation, defective development of the right ventricle with an intact ventricular septum, and aortic septal defect. The various types of septal defect are discussed as regards both the clinical syndrome and their operability.
An addition to the revised edition is the Visual Index, designed to show at a glance in pictorial form the essential features of the various malformations; the age, sex, and activity of the patient; the size and shape of the heart; the characteristic murmurs; and the electrocardiogram. Dr. Taussig’s approach is clinical throughout, in order to explain clearly the way the heart functions and to enable the physician to reason logically about a malformation. The author’s intention is to aide the physician in making the decisions which are his responsibility—to recommend operation when necessary and to advise against it when it is unlikely to benefit.
Volume I is designed to orient the student and the general practitioner in the basic methods of approach for the diagnosis of congenital malformations of the heart. Although the book emphasizes the information derived from physical examination, X-ray, and fluoroscopy, the angiocardiograms characteristic of the various anomalies are the strong new feature of this volume. The chapter on medical care gives basic information in regard to the treatment of patients with congenital malformations of the heart.
Volume II is designed for the paediatrician, the consultant physician, and the cardiologist, and gives detailed information on each of the specific malformations. The book is heavily illustrated with X-rays and electrocardiograms, which are all based on proved cases. Diagrams of X-rays are inserted to clarify the changes in the contour of the heart. Circulatory diagrams of all the malformations of the heart show the basic changes in the circulation caused by each of them. Illustrations of the anatomical abnormalities have been drawn as accurately as possible from actual specimens.
Knowledge has increased so greatly since the first appearance of this famous book that the author not only has extensively revised the earlier text, but has added to it considerably. Several new chapter include material on pulmonary hypertension, the Taussig-Bing malformation, defective development of the right ventricle with an intact ventricular septum, and aortic septal defect. The various types of septal defect are discussed as regards both the clinical syndrome and their operability.
An addition to the revised edition is the Visual Index, designed to show at a glance in pictorial form the essential features of the various malformations; the age, sex, and activity of the patient; the size and shape of the heart; the characteristic murmurs; and the electrocardiogram. Dr. Taussig’s approach is clinical throughout, in order to explain clearly the way the heart functions and to enable the physician to reason logically about a malformation. The author’s intention is to aide the physician in making the decisions which are his responsibility—to recommend operation when necessary and to advise against it when it is unlikely to benefit.
Volume I is designed to orient the student and the general practitioner in the basic methods of approach for the diagnosis of congenital malformations of the heart. Although the book emphasizes the information derived from physical examination, X-ray, and fluoroscopy, the angiocardiograms characteristic of the various anomalies are the strong new feature of this volume. The chapter on medical care gives basic information in regard to the treatment of patients with congenital malformations of the heart.
Volume II is designed for the paediatrician, the consultant physician, and the cardiologist, and gives detailed information on each of the specific malformations. The book is heavily illustrated with X-rays and electrocardiograms, which are all based on proved cases. Diagrams of X-rays are inserted to clarify the changes in the contour of the heart. Circulatory diagrams of all the malformations of the heart show the basic changes in the circulation caused by each of them. Illustrations of the anatomical abnormalities have been drawn as accurately as possible from actual specimens.
What are the implications for Americans when actors who play doctors on television endorse medical products, or when an entire town in the Midwest prepares for an earthquake based on the specious advice of a zoologist? These are just two of the many questions Christopher Toumey asks in his investigation of the role of science in American culture. Toumey focuses on the ways in which the symbols of science are employed to signify scientific authority in a variety of cases, from the selling of medical products to the making of public policy about AIDS/HIV––a practice he calls "conjuring" science. It is this "conjuring" of the images and symbols of scientific authority that troubles Toumey and leads him to reflect on the history of public understanding and perceptions of science in the United States. He argues that while most Americans invest a great deal of authority in science, there is a vacuum of understanding about scientific knowledge. This gap between belief and understanding greatly influences public policy decisions and democratic processes.
Toumey argues that instead of comprehending scientific knowledge, methods, or standards, most Americans know science only in terms of symbols that stand for science and that stand between people and scientific understanding. He breaks this paradox down into three questions. First, what are the historical conditions that have caused the culture of science to be so estranged from other parts of American culture? Second, how does science fit into American democratic culture today? And third, if the symbols of science are being used to endorse or legitimize certain values and meanings, but not the values and meanings of science, then to what do they refer?
In witty, readable prose, Toumey investigates these questions by presenting five episodes of science in American life: the fluoridation controversies; the 1986 California referendum on AIDS/HIV policy; the cold fusion controversy; the anti-evolution of creationism; and the mad- scientist stories of fiction and film.
The First English-Language Book on the History of Public Health in Ecuador during the Early and Mid-Twentieth Century
The Ecuadorian Public Health Service was founded in 1908 in response to the arrival of bubonic plague to the country. A. Kim Clark uses this as a point of departure to explore questions of social history and public health by tracing how the service extended the reach of its broader programs across the national landscape and into domestic spaces. Delving into health conditions in the country—especially in the highlands—and efforts to combat disease, she shows how citizens’ encounters with public health officials helped make abstract ideas of state government tangible. By using public health as a window to understand social relations in a country deeply divided by region, class, and ethnicity, Conjuring the State examines the cultural, social, and political effects of the everyday practices of public health officials.
"Goldstein has raised our understanding of the politics of psychiatric professionalization on to a new plane."—Roy Porter, Times Higher Education Supplement
"[A]n historiographical tour de force, quite simply the most insightful work on the subject in English or any other language. . . . [A] work of distinctive originality. . . . It is written with lucidity and elegance, even a certain confident scholarly panache, that make it a pleasure to read."—Toby Gelfand, Social History
"Exhaustively researched, elegantly written, and persuasively argued, Console and Classify is an excellent example of the . . . sociologically informed intellectual history, stimulated by Kuhn and Foucault."—Robert Alun Jones, American Journal of Sociology
A Contagious Cause is the first book to trace the century-long hunt for a human cancer virus in America, an effort whose scale exceeded that of the Human Genome Project. The government’s campaign merged the worlds of molecular biology, public health, and military planning in the name of translating laboratory discoveries into useful medical therapies. However, its expansion into biomedical research sparked fierce conflict. Many biologists dismissed the suggestion that research should be planned and the idea of curing cancer by a vaccine or any other means as unrealistic, if not dangerous. Although the American hunt was ultimately fruitless, this effort nonetheless profoundly shaped our understanding of life at its most fundamental levels. A Contagious Cause links laboratory and legislature as has rarely been done before, creating a new chapter in the histories of science and American politics.
The Japanese health care system provides universal coverage to a healthy but aging population. Its costs are among the lowest in the world and have remained nearly constant as a share of the economy for more than a decade. Americans concerned about runaway medical spending need to know about the successes that Japan has experienced and the problems the country has encountered in its effort to control costs while maintaining quality of care.
Offered here is an analysis of the key issues of cost-containment by specialists followed by reactions from some of America's best-known experts on health care delivery and finance. Topics include the macro-and microeconomics of health care, technology and costs, institutions and costs, attitudinal and behavioral aspects, and the politics of health care.
This collection provides an authoritative study of successful cost-containment in the Japanese health care system---a chronicle of success that is neither a statistical illusion nor a result of sociocultural factors. Detailed here is information on the key mechanism of cost constraint: a fee schedule that covers virtually all medical services and rewards inexpensive services while making expensive services unprofitable. This system has resulted in the provision of quality health care to the entire population at roughly half the cost of American health care. Is it a single-payer system? Would the United States have to introduce a dramatically altered health care structure to benefit from the Japanese experience? No. Japan relies mainly on fee-for-service medicine financed by multiple insurers---a system familiar to Americans and one from which many lessons may be learned.
Based on conferences held in Washington, D.C., and Izu, Japan, this volume collects original chapters on the overall cost structure, how the negotiated mandatory fee schedule works, specific mechanisms for cost control, the politics of health care financing, and the impact of cost cutting on quality, among other topics. These pathbreaking studies will be a significant resource for policymakers and scholars interested in comparative health care systems as well as those interested in health care reform in the United States.
Contemporary Catholic Health Care Ethics, Second Edition, integrates theology, methodology, and practical application into a detailed and practical examination of the bioethical issues that confront students, scholars, and practitioners. Noted bioethicists Gerard Magill, Henk ten Have, and David F. Kelly contribute diverse backgrounds and experience that inform the richness of new material covered in this second edition.
The book is organized into three sections: theology (basic issues underlying Catholic thought), methodology (how Catholic theology approaches moral issues, including birth control), and applications to current issues. New chapters discuss controversial end-of-life issues such as forgoing treatment, killing versus allowing patients to die, ways to handle decisions for incompetent patients, advance directives, and physician-assisted suicide. Unlike anthologies, the coherent text offers a consistent method in order to provide students, scholars, and practitioners with an understanding of ethical dilemmas as well as concrete examples to assist in the difficult decisions they must make on an everyday basis.
In the 1960s University of Cincinnati radiologist Eugene Saenger infamously conducted human experiments on patients with advanced cancer to examine how total body radiation could treat the disease. But, under contract with the Department of Defense, Saenger also used those same patients as proxies for soldiers to answer questions about combat effectiveness on a nuclear battlefield.
Using the Saenger case as a means to reconsider cold war medical trials, Contested Medicine examines the inherent tensions at the heart of clinical studies of the time. Emphasizing the deeply intertwined and mutually supportive relationship between cancer therapy with radiation and military medicine, Gerald Kutcher explores post–World War II cancer trials, the efforts of the government to manage clinical ethics, and the important role of military investigations in the development of an effective treatment for childhood leukemia. Whereas most histories of human experimentation judge research such as Saenger’s against idealized practices, Contested Medicine eschews such an approach and considers why Saenger’s peers and later critics had so much difficulty reaching an unambiguous ethical assessment. Kutcher’s engaging investigation offers an approach to clinical ethics and research imperatives that lays bare many of the conflicts and tensions of the postwar period.
Scientific breakthroughs have led us to a point where soon we will be able to make specific choices about the genetic makeup of our offspring. In fact, this reality has arrived—and it is only a matter of time before the technology becomes widespread.
Much like past arguments about stem-cell research, the coming debate over these reproductive genetic technologies (RGTs) will be both political and, for many people, religious. In order to understand how the debate will play out in the United States, John H. Evans conducted the first in-depth study of the claims made about RGTs by religious people from across the political spectrum, and Contested Reproduction is the stimulating result.
Some of the opinions Evans documents are familiar, but others—such as the idea that certain genetic conditions produce a “meaningful suffering” that is, ultimately, desirable—provide a fascinating glimpse of religious reactions to cutting-edge science. Not surprisingly, Evans discovers that for many people opinion on the issue closely relates to their feelings about abortion, but he also finds a shared moral language that offers a way around the unproductive polarization of the abortion debate and other culture-war concerns. Admirably evenhanded, Contested Reproduction is a prescient, profound look into the future of a hot-button issue.
In Contesting Medical Confidentiality, Andreas-Holger Maehle travels back to the origins of this increasingly relevant issue. He offers the first comparative analysis of professional and public debates on medical confidentiality in the United States, Britain, and Germany during the late nineteenth and early twentieth centuries, when traditional medical secrecy first came under pressure from demands of disclosure in the name of public health. Maehle structures his study around three representative questions of the time that remain salient today: Do physicians have a privilege to refuse court orders to reveal confidential patient details? Is there a medical duty to report illegal procedures to the authorities? Should doctors breach confidentiality in order to prevent the spread of disease? Considering these debates through a unique historical perspective, Contesting Medical Confidentiality illuminates the ethical issues and potentially grave consequences that continue to stir up public debate.
At the edge of mortality there is a place where the seriously ill or dying wait—a place where they may often feel vulnerable or alone. For over forty years, bioethicist cum philosopher Richard Zaner has been at the side of many of those people offering his incalculable gift of listening, and helping to lighten their burdens—not only with his considerable skills, but with his humanity as well.
The narratives Richard Zaner shares in Conversations on the Edge are informed by his depth of knowledge in medicine and bioethics, but are never "clinical." A genuine and caring heart beats underneath his compassionate words. Zaner has written several books in which he tells poignant stories of patients and families he has encountered; there is no question that this is his finest.
In Conversations on the Edge, Zaner reveals an authentic empathy that never borders on the sentimental. Among others, he discusses Tom, a dialysis patient who finally reveals that his inability to work—encouraged by his overprotective mother—is the source of his hostility to treatment; Jim and Sue, young parents who must face the nightmare of letting go of their premature twins, one after the other; Mrs. Oland, whose family refuses to recognize her calm acceptance of her own death; and, in the final chapter, the author's mother, whose slow demise continues to haunt Zaner's professional and personal life.
These stories are filled with pain and joy, loneliness and hope. They are about life and death, about what happens in hospital rooms—and that place at the edge—when we confront mortality. It is the rarest of glimpses into the world of patients, their families, healers, and those who struggle, like Zaner, to understand.
A nuanced critique of the ambivalent relationships among religion, capitalism, and humanitarian aid, Conversionary Sites draws important connections between religion and science, capitalism and charity, and the US and the Global South.
The young psychiatrist from Budapest had studied medicine in Vienna, he had read The Interpretation of Dreams, and now he was about to meet its author. Seventeen years Sigmund Freud's junior, Sándor Ferenczi (1873-1933) sent off a note anticipating the pleasure of the older man's acquaintance--thus beginning a correspondence that would flourish over the next twenty-five years, and that today provides a living record of some of the most important insights and developments of psychoanalysis, worked out through the course of a deep and profoundly complicated friendship.
This volume opens in January of 1908 and closes on the eve of World War I. Letter by letter, a "fellowship of life, thoughts, and interests" as Freud came to describe it, unfolds here as a passionate exchange of ideas and theories. Ferenczi's contribution to psychoanalysis was, Freud said, "pure gold," and many of the younger man's notions and concepts, proposed in these letters, later made their way into Freud's works on homosexuality, paranoia, trauma, transference, and other topics. To the two men's mutual scientific interests others were soon added, and their correspondence expanded in richness and complexity as Ferenczi attempted to work out his personal and professional conflicts under the direction of his devoted and sometimes critical elder colleague.
Here is Ferenczi's love for Elma, his analysand and the daughter of his mistress, his anguish over his matrimonial intentions, his soliciting of Freud's help in sorting out this emotional tangle--a situation that would eventually lead to Ferenczi's own analysis with Freud. Here is Freud's unraveling relationship with Jung, documented through a heated discussion of the events leading up to the final break. Amid these weighty matters of heart and mind, among the psychoanalytic theorizing and playful speculation, we also find the lighter stuff of life, the talk of travel plans and antiquities, gossip about friends and family. Unparalleled in their wealth of personal and scientific detail, these letters give us an intimate picture of psychoanalytic theory being made in the midst of an extraordinary friendship.
The incidence and mortality of occupational injury and illness were assessed by reviewing data from national surveys and applied an attributable-risk-proportion method. Costs were assessed using the human capital method that decomposes costs into direct categories such as medical costs and insurance administration expenses, as well as indirect categories such as lost earnings and lost fringe benefits. The total is estimated to be $155 billion and is likely to be low as it does not include costs associated with pain and suffering or of home care provided by family members.
Invaluable as an aid in the analysis of policy issues, Costs of Occupational Injuryand Illness will serve as a resource and reference for economists, policy analysts, public health researchers, insurance administrators, labor unions and labor lawyers, benefits managers, and environmental scientists, among others.
J. Paul Leigh is Professor in the School of Medicine, Department of Epidemiology and Preventive Medicine, University of California, Davis. Stephen Markowitz, M.D., is Professor in the Department of Community Health and Social Medicine, City University of New York Medical School. Marianne Fahs is Director of the Health Policy Research Center, Milano Graduate School of Management and Urban Policy, New School University. Philip Landrigan, M.D., is Wise Professor and Chair of the Department of Community Medicine, Mount Sinai Medical Center, New York.
Poor health habits (drinking, smoking, lack of exercise) obviously take their toll on individuals and their families. The costs to society are less obvious but certainly more far-reaching. This investigation is the first to quantify the financial burden these detrimental habits place on American taxpayers. Willard Manning and his colleagues measure the direct costs of poor health habits (fire damage, motor vehicle accidents, legal fees), as well as collectively financed costs (medical care, employee sick leave, group health and life insurance, nursing home care, retirement pensions, liability insurance). Consider two co-workers covered by their employer's health plan: both pay the same premium, yet if one drinks heavily, the other--through their mutual insurance program--involuntarily funds the resulting health problems.
After laying out their conceptual framework, methods, and analytical approach, the authors describe precisely how and to what extent drinking, smoking, and lack of exercise are currently subsidized, and make recommendations for reducing or reallocating the expense. They present, for example, a persuasive case for raising excise taxes on alcohol. The authors correlate their data to make costs comparable, to avoid double counting, and to determine the exact costs of each of these poor health habits and some of their findings are quite surprising.
This unique study will be indispensable to public health policy specialists and researchers, as well as to health economists.
The sand trays and stories in this book were created by patients and families living with Cancer and Blood Disorders. Their expressions, created in the sand and conveyed through the written word, provide insight into their world. Sand tray therapy provides a sacred space to process experiences using symbols instead of language.
This collection of photos and personal stories was compiled so that other patients, their families, and their friends can share the authors’ journeys.
Through the stories of Duverney and Perrault, as well as those of Marin Cureau de la Chambre, Jean Pecquet, and Louis Gayant, The Courtiers' Anatomists explores the relationships between empiricism and theory, human and animal, as well as the origins of the natural history museum and the relationship between science and other cultural activities, including art, music, and literature.
Where were you born? Were you born at the Beth? Many thousands of Americans-Jewish and non-Jewish-were born at a hospital bearing the Star of David and named Beth Israel, Mount Sinai, or Montefiore. In the United States, health care has been bound closely to the religious impulse. Newark Beth Israel Hospital is a distinguished modern medical institution in New Jersey whose history opens a window on American health care, the immigrant experience, and urban life. Alan M. and Deborah A. Kraut tell the story of this important institution, illuminating the broader history of voluntary nonprofit hospitals created under religious auspices initially to serve poor immigrant communities. Like so many Jewish hospitals in the early half of the twentieth century, "the Beth" cared not only for its own community's poor and underprivileged, a responsibility grounded in the Jewish traditions of tzedakah ("justice") and tikkun olam ("to heal the world"), but for all Newarkers.
Since it first opened its doors in 1902, the Beth has been an engine of social change. Jewish women activists and immigrant physicians founded an institution with a nonsectarian admissions policy and a welcome mat for physicians and nurses seeking opportunity denied them by anti-Semitism elsewhere. Research, too, flourished at the Beth. Here dedicated medical detectives did path-breaking research on the Rh blood factor and pacemaker development. When economic shortfalls and the Great Depression threatened the Beth's existence, philanthropic contributions from prominent Newark Jews such as Louis Bamberger and Felix Fuld, the efforts of women volunteers, and, later, income from well-insured patients saved the institution that had become the pride of the Jewish community.
The Krauts tell the Beth Israel story against the backdrop of twentieth-century medical progress, Newark's tumultuous history, and the broader social and demographic changes altering the landscape of American cities. Today, the United States, in the midst of another great wave of immigration, once again faces the question of how to provide newcomers with culturally sensitive and economically accessible medical care. Covenant of Care will inform and inspire all those working to meet these demands, offering a compelling look at the creative ways that voluntary hospitals navigated similar challenges throughout the twentieth century.
A COVID Charter, A Better World outlines the steps needed to reform public policies and fix the structural vulnerabilities that the current pandemic has made so painfully clear. Leading scholar Toby Miller argues that we must resist neoliberalism’s tendency to view health in terms of individual choices and market-driven solutions, because that fails to preserve human rights. He addresses the imbalance of geopolitical power to explain how we arrived at this point and shows that the pandemic is more than just a virus—it’s a social disease. By examining how the U.S., Britain, Mexico, and Colombia have responded to the COVID-19 crisis, Miller investigates corporate, scientific, and governmental decision-making and the effects those decisions have had on disadvantaged local communities. Drawing from human rights charters ratified by various international organizations, he then proposes a COVID charter, calling for a new world that places human lives above corporate profits.
Ever since Dolly, the Scottish lamb, tottered on wobbly legs into our consciousness-followed swiftly by other animals: first, mice; then pigs that may provide human transplants, and even an ordinary house cat-thoughts have flown to the cloning of human beings. Legislators rushed to propose a ban on a technique that remains highly hypothetical, although some independent researchers have announced their determination to pursue the possibilities. Political scientist and well-known expert on reproductive issues, Andrea L. Bonnicksen examines the political reaction to this new-born science and the efforts to construct cloning policy. She also looks at issues that relate to stem cell research, its even newer sibling, and poses a key question:
How does the response to Dolly guide us as we manage innovative reproductive technologies in the future?
Various legislative endeavors and the efforts by the Food and Drug Administration (FDA) to oversee cloning, as well as policy models related to federal funding, individual state laws, and programs abroad, inform Bonnicksen's identification of four types of cloning policy. She analyzes in depth the roles of diverse interest groups as each struggle to become the dominant voice in the decision-making process. With skill and insight, she clears the mists from a complicated topic, and addresses the legal, political, and ethical arguments that are not likely to disappear from the national conversation or debates any time soon.
"Thought-provoking and important. . .Drawing on and consolidating the ideas of a range of authors, Horwitz challenges the existing use of the term mental illness and the psychiatric ideas and practices on which this usage is based. . . . Horwitz enters this controversial territory with confidence, conviction, and clarity."—Joan Busfield, American Journal of Sociology
"Horwitz properly identifies the financial incentives that urge therapists and drug companies to proliferate psychiatric diagnostic categories. He correctly identifies the stranglehold that psychiatric diagnosis has on research funding in mental health. Above all, he provides a sorely needed counterpoint to the most strident advocates of disease-model psychiatry."—Mark Sullivan, Journal of the American Medical Association
"Horwitz makes at least two major contributions to our understanding of mental disorders. First, he eloquently draws on evidence from the biological and social sciences to create a balanced, integrative approach to the study of mental disorders. Second, in accomplishing the first contribution, he provides a fascinating history of the study and treatment of mental disorders. . . from early asylum work to the rise of modern biological psychiatry."—Debra Umberson, Quarterly Review of Biology
David Healy follows his widely praised study, The Antidepressant Era, with an even more ambitious and dramatic story: the discovery and development of antipsychotic medication. Healy argues that the discovery of chlorpromazine (more generally known as Thorazine) is as significant in the history of medicine as the discovery of penicillin, reminding readers of the worldwide prevalence of insanity within living memory.
But Healy tells not of the triumph of science but of a stream of fruitful accidents, of technological discovery leading neuroscientific research, of fierce professional competition and the backlash of the antipsychiatry movement of the 1960s. A chemical treatment was developed for one purpose, and as long as some theoretical rationale could be found, doctors administered it to the insane patients in their care to see if it would help. Sometimes it did, dramatically. Why these treatments worked, Healy argues provocatively, was, and often still is, a mystery. Nonetheless, such discoveries made and unmade academic reputations and inspired intense politicking for the Nobel Prize.
Once pharmaceutical companies recognized the commercial potential of antipsychotic medications, financial as well as clinical pressures drove the development of ever more aggressively marketed medications. With verve and immense learning, Healy tells a story with surprising implications in a book that will become the leading scholarly work on its compelling subject.
Accompanied by portraits from artist Eric Kostiuk Williams, the profiles examine whether the criminal legal system is really prepared to handle the nuances and ethical dilemmas faced everyday by people living with HIV. By offering personal stories of people who have faced criminalization first-hand, Alexander McClelland questions common assumptions about HIV, the role of punishment, and the violence that results from the criminal legal system’s legacy of categorizing people as either victims or perpetrators.
By combining stories of care, the reflections of caregiving practitioners, and interpretations of caregiving within a larger social and theoretical framework, this collection identifies the values and skills involved in quality caregiving at the individual level and affirms their importance for reshaping our public caregiving institutions. Contributors from the fields of medicine, nursing, teaching, ministry, sociology, psychotherapy, theology, and philosophy articulate their values, hopes, commitments, and practices both in theoretical essays and in narratives of caregiving that reveal the complexities of skillful practice.
This is the first book to examine challenges in the healthcare sector in the six Gulf Cooperation Council (GCC) countries (Saudi Arabia, Oman, the United Arab Emirates, Qatar, Kuwait, and Bahrain). These countries experienced remarkably swift transformations from small fishing and pearling communities at the beginning of the twentieth century to wealthy petro-states today. Their healthcare systems, however, are only now beginning to catch up.
Rapid changes to the population and lifestyles of the GCC states have completely changed—and challenged—the region’s health profile and infrastructure. While major successes in combatting infectious diseases and improving standards of primary healthcare are reflected in key health indicators, new trends have developed; increasingly “lifestyle” or “wealthy country” diseases, such as diabetes, heart disease, and cancer, have replaced the old maladies. To meet these emerging healthcare needs, GCC states require highly trained and skilled healthcare workers, an environment that supports local training, state-of-the-art diagnostic laboratories and hospitals, research production and dissemination, and knowledge acquisition. They face shortages in most if not all of these areas. This book provides a comprehensive study of the rapidly changing health profile of the region, the existing conditions of healthcare systems, and the challenges posed to healthcare management across the six states of the GCC.
Cross-sectional Atlas of the Brain provides for the first time a set of high-resolution color cross-sections of the human brain (six times higher than that of the only complete data set available to date), each image accompanied by state-of-the-art MRI and CT scans of the same specimen. The sections were made at an interval of 147 micrometers of frozen tissue, virtually artifact free, with the blood vessels filled at sub-millimeter level. The more than two hundred detailed and fully annotated images in this atlas provide a complete body of reference to the gross anatomy of the brain. The accompanying line drawings of these images provide a roadmap for easy orientation.
The unparalleled resolution of the images also made it possible to derive cross-sections of the same specimen in all standard orientations--sagittal, coronal, and axial--through multi-planar computer-aided reformatting. This feature, which eliminates inter-subject variability, has never before been available in an anatomical atlas and makes the atlas especially useful for identifying and following anatomical structures in each plane. About the Companion DVD(View a sample in PDF format)
While the book itself contains 93 images (44 axial, 28 coronal, and 21 sagittal), the DVD contains the complete series of 1,481 axial images from one anatomic specimen from which the 44 axial images in the book were selected. These images were made at a resolution of 1525x1146 or 147 µm/pixel with a digital camera. The axial images are accompanied by 1,528 sagittal and 1,146 coronal images that were made by reformatting and reslicing the axial images. By placing these images side-by-side-by-side the DVD allows the user to see a particular region of the brain in all three orientations-axial, sagittal and coronal-simultaneously. These images are further accompanied by radiologic data. The DVD also allows the user to view a synchronized slide show of the images in all three planes. Images on the DVD that also appear in the book are highlighted with a blue background.
Cross-sectional Atlas of the Brain will be an essential reference for neuroscientists and clinicians (neurologists, radiologists, and neurosurgeons).
Through ethnographic fieldwork and collaborative research with children in Uganda, Cheney traces how the “best interest” principle that governs children’s’ rights can stigmatize orphans and leave children in the post-antiretroviral era even more vulnerable to exploitation. She details the dramatic effects this has on traditional family support and child protection and stresses child empowerment over pity. Crying for Our Elders advances current discussions on humanitarianism, children’s studies, orphanhood, and kinship. By exploring the unique experience of AIDS orphanhood through the eyes of children, caregivers, and policymakers, Cheney shows that despite the extreme challenges of growing up in the era of HIV/AIDS, the post-ARV generation still holds out hope for the future.
Saunders’s analyses are informed by strands of cultural history and theory including art historical critiques of realist representation, Walter Benjamin’s concerns about violence in “mechanical reproduction,” and tropes of detective fiction such as intrigue, the case, and the culprit. Saunders analyzes the diagnostic “gaze” of medical personnel reading images at the viewbox, the two-dimensional images or slices of the human body rendered by the scanner, methods of archiving images, and the use of scans as pedagogical tools in clinical conferences. Bringing cloistered diagnostic practices into public view, he reveals the customs and the social and professional hierarchies that are formulated and negotiated around the weighty presence of the CT scanner. At the same time, by returning throughout to the nineteenth-century ideas of detection and scientific authority that inform contemporary medical diagnosis, Saunders highlights the specters of the past in what appears to be a preeminently modern machine.
After Fidel Castro came to power in 1959, his second declaration, after socialism, was that Cuba would become a leader in international science. In biotechnology he would be proven right and, today, Cuba counts a meningitis B vaccine and cutting-edge cancer therapies to its name. But how did this politically and geographically isolated country make such impressive advances? Drawing on a unique ethnography, and blending the insights of anthropology, sociology, and geography, The Cuban Cure shows how Cuba came to compete with U. S. pharmaceutical giants—despite a trade embargo and crippling national debt.
In uncovering what is distinct about Cuban biomedical science, S. M. Reid-Henry examines the forms of resistance that biotechnology research in Cuba presents to the globalization of western models of scientific culture and practice. He illustrates the epistemic, social, and ideological clashes that take place when two cultures of research meet, and how such interactions develop as political and economic circumstances change. Through a novel argument about the intersection of socioeconomic systems and the nature of innovation, The Cuban Cure presents an illuminating study of politics and science in the context of globalization.
Exploring how this rather benign relationship with psychoactive drugs was transformed into one of confusion and chaos, The Cult of Pharmacology tells the dramatic story of how, as one legal drug after another fell from grace, new pharmaceutical substances took their place. Whether Valium or OxyContin at the pharmacy, cocaine or meth purchased on the street, or alcohol and tobacco from the corner store, drugs and drug use proliferated in twentieth-century America despite an escalating war on “drugs.”
Richard DeGrandpre, a past fellow of the National Institute on Drug Abuse and author of the best-selling book Ritalin Nation, delivers a remarkably original interpretation of drugs by examining the seductive but ill-fated belief that they are chemically predestined to be either good or evil. He argues that the determination to treat the medically sanctioned use of drugs such as Miltown or Seconal separately from the illicit use of substances like heroin or ecstasy has blinded America to how drugs are transformed by the manner in which a culture deals with them.
Bringing forth a wealth of scientific research showing the powerful influence of social and psychological factors on how the brain is affected by drugs, DeGrandpre demonstrates that psychoactive substances are not angels or demons irrespective of why, how, or by whom they are used. The Cult of Pharmacology is a bold and necessary new account of America’s complex relationship with drugs.
Cultivating Health, an interdisciplinary chronicle, details women's impact on remaking health policy, despite the absence of government support. Combining primary source and municipal archival research with comfortable prose, Jennifer Lisa Koslow explores community nursing, housing reform, milk sanitation, childbirth, and the campaign against venereal disease in late nineteenth and early twentieth century Los Angeles. She demonstrates how women implemented health care reform and civic programs while laying the groundwork for a successful transition of responsibility back to government.
Koslow highlights women's home health care and urban policy-changing accomplishments and pays tribute to what would become the model for similar service-based systems in other American centers.
“[Anderson] writes with passion, wit, and panache, and the principal virtues of The Cultivation of Whiteness are the old-fashioned ones of thoroughness, accuracy, and impeccable documentation. . . . [His] sensitive study is a model of how contentious historical issues can be confronted.”—W. F. Bynum, Times Literary Supplement
“One of the virtues of The Cultivation of Whiteness is that it brings together aspects of Australian life and history that are now more often separated—race and environment, blood and soil, medicine and geography, tropical science and urban health, biological thought and national policy, Aboriginality and immigration, the body and the mind. The result is a rich and subtle history of ideas that is both intellectual and organic, and that vividly evokes past states of mind and their lingering, haunting power.”—Tom Griffiths, Sydney Morning Herald
In health care delivery and health care research, basic concepts of cultural behavior are ignored—at a high personal and financial cost—because both fields are dominated by technical solutions and quantitative analysis. They have little use for what is often regarded as irrelevant information.
In this wide-ranging book, written for students and non-specialists, Gesler applies cultural geography to health care and shows that throughout the world, in western and developing countries alike, the social sciences can inform the medical sciences nd make them more effective and less expensive.
How did cells make the journey, one we take so much for granted, from their origin in living bodies to something that can be grown and manipulated on artificial media in the laboratory, a substantial biomass living outside a human body, plant, or animal? This is the question at the heart of Hannah Landecker's book. She shows how cell culture changed the way we think about such central questions of the human condition as individuality, hybridity, and even immortality and asks what it means that we can remove cells from the spatial and temporal constraints of the body and "harness them to human intention."
Rather than focus on single discrete biotechnologies and their stories--embryonic stem cells, transgenic animals--Landecker documents and explores the wider genre of technique behind artificial forms of cellular life. She traces the lab culture common to all those stories, asking where it came from and what it means to our understanding of life, technology, and the increasingly blurry boundary between them. The technical culture of cells has transformed the meaning of the term "biological," as life becomes disembodied, distributed widely in space and time. Once we have a more specific grasp on how altering biology changes what it is to be biological, Landecker argues, we may be more prepared to answer the social questions that biotechnology is raising.
Finalist, PEN Center USA Literary Awards, Research Nonfiction
Rich in oil and strategically located between Russia and China, Kazakhstan is one of the most economically and geopolitically important of the so-called Newly Independent States that emerged after the USSR's collapse. Yet little is known in the West about the region's turbulent history under Soviet rule, particularly how the regime asserted colonial dominion over the Kazakhs and other ethnic minorities.
Grappling directly with the issue of Soviet colonialism, Curative Powers offers an in-depth exploration of this dramatic, bloody, and transformative era in Kazakhstan's history. Paula Michaels reconstructs the Soviet government's use of medical and public health policies to change the society, politics, and culture of its outlying regions. At first glance the Soviets' drive to modernize medicine in Kazakhstan seems an altruistic effort to improve quality of life. Yet, as Michaels reveals, beneath the surface lies a story of power, legitimacy, and control. The Communist regime used biomedicine to reshape the function, self-perception, and practices of both doctors and patients, just as it did through education, the arts, the military, the family, and other institutions.
Paying particular attention to the Kazakhs' ethnomedical customs, Soviet authorities designed public health initiatives to teach the local populace that their traditional medical practices were backward, even dangerous, and that they themselves were dirty and diseased. Through poster art, newsreels, public speeches, and other forms of propaganda, Communist authorities used the power of language to demonstrate Soviet might and undermine the power of local ethnomedical practitioners, while moving the region toward what the Soviet state defined as civilization and political enlightenment.
As Michaels demonstrates, Kazakhs responded in unexpected ways to the institutionalization of this new pan-Soviet culture. Ethnomedical customs surreptitiously lived on, despite direct, sometimes violent, attacks by state authorities. While Communist officials hoped to exterminate all remnants of traditional healing practices, Michaels points to evidence that suggests the Kazakhs continued to rely on ethnomedicine even as they were utilizing the services of biomedical doctors, nurses, and midwives. The picture that ultimately emerges is much different from what the Soviets must have imagined. The disparate medical systems were not in open conflict, but instead both indigenous and alien practices worked side by side, becoming integrated into daily life.
Combining colonial and postcolonial theory with intensive archival and ethnographic research, Curative Powers offers a detailed view of Soviet medical initiatives and their underlying political and social implications and impact on Kazakh society. Michaels also endeavors to link biomedical policies and practices to broader questions of pan-Soviet identity formation and colonial control in the non-Russian periphery.
In 1946, Nina Kliueva and Grigorii Roskin announced the discovery of a preparation able to "dissolve" tumors in mice. Preliminary clinical trials suggested that KR, named after its developers, might work in humans as well. Media hype surrounding KR prompted the U.S. ambassador to the Soviet Union to seek U.S.-Soviet cooperation in perfecting the possible cure. But the escalating Cold War gave this American interest a double edge. Though it helped Kliueva and Roskin solicit impressive research support from the Soviet leadership, including Stalin, it also thrust the couple into the center of an ideological confrontation between the superpowers. Accused of divulging "state secrets" to America, the couple were put on a show trial, and their "antipatriotic sins" were condemned in Soviet stage and film productions.
Parlaying their notoriety into increased funding, Kliueva and Roskin continued their research, but envious colleagues discredited their work and took over their institute. For years, work on KR languished and ceased entirely with the deaths of Kliueva and Roskin. But recently, the Russian press reported that work on KR has begun again, reopening this illuminating story of the intersection among Cold War politics, personal ideals, and biomedical research.
Combining the histories of empire, leisure, tourism, culture, and medicine, Eric T. Jennings sheds new light on the workings of empire by examining the rationale and practice of French colonial hydrotherapy between 1830 and 1962. He traces colonial acclimatization theory and the development of a “science” of hydrotherapy appropriate to colonial spaces, and he chronicles and compares the histories of spas in several French colonies—Guadeloupe, Madagascar, Tunisia, and Réunion—and in France itself. Throughout Curing the Colonizers, Jennings illuminates the relationship between indigenous and French colonial therapeutic knowledge as well as the ultimate failure of the spas to make colonialism physically or morally safe for the French.
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