front cover of Labor of Love
Labor of Love
Gestational Surrogacy and the Work of Making Babies
Jacobson, Heather
Rutgers University Press, 2016
While the practice of surrogacy has existed for millennia, new fertility technologies have allowed women to act as gestational surrogates, carrying children that are not genetically their own. While some women volunteer to act as gestational surrogates for friends or family members, others get paid for performing this service. The first ethnographic study of gestational surrogacy in the United States, Labor of Love examines the conflicted attitudes that emerge when the ostensibly priceless act of bringing a child into the world becomes a paid occupation.  
 
Heather Jacobson interviews not only surrogate mothers, but also their family members, the intended parents who employ surrogates, and the various professionals who work to facilitate the process. Seeking to understand how gestational surrogates perceive their vocation, she discovers that many regard surrogacy as a calling, but are reluctant to describe it as a job. In the process, Jacobson dissects the complex set of social attitudes underlying this resistance toward conceiving of pregnancy as a form of employment. 
 
 
[more]

front cover of Laboring in the Shadow of Empire
Laboring in the Shadow of Empire
Race, Gender, and Care Work in Portugal
Celeste Vaughan Curington
Rutgers University Press, 2024

Laboring in the Shadow of Empire: Race, Gender and Care Work in Portugal examines the everyday lives of an African descendant care service workforce that labors in an ostensibly “anti-racial” Europe and against the backdrop of the Portuguese colonial empire. While much of the literature on global care work has focused on Asian and Latine migrant care workers, there is comparatively less research that explicitly examines African care workers and their migration histories to Europe. Sociologist Celeste V. Curington focuses on Portugal—a European setting with comparatively liberal policies around family settlement and naturalization for migrants. In this setting, rapid urbanization in the late twentieth century, along with a national push to reconcile work and family, have shaped the growth of paid home care and cleaning service industries. Many researchers focus on informal work settings where immigrant rights are restricted, and many workers are undocumented or without permanent residence status. Curington instead examined workers who have accessed citizenship or permanent residence status and also explores African women’s experiences laboring in care and service industries in the formal market, revealing how deeply colonial and intersectional logics of a racialized and international division of reproductive labor in Portugal render these women “hyper-invisible” and “hyper-visible” as “appropriate” workers in Lisbon.

[more]

front cover of Lady Lushes
Lady Lushes
Gender, Alcoholism, and Medicine in Modern America
McClellan, Michelle L
Rutgers University Press, 2017
According to the popular press in the mid twentieth century, American women, in a misguided attempt to act like men in work and leisure, were drinking more. “Lady Lushes” were becoming a widespread social phenomenon. From the glamorous hard-drinking flapper of the 1920s to the disgraced and alcoholic wife and mother played by Lee Remick in the 1962 film “Days of Wine and Roses,” alcohol consumption by American women has been seen as both a prerogative and as a threat to health, happiness, and the social order.
 
In Lady Lushes, medical historian Michelle L. McClellan traces the story of the female alcoholic from the late-nineteenth through the twentieth century. She draws on a range of sources to demonstrate the persistence of the belief that alcohol use is antithetical to an idealized feminine role, particularly one that glorifies motherhood. Lady Lushes offers a fresh perspective on the importance of gender role ideology in the formation of medical knowledge and authority.
 
[more]

front cover of Landscapes of Activism
Landscapes of Activism
Civil Society, HIV and AIDS Care in Northern Mozambique
Reed, Joel Christian
Rutgers University Press, 2018
AIDS activists are often romanticized as extremely noble and selfless. However, the relationships among HIV support group members highlighted in Landscapes of Activism are hardly utopian or ideal. At first, the group has everything it needs, a thriving membership, and support from major donors. Soon, the group undergoes an identity crisis over money and power, eventually fading from the scene. As government and development institutions embraced activist demands—decentralizing AIDS care through policies of health systems strengthening—civil society was increasingly rendered obsolete. Charting this transition—from subjects, to citizens, and back again—reveals the inefficacy of protest, and the importance of community resilience. The product of in-depth ethnography and focused anthropological inquiry, this is the first book on AIDS activists in Mozambique. AIDS activism’s strange decline in southern Africa, rather than a reflection of citizen apathy, is the direct result of targeted state and donor intervention.
[more]

front cover of Language and Experience
Language and Experience
Evidence from the Blind Child
Barbara Landau and Lila R. Gleitman
Harvard University Press, 1985
If learning depends upon sensory experience, then how do children with sensory handicaps manage to learn? In Language and Experience Barbara Landau and Lila Gleitman confront this problem head on as they attempt to describe and explain the remarkable ability of blind children to learn language without essential difficulty.
[more]

front cover of The Languages of the Brain
The Languages of the Brain
Albert M. Galaburda
Harvard University Press, 2002

The only way we can convey our thoughts in detail to another person is through verbal language. Does this imply that our thoughts ultimately rely on words? Is there only one way in which thoughts can occur? This ambitious book takes the contrary position, arguing that many possible "languages of thought" play different roles in the life of the mind.

"Language" is more than communication. It is also a means of representing information in both working and long-term memory. It provides a set of rules for combining and manipulating those representations.

A stellar lineup of international cognitive scientists, philosophers, and artists make the book's case that the brain is multilingual. Among topics discussed in the section on verbal languages are the learning of second languages, recovering language after brain damage, and sign language, and in the section on nonverbal languages, mental imagery, representations of motor activity, and the perception and representation of space.

[more]

logo for Harvard University Press
Laryngeal Biomechanics
B. Raymond Fink and Robert J. Demarest
Harvard University Press, 1978

For its size, the larynx is the most complex and versatile mechanical device in the body. In this remarkable book, a distinguished medical illustrator and a world authority on laryngeal biomechanics collaborate to provide both an atlas and a treatise on the behavior of the larynx. In separate chapters, the authors consider the functions of the larynx—as safeguard for the free passage of air, to protect the airway from invasion, as a plug that resists expiration during effort, and as the instrument of speech and song. They replace the traditional view of the larynx as a sphincter with a more accurate model. The laryngeal tissues are seen as folding and unfolding in response to respiratory excursion of the trachea, action of intrinsic and extrinsic laryngeal muscles, the respiratory air current, and the elastic recoil of ligaments, membranes, and articular capsules.

The illustrations include unretouched xrays, halftone sketches, structural drawings, and diagrams; together they present as complete a picture as possible of the larynx in all its various functional states. Innovative and systematic, the work forms the basis for planning radical and reconstructive surgery, quantitative approaches in voice therapy, treatment of laryngospasm in anesthesia without use of relaxants, and design of an artificial larynx.

[more]

front cover of The Last Asylum
The Last Asylum
A Memoir of Madness in Our Times
Barbara Taylor
University of Chicago Press, 2015
In the late 1970s, Barbara Taylor, then an acclaimed young historian, began to suffer from severe anxiety. In the years that followed, Taylor’s world contracted around her illness. Eventually, her struggles were severe enough to lead to her admission to what had once been England’s largest psychiatric institution, the infamous Friern Mental Hospital in North London.

The Last Asylum is Taylor’s breathtakingly blunt and brave account of those years. In it, Taylor draws not only on her experience as a historian, but also, more importantly, on her own lived history at Friern— once known as the Colney Hatch Lunatic Asylum and today the site of a luxury apartment complex. Taylor was admitted to Friern in July 1988, not long before England’s asylum system began to undergo dramatic change: in a development that was mirrored in America, the 1990s saw the old asylums shuttered, their patients left to plot courses through a perpetually overcrowded and underfunded system of community care. But Taylor contends that the emptying of the asylums also marked a bigger loss, a loss of community. She credits her own recovery to the help of a steadfast psychoanalyst and a loyal circle of friends— from Magda, Taylor’s manic-depressive roommate, to Fiona, who shares tips for navigating the system and stories of her boyfriend, the “Spaceman,” and his regular journeys to Saturn. The forging of that network of support and trust was crucial to Taylor’s recovery, offering a respite from the “stranded, homeless feelings” she and others found in the outside world.

A vivid picture of mental health treatment at a moment of epochal change, The Last Asylum is also a moving meditation on Taylor’s own experience, as well as that of millions of others who struggle with mental illness.
[more]

front cover of Last Best Gifts
Last Best Gifts
Altruism and the Market for Human Blood and Organs
Kieran Healy
University of Chicago Press, 2006
More than any other altruistic gesture, blood and organ donation exemplifies the true spirit of self-sacrifice. Donors literally give of themselves for no reward so that the life of an individual—often anonymous—may be spared. But as the demand for blood and organs has grown, the value of a system that depends solely on gifts has been called into question, and the possibility has surfaced that donors might be supplemented or replaced by paid suppliers.
 
Last Best Gifts offers a fresh perspective on this ethical dilemma by examining the social organization of blood and organ donation in Europe and the United States. Gifts of blood and organs are not given everywhere in the same way or to the same extent—contrasts that allow Kieran Healy to uncover the pivotal role that institutions play in fashioning the contexts for donations. Procurement organizations, he shows, sustain altruism by providing opportunities to give and by producing public accounts of what giving means. In the end, Healy suggests, successful systems rest on the fairness of the exchange, rather than the purity of a donor’s altruism or the size of a financial incentive.



[more]

front cover of Launching Global Health
Launching Global Health
The Caribbean Odyssey of the Rockefeller Foundation
Steven Palmer
University of Michigan Press, 2010

"With a clear and engaging narrative that delves into complex and debatable issues and, at the same time, tells very entertaining stories, this book is a wonderful addition to the historiography of international health."
---Diego Armus, Swarthmore College

From the Rockefeller Foundation to the Bill and Melinda Gates Foundation, U.S. philanthropies have played a leading role in the evolution of international health. Launching Global Health examines one of the earliest of these initiatives abroad, the Rockefeller Foundation's International Health Board. The flagship agency made its first call in British Guiana in 1914 to experiment with its new "American method" for the treatment of hookworm disease. Within months it was involved in ambitious hookworm programs in six Central American and Caribbean sites, its directors self-consciously choosing to test run the prototype for their global project in the nearest and clearest domain of American imperial influence. These efforts continued until 1930, when most of the International Health Board hookworm campaigns had evolved into public health projects of a different nature.

Launching Global Health is the first book to explore the inaugural Rockefeller Foundation campaigns in depth and to treat them as an ensemble---as a laboratory for discovering and testing the elements of a global health system for the twentieth century. Orienting the study according to the priorities and perspectives of the social and cultural history of medicine and marrying the results with social science and institutional approaches, Steven Palmer rediscovers elements and dynamics in the original history of global health that were either discarded or that have continued to operate beneath the radar of scholarship.

In particular, Palmer examines the extraordinary encounters that took place between the Rockefeller proselytizers of biomedicine and public health and the diverse populations whom they were attempting to help. Launching Global Health devotes special attention to the health narratives and practices of laboring people of different ethnicities and how they clashed and blended with the stories and rituals being promoted by the Rockefeller Foundation, ultimately showing the locally assembled health teams of microscopists, inspectors, and dispensers to have been active agents in the shaping of encounters between imperial and popular medicine.

Steven Palmer is Canada Research Chair in the History of International Health at the University of Windsor and author of From Popular Medicine to Medical Populism: Doctors, Healers, and Public Power in Costa Rica, 1800-1940.

Illustration: Lecture on hookworm disease on public building porch. Courtesy Rockefeller Archive Center.

A volume in the series Conversations in Medicine and Society.

[more]

logo for Georgetown University Press
Law and Bioethics
An Introduction
Jerry Menikoff
Georgetown University Press, 2001

While the American legal system has played an important role in shaping the field of bioethics, Law and Bioethics is the first book on the subject designed to be accessible to readers with little or no legal background. Detailing how the legal analysis of an issue in bioethics often differs from the "ethical" analysis, the book covers such topics as abortion, surrogacy, cloning, informed consent, malpractice, refusal of care, and organ transplantation.

Structured like a legal casebook, Law and Bioethics includes the text of almost all the landmark cases that have shaped bioethics. Jerry Menikoff offers commentary on each of these cases, as well as a lucid introduction to the U.S. legal system, explaining federalism and underlying common law concepts. Students and professionals in medicine and public health, as well as specialists in bioethics, will find the book a valuable resource.

[more]

front cover of Law at the End of Life
Law at the End of Life
The Supreme Court and Assisted Suicide
Carl E. Schneider, Editor
University of Michigan Press, 2000
We live in a world in which courts crucially shape public policy through constitutional adjudication. This is a book written for that world. It brings together a group of distinguished scholars from many disciplines to examine the Supreme Court's recent decision that statutes prohibiting doctors from helping their patients commit suicide may be constitutional. It offers a guide to that decision and to the larger issues it raises for citizens and scholars alike. It asks everyone's first question: What does the decision mean for today and tomorrow? It asks the lawyer's question: Is the Supreme Court's reasoning clear and convincing? It asks the doctor's question: How will the decision affect the decisions physicians make with their patients? It asks the ethicist's question: Will the decision conduce to wise and just decisions at the end of life? It asks the historian's question: How are we to understand the Court's work in light of our disturbing national experience with euthanasia? Ultimately, it asks the questions citizens need to ask in our new world: Is constitutional adjudication a good way to make public policy? Are courts well equipped--with experience, with doctrine, with wisdom--to make good policy? What role should courts have in making policy in a democracy? Has the Supreme Court made good public policy? What is the right policy for law at the end of life?
Carl Schneider is Professor of Law, University of Michigan Law School.
[more]

front cover of The Law of Life and Death
The Law of Life and Death
Elizabeth Price Foley
Harvard University Press, 2011

Are you alive? What makes you so sure? Most people believe this question has a clear answer—that some law defines our status as living (or not) for all purposes. But they are dead wrong. In this pioneering study, Elizabeth Price Foley examines the many, and surprisingly ambiguous, legal definitions of what counts as human life and death.

Foley reveals that “not being dead” is not necessarily the same as being alive, in the eyes of the law. People, pre-viable fetuses, and post-viable fetuses have different sets of legal rights, which explains the law's seemingly inconsistent approach to stem cell research, in vitro fertilization, frozen embryos, in utero embryos, contraception, abortion, homicide, and wrongful death.

In a detailed analysis that is sure to be controversial, Foley shows how the need for more organ transplants and the need to conserve health care resources are exerting steady pressure to expand the legal definition of death. As a result, death is being declared faster than ever before. The "right to die," Foley worries, may be morphing slowly into an obligation to die.

Foley’s balanced, accessible chapters explore the most contentious legal issues of our time—including cryogenics, feticide, abortion, physician-assisted suicide, brain death, vegetative and minimally conscious states, informed consent, and advance directives—across constitutional, contract, tort, property, and criminal law. Ultimately, she suggests, the inconsistencies and ambiguities in U.S. laws governing life and death may be culturally, and perhaps even psychologically, necessary for an enormous and diverse country like ours.

[more]

front cover of Leaders in Plastic Surgery
Leaders in Plastic Surgery
The Dingman-Grabb Era 1946-1986
Robert M. Oneal, MD, and Lauralee A. Lutz
Michigan Publishing Services, 2017
Leaders in Plastic Surgery traces the inspirational leadership of Reed O. Dingman, DDS, MD, and William C. Grabb, MD, and details the origins and growth of plastic and reconstructive surgery and the training of residents in Ann Arbor, Michigan, and the University of Michigan. It covers the years before and during the period of explosive innovations that have led the specialty to provide hope, correction, and rehabilitation to vast numbers of people suffering from a wide range of congenital abnormalities and acquired deformities. The authors, because of their long, personal association with plastic surgery in Ann Arbor, have brought to life the extensive accomplishments of the two leaders in terms of surgical techniques, surgical education, and important applied research while also documenting the many important contributions from the younger faculty and the trainees to the training program during those forty years. Many from that time frame have contributed their own memories, which has greatly enriched the documentation of an amazing history of an era past but not forgotten.
[more]

logo for Harvard University Press
Learning Psychotherapy
Rationale and Ground Rules
Hilde Bruch
Harvard University Press

Hilde Bruch sets out to accomplish what has, until now, been virtually impossible—the teaching of psychotherapy by use of the written word, communicating the wisdom of a lifetime. Perhaps Dr. Bruch’s unique success at a task that has been tried and tried again, only to result in stereotyped dos and don’ts, stems from her own learning experiences with two great teachers: Harry Stack Sullivan and Frieda Fromm-Reichmann.

Dr. Bruch shares her knowledge of the essential purpose of intensive psychotherapy as it has been shaped over her many years as a psychiatrist, psychoanalyst, and teacher. She sets forth a theoretical frame in straightforward and unmystical language without minimizing the complexities of demand that therapy makes on both patient and therapist.

The reader accompanies the therapist from his first encounter with the stranger who comes to him with his trouble through the various steps that lead to the resolution of the problems. The patient is viewed as a participant in a multifaceted system of many experiences and people, not as an individual isolated from the world around him. In Dr. Bruch’s conception, psychotherapy is a situation where two people interact and try to come to an understanding of one another, with the specific goal of accomplishing something beneficial for the complaining person. The factors that help or hinder the attainment of this interaction are spelled out in the book, and the entire process of learning psychotherapy is thereby illuminated.

[more]

logo for Harvard University Press
Learning to Dance
Advancing Women’s Reproductive Health and Well-Being from the Perspectives of Public Health and Human Rights
Alicia Ely Yamin
Harvard University Press
This book promotes understanding of how the fields of health and human rights can better work together, including both addressing human rights implications of reproductive health interventions and fostering rights-based policies and laws relating to sexuality and reproductive health. A decade after the groundbreaking Cairo Conference on Population and Development a serious gap remains between the reproductive health and human rights fields. Too often, despite using the same language, the two fields do not seem to share the same understanding or strategies. In order to better understand the links and synergies between reproductive health and human rights as well as the continuing gaps between the two fields, this book brings together twelve experts to compare how each field traditionally approaches a situation that presents both public health and human rights implications. Six case studies, illustrating a range of issues in sexual and reproductive health, are analyzed by both a public health expert and a human rights expert, and a separate essay synthesizes the convergences and divergences between the two approaches and points to ways forward.
[more]

front cover of Leaving a Legacy
Leaving a Legacy
Lessons from the Writings of Daniel Drake
Philip Diller
University of Cincinnati Press, 2019
In the midst of a fast-paced profession, it is increasingly a challenge to pause and reflect on where a person’s life is heading. All can feel overwhelming. In these moments, when nothing seems stable, it can be instructive to pause and study individuals from previous generations who lived fully and left a lasting legacy. To find valuable lessons and perspective on the present, author Dr. Phillip Diller has often turned to man, citizen, writer, educator, and physician, Dr. Daniel Drake, who lived from 1785-1852.
 

Leaving a Legacy: Lessons from the Writings of Daniel Drake is a selective collection of excerpts from the vast writings from the nineteenth-century doctor and medical pioneer Daniel Drake. From Drake’s life, documented here in his own words from excerpts of lectures, personal journal entries, presentations, speeches, books, and letters to his children, readers learn about the scope of his accomplishments in medicine, contributions to his community, and dedication to his family. Diller goes beyond biography to contextualize Drake’s life choices and what made him a role model for today’s physicians. Diller selected one hundred and eighty thematically arranged excerpts, which he paired with original reflection questions to guide the reader through thought-provoking prompts. In doing so, Diller presents the lessons from Drake’s remarkable life and work as a guide for others who wish to build an enduring legacy.

Designed to appeal to early and mid-career professionals, particularly those in the medical field, Drake and Diller offer readers a way to enhance life with small actions that can leave a legacy in any community—professional or personal. Documented previously as a man whose life was remarkable for the breadth and depth of his professional accomplishments, Drake’s countless contributions are showcased here to demonstrate the impact he truly had in his time and for generations to come. Engaging with Drake and Diller’s thoughtful and principled voices provides a lasting perspective for those trying to find their purpose in the present.  


 
[more]

front cover of Leeuwenhoek's Legatees and Beijerinck's Beneficiaries
Leeuwenhoek's Legatees and Beijerinck's Beneficiaries
A History of Medical Virology in The Netherlands
Gerard van Doornum
Amsterdam University Press, 2020
This book offers a tour of the history of medical virology in the Netherlands from the nineteenth century to the new millennium. Beginning with the discovery of the first virus by Martinus Beijerinck in 1898, the authors investigate the reception and redefinition of his concept in medical circles and its implications for medical practice, particularly in the diagnosis and prevention of viral infections. The relatively slow progress of these areas in the first half of the twentieth century and their explosive growth in the wake of molecular techniques are examined. The surveillance and control of virus diseases in the field of public health is treated in depth, as are tumour virus research and the important Dutch contributions to technical developments instrumental in advancing virology worldwide. Particular attention is paid to oft forgotten virus research in the former Dutch colonies in the East and West Indies and Africa.
[more]

front cover of Legitimating Life
Legitimating Life
Adoption in the Age of Globalization and Biotechnology
van Wichelen, Sonja
Rutgers University Press, 2019
The phenomenon of transnational adoption is changing in the age of globalization and biotechnology. In Legitimating Life, Sonja van Wichelen boldly describes how contemporary justifications of cross-border adoption navigate between child welfare, humanitarianism, family making, capitalism, science, and health. Focusing on contemporary institutional practices of adoption in the United States and the Netherlands, she traces how professionals, bureaucrats, lawyers, politicians, social workers, and experts legitimate a practice that became progressively controversial. Throughout the past few decades transnational adoption transformed from a humanitarian response to a means of making family. In this new manifestation, life becomes necessarily economized. While push and pull factors, demand and supply dynamics, and competition between agencies set the stage for the globalization of adoption, international conventions, scientific knowledge, and the language of human rights universalized the phenomenon. Van Wichelen argues that such technoscientific legitimations of a globalizing practice are rearticulating colonial logics of race and civilization. Yet, she also lets us see beyond the biopolitical project and into alternative ways of making kin. 

 
 
[more]

front cover of Lesser Harms
Lesser Harms
The Morality of Risk in Medical Research
Sydney A. Halpern
University of Chicago Press, 2004
Research physicians face intractable dilemmas when they consider introducing new medical procedures. Innovations carry the promise of preventing or curing life-threatening diseases, but they can also lead to injury or even death. How have clinical scientists made high-stakes decisions about undertaking human tests of new medical treatments? In Lesser Harms, Sydney Halpern explores this issue as she examines vaccine trials in America during the early and mid-twentieth century.

Today's scientists follow federal guidelines for research on human subjects developed during the 1960s and 1970s. But long before these government regulations, medical investigators observed informal rules when conducting human research. They insisted that the dangers of natural disease should outweigh the risks of a medical intervention, and they struggled to accurately assess the relative hazards. Halpern explores this logic of risk in immunization controversies extending as far back as the eighteenth century. Then, focusing on the period between 1930 and 1960, she shows how research physicians and their sponsors debated the moral quandaries involved in moving vaccine use from the laboratory to the clinic.

This probing work vividly describes the efforts of clinical investigators to balance the benefits and dangers of untested vaccines, to respond to popular sentiment about medical hazards, and to strategically present risk laden research to sponsors and the public.

“Concise and extremely well-written. . . . A fascinating synthesis of sociology, history, and institutional theory.”—Samuel C. Blackman, Journal of the American Medical Association

[more]

front cover of Lessons in Mortality
Lessons in Mortality
Doctors and Patients Struggling Together
Allen B. Weisse, M.D.
University of Missouri Press, 2006
It doesn’t take a trip to the doctor to know that the bond between physicians and patients isn’t what it used to be. Specialization, rising costs, managed care, the insurance industry, the shadow of litigation—so many factors have changed what was once a traditional relationship grounded in respect and caring. 
            In light of the altered climate in health care, this thoughtful book deals with the way that today’s doctors and patients view themselves and one another. Allen Weisse has observed the changing medical scene during half a century of treating patients and training future physicians, and he writes frankly here about how doctors and patients have come to deal with illness in the twenty-first century. 
Weisse first recalls his own brush with death as a young man diagnosed with testicular cancer—a time when one thinks of God and Death and little else. He then shares true stories of how different people have dealt with cancer, heart disease, stroke, infectious disease, AIDS, and other dire diagnoses—narratives enhanced by professional savvy and enriched by the kind of empathy that the survivor of such a calamity can provide.
Drawing from a storehouse of experiences shared by colleagues, patients, and friends, Weisse writes with passion, conviction, and clarity to encourage a renewal of the openness and trust that seem to be lacking in today’s doctor-patient relationships. These are accounts both uplifting and disturbing—some sad, others tinged with humor—intended to make doctors and patients alike come to a fuller realization that we are all together in this delicate but crucial business of staying alive.
            While not quite foreseeing a return to the Norman Rockwell image of the family physician, Weisse urges the kind of care and compassion that patients often feel is lacking from their doctors, and he reassures victims of seemingly hopeless conditions that, despite the obstacles they often face, there are still health care professionals who truly have their patients’ welfare foremost in mind. Lessons in Mortality is just what the doctor ordered for a health care system in crisis: an honest look at the medical profession that encourages greater understanding on the part of both physicians and patients, reminding us that what we most need is one another.
[more]

logo for Georgetown University Press
Let Them Go Free
A Guide to Withdrawing Life Support
Thomas A. Shannon and Charles N. Faso, OFM
Georgetown University Press, 2007

Let Them Go Free offers families a way to cope with a problem particular to our time: what to do when medical treatment sustains life but does not cure or resuscitate a critically ill loved one. This straightforward and empathic guide helps such families affirm that their choice to remove life support is morally acceptable, warranted, and made in the spirit of love and care for the patient.

With an emphasis on maintaining openness and trust among all involved in the decision-making process, this helpful guide skillfully addresses the questions that must be asked to assess the best course of care for a loved one:

• What is the patient’s medical condition?

• What are the medical options?

• Has the patient expressed any wishes regarding his or her treatment?

• What if the patient hasn’t expressed any wishes regarding treatment?

• Do we have to do everything possible to keep the patient alive?

• Do we have to use artificial means of feeding?

• How do we handle disagreements?

• What should we do about donating organs?

Let Them Go Free also includes an ecumenical prayer service to be conducted as life support is withdrawn. Woven with readings and prayers from Hebrew and Christian scripture, the service is intended to give family and friends a moment to express their love for the patient, to say goodbye, and to find a sense of closure as they embark on the first stage of the grieving process.

[more]

front cover of Life And Death In Intensive Care
Life And Death In Intensive Care
Joan Cassell
Temple University Press, 2005
Life and Death in Intensive Care offers a unique portrait of the surgical intensive care unit (SICU), the place in medical centers and hospitals where patients with the gravest medical conditions—from comas to terminal illness—are treated. Author Joan Cassell employs the concept of "moral economies" to explain the dilemmas that patients, families, and medical staff confront in treatment. Drawing upon her fieldwork conducted in both the United States and New Zealand, Cassell compares the moral outlooks and underlying principles of SICU nurses, residents, intensivists, and surgeons. Using real life examples, Life and Death in Intensive Care clearly presents the logic and values behind the SICU as well as the personalities, procedures, and pressures that characterize every case. Ultimately, Cassell demonstrates the differing systems of values, and the way cultural definitions of medical treatment inform how we treat the critically ill.
[more]

front cover of Life Atomic
Life Atomic
A History of Radioisotopes in Science and Medicine
Angela N. H. Creager
University of Chicago Press, 2013
After World War II, the US Atomic Energy Commission (AEC) began mass-producing radioisotopes, sending out nearly 64,000 shipments of radioactive materials to scientists and physicians by 1955. Even as the atomic bomb became the focus of Cold War anxiety, radioisotopes represented the government’s efforts to harness the power of the atom for peace—advancing medicine, domestic energy, and foreign relations.
           
In Life Atomic, Angela N. H. Creager tells the story of how these radioisotopes, which were simultaneously scientific tools and political icons, transformed biomedicine and ecology. Government-produced radioisotopes provided physicians with new tools for diagnosis and therapy, specifically cancer therapy, and enabled biologists to trace molecular transformations. Yet the government’s attempt to present radioisotopes as marvelous dividends of the atomic age was undercut in the 1950s by the fallout debates, as scientists and citizens recognized the hazards of low-level radiation. Creager reveals that growing consciousness of the danger of radioactivity did not reduce the demand for radioisotopes at hospitals and laboratories, but it did change their popular representation from a therapeutic agent to an environmental poison. She then demonstrates how, by the late twentieth century, public fear of radioactivity overshadowed any appreciation of the positive consequences of the AEC’s provision of radioisotopes for research and medicine.
[more]

front cover of Life beyond Medicine
Life beyond Medicine
The Joys and Challenges of Physician Retirement
Sharon Romm
Dartmouth College Press, 2018
Physicians retire at all ages—older doctors forsake medical practice when tired of it or when forced to do so by age or illness; younger practitioners leave because of burnout, disillusionment with the medical system, or a desire to engage in new activities. But research and literature about physician retirement is scanty. Given the limited resources available, many physicians who want to retire from medicine remain mired in indecision, wondering how their life might be different if they left medicine. Sharon Romm has written the definitive guide to help health care professionals of all ages prepare for the joys and challenges ahead.
[more]

front cover of The Life Beyond Molecules and Genes
The Life Beyond Molecules and Genes
In Search of Harmony between Life and Science
Stephen Rothman
Templeton Press, 2009

What makes us alive? Is it our DNA? Our genetics? Is it our atomic composition that gives us life? Somehow, all of this feels radically dissonant from our everyday experience. In Life Beyond Molecules and Genes, experimental biologist Stephen Rothman makes the bold case that it is, in fact, our adaptive abilities, hewn by evolution, that make us alive. In making this point, he reveals a hidden harmony between science and life as we live it.

The traditionally accepted understanding of adaptive properties (e.g., the abilities to obtain food, avoid predators, procreate) has been that these are actions of living things or traits that they express. Rothman makes the provocative assertion that this foundational element of the modern materialist perspective is entirely backwards. Our adaptive properties do not exist because we are alive, but rather we are alive because they exist. The implications of this assertion turn the theory of evolution by natural selection on its head by revealing that life transcends its material nature.
Students and scholars of the biological sciences as well as those interested in the philosophy of science will find this work both fascinating and challenging, perhaps even controversial. For centuries, the field of biology has focused on the seemingly mundane task of identifying and cataloging life's chemical substances, while ignoring its grand question: "What is it that makes us alive?" With Life beyond Molecules and Genes, perhaps the field will move a bit closer toward an answer.

 

[more]

logo for Georgetown University Press
Life Choices
A Hastings Center Introduction to Bioethics, Second Edition
Joseph H. Howell and William Frederick Sale, Editors
Georgetown University Press, 2000

An authoritative introduction to bioethics, Life Choices examines a comprehensive range of ethical questions and brings together some of the most probing and instructive essays published in the field.

Some of the articles are classics in the literature of bioethics, while others address current issues. Topics include moral decision making, abortion, euthanasia and assisted suicide, life-sustaining technologies, organ transplantation, reproductive technologies, and the allocation of health care resources.

This second edition features new sections on the goals and allocation of medicine and on the cloning of human beings. It also includes new articles on genetics, the duty to die, and ethical theory.

Written by the foremost authorities in bioethics, Life Choices provides a comprehensive introduction to the field. Instructors who have used the first edition as a text will welcome this new, updated edition. Scholars and health care practitioners will find it useful as a valuable reference on a wide range of bioethical issues.

[more]

front cover of Life on Ice
Life on Ice
A History of New Uses for Cold Blood
Joanna Radin
University of Chicago Press, 2017
After the atomic bombing at the end of World War II, anxieties about survival in the nuclear age led scientists to begin stockpiling and freezing hundreds of thousands of blood samples from indigenous communities around the world. These samples were believed to embody potentially invaluable biological information about genetic ancestry, evolution, microbes, and much more. Today, they persist in freezers as part of a global tissue-based infrastructure. In Life on Ice, Joanna Radin examines how and why these frozen blood samples shaped the practice known as biobanking.
 
The Cold War projects Radin tracks were meant to form an enduring total archive of indigenous blood before it was altered by the polluting forces of modernity. Freezing allowed that blood to act as a time-traveling resource. Radin explores the unique cultural and technical circumstances that created and gave momentum to the phenomenon of life on ice and shows how these preserved blood samples served as the building blocks for biomedicine at the dawn of the genomic age. In an era of vigorous ethical, legal, and cultural debates about genetic privacy and identity, Life on Ice reveals the larger picture—how we got here and the promises and problems involved with finding new uses for cold human blood samples.
[more]

logo for Rutgers University Press
Life with AIDS
Weitz, Rose
Rutgers University Press, 1991
Rose Weitz presents a holistic picture of the experiences of people with HIV disease, using their own words and focusing on the issues that they consider important. Her information comes from in-depth interviews with women and men who have HIV disease--from those who are asymptomatic but infected to those who have full-blown AIDS--and from interviews with doctors who treat persons with HIV disease.

Weitz describes how these people are affected by and respond to the changes in their bodies and their social relationships, from the time when they realize that they are at risk of infection to the time when death approaches. It covers such issues as how individuals obtain diagnoses, develop their initial ideas about what the future will bring, and come to terms with their impending deaths. To put this into a broader context, she also explores the moral status of illness in general and looks at why some illnesses, including HIV disease, have become especially stigmatized.

The author also explores how doctors are affected by and cope with the unique pressures of treating persons with HIV disease. The concluding chapter theorizes about how changes in the social construction, demographic distribution, and treatment of HIV disease are changing the lives of people with AIDS.

[more]

front cover of Liminal Lives
Liminal Lives
Imagining the Human at the Frontiers of Biomedicine
Susan Merrill Squier
Duke University Press, 2004
Embryo adoptions, stem cells capable of transforming into any cell in the human body, intra- and inter-species organ transplantation—these and other biomedical advances have unsettled ideas of what it means to be human, of when life begins and ends. In the first study to consider the cultural impact of the medical transformation of the entire human life span, Susan Merrill Squier argues that fiction—particularly science fiction—serves as a space where worries about ethically and socially charged scientific procedures are worked through. Indeed, she demonstrates that in many instances fiction has anticipated and paved the way for far-reaching biomedical changes. Squier uses the anthropological concept of liminality—the state of being on the threshold of change, no longer one thing yet not quite another—to explore how, from the early twentieth century forward, fiction and science together have altered not only the concept of the human being but the contours of human life.

Drawing on archival materials of twentieth-century biology; little-known works of fiction and science fiction; and twentieth- and twenty-first century U.S. and U.K. government reports by the National Institutes of Health, the Parliamentary Advisory Group on the Ethics of Xenotransplantation, and the President’s Council on Bioethics, she examines a number of biomedical changes as each was portrayed by scientists, social scientists, and authors of fiction and poetry. Among the scientific developments she considers are the cultured cell, the hybrid embryo, the engineered intrauterine fetus, the child treated with human growth hormone, the process of organ transplantation, and the elderly person rejuvenated by hormone replacement therapy or other artificial means. Squier shows that in the midst of new phenomena such as these, literature helps us imagine new ways of living. It allows us to reflect on the possibilities and perils of our liminal lives.

[more]

logo for University of Chicago Press
The Limits of Medicine
How Science Shapes Our Hope for the Cure
Edward S. Golub
University of Chicago Press, 1997
Edward Golub, distinguished researcher and former professor of immunology, shows that
major advances in medicine are caused by changes in the way scientists describe disease.
Bleeding, sweating, and other treatments we consider barbaric were standard treatments for
centuries because they conformed to a conception of disease shared by patients and doctors.
Scientific breakthroughs in the understanding of disease in the nineteenth century transformed
treatment and the goals of medicine. Golub argues that the ongoing revolution in molecular
genetics has opened the door to the "biology of complexity," again transforming our view of
disease. This thought-provoking, timely book reveals a crucial but overlooked role of science
in medicine, and offers a new vision for the goals of both science and medicine as we enter the
twenty-first century.
[more]

front cover of Lincoln and Medicine
Lincoln and Medicine
Glenna R. Schroeder-Lein
Southern Illinois University Press, 2012
The life of America’s sixteenth president has continued to fascinate the public since his tragic death. Now, Glenna R. Schroeder-Lein unveils an engaging volume on the medical history of the Lincoln family. Lincoln and Medicine,the first work on the subject in nearly eighty years, investigates the most enduring controversies about Lincoln’s mental health, physical history, and assassination; the conditions that afflicted his wife and children, both before and after his death; and Lincoln’s relationship with the medical field during the Civil War, both as commander-in-chief and on a personal level.

Since his assassination in 1865, Lincoln has been diagnosed with no less than seventeen conditions by doctors, historians, and researchers, including congestive heart failure, epilepsy, Marfan syndrome, and mercury poisoning. Schroeder-Lein offers objective scrutiny of the numerous speculations and medical mysteries that continue to be associated with the president’s physical and mental health, from the recent interest in testing Lincoln’s DNA and theories that he was homosexual, to analysis of the deep depressions, accidents, and illnesses that plagued his early years. Set within the broader context of the prevailing medical knowledge and remedies of the era, Lincoln and Medicine takes into account new perspectives on the medical history of Abraham Lincoln and his family, offering an absorbing and informative view into a much-mythologized, yet underinvestigated, dimension of one of the nation’s most famous leaders.

Best of the Best by the Univeristy Press Books for Public and Secondary School Libraries, 2013

[more]

logo for Harvard University Press
A Line Drawn in the Sand
Responses to the AIDS Treatment Crisis in Africa
Phyllis J. Kanki and Richard G. Marlink
Harvard University Press

In the nearly three decades since the AIDS epidemic was first recognized, scientists have made tremendous strides in devising treatments for people living with HIV/AIDS. Yet in Africa, where more than 60 percent of HIV-infected people live, treatments remain out of reach for most.

A Line Drawn in the Sand captures the determination of several African nations in tackling the challenge of providing lifesaving antiretroviral therapies to their citizens: Botswana, which has some of the highest HIV infection rates worldwide; Nigeria, whose epidemic threatens to become one of the world’s largest; Senegal, often touted as one of the few countries with a model response to the HIV/AIDS epidemic; and Tanzania, whose extreme poverty threatens efforts to stem its epidemic.

By emphasizing the dramatic results that investments in AIDS treatments in Africa can bring, the book provides lessons to nations about scaling up their own treatment responses, hope to individuals and communities confronted with the often devastating impact of AIDS, and inspiration to the international HIV/AIDS community.

[more]

front cover of Linnaeus
Linnaeus
Nature and Nation
Lisbet Koerner
Harvard University Press, 2001

Drawing on letters, poems, notebooks, and secret diaries, Lisbet Koerner tells the moving story of one of the most famous naturalists who ever lived, the Swedish-born botanist and systematizer, Carl Linnaeus. The first scholarly biography of this great Enlightenment scientist in almost one hundred years, Linnaeus also recounts for the first time Linnaeus' grand and bizarre economic projects: to "teach" tea, saffron, and rice to grow on the Arctic tundra and to domesticate buffaloes, guinea pigs, and elks as Swedish farm animals.

Linnaeus hoped to reproduce the economy of empire and colony within the borders of his family home by growing cash crops in Northern Europe. Koerner shows us the often surprising ways he embarked on this project. Her narrative goes against the grain of Linnaean scholarship old and new by analyzing not how modern Linnaeus was, but how he understood science in his time. At the same time, his attempts to organize a state economy according to principles of science prefigured an idea that has become one of the defining features of modernity. Meticulously researched, and based on archival data, Linnaeus will be of compelling interest to historians of the Enlightenment, historians of economics, and historians of science. But this engaging, often funny, and sometimes tragic portrait of a great man will be valued by general readers as well.

[more]

front cover of Listen to Me Good
Listen to Me Good
The Story of an Alabama Midwife
MARGARET CHARLES SMITH
The Ohio State University Press, 1996

Margaret Charles Smith, a ninety-one-year-old Alabama midwife, has thousands of birthing stories to tell. Sifting through nearly five decades of providing care for women in rural Greene County, she relates the tales that capture the life-and-death struggle of the birthing experience and the traditions, pharmacopeia, and spiritual attitudes that influenced her practice. She debunks images of the complacent southern “granny” midwife and honors the determination, talent, and complexity of midwifery.

Fascinating to read, this book is part of the new genre of writing that recognizes the credibility of midwives who have emerged from their own communities and were educated through apprenticeship and personal experience. Past descriptions of southern black midwives have tended to denigrate their work in comparison with professional established medicine. Believed to be the oldest living (though retired) traditional African American midwife in Alabama, Smith is one of the few who can recount old-time birthing ways. Despite claims that midwives contributed to high infant mortality rates, Smith’s story emphasizes midwives' successes in facing medical challenges and emergencies.

[more]

front cover of Listening to the Whispers
Listening to the Whispers
Re-thinking Ethics in Healthcare
Edited by Christine Sorrell Dinkins and Jeanne Merkle Sorrell
University of Wisconsin Press, 2006

Listening to the Whispers gives voice to scholars in philosophy, medical anthropology, physical therapy, and nursing, helping readers re-think ethics across the disciplines in the context of today's healthcare system. Diverse voices, often unheard, challenge readers to enlarge the circle of their ethical concerns and look for hidden pathways toward new understandings of ethics. Essays range from a focus on the context of corporatization and managed care environments to a call for questioning the fundamental values of society as these values silently affect many others in healthcare. Each chapter is followed by a brief essay that highlights issues useful for scholarly research and classroom discussion. The conversations of interpretive research in healthcare contained in this volume encourage readers to re-think ethics in ways that will help to create an ethical healthcare system with a future of new possibilities.

Outstanding Academic Title, Choice Magazine

[more]

front cover of Litigating Health Rights
Litigating Health Rights
Can Courts Bring More Justice to Health?
Alicia Ely Yamin
Harvard University Press, 2011

The last fifteen years have seen a tremendous growth in the number of health rights cases focusing on issues such as access to health services and essential medications. This volume examines the potential of litigation as a strategy to advance the right to health by holding governments accountable for these obligations. It includes case studies from Costa Rica, South Africa, India, Brazil, Argentina and Colombia, as well as chapters that address cross-cutting themes.

The authors analyze what types of services and interventions have been the subject of successful litigation and what remedies have been ordered by courts. Different chapters address the systemic impact of health litigation efforts, taking into account who benefits both directly and indirectly—and what the overall impacts on health equity are.

[more]

front cover of The Lives of the Brain
The Lives of the Brain
Human Evolution and the Organ of Mind
John S. Allen
Harvard University Press, 2009

Though we have other distinguishing characteristics (walking on two legs, for instance, and relative hairlessness), the brain and the behavior it produces are what truly set us apart from the other apes and primates. And how this three-pound organ composed of water, fat, and protein turned a mammal species into the dominant animal on earth today is the story John S. Allen seeks to tell.

Adopting what he calls a “bottom-up” approach to the evolution of human behavior, Allen considers the brain as a biological organ; a collection of genes, cells, and tissues that grows, eats, and ages, and is subject to the direct effects of natural selection and the phylogenetic constraints of its ancestry. An exploration of the evolution of this critical organ based on recent work in paleo­anthropology, brain anatomy and neuroimaging, molecular genetics, life history theory, and related fields, his book shows us the brain as a product of the contexts in which it evolved: phylogenetic, somatic, genetic, ecological, demographic, and ultimately, cultural-linguistic. Throughout, Allen focuses on the foundations of brain evolution rather than the evolution of behavior or cognition. This perspective demonstrates how, just as some aspects of our behavior emerge in unexpected ways from the development of certain cognitive capacities, a more nuanced understanding of behavioral evolution might develop from a clearer picture of brain evolution.

[more]

front cover of Living With Cancer
Living With Cancer
A Practical Guide
Visel, Dave
Rutgers University Press, 2006

In this essential guide, Dave Visel draws on expertise hard-won during his wife’s battle with lymphoma. He provides an overview of the varieties of cancer and all the basic types of treatments available. Chapters dispel common myths associated with these treatments and provide tips on nutrition and physical fitness. Visel also moves beyond the hospital to provide information and strategies to help with the emotional, practical, and financial effects of a diagnosis. Cancer patients will find the tools they need to make well-informed decisions on questions ranging from the right time to tell coworkers to whether to travel for treatment.  Because medical bankruptcies affect nearly two million Americans each year, Visel devotes several chapters to financial issues.  He also addresses the effects of cancer on relationships, such as how to deal with a difficult parent or whether to reconcile with an estranged spouse. In addition, Living with Cancer provides a comprehensive overview of the most useful corporate, government, and non-profit resources available. Anyone looking for help in understanding the full range of personal, professional, and legal issues associated with cancer will welcome this book. As inspiring as it is informative, it is a survival guide in the truest sense.

[more]

front cover of Living with Polio
Living with Polio
The Epidemic and Its Survivors
Daniel J. Wilson
University of Chicago Press, 2005
Polio was the most dreaded childhood disease of twentieth-century America. Every summer during the 1940s and 1950s, parents were terrorized by the thought that polio might cripple their children. They warned their children not to drink from public fountains, to avoid swimming pools, and to stay away from movie theaters and other crowded places. Whenever and wherever polio struck, hospitals filled with victims of the virus. Many experienced only temporary paralysis, but others faced a lifetime of disability.

Living with Polio is the first book to focus primarily on the personal stories of the men and women who had acute polio and lived with its crippling consequences. Writing from personal experience, polio survivor Daniel J. Wilson shapes this impassioned book with the testimonials of more than one hundred polio victims, focusing on the years between 1930 and 1960. He traces the entire life experience of the survivors—from the alarming diagnosis all the way to the recent development of post-polio syndrome, a condition in which the symptoms of the disease may return two or three decades after they originally surfaced.

Living with Polio follows every physical and emotional stage of the disease: the loneliness of long separations from family and friends suffered by hospitalized victims; the rehabilitation facilitieswhere survivors spent a full year or more painfully trying to regain the use of their paralyzed muscles; and then the return home, where they were faced with readjusting to school or work with the aid of braces, crutches, or wheelchairs while their families faced the difficult responsibilities of caring for and supporting a child or spouse with a disability.

Poignant and gripping, Living with Polio is a compelling history of the enduring physical and psychological experience of polio straight from the rarely heard voices of its survivors.
[more]

front cover of Localization and Its Discontents
Localization and Its Discontents
A Genealogy of Psychoanalysis and the Neuro Disciplines
Katja Guenther
University of Chicago Press, 2015
Psychoanalysis and neurological medicine have promoted contrasting and seemingly irreconcilable notions of the modern self. Since Freud, psychoanalysts have relied on the spoken word in a therapeutic practice that has revolutionized our understanding of the mind. Neurologists and neurosurgeons, meanwhile, have used material apparatus—the scalpel, the electrode—to probe the workings of the nervous system, and in so doing have radically reshaped our understanding of the brain. Both operate in vastly different institutional and cultural contexts.

Given these differences, it is remarkable that both fields found resources for their development in the same tradition of late nineteenth-century German medicine: neuropsychiatry. In Localization and Its Discontents, Katja Guenther investigates the significance of this common history, drawing on extensive archival research in seven countries, institutional analysis, and close examination of the practical conditions of scientific and clinical work. Her remarkable accomplishment not only reframes the history of psychoanalysis and the neuro disciplines, but also offers us new ways of thinking about their future.
[more]

front cover of Long Shot
Long Shot
Vaccines for National Defense
Kendall Hoyt
Harvard University Press, 2012

At the turn of the twenty-first century, the United States contended with a state-run biological warfare program, bioterrorism, and a pandemic. Together, these threats spurred large-scale government demand for new vaccines, but few have materialized. A new anthrax vaccine has been a priority since the first Gulf War, but twenty years and a billion dollars later, the United States still does not have one. This failure is startling.

Historically, the United States has excelled at responding to national health emergencies. World War II era programs developed ten new or improved vaccines, often in time to meet the objectives of particular military missions. Probing the history of vaccine development for factors that foster timely innovation, Kendall Hoyt discovered that vaccine innovation has been falling, not rising, since World War II. This finding is at odds with prevailing theories of market-based innovation and suggests that a collection of nonmarket factors drove mid-century innovation. Ironically, many late-twentieth-century developments that have been celebrated as a boon for innovation—the birth of a biotechnology industry and the rise of specialization and outsourcing—undercut the collaborative networks and research practices that drove successful vaccine projects in the past.

Hoyt’s timely investigation teaches important lessons for our efforts to rebuild twenty-first-century biodefense capabilities, especially when the financial payback for a particular vaccine is low, but the social returns are high.

[more]

front cover of The Longevity Seekers
The Longevity Seekers
Science, Business, and the Fountain of Youth
Ted Anton
University of Chicago Press, 2013
People have searched for the fountain of youth everywhere from Bimini to St. Augustine. But for a steadfast group of scientists, the secret to a long life lies elsewhere: in the lowly lab worm. By suppressing the function of just a few key genes, these scientists were able to lengthen worms’ lifespans up to tenfold, while also controlling the onset of many of the physical problems that beset old age. As the global population ages, the potential impact of this discovery on society is vast—as is the potential for profit.

With The Longevity Seekers, science writer Ted Anton takes readers inside this tale that began with worms and branched out to snare innovative minds from California to Crete, investments from big biotech, and endorsements from TV personalities like Oprah and Dr. Oz. Some of the research was remarkable, such as the discovery of an enzyme in humans that stops cells from aging. And some, like an oft-cited study touting the compound resveratrol, found in red wine—proved highly controversial, igniting a science war over truth, credit, and potential profit. As the pace of discovery accelerated, so too did powerful personal rivalries and public fascination, driven by the hope that a longer, healthier life was right around the corner. Anton has spent years interviewing and working with the scientists at the frontier of longevity science, and this book offers a behind-the-scenes look at the state-of-the-art research and the impact it might have on global public health, society, and even our friends and family.

With spectacular science and an unforgettable cast of characters, The Longevity Seekers has all the elements of a great story and sheds light on discoveriesthat could fundamentally reshape human life.
 

[more]

front cover of The Look of a Woman
The Look of a Woman
Facial Feminization Surgery and the Aims of Trans- Medicine
Eric Plemons
Duke University Press, 2017
Developed in the United States in the 1980s, facial feminization surgery (FFS) is a set of bone and soft tissue reconstructive surgical procedures intended to feminize the faces of trans- women. While facial surgery was once considered auxiliary to genital surgery, many people now find that these procedures confer distinct benefits according to the different models of sex and gender in which they intervene. Surgeons advertise that FFS not only improves a trans- woman's appearance; it allows her to be recognized as a woman by those who see her. In The Look of a Woman Eric Plemons foregrounds the narratives of FFS patients and their surgeons as they move from consultation and the operating room to postsurgery recovery. He shows how the increasing popularity of FFS represents a shift away from genital-based conceptions of trans- selfhood in ways that mirror the evolving views of what is considered to be good trans- medicine. Outlining how conflicting models of trans- therapeutics play out in practice, Plemons demonstrates how FFS is changing the project of surgical sex reassignment by reconfiguring the kind of sex that surgery aims to change.
[more]

front cover of Looking through the Speculum
Looking through the Speculum
Examining the Women’s Health Movement
Judith A. Houck
University of Chicago Press, 2024
Highlights local history to tell a national story about the evolution of the women’s health movement, illuminating the struggles and successes of bringing feminist dreams into clinical spaces.
 
The women’s health movement in the United States, beginning in 1969 and taking hold in the 1970s, was a broad-based movement seeking to increase women’s bodily knowledge, reproductive control, and well-being. It was a political movement that insisted that bodily autonomy provided the key to women’s liberation. It was also an institution-building movement that sought to transform women’s relationships with medicine; it was dedicated to increasing women’s access to affordable health care without the barriers of homophobia, racism, and sexism. But the movement did not only focus on women’s bodies. It also encouraged activists to reimagine their relationships with one another, to develop their relationships in the name of personal and political change, and, eventually, to discover and confront the limitations of the bonds of womanhood.

This book examines historically the emergence, development, travails, and triumphs of the women’s health movement in the United States. By bringing medical history and the history of women’s bodies into our emerging understandings of second-wave feminism, the author sheds light on the understudied efforts to shape health care and reproductive control beyond the hospital and the doctor’s office—in the home, the women’s center, the church basement, the bookshop, and the clinic. Lesbians, straight women, and women of color all play crucial roles in this history. At its center are the politics, institutions, and relationships created by and within the women’s health movement, depicted primarily from the perspective of the activists who shaped its priorities, fought its battles, and grappled with its shortcomings.
[more]

logo for Harvard University Press
Loss and Restoration of Regenerative Capacity in Tissues and Organs of Animals
L. V. Polezhaev
Harvard University Press
This well-illustrated monograph is the first summary in English of L.V. Polezhaev's important but lesser known work on the regenerative phenomena in mammalian forms, conducted since World War II. During this period Soviet research underwent a pronounced shift in emphasis from basic biological studies based primarily upon amphibians to more practically oriented problems in mammalian systems. Polezhaev's experimentation underwent a corresponding shift, but the focus on restoration of lost regenerative capacity was retained since his earlier work, which is also reviewed here, on limb regeneration in frogs. Following a theoretical discussion, the monograph centers upon the author's most profound innovations: a successful method for producing bone to heal large skull defects, original research on heart regeneration, and trials in the restoration of limb regeneration following X-irradiation.
[more]

front cover of Lost
Lost
Miscarriage in Nineteenth-Century America
Withycombe, Shannon
Rutgers University Press, 2019
2019 Choice Outstanding Academic Title

In Lost, medical historian Shannon Withycombe weaves together women’s personal writings and doctors’ publications from the 1820s through the 1910s to investigate the transformative changes in how Americans conceptualized pregnancy, understood miscarriage, and interpreted fetal tissue over the course of the nineteenth century. Withycombe’s pathbreaking research reveals how Americans construed, and continue to understand, miscarriage within a context of reproductive desires, expectations, and abilities. This is the first book to utilize women’s own writings about miscarriage to explore the individual understandings of pregnancy loss and the multiple social and medical forces that helped to shape those perceptions. What emerges from Withycombe’s work is unlike most medicalization narratives. 
[more]

logo for Harvard University Press
The Lost Reform
The Campaign for Compulsory Health Insurance in the United States from 1932 to 1943
Daniel S. Hirshfield
Harvard University Press, 1970
One of the more important American reform movements during the thirties and one that was supported by members of the New Deal coalition was the futile struggle to enact federal legislation for compulsory health insurance. In this comprehensive historical account of the movement, the author outlines its strategy and tactics and traces the crucial episodes in its struggle. Daniel Hirshfield concludes that the nature of the movement, including its timing, tactics, leadership, and opponents, caused its failure—a failure which contrasts markedly with the success of other equally sweeping reforms.
[more]

front cover of Lousy Sex
Lousy Sex
Gerald N. Callahan
University Press of Colorado, 2013
 In Lousy Sex Gerald Callahan explores the science of self, illustrating the immune system’s role in forming individual identity. Blending the scientific essay with deeply personal narratives, these poignant and enlightening stories use microbiology and immunology to explore a new way to answer the question, who am I?

“Self” has many definitions. Science has demonstrated that 90 percent of the cells in our bodies are bacteria—we are in many respects more non-self than self. In Lousy Sex, Callahan considers this microbio-neuro perspective on human identity together with the soulful, social perception of self, drawing on both art and science to fully illuminate this relationship.  

In his stories about where we came from and who we are, Callahan uses autobiographical episodes to illustrate his scientific points. Through stories about the sex lives of wood lice, the biological advantages of eating dirt, the question of immortality, the relationship between syphilis and the musical genius of Beethoven, and more, this book creates another way, a chimeric way, of seeing ourselves. The general reader with an interest in science will find Lousy Sex fascinating.
[more]

front cover of The Love Surgeon
The Love Surgeon
A Story of Trust, Harm, and the Limits of Medical Regulation
Sarah B. Rodriguez
Rutgers University Press, 2020
Dr. James Burt believed women’s bodies were broken, and only he could fix them. In the 1950s, this Ohio OB-GYN developed what he called “love surgery,” a unique procedure he maintained enhanced the sexual responses of a new mother, transforming her into “a horny little house mouse.” Burt did so without first getting the consent of his patients. Yet he was allowed to practice for over thirty years, mutilating hundreds of women in the process.

It would be easy to dismiss Dr. Burt as a monstrous aberration, a modern-day Dr. Frankenstein. Yet as medical historian Sarah Rodriguez reveals, that’s not the whole story. The Love Surgeon asks tough questions about Burt’s heinous acts and what they reveal about the failures of the medical establishment: How was he able to perform an untested surgical procedure? Why wasn’t he obliged to get informed consent from his patients? And why did it take his peers so long to take action?

The Love Surgeon is both a medical horror story and a cautionary tale about the limits of professional self-regulation.
[more]

front cover of Low Protein Cookery for Phenylketonuria
Low Protein Cookery for Phenylketonuria
Virginia E. Schuett
University of Wisconsin Press, 1997
    Much more than a cookbook, Low Protein Cookery for Phenylketonuria (PKU) is a practical and easy-to-use guide for those who must maintain a protein-restricted diet for treatment of PKU or similar inherited diseases of protein metabolism. It contains hundreds of helpful suggestions for managing the diet. This third edition of Low Protein Cookery for PKU appears exactly twenty years after the original 1977 publication and includes the 450-plus recipes and the hints from the 1988 second edition that have been used and enjoyed by families for nearly a decade.
    The major new feature of the third edition is entirely new nutrient calculations. The available food supply has changed significantly in the past fifteen years, and nutrient information is much better now. The nutrient calculations in this edition of the cookbook are based on the updated 1995 Low Protein Food List for PKU  compiled by the author, which is the most widely used food list for the PKU diet in the United States. Some of the changes in nutrient values are subtle, others more significant; all reflect the best information currently available.
    Low Protein Cookery for PKU offers recipes that appeal to a wide range of ages, suit a wide range of individual diet requirements, and facilitate integration of the diet into normal family eating routines. Many of the recipes are suitable for the entire family; others include instructions for adapting the recipe to suit the needs of family members not on the diet, or are accompanied by recipes for the preparation of similar non-diet items. The recipes provide gram weights when appropriate, for greater accuracy in preparing the recipes and in maintaining the diet.
[more]

front cover of The Lying Brain
The Lying Brain
Lie Detection in Science and Science Fiction
Melissa M. Littlefield
University of Michigan Press, 2011

"The Lying Brain is a study to take seriously. Its argument is timely, clear, and of particular importance to the enlargement of our understanding of the relationships among science studies, literary studies, and technology studies."
---Ronald Schleifer, University of Oklahoma

Real and imagined machines, including mental microscopes, thought translators, and polygraphs, have long promised to detect deception in human beings. Now, via fMRI and EEG, neuroscientists seem to have found what scientists, lawyers, and law enforcement officials have sought for over a century: foolproof lie detection. But are these new lie detection technologies any different from their predecessors? The Lying Brain is the first book to explore the cultural history of an array of lie detection technologies: their ideological assumptions, the scientific and fictional literatures that create and market them, and the literacies required for their interpretation.

By examining a rich archive of materials about lie detection---from science to science fiction---The Lying Brain demonstrates the interconnections of science, literature, and popular culture in the development and dissemination of deception detection in the American cultural imagination. As Melissa Littlefield demonstrates, neuroscience is not building a more accurate lie detector; it is simply recycling centuries-old ideologies about deception and its detection.

Cover art: "Human Brain" © Denis Barbulet, courtesy of Shutterstock.com

[more]

front cover of Lyme
Lyme
The First Epidemic of Climate Change
Mary Beth Pfeiffer
Island Press, 2021
"Superbly written and researched." Booklist

"Builds a strong case." Kirkus

Lyme disease is spreading rapidly around the globe as ticks move into places they could not survive before. The first epidemic to emerge in the era of climate change, the disease infects half a million people in the US and Europe each year, and untold multitudes in Canada, China, Russia, and Australia.

Mary Beth Pfeiffer shows how we have contributed to this growing menace, and how modern medicine has underestimated its danger. She tells the heart-rending stories of families destroyed by a single tick bite, of children disabled, and of one woman’s tragic choice after an exhaustive search for a cure.

Pfeiffer also warns of the emergence of other tick-borne illnesses that make Lyme more difficult to treat and pose their own grave risks. Lyme is an impeccably researched account of an enigmatic disease, making a powerful case for action to fight ticks, heal patients, and recognize humanity’s role in a modern scourge.
[more]


Send via email Share on Facebook Share on Twitter