Naming the Local uncovers how Koreans domesticated foreign medical novelties on their own terms, while simultaneously modifying the Korea-specific expressions of illness and wellness to make them accessible to the wider network of scholars and audiences.

Due to Korea’s geopolitical position and the intrinsic tension of medicine’s efforts to balance the local and the universal, Soyung Suh argues that Koreans’ attempts to officially document indigenous categories in a particular linguistic form required constant negotiation of their own conceptual boundaries against the Chinese, Japanese, and American authorities that had largely shaped the medical knowledge grid. The birth, decline, and afterlife of five terminologies—materia medica, the geography of the medical tradition, the body, medical commodities, and illness—illuminate an irresolvable dualism at the heart of the Korean endeavor to name the indigenous attributes of medicine.

By tracing Korean-educated agents’ efforts to articulate the vernacular nomenclature of medicine over time, this book examines the limitations and possibilities of creating a mode of “Koreanness” in medicine—and the Korean manifestation of cultural and national identities.

After World War II, the United States and Canada, two countries that were very similar in many ways, struck out on radically divergent paths to public health insurance. Canada developed a universal single-payer system of national health care, while the United States opted for a dual system that combines public health insurance for low-income and senior residents with private, primarily employer-provided health insurance—or no insurance—for everyone else. In National Health Insurance in the United States and Canada, Gerard W. Boychuk probes the historical development of health care in each country, honing in on the most distinctive social and political aspects of each country—the politics of race in the U.S. and territorial politics in Canada, especially the tensions between the national government and the province of Quebec.

In addition to the politics of race and territory, Boychuk sifts through the numerous factors shaping health policy, including national values, political culture and institutions, the power of special interests, and the impact of strategic choices made at critical junctures. Drawing on historical archives, oral histories, and public opinion data, he presents a nuanced and thoughtful analysis of the evolution of the two systems, compares them as they exist today, and reflects on how each is poised to meet the challenges of the future.

When The Natural History of Alcoholism was first published in 1983, it was acclaimed in the press as the single most important contribution to the literature on alcoholism since the first edition of Alcoholic Anonymous’s Big Book. George Vaillant took on the crucial questions of whether alcoholism is a symptom or a disease, whether it is progressive, whether alcoholics differ from others before the onset of their alcoholism, and whether alcoholics can safely drink. Based on an evaluation of more than 600 individuals followed for over forty years, Vaillant’s monumental study offered new and authoritative answers to all of these questions.

In this updated version of his classic book, Vaillant returns to the same subjects with the perspective gained from fifteen years of further follow-up. Alcoholics who had been studied to age 50 in the earlier book have now reached age 65 and beyond, and Vaillant reassesses what we know about alcoholism in light of both their experiences and the many new studies of the disease by other researchers. The result is a sharper focus on the nature and course of this devastating disorder as well as a sounder foundation for the assessment of various treatments.

When did the West discover Chinese healing traditions? Most people might point to the "rediscovery" of Chinese acupuncture in the 1970s. In Needles, Herbs, Gods, and Ghosts, Linda Barnes leads us back, instead, to the thirteenth century to uncover the story of the West's earliest known encounters with Chinese understandings of illness and healing. As Westerners struggled to understand new peoples unfamiliar to them, how did they make sense of equally unfamiliar concepts and practices of healing? Barnes traces this story through the mid-nineteenth century, in both Europe and, eventually, the United States. She has unearthed numerous examples of Western missionaries, merchants, diplomats, and physicians in China, Europe, and America encountering and interpreting both Chinese people and their healing practices, and sometimes adopting their own versions of these practices.

A medical anthropologist with a degree in comparative religion, Barnes illuminates the way constructions of medicine, religion, race, and the body informed Westerners' understanding of the Chinese and their healing traditions.

How functional medicine leverages systems biology and epigenetic science to treat the microbiome and reverse chronic disease.

Each body is a system within a system—an ecology within the larger context of social, political, economic, cultural, and environmental factors. This is one of the lessons of epigenetics, whereby structural inequalities are literally encoded in our genes. But our ecological embeddedness extends beyond DNA, for each body also teems with trillions of bacteria, yeast, and fungi, all of them imprints of our individual milieus. Nested Ecologies asks what it would mean to take seriously our microbial being, given that our internal ecologies are shaped by inequalities embedded in our physical and social environments.

Further, Rosalynn Vega argues that health practices focused on patients’ unique biology inadvertently reiterate systemic inequities. In particular, functional medicine—which attempts to heal chronic disease by leveraging epigenetic science and treating individual microbiomes—reduces illness to problems of “lifestyle,” principally diet, while neglecting the inability of poor people to access nutrition. Functional medicine thus undermines its own critique of the economics of health care. Drawing on novel digital ethnographies and reflecting on her own experience of chronic illness, Vega challenges us to rethink not only the determinants of well-being but also what it is to be human.

Big data, genomics, and quantitative approaches to network-based analysis are combining to advance the frontiers of medicine as never before. Network Medicine introduces this rapidly evolving field of medical research, which promises to revolutionize the diagnosis and treatment of human diseases. With contributions from leading experts that highlight the necessity of a team-based approach in network medicine, this definitive volume provides readers with a state-of-the-art synthesis of the progress being made and the challenges that remain.

Medical researchers have long sought to identify single molecular defects that cause diseases, with the goal of developing silver-bullet therapies to treat them. But this paradigm overlooks the inherent complexity of human diseases and has often led to treatments that are inadequate or fraught with adverse side effects. Rather than trying to force disease pathogenesis into a reductionist model, network medicine embraces the complexity of multiple influences on disease and relies on many different types of networks: from the cellular-molecular level of protein-protein interactions to correlational studies of gene expression in biological samples. The authors offer a systematic approach to understanding complex diseases while explaining network medicine’s unique features, including the application of modern genomics technologies, biostatistics and bioinformatics, and dynamic systems analysis of complex molecular networks in an integrative context.

By developing techniques and technologies that comprehensively assess genetic variation, cellular metabolism, and protein function, network medicine is opening up new vistas for uncovering causes and identifying cures of disease.

Harvard University Press is proud to announce the second edition of a widely admired introductory textbook. When first published, Neurons and Networks filled the need for an introductory neuroscience text that is lucid, accessible, authoritative, logically organized, and concise. Avoiding the encyclopedic coverage that makes most neuroscience texts overwhelming, Neurons and Networks focused instead on building the solid foundation of understanding and knowledge required for further study.

The new edition retains the features that made the first edition so attractive: consistent emphasis on results and concepts that have stood the test of time; abundant high-quality illustrations; exceptionally clear explanations of technical terms. Completely revised and enlarged with six new chapters, the second edition of Neurons and Networks is an introduction not just to neurobiology, but to all of behavioral neuroscience. It is an ideal text for first- or second-year college students with minimal college science exposure. It is also an invaluable resource for students in biology, psychology, anthropology, and computer science who seek an accessible guide to a discipline that will be a critically important area of research in the twenty-first century.

Since 2014, when The Medieval Globe first presented the latest interdisciplinary scholarship on the Black Death as a global pandemic, the pace and intensity of research has intensified. This follow-up volume features two extended essays laying out evidence that the Second Plague Pandemic was already ravaging China by the second quarter of the thirteenth century—over a century before it made its appearance in the greater Mediterranean region. In a core contribution, Robert Hymes presents an extensive analysis of Chinese medical texts, showing that physicians were adapting their terminology and treatments to the emergence of a virulent new disease: plague. In an overarching essay, Monica H. Green summarizes the current state of our knowledge about the timing and expanse of the Black Death, showing how combined evidence from genetics and a reconstructed documentary record can create a coherent new narrative of one of the largest, and longest, pandemics in history.

The history of medicine is a record of scientific discovery, clinical triumph, and personal sacrifice; it is also a record of obscurantism, dogmatism, and greed. In this humane book one of our leading medical ethicists addresses the conflict between altruism and self-interest, which he believes is built into the structure of medical care and woven into the very fabric of physicians’ lives. In the process, he reveals both the wisdom and the weaknesses of traditional ethics in an era of innovative—and controversial—health care.

This new medicine, only now coming into being, is no longer patient based. Patients are, more than ever before, representatives of a class—individuals with AIDS, the elderly, the comatose, the indigent—and the approach to treatment is influenced by the population from which those patients come. In addition, Albert Jonsen points out, medicine has moved from being an institution in which the physician is the dominant actor, the patient-physician relation the dominant scenario, and diagnosis and therapy the dominant script, to an institution in which physicians, a multitude of other providers, and newly empowered patients share equal billing. Jonsen calls for a return to the methods and values of the humanities, which he calls “the hormones that course through the complex institution of medicine and that enable it to respond to the constantly changing scientific, social, and economic environment.” Medicine must call up its memories and reflect upon its values.

Ranging through history from the mythical Asclepius to the latest recipient of a transplanted heart, Jonsen reformulates the old ethics in terms that bring justice, competence, and compassion to bear on contemporary biomedical dilemmas. This is clearly a book to be read not only by members of the healing and helping professions but by every thinking person.

Medicine in the twenty-first century will be very different from the medicine of today; scientific, technological, economic, and ethical conditions of practice will be transformed. What do these changes portend for medical education? What knowledge should all medical students acquire? How can medical educators prepare students in the most cost-effective way?

This book describes efforts made at Harvard Medical School during the past to reorient general medical education. Harvard’s New Pathway has received national attention since its inception—including a multipart special on PBS’s Nova—because it offers a radical restructuring of the traditional medical school curriculum. Its creators, most of them contributors to this book, designed a program that gives students not only a core of scientific, biomedical, and clinical knowledge but also the skills, tools, and attitudes that will enable them to become lifelong learners, to cope with and use new information, and—most important—to provide better patient care.

New Pathways to Medical Education also tells the inside story of how a traditional and research-oriented faculty was persuaded to cooperate with colleagues outside their departments in adopting a student-centered, problem-based approach to learning. Central to this transformation was the Patient–Doctor course, which the book describes in detail. This course—which teaches students to LISC the patient–doctor relationship for the benefit of patients—is considered one of the most significant contributions to medical education in the New Pathway.

New Pathways to Medical Education will inspire physicians, medical scientists, and medical educators around the world to think and act more decisively to reform medical education. And because it documents the development of an innovative curriculum, this study will interest educators in all fields.

During the twentieth century modern births in America came to involve mostly male physicians, hospitals, technological interventions, and quick, routine procedures. In a unique and detailed historical study, Nurse-Midwifery: The Birth of a New American Profession, Laura E. Ettinger fills a void with the first book-length documentation of the emergence of American nurse-midwifery. This occupation developed in the 1920s involving nurses who took advanced training in midwifery. In Nurse-Midwifery, Ettinger shows how nurse-midwives in New York City; eastern Kentucky; Santa Fe, New Mexico; and other places both rebelled against and served as agents of a nationwide professionalization of doctors and medicalization of childbirth. Nurse-Midwifery reveals the limitations that nurses, physicians, and nurse-midwives placed on the profession of nurse-midwifery from the outset because of the professional interests of nursing and medicine. The book argues that nurse-midwives challenged what scholars have called the “male medical model” of childbirth, but the cost of the compromises they made to survive was that nurse-midwifery did not become the kind of independent, autonomous profession it might have been.

Today, nurse-midwives have assumed a larger role in mainstream health care than before, yet they are still marginalized. As in the past, nurse-midwives’ futures will depend on continuing changes in American attitudes about childbirth, health care, and women professionals as well as on their own ability to adapt to the changes. The history of the profession suggests that nurse-midwives will continue to navigate in difficult waters in a middle space between the mainstream and the margins of medicine and between the nursing profession and midwifery traditions.

In Nursing Civil Rights, Charissa J. Threat investigates the parallel battles against occupational segregation by African American women and white men in the U.S. Army.

As Threat reveals, both groups viewed their circumstances with the Army Nurse Corps as a civil rights matter. Each conducted separate integration campaigns to end the discrimination they suffered. Yet their stories defy the narrative that civil rights struggles inevitably arced toward social justice. Threat tells how progressive elements in the campaigns did indeed break down barriers in both military and civilian nursing. At the same time, she follows conservative threads to portray how some of the women who succeeded as agents of change became defenders of exclusionary practices when men sought military nursing careers. The ironic result was a struggle that simultaneously confronted and reaffirmed the social hierarchies that nurtured discrimination.