front cover of Obesity
Obesity
Cultural and Biocultural Perspectives
Brewis, Alexandra A
Rutgers University Press, 2010
In a world now filled with more people who are overweight than underweight, public health and medical perspectives paint obesity as a catastrophic epidemic that threatens to overwhelm health systems and undermine life expectancies globally. In many societies, being obese also creates profound personal suffering because it is so culturally stigmatized. Yet despite loud messages about the health and social costs of being obese, weight gain is a seemingly universal aspect of the modern human condition.

Grounded in a holistic anthropological approach and using a range of ethnographic and ecological case studies, Obesity shows that the human tendency to become and stay fat makes perfect sense in terms of evolved human inclinations and the physical and social realities of modern life. Drawing on her own fieldwork in the rural United States, Mexico, and the Pacific Islands over the last two decades, Alexandra A. Brewis addresses such critical questions as why obesity is defined as a problem and why some groups are so much more at risk than others. She suggests innovative ways that anthropology and other social sciences can use community-based research to address the serious public health and social justice concerns provoked by the global spread of obesity.
[more]

front cover of Observation and Experiment
Observation and Experiment
An Introduction to Causal Inference
Paul R. Rosenbaum
Harvard University Press, 2017

A daily glass of wine prolongs life—yet alcohol can cause life-threatening cancer. Some say raising the minimum wage will decrease inequality while others say it increases unemployment. Scientists once confidently claimed that hormone replacement therapy reduced the risk of heart disease but now they equally confidently claim it raises that risk. What should we make of this endless barrage of conflicting claims?

Observation and Experiment is an introduction to causal inference by one of the field’s leading scholars. An award-winning professor at Wharton, Paul Rosenbaum explains key concepts and methods through lively examples that make abstract principles accessible. He draws his examples from clinical medicine, economics, public health, epidemiology, clinical psychology, and psychiatry to explain how randomized control trials are conceived and designed, how they differ from observational studies, and what techniques are available to mitigate their bias.

“Carefully and precisely written…reflecting superb statistical understanding, all communicated with the skill of a master teacher.”
—Stephen M. Stigler, author of The Seven Pillars of Statistical Wisdom

“An excellent introduction…Well-written and thoughtful…from one of causal inference’s noted experts.”
Journal of the American Statistical Association

“Rosenbaum is a gifted expositor…an outstanding introduction to the topic for anyone who is interested in understanding the basic ideas and approaches to causal inference.”
Psychometrika

“A very valuable contribution…Highly recommended.”
International Statistical Review

[more]

front cover of Obsession
Obsession
A History
Lennard J. Davis
University of Chicago Press, 2008

We live in an age of obsession. Not only are we hopelessly devoted to our work, strangely addicted to our favorite television shows, and desperately impassioned about our cars, we admire obsession in others: we demand that lovers be infatuated with one another in films, we respond to the passion of single-minded musicians, we cheer on driven athletes. To be obsessive is to be American; to be obsessive is to be modern.

But obsession is not only a phenomenon of modern existence: it is a medical category—both a pathology and a goal. Behind this paradox lies a fascinating history, which Lennard J. Davis tells in Obsession. Beginning with the roots of the disease in demonic possession and its secular successors, Davis traces the evolution of obsessive behavior from a social and religious fact of life into a medical and psychiatric problem. From obsessive aspects of professional specialization to obsessive compulsive disorder and nymphomania, no variety of obsession eludes Davis’s graceful analysis.

[more]

front cover of Obstetrics and Gynecology in Low-Resource Settings
Obstetrics and Gynecology in Low-Resource Settings
A Practical Guide
Nawal M. Nour
Harvard University Press, 2016

Responding to the growing need for tried-and-trusted solutions to the reproductive health care issues confronting millions of women worldwide, Obstetrics and Gynecology in Low-Resource Settings provides practical guidelines for ensuring the delivery of quality OB/GYN care to women in resource-poor countries. Including contributions from leading clinicians and researchers in the field, this welcome overview fills an important gap in existing medical literature on women’s health care and will be an invaluable resource for doctors, clinicians, and medical students at all stages of their careers who work in the global health arena.

The reproductive health risks that all women face are greatly exacerbated when health care facilities are inadequate, equipment and medications are in short supply, and well-trained medical staff are few and far away. Often in these settings, the sole doctor or medical professional on hand has expertise in some areas of women’s reproductive care but needs a refresher course in others.

This informative guide features hands-on, step-by-step instruction for the most pertinent OB/GYN conditions—both acute and chronic—that health care workers in the field confront. The authors examine a wide range of topics, including: strategies to reduce maternal mortality and stillbirths; infectious and sexually transmitted diseases, including malaria and HIV; cervical cancer; contraception; prenatal, delivery, and newborn care; and complications arising from gender-based violence and female genital cutting. Published in a convenient format with a durable binding, this reference will be an essential companion to health care providers throughout the world.

[more]

logo for Harvard University Press
Oedipus and Beyond
A Clinical Theory
Jay Greenberg
Harvard University Press, 1991

Psychoanalysis, entering its second century, is a vital yet divided discipline. A confusing array of mutually contradictory theories compete for the loyalty of clinicians and for the attention of all those interested in understanding human experience.

In the classic Object Relations in Psychoanalytic Theory, Jay Greenberg and his coauthor Stephen Mitchell brought clarity to the confusion surrounding psychoanalytic disputes. They defined two competing models: the drive model, which addresses the private dimensions of experience; and the relational model, which reveals the relentlessly social aspect of our lives. Oedipus and Beyond builds on Greenberg’s earlier contribution. Beginning with a brilliant critique of the conceptual framework of psychoanalysis, he provides fresh insight into Freud’s theory, demonstrating how attempts to resolve some of its shortcomings have generated their own theoretical and clinical dilemmas. In the process he illuminates the roles of the Oedipus complex, the drives, the unconscious, and psychic structure in shaping the sensibilities of alternative psychoanalytic approaches.

Greenberg does not attempt to synthesize the two models, because he believes that diversity is essential if psychoanalysis is to remain strong. Instead, he proposes a compelling and practical clinical theory in which Freud’s insistence on the importance of inner motivation, psychic conflict, and personal agency effectively informs a relational emphasis on the fundamental influence of social living.

The book concludes with some apt illustrations of how the “representational model” can enrich clinical work. Greenberg rethinks the process of making the unconscious conscious, and arrives at new approaches to the analyst’s neutrality, to transference analysis, and to countertransference. The result reflects the author’s profound insight into the structure of psychoanalytic theory and his mastery of the contributions of diverse psychoanalytic schools. Perhaps most important, Greenberg’s argument never loses touch with his clinical experience; ultimately, this is the deeply personal statement of a skilled practitioner.

[more]

front cover of Of Others Inside
Of Others Inside
Insanity, Addiction And Belonging in America
Darin Weinberg, foreword by Bryan S. Turner
Temple University Press, 2005
There is little doubt among scientists and the general public that homelessness, mental illness, and addiction are inter-related. In Of Others Inside, Darin Weinberg examines how these inter-relations have taken form in the United States. He links the establishment of these connections to the movement of mental health and addiction treatment from redemptive processes to punitive ones and back again, and explores the connection between social welfare, rehabilitation, and the criminal justice system.

Seeking to offer a new sociological understanding of the relationship between social exclusion and mental disability, Of Others Inside considers the general social conditions of homelessness, poverty, and social marginality in the U.S. Weinberg also explores questions about American perceptions of these conditions, and examines in great detail the social reality of mental disability and drug addiction without reducing people's suffering to simple notions of biological fate or social disorder.
[more]

front cover of Off He Goes!
Off He Goes!
Growing Up with Brachial Plexus Palsy
Written by Susan B Tomford; Illustrated by Yuo-Chyung Lin and Lynda J-S Yang, MD, PhD
Michigan Publishing Services, 2018
Spend the day with Wimbo – as he actively participates in daily activities despite his Brachial Plexus Palsy.  Accompany him through his day as he prepares to take on the world!  
 
Attractive colorful multimedia images merge with easy-to-read text to make this young elephant’s story appeal to all pre-school children.
 
This board book is the product of the faculty and staff of the University of Michigan Brachial Plexus and Peripheral Nerve Program, inspired by the plight of orphan elephants in Africa and The David Sheldrick Wildlife Trust that helps orphaned calves reintegrate back into the wild as well as our patients who actively participate despite Brachial Plexus Palsy. Our clinical program strives to provide the best interdisciplinary care for patients through collaboration, research, and innovation – as we hope to improve the function and quality of life for all persons with brachial plexus and peripheral nerve dysfunction.
[more]

front cover of Old Age, New Science
Old Age, New Science
Gerontologists and Their Biosocial Visions, 1900-1960
Hyung Wook Park
University of Pittsburgh Press, 2016
Between 1870 and 1940, life expectancy in the United States skyrocketed while the percentage of senior citizens age sixty-five and older more than doubled—a phenomenon owed largely to innovations in medicine and public health. At the same time, the Great Depression was a major tipping point for age discrimination and poverty in the West: seniors were living longer and retiring earlier, but without adequate means to support themselves and their families. The economic disaster of the 1930s alerted scientists, who were actively researching the processes of aging, to the profound social implications of their work—and by the end of the 1950s, the field of gerontology emerged.
Old Age, New Science explores how a group of American and British life scientists contributed to gerontology’s development as a multidisciplinary field. It examines the foundational “biosocial visions” they shared, a byproduct of both their research and the social problems they encountered. Hyung Wook Park shows how these visions shaped popular discourses on aging, directly influenced the institutionalization of gerontology, and also reflected the class, gender, and race biases of their founders.
[more]

front cover of Old Paint
Old Paint
A Medical History of Childhood Lead-Paint Poisoning in the United States to 1980
English, Peter C.
Rutgers University Press, 2001

In the early twentieth century lead had many domestic uses: in solder for cans, as a gasoline additive to prevent “knocking” in engines, in water pipes, and, most prominently, in interior paint prized for its durability and ability to hold color. Far from being the toxic hazard we recognize today, lead was a valuable commodity. However, by the end of the century, lead had largely disappeared from our environment as physicians discovered the threat it posed to children’s health and mental development.

Old Paint documents the history of lead-paint poisoning in the United States and the evolving responses of public health officials and the lead-paint industry to this hazard up to 1980, by which time lead had been banned from gasoline and paint. Peter C. English traces lead poisoning from a rare, but acute problem confined to a small group of children to the discovery by the end of the 1940s of the dangers of the crumbling lead-painted interiors of inner-city dwellings. He draws on a wide range of primary materials not only to illuminate our understanding of how this health hazard changed over time, but also to explore how diseases are constructed and evolve.

 

[more]

logo for Harvard University Press
Older Veterans
Linking VA and Community Resources
Terrie Wetle, Ph.D.
Harvard University Press, 1984
The Veterans Administration has assumed a leadership role in the development of geriatric programs for older veterans, particularly those from World War II. Increased demands for VA care and for new services have led to an exploration of improved integration of VA and community resources. This book begins with an overview of geriatric care including the special illness behaviors of elders and the attitudes of their care providers, followed by a description of geriatric and extended care and the legislative mandate of the VA. Analysis of current patterns of utilization and descriptions of innovative programs for service coordination and case management lead to suggested options for improving integration of VA and non VA services. The book will be of great interest to policy makers, program planners, and service providers.
[more]

front cover of On Duty
On Duty
Power, Politics, and the History of Nursing in New Jersey
Ward, Frances
Rutgers University Press, 2009
In 1886, Newark City Hospital opened a training school for nurses in New Jersey. With the dawn of a new century women began to demand rights that had been denied them, and nurses too demanded changes in health care and higher education. For the first time, On Duty offers a highly readable account of the struggle for professional autonomy by New Jersey nurses and reveals how their political and legislative battles mirrored the struggle of women throughout the country to redefine their roles in society.
[more]

front cover of On Hysteria
On Hysteria
The Invention of a Medical Category between 1670 and 1820
Sabine Arnaud
University of Chicago Press, 2015
These days, hysteria is known as a discredited diagnosis that was used to group and pathologize a wide range of conditions and behaviors in women. But for a long time, it was seen as a legitimate category of medical problem—and one that, originally, was applied to men as often as to women.

In On Hysteria, Sabine Arnaud traces the creation and rise of hysteria, from its invention in the eighteenth century through nineteenth-century therapeutic practice. Hysteria took shape, she shows, as a predominantly aristocratic malady, only beginning to cross class boundaries (and be limited to women) during the French Revolution. Unlike most studies of the role and status of medicine and its categories in this period, On Hysteria focuses not on institutions but on narrative strategies and writing—the ways that texts in a wide range of genres helped to build knowledge through misinterpretation and recontextualized citation.

Powerfully interdisciplinary, and offering access to rare historical material for the first time in English, On Hysteria will speak to scholars in a wide range of fields, including the history of science, French studies, and comparative literature.
[more]

logo for Harvard University Press
On Medicine, Volume I
Books 1–4
Celsus
Harvard University Press

A Roman layman’s account of medicine in his time.

A. Cornelius Celsus was author, probably during the reign of the Roman Emperor Tiberius (AD 14–37), of a general encyclopedia of agriculture, medicine, military arts, rhetoric, philosophy, and jurisprudence, in that order of subjects. Of all this great work there survives only the eight books on medicine (De Medicina).

In Book I, after an excellent survey of Greek schools (Dogmatic, Methodic, Empiric) of medicine come sensible dietetics that will always be applicable. Book II deals with prognosis, diagnosis of symptoms (which he stresses strongly), and general therapeutics. Book III addresses internal ailments, fevers, and general diseases. Book IV treats local bodily diseases. Next come two pharmacological books, Book V on treatment by drugs of general diseases, and Book VI on local diseases. Books VII and VIII deal with surgery; these books contain accounts of many operations, including amputation.

Celsus was not a professional doctor of medicine or a surgeon, but a practical layman whose On Medicine, written in a clear and neat style for lay readers, is partly a result of his medical treatment of his household (slaves included), and partly a presentation of information gained from many Greek authorities. From no other source can we learn so much of the condition of medical science up to his own time.

The Loeb Classical Library edition of Celsus is in three volumes.

[more]

logo for Harvard University Press
On Medicine, Volume II
Books 5–6
Celsus
Harvard University Press

A Roman layman’s account of medicine in his time.

A. Cornelius Celsus was author, probably during the reign of the Roman Emperor Tiberius (AD 14–37), of a general encyclopedia of agriculture, medicine, military arts, rhetoric, philosophy, and jurisprudence, in that order of subjects. Of all this great work there survives only the eight books on medicine (De Medicina).

In Book I, after an excellent survey of Greek schools (Dogmatic, Methodic, Empiric) of medicine come sensible dietetics that will always be applicable. Book II deals with prognosis, diagnosis of symptoms (which he stresses strongly), and general therapeutics. Book III addresses internal ailments, fevers, and general diseases. Book IV treats local bodily diseases. Next come two pharmacological books, Book V on treatment by drugs of general diseases, and Book VI on local diseases. Books VII and VIII deal with surgery; these books contain accounts of many operations, including amputation.

Celsus was not a professional doctor of medicine or a surgeon, but a practical layman whose On Medicine, written in a clear and neat style for lay readers, is partly a result of his medical treatment of his household (slaves included), and partly a presentation of information gained from many Greek authorities. From no other source can we learn so much of the condition of medical science up to his own time.

The Loeb Classical Library edition of Celsus is in three volumes.

[more]

logo for Harvard University Press
On Medicine, Volume III
Books 7–8
Celsus
Harvard University Press

A Roman layman’s account of medicine in his time.

A. Cornelius Celsus was author, probably during the reign of the Roman Emperor Tiberius (AD 14–37), of a general encyclopedia of agriculture, medicine, military arts, rhetoric, philosophy, and jurisprudence, in that order of subjects. Of all this great work there survives only the eight books on medicine (De Medicina).

In Book I, after an excellent survey of Greek schools (Dogmatic, Methodic, Empiric) of medicine come sensible dietetics that will always be applicable. Book II deals with prognosis, diagnosis of symptoms (which he stresses strongly), and general therapeutics. Book III addresses internal ailments, fevers, and general diseases. Book IV treats local bodily diseases. Next come two pharmacological books, Book V on treatment by drugs of general diseases, and Book VI on local diseases. Books VII and VIII deal with surgery; these books contain accounts of many operations, including amputation.

Celsus was not a professional doctor of medicine or a surgeon, but a practical layman whose On Medicine, written in a clear and neat style for lay readers, is partly a result of his medical treatment of his household (slaves included), and partly a presentation of information gained from many Greek authorities. From no other source can we learn so much of the condition of medical science up to his own time.

The Loeb Classical Library edition of Celsus is in three volumes.

[more]

front cover of On Suffering
On Suffering
Pathways to Healing and Health
Beverley M. Clarke
Dartmouth College Press, 2011
Currently in medicine, theories of pain regard pain and suffering as one and the same. It is assumed that if pain ceases, suffering stops. These theories are not substantiated in clinical practice, where some patients report little pain and extreme suffering and other individuals have a lot of pain and virtually no suffering. Based on the results of a scientific questionnaire, as well as evidence from and conversations with hundreds of patients, Beverley M. Clarke argues convincingly that suffering is often separate from pain, has universal measurable characteristics, and requires suffering-specific treatments that are sensitive to the patient’s individual psychology and cultural background. According to Clarke, suffering occurs when individuals who have experienced a life change because of medical issues perceive a threat to their idea of self and personhood. This kind of suffering, based on a lost “dream of self,” affects every aspect of an individual’s life. Treating the patient as a whole person—an approach that Clarke strongly advocates—is an issue overlooked in the majority of chronic care and traumatic injury treatments, focused as they are on pain reduction. Clarke believes passionately that the management of suffering in medicine is the responsibility of all health care practitioners. Until they come to identify and understand suffering as distinct from pain, the entire health care system will continue to carry the financial and moral burden of incomplete diagnoses, inappropriate referrals for care, ineffective treatment interventions, and lost human potential.
[more]

logo for Harvard University Press
On Temperaments. On Non-Uniform Distemperment. The Soul’s Traits Depend on Bodily Temperament
Galen
Harvard University Press, 2020

Antiquity’s most prolific and influential medical writer and practitioner.

Galen of Pergamum (129–?199/216), physician to the court of the emperor Marcus Aurelius, was a philosopher, scientist, medical historian, theoretician, and practitioner who wrote forcefully and prolifically on an astonishing range of subjects and whose impact on later eras rivaled that of Aristotle. Galen synthesized the entirety of Greek medicine as a basis for his own doctrines and practice, which comprehensively embraced theory, practical knowledge, experiment, logic, and a deep understanding of human life and society.

This volume presents three works of the greatest importance to Galen’s theory and practice of medicine. On Temperaments sets out Galen’s concept of the combination (krasis) of the four elemental qualities (hot, cold, wet, and dry), which is fundamental to his account of the structure and function of the human body and of animal and plant bodies generally, and is in turn essential to his theory of medical practice. The two related works, On Non-Uniform Distemperment and The Soul’s Traits Depend on Bodily Temperament, deal with specific aspects of dyskrasia, which is a disturbance in the combination of these qualities. Appended are two related short treatises, On the Best Constitution of Our Body and On Good Bodily State.

[more]

logo for Harvard University Press
On the Constitution of the Art of Medicine. The Art of Medicine. A Method of Medicine to Glaucon
Galen
Harvard University Press, 2016

Antiquity’s most prolific and influential medical writer and practitioner.

Galen of Pergamum (129–?199/216), physician to the court of the emperor Marcus Aurelius, was a philosopher, scientist, and medical historian, a theoretician and practitioner, who wrote forcefully and prolifically on an astonishing range of subjects and whose impact on later eras rivaled that of Aristotle. Galen synthesized the entirety of Greek medicine as a basis for his own doctrines and practice, which comprehensively embraced theory, practical knowledge, experiment, logic, and a deep understanding of human life and society.

In the three classic works in this volume, On the Constitution of the Art of Medicine, The Art of Medicine, and A Method of Medicine to Glaucon, Galen covers fundamental aspects of his practice in a lucid and engaging style designed to appeal to a broad audience.

[more]

front cover of On the Heels of Ignorance
On the Heels of Ignorance
Psychiatry and the Politics of Not Knowing
Owen Whooley
University of Chicago Press, 2019
Psychiatry has always aimed to peer deep into the human mind, daring to cast light on its darkest corners and untangle its thorniest knots, often invoking the latest medical science in doing so. But, as Owen Whooley’s sweeping new book tells us, the history of American psychiatry is really a record of ignorance. On the Heels of Ignorance begins with psychiatry’s formal inception in the 1840s and moves through two centuries of constant struggle simply to define and redefine mental illness, to say nothing of the best way to treat it. Whooley’s book is no antipsychiatric screed, however; instead, he reveals a field that has muddled through periodic reinventions and conflicting agendas of curiosity, compassion, and professional striving. On the Heels of Ignorance draws from intellectual history and the sociology of professions to portray an ongoing human effort to make sense of complex mental phenomena using an imperfect set of tools, with sometimes tragic results.
[more]

logo for Harvard University Press
On the Natural Faculties
Galen
Harvard University Press

Antiquity’s most prolific and influential medical writer and practitioner.

If the work of Hippocrates is taken as representing the foundation upon which the edifice of historical Greek medicine was raised, then the work of Galen, who lived some six hundred years later, may be looked upon as the summit of the same edifice.

He was born in Pergamum AD 129, and both there and in other academic centers of the Aegean pursued his medical studies before being appointed physician to the Pergamene gladiators in 157. Becoming dissatisfied with this type of practice he emigrated to Rome, where he soon won acknowledgement as the foremost medical authority of his time and where, with one brief interruption, he remained until his death in 199.

Galen’s merit is to have crystallized or brought into focus all the best work of the Greek medical schools which had preceded his own time. It is essentially in the form of Galenism that Greek medicine was transmitted to after ages.

[more]

front cover of On the Ragged Edge of Medicine
On the Ragged Edge of Medicine
Doctoring Among the Dispossessed
Patricia Kullberg
Oregon State University Press, 2017
On the Ragged Edge of Medicine offers a glimpse into a medical practice for the homeless and urban poor. Told through fifteen patient vignettes, and drawn from the author’s decades of experience in Portland, Oregon, this revealing memoir illuminates the impact of poverty on the delivery of health services and the ways in which people adapt and survive (or don’t survive) in conditions of abuse and deprivation. Kullberg’s stories show the direct and sometimes devastating effects of poverty on public health, poignantly demonstrating that medicine is as much a social enterprise as a scientific one.
[more]

logo for Harvard University Press
On the Soul. Parva Naturalia. On Breath
Aristotle
Harvard University Press

Peripatetic works on the human body and soul.

Aristotle, great Greek philosopher, researcher, reasoner, and writer, born at Stagirus in 384 BC, was the son of a physician. He studied under Plato at Athens and taught there (367–347); subsequently he spent three years at the court of a former pupil in Asia Minor. After some time at Mitylene, in 343–342 he was appointed by King Philip of Macedon to be tutor of his teen-aged son Alexander. After Philip’s death in 336, Aristotle became head of his own school (of “Peripatetics”), the Lyceum at Athens. Because of anti-Macedonian feeling there after Alexander’s death in 323, he withdrew to Chalcis in Euboea, where he died in 322.

Nearly all the works Aristotle prepared for publication are lost; the priceless ones extant are lecture-materials, notes, and memoranda (some are spurious). They can be categorized as follows:

I Practical: Nicomachean Ethics; Great Ethics (Magna Moralia); Eudemian Ethics; Politics; Economics (on the good of the family); On Virtues and Vices.
II Logical: Categories; Analytics (Prior and Posterior); Interpretation; Refutations used by Sophists; Topica.
III Physical: Twenty-six works (some suspect) including astronomy, generation and destruction, the senses, memory, sleep, dreams, life, facts about animals, etc.
IV Metaphysics: on being as being.
V Art: Rhetoric and Poetics.
VI Other works including the Constitution of Athens; more works also of doubtful authorship.
VII Fragments of various works such as dialogues on philosophy and literature; and of treatises on rhetoric, politics, and metaphysics.

The Loeb Classical Library® edition of Aristotle is in twenty-three volumes.

[more]

front cover of The Oocyte Economy
The Oocyte Economy
The Changing Meaning of Human Eggs
Catherine Waldby
Duke University Press, 2019
In recent years increasing numbers of women from wealthy countries have turned to egg donation, egg freezing, and in vitro fertilization to become pregnant, especially later in life. This trend has created new ways of using, exchanging, and understanding oocytes—the reproductive cells specific to women. In The Oocyte Economy Catherine Waldby draws on 130 interviews---with scientists, clinicians, and women who have either donated or frozen their oocytes or received those of another woman---to trace how the history of human oocytes' perceived value intersects with the biological and social life of women. Demonstrating how oocytes have come to be understood as discrete and scarce biomedical objects open to valuation, management, and exchange, Waldby examines the global market for oocytes and the power dynamics between recipients and the often younger and poorer donors. With this exploration of the oocyte economy and its contemporary biopolitical significance, Waldby rethinks the relationship between fertility, gendered experience, and biomedical innovation.
[more]

front cover of Open Wound
Open Wound
The Tragic Obsession of Dr. William Beaumont
Jason Karlawish
University of Michigan Press, 2013

A shotgun misfires inside the American Fur Company store in Northern Michigan, and Alexis St. Martin's death appears imminent. It's 1822, and, as the leaders of Mackinac Island examine St. Martin's shot-riddled torso, they decide not to incur a single expense on behalf of the indentured fur trapper. They even go so far as to dismiss the attention of U.S. Army Assistant Surgeon William Beaumont, the frontier fort's only doctor.

Beaumont ignores the orders and saves the young man's life. What neither the doctor nor his patient understands—yet—is that even as Beaumont's care of St. Martin continues for decades, the motives and merits of his attention are far from clear. In fact, for what he does to his patient, Beaumont will eventually stand trial and be judged.

Rooted deeply in historic fact, Open Wound artfully fictionalizes the complex, lifelong relationship between Beaumont and his illiterate French Canadian patient. The young trapper's injury never completely heals, leaving a hole into his stomach that the curious doctor uses as a window to understand the mysteries of digestion. Eager to rise up from his humble origins and self-conscious that his medical training occurred as an apprentice to a rural physician rather than at an elite university, Beaumont seizes the opportunity to experiment upon his patient's stomach in order to write a book that he hopes will establish his legitimacy and secure his prosperity. As Jason Karlawish portrays him, Beaumont, always growing hungrier for more wealth and more prestige, personifies the best and worst aspects of American ambition and power.

[more]

front cover of Opposing Ambitions
Opposing Ambitions
Gender and Identity in an Alternative Organization
Sherryl Kleinman
University of Chicago Press, 1996
"Renewal" is a holistic health center run by baby boomers whose political ideals were shaped by the counterculture movements of the 1960s. Through interviews and observation, Sherryl Kleinman takes us inside Renewal and shows us how its members struggled to maintain a view of themselves as progressive and alternative even as they sought conventional legitimacy.

In Opposing Ambitions we meet the members of Renewal as individuals; learn about the differences in power, prestige, and respect they are accorded; why they talked endlessly about money; and how they related to each other. Kleinman shows how members' attempts to see themselves as unconventional, but also as serious operators of a legitimate health care organization, led them to act in ways that undermined their egalitarian goals. She draws out the lessons Renewal offers for understanding the problems women face in organizations, the failure of social movements to live up to their ideals, and how it is possible for progressives to avoid reproducing the inequalities they claim to oppose.
[more]

front cover of The Orange Wire Problem and Other Tales from the Doctor’s Office
The Orange Wire Problem and Other Tales from the Doctor’s Office
David Watts
University of Iowa Press, 2009
Western literature has had a long tradition of physician-writers. From Mikhail Bulgakov to William Carlos Williams to Richard Selzer to Ethan Canin, exposure to human beings at their most vulnerable has inspired fine writing. In his own inimitable and unpretentious style, David Watts is also a master storyteller. Whether recounting the decline and death of a dear friend or poking holes in the faulty logic of an insurance company underling, The Orange Wire Problem lays bare the nobility and weakness, generosity and churlishness of human nature.

With disarming candor and the audacity to admit that practicing medicine can be a crazy thing, Watts fills each page with riveting details, moving accounts, or belly-laughs.  As the stories in this work unfold, we are witness to the moral dilemmas and personal rewards of ministering to the sick. Whether the subject is the potential benefits of therapeutic deception or telling a child about death, Watts’s ear for the right word, the right tone, and the right detail never fails him.

From The Orange Wire Problem and Other Tales from the Doctor’s Office:

We were lingering in the outer office. He mentioned again, no biopsy. I knew that. And I knew there would be no chemotherapy.
    Maybe it's like that Orange Wire Problem, I said.
    Yes exactly, he said, and four years from now when we're all sitting around the campfire we'll remember the Orange Wire Problem. . .
    And I thought to myself, my brother did that. Spoke of the time ahead as he was dying of lung cancer. Six months from now he had said, we'll be glad we did all those drug therapies—as if to speak of the future laid claim to the future.
[more]

front cover of Ordinary Medicine
Ordinary Medicine
Extraordinary Treatments, Longer Lives, and Where to Draw the Line
Sharon R. Kaufman
Duke University Press, 2015
Most of us want and expect medicine’s miracles to extend our lives. In today’s aging society, however, the line between life-giving therapies and too much treatment is hard to see—it’s being obscured by a perfect storm created by the pharmaceutical and biomedical industries, along with insurance companies. In Ordinary Medicine Sharon R. Kaufman investigates what drives that storm’s “more is better” approach to medicine: a nearly invisible chain of social, economic, and bureaucratic forces that has made once-extraordinary treatments seem ordinary, necessary, and desirable. Since 2002 Kaufman has listened to hundreds of older patients, their physicians and family members express their hopes, fears, and reasoning as they faced the line between enough and too much intervention. Their stories anchor Ordinary Medicine. Today’s medicine, Kaufman contends, shapes nearly every American’s experience of growing older, and ultimately medicine is undermining its own ability to function as a social good. Kaufman’s careful mapping of the sources of our health care dilemmas should make it far easier to rethink and renew medicine’s goals.
[more]

front cover of An Organ of Murder
An Organ of Murder
Crime, Violence, and Phrenology in Nineteenth-Century America
Courtney E. Thompson
Rutgers University Press, 2021
Finalist for the 2022 Cheiron Book Prize​

An Organ of Murder explores the origins of both popular and elite theories of criminality in the nineteenth-century United States, focusing in particular on the influence of phrenology. In the United States, phrenology shaped the production of medico-legal knowledge around crime, the treatment of the criminal within prisons and in public discourse, and sociocultural expectations about the causes of crime. The criminal was phrenology’s ideal research and demonstration subject, and the courtroom and the prison were essential spaces for the staging of scientific expertise. In particular, phrenology constructed ways of looking as well as a language for identifying, understanding, and analyzing criminals and their actions. This work traces the long-lasting influence of phrenological visual culture and language in American culture, law, and medicine, as well as the practical uses of phrenology in courts, prisons, and daily life.
         
 
[more]

logo for Georgetown University Press
The Organ Shortage Crisis in America
Incentives, Civic Duty, and Closing the Gap
Georgetown University Press

Nearly 120,000 people are in need of healthy organs in the United States. Every ten minutes a new name is added to the list, while on average twenty people die each day waiting for an organ to become available. Worse, our traditional reliance on cadaveric organ donation is becoming increasingly insufficient, and in recent years there has been a decline in the number of living donors as well as in the percentage of living donors relative to overall kidney donors. Some transplant surgeons and policy advocates have responded to this shortage by arguing for the legalization of the sale of organs among living donors. Andrew Flescher objects to this approach by going beyond concerns traditionally cited about social justice, commodification, and patient safety, and moving squarely onto the terrain of discussing what motivates major and costly acts of human selflessness.    

What is the most efficacious means of attracting prospective living kidney donors?  Flescher, drawing on literature in the fields of moral psychology and economics, as well as on scores of interviews with living donors, suggests that inculcating a sense of altruism and civic duty is a more effective means of increasing donor participation than the resort to financial incentives. He encourages individuals to spend time with patients on dialysis in order to become acquainted with their plight and, as an alternative to lump-sum payments, consider innovative solutions that positively impact living donor participation that do not undermine the spirit of the National Organ Transplant Act of 1984. This book not only re-examines the important debate over whether to allow the sale of organs; it is also the first volume in the field to take a close look at alternative solutions to the organ shortage crisis. 

[more]

front cover of Organ Transplantation Policy
Organ Transplantation Policy
James F. Blumstein and Frank A. Sloan, eds.
Duke University Press, 1989
Organ transplantation as a high-cost surgical and medical procedure poses an extraordinarily rich and complex set of social, ethical, and policy issues.
A June 1988 symposium at Vanderbilt University gathered leaders in a wide variety of fields to synthesize the current state of knowledge concerning organ transplantation policy and to access policy options. Collected here are the revised papers presented at that symposium; also included is one influential earlier paper on the same topic. Together, they constitute a major contribution to the debate on organ transplantation policy and its moral, legal, financial, and political implications.
[more]

logo for Harvard University Press
Organ Transplants
A Patient's Guide
Massachusetts General Hospital Organ Transplant Team and Harry F. Pizer
Harvard University Press, 1991

The replacement of a diseased organ by a healthy one is a medical dream that has become a reality for thousands of men and women, boys and girls. Once considered experimental and highly risky, human tissue and organ transplantation is today's successful therapy for disorders affecting the heart, liver, kidney, pancreas, eyes, ears, and bone marrow. Combining the most advanced techniques in surgery, immunology, infectious diseases, cardiology, nephrology, psychiatry, and nursing, organ transplantation is at the forefront of medical science.

Despite the advances in transplantation, the literature available to a potential transplant recipient is scant. This book, written by members of the world-renowned transplant team at the Massachusetts General Hospital in collaboration with a veteran medical journalist, is expressly created for patients and their families, the lay public, and allied health personnel. With an unparalleled sweep, the authors present a history of human organ transplantation, a review of transplant immunology and antirejection drugs, a survey of the national donor organ network, a characterization of the hospital transplant team, and the process of harvesting donor organs. They also discuss the realities of surgery and recovery; potential complications, and hints for transplant recipients and their families on how to cope with the stresses of illness, the wait for a donor organ, and the transplant operation itself.

In providing a clear picture of what to expect from an organ transplant, the authors include case studies of patients' experiences before and following transplantation, and they depict how patients and their families interact with the hospital's medical team. As a result, this book offers a sympathetic and unsensationalized guide for the more than 20,000 patients each day who await an organ transplant-and for those who are intimately involved with the patient's successful recovery.

[more]

front cover of The Origin of the World
The Origin of the World
Science and Fiction of the Vagina
Jelto Drenth
Reaktion Books, 2004
The Origin of the World is a revealing, intimate, and ultimately liberating study of female sexuality at its heart: the vagina. Working from the assumption that sex is pleasurable and fulfilling insofar as its participants fully understand how it works, sexologist Jelto Drenth gives readers a guided tour of the complex, challenging, and often misunderstood "origin of the world."

Drenth describes the workings of the vagina in simple language, enriching his description throughout the book with the imagery, mythology, lore, and history that has surrounded the vagina since the Middle Ages. The Origin of the World moves from basic physiognomic facts to the realms of anthropology, art history, science fiction, and feminist literature-all in the service of mapping the dark continent. Drenth's journey takes him from Renaissance woodcuts to vibrators, clitoridectomies to "virginity checks," fears of the vagina (the vagina dentata) to its celebration. Part medical exposition covering the function of female genitalia from orgasm to pregnancy and part cultural history discussing contemporary and historical views of such aspects of the feminine as pubic hair, Freud's theories of coitus, and slang terms for the vagina, The Origin of the World is encyclopedic in its breadth, fascinating in its content, and familiar in its subject.

This lightly written exploration can be seen as both an owner's manual and a guide for the perplexed. Women and men alike will benefit from its entertaining erudition and from its fundamental mission of demystifying sex and sexuality in the service of greater understanding and, from that understanding, greater pleasure.
[more]

logo for Southern Illinois University Press
Origins and Development of Medical Imaging
T. Doby and G. Alker
Southern Illinois University Press, 1997
In this newest volume in the Medical Humanities Series, T. Doby and G. Alker trace the development of our ability to visualize the inside of the human body.

For thousands of years, horror of the dead, superstition, and oppressive decrees prevented our ancestors from looking inside the human body; in ancient civilizations, diagnostics were based on imagination and theory, with only limited observation. So people developed suppositions about health and disease without knowing how the liver, heart, brain, and blood vessels looked or functioned. In tracing the history of medical imaging, Doby and Alker establish that it was not until the Renaissance and the detailed drawings of human anatomy by da Vinci and Vesalius that successful internal imaging of the human body was born.

At the turn of the nineteenth century, Roentgen’s discovery of the X-ray provided the first miraculous look into the living body. From that instant, medical imaging developed at an ever-increasing pace, evolving to more recent discoveries in nuclear medicine, CT scanning, and ultrasound and magnetic resonance imaging.

As Doby and Alker note, we can expect our efforts to be understood in the future only if we examine past events with an appreciation of the difficulties and challenges that faced our predecessors. Despite almost unbelievable advances in current medical technology, we must still rely on our own resources and common sense as human beings in understanding what technology can and cannot do for us.

A comprehensive set of appendixes pictorially depicting the history of imaging round out the volume.
[more]

logo for Harvard University Press
Origins and Evolution of Behavior Disorders
From Infancy to Early Adult Life
Stella Chess and Alexander Thomas
Harvard University Press, 1987
Beginning in 1956, Stella Chess and Alexander Thomas tracked the lives of 133 children from infancy to young adulthood, examining in detail their psychological development over a twenty-five-year period. The result was the groundbreaking New York Longitudinal Study. This book, first published in 1984, presents a complete report of the study, including analyses of the data and exploration of such fundamental questions as gender differences, antecedents of adult behavior patterns, and factors that contribute to depression and other disorders. Special emphasis is given to the clinical evaluation and treatment of patients with behavioral abnormalities. The authors discuss key findings: the important role of parental guidance, the continuities and discontinuities across developmental stages, the crucial effects of temperament on psychological development, and the usefulness of a “goodness of fit” model for understanding the relationship between person and environment and for describing the evolution of behavior disorders.
[more]

logo for Duke University Press
The Origins and Rise of Associate Degree Nursing Education
Patricia T. Haase
Duke University Press, 1990
The Origins and Rise of Associate Degree Nursing Education offers an analytical history of the beginnings and development of associate degree nursing (ADN) programs and the role of the caregivers it produces in the health care system. Nurses may be trained in two-, three-, or four-year programs, but all are eligible to take the accreditation examination to be licensed as registered nurses (RNs). The question of distinguishing between “professional” nurses from bachelor programs and “technical” nurses from the associate degree programs has become an important and controversial issue in nursing.
Advocates have long contended that the associate degree nurse is vital to the American health care system. This study, funded by the W. K. Kellogg Foundation, confirms this view. In recent years the Foundation has invested more than $6.1 million in the development of the ADN, awarded by junior and community colleges. Many participants in the ADN projects for the Kellogg Foundation have noted that, despite the importance of the ADN and the controversy about its place in nursing education, the literature is scattered and hard to identity. The Origins and Rise of Associate Degree Nursing Education and the companion bibliography will provide much-needed information to educators, hospital and nursing administrators, nursing leaders, and public policy makers—all of whom must cope with the growing nursing shortage and increasingly difficult issues in health policy and administration.
[more]

front cover of The Origins of Bioethics
The Origins of Bioethics
Remembering When Medicine Went Wrong
John A. Lynch
Michigan State University Press, 2019
The Origins of Bioethics argues that what we remember from the history of medicine and how we remember it are consequential for the identities of doctors, researchers, and patients in the present day. Remembering when medicine went wrong calls people to account for the injustices inflicted on vulnerable communities across the twentieth century in the name of medicine, but the very groups empowered to create memorials to these events often have a vested interest in minimizing their culpability for them. Sometimes these groups bury this past and forget events when medical research harmed those it was supposed to help. The call to bioethical memory then conflicts with a desire for “minimal remembrance” on the part of institutions and governments. The Origins of Bioethics charts this tension between bioethical memory and minimal remembrance across three cases—the Tuskegee Syphilis Study, the Willowbrook Hepatitis Study, and the Cincinnati Whole Body Radiation Study—that highlight the shift from robust bioethical memory to minimal remembrance to forgetting.
[more]

front cover of Origins of the Modern Mind
Origins of the Modern Mind
Three Stages in the Evolution of Culture and Cognition
Merlin Donald
Harvard University Press, 1991
This bold and brilliant book asks the ultimate question of the life sciences: How did the human mind acquire its incomparable power? In seeking the answer, Merlin Donald traces the evolution of human culture and cognition from primitive apes to artificial intelligence, presenting an enterprising and original theory of how the human mind evolved from its presymbolic form.
[more]

logo for University of Chicago Press
Osiris, Volume 13
Beyond Joseph Needham: Science, Technology, and Medicine in East and Southeast Asia
Edited by Morris Low
University of Chicago Press, 2000
Devoted to the history of non-Western science, technology, and medicine, this path-breaking volume goes beyond the legacy of the late historian of Chinese science, Joseph Needham, by covering an unprecedented range of countries and by adopting new approaches. The seventeen chapters address topics in China, Indonesia, Japan, the Philippines, South Korea, Taiwan, and Thailand. However, the contributors do not view the histories of these countries in isolation. Many adopt a cross-cultural approach by tracing interaction with other Asian countries and the West. The volume begins with four chapters that provide a "big picture" overview of science and civilization in Asia. These are followed by more focused essays, which deal with aspects of science, technology, and medicine in specific countries.

Specialist and non-specialist readers alike will leave this volume with a strong sense of the political and economic imperatives behind knowledge systems in Eastern Asia, their cultural contexts, and how they have coexisted along with those in the West.


[more]

front cover of Osiris, Volume 31
Osiris, Volume 31
History of Science and the Emotions
Edited by Otniel E. Dror, Bettina Hitzer, Anja Laukötter, and Pilar León-Sanz
University of Chicago Press Journals, 2016
What new insights become available for historians when emotions are included as an analytical category? This volume of Osiris explores the historical interrelationships between science and its cultures and cultures of emotions. It argues that a dialogue between the history of emotions and the history of science leads to a rethinking of our categories of analysis, our subjects, and our periodizations. The ten case studies in the volume explore these possibilities and interrelationships across North America and Europe, between the twelfth and the twentieth centuries, in a variety of scientific disciplines. They analyze how scientific communities approached and explained the functions of emotions; how the concomitant positioning of emotions in or between body-mind-intersubjectivity took place; how emotions infused practices and how practices generated emotions; and, ultimately, how new and emerging identities of and criteria for emotions created new knowledge, new technologies, and new subjectivities.
[more]

front cover of Osler's A Way of Life and Other Addresses, with Commentary and Annotations
Osler's A Way of Life and Other Addresses, with Commentary and Annotations
Sir William Osler
Duke University Press, 2001
Sir William Osler (1849–1919) had a long and distinguished career as a physician and professor at McGill University, the University of Pennsylvania, the Johns Hopkins University, and finally, as the Regius Chair in Medicine at Oxford University. Over the course of his professional life, Osler gave many addresses—mostly to medical students—on medical ethics, medicine and the humanities, the relationship between the medical practitioner and the patient, and, as the titular essay makes clear, on the “way of life” he advocated for the ethical physician. He remains an inspiration to many contemporary medical practitioners; there are active Osler Societies throughout the world.
While Osler’s talks were frequently published during his lifetime and they have been published individually and in different compilations since his death, none contain the over 1500 annotations that appear here, notes that serve to explain the many philosophical, biblical, historical, and literary allusions contained in Osler’s writings.
This thoroughly explicated selection of Sir William Osler’s writings will be cherished by physicians, medical students, nurses, philosophers, theologians, and ethicists in this—and future—generations.
[more]

logo for Harvard University Press
Other Times, Other Realities
Toward a Theory of Psychoanalytic Treatment
Arnold Modell
Harvard University Press, 1990

Nearly a century has passed since Freud's theories unleashed a revolution in our understanding of the human psyche. Yet, as Arnold Modell firmly points out, we still do not possess a theory that explains how psychoanalysis works. Other Times, Other Realities provides brilliant insight into this perplexing problem and lays the foundation for a comprehensive theory of psychoanalytic treatment. Modell's careful consideration of Freudian theory, the interpretations of contemporary ego psychology, and the contribution of object theory discloses the changing significance of the fundamental elements of the therapeutic process.

In Other Times, Other Realities, readers will discover an illuminating synthesis of concepts underlying the various interpretations of the psychoanalytic process.

[more]

front cover of Others' Milk
Others' Milk
The Potential of Exceptional Breastfeeding
Wilson, Kristin J.
Rutgers University Press, 2018
Breastfeeding rarely conforms to the idealized Madonna-and-baby image seen in old artwork, now re-cast in celebrity breastfeeding photo spreads and pro-breastfeeding ad campaigns. The personal accounts in Others’ Milk illustrate just how messy and challenging and unpredictable it can be—an uncomfortable reality in the contemporary context of high-stakes motherhood in which “successful” breastfeeding proves one’s maternal mettle. 

Exceptional breastfeeders find creative ways to feed and care for their children—such as by inducing lactation, sharing milk, or exclusively pumping. They want to adhere to the societal ideal of giving them “the best” but sometimes have to face off with dogmatic authorities in order to do so. Kristin J. Wilson argues that while breastfeeding is never going to be the feasible choice for everyone, it should be accessible to anyone.  
[more]

front cover of Our Aging Bodies
Our Aging Bodies
Merrill, Gary F
Rutgers University Press, 2015
People in developed countries are living longer and, just as the aged population around the world is steadily growing, the number of adults eighty-five and older in the United States is projected to quadruple to twenty-one million people by 2050. The aging of our population has huge implications for baby boomers and their children, and has generated a greater interest in the causes and effects of aging.

Our Aging Bodies provides a clear, scientifically based explanation of what happens to all the major organ systems and bodily processes—such as the cardiovascular and digestive systems—as people age. The first section is an overview of secondary aging—changes that occur with age that are related to disease and the environment—and include the effect of such things as diet, humor, and exercise. Readers will also learn about primary aging—intrinsic changes that occur with the aging of specific organs and body systems (including the prostate, the heart, the digestive system, and the brain). Throughout the book, Gary F. Merrill weaves in personal anecdotes and stories that help clarify and reinforce the facts and principles of the underlying scientific processes and explanations. Our Aging Bodies is accessible to a general reader interested in the aging phenomenon, or baby boomers wanting to be more informed when seeing their doctor and discussing changes to their bodies as they age.
[more]

front cover of Our Intelligent Bodies
Our Intelligent Bodies
Gary F. Merrill
Rutgers University Press, 2020
Human intelligence isn’t just located in the brain. Our bodies are marvelously sophisticated and complex, with a variety of autonomic systems that help maintain our health without us ever having to think about them. But how exactly do all these physiological structures actually work?
 
In Our Intelligent Bodies, physiology professor Gary F. Merrill takes you on a guided tour through the human body. You’ll learn how our eyes are designed to detect unimaginably small bursts of light and how our ears contain bundles of tiny hairs, each one attuned to different sound frequencies. You’ll also discover how our hearts are smart enough to compensate for skipped beats and irregular rhythms and how our pulmonary system adjusts for low oxygen levels. You’ll even find out why the gut is sometimes called the “second brain,” its reflexes controlled by millions of neurons.   
 
Written in a fun, easy-to-comprehend style and filled with illuminating analogies, Our Intelligent Bodies also brings readers up to date on cutting-edge research into the wonders of human physiology. It will give you a new appreciation for the smart decisions our bodies are making when our brains aren’t paying attention.
[more]

front cover of Our Marvelous Bodies
Our Marvelous Bodies
An Introduction to the Physiology of Human Health
Merrill, Gary F
Rutgers University Press, 2008

Our Marvelous Bodies offers a unique perspective on the structure, function, and care of the major systems of the human body. Unlike other texts that use a strictly scientific approach, physiologist Gary F. Merrill relays medical facts alongside personal stories that help students relate to and apply the information.

Readers learn the basics of feedback control systems, homeostasis, and physiological gradients. These principles apply to an understanding of the body’s functioning under optimal, healthy conditions, and they provide insight into states of acute and chronic illness. Separate chapters are devoted to each of the body’s systems in detail: nervous, endocrine, cardiovascular, respiratory, renal, gastrointestinal, musculoskeletal, reproductive, and immune. Through a series of real-life examples, the book also shows the importance of maintaining careful medical records for health care professionals, scientists, and patients alike.

[more]

front cover of Our Veterans
Our Veterans
Winners, Losers, Friends, and Enemies on the New Terrain of Veterans Affairs
Suzane Gordon, Steve Early, and Jasper Craven
Duke University Press, 2022
In Our Veterans, Suzanne Gordon, Steve Early, and Jasper Craven explore the physical, emotional, social, economic, and psychological impact of military service and the problems that veterans face when they return to civilian life. The authors critically examine the role of advocacy organizations, philanthropies, corporations, and politicians who purport to be “pro-veteran.” They describe the ongoing debate about the cost, quality, and effectiveness of healthcare provided or outsourced by the Department of Veterans Affairs (VA). They also examine generational divisions and political tensions among veterans, as revealed in the tumultuous events of 2020, from Black Lives Matter protests to the Trump-Biden presidential contest. Frank and revealing, Our Veterans proposes a new agenda for veterans affairs linking service provision to veterans to the quest for broader social programs benefiting all Americans.
[more]

front cover of Out of My Skull
Out of My Skull
The Psychology of Boredom
James Danckert and John D. Eastwood
Harvard University Press, 2020

A Behavioral Scientist Notable Book of the Year
A Guardian “Best Book about Ideas” of the Year


No one likes to be bored. Two leading psychologists explain what causes boredom and how to listen to what it is telling you, so you can live a more engaged life.

We avoid boredom at all costs. It makes us feel restless and agitated. Desperate for something to do, we play games on our phones, retie our shoes, or even count ceiling tiles. And if we escape it this time, eventually it will strike again. But what if we listened to boredom instead of banishing it?

Psychologists James Danckert and John Eastwood contend that boredom isn’t bad for us. It’s just that we do a bad job of heeding its guidance. When we’re bored, our minds are telling us that whatever we are doing isn’t working—we’re failing to satisfy our basic psychological need to be engaged and effective. Too many of us respond poorly. We become prone to accidents, risky activities, loneliness, and ennui, and we waste ever more time on technological distractions. But, Danckert and Eastwood argue, we can let boredom have the opposite effect, motivating the change we need. The latest research suggests that an adaptive approach to boredom will help us avoid its troubling effects and, through its reminder to become aware and involved, might lead us to live fuller lives.

Out of My Skull combines scientific findings with everyday observations to explain an experience we’d like to ignore, but from which we have a lot to learn. Boredom evolved to help us. It’s time we gave it a chance.

[more]

front cover of Out of Patients
Out of Patients
A Novel
Sandra Cavallo Miller
University of Nevada Press, 2022
After practicing medicine for more than thirty years in the sweltering suburbs of Phoenix, Dr. Norah Waters is weighing her options, and early retirement is looking better and better. At age fifty-eight, she questions whether she still needs to deal with midnight calls, cranky patients, and the financial headaches that come with running a small clinic. Fighting burnout and workplace melodrama, Norah gives herself one final year to find the fulfillment and satisfaction she remembers from the early years of her once-cherished career.

As she embarks on her year’s journey, Norah grapples with a medical practice that is experiencing a concerning loss of income. She is supervising two medical students, one whose shyness hampers his development and another whose arrogance and contempt for family medicine creates major friction at the clinic. Norah’s life is further complicated by her elderly mother, a feisty 86-year-old living in Sun City, who once rejoiced at Woodstock and recently partied at Burning Man. Troubled by a shadow in their past, both women find themselves on a quest for self-worth in their shifting worlds. Norah also must cope with the end of an unhappy, long-term relationship with an aspiring, but deadbeat, novelist.

Supported by her steadfast dog, a misfit veterinarian, and a thoughtful radiologist, Norah wrestles through a surprising assortment of obstacles, sometimes amusing and sometimes dreadful, on her way to making a decision about her future.
[more]

front cover of Out of the Dead House
Out of the Dead House
Nineteenth-Century Women Physicians and the Writing of Medicine
Susan Wells
University of Wisconsin Press, 2001
In the last decades of the nineteenth century, two thousand women physicians formed a significant and lively scientific community in the United States. Many were active writers; they participated in the development of medical record-keeping and research, and they wrote self-help books, social and political essays, fiction, and poetry. Out of the Dead House rediscovers the contributions these women made to the developing practice of medicine and to a community of women in science.
    Susan Wells combines studies of medical genres, such as the patient history or the diagnostic conversation, with discussions of individual writers. The women she discusses include Ann Preston, the first woman dean of a medical college; Hannah Longshore, a successful practitioner who combined conventional and homeopathic medicine; Rebecca Crumpler, the first African American woman physician to publish a medical book; and Mary Putnam Jacobi, writer of more than 180 medical articles and several important books. Wells shows how these women learned to write, what they wrote, and how these texts were read.
    Out of the Dead House also documents the ways that women doctors influenced medical discourse during the formation of the modern profession. They invented forms and strategies for medical research and writing, including methods of using survey information, taking patient histories, and telling case histories. Out of the Dead House  adds a critical episode to the developing story of women as producers and critics of culture, including scientific culture.
[more]

front cover of Outbreak Culture
Outbreak Culture
The Ebola Crisis and the Next Epidemic
Pardis Sabeti and Lara Salahi
Harvard University Press, 2018

An award-winning genetic researcher who helped contain the Ebola outbreak and a prize-winning journalist reveal what it will take to prevent the next pandemic from spiraling out of control.

As we saw with our response to Ebola and Zika—and are seeing now with the disastrous early handling of the coronavirus COVID-19 outbreak—a lack of preparedness, delays in action, and large-scale system-wide problems with the distribution of critical medical resources can result in lost lives.

Outbreak Culture examines each phase of the 2014 Ebola outbreak in West Africa—one of the largest and deadliest epidemics to date—and identifies factors that prevented key information from reaching physicians. Drawing insights from clinical workers, data collectors, organizational experts, and public health researchers, Pardis Sabeti and Lara Salahi expose a fractured system that failed to gather and share knowledge of the virus and ensure timely containment. The authors describe how much more could have been done by global medical and political organizations to safeguard the well-being of caregivers, patients, and communities affected by this devastating outbreak and they outline changes that are urgently needed to ensure a more effective coordinated response to the next epidemic.

Secrecy, competition, and poor coordination plague nearly every major public health crisis—and we are seeing their deadly consequences play out again. A work of fearless integrity and unassailable authority, Outbreak Culture seeks to change the culture of responders.

[more]

front cover of Outbreak Culture
Outbreak Culture
The Ebola Crisis and the Next Epidemic, With a New Preface and Epilogue
Pardis Sabeti and Lara Salahi
Harvard University Press, 2021

A Choice Outstanding Academic Title of the Year

“A critical, poignant postmortem of the epidemic.”
Washington Post

“Forceful and instructive…Sabeti and Salahi uncover competition, sabotage, fear, blame, and disorganization bordering on chaos, features that are seen in just about any lethal epidemic.”
—Paul Farmer, cofounder of Partners in Health

“The central theme of the book…is that common threads of dysfunction run through responses to epidemics…The power of Outbreak Culture is its universality.”
Nature

“Sabeti and Salahi present a wealth of evidence supporting the imperative that outbreak response must operate in a coordinated, real-time manner.”
Science

As we saw with the Ebola outbreak—and the disastrous early handling of the COVID-19 coronavirus pandemic—a lack of preparedness, delays, and system-wide problems with the distribution of critical medical supplies can have deadly consequences. Yet after every outbreak, the systems put in place to coordinate emergency responses are generally dismantled.

One of America’s top biomedical researchers, Dr. Pardis Sabeti, and her Pulitzer Prize–winning collaborator, Lara Salahi, argue that these problems are built into the ecosystem of our emergency responses. With an understanding of the path of disease and insight into political psychology, they show how secrecy, competition, and poor coordination plague nearly every major public health crisis and reveal how much more could be done to safeguard the well-being of caregivers, patients, and vulnerable communities. A work of fearless integrity and unassailable authority, Outbreak Culture seeks to ensure that we make some urgently needed changes before the next pandemic.

[more]


Send via email Share on Facebook Share on Twitter