This volume brings together feminist social and biomedical scholars from the Southern and Northern hemispheres to examine the aggregate forces that affect reproductive choice. Drawing on numerous case studies, this book examines the range of social, economic, and scientific policies which collectively impact on reproductive well being. Power and Decision offers an analysis of how disparate policies, seemingly unrelated to reproduction, are implicitly “pro-natalist” or “anti-natalist.” Moreover, these policies are imbued with gender, race, and class biases. The authors examine the reproductive impact of welfare and parental leave legislation, health services, adoption policies, biomedical research, the global transfer and regulation of reproductive technologies, and international family planning programs.
Offering a rare global feminist critique of social policy, this volume makes explicit the direction of current legislative, economic, and scientific trends, providing a basis for discussion, debate, and possible redress.
For nearly fifteen years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Devettere’s approach is not based on an ethics of abstract obligations and duties, but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.
This third edition is revised and updated and includes discussions of several landmark cases, including the tragic stories of Terri Schiavo and Jesse Gelsinger (the first death caused by genetic research). Devettere addresses new topics such as partial-birth abortion law, embryonic stem cell research, infant euthanasia in The Netherlands, recent Vatican statements on feeding tubes, organ donation after cardiac death, new developments in artificial hearts, clinical trials developed by pharmaceutical companies to market new drugs, ghostwritten scientific articles published in major medical journals, and controversial HIV/AIDS research in Africa. This edition also includes a new chapter on the latest social and political issues in American health care.
Devettere’s engaging text relies on commonsense moral concepts and avoids academic jargon. It includes a glossary of legal, medical, and ethical terms; an index of cases; and thoroughly updated bibliographic essays at the end of each chapter that offer resources for further reading. It is a true classic, brilliantly conceived and executed, and is now even more valuable to undergraduates and graduate students, medical students, health care professionals, hospital ethics committees and institutional review boards, and general readers interested in philosophy, medicine, and the rapidly changing field of health care ethics.
For more than twenty years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Raymond J. Devettere's approach is not based on an ethics of abstract obligations and duties but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.
New sections added in this revised fourth edition include sequencing whole genomes, even those of newborns; the new developments in genetic testing now provided by online commercial companies such as 23andMe; the genetic testing of fetuses by capturing their DNA circulating in the pregnant woman's blood; the Stanford Prison experiment and its relevance to the abuses at the Abu Graib prison; recent breakthroughs in the diagnosis of consciousness disorders such as PVS; the ongoing controversy generated by the NIH study of premature babies at many NICUs throughout the county, a study known as SUPPORT that the OHRP (Office of Human Research Protections, an office within the department of HHS) deemed unethical.
Devettere updates most chapters. New cases include Marlise Munoz (dead pregnant woman's body kept on life support by a Texas hospital), Jahi McMath (teenager pronounced dead in California but treated as alive in New Jersey), Margot Bentley (nursing home feeding a woman dying of end stage Alzheimer’s despite her advance directive that said no nourishment or liquids if she was dying with dementia), Brittany Maynard (dying 29-year-old California woman who moved to Oregon to commit suicide with a physician's help), and Samantha Burton (woman with two children who suffered rupture of membranes at 25 weeks and whose physician obtained a court order to keep her at the hospital to make sure she stayed on bed rest). Thoughtfully updated and renewed for a new generation of readers, this classic textbook will be required reading for students and scholars of philosophy and medical ethics.
In the course of caring for the ill or dying, health care professionals are sometimes the only ones available to provide spiritual comfort to their patients. In our modern pluralistic society, where patients could come from any number of religious traditions, it can often be difficult to find exactly the right words in these situations.
Prayers and Rituals at a Time of Illness and Dying: The Practices of Five World Religions by experienced physician and theologian Pat Fosarelli offers clear instructions for health care professionals on how to better understand the needs of their Buddhist, Hindu, Muslim, Christian, and Jewish patients during these difficult times. Devoting separate chapters to each tradition, Fosarelli briefly outlines the basic beliefs and then looks at the main tenets of each religion, exploring the varied approaches that they take to illness and end-of-life issues. For each tradition, she also describes practices and offers suitable prayers. Each chapter suggests modifications that may be necessary for Western hospitals, modifications for children, and specific suggestions about what not to do or say in respect to different faith traditions.
This easy-to-use, pocket-sized resource will be referenced again and again by physicians, paramedics, hospital and military chaplains, pastoral counselors, hospice providers, and other medical professionals.
Preaching Prevention examines the controversial U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) initiative to “abstain and be faithful” as a primary prevention strategy in Africa. This ethnography of the born-again Christians who led the new anti-AIDS push in Uganda provides insight into both what it means for foreign governments to “export” approaches to care and treatment and the ways communities respond to and repurpose such projects. By examining born-again Christians’ support of Uganda’s controversial 2009 Anti-Homosexuality Bill, the book’s final chapter explores the enduring tensions surrounding the message of personal accountability heralded by U.S. policy makers.
Preaching Prevention is the first to examine the cultural reception of PEPFAR in Africa. Lydia Boyd asks, What are the consequences when individual responsibility and autonomy are valorized in public health initiatives and those values are at odds with the existing cultural context? Her book investigates the cultures of the U.S. and Ugandan evangelical communities and how the flow of U.S.-directed monies influenced Ugandan discourses about sexuality and personal agency. It is a pioneering examination of a global health policy whose legacies are still unfolding.
The ability to identify and abort fetuses with certain genetic abnormalities is among the most recent and most important of medical advances. In this book, one of the world's leading medical geneticists, Harry Harris, discusses the promise and the perils of the new techniques. Dr. Harris writes with great clarity; he explains technical concepts and terms so well that a layman can follow his account with little effort. This book will serve as an excellent introduction to a large and growing literature.
Dr. Harris begins by explaining methods of prenatal diagnosis and the kinds of disease that can, at present, be identified in utero. He identifies technological limitations of the procedure and also discusses certain theoretical factors that limit its future applicability. The book concludes with a long and balanced examination of ethical issues entailed by the practice of selective abortion. The author limits discussion of his own opinions in favor of evaluating the main contemporary positions and exploring the basis of controversy. He makes clear, however, his own view that there are clear advantages to the technique and clear limitations and that there will always be gray areas in which decision must be painful and individual—unaided by pat moralizing.
Rapid development of sophisticated new techniques has vastly increased physicians' ability to detect congenital disorders before birth. Yet advances in treatment, before or after birth, have been very modest. This discrepancy leads to ethical and social problems that require serious attention by professionals and patients alike. This innovative book tackles such problems in the case of prenatal screening for neural tube defects. Afflicting about 7,000 newborn babies each year in the United States, neural tube defects are serious abnormalities in the development of the brain and spinal cord that have grave consequences for the child and family.
The editors, Elena O. Nightingale, a geneticist, physician, and expert in health policy, and Susan B. Meister, a specialist in parent-child nursing, social and developmental psychology, and quantitative methods, led a multidisciplinary effort by distinguished Harvard faculty, including economist Richard Zeckhauser and clinical decision analyst Barbara J. McNeil. Other contributors include Donald S. Shepard, Mary L. Kiely, and Stephen G. Pauker. The book examines the impact of technology assessment, cost effectiveness analysis, and decision analysis on reaching decisions about prenatal screening. The book includes a discussion of the results of formal analyses against a backdrop of our basic ethical and societal values, as well as the analyses themselves. Health care workers, policymakers, and concerned individuals will find this volume informative and thought provoking.
As prenatal tests proliferate, the medical and broader communities perceive that such testing is a logical extension of good prenatal care—it helps parents have healthy babies. But prenatal tests have been criticized by the disability rights community, which contends that advances in science should be directed at improving their lives, not preventing them. Used primarily to decide to abort a fetus that would have been born with mental or physical impairments, prenatal tests arguably reinforce discrimination against and misconceptions about people with disabilities.
In these essays, people on both sides of the issue engage in an honest and occasionally painful debate about prenatal testing and selective abortion. The contributors include both people who live with and people who theorize about disabilities, scholars from the social sciences and humanities, medical geneticists, genetic counselors, physicians, and lawyers. Although the essayists don't arrive at a consensus over the disability community's objections to prenatal testing and its consequences, they do offer recommendations for ameliorating some of the problems associated with the practice.
Any woman who has been examined by a gynecologist could tell Descartes a thing or two about the mind/body problem. Is her body an object? Is it the self? Is it both, and if so, how? Katharine Young takes up this problem in a book that looks at medicine's means of separating self and body--and at the body's ways of resisting.
Disembodiment--rendering the body an object and the self bodyless--is the foundational gesture of medicine. How, then, does medical practice acknowledge the presence of the person in the objectified body? Young considers in detail the "choreography" such a maneuver requires--and the different turns it takes during a routine exam, or surgery, or even an autopsy. Distinctions between public and private, inside and outside, assume new meanings as medical practice proceeds from one venue to the next--waiting room to examining table, anteroom to operating theater, from the body's exterior to its internal organs. Young inspects the management of these and other "boundaries"--as a physician adds layers of clothing and a patient removes layers, as the rules of objective and subjective discourse shift, as notions of intimacy determine the etiquette of exchanges between doctor and patient.
From embodied positions within the realm of medicine and disembodied positions outside it, Young richly conveys the complexity of presence in the flesh.
Arguing that the state must meet strict conditions to justify interfering in at-risk pregnancies, Deborah Mathieu examines the legal and ethical concerns that arise when governments mandate the behavior of pregnant women. She explores both the pregnant woman's right to decide what happens to her body and the future child's right to be protected from avoidable damage. Mathieu addresses such topics as reproductive hazards in the workplace, mandated fetal therapy, forced lifestyle changes for pregnant women, and the future child's right to sue for lack of prenatal care. The controversy raises key issues of rights, duties, and the scope of legitimate state action, thus posing fundamental challenges to the fields of medicine, biomedical ethics, law, and public policy.
This edition has been completely updated and expanded. Mathieu presents new arguments for acceptable types of state intervention and provides specific examples. This edition also incorporates recent court decisions, especially cases involving substance abuse. The book includes both an updated bibliography and an updated reference list of relevant court cases.
From Harry and Louise through the McCaughey septuplets, this book explains stories and issues in health care ethics that have appeared in the news media. Written for the general reader in a pluralistic society, it outlines and applies principles of justice from the Catholic tradition to contemporary problems that increasingly affect us all.
This second edition contains extensive new material and new topics, including physician-assisted suicide, managed care, organ donation, genetic testing, cloning, and the question of futility. Aimed at a wide audience, this book will also be useful for introductory ethics courses in colleges and high schools.
Defining the proper female body, seeking elective surgery for beauty, enjoying lavish spa treatments, and combating impotence might seem like today’s celebrity infatuations. However, these preoccupations were very much alive in the early modern period. Valeria Finucci recounts the story of a well-known patron of arts and music in Renaissance Italy, Duke Vincenzo Gonzaga of Mantua (1562–1612), to examine the culture, fears, and captivations of his times. Using four notorious moments in Vincenzo’s life, Finucci explores changing concepts of sexuality, reproduction, beauty, and aging.
The first was Vincenzo’s inability to consummate his earliest marriage and subsequent medical inquiry, which elucidates new concepts of female anatomy. Second, Vincenzo’s interactions with Bolognese doctor Gaspare Tagliacozzi, the “father of plastic surgery,” illuminate contemporary fascinations with elective procedures. Vincenzo’s use of thermal spas explores the proliferation of holistic, noninvasive therapies to manage pain, detoxify, and rehabilitate what the medicine of the time could not address. And finally, Vincenzo’s search for a cure for impotence later in life analyzes masculinity and aging.
By examining letters, doctors’ advice, reports, receipts, and travelogues, together with (and against) medical, herbal, theological, even legal publications of the period, Finucci describes an early modern cultural history of the pathology of human reproduction, the physiology of aging, and the science of rejuvenation as they affected a prince with a large ego and an even larger purse. In doing so, she deftly marries salacious tales with historical analysis to tell a broader story of Italian Renaissance cultural adjustments and obsessions.
Since the publication seven years ago of the third edition of this classic work, there have been rapid changes in the field of dental public health. A sharp drop in childhood tooth decay in developed countries has resulted from the fluoridation of drinking water. Budget cuts in governmental dental care programs have brought increased emphasis to the need for auxiliaries as responsible members of the dental team.
This new edition presents a complete and up-to-date treatment of the tools of dental public health, including biostatistics, epidemiology, and the social sciences. James Morse Dunning provides a concise discussion of survey and evaluation methods and of techniques for the design of delivery programs for dental care. He evaluates the impact of the increasing demand for adult and geriatric dentistry. In response to the critical need for cost-efficient dental care, Dunning goes beyond most dental organizations of the day to advocate the use of well-trained paradental personnel under the general supervision of dentists.
Like other dangerous but pleasurable activities, such as downhill skiing and mountain climbing, engaging in unprotected sex implicitly involves the weighing of costs and benefits. Recognizing that the transmission of the AIDS virus is a consequence of private choices—rational and often informed—to engage in risky conduct, the authors employ tools of economic analysis to reassess the orthodox approach to AIDS by the public health community.
Standard predictions of the spread of AIDS, the authors argue, are questionable because they ignore rational behavioral response to the risk of infection. For the same reason, customary recommended public health measures, such as extensive testing for the AIDS virus, not only may be ineffective in controlling the spread of the disease but may actually cause it to spread more rapidly. The authors examine regulatory measures and proposals such as mandatory testing, criminal punishments, and immigration controls, as well as the subsidization of AIDS education and medical research, the social and fiscal costs of AIDS, the political economy of the government's response, and the interrelation of AIDS and fertility risk.
Neither liberal nor conservative, yet on the whole skeptical about governmental involvement in the epidemic, this book is certain to be controversial, but its injection of hard-headed economic thinking into the AIDS debate is long overdue. Although Private Choices and Public Health is accessible to the interested general reader, it will also capture the attention of economists—especially those involved in health issues—epidemiologists, public health workers, lawyers, and specialists in sexual behavior and drug addiction.
Private Practices examines the relationship between science, sexuality, gender, race, and culture in the making of modern America between 1920 and 1950, when contradictions among liberal intellectuals affected the rise of U.S. conservatism. Naoko Wake focuses on neo-Freudian, gay psychiatrist Harry Stack Sullivan, founder of the interpersonal theory of mental illness. She explores medical and social scientists' conflicted approach to homosexuality, particularly the views of scientists who themselves lived closeted lives.
Wake discovers that there was a gap--often dramatic, frequently subtle--between these scientists' "public" understanding of homosexuality (as a "disease") and their personal, private perception (which questioned such a stigmatizing view). This breach revealed a modern culture in which self-awareness and open-mindedness became traits of "mature" gender and sexual identities. Scientists considered individuals of society lacking these traits to be "immature," creating an unequal relationship between practitioners and their subjects. In assessing how these dynamics--the disparity between public and private views of homosexuality and the uneven relationship between scientists and their subjects--worked to shape each other, Private Practices highlights the limits of the scientific approach to subjectivity and illuminates its strange career--sexual subjectivity in particular--in modern U.S. culture.
In The Private Self, Arnold Modell contributes an interdisciplinary perspective in formulating a theory of the private self. A leading thinker in American psychoanalysis, Modell here studies selfhood by examining variations on the theme of the self in Freud and in the work of object relations theorists, self psychologists, and neuroscientists. Modell contends that the self is fundamentally paradoxical, in that it is at once dependent upon social affirmation and autonomous in generating itself from within. We create ourselves, he suggests, by selecting values that are endowed with private meanings.
By thinking of the unconscious as a neurophysiological process, and the self as the subject and object of its own experience, Modell is able to explain how identity can persist in the flux of consciousness. He thus offers an exciting and original perspective for our understanding of the mind and the brain.
Most neurology is done by general physicians rather than by neurologists. Still, neurology is perceived by doctors to be one of the most troublesome and difficult medical specialties. Neurologic symptoms are often vague and uncertain, and seemingly insignificant symptoms can reflect frightening disorders.
Thomas Glick, a superb teacher as well as an experienced clinician, has written this book in the belief that errors in handling neurologic cases stem not so much from a failure to command a daunting body of knowledge as from inadequate clinical reasoning. Dr. Glick shows how the skills of the primary-care physician can be applied to the special problems of neurologic history-taking and physical examination. He emphasizes time-saving ways to focus the exam and avoid diagnostic error. The book describes clear procedures for cases that the generalist can handle comfortably and offers guidelines on when (and how) to seek the advice of the consultant neurologist. Case histories, scattered liberally throughout the text, highlight the discussions and give the reader a rich sampling of specific methods of problem solving.
Clinicians who feel skeptical about the effectiveness of neurologic therapy or frustrated by its application will find here a commonsense approach to therapeutic planning. Chapters on ambulatory and chronic neurologic care also convey a positive sense of the broader therapeutic possibilities that exist in neurologic practice. Neurologic residents, senior medical students, psychiatrists, and allied health professionals, as well as primary caregivers, will benefit from the insights contained in this sensitive and articulate book.
Processed Foods and the Consumer was first published in 1976. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions.
In this comprehensive guide, Professor Packard discusses problems and answers questions of paramount importance to the consumer concerning processed foods that are sold in the marketplace. The book is an excellent text for course use in classes in food science or technology, nutrition, dietetics, institutional food management, and related courses. It is also a valuable reference work for those in food industries and regulatory and health agencies, and for the concerned public.
The definitive English edition of the “Father of Medicine.”
This is the second volume in the Loeb Classical Library’s complete edition of Hippocrates’ invaluable texts, which provide essential information about the practice of medicine in antiquity and about Greek theories concerning the human body. The first two treatises, Prognostic and Regimen in Acute Diseases, are manuals respectively on how to predict the course and outcome of acute diseases and how to apply appropriate dietetic measures. Sacred Disease, The Art, and Breaths are rhetorically polished monographs, each arguing in favor of a specific hypothesis: that sacred disease is a misnomer; that medicine is a legitimate art; and that air plays important roles in life and health. Law sketches a new model of medical education; Decorum summarizes a public address on the components of medical wisdom; and Dentition collects pediatric aphorisms dealing mainly with the nursing of infants and ulcerations of their tonsils, uvula, and throat.
This Loeb edition replaces the original by W. H. S. Jones.
The works available in the Loeb Classical Library edition of Hippocrates are:
Volume I: Ancient Medicine. Airs, Waters, Places. Epidemics 1 and 3. The Oath. Precepts. Nutriment.
Volume II: Prognostic. Regimen in Acute Diseases. The Sacred Disease. The Art. Breaths. Law. Decorum. Dentition.
Volume III: On Wounds in the Head. In the Surgery. On Fractures. On Joints. Mochlicon.
Volume IV: Nature of Man. Regimen in Health. Humors. Aphorisms. Regimen 1–3. Dreams.
Volume V: Affections. Diseases 1–2.
Volume VI: Diseases 3. Internal Affections. Regimen in Acute Diseases.
Volume VII: Epidemics 2 and 4–7.
Volume VIII: Places in Man. Glands. Fleshes. Prorrhetic 1–2. Physician. Use of Liquids. Ulcers. Haemorrhoids and Fistulas.
Volume IX: Anatomy. Nature of Bones. Heart. Eight Months’ Child. Coan Prenotions. Crises. Critical Days. Superfetation. Girls. Excision of the Fetus. Sight.
Volume X: Generation. Nature of the Child. Diseases 4. Nature of Women. Barrenness.
Volume XI: Diseases of Women 1–2.
Hippocrates, said to have been born in Cos in or before 460 BCE, learned medicine and philosophy; travelled widely as a medical doctor and teacher; was consulted by King Perdiccas of Macedon and Artaxerxes of Persia; and died perhaps at Larissa. Apparently he rejected superstition in favour of inductive reasoning and the study of real medicine as subject to natural laws, in general and in individual people as patients for treatment by medicines and surgery. Of the roughly 70 works in the 'Hippocratic Collection' many are not by Hippocrates; even the famous oath may not be his. But he was undeniably the 'Father of Medicine'.
The works available in the Loeb Classical Library edition of Hippocrates are the following. Volume I: Ancient Medicine. Airs, Waters, Places. Epidemics 1 and 3. The Oath. Precepts. Nutriment. Volume II: Prognostic. Regimen in Acute Diseases. The Sacred Disease. The Art. Breaths. Law. Decorum. Physician (Ch. 1). Dentition. Volume III: On Wounds in the Head. In the Surgery. On Fractures. On Joints. Mochlicon. Volume IV: Nature of Man. Regimen in Health. Humours. Aphorisms. Regimen 13. Dreams. Volume V: Affections. Diseases 12. Volume VI: Diseases 3. Internal Affections. Regimen in Acute Diseases. Volume VII: Epidemics 2 and 47. Volume VIII: Places in Man. Glands. Fleshes. Prorrhetic III. Physician. Use of Liquids. Ulcers. Haemorrhoids and Fistulas. Volume IV also contains the fragments of Heracleitus, On the Universe.
The government, the media, HMOs, and individual Americans have all embraced programs to promote disease prevention. Yet obesity is up, exercise is down, teenagers continue to smoke, and sexually transmitted disease is rampant. Why? These intriguing essays examine the ethical and social problems that create subtle obstacles to changing Americans' unhealthy behavior.
The contributors raise profound questions about the role of the state or employers in trying to change health-related behavior, about the actual health and economic benefits of even trying, and about the freedom and responsibility of those of us who, as citizens, will be the target of such efforts. They ask, for instance, whether we are all equally free to live healthy lives or whether social and economic conditions make a difference. Do disease prevention programs actually save money, as is commonly argued? What is the moral legitimacy of using economic and other incentives to change people's behavior, especially when (as with HMOs) the goal is to control costs?
One key issue explored throughout the book is the fundamental ambivalence of traditionally libertarian Americans about health promotion programs: we like the idea of good health, but we do not want government or others posing threats to our personal lifestyle choices. The contributors argue that such programs will continue to prove less than wholly successful without a fuller examination of their place in our national values.
From two leading experts, a revolutionary new way to think about and measure aging.
Aging is a complex phenomenon. We usually think of chronological age as a benchmark, but it is actually a backward way of defining lifespan. It tells us how long we’ve lived so far, but what about the rest of our lives?
In this pathbreaking book, Warren C. Sanderson and Sergei Scherbov provide a new way to measure individual and population aging. Instead of counting how many years we’ve lived, we should think about the number of years we have left, our “prospective age.” Two people who share the same chronological age probably have different prospective ages, because one will outlive the other. Combining their forward-thinking measure of our remaining years with other health metrics, Sanderson and Scherbov show how we can generate better demographic estimates, which inform better policies. Measuring prospective age helps make sense of observed patterns of survival, reorients understanding of health in old age, and clarifies the burden of old-age dependency. The metric also brings valuable data to debates over equitable intergenerational pensions.
Sanderson and Scherbov’s pioneering model has already been adopted by the United Nations. Prospective Longevity offers us all an opportunity to rethink aging, so that we can make the right choices for our societal and economic health.
Prozac on the Couch traces the notion of “pills for everyday worries” from the 1950s to the early twenty-first century, through psychiatric and medical journals, popular magazine articles, pharmaceutical advertisements, and popular autobiographical "Prozac narratives.” Metzl shows how clinical and popular talk about these medications often reproduces all the cultural and social baggage associated with psychoanalytic paradigms—whether in a 1956 Cosmopolitan article about research into tranquilizers to “cure” frigid women; a 1970s American Journal of Psychiatry ad introducing Jan, a lesbian who “needs” Valium to find a man; or Peter Kramer’s description of how his patient “Mrs. Prozac” meets her husband after beginning treatment.
Prozac on the Couch locates the origins of psychiatry’s “biological revolution” not in the Valiumania of the 1970s but in American popular culture of the 1950s. It was in the 1950s, Metzl points out, that traditional psychoanalysis had the most sway over the American imagination. As the number of Miltown prescriptions soared (reaching 35 million, or nearly one per second, in 1957), advertisements featuring uncertain brides and unfaithful wives miraculously cured by the “new” psychiatric medicines filled popular magazines. Metzl writes without nostalgia for the bygone days of Freudian psychoanalysis and without contempt for psychotropic drugs, which he himself regularly prescribes to his patients. What he urges is an increased self-awareness within the psychiatric community of the ways that Freudian ideas about gender are entangled in Prozac and each new generation of wonder drugs. He encourages, too, an understanding of how ideas about psychotropic medications have suffused popular culture and profoundly altered the relationship between doctors and patients.
The Psyche and Schizophrenia offers a remarkably clear and comprehensive treatment of biopsychosocial development and psychotic processes. This extraordinary work lays the theoretical foundation for understanding the relationships between feeling and thinking (affect and logic) in normal as well as in pathological conditions, especially schizophrenia. Ciompi's affective-cognitive theory integrates interpersonal, familial, and social interactions with intrapsychic mental structures and yields startling new insights into the origins of "schizophrenic alienation." While Ciompi acknowledges the important role that genetic and biological models play in schizophrenia, he maintains that it is largely the psychosocial factors that determine long-term prognosis. Thus, The Psyche and Schizophrenia elaborates a number of new therapeutic approaches to the management of biological as well as environmental influences.
Drawing upon Piaget, Freud, and systems theory, as well as advanced current research, Ciompi develops a new model of the normal and pathological functioning of the psyche. This model presents cognition and emotion, the structure of logic and the dynamics of affects, as a complementary system governed by "ubiquitous laws of equilibrium."
In this brilliant synthesis of theoretical and empirical research, Ciompi proposes his novel theory of an "affectlogic" that probes the affective structures of logic as well as the logical structures of the emotions. Original in its conception and elegantly written, The Psyche and Schizophrenia is a major contribution to research on schizophrenia, and its penetrating insights and thorough analysis are sure to enrich the field of psychiatry for years to come.
Morton Prince, a debonair Boston neurologist, established the modern American tradition of psychopathology and psychotherapy in the closing decade of the nineteenth century. Born in 1854, two years before Sigmund Freud and five years before Pierre Janet, he criticized and adapted their work to his own particular interests, which were primarily the exploration of hypnosis, multiple personality, and the unconscious. Prince informally headed the most sophisticated group of psychopathologists in the English-speaking world, which flourished in Boston and Cambridge beginning around 1890. He founded the Journal of Abnormal Psychology in 1906 and the American Psychopathological Association in 1910.
The essays in this volume have been chosen by Nathan G. Hale, Jr., to illustrate four major stages in Prince’s career. The first, from 1885 to 1898, saw his development of a dynamic psychotherapy, based on the existence of unconscious mental processes. During the second period, from 1898 through 1911, he made intensive studies of multiple personality. In the third, from 1909 through 1924, he confronted psychoanalysis and behaviorism. During the last period, from about 1914 through 1927, he published his final views of the unconscious, hypnotism, and personality.
Morton Prince’s observations remain important partly because they are so richly detailed, partly because of their dramatic and human interest, but chiefly because they shed light on phenomena that still defy final explanation.
Public Health and the State constitutes both a fine piece of social history and an ideal model for evaluating our current definition of public health. In this thought-provoking account, Ms. Rosenkrantz perceptively traces the development of the Massachusetts State Board of Health--established in 1869 as the first state institution in the United States responsible for preventing unnecessary mortality and promoting all aspects of public health.
This study describes the areas in which state responsibility for deterring disease assumed increased authority after the Civil War. It begins at a time when the definition of health' implied that it could be achieved, supported by the perfectionist belief that a healthy populace--obedient to the laws of nature--guaranteed a sound society. As rapid urban and industrial growth began to sweep the country, however, there was an expressed concern that this expansion threatened the health and morals of the people. During this period, when the etiology of disease was ascribed to a variety of environmental and behavioral factors, the Massachusetts Board developed a comprehensive program of investigation and advice on such diverse issues as housing, water supplies, slaughterhouse conditions, and the use of alcohol.
Later, as specific medical prophylaxis and therapy came to characterize public health policy, the relationship between sanitary science and social reform was redefined by both professional standards and public expectation. The State Board depended less and less upon its ability to influence individual conduct. Laboratory scientists, chemists, and physicians, who tended to describe disease in biological terms, directed public health toward science.
In view of pressing public health problems posed by such hazards as drug abuse and environmental pollution, Ms. Rosenkrantz warns us that it is as important to identify the origins of the social and scientific assumptions regarding public health as it is to discover the biological etiology of disease. The last chapter of Public Health and the State suggests that the goal of perfect health, based upon the ideal concepts of the past, may no longer be a viable objective. For these reasons she views the development of the Massachusetts State Board of Health as "the story of a successful endeavor that can never be re-enacted."
In this book, based almost exclusively on original source material, Dr. Blake takes a detailed look at the public health history of the town of Boston. Historically, the author tells us, public health may be viewed as the science and art of preventing disease and promoting health through organized community activity. A significant part of this study is the insight it offers into the early attitudes toward disease and death as well as other basic political, social, and economic questions.
Dr. Blake outlines the development of public health practice from occasional emergency measures to a continuing program for the prevention and control of certain epidemic diseases. The introduction and increasing use of smallpox inoculation and later of vaccination are described and their importance evaluated. The book also discusses the further developments in the 1790s and the following two decades that resulted from a series of yellow-fever epidemics in northern seaports, including the establishment of a board of health and its efforts to prevent recurrence of this disease. The prevention of other endemic infectious diseases, though far more important in their effect on the community’s health, was largely neglected. Nevertheless, the principles of notification, isolation, and quarantine had been established and the need for governmental activity to protect the public health, for special public health officials, and for expenditure of tax money for public health purposes had been recognized.
This study, restricted in time to the period before Boston became a city (1630–1822), deals with the early years of the public health movement, a period that has been largely neglected. In comparing Boston’s experience with that of other colonies and England, Dr. Blake presents the European background in both the theory and practice of epidemiology and public health. The colonies themselves, whose differences caused many contemporaries to despair of their ever becoming a single nation, were yet bound by an essential homogeneity. “By and large they had the same language, the same religion, the same inheritance of British social and political ideals. And by and large they had the same diseases. Thus the history of public health in Boston becomes significant for the whole American experience.”
With the increasing demand for midwives, activists are lobbying to loosen restrictions that deny legal access to homebirth options. In Pushing for Midwives, Christa Craven presents a nuanced history of women’s reproductive rights activism in the U.S. She also provides an examination of contemporary organizing strategies for reproductive rights in an era increasingly driven by “consumer rights.”
An historical and ethnographic case study of grassroots organizing, Pushing for Midwives is an in-depth look at the strategies, successes, and challenges facing midwifery activists in Virginia. Craven examines how decades-old race and class prejudices against midwives continue to impact opposition to—as well as divisions within—women’s contemporary legislative efforts for midwives. By placing the midwifery struggle within a broader reproductive rights context, Pushing for Midwives encourages activists to reconsider how certain political strategies have the potential to divide women. This reflection is crucial in the wake of neoliberal political-economic shifts that have prioritized the rights of consumers over those of citizens—particularly if activists hope to maintain their commitment to expanding reproductive rights for all women.
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