BiblioVault - Books about Medicalization

A Colonial Lexicon

Of Birth Ritual, Medicalization, and Mobility in the Congo

Nancy Rose Hunt

Duke University Press, 1999

A Colonial Lexicon is the first historical investigation of how childbirth became medicalized in Africa. Rejecting the “colonial encounter” paradigm pervasive in current studies, Nancy Rose Hunt elegantly weaves together stories about autopsies and bicycles, obstetric surgery and male initiation, to reveal how concerns about strange new objects and procedures fashioned the hybrid social world of colonialism and its aftermath in Mobutu’s Zaire.
Relying on archival research in England and Belgium, as well as fieldwork in the Congo, Hunt reconstructs an ethnographic history of a remote British Baptist mission struggling to survive under the successive regimes of King Leopold II’s Congo Free State, the hyper-hygienic, pronatalist Belgian Congo, and Mobutu’s Zaire. After exploring the roots of social reproduction in rituals of manhood, she shows how the arrival of the fast and modern ushered in novel productions of gender, seen equally in the forced labor of road construction and the medicalization of childbirth. Hunt focuses on a specifically interwar modernity, where the speed of airplanes and bicycles correlated with a new, mobile medicine aimed at curbing epidemics and enumerating colonial subjects. Fascinating stories about imperial masculinities, Christmas rituals, evangelical humor, colonial terror, and European cannibalism demonstrate that everyday life in the mission, on plantations, and under a strongly Catholic colonial state was never quite what it seemed. In a world where everyone was living in translation, privileged access to new objects and technologies allowed a class of “colonial middle figures”—particularly teachers, nurses, and midwives—to mediate the evolving hybridity of Congolese society. Successfully blurring conventional distinctions between precolonial, colonial, and postcolonial situations, Hunt moves on to discuss the unexpected presence of colonial fragments in the vibrant world of today’s postcolonial Africa.
With its close attention to semiotics as well as sociology, A Colonial Lexiconwill interest specialists in anthropology, African history, obstetrics and gynecology, medical history, religion, and women’s and cultural studies.

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Deviance and Medicalization

From Badness to Sickness

Peter Conrad and Joseph W. Schneider

Temple University Press, 1992

This classic text on the nature of deviance, originally published in 1980, is now reissued with a new Afterword by the authors. In this new edition of their award-winning book, Conrad and Schneider investigate the origins and contemporary consequences of the medicalization of deviance. They examine specific cases—madness, alcoholism, opiate addiction, homosexuality, delinquency, and child abuse—and draw out their theoretical and policy implications. In a new chapter, the authors address developments in the last decade—including AIDS, domestic violence, co-dependency, hyperactivity in children, and learning disabilities—and they discuss the fate of medicalization in the 1990s with the changes in medicine and continued restrictions on social services.

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The Gray Zones of Medicine

Healers and History in Latin America

Diego Armus and Pablo F. Gómez

University of Pittsburgh Press, 2021

Winner, 2022 Outstanding Academic Title, CHOICE Awards

Health practitioners working in gray zones, or between official and unofficial medicines, played a fundamental role in shaping Latin America from the colonial period onward. The Gray Zones of Medicine offers a human, relatable, complex examination of the history of health and healing in Latin America across five centuries. Contributors uncover how biographical narratives of individual actors—outside those of hegemonic biomedical knowledge, careers of successful doctors, public health initiatives, and research and medical institutions—can provide a unique window into larger social, cultural, political, and economic historical changes and continuities in the region. They reveal the power of such stories to illuminate intricacies and resilient features of the history of health and disease, and they demonstrate the importance of escaping analytical constraints posed by binary frameworks of legality/illegality, learned/popular, and orthodoxy/heterodoxy when writing about the past. Through an accessible and story-like format, this book unlocks the potential of historical narratives of healings to understand and give nuance to processes too frequently articulated through intellectual medical histories or the lenses of empires, nation-states, and their institutions.

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Midwives and Mothers

The Medicalization of Childbirth on a Guatemalan Plantation

By Sheila Cosminsky

University of Texas Press, 2016

The World Health Organization is currently promoting a policy of replacing traditional or lay midwives in countries around the world. As part of an effort to record the knowledge of local midwives before it is lost, Midwives and Mothers explores birth, illness, death, and survival on a Guatemalan sugar and coffee plantation, or finca, through the lives of two local midwives, Doña Maria and her daughter Doña Siriaca, and the women they have served over a forty-year period.

By comparing the practices and beliefs of the mother and daughter, Sheila Cosminsky shows the dynamics of the medicalization process and the contestation between the midwives and biomedical personnel, as the latter try to impose their system as the authoritative one. She discusses how the midwives syncretize, integrate, or reject elements from Mayan, Spanish, and biomedical systems. The midwives’ story becomes a lens for understanding the impact of medicalization on people’s lives and the ways in which women’s bodies have become contested terrain between traditional and contemporary medical practices. Cosminsky also makes recommendations for how ethno-obstetric and biomedical systems may be accommodated, articulated, or integrated. Finally, she places the changes in the birthing system in the larger context of changes in the plantation system, including the elimination of coffee growing, which has made women, traditionally the primary harvesters of coffee beans, more economically dependent on men.

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The Prescription-to-Prison Pipeline

The Medicalization and Criminalization of Pain

Michelle Smirnova

Duke University Press, 2023

In The Prescription-to-Prison Pipeline Michelle Smirnova argues that the ongoing opioid drug epidemic is the result of an endless cycle in which suffering is medicalized and drug use is criminalized. Drawing on interviews with eighty incarcerated individuals in Missouri correctional institutions, Smirnova shows how contradictions in medical practices, social ideals, and legal policies disproportionately criminalize the poor for their social condition. This criminalization further exacerbates and perpetuates drug addiction and poverty. Tracing the processes by which social issues are constructed as biomedical ones that necessitate pharmacological intervention, Smirnova highlights how inequitable surveillance, policing, and punishment of marginalized populations intensify harms associated with both treatment and punishment, especially given that the distinctions between the two have become blurred. By focusing on the stories of people whose pain and pharmaceutical treatment led to incarceration, Smirnova challenges the binary of individual and social problems, effectively exploring how the conceptualization, diagnosis, and treatment of substance use may exacerbate outcomes such as relapse, recidivism, poverty, abuse, and death.

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Pushing in Silence

Modernizing Puerto Rico and the Medicalization of Childbirth

By Isabel M. Córdova

University of Texas Press, 2017

As Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its practice. What had traditionally been a home-based, family-oriented process, assisted by women and midwives and “accomplished” by mothers, became a medicalized, hospital-based procedure, “accomplished” and directed by biomedical, predominantly male, practitioners, and, ultimately reconfigured, after the 1980s, into a technocratic model of childbirth, driven by doctors’ fears of malpractice suits and hospitals’ corporate concerns.

Pushing in Silence charts the medicalization of childbirth in Puerto Rico and demonstrates how biomedicine is culturally constructed within regional and historical contexts. Prior to 1950, registered midwives on the island outnumbered registered doctors by two to one, and they attended well over half of all deliveries. Isabel M. Córdova traces how, over the next quarter-century, midwifery almost completely disappeared as state programs led by scientifically trained experts and organized by bureaucratic institutions restructured and formalized birthing practices. Only after cesarean rates skyrocketed in the 1980s and 1990s did midwifery make a modest return through the practices of five newly trained midwives. This history, which mirrors similar patterns in the United States and elsewhere, adds an important new chapter to the development of medicine and technology in Latin America.

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