front cover of Imperial Bodies in London
Imperial Bodies in London
Empire, Mobility, and the Making of British Medicine, 1880–1914
Kristin Hussey
University of Pittsburgh Press, 2021

Winner, 2022 Whitfield Prize for First Monograph in the Field of British and Irish History

Since the eighteenth century, European administrators and officers, military men, soldiers, missionaries, doctors, wives, and servants moved back and forth between Britain and its growing imperial territories. The introduction of steam-powered vessels, and deep-docks to accommodate them at London ports, significantly reduced travel time for colonists and imperial servants traveling home to see their families, enjoy a period of study leave, or recuperate from the tropical climate. With their minds enervated by the sun, livers disrupted by the heat, and blood teeming with parasites, these patients brought the empire home and, in doing so, transformed medicine in Britain. With Imperial Bodies in London, Kristin D. Hussey offers a postcolonial history of medicine in London. Following mobile tropical bodies, her book challenges the idea of a uniquely domestic medical practice, arguing instead that British medicine was imperial medicine in the late Victorian era. Using the analytic tools of geography, she interrogates sites of encounter across the imperial metropolis to explore how medical research and practice were transformed and remade at the crossroads of empire.

[more]

front cover of In a Village Far from Home
In a Village Far from Home
My Years among the Cora Indians of the Sierra Madre
Catherine Palmer Finerty
University of Arizona Press, 2000

What do most career women do after a successful run on Madison Avenue? Catherine Finerty watched her friends settle into the country-club life. She opted instead for Mexico.

When the 60-year-old widow loaded up her car and headed south, what she found at the end of the road was far from what she expected. Finerty settled into a comfortable house just outside of Guadalajara and, although not a Catholic, she soon immersed herself in Franciscan volunteer work. It wasn't long before she found herself visiting small settlements hidden in the tropical mountains of western Mexico, and it was in Jesús María—so isolated that one could only get there by mule or small plane—that she found her new calling: the village nurse.

With its bugs and heat, no phones or running water, the tiny town was hardly a place to enjoy one's retirement years, but Finerty was quickly charmed by the community of Cora Indians and mestizos. Armed with modest supplies, a couple of textbooks, and common sense, she found herself delivering first aid, advising on public health, and administering injections. And in a place where people still believed in the power of shamans, providing health care sometimes required giving in to the magical belief that a hypodermic needle could cure anything.

Finerty's account of her eight years in Jesús María is both a compelling story of nursing under adverse conditions and a loving portrait of a people and their ways. She shares the joys and sorrows of this isolated world: religious festivals and rites of passage; the tragedy of illness and death in a place where people still rely on one another as much as medicine; a flash flood that causes such havoc that even less-than-pious village men attend Mass daily. And she introduces a cast of characters not unlike those in a novel: Padre Domingo and his airborne medical practice; the local bishop, who frowns on Finerty's slacks; Chela, a mestiza from whom she rents her modest two-room house (complete with scorpions); and the young Cora Indian woman Chuy, from whom she gains insight into her new neighbors.

Blending memoir and travel writing, In a Village Far from Home takes readers deep into the Sierra Madre to reveal its true treasure: the soul of a people.

[more]

front cover of Inclusion
Inclusion
The Politics of Difference in Medical Research
Steven Epstein
University of Chicago Press, 2007

With Inclusion, Steven Epstein argues that strategies to achieve diversity in medical research mask deeper problems, ones that might require a different approach and different solutions.

Formal concern with this issue, Epstein shows, is a fairly recent phenomenon. Until the mid-1980s, scientists often studied groups of white, middle-aged men—and assumed that conclusions drawn from studying them would apply to the rest of the population. But struggles involving advocacy groups, experts, and Congress led to reforms that forced researchers to diversify the population from which they drew for clinical research. While the prominence of these inclusive practices has offered hope to traditionally underserved groups, Epstein argues that it has drawn attention away from the tremendous inequalities in health that are rooted not in biology but in society.

“Epstein’s use of theory to demonstrate how public policies in the health profession are shaped makes this book relevant for many academic disciplines. . . . Highly recommended.”—Choice

“A masterful comprehensive overview of a wide terrain.”—Troy Duster, Biosocieties

[more]

front cover of Incommunicable
Incommunicable
Toward Communicative Justice in Health and Medicine
Charles L. Briggs
Duke University Press, 2024
In Incommunicable, Charles L. Briggs examines the long-standing presumptions that medical discourse translates easily across geographic, racial, and class boundaries. Bringing linguistic and medical anthropology into conversation with Black and decolonial theory, he theorizes the failure in health communication as incommunicability, which negatively affects all patients, doctors, and healthcare providers. Briggs draws on W. E. B. Du Bois and the work of three philosopher-physicians—John Locke, Frantz Fanon, and Georges Canguilhem—to show how cultural models of communication and health have historically racialized people of color as being incapable of communicating rationally and understanding biomedical concepts. He outlines incommunicability through a study of COVID-19 discourse, in which health professionals defined the disease based on scientific medical knowledge in ways that reduced varieties of nonprofessional knowledge about COVID-19 to “misinformation” and “conspiracy theories.” This dismissal of nonprofessional knowledge led to a failure of communication that eroded trust in medical expertise. Building on efforts by social movements and coalitions of health professionals and patients to craft more just and equitable futures, Briggs helps imagine health systems and healthcare discourses beyond the oppressive weight of communicability and the stigma of incommunicability.
[more]

front cover of Institutional Change and Healthcare Organizations
Institutional Change and Healthcare Organizations
From Professional Dominance to Managed Care
W. Richard Scott, Martin Ruef, Peter J. Mendel, and Carol A. Caronna
University of Chicago Press, 2000
Few large institutions have changed as fully and dramatically as the U.S. healthcare system since World War II. Compared to the 1930s, healthcare now incorporates a variety of new technologies, service-delivery arrangements, financing mechanisms, and underlying sets of organizing principles.

This book examines the transformations that have occurred in medical care systems in the San Francisco Bay area since 1945. The authors describe these changes in detail and relate them to both the sociodemographic trends in the Bay Area and to shifts in regulatory systems and policy environments at local, state, and national levels. But this is more than a social history; the authors employ a variety of theoretical perspectives—including strategic management, population ecology, and institutional theory—to examine five types of healthcare organizations through quantitative data analysis and illustrative case studies.

Providing a thorough account of changes for one of the nation's leading metropolitan areas in health service innovation, this book is a landmark in the theory of organizations and in the history of healthcare systems.
[more]

logo for Michigan Publishing Services
Integrating Family Planning Training into Medical Education
A Case Study of St. Paul's Hospital Millennium Medical College
Lia T. Gebremedhin
Michigan Publishing Services, 2017
This case study chronicles the integration of pre-service training in contraception and comprehensive abortion care into the medical school and OBGYN residency training program at St. Paul’s Hospital Millennium Medical College (SPHMMC) through an authentic partnership with the University of Michigan. The case study showcases the key elements that were crucial in the successful implementation of the SPHMMC program, which has now become mainstream and has been emulated in eight other medical schools in Ethiopia through the University of Michigan’s Center for International Reproductive Health Training (CIRHT).
 
The innovative approach, founded on the values of sustainable capacity building through academic partnership and centered on improving access to dignified women’s reproductive health care through effective pre-service training, has the potential for expansion to other countries with high rates of maternal mortality and morbidity. In this case study, we spell out the best practices, which we hope will inspire academic medical centers in the Global South, global health departments/centers internationally, and the reproductive health community at large.
[more]

logo for American Library Association
Introduction to Reference Sources in Health Science
American Library Association
American Library Association, 2008

logo for American Library Association
Introduction to Reference Sources in the Health Sciences
Jeffrey T. Huber
American Library Association, 2014

front cover of Intuition in Medicine
Intuition in Medicine
A Philosophical Defense of Clinical Reasoning
Hillel D. Braude
University of Chicago Press, 2012

Intuition is central to discussions about the nature of scientific and philosophical reasoning and what it means to be human. In this bold and timely book, Hillel D. Braude marshals his dual training as a physician and philosopher to examine the place of intuition in medicine.

Rather than defining and using a single concept of intuition—philosophical, practical, or neuroscientific—Braude here examines intuition as it occurs at different levels and in different contexts of clinical reasoning. He argues that not only does intuition provide the bridge between medical reasoning and moral reasoning, but that it also links the epistemological, ontological, and ethical foundations of clinical decision making. In presenting his case, Braude takes readers on a journey through Aristotle’s Ethics—highlighting the significance of practical reasoning in relation to theoretical reasoning and the potential bridge between them—then through current debates between regulators and clinicians on evidence-based medicine, and finally applies the philosophical perspectives of Reichenbach, Popper, and Peirce to analyze the intuitive support for clinical equipoise, a key concept in research ethics. Through his phenomenological study of intuition Braude aims to demonstrate that ethical responsibility for the other lies at the heart of clinical judgment.
 
Braude’s original approach advances medical ethics by using philosophical rigor and history to analyze the tacit underpinnings of clinical reasoning and to introduce clear conceptual distinctions that simultaneously affirm and exacerbate the tension between ethical theory and practice. His study will be welcomed not only by philosophers but also by clinicians eager to justify how they use moral intuitions, and anyone interested in medical decision making.
[more]


Send via email Share on Facebook Share on Twitter