Scholars exploring the history of science under the Nazis have generally concentrated on the Nazi destruction of science or the corruption of intellectual and liberal values. Racial Hygiene focuses on how scientists themselves participated in the construction of Nazi racial policy. Robert Proctor demonstrates that the common picture of a passive scientific community coerced into cooperation with the Nazis fails to grasp the reality of what actually happened—namely, that many of the political initiatives of the Nazis arose from within the scientific community, and that medical scientists actively designed and administered key elements of National Socialist policy.
The book presents the most comprehensive account to date of German medical involvement in the sterilization and castration laws, the laws banning marriage between Jews and non-Jews, and the massive program to destroy “lives not worth living.” The study traces attempts on the part of doctors to conceive of the “Jewish problem” as a “medical problem,” and how medical journals openly discussed the need to find a “final solution” to Germany’s Jewish and gypsy “problems.”
Proctor makes us aware that such thinking was not unique to Germany. The social Darwinism of the late nineteenth century in America and Europe gave rise to theories of racial hygiene that were embraced by enthusiasts of various nationalities in the hope of breeding a better, healthier, stronger race of people. Proctor also presents an account of the “organic” health movement that flourished under the Nazis, including campaigns to reduce smoking and drinking, and efforts to require bakeries to produce whole-grain bread. A separate chapter is devoted to the emergence of a resistance movement among doctors in the Association of Socialist Physicians. The book is based on a close analysis of contemporary documents, including German state archives and more than two hundred medical journals published during the period.
Proctor has set out not merely to tell a story but also to urge reflection on what might be called the “political philosophy of science”—how movements that shape the policies of nations can also shape the structure and priorities of science. The broad implications of this book make it of consequence not only to historians, physicians, and people concerned with the history and philosophy of science, but also to those interested in science policy and medical ethics.
The body is both a site for medical practice and a source of therapeutic and scientific tools. As such, there are a variety of meanings ascribed to the body which both affect and are affected by cultural, economic, political and legal complexities. In order to access and use body parts, Linda F. Hogle states, transformative scientific and cultural processes are brought into play. Nowhere is this more evident than present-day Germany, where the spectre of Nazi medical experimentation still plays a large role in national policies governing the use of body parts and the way these policies are put into practice. In their efforts to be perceived as not repeating atrocities of the past, German medical practitioners and policy-makers reformulate ideas of bodily violation. To further confuse the issue, the reunification of East and West Germany has engendered new questions about the relationship between individuals’ bodies, science, and the state.
Hogle shows how “universal” medicine is reinterpreted through the lens of national and transnational politics and history, using comparative examples from her research in the United. States. Recovering the Nation’s Body is the first book to analyze the actual practices involved in procuring human tissue, and the first to examine how the German past and the unique present-day situation within the European Union are key in understanding the form that medical practices take within various contexts.
From about 1850, American women physicians won gradual acceptance from male colleagues and the general public, primarily as caregivers to women and children. By 1920, they represented approximately five percent of the profession. But within a decade, their niche in American medicine—women’s medical schools and medical societies, dispensaries for women and children, women’s hospitals, and settlement house clinics—had declined. The steady increase of women entering medical schools also halted, a trend not reversed until the 1960s. Yet, as women’s traditional niche in the profession disappeared, a vanguard of women doctors slowly opened new paths to professional advancement and public health advocacy.
Drawing on rich archival sources and her own extensive interviews with women physicians, Ellen More shows how the Victorian ideal of balance influenced the practice of healing for women doctors in America over the past 150 years. She argues that the history of women practitioners throughout the twentieth century fulfills the expectations constructed within the Victorian culture of professionalism. Restoring the Balance demonstrates that women doctors—collectively and individually—sought to balance the distinctive interests and culture of women against the claims of disinterestedness, scientific objectivity, and specialization of modern medical professionalism. That goal, More writes, reaffirmed by each generation, lies at the heart of her central question: what does it mean to be a woman physician?
There are few issues more divisive than what has become known as “the right to die.” One camp upholds “death with dignity,” regarding the terminally ill as autonomous beings capable of forming their own judgment on the timing and process of dying. The other camp advocates “sanctity of life,” regarding life as intrinsically valuable, and that should be sustained as long as possible. Is there a right answer?
Raphael Cohen-Almagor takes a balanced approach in analyzing this emotionally charged debate, viewing the dispute from public policy and international perspectives. He offers an interdisciplinary, compelling study in medicine, law, religion, and ethics. It is a comprehensive look at the troubling question of whether physician-assisted suicide should be allowed. Cohen-Almagor delineates a distinction between active and passive euthanasia and discusses legal measures that have been invoked in the United States and abroad. He outlines reasons non-blood relatives should be given a role in deciding a patient’s last wishes. As he examines euthanasia policies in the Netherlands and the 1994 Oregon Death with Dignity Act, the author suggests amendments and finally makes a circumscribed plea for voluntary physician-assisted suicide.
In 1988, a new health care system, the Sistema Único de Saúde (Unified Health Care System or SUS) was formally established in Brazil. The system was intended, among other goals, to provide universal access to health care services and to redefine health as a citizen’s right and a duty of the state. A Right to Health explores how these goals have unfolded within an urban peripheral community located on the edges of the northeastern city of Fortaleza. Focusing on the decade 1998–2008 and the impact of health care reforms on one low-income neighborhood, Jessica Jerome documents the tensions that arose between the ideals of the reforms and their entanglement with pervasive socioeconomic inequality, neoliberal economic policy, and generational tension with the community.
Using ethnographic and historical research, the book traces the history of political activism in the community, showing that, since the community’s formation in the early 1930s, residents have consistently fought for health care services. In so doing, Jerome develops a multilayered portrait of urban peripheral life and suggests that the notion of health care as a right of each citizen plays a major role not only in the way in which health care is allocated, but, perhaps more importantly, in how health care is understood and experienced.
Winner of the Ellii Kongas-Maranda Prize from the Women's Section of the American Folklore Society, 2003.
Ritual Medical Lore of Sephardic Women preserves the precious remnants of a rich culture on the verge of extinction while affirming women's pivotal role in the health of their communities. Centered around extensive interviews with elders of the Sephardic communities of the former Ottoman Empire, this volume illuminates a fascinating complex of preventive and curative rituals conducted by women at home--rituals that ensured the physical and spiritual well-being of the community and functioned as a vital counterpart to the public rites conducted by men in the synagogues.
Isaac Jack Lévy and Rosemary Lévy Zumwalt take us into the homes and families of Sephardim in Turkey, Israel, Greece, the former Yugoslavia, and the United States to unravel the ancient practices of domestic healing: the network of blessings and curses tailored to every occasion of daily life; the beliefs and customs surrounding mal ojo (evil eye), espanto (fright), and echizo (witchcraft); and cures involving everything from herbs, oil, and sugar to the powerful mumia (mummy) made from dried bones of corpses.
For the Sephardim, curing an illness required discovering its spiritual cause, which might be unintentional thought or speech, accident, or magical incantation. The healing rituals of domesticated medicine provided a way of making sense of illness and a way of shaping behavior to fit the narrow constraints of a tightly structured community. Tapping a rich and irreplaceable vein of oral testimony, Ritual Medical Lore of Sephardic Women offers fascinating insight into a culture where profound spirituality permeated every aspect of daily life.
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