front cover of Chronic Conditions, Fluid States
Chronic Conditions, Fluid States
Chronicity and the Anthropology of Illness
Manderson, Lenore
Rutgers University Press, 2010
Chronic Conditions, Fluid States explores the uneven impact of chronic illness and disability on individuals, families, and communities in diverse local and global settings. To date, much of the social as well as biomedical research has treated the experience of illness and the challenges of disease control and management as segmented and episodic. Breaking new ground in medical anthropology by challenging the chronic/acute divide in illness and disease, the editors, along with a group of rising scholars and some of the most influential minds in the field, address the concept of chronicity, an idea used to explain individual and local life-worlds, question public health discourse, and consider the relationship between health and the globalizing forces that shape it.
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front cover of From Cuenca to Queens
From Cuenca to Queens
An Anthropological Story of Transnational Migration
By Ann Miles
University of Texas Press, 2004

Transnational migration is a controversial and much-discussed issue in both the popular media and the social sciences, but at its heart migration is about individual people making the difficult choice to leave their families and communities in hopes of achieving greater economic prosperity. Vicente Quitasaca is one of these people. In 1995 he left his home in the Ecuadorian city of Cuenca to live and work in New York City. This anthropological story of Vicente's migration and its effects on his life and the lives of his parents and siblings adds a crucial human dimension to statistics about immigration and the macro impact of transnational migration on the global economy.

Anthropologist Ann Miles has known the Quitasacas since 1989. Her long acquaintance with the family allows her to delve deeply into the factors that eventually impelled the oldest son to make the difficult and dangerous journey to the United States as an undocumented migrant. Focusing on each family member in turn, Miles explores their varying perceptions of social inequality and racism in Ecuador and their reactions to Vicente's migration. As family members speak about Vicente's new, hard-to-imagine life in America, they reveal how transnational migration becomes a symbol of failure, hope, resignation, and promise for poor people in struggling economies. Miles frames this fascinating family biography with an analysis of the historical and structural conditions that encourage transnational migration, so that the Quitasacas' story becomes a vivid firsthand illustration of this growing global phenomenon.

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front cover of Living with Lupus
Living with Lupus
Women and Chronic Illness in Ecuador
By Ann Miles
University of Texas Press, 2013

Once associated only with the wealthy and privileged in Latin America, lifelong illnesses are now emerging among a wider cross section of the population as an unfortunate consequence of growing urbanization and increased life expectancy. One of these diseases is the chronic autoimmune disorder lupus erythematosus. Difficult to diagnose and harder still to effectively manage, lupus challenges the very foundations of women’s lives, their real and imagined futures, and their carefully constructed gendered identities. While the illness is validated by medical science, it is poorly understood by women, their families, and their communities, which creates multiple tensions as women attempt to make sense of an unpredictable, expensive, and culturally suspect medically managed illness.

Living with Lupus vividly chronicles the struggles of Ecuadorian women as they come to terms with the experience of debilitating chronic illness. Drawing on years of ethnographic research, Ann Miles sensitively portrays the experiences and stories of Ecuadorian women who suffer with the intractable and stigmatizing disease. She uses in-depth case histories, rich in ethnographic detail, to explore not only how chronic illness can tear at the seams of women’s precarious lives, but also how meanings are reconfigured when a biomedical illness category moves across a cultural landscape. One of the few books that deals with the meanings and experiences of chronic illness in the developing world, Living with Lupus contributes to our understanding of a significant global health transition.

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front cover of Unraveling Time
Unraveling Time
Thirty Years of Ethnography in Cuenca, Ecuador
Ann Miles
University of Texas Press, 2022

Ann Miles has been chronicling life in the Ecuadorian city of Cuenca for more than thirty years. In that time, she has witnessed change after change. A large regional capital where modern trains whisk residents past historic plazas, Cuenca has invited in the world and watched as its own citizens risk undocumented migration abroad. Families have arrived from rural towns only to then be displaced from the gentrifying city center. Over time, children have been educated, streetlights have made neighborhoods safer, and remittances from overseas have helped build new homes and sometimes torn people apart. Roads now connect people who once were far away, and talking or texting on cell phones has replaced hanging out at the corner store.

Unraveling Time traces the enduring consequences of political and social movements, transnational migration, and economic development in Cuenca. Miles reckons with details that often escape less committed observers, suggesting that we learn a good deal more when we look back on whole lives. Practicing what she calls an ethnography of accrual, Miles takes a long view, where decades of seemingly disparate experiences coalesce into cultural transformation. Her approach not only reveals what change has meant in a major Latin American city but also serves as a reflection on ethnography itself.

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