What is the difference between public and private feeling, and how far can we deduce past feelings from the words that have been left us? Why do child deaths figure so often and so prominently in the literature of the nineteenth century, and how was the theme of the death of a child used to elicit such poignant responses in the readers of that era? In this fascinating new book, Laurence Lerner vividly contrasts the contempt with which twentieth- century criticism so often dismisses such works as mere sentimentality with the enthusiasm and tears of nineteenth-century contemporaries.
Drawing examples from both real and literary deaths, Lerner delves into the writings of well-known authors such as Dickens, Coleridge, Shelley, Flaubert, Mann, Huxley, and Hesse, as well as lesser known writers like Felicia Hemans and Lydia Sigourney. In the process, he synthesizes fresh ideas about the thorny subjects of sentimentality, aesthetic judgment, and the function of religion in literature.
Lerner's forthright and evocative prose style is enjoyable reading, and he excels in teasing out the moral implications and the psychosocial entanglements of his chosen narrative and lyrical texts. This is a book that will illuminate an important aspect of the history of private life. It should have wide application for those interested in the history, sociology, and literature of the nineteenth century.
This book presents the collective wisdom of a group of Obstetrician/Gynecologists (OB/GYNs) from around the world brought together at the 2012 meeting of the International Federation of Gynecology and Obstetrics (FIGO) to contribute their ideas and expertise in an effort to reduce maternal and neonatal morbidity and mortality and obstetric fistula in sub Saharan Africa (SSA). The discussions focused on how to increase human capacity in the field of obstetrics and gynecology. The meeting was hosted by the University of Michigan Department of Obstetrics and Gynecology Global Initiatives program and was supported through a grant from the Flora Family Foundation.
Within the pages of this document, the current status of women’s health and OB/GYN training programs in 10 sub-Saharan African countries are described, with a Call to Action and Way Forward to training new OBGYNs in country. These are the words of obstetricians in the field, some who work as lone faculty in fledgling OB/GYN departments. These committed people are charged with the task of not only teaching the next generation, but may be the only OBGYN per 500,000 population or more. Their tireless pursuits are recognized, and their yearning for collegial support is palpable.
Every country should have a cadre of highly trained OB/GYNs to teach the next generation, contribute to policy development and advocate for progressive legislation, conduct the research needed to solve local clinical problems, and contribute to the field of women’s health in general. But most of all, it must be recognized that women across the globe have the right to access a full scope and high quality obstetrical and gynecological care when and where they need it. These pages bring to light successes achieved and shared, and lessons learned that have already spurred new programs and given hope to those eager for a new way forward.
Clifford Trafzer's disturbing new work, Death Stalks the Yakama, examines life, death, and the shockingly high mortality rates that have persisted among the fourteen tribes and bands living on the Yakama Reservation in the state of Washington. The work contains a valuable discussion of Indian beliefs about spirits, traditional causes of death, mourning ceremonies, and memorials. More significant, however, is Trafzer's research into heretofore unused parturition and death records from 1888-1964. In these documents, he discovers critical evidence to demonstrate how and why many reservation people died in "epidemics" of pneumonia, tuberculosis, and heart disease.
Death Stalks the Yakama, takes into account many variables, including age, gender, listed causes of death, residence, and blood quantum. In addition, analyses of fetal and infant mortality rates as well as crude death rates arising from tuberculosis, pneumonia, heart disease, accidents, and other causes are presented. Trafzer argues that Native Americans living on the Yakama Reservation were, in fact, in jeopardy as a result of the "reservation system" itself. Not only did this alien and artificial culture radically alter traditional ways of life, but sanitation methods, housing, hospitals, public education, medicine, and medical personnel affiliated with the reservation system all proved inadequate, and each in its own way contributed significantly to high Yakama death rates.
Middle-aged Muscovites talk about being unneeded (ne nuzhny), or having little to give others. Considering this concept of "being unneeded" reveals how political economic transformation undermined the logic of social relations whereby individuals used their position within the Soviet state to give things to other people. Being unneeded is also gendered--while women are still needed by their families, men are often unneeded by state or family. Western literature on the mortality crisis focuses on a lack of social capital, often assuming that what individuals receive is most important, but being needed is more about what individuals give. Social connections--and their influence on health--are culturally specific.
In Soviet times, needed people helped friends and acquaintances push against the limits of the state, crafting a sense of space and freedom. When the state collapsed, this sense of bounded freedom was compromised, and another freedom became deadly.
This book is a recipient of the annual Norman L. and Roselea J. Goldberg Prize for the best project in the area of medicine.
Explores the intellectual history of how Americans imagined science, faith, and human improvement through the most wrenching of experiences—the deaths of children.
Offering fascinating examples from the works of diverse writers and thinkers such as Benjamin Franklin, Frederick Douglass, Mark Twain, W. E. B. Du Bois, Elizabeth Cady Stanton, and Harriet Shelton Dover, Kristin Johnson traces the history of Americans’ complicated faith in science and the various triumphs and tragedies that faith has inspired. Imagining Progress reveals many of the complex factors involved in the polarized state of contemporary American attitudes toward science, scientists, public health, medicine, and science policy.
Humankind has always wrestled with the existence of suffering, how to respond to suffering, whom to care for, and in what ways. For two centuries, many American ministers, physicians, and scientists believed that an omnipotent and omniscient God created the world such that people might relieve suffering through ingenuity and learning. Others responded to the new worldview introduced by the scientific revolution as a threat to the divine order. In Imagining Progress, Johnson traces the history of Americans’ evolving relationship with science and religion at “one of its most dramatic places”—the bedsides of dying children. It’s here, in the crucible of parental despair, that she illuminates diverging assumptions about God, nature, and history.
From Cotton Mather’s campaign for smallpox inoculation to battles over teaching evolution in the 1920s, Johnson adroitly weaves an interdisciplinary history of medicine, science, theology, and activism. She follows a wide cast of characters from across theological, scientific, and political spectrums. What emerges is a kaleidoscopic portrait of diverse, often contradictory hopes and anxieties inspired by new theories of nature and human existence. Johnson also discerns a problematic pattern of invoking science both to ameliorate the suffering of some children while ignoring the suffering of others.
In Managing Motherhood, Managing Risk, Denise Roth Allen persuasively argues that development interventions in the Third World often have unintended and unacknowledged consequences. Based on twenty-two months of fieldwork in the Shinyanga Region of west central Tanzania, this rich and engaging ethnography of women's fertility-related experiences highlights the processes by which a set of seemingly well-intentioned international maternal health policy recommendations go awry when implemented at the local level.
An exploration of how threats to maternal health have been defined and addressed at the global, national, and local levels, Managing Motherhood, Managing Risk presents two contrasting, and oftentimes competing, definitions of risk: those that form the basis of international recommendations and national maternal health policies and those that do not. The effect that these contrasting definitions of risk have on women's fertility-related experiences at the local level are explored throughout the book.
This study employs an innovative approach to the analysis of maternal health risk, one that situates rural Tanzanian women's fertility-related experiences within a broader historical and sociocultural context. Beginning with an examination of how maternal health risk was defined and addressed during the early years of British colonial rule in Tanganyika and moving to a discussion of an internationally conceived maternal health initiative that was launched on the world stage in the late 1980s, the author explores the similarities in the language used and solutions proposed by health development experts over time.
This set of "official" maternal health risks is then compared to an alternative set of risks that emerge when attention is focused on women's experiences of pregnancy and childbirth at the local level. Although some of these latter risks are often spoken about as deriving from spiritual or supernatural causes, the case studies presented throughout the second half of the book reveal that the concept of risk in the context of pregnancy and childbirth is much more complex, involving the interplay of spiritual, physical, and economic aspects of everyday life.
Death threatens migrants physically during perilous border crossings between Central and North America, but many also experience legal, social, and economic mortality. Rooted in histories of colonialism and conquest, exclusionary policies and practices deliberately take aim at racialized, dispossessed people in transit. Once in the new land, migrants endure a web of systems across every facet of their world—work, home, healthcare, culture, justice—that strips them of their personhood, denies them resources, and creates additional obstacles that deprive them of their ability to live fully.
As laws and policies create ripe conditions for the further extraction of money, resources, and labor power from the dispossessed, the contributors to this vibrant anthology, Migration and Mortality, examine restrictive immigration policies and the broader capitalist systems of exploitation and inequality while highlighting the power of migrants’ collective resistance and resilience.
The case studies in this timely collection explore border deaths, detention economies, asylum seeking, as well as the public health and mental health of migrants. Ultimately, these examples of oppression and survival contribute to understanding broader movements for life and justice in the Americas.
How does the experience of sickness, death, and loss change over time? We know that the incidence and virulence of particular diseases have varied from one period to another, as has their medical treatment. But what was it like for the individuals who suffered and died from those illnesses, for the health practitioners and institutions that attended to them, and for the families who buried and mourned them?
In Shadows in the Valley, Alan Swedlund addresses these questions by closely examining the history of mortality in several small communities in western Massachusetts from the mid-nineteenth to the early twentieth century—from just before the acceptance of the germ theory of disease through the early days of public health reform in the United States. This was a time when most Americans lived in rural areas or small towns rather than large cities. It was also a time when a wide range of healing practices was available to the American public, and when the modern form of Western medicine was striving for dominance and authority. As Swedlund shows, this juncture of competing practices and ideologies provides a rich opportunity for exploring the rise of modern medicine and its impact on the everyday lives of ordinary Americans.
To indicate how individuals in different stages of their lives were exposed to varying assaults on their health, the book is structured in a way that superimposes what the author calls “life-course time” onto chronological time. Thus the early chapters look at issues of infancy and childhood in the 1840s and 1850s and the last chapters at the problems of old age after 1900. The reader becomes familiar with specific individuals and families as they cope with the recurrent loss of children, struggle to understand the causes of new contagions, and seek to find meaning in untimely death. By using a broad time frame and a narrow geographical lens, Swedlund is able to engage with both the particularities and generalities of evolving medical knowledge and changing practice, and to highlight the differences in personal as well as collective responses to illness and loss.
A collection of essays on the medical and social articulation of death, this anthologyconsiders to what extent a subject as elusive as death can be examined. Though it touches us all, we can perceive it only in life—with the predictable result that we treat it either as a clinical or social problem to be managed or as a phenomenon to be studied quantitatively.
This volume goes beyond these models to self-reflexively question how the management of death is organized and motivated and the ways that death is at once feared and embraced. Drawing on the very latest in the medical humanities, Spectacular Death gives us an enlightening new perspective on death from the classical world to the twenty-first century.
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