front cover of The African Transformation of Western Medicine and the Dynamics of Global Cultural Exchange
The African Transformation of Western Medicine and the Dynamics of Global Cultural Exchange
David Baronov
Temple University Press, 2010
Beginning with the colonial era, Western biomedicine has radically transformed African medical beliefs and practices. Conversely, in using Western biomedicine, Africans have also transformed it. The African Transformation of Western Medicine and the Dynamics of Global Cultural Exchange contends that contemporary African medical systems—no less “biomedical” than Western medicine—in fact greatly enrich and expand the notion of biomedicine, reframing it as a global cultural form deployed across global networks of cultural exchange.

The book analyzes biomedicine as a complex and dynamic sociocultural form, the conceptual premises of which make it necessarily subject to ongoing change and development as it travels the globe. David Baronov captures the complexities of this cultural exchange by using world-systems analysis in a way that places global cultural processes on equal footing with political and economic processes. In doing so, he both allows the story of Africa’s transformation of “Western” biomedicine to be told and offers new insights into the capitalist world system.
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Practical Pursuits
Takano Choei, Takahashi Keisaku, and Western Medicine in Nineteenth-Century Japan
Ellen Gardner Nakamura
Harvard University Press, 2005
The history of Western medicine in the late Tokugawa period is usually depicted as a prelude to modern medicine. By comparison to the Western medical science that was systematically introduced in the Meiji period, the Tokugawa study of Western learning is often seen as a hopelessly backward exercise in which inadequately equipped Japanese doctors valiantly struggled to make sense of outdated Dutch knowledge. In contrast, this book argues that the study of Western medicine was a dynamic activity that brought together doctors from all over the country in efforts to effect social change. Western knowledge was not simply the property of elite samurai doctors working for the Bakufu or domains but was shared even by commoner doctors working in local practices in rural backwaters. Through the examples of the doctors Takano Choei (1804-1850) and Takahashi Keisaku (1799-1875), this book explores the context into which local Japanese doctors incorporated Western ideas, the social networks through which they communicated them, and the geographical spaces that supported these activities. By examining the social impact of Western learning at the level of everyday life rather than simply its impact at the theoretical level, the book offers a broad picture of the way in which Western medicine, and Western knowledge, was absorbed and adapted in Japan.
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