front cover of ANATOMY ERRATA
ANATOMY ERRATA
JUDITH HALL
The Ohio State University Press, 1998

front cover of Beyond Surgery
Beyond Surgery
Injury, Healing, and Religion at an Ethiopian Hospital
Anita Hannig
University of Chicago Press, 2017
Over the past few decades, maternal childbirth injuries have become a potent symbol of Western biomedical intervention in Africa, affecting over one million women across the global south. Western-funded hospitals have sprung up, offering surgical sutures that ostensibly allow women who suffer from obstetric fistula to return to their communities in full health. Journalists, NGO staff, celebrities, and some physicians have crafted a stock narrative around this injury, depicting afflicted women as victims of a backward culture who have their fortunes dramatically reversed by Western aid. With Beyond Surgery, medical anthropologist Anita Hannig unsettles this picture for the first time and reveals the complicated truth behind the idea of biomedical intervention as quick-fix salvation.
 
Through her in-depth ethnography of two repair and rehabilitation centers operating in Ethiopia, Hannig takes the reader deep into a world inside hospital walls, where women recount stories of loss and belonging, shame and delight. As she chronicles the lived experiences of fistula patients in clinical treatment, Hannig explores the danger of labeling “culture” the culprit, showing how this common argument ignores the larger problem of insufficient medical access in rural Africa. Beyond Surgery portrays the complex social outcomes of surgery in an effort to deepen our understanding of medical missions in Africa, expose cultural biases, and clear the path toward more effective ways of delivering care to those who need it most.
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Nursing Wounds
Nurse Practitioners, Doctors, Women Patients, and the Negotiation of Meaning
Fisher, Sue
Rutgers University Press, 1995

The rise of the nurse practitioner as a new kind of health care professional has blurred the traditional distinction between physicians and nurses. Nurse practitioners argue that they combine both the traditionally male health care delivery of the M.D. and the traditionally female caring attention of the R.N. In her previous work Sue Fisher has analyzed the difficulties that women patients have in getting doctors to listen to their medical concerns. Now she asks whether women fare any better with nurse practitioners. 

Nursing Wounds takes us into the examining rooms of nurse practitioners and doctors to listen to how health care professionals and women patients communicate. The nurse practitioners, unlike the doctors, go beyond the medical problem to ask about the social context of the patients' lives. In these exchanges the doctors insist on reinforcing both their professional status and dominant cultural assumptions about women. While the nurse practitioners sometimes do this, they also distance themselves from their professional identities, respond to their patients woman to woman, and undermine traditional understandings about gender arrangements.These differences have important consequences for the delivery of health care.       

This compelling and complex analysis employs a range of theoretical perspectives–-from sociolinguistic to postmodern and materialist. Fisher concludes by urging a health care policy that capitalizes on the special strengths of nurse practitioners as providers of primary care who pay real attention to what their patients are saying and who support an alternative, even oppositional, understanding of women's lives.

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front cover of Public Privates
Public Privates
Performing Gynecology from Both Ends of the Speculum
Terri Kapsalis
Duke University Press, 1997
In Public Privates, a book about looking and being looked at, about speculums, spectacles, and spectators, about display, illumination, and reflection, Terri Kapsalis makes visible the practices and representations of gynecology. The quintessential examination of women, gynecology is not simply the study of women’s bodies, but also serves to define and constitute them. Any critical analysis of gynecology is therefore, as Kapsalis affirms, an investigation of what it means to be female. In this respect she considers the public exposure of female "privates" in the performance of the pelvic exam.
From J. Marion Sims’s surgical experiments on unanesthetized slave women in the mid-nineteenth century, to the use of cadavers and prostitutes to teach medical students gynecological techniques, Kapsalis focuses on the ways in which women and their bodies have been treated by the medical establishment. Removing gynecology from its private cover within clinic walls and medical textbook pages, she decodes the gynecological exam, seizing on its performative dimension. She considers traditional medical practices and the dynamics of "proper" patient performance; non-traditional practices such as cervical self-exam; and incarnations of the pelvic examination outside the bounds of medicine, including its appearance in David Cronenberg’s film Dead Ringers and Annie Sprinkle’s performance piece "Public Cervix Announcement."
Confounding the boundaries that separate medicine, art, and pornography, revealing the potent cultural attitudes and anxieties about women, female bodies, and female sexuality that permeate the practice of gynecology, Public Privates concludes by locating a venue from which challenging, alternative performances may be staged.
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