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Since the 1600s, travelers, scientists, and doctors have claimed that “hermaphroditism” and intersex are disproportionately common among black South Africans. In Envisioning African Intersex Amanda Lock Swarr debunks this claim by interrogating contemporary intersex medicine and demonstrating its indivisibility from colonial ideologies and scientific racism. Tracing the history of racialized research that underpins medical and scientific premises of gendered bodies, Swarr analyzes decolonial actions by intersex South Africans from the 1990s to the present, centering the work of organizers such as Sally Gross, the first openly intersex activist in Africa and a global pioneer of intersex legislation. Swarr also explores African social media activism that advocates for intersex justice and challenges the mistreatment of South African Olympian Caster Semenya. Throughout, Swarr shows how activists displace doctors’ impositions to fashion self-representation. By unseating colonial visions of gender, intersex South Africans are actively disrupting medical violence, decolonizing gender binaries, and inciting policy changes.

All author royalties from Envisioning African Intersex will be donated to Intersex South Africa.

When Joanne Jacobson’s writing about her mother’s respiratory illness was interrupted by her own diagnosis with a rare blood disorder, she found her perspective profoundly altered. Every Last Breath follows these two chronic illnesses as they grow unexpectedly intertwined. Rejecting a fixed, retrospective point of view and the forward-moving trajectory of conventional memoir, Jacobson brings the reader to the emotionally raw present—where potentially fatal illness and “end of life” both remain, emphatically, life. As chronic illness blurs the distinction between illness and wellness, she discovers how a lifetime of relapse and remission can invite transformation. Written at the fluid, unsettling boundary between prose and poetry, these essays offer a narrative diagnosis of ongoing revision.

In Experiments in Skin Thuy Linh Nguyen Tu examines the ongoing influence of the Vietnam War on contemporary ideas about race and beauty. Framing skin as the site around which these ideas have been formed, Tu foregrounds the histories of militarism in the production of US biomedical knowledge and commercial cosmetics. She uncovers the efforts of wartime scientists in the US Military Dermatology Research Program to alleviate the environmental and chemical risks to soldiers' skin. These dermatologists sought relief for white soldiers while denying that African American soldiers and Vietnamese civilians were also vulnerable to harm. Their experiments led to the development of pharmaceutical cosmetics, now used by women in Ho Chi Minh City to tend to their skin, and to grapple with the damage caused by the war's lingering toxicity. In showing how the US military laid the foundations for contemporary Vietnamese consumption of cosmetics and practices of beauty, Tu shows how the intersecting histories of militarism, biomedicine, race, and aesthetics become materially and metaphorically visible on skin.