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The National Guardsman, the citizen soldier called upon to fight for this nation in a time of war, is one of the least understood — and perhaps one of the most compelling — figures of the Iraq War. Saber’s Edge is the story of a middle-aged Vermont firefighter called upon to be a soldier in the worst place on earth — Ramadi, Iraq. In a few short weeks Thomas A. Middleton went from being a suburban dad to a combat medic traveling between platoons, filling in for other medics and engaging in some of the fiercest and most crucial fighting of the war. This is the war as experienced from the ground level: days of tedium interspersed with the adrenalin of combat; moments of lighthearted laughter broken by the sorrow of loss. This is also the story of the unique wartime perspective of our guardsmen. Unlike the raw, unformed young recruit, the mature guardsman often comes with the burdens of family, experience, and a developed sense of self. Accordingly, Sgt. Middleton’s story chronicles the inner conflict created by his long-time professional role as a healer and his newfound life as a warrior in the urban battlefields of Iraq. Thrust into a culture and theater of war that he is little equipped or trained for, the author tries to make sense of his actions. Coarsened by combat and increasingly disdainful of the local population, he receives solace and insight from his life-long faith and ultimately emerges as a man who understands his role in the world. Saber’s Edge is also the story of the Green Mountain Boys of Task Force Saber: a story of comradeship and communion amid fierce street fighting in a crucial theater of the Iraq War (the eventual site of the “Al Anbar Awakening”). Based on the author’s first-hand experiences and interviews with other soldiers, Saber’s Edge presents a riveting account of modern urban warfare and the inspiring story of one man reconciling his actions in warfare.

"Culture counts" has long been a rallying cry among health advocates and policymakers concerned with racial disparities in health care. A generation ago, the women's health movement led to a host of changes that also benefited racial minorities, including more culturally aware medical staff, enhanced health education, and the mandated inclusion of women and minorities in federally funded research. Many health professionals would now agree that cultural competence is important in clinical settings, but in what ways? Shattering Culture provides an insightful view of medicine and psychiatry as they are practiced in today's culturally diverse clinical settings. The book offers a compelling account of the many ways culture shapes how doctors conduct their practices and how patients feel about the care they receive. Based on interviews with clinicians, health care staff, and patients, Shattering Culture shows the human face of health care in America. Building on over a decade of research led by Mary-Jo Good, the book delves into the cultural backgrounds of patients and their health care providers, as well as the institutional cultures of clinical settings, to illuminate how these many cultures interact and shape the quality of patient care. Sarah Willen explores the controversial practice of matching doctors and patients based on a shared race, ethnicity, or language and finds a spectrum of arguments challenging its usefulness, including patients who may fear being judged negatively by providers from the same culture. Seth Hannah introduces the concept of cultural environments of hyperdiversity describing complex cultural identities. Antonio Bullon and Mary-Jo Good demonstrate how regulations meant to standardize the caregiving process—such as the use of templates and check boxes instead of narrative notes—have steadily limited clinician flexibility, autonomy, and the time they can dedicate to caring for patients. Elizabeth Carpenter-Song looks at positive doctor-patient relationships in mental health care settings and finds that the most successful of these are based on mutual "recognition"—patients who can express their concerns and clinicians who validate them. In the book's final essay, Hannah, Good, and Park show how navigating the maze of insurance regulations, financial arrangements, and paperwork compromises the effectiveness of mental health professionals seeking to provide quality care to minority and poor patients. Rapidly increasing diversity on one hand and bureaucratic regulations on the other are two realities that have made providing culturally sensitive care even more challenging for doctors. Few opportunities exist to go inside the world of medical and mental health clinics and see how these realities are influencing patient care. Shattering Culture provides a rare look at the day-to-day experiences of psychiatrists and other clinicians and offers multiple perspectives on what culture means to doctors, staff, and patients and how it shapes the practice of medicine and psychiatry.

 

 

Amazonian indigenous peoples have preserved many aspects of their culture and cosmology while also developing complex relationships with dominant non-indigenous society. Until now, anthropological writing on Amazonian peoples has been divided between “traditional” topics like kinship, cosmology, ritual, and myth, on the one hand, and the analysis of their struggles with the nation-state on the other. What has been lacking is work that bridges these two approaches and takes into consideration the meaning of relationships with the state from an indigenous perspective.

That long-standing dichotomy is challenged in this new ethnography by anthropologist José Kelly. Kelly places the study of culture and cosmology squarely within the context of the modern nation-state and its institutions. He explores Indian-white relations as seen through the operation of a state-run health system among the indigenous Yanomami of southern Venezuela.

With theoretical foundations in the fields of medical and Amazonian anthropology, Kelly sheds light on how Amerindian cosmology shapes concepts of the state at the community level. The result is a symmetrical anthropology that treats white and Amerindian perceptions of each other within a single theoretical framework, thus expanding our understanding of each group and its influences on the other. This book will be valuable to those studying Amazonian peoples, medical anthropology, development studies, and Latin America. Its new takes on theory and methodology make it ideal for classroom use.