Interviews with Scholars of Medicine about their New Book
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The podcast New Books in Medicine is created by Marshall Poe. The podcast and the artwork on this page are embedded on this page using the public podcast feed (RSS).
By the time of the opening of the Atlantic world in the fifteenth century, Europeans and Atlantic Africans had developed significantly different cultural idioms for and understandings of poison. Europeans considered poison a gendered “weapon of the weak” while Africans viewed it as an abuse by the powerful. Though distinct, both idioms centered on fraught power relationships. When translated to the slave societies of the Americas, these understandings sometimes clashed in conflicting interpretations of alleged poisoning events.
In Poisoned Relations: Healing, Power, and Contested Knowledge in the Atlantic World (University of Pennsylvania Press, 2024), Dr. Chelsea Berry illuminates the competing understandings of poison and power in the Atlantic World. Poison was connected to central concerns of life: to the well-being in this world for oneself and one’s relatives; to the morality and use of power; and to the fraught relationships that bound people together. The social and relational nature of ideas about poison meant that the power struggles that emerged in poison cases, while unfolding in the extreme context of slavery, were not solely between enslavers and the enslaved—they also involved social conflict within enslaved communities.
Poisoned Relations examines more than five hundred investigations and trials in four colonial contexts—British Virginia, French Martinique, Portuguese Bahia, and the Dutch Guianas—bringing a groundbreaking application of historical linguistics to bear on the study of the African diaspora in the Americas. Illuminating competing understandings of poison and power in this way, Dr. Berry opens new avenues of evidence through which to navigate the violence of colonial archival silences.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Last week, the press focused on what the press repeatedly characterized as an “ugly” fight between American college football players that broke out after the University of Michigan beat The Ohio State. But another story received less attention. Medrick Burnett Jr., a 20 year old from Southern California was playing his first season as a linebacker with Alabama A&M University when he sustained a head injury during the annual Magic City Classic against in-state rivals Alabama State University on Oct. 26. A month later, Burnett died. Today’s Postscript features two prominent scholars of sports raising questions about the hypocrisy of blaming players for a fight yet downplaying the death caused by playing by the rules. This remarkable conversation includes an unpacking of the “consent” to physical, psychological, and economic impacts, insight into the Foucauldian elements of discipline, punishment, and surveillance, and concrete reform suggestions for all people who watch football and/or work at universities. This nuanced conversation is for those who love or loathe football as a college sport.
Dr. Nathan Kalman-Lamb (he/him) is Associate Professor of Sociology at the University of New Brunswick and Dr. Derek Silva (he/him) is Associate Professor of Sociology and Criminology at King’s University College at Western University. They are co-authors of The End of College Football: On the Human Cost of an All-American Game published by UNC Press in 2024 – and their public-facing scholarship appears in outlets such as The Guardian and the Los Angeles Times. They are the co-hosts (with Johanna Mellis) of The End of Sport podcast.
Mentioned:
On the University of Missouri football team’s successful threat to strike if the university president didn't resign see
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In this episode, Emily Kenway shares insights from her powerful new book Who Cares: The Hidden Crisis of Caregiving, and How We Solve It (Seal Press, 2023), an eye-opening exploration of the invisible world of unpaid caregivers. Drawing from her own experience caring for her terminally ill mother, Emily sheds light on the challenges faced by millions who provide critical care while being marginalized, unsupported, and overburdened. In our conversation, she urges us to reimagine a society that places care at its core, rather than on the sidelines. This conversation is a call to action for all of us to recognize and support those who give so much and ask for so little in return. Tune in to hear why Who Cares? is a book for everyone, now and in the future.
Madison’s Notes is the podcast of Princeton University’s James Madison Program in American Ideals and Institutions.
Contributions to and/or sponsorship of any speaker does not constitute departmental or institutional endorsement of the specific program, speakers or views presented.
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In 1929, the United States government approved two ground-breaking and controversial drug addiction treatment programs. At a time when fears about a supposed rise in drug use reached a fevered pitch, the emergence of the nation’s first “narcotic farms” in Fort Worth, Texas, and Lexington, Kentucky, marked a watershed moment in the treatment of addiction. Rehab on the Range is the first in-depth history of the Fort Worth Narcotic Farm and its impacts on the American West. Throughout its operation from the 1930s to the 1970s, the institution was the only federally funded drug treatment center west of the Mississippi River. Designed to blend psychiatric treatment, physical rehabilitation, and vocational training, the Narcotic Farm, its proponents argued, would transform American treatment policies for the better. The reality was decidedly more complicated.
In Rehab on the Range: A History of Addiction and Incarceration in the American West (University of Texas Press, 2024) Dr. Holly M. Karibo tells the story of how this institution—once framed as revolutionary for addiction care—ultimately contributed to the turn towards incarceration as the solution to the nation’s drug problem. Blending an intellectual history of addiction and imprisonment with a social history of addicts’ experiences, Rehab on the Range provides a nuanced picture of the Narcotic Farm and its cultural impacts. In doing so, it offers crucial historical context that can help us better understand our current debates over addiction, drug policy, and the rise of mass incarceration.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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In 1980, Charles Wetli---a Miami-based medical examiner and self-proclaimed “cult expert” of Afro-Caribbean religions---identified what he called “excited delirium syndrome.” Soon, medical examiners began using the syndrome regularly to describe the deaths of Black men and women during interactions with police. Police and medical examiners claimed that Black people with so-called excited delirium exhibited superhuman strength induced from narcotics abuse. It was fatal heart failure that killed them, examiners said, not forceful police restraints.
In Excited Delirium: Race, Police Violence, and the Invention of a Disease (Duke University Press, 2024), Aisha M. Beliso-De Jesús examines this fabricated medical diagnosis and its use to justify and erase police violence against Black and Brown communities. Exposing excited delirium syndrome’s flawed diagnostic criteria, she outlines its inextricable ties to the criminalization of Afro-Latiné religions. Beliso-De Jesús demonstrates that it is yet a further example of the systemic racism that pervades law enforcement in which the culpability for state violence is shifted from the state onto its victims. In so doing, she furthers understanding of the complex layers of medicalized state-sanctioned violence against people of color in the United States.
Aisha M. Beliso-De Jesús is Olden Street Professor of American Studies at Princeton University and author of Electric Santería: Racial and Sexual Assemblages of Transnational Religion.
Reighan Gillam is Associate Professor in the Department of Latin American, Latino, and Caribbean Studies at Dartmouth College. Her research examines the ways in which Afro-Brazilian media producers foment anti-racist visual politics through their image creation. She is the author of Visualizing Black Lives: Ownership and Control in Afro-Brazilian Media (University of Illinois Press).
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Mexico is at the center of the global battle over abortion. In 2007, a watershed reform legalized the procedure in the national capital, making it one of just three places across Latin America where it was permitted at the time. Abortion care is now available on demand and free of cost through a pioneering program of the Mexico City Ministry of Health, which has served hundreds of thousands of women. At the same time, abortion laws have grown harsher in several states outside the capital as part of a coordinated national backlash.
In Lawful Sins: Abortion Rights and Reproductive Governance in Mexico (Stanford University Press, 2022), Dr. Elyse Ona Singer argues that while pregnant women in Mexico today have options that were unavailable just over a decade ago, they are also subject to the expanded reach of the Mexican state and the Catholic Church over their bodies and reproductive lives. By analyzing the moral politics of clinical encounters in Mexico City's public abortion program, Lawful Sins offers a critical account of the relationship among reproductive rights, gendered citizenship, and public healthcare. With timely insights on global struggles for reproductive justice, Dr. Singer reorients prevailing perspectives that approach abortion rights as a hallmark of women's citizenship in liberal societies.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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The phrase "racial capitalism" was used by Cedric Robinson to describe an economy of wealth accumulation extracted from cheap labor, organized by racial hierarchy, and justified through white supremacist logics. Now, in the twenty-first century, the biotech industry is the new capitalist whose race-based exploitation engages not only labor but racialized consumption. This arrangement is upheld through US drug policy, which over the past century has created a split legal system—one punitive system that criminalizes drug use common among Black, Brown, and lower-income communities and another system characterized by compassion and care that medicalizes, and thus legalizes, drug use targeted to middle-class White people.
In the award-winning book Whiteout: How Racial Capitalism Changed the Color of Opioids in America (U California Press, 2023), a trio of authors—Helena Hansen, Jules Netherland, and David Herzberg—explain how this arrangement came to pass, what impacts it has, and what needs to be done. This remarkable book won the 2023 Rachel Carson Book Prize from the Society for the Social Studies of Science.
This interview was a collaborative effort among Professor Laura Stark and graduate students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom.
email: [email protected].
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This episode features a conversation with Dr. Cindy Ermus on her recently published book, The Great Plague Scare of 1720: Disaster and Diplomacy in the Eighteenth-Century Atlantic World. Published by Cambridge University Press, The Great Plague Scare of 1720 follows the Plague of Provence from 1720 to 1722 to understand new forms of contagion and its management. As one of the last major epidemics of the plague to strike Western Europe, the Plague of Provence generated a public health crisis that impacted the social, commercial, and diplomatic choices of France, which eventually spread the public health crisis to Italy, Great Britain, Spain, and their overseas colonies. In this transnational, transoceanic study, The Great Plague Scare of 1720 reveals how crisis in one part of the globe transcends geographic boundaries and influences society, politics, and public health policy in regions far from the epicenter of disaster.
Cindy Ermus is the Charles and Linda Wilson Associate Professor in the History of Medicine, and Director of the Humanities in Medicine Program at the University of Nebraska-Lincoln. She specializes in the history of medicine and the environment, especially catastrophe and public health crisis management, in eighteenth-century France and the Atlantic World. In addition to The Great Plague Scare of 1720: Disaster and Diplomacy in the Eighteenth-Century Atlantic World (Cambridge University Press, 2023), she is also the author of Urban Disasters (Cambridge UP, 2023). Currently, she is at work on a co-authored global history of epidemics (with Claire Edington). Her work has been featured in The Washington Post, The Atlantic, The Verge, Stat News, and The Miami Herald, and she has been a guest on BBC World News, Univision, Al-Jazeera, and others. She is also co-series editor for France Overseas of the University of Nebraska Press, and co-founder and co-executive editor for the digital, open-access publication AgeofRevolutions.com.
Donna Doan Anderson (she/her) is a research assistant professor in History at the University of Nebraska-Lincoln. Isidro Gonzalez (he/him) is a pre-doctoral fellow of History at Claremont McKenna College.
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In this compelling and informative interview, Carrie N. Baker discusses her newest book, Abortion Pills: US History and Politics (Amherst College Press, 2024). This book is the first comprehensive history of abortion pills in the United States, and Baker examines the actions of scientists, policy-makers, pharmaceutical companies, pro-abortion rights activists and anti-abortion forces as the abortion pill was developed in France in 1980, and subsequently brought to market in the United States. She carefully investigates the fight for FDA approval of the abortion pill, and reproductive rights advocates’ work to expand access. She pays particular attention to the critical period of 2020-2024 when in the midst of the COVID-19 pandemic telemedicine abortion became a possibility. Baker ends exploring attempts to restrict abortion pills and self-managed abortions in the wake of the Dobbs v. Jackson Women's Health Organization Supreme Court decision. In this thoroughly researched history, Baker draws on interviews with over 80 activists, abortion providers, researchers, and people who have used abortion pills to demonstrate the range of actors involved in efforts to expand access to abortion pills. In addition, she analyzes medical research, government records, legal cases, and the archives of several reproductive health organizations.
Abortion Pills: US History and Politics is available open-access starting December 3, 2024. Click the following link to see a PDF of the book
Carrie N. Baker holds a B.A. in Philosophy from Yale University, a J.D. from Emory University School of Law, and an M.A. and Ph.D. from Emory’s Institute of Women’s, Gender, and Sexuality Studies. She is the Sylvia Dlugasch Bauman Chair of American Studies and Professor of the Study of Women, Gender and Sexuality Studies at Smith College where, as a legal and social movement scholar, she teaches courses on gender, law and public policy; feminist social movements; and feminist public writing. In addition to publishing peer-reviewed academic scholarship, Baker also serves as a regular writer and contributing editor for Ms. Magazine, has a monthly column in the Daily Hampshire Gazette, and hosts Feminist Futures, a radio program on WHMP 101.5 FM in Northampton, Massachusetts.
Jessie Cohen holds a Ph.D. in History from Columbia University, and is an editor at the New Books Network.
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Political Scientists Dan Mallinson and Lee Hannah, both experts on state-level politics and the policy making process, have a new book that focuses on the state-level process of legalization of medical cannabis across the United States. Green Rush: The Rise of Medical Marijuana in the United States (NYU Press, 2024) is a book that needed to be written, since it is an important exploration not only of the continuing policy conflicts and tensions around marijuana in the United States, but it specifically focuses on how states have taken up this issue and what they each did in moving towards medical marijuana’s accessibility. The marijuana question in in the United States remains a fascinating federalism dynamic, with national laws in conflict with state laws, and state laws operating in different ways, around both medical marijuana and legalized recreational use of cannabis.
Mallinson and Hannah provide the reader with an excellent overview of policymaking designs and theories since their analysis takes up so many different dimensions of the policy process in the United States. They then move into the history behind the criminalization of marijuana, and the way in which this policy has clearly racialized roots. Green Rush highlights the ways that some of the shifts and changes in state policies started to make their way through different states, via action by state legislatures and or through state-wide referenda. With particular attention to a number of states, like California, Pennsylvania, Ohio, and West Virginia, Mallinson and Hannah chart the ways that different states have gone about legalizing the medical use of marijuana, which has also been part of the pathway for other states to move towards decriminalization and legalization of adult use recreational marijuana.
Green Rush is an accessible policy analysis and provides important insight into the path that medical marijuana took as it became legal in one state after another. Green Rush: The Rise of Medical Marijuana in the United States charts the policy changes themselves, but also pays attention to changing public opinion around cannabis and shifts in the war on drugs as well.
(I found this book so useful that I have adopted it to use in my Public Policy class.)
Lilly J. Goren is a professor of political science at Carroll University in Waukesha, WI. She is co-host of the New Books in Political Science channel at the New Books Network. She is co-editor of The Politics of the Marvel Cinematic Universe (University Press of Kansas, 2022), as well as co-editor of the award winning book, Women and the White House: Gender, Popular Culture, and Presidential Politics (University Press of Kentucky, 2012). She can be reached @gorenlj.bsky.social
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Football is the national game in the United States – and many families and friends bond over their love of the sport. While few people play professional football, many participate in tackle football as children and adolescents. In the last decades, more attention has been paid to the dangers of playing tackle football, including traumatic brain injury and the degenerative brain disease, CTE (chronic traumatic encephalopathy). As more former players donated their brains, the rate of CTE surprised even those already concerned with traumatic brain injury. If the risks are so great, why do more than two million American children under the age of 18 continue to play tackle football? Is it the opportunity to contribute to a team? Overcome adversity? Test personal limits?
In Tackle Football and Traumatic Brain Injuries: Law, Ethics, and Public Health (Johns Hopkins UP, 2024), Dr. Daniel S. Goldberg asks readers to think about American tackle football as an industry – like the American tobacco industry – that sells a product that is dangerous to those who use it. Despite the clearly documented costs to society and individuals who play, the tackle football industry has successfully manufactured doubt about the health hazards. Goldstein argues that a basic familiarity with the history of regulated industries and their intersection with public health is needed both to understand the contemporary debates and to move forward with fair and equitable policy solutions. If the risks to people who play were better known to the public, the profitability and perhaps even the viability of American football would be at risk.
Goldberg draws on public health ethics, public health law, and the histories of occupational and public health to assess the limits of parental choice to expose their children to risks of injury. Goldberg recommends using public health laws to counter the manufacture of doubt – offering specific policy proposals to address the population health and ethical problems presented by tackle football.
Daniel S. Goldstein, JD, PhD is an associate professor at the Center for Bioethics and Humanities at the University of Colorado Anschutz Medical Campus. He is the director of Education at the Center for Bioethics and Humanities and director of the Public Health Ethics and Law Program.
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Today’s episode focuses on the policy challenges and politics of public healthcare in Southeast Asia, a topic which has become increasingly visible and important in Southeast Asia and in the study of the region over the past decades in the context of expanding public healthcare programs in many countries across the region and the recent experience of the global pandemic.
To discuss these issues, we are joined by Professor Sarah Shair-Rosenfield, who has been conducting research on public healthcare in Indonesia and the Philippines over the past several years. Sarah Shair-Rosenfield is a Professor of Comparative Politics in the Department of Politics and International Relations at the University of York here in the UK. She received her PhD from the University of North Carolina and then taught at Arizona State University and the University of Essex before taking up a professorial chair at the University of York. She is the author of Electoral Reform and the Fate of New Democracies: Lessons from the Indonesian Case (University of Michigan Press, 2019) and co-author of Measuring Regional Authority: A Postfunctionalist Theory of Governance (Oxford University Press, 2016), and she has published articles in leading political science and other specialist journals. She is a co-editor-in-chief of the journal Political Studies and a co-founder of the Women in Southeast Asian Social Sciences (WiSEASS) network.
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Medical schools have increasingly incorporated the humanities and social sciences into their teaching, seeking to make future physicians more empathetic and more concerned with equity. In practice, however, these good intentions have not translated into critical consciousness. Humanities and social sciences education has often not only failed to deliver on its promise but even entrenched the inequalities that the medical profession set out to address.
In Curricular Injustice: How U.S. Medical Schools Reproduce Inequalities (Columbia UP, 2024), Lauren D. Olsen examines how U.S. medical school faculty conceived, designed, and implemented their vision of education, tracing the failures of curricular reform. She argues that the way medical students encounter humanities and social sciences material in practice has served to reinforce the status quo by teaching them to individualize systemic problems. Students learn to avoid advocacy, critique, and attention to structural inequalities—while also gathering that it will be up to them to find coping strategies for problems from burnout to systemic racism. Olsen pinpoints the limitations of how clinical faculty understand the humanities and social sciences, arguing that in structuring and teaching courses, they assumed, reinforced, and glorified a white, elite model of the medical profession. Showing how deeply intertwined professional and social identities are in medical education, Curricular Injustice has significant implications for how occupations, organizations, and institutions shape understandings of inequality.
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In Health Freaks: America's Diet Champions and the Specter of Chronic Illness (University of North Carolina Press, 2024) Dr. Travis A. Weisse tells a new history of modern diets in America that goes beyond the familiar narrative of the nation's collective failure to lose weight. By exploring how the popularity of diets grew alongside patients' frustrations with the limitations and failures of the American healthcare system in the face of chronic disease, Weisse argues that millions of Americans sought "fad" diets—such as the notorious Atkins program which ushered in the low-carbohydrate craze—to wrest control of their health from pessimistic doctors and lifelong pharmaceutical regimens.
Drawing on novel archival sources and a wide variety of popular media, Dr. Weisse shows the lengths to which twentieth-century American dieters went to heal themselves outside the borders of orthodox medicine and the subsequent political and scientific backlash they received. Through colorful profiles of the leaders of four major diet movements, Health Freaks demonstrates that these diet gurus weren't shady snake oil salesmen preying on the vulnerable; rather, they were vocal champions for millions of frustrated Americans seeking longer, healthier lives.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Around the world, millions are forcibly displaced by conflict, climate change, and persecution. Some cross international borders, while others are displaced within their own countries. In We Wait for a Miracle: Health Care and the Forcibly Displaced (Johns Hopkins UP, 2023), Muhammad H. Zaman shares poignant stories across continents to highlight the health care experiences of refugees and forced migrants. For many of these people, health risks unfortunately become part of the fabric of everyday life as they navigate new countries that treat them with varying degrees of care and indifference.
Across widely varied local systems, countries of origin, health concerns, and other contexts, Zaman finds that barriers to health care share these key factors: trust, social network, efficiency of the health system, and the regulatory framework of the host environment. A combination of these factors explains difficulties in accessing health care across the geographic and geopolitical spectrum and challenges the existing global public health framework, which is based entirely on local context. In moving stories that span seven countries—Sudan, South Sudan, Uganda, Zimbabwe, Pakistan, Colombia, and Venezuela—Zaman shares the everyday struggles of refugees, the internally displaced, and the stateless in accessing the health care they need.
This unique look at an urgent global challenge addresses the issue of access for populations that are currently in distress due to civil war, economic collapse, or a conflict driven by external state actors. Organic social networks and trust, rather than top-down policies, are often what save the lives of migrants, refugees, and the stateless. Focusing on that trust—and its deficit—in camps, urban slums, hospitals, and clinics, Zaman combines personal and journalistic accounts of refugees with broad systemic analysis on global health care access to compare problems and solutions in different regions and provide holistic policy and practice recommendations for refugees, internally displaced persons, and stateless populations.
In this episode, Ibrahim Fawzy interviews Muhammad Zaman about the healthcare experiences of refugees, and the power of storytelling.
Ibrahim Fawzy is a literary translator and writer based in Boston. His interests include translation studies, Arabic literature, ecocriticism, disability studies, and migration literature.
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In Radical Acts: HIV/AIDS Activism in Late Twentieth-Century England (Bloomsbury Academic, 2024), Dr George Severs draws on activist campaign literature and materials, broadcast media, and new oral history interviews to reconstruct the overlooked world of radical AIDS activism in England. This book provides one of the first detailed histories of the radical HIV/AIDS movement in England, following ACT UP's travels from New York to London via prominent queer intellectuals, and reconstructing the vibrant theatrical campaigns staged by ACT UP groups across England.
But Radical Acts also highlights expressions of activism that were far more common than demonstrations and marches. Manifestations of a political commitment to ameliorating the injustices facing people living with HIV permeated most aspects of everyday life. These forms of 'everyday activism' played out in workplaces, universities and church halls across England, as well as through networks that stretched across Europe and North America. This book breaks new ground by studying the radical alongside the everyday, presenting a diverse constellation of activist responses to the epidemic.
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People with dementia are uniquely qualified to discuss the challenges of their condition and the features of effective support, but their voices are all too often drowned out in research and debates about policy. According to People with Dementia at the Heart of Research: Co-Producing Research through The Dementia Enquirers Model (Jessica Kingsley Publishers, 2024) by Rachael Litherland & Philly Hare, it's time for that to change.
Dementia Enquirers is an ambitious and novel programme of work which has tested out what it means for people with dementia to lead research and has developed a new 'driving seat' approach to co-research.
This ground-breaking book features 26 research projects led by groups of people with dementia, supported by group facilitators and academics, to make their voices heard. Topics include giving up driving, GP dementia reviews, living alone with dementia, and using AI platforms such as smart speakers. The book also describes how people with dementia shaped the entire programme, and addressed head-on issues such as ethics approval processes and complex research language. The book is a key read for anyone involved in dementia support, this research brings the voices of people with dementia to the fore to explore their experiences of researching the condition.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Today I sit down with Volker Scheid, an interdisciplinary scholar and longtime practitioner of Chinese medicine. Together, we take an intellectual deep dive into his thoughts about the importance of blurring disciplinary boundaries and how “meta-practice” can make sense of the many different kinds of Chinese medicines. Along the way, Volker and I discuss the commensurability of Chinese medicine and biomedicine, the importance of connecting the self with the ten thousand things, and how premodern ideas can be the basis of a new politics for modern times.
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Resources mentioned in this episode:
Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. www.piercesalguero.com.
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In the 1980s, as HIV/AIDS ravaged queer communities and communities of color in the United States and beyond, a straight white teenager named Ryan White emerged as the face of the epidemic. Diagnosed with hemophilia at birth, Ryan contracted HIV through contaminated blood products. In 1985, he became a household name after he was barred from attending his Indiana middle school. As Ryan appeared on nightly news broadcasts and graced the covers of popular magazines, he was embraced by music icons and well-known athletes, achieving a curious kind of stardom.
Analyzing his struggle and celebrity, Paul M. Renfro's powerful biography grapples with the contested meanings of Ryan's life, death, and afterlives. As Renfro argues in The Life and Death of Ryan White: AIDS and Inequality in America (UNC Press, 2024), Ryan's fight to attend school forced the American public to reckon with prevailing misconceptions about the AIDS epidemic. Yet his story also reinforced the hierarchies at the heart of the AIDS crisis. Because the "innocent" Ryan had contracted HIV "through no fault of his own," as many put it, his story was sometimes used to blame presumably "guilty" populations for spreading the virus. Reexamining Ryan's story through this lens, Renfro reveals how the consequences of this stigma continue to pervade policy and cultural understandings of HIV/AIDS today.
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The word "pharmacopoeia" has come to have many meanings, although it is commonly understood to be a book describing approved compositions and standards for drugs. In 1813 the Royal College of Physicians of London considered a proposal to develop an imperial British pharmacopoeia - at a time when separate official pharmacopoeias existed for England, Scotland, and Ireland. A unified British pharmacopoeia was published in 1864, and by 1914 it was considered suitable for the whole Empire.
Pharmacopoeias, Drug Regulation, and Empires: Making Medicines Official in Britain's Imperial World, 1618-1968 (McGill-Queen's University Press, 2024) by Dr. Stuart Anderson traces the 350-year development of officially sanctioned pharmacopoeias across the British Empire, first from local to national pharmacopoeias, and later to a standardised pharmacopoeia that would apply throughout Britain’s imperial world. The evolution of British pharmacopoeias and the professionalisation of medicine saw developments including a transition from Galenic principles to germ theory, and a shift from plant-based to chemical medicines. While other colonial powers in Europe usually imposed metropolitan pharmacopoeias across their colonies, Britain consulted with practitioners throughout its Empire. As the scope of the pharmacopoeia widened, the process of agreeing upon drug standardisation became more complex and fraught. A wide range of issues was exposed, from bioprospecting and the inclusion of indigenous medicines in pharmacopoeias, to adulteration and demands for the substitution of pharmacopoeial drugs with locally available ones.
Pharmacopoeias, Drug Regulation, and Empires uses the evolution of an imperial pharmacopoeia in Britain as a vehicle for exploring the hegemonic power of European colonial powers in the medical field, and the meaning of pharmacopoeia more broadly.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Sick Note: A History of the British Welfare State (Oxford UP, 2022) is a history of how the British state asked, 'who is really sick?' Tracing medical certification for absence from work from 1948 to 2010, Gareth Millward shows that doctors, employers, employees, politicians, media commentators, and citizens concerned themselves with measuring sickness. At various times, each understood that a signed note from a doctor was not enough to 'prove' whether someone was really sick. Yet, with no better alternative on offer, the sick note survived in practice and in the popular imagination - just like the welfare state itself.
Sick Note reveals the interplay between medical, employment, and social security policy. The physical note became an integral part of working and living in Britain, while the term 'sick note' was often deployed rhetorically as a mocking nickname or symbol of Britain's economic and political troubles. Using government policy documents, popular media, internet archives, and contemporary research, Millward covers the evolution of medical certification and the welfare state since the Second World War, demonstrating how sickness and disability policies responded to demographic and economic changes - though not always satisfactorily for administrators or claimants. Moreover, despite the creation of 'the fit note' in 2010, the idea of 'the sick note' has remained. With the specific challenges posed by the global pandemic in the early 2020s, Sick Note shows how the question of 'who is really sick?' has never been straightforward and will continue to perplex the British state.
This episode is hosted by Dr Dion Georgiou, an Associate Lecturer in History at Goldsmiths, University of London, and the writer of The Academic Bubble – a newsletter covering contemporary history, politics, and culture.
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The question of whether mental disorders are disorders of the brain has led to a long-running and controversial dispute within psychiatry, psychology and philosophy of mind and psychology. While recent work in neuroscience frequently tries to identify underlying brain dysfunction in mental disorders, detractors argue that labelling mental disorders as brain disorders is reductive and can result in harmful social effects.
Are Mental Disorders Brain Disorders? (Routledge, 2024) brings a much-needed philosophical perspective to bear on this important question. Anneli Jefferson argues that while there is widespread agreement on paradigmatic cases of brain disorder such as brain cancer, Parkinson's or Alzheimer’s dementia, there is far less clarity on what the general, defining characteristics of brain disorders are. She identifies influential notions of brain disorder and shows why these are problematic. On her own, alternative, account, what counts as dysfunctional at the level of the brain frequently depends on what counts as dysfunctional at the psychological level. On this notion of brain disorder, she argues, many of the consequences people often associate with the brain disorder label do not follow. She also explores the important practical question of how to deal with the fact that many people do draw unlicensed inferences about treatment, personal responsibility or etiology from the information that a condition is a brain disorder or involves brain dysfunction.
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Carceral Recovery: Prisons, Drug Markets, and the New Pharmaceutical Self (Lexington Books, 2023) explores the interrelation between carceral conditions and substance use by considering the intersections between drug markets, sidewalks, households, and prisons in Baltimore. Sanaullah Khan argues that while housing, medicalization, and incarceration fundamentally create the conditions for substance use, individuals are increasingly experiencing the paradoxes of care and punishment by being propelled into a new regime of recovery which creates new pharmaceuticalized identities. By shedding light on how addiction and the impetus for healing moves through families and institutions of the state, Khan provides an account of the different competing forces that shape substance use, recovery, and relapse. Through a combination of archival research and ethnography, the book makes a case for disentangling punishment from recovery.
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The “uncut” penis is viewed by some as attractive or erotic, and by others as ugly or undesirable. Secular parents of male infants worry about whether or not the foreskin should be removed so their little boy can grow up to “look like dad” or to avoid imagined bullying in the locker room. Medical experts and public health organisations argue back and forth about whether circumcision is medically necessary, while “intactivists” advocate that removing an infant’s foreskin without their consent is mutilation.
Uncut: A Cultural Analysis of the Foreskin (University of Regina Press, 2024) by Dr. Jonathan Allen takes an interdisciplinary approach to understanding the foreskin and its contentious position in contemporary Anglo-American culture. From language to art, from religion to medicine and public health, Uncut is a provocative book that asks us to ask ourselves what we know and don’t know about this seemingly small piece of skin.
Drawing on all these threads, Dr.. Allan leads us through the history and cultural construction of the foreskin—from Michelangelo’s David to parenting manuals, from nineteenth-century panic over masturbation to foreskin restoration—to ultimately ask: what is the future of the foreskin?
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Poverty, Gender and Health in the Slums of Bangladesh: Children of Crows (Routledge, 2024) provides comprehensive ethnographic accounts that depict the daily life experiences and health hardships encountered by young women and their families living in the slums of Dhaka city and the injustices they face.
The analysis focuses on two specific historical eras: 2002-2003 and 2020-2022 and shows that despite recent improvements in employment opportunities and greater mobility for young women, their lives reflect ongoing challenges reminiscent of those faced two decades earlier. While national and global organizations acknowledge the nation's economic and social progress, those on the outskirts of society continue to grapple with enduring poverty. They are excluded from the advantages of economic growth, oppressed by unjust local, national, and global systems, discriminatory laws, and policies. Their struggles go unnoticed as they confront a slew of challenges, including slum evictions, enforced lockdowns, income losses, food insecurity, and ongoing crises related to health, injuries, fatalities, and exploitation and harassment by law enforcement and influential individuals within the slum and the city. After two decades, these obstacles persist, and life remains tenuous, with health severely compromised. This book will appeal to students, academics, and researchers in the fields of Public Health, Medical Anthropology, Gender Studies, Urban Studies, Development Studies, Social Sciences, as well as professionals engaged in urban health and poverty-related work.
Rituparna Patgiri is an Assistant Professor of Sociology at the Department of Humanities and Social Sciences, Indian Institute of Technology (IIT), Guwahati. Her research interests lie in the areas of food, media, gender and public. She is also one of the co-founders of Doing Sociology. Patgiri can be reached at @Rituparna37 on Twitter.
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Today I talked with Stijn Vanheule about Why Psychosis Is Not So Crazy: A Road Map to Hope and Recovery for Families and Caregivers (Other Press, 2024).
Are we all a little crazy? Roughly 15 percent of the population will have a psychotic experience, in which they lose contact with reality. Yet we often struggle to understand and talk about psychosis.
Drawing on his work in Lacanian psychoanalysis, Stijn Vanheule seeks to answer this question, which carries significant implications for mental health as a whole. With a combination of theory from Freud to Lacan, present-day research, and compelling examples from his own patients and well-known figures such as director David Lynch and artist Yayoi Kusama, he explores psychosis in an engaging way that can benefit those suffering from it as well as the people who care for and interact with them.
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What happens after colonial industries have run their course—after the factory closes and the fields go fallow? Set in the cinchona plantations of India’s Darjeeling Hills, Quinine's Remains: Empire’s Medicine and the Life Thereafter (U California Press, 2024) chronicles the history and aftermaths of quinine. Harvested from cinchona bark, quinine was malaria’s only remedy until the twentieth-century advent of synthetic drugs, and it was vital to the British Empire. Today, the cinchona plantations—and the roughly fifty thousand people who call them home—remain. Their futures, however, are unclear. The Indian government has threatened to privatize or shut down this seemingly obsolete and crumbling industry, but the plantation community, led by strident trade unions, has successfully resisted. Overgrown cinchona fields and shuttered quinine factories may appear the stuff of postcolonial and postindustrial ruination, but quinine’s remains are not dead. Rather, they have become the site of urgent efforts to redefine land and life for the twenty-first century. Quinine's Remains offers a vivid historical and ethnographic portrait of what it means to forge life after empire.
Rounak Bose is a doctoral student in History at the University of Delaware. His research explores questions of caste, religiosities, sacred infrastructures, and performance in the interstices of the colonial and postcolonial state, as well as mobilities and circulations across South Asia and Indian Ocean networks. Besides these specific interests, my disciplinary interests revolve around anthropology, literature, and public history, and the digital humanities. When not reading or writing in the university library, Rounak can be found running along Newark's hiking trails and petting the dogs he meets along the way. Link to twitter page
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The long-awaited essay collection from one of the most influential voices in disability activism that detonates a bomb in our collective understanding of care and illness, showing us that sickness is a fact of life.
In the wake of the 2014 Ferguson riots, and sick with a chronic condition that rendered them housebound, Johanna Hedva turned to the page to ask: How do you throw a brick through the window of a bank if you can't get out of bed? It was not long before this essay, "Sick Woman Theory", became a seminal work on disability, because in reframing illness as not just a biological experience but a social one, Hedva argues that under capitalism--a system that limits our worth to the productivity of our bodies--we must reach for the revolutionary act of caring for ourselves and others.
How to Tell When We Will Die: On Pain, Disability, and Doom (Zando-Hillman Grad Books, 2024) expands upon Hedva's paradigm-shifting perspective in a series of slyly subversive and razor-sharp essays that range from the theoretical to the personal--from Deborah Levy and Susan Sontag to wrestling, kink, mysticism, death, and the color yellow. Drawing from their experiences with America's byzantine healthcare system, and considering archetypes they call The Psychotic Woman, The Freak, and The Hag in Charge, Hedva offers a bracing indictment of the politics that exploit sickness--relying on and fueling ableism--to the detriment of us all.
With the insight of Anne Boyer's The Undying and Leslie Jamison's The Empathy Exams, and the wit of Samantha Irby, Hedva's debut collection upends our collective understanding of disability. In their radical reimagining of a world where care and pain are symbiotic, and our bodies are allowed to live free and well, Hedva implores us to remember that illness is neither an inconvenience or inevitability, but an enlivening and elemental part of being alive.
Johanna Hedva (they/them) is a Korean American writer, artist, and musician from Los Angeles. Hedva is the author of the essay collection How To Tell When We Will Die: On Pain, Disability, and Doom, published September 2024, by Hillman Grad Books. They are also the author of the novels Your Love Is Not Good and On Hell, as well as Minerva the Miscarriage of the Brain, a collection of poems, performances, and essays. Their albums are Black Moon Lilith in Pisces in the 4th House and The Sun and the Moon. Their work has been shown in Berlin at Gropius Bau, Haus der Kulturen der Welt, Klosterruine, and Institute of Cultural Inquiry; in Los Angeles at JOAN, HRLA, in the Getty’s Pacific Standard Time, and the LA Architecture and Design Museum; The Institute of Contemporary Arts in London; Performance Space New York; Buk-Seoul Museum of Art and Gyeongnam Art Museum in South Korea; the 14th Shanghai Biennial; Migros Museum für Gegenwartskunst in Zürich; Modern Art Oxford; Museum of Modern and Contemporary Art of Bolzano; the Museum of Contemporary Art on the Moon; and in the Transmediale, Unsound, Rewire, and Creepy Teepee Festivals. Their writing has appeared in Triple Canopy, frieze, The White Review, Topical Cream, Spike, Die Zeit, and is anthologized in Whitechapel: Documents of Contemporary Art. Their essay “Sick Woman Theory,” published in 2016, has been translated into 11 languages.
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A funny thing happened to historian Michael Vann* on the way to his PhD thesis. While he was doing his research on French colonialism and the urbanist project in Hanoi, he came across an intriguing dossier: “Destruction of animals in the city”. The documents he found started him on a research path that led to a section of his dissertation, then an article that gained a wide academic and non-academic readership, and now The Great Hanoi Rat Hunt: Empire, Disease, and Modernity in French Colonial Vietnam (Oxford UP, 2018). But this isn’t your typical historical monograph. One of the latest volumes in Oxford University Press’s Graphic History Series, The Great Hanoi Rat Hunt (with illustrations by Liz Clarke), explores the history of modernization, urbanization, and the spread of epidemic disease in the era of “New Imperialism” in an exciting and highly engaging format.
The remaking of Hanoi as a capital of French empire from the end of the nineteenth century had unintended consequences. In the state-of-the-art sewers of the French/white areas of the city, rats found the perfect home. Then came the Third plague pandemic, the disease that travelled with rats and moved from one site to another around the globe…on railroads, ships, the growing networks of trade and empire. The Great Hanoi Rat Hunt mobilizes years of research about this episode in the city’s history, illustrating (literally!) the inherent contradictions of imperialism, and the complexities of domination and resistance in a colonial context. Framed as an undergraduate lecture that features the author as a character throughout the narrative, the book is set up with teaching in mind. In addition to the fascinating story of the rat hunt itself (and all the twists and turns involved), the volume includes a rich selection of primary sources and a series of contextual essays that will allow students to explore this history in a range of productive ways. An accessible book that is at once serious and fun, The Great Hanoi Rat Hunt was such a pleasure to read and to talk about. I hope listeners will enjoy my conversation with Mike as much as I did!
*Mike is also a host on New Books in History! Be sure to check out his interviews here on the network.
Roxanne Panchasi is an Associate Professor of History at Simon Fraser University in Vancouver, Canada who specializes in twentieth and twenty-first century France and its empire. She is the author of Future Tense: The Culture of Anticipation in France Between the Wars (2009). Her current research focuses on the history of French nuclear weapons and testing since 1945. Her most recent article, '"No Hiroshima in Africa": The Algerian War and the Question of French Nuclear Tests in the Sahara' appeared in the Spring 2019 issue of History of the Present. She lives and reads in Vancouver, Canada. If you have a recent title to suggest for the podcast, please send her an email ([email protected]).
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It’s 2006, and S. L. Wisenberg is teaching writing at one of Chicago’s great universities and living a busy life when she’s gobsmacked by a sudden cancer diagnosis. In small but powerful journal entries, she bemoans friends who’ve died, expresses disdain for her body, worries about her future, recalls previous adventures, and jokes about the seriousness of her illness. She doesn’t let the fear and discomfort stop her from throwing her left breast a farewell party. Now, fifteen years later, SL Wisenberg’s journey of self-acceptance, Adventures of Cancer Bitch (Tortoise Books, 2024) has been reissued without page numbers, but with additional entries, notes about her life, and updates about cancer.
S. L. Wisenberg was born in Texas and has lived in Chicago, more or less, since she was 18. She is the author of a fiction collection, The Sweetheart Is In; the essay collections Holocaust Girls: History, Memory & Other Obsessions and The Wandering Womb: Essays in Search of Home. In 2009 she published a chronicle, The Adventures of Cancer Bitch, about her breast cancer from diagnosis to post-chemo. On October 15, the book is being re-released as a paperback, revised and updated. She is still cancer free, except for a rare chronic blood cancer, so she remains the Cancer Bitch. Wisenberg has received a Pushcart Prize, and awards and fellowships from the National Endowment for the Humanities, Illinois Arts Council, and the Fine Arts Work Center in Provincetown. The former co-director of the MA/MFA program at Northwestern University, she has taught workshops and read and lectured widely, from San Francisco to Sofia, Bulgaria. Wisenberg edits Another Chicago Magazine, an international online literary journal. In the summer she raises Eastern Black Swallowtail butterflies. Year round she walks through Chicago and hypnotizes wild rabbits. She also pulls weeds in public areas and leaves markers proclaiming, The Mad Weeder Strikes Again.
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In Soviet Nightingales: Care under Communism (Cornell UP, 2022), Susan Grant examines the history of nursing care in the Soviet Union from its nineteenth-century origins in Russia through the end of the Soviet state. With the advent of the USSR, nurses were instrumental in helping to build the New Soviet Person and in constructing a socialist society. In the interview, we explore Susan's approach to navigating an extensive timeline, the significance of care as a central concept within the female-dominated nursing profession, and the importance of flexibility when working with a diverse range of sources, some of which can be challenging to locate.
Alisa Kuzmina is a PhD Candidate at the University of Minnesota, specializing in Cultural Cold War history, with a focus on Soviet and American marriage policies and the social-cultural norms surrounding them.
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Fitter, Happier: The Eugenic Strain in Twentieth-Century Cancer Rhetoric (U Alabama Press, 2024) is a thought-provoking exploration of the relationship between cancer rhetoric, American ideals, and eugenic influences in the twentieth century. This groundbreaking work delves into the paradoxical interplay between acknowledging the genuine threat of cancer and the ingrained American ethos of confidence and control.
Agnew's meticulous research traces the topic's historical context, unveiling how cancer discourses evolved from a hushed personal concern to a public issue thanks to the rise of cancer research centers and advocacy organizations. However, she unearths a troubling dimension to these discussions--subtle yet persistent eugenic ideologies that taint cancer arguments and advocacy groups. By dissecting prevailing cancer narratives, Agnew brings into focus how ideals rooted in eliminating imperfections and embracing progress converge with concerns for safeguarding societal fitness.
Fitter, Happier scrutinizes the military origins and metaphors that permeate government policies and medical research, the transformation of cancer's association with melancholy into a rallying cry for a positive outlook, and the nuanced implications of prevention-focused dialogues. Reflecting on the varied experiences of actual cancer patients, Agnew resists the neat assimilation of these stories into a eugenic framework. Agnew's insights prompt readers to contemplate the societal meanings of disease and disability as well as how language constructs our shared reality.
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In 1997, a group of white pro-life evangelical Christians in the United States created the nation’s first embryo adoption program to “save” the thousands of frozen human embryos remaining from assisted reproduction procedures, which they contend are unborn children. While a small part of US fertility services, embryo adoption has played an outsized role in conservative politics, from high-profile battles over public investment in human embryonic stem cell research to the overturning of Roe v. Wade. Based on six years of ethnographic research with embryo adoption staff and participants, Dr. Risa Cromer uncovers how embryo adoption advances ambitious political goals for expanding the influence of conservative Christian values and power.
Conceiving Christian America: Embryo Adoption and Reproductive Politics (NYU Press, 2023) is the first book on embryo adoption tracing how this powerful social movement draws on white saviorist tropes in their aims to reconceive personhood, with drastic consequences for reproductive rights and justice. Documenting the practices, narratives, and beliefs that move embryos from freezers to uteruses, this book wields anthropological wariness as a tool for confronting the multiple tactics of the Christian Right. Timely and provocative, Conceiving Christian America presents a bold and nuanced examination of a family-making process focused on conceiving a Christian nation.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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In this episode of the Blue Beryl Podcast, Dr Pierce Salguero sits down with the show’s producer, Lan A. Li, a historian of Chinese science, medicine, and the body. We talk about their life-long practice of qigong, the limits of academic critique, and the integration of divergent epistemologies in studying Chinese anatomy. Along the way, we discuss Lan’s new book, Body Maps: Improvising Meridians and Nerves in Global Chinese Medicine (Johns Hopkins UP, 2025), Lan’s relationship to Islam, and how to cultivate wonder through academic study.
Remember, if you want to hear from more experts on Buddhism, Asian medicine, and embodied spirituality, subscribe to Blue Beryl for monthly episodes. Please enjoy!
Resources mentioned in the episode:
Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. www.piercesalguero.com.
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In Successful Aging: A Neuroscientist Explores the Power and Potential of Our Lives (Dutton Books, 2020), Daniel J. Levitin delivers powerful insights:
• Debunking the myth that memory always declines with age
• Confirming that “health span”—not “life span”—is what matters
• Proving that sixty-plus years is a unique and newly recognized developmental stage
• Recommending that people look forward to joy, as reminiscing doesn’t promote health
Levitin looks at the science behind what we all can learn from those who age joyously, as well as how to adapt our culture to take full advantage of older people’s wisdom and experience. Throughout his exploration of what aging really means, using research from developmental neuroscience and the psychology of individual differences, Levitin reveals resilience strategies and practical, cognitive- enhancing tricks everyone should do as they age.
Successful Aging inspires a powerful new approach to how readers think about our final decades, and it will revolutionize the way we plan for old age as individuals, family members, and citizens within a society where the average life expectancy continues to rise.
Victoria Reedman is a resident doctor in Toronto studying neurology with some health systems work on the side.
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The Great War haunted the British Empire. Shell shocked soldiers relived the war's trauma through waking nightmares consisting of mutilated and grotesque figures. Modernist writers released memoirs condemning the war as a profane and disenchanting experience. Yet British and Dominion soldiers and their families also read prophecies about the coming new millennium, experimented with séances, and claimed to see the ghosts of their loved ones in dreams and in photographs. On the battlefields, they had premonitions and attributed their survival to angelic, psychic, or spiritual forces. For many, the war was an enchanting experience that offered proof of another world and the transcendental properties of the mind. Between 1914 and 1939, an array of ghosts lived in the minds of British subjects as they navigated the shocking toll that death in modern war exerted in their communities.
Kyle Falcon is a historian specialising in the British Empire during the First World War. He is based in Ontario, Canada.
Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel. Twitter.
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A serious illness often changes the way others see us. Few, if any, relationships remain the same. The sick become more dependent on partners and family members, while more distant contacts become strained. The carers of the ill are also often isolated. This book focuses on our sense of self when ill and how infirmity plays out in our relationships with others.
In Being Ill: On Sickness, Care and Abandonment (Reaktion, 2024) Dr. Neil Vickers and Dr. Derek Bolton offer an original perspective, drawing on neuroscience, psychology and psychoanalysis, as well as memoirs of the ill or their carers, to reveal how a sense of connectedness and group belonging can not only improve care, but make societies more resilient to illness. This is an essential book on the experience of major illness.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Reanne Newquist tells me about her voyage on Mercy Ships bringing healthcare to some of the poorest people in the world, a mission started by Don Stephens in the 1970s and encouraged by Saint Mother Teresa of Calcutta. Reanne, her husband, and her kids left everything behind, sold their home and sailed off to adventure and service. Most people go back to normal life, but Reann stayed on with Mercy Ships as part of the communications staff, spreading the word by talking with people like me (and you). Here is her story.
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There are many routes to mental well-being. In this groundbreaking book, neuroscientist Camilla Nord offers a fascinating tour of the scientific developments that are revolutionising the way we think about mental health, showing why and how events--and treatments--can affect people in such different ways.
In The Balanced Brain: The Science of Mental Health (Princeton UP, 2024), Nord explains how our brain constructs our sense of mental health--actively striving to maintain balance in response to our changing circumstances. While a mentally healthy brain deals well with life's turbulence, poor mental health results when the brain struggles with disruption. But just what is the brain trying to balance? Nord describes the foundations of mental health in the brain--from the neurobiology of pleasure, pain and desire to the role of mood-mediating chemicals like dopamine, serotonin and opioids. She then pivots to interventions, revealing how antidepressants, placebos and even recreational drugs work; how psychotherapy changes brain chemistry; and how the brain and body interact to make us feel physically (as well as mentally) healthy. Along the way, Nord explains how the seemingly small things we use to lift our moods--a piece of chocolate, a walk, a chat with a friend--work on the same pathways in our brains as the latest treatments for mental health disorders.
Understanding the cause of poor mental health is one of the crucial questions of our time. But the answer is unique to each of us, and it requires finding what helps our brains rebalance and thrive. With so many factors at play, there are more possibilities for recovery and resilience than we might think.
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Inspired by the rise of environmental psychology and increasing support for behavioral research after the Second World War, new initiatives at the federal, state, and local levels looked to influence the human psyche through form, or elicit desired behaviors with environmental incentives, implementing what Joy Knoblauch calls “psychological functionalism.”
Recruited by federal construction and research programs for institutional reform and expansion—which included hospitals, mental health centers, prisons, and public housing—architects theorized new ways to control behavior and make it more functional by exercising soft power, or power through persuasion, with their designs.
In the 1960s –1970s era of anti-institutional sentiment, they hoped to offer an enlightened, palatable, more humane solution to larger social problems related to health, mental health, justice, and security of the population by applying psychological expertise to institutional design.
In turn, Knoblauch argues, architects gained new roles as researchers, organizers, and writers while theories of confinement, territory, and surveillance proliferated. The Architecture of Good Behavior: Psychology and Modern Institutional Design in Postwar America (University of Pittsburgh Press) explores psychological functionalism as a political tool and the architectural projects funded by a postwar nation in its efforts to govern, exert control over, and ultimately pacify its patients, prisoners, and residents.
Joy Knoblauch is Assistant Professor of Architecture at the University of Michigan, where she teaches history and theory of architecture as an exploration of architecture's engagement with politics and science.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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The brainchild of an obscure Yugoslav physician, Krebiozen emerged in 1951 as an alleged cancer treatment. Andrew Ivy, a University of Illinois vice president and a famed physiologist dubbed “the conscience of U.S. science,” wholeheartedly embraced Krebiozen. Ivy’s impeccable credentials and reputation made the treatment seem like another midcentury medical miracle. But after years of controversy, the improbable saga ended with Krebiozen proved a sham, its inventor fleeing the country, and Ivy’s reputation and legacy in ruins.
Matthew C. Ehrlich’s history of Krebiozen tells a quintessential story of quackery. Though most experts dismissed the treatment, it found passionate public support not only among cancer patients but also people in good health. The treatment’s rise and fall took place against the backdrop of America’s never-ending suspicion of educational, scientific, and medical expertise. In addition, Ehrlich examines why people readily believe misinformation and struggle to maintain hope in the face of grave threats to well-being.
A dramatic account of fraud and misplaced trust, The Krebiozen Hoax: How a Mysterious Cancer Drug Shook Organized Medicine (U Illinois Press, 2024) shines a light on a forgotten medical scandal and its all-too-familiar relevance in the twenty-first century.
Matthew C. Ehrlich is professor emeritus of journalism at the University of Illinois. He has previously published five books including Dangerous Ideas on Campus: Sex, Conspiracy, and Academic Freedom in the Age of JFK and Kansas City vs. Oakland: The Bitter Sports Rivalry That Defined an Era.
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From Skepticism to Competence: How American Psychiatrists Learn Psychotherapy (U Chicago Press, 2024) offers an examination of how novice psychiatrists come to understand the workings of the mind - and the nature of medical expertise - as they are trained in psychotherapy. While many medical professionals can physically examine the body to identify and understand its troubles - a cardiologist can take a scan of the heart, an endocrinologist can measure hormone levels, an oncologist can locate a tumor - psychiatrists have a much harder time unlocking the inner workings of the brain or its metaphysical counterpart, the mind.
In From Skepticism to Competence, sociologist Mariana Craciun delves into the radical uncertainty of psychiatric work by following medical residents in the field as they learn about psychotherapeutic methods. Most are skeptical at the start. While they are well equipped to treat brain diseases through prescription drugs, they must set their expectations aside and learn how to navigate their patients’ minds. Their instructors, experienced psychotherapists, help the budding psychiatrists navigate this new professional terrain by revealing the inner workings of talk and behavioral interventions and stressing their utility in a world dominated by pharmaceutical treatments. In the process, the residents examine their own doctoring assumptions and develop new competencies in psychotherapy. Exploring the world of contemporary psychiatric training, Craciun illustrates novice physicians’ struggles to understand the nature and meaning of mental illness and, with it, their own growing medical expertise.
Mariana Craciun is Associate Professor in Sociology at Tulane University. As a cultural sociologist, she is interested in the issues of expertise, professions, science, and technology. Her writings on psychotherapeutic expertise and authority and was published in top peer reviewed journals, including the American Journal of Sociology, Theory and Society, Qualitative Sociology, and the Sociology of Health and Illness.
Yadong Li is a PhD student in anthropology at Tulane University. His research interests lie at the intersection of environmental anthropology, the anthropology of time, hope studies, and post-structuralist philosophy. More details about his scholarship and research interests can be found here.
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In Menace to the Future: A Disability and Queer History of Carceral Eugenics (Duke UP, 2024), Jess Whatcott traces the link between US disability institutions and early twentieth-century eugenicist ideology, demonstrating how the legacy of those ideas continues to shape incarceration and detention today. Whatcott focuses on California, examining records from state institutions and reform organizations, newspapers, and state hospital museum exhibits. They reveal that state confinement, coercive treatment, care neglect, and forced sterilization were done out of the belief that the perceived unfitness of disabled, mad, and neurodivergent people was hereditary and thus posed a biological threat—a so-called menace to the future.
Whatcott uncovers a history of disabled resistance to these institutions that predates disability rights movements, builds a genealogy of resistance, and tells a history of eugenics from below. Theorizing how what they call “carceral eugenics” informed state treatment of disabled, mad, and neurodivergent people a century ago, Whatcott shows not only how that same logic still exists in secure treatment facilities, state prisons, and immigration detention centers, but also why it must continue to be resisted.
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The idea of “backwardness” often plagues historical writing on Russia. In Russia in the Time of Cholera: Disease under Romanovs and Soviets (Bloomsbury Academic, 2018), Dr. John P. Davis counteracts this “backwardness” paradigm, arguing that from the early 19th to the early 20th centuries, Russian medical researchers—along with their counterparts in France and Germany—were at the forefront of the struggle against cholera. Davis’ birds-eye view of this hundred-year period illustrates that the conditions allowing cholera to flourish were the same set of conditions that helped create the collapse of the tsarist regime during the First World War. Credit for elimination of cholera must go to the Bolsheviks, both for implementing tsarist-era medical theory, and especially for making war on cholera in a organized, systematic manner that the old regime was variously unable or unwilling to achieve.
Aaron Weinacht is Professor of History at the University of Montana Western, in Dillon, MT. He teaches courses on Russian and Soviet History, World History, and Philosophy of History. His research interests include the sociological theorist Philip Rieff and the influence of Russian nihilism on American libertarianism.
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Why do we eat? Is it instinct? Despite the necessity of food, anxieties about what and how to eat are widespread and persistent. In Appetite and Its Discontents: Science, Medicine, and the Urge to Eat, 1750-1950 (University of Chicago Press, 2020), Elizabeth A. Williams explores contemporary worries about eating through the lens of science and medicine to show us how appetite—once a matter of personal inclination—became an object of science.
Williams charts the history of inquiry into appetite between 1750 and 1950, as scientific and medical concepts of appetite shifted alongside developments in physiology, natural history, psychology, and ethology. She shows how, in the eighteenth century, trust in appetite was undermined when researchers who investigated ingestion and digestion began claiming that science alone could say which ways of eating were healthy and which were not. She goes on to trace nineteenth- and twentieth-century conflicts over the nature of appetite between mechanists and vitalists, experimentalists and bedside physicians, and localists and holists, illuminating struggles that have never been resolved. By exploring the core disciplines in investigations in appetite and eating, Williams reframes the way we think about food, nutrition, and the nature of health itself.
Elizabeth A. Williams is professor emerita of history at Oklahoma State University.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Ellen Hampton's Doctors at War: The Clandestine Battle Against the Nazi Occupation of France (LSU Press, 2023) tells the stories of physicians in France working to impede the German war effort and undermine French collaborators during the Occupation from 1940 to 1945. Determined to defeat the Third Reich's incursion, one group of prominent Paris doctors founded a medical network to treat injured Resistance fighters who they then secretly transported to Allied countries to avoid forced labor in Germany. Another team of medics organized a cabal focused on intelligence gathering and sabotage that became one of the largest in wartime France, even after the Gestapo arrested and imprisoned its leaders. Deported to concentration camps, these physicians continued to frustrate Nazi efforts by rendering aid and keeping their fellow prisoners alive. Others joined rural guerrilla camps to care for the young conscripts fighting to block German reinforcements from reaching Normandy after the D-Day landing.
These stories, assembled here for the first time, add a crucial dimension to the history of Occupied France. Written for both historians and general readers of World War II history, Doctors at War stands as a dramatic, character-driven account of physicians' courage and resilience in the face of evil. It serves as a window into life under a fascist regime and the travails of doctors who negotiated the terrifying moral labyrinth that was the German military's occupation of France.
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In the mid-twentieth century, American psychiatrists proclaimed homosexuality a mental disorder, one that was treatable and amenable to cure. Drawing on a collection of previously unexamined case files from St. Elizabeths Hospital, In the Shadow of Diagnosis: Psychiatric Power and Queer Life (U Chicago Press, 2024) explores the encounter between psychiatry and queer and gender-variant people in the mid- to late-twentieth-century United States. It examines psychiatrists’ investments in understanding homosexuality as a dire psychiatric condition, a judgment that garnered them tremendous power and authority at a time that historians have characterized as psychiatry’s “golden age.” That stigmatizing diagnosis made a deep and lasting impact, too, on queer people, shaping gay life and politics in indelible ways. In the Shadow of Diagnosis helps us understand the adhesive and ongoing connection between queerness and sickness.
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Asylum Ways of Seeing: Psychiatric Patients, American Thought and Culture (University of Pennsylvania Press, 2021) by Dr. Heather Murray is a cultural and intellectual history of people with mental illnesses in the twentieth-century United States. While acknowledging the fraught, and often violent, histories of American psychiatric hospitals, Heather Murray also suggests that it is in these hospitals that patients became more intense observers: they gave more conscious consideration to institutional and broader kinds of citizenship, to the nature and needs of communities versus those of individuals, to scientific modernity, and to human rights and solidarities among the suffering. All of these ideas have animated twentieth-century America, and, as Dr. Murray shows, have not just flowed into psychiatric hospitals but outward from them as well. These themes are especially clear within patients' intimate, creative, and political correspondence, writings, and drawings, as well as in hospital publications and films.
This way of thinking and imagining contrasts with more common images of the patient—as passive, resigned, and absented from the world in the cloistered setting of the hospital—that have animated psychiatry over the course of the twentieth century. Asylum Ways of Seeing traces how it is that patient resignation went from being interpreted as wisdom in the early twentieth century, to being understood as a capitulation in scientific and political sources by mid-century, to being seen as a profound violation of selfhood and individual rights by the century's end. In so doing, it makes a call to reconsider the philosophical possibilities within resignation.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Tracing women’s experiences of miscarriage and termination for foetal anomaly in the second trimester, before legal viability, shows how such events are positioned as less ‘real’ or significant when the foetal being does not, or will not, survive. Invisible Labour: The Reproductive Politics of Second Trimester Pregnancy Loss in England (Berghahn, 2024) by Dr. Aimee Louise Middlemiss describes the reproductive politics of this category of pregnancy loss in England. It shows how second trimester pregnancy loss produces specific medical and social experiences, revealing an underlying teleological ontology of pregnancy. Some women then understand their pregnancy through kinship with the unborn baby.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Across the vast expanse of the Roman Empire, anxieties about childbirth tied individuals to one another, to the highest levels of imperial politics, even to the movements of the stars. Birthing Romans: Childbearing and Its Risks in Imperial Rome (Princeton UP, 2024) sheds critical light on the diverse ways pregnancy and childbirth were understood, experienced, and managed in ancient Rome during the first three centuries of the Common Era.
In this beautifully written book, Anna Bonnell Freidin asks how inhabitants of the Roman Empire—especially women and girls—understood their bodies and constructed communities of care to mitigate and make sense of the risks of pregnancy and childbirth. Drawing on medical texts, legal documents, poetry, amulets, funerary art, and more, she shows how these communities were deeply human yet never just human. Freidin demonstrates how patients and caregivers took their place alongside divine and material agencies to guard against the risks inherent to childbearing. She vividly illustrates how these efforts and vital networks offer a new window onto Romans’ anxieties about order, hierarchy, and the individual’s place in the empire and cosmos.
Unearthing a risky world that is both familiar and not our own, Birthing Romans reveals how mistakes, misfortunes, and interventions in childbearing were seen to have far-reaching consequences, reverberating across generations and altering the course of people’s lives, their family histories, and even the fate of an empire.
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The little-known stories of the people responsible for what we know today as modern medical ethics. In Making Modern Medical Ethics: How African Americans, Anti-Nazis, Bureaucrats, Feminists, Veterans, and Whistleblowing Moralists Created Bioethics (MIT Press, 2024), Robert Baker tells the counter history of the birth of bioethics, bringing to the fore the stories of the dissenters and whistleblowers who challenged the establishment. Drawing on his earlier work on moral revolutions and the history of medical ethics, Robert Baker traces the history of modern medical ethics and its bioethical turn to the moral insurrections incited by the many unsung dissenters and whistleblowers: African American civil rights leaders, Jewish Americans harboring Holocaust memories, feminists, women, and Anglo-American physicians and healthcare professionals who were veterans of the World Wars, the Cold War, and the Vietnam War. The standard narrative for bioethics typically emphasizes the morally disruptive medical technologies of the latter part of the twentieth century, such as the dialysis machine, the electroencephalograph, and the ventilator, as they created the need to reconsider traditional notions of medical ethics.
Baker, however, tells a fresh narrative, one that has historically been neglected (e.g., the story of the medical veterans who founded an international medical organization to rescue medicine and biomedical research from the scandal of Nazi medicine), and also reveals the penalties that moral change agents paid (e.g., the stubborn bureaucrat who was demoted for her insistence on requiring and enforcing research subjects’ informed consent). Analyzing major statements of modern medical ethics from the 1946–1947 Nuremberg Doctors Trials and Nuremberg Code to A Patient’s Bill of Rights, Making Modern Medical Ethics is a winning history of just how respect and autonomy for patients and research subjects came to be codified.
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Today I talked to Ewa Bacon about her book Saving Lives in Auschwitz: The Prisoners’ Hospital in Buna-Monowitz (Purdue UP, 2017).
In a 1941 Nazi roundup of educated Poles, Stefan Budziaszek--newly graduated from medical school in Krakow--was incarcerated in the Krakow Montelupich Prison and transferred to the Auschwitz concentration camp in February 1942. German big businesses brutally exploited the cheap labor of prisoners in the camp, and workers were dying. In 1943, Stefan, now a functionary prisoner, was put in charge of the on-site prisoner hospital, which at the time was more like an infirmary staffed by well-connected but untrained prisoners. Stefan transformed this facility from just two barracks into a working hospital and outpatient facility that employed more than 40 prisoner doctors and served a population of 10,000 slave laborers.
Stefan and his staff developed the hospital by commandeering medication, surgical equipment, and even building materials, often from the so-called Canada warehouse filled with the effects of Holocaust victims. But where does seeking the cooperation of the Nazi concentration camp staff become collusion with Nazi genocide? How did physicians deal with debilitated patients who faced "selection" for transfer to the gas chambers? Auschwitz was a cauldron of competing agendas. Unexpectedly, ideological rivalry among prisoners themselves manifested itself as well. Prominent Holocaust witnesses Elie Wiesel and Primo Levi both sought treatment at this prisoner hospital. They, other patients, and hospital staff bear witness to the agency of prisoner doctors in an environment better known for death than survival.
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Fella Benabed's book Applied Global Health Humanities: Readings in the Global Anglophone Novel (de Gruyter, 2024) highlights the importance of global Anglophone literature in global health humanities, shaping perceptions of health issues in the Global South and among minorities in the Global North. Using twelve novels, it explores the historical, political, sociocultural, ethical, and environmental aspects of health by analyzing the experiences of characters who suffer from infectious diseases, mental disorders, or disabilities, and who seek holistic healing practices.
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In the second half of the twentieth century, Reiki went from an obscure therapy practiced by a few thousand Japanese and Japanese Americans to a global phenomenon. By the early twenty-first century, people in nearly every corner of the world have undergone the initiations that authorize them to channel a cosmic energy—known as Reiki—to heal body, mind, and spirit. They lay hands on themselves and others, use secret symbols and incantations to send Reiki to distant recipients, and strive to follow five precepts to cultivate their spiritual growth. Reiki’s international rise and development is due to the work of Hawayo Takata (1900–1980), a Hawai‘i-born Japanese American woman who brought Reiki out of Japan and adapted it for thousands of students in Hawai‘i and North America, shaping interconnections across the North Pacific region as well as cultural transformations over the transwar period spanning World War II.
Alternate Currents: Reiki’s Circulation in the Twentieth-Century North Pacific (U Hawaii Press, 2023) analyzes how, from her training in Japan in the mid-1930s to her death in Iowa in 1980, Takata built a vast trans-Pacific network that connected Japanese American laborers on Hawai‘i plantations to social elites in Tokyo, Hollywood, and New York; middle-class housewives in American suburbs; and off-the-grid tree planters in the mountains of British Columbia. Using recently uncovered archival materials and original oral histories, this book examines how these relationships between healer and patient, master and disciple, became deeply infused with values of their time and place and how they interplayed with Reiki’s circulation, performance, and meanings along with broader cultural shifts in the twentieth-century North Pacific. Highly readable and informative, each chapter is structured around a period in the life of Takata, the charismatic, rags-to-riches architect of the network in which Reiki spread for decades.
Alternate Currents explores Reiki as an exemplary transnational spiritual therapy, demonstrating how lived practices transcend artificial distinctions between religion and medicine, and circulate in global systems while maintaining strong connections with the practices’ homeland.
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Welcome to the Global Media & Communication podcast series. This podcast is a multimodal project powered by the Center for Advanced Research in Global Communication (CARGC) at the Annenberg School for Communication at the University of Pennsylvania. At CARGC, we produce and promote critical, interdisciplinary, and multimodal research on global media and communication. We aim to bridge academic scholarship and public life, bringing the best scholarship to bear on enduring global questions and pressing contemporary issues.
In this episode, Professor Bishnupriya Ghosh joins our host, Zehra Husain, to discuss her latest book, The Virus Touch: Theorizing Epidemic Media (Duke UP, 2023).
Over the course of the interview, you’ll learn about:
…and much more!
About the book
“In The Virus Touch Bishnupriya Ghosh argues that media are central to understanding emergent relations between viruses, humans, and nonhuman life. Writing in the shadow of the HIV/AIDS and COVID-19 global pandemics, Ghosh theorizes “epidemic media” to show how epidemics are mediated in images, numbers, and movements through the processes of reading test results and tracking infection and mortality rates. Scientific, artistic, and activist epidemic media that make multispecies relations sensible and manageable eschew anthropocentric survival strategies and instead recast global public health crises as biological, social, and ecological catastrophes, pushing us toward a multispecies politics of health. Ghosh trains her analytic gaze on these mediations as expressed in the collection and analysis of blood samples as a form of viral media; the geospatialization of data that track viral hosts like wild primates; and the use of multisensory images to trace fluctuations in viral mutations. Studying how epidemic media inscribe, store, and transmit multispecies relations attunes us to the anthropogenic drivers of pathogenicity like deforestation or illegal wildlife trading and the vulnerabilities accruing from diseases that arise from socioeconomic inequities and biopolitical neglect.” Learn more about the book on the publisher’s website!
Guest Biography
Bishnupriya Ghosh publishes in global media cultures, environmental media, and critical health studies.
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Distributed to millions of people annually across Africa and the global south, insecticide-treated bed nets have become a cornerstone of malaria control and twenty-first-century global health initiatives. Despite their seemingly obvious public health utility, however, these chemically infused nets and their rise to prominence were anything but inevitable.
In Nothing But Nets: A Biography of Global Health Science and Its Objects (Johns Hopkins University Press, 2023), Dr. Kirsten Moore-Sheeley untangles the complicated history of insecticide-treated nets as it unfolded transnationally and in Kenya specifically—a key site of insecticide-treated net research—to reveal how the development of this intervention was deeply enmeshed with the emergence of the contemporary global health enterprise.
While public health workers initially conceived of nets as a stopgap measure that could be tailored to impoverished, rural health systems in the early 1980s, nets became standardised market goods with the potential to save lives and promote economic development globally. This shift attracted donor resources for malaria control amid the rise of neoliberal regimes in international development, but it also perpetuated a paradigm of fighting malaria and poverty at the level of individual consumers. Africans' experiences with insecticide-treated nets illustrate the limitations of this paradigm and provide a warning for the precariousness of malaria control efforts today.
Drawing on archival, published, and oral historical evidence from three continents, Dr. Moore-Sheeley reveals the important role Africans have played in shaping global health science and technology. In placing both insecticide-treated nets and Africa at the center of global health history, this book sheds new light on how and why commodity-based health interventions have become so entrenched as solutions to global disease control as well as the challenges these interventions pose for at-risk populations.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Committed: On Meaning and Madwomen (Vintage, 2024) is a critical memoir about women, reading, and mental illness. When Suzanne Scanlon was a student at Barnard in the 90s, grieving the loss of her mother—feeling untethered and swimming through inarticulable pain—she made a suicide attempt that landed her in the New York State Psychiatric Institute. After nearly three years and countless experimental treatments, Suzanne left the ward on shaky legs.
In the decades after, Suzanne came to understand her suffering as part of something larger: a long tradition of women whose complicated and compromised stories of self-actualization are reduced to “crazy chick” and “madwoman” narratives. She searched for more books, more woman writers, as the journey of her life converged with her journey through the literature that shaped her. Committed is a story of discovery and of questioning linear and neat ideas of recovery. It reclaims the idea of the madwoman as a template for insight and transcendence through the works of Audre Lorde, Charlotte Perkins Gilman, Virginia Woolf, Sylvia Plath, Janet Frame, Shulamith Firestone, and others.
Suzanne Scanlon is the author of the memoir Committed, which was recently published with from Vintage in Spring 2024. She is also the author of two works of fiction, Promising Young Women (Dorothy, 2012) and Her 37th Year, An Index (Noemi, 2015). Her writing has appeared in Granta, BOMB, Fence, The Iowa Review, Electric Literature’s Recommended Reading, Los Angeles Review of Books, The Millions, and elsewhere. Scanlon has a BA from Barnard College and both an MFA and an MA from Northwestern University.
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Health inequity is one of the defining problems of our time. But current efforts to address the problem focus on mitigating the harms of injustice rather than confronting injustice itself. In Equal Care: Health Equity, Social Democracy, and the Egalitarian State (Johns Hopkins UP, 2024), Seth A. Berkowitz, MD, MPH, offers an innovative vision for the future of health equity by examining the social mechanisms that link injustice to poor health. He also presents practical policies designed to create a system of social relations that ensures equal care for everyone.
As Berkowitz illustrates, the project of social democracy works to improve health by bringing relationships of equality to the sites of human cooperation: in civil society, in political processes, and in economic activities. This book synthesizes three elements necessary for such a project—normative justification, mechanistic knowledge, and technical proficiency—into a practical vision of how to create health equity. Drawing from the fields of medicine, social epidemiology, sociology, economics, political science, philosophy, and more, Berkowitz makes clear that health inequity is social failure embodied, and the only true cures are political.
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Stefanie Coché's Psychiatric Institutions and Society: the Practice of Psychiatric Commital in the “Third Reich,” the Democratic Republic of Germany, and the Federal Republic of Germany, 1941-1963 (London: Routledge, 2024; translated by Alex Skinner) probes how the serious and sometimes fatal decision was made to admit individuals to asylums during Germany’s age of extremes. The book shows that - even during the Nazi killing of the sick - relatives played an even more important role in most admissions than doctors and the authorities.
In light of admission practices, this study traces how ideas about illness, safety, and normality changed when the Nazi regime collapsed in 1945 and illuminates how closely power configurations in the psychiatric sector were linked to political and social circumstances in the early years of both German successor states.
Paul Lerner is Professor of History at the University of Southern California where he directs the Max Kade Institute for Austrian-German-Swiss Studies. He can be reached at [email protected] and @PFLerner.
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Imagine that you volunteer for the clinical trial of an experimental drug. The only direct benefit of participating is that you will receive up to $5,175. You must spend twenty nights literally locked in a research facility. You will be told what to eat, when to eat, and when to sleep. You will share a bedroom with several strangers. Who are you, and why would you choose to take part in this kind of study?
This book explores the hidden world of pharmaceutical testing on healthy volunteers. Drawing on two years of fieldwork in clinics across the country and 268 interviews with participants and staff, it illustrates how decisions to take part in such studies are often influenced by poverty and lack of employment opportunities. It shows that healthy participants are typically recruited from African American and Latino/a communities, and that they are often serial participants, who obtain a significant portion of their income from these trials.
This book reveals not only how social inequality fundamentally shapes these drug trials, but it also depicts the important validity concerns inherent in this mode of testing new pharmaceuticals. These highly controlled studies bear little resemblance to real-world conditions, and everyone involved is incentivized to game the system, ultimately making new drugs appear safer than they really are.
Adverse Events: Race, Inequality, and the Testing of New Pharmaceuticals (New York University Press) provides an unprecedented view of the intersection of racial inequalities with pharmaceutical testing, signaling the dangers of this research enterprise to both social justice and public health.
Jill A. Fisher is Associate Professor of Social Medicine and Bioethics at the University of North Carolina at Chapel Hill.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Mental health care and its radical possibilities reimagined in the context of its global development under capitalism.
The contemporary world is oversaturated with psychiatric programs, methods, and reforms promising to address any number of "crises" in mental health care. When these fail, alternatives to the alternatives simply pile up and seem to lead nowhere.
In an original and compelling account of radical experimentation in psychiatry, Warren traces a double movement in the global development of mental health services throughout the 20th century: a radical current pushing totalizing and idealistic visions of care to their practical limits and a reactionary one content with managing or eliminating chronically idle surplus populations.
Moral treatment is read in light of the utopian socialist movement; the theory of communication in the French Institutional Psychotherapy of Félix Guattari is put into conversation with the Brazilian art therapy of Nise da Silveira; the Mexican anti-psychiatry movement's reflections on violence are thought together with theories of violence developed in Argentinian psychoanalysis and Frantz Fanon's anticolonial therapeutic practice; the social form of the Italian Democratic Psychiatry and Brazilian anti-institutional movements are contrasted with the anti-psychiatry factions of the 1960s-70s North American counterculture.
Storming Bedlam: Madness, Mental Health, and Revolt (Common Notions, 2024) subverts the divisions between social and biological approaches to mental health or between psychiatry and anti-psychiatry. By exploring the history of psychiatry in the context of revolution, war, and economic development, Warren outlines a minor history of approaches to mental health care grounded in common struggles against conditions of scarcity, poverty, isolation, and exploitation.
Sasha Warren is a writer based in Minneapolis. His experiences within the psychiatric system and commitment to radical politics led him to cofound the group Hearing Voices Twin Cities, which provides an alternative social space for individuals to discuss often stigmatized extreme experiences and network with one-another. Following the George Floyd Uprising in 2020, he founded the project Of Unsound Mind to trace the histories of psychiatry, social work, and public health's connections to policing, prisons, and various disciplinary and managerial technologies.
Resources:
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Based on over a decade of research, a powerful, moving work of narrative nonfiction that illuminates the little-known world of the anexos of Mexico City, the informal addiction treatment centers where mothers send their children to escape the violence of the drug war.
The Way That Leads Among the Lost: Life, Death, and Hope in Mexico City's Anexos (FSG, 2024) reveals a hidden place where care and violence are impossible to separate: the anexos of Mexico City. The prizewinning anthropologist Angela Garcia takes us deep into the world of these small rooms, informal treatment centers for alcoholism, addiction, and mental illness, spread across Mexico City's tenements and reaching into the United States. Run and inhabited by Mexico's most marginalized populations, they are controversial for their illegality and their use of coercion. Yet for many Mexican families desperate to keep their loved ones safe, these rooms offer something of a refuge from what lies beyond them--the intensifying violence surrounding the drug war.
This is the first book ever written on the anexos. Garcia, who spent a decade conducting anthropological fieldwork in Mexico City, draws readers into their many dimensions, casting light on the mothers and their children who are entangled in this hidden world. Following the stories of its denizens, she asks what these places are, why they exist, and what they reflect about Mexico and the wider world. With extraordinary empathy and a sharp eye for detail, Garcia attends to the lives that the anexos both sustain and erode, wrestling with the question of why mothers turn to them as a site of refuge even as they reproduce violence. Woven into these portraits is Garcia's own powerful story of family, childhood, homelessness, and drugs--a blend of ethnography and memoir converging on a set of fundamental questions about the many forms and meanings that violence, love, care, family, and hope may take.
Infused with profound ethnographic richness and moral urgency, The Way That Leads Among the Lost is a stunning work of narrative nonfiction, a book that will leave a deep mark on readers.
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The beginning of the modern contraceptive era began in 1882, when Dr. Aletta Jacobs opened the first birth control clinic in Amsterdam. The founding of this facility, and the clinical provision of contraception that it enabled, marked the moment when physicians started to take the prevention of pregnancy seriously as a medical concern. In Contraception: A Concise History (The MIT Press, 2020), Donna Drucker traces the history of modern contraception, outlining the development, manufacturing, and use of contraceptive methods from the opening of Dr. Jacobs's clinic to the present. Drucker approaches the subject from the perspective of reproductive justice: the right to have a child, the right not to have a child, and the right to parent children safely and healthily.
Drucker describes contraceptive methods available before the pill, including the diaphragm (dispensed at the Jacobs clinic) and condom, spermicidal jellies, and periodic abstinences. She looks at the development and dissemination of the pill and its chemical descendants; describes technological developments in such non-hormonal contraceptives as the cervical cap and timing methods (including the “rhythm method” favored by the Roman Catholic church); and explains the concept of reproductive justice. Finally, Drucker considers the future of contraception—the adaptations of existing methods, new forms of distribution, and ongoing efforts needed to support contraceptive access
Dr. Donna Drucker leads the English as the Language for Instruction Project, which helps faculty, administrative staff, scientific staff, and students at the Technische Universität Darmstadt (Germany) improve their English abilities for teaching and learning.
Chris Babits is an Andrew W. Mellon Engaged Scholar Initiative Postdoctoral Fellow at the University of Texas at Austin. He researches the intersecting histories of medicine, religion, and gender and sexuality and is currently working on his book about the history of conversion therapy in the United States.
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Movements that take issue with conventional understandings of autism spectrum disorder, a developmental disability, have become increasingly visible. Drawing on more than three years of ethnographic fieldwork and interviews with participants, Dr. Catherine Tan investigates two autism-focused movements, shedding new light on how members contest expert authority. Examining their separate struggles to gain legitimacy and represent autistic people, she develops a new account of the importance of social movements as spaces for constructing knowledge that aims to challenge dominant frameworks.
Spaces on the Spectrum: How Autism Movements Resist Experts and Create Knowledge (Columbia University Press, 2024) examines the autistic rights and alternative biomedical movements, which reimagine autism in different and conflicting ways: as a difference to be accepted or as a sickness to treat. Both, however, provide a window into how ideas that conflict with dominant beliefs develop, take hold, and persist. The autistic rights movement is composed primarily of autistic adults who contend that autism is a natural human variation, not a disorder, and advocate for social and cultural inclusion and policy changes. The alternative biomedical movement, in contrast, is dominated by parents and practitioners who believe in the disproven idea that vaccines trigger autism and seek to reverse it with scientifically unsupported treatments. Both movements position themselves in opposition to researchers, professionals, and parents outside their communities. Spaces on the Spectrum offers timely insights into the roles of shared identity and communal networks in movements that question scientific and medical authority.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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In Surgery & Salvation: The Roots of Reproductive Injustice in Mexico, 1770-1940 (University of North Carolina Press, 2023), Elizabeth O’Brien foregrounds the racial and religious meanings of surgery to draw important connections between historical and contemporary politics regarding fetal and maternal healthcare. She traces practices of caesarean section and coercive Christianization throughout Mexico’s colonial period; patriarchal pregnancy management during republican state formation; and tubal ligation and vaginal bifurcation in Mexico’s twentieth century Eugenics movement. Surgery and Salvation has received several awards including the Rocky Mountain Council for Latin American Studies’ Judy Ewell Award; the Latin American Studies Association 2024 Best Book Award for the Nineteenth-Century Section; and Honorable Mention for the 2024 Frances Richardson Keller-Sierra Prize (WAWH) as well as the Thomas McGann Prize (RMCLAS). O’Brien is an Assistant Professor of the History of Medicine and Latin American History at the University of California, Los Angeles. In this episode, O'Brien is interviewed by Leah Cargin (PhD candidate, University of Oklahoma).
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Brynn Quick speaks with Dr. Ella van Hest (Ghent University, Belgium) about her ethnographic research related to language diversity at an abortion clinic in Belgium. The conversation focusses on a co-authored paper entitled Language policy at an abortion clinic published in Language Policy in 2023.
For additional resources, show notes, and transcripts, go here.
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Throughout its history, the American West symbolized a place of hope and new beginnings, where anything was possible, especially for men. However, the history written until the 1970s and 1980s excluded women.
In 'Gold Fever' and Women: Transformations in Lives, Health Care and Medicine in the 19th Century American West (Transcript, 2023), Sigrid Schönfelder illustrates how the American West served as a catalytic gold mine for many transformations for women. It draws on the life narratives of three healthcare providers whose devotion within the social reform movements of the long nineteenth century contributed significantly to shaping healthcare policies. Their stories show how women contributed to place-making in the West and served as role models for other women to enter the field of medicine.
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Between the 1920s and 1980s, the choices that Ghanaian women made regarding their reproductive health were defined by development policy and practice. Spanning the colonial and immediate postcolonial periods, Holly Ashford's book Development and Women's Reproductive Health in Ghana, 1920-1982 (Routledge, 2022) demonstrates that whilst the substance of development discourse shifted over time, principles of development continued to be used to impact and legitimise reproductive health policy and practices well after independence. The book explores Ghana’s pluralist health system, the introduction of maternal and child welfare, the dominance of the Red Cross in Ghana’s maternal and child health landscape, nationalist pronatalism and global population activism. In order to understand how global iterations of development and health policy impacted ordinary lives in Ghana, the author uses evidence from multiple ‘levels,’ including private papers, national archives and records of international and transnational organisations. Providing balanced archival perspectives, the book includes extensive oral history interviews carried out with both rural Ghanaian women and traditional birth attendants, as well as with midwives, doctors and family planning fieldworkers.
This book will have an important impact on a number of historical fields including Ghanaian history, global health history, global histories of population and family planning and histories of development. It will be of interest to researchers and students in the history of public health, development, Africa, Ghana and gender.
Dr. Nicole Bourbonnais is an Associate Professor of International History and Politics and Co-Director of the Gender Centre at the Graduate Institute of International and Development Studies in Geneva, Switzerland. Her research explores reproductive politics and practice from a transnational historical perspective. More info here. Twitter: @iheid_history and @GC_IHEID
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In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Michael Gordin, Rosengarten Professor of Modern and Contemporary History at Princeton University, about the differences between science and pseudoscience and how the COVID-19 Pandemic showed that most people don't realize that science is highly dynamic. Gordin is the author of (among other books) of On the Fringe: Where Science Meets Pseudoscience (Oxford UP, 2021).
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
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Friars are often overlooked in the picture of health care in late mediaeval England. Physicians, surgeons, apothecaries, barbers, midwives - these are the people we think of immediately as agents of healing; whilst we identify university teachers as authorities on medical writings. Yet from their first appearance in England in the 1220s to the dispersal of the friaries in the 1530s, four orders of friars were active as healers of every type. Their care extended beyond the circle of their own brethren: patients included royalty, nobles and bishops, and they also provided charitable aid and relief to the poor. They wrote about medicine too. Bartholomew the Englishman and Roger Bacon were arguably the most influential authors, alongside the Dominican Henry Daniel. Nor should we forget the anonymous Franciscan compilers of the Tabula medicine, a handbook of cures, which, amongst other items, contains case histories of friars practising medicine. Even after the Reformation, these texts continued to circulate and find new readers amongst practitioners and householders.
The Medicine of the Friars in Medieval England (Boydell & Brewer, 2024) by Peter Murray Jones restores friars to their rightful place in the history of English health care, exploring the complex, productive entanglement between care of the soul and healing of the body, in both theoretical and practical terms. Drawing upon the surprising wealth of evidence found in the surviving manuscripts, it brings to light individuals such as William Holme (c. 1400), and his patient the duke of York (d. 1402), who suffered from swollen legs. Holme also wrote about medicinal simples and gave instructions for dealing with eye and voice problems experienced by his brother Franciscans. Friars from the thirteenth century onwards wrote their medicine differently, reflecting their religious vocation as preachers and confessors.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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John T. Maier's The Disabled Will: A Theory of Addiction (Routledge Press, 2024) defends a comprehensive new vision of what addiction is and how people with addictions should be treated. The author argues that, in addition to physical and intellectual disabilities, there are volitional disabilities - disabilities of the will - and that addiction is best understood as a species of volitional disability. This theory serves to illuminate long-standing philosophical and psychological perplexities about addiction and addictive motivation. It articulates a normative framework within which to understand prohibition, harm reduction, and other strategies that aim to address addiction. The argument of this book is that these should ultimately be evaluated in terms of reasonable accommodations for addicted people and that the priority of addiction policy should be the provision of such accommodations. What makes this book distinctive is that it understands addiction as a fundamentally political problem, an understanding that is suggested by standard legal approaches to addiction, but which has not received a sustained defense in the previous philosophical or psychological literature. This text marks a significant advance in the theory of addiction, one which should reshape our understanding of addiction policy and its proper aims.
Jeff Adler is an ex-linguist and occasional contributor to New Books Network!
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Compound Remedies: Galenic Pharmacy from the Ancient Mediterranean to New Spain (University of Pittsburgh Press, 2020) by Dr. Paula S. De Vos examines the equipment, books, and remedies of colonial Mexico City’s Herrera pharmacy—natural substances with known healing powers that formed part of the basis for modern-day healing traditions and home remedies in Mexico. Dr. De Vos traces the evolution of the Galenic pharmaceutical tradition from its foundations in ancient Greece to the physician-philosophers of mediaeval Islamic empires and the Latin West and eventually through the Spanish Empire to Mexico, offering a global history of the transmission of these materials, knowledges, and techniques.
Her detailed inventory of the Herrera pharmacy reveals the many layers of this tradition and how it developed over centuries, providing new perspectives and insight into the development of Western science and medicine: its varied origins, its engagement with and inclusion of multiple knowledge traditions, the ways in which these traditions moved and circulated in relation to imperialism, and its long-term continuities and dramatic transformations. Dr. De Vos ultimately reveals the great significance of pharmacy, and of artisanal pursuits more generally, as a cornerstone of ancient, mediaeval, and early modern epistemologies and philosophies of nature.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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In early modern Japan, upper status groups coveted pills and powders made of exotic foreign ingredients such as mummy and rhinoceros horn. By the early twentieth century, over-the-counter-patent medicines, and, more alarmingly, morphine, had become mass commodities, fueling debates over opiates in Japan's expanding imperial territories.
The fall of the empire and the occupation of Japan by the United States created conditions favorable for heroin use, followed, in time, by glue sniffing and psychedelic mushroom ingestion.
By illuminating the neglected history of drugs, Drugs and the Politics of Consumption in Japan (Brill, 2023) highlights both the transnational embeddedness and national peculiarities of the "politics of consumption" in Japan.
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Is involuntary psychiatric treatment the solution to the intertwined crises of untreated mental illness, homelessness, and addiction? In recent years, politicians and advocates have sought to expand the use of conservatorships, a legal tool used to force someone deemed “gravely disabled,” or unable to meet their needs for food, clothing, or shelter as a result of mental illness, to take medication and be placed in a locked facility. At the same time, civil liberties and disability rights groups have seized on cases like that of Britney Spears to argue that conservatorships are inherently abusive.
Conservatorship: Inside California's System of Coercion and Care for Mental Illness (Columbia UP, 2023) is an incisive and compelling portrait of the functioning—and failings—of California’s conservatorship system. Drawing on hundreds of interviews with professionals, policy makers, families, and conservatees, Alex V. Barnard takes readers to the streets where police encounter homeless people in crisis, the locked wards where people receiving treatment are confined, and the courtrooms where judges decide on conservatorship petitions. As he shows, California’s state government has abdicated authority over this system, leaving the question of who receives compassionate care and who faces coercion dependent on the financial incentives of for-profit facilities, the constraints of underresourced clinicians, and the desperate struggles of families to obtain treatment for their loved ones.
This book offers a timely warning: reforms to expand conservatorship will lead to more coercion but little transformative care until government assumes accountability for ensuring the health and dignity of its most vulnerable citizens.
Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. He is the author of The Social Construction of a Cultural Spectacle: Floatzilla (Lexington Books, 2023) and Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington Books, 2022). His general area of study is in the areas of social construction of experience, identity, and place. He is currently conducting research for his next project that looks at nightlife and the emotional labor that is performed by employees of bars and nightclubs. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at [email protected].
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If you’ve ever worked with dementia patients before, you know how unique and bizarre the experience can be, and how little the stereotypes actually hold up to the experience. Even knowing about the diagnosis often does little to help us in caring for people, and many caregivers find themselves getting sucked into behavioral loops of their own. This is because your brain is not wired to deal with the altered form of reality that dementia patients inhabit. Evolution has not equipped us to deal with these dynamics.
Unpacking all this is our guest today, Dasha Kiper in her book Travelers to Unimaginable Lands: Stories of Dementia, the Caregiver, and the Human Brain (Random House, 2023). Having both worked with dementia patients and run support groups for caregivers, she’s seen patterns play out over countless situations, and has mapped the cognitive landscape of people working to take care of those afflicted with the disease. In a series of engaging and provocative essays, she’s able to elucidate our limitations, the various neurological traps we are often tempted to fall into, hopefully offering caregivers some clarity on themselves and just how far from reality this work often takes them.
Dasha Kiper is the consulting clinical director of support groups at an Alzheimer’s organization, and holds an MA in clinical psychology from Columbia University.
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The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No (Norton, 2024) is an intellectual inquiry into the moral struggle that whistleblowers face, and why it is not the kind of struggle that most people imagine.
Carl Elliott is a bioethicist at the University of Minnesota who was trained in medicine as well as philosophy. For many years he fought for an external inquiry into a psychiatric research study at his own university in which an especially vulnerable patient lost his life. Elliott’s efforts alienated friends and colleagues. The university stonewalled him and denied wrongdoing until a state investigation finally vindicated his claims.
His experience frames the six stories in this book of medical research in which patients were deceived into participating in experimental programs they did not understand, many of which had astonishing and well-concealed mortality rates. Beginning with the public health worker who exposed the Tuskegee Syphilis Study and ending with the four physicians who in 2016 blew the whistle on lethal synthetic trachea transplants at the Karolinska Institute, Elliott tells the extraordinary stories of insiders who spoke out against such abuses, and often paid a terrible price for doing the right thing.
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Each year in India more than two million people fall sick with tuberculosis (TB), an infectious, airborne, and potentially deadly lung disease. The country accounts for almost 30 percent of all TB cases worldwide and well above a third of global deaths from it. Because TB’s prevalence also indicates unfulfilled development promises, its control is an important issue of national concern, wrapped up in questions of postcolonial governance. Drawing on long-term ethnographic engagement with a village in North India and its TB epidemic, anthropologist Andrew McDowell tells the stories of socially marginalized Dalit (“ex-untouchable”) farming families afflicted by TB, and the nurses, doctors, quacks, mediums, and mystics who care for them. Each of the book’s chapters centers on a material or metaphorical substance - such as dust, clouds, and ghosts - to understand how breath and airborne illness entangle biological and social life in everyday acts of care for the self, for others, and for the environment.
From this raft of stories about the ways people make sense of and struggle with troubled breath, McDowell develops a philosophy and phenomenology of breathing that attends to medical systems, patient care, and health justice. He theorizes that breath - as an intersection between person and world - provides a unique perspective on public health and inequality. Breath is deeply intimate and personal, but also shared and distributed. Through it all, Breathless: Tuberculosis, Inequality, and Care in Rural India (Stanford UP, 2024) traces the multivalent relations that breath engenders between people, environments, social worlds, and microbes.
Andrew McDowell is Assistant Professor of Anthropology at Tulane University. He has a Ph.D. in socio-cultural anthropology from Harvard University. His research interests focus on care, contagion, pharmaceuticals, diagnosis, and inequality in North and Western Indian social worlds entangled with tuberculosis. His work has appeared in Medical Anthropology Quarterly, Ethos, and The Lancet among other venues.
Yadong Li is a PhD student in anthropology at Tulane University. His research interests lie at the intersection of the anthropology of state, the anthropology of time, hope studies, and post-structuralist philosophy. More details about his scholarship and research interests can be found here.
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Policing the Womb: Invisible Women and the Criminalization of Motherhood (Cambridge University Press, 2020) a brilliant but shocking account of the criminalization of all aspects of reproduction, pregnancy, abortion, birth, and motherhood in the United States. In her extensively researched monograph, Michele Goodwin recounts the horrific contemporary situation, which includes, for example, mothers giving birth shackled in leg irons, in solitary confinement, even in prison toilets, and in some states, women being coerced by the State into sterilization, in exchange for reduced sentences. She contextualises the modern day situation in America’s history of slavery and oppression, and also in relation to its place in the world. Goodwin shows how prosecutors abuse laws, and medical professionals are complicit in a system that disproportionally impacts the poor and women of color. However, Goodwin warns that these women are just the canaries in the coalmine. Not only is the United States the deadliest country in the developed world for pregnant women, but the severe lack of protections for reproductive rights and motherhood is compounding racial and indigent disparities.
Jane Richards is a doctoral candidate in Human Rights Law at the University of Hong Kong. Her research interests include disability, equality, criminal law and civil disobedience. You can find her on twitter @JaneRichardsHK where she avidly follows the Hong Kong’s protests and its politics.
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Students in twelfth-century Paris held slanging matches, branding the English drunkards, the Germans madmen and the French as arrogant. On Crusade, army recruits from different ethnic backgrounds taunted each other’s military skills. Men producing ethnography in monasteries and at court drafted derogatory descriptions of peoples dwelling in territories under colonization, questioning their work ethic, social organization, religious devotion and humanness. Monks listed and ruminated on the alleged traits of Jews, Saracens, Greeks, Saxons and Britons and their acceptance or rejection of Christianity.
Ethnicity in Medieval Europe 950-1250, Medicine, Power and Religion (Boydell and Brewer, 2021), provides a radical new approach to representations of nationhood in medieval western Europe, the author argues that ethnic stereotypes were constructed and wielded rhetorically to justify property claims, flaunt military strength, and assert moral and cultural ascendance over others. The gendered images of ethnicity in circulation reflect a negotiation over self-representations of discipline, rationality and strength, juxtaposed with the alleged chaos and weakness of racialized others. Interpreting nationhood through a religious lens, monks and schoolmen explained it as scientifically informed by environmental medicine, and ancient theory that held that location and climate influenced the physical and mental traits of peoples. Drawing on lists of ethnic character traits, school textbooks, medical treatises, proverbs, poetry and chronicles, this book shows that ethnic stereotypes served as rhetorical tools of power, crafting relationships within communities and towards others.
Claire Weeda is a cultural historian at the Institute for History at Leiden University, Netherlands. Her main fields of interest include ethnic stereotyping, the history of the body, Greco-Arabic medicine, and organic politics in Europe, 1100-1500.
Evan Zarkadas is a graduate student of European history at the University of Maine focusing on Medieval Europe, the Eastern Mediterranean, medieval identity, and ethnicity during the late Middle Ages.
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Dialysis is a medical miracle, a treatment that allows people with kidney failure to live when otherwise they would die. It also provides a captive customer for the dialysis industry, which values the steady revenues that come from critically required long-term care that is guaranteed by the government.
Tom Mueller's six year deep dive into the dialysis industry has yielded his latest book, How to Make a Killing: Blood, Death, and Dollars in American Medicine (W. W. Norton, 2023). It's both an historical account of this lifesaving treatment and an indictment of the industry that is dominated by two for-profit companies that control ~80% of the market.
There is a precarious balance between ethical care for patients and the prioritization of profits for the providers, a tension that has led to ethical, political, and legal debates about the rationing and exploitation of life-saving care and quality of life.
Dialysis services are desperately needed by patients who require the dangerous, uncomfortable, and exhausting treatments multiple times per week, and pay for it through complex insurance procedures.
Tom Mueller’s book includes a vivid account of CEOs who lead their companies with messianic zeal to drive revenues continually up while simultaneously reducing the cost of care. He introduces us to the doctors charged with reducing those costs even at the expense of high-quality care and negative health outcomes. And we meet the patients themselves, who have little choice but to put their lives and well-being at the mercy of this system.
How did a lifesaving medical breakthrough become a for-profit enterprise that threatens many of the people it’s meant to save? And who are the brave people -patients, doctors, and employees of the system who are willing to tell their stories despite tremendous pressure to remain silent? And why do we as Americans accept worse outcomes at higher costs than the rest of the world?
Tom Mueller's highly readable yet devastating book illustrates the dialysis industry as a microcosm of American medicine.
Mueller challenges us to find a solution for dialysis, an approach that could also provide the opportunity to begin fixing our country’s dysfunctional healthcare system and a fighting chance at restoring human health outcomes, rather than the extraction of profits, as its true purpose.
To contact Tom Mueller, visit www.tommueller.co
Suggested reading:
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In a broken world, in which even God Himself is in a state of deep crisis, what is required in order to mend the rupture? How can one heal God and His world? Moreover, what might allow our actions to be effective? These questions stand at the heart of the Lurianic Kabbalah, the apex of the Safedian intellectual and religious renaissance of the sixteenth century, and one of the constituting phenomena of Modern Jewish thought.
God as Patient: The Medical Discourse of Lurianic Kabbalah (Magnes Press, 2023) presents medical discourse – the knowledge, language, and practice of medicine – as a significant key to our understanding of the Lurianic search for a way to mend reality, and first and foremost the Godhead. The book reads together the Lurianic texts alongside the medical writings of R. Hayyim Vital, R. Isaac Luria's chief disciple, and a medical practitioner. Consequently, the book analyzes how medicine becomes the model for the Lurianic language of action. In its final part, the book shows how God becomes in this Kabbalah the ultimate patient of the Lurianic Kabbalist, who in turn becomes the private court physician of the King of Kings, and needs, like every physician, the proper modes of healing to accomplish his task.
Dr. Assaf Tamari studies Jewish intellectual history in the early modern eastern Mediterranean, focusing on the affinities between theology, science and political thought, especially in the literature of the Kabbalah. He is currently the deputy head of the Ben Zvi Institute for the Study of Jewish Communities in the East, and teaches at Tel Aviv University, Shalem College and Alma - a Home for Hebrew Culture.
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Lucy Barnhouse of Arkansas State University talks with Jana Byars about her new book, Hospitals in Communities of the Late Medieval Rhineland: Houses of God, Places for the Sick, out 2023 with Amsterdam University Press. From the mid-twelfth century onwards, the development of European hospitals was shaped by their claim to the legal status of religious institutions, with its attendant privileges and responsibilities. The questions of whom hospitals should serve and why they should do so have recurred -- and been invested with moral weight -- in successive centuries, though similarities between medieval and modern debates on the subject have often been overlooked. Hospitals' legal status as religious institutions could be tendentious and therefore had to be vigorously defended in order to protect hospitals' resources. This status could also, however, be invoked to impose limits on who could serve in and be served by hospitals. As recent scholarship demonstrates, disputes over whom hospitals should serve, and how, find parallels in other periods of history and current debates.
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Rustam Alexander's Gay Lives and 'Aversion Therapy' in Brezhnev's Russia, 1964-1982 (Palgrave Macmillan, 2023) examines the autobiographies and diaries of Soviet homosexual men who underwent psychotherapy during the period from 1970 to 1980 under the guidance of Yan Goland, a psychiatrist-sexopathologist from Gorky. The examination of these unique and little-known documents contributes to our scant knowledge about the practices that many would call a Soviet proto-type of 'aversion therapy'. It also helps us understand the way homosexual people faced "queer dilemmas" of the self and how they sought to reconcile their queer desire with being Soviet.
Tatiana Klepikova is a Postdoctoral Fellow at the University of Regensburg, where she leads a research group on queer literatures and cultures under socialism.
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Decisions to go to war are often framed in cost-benefit terms, and typically such assessments do not factor in longer term costs. However, recent dramatic improvements in American military medicine have had an unanticipated effect: saving more soldiers' lives has vastly increased long-term, downstream costs of war with profound consequences for global politics in an era of heightened great power competition.
In Military Medicine and the Hidden Costs of War (Oxford UP, 2024), Tanisha Fazal traces the modern history of medical treatment and casualty rates in American conflicts from the Civil War to the more recent counterinsurgency wars. As she shows, wars became increasingly survivable for wounded troops, to the point now where a large majority of wounded soldiers survive.
Yet the human and financial implications of this steep increase in the wounded-to-killed ratio are dramatic, and her powerful analysis of this shift provides a necessary corrective to how we understand the costs of war. For each major conflict, Fazal analyzes the weapons used, injuries sustained, and policies put in place for veterans' care and pensions. As she argues, these improvements have significant financial and deeply personal implications for the returned wounded and their families, as well as the US government and its citizenry. Fazal's analysis highlights the significance of policymakers underestimating the costs of war, which in turn makes it easier both to initiate and continue military action abroad, contributing to Americas' penchant for engaging in so-called "endless wars."
Tanisha Fazal is a Professor of Political Science at the University of Minnesota. Her scholarship focuses on sovereignty, international law, and armed conflict. In addition to her new book, she is the author of two award-winning books and numerous articles in academic and policy journals. From 2021-2023, she was an Andrew Carnegie Fellow
Lamis Abdelaaty is an associate professor of political science at the Maxwell School of Syracuse University. She is the author of Discrimination and Delegation: Explaining State Responses to Refugees (Oxford University Press, 2021). Email her comments at [email protected]
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Dr Pierce Salguero sits down with Justin B. Stein, a specialist in modern Japanese religion and the preeminent historian of Reiki. We discuss Justin’s new book, Alternate Currents: Reiki’s Circulation in the Twentieth-Century North Pacific (U Hawaii Press, 2023), about the transnational origins of Reiki, and also get into his perspective as a both a scholar and a Reiki practitioner. Along the way, we ask what Reiki has to do with Buddhism, what subtle energy feels like up close, and what kinds of extraordinary experiences might occur when you open up to energy of the universe.
Remember, if you want to hear from more experts on Buddhism, Asian medicine, and embodied spirituality, subscribe to Blue Beryl for monthly episodes. Please enjoy!
Resources mentioned in the episode:
Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. www.piercesalguero.com.
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After a storied career as a health policy expert, Stanford Medicine's Dr. Jay Bhattacharya's work became a political focal point during the COVID-19 pandemic, when he advocated against widespread lockdowns. He co-authored the Great Barrington Declaration, an open letter signed by infectious disease epidemiologists and public health scientists which advocated for a focused protection approach to COVID-19, and the Twitter Files revealed that his Twitter account had been placed on Twitter's "black list." In this conversation, he sits down to discuss how the history of American infectious disease affected our COVID response, the mimetic nature of lockdown policy, the importance of freedom of speech to the scientific endeavor, and more.
Dr. Jay Bhattacharya is a Professor of Medicine at Stanford University. He is also a research associate at the National Bureau of Economics Research, a senior fellow at the Stanford Institute for Economic Policy Research, a senior fellow at the Stanford Freeman Spogli Institute, and the Director of the Stanford Center on the Demography of Health and Aging. He holds an MD and a PhD in Economics, both from Stanford University.
Contributions to and/or sponsorship of any event does not constitute departmental or institutional endorsement of the specific program, speakers or views presented.
Annika Nordquist is the Communications Coordinator of Princeton University’s James Madison Program in American Ideals and Institutions and host of the Program’s podcast, Madison’s Notes.
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If you're interested in memory, you'll find a lot in Memory Makes the Brain: The Biological Machinery That Uses Experiences To Shape Individual Brains (World Scientific, 2021), from cellular processes to unique and interesting perspectives on autism.
Professor Christian Hansel starts both the book and the conversation with establishing a very broad definition of memory. Traditionally, a lot of research focused on the "observable outcome" of learning: acquiring new skills, changing behavior. Instead, he defines memory as any event that changes the brain.
The first 2 chapters introduce major discoveries from the 1960s and 1970s. David Hubel and Thorsten Wiesel examined the visual system of kittens. They recognized that it's much more adaptive in a "critical period", ca. 4-8 weeks after birth. Peter Huttenlocher discovered another fascinating phenomena during childhood: synaptic pruning. In the years 2-12, a lot of synapses (connections between neurons) disappear.
Chapter 3 describes the molecular machinery behind all these observations. We'll get to know the terms LTP (long-term potentiation) and LTD (long-term depression), which mean the long-term strengthening and weakening of synaptic connections respectively. We find a detailed description of these processes, incl. the enzymes, neurotransmitters and receptors contributing to them.
Chapter 4 continues examining these processes across the human life span. The (perhaps surprising) conclusion: The machinery for synaptic plasticity is quite similar in a small child an in an adult. What's different is the magnitude of these processes.
Autism is a central topic both in the book and in the Hansel Lab's work. Chapter 5 starts with describing the difficulties of a definition. ASD (autism spectrum disorder) is an umbrella term encompassing several symptoms and intensities. In the last years, it has turned out that low degree of synaptic pruning plays a significant role in multiple forms of autism. We'll see in the next years how the research about synaptic pruning and learning can be used for clinical purposes. Understanding the biological mechanism can also make it easier to relate to some peculiar-sounding symptoms. If we consider that an individual's brain contains an unusually high number of synapses, their reports about unusually intense perceptions suddenly become more understandable.
A thought-provoking chapter is number 6. It describes various experiments with mouse models to study autism-like symptoms. The chapter might also make you reflect about the merits and shortcomings of animal models generally.
The cerebellum was long considered to be the brain area for finetuning movements. Now, it's clear that its repertoire is much bigger. In the interview, Christian describes a hypothesis that the cerebellum has a capability of timing. This in turn makes it a crucial factor in several behaviors beyond sophisticated movements, including speech.
We know a lot about synaptic plasticity and its significance in learning. Chapter 8 tackles the big, open question, what else? Which other processes contribute to memory formation? It presents some hypotheses about intrinsic plasticity.
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As the U.S. population ages and as health care needs become more complex, demand for paid care workers in home and institutional settings has increased. This book draws attention to the reserve of immigrant labour that is called on to meet this need.
Migrants Who Care: West Africans Working and Building Lives in U.S. Health Care (Rutgers University Press, 2023) by Dr. Fumilayo Showers tells the little-known story of a group of English-speaking West African immigrants who have become central to the U.S. health and long-term care systems. With high human capital and middle-class pre-migration backgrounds, these immigrants - hailing from countries as diverse as Cameroon, Sierra Leone, Ghana, Nigeria, and Liberia - encounter blocked opportunities in the U.S. labour market. They then work in the United States, as home health aides, certified nursing assistants, qualified disability support professionals, and licensed practical and registered nurses.
This book reveals the global, political, social, and economic factors that have facilitated the entry of West African women and men into the health care labour force (home and institutional care for older adults and individuals with physical and intellectual disabilities; and skilled nursing). It highlights these immigrants’ role as labour brokers who tap into their local ethnic and immigrant communities to channel co-ethnics to meet this labour demand. It illustrates how West African care workers understand their work across various occupational settings and segments in the healthcare industry. This book reveals the transformative processes migrants undergo as they become produced, repackaged, and deployed as health care workers after migration.
Ultimately, this book tells the very real and human story of an immigrant group surmounting tremendous obstacles to carve out a labour market niche in health care, providing some of the most essential and intimate aspects of care labour to the most vulnerable members of society.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Dr. Susan Partovi first experienced poverty medicine volunteering at a dump site in Tijuana during high school. There, she recognized the need for all people to have access to quality medical care. Over the years, she has worked in various facilities around Los Angeles County, incorporating her renegade method of going the extra mile for her patients. As Medical Director of Homeless Health Care Los Angeles, she works to provide a safety net of care for the underserved skid row community and surrounding neighborhoods.
Recognized internationally as a leader in street medicine, Dr. Partovi started documenting her patients' stories so that others could hear their voices. By addressing the practical and moral considerations when treating each patient, Dr. Partovi developed her philosophies about what it means to be a "good doctor." Along the way, she began to understand how her personal ethics evolved--from a challenging childhood and complicated relationships with her parents, through professional hurdles--often, she had to push against a system that doesn't always put the patient first.
Renegade M.D.: A Doctor's Stories from the Streets (Bookbaby, 2024) is a powerful and inspiring memoir by Dr. Susan Partovi, a renowned street doctor who has dedicated her life to treating the impoverished around the world and people experiencing homelessness on LA's skid row. Through her stories, Dr. Partovi takes us on a journey to the heart of the challenges faced by those living on the streets, and shines a light on her unwavering commitment to advocate for social justice and to provide compassionate care to some of the most vulnerable people in our society.
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Covering a fascinating period of population growth, high infant mortality and deep social inequality, rapid medical advances and pseudoscientific quackery, Confinement: The Hidden History of Maternal Bodies in Nineteenth-Century Britain (The History Press, 2023) by Dr. Jessica Cox is the untold history of pregnancy and childbirth in Victorian Britain.
During the nineteenth century, having children was frequently viewed as a woman’s central function and destiny – and yet the pregnant and postnatal body, as well as the birthing room, are almost entirely absent from the public conversation and written histories of the period. Confinement corrects this omission by exploring stories of pregnancy and motherhood across this period. Drawing on a range of contemporary sources, Dr. Cox charts the maternal experiences of women, examining fertility, pregnancy, miscarriage, childbirth, maternal mortality, unwanted pregnancies, infant loss, breastfeeding, and postnatal bodies and minds.
From the royal family to inhabitants of the workhouse, this absorbing history reveals what motherhood was truly like for the women of nineteenth-century Britain.
This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Measurements, and their manipulation, have been underestimated as crucial historical forces motivating and guiding the way we think about disability.
Using measurement technology as a lens, and examining in particular the measurement of hearing and breathing, Coreen McGuire's book Measuring Difference, Numbering Normal: Setting the Standards for Disability in the Interwar Period (Manchester UP, 2020) draws together several existing discussions on disability, phenomenology, healthcare, medical practice, big data, embodiment, and emerging medical and scientific technologies around the turn of the twentieth century. These are popular topics of scholarly attention but have not, until now, been considered as interconnected topics within a single book. As such, this work connects several important, and usually separate academic subject areas and historical specialisms. The standards embedded in instrumentation created strict, but, ultimately arbitrary thresholds of what is categorised as normal and abnormal. Considering these standards from a long historical perspective reveals how these dividing lines shifted when pushed.
This book is available open access here.
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Most of us appreciate the importance of the immune system yet have very little knowledge about how it actually works. If you fall into this camp and are curious to learn more about this intricate system, Bobby Cherayil's book is an excellent resource.
The Logic of Immunity: Deciphering an Enigma was published in January 2024 by John Hopkins University Press. It gives a great overview of this complex system, including several findings from the recent years. It also points out the many areas of ongoing research and open questions.
The book introduces the actors of the system and the many interactions between them:
The opening chapter explains (and visualizes!) where these cells are located. It explains how they contribute to the immune response, and how we broadly categorize them into innate and adaptive immunity.
Chapters 2 and 3 discuss the innate immune system. We get to know the general concepts, like molecular patterns and receptors recognizing them. They describe in detail some well-studied mechanisms, like the LPS-TLR4 interaction. And we also learn the story of their research spanning multiple years and multiple discoveries building upon each other.
Chapters 4-6 delve into the mechanisms of adaptive immunity and their main cell types: B- and T-lymphocytes. Have you ever wondered how the immune system is able to "remember" earlier infections? You'll find here both an overview of "immune memory" and a detailed description how B and T cell proliferate and specialize.
Chapter 7 shows how these immune reactions are sometimes provoked by harmless substances - that's what we call allergy. Or even by human cells - that's what we call autoimmune diseases.
The next chapters put the immune system into a bigger context. They discuss the variability of immunity across different individuals and the many reasons behind it. Genes, environment, past infections, life style. A particularly fascinating part of "the human ecosystem" is the microbiota. Its importance has been recognized only in the last two decades. Chapter 8 introduces really well this emerging field of study.
Chapter 11 is dedicated to an immunology topic that affects all of us: vaccines. Building upon the knowledge from previous chapters, it explains how vaccines work.
Throughout the book, we learn a lot both about the exciting developments and the open questions in the field of immunology. Chapter 12 gives a summary of some trends of the last decades and an outlook for the next big puzzles to tackle.
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Our stress response system is magnificent - it operates beneath our awareness, like an orchestra of organs playing a hidden symphony. When we are healthy, the orchestra plays effortlessly, but what happens when our bodies face chronic stress, and the music slips out of tune?
The alarming rise of stress-related conditions, such as heart disease, diabetes, and depression, show the price we're paying for our high-pressure living, while global warming, pandemics and technology have brought new kinds of stress into all our lives. But what can we do about it?
Explore the fascinating mysteries of our hidden stress response system with Dr. Wulsin, who uses his decades of experience to show how toxic stress impacts our bodies. In Toxic Stress: How Stress Is Making Us Ill and What We Can Do About It (Cambridge UP, 2024), Wulsin gives us the expert advice and tools needed to prevent toxic stress from taking over. Chapter by chapter, learn to help your body and mind recover from toxic stress.
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Advancing Medical Posthumanism Through Twenty-First Century American Poetry (Palgrave MacMillan, 2024) places contemporary poetics in dialogue with posthumanism and biomedicine in order to create a framework for advancing a posthuman-affirmative ethics within the culture of medical practice. This book makes a case for a posthumanist understanding of the body—one that sees health and illness not as properties possessed by individual bodies, but as processes that connect bodies to their social and natural environment, shaping their capacity to act, think, and feel. Tana Jean Welch demonstrates how contemporary American poetry is specifically poised to develop a pathway toward a posthuman intervention in biomedicine, the field of medical humanities, medical discourse, and the value systems that guide U.S. healthcare in general.
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In The Virus Touch: Theorizing Epidemic Media (Duke UP. 2023), Bishnupriya Ghosh argues that media are central to understanding emergent relations between viruses, humans, and nonhuman life. Writing in the shadow of the HIV/AIDS and COVID-19 global pandemics, Ghosh theorizes "epidemic media" to show how epidemics are mediated in images, numbers, and movements through the processes of reading test results and tracking infection and mortality rates. Scientific, artistic, and activist epidemic media that make multispecies relations sensible and manageable eschew anthropocentric survival strategies and instead recast global public health crises as biological, social, and ecological catastrophes, pushing us toward a multispecies politics of health. Ghosh trains her analytic gaze on these mediations as expressed in the collection and analysis of blood samples as a form of viral media; the geospatialization of data that track viral hosts like wild primates; and the use of multisensory images to trace fluctuations in viral mutations. Studying how epidemic media inscribe, store, and transmit multispecies relations attunes us to the anthropogenic drivers of pathogenicity like deforestation or illegal wildlife trading and the vulnerabilities accruing from diseases that arise from socioeconomic inequities and biopolitical neglect.
Professor Bishnupriya Ghosh teaches at the Department of English and Global Studies at UC Santa Barbara. She studies global media cultures, environmental media and critical health studies. Her early research includes two monographs When Borne Across: Literary Cosmopolitics in the Contemporary Indian Novel and Global Icons: Apertures to the Popular, while the co-edited volume exemplifies her current research, The Routledge Companion to Media and Risk.
Priyam Sinha is a doctoral candidate in the South Asian Studies Programme at the National University of Singapore. She has interdisciplinary academic interests that lie at the intersection of film studies, disability studies, production cultures, affect studies, anthropology of the body, creative media industries and cultural studies. She can be reached here.
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Raj Patel, the renowned political economist and New York Times bestselling author of The Value of Nothing, teams up with the physician Rupa Marya to offer a radical new cure: the deep medicine of decolonization. Decolonizing heals what has been divided, reestablishing our relationships with the Earth and one another. Combining the latest scientific research and scholarship on globalization with the stories of Marya's work with patients in marginalized communities, activist passion, and the wisdom of Indigenous groups, Inflamed: Deep Medicine and the Anatomy of Injustice (FSG, 2021) points the way toward a deep medicine that has the potential to heal not only our bodies, but the world. “This book advances a new level of diagnosis that incorporates history and lines of power into our understanding of the root causes of health disparities and the rise of inflammatory disease in industrialized places, offering compelling treatment options for what is ailing people and the planet”.
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A dazzling, evidence-based account of one man’s quest to heal from complex PTSD by turning to endangered coral reefs and psychedelic plants after traditional therapies failed—and his awakening to the need for us to heal the planet as well. Professor Greg Wrenn likes to tell his nature-writing students, “The ecological is personal, and the personal is ecological.” What he’s never told them is how he’s lived out those correspondences to heal from childhood abuse at the hands of his mother.
Mothership: A Memoir of Wonder and Crisis (Regalo Press, 2024) is a deeply researched account of Greg turning to coral reefs and a psychedelic rainforest tea called ayahuasca to heal from complex PTSD—a disorder of trust, which makes the very act of bonding with someone else panic-inducing. From the tide pools in Florida where he grew up, to Indonesia’s Raja Ampat archipelago and the Amazon rainforest, Greg takes his readers on a journey across the globe. In his search for healing from personal and ecological trauma, he dives into both the ocean and the psyche—and finds they have a lot in common. Mothership is one man’s audacious search for healing when talk therapy and pharmaceuticals did little to help. Written with prophetic urgency, Mothership ultimately asks if doses of nature will be enough to save us before it’s too late—and what well-being means in a fracturing society on a dying planet.
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Sociologist Neil M. Gong explains why mental health treatment in Los Angeles rarely succeeds, for the rich, the poor, and everyone in between.
In 2022, Los Angeles became the US county with the largest population of unhoused people, drawing a stark contrast with the wealth on display in its opulent neighborhoods. In Sons, Daughters, and Sidewalk Psychotics: Mental Illness and Homelessness in Los Angeles (U Chicago Press, 2024), sociologist Neil M. Gong traces the divide between the haves and have-nots in the psychiatric treatment systems that shape the life trajectories of people living with serious mental illness. In the decades since the United States closed its mental hospitals in favor of non-institutional treatment, two drastically different forms of community psychiatric services have developed: public safety-net clinics focused on keeping patients housed and out of jail, and elite private care trying to push clients toward respectable futures.
In Downtown Los Angeles, many people in psychiatric crisis only receive help after experiencing homelessness or arrests. Public providers engage in guerrilla social work to secure them housing and safety, but these programs are rarely able to deliver true rehabilitation for psychological distress and addiction. Patients are free to refuse treatment or use illegal drugs—so long as they do so away from public view.
Across town in West LA or Malibu, wealthy people diagnosed with serious mental illness attend luxurious treatment centers. Programs may offer yoga and organic meals alongside personalized therapeutic treatments, but patients can feel trapped, as their families pay exorbitantly to surveil and “fix” them. Meanwhile, middle-class families—stymied by private insurers, unable to afford elite providers, and yet not poor enough to qualify for social services—struggle to find care at all.
Gong’s findings raise uncomfortable questions about urban policy, family dynamics, and what it means to respect individual freedom. His comparative approach reminds us that every “sidewalk psychotic” is also a beloved relative and that the kinds of policies we support likely depend on whether we see those with mental illness as a public social problem or as somebody’s kin. At a time when many voters merely want streets cleared of “problem people,” Gong’s book helps us imagine a fundamentally different psychiatric system—one that will meet the needs of patients, families, and society at large.
Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. He is the author of The Social Construction of a Cultural Spectacle: Floatzilla (Lexington Books, 2023) and Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington Books, 2022). His general area of study is in the areas of social construction of experience, identity, and place. He is currently conducting research for his next project that looks at nightlife and the emotional labor that is performed by employees of bars and nightclubs. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at [email protected].
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Can you really die from laughing too hard? Between 1870 and 1920, hundreds of women suffered such a fate—or so a slew of sensationalist obituaries would have us believe. How could laughter be fatal, and what do these reports of women’s risible deaths tell us about the politics of female joy?
In Death by Laughter: Female Hysteria and Early Cinema (Columbia University Press, 2024), Dr. Maggie Hennefeld reveals the forgotten histories of “hysterical laughter,” exploring how women’s amusement has been theorised and demonised, suppressed and exploited. In nineteenth-century medicine and culture, hysteria was an ailment that afflicted unruly women on the cusp of emotional or nervous breakdown. Cinema, Hennefeld argues, made it possible for women to laugh outrageously as never before, with irreversible social and political consequences. As female enjoyment became a surefire promise of profitability, alarmist tales of women laughing themselves to death epitomised the tension between subversive pleasure and its violent repression.
Dr. Hennefeld traces the social politics of women’s laughter from the heyday of nineteenth-century sentimentalism to the collective euphoria of early film spectatorship, traversing contagious dancing outbreaks, hysteria photography, madwomen’s cackling, cinematic close-ups, and screenings of slapstick movies in mental asylums. Placing little-known silent films and an archive of remarkable, often unusual texts in conversation with affect theory, comedy studies, and feminist film theory, this book makes a timely case for the power of hysterical laughter to change the world.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Brynn Quick speaks with Erin Mulpur about how hospitals can better support patients from linguistic minority backgrounds. The conversation addresses the barriers to both communication and healthcare faced by linguistic minority patients. Drawing on Erin’s 2021 paper “Reducing Barriers to Language Assistance During a Pandemic," the focus is on Houston Methodist Hospital’s innovative use of language assistance technologies during the first waves of Covid-19.
For additional resources, show notes, and transcripts, go here.
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In 1995, a scandal erupted when the New York Times revealed that the Smithsonian possessed a century's worth of nude "posture" photos of college students. In this riveting history, Beth Linker tells why these photos were only a small part of the incredible story of twentieth-century America's largely forgotten posture panic--a decades-long episode in which it was widely accepted as scientific fact that Americans were suffering from an epidemic of bad posture, with potentially catastrophic health consequences. Tracing the rise and fall of this socially manufactured epidemic, Slouch: Posture Panic in Modern America (Princeton UP, 2024) also tells how this period continues to feed today's widespread anxieties about posture.
In the early twentieth century, the eugenics movement and fears of disability gave slouching a new scientific relevance. Bad posture came to be seen as an individual health threat, an affront to conventional race hierarchies, and a sign of American decline. What followed were massive efforts to measure, track, and prevent slouching and, later, back pain--campaigns that reached schools, workplaces, and beyond, from the creation of the American Posture League to posture pageants. The popularity of posture-enhancing products, such as girdles and lumbar supports, exploded, as did new fitness programs focused on postural muscles, such as Pilates and modern yoga. By 1970, student protests largely brought an end to school posture exams and photos, but many efforts to fight bad posture continued, despite a lack of scientific evidence.
A compelling history that mixes seriousness and humor, Slouch is a unique and provocative account of the unexpected origins of our largely unquestioned ideas about bad posture.
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In the middle of the second century AD, Rome was at its prosperous and powerful apex. The emperor Marcus Aurelius reigned over a vast territory that stretched from Britain to Egypt. The Roman-made peace, or Pax Romana, seemed to be permanent. Then, apparently out of nowhere, a sudden sickness struck the legions and laid waste to cities, including Rome itself. This fast-spreading disease, now known as the Antonine plague, may have been history’s first pandemic. Soon after its arrival, the Empire began its downward trajectory toward decline and fall. In Pox Romana: The Plague That Shook the Roman World (Princeton University Press, 2024), historian Dr. Colin Elliott offers a comprehensive, wide-ranging account of this pivotal moment in Roman history.
Did a single disease—its origins and diagnosis still a mystery—bring Rome to its knees? Carefully examining all the available evidence, Dr. Elliott shows that Rome’s problems were more insidious. Years before the pandemic, the thin veneer of Roman peace and prosperity had begun to crack: the economy was sluggish, the military found itself bogged down in the Balkans and the Middle East, food insecurity led to riots and mass migration, and persecution of Christians intensified. The pandemic exposed the crumbling foundations of a doomed Empire. Arguing that the disease was both cause and effect of Rome’s fall, Dr. Elliott describes the plague’s “preexisting conditions” (Rome’s multiple economic, social, and environmental susceptibilities); recounts the history of the outbreak itself through the experiences of physician, victim, and political operator; and explores postpandemic crises. The pandemic’s most transformative power, Dr. Elliott suggests, may have been its lingering presence as a threat both real and perceived.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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In a world of often confusing and terrifying global problems, how should we make choices in our everyday lives? Does anything on the individual level really make a difference? In Catastrophe Ethics: How to Choose Well in a World of Tough Choices (Dutton, 2024), Travis Rieder tackles the moral philosophy puzzles that bedevil us. He explores vital ethical concepts from history and today and offers new ways to think about the “right” thing to do when the challenges we face are larger and more complex than ever before.
Alongside a lively tour of traditional moral reasoning from thinkers like Plato, Mill, and Kant, Rieder posits new questions and exercises about the unique conundrums we now face, issues that can seem to transcend old-fashioned philosophical ideals. Should you drink water from a plastic bottle or not? Drive an electric car? When you learn about the horrors of factory farming, should you stop eating meat or other animal products? Do small commitments matter, or are we being manipulated into acting certain ways by corporations and media? These kinds of puzzles, Rieder explains, are everywhere now. And the tools most of us unthinkingly rely on to “do the right thing” are no longer enough. Principles like “do no harm” and “respect others” don’t provide guidance in cases where our individual actions don’t, by themselves, have any effect on others at all. We need new principles, with new justifications, in order to navigate this new world.
In the face of consequential and complex crises, Rieder shares exactly how we can live a morally decent life. It’s time to build our own catastrophe ethics.
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How did men cope with sexual health issues in early modern England? In Men's Sexual Health in Early Modern England (Amsterdam University Press, 2023), Dr. Jennifer Evans presents a vivid history that investigates how sexual, reproductive, and genitourinary conditions were understood between 1580 and 1740. Drawing on medical sources and personal testimonies, it reveals how men responded to bouts of ill health and their relationships with the medical practitioners tasked with curing them. In doing so, this study restores men’s health to medical histories of reproduction, demonstrating how men’s sexual self-identity was tied to their health.
Charting genitourinary conditions across the life cycle, the book illustrates how fertility and potency were key to medical understandings of men’s health. Men utilised networks of care to help them with ostensibly embarrassing and shameful conditions like hernias, venereal disease, bladder stones, and testicular injuries. The book thus offers a historical voice to modern calls for men to be alert to, and open about, their own bodily health.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Kristine M. McCusker's book Just Enough to Put Him Away Decent: Death Care, Life Extension, and the Making of a Healthier South, 1900-1955 (U Illinois Press, 2023) takes, as its focus, the combined history of death and health in the American South between 1900 and 1955. The text is ambitious in scope, and weaves together multiple oral histories to create a nuanced and engaging narrative. McCusker charts the ways in which low life expectancy in the South was regarded as problematic by commercial life insurance firms, concerned that their customers were paying insufficient dues before mortality provoked funeral expenditures, and the various Churches seeking to save souls before an untimely demise robbed them of the opportunity. Both agencies were heavily invested in health care. McCusker expertly weaves further threads into this complex narrative: Southern funeral practices, the theological basis for strong belief in family re-union at death, and racial divides that created exclusions and opportunities for the Black Americans to express their own deathways, increasingly supported through commercial enterprise. Two World Wars test and refine common frameworks for organizing the dead, and McCusker underlines the importance, amongst other things, of etiquette guidance on the correct ways to grieve and to express condolence. This is a remarkably rich text that will intrigue a more general readership and prove essential to death scholars in the US and further afield.
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Mary Woodard Lasker had a singular goal: saving lives by increasing medical research. Together with her husband, advertising genius Albert, they created the Lasker Foundation, bestowing the Lasker Awards. Known as the "American Nobels," these became the most prestigious research awards in America. The Laskers' next step was transforming the sleepy and ineffectual American Society for the Control of Cancer, reinventing it as the American Cancer Society in 1944.
But the real increase in medical research funding occurred when Mary discovered a revolutionary source: the federal government. "I'm just a catalytic agent," she would insist, while she tirelessly lobbied Congress and presidents alike. She played a major role in expanding the National Institutes of Health from a single entity to the largest research facility in the world. A feminist who used her femininity wisely, Mary's ultimate victory was bringing together two political adversaries to help launch the original cancer moonshot: the 1971 National Cancer Act.
Judith Pearson's biography Crusade to Heal America: The Remarkable Life of Mary Lasker (Mayo Clinic Press, 2023) paints the portrait of a woman who was savvy, steely, and deliberate. Mary Lasker courageously positioned herself at the crossroads of politics, science, and medicine. At a time when women in research laboratories and the halls of Congress were anomalies, she smashed stereotypes in the fashion of Jeannette Rankin, Ruth Bader Ginsburg, and Shirley Chisholm. As eloquently described in this absorbing history, the country's march to conquer humanity's most feared maladies was well-fueled by its fearless and feisty crusader, Mary Lasker.
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Through a creative focus on skin, in Experiments in Skin: Race and Beauty in the Shadows of Vietnam (Duke UP, 2021), 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.
Yadong Li is a PhD student in socio-cultural anthropology at Tulane University. He is interested in the anthropology of time, hope studies, and post-structuralist philosophy. If you are interested in any of these topics, feel free to contact him by email: [email protected] / [email protected].
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An enduring paradox of urban public health is that many communities around hospitals are economically distressed and, counterintuitively, medically underserved. In The City and the Hospital two sociologists, Jonathan R. Wynn and Berkeley Franz, and a political scientist, Daniel Skinner, track the multiple causes of this problem and offer policy solutions.
Focusing on three urban hospitals—Connecticut’s Hartford Hospital, the flagship of the Hartford Healthcare system; the Cleveland Clinic, which coordinates with other providers for routine care while its main campus provides specialty care; and the University of Colorado Hospital, a rare example of an urban institution that relocated to a new community—the authors analyze the complicated relationship between a hospital and its neighborhoods. On the one hand, hospitals anchor the communities that surround them, often staying in a neighborhood for decades. Hospitals also craft strategies to engage with the surrounding community, many of those focused on buying locally and hiring staff from their surrounding area. On the other hand, hospitals will often only provide care to the neighboring community through emergency departments, reserving advanced medical care and long-term treatment for those who can pay a premium for it. In addition, the authors show, hospitals frequently buy neighborhood real estate and advocate for development programs that drive gentrification and displacement.
To understand how urban healthcare institutions work with their communities, the authors address power, history, race, and urbanity as much as the workings of the medical industry. These varied initiatives and effects mean that understanding urban hospitals requires seeing them in a new light—not only as medical centers but as complicated urban forces.
Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. He is the author of The Social Construction of a Cultural Spectacle: Floatzilla (Lexington Books, 2023) and Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington Books, 2022). His general area of study is about the construction of identity and place. He is currently conducting research for his next project that looks at nightlife and the emotional labor that is performed by bouncers at bars and nightclubs. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at [email protected].
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In The French Invention of Menopause and the Medicalisation of Women's Ageing (Oxford University Press, 2022), Alison Downham Moore discusses her contribution to the history of women's ageing. Doctors writing about menopause in France vastly outnumbered those in other cultures throughout the entire nineteenth century. The concept of menopause was invented by French male medical students in the aftermath of the French Revolution, becoming an important pedagogic topic and a common theme of doctors' professional identities in postrevolutionary biomedicine. Older women were identified as an important patient cohort for the expanding medicalisation of French society and were advised to entrust themselves to the hygienic care of doctors in managing the whole era of life from around and after the final cessation of menses. However, menopause owed much of its conceptual weft to earlier themes of women as the sicker sex, of vitalist crisis, of the vapours, and of astrological climacteric years.
This is the first comprehensive study of the origins of the medical concept of menopause, richly contextualising its role in nineteenth-century French medicine and revealing the complex threads of meaning that informed its invention. It tells a complex story of how women's ageing featured in the demographic revolution in modern science, in the denigration of folk medicine, in the unique French field of hygiène, and in the fixation on women in the emergence of modern psychiatry. It reveals the nineteenth-century French origins of the still-current medical and alternative-health approaches to women's ageing as something to be managed through gynaecological surgery, hormonal replacement, and lifestyle intervention.
Jana Byars is an independent scholar located in Amsterdam.
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Trauma surgeon and professor Dr. Brian H. Williams has seen it all: gunshot wounds, stabbings, and traumatic brain injuries. In The Bodies Keep Coming: Dispatches from a Black Trauma Surgeon on Racism, Violence, and How We Heal (Broadleaf Books, 2023), Williams ushers us into the trauma bay, where the wounds of a national emergency amass.
As a Harvard-trained physician, Williams learned to keep his head down and his scalpel ready. As a Black man, he learned to swallow the rage when patients told him to take out the trash. Just days after the tragic police shootings of two Black men, Williams tried to save the lives of police officers shot in Dallas in the deadliest incident for US law enforcement since 9/11. Thrust into the spotlight in a nation that loves feel-good stories about heroism more than hard truths about racism, Williams came to rethink everything he thought he knew about medicine, injustice, and what true healing looks like.
Now, in raw and intimate detail, Williams narrates not only the events of that night in 2016, but the grief and anger of a Black doctor on the front lines of trauma care. Working in the physician-writer tradition of Atul Gawande and Damon Tweedy, Williams diagnoses the roots of the violence that plagues us. He draws a through line between white supremacy, gun violence, and the bodies he tries to revive, and he trains his surgeon's gaze on the structural ills that manifest themselves in the bodies of his patients. What if racism is a feature of our healthcare system, not a bug? What if profiting from racial inequality is exactly what it was designed to do?
Black and brown bodies will continue to be wracked by all types of violence, Williams argues, until something changes. Until we transform policy and law with compassion and care, the bodies will keep coming.
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Dr Pierce Salguero is interviewed by James Bae on the Buddhist Medicine & Yoga Podcast. In this extensive and in-depth conversation, we talk about differentiating religion from medicine, what Buddhist medicine can teach contemporary clinicians, current trends in the field of Buddhist studies, and hybridity versus tradition. We also explore Buddhist medicine in America, different kinds of Buddhist healers in the US, and how Buddhist medicine circulates in the contemporary era. Along the way, we dig into the promise of “metadisciplinary” collaborations, and what it means to engage in “pedagogy of the soul.” This episode combines two interviews, abridged and edited together.
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Resources mentioned in the episode:
Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. www.piercesalguero.com.
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A provocative chronicle of how US public health has strayed from its liberal roots.
The Covid-19 response was a crucible of politics and public health—a volatile combination that produced predictably bad results. As scientific expertise became entangled with political motivations, the public-health establishment found itself mired in political encampment.
It was, as Sandro Galea argues, a crisis of liberalism: a retreat from the principles of free speech, open debate, and the pursuit of knowledge through reasoned inquiry that should inform the work of public health.
Across fifty essays, Within Reason: A Liberal Public Health for an Illiberal Time (U Chicago Press, 2023) chronicles how public health became enmeshed in the insidious social trends that accelerated under Covid-19. Galea challenges this intellectual drift towards intolerance and absolutism while showing how similar regressions from reason undermined social progress during earlier eras. Within Reason builds an incisive case for a return to critical, open inquiry as a guiding principle for the future public health we want—and a future we must work to protect.
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Medicine carries the burden of its own troubling history. Over centuries, women’s bodies have been demonised and demeaned until we feared them, felt ashamed of them, were humiliated by them. But as doctors, researchers, campaigners and most of all as patients, women have continuously challenged medical orthodoxy. Medicine’s history has always been, and is still being, rewritten by women’s resistance, strength and incredible courage.
In this ground-breaking history Dr. Elinor Cleghorn unpacks the roots of the perpetual misunderstanding, mystification and misdiagnosis of women’s bodies, illness and pain. From the ‘wandering womb’ of ancient Greece to today’s shifting understanding of hormones, menstruation and menopause, Unwell Women: A Journey Through Medicine and Myth in a Man-Made World (Dutton, 2021) is the revolutionary story of women who have suffered, challenged and rewritten medical misogyny. Drawing on Elinor’s own experience as an unwell woman, this is a powerful and timely exposé of the medical world and woman’s place within it.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Cosmetic surgery was once associated with a one-size-fits-all approach, modifying patients to conform to a single standard of beauty. As this surgery has become more accessible worldwide, changing beauty trends have led to a proliferation of beauty standards for members of different racial groups.
In Refashioning Race: How Global Cosmetic Surgery Crafts New Beauty Standards (University of California Press, 2023) Dr. Alka V. Menon enters the world of cosmetic surgeons, journeying from a sprawling convention centre in Kyoto to boutique clinics in the multicultural countries of the United States and Malaysia. She shows how surgeons generate and apply knowledge using racial categories and how this process is affected by transnational clinical and economic exchanges. Surgeons not only measure and organise but also elaborate upon racial differences in a globalised field of medicine. Focusing on the role of cosmetic surgeons as gatekeepers and producers of desired appearances, Refashioning Race argues that cosmetic surgeons literally reshape race—both on patients' bodies and at the broader level of culture.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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First published in Venice in 1502, Camillo Leonardi’s Speculum Lapidum is an encyclopedic summary of all classical and medieval sources of lithotherapy. Today Jana Byars talks to Liliana Leopardi about her new translation, Speculum Lapidum: A Renaissance Treatise on the Healing Properties of Gemstones (Penn State University Press, 2023). In early modern Europe precious and semiprecious stones were valued not only for their beauty and rarity but also for their medical and magical properties. Lorenzo de’ Medici, Philip II of Spain, and Popes Leo X and Clement VII were all treated with expensive potions incorporating ground gems such as rubies, diamonds, and emeralds. Medical and magical/astrological lapidaries, texts describing the stones’ occult and medical qualities as well as their abilities to ward off demons and incantations, were essential resources for their use.
In describing the natural, manifest, and occult properties of precious and semiprecious stones as well as their graven images and applications, the Speculum Lapidum provides tremendous insight into the role that medical astrology and astral magic played in the life of an Italian court in the early modern period. Liliana Leopardi’s English translation, complete with critical apparatuses, gives unprecedented access to this key text within the magical lapidary genre.
A vital addition to the existing canon of lapidaria in translation, Leopardi’s work will be of special importance for students and scholars of the history of magic, medicine, religion, and Renaissance humanism, and it will fascinate anyone interested in the occult properties of precious and semiprecious stones.
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As a trans history of Argentina, a country that banned medically assisted gender affirmation practices and punished trans lives, A Body of One’s Own: A Trans History of Argentina (University of Texas Press, 2024) places the histories of trans bodies at the core of modern Argentinian history. Dr. Patricio Simonetto documents the lives of people who crossed the boundaries of gender from the early twentieth century to the present. Based on extensive archival research in public and community-based archives, this book explores the mainstream medical and media portrayals of trans or travesti people, the state policing of gender embodiment, the experiences of those transgressing the boundaries of gender, and the development of homemade technologies from prosthetics to the self-injection of silicone.
A Body of One's Own explores how trans activists' challenges to the exclusionary effects of Argentina’s legal, cultural, social, and political cisgender order led to the passage of the Gender Identity Law in 2012. Analyzing the decisive yet overlooked impact of gender transformation in the formation of the nation-state, gender-belonging, and citizenship, this book ultimately shows that supposedly abstract struggles to define the shifting notions of "sex," citizenship, and nationhood are embodied material experiences.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Sunita Puri is a writer, a palliative medicine physician, and an associate professor at the UMass Chan Medical School. In her memoir, That Good Night: Life and Medicine in the Eleventh Hour (Penguin, 2020), she explores her journey of helping patients and families redefine what it means to live and die well in the face of serious illness. In her article in Tricycle’s Winter 2023 issue, “A Gift,” she explores how she has learned to navigate love and loss through the lens of impermanence.
In this episode of Life As It Is, Tricycle’s editor-in-chief, James Shaheen, and co-host Sharon Salzberg sit down with Puri to discuss the importance of unlearning our assumptions around death, how language can shape people’s experience of illness, her journey of learning to regard death with reverence instead of fear, and how working with dying patients influences how she lives her daily life.
Life As It Is is a monthly podcast featuring prominent voices from within and beyond the Buddhist fold. Listen to more episodes here.
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The first wealth is health, according to Emerson. Among health’s riches is its political potential. Few know this better than environmentalists. In her debut book, The Wild and the Toxic: American Environmentalism and the Politics of Health (UNC Press, 2019), historian Jennifer Thomson revisits canonical figures and events from the environmental movement in the United States and finds everywhere talk of health. At its best, viewing the environment through the lens of health encouraged decentralized organizing and a sense of collective responsibility. At its worst it supported technocracy and uninspired paeans to green consumerism. With shrewd analysis, Thomson gives the movement its own check-up as she reassess the careers and political imaginations of many of the its luminaries, including David Brower, Wendell Berry, Dave Foreman, and Bill McKibben. Dispensing with the habit of thinking of environmentalism as responding only and ever to itself, Thomson sets its history within the larger context of American political development. So the book is full of unexpected historical crossovers, such as Love Canal residents responding to the Mariel boatlife or the OPEC embargo-era U.S. oil industry championing the Gaia hypothesis. Few books on environmentalism’s past are a better guide for envisioning its future.
Jennifer Thomson is Assistant Professor of History at Bucknell History. She also hosts the radio program Bucknell: Occupied, which airs Thursday at 6:00 pm on WVBU.
Brian Hamilton is a Ph.D. candidate at the University of Wisconsin–Madison where he is researching African American environmental history. A Maine native, he lives in Western Massachusetts and chairs the History and Social Science Department at Deerfield Academy.
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On this episode of the Economic and Business History channel I spoke with Dr. Chinmay Tumbe, Assistant Professor of Economics at the Indian Institute of Management. He was Alfred D Chandler Jr. International Visiting Scholar in Business History, Harvard Business School in 2018. Dr, Tumbe has published academic articles in Management and Organizational History and in the Journal of Management History. He has written two books, one in 2018 India Moving: A History of Migration, which talks about how people have moved in India historically, and his 2020 book the Age of Pandemics 1817-1920: How They Shaped India and the World (HarperCollins, 2020). The book argues that the period between the early nineteenth century to the early twentieth century - an age otherwise known for the worldwide spread of the industrial revolution, imperialism, and globalization - was also the 'age of pandemics'. It documents the scale of devastation caused by different pandemics, cholera, the plague, influenza, and finally Covid. The book has great resources for the classroom and for the general public such as a timeline of pandemics, striking tables such as the death toll in millions for each epidemic, and a set of photographs at the end that is definitely worth viewing.
Paula De La Cruz-Fernández is a consultant, historian, and digital editor. New Books Network en español editor. Edita CEO.
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In Colonial Fantasies, Imperial Realities: Race Science and the Making of Polishness on the Fringes of the German Empire, 1840-1920 (Ohio University Press, 2019), Lenny Ureña Valerio offers a transnational approach to Polish-German relations and nineteenth-century colonial subjectivities. She investigates key cultural dynamics in the history of medicine, colonialism, and migration that bring Germany and Prussian Poland closer to the colonial and postcolonial worlds in Africa and Latin America. She also analyzes how Poles in the German Empire positioned themselves in relation to Germans and native populations in overseas colonies. She thus recasts Polish perspectives and experiences, allowing new insights into identity formation and nationalist movements within the German Empire.
Crucially, Ureña Valerio also studies the medical projects and scientific ideas that traveled from colonies to the German metropole, and vice versa, which were influential not only in the racialization of Slavic populations, but also in bringing scientific conceptions of race to the everydayness of the German Empire. As a whole, Colonial Fantasies, Imperial Realities illuminates nested imperial and colonial relations using sources that range from medical texts and state documents to travel literature and fiction. By studying these scientific and political debates, Ureña Valerio uncovers novel ways to connect medicine, migration, and colonialism and provides an invigorating model for the analysis of Polish history from a global perspective.
Lenny A. Ureña Valerio received her BA in history at the University of Puerto Rico and her PhD in Central/East European history from the University of Michigan in Ann Arbor. Her dissertation, “The Stakes of Empire: Colonial Fantasies, Civilizing Agendas, and Biopolitics in the Prussian-Polish Provinces, 1840-1914,” was awarded the Distinguished Dissertation Award in Polish Studies by the Polish Institute of Arts and Sciences of America (PIASA) in 2010.
Colonial Fantasies, Imperial Realities is the winner of the 2020 Kulczycki Book Prize in Polish Studies and honorable mention for the 2020 Heldt Prize for the best book by a woman in Slavic/East European/Eurasian Studies, awarded by the Association for Women in Slavic Studies.
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Today we have John Christopoulos, Assistant Professor of History at the University of British Columbia, to talk about his new book, Abortion in Early Modern Italy (Harvard University Press, 2021)
In this authoritative history, John Christopoulos provides a provocative and far-reaching account of abortion in sixteenth- and seventeenth-century Italy. His poignant portraits of women who terminated or were forced to terminate pregnancies offer a corrective to longstanding views: he finds that Italians maintained a fundamental ambivalence about abortion. Italians from all levels of society sought, had, and participated in abortions. Early modern Italy was not an absolute anti-abortion culture, an exemplary Catholic society centered on the “traditional family.” Rather, Christopoulos shows, Italians held many views on abortion, and their responses to its practice varied.
Bringing together medical, religious, and legal perspectives alongside a social and cultural history of sexuality, reproduction, and the family, Christopoulos offers a nuanced and convincing account of the meanings Italians ascribed to abortion and shows how prevailing ideas about the practice were spread, modified, and challenged. Christopoulos begins by introducing readers to prevailing ideas about abortion and women’s bodies, describing the widely available purgative medicines and surgeries that various healers and women themselves employed to terminate pregnancies. He then explores how these ideas and practices ran up against and shaped theology, medicine, and law. Catholic understanding of abortion was changing amid religious, legal, and scientific debates concerning the nature of human life, women’s bodies, and sexual politics. Christopoulos examines how ecclesiastical, secular, and medical authorities sought to regulate abortion, and how tribunals investigated and punished its procurers—or did not, even when they could have. Abortion in Early Modern Italy offers a compelling and sensitive study of abortion in a time of dramatic religious, scientific, and social change.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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Today I talked with historian Erika Dyck about Aldous Huxley, Humphry Osmond and their correspondence over a ten year period. Psychedelic Prophets: The Letters of Aldous Huxley and Humphry Osmond (McGill-Queen's University Press, 2018) is a collection of letters which were carefully curated by Erika and Cynthia Carson Bisbee, Paul Bisbee, and Patrick Farrell. During our discussion, Erika recounts the special relationship between two intellectual juggernauts, Huxley and Osmond, and their discussions about drugs, addiction, and death and dying. This important set of letters raises fascinating questions about medicines, the "psychedelic renaissance," the nature of the mind, and perceptions of reality.
Dyck is the author of Psychedelic Psychiatry: LSD From Clinic to Campus (Johns Hopkins UP, 2010) as well as Culture's Catalyst: Historical Encounters with Peyote and the Native American Church in Canada (Manitoba, 2017).
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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Today we spoke with Dr. Helena Vissing about her new book Somatic Maternal Healing Psychodynamic and Somatic Trauma Treatment for Perinatal Mental Health (Routledge, 2023). What does the research of neuro science, immunology and biology tell us about the complex links between trauma, stress, inflammatory responses, and postpartum depression? What are the somatic counter transferences specific to the perinatal transition? What is the difference between empowered mothering and feminist mothering? What are the five tenets of empowered mothering? These are some of the questions we discuss with Dr. Vissing. All of them aimed at answering the larger clinical question, “What do you do with a new mother who walks into your office - how do we sit with new mothers and parents who are shaking to their core?”
Initially a school psychologist specializing in Developmental Psychology Play Therapy, Dr. Vissing was already interested in psychoanalytic or psychodynamic perspectives. When beginning her training in somatic approaches she was really excited to “learn a new modality to deepen my work in the maternal mental health specialization and specifically the transition to motherhood.” However, working in a “pretty big” community of somatic training practitioners Vissing was “a bit surprised and also a bit disappointed” to discover that there was not really a subgroup specifically dedicated to maternal mental health adaptations and that a “particular focus on the mother's perspective was missing.” Struck by this this lack Vissing became motivated and determined to “create a bridge between the two.”
For Vissing the bridge is a biopsychosocial approach which is both a “clinical attitude” and a “guiding principle” that addresses the frustrations she encountered when studying maternal mental health felt like “jumping from one paradigm to the other where the paradigms were not connecting…were not communicating and I was frustrated by that because we know all of this interacts … we know that the enormous intensity of the hormonal shifts of the perinatal transitions will impact emotional health and mental health.”
Dr. Vissing’s hope is that by reading this book, “as a clinician you will feel less apprehension about the tender work of trauma healing in the perinatal period.”
As hosts we both noted that Somatic Maternal Healing is a rigorously researched and clinically informed book. The majority of the citations reflect current findings, including research into pandemic stress and resonances in telehealth.
Golzar Selbe Naghshineh, is a training and supervising licensed Psychoanalyst with special expertise in reproductive and maternal mental health. She created and built the Network For The Advancement of Perinatal Support – an integrative mental health program for OBGYN offices and fertility clinics that she launched in 2014 at the renowned Downtown Women OBGYN practice in New York City. Naghshineh is also teaching faculty at the New York Graduate School of Psychoanalysis and the Center for Modern Psychoanalytic Studies in New York.
Christopher Russell, LP is a psychoanalyst in Chelsea, Manhattan. He is a member of the faculty and supervising analyst at The Center for Modern Psychoanalytic Studies and The New York Graduate School of Psychoanalysis. His primary theorists are Sándor Ferenczi and Hyman Spotnitz.
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We are living in an age of addiction, from compulsive gaming and binge eating to pornography and opioid abuse. Today I talked with historian David Courtwright about the global nature of pleasure, vice, and capitalism. His new book is called The Age of Addiction: How Bad Habits Became Big Business (Harvard University Press, 2019). During our discussion, Courtwright walks us through the emergence of the worldwide commodification of vice and shares his views on "limbic capitalism," the network of competitive businesses targeting the brain pathways responsible for feeling, motivation, and long-term memory. The book is equally interesting and disturbing. And Courtwright offers timely recommendations about how we can understand and address the Age of Addiction. Coming from one of the world's leading experts on the history of drugs and addiction, this important work raises stimulating and sobering questions about consumption and free will.
Courtwright is the author of Forces of Habit: Drugs and the Making of the Modern World (Harvard University Press, 2001) as well as Dark Paradise: A History of Opiate Addiction in America (Harvard University Press, 1982).
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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The modern popularity of acupuncture and herbal medicine belies the long history of Chinese medicine in the U.S. In Herbs and Roots: A History of Chinese Doctors in the American Medical Marketplace (Yale University Press, 2019), Tamara Venit-Shelton (Claremont McKenna College) examines the historical contexts that shaped perceptions of traditional Chinese medicine from the colonial period to the present. Venit-Shelton draws from court records, material culture, census records, oral interviews, and newspapers to uncover the multi-faceted roles that Chinese herbalists played in both Chinese and non-Chinese communities during the “long Progressive Era.”
Through self-Orientalizing presentations, these health practitioners enterprisingly navigated, accommodated, and resisted waves of rising xenophobia and medical regulation. After a period of struggle between the 1930s and 1970s when depression and war disrupted supply chains, Chinese medicine made a roaring comeback even as increasing numbers of Chinese Americans trained in Western medicine, leading to the rise of integrative medicine. Herbs and Roots deepens our understanding of histories of medicine and public health, American Orientalism, Asian immigration to the US, and the environment and ideas of nature.
Ian Shin is assistant professor of History and American Culture at the University of Michigan.
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In Unseen Flesh: Gynecology and Black Queer Worth-Making in Brazil (Duke University Press, 2023) Nessette Falu explores how Black lesbians in Brazil define and sustain their well-being and self-worth against persistent racial, sexual, class, and gender-based prejudice. Focusing on the trauma caused by interactions with gynecologists, Falu draws on in-depth ethnographic work among the Black lesbian community to reveal their profoundly negative affective experiences within Brazil’s deeply biased medical system. In the face of such entrenched, intersectional intimate violence, Falu’s informants actively pursue well-being in ways that channel their struggle for self-worth toward broader goals of social change, self care, and communal action. Demonstrating how the racist and heteronormative underpinnings of gynecology erase Black lesbian subjecthood through mental, emotional, and physical traumas, Falu explores the daily resistance and abolitionist practices of worth-making that claim and sustain Black queer identity and living. Falu rethinks the medicalization of race, sex, and gender in Brazil and elsewhere while offering a new perspective on Black queer life through well-being grounded in relationships, socioeconomic struggles, the erotic, and freedom strivings.
Nessette Falu is Assistant Professor of African and African Diaspora Studies at the University of Texas at Austin.
Reighan Gillam is an Associate Professor in the Department of Latin American, Latino, and Caribbean Studies at Dartmouth College. Her research examines the ways in which Afro-Brazilian media producers foment anti-racist visual politics through their image creation. She is the author of Visualizing Black Lives: Ownership and Control in Afro-Brazilian Media (University of Illinois Press).
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A compelling study of medical and literary imaginations, Anne Linton's Unmaking Sex: The Gender Outlaws of Nineteenth-Century France (Cambridge University Press, 2022) examines the complex relationship between modes of seeing, thinking, and writing intersex bodies and lives.
In this project, Linton brings a rich archive of medical cases from 1800 to 1902 into dialogue with canonical nineteenth-century authors (Honoré de Balzac, Théophile Gautier, and Emile Zola), as well as an impressive range of less well-known writers and popular fictions that captivated French readers during the period. Challenging the (Foucauldian) emphasis on the principle of a "true sex" that apparently preoccupied French doctors following the Napoleonic Code's regulation of sexual identification (within three days of birth), Linton looks at multiple instances in which the instability of sex, the uncertainties of bodies and their stories, came up again and again for medical and other observers. Revisiting the well-known case of Herculine Barbin, Linton situates Barbin's own account within the wider medical and literary worlds of nineteenth-century France. The book's earlier chapters lay a historical groundwork for subsequent closer readings of fictions that responded and contributed to a broader cultural fascination with sexual and gender identities, desires, and ambiguities.
While historically specific in its research and arguments, Unmaking Sex offers much to readers interested in the past and present politics of medical, legal, and cultural debates surrounding intersex people, with implications well beyond the French context.
Roxanne Panchasi is an Associate Professor of History at Simon Fraser University in Vancouver, Canada who specializes in twentieth and twenty-first century France and empire. She is the founding host of New Books in French Studies, a channel launched in 2013.
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Documenting Death: Maternal Mortality and the Ethics of Care in Tanzania (University of California Press, 2020) is a gripping ethnographic account of the deaths of pregnant women in a hospital in a low-resource setting in Tanzania. Through an exploration of everyday ethics and care practices on a local maternity ward, anthropologist Adrienne E. Strong untangles the reasons Tanzania has achieved so little sustainable success in reducing maternal mortality rates, despite global development support. Growing administrative pressures to document good care serve to preclude good care in practice while placing frontline healthcare workers in moral and ethical peril. Maternal health emergencies expose the precarity of hospital social relations and accountability systems, which, together, continue to lead to the deaths of pregnant women.
Dr. Nicole Bourbonnais is an Associate Professor of International History and Politics and Co-Director of the Gender Centre at the Graduate Institute of International and Development Studies in Geneva, Switzerland. Her research explores reproductive politics and practice from a transnational historical perspective. More info here. Twitter: @iheid_history and @GC_IHEID
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A decade-long study of young adulthood in Malawi demonstrates the impact of widespread HIV status uncertainty, laying bare the sociological implications of what is not known.
An Epidemic of Uncertainty: Navigating HIV and Young Adulthood in Malawi (U Chicago Press, 2023) advances a new framework for studying social life by emphasizing something social scientists routinely omit from their theories, models, and measures–what people know they don’t know. Taking Malawi’s ongoing AIDS epidemic as an entry point, Jenny Trinitapoli shows that despite admirable declines in new HIV infections and AIDS-related mortality, an epidemic of uncertainty persists; at any given point in time, fully half of Malawian young adults don’t know their HIV status. Reckoning with the impact of this uncertainty within the bustling trading town of Balaka, Trinitapoli argues that HIV-related uncertainty is measurable, pervasive, and impervious to biomedical solutions, with consequences that expand into multiple domains of life, including relationship stability, fertility, and health.
Throughout a groundbreaking decade-long longitudinal study, rich survey data and poignant ethnographic vignettes vividly depict how individual lives and population patterns unfold against the backdrop of an ever-evolving epidemic. Even as HIV is transformed from a progressive, fatal disease to a chronic and manageable condition, the accompanying epidemic of uncertainty remains fundamental to understanding social life in this part of the world. Insisting that known unknowns can and should be integrated into social-scientific models of human behaviour, An Epidemic of Uncertainty: Navigating HIV and Young Adulthood in Malawi treats uncertainty as an enduring aspect, a central feature, and a powerful force in everyday life.
Rituparna Patgiri has a PhD in Sociology from Jawaharlal Nehru University (JNU), New Delhi. Her research interests lie in the areas of food, media, gender and public. She is also one of the co-founders of Doing Sociology. Patgiri can be reached at @Rituparna37 on Twitter.
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Today I talked to Wayne Soon about his book Global Medicine in China: A Diasporic History (Stanford UP, 2020).
In 1938, one year into the Second Sino-Japanese War, the Chinese military found itself in dire medical straits. Soldiers were suffering from deadly illnesses, and were unable to receive blood transfusions for their wounds. The urgent need for medical assistance prompted an unprecedented flowering of scientific knowledge in China and Taiwan throughout the twentieth century. Wayne Soon draws on archives from three continents to argue that Overseas Chinese were key to this development, utilizing their global connections and diasporic links to procure much-needed money, supplies, and medical expertise. The remarkable expansion of care and education that they spurred saved more than four million lives and trained more than fifteen thousand medical personnel. Moreover, the introduction of military medicine shifted biomedicine out of elite, urban civilian institutions and laboratories and transformed it into an adaptive field-based practice for all. Universal care, practical medical education, and mobile medicine are all lasting legacies of this effort.
Wayne Soon is an Associate Professor in the Program of the History of Medicine in the Department of Surgery and the Program of History of Science, Medicine, and Technology at the University of Minnesota. Dr. Soon is a historian of medicine as well as modern China and Taiwan, with an interest in how international ideas and practices of medicine, institutional building, and diaspora have shaped Chinese East Asia’s interaction with its people and the world in the twentieth century. He has published scholarly articles in Bulletin of the History of Medicine, Twentieth Century China, American Journal of Chinese Studies, and East Asian Science, Technology and Society: An International Journal.
Li-Ping Chen is a teaching fellow in the Department of East Asian Languages and Cultures at the University of Southern California. Her research interests include literary translingualism, diaspora, and nativism in Sinophone, inter-Asian, and transpacific contexts.
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In The Cancer Within: Reproduction, Cultural Transformation, and Health Care in Romania (Rutgers UP, 2022), Cristina Pop examines cervical cancer in Romania as a point of entry into an anthropological reflection on contemporary health care, especially in the post-communist context. Cervical cancer prevention reveals the inner workings of emerging post-communist medicine, which aligns the state and the market, public and private health care providers, policy makers, and ordinary women. Fashioned by patriarchal relations, lived religion, and the historical trauma of pronatalism, Romanian women’s responses to reproductive medicine and cervical cancer prevention are complicated by neoliberal reforms to medical care. Cervical cancer prevention – and especially the HPV vaccination – provided Romanians a legitimate instance to express their conflicting views of post-communist medicine. What sets Romania apart is that pronatalism, patriarchy, lived religion, medical reforms, and moral contestation of preventive medicine bring into line systemic contingencies that expose the historical, social, and cultural trajectories of cervical cancer.
Cristina A. Pop is an assistant professor of medical anthropology and medical humanities at Creighton University. Her research interests are reproductive health and healthcare, reproductive governance, vaccination hesitancy, post-Communism, discourse analysis, and ethnographic fiction. She has published in Medical Anthropology Quarterly, Medical Anthropology, Culture, Health and Sexuality, and Journal of Religion and Health. Cristina is the author of The Cancer Within: Reproduction, Cultural Transformation and Health Care in Romania, published in 2022 with Rutgers University Press in the series “Medical Anthropology: Health, Inequality, and Social Justice.”
Yadong Li is a PhD student in anthropology at Tulane University. He conducts ethnography among ufologists in China. His research interests lie at the intersection of the anthropology of the paranormal, hope studies, and post-structuralist philosophy. More details about his scholarship and research interests can be found here.
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The second-century Greek physician Galen—the most famous doctor in antiquity after Hippocrates—is a central figure in Western medicine. A talented doctor, surgeon, writer, philosopher, teacher, pharmacologist, and inventor, Galen attended the court of Marcus Aurelius, living through outbreaks of plague (likely smallpox) that devastated the Roman Empire. He also served as physician for professional gladiators, boasting that only two fighters died during his first year (his predecessor had lost sixteen). In writings that provided the foundation of Western medicine up to the nineteenth century, Galen created a unified account of health and disease.
In How to Be Healthy: An Ancient Guide to Wellness (Princeton UP, 2024), practicing physician and classical historian Katherine Van Schaik presents a collection of Galen’s enduring insights about how we can take care of our bodies and minds, prevent disease, and reach a healthy old age.
Although we now know that many of Galen’s ideas about physiology are wrong, How to Be Healthy shows that much of his advice remains sound. In these selections from his writings, presented in fresh translations, Galen discusses the art of medicine, exercise and diet, the mind-body connection, the difficulty of applying general medical principles to individuals, and much more. Featuring an introduction, brief commentaries that connect ancient medical practices to modern ones, and the original Greek on facing pages, How to Be Healthy offers an entertaining and enlightening new perspective on the age-old pursuit of wellness, from the importance of “the exercise with a small ball” to the benefits of “avoiding distress.”
Katherine D. Van Schaik completed a PhD in ancient history at Harvard University while earning an MD with honors at Harvard Medical School. She is a practicing physician and a member of the faculty at Vanderbilt University Medical Center and in the Department of Classical and Mediterranean Studies at Vanderbilt University.
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Health in the Highlands: Indigenous Healing and Scientific Medicine in Guatemala and Ecuador (University of California Press, 2023) explores how, in the early to mid-twentieth century, the governments of Ecuador and Guatemala sought to expand Western medicine within their countries, with the goals of addressing endemic diseases and improving infant and maternal health. These efforts often clashed with indigenous medical practices, particularly in the rural highlands. Drawing on extensive, original archival research, historian David Carey Jr. shows that indigenous populations embraced a syncretic approach to health, combining traditional and new practices. At times, the governments of both nations encouraged--or at least allowed--such a synthesis, yet they also attacked indigenous lifeways, going so far as to criminalize native medical practitioners and to conduct medical experiments on indigenous people without consent. Health in the Highlands traces the experiences of curanderos, midwives, bonesetters, witches, doctors, and nurses--and the indigenous people they served. Carey interrogates the relationship between 'progressive' public health policy and indigenous well-being, offering lessons from the past that remain relevant in the present. Our best way forward, this history suggests, may be a compassionate syncretism that joins indigenous approaches to healing with science and a pursuit of environmental and social justice.
Ethan Besser Fredrick is a graduate student in Modern Latin American history seeking his PhD at the University of Minnesota. His work focuses on the Transatlantic Catholic movements in Mexico and Spain during the early 20th century.
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Railroads played an integral role in the Second World War. Trains brought food, munitions, and essential supplies. They transported troops. They were a means of escape for those fleeing persecution. At the same, they were used to transport innocent people to their deaths. Yet there was one kind of train that improved the chances of survival every time they rolled through the battle-worn towns and cities of the European theatre of war.
Hospital trains were not a new concept in the Second World War, but their use was instrumental in this most deadly conflict of the twentieth century. Regular passenger trains were converted into mobile emergency wards tending to the critically wounded. It was an elegant solution, as train cars could be refitted with tier beds, and supplies could be easily transported along with medical staff.
A Different Track: Hospital Trains of the Second World War (Heritage House, 2023) introduces readers to the world of hospital trains of the Second World War. From the nurses who ran them to the factories that manufactured them, this book looks at how these trains quietly altered the fortunes of the world. From Canada's contributions to the role of women who both healed the sick and built the trains, this is a fascinating look at one of the hidden nuggets of history.
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Forensic genetic technologies are popularly conceptualized and revered as important tools of justice. The research and development of these technologies, however, has been accomplished through the capture of various Indigenous Peoples' genetic material and a subsequent ongoing genetic servitude.
In Forensic Colonialism: Genetics and the Capture of Indigenous Peoples (McGill-Queen's UP, 2023), Mark Munsterhjelm explores how controversial studies of Indigenous Peoples have been used to develop racializing forensic technologies. Making moral and political claims about defending the public from criminals and terrorists, international networks of scientists, police, and security agencies have developed forensic genetic technologies firmly embedded in hierarchies that target and exploit many Indigenous Peoples without their consent. Collections began under the guise of the highly controversial Human Genome Diversity Project and related efforts, including the 1987 sampling of Brazilian Indigenous Peoples as they recovered from near genocide. After 9/11, War on Terror rhetoric began to be used to justify research on ancestry estimation and physical appearance (phenotyping) markers, and since 2019, international research cooperation networks' use of genetic data from thousands of Uyghurs and other Indigenous Peoples from Xinjiang and Tibet has contributed to a series of controversies.
Munsterhjelm concludes that technologies produced by forensic genetics advance the biopolitical security only of privileged populations, and that this depends on imposing race-based divisions between who lives and who dies. Meticulously researched, Forensic Colonialism adds to growing debates over racial categories, their roots in colonialism, and the political hierarchies inherent to forensic genetics.
Melek Firat Altay is a neuroscientist, biologist and musician. Her research focuses on deciphering the molecular and cellular mechanisms of neurodegenerative and neurodevelopmental disorders.
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Predictive algorithms are changing the world – that is the claim of Christopher E. Mason who has co-authored (with Igor Tulchinsky) the book The Age of Prediction: Algorithms, AI, and the Shifting Shadows of Risk (MIT Press, 2023). Listen to him in conversation with Owen Bennett Jones.
Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.
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In this episode of High Theory, Angela Hume tells us about Self Help, not the neoliberal strategy of self-actualization through consumer choices, but the radical political movement of gynecological self-help, that flourished in the late twentieth century and created a set of portable political tactics based in anarchist feminist philosophy.
In the episode, she references Alondra Nelson’s book Body and Soul: The Black Panther Party and the Fight against Medical Discrimination (Minnesota UP, 2013); Michelle Murphy’s Seizing the Means of Reproduction: Entanglements of Feminism, Health, and Technoscience (Duke UP, 2012); and several health activist organizations, including the Women’s Choice Clinic in Oakland, CA; AidAccess which provides mail order medication assisted abortion; and MYA Network, a group of clinicians seeking to expand abortion access in primary care settings.
Angela suggested we include three links that everyone should have at their fingertips, PlanC (plancpills.org) which helps people access abortion pills, AidAccess (aidaccess.org) the pill fulfillment service described above, and I Need an A (ineedana.com), a clinic locator.
In our longer conversation, she also named the Keep Our Clinics campaign, a fundraising effort to support independent abortion clinics, to which pre-sales of her book contributed. We’re sorry we didn’t get this up early enough for you to participate in the pre-sale! But now the book is out in the world, you can even read a review of it in The Guardian.
Our conversation is based Angela’s new book, Deep Care: The Radical Activists Who Provided Abortions, Defied the Law, and Fought to Keep Clinics Open(link is external) (AK Press, 2023). A work of public scholarship and a history of medicine, the book tells a story of Bay Area abortion defense—from feminist clinical practice, to underground abortion provision, to street politics and clinic defense—from the 1970s to 2000s. You can read an excerpt from the book in the Post45 contemporaries collection “Abortion Now, Abortion Forever,” which was the starting point for our conversation on High Theory.
Angela Hume is a feminist historian, critic, and poet, who teaches at UC Berkeley. Her creative and expository writing classes address environmental and health justice, working-class and multiethnic American literatures, feminist and queer storytelling, and more. Beyond Deep Care, Angela is co-editor of Ecopoetics: Essays in the Field(link is external) (U of Iowa P, 2018). Her full-length books of poetry include Middle Time(link is external) (Omnidawn, 2016) and Interventions for Women (Omnidawn, 2021).
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Emma K. Sutton's William James, MD: Philosopher, Psychologist, Physician (U Chicago Press, 2023) is the first book to map William James's preoccupation with medical ideas, concerns, and values across the breadth of his work.
William James is known as a nineteenth-century philosopher, psychologist, and psychical researcher. Less well-known is how his interest in medicine influenced his life and work, driving his ambition to change the way American society conceived of itself in body, mind, and soul. William James, MD offers an account of the development and cultural significance of James's ideas and works, and establishes, for the first time, the relevance of medical themes to his major lines of thought.
James lived at a time when old assumptions about faith and the moral and religious possibilities for human worth and redemption were increasingly displaced by a concern with the medically "normal" and the perfectibility of the body. Woven into treatises that warned against humanity's decline, these ideas were part of the eugenics movement and reflected a growing social stigma attached to illness and invalidism, a disturbing intellectual current in which James felt personally implicated. Most chronicles of James's life have portrayed a distressed young man, who then endured a psychological or spiritual crisis to emerge as a mature thinker who threw off his pallor of mental sickness for good. In contrast, Emma K. Sutton draws on his personal correspondence, unpublished notebooks, and diaries to show that James considered himself a genuine invalid to the end of his days. Sutton makes the compelling case that his philosophizing was not an abstract occupation but an impassioned response to his own life experiences and challenges. To ignore the medical James is to misread James altogether.
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Cervical cancer kills almost 350,000 women each year. What's more horrifying, is that millions have died of this disease that's nearly 100% preventable. It's no secret that healthcare is full of inequities, with a severe lack of accessible screening programs. But women's health care is also impeded by cultural, gender, and political barriers, issues that have combined to create devastating consequences.
In Enough: Because We Can Stop Cervical Cancer (Cambridge UP, 2024), Dr Linda Eckert takes her years of experience and weaves it together with the voices of the courageous women who use their own experience of cervical cancer to advocate for change. This heart-breaking, yet hopeful, book takes you through the world of cervical cancer with evidence-based information, personal stories and actionable outcomes. Society flourishes when women have access to safe and affordable healthcare. Together we can make this need a reality and eliminate the world's most preventable cancer.
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All of us would like to live longer, or to slow the debilitating effects of age. In How We Age: The Science of Longevity (Princeton UP, 2023), Coleen Murphy shows how recent research on longevity and aging may be bringing us closer to this goal. Murphy, a leading scholar of aging, explains that the study of model systems, particularly simple invertebrate animals, combined with breakthroughs in genomic methods, have allowed scientists to probe the molecular mechanisms of longevity and aging. Understanding the fundamental biological rules that govern aging in model systems provides clues about how we might slow human aging, which could lead in turn to new therapeutics and treatments for age-related disease.
Among other vivid examples, Murphy describes research that shows how changing a single gene in the nematode worm C. elegans doubles its lifespan, extending not only the end of life but also the youthful, healthy part of life. Drawing on work in her own lab as well as other recent research, Murphy chronicles the history and current state of the field, explaining longevity's links to reproduction and mating, sensory and cognitive function, inheritances from our ancestors, and the gut microbiome. Written with clarity and wit, How We Age provides a guide to the science: what we know about aging, how we know what we know, and what we can do with this new knowledge.
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Today we are joined by Stephanie Convery, inequality editor at Guardian Australia, and author of After the Count: The Death of Davey Browne (Penguin Australia, 2020). In our conversation, we discussed the history of boxing in Australia, the failures that explain Davey Browne’s death in Sydney in 2015, the nature of violence in sport, and the future of boxing.
In After the Count, Convery blends the genres of history, reportage, and memoir to explore the death of Davey Browne and shows how this one event illustrates the problems and lacunae inside of Australian men’s boxing. Convery writes from an insider’s perspective – she is a boxer – and her work does not condemn the sport for its brutality but rather asks questions about how to make boxing safer and how to make sure the sport of boxing remains meaningful for its participants. She concludes that some of the same toxic forces that gave boxing its allure now make it hard to regulate and threaten the lives of the people who participate in it.
The book moves both chronologically and thematically as Convery shifts between a mix of traditional reporting, historical research, and experiential accounts of her own life in the ring. The beginning of the book is devoted to Davey Browne’s death and a significant portion of the end of the book contains Convery’s conclusions about the coronial case and in these places the book reads most like a traditional sports report.
Some of the most interesting chapters feature her own boxing experiences and these are interspersed in the more chronological reporting. It is a minor spoiler that Convery suffers a concussion while reporting on the book and when she as she recovers, she dives into research on concussion and CTE. The ubiquity of head injury in boxing (and sports in general) shapes her discussion of the nature of violence. Boxing requires people to fight – to throw punches – and to improve as boxers those punches need to be real and be dangerous. At the same time, fighters need to consent to fight, need to understand the rules, and should have more information about head injury, how to avoid it, and what to do if they suffer from it.
The book defies easy explanations – it’s considerate, even meditative; it swings from a report on Davey’s death in a Sydney club, to discussions of boxings seedy history in gambling dens, and to medical studies on the way to diagnose chronic traumatic encephalopathy. Convery takes readers around the country - to the places in Davey Browne’s life, to gyms in Sydney and Melbourne where Convery practices, and finally to the coronial court where the people involved in the tragedy of Davey’s death face questioning from the government of New South Wales.
It is a must read for people interested in boxing, Australian sport, and for people interested in the philosophical question of violence in sport.
Keith Rathbone is a Senior Lecturer at Macquarie University in Sydney, Australia. He researches twentieth-century French social and cultural history.
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What is intersex and why does it matter? What is the power of law to disrupt dominant narratives? I had a fascinating conversation with authors Dr Fae Garland and Dr Mitchell Travis about their book, Intersex Embodiment: Legal Frameworks Beyond Identity and Disorder (Bristol UP, 2023). We got into detail about these groundbreaking human rights issues. We spoke about the very real challenges faced in conducting legal research that has meaningful impact for social change. In research spanning many years, Garland and Travis worked directly with intersex people and their parents to produce this nuanced, sensitive and extensively researched book. Their's is a monograph that challenges dominant medical narratives, particularly with regard to the way that gender binaries are demarcated and identities are constructed. The book has power both beyond its subject matter and beyond the academy: it will bring pause for reflection as to the role of researchers and the work that lawyers can do in the pursuit of the acceptance and emergence of difference, and especially with regard to the enforcement of human rights.
Dr Fae Garland is a Senior Lecturer in Law at The University of Manchester
Dr Mitchell Travis is a Senior Lecturer in Law and Social Justice at The University of Leeds.
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Why is cows' milk, which few nonwhite people can digest, promoted as a science-backed dietary necessity in countries where the majority of the population is lactose-intolerant? Why are gigantic new dairy farms permitted to deplete the sparse water resources of desert ecosystems? Why do thousands of U.S. dairy farmers every year give up after struggling to recoup production costs against plummeting wholesale prices?
Exploring these questions and many more, Spoiled: The Myth of Milk as Superfood (Columbia UP, 2023) is an unflinching and meticulous critique of the glorification of fluid milk and its alleged universal benefits. Anne Mendelson's groundbreaking book chronicles the story of milk from the Stone Age peoples who first domesticated cows, goats, and sheep to today's troubled dairy industry. Spoiled shows that drinking fresh milk was rare until Western scientific experts who were unaware of genetic differences in the ability to digest lactose deemed it superior to traditional fermented dairy products. Their flawed beliefs fueled the growth of a massive and environmentally devastating industry that turned milk into a cheap, ubiquitous commodity.
Mendelson's wide-ranging account also examines the consequences of homogenization and refrigeration technologies, the toll that modern farming takes on dairy cows, and changing perceptions of raw milk since the advent of pasteurization. Unraveling the myths and misconceptions that prop up the dairy industry, Spoiled calls for more sustainable, healthful futures in our relationship with milk and the animals that provide it.
Melek Firat Altay is a neuroscientist, biologist and musician. Her research focuses on deciphering the molecular and cellular mechanisms of neurodegenerative and neurodevelopmental disorders.
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The debate about whether mental health law should be abolished or reformed is one that is highly charged and to which there are no easy solutions. In Mental Health Law: Abolish Or Reform? (Oxford UP, 2021), Dr Kay Wilson does not shy away from these controversial debates. Examining the work that dignity can do, she makes the case for an holistic interpretation of the Convention on the Rights of Persons with Disabilities. In thinking about mental health reform, she provides a core framework which may guide support and intervention in a way that compels respect for the dignity of the person. This book makes an important contribution to the literature. Its nuanced approach and fearlessness in delving into the hard issues should be required reading for policy makers, lawyers and mental health practitioners.
Dr Kay Wilson is a postdoctoral fellow at the convenor of The Disability Law Network at Melbourne Law School, University of Melbourne. She is also a co-editor of The Future of Mental Health, Disability and Criminal Law, (Routledge, 2023).
Jane Richards is a Lecturer in Law at York Law School, UK.
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Advancing Psychotherapy for the Next Generation: Humanizing Mental Health Policy and Practice (Routledge, 2023) brings together a global community of mental health professionals to offer an impassioned defense of relationship-based depth psychotherapy. Expressing ideas that are integral to the mission of the Psychotherapy Action Network (PsiAN), the authors demonstrate a shared vision of a world where this therapy is accessible to all communities. They also articulate the difficulties created by the current mental health diagnostic system and differing conceptualizations of mental distress, the shortsightedness of evidence-based care and research, and the depreciation of depth therapy by many stakeholders.
The authors thoughtfully elucidate the crucial importance of therapies of depth, insight, and relationship in the repertoire of mental health treatment and speak to the implications of PsiAN’s mission both now and in the future.With a distinguished international group of authors and a clear focus on determining a future direction for psychotherapy, this book is essential reading for all psychotherapists.
With a distinguished international group of authors and a clear focus on determining a future direction for psychotherapy, this book is essential reading for all psychotherapists.
Linda Michaels is not only an editor of this book, but the chair and co-founder of the Psychotherapy Action Network (PsiAN), consulting editor of Psychoanalytic Inquiry, clinical associate faculty of the Chicago Center for Psychoanalysis, and fellow of the Lauder Institute Global MBA program. Linda is a psychologist with a private practice in Chicago.
Judith Tanen is an LP candidate at the Institute for Contemporary Psychotherapy.
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In an age of pandemics the relationship between the health of the city and good sanitation has never been more important. Colin McFarlane, through Waste and the City: The Crisis of Sanitation and the Right to Citylife (Verso, 2023), makes a call to action on one of modern urban life's most neglected issues: sanitation infrastructure. The Covid-19 pandemic has laid bare the devastating consequences of unequal access to sanitation in cities across the globe. At this critical moment in global public health, Colin McFarlane makes the urgent case for Sanitation for All.
The book outlines the worldwide sanitation crisis and offers a vision for a renewed, equitable investment in sanitation that democratises and socialises the modern city. Adopting Henri Lefebvre's concept of 'the right to the city', it uses the notion of 'citylife' to reframe the discourse on sanitation from a narrowly-defined policy discussion to a question of democratic right to public life and health. In doing so, the book shows that sanitation is an urbanizing force whose importance extends beyond hygiene to the very foundation of urban social life.
Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. He is the author of The Social Construction of a Cultural Spectacle: Floatzilla (Lexington Books, 2023) and Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington Books, 2022). His general area of study is about the construction of identity and place. He is currently conducting research for his next project that looks at nightlife and the emotional labor that is performed by bouncers at bars and nightclubs. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at [email protected].
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In the ancient Mediterranean world, individuals routinely looked for divine aid to cure physical afflictions. Contested Cures: Identity and Ritual Healing in Roman and Late Antique Palestine (Edinburgh University Press, 2022) by Dr. Megan Nutzman argues that the inevitability of sickness and injury made people willing to experiment with seemingly beneficial techniques, even if they originated in a foreign cultural or religious tradition. With circumstances of close cultural contacts, such as prevailed in Palestine, the setting was ripe for neighbouring Jews, Samaritans, Christians, Greeks and Romans to borrow rituals perceived to be efficacious and to alter them to fit their own religious framework. As a result, they employed related means of seeking miraculous cures. The similarities of these rituals, despite changes in the identity of the divine healers that they invoked, made them the subject of polemical discourse among elite authors trying to police collective borders. Contested Cures investigates the resulting intersection of ritual healing and communal identity.
This innovative study synthesises evidence for the full range of healing rituals that were practised in the ancient Mediterranean world. Examining both literary and archaeological evidence, Dr. Nutzman considers ritual healing as a component of identity formation and deconstructs the artificial boundary between ‘magic’ and ‘religion’ in relation to ritual cures.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Should your doctor prescribe a placebo for you, instead of conventional medicine? And if she did, would it work? Is the double-blind placebo-controlled paradigm really the gold standard for medical research?
Placebos are the most widely used treatments in the history of medicine. Thousands of studies show that they can be effective and make us happier and healthier. Yet confusion about what placebos are and how to measure their effects prevents some doctors from using them to help patients. Meanwhile, damage caused by the nocebo effect—the negative effect of expecting something bad—is not widely recognized.
In The Power of Placebos: Unlocking Their Potential to Improve Health Care (Johns Hopkins UP, 2023), Jeremy Howick provides an interdisciplinary perspective on placebos and nocebos based on more than twenty years of research and data from over 300,000 patients. This book, the culmination of that research, offers practical ways for researchers, policymakers, and practitioners to put placebo and nocebo research into practice to improve health outcomes.
In addition to providing an overview of placebos and nocebos and explaining how belief systems and context can create physiological effects in the body, Howick advocates for a number of controversial positions, including why it may be unethical to include placebos in most clinical trials in which there are already established therapies and why physicians should consider using placebos regularly in their practices. Howick also underscores the importance of the therapeutic effects of interactions between health care practitioners and patients, in the context of care. The Power of Placebos dispels the confusion surrounding placebos and paves the way for doctors to help patients by enhancing placebo effects and avoiding the pitfalls of nocebos.
Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The New Books Network’s Van Leer Jerusalem Series on Ideas. Write her at [email protected]. She's on Twitter @embracingwisdom. She blogs here.
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Ann Bracken has published three poetry collections, The Altar of Innocence, No Barking in the Hallways: Poems from the Classroom, Once You’re Inside: Poetry Exploring Incarceration, and a memoir entitled Crash: A Memoir of Overmedication and Recovery (Charing Cross Press, 2022). She serves as a contributing editor for Little Patuxent Review and co-facilitates the Wilde Readings Poetry Series in Columbia, Maryland, and she’s a frequent contributor to Mad in America’s family section. She volunteers as a correspondent for the Justice Arts Coalition, exchanging letters with incarcerated people to foster their use of the arts. Her poetry, essays, and interviews have appeared in numerous anthologies and journals, her work has been featured on Best American Poetry, and she’s been a guest on Grace Cavalieri’s The Poet and The Poem radio show. Her advocacy work promotes using the arts to foster paradigm change in the areas of emotional wellness, education, and prison abolition.
This interview focuses on Once You're Inside as well as Crash: A Memoir of Overmedication and Recovery. Crash is the story of Helen Dempsey and her daughter Ann who both fall victim to the same regimen of overmedication at the hands of the mental health system. Helen struggles with intractable depression and initially turns to self-medication with alcohol, but finds herself unable to recover despite numerous drugs, hospitalizations, and electroconvulsive therapy. Ann vows to build a different life for herself, but eventually descends into the pain of a mysterious migraine and intractable darkness lasting for many years. She was severely overmedicated with opioids and psychiatric drugs and then Methadone, DHE-45 injections, Migrant nasal spray (for headaches) and injecribele Demerol (for really bad days) once she was off opiates. To keep her out of depression (maintenance), she was prescribed Wellbutrin, Elavil, Topamax, and Valium; Ann crashes her car twice. It took her 4 months of energy healing to discontinue the pain meds and two years later, about a year to get off of psych drugs. Because traditional medical treatments have failed her, she challenges her doctors' advice and discovers ways to heal the source of her physical and emotional pain without drugs. The question of why her mother never got well continues to haunt her long after her mother's death until she finds the missing puzzle pieces she'd searched for all her life stashed in a dusty box in her sister's attic.
You can find more about Ann as well as her books and other writings here.
You can learn more about Megan Wildhood at meganwildhood.com.
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Even before the Covid pandemic began in 2020, chronic loneliness was a private experience of profound anguish that had become a public health crisis. Since then it has reached new heights. Loneliness assumes many forms, from enduring physical isolation to feeling rejected because of difference, and it can have devastating consequences for our physical and mental health. Jeremy Nobel founded Project UnLonely to bring creativity as well as social and medical strategies to address this societal problem.
In his book Project UnLonely: Healing our Crisis of Disconnection (Avery, 2023), Dr. Nobel unpacks our personal and national experiences of loneliness to discover its roots and to show how we can take steps to find comfort and connection. Dr. Nobel brings together many voices, from pioneering researchers, to leaders in business, education, the arts, and healthcare, to lonely people of every age, background, and circumstance. He discovers that the pandemic isolated us in ways that were not only physical, and that, at its core, a true sense of loneliness results from a disconnection to the self. He clarifies how meaningful reconnection can be nourished and sustained. And he reveals that an important component of the healing process is engaging in creativity, a powerful opportunity he shows us can be accessed by all.
Ron Winslow, a former long-time medical and science reporter and editor at The Wall Street Journal, is a freelance medical and science journalist.
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Can you run a marathon, drink coffee, eat fish, or fly on a plane while pregnant? Such questions are just the tip of the iceberg for how most pregnant women's bodies are managed, surveilled, and scrutinized during pregnancy. The Reproduction of Inequality: How Class Shapes the Pregnant Body and Infant Health (NYU Press, 2023) examines the intense social pressure that expectant and new mothers face when it comes to their health and body-care choices.
Drawing on interviews with dozens of pregnant women and new mothers from poor, middle-class, and mixed-class backgrounds, Katherine Mason paints a vivid picture of the immense weight of expectation that comes with the early stages of motherhood. The women in Mason's study universally sought to give their children a healthy start in life; however, their chosen approaches varied based on their socio-economic class. Whereas middle-class mothers attempted a complete lifestyle change and absolute devotion to the achievement and maintenance of "the healthy pregnant body," poorer women made strategic choices about which health goals to prioritize on a limited budget, lacking the economic and cultural capital required to speak and perfectly adhere to the language of "good health." The unfortunate result is that middle-class mothers are more likely to be seen by others and by themselves as "good" parents, whereas the efforts of working-class mothers are often misread as displaying inadequate concern about their health and that of their child. This in turn contributes to longstanding stereotypes about poor families and communities, and limits their children's chances for upward mobility.
The Reproduction of Inequality is a compelling analysis of the impact of class on new mothers' approaches to health and wellness, and a sobering examination of how inequality shapes mothers' efforts to maximize their own health and that of their children.
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Note: This episode contains a discussion of suicide. A list of resources is available below.
In Undoing Suicidism: A Trans, Queer, Crip Approach to Rethinking (Assisted) Suicide (Temple UP, 2023), Alexandre Baril argues that suicidal people are oppressed by what he calls structural suicidism, a hidden oppression that, until now, has been unnamed and under-theorized. Each year, suicidism and its preventionist script and strategies reproduce violence and cause additional harm and death among suicidal people through forms of criminalization, incarceration, discrimination, stigmatization, and pathologization. This is particularly true for marginalized groups experiencing multiple oppressions, including queer, trans, disabled, or Mad people.
Undoing Suicidism questions the belief that the best way to help suicidal people is through the logic of prevention. Alexandre Baril presents the thought-provoking argument that supporting assisted suicide for suicidal people could better prevent unnecessary deaths. Offering a new queercrip model of (assisted) suicide, he invites us to imagine what could happen if we started thinking about (assisted) suicide from an anti-suicidist and intersectional framework. Baril provides a radical reconceptualization of (assisted) suicide and invaluable reflections for academics, activists, practitioners, and policymakers.
An open access edition of Undoing Suicidism, made available by the Faculty of Social Sciences at the University of Ottawa, is available here.
Alexandre Baril ([email protected]) is Associate Professor at the University of Ottawa. His work is situated at the crossroads of gender, queer, trans, disability/crip/Mad studies, critical gerontology and critical suicidology. His commitment to equity has earned him awards for his involvement in queer, trans and disabled communities, including the Canadian Disability Studies Association Tanis Doe Francophone Award, and the Equity, Diversity and Inclusion President’s Award at the University of Ottawa. A prolific author who won the Young Researcher Award from the Faculty of Social Sciences at the University of Ottawa (2023), he has given over 200 presentations at the international level and has over 80 publications.
Resources:
SAFE HOTLINES and ONLINE SUPPORT GROUPS:
REGULAR HOTLINES (might trace your call and contact emergency services):
A full transcript of the interview is available for accessibility.
Clayton Jarrard is a Research Project Coordinator at the University of Kansas Center for Research, contributing to initiatives at the nexus of research, policy implementation, and community efforts. His scholarly engagement spans the subject areas of Cultural Anthropology, Queer Studies, Disability Studies, Mad Studies, and Religious Studies. Clayton is also a host for the Un/Livable Cultures podcast.
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Jay Bhattacharya (Stanford University Professor of Medicine) joins to the podcast to discuss his beginnings being born in Calcutta, India, his journey to Stanford as a student obtaining four degrees at the institution (BA, MD, MA, PhD) to becoming a Stanford professor along with his research, the COVID-19 pandemic, and his views on the inadequacies of the public health community and its handling of the pandemic policy response.
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COVID-19 in Southeast Asia: Insights for a Post-pandemic World (Ubiquity Press, 2021) brings together an ensemble of social scientists who offer critical reflections on how the pandemic was experienced in the region.
It interrogates dominants narratives of Covid-19’s legacies and invites readers to reflect of what it means to return to ‘normal’ in contexts marked by inequalities, selective policy interventions, and invisibilised experiences of marginalised communities.
The book is structured around three themes: (1) urbanisation, digital infrastructures, economies, and the environment; (2) migrants, (im)mobilities, and borders; and (3) collective action, communities, and mutual action. Each chapter offers a distinctive point of view that contribute to a wider project of decolonising knowledge production.
Hyun Bang Shin is Professor of Geography and Urban Studies at the London School of Economics and Political Science and directs the LSE Saw Swee Hock Southeast Asia Centre.
Murray Mckenzie is a postdoctoral research assistant and research officer at the LSE Saw Swee Hock Southeast Asia Centre, and a strategic planning consultant.
Do Young Oh is an assistant professor at the Department of Urban Planning and Engineering, Pusan National University.
Interested readers can have the open access version of the book using this link.
Like this interview? You may also be interested in:
Nicole Curato is a Professor of Sociology in the Centre for Deliberative Democracy and Global Governance at the University of Canberra. She co-hosts the New Books in Southeast Asia Studies channel.
This episode was created in collaboration with Erron C. Medina of the Development Studies Program of Ateneo De Manila University and Nicole Anne Revita.
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Motivational interviewing (MI) is a professional practice, a behavioral therapy, and a self-professed conversation style that encourages clients to talk themselves into change. Originally developed to treat alcoholics, MI quickly spread into a variety of professional fields including corrections, medicine, and sanitation.
In Working the Difference: Science, Spirit, and the Spread of Motivational Interviewing (U Chicago Press, 2023), E. Summerson Carr focuses on the training and dissemination of MI to explore how cultural forms—and particularly forms of expertise—emerge and spread. The result is a compelling analysis of the American preoccupations at MI’s core, from democratic autonomy and freedom of speech to Protestant ethics and American pragmatism.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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Raised in Jamaica, Mary Seacole first came to England in the 1850s after working in Panama. She wanted to volunteer as a nurse and aide during the Crimean War. When her services were rejected, she financed her own expedition to Balaclava, where her reputation for her nursing—and for her compassion—became almost legendary. Popularly known as ‘Mother Seacole’, she was the most famous Black celebrity of her generation—an extraordinary achievement in Victorian Britain.
She regularly mixed with illustrious royal and military patrons and they, along with grateful war veterans, helped her recover financially when she faced bankruptcy. However, after her death in 1881, she was largely forgotten.
More recently, her profile has been revived and her reputation lionized, with a statue of her standing outside St Thomas's Hospital in London and her portrait—rediscovered by the author—now on display in the National Portrait Gallery. In Search of Mary Seacole is the fruit of almost twenty years of research and reveals the truth about Seacole's personal life, her "rivalry" with Florence Nightingale, and other misconceptions.
Vivid and moving, In Search of Mary Seacole: The Making of a Black Cultural Icon (Pegasus Books, 2022) shows that reality is often more remarkable and more dramatic than the legend.
Katrina Anderson is a doctoral candidate at the University of Delaware.
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Dr Pierce Salguero talks with Rev. Nathan Jishin Michon, a postdoctoral fellow at Ryukoku University and an ordained priest in the Shingon Buddhist tradition. Our conversation touches on diverse Buddhist healing rituals and the role of light in Shingon practice and cosmology. We discuss the playfulness and innovation in modern Japanese Buddhism, and the rise of chaplaincy after the 3.11 tsunami and nuclear disaster. We also talk about Nathan’s ethnographic work in Japan, as well as their experiences volunteering in a “listening cafe.”
Resources mentioned in the episode:
Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia.
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What makes fad diets so appealing to so many people? And how did these fads become so central to conversations about food and nutrition?
Anxious Eaters: Why We Fall for Fad Diets (Columbia University Press, 2022) shows that fad diets are popular because they fulfill crucial social and psychological needs―which is also why they tend to fail. Authors Janet Chrzan and Kima Cargill bring together anthropology, psychology, and nutrition to explore what these programs promise yet rarely fulfill for dieters. They demonstrate how fad diets help people cope with widespread anxieties and offer tantalizing glimpses of attainable self-transformation. Chrzan and Cargill emphasize the social contexts of diets, arguing that beliefs about nutrition are deeply rooted in pervasive cultural narratives.
Considering dietary beliefs and practices in terms of culture, nutrition, and individual psychological needs, Anxious Eaters refrains from moralizing or promoting a “right” way to eat. Instead, it offers new ways of understanding the popularity of a wide range of eating trends, including the Atkins Diet and other low- or no-carb diets; beliefs that ingredients like wheat products and sugars are toxic, allergenic, or addictive; food avoidance and “Clean Eating” practices; and paleo or primal diets. Anxious Eaters sheds new light on why people adopt such diets and why these diets remain so attractive even though they often fail.
Janet Chrzan teaches nutritional anthropology at the University of Pennsylvania. She is the author of Alcohol: Social Drinking in Cultural Context (2013) as well as coeditor of Research Methods for the Anthropological Study of Food and Nutrition (2017) and Organic Food, Farming, and Culture (2019).
Garrett Broad is Associate Professor of Communication Studies in Rowan University’s Edelman College of Communication & Creative Arts, where he also serves as Provost’s Fellow in the Catalysts for Sustainability Initiative. His research and teaching explores the connections between contemporary social movements, food systems, and digital media technology. He is the author of More Than Just Food: Food Justice and Community Change, as well as a variety of articles on food's relationship to environmental sustainability, economic equity, and the health of humans and nonhuman animals.
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In the 1970s, the invention of the home pregnancy test changed what it means to be pregnant. For the first time, women could use a technology in the privacy of their own homes that gave them a yes or no answer. That answer had the power to change the course of their reproductive lives, and it chipped away at a paternalistic culture that gave gynecologists-the majority of whom were men-control over information about women's bodies.
However, while science so often promises clear-cut answers, the reality of pregnancy is often much messier. Pregnancy Test (Bloomsbury, 2023) explores how the pregnancy test has not always lived up to the fantasy that more information equals more knowledge. Karen Weingarten examines the history and cultural representation of the pregnancy test to show how this object radically changed sex and pregnancy in the late 20th and early 21st centuries.
Jana Byars is an independent scholar located in Amsterdam.
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With no known cause or cure despite a century of research, Alzheimer's disease is a true medical mystery. In Mediating Alzheimer's: Cognition and Personhood (U Minnesota Press, 2022), Scott Selberg examines the nature of this enduring national health crisis by looking at the disease's relationship to media and representation. He shows how collective investments in different kinds of media have historically shaped how we understand, treat, and live with this disease.
Selberg demonstrates how the cognitive abilities that Alzheimer's threatens--memory, for example--are integrated into the operations of representational technologies, from Polaroid photographs to Post-its to digital artificial intelligence. Focusing on a wide variety of media technologies, such as neuroimaging, art therapy, virtual reality, and social media, he shows how these cognitively oriented media ultimately help define personhood for people with Alzheimer's. Media have changed the practices of successful aging in the United States, and Selberg takes us deep into how technologies like digital brain-training and online care networks shape ideas of cognition and healthy aging.
Packed with startlingly fresh insights, Mediating Alzheimer's contributes to debates around bioethics, the labor of caregiving, and a national economy increasingly invested in communication and digital media. Probing the very technologies that promise to save and understand our brains, it gives us new ways of understanding Alzheimer's disease and aging in America.
Shu Wan is currently matriculated as a doctoral student in history at the University at Buffalo. As a digital and disability historian, he serves in the editorial team of Digital Humanities Quarterly and Nursing Clio. On Twitter: @slissw.
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Between 1907 and 1937, thirty-two states legalized the sterilization of more than 63,000 Americans. In Fixing the Poor: Eugenic Sterilization and Child Welfare in the Twentieth Century (Johns Hopkins UP, 2020), Molly Ladd-Taylor tells the story of these state-run eugenic sterilization programs. She focuses on one such program in Minnesota, where surgical sterilization was legally voluntary and administered within a progressive child welfare system.
Tracing Minnesota's eugenics program from its conceptual origins in the 1880s to its official end in the 1970s, Ladd-Taylor argues that state sterilization policies reflected a wider variety of worldviews and political agendas than previously understood. She describes how, after 1920, people endorsed sterilization and its alternative, institutionalization, as the best way to aid dependent children without helping the "undeserving" poor. She also sheds new light on how the policy gained acceptance and why coerced sterilizations persisted long after eugenics lost its prestige. In Ladd-Taylor's provocative study, eugenic sterilization appears less like a deliberate effort to improve the gene pool than a complicated but sadly familiar tale of troubled families, fiscal and administrative politics, and deep-felt cultural attitudes about disability, dependency, sexuality, and gender.
Drawing on institutional and medical records, court cases, newspapers, and professional journals, Ladd-Taylor reconstructs the tragic stories of the welfare-dependent, sexually delinquent, and disabled people who were labeled "feebleminded" and targeted for sterilization. She chronicles the routine operation of Minnesota's three-step policy of eugenic commitment, institutionalization, and sterilization in the 1920s and 1930s and shows how surgery became the "price of freedom" from a state institution. Combining innovative political analysis with a compelling social history of those caught up in Minnesota's welfare system, Fixing the Poor is a powerful reinterpretation of eugenic sterilization.
Shu Wan is currently matriculated as a doctoral student in history at the University at Buffalo. As a digital and disability historian, he serves in the editorial team of Digital Humanities Quarterly and Nursing Clio. On Twitter: @slissw.
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New York City, 1929. A sanatorium, a deadly disease, and a dire nursing shortage.
In the pre-antibiotic days when tuberculosis stirred people’s darkest fears, killing one in seven, white nurses at Sea View, New York’s largest municipal hospital, began quitting en masse. Desperate to avert a public health crisis, city officials summoned Black southern nurses, luring them with promises of good pay, a career, and an escape from the strictures of Jim Crow. But after arriving, they found themselves on an isolated hilltop in the remote borough of Staten Island, yet again confronting racism and consigned to a woefully understaffed sanatorium, dubbed “the pest house,” where it was said that “no one left alive.”
Spanning the Great Depression and moving through World War II and beyond, this remarkable true story follows the intrepid young women known by their patients as the “Black Angels.” For twenty years, they risked their lives working under appalling conditions while caring for New York’s poorest residents, who languished in wards, waiting to die, or became guinea pigs for experimental surgeries and often deadly drugs. But despite their major role in desegregating the New York City hospital system—and their vital work in helping to find the cure for tuberculosis at Sea View—these nurses were completely erased from history. Maria Smilios' book The Black Angels: The Untold Story of the Nurses Who Helped Cure Tuberculosis (G.P. Putnam's Sons, 2023) recovers the voices of these extraordinary women and puts them at the center of this riveting story, celebrating their legacy and spirit of survival. New York City, 1929. A sanatorium, a deadly disease, and a dire nursing shortage.
In the pre-antibiotic days when tuberculosis stirred people’s darkest fears, killing one in seven, white nurses at Sea View, New York’s largest municipal hospital, began quitting en masse. Desperate to avert a public health crisis, city officials summoned Black southern nurses, luring them with promises of good pay, a career, and an escape from the strictures of Jim Crow. But after arriving, they found themselves on an isolated hilltop in the remote borough of Staten Island, yet again confronting racism and consigned to a woefully understaffed sanatorium, dubbed “the pest house,” where it was said that “no one left alive.”
Spanning the Great Depression and moving through World War II and beyond, this remarkable true story follows the intrepid young women known by their patients as the “Black Angels.” For twenty years, they risked their lives working under appalling conditions while caring for New York’s poorest residents, who languished in wards, waiting to die, or became guinea pigs for experimental surgeries and often deadly drugs. But despite their major role in desegregating the New York City hospital system—and their vital work in helping to find the cure for tuberculosis at Sea View—these nurses were completely erased from history. The Black Angels recovers the voices of these extraordinary women and puts them at the center of this riveting story, celebrating their legacy and spirit of survival.
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A riveting exposé of medical debt collection in America -- and the profound financial and physical costs eroding patient trust in medicine For the crime of falling sick without wealth, Americans today face lawsuits, wage garnishment, home foreclosure, and even jail time. Yet who really profits from aggressive medical debt collection? And how does this predatory system affect patients and doctors responsible for their care?
Your Money Or Your Life: Debt Collection in American Medicine (Oxford UP, 2023) reveals how medical debt collection became a multibillion-dollar industry and how everyday Americans are made to pay the price. Emergency physician and historian Luke Messac weaves patient stories into a history of law, finance, and medicine to show how debt and debt collection are destroying the foundational trust between doctors and patients at the heart of American healthcare. The fight to stop aggressive collection tactics has brought together people from all corners of the political spectrum. But if we want to better protect the sick from financial ruin, we have to understand how we got here. With wit and clarity, Your Money or Your Life asks us all to rethink the purpose of our modern healthcare system and consider whom it truly serves.
Stephen Pimpare is a Senior Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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Bookshop.org is an online book retailer that donates more than 80% of its profits to independent bookstores. Launched in 2020, Bookshop.org has already raised more than $27,000,000. In this interview, Andy Hunter, founder and CEO discusses his journey to creating one of the most revolutionary new organizations in the book world. Bookshop has found a way to retain the convenience of online book shopping while also supporting independent bookstores that are the backbones of many local communities.
Andy Hunter is CEO and Founder of Bookshop.org. He also co-created Literary Hub.
Caleb Zakarin is the Assistant Editor of the New Books Network.
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Today I sit down for an in-depth conversation with my good friend, Michael Stanley-Baker, a scholar of Chinese religion and medicine. We talk about Mike’s international childhood and how his family history influenced his intellectual life, his training as a Chinese medical practitioner, and his book co-edited with Vivienne Lo, the Routledge Handbook of Chinese Medicine (Routledge, 2022), which is groundbreaking... and open access! We also talk about Mike’s new book with Manchester University Press, Situating Religion and Medicine in Asia, which opens up a critical conversation about how we understand Asian medicine. Then, we look ahead to Mike’s digital humanities project, called Polyglot Asian Medicines. Along the way we talk rabbit-ducks and how fish know that they're underwater.
I hope that you enjoy the conversation as much as I did. And if you want to hear from more experts on Buddhist medicine and related topics, subscribe to Blue Beryl for monthly episodes.
Resources mentioned in the episode:
Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia.
Subscribe to Blue Beryl here.
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The Twin Children of the Holocaust: Stolen Childhood and the Will to Survive (Academic Studies Press, 2023) is an annotated collection of original, informative, and moving photographs of the twins who survived the brutal medical experiments conducted at the Auschwitz-Birkenau death camp (1943-1945). The experiments were conducted by the infamous physician, Josef Mengele. These never-before-seen photographs were taken by the author (Segal) at the 40th anniversary of the camp’s liberation (January 27, 1985) and the public hearing on Mengele’s crimes at Yad Vashem (A Memorial and a Name) in Jerusalem that followed. Other memorable moments, captured in photographs, include traveling to Krakow, visiting Warsaw and hearing survivors’ testimonies. The photographs are organized into ten sections that unfold chronologically—each section is accompanied by a brief essay to provide compelling context and each photograph has an informative caption.
Dr. Nancy L. Segal is Psychology Professor and Director, Twin Studies Center, at California State University, Fullerton. Her book, Born Together-Reared Apart, won the American Psychological Association’s William James Book Award. Her work has been featured in the New York Times and Atlantic Monthly. She has appeared on the Oprah Winfrey Show, Good Morning America, and the BBC.
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Gerald O'Brien's book Eugenics, Genetics, and Disability in Historical and Contemporary Perspective: Implications for the Social Work Profession (Oxford UP, 2023) focuses on the conceptual relationship between the American eugenic movement of the early 1900s and contemporary genetic research, policy and practices, and their relevance for social work and related professions. While the expansion of pre-natal testing and other genetic innovations are often couched as a form of "new eugenics," this description is only partially correct. This book provides the first in-depth exploration of the relationship between the emerging social work profession and the eugenic movement during the first quarter of the twentieth century and considers the historical importance of this for the profession today.
Social workers played a particularly important role in the movement of eugenic policies from targeting persons with disabilities to limiting procreation among "welfare" recipients, especially minority women. As the profession attempts to come to terms with this problematic history, it also needs to understand the dual "faces" it displays to persons with disabilities. Often purported as supporters of such persons, social workers' continued embracement of the medical model of disabilities keeps them from being accepted by many as true allies in the fight for social justice related to disability inclusion.
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The British National Health Service - free for all - used to be the envy of the world. But today the NHS is malfunctioning. More and more people are resorting to private care – is not unusual now for Brits to travel to Turkey or Lithuania to get hip replacements and the like – so should Britain now give up on the NHS and move to a European model of healthcare… Dr Gavin Francis has just written a book on the NHS: Free For All: Why the NHS is Worth Saving (Profile Books, 2024). Listen to him in conversation with Owen Bennett Jones.
Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.
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Psychedelics have gone from the counterculture, to the mainstream. However, can you turn take such an ineffable thing — a tool for personal revelation, cosmic oneness, spiritual enlightenment, whatever people have called it — and make it just another product in late stage capitalism? From something that is potentially radical, to something that is brutally commodified, instrumentalized, hyped, and turned into the next meme stock craze. The venture capitalists and techno-optimist libertarians are certainly trying, but not everyone is happy about that. On this episode, we look at the deep rifts in and around psychedelic medicine, as different camps vie for the future of these drugs.
First, we go back to the beginning. Historian Erika Dyck tells us the little-known story of an earlier period of psychedelic research, led by pioneers in — believe it or not — Weyburn, Saskatchewan. Dyke’s book Psychedelic Psychiatry: LSD on the Canadian Prairies charts the early days of this medical research, and reveals important lessons for our current tensions. The book shows that deep rifts have always existed in psychedelic research, because the drugs sit uncomfortably in-between many different ways of knowing.
Then, muckracking psychonaut David Nickles is calling out the mainstream commodification of psychedelics, as well as the bullshit and abuse within the underground. Nickles is an underground researcher, harm reduction advocate, and journalist, who is also managing editor of Psymopsia, a psychedelics watchdog group. In 2018, he excoriated the psychedelic research community for playing nice with the emerging VC-backed psychedelic firms, like the Peter Thiel-funded Compass Pathways (Nickles’ talk is summarized here, but the full talk is available on Youtube). Since then, Nickles says things have only gotten worse. He documents much of that in Power Trip, an investigative podcast series on psychedelic therapy, produced by New York Magazine and Psymosia.
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Madness in Buenos Aires: Patients, Psychiatrists, and the Argentine State, 1880-1983 (Ohio UP, 2008) examines the interactions between psychiatrists, patients and their families, and the national state in modern Argentina. This book offers a fresh interpretation of the Argentine state's relationship to modernity and social change during the twentieth century, while also examining the often contentious place of psychiatry in modern Argentina.
Drawing on a number of previously untapped archival sources, author Jonathan Ablard uses the experience of psychiatric patients as a case study of how the Argentine state developed and functioned over the last century and of how Argentines interacted with it. Ablard argues that the capacity of the state to provide social services and professional opportunities and to control the populace was often constrained to an extent not previously recognized in scholarly literature. These limitations, including a shortage of hospitals, insufficient budgets, and political and economic instability, shaped the experiences of patients, their families, and doctors and also influenced medical and lay ideas about the nature and significance of mental illness. Furthermore, these experiences, and the institutional framework in which they were imbedded, had a profound impact on how Argentine psychiatrists discussed not only mental illness but also a host of related themes including immigration, poverty, and the role of the state in mitigating social problems.
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A concise overview of fertility technology—its history, practical applications, and ethical and social implications around the world. In the late 1850s, a physician in New York City used a syringe and glass tube to inject half a drop of sperm into a woman’s uterus, marking the first recorded instance of artificial insemination. From that day forward, doctors and scientists have turned to technology in ever more innovative ways to facilitate conception. Fertility Technology (MIT Press, 2023) surveys this history in all its medical, practical, and ethical complexity, and offers a look at state-of-the-art fertility technology in various social and political contexts around the world. Donna J. Drucker’s concise and eminently readable account introduces the five principal types of fertility technologies used in human reproduction—artificial insemination; ovulation timing; sperm, egg, and embryo freezing; in vitro fertilization; and IVF in uterine transplants—discussing the development, manufacture, dispersion, and use of each. Geographically, it focuses on countries where innovations have emerged and countries where these technologies most profoundly affect individuals and population policies. Drucker’s wide-ranging perspective reveals how these technologies, used for birth control as well as conception in many cases, have been critical in shaping the moral, practical, and political meaning of human life, kinship, and family in different nations and cultures since the mid-nineteenth century.
Donna J. Drucker is Assistant Director of Scholarship and Research Development at the Columbia University School of Nursing.
Caleb Zakarin is the Assistant Editor of the New Books Network.
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The “war on cancer” was launched during the Nixon Administration in 1971, but the term was part of the national dialog on cancer at least early as 1913. Pink ribbons have been ubiquitous symbols of breast cancer awareness and fund-raising promotions since the mid-1980s, but “cancer weeks” fostering awareness of the disease and gala fund-raisers staged by wealthy socialites were popular beginning at least 100 years earlier. Early detection was touted as a cure at the beginning of the 20th century, long before any treatments other than primitive surgery were available, not to mention tests like mammography to detect the disease.
Elaine Schattner provides these and myriad other surprising insights from our long and tortuous relationship with cancer in From Whispers to Shouts: The Ways We Talk about Cancer (Columbia UP, 2023). It is a fascinating book that traces how public perception and portrayal of cancer in our conversations, media and culture has evolved over the past century and a half. Whispers reflect the fear and shame that have led many to hide a cancer diagnosis; shouts mark the advocacy and activism that is giving patients voice in both the doctor’s office and the public stage.
Dr. Schattner, a medical oncologist, breast cancer survivor, and journalist enlists an intriguing cast of characters to tell the story: U.S. presidents, including Ulysses S. Grant, Grover Cleveland and Joe Biden; Babe Ruth; Nat King Cole; the writer Susan Sontag; AIDS activist Larry Kramer; Gilda Radner and Nora Ephron are just a few of those she features whose stories have helped shape our changing attitudes toward a disease that has long been viewed as a death sentence, but one that for increasing numbers of patients is now a manageable illness with prospects for meaningful survival.
In the past 25 years, effective new, but costly drugs that target molecular drivers of tumors or unleash the immune system against the disease have transformed treatment for many patients. The rise of the internet and social media has vastly changed how we learn and talk about cancer. Dr. Schattner describes both good and bad ramifications of these disruptive events and says what is needed is greater understanding of the treatability of the disease.
Ron Winslow, a former long-time medical reporter and editor at The Wall Street Journal, is a freelance medical and science journalist.
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Few of us need convincing that the American health insurance system needs reform. But many of the existing proposals focus on expanding one relatively successful piece of the system or building in piecemeal additions. These proposals miss the point.
As the Stanford health economist Liran Einav and the MIT economist and MacArthur Genius Amy Finkelstein argue, our health care system was never deliberately designed, but rather pieced together to deal with issues as they became politically relevant. The result is a sprawling yet arbitrary and inadequate mess. It has left 30 million Americans without formal insurance. Many of the rest live in constant danger of losing their coverage if they lose their job, give birth, get older, get healthier, get richer, or move.
It's time to tear it all down and rebuild, sensibly and deliberately. Marshaling original research, striking insights from American history, and comparative analysis of what works and what doesn’t from systems around the world, Einav and Finkelstein argue for automatic, basic, and free universal coverage for everyone, along with the option to buy additional, supplemental coverage. Their wholly original argument and comprehensive blueprint for an American universal health insurance system will surprise and provoke.
We've Got You Covered: Rebooting American Health Care (Penguin, 2023) is an erudite yet lively and accessible prescription we cannot afford to ignore.
John Emrich has worked for decades years in corporate finance, business valuation and fund management. He has a podcast about the investment space called Kick the Dogma.
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Romantic Medicine and the Gothic Imagination: Morbid Anatomies (U Wales Press, 2022) demonstrates a little-studied crossover between the Gothic imagination and the medical imagination in the Romantic period. Unafraid to explore the gore and uncertainty typical of medical experimentation, Laura R. Kremmel argues, Gothic novels, short stories, poetry, drama, and chapbooks expanded the possibilities of medical theories by showing what they might look like in a speculative space without limits. In comparing the Gothic’s collection of unsavory tropes to morbid anatomy’s collection of diseased organs, Kremmel shows that the Gothic’s prioritization of fear and gore gives it access to non-normative bodies, shifting medical and narrative agency to bodies considered powerless. Each chapter pairs a familiar gothic trope with a critical medical debate; the result is to give silenced bodies power over their own narratives.
Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel.
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In Infectious Behavior, neurobiologist Paul Patterson examines the involvement of the immune system in autism, schizophrenia, and major depressive disorder. Although genetic approaches to these diseases have garnered the lion's share of publicity and funding, scientists are uncovering evidence of the important avenues of communication between the brain and the immune system and their involvement in mental illness. Patterson focuses on this brain-immune crosstalk, exploring the possibility that it may help us understand the causes of these common, but still mysterious, diseases. The heart of this engaging book, accessible to nonscientists, concerns the involvement of the immune systems of the pregnant woman and her fetus, and a consideration of maternal infection as a risk factor for schizophrenia and autism. Patterson reports on research that may shed light on today's autism epidemic. He also outlines the risks and benefits of both maternal and postnatal vaccinations.
In the course of his discussion, Patterson offers a short history of immune manipulation in treating mental illness (recounting some frightening but fascinating early experiments) and explains how the immune system influences behavior and how the brain regulates the immune system, looking in particular at stress and depression. He examines the prenatal origins of adult disease and evidence for immune involvement in autism, schizophrenia, and depression. Finally, he describes the promise shown by recent animal experiments that have led to early clinical trials of postnatal and adult treatments for patients with autism and related disorders.
Paul H. Patterson, a developmental neurobiologist, is Anne P. and Benjamin R. Biaggini Professor of Biological Sciences at the California Institute of Technology and a Research Professor of Neurological Surgery at the University of Southern California’s Keck School of Medicine. He is the coauthor (with Alan Brown) of The Origins of Schizophrenia.
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The Jewish tradition has important perspectives, history and wisdom that can contribute significantly to crucial contemporary healthcare deliberations. Jason Weiner's book Care and Covenant: A Jewish Bioethic of Responsibility (Georgetown UP, 2023) is an attempt to show how numerous classic Jewish texts and ideas have significant things to say about some of the most urgent debates in the world of medicine today, with the potential to significantly expand and benefit the field of bioethics.
But this book is not only about applying classical Jewish values to bioethical dilemmas. It seeks to develop an approach that is primarily informed by personal and communal obligations and social responsibilities. Jewish values focus on requirements, obligations, and commandments, and has thus sometimes been called an "Ethics of Responsibility," by advancing new relevant approaches that can encourage healthcare providers to remain dedicated to preventing harm and providing compassionate care to all, based on these inspiring and timeless values.
Each chapter of this book explores questions such as: "Are we expected to risk our lives on behalf of others?" "When we can only help a limited number of people, how do we prioritize?" "What are the obligations and expectations of a society or government?" "Are issues of cultural sensitivity relevant in how we discharge our obligations to others?" "What should we do when obligations for others violate our own moral principles or commitments?" "Are there limits to how far one can be expected to go for others?" These and other issues are addressed in this book, as it attempts to describe a meaningful and compassionate Jewish bioethic of responsibility for our times.
Matthew Miller is a graduate of Yeshivat Yesodei HaTorah. He studied Jewish Studies and Linguistics at McGill for his BA and completed an MA in Hebrew Linguistics at Queen Mary University of London. He works with Jewish organizations in media and content distribution, such as TheHabura.com and RabbiEfremGoldberg.org.
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Benjamin Y. Fong is author of the new book Quick Fixes: Drugs in America from Prohibition to the 21st Century Binge, which was just released in July, 2023 by Verso Books. Ben is an honors faculty fellow and associate director of the Center for Work & Democracy at Arizona State University, and his work has appeared in Jacobin, Catalyst, and the New York Times. Previously, Ben’s work focused on the (usually negative) effects of neoliberal capitalism, writing about NGOs, labor leaders, and health care. Quick Fixes expands this examination into the world of drugs, examining nine different kinds of intoxicants, and five “orienting claims” that place their use within in larger capitalist histories.
A bit about the book...
Americans are in the midst of a world-historic drug binge. Opiates, amphetamines, benzodiazepines, marijuana, antidepressants, antipsychotics--across the board, consumption has shot up in the 21st century. At the same time, the United States is home to the largest prison system in the world, justified in part by a now zombified "war" on drugs. How did we get here?
Quick Fixes is a look at American society through the lens of its pharmacological crutches. Though particularly acute in recent decades, the contradiction between America's passionate love and intense hatred for drugs has been one of its defining characteristics for over a century.
Through nine chapters, each devoted to the modern history of a drug or class of drugs, Fong examines Americans' fraught relationship with psychoactive substances. As society changes it produces different forms of stress, isolation, and alienation. These changes, in turn, shape the sorts of drugs society chooses.
By laying out the histories, functions, and experiences of our chemical comforts, the hope is to help answer that ever perplexing question: what does it mean to be an American?
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.
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We will not find “exposure to burning coal” listed as the cause of death on a single death certificate, but tens of thousands of deaths from asthma, chronic obstructive pulmonary disease, lung cancer, heart attacks, strokes, and other illnesses are clearly linked to coal-derived pollution. As politicians and advertising campaigns extol the virtues of “clean coal,” the dirty secret is that coal kills. In The Silent Epidemic, Alan Lockwood, a physician, describes and documents the adverse health effects of burning coal. Lockwood's comprehensive treatment examines every aspect of coal, from its complex chemical makeup to details of mining, transporting, burning, and disposal—each of which generates significant health concerns. He describes coal pollution's effects on the respiratory, cardiovascular, and nervous systems, and how these problems will only get worse; explains the impact of global warming on coal-related health problems; and discusses possible policy approaches to combat coal pollution.
Coal fueled the industrial revolution and has become a major source of energy in virtually every country. In the United States, almost half of the energy used to generate electricity comes from burning coal. Relatively few people are aware of the health threats posed by coal-derived pollutants, and those who are aware lack the political clout of the coal industry. Lockwood's straightforward description of coal as a health hazard is especially timely, given the barrage of marketing efforts to promote coal as part of “energy independence.” His message is clear and urgent: “Coal-fired plants make people sick and die, particularly children and those with chronic illnesses, and they cost society huge amounts of money desperately needed for other purposes.”
Alan H. Lockwood, M.D. is Emeritus Professor of Neurology and Nuclear Medicine at the State University of New York at Buffalo. He is the lead author of a Physicians for Social Responsibility report on coal’s adverse health effects.
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Demographic changes, rise in disposable income, and steady economic growth has led to a growing demand for healthcare services in Vietnam. But the public healthcare system struggles to meet the diverse healthcare needs of the Vietnamese population. Within this context, the private sector in Vietnam fills an important gap left by the public sector. Today’s guest is interested in why consumers choose private over public health services in Vietnam, and in particular, the social factors that influence these choices, including word of mouth referrals, the patient-doctor relationship, the behaviour of healthcare staff, and marketing.
To discuss these issues is Dr Mai Nguyen, a public health specialist with the Ministry of Health in Vietnam. Mai was a SSEAC Writing Fellow in 2022, and her article looked at how public and private healthcare providers interact with consumers to affect their choices.
Dr Natali Pearson is Curriculum Coordinator at the Sydney Southeast Asia Centre, a university-wide multidisciplinary center at the University of Sydney, Australia. Her research focuses on the protection, management and interpretation of underwater cultural heritage in Southeast Asia.
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What if prisoners were to write the history of their own prison? What might that tell them--and all of us--about the roots of the system that incarcerates so many millions of Americans?
In Besides, Who Would Believe a Prisoner?: Indiana Women's Carceral Institutions, 1848-1920 (New Press, 2023), a group of incarcerated women at the Indiana Women's Prison have assembled a chronicle of what was originally known as the Indiana Reformatory Institute for Women and Girls, founded in 1873 as the first totally separate prison for women in the United States. In an effort that has already made the national news, and which was awarded the Indiana History Outstanding Project for 2016 by the Indiana Historical Society, the Indiana Women's Prison History Project worked under conditions of sometimes-extreme duress, excavating documents, navigating draconian limitations on what information incarcerated scholars could see or access, and grappling with the unprecedented challenges stemming from co-authors living on either side of the prison walls. With contributions from ten incarcerated or formerly incarcerated women, the result is like nothing ever produced in the historical literature: a document that is at once a shocking revelation of the roots of America's first prison for women, and also a meditation on incarceration itself. "Besides, Who Would Believe a Prisoner?" is a book that will be read and studied for years to come as the nation continues to grapple with the crisis of mass incarceration.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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Dr. Pierce Salguero sits down with two guests, Ounkham Souksavanh and Elizabeth Elliott, to talk about community engagement and community health in Laos. They discuss how Elizabeth as a medical anthropologist, and Ounkham as a physician, work together to build trust and improve healthcare access across an ethnically and religiously diverse landscape. Along the way, we learn about Elizabeth’s experience of foraging for herbs and Ounkham’s memories of growing up with traditional medicine in his family. If you want to learn about the landscape of Lao traditional healers and medicinal plants — with a few snake bites and plant talismans thrown in — then this episode is for you!
Enjoy! And, if you want to hear from more experts on Buddhist medicine and related topics, subscribe to Blue Beryl for monthly episodes here.
Resources mentioned in the podcast:
Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. He is also the host (with Lan Li) of the Blue Beryl podcast. Subscribe to Blue Beryl here.
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In this eye-opening chronicle of scientific research on the brain in the early Cold War era, the acclaimed historian Andreas Killen traces the complex circumstances surrounding the genesis of our present-day fascination with this organ.
The 1950s were a transformative, even revolutionary decade in the history of brain science. Using new techniques for probing brain activity and function, researchers in neurosurgery, psychiatry, and psychology achieved dramatic breakthroughs in the treatment of illnesses like epilepsy and schizophrenia, as well as the understanding of such faculties as memory and perception. Memory was the site of particularly startling discoveries. As one researcher wrote to another in the middle of that decade, “Memory was the sleeping beauty of the brain—and now she is awake.” Collectively, these advances prefigured the emergence of the field of neuroscience at the end of the twentieth century.
But the 1950s also marked the beginning of the Cold War and a period of transformative social change across Western society. These developments resulted in unease and paranoia. Mysterious new afflictions—none more mystifying than “brainwashing”—also appeared at this time. Faced with the discovery that, as one leading psychiatrist put it, “the human personality is not as stable as we often assume,” many researchers in the sciences of brain and behavior joined the effort to understand these conditions. They devised ingenious and sometimes transgressive experimental methods for studying and proposing countermeasures to the problem of Communist mind control. Some of these procedures took on a strange life of their own, escaping the confines of the research lab to become part of 1960s counterculture. Much later, in the early 2000s, they resurfaced in the War on Terror.
These stories, often told separately, are brought together by the historian Andreas Killen in this chronicle of the brain’s mid-twentieth-century emergence as both a new research frontier and an organ whose integrity and capacities—especially that of memory—were imagined as uniquely imperiled in the 1950s. Nervous Systems: Brain Science in the Early Cold War (Harper, 2023) explores the anxious context in which the mid-century sciences of the brain took shape and reveals the deeply ambivalent history that lies behind our contemporary understanding of this organ.
Paul Lerner is Professor of History at the University of Southern California where he directs the Max Kade Institute for Austrian-German-Swiss Studies. He can be reached at [email protected] and @PFLerner.
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Landscapes of Care: Immigration and Health in Rural America (UNC Press, 2023) examines the ways immigrants, mainly from Latin America and the Caribbean, navigate the healthcare system in the United States. Since 1990, immigration to the United States has risen sharply, and rural areas have seen the highest increases. Thurka Sangaramoorthy reveals that the corporatization of healthcare delivery and immigration policies are deeply connected in rural America. Drawing from fieldwork that centers on Maryland's sparsely populated Eastern Shore, Sangaramoorthy shows how longstanding issues of precarity among rural health systems along with the exclusionary logics of immigration have mutually fashioned a "landscape of care" in which shared conditions of physical suffering and emotional anxiety among immigrants and rural residents generate powerful forms of regional vitality and social inclusion. Sangaramoorthy connects the Eastern Shore and its immigrant populations to many other places around the world that are struggling with the challenges of global migration, rural precarity, and health governance. Her extensive ethnographic and policy research shows the personal stories behind health inequity data and helps to give readers a human entry point into the enormous challenges of immigration and rural health.
This book is open access, courtesy of the TOME (Toward an Open Monograph Ecosystem) project. You can learn more about open-access books published by the University of North Carolina Press here.
Thurka Sangaramoorthy is professor of anthropology at American University.
Alize Arıcan is a Society of Fellows Postdoctoral Scholar at Boston University and an incoming Assistant Professor of Anthropology at CUNY—City College, focusing on urban renewal, futurity, care, and migration. You can find her on Twitter @alizearican.
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Of some twelve thousand Union Civil War surgeons, only fourteen were Black men. This book is the first-ever comprehensive exploration of their lives and service.
In Without Concealment, Without Compromise: The Courageous Lives of Black Civil War Surgeons (Southern Illinois UP, 2023), Jill L. Newmark's outstanding research uncovers stories hidden for more than 150 years, illuminating the unique experiences of proud, patriotic men who fought racism and discrimination to attend medical school and serve with the U.S. military. Their efforts and actions influenced societal change and forged new pathways for African Americans.
Individual biographies bring to light Alexander T. Augusta, who challenged discriminatory laws; William P. Powell Jr., who pursued a military pension for twenty-five years; Anderson R. Abbott, a friend of Elizabeth Keckley's; John van Surly DeGrasse, the only Black surgeon to serve on the battlefield; John H. Rapier Jr., an international traveler; Richard H. Greene, the only Black surgeon known to have served in the Navy; Willis R. Revels, a preacher; Benjamin A. Boseman, a politician and postmaster; and Charles B. Purvis, who taught at Howard University. Information was limited for five other men, all of whom broke educational barriers by attending medical schools in the United States: Cortlandt Van Rensselaer Creed, William B. Ellis, Alpheus W. Tucker, Joseph Dennis Harris, and Charles H. Taylor.
Newmark presents all available information about the surgeons' early lives, influences, education, Civil War service, and post-war experiences. Many of the stories overlap, as did the lives of the men. Each man, through his service as a surgeon during the war and his lifelong activism for freedom, justice, and equality, became a catalyst of change and a symbol of an emancipated future.
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A sweeping history of the American health care state that reveals the public has been intentionally misled about the true role of government. The US government has always invested federal, state and local dollars in public health protection and prevention. Despite this public funding, however, Americans typically believe the current system is predominantly comprised of private actors with little government interference.
In Grow and Hide: The History of America's Health Care State (Oxford UP, 2023), Colleen M. Grogan details the history of the American health care state and argues that the public has been intentionally misled about the true role of government. The US created a publicly financed system while framing it as the opposite in what Grogan terms the "grow-and-hide regime." Today, the state's role is larger than ever, yet it remains largely hidden because stakeholders-namely, private actors and their allies in government-have repeatedly, and successfully, presented the illusion of minimal government involvement. The consequences of this narrative are scarce accountability and a highly unequal distribution of benefits. In the wake of a pandemic that has killed over one million Americans--with the highest death rates among minorities and lower-income people--the time has come for an honest discussion about the health care system. As Grogan reveals, America has never had a system that resembles a competitive, free-market model. Given how much the government already invests in the health care system, means how these funds are distributed and administered are fundamental political questions for the American public, not questions that should be decided by the private sector. If we want to fix care in America, we need to reimagine the way it is organized, prioritized, funded, and, perhaps most importantly, discussed. Grow & Hide is an important contribution to this reimagining.
Stephen Pimpare is a Senior Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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Ruth Yun-Ju Chen is a historian of mid-imperial China (600–1400). Her research interests lie in the histories of medicine, publishing, and material cultures during this period. Her first book, Good Formulas: Empirical Evidence in Mid-Imperial Chinese Medical Texts, will come out from the University of Washington Press in 2023. This book charts how early print culture reshaped strategies for presenting medical knowledge in Song China (960–1279). Her current project explores the transregional circulation of medical knowledge and aromatic drugs across East Asia and Southeast Asia in Song-Jin-Yuan China (960–1368). She has published articles in Chinese and English language journals and, most recently, “A New Study of Scholar-officials’ Roles in the Printing of Medical Texts in Song China” in the Bulletin of IHP 92.3 (2021) and “The Quest for Efficiency: Knowledge Management in Medical Formularies” in the Harvard Journal of Asiatic Studies 80.2 (2021).
A bit about the book:
Why and how did the strategy of documenting medical practices through personal experience rise to prominence in China? This question is at the heart of Good Formulas, the first book-length study of the use of empirical evidence in Chinese medicine between the ninth and thirteenth centuries. The rise of this new approach to substantiating knowledge, which had appeared only sporadically in earlier medical literature, provides a window into transformations in the construction of textual authority in mid-imperial China.
Focusing on medical genres and working extensively with notebooks (biji), Ruth Yun-Ju Chen shows that employing empirical evidence became prominent in conjunction with a publishing boom that enabled wider availability of medical texts and treatises. To convince a more socioculturally diverse readership to believe their claims and to win intertextual debates with contemporaneous authors, many Song medical authors turned to empirical methodology. Revealing a correlation between publishing cultures and changes in persuasion strategies in medical genres, Good Formulas offers new insights into the histories of medicine, knowledge production, and publishing in China. It also provides rich examples for scholars interested in the development of empirical evidence in the premodern world.
Victoria Oana Lupașcu is an Assistant Professor of Comparative Literature and Asian Studies at University of Montréal. Her areas of interest include medical humanities, visual art, 20th and 21st Chinese, Brazilian and Romanian literature and Global South studies.
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Taylor McCall's The Art of Anatomy in Medieval Europe (Reaktion, 2023) is the first history of medieval European anatomical images. Richly illustrated, The Art of Anatomy in Medieval Europe explores the many ways in which medieval surgeons, doctors, monks, and artists understood and depicted human anatomy. Taylor McCall refutes the common misconception that Renaissance artists and anatomists such as Leonardo da Vinci and Andreas Vesalius were the fathers of anatomy who performed the first human dissections. On the contrary, she argues that these Renaissance figures drew upon centuries of visual and written tradition in their works.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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Advance Directives in Asia: A Socio-Legal Analysis (Cambridge UP, 2023) , edited by Daisy Cheung and Michael Dunn is the first book to consider the concept of advance directives in Asia. It is unique in its depth and breadth as it brings together an extensive number of Asian jurisdictions to draw out the ways that advance directives are regulated in law and practice across the region. In their analysis Cheung and Dunn provide overall observations towards a concept of "generative accomodation". As a concept, generative accomodation has the potential to foreground new explorations of bioethics in Asia and globally. It also seeks to understand the role of the family in medical decision making. These are key concerns that come through in this comprehensive and groundbreaking book. It will be useful for regulators, Asia scholars, students, and practitioners in the field of health-law and ethics, and end of life care. The book has wider application for scholars in law, ethics and healthcare.
Daisy Cheung is an Assistant Professor in the Department of Law and the Centre for Medical Ethics and Law at The University of Hong Kong.
Dr Michael Dunn is an Associate Professor and the Co-Director of Education at the Centre for Biomedical Ethics in the Yong Loo Lin School of Medicine.
Jane Richards is a doctoral student at the University of Hong Kong. You can find her on twitter where she follows all things related to human rights and Hong Kong politics @JaneRichardsHK
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What’s safer than baby powder? Parents have been trusting Johnson & Johnson for over 100 years to powder their baby’s bottoms.
Yet, numerous studies have revealed the presence of trace amounts of asbestos in this talc-based powder. Thousands of parents now claim that this asbestos is responsible for their cancers. A Reuters investigation catalogued this evidence and the fact that J&J knew about the asbestos since the 1950s, yet continued to sell the powder.
Johnson & Johnson is proposing a $9 billion dollar settlement for the over 38,000 lawsuits brought and all claims into the future. However, it depends on the courts accepting a controversial bankruptcy procedure called “the Texas Two-Step.” This strategy is being used to address a raft of personal injury complaints against a number of companies, but critics call it nothing more than a ‘sham bankruptcy’ that is being used to let corporations off the hook.
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Vincanne Adams's book Glyphosate and the Swirl: An Agroindustrial Chemical on the Move (Duke UP, 2023) is part of a broader trend in anthropology that is developing new methods and techniques to study our increasingly polluted and toxic world. Adams takes Glyphosate as a case study and follows this chemical as it moves from the past to the present, from the lab to the dinner table, from outside our bodies, to within our cells to grapple with what it is to live in such an entangled world.
Adams explores the chemical glyphosate—the active ingredient in Roundup and a pervasive agricultural herbicide—as a predicament of contested science and chemically saturated life. Adams traces the history of glyphosate’s invention and its multiple uses as activists, regulators, scientists, clinicians, consumers, and sick people try to determine its safety and harm. Scientific and political debates over glyphosate’s toxicity are agitated into a swirl—a condition in which certainty is continually contested, divided, and multiplied. This movement replicates the chemical’s movement in soils, foods, bodies, archives, labs, and legislative bodies, settling in some places here and in other places there, its potencies changing and altering what it touches with different scales and kinds of impact. The swirl is both an artifact of academic capitalism, activist tactics, and contested scientific facts and a way to capture the complexity of contemporary life with chemicals. Prof. Vincanne Adams, is professor Anthropology, History and Social Medicine at the University of California, San Francisco.
Elliott M. Reichardt, MPhil, is a PhD Candidate in Socio-Cultural Anthropology at Stanford University. Elliott's research interests are in capitalism, colonialism, and socio-ecological health in North America. Elliott also has long standing interests in medical anthropology and the history of science and medicine.
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In Turkey, circumcision is viewed as both a religious obligation and a rite of passage for young boys, as communities celebrate the ritual through gatherings, gifts, and special outfits. Yet the procedure is a potentially painful and traumatic ordeal. With the expansion of modern medicine, the social position of sünnetçi (male circumcisers) became subject to the institutional arrangements of Turkey’s evolving health care and welfare system. In the transition from traditional itinerant circumcisers to low-ranking health officers in the 1960s and hospital doctors in the 1990s, the medicalization of male circumcision has become entangled with state formation, market fetishism, and class inequalities.
Based on Oyman Başaran’s extensive ethnographic and historical research, Circumcision and Medicine in Modern Turkey is a close examination of the socioreligious practice of circumcision in twenty-five cities and their outlying towns and villages in Turkey. By analyzing the changing subjectivity of medical actors who seek to alleviate suffering in male circumcision, Başaran offers a psychoanalytically informed alternate approach to the standard sociological arguments surrounding medicalization and male circumcision.
Oyman Başaran is an associate professor of sociology at Bowdoin College.
Alize Arıcan is a Society of Fellows Postdoctoral Scholar at Boston University, focusing on urban renewal, futurity, care, and migration. You can find her on Twitter @alizearican.
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Yi-Tang Lin received her BA in sociology at National Taiwan University and MA in MA Interdisciplinary Practices of Humanities and Social Sciences, École des Hautes Études en Sciences Sociales (EHESS) and École Normale Supériorie (ENS), France. She completed her PhD at the University of Lausanne. After spending several years at the University of Geneva for her postdoc research on "Rockefeller Fellows as Heralds of Globalization (1917-1970), she is now PRIMA Professor at University of Zurich, Switzerland.
Yi-Tang’s research focuses on the transnational history of science, technology and medicine. She is the author of Statistics and the Language of Global Health: Institutions and Experts in China, Taiwan and the World, 1917–1960 (Cambridge University Press, 2022). In this book, she traces the the historical process by which statistics became the language of global health for local and international health organizations. Currently, she is conducting a research project funded by the Swiss National Science Foundation, aiming to decentralize historical accounts of the Cold War-era “Green Revolution” by studying exchange pathways between Asia and Africa and challenging the notion of two regions considered only the recipients instead of actors in these exchanges.
Harry Yi-Jui Wu is Associate Professor jointly appointed by Cross College Elite Program and Department of Medical Humanities and Social Medicine, National Cheng Kung University (Taiwan). He is the author of Mad by the Millions: Mental Disorders and the Early Years of the World Health Organization (MIT Press, 2021).
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Heide Hausse's book The Malleable Body: Surgeons, Artisans, and Amputees in Early Modern Germany (Manchester University Press, 2023) uses amputation and prostheses to tell a new story about medicine and embodied knowledge-making in early modern Europe. It draws on the writings of craft surgeons and learned physicians to follow the heated debates that arose from changing practices of removing limbs, uncovering tense moments in which decisions to operate were made. Importantly, it teases out surgeons' ideas about the body embedded in their technical instructions. This unique study also explores the material culture of mechanical hands that amputees commissioned locksmiths, clockmakers, and other artisans to create, revealing their roles in developing a new prosthetic technology. Over two centuries of surgical and artisanal interventions emerged a growing perception, fundamental to biomedicine today, that humans could alter the body - that it was malleable.
Jana Byars is an independent scholar located in Amsterdam.
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Jenna Grant is a cultural anthropologist from the University of Washington and author of Fixing the Image: Ultrasound and the Visuality of Care in Phnom Penh, published by University of Washington Press in 2022.
Introduced in Phnom Penh around 1990, at the twilight of socialism and after two decades of conflict and upheaval, ultrasound took root in humanitarian and then privatized medicine. Services have since multiplied, promising diagnostic information and better prenatal and general health care. In Fixing the Image Jenna Grant draws on years of ethnographic and archival research to theorize the force and appeal of medical imaging in the urban landscape of Phnom Penh. Set within long genealogies of technology as tool of postcolonial modernity, and vision as central to skilled diagnosis in medicine and Theravada Buddhism, ultrasound offers stabilizing knowledge and elicits desire and pleasure, particularly for pregnant women. Grant offers the concept of "fixing"--which invokes repair, stabilization, and a dose of something to which one is addicted--to illuminate how ultrasound is entangled with practices of care and neglect across different domains. Fixing the Image thus provides a method for studying technological practice in terms of specific materialities and capacities of technologies--in this case, image production and the permeability of the body--illuminating how images are a material form of engagement between patients, between patients and their doctors, and between patients and their bodies.
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We all know that as a nation our mental health is in crisis. But what most don't know is that a critical ingredient in this debate, and a crucial part of the solution - what we eat - is being ignored. Nutrition has more influence on what we feel, who we become and how we behave than we could ever have imagined. Listen to Kimberly Wilson speak with Owen Bennett-Jones discuss the connection between food and mental health. Wilson is the author of Unprocessed: How the Food We Eat Is Fuelling Our Mental Health Crisis (W. H. Allen, 2023).
Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.
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Helen Redmond is a Harlem-based documentary filmmaker, journalist, licensed clinical social worker, and professor at NYU. As senior editor and a multimedia journalist at Filter, a website that covers drug news, she’s been documenting America’s addiction crisis and treatment system for years. Her new documentary, Swallow THIS: A Documentary About Methadone & COVID-19, is currently on tour across the United States. We discuss the impacts the pandemic has had on methadone access in America – as well as the changes it hasn’t made – and put addiction treatment into a larger historical perspective.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.
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Why do American Black people generally have worse health than American White people? To answer this question, Keisha Ray's book Black Health: The Social, Political, and Cultural Determinants of Black People's Health (Oxford UP, 2023) dispels any notion that Black people have inferior bodies that are inherently susceptible to disease. This is simply false racial science used to justify White supremacy and Black inferiority. A genuine investigation into the status of Black people's health requires us to acknowledge that race has always been a powerful social category that gives access to the resources we need for health and wellbeing to some people, while withholding them from other people.
Systemic racism, oppression, and White supremacy in American institutions have largely been the perpetrators of differing social power and access to resources for Black people. It is these systemic inequities that create the social conditions needed for poor health outcomes for Black people to persist. An examination of social inequities reveals that is no accident that Black people have poorer health than White people. Black Health provides a succinct discussion of Black people's health, including the social, political, and at times cultural determinants of their health. Using real stories from Black people, Ray examines the ways in which Black people's multiple identities--social, cultural, and political--intersect with American institutions--such as housing, education, environmentalism, and health care--to facilitate their poor outcomes in pregnancy and birth, pain management, sleep, and cardiovascular disease.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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In this episode of High Theory, Eram Alam talks with us about shortage. A political tool, rather than a natural lack, the concept of a shortage changes the flows of goods and people across borders and space. The concept of a doctor shortage was used in the US immigration reform of the 1960s to recruit discount elite labor from newly postcolonial nations, creating the downstream effect of shortages in their countries of origin. These recruiting practices remain in effect, with a US physician workforce that is approximately 25% international medical graduates, while domestic and international doctor shortages abound.
Eram Alam is an assistant professor of the History of Science at Harvard University. Her book The Care of Foreigners studies the enduring consequences of post-colonial migration from Asia to the US. We’re so excited to read it when it comes out! In the meantime, you can read her article “Cold War Crises: Foreign Medical Graduates Respond to US Doctor Shortages, 1965–1975” Social History of Medicine 33 no. 1 (Feb 2020).
This week’s image of a hospital corridor was uploaded to the image sharing site Pixbay by a user named Mitrey.
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Sleep was taking over Anna's life. Despite multiple alarm clocks and powerful stimulants, the young Atlanta lawyer could sleep for thirty or even fifty hours at a stretch. She stopped working and began losing weight because she couldn't stay awake long enough to eat. Anna's doctors didn't know how to help her until they tried an oddball drug, connected with a hunch that something produced by her body was putting her to sleep.
The Woman Who Couldn't Wake Up: Hypersomnia and the Science of Sleepiness (Columbia UP, 2023) tells Anna's story-and the broader story of her diagnosis, idiopathic hypersomnia (IH), a shadowy sibling of narcolepsy that has emerged as a focus of sleep research and patient advocacy. Quinn Eastman explores the science around sleepiness, recounting how researchers have been searching for more than a century for the substances that tip the brain into slumber. He argues that investigation of IH could unlock new understandings of how sleep is regulated and controlled. Eastman foregrounds the experiences of people with IH, relating how publicity around Anna's successful treatment helped others form a community. He shows how a group of patients who felt neglected or dismissed united to steer research toward their little-known disorder.
Sharing emerging science and powerful stories, this book testifies to the significance of underrecognized diseases and sheds new light on how our brains function, day and night. It is essential reading for anyone interested in sleep and sleep disorders, including those affected by or seeking to treat them.
Melek Firat Altay is a neuroscientist, biologist and musician. Her research focuses on deciphering the molecular and cellular mechanisms of neurodegenerative and neurodevelopmental disorders.
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Medical research saves lives-yet all too often, it is thwarted by a review system supposed to safeguard patients that instead creates needless delays and expense. Institutional Review Boards, which exist at every hospital and medical school that conducts medical research, have ended up imposing such complex, draconian conditions that research is frequently damaged, delayed, and distorted. This is why medical miracles like the COVID-19 vaccines, which were developed at warp speed, are far too rare. Instead, medical research in countless areas is kept at a horse-and-buggy pace. The result: unnecessary suffering and avoidable deaths.
From Oversight to Overkill: Inside the Broken System That Blocks Medical Breakthroughs--And How We Can Fix It (Rivertowns Books, 2023) vividly recounts the story behind this crisis, one that remains unknown to the general public. Family physician and ethicist Simon Whitney shows how the IRB system was launched in response to scandals like the notorious Tuskegee syphilis study-and how, in recent decades, this well-intentioned program has become increasingly bureaucratic, convoluted, and stifling.
Readers will learn how vital breakthroughs in treating conditions from kidney stones to heart attacks and premature birth have been delayed by IRB red tape, forcing doctors and patients to settle for less-effective treatments. They'll see how ill-informed demands from Congressional leaders that regulators "get tough" on scientists have caused respected research institutions to be shut down-with no benefit to the public. And they'll learn about a balanced, common-sense approach to reforming the system that can free scientists from pointless wheel-spinning while still protecting the public from the risks of unethical or careless experimentation.
Until now, the debate about the IRB system's failures has been confined to specialty journals in medicine, law, and ethics. From Oversight to Overkill will finally alert citizens about this little-known crisis with America's medical research system-and what can be done about it.
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Nothing excited early modern anatomists more than touching a beating heart. In his 1543 treatise, Andreas Vesalius boasts that he was able to feel life itself through the membranes of a heart belonging to a man who had just been executed, a comment that appears near the woodcut of a person being dissected while still hanging from the gallows. In this highly original book, Rose Marie San Juan confronts the question of violence in the making of the early modern anatomical image.
Engaging the ways in which power operated in early modern anatomical images in Europe and, to a lesser extent, its colonies, San Juan examines literal violence upon bodies in a range of civic, religious, pedagogical, and "exploratory" contexts. She then works through the question of how bodies were thought to be constituted--systemic or piecemeal, singular or collective--and how gender determines this question of constitution. In confronting the issue of violence in the making of the anatomical image, San Juan explores not only how violence transformed the body into a powerful and troubling double but also how this kind of body permeated attempts to produce knowledge about the world at large.
Provocative and challenging, Violence and the Genesis of the Anatomical Image (Pennsylvania State UP, 2023) will be of significant interest to scholars across fields in early modern studies, including art history and visual culture, science, and medicine.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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Dr. Stephen L. Hauser and a patient named Andrea were both 27 years old when they met. He was an up-and-coming neurologist-in-training; she was a Harvard Law School graduate and White House aide whose brain was being ravaged by an explosive case of multiple sclerosis. It was the 1970s and Dr. Hauser had nothing to treat her with. She lost her ability to speak, swallow and breathe. At her bridal shower just before she was married, she was hooked up to a breathing tube and strapped in a wheelchair so she wouldn’t slump over. Dr. Hauser was so moved by her case he decided to devote his career to MS research.
The Face Laughs While the Brain Cries: The Education of a Doctor (St. Martin's Press, 2023) is a riveting memoir that chronicles Dr. Hauser’s 40-year quest to find a treatment for MS, the most common crippler of young adults and a disease that affects millions worldwide. Despite enormous pushback from his field, Dr. Hauser discovered a new culprit for MS, ultimately transforming our understanding of the disease and resulting in the development of a new drug that has dramatically improved the lives of thousands of MS patient.
Dr. Hauser, director of the Weill Institute for Neurosciences at the University of California San Francisco, describes a colorful cast of characters who played roles in his upbringing and in his development as a tenacious researcher and compassionate physician. He provides moving stories of patients whose courage and optimism in the face of a debilitating illness were instrumental to the advances made in the fight against MS.
Over the course of his journey, Dr. Hauser met resistance from experts at the National Institutes of Health, who called his ideas “biologically implausible,” and the Food and Drug Administration, which put such strict limits on a critical proof-of-concept study he feared it was doomed to fail. Then, when victory finally seemed within reach, corporate takeovers threatened to scuttle the whole effort.
The Face Laughs While the Brain Cries is an inspiring, highly readable story that highlights the interplay between basic science and patient care and its crucial role in the quest for new medicines that fight disease and improve our lives.
Ron Winslow, a former long-time medical and science reporter and editor at The Wall Street Journal, is a freelance medical and science journalist. His story about Dr. Hauser’s research was published in STAT in March, 1917, when the drug based on the research was approved by the U.S. Food and Drug Administration.
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Eileen V. Wallis' book California and the Politics of Disability, 1850–1970 (Palgrave Macmillan, 2023) explores the political, legal, medical, and social battles that led to the widespread institutionalization of Californians with disabilities from the gold rush to the 1970s. By the early twentieth century, most American states had specialized facilities dedicated to both the care and the control of individuals with disabilities. Institutions reflect the lived historical experience of many Americans with disabilities in this era. Yet we know relatively little about how such state institutions fit into specific regional, state, or local contexts west of the Mississippi River; how those contexts shaped how institutions evolved over time; or how regional institutions fit into the USA's contentious history of care and control of Americans with mental and developmental disabilities.
This book examines how medical, social, and political arguments that individuals with disabilities needed to be institutionalized became enshrined in state law in California through the creation of a "bureaucracy of disability." Using Los Angeles County as a case study, the book also considers how the friction between state and county policy in turn influenced the treatment of individuals within such facilities. Furthermore, the book tracks how the mission and methods of such institutions evolved over time, culminating in the 1960s with the birth of the disability rights movement and the complete rewriting of California's laws on the treatment and rights of Californians with disabilities. This book is a must-read for those interested in the history of California and the American West and for anyone interested in how the intersections of disability, politics, and activism shaped our historical understanding of life for Americans with disabilities.
Shu Wan is currently matriculated as a doctoral student in history at the University at Buffalo. As a digital and disability historian, he serves in the editorial team of Digital Humanities Quarterly and Nursing Clio. On Twitter: @slissw.
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Rebecca Whiteley's book Birth Figures: Early Modern Prints and the Pregnant Body (University of Chicago Press, 2023) is first full study of “birth figures” and their place in early modern knowledge-making.
Birth figures are printed images of the pregnant womb, always shown in series, that depict the variety of ways in which a fetus can present for birth. Historian Rebecca Whiteley coined the term and here offers the first systematic analysis of the images’ creation, use, and impact. Whiteley reveals their origins in ancient medicine and explores their inclusion in many medieval gynecological manuscripts, focusing on their explosion in printed midwifery and surgical books in Western Europe from the mid-sixteenth to the mid-eighteenth century. During this period, birth figures formed a key part of the visual culture of medicine and midwifery and were widely produced. They reflected and shaped how the pregnant body was known and treated. And by providing crucial bodily knowledge to midwives and surgeons, birth figures were also deeply entangled with wider cultural preoccupations with generation and creativity, female power and agency, knowledge and its dissemination, and even the condition of the human in the universe.
Birth Figures studies how different kinds of people understood childbirth and engaged with midwifery manuals, from learned physicians to midwives to illiterate listeners. Rich and detailed, this vital history reveals the importance of birth figures in how midwifery was practiced and in how people, both medical professionals and lay readers, envisioned and understood the mysterious state of pregnancy.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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As recently as fifty years ago most people expected to lose their teeth as they aged. Few children benefited from braces to straighten their teeth, and cosmetic procedures to change the appearance of smiles were largely unknown. Today, many Canadians enjoy straight, white teeth and far more of them are keeping their teeth for the entirety of their lives. Yet these advances have not reached everyone.
The Smile Gap: A History of Oral Health and Social Inequality (McGill-Queen's UP, 2022) examines the enormous improvements that have taken place over the past century. The use of fluorides, emphasis on toothbrushing, the rise of cosmetic dentistry, and better access to dental care have had a profound effect on the oral health and beauty of Canadians. Yet while the introduction of employer-provided dental insurance in the 1970s has allowed for regular visits to the dentist for many people, a significant number of Canadians still lack access to good oral health care, especially disabled Canadians, those on social assistance, the working poor, the elderly, and new immigrants. At the same time, an attractive smile has become increasingly important in the workplace and in relationships. People with damaged and missing teeth are at a substantial disadvantage, not just because of the pain and suffering caused by poor oral health, but because we live in a society that prizes good teeth and warm smiles.
The first history of oral health in Canada, The Smile Gap reveals that despite the gains made, too many Canadians go without any dental care, with damaging consequences for their oral health, general physical health, and self-image. To complete our health care system, it is time to close the gap.
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Could an artificial intelligence diagnosis what ails you? Medical futurists offer a techno-utopian vision of perfect personalized risk assessments, diagnoses, and treatment recommendations. Yet, recent stories belie this optimism. Many of these robot doctors are rather stupid, and they seem more interesting in cutting costs than providing care.
Medical AIs are largely unregulated and unverified, and this has made them woefully inadequate and sometimes blatantly racist. Plus, they have been weaponized as tools to deny treatment to the patients who need it. We explore the world of AI in medicine with STAT News investigative reporter Casey Ross, and hematologist and philosopher Ben Chin-Yee.
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Disease is thought to be a great leveler of humanity, but in antebellum New Orleans acquiring immunity from the scourge of yellow fever magnified the brutal inequities of slave-powered capitalism.
Antebellum New Orleans sat at the heart of America’s slave and cotton kingdoms. It was also where yellow fever epidemics killed as many as 150,000 people during the nineteenth century. With little understanding of mosquito-borne viruses—and meager public health infrastructure—a person’s only protection against the scourge was to “get acclimated” by surviving the disease. About half of those who contracted yellow fever died.
Repeated epidemics bolstered New Orleans’s strict racial hierarchy by introducing another hierarchy, what Kathryn Olivarius terms “immunocapital.” As this highly original analysis shows, white survivors could leverage their immunity as evidence that they had paid their biological dues and could then pursue economic and political advancement. For enslaved Blacks, the story was different. Immunity protected them from yellow fever, but as embodied capital, they saw the social and monetary value of their acclimation accrue to their white owners. Whereas immunity conferred opportunity and privilege on whites, it relegated enslaved people to the most grueling labor.
The question of good health—who has it, who doesn’t, and why—is always in part political. Necropolis: Disease, Power, and Capitalism in the Cotton Kingdom (Harvard UP, 2022) shows how powerful nineteenth-century white Orleanians—all allegedly immune—pushed this politics to the extreme. They constructed a society that capitalized mortal risk and equated perceived immunity with creditworthiness and reliability. Instead of trying to curb yellow fever through sanitation or quarantines, immune white Orleanians took advantage of the chaos disease caused. Immunological discrimination therefore became one more form of bias in a society premised on inequality, one more channel by which capital disciplined and divided the population.
Kendall Dinniene is an English PhD candidate at Southern Methodist University in Dallas, Texas. Their research examines how contemporary American authors respond to anti-fatness in their work, revealing the contours of citizenship and paths toward liberation.
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Where would we be without the knee? This down-to-earth joint connecting the thigh and the lower leg doesn’t receive the attention it deserves. Yet, as The Curious Human Knee (Columbia UP, 2023) reveals, it is crucial to countless facets of science, medicine, culture, and history—and even what makes us human.
The science writer Han Yu provides an informative, surprising, and entertaining exploration of the human knee across time and place. She begins with our earliest ancestors, emphasizing that walking upright separates us from the apes and bipedal knees appeared long before big brains and sophisticated tools. Yu considers the intricate anatomy of the knee, its evolutionary history, and the complexity of treating knee pain, including her own. She examines why women’s knees might be more prone to damage than men’s and addresses the roles of race and class in ailments such as osteoarthritis. This book gets knee-deep into an astonishing range of topics—fashion from flappers to miniskirts and ripped jeans, cultural practices spanning Japanese knee walking and Thai boxing, and more. Yu reflects on the symbolic power of kneeling from the imperial court in China to the football field in the United States and shows why the knee figures into so many social and political phenomena.
Distilling a vast amount of research in a style that is engaging, conversational, and even personal and witty, this book opens readers’ eyes to the complexity and significance of the humble knee.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England.
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Marius Wamsiedel's book The Moral Evaluation of Emergency Department Patients: An Ethnography of Triage Work in Romania (Lexington, 2023) is an ethnography of the social process by which healthcare workers ration and rationalize the provision of care. Examining the social categorization of patients, this work documents the interactional production of exclusion at two emergency departments in Romania.
Roland Clark is a Reader in Modern European History at the University of Liverpool, a Senior Fellow with the Centre for Analysis of the Radical Right, and the Principal Investigator of an AHRC-funded project on European Fascist Movements.
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The pressures Asian Americans feel to be socially and economically exceptional include an unspoken mandate to always be healthy. Nowhere is this more evident than in the expectation for Asian Americans to enter the field of medicine, principally as providers of care rather than those who require care. Pedagogies of Woundedness: Illness, Memoir, and the Ends of the Model Minority (Temple UP, 2021) explores what happens when those considered model minorities critically engage with illness and medicine whether as patients or physicians.
James Kyung-Jin Lee considers how popular culture often positions Asian Americans as medical authorities and what that racial characterization means. Addressing the recent trend of writing about sickness, disability, and death, Lee shows how this investment in Asian American health via the model minority is itself a response to older racial forms that characterize Asian American bodies as diseased. Moreover, he pays attention to what happens when academics get sick and how illness becomes both methodology and an archive for scholars.
Pedagogies of Woundedness also explores the limits of biomedical “care,” the rise of physician chaplaincy, and the impact of COVID. Throughout his book and these case studies, Lee shows the social, ethical, and political consequences of these common (mis)conceptions that often define Asian Americans in regard to health and illness.
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Epidemiologists and national security agencies warned for years about the potential for a deadly pandemic, but in the end global surveillance and warning systems were not enough to avert the COVID-19 disaster. In The COVID-19 Intelligence Failure: Why Warning Was Not Enough (Georgetown UP, 2023), Erik J. Dahl demonstrates that understanding how intelligence warnings work--and how they fail--shows why the years of predictions were not enough.
In the first in-depth analysis of the topic, Dahl examines the roles that both traditional intelligence services and medical intelligence and surveillance systems play in providing advance warning against public health threats--and how these systems must be improved for the future. For intelligence to effectively mitigate threats, specific, tactical-level warnings must be collected and shared in real time with receptive decision makers who will take appropriate action. Dahl shows how a combination of late and insufficient warnings about COVID-19, the Trump administration's political aversion to scientific advice, and decentralized public health systems all exacerbated the pandemic in the United States. Dahl's analysis draws parallels to other warning failures that preceded major catastrophes from Pearl Harbor to 9/11, placing current events in context.
The COVID-19 Intelligence Failure is a wake-up call for the United States and the international community to improve their national security, medical, and public health intelligence systems and capabilities.
Beth Windisch is a national security practitioner.
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In 1896 the British physician William Pringle Morgan published an account of “Percy,” a “bright and intelligent boy, quick at games, and in no way inferior to others of his age.” Yet, in spite of his intelligence, Percy had great difficulty learning to read. Percy was one of the first children to be described as having word-blindness, better known today as dyslexia.
In Dyslexia: A History (McGill-Queen's UP, 2022), Philip Kirby and Margaret Snowling chart a journey that begins with Victorian medicine and continues to dyslexia’s current status as the most globally recognized specific learning difficulty. In an engaging narrative style, Kirby and Snowling tell the story of dyslexia, examining its origins and revealing the many scientists, teachers, and campaigners who put it on the map. Through this history they explain current debates over the diagnosis of dyslexia and its impact on learning.For those who have lived experience of dyslexia, professionals who have supported them, and scholars of social history, education, psychology, and childhood studies, Dyslexia reflects on the place of literacy in society – whom it has benefited, and whom it has left behind.
Philip Kirby is lecturer in social science, King’s College London. Margaret J. Snowling is professor of psychology, University of Oxford, and president of St John’s College.
Shu Wan is currently matriculated as a doctoral student in history at the University at Buffalo. As a digital and disability historian, he serves in the editorial team of Digital Humanities Quarterly and Nursing Clio. On Twitter: @slissw.
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In Health in Ruins: The Capitalist Destruction of Medical Care at a Colombian Maternity Hospital (Duke UP, 2022), César Ernesto Abadía-Barrero chronicles the story of El Materno—Colombia’s oldest maternity and neonatal health center and teaching hospital—over several decades as it faced constant threats of government shutdown. Using team-based and collaborative ethnography to analyze the social life of neoliberal health policy, Abadía-Barrero details the everyday dynamics around teaching, learning, and working in health care before, during, and after privatization. He argues that health care privatization is not only about defunding public hospitals; it also ruins rich traditions of medical care by denying or destroying ways of practicing medicine that challenge Western medicine. Despite radical cuts in funding and a corrupt and malfunctioning privatized system, El Materno’s professors, staff, and students continued to find ways to provide innovative, high-quality, and noncommodified health care. By tracking the violences, conflicts, hopes, and uncertainties that characterized the struggles to keep El Materno open, Abadía-Barrero demonstrates that any study of medical care needs to be embedded in larger political histories.
If you are interested in a conversation in Spanish about this book listen to this episode of New Books Network en español
Host María Camila Núñez Gómez is a professor interested in social studies on health, diseases, and science.
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The routinization of non-invasive prenatal genetic testing (NIPT) raises urgent questions about disability rights and reproductive justice. Supporters defend NIPT on the grounds that genetic information about the fetus helps would-be parents make better family planning choices. Prenatal Genetic Testing, Abortion, and Disability Justice challenges that assessment by exploring how NIPT can actually constrain pregnant women's options. Prospective parents must
balance a complicated array of factors, including the familial, social, and financial support they can reasonably expect to receive if they choose to carry a disabled fetus to term and raise after birth, causing many pregnant women to “choose” termination.
Focusing on the US, the book explores the intent and effects of prenatal screening in connection to women's bodily autonomy and disability rights, addressing themes at the intersection of genetic medicine, policymaking, critical disabilities studies, and political theory. Knight and Miller shift debates about reprogenetics from bioethics to political practice, as well as thoroughly critiquing the neoliberal state and the eugenic technologies that support it. Providing concrete suggestions for reforming medical practice, welfare policy, and cultural norms surrounding disability, this book highlights sites of necessary reform to envision how prospective parents can make truly free choices about prenatal genetic testing and selection abortion.
Amber Knight, Associate Professor of Political Science and Public Administration, University of North Carolina at Charlotte. Joshua Miller, Assistant Teaching Professor of Political Science and Public Administration, University of North Carolina at Charlotte.
Shu Wan is currently matriculated as a doctoral student in history at the University at Buffalo. As a digital and disability historian, he serves in the editorial team of Digital Humanities Quarterly and Nursing Clio. On Twitter: @slissw.
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Histories of Health and Materiality in the Indian Ocean World: Medicine, Material Culture and Trade, 1600-2000 (Bloomsbury, 2023): Introducing materiality into the study of the history of medicine, this volume hones in on communities across the Indian Ocean World and explores how they understood and engaged with health and medical commodities. Opening up spatial dimensions and challenging existing approaches to knowledge, power, and the market, it defines 'therapeutic commodity' and explores how different materials were understood and engaged with in various settings and for a number of purposes.
Offering new spatial realms within which the circulation of commodities created new regimes of meaning, Histories of Health and Materiality in the Indian Ocean World demonstrates how medicinal substances have had immediate and far-reaching economic and political consequences in various capacities. From midwifery and umbilical cords, to the social spaces of soap, and perfumes in early modern India and remedies for leprosy, this volume considers a vast range of material culture in medicinal settings to better understand the history of medicine and its role in global connections since the early 17th century.
Anne Gerritsen is Professor of History at the University of Warwick, UK, and Chair of Asian Art at the University of Leiden, Netherlands. At Warwick, she co-directs the Global History and Culture Centre.
Burton Cleetus is Assistant Professor of History at Jawaharlal Nehru University, India, where he teaches Modern Indian History. He specialises in the history of medicine and science and has worked on the institutionalisation of Indian medical traditions in colonial and post independent India.
Ahmed Yaqoub AlMaazmi is a Ph.D. candidate at Princeton University, Near Eastern Studies Department. His research focuses on the intersection of law, the occult sciences, and the environment across the western Indian Ocean. He can be reached by email [email protected] or on Twitter @Ahmed_Yaqoub. Listeners’ feedback, questions, and book suggestions are most welcome.
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In Reproductive Realities in Modern China: Birth Control and Abortion, 1911-2021 (Cambridge UP, 2022), assistant professor of history at Missouri State University, Sarah Mellors Rodriguez explores the longue durée history of birth control and abortion in China from the Republican period to the present day. Drawing from a rich array of archival materials, oral histories, posters, films, novels, and other media, she delves into the diverse attitudes, policies, and practices of birth control and abortion from 1911 to 2021.
In this episode, Rodriguez shares how she first became interested in birth control in China and her research process and decisions. She then walks listeners through her book, paying special attention to the lived experiences of women whose decisions about birth control were often mediated by geography, class, and shifting regional and national policies and enforcement. By tracing birth control and abortion in China over a long period, she is able to identify persistent trends and specific features of each period covered–the Republican period, the early People’s Republic of China, the Cultural Revolution and Sent-Down Student Movement, and the era of the One Child Policy. Sarah Mellors Rodriguez has crafted her book in a thorough, thoughtful manner, not only contributing new details and insights about birth control and abortion in China before, during, and after the One Child Policy but also commenting on the larger themes of sexuality and the law, gender, medicine, and modern China.
Laurie Dickmeyer is an Assistant Professor of History at Angelo State University, where she teaches courses in Asian and US history. Her research concerns nineteenth century US-China relations. She can be reached at [email protected].
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What's wrong with vaccine mandates? What is the "biosecurity surveillance regime"? Is trust in our public health institutions damaged beyond repair? Dr. Aaron Kheriaty, who was fired by the UC Irvine School of Medicine for refusing to receive the COVID-19 vaccine, joins Madison's Notes to answer these questions and more.
Dr. Kheriaty's Substack is here.
Dr. Kheriaty's Senate Testimony is here.
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In From Back Alley to the Border: Criminal Abortion in California, 1920-1969 (U Nebraska Press, 2020), Alicia Gutierrez-Romine examines the history of criminal abortion in California and the role abortion providers played in exposing and exploiting the faults in California’s anti-abortion statute throughout the twentieth century. Focused on the patients who used this underground network and the physicians who facilitated it, Gutierrez-Romine provides insight into the world of illegal abortion from the 1920s through the 1960s, including regular physicians as well as women and African American abortionists, and the investigations, scandals, and trials that surrounded them.
During the 1930s the Pacific Coast Abortion Ring, a large, coast-wide, and comparatively safe abortion syndicate, became the target of law enforcement agencies, forcing those needing abortions across the border into Mexico and ushering in an era of Tijuana “abortion tourism” in the early 1950s. The movement south of the border ultimately compelled the California Supreme Court to rule its abortion statute “void for vagueness” in People v. Belous in 1969—four years before Roe v. Wade.
Gutierrez-Romine presents the first book focused on abortion on the West Coast and the U.S.-Mexico border and provides a new approach to studying how providers of illegal abortions and their clients navigated this underground network. In the post-Dobbs moment, From Back Alley to the Border shows us how little we have learned from history.
Jeannette Cockroft is an associate professor of history and political science at Schreiner University.
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Long considered the most important of all organs, the human heart has fascinated artists and scientists alike. Listen to cardiologist Vincent Figueredo discuss knowledge of and attitudes towards the heart in societies ancient and modern. Figueredo is the author of The Curious History of the Heart: A Cultural and Scientific Journey (Columbia UP, 2023).
Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.
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Today I talked to Eugene Lipov about his new book (co-authored with Jamie Mustard), The Invisible Machine: The Startling Truth About Trauma and the Scientific Breakthrough That Can Transform Your Life (BenBella Books, 2023)
Human beings aren’t biologically build to endure sustained stress. A 30-second blast of anxiety in dealing with a threat isn’t anything likely the ongoing suffering taking place in society today. From soldiers who are returning from overseas combat to poverty-ridden inner-city youth to suburban girls traumatized in their own by endlessly comparing themselves (unfavorably) to others posted online, toxicity is everywhere. This book and this interview involves a passionate, practical solution for dealing with the ”broken leg” inside so many of us as victims of trauma. To add hope to the lexicon of stress over and above using anger and hypervigilant fear to cope, this episode highlights the battle within.
Eugene Lipov, M.D., is a complex anesthesiologist who has been called the “Einstein” of his field given his development of the highly effective and innovative Dual Sympathetic Reset (DSR) method, which was endorsed by President Obama in 2010. His co-author, Jamie Mustard, is an artist, futurist, multi-media consultant and writer whose passion is teaching how to break through today’s media clutter.
Dan Hill, PhD, is the author of ten books and leads Sensory Logic, Inc. (https://www.sensorylogic.com). His latest two books are Blah Blah Blah: A Snarky Guide to Office Lingo and Emotionomics 2.0: The Emotional Dynamics Underlying Key Business Goals.
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The COVID-19 lab leak theory went from being dismissed as mere misinformation, to now a credible matter of debate amongst media, scientific, and intelligence organizations. What’s changed, and what does this teach us about science journalism and science communication? Is it time to let go of our obsession over “misinformation”?
First, Jacobin staff writer Branko Marcetic lays out the political problems with the idea of misinformation. Later, Nicole M. Krause, a PhD candidate focussing on science communication, looks at conceptual problems in the research itself. What’s “True,” and who gets to decide?
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In this series of interviews from The MIT Press Podcast, we'll be drawing on the research of various authors to reflect on some of the issues shaping the American political landscape of today.
The second episode of this series features a discussion with the author of Anti-vaxxers, Jonathan M. Berman. Vaccines are a documented success story, one of the most successful public health interventions in history. Yet there is a vocal anti-vaccination movement, featuring celebrity activists including actress Jenny McCarthy, talk-show host Bill Maher, and presidential hopeful Kanye West.
How do we address those with views that might be deemed absurd and confusing? How do we ensure that the public sphere is based upon evidenced and good faith arguments? And what might be redeemed from world-views built upon misinformation?
Jonathan M. Berman is Assistant Professor in the Department of Basic Sciences at NYITCOM–Arkansas. An active science communicator, he served as national cochair of the 2017 March for Science.
Hosted by Sam Kelly; Mixed by Samantha Doyle; Soundtrack by Kristen Gallerneaux
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Menstruation is something half the world does for a week at a time, for months and years on end, yet it remains largely misunderstood. Scientists once thought of an individual's period as useless, and some doctors still believe it's unsafe for a menstruating person to swim in the ocean wearing a tampon. Period: The Real Story of Menstruation (Princeton UP, 2023) counters the false theories that have long defined the study of the uterus, exposing the eugenic history of gynecology while providing an intersectional feminist perspective on menstruation science.
Blending interviews and personal experience with engaging stories from her own pioneering research, Kate Clancy challenges a host of myths and false assumptions. There is no such a thing as a "normal" menstrual cycle. In fact, menstrual cycles are incredibly variable and highly responsive to environmental and psychological stressors. Clancy takes up a host of timely issues surrounding menstruation, from bodily autonomy, menstrual hygiene, and the COVID-19 vaccine to the ways racism, sexism, and medical betrayal warp public perceptions of menstruation and erase it from public life.
Offering a revelatory new perspective on one of the most captivating biological processes in the human body, Period will change the way you think about the past, present, and future of periods.
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In The Prescription-To-Prison Pipeline: The Medicalization and Criminalization of Pain (Duke UP, 2023), Michelle Smirnova argues that the ongoing opioid drug epidemic is the result of an endless cycle in which suffering is medicalized and drug use is criminalized. Drawing on interviews with eighty incarcerated individuals in Missouri correctional institutions, Smirnova shows how contradictions in medical practices, social ideals, and legal policies disproportionately criminalize the poor for their social condition. This criminalization further exacerbates and perpetuates drug addiction and poverty.
Tracing the processes by which social issues are constructed as biomedical ones that necessitate pharmacological intervention, Smirnova highlights how inequitable surveillance, policing, and punishment of marginalized populations intensify harms associated with both treatment and punishment, especially given that the distinctions between the two have become blurred. By focusing on the stories of people whose pain and pharmaceutical treatment led to incarceration, Smirnova challenges the binary of individual and social problems, effectively exploring how the conceptualization, diagnosis, and treatment of substance use may exacerbate outcomes such as relapse, recidivism, poverty, abuse, and death.
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In this episode, Bita Moghaddam discusses the emergence of ketamine as a combat anesthetic in the Vietnam war, its transformation into a recreation drug central to club culture, and its current transition into a treatment for depression.
Ketamine, approved in 2019 by the Food and Drug Administration for the treatment of depression, has been touted by scientists and media reports as something approaching a miracle cure. This volume in the MIT Press Essential Knowledge series chronicles the ascent of a drug that has been around for fifty years--in previous incarnations, a Vietnam-era combat anesthetic and a popular club drug--that has now been reinvented as a treatment for depression. Bita Moghaddam, a leading researcher in neuropharmacology, explains the scientific history and the biology of ketamine, its clinical use, and its recently discovered antidepressant effects, for the nonspecialist reader.
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This episode offers an insight into the work of leading cancer specialist and author of When Blood Breaks Down, Mikkael A. Sekeres. 1 in 2 people will develop cancer in their lifetime, but thankfully treatment for the disease is rapidly changing and improving. I ask Mikkael about the drugs that allow people to beat cancer and live better with it.
When you are told that you have leukemia, your world stops. Your brain can't function. You are asked to make decisions about treatment almost immediately, when you are not in your right mind. And yet you pull yourself together and start asking questions. Beside you is your doctor, whose job it is to solve the awful puzzle of bone marrow gone wrong. The two of you are in it together. In When Blood Breaks Down, Mikkael Sekeres, a leading cancer specialist, takes readers on the journey that patient and doctor travel together.
Sekeres, who writes regularly for the "Well" section of The New York Times, tells the compelling stories of three people who receive diagnoses of adult leukemia within hours of each other: Joan, a 48-year-old surgical nurse, a caregiver who becomes a patient; David, a 68-year-old former factory worker who bows to his family's wishes and pursues the most aggressive treatment; and Sarah, a 36-year-old pregnant woman who must decide whether to undergo chemotherapy and put her fetus at risk. We join the intimate conversations between Sekeres and his patients, and we watch as he teaches trainees. Along the way, Sekeres also explores leukemia in its different forms and the development of drugs to treat it--describing, among many other fascinating details, the invention of the bone marrow transplant (first performed experimentally on beagles) and a treatment that targets the genetics of leukemia.
The lessons to be learned from leukemia, Sekeres shows, are not merely medical; they teach us about courage and grace and defying the odds.
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In this innovative analytical account of the place of emotion and embodiment in nineteenth-century British surgery, Michael Brown examines the changing emotional dynamics of surgical culture for both surgeons and patients from the pre-anaesthetic era through the introduction of anaesthesia and antisepsis techniques. Drawing on diverse archival and published sources, Brown explores how an emotional regime of Romantic sensibility, in which emotions played a central role in the practice and experience of surgery, was superseded by one of scientific modernity, in which the emotions of both patient and practitioner were increasingly marginalised. Demonstrating that the cultures of contemporary surgery and the emotional identities of its practitioners have their origins in the cultural and conceptual upheavals of the later nineteenth century, this book challenges us to question our perception of the pre-anaesthetic period as an era of bloody brutality and casual cruelty. Emotions and Surgery in Britain, 1793-1912 (Cambridge UP, 2022) is available as open access.
Dr Michael Brown is a lecturer in Modern British History at Lancaster University.
Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel.
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Magic was a fundamental part of the Greco-Roman world. Curses, erotic spells, healing charms, divination, and other supernatural methods of trying to change the universe were everyday methods of coping with the difficulties of life in antiquity. While ancient magic is most often studied through texts like surviving Greco-Egyptian spellbooks and artifacts like lead curse tablets, for a Greek or Roman magician a ritual was a rich sensual experience full of unusual tastes, smells, textures, and sounds, bright colors, and sensations like fasting and sleeplessness. Greco-Roman magical rituals were particularly dominated by the sense of smell, both fragrant smells and foul odors. Ritual practitioners surrounded themselves with clouds of fragrant incense and perfume to create a sweet and inviting atmosphere for contact with the divine and to alter their own perceptions; they also used odors as an instrumental weapon to attack enemies and command the gods. Elsewhere, odiferous herbs were used equally as medical cures and magical ingredients. In literature, scent and magic became intertwined as metaphors, with fragrant spells representing the dangers of sensual perfumes and conversely, smells acting as a visceral way of envisioning the mysterious action of magic.
The Scent of Ancient Magic (University of Michigan Press, 2022) by Dr. Britta Ager explores the complex interconnection of scent and magic in the Greco-Roman world between 800 BCE and CE 600, drawing on ancient literature and the modern study of the senses to examine the sensory depth and richness of ancient magic. Dr. Ager looks at how ancient magicians used scents as part of their spells, to put themselves in the right mindset for an encounter with a god or to attack their enemies through scent. She also examines the magicians who appear in ancient fiction, like Medea and Circe, and the more metaphorical ways in which their spells are confused with perfumes and herbs. This book brings together recent scholarship on ancient magic from classical studies and on scent from the interdisciplinary field of sensory studies in order to examine how practicing ancient magicians used scents for ritual purposes, how scent and magic were conceptually related in ancient literature and culture, and how the assumption that strong scents convey powerful effects of various sorts was also found in related areas like ancient medical practices and normative religious ritual.
This interview was conducted by Dr. Miranda Melcher whose doctoral work focused on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Drawing on interviews with approximately sixty advocates, drug users, former users, friends, families, witnesses, clinicians, and scientists; Nancy D. Campbell has drawn together a history of a defining tragedy of contemporary life; the overdose. I ask her about the reality of drug overdoses and one of the tools being used by activists to prevent more deaths--Naloxone.
For years, drug overdose was unmentionable in polite society. OD was understood to be something that took place in dark alleys--an ugly death awaiting social deviants--neither scientifically nor clinically interesting. But over the last several years, overdose prevention has become the unlikely object of a social movement, powered by the miracle drug naloxone. In OD, Nancy Campbell charts the emergence of naloxone as a technological fix for overdose and describes the remaking of overdose into an experience recognized as common, predictable, patterned--and, above all, preventable. Naloxone, which made resuscitation, rescue, and "reversal" after an overdose possible, became a tool for shifting law, policy, clinical medicine, and science toward harm reduction. Liberated from emergency room protocols and distributed in take-home kits to non-medical professionals, it also became a tool of empowerment.
After recounting the prehistory of naloxone--the early treatment of OD as a problem of poisoning, the development of nalorphine (naloxone's predecessor), the idea of "reanimatology"--Campbell describes how naloxone emerged as a tool of harm reduction. She reports on naloxone use in far-flung locations that include post-Thatcherite Britain, rural New Mexico, and cities and towns in Massachusetts. Drawing on interviews with approximately sixty advocates, drug users, former users, friends, families, witnesses, clinicians, and scientists--whom she calls the "protagonists" of her story--Campbell tells a story of saving lives amid the complex, difficult conditions of an unfolding unnatural disaster.
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Rapid Reviews: COVID-19 brings together urgency and scientific rigor so the world’s researchers can quickly disseminate new discoveries that the public can trust. Amy Brand (Director, The MIT Press) and Vilas Dhar (Trustee, The Patrick J. McGovern Foundation) discuss this new overlay journal, its innovative goals, and its role as a proof-of-concept for new models of peer-review and rapid publishing.
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How do we approach a "deeply forgetful" loved one so as to notice and affirm their continuing self-identity? For three decades, Stephen G. Post has worked around the world encouraging caregivers to become more aware of--and find renewed hope in--surprising expressions of selfhood despite the challenges of cognitive decline.
In Dignity for Deeply Forgetful People: How Caregivers Can Meet the Challenges of Alzheimer's Disease (Johns Hopkins University Press, 2022), Post offers new perspectives on the worth and dignity of people with Alzheimer's and related disorders despite the negative influence of "hypercognitive" values that place an ethically unacceptable emphasis on human dignity as based on linear rationality and strength of memory. This bias, Post argues, is responsible for the abusive exclusion of this population from our shared humanity. With vignettes and narratives, he argues for a deeper dignity grounded in consciousness, emotional presence, creativity, interdependence, music, and a self that is not "gone" but "differently abled." Post covers key practical topics such as:
- understanding the experience of dementia
- noticing subtle expressions of continuing selfhood, including "paradoxical lucidity"
- perspectives on ethical quandaries from diagnosis to terminal care and everything in between, as gleaned from the voices of caregivers
- how to communicate optimally and use language effectively
- the value of art, poetry, symbols, personalized music, and nature in revealing self-identity
- the value of trained "dementia companion" dogs
At a time when medical advances to cure these conditions are still out of reach and the most recent drugs have shown limited effectiveness, Post argues that focusing discussion and resources on the relational dignity of these individuals and the respite needs of their caregivers is vital. Grounding ethics on the equal worth of all conscious human beings, he provides a cautionary perspective on preemptive assisted suicide based on cases that he has witnessed. He affirms vulnerability and interdependence as the core of the human condition and celebrates caregivers as advocates seeking social and economic justice in an American system where they and their loved ones receive only leftover scraps. Racially inclusive and grounded in diversity, Dignity for Deeply Forgetful People also includes a workshop appendix focused on communication and connection, "A Caregiver Resilience Program," by Rev. Dr. Jade C. Angelica.
Stephen G. Post is the director of the Center for Medical Humanities, Compassionate Care, and Bioethics at the Renaissance School of Medicine at Stony Brook University.
Caleb Zakarin is the Assistant Editor of the New Books Network.
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In Break On Through, Lucas Richert explores Anti-psychiatry, psychedelics, and radical challenges to psychiatry and the conventional treatment of mental health in the 1970s. In this interview Lucas discusses the issues that run through the sixties and seventies and how they're forming debates about mental health today.
"Antipsychiatry," Esalen, psychedelics, and DSM III: Radical challenges to psychiatry and the conventional treatment of mental health in the 1970s.
The upheavals of the 1960s gave way to a decade of disruptions in the 1970s, and among the rattled fixtures of American society was mainstream psychiatry. A "Radical Caucus" formed within the psychiatric profession and the "antipsychiatry" movement arose. Critics charged that the mental health establishment was complicit with the military-industrial complex, patients were released from mental institutions, and powerful antipsychotic drugs became available. Meanwhile, practitioners and patients experimented with new approaches to mental health, from primal screaming and the therapeutic use of psychedelics to a new reliance on quantification. In Break on Through, Lucas Richert investigates the radical challenges to psychiatry and to the conventional treatment of mental health that emerged in the 1970s and the lessons they offer for current debates.
Drawing on archives and government documents, medical journals, and interviews, and interweaving references to pop (counter)culture into his account, Richert offers fascinating stories of the decade's radical mental health practices. He discusses anti-Vietnam War activism and the new diagnosis of post-traumatic stress disorder given to some veterans; the radical psychiatrists who fought the system (and each other); the entry of New Age-style therapies, including Esalen's Human Potential Movement, into the laissez-faire therapeutic marketplace of the 1970s; the development of DSM III; and the use of LSD, cannabis, and MDMA.
Many of these issues have resonance today. Debates over medical marijuana and microdoses of psychedelics echo debates of the 1970s. With rising rates of such disorders as anxiety and depression, practitioners and patients continue to search for therapeutic breakthroughs.
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Medical treatments designed to help people can also be harmful or fatal. Around 2.5 million people die this way each year. So if any kind of medicine makes someone unwell, they or their doctor should report it. Those reports, from nearly every country in the world, go to the Uppsala Monitoring Centre (UMC) in Sweden. As the Centre’s first director, Professor Ivor Ralph Edwards transformed it from a tiny operation with limited horizons into an internationally acclaimed scientific organization at the heart of the World Health Organization’s Programme for International Drug Monitoring. He was then succeeded by his wife, Dr Marie Lindquist.
Ian Hembrow's Ralph Edwards: Rare Events--The Inside Story of a Worldwide Quest for Safer Medicines (Springer, 2023) is the story of how a new science developed and a passionate and dedicated pursuit of worldwide medicines safety, with an unerring focus on the welfare of patients. The pioneering work of Ralph, Marie and their collaborators on every continent protected the lives of millions of people. It may yet improve the lives of billions more.
Victoria Phillips is a Visiting Fellow at the London School of Economics in the Department of International History.
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I was very excited to chat with Maurits Bastiaan Meerwijk as we share some obsessions, namely rats and plague in colonial Southeast Asia. His A History of Plague in Java, 1911-1942 (Southeast Asia Program Publications, 2022) is an engaging study of a massive public health campaign in the Dutch East Indies. As he records the most invasive colonial policy in Indonesian history, his work ties together the histories of disease, imperialism, and modernity. A History of Plague in Java, 1911-1942 will be of interest to Southeast Asianists, scholars of disease, and anyone interested the origins of modern state systems.
Dr. Meerwijk earned his Ph.D in History at the University of Hong Kong with a dissertation entitled Dengue Fever in Modern Asia. He has been a Research Associate at the University of St. Andrews and a Lecturer at the University of Hong Kong. He is currently a postdoc researcher at the University of Leiden and the scientific secretary at the Health Council of the Netherlands. A History of Plague in Java, 1911-1942 is his first book.
Michael G. Vann is a professor of world history at California State University, Sacramento. A specialist in imperialism and the Cold War in Southeast Asia, he is the author of The Great Hanoi Rat Hunt: Empires, Disease, and Modernity in French Colonial Vietnam (Oxford University Press, 2018). When he’s not reading or talking about new books with smart people, Mike can be found surfing in Santa Cruz, California.
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Have germs or humans done the most to shape the world’s history? Did Homo Sapiens get the better of the Neanderthals because of superior brainpower or because of better resistance to some infectious disease? And are germs part of the story behind the fall of Rome and rise of Islam? Owen Bennett Jones talks germs with Jonathan Kennedy of London University. Kennedy is the author of Pathogenesis: A History of the World in Eight Plagues (Crown Publishing, 2023).
Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.
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An interview with Donna J. Drucker, author of Contraception, from The MIT Press Essential Knowledge series. We discuss reproductive justice, the history of contraceptive technology and how the future of contraception can offer more choice and more freedom for every kind of person.
The development, manufacturing, and use of contraceptive methods from the late nineteenth century to the present, viewed from the perspective of reproductive justice.
The beginning of the modern contraceptive era began in 1882, when Dr. Aletta Jacobs opened the first birth control clinic in Amsterdam. The founding of this facility, and the clinical provision of contraception that it enabled, marked the moment when physicians started to take the prevention of pregnancy seriously as a medical concern. In this volume in the MIT Press Essential Knowledge series, Donna Drucker traces the history of modern contraception, outlining the development, manufacturing, and use of contraceptive methods from the opening of Dr. Jacobs's clinic to the present. Drucker approaches the subject from the perspective of reproductive justice: the right to have a child, the right not to have a child, and the right to parent children safely and healthily.
Drucker describes contraceptive methods available before the pill, including the diaphragm (dispensed at the Jacobs clinic) and condom, spermicidal jellies, and periodic abstinences. She looks at the development and dissemination of the pill and its chemical descendants; describes technological developments in such non-hormonal contraceptives as the cervical cap and timing methods (including the “rhythm method” favored by the Roman Catholic church); and explains the concept of reproductive justice. Finally, Drucker considers the future of contraception—the adaptations of existing methods, new forms of distribution, and ongoing efforts needed to support contraceptive access worldwide.
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Toward the end of World War II, Hitler's many health complications became even more pronounced, making an evil man yet more erratic and dangerous. While the subject of Hitler's health has been catalogued previously, never has it been done so this thoroughly or with this level of up-to-date medical expertise.
Tom Hutton's Hitler's Maladies and Their Impact on World War II (Texas Tech UP, 2023) draws from a lifetime of medical research and clinical experience to understand how the dictator's particular medical history further warped a deformed personality and altered Hitler's decision making. Dr. Hutton trained under the world-renowned neuropsychologist and father of modern neuropsychological assessment, Dr. Alexander Luria, giving him a uniquely qualified eye to undertake this most difficult assessment.
While many books on the subject thumb through the annals of popular psychology to understand history's most famous monsters, Dr. Hutton's latest book uses contemporary clinical knowledge, lucidly synthesizing medical complexities for all audiences.
Here Dr. Hutton undertakes a thorough medical history to elucidate a pivotal historical moment, examining how disease impacted Hitler's destructive life.
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Arleen Marcia Tuchman’s book, Diabetes: A History of Race and Disease (Yale UP, 2020), tells the American history of a disease that continues to defy categorizations. Researchers for more than a century have worked to create distinctions between “types” of diabetes to parse people who all share the trait of high levels of sugar in their blood. Tuchman shows how efforts to divide diabetes into types tracked efforts to divide people into different types—specifically by race. For Tuchman, this move reflects an American obsession with race that too often overlooks racism as a fundamental cause of disease.
The book won the 2022 Rosen Prize from the American Association for the History of Medicine and will be of immediate interest to readers interested in Science & Technology Studies, American History, and social justice.
This interview was a collaborative effort among Professor Laura Stark and graduate students at Vanderbilt University in the course, “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom. Email: [email protected].
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An abolitionist approach to STS and the history of the life sciences: this is the model that Cristina Mejia Visperas offers in her book, Skin Theory: Visual Culture and the Postwar Prison Laboratory (NYU 2022). By now, scientists’ experiments on captive men at Philadelphia’s Holmesburg Prison are well known, thanks to the brave and important testimony of former captive-subjects in books like Allen Hornblum’s Acres of Skin. Building on this documentary work, Visperas turns attention to the prison experiments’ “optical rationality,” the way of seeing images that came out of a space that was simultaneously prison and laboratory. For Visperas, skin is a scientific apparatus and a metaphor for what science makes visible—and what it leaves as a void, namely, the endurance of anti-Black racism in the US, from slavery to mass incarceration. At its core, the book asks “What is the relationship between science and the project of freedom?”—and it hopes towards a reparative bioethics that dismantles scientific racism and the prison nation that it upholds.
This interview was a collaborative effort among Professor Laura Stark and graduate students at Vanderbilt University in the seminar “Critical Bioethics.” Please email Laura with any feedback on the interview or questions about how to design collaborative interview projects for the classroom.
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Between 1902 and 1934, the United States confined hundreds of adults and children from dozens of Native nations at the Canton Asylum for Insane Indians, a federal psychiatric hospital in South Dakota. But detention at the Indian Asylum, as families experienced it, was not the beginning or end of the story. For them, Canton Asylum was one of many places of imposed removal and confinement, including reservations, boarding schools, orphanages, and prison-hospitals. Despite the long reach of institutionalization for those forcibly held at the Asylum, the tenacity of relationships extended within and beyond institutional walls.
In Committed: Remembering Native Kinship in and Beyond Institutions (UNC Press, 2021), Susan Burch tells the story of the Indigenous people—families, communities, and nations, across generations to the present day—who have experienced the impact of this history. Drawing on oral history interviews, correspondence, material objects, and archival sources, Burch reframes the histories of institutionalized people and the places that held them. Committed expands the boundaries of Native American history, disability studies, and U.S. social and cultural history generally.
Susan Burch is a professor of American Studies. Before joining the Middlebury faculty in 2009, she taught at Gallaudet University, King’s College (University of Aberdeen, Scotland), and the Ohio State University. Professor Burch also has worked as a research associate at the Smithsonian National Museum of American History. She earned her BA degree in history and Soviet Studies from Colorado College and her MA and PhD in American and Soviet history from Georgetown University.
Shu Wan is currently matriculated as a doctoral student in history at the University at Buffalo. As a digital and disability historian, he serves in the editorial team of Digital Humanities Quarterly and Nursing Clio.
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How the way we perceive our bodies plays a critical role in the way we perceive ourselves: stories of phantom limbs, rubber hands, anorexia, and other phenomena.
The body is central to our sense of identity. It can be a canvas for self-expression, decorated with clothing, jewelry, cosmetics, tattoos, and piercings. But the body is more than that. Bodily awareness, says scientist-writer Moheb Costandi, is key to self-consciousness. In Body Am I: The New Science of Self-Consciousness (MIT Press, 2022), Costandi examines how the brain perceives the body, how that perception translates into our conscious experience of the body, and how that experience contributes to our sense of self. Along the way, he explores what can happen when the mechanisms of bodily awareness are disturbed, leading to such phenomena as phantom limbs, alien hands, and amputee fetishes.
Costandi explains that the brain generates maps and models of the body that guide how we perceive and use it, and that these maps and models are repeatedly modified and reconstructed. Drawing on recent bodily awareness research, the new science of self-consciousness, and historical milestones in neurology, he describes a range of psychiatric and neurological disorders that result when body and brain are out of sync, including not only the well-known phantom limb syndrome but also phantom breast and phantom penis syndromes; body integrity identity disorder, which compels a person to disown and then amputate a healthy arm or leg; and such eating disorders as anorexia.
Wide-ranging and meticulously researched, Body Am I (the title comes from Nietzsche's Thus Spoke Zarathustra) offers new insight into self-consciousness by describing it in terms of bodily awareness.
Melek Firat Altay is a neuroscientist, biologist and musician. Her research focuses on deciphering the molecular and cellular mechanisms of neurodegenerative and neurodevelopmental disorders.
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Mike Jay's Psychonauts: Drugs and the Making of the Modern Mind (Yale UP, 2023) is a provocative and original history of the scientists and writers, artists and philosophers who took drugs to explore the hidden regions of the mind.
Until the twentieth century, scientists investigating the effects of drugs on the mind did so by experimenting on themselves. Vivid descriptions of drug experiences sparked insights across the mind sciences, pharmacology, medicine, and philosophy. Accounts in journals and literary fiction inspired a fascinated public to make their own experiments--in scientific demonstrations, on exotic travels, at literary salons, and in occult rituals. But after 1900 drugs were increasingly viewed as a social problem, and the long tradition of self-experimentation began to disappear. From Sigmund Freud's experiments with cocaine to William James's epiphany on nitrous oxide, Mike Jay brilliantly recovers a lost intellectual tradition of drug-taking that fed the birth of psychology, the discovery of the unconscious, and the emergence of modernism. Today, as we embrace novel cognitive enhancers and psychedelics, the experiments of the original psychonauts reveal the deep influence of mind-altering drugs on Western science, philosophy, and culture.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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The aging of America will reshape how we live and will transform nearly every aspect of contemporary society. Renowned life course sociologist Deborah Carr provides a lively, nuanced, and timely portrait of aging in the United States. The US population is older than ever before, raising new challenges for families, caregivers, health care systems, and social programs like Social Security and Medicare.
Organized in seven chapters, Aging in America (U California Press, 2023) covers these topics:
Drawing on state-of-the-art data, current events, and pop culture, this portrait of an aging population challenges outdated myths and vividly shows how future cohorts of older adults will differ from the generations before them.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England.
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The story of the Fountain of Youth is as old as history itself. Herodotus, the father of ancient Greek history, wrote of a mythical spring that extended the life of its bathers. Today, biotech entrepreneurs, scientists, and health influencers are still searching for that mythical spring.
Longevity and anti-aging research has recently blossomed, with a number of tantalizing discoveries. Still, this research hasn't delivered any magic bullets. Yet, that hasn't stopped a cottage industry of folks hawking a plethora of dubious supplements and bizarre health regimens.
Jay Cockburn tries to make sense of what's real, what's hype, who could benefit, and who would pay. Do we even want to live in the world the longevity researchers are looking for? Should we keep looking for that fountain?
We'll hear from: CEO of BioViva, Liz Parish, who has stepped outside of the regular drug approval process and experimented on herself; Dr. Charles Brenner, a scientist and vocal critic of the claims of life extension; and Dr. Keisha S. Ray, a bioethicist who reminds us that while the rich look for fanciful new ways to live longer, the poor lack access to basic health care.
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The discovery of anaesthesia which could be administered safely to eliminate the pain of surgery and other medical and dental procedures is widely considered to be one of the greatest developments of the nineteenth century. Yet, until now few studies have focused on anaesthesia in Ireland.
Safety As We Watch: Anaesthesia in Ireland 1847-1998 (Wordwell Books, 2022), written by three Irish anaesthetists, is the first published study of the history of anaesthesia in Ireland. Featuring fascinating vignettes of the personalities and innovators who led the development of anaesthesia in the nineteenth and twentieth centuries, the book leads readers through the history of the practice over 150 years, sketching global networks of exchange between medical practitioners and researchers. Beginning with the administration of the first general anaesthetic in Ireland on 1 January 1847, when ether was given to an 18-year-old girl undergoing an amputation under the care of Dr John MacDonnell, the book traces the debates and issues surrounding the uses and administration of anaesthesia through to the foundation of the College of Anaesthetists of Ireland in 1998. Safety as We Watch is divided into two parts: Part I focuses on the development of chloroform and ether, the mechanisms used to administer the drugs, as well as the innovators and medical professionals responsible, and Part II focuses on the organizations and academic developments in anaesthesia practice and education.
In its examination of this often-overlooked area in the history of Irish medicine Safety as We Watch offers new insight into medical organizations, as well as cultural conceptions of pain and consciousness, and the ways that anaesthesia transformed doctor-patient relationships. This book will be of great interest to medical professionals, historians of medicine, health humanities scholars and to more general readers interested in anaesthesia.
Bridget English is a scholar of Irish literature and culture, modernism, and health humanities, based at the University of Illinois Chicago. She co-convenes the Irish Studies Seminar at the Newberry Library. On Twitter.
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Vaccine reluctance and refusal are no longer limited to the margins of society. Debates around vaccines' necessity -- along with questions around their side effects -- have gone mainstream, blending with geopolitical conflicts, political campaigns, celebrity causes, and "natural" lifestyles to win a growing number of hearts and minds. Today's anti-vaccine positions find audiences where they've never existed previously.
Stuck: How Vaccine Rumors Start--and Why They Don't Go Away (Oxford UP, 2020) examines how the issues surrounding vaccine hesitancy are, more than anything, about people feeling left out of the conversation. A new dialogue is long overdue, one that addresses the many types of vaccine hesitancy and the social factors that perpetuate them. To do this, Stuck provides a clear-eyed examination of the social vectors that transmit vaccine rumors, their manifestations around the globe, and how these individual threads are all connected.
Heidi J. Larson, PhD, is Professor of Anthropology, Risk and Decision Science and is the Founding Director of the Vaccine Confidence Project at the London School of Hygiene & Tropical Medicine. She is also Clinical Professor of Health Metrics Sciences, University of Washington, Seattle, USA, and Guest Professor at the University of Antwerp, Belgium.
Morteza Hajizadeh is a Ph.D. graduate in English from the University of Auckland in New Zealand. His research interests are Cultural Studies; Critical Theory; Environmental History; Medieval (Intellectual) History; Gothic Studies; 18th and 19th Century British Literature. YouTube channel.
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Congenital Heart Disease (CHD) is the most commonly diagnosed birth abnormality in the US. With great advances in surgery and medicine, however, survival rates have improved by 75% since the 1940s. Welcome news, of course, as only a few decades ago these birth defects were considered a death sentence, but as with any chronic condition, survival does not mean the issue is cured. With better medical care, babies born today with CHD have a good chance of surviving, but throughout their entire lives they can face surgeries, invasive treatments, lifelong monitoring, frequent medical check-ups, and significant limitations on physical activity, in addition to poor public awareness which can have an impact on social inclusion and understanding. Much attention has rightly been focused on the medical needs of these children and on providing their parents and caretakers with resources and information to navigate the complexities of this chronic condition.
Little attention, however, has been paid to the psychosocial impacts on these individuals, especially as they grow, mature, and become adults living with a serious, chronic medical condition. Prevalence rates for anxiety, depression, and PTSD are significantly higher (2-3x in some cases) for people living with CHD than the general adult population. From feeling self-conscious about scars and limitations on physical activity and sense of loss around so many of life's little normalcies, to frequent hospital visits and living in constant fear of an emergency, this condition is ever-present. Liza Morton and Tracy Livecchi are both mental health professionals who have developed a specialty in working with clients who have chronic medical conditions, and they are both themselves living with CHD.
In Healing Hearts and Minds: A Holistic Approach to Coping Well with Congenital Heart Disease (Oxford UP, 2023) they set out to provide the resources and support they have been looking for their entire adult lives. While their powerful personal stories are woven into the narrative, the book is focused on providing evidence-based coping and self-care skills for adults living with CHD.
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Photos from the Front Lines follows medics from Falck Alameda County ambulance during one of the most tumultuous years in recent collective memory - 2020. From a global pandemic to demonstrations to wildfires and mass vaccinations, Photos from the Front Lines provides unequalled coverage of this year and beyond from the perspective of those on the front lines every day of the crisis, with a colossal 500 original photos! The use of the term "front line" came about this year to describe personnel who were putting their lives on the line every day during the global COVID-19 pandemic, and medics were at the absolute forefront of this fight; Photos from the Front Lines takes you there with them.
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An analysis of the efforts of American nurses to establish nursing as an academic discipline and nurses as valued researchers in the decades after World War II. Nurses represent the largest segment of the US health care workforce and spend significantly more time with patients than any other member of the health care team.
Dominique A. Tobbell's book Dr. Nurse: Science, Politics, and the Transformation of American Nursing (U Chicago Press, 2022) probes their history to examine major changes that have taken place in American health care in the second half of the twentieth century. The book examines the major changes in nursing education and the place of nursing in the post-war research university, revealing how federal and state health and higher education policies shaped education within health professions after World War II. Starting in the 1950s, academic nurses sought to construct a science of nursing--distinct from that of the related biomedical or behavioral sciences--that would provide the basis of nursing practice. Facing broad changes in patient care driven by the introduction of new medical innovations, they worked both to develop science-based nursing practice and to secure their roles within the post-war research university. By their efforts, academic nurses transformed nursing's labor into a valuable site of knowledge production and demonstrated how the application of this knowledge was integral to improving patient outcomes and healthcare delivery. Exploring the knowledge claims, strategies, and politics involved as academic nurses negotiated their roles and nursing's future, Dr. Nurse reveals how state-supported health centers have profoundly shaped nursing education and health care delivery.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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Political Theorist Lee Trepanier has a new edited volume focusing on thinking about human responses to disasters and diseases. Making Sense of Diseases and Disasters: Reflections of Political Theory from Antiquity to the Age of COVID (Routledge, 2022) was clearly an opportunity for many of the contributing authors to consider how we should think about ourselves and our physical and spiritual health in context of the Covid-19 pandemic. Section I of the book is focused specifically on considerations around Covid, and how governments, institutions, individuals, religious organizations, and others all responded to the pandemic, and how many of these entities helped to lead citizens and individuals through such threats to our health and wellbeing.
Sections II and III of Making Sense of Diseases and Disasters focus on teachings and considerations by political theorists, both ancient and modern, on how humans can and do respond to disasters, plagues, diseases, and the precariousness of human existence. Contributing authors turn to Thucydides, St. Augustine, Sophocles, Francis Bacon, John Locke, Jean Jacques Rousseau and others to find guidance and ideas about how humans not only respond to disasters and diseases, but also how these experiences may inform thinking about political, social, and religious institutions. Different examples are also considered, from the theological politics of floods in St. Augustine’s work, to the impact on John Locke of living through the plague of London and how this contributed to his thinking about the need for security and stability in political life. These two sections of the book reflect deep and thoughtful considerations of the connection between political theory and the vitality of physical, spiritual, and social life.
Finally, the fourth section of Trepanier’s edited volume focuses on disasters more so than diseases and brings literature more fully into the discussion. These chapters, mostly written by scholars of English and Communications, explore the imagined spaces where real events have been integrated into fiction, to help us wrestle with how to absorb terrible events like 9/11 or Hurricane Katrina, and to find the human element within our responses to these disasters. These chapters also integrate the role of memory in how we consider and reflect on human and natural disaster and loss of life—how do we consider and re-examine these understandings within our memories and how does this contribute to how we think about the world around us.
Making Sense of Diseases and Disasters leads us through a host of perspectives and contexts to help us understand the world where plagues, disasters, diseases, and pandemics all contribute to our sense of vulnerability and precarity. We may also find some solace and guidance from the various analyses and the thoughtful interpretations of works of political theory, literature, and art.
Lilly J. Goren is a professor of political science at Carroll University in Waukesha, WI. She is co-editor of The Politics of the Marvel Cinematic Universe (University Press of Kansas, 2022), as well as co-editor of the award winning book, Women and the White House: Gender, Popular Culture, and Presidential Politics (University Press of Kentucky, 2012), Email her comments at [email protected] or tweet to @gorenlj.
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One of the most recognizable tropes in American society in the past few decades is the scarred war veteran, returning from foreign lands with wounds both visible and invisible. His experiences are incomprehensible to those who’ve not served, but we owe him everything, and it is our duty as American citizens to honor him with nonjudgmental empathy so that he might eventually heal and reintegrate into the national community. But this narrative, this response to combat is neither natural or the only possible way of dealing with the issue. In fact, my guest Nadia Abu El-Haj argues that it is a distinctly apolitical interpretation, one that works as a cover for the politics of American empire in her new book Combat Trauma: Imaginaries of War and Citizenship in Post-9/11 America (Verso, 2022).
Beginning her narrative in the 1960’s and 70’s with the war in Vietnam, El-Haj traces PTSD back to it’s roots as a response to extreme circumstances. In the soldiers being studied, psychologists found men who were shattered by their experiences, struggling to process them and move on when they returned home. However, key to their understanding was a sense of guilt and complicity in the war. They might’ve been damaged and in need of care to move forward with their lives, but they were still guilty of immoral and criminal acts. The diagnosis was then not just an individualized pathology but part of a broader political critique, and part of the healing process involved engaging in activism to fight the very systems the soldiers had been participants of.
Fast forward a few decades, and this political angle has almost been entirely erased. Instead, soldiers returning from Iraq and Afghanistan are no longer perpetrators but victims who bear a burden we all must honor them for. This new discourse around trauma buries the possibility of political dissent, leaving us unable to understand the decisions that produced the trauma in the first place, but also focuses so heavily on the traumatized soldier that civilians caught in the crossfire almost never factor in our understanding, in spite of the fact that they are the most numerous victims of wars in the last several decades. This combination has produced a toxic form of militarism, one incapable of sustained political critique, which helps explain why the wars in Iraq, Afghanistan and elsewhere have been able to go on so long.
Combining fields and disciplines and tying numerous disparate threads together, El-Haj’s work is a devastatingly urgent, eye-opening critique of a society that has long lost it’s capacity for critical self-reflection. It reveals many ideological traps and mazes many have been lost in, and even if it cannot bring about a more peaceful world on its own, it can point the way towards a more critical one.
Nadia Abu El-Haj is a professor of anthropology at Barnard College. She is also the author of The Genealogical Science: The Search for Jewish Origins and the Politics of Epistemology and Facts on the Ground: Archaeological Practice and Territorial Self-Fashioning in Israeli Society.
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Each body is a system within a system—an ecology within the larger context of social, political, economic, cultural, and environmental factors. This is one of the lessons of epigenetics, whereby structural inequalities are literally encoded in our genes. But our ecological embeddedness extends beyond DNA, for each body also teems with trillions of bacteria, yeast, and fungi, all of them imprints of our individual milieus. Nested Ecologies: A Multilayered Ethnography of Functional Medicine (U Texas Press, 2023) asks what it would mean to take seriously our microbial being, given that our internal ecologies are shaped by inequalities embedded in our physical and social environments.
Further, Rosalynn Vega argues that health practices focused on patients’ unique biology inadvertently reiterate systemic inequities. In particular, functional medicine—which attempts to heal chronic disease by leveraging epigenetic science and treating individual microbiomes—reduces illness to problems of “lifestyle,” principally diet, while neglecting the inability of poor people to access nutrition. Functional medicine thus undermines its own critique of the economics of health care. Drawing on novel digital ethnographies and reflecting on her own experience of chronic illness, Vega challenges us to rethink not only the determinants of well-being but also what it is to be human.
Joan Francisco Matamoros Sanin is an anthropologist dedicated to Medical Anthropology and Anthropology of Masculinities as well as public education and dissemination of anthropological knowledge. He has a MsC and a PhD in Sociomedical Sciences from Mexico's National Autonomous University. Matamoros has ample ethnographic experience in urban and rural areas in Mexico and Ecuador. You can find him on his Spotify and YouTube Platform (AnthropoMX) and in New Books Network. Currently he is a tutor in the Center for Regional Cooperation for Adult Education in Latin America and the Caribbean, as well as a postdoctoral fellow in CIESAS-Unidad Pacífico Sur (acronym in spanish for the South Pacific Center of Research in Advance Studies in Social Anthropology).
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During the first months of the pandemic, governments worldwide agreed that ‘following the science’ with hard lockdowns and vaccine mandates was the best way to preserve life. But evidence is mounting that ‘the science’ was all politics and time reveals the horrific human and economic cost of these policies.
The Covid Consensus: The Global Assault on Democracy and the Poor—A Critique from the Left (Hurst, 2023) provides an internationalist-left perspective on the world’s Covid-19 response, which has had devastating consequences for democratic rights and the poor worldwide. As the fortunes of the richest soared, nationwide shutdowns devastated small businesses, the working classes, and the Global South’s informal economies.
Toby Green and Thomas Fazi argue that these policies grossly exacerbated existing trends of inequality, mediatisation and surveillance, with grave implications for the future. Rich in human detail, The Covid Consensus tackles head-on the refusal of the global political class and mainstream media to report the true extent of the erosion of democratic processes and the socioeconomic assault on the poor.
Toby Green and Thomas Fazi speak to Pierre d’Alancaisez about the emergence of a global consensus, the abject failure of the left to hold power to account, and the sometimes fine line between critique and conspiracy theorising.
Richard Seymour’s critique of the book on Politics, Theory, Other.
Toby Green is Professor of African History at King’s College London, and author of A Fistful of Shells and The Rise of the Trans-Atlantic Slave Trade in Western Africa.
Thomas Fazi is the author and co-author of several books on economic and political issues, including Reclaiming the State. His article with Toby Green for UnHerd, The Left’s Covid Failure, was translated into ten languages. He is a regular contributor to Compact.
Pierre d’Alancaisez is a contemporary art curator, cultural strategist, researcher. Sometime scientist, financial services professional.
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To fend off American and European imperialism in the nineteenth century, Japan strove to strengthen itself by drawing on the most updated ideas and practices from around the world. By the 1880s, this included the introduction of Western-derived psychiatry and its ideas about mental illness. The first Japanese psychiatrists claimed that mental illnesses required medical treatment in specialized institutions rather than confinement at home, as had been common practice. Yet the state implemented no social welfare policies to make new medical services more accessible and affordable to the public. The family, especially women, thus continued to carry the burden of caring for those considered mad.
Madness in the Family: Women, Care, and Illness in Japan (Oxford UP, 2022) examines how the family in Japan came to be seen as the natural provider of care for those suffering from mental illnesses. It centers on the experiences of women and families, which have long been obscured by the voices of male psychiatrists, state officials, and lawmakers. H. Yumi Kim traces how women and families negotiated a dizzying array of claims about madness and its proper management across various settings. In the countryside, psychiatrists tried to refute the notion that fox spirits could cause madness, and the government regulated the use of cage-like structures inside homes. In cities, a booming medical marketplace spread ideas about feminized illnesses such as hysteria, and female defendants were evaluated for menstruation-induced disorders. As women and families navigated this shifting therapeutic landscape, they produced their own gendered approaches to madness that would take precedence over the claims of psychiatry, the law, and the state in
everyday life.
Decoupling the history of mental illness from the discipline and institutions of psychiatry, Madness in the Family reveals the power and fragilities of gender, kinship, and care in the creation of different modes of caring for and understanding mental illness that persist to this day.
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Scientist Alfred Kinsey tried to differentiate human sexualities on a seven-point scale. In so doing, he brought us the basics of bisexuality. But the scale leaves a lot to be desired. Instead of a spectrum, Special Guest Kate Sisk leads us into a gay fog.
GUEST
Kate Sisk (she/they/he) is a professional stand up comedian, amateur drag king, and co-host of the award-winning podcast, We’re Having Gay Sex.
This episode was produced by Andrew Middleton and Liya Rechtman.
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Clare Griffin's book Mixing Medicines: The Global Drug Trade and Early Modern Russia (McGill-Queen's UP, 2022) introduces the reader to the dynamic and complex world of early modern Russian medical drugs, from the enthusiasm for newly imported American botanicals to the disgust at Western European medicines made from human corpses.
Based on a unique set of previously unused sources, this book is the first study of how the Russian Empire took part in the early modern global trade in medical drugs. The extensive and detailed records kept by the Moscow court show how ingredients produced elsewhere and passed through the massive, long-distance trade network of the early modern world were finally consumed. Looking at medicine as materia medica gives us a different perspective than when looking at practitioners, texts, and ideas.
Erika Monahan is the author of The Merchants of Siberia: Trade in Early Modern Eurasia (Cornell UP, 2016) and a 2023-2024 Alexander von Humboldt Fellow
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Who built the twentieth century birth control movement? In Women's Medicine: Family Planning and British Female Doctors in Transnational Perspective, 1920-70 (Manchester University Press 2020), Dr. Caroline Rusterholz highlights British female doctors' key contribution to the production and circulation of scientific knowledge around contraception, family planning and sexual disorders between 1920-70. It argues that women doctors were pivotal in developing a holistic approach to family planning and transmitting this knowledge across borders, playing a more prominent role in shaping scientific and medical knowledge than previously acknowledged.
The book locates women doctors' involvement within the changing landscape of national and international reproductive politics. Illuminating women doctors' agency in the male-dominated field of medicine, this book reveals their practical engagement with birth control and later family planning clinics in Britain, their participation in the development of the international movement of birth control and family planning and their influence on French doctors. Drawing on a wide range of archived and published medical materials, Rusterholz sheds light on the strategies British female doctors used and the alliances they made to put forward their medical agenda and position themselves as experts and leaders in birth control and family planning research and practice.
Nicole Bourbonnais is Associate Professor of International History and Politics and Co-Director of the Gender Centre at the Graduate Institute of International and Development Studies in Geneva, Switzerland. Her research explores reproductive politics and practice from a transnational, historical perspective. Profile here.
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In Hidden Histories of the Dead: Disputed Bodies in Modern British Medical Research (Cambridge University Press, 2021), Dr. Elizabeth T. Hurren maps the post-mortem journeys of bodies, body-parts, organs, and brains, inside the secretive culture of modern British medical research after WWII as the bodies of the deceased were harvested as bio-commons. Often the human stories behind these bodies were dissected, discarded, or destroyed in death.
Hidden Histories of the Dead recovers human faces and supply-lines in the archives that medical science neglected to acknowledge. Dr. Hurren investigates the medical ethics of organ donation, the legal ambiguities of a lack of fully-informed consent and the shifting boundaries of life and re-defining of medical death in a biotechnological era. Dr. Hurren reveals the implicit, explicit and missed body disputes that took second-place to the economics of the national and international commodification of human material in global medical sciences of the Genome era.
This interview was conducted by Dr. Miranda Melcher whose doctoral work focused on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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John and Elizabeth, in this special Centennial episode of Recall this Book, explore spectral radiation with Ryo Morimoto, Assistant Professor of Anthropology at Princeton University. His new book Nuclear Ghost: Atomic Livelihoods in Fukushima's Grey Zone (University of California Press, 2023) is based on several years of fieldwork in coastal Fukushima after the triple disaster of earthquake, tsunami, and nuclear accident. Ryo's book shows how residents of the region live with and through the "nuclear ghost" that resides with them.
The trio discuss ways that residents acclimatize themselves to the presence of radiation, efforts to live their lives in ways not only shaped by catastrophe and irradiation, and the Geiger counter as a critical object.
Ryo relates the astonishing--but when you stop to think unsurprising—fact that "once you have [a Geiger counter] you actually want to see higher scores."
Mentioned in this episode:
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One of the most influential and creative scholars in medical anthropology takes stock of his recent intellectual odysseys in this collection of essays. Arthur Kleinman, an anthropologist and psychiatrist who has studied in Taiwan, China, and North America since 1968, draws upon his bicultural, multidisciplinary background to propose alternative strategies for thinking about how, in the postmodern world, the social and medical relate.
Writing at the Margin: Discourse Between Anthropology and Medicine (U California Press, 1997). explores the border between medical and social problems, the boundary between health and social change. Kleinman studies the body as the mediator between individual and collective experience, finding that many health problems—for example the trauma of violence or depression in the course of chronic pain—are less individual medical problems than interpersonal experiences of social suffering. He argues for an ethnographic approach to moral practice in medicine, one that embraces the infrapolitical context of illness, the responses to it, the social institutions relating to it, and the way it is configured in medical ethics. Previously published in various journals, these essays have been revised, updated, and brought together with an introduction, an essay on violence and the politics of post-traumatic stress disorder, and a new chapter that examines the contemporary ethnographic literature of medical anthropology.
A copy of the transcript can be found here
Show notes:
--World Mental Health: Problems and Priorities in Low-Income Countries
--The Expressiveness of the Body and the Divergence of Greek and Chinese Medicine
--Ways of Thinking of Eastern Peoples: India, China, Tibet, Japan
--The Tanner Lecture at Stanford
Shu Cao Mo, Ed.M. can be reached at [email protected].
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In the past two decades, media images of the surprisingly white “new face” of the US opioid crisis abounded. But why was the crisis so white? Some argued that skyrocketing overdoses were “deaths of despair” signaling deeper socioeconomic anguish in white communities. Whiteout: How Racial Capitalism Changed the Color of Opioids in America (U California Press, 2023) makes the counterintuitive case that the opioid crisis was the product of white racial privilege as well as despair.
Anchored by interviews, data, and riveting firsthand narratives from three leading experts—an addiction psychiatrist, a policy advocate, and a drug historian—Whiteout reveals how a century of structural racism in drug policy, and in profit-oriented medical industries led to mass white overdose deaths. The authors implicate racially segregated health care systems, the racial assumptions of addiction scientists, and relaxed regulation of pharmaceutical marketing to white consumers. Whiteout is an unflinching account of how racial capitalism is toxic for all Americans.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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Black people and people with disabilities in the United States are distinctively disadvantaged in their encounters with the health care system. These groups also share harsh histories of medical experimentation, eugenic sterilizations, and health care discrimination. Yet the similarities in inequities experienced by Black people and disabled people and the harms endured by people who are both Black and disabled have been largely unexplored. To fill this gap, Embodied Injustice: Race, Disability, and Health (Cambridge UP, 2022) uses an interdisciplinary approach, weaving health research with social science, critical approaches, and personal stories to portray the devastating effects of health injustice in America.
Author Mary Crossley takes stock of the sometimes-vexed relationship between racial justice and disability rights advocates and interrogates how higher disability prevalence among Black Americans reflects unjust social structures. By suggesting reforms to advance health equity for disabled people, Black people, and disabled Black people, this book lays a crucial foundation for intersectional, cross-movement advocacy to advance health justice in America.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England.
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Greg Marchildon interviews David Wright of McGill University on his book SickKids: The History of The Hospital for Sick Children (University of Toronto Press) which won the Champlain Society’s Chalmers Award in 2016. This podcast was produced Hugh Bakhurst in the Allan Slaight Radio Institute at Ryerson University.
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Professor Jonathan Herring makes an argument that suicidal people have a right to be protected from committing suicide, and that the state should be under a duty to take reasonable steps to protect them from killing themselves. In The Right to Be Protected from Committing Suicide (Hart, 2022) Herring takes a deep dive into ideas surrounding autonomy and capacity, to draw out the tensions between these concepts and the legal and ethical debates which provide support for non-interventionist argument based on respect for a "right" to commit suicide. Going beyond the usual concerns of Euthanasia, this book challenges readers to examine suicide as a failing of society to offer support to those who need it, as opposed to an individual choice to end one's life.
Professor Jonathan Herring is a Professor of Law at Exeter College in the Faculty of Law at the University of Oxford. He is the author of around 50 solo authored monographs.
Listener note: In this interview, we discuss suicide, which may be upsetting for some listeners. However, support is available. In the UK, call Samaritans on 11 61 23; the US, Suicide and Crisis Lifeline on 988; in Australia, Lifeline on 13 11 14; and Hong Kong, call Samaritans on 2896 0000.
Jane Richards is a doctoral student at the University of Hong Kong. You can find her on twitter where she follows all things related to human rights and Hong Kong politics @JaneRichardsHK
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The essential contribution of The Woman with the Cure (Berkley Books, 2023) can be summarized in one sentence: like most of its future readers (I assume), I had never before heard of Dorothy Horstmann and her fundamental role in the research that led to the near-eradication of polio, despite having benefited hugely from her work. Throughout the 1940s, 1950s, and into the 1960s, she devoted her considerable talents and endless hours to tracking how polio spread throughout the body, but like the other remarkable women portrayed in this novel, she was forced because of her gender to play second fiddle to Doctors Jonas Salk and Albert Sabin, her academic colleagues. Their contributions, of course, were also real and worthy of acclaim, but it was Dr. Horstmann—too often dismissed as “Dottie” or “Dot,” as if she were someone’s secretary—who made the crucial discovery that early in its path from the digestive to the nervous system, the polio virus created antibodies in the blood. That finding made the polio vaccine possible by defining an entry point for medical intervention.
Reading this novel has a particular resonance at this moment, when polio outbreaks are again affecting US cities because of vaccine hesitancy and the final eradication of the disease has been deterred in certain countries by political concerns—not to mention the COVID-19 pandemic, which has changed everyone’s experience of quarantine and disease. But I would like to emphasize that this is, first and foremost, a novel, centered on complex characters, a gripping plot, and the age-old battle between science and nature. I don’t know, for example, whether Dorothy’s love interest is a real person or the author’s way of contrasting the attractions of home with the pull exerted by fulfilling work. In the end, it doesn’t matter, because The Woman with the Cure works as a story, provoking questions about the choices its heroine makes and what we might do in similar circumstances—and that’s what counts.
Lynn Cullen is the bestselling author of the historical novels The Sisters of Summit Avenue, Twain’s End, Mrs. Poe, Reign of Madness, and I Am Rembrandt’s Daughter. The Woman with the Cure is her latest book.
C. P. Lesley is the author of two historical fiction series set during the childhood of Ivan the Terrible and three other novels. Her next book, Song of the Storyteller, appeared in January 2023.
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Capitalizing a Cure: How Finance Controls the Price and Value of Medicines (U California Press, 2023) takes readers into the struggle over a medical breakthrough to investigate the power of finance over business, biomedicine, and public health. When curative treatments for hepatitis C launched in 2013, sticker shock over their prices intensified the global debate over access to new medicines. Weaving historical research with insights from political economy and science and technology studies, Victor Roy demystifies an oft-missed dynamic in this debate: the reach of financialized capitalism into how medicines are made, priced, and valued.
Roy’s account moves between public and private labs, Wall Street and corporate board rooms, and public health meetings and health centers to trace the ways in which curative medicines became financial assets dominated by strategies of speculation and extraction at the expense of access and care. Provocative and sobering, this book illuminates the harmful impact of allowing financial markets to determine who heals and who suffers and points to the necessary work of building more equitable futures.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England.
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Mark Parrino has been involved with the delivery of health care and treatment for opioid use disorder (OUD) since 1974. As the president of the American Association for the Treatment of Opioid Dependence, Inc. (AATOD), he works with treatment providers across the country to develop and improve treatment protocols.
In December 2022, AATOD worked with the National Association of State Alcohol and Drug Abuse Directors (NASADAD) to initiate a first-of-its-kind census of all patients currently receiving treatment from government-certified opioid treatment programs (OTPs). Their findings, based on responses from over 1,500 OTPs nationwide, show the breadth and distribution of addiction treatment in America, and are the product of almost fifty years of medication-assisted treatment (MAT) in the United States.
I spoke with Mark about his census results, as well as the history of MAT, and specifically methadone, treatment in America. You can see the full report here.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.
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For this episode we welcome Dr. Arthur Caplan, who is currently the Drs. William F. and Virginia Connolly Mitty Professor and founding head of the Division of Medical Ethics at NYU’s Grossman School of Medicine in New York City. Dr. Caplan is the author or editor of 35 books and more than 800 papers in peer reviewed journals. His most recent books are Vaccination Ethics and Policy (MIT Press, 2017, with Jason Schwartz) and Getting to Good: Research Integrity in Biomedicine (Springer, 2018, with Barbara Redman). Our conversation ranges from Dr. Caplan’s own experiences with polio as a child, intellectual and epistemic humility and bioethics, the shift “customerization” of patients and students, and professor watchlists.
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Abortion is an issue like no other. Our attitudes towards it and how we define when life begins determine the very words we use when discussing abortion. We don’t even agree about how many people are involved in the matter of abortion. Two people—the mother and the baby? Or only one—the mother? And here, even the word “mother” is avoided by many, who prefer “woman.” Or, in some quarters, “pregnant person.” Is it a “baby” or a “fetus?” Has abortion always had the tacit approval of most Americans and only been criminalized by powerful societal forces (which can change sides dramatically over the decades, as is the case with much of the medical establishment)? Or is it something that has been regarded as abhorrent for centuries and only very recently been treated as not only necessary but a badge of pride for the modern woman? How was abortion portrayed in the pages of American publications c. 1830, 1870, 1920 or 1940 and in the media diet of our own day?
These are among the many issues discussed in the 2023 book, The Story of Abortion in America: A Street-Level History, 1652–2022 (Crossway, 2023) by Marvin Olasky and Leah Savas.
This book is riveting reading but is not for the fainthearted—much of the material is graphic. It will interest those in such fields as legal history, women’s history, the history of journalism, the history of medicine, political history and history in general and readers with an interest in biography and true crime.
The latter term is not inappropriate here given the book’s fascinating account of how many news stories in much of the 19th and early and mid-20th centuries reveled in lurid details of attractive young women murdered after botched abortions or accidentally killed during one and then dismembered and discovered later due to the ineptitude of the abortionist and the men who had impregnated the women and who feared scandal or marriage to the women they had seduced.
The authors also provide detailed accounts of the enormous amounts of money that some female abortionists (such as the notorious Madame Restell 1812 –1878) made and the flashy lifestyles and prison sentences that punctuated their lives. The authors show that male jurors were often reluctant to convict abortionists given many a juror’s own complicity in such events and the immense political power that the abortion trade wielded via graft.
The book tells heartrending stories of women who underwent abortions and traces how the popular press moved over the decades from referring to two victims in such cases to only the woman to eventually hardly covering at all cases when abortions created female and infant victims (as in the infamous case of the physician Kermit Gosnell), many reporters and editors preferring to stick to the narrative of female empowerment via abortion.
No matter where one stands on the issue of abortion, it cannot be denied that this book movingly, authoritatively tells the story of the women whose lives were shaped by it, as the title says, at “the street level.” It is model social history and engrossing reading for the general reader and scholar alike.
Let’s hear from one of the two authors of the book, Leah Savas.
Hope J. Leman is a grants researcher.
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For many residents of Western nations, COVID-19 was the first time they experienced the effects of an uncontrolled epidemic. This is in part due to a series of little-known regulations that have aimed to protect the global north from epidemic threats for the last two centuries, starting with International Sanitary Conferences in 1851 and culminating in the present with the International Health Regulations, which organize epidemic responses through the World Health Organization. Unlike other equity-focused global health initiatives, their mission—to establish "the maximum protections from infectious disease with the minimum effect on trade and traffic"—has remained the same since their founding.
In Epidemic Orientalism: Race, Capital, and the Governance of Infectious Disease (Stanford UP, 2023), Alexandre White reveals the Western capitalist interests, racism and xenophobia, and political power plays underpinning the regulatory efforts that came out of the project to manage the international spread of infectious disease. He examines how these regulations are formatted; how their framers conceive of epidemic spread; and the types of bodies and spaces it is suggested that these regulations map onto. Proposing a modified reinterpretation of Edward Said's concept of orientalism, White invites us to consider "epidemic orientalism" as a framework within which to explore the imperial and colonial roots of modern epidemic disease control.
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Hannah Zeavin, lecturer in the department of History and member of the executive committees of both the Center for New Media and the Center for Science, Technology, Medicine, and Society at University of California, Berkeley, talks about her book, The Distance Cure: A History of Teletherapy, with Peoples & Things host, Lee Vinsel. The book tracks the history of teletherapy, which Zeavin defines as therapeutic interaction over distance, and its metamorphosis from a model of cure to one of contingent help. The book starts with letters sent through the mail and ends in our current coronavirus catastrophe. Zeavin and Vinsel also talk about the complexities and potential harms of going back fully in-person, including how it will negatively affect disabled people.
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Habitual drug use in the United States is at least as old as the nation itself. Elizabeth Kelly Gray's book Habit Forming: Drug Addiction in America, 1776-1914 (Oxford UP, 2023) traces the history of unregulated drug use and dependency before 1914, when the Harrison Narcotic Tax Act limited sales of opiates and cocaine under US law. Many Americans used opiates and other drugs medically and became addicted. Some tried ‘Hasheesh Candy’, injected morphine, or visited opium dens, but neither use nor addiction was linked to crime, due to the dearth of restrictive laws. After the Civil War, American presses published extensively about domestic addiction. Later in the nineteenth century, many people used cocaine and heroin as medicine.
As addiction became a major public health issue, commentators typically sympathized with white, middle-class drug users, while criticizing such use by poor or working-class people and people of color. When habituation was associated with middle-class morphine users, few advocated for restricted drug access. By the 1910s, as use was increasingly associated with poor young men, support for regulations increased. In outlawing users' access to habit-forming drugs at the national level, a public health problem became a larger legal and social problem, one with an enduring influence on American drug laws and their enforcement.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. She was chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego before moving to the UK.
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Disruption resulting from the proliferation of AI is coming. The authors of the bestselling Prediction Machines describe what you can do to prepare. Banking and finance, pharmaceuticals, automotive, medical technology, retail. Artificial intelligence (AI) has made its way into many industries around the world. But the truth is, it has just begun its odyssey toward cheaper, better, and faster predictions to drive strategic business decisions--powering and accelerating business. When prediction is taken to the max, industries transform. The disruption that comes with such transformation is yet to be felt--but it is coming. How do businesses prepare?
In Prediction Machines, eminent economists Ajay Agrawal, Joshua Gans, and Avi Goldfarb explained the simple yet game-changing economics of AI. Now, in Power and Prediction: The Disruptive Economics of Artificial Intelligence (HBR Press, 2022), they go further to reveal AI as a prediction technology directly impacting decision-making and to teach businesses how to identify disruptive opportunities and threats resulting from AI. Their exhaustive study of new developments in artificial intelligence and the past history of how technologies have disrupted industries highlights the striking phase we are now in: after witnessing the power of this new technology and before its widespread adoption--what they call "the Between Times." While there continue to be important opportunities for businesses, there are also threats of disruption. As prediction machines improve, old ways of doing things will be upended. Also, the process by which AI filters into the many systems involved in application is very uneven. That process will have winners and losers. How can businesses leverage, or protect, their positions? Filled with illuminating insights, rich examples, and practical advice, Power and Prediction is the must-read guide for any business leader or policy maker on how to make the coming AI disruptions work for you rather than against you.
Interviewee Avi Goldfarb is the Rotman Chair in Artificial Intelligence and Healthcare and a professor of marketing at the Rotman School of Management, University of Toronto. Avi is also Chief Data Scientist at the Creative Destruction Lab and the CDL Rapid Screening Consortium, a faculty affiliate at the Vector Institute and the Schwartz-Reisman Institute for Technology and Society, and a Research Associate at the National Bureau of Economic Research. Avi’s research focuses on the opportunities and challenges of the digital economy.
He has published academic articles in marketing, statistics, law, management, medicine, political science, refugee studies, physics, computing, and economics. Avi is a former Senior Editor at Marketing Science. His work on online advertising won the INFORMS Society of Marketing Science Long Term Impact Award. He testified before the U.S. Senate Judiciary Committee on competition and privacy in digital advertising. His work has been referenced in White House reports, European Commission documents, the New York Times, the Economist, and elsewhere.
Peter Lorentzen is economics professor at the University of San Francisco. He heads USF's Applied Economics Master's program, which focuses on the digital economy. His research is mainly on China's political economy.
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Claudia Garcia crossed the border because her toddler, Natalia, could not hear. Leaving behind everything she knew in Mexico, Claudia recounts the terror of migrating alone with her toddler and the incredible challenges she faced advocating for her daughter's health in the United States. When she arrived in Texas, Claudia discovered that being undocumented would mean more than just an immigration status—it would be a way of living, of mothering, and of being discarded by even those institutions we count on to care.
Elizabeth Farfán-Santos spent five years with Claudia. As she listened to Claudia's experiences, she recalled her own mother's story, another life molded by migration, the US-Mexico border, and the quest for a healthy future on either side. Witnessing Claudia's struggles with doctors and teachers, we see how the education and medical systems enforce undocumented status and perpetuate disability. At one point, in the midst of advocating for her daughter, Claudia suddenly finds herself struck by debilitating pain. Claudia is lifted up by her comadres, sent to the doctor, and reminded why she must care for herself.
A braided narrative that speaks to the power of stories for creating connection, Undocumented Motherhood: Conversations on Love, Trauma, and Border Crossing (University of Texas Press, 2022) reveals what remains undocumented in the motherhood of Mexican women who find themselves making impossible decisions and multiple sacrifices as they build a future for their families.
Elizabeth Farfán-Santos is a medical anthropologist and the author of Black Bodies, Black Rights: The Politics of Quilombolismo in Contemporary Brazil.
Reighan Gillam is Associate Professor in the Department of Anthropology at the University of Southern California. She is the author of Visualizing Black Lives: Ownership and Control in Afro-Brazilian Media (University of Illinois Press).
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Jaipreet Virdi talks about her book Hearing Happiness: Deafness Cures in History with Peoples & Things host Lee Vinsel. The book details the long history of attempts to “fix” deaf people, including a great deal of quackery. Towards the end of the conversation, Virdi and Vinsel also talk about what a world beyond solutionist fantasies that disability can be “cured” would look like.
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Ciara Breathnach's book Ordinary Lives, Death, and Social Class: Dublin City Coroner's Court, 1876-1902 (Oxford UP, 2022) focuses on the evolution of the Dublin City Coroner's Court and on Dr Louis A. Bryne's first two years in office. Wrapping itself around the 1901 census, the study uses gender, power, and blame as analytical frameworks to examine what inquests can tell us about the impact of urban living from lifecycle and class perspectives. Coroners' inquests are a combination of eyewitness testimony, expert medico-legal language, detailed minutiae of people, places, and occupational identities pinned to a moment in time. Thus they have a simultaneous capacity to reveal histories from both above and below. Rich in geographical, socio-economic, cultural, class, and medical detail, these records collated in a liminal setting about the hour of death bear incredible witness to what has often been termed 'ordinary lives'. The subjects of Dr Byrne's court were among the poorest in Ireland and, apart from common medical causes problems linked to lower socio-economic groups, this volume covers preventable cases of workplace accidents, neglect, domestic abuse, and homicide.
Roberto Mazza is currently a Visiting Lecturer at Northwestern University. He is the host of the Jerusalem Unplugged Podcast and to discuss and propose a book for interview can be reached at [email protected]. Twitter and IG: @robbyref
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Social psychiatry was a mid-twentieth-century approach to mental health that stressed the prevention of mental illness rather than its treatment. Its proponents developed environmental explanations of mental health, arguing that socioeconomic problems such as poverty, inequality, and social isolation were the underlying causes of mental illness. The influence of social psychiatry contributed to the closure of psychiatric hospitals and the emergence of community mental health care during the 1960s. By the 1980s, however, social psychiatry was in decline, having lost ground to biological psychiatry and its emphasis on genetics, neurology, and psychopharmacology.
The First Resort: The History of Social Psychiatry in the United States (Columbia UP, 2022) is a history of the rise and fall of social psychiatry that also explores the lessons this largely forgotten movement has to offer today. Matthew Smith examines four ambitious projects that investigated the relationship between socioeconomic factors and mental illness in Chicago, New Haven, New York City, and Nova Scotia. He contends that social psychiatry waned not because of flaws in its preventive approach to mental health but rather because the economic and political crises of the 1970s and the shift to the right during the 1980s foreclosed the social changes required to create a more mentally healthy society. Smith also argues that social psychiatry provides timely insights about how progressive social policies, such as a universal basic income, can help stem rising rates of mental illness in the present day.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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The National Institute of Health recently announced its plan to retire the fifty remaining chimpanzees held in national research facilities and place them in sanctuaries. This significant decision comes after a lengthy process of examination and debate about the ethics of animal research. For decades, proponents of such research have argued that the discoveries and benefits for humans far outweigh the costs of the traumatic effects on the animals; but today, even the researchers themselves have come to question the practice. John P. Gluck has been one of the scientists at the forefront of the movement to end research on primates, and in Voracious Science and Vulnerable Animals: A Primate Scientist's Ethical Journey (U Chicago Press, 2016) he tells a vivid, heart-rending, personal story of how he became a vocal activist for animal protection.
Gluck begins by taking us inside the laboratory of Harry F. Harlow at the University of Wisconsin, where Gluck worked as a graduate student in the 1960s. Harlow’s primate lab became famous for his behavioral experiments in maternal deprivation and social isolation of rhesus macaques. Though trained as a behavioral scientist, Gluck finds himself unable to overlook the intense psychological and physical damage these experiments wrought on the macaques. Gluck’s sobering and moving account reveals how in this and other labs, including his own, he came to grapple with the uncomfortable justifications that many researchers were offering for their work. As his sense of conflict grows, we’re right alongside him, developing a deep empathy for the often smart and always vulnerable animals used for these experiments.
At a time of unprecedented recognition of the intellectual cognition and emotional intelligence of animals, Voracious Science and Vulnerable Animals is a powerful appeal for our respect and compassion for those creatures who have unwillingly dedicated their lives to science. Through the words of someone who has inflicted pain in the name of science and come to abhor it, it’s important to know what has led this far to progress and where further inroads in animal research ethics are needed.
John P. Gluck is professor emeritus of psychology and a senior advisor to the president on animal research ethics and welfare at the University of New Mexico. He is also research professor of the Kennedy Institute of Ethics at Georgetown University and coauthor of The Human Use of Animals.
Callie Smith is a poet and doctoral candidate in English at the University of Louisiana at Lafayette.
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Examining infanticide cases in the United States from the late eighteenth to the late nineteenth centuries, Felicity M. Turner's Proving Pregnancy: Gender, Law, and Medical Knowledge in Nineteenth-Century America (UNC Press, 2022) documents how women—Black and white, enslaved and free—gradually lost control over reproduction to male medical and legal professionals. In the first half of the nineteenth century, community-based female knowledge played a crucial role in prosecutions for infanticide: midwives, neighbors, healers, and relatives were better acquainted with an accused woman's intimate life, the circumstances of her pregnancy, and possible motives for infanticide than any man. As the century progressed, women accused of the crime were increasingly subject to the scrutiny of white male legal and medical experts educated in institutions that reinforced prevailing ideas about the inferior mental and physical capacities of women and Black people. As Reconstruction ended, the reach of the carceral state expanded, while law and medicine simultaneously privileged federal and state regulatory power over that of local institutions. These transformations placed all women's bodies at the mercy of male doctors, judges, and juries in ways they had not been before.
Reframing knowledge of the body as property, Felicity M. Turner shows how, at the very moment when the federal government expanded formal civil and political rights to formerly enslaved people, the medical profession instituted new legal regulations across the nation that restricted access to knowledge of the female body to white men.
Katrina Anderson is a doctoral candidate at the University of Delaware.
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Professor Sarah Willen talks about her part in creating the Pandemic Journaling Project and how that has morphed into a series of visual exhibitions that emphasis how we all can work to create new histories, shape archives, and reclaim our own creativity and power.
Learn more about the Seeing Truth exhibition at our website.
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At thirteen, Ed Cohen was diagnosed with Crohn’s disease—a chronic, incurable condition that nearly killed him in his early twenties. At his diagnosis, his doctors told him that the best he could hope for would be periods of remission. Unfortunately, doctors never mentioned healing as a possibility.
In On Learning to Heal or, What Medicine Doesn't Know (Duke UP, 2022), Cohen draws on fifty years of living with Crohn’s to consider how Western medicine’s turn from an “art of healing” toward a “science of medicine” deeply affects both medical practitioners and their patients. He demonstrates that although medicine can now offer many seemingly miraculous therapies, medicine is not and has never been the only way to enhance healing. Exploring his own path to healing, he argues that learning to heal requires us to desire and value healing as a vital possibility. With this book, Cohen advocates reviving healing’s role for all those whose lives are touched by illness.
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Is medical assistance in dying, or MAID letting the government off the hook from providing what they should be providing? Should we respect people's choices on harm reduction grounds, even if those choices are severely constrained by an unjust social and political context? Should we give doctors this power over the mentally ill and disabled, given the racist and ableist nature of our crumbling health care system?
Gordon Katic debates this and more, with perspectives from either side. Professor Trudo Lemmens argues that MAID sends a disturbing message: disabled lives aren't worth living. Next, Dr. Derryk Smith (formerly of Dying with Dignity) says just the opposite: excluding certain people from this civil liberty is tantamount to stigmatization.
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In this episode, I sit down with my friend Bill McGrath, a historian of Tibetan Buddhism and medicine. He's one of the most knowledgeable people in the world on this subject, and we get deep into the weeds in an academic conversation about traditional Tibetan medicine, the category of Buddhist medicine, and Bill's perspectives on magic, religion, and science. We also reminisce about the time that Bill once used a Tibetan mantra to save the day when we ran out of gas driving home from a conference!
Resources mentioned in the pod:
Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. I have a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teach Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. He is also the host (with Lan Li) of the Blue Beryl podcast. Subscribe to Blue Beryl here.
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Christopher M. Palmer's book Brain Energy: A Revolutionary Breakthrough in Understanding Mental Health (Benbella Books, 2022) will forever change the way we understand and treat mental health. If you or someone you love is affected by mental illness, it might change your life. We are in the midst of a global mental health crisis, and mental illnesses are on the rise. But what causes mental illness? And why are mental health problems so hard to treat? Drawing on decades of research, Harvard psychiatrist Dr. Chris Palmer outlines a revolutionary new understanding that for the first time unites our existing knowledge about mental illness within a single framework: Mental disorders are metabolic disorders of the brain.
Brain Energy explains this new understanding of mental illness in detail, from symptoms and risk factors to what is happening in brain cells. Palmer also sheds light on the new treatment pathways this theory opens up—which apply to all mental disorders, including anxiety, depression, ADHD, alcoholism, eating disorders, bipolar disorder, autism, and even schizophrenia. Brain Energy pairs cutting-edge science with practical advice and strategies to help people reclaim their mental health. This groundbreaking book reveals: Why classifying mental disorders as “separate” conditions is misleading The clear connections between mental illness and disorders linked to metabolism, including diabetes, heart attacks, strokes, pain disorders, obesity, Alzheimer’s disease, and epilepsy The link between metabolism and every factor known to play a role in mental health, including genetics, inflammation, hormones, neurotransmitters, sleep, stress, and trauma The evidence that current mental health treatments, including both medications and therapies, likely work by affecting metabolism New treatments available today that readers can use to promote long-term healing Palmer puts together the pieces of the mental illness puzzle to provide answers and offer hope. Brain Energy will transform the field of mental health, and the lives of countless people around the world.
Sine Yaganoglu trained as a neuroscientist and bioengineer (PhD, ETH Zurich). She currently works in innovation management and diagnostics.
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In this episode of High Theory, Kim talks with Saronik about neurasthenia. A disease that no longer exists, neurasthenia was a nineteenth century American epidemic of energy depletion. Thinking about this diagnosis can help us understand the social functions of medical knowledge, and how that knowledge changes over time.
In the episode Kim discusses two nineteenth-century medical texts: American Nervousness: It’s Causes and Consequences (New York: Putnam, 1881) by George Miller Beard, which popularized the diagnosis, and Fat and Blood: And How to Make Them (Philadelphia: J.B. Lippincott & Co., 1877), by S. Weir Mitchell, which popularized the “rest cure” treatment. She also references three scholarly texts: Tom Lutz’s American Nervousness, 1903: An Anecdotal History (Cornell UP, 1992); Carolyn Tomas de la Pena’s The Body Electric: How Strange Machines Built the Modern American (NYU Press, 2003); and Anson Rabinbach’s The Human Motor: Energy, Fatigue, and the Origins of Modernity (UC Press, 1992).
Kim Adams is one of the co-hosts of High Theory. She works as a postdoctoral fellow at the Pennsylvania State University Humanities Institute, where she is writing a book about electricity and the body in American medicine and literature. She also runs a working group on pain management as a cultural process, called Politics of the Prescription Pad. She lives in Rhode Island and has a very large dog named Tag.
This week’s image is a 1907 painting titled “On the Southern Plain” by Frederic Remington. The painting shows soldiers on horseback in the American West. Remington was diagnosed with neurasthenia and treated with the “west cure” (discussed in the episode) by S. Weir Mitchell himself.
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This is the story of organ transplantation, told from the organ’s point of view.
Organs for transplantations come from two sources: living or post-mortem organ donations. These sources set different routes of movement from one body to another.
Postmortem organ donations are mainly sourced and allocated by state agencies, while living organ donations are the result of informal relations between donor and recipient. Each route traverses different social institutions, determines discrete interaction between donor and recipient, and is charged with moral meanings that can be competing and contrasting.
The political economy of organs for transplants is the gamut of these routes and their interconnections, and this book explains what such a political economy looks like: its features and contours, its negotiation of the roles of the state, market and the family in procuring organs for transplantations, and its ultimate moral justifications.
Drawing on Boas’ personal experiences of waiting, searching and obtaining organs, each autobiographical section of the book sheds light on a different aspect of the political economy of organs – post-mortem donations, parental donation, and organ market – and illustrates the experience of living with the fear of rejection and the intimidation of chronic shortage.
Boas combines a rigorous academic analysis of the political economy of organ supply for transplantation with autobiographical narratives that illuminate the complex experience of being an organ recipient.
The author, Hagai Boas invites your comments and questions. Contact him at [email protected]
Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The New Books Network’s Van Leer Jerusalem Series on Ideas. Write her at [email protected]. She's on Twitter @embracingwisdom. She blogs here
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Performed at Boston's Peter Bent Brigham Hospital in 1954, the first successful kidney transplant was the culmination of years of grit, compassion, and the pursuit of excellence by a remarkable medical team--Nobel Prize-winning surgeon Joseph Murray, his boss and fellow surgeon Francis Moore, and British scientist and fellow Nobel laureate Peter Medawar. Drawing on the lives of these members of the Greatest Generation, Shelley Fraser Mickle's Borrowing Life: How Scientists, Surgeons, and a War Hero Made the First Successful Organ Transplant a Reality (Imagine, 2020) creates a compelling narrative that begins in wartime and tracks decades of the ups and downs, personal and professional, of these inspiring men and their achievements, which continue to benefit humankind in so many ways.
Victoria Phillips is a Visiting Fellow at the London School of Economics in the Department of International History.
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A clear and engaging call-to-arms to Freudians everywhere and a fresh diagnosis of the major problem confronting psychoanalysis today, Austin Ratner's book The Psychoanalyst's Aversion to Proof (Ipbooks, 2018) presents exciting new ideas that could help psychoanalysis reclaim its eminent place among the mental sciences. By showing how and why Freudians have avoided proving their theories, The Psychoanalyst’s Aversion to Proof charts a new future of growth and engagement in which psychoanalysis fulfills its promise: to rescue humanity from its own irrationality.
Karyne Messina is a licensed psychologist and psychoanalyst at the Washington Baltimore Center for Psychoanalysis and am on the medical staff of Suburban Hospital in Bethesda, Maryland. She is the author of Resurgence of Populism: A Psychoanalytic Study of Projective Identification, Blame Shifting and the Corruption of Democracy (Routledge, 2022).
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For two years the COVID-19 pandemic has upended the world. The physician and medical historian Jacalyn Duffin presents a global history of the virus, with a focus on Canada.
In Covid-19: A History ( McGill-Queen's UP, 2022), Duffin describes the frightening appearance of the virus and its identification by scientists in China; subsequent outbreaks on cruise ships; the relentless spread to Europe, the Americas, Africa, and elsewhere; and the immediate attempts to confront it. COVID-19 next explores the scientific history of infections generally, and the discovery of coronaviruses in particular. Taking a broad approach, the book explains the advent of tests, treatments, and vaccines, as well as the practical politics behind interventions, including quarantines, barrier technologies, lockdowns, and social and financial supports. In concluding chapters Duffin analyzes the outcome of successive waves of COVID-19 infection around the world: the toll of human suffering, the successes and failures of control measures, vaccine rollouts, and grassroots opposition to governments' attempts to limit the spread and mitigate social and economic damages. Closing with the fraught search for the origins of COVID-19, Duffin considers the implications of an "infodemic" and provides a cautionary outlook for the future.
Corinne Doria is a historian specializing in the social history of medicine. She is a lecturer at the Chinese University of Hong Kong in Shenzhen and teaches Disability Studies at Sciences-Po (Paris). Her work focuses on the history of ophthalmology and visual impairment in the West.
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We are all citizens of the Biomedical Empire, though few of us know it, and even fewer understand the extent of its power. In this book, Barbara Katz Rothman clarifies that critiques of biopower and the "medical industrial complex" have not gone far enough, and asserts that the medical industry is nothing short of an imperial power. Factors as fundamental as one's citizenship and sex identity—drivers of our access to basic goods and services—rely on approval and legitimation by biomedicine. Moreover, a vast and powerful global market has risen up around the empire, making it one of the largest economic forces in the world.
In The Biomedical Empire: Lessons Learned from the COVID Pandemic (Stanford UP, 2021), Katz Rothman shows that biomedicine has the key elements of an imperial power: economic leverage, the faith of its citizens, and governmental rule. She investigates the Western colonial underpinnings of the empire and its rapid intrusion into everyday life, focusing on the realms of birth and death. This provides her with a powerful vantage point from which to critically examine the current moment, when the COVID-19 pandemic has exposed the power structures of the empire in unprecedented ways while sparking the most visible resistance it has ever seen.
Barbara Katz Rothman is Professor of Sociology, at the City University of New York. She has served as President of Sociologists for Women in Society; the Society for the Study of Social Problems, and the Eastern Sociological Society. Her awards include the Jesse Bernard Award of the American Sociological Association, and an award for "Midwifing the Movement" from the Midwives Alliance of North America, and a distinguished Chair in Health Sciences from the Fulbright Association. She is the author of numerous books, most recently A Bun in the Oven: How the Food and Birth Movements Resist Industrialization (2016).
Michael O. Johnston, Ph.D. is an Assistant Professor of Sociology at William Penn University. He is the author of Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington, 2022). His general area of study is on media representations of people and place at festivals and celebrations. He is currently working on his next book where he conducted research on an annual canoeing and kayaking event that takes place on the Upper Mississippi River. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at [email protected].
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The term “mental illness” can itself be anxiety-inducing and depressing. There are words, though, that can counter the fears and stresses that mind-related conditions induce in most of us at some point in our lives. One of those bracing, comforting words is, “flourishing.” That welcome word abounds in the 2021 book From Survive to Thrive: Living Your Best Life with Mental Illness (Johns Hopkins UP, 2021) by Dr. Margaret S. Chisolm, a psychiatrist at the Johns Hopkins School of Medicine. This is the ideal book if you have been struggling from everything from a bout of depression to schizophrenia or love someone who is.
This short book is just the tonic for those experiencing a range of conditions, including substance abuse or even dissatisfaction with the way their lives are going but who are uncertain what changes to make, if any. There is also some frank discussion of suicide, either of a loved one or the thoughts of ending one’s life that afflict many people at times.
Dr. Chisolm uses her own experience with postpartum depression when she was a busy young physician in a fellowship training program to illustrate how those in the throes of a mental health crisis often need to be nudged by a spouse or other family member to seek professional help.
The book delineates what that help should look like. We are introduced to the four perspectives through which all mental health concerns should be addressed, according to Dr. Chisolm. These are: disease, dimensional, behavior, and life story. She advocates for a thoroughgoing Mental Status Exam (MSE) and encourages the involvement of family members in the process given that the person in mental distress may not be equipped just then to provide crucial background and may lack awareness of worrying changes in his or her behavior.
Chisolm does not sugarcoat the grim realities of serious mental conditions. But the book is upbeat. Its tone is good-humored common sense and the message is hopeful. We are given practical advice on how to make incremental changes (such as long walks and jobs, whether for pay or volunteer) that will enhance our mental and physical health.
Along these lines, the doctor describes the four pathways associated with well-being: family, work, education, and community.
Let’s hear from Margaret Chisolm herself about the book.
Hope J. Leman is a grants researcher.
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Advances in medicine have made possible better treatments for widespread, familiar human illnesses like cancer, diabetes, and heart disease. Yet there are thousands of much less common diseases, most of genetic origin, each classed as rare because it afflicts only a small number of people. These patient groups were long ignored by a pharmaceutical industry that judged them too small to provide a return on the investment needed to develop an effective remedy. Yet these orphaned diseases collectively caused misery and expense, often far greater than did more common ailments, for tens of millions of individuals and their families.
Forty years ago, a revolution that transformed the prospects of patients with rare diseases was lit by three sparks. The passage of the 1983 U.S. Orphan Drug Act resulted from public pressure brought by rare disease patients, their families, and advocates. The AIDS epidemic triggered additional activism, compounded when patients with the rare disease hemophilia became HIV-positive after infusion of tainted blood products. And the third spark was the emergence in the early 1980s of biotechnology companies like Genentech, Amgen, and Biogen employing then-new genetic engineering instead of conventional approaches to pharmaceutical development. Soon after, Genzyme became the first company to develop a treatment for a rare genetic disorder, Gaucher disease, which would come to transform the industry.
Jim Geraghty has been a passionate participant in the orphan drug revolution since its inception--a leader in the field as a strategy consultant, biotechnology executive, and venture entrepreneur. Inside the Orphan Drug Revolution: The Promise of Patient-Centered Biotechnology (Cold Springs Harbor Lab Press, 2022) is in part a history, with eyewitness accounts of advances as they occurred and portraits of the pioneering scientists and physicians, tireless activists, and visionary business leaders who made the revolution happen. And it tells deeply personal stories of patients and parents willing to risk new, untried therapies. But Geraghty also uses his exceptional experience and vantage point to look forward to the immense promise of the newest technologies like gene therapy and gene editing for the treatment of patients today and tomorrow. He concludes with thoughtful consideration of important questions. Why do drugs to treat orphan diseases cost so much? How can we ensure they are affordable? How can their effectiveness be responsibly assessed? And how can access to them be expanded internationally? This book graphically and poignantly illustrates how far an important healthcare revolution has come and reminds us that if not nurtured, it could end before its immense promise has been fulfilled.
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Cathy McClive (Florida State University) offers the first full-length bilingual edition of an extraordinary treatise on childbirth written by a seventeenth-century French midwife in The Art of Childbirth: A Seventeenth-Century Midwife's Epistolary Treatise to Doctor Vallant (University of Toronto Press, 2022). In 1671, Marie Baudoin (1625-1700), head midwife and governor of the Hôtel-Dieu of Clermont-Ferrand, sent a treatise on the art of childbirth to her powerful Parisian patron, Dr. Vallant. The story of how Baudoin's knowledge and expertise as a midwife came to be expressed, recorded, and archived raises the question: Was Baudoin exceptional because she was herself extraordinary, or because her voice has reached us through Vallant's careful archival practices? Either way, Baudoin's treatise invites us to reconsider the limits of what we thought we knew midwives "could be and do" in seventeenth-century France. Grounding Marie Baudoin's text in a microanalysis of her life, work, and the Jansenist network between Paris and Clermont-Ferrand, this book connects historiographies of midwifery, Jansenism, hospital administration, public health, knowledge and record-keeping, and women's work, underscoring both Baudoin's capabilities and the archival accidents and intentions behind the preservation of her treatise in a letter.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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Women, Mysticism, and Hysteria in Fin-De-Siècle Spain (Vanderbilt UP, 2021) argues that the reinterpretation of female mysticism as hysteria and nymphomania in late nineteenth and early twentieth century Spain was part of a larger project to suppress the growing female emancipation movement by sexualizing the female subject. This archival-historical work highlights the phenomenon in medical, social, and literary texts of the time, illustrating that despite many liberals' hostility toward the Church, secular doctors and intellectuals employed strikingly similar paradigms to those through which the early modern Spanish Church castigated female mysticism as demonic possession.
Author Jennifer Smith also directs modern historians to the writings of Emilia Pardo Bazán (1851-1921) as a thinker whose work points out mysticism's subversive potential in terms of the patriarchal order. The only woman author studied here, Pardo Bazán, unlike her male counterparts, rejected the hysteria diagnosis and promoted mysticism as a path for women's personal development and self-realization.
Jennifer Smith is an associate professor of Spanish and chair of the Department of Languages, Cultures, and International Trade at Southern Illinois University.
Carmen Gomez-Galisteo, Ph.D. is a lecturer at Centro de Educación Superior de Enseñanza e Investigación Educativa (CEIE).
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While the loss of sight—whether in early modern Japan or now—may be understood as a disability, blind people in the Tokugawa period (1600–1868) could thrive because of disability. The blind of the era were prominent across a wide range of professions, and through a strong guild structure were able to exert contractual monopolies over certain trades. Blind in Early Modern Japan: Disability, Medicine, and Identity (U Michigan Press, 2022) illustrates the breadth and depth of those occupations, the power and respect that accrued to the guild members, and the lasting legacy of the Tokugawa guilds into the current moment.
The book illustrates why disability must be assessed within a particular society’s social, political, and medical context, and also the importance of bringing medical history into conversation with cultural history. A Euro-American-centric disability studies perspective that focuses on disability and oppression, the author contends, risks overlooking the unique situation in a non-Western society like Japan in which disability was constructed to enhance blind people’s power. He explores what it meant to be blind in Japan at that time, and what it says about current frameworks for understanding disability.
Glossary of foreign words/names:
Jingyi Li is a PhD Candidate in Japanese History at the University of Arizona. She researches about early modern Japan, literati, and commercial publishing.
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Haiti is the target of an overwhelming number of internationally funded health projects. While religious institutions sponsor a number of these initiatives, many are implemented within the secular framework of global health. In Where They Need Me: Local Clinicians and the Workings of Global Health in Haiti (Cornell UP, 2022), Pierre Minn illustrates the divergent criteria that actors involved in global health use to evaluate interventions' efficacy through examining the work of Haitian health professionals in humanitarian aid encounters.
Haitian physicians, nurses, and administrative staff are hired to carry out these global health programs, distribute or withhold resources, and produce accounts of interventions' outcomes. In their roles as intermediaries, Haitian clinicians are expected not only to embody the humanitarian projects of foreign funders and care for their impoverished patients but also to act as sources of support for their own kin networks, while negotiating their future prospects in a climate of pronounced scarcity and insecurity. Minn argues that a serious consideration of these local health care providers in the context of global health is essential to counter simplistic depictions of clinicians and patients as heroes, villains, or victims as well as to move beyond the donor-recipient dyad that has dominated theoretical work on humanitarianism and the gift.
Rachel Pagones is an acupuncturist, educator, and author. She was chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego before moving to the UK in 2021.
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None of us really want to relive our first encounters with COVID-19 and the disruptions to our lives, to say nothing of the anxiety and concern about the life-threatening nature of this virus as it spread around the globe. At the same time, Shana Kushner Gadarian, Sara Wallace Goodman, and Thomas B. Pepinsky ask us to reflect on our experiences and the responses to COVID-19 in the United States in their new book, Pandemic Politics: The Deadly Toll of Partisanship in the Age of COVID (Princeton UP, 2022). Kushner Gadarian, Wallace Goodman, and Pepinsky were able to put sizeable surveys into the field starting as early as March 2020, as the pandemic was taking hold in the United States and as our daily lives started to “shut down.” The three authors continued to send out the same survey to the same individuals over the course of the next two years, eventually pulling together data from six waves of surveys of some 3000 Americans. The center of the research design was to try to examine individual attitudes towards COVID-19 itself, and how people responded to the pandemic threat and the mitigation efforts. Because of the capacity to survey the same individuals over time, the authors were able to see the way that people changed their thinking as COVID itself mutated and re-situated itself in different parts of the country. The conclusion from all of this data and information is that, in the United States, partisanship swamped everything else in terms of how individuals thought about, reacted to, and responded to COVID-19.
Pandemic Politics explores the way that citizens were picking up on different signals from partisan leadership because there were differing approaches to how to handle and respond to COVID-19. This was unique in the United States in comparison to other countries. Because of competing messages coming from different authoritative individuals (like the president of the United States, governors, state and local level health authorities, CDC and NIH experts, etc.) and, especially at the beginning of the pandemic, there was a significant knowledge gap as to what to do and how to keep ourselves safe, many Americans found themselves confused and concerned. As a result, the data indicates that Republicans and Democrats were hearing and seeing different information, different advice, and this continued and became more entrenched as the pandemic continued. The authors also note that the structural foundation for these partisan differences were already present before the pandemic—there were pre-existing conditions within the body politic that subsequently led to the sclerotic partisan reactions to the pandemic itself and to the efforts to mitigate the impact of COVID-19.
Lilly J. Goren is a professor of political science at Carroll University in Waukesha, WI. She is co-editor of the award winning book, Women and the White House: Gender, Popular Culture, and Presidential Politics (University Press of Kentucky, 2012), as well as co-editor of the new book, The Politics of the Marvel Cinematic Universe (University Press of Kansas, 2022). Email her comments at [email protected] or tweet to @gorenlj.
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In this episode we meet Dr. Sangeeta Sahi, who during her medical training found that “scientifically unexplainable healing instances” lead her to formulate a framework called Integrative Medicine. Sangeeta shares how she arrived at the intersection of modern medicine and Sri Aurobindo’s Integral Yoga to formulate alternative and holistic healing modalities. We start our discussion with a reading from Sri Aurobindo about idea of the evolutionary soul, called the psychic being, and discuss its central role in personality development, and its integral importance in the cultivation of holistic health. We discuss how one can experience Divine attributes and cosmic archetypes through cultivating yogic equanimity, and the possibilities of cultivating an intuitive knowing, as knowledge by identity, through bringing the psychic being forward in the heart center. We discuss holistic health in relation to the Buddha’s 4 noble truths, as well as how to integrally approaches other problems of our times, such as technology and the climate change crisis. The podcast concludes with Sangeeta speaking about the foundations and goals of her most recent project, the Unified Human Foundation.
Dr. Sangeeta Sahi is an Integrative Medical Doctor and Anti-aging Consultant, who graduated from the Christian Medical College in India, and Whipps Cross Hospital, London, UK. In addition, she received a Master of Business Administration (MBA) degree from ESSEC in Paris, France. Dr. Sahi is a pioneering medical physician who combines her formal medical training with a host of dynamic complementary and alternative therapies in her practice of Integrative Medicine. She has created a specific program for individuals experiencing Cancer and autoimmune diseases using her particular integrated approach. This program is called Conscious Cancer®. Integrative Medicine reaffirms the importance of the relationship between the practitioner and patient, and emphasizes wellness and healing of the whole person. The physical, mental, social, spiritual, environmental, and other states of being are considered as primary goals. Conventional and Complementary Alternative Medical approaches are used to deliver the most comprehensive patient care. Dr. Sahi uses conventional and complementary alternative medical approaches to deliver the most appropriate and integral patient care. Individuals are made responsible and involved in their own health.
The EWP Podcast credits
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Medical science in antebellum America was organized around a paradox: it presumed African Americans to be less than human yet still human enough to be viable as experimental subjects, as cadavers, and for use in the training of medical students. By taking a hard look at the racial ideas of both northern and southern medical schools, Christopher D. E. Willoughby reveals that racist ideas were not external to the medical profession but fundamental to medical knowledge.
In this history of racial thinking and slavery in American medical schools, the founders and early faculty of these schools emerge as singularly influential proponents of white supremacist racial science. They pushed an understanding of race influenced by the theory of polygenesis—that each race was created separately and as different species—which they supported by training students to collect and measure human skulls from around the world. Medical students came to see themselves as masters of Black people's bodies through stealing Black people’s corpses, experimenting on enslaved people, and practicing distinctive therapeutics on Black patients. In documenting these practices Masters of Health: Racial Science and Slavery in US Medical Schools (UNC Press, 2022) charts the rise of racist theories in U.S. medical schools, throwing new light on the extensive legacies of slavery in modern medicine.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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We will all be patients sooner or later. And when we go to the doctor, when we're hurting, we tend to think in terms of cause and condemnation. We often look for relief not only from physical symptoms but also from our self-blame. We want from our doctors kindness under any of its many names: empathy, caring, compassion, humanity. We look for safety and forgiveness. But we forget that doctors, too, are often in need of forgiveness―from their patients and from themselves. No doctor enters the medical profession expecting to be unkind or to make mistakes, but because of the complexity of our current medical system and because doctors are human, they often find themselves acting much less kindly than they would like to.
Drawing on his work as a primary care physician and a behavioral scientist, Michael Stein artfully examines the often-conflicting goals of patients and their doctors. In those differences, Stein recognizes that kindness should not be a patient's forbidden or unrealistic expectation. Accidental Kindness: A Doctor’s Notes on Empathy (UNC Press, 2022) leaves us with new knowledge of, and insights into, what we might hope for and what might go wrong, or right, in the most intimate clinical moments.
Rachel Pagones is an acupuncturist, educator, and author. She was chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego before moving to the UK in 2021.
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Today I talked to Elissa Bassist about her memoir Hysterical: A Memoir (Hachette, 2022)
For two years author Elissa Bassist saw over twenty medical specialists for pain that none of them managed to diagnose or resolve. Some of their treatments led to other medical problems but never relief. Then an acupuncturist suggested that she simply needed to take control of her voice, and Bassist was shocked when it worked. How, as far as we think we’ve come, is it still the case that a girl born in 1984 could have so much in common with generations of women who were expected to be silent, to "get along," to accept whatever was happening even when their souls ached, their heads pounded, and their bodies withered? Bassist was accused of "being dramatic" when she experienced pain and "inappropriate" when she expressed her sadness or suffering. She said “yes,” when she meant, “no,” and accepted others’ opinions that she was too emotional, too loud, or too aggressive. In her justifiably angry voice, the one she had to take control of, Bassist shares her personal journey from broken and bleeding, scared and lonely, to acerbically funny and quick to call out nonsense. She’s straightforward and unashamed in sharing the moments she’s least proud of and the times she’d rather forget, because now she wants to teach other women that it’s okay to "look bad" in service of unmuting their own voices.
Elissa Bassist is the editor of the “Funny Women” column on The Rumpus and the author of the award-deserving memoir Hysterical. As a founding contributor to The Rumpus, she’s written cultural and personal criticism since the website launched in 2009. She also teaches humor writing at The New School, Catapult, 92NY, Lighthouse Writers Workshop, and elsewhere, and she is probably her therapist’s favorite. Bassist lives in Brooklyn with her dog Benny, a very good boy, and when not writing or reading or teaching, she watches horror movies, rides roller coasters, and does light witchcraft.
G.P. Gottlieb is the author of the Whipped and Sipped Mystery Series and a prolific baker of healthful breads and pastries. Please contact her through her website (GPGottlieb.com).
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In this episode, Pierce Salguero comes on to discuss two of his books: Buddhish, A Guide to the 20 Most Important Buddhist Ideas for the Curious and Skeptical (Beacon Press, 2022) and A Global History of Buddhism and Medicine (Columbia UP, 2022).
Pierce is a transdisciplinary scholar of health humanities, fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, near Philadelphia.
The major theme in his scholarship is discovering the role of Buddhism in the global transmission and local reception of knowledge about health, disease, and the body.
After graduating in 1996, he lived in Asia for four years — more than two years in Thailand, with extended stays in India, China, and Indonesia as well. During this time, he trained as a practitioner of Traditional Thai Medicine (TTM). Pierce participated in extended stays at Buddhist meditation centers and monasteries in Northeast Thailand and India, including a summer as ananāgārika (white-robed monastic resident) in a Thai Forest-tradition monastery.
Matthew O'Connell is a life coach and the host of the The Imperfect Buddha podcast. You can find The Imperfect Buddha on Facebook and Twitter (@imperfectbuddha).
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Experimentation on animals—particularly humans—is often assumed to be a uniquely modern phenomenon. But the ideas and attitudes that encourage biological and medical scientists to experiment on living creatures date from the earliest expressions of Western thought. In Experimenting with Humans and Animals: From Aristotle to CRISPR (Johns Hopkins UP, 2022) (Johns Hopkins UP), Anita Guerrini looks at the history of these practices and examines the philosophical and ethical arguments that justified them.
Guerrini discusses key historical episodes in the use of living beings in science and medicine, including the discovery of blood circulation, the development of smallpox and polio vaccines, and recent research in genetics, ecology, and animal behavior. She also explores the rise of the antivivisection movement in Victorian England, the modern animal rights movement, and current debates over gene therapy and genetically engineered animals. We learn how perceptions and understandings of human and animal pain have changed; how ideas of class, race, and gender have defined the human research subject; and that the ethical values of science seldom stray far from the society in which scientists live and work.
Thoroughly rewritten and updated, with new material in every chapter, the book emphasizes a broader understanding of experimentation and adds material on gene therapy, self-experimentation, and prisoners and slaves as experimental subjects. A new chapter brings the story up to the present while reflecting on the current regulatory scene, new developments in science, and emerging genomics. Experimenting with Humans and Animals offers readers a context within which to understand more fully the responsibility we all bear for the suffering inflicted on other living beings in the name of scientific knowledge.
Anita Guerrini is a historian of science and medicine, recently retired as Horning Professor in the Humanities at Oregon State University, where she's been since 2008. Before that she was a professor of History and Environmental Studies at the University of California, Santa Barbara. She was educated at Connecticut College and Oxford University and received a Ph.D. in History and Philosophy of Science from Indiana University.
Callie Smith is a poet and a PhD candidate in English at the University of Louisiana at Lafayette.
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Opossums in the wild don't make it to the age of three; our pet cats can live for a decade and a half; cicadas live for seventeen years (spending most of them underground). Whales, however, can live for two centuries and tubeworms for several millennia. Meanwhile, human life expectancy tops out around the mid-eighties, with some outliers living past 100 or even 110. Is there anything humans can learn from the exceptional longevity of some animals in the wild? In Methuselah's Zoo: What Nature Can Teach Us about Living Longer, Healthier Lives (MIT Press, 2022), Steven Austad tells the stories of some extraordinary animals, considering why, for example, animal species that fly live longer than earthbound species and why animals found in the ocean live longest of all.
Austad--the leading authority on longevity in animals--argues that the best way we will learn from these long-lived animals is by studying them in the wild. Accordingly, he proceeds habitat by habitat, examining animals that spend most of their lives in the air, comparing insects, birds, and bats; animals that live on, and under, the ground--from mole rats to elephants; and animals that live in the sea, including quahogs, carp, and dolphins.
Humans have dramatically increased their lifespan with only a limited increase in healthspan; we're more and more prone to diseases as we grow older. By contrast, these species have successfully avoided both environmental hazards and the depredations of aging. Can we be more like them?
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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While studying caregiving and chronic illness in families living in situations of economic and social insecurity in Baltimore, anthropologist Todd Meyers met a woman named Beverly. In All That Was Not Her (Duke UP, 2022) Meyers presents an intimate ethnographic portrait of Beverly, stitching together small moments they shared scattered over months and years and, following her death, into the present. He meditates on the possibilities of writing about someone who is gone—what should be represented, what experiences resist rendering, what ethical challenges exist when studying the lives of others. Meyers considers how chronic illness is bound up in the racialized and socioeconomic conditions of Beverly’s life and explores the stakes of the anthropologist’s engagement with one subject. Even as Meyers struggles to give Beverly the final word, he finds himself unmade alongside her. All That Was Not Her captures the complexity of personal relationships in the field and the difficulty of their ending.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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How the FDA was shaped by public health crises and patient advocacy, told against a background of the contentious hearings on the breast cancer drug Avastin.
Food and Drug Administration approval for COVID-19 vaccines and the controversial Alzheimer's drug Aduhelm made headlines, but few of us know much about how the agency does its work. Why is the FDA the ultimate US authority on a drug's safety and efficacy? In Drugs and the FDA: Safety, Efficacy, and the Public's Trust (MIT Press, 2022), Mikkael Sekeres--a leading oncologist and former chair of the FDA's cancer drug advisory committee--tells the story of how the FDA became the most trusted regulatory agency in the world. It took a series of tragedies and health crises, as well as patient advocacy, for the government to take responsibility for ensuring the efficacy and safety of drugs and medical devices. Before the FDA existed, drug makers could hawk any potion, claim treatment of any ailment, and make any promise on a label. But then, throughout the twentieth century, the government was forced to take action when children were poisoned by contaminated diphtheria and smallpox vaccines, an early antibiotic contained antifreeze, a drug prescribed for morning sickness in pregnancy caused babies to be born disfigured, and access to AIDS drugs was limited to a few clinical trials while thousands died. Sekeres describes all these events against the backdrop of the contentious 2011 hearings on the breast cancer drug Avastin, in which he participated as a panel member. The Avastin hearings, he says, put to the test a century of the FDA's evolution, demonstrating how its system of checks and balances works--or doesn't work.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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A taken-for-granted miracle occurs in doctors’ offices across the world every single day. With only a stethoscope and an inflatable cuff, a physician can check your blood pressure to predict your risk of future heart problems. These tools give you the chance to take proactive steps to reduce this risk if needed. Why don’t we have similar tools for the brain?
A Stethoscope for the Brain: Preventive Approaches to Protect the Mind (New Degree Press, 2022) is a book about proactive strategies to prevent brain diseases. Blending the stories of people affected by brain disease with the science that saves patients’ lives, neuroscientist Ayan Mandal invites readers to learn about the future of brain health.
This book tells the stories of...
New advances in medicine are proving that maladies of the mind are not inevitable. Learn what can be done to protect the brains of you and your loved ones.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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In Lifelines: The Traffic of Trauma (Duke UP, 2022), Harris Solomon takes readers into the trauma ward of one of Mumbai’s busiest public hospitals, narrating the stories of the patients, providers, and families who experience and care for traumatic injuries due to widespread traffic accidents. He traces trauma’s moves after the accident: from scenes of road and railway injuries to ambulance interiors; through emergency triage, surgery, and intensive care; and from the morgue for patients who do not survive into the homes of those who do. These pathways reveal how trauma shifts inequalities, infrastructures, and institutions through the lives and labors of clinical spaces. Solomon contends that medicine itself must be understood in terms of lifelines: patterns of embodied movement that determine survival. In reflecting on the centrality of traffic to life, Lifelines explores a fundamental question: How does medicine move us?
This book is available open access. Please follow this link to access this book free completely of cost.
Sneha Annavarapu is Assistant Professor of Urban Studies at Yale-NUS College.
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This agenda-setting book presents a framework for creating a more just and equitable care-centered world. Climate change, pandemic events, systemic racism, and deep inequalities have all underscored the centrality of care in our lives. Yet care work is, for the most part, undervalued and exploited. In Care-Centered Politics: From the Home to the Planet (MIT Press, 2022), Robert Gottlieb examines how a care economy and care politics can influence and remake health, climate, and environmental policy, as well as the institutions and practices of daily life. He shows how, through this care-centered politics, we can build an ethics of care and a society of cooperation, sharing, and solidarity.
Arguing that care is a form of labor, Gottlieb expands the ways we think about home care, child care, elder care, and other care relationships. He links them to the Green New Deal, Medicare for All, immigration, and the militarization of daily life. He also provides perspective on the events of 2020 and 2021 (including the COVID-19 pandemic, climate change, and movements calling attention to racism and inequality) as they relate to a care politics. Care, says Gottlieb, must be universal--whether healthcare for all, care for the earth, care at work, or care for the household, shared equally by men and women. Care-centered politics is about strategic and structural reforms that imply radical and revolutionary change. Gottlieb offers a practical, mindful, yet also utopian, politics of daily life.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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The Renaissance is celebrated for the belief that individuals could fashion themselves to greatness, but there is a dark undercurrent to this fêted era of history. The same men and women who offered profound advancements in European understanding of the human condition—and laid the foundations of the Scientific Revolution—were also obsessed with controlling that condition and the wider natural world.
Tracing early modern artisanal practice, Mackenzie Cooley shows how the idea of race and theories of inheritance developed through animal breeding in the shadow of the Spanish Empire. While one strand of the Renaissance celebrated a liberal view of human potential, another limited it by biology, reducing man to beast and prince to stud. “Race,” Cooley explains, first referred to animal stock honed through breeding. To those who invented the concept, race was not inflexible, but the fragile result of reproductive work. As the Spanish empire expanded, the concept of race moved from nonhuman to human animals. Cooley reveals how, as the dangerous idea of controlled reproduction was brought to life again and again, a rich, complex, and ever-shifting language of race and breeding was born.
Adding nuance and historical context to discussions of race and human and animal relations, The Perfection of Nature: Animals, Breeding, and Race in the Renaissance (U Chicago Press, 2022) provides a close reading of undertheorized notions of generation and its discontents in the more-than-human world.
Rachel Pagones is an acupuncturist, educator, and author. Before moving to the UK in 2021 she was chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego.
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Your heart is a miracle in motion, a marvel of construction unsurpassed by any human-made creation. It beats 100,000 times every day--if you were to live to 100, that would be more than 3 billion beats across your lifespan. Despite decades of effort in labs all over the world, we have not yet been able to replicate the heart's perfect engineering. But, as Sian Harding shows us in The Exquisite Machine: The New Science of the Heart (MIT Press, 2022), new scientific developments are opening up the mysteries of the heart. And this explosion of new science--ultrafast imaging, gene editing, stem cells, artificial intelligence, and advanced sub-light microscopy--has crucial, real-world consequences for health and well-being.
Harding--a world leader in cardiac research--explores the relation between the emotions and heart function, reporting that the heart not only responds to our emotions, it creates them as well. The condition known as Broken Heart Syndrome, for example, is a real disorder than can follow bereavement or stress. The Exquisite Machine describes the evolutionary forces that have shaped the heart's response to damage, the astonishing rejuvenating power of stem cells, how we can avoid heart disease, and why it can be so hard to repair a damaged heart. It tells the stories of patients who have had the devastating experiences of a heart attack, chaotic heart rhythms, or stress-induced acute heart failure. And it describes how cutting-edge technologies are enabling experiments and clinical trials that will lead us to new solutions to the worldwide scourge of heart disease.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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The average person concerned about becoming pregnant spends approximately thirty years trying to prevent conception. People largely do so alone using prescription birth control, a situation often taken for granted in the United States as natural and beneficial.
In Just Get On the Pill: The Uneven Burden of Reproductive Politics (University of California Press, 2021), a keenly researched and incisive examination, Krystale Littlejohn investigates how birth control becomes a fundamentally unbalanced and gendered responsibility. She uncovers how parents, peers, partners, and providers draw on narratives of male and female birth control methods to socialize cisgender women into sex and ultimately into shouldering the burden for preventing pregnancy. Littlejohn draws on extensive interviews to document this gendered compulsory birth control—a phenomenon in which people who give birth are held accountable for preventing and resolving pregnancies in gender-constrained ways. She shows how this gendered approach encroaches on reproductive autonomy and poses obstacles for preventing disease. While diverse cisgender women are the focus, Littlejohn shows that they are not the only ones harmed by this dynamic. Indeed, gendered approaches to birth control also negatively impact trans, intersex, and gender nonconforming people in overlooked ways. In tracing the divisive politics of pregnancy prevention, Littlejohn demonstrates that the gendered division of labor in birth control is not natural. It is unjust.
Nicole Bourbonnais is Associate Professor of International History and Politics and Co-Director of the Gender Centre at the Graduate Institute of International and Development Studies in Geneva, Switzerland. Her research explores reproductive politics and practice from a transnational, historical perspective. Profile here.
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A candid conversation with Dr. Dagmar Wujastyk about her fascinating work at the intersection of yoga, Ayurveda, and alchemy.
Dr. Wujastyk’s online course “Ayurveda, Yoga and Alchemy."
Raj Balkaran is a scholar, online educator, and life coach. For information see rajbalkaran.com.
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To be an emergency room doctor is to be a professional listener to stories. Each patient presents a story; finding the heart of that story is the doctor’s most critical task. More technology, more tests, and more data won’t work if doctors get the story wrong. Empathy, creativity, and imagination are the cornerstones of clinical care. In Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER (MIT Press, 2022), ER physician Jay Baruch offers a series of short, powerful, and affecting essays that capture the stories of ER patients in all their complexity and messiness.
Patients come to the ER with lives troubled by scales of misfortune that have little to do with disease or injury. ER doctors must be problem-finders before they are problem-solvers. Cheryl, for example, whose story is a chaos narrative of “and this happened, and then that happened, and then, and then and then and then,” tells Baruch she is "stuck in a tornado of life.” What will help her, and and what will help Mr. K., who seems like a textbook case of post-combat PTSD but turns out not to be? Baruch describes, among other things, the emergency of loneliness (invoking Chekhov, another doctor-writer); his own (frightening) experience as a patient; the patient who demanded a hug; and emergency medicine during COVID-19. These stories often end without closure or solutions. The patients are discharged into the world. But if they’re lucky, the doctor has listened to their stories as well as treated them.
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Gwen Shuni D'Arcangelis's book Bio-Imperialism: Disease, Terror, and the Construction of National Fragility (Rutgers UP, 2020) focuses on an understudied dimension of the war on terror: the fight against bioterrorism. This component of the war enlisted the biosciences and public health fields to build up the U.S. biodefense industry and U.S. global disease control. The book argues that U.S. imperial ambitions drove these shifts in focus, aided by gendered and racialized discourses on terrorism, disease, and science. These narratives helped rationalize American research expansion into dangerous germs and bioweapons in the name of biodefense and bolstered the U.S. rationale for increased interference in the disease control decisions of Global South nations. Bio-Imperialism is a sobering look at how the war on terror impacted the world in ways that we are only just starting to grapple with.
Rachel Pagones is an acupuncturist, educator, and author. Before moving to the UK in 2021 she was chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego.
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Metaphor in Illness Writing: Fight and Battle Reused (Edinburgh UP, 2022) argues that even when a metaphor appears problematic and limiting, it need not be dropped or dismissed. Metaphors are not inherently harmful or beneficial; instead, they can be used in unexpected and creative ways. This book analyses the illness writing of contemporary North American writers who reimagine and reappropriate the supposedly harmful metaphor 'illness is a fight' and shows how Susan Sontag, Audre Lorde, Anatole Broyard, David Foster Wallace and other writers turn the fight metaphor into a space of agency, resistance, self-knowledge and aesthetic pleasure. It joins a conversation in Medical Humanities about alternatives to the predominance of narrative and responds to the call for more metaphor literacy and metaphor competence.
Wohlman has developed the vade mecum for Metaphor Method. You can find it here (in the right column). For the PDF file, click here.
Anita Wohlmann is an associate professor in the Department for the Study of Culture at SDU.
Victoria Oana Lupașcu is an Assistant Professor of Comparative Literature and Asian Studies at University of Montréal. Her areas of interest include medical humanities, visual art, 20th and 21st Chinese, Brazilian and Romanian literature and Global South studies.
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Suicide has been on the rise in recent years, most frighteningly among young people. Suicide is second leading cause of death for people ages 10-14 and 25-34. Gay, lesbian, and transgender youth are at particular risk.
Every year in the U.S., more people die by suicide than in car accidents, and more suicide deaths occur than homicide and AIDS deaths combined.
In this episode Renee Garfinkel and Hannah Rothstein discuss the myths and facts about suicide, its warning signs, and how friends and family, teachers and others can help.
Hannah Rothstein, Ph.D. is Professor Emerita of Management at Baruch College, City University of New York, Crisis Counselor for the Trevor Project.
If you’re thinking about suicide or you’re in crisis right now,
In U.S. call or text 988 or contact 988lifeline.org to talk with someone online.
In Israel: call suicide hotline *1201 (press 3 for languages, then select English).
Hannah Rothstein, Ph.D. is Professor Emerita of Management at Baruch College, City University of New York, Crisis Counselor for the Trevor Project.
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In this podcast episode, Greg Marchildon interviews Erika Dyck on the book she co-authored with Jesse Donaldson on an unusual chapter in Canada’s medical history. Entitled The Acid Room: The Psychedelic Trials and Tribulations of Hollywood Hospital, this book was published by Vancouver’s Anvil Press in 2021. This is a history of a private hospital in greater Vancouver which specialized in treatments for alcoholism, trauma and other conditions using LSD, mescalin and other psychotropic substances from the late 1950s until it shut down in the early 1970s. Erika Dyck is professor of History and Canada Research Chair in the History of Medicine at the University of Saskatchewan.
This interview was produced with the support of The Champlain Society. The mission of The Champlain Society is to increase public awareness of, and accessibility to, Canada’s rich store of historical records.
Gregory P. Marchildon is the Ontario Research Chair in Health Policy and System Design with the Institute of Health Policy, Management and Evaluation at the University of Toronto.
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Michael Slouber's Early Tantric Medicine: Snakebite, Mantras, and Healing in the Garuda Tantras (Oxford UP, 2016) looks at a traditional medical system that flourished over 1,000 years ago in India. The volume brings to life this rich tradition in which knowledge and faith are harnessed in complex visualizations accompanied by secret mantras to an array of gods and goddesses; this religious system is combined with herbal medicine and a fascinating mixof lore on snakes, astrology, and healing. The book's appendices include an accurate, yet readable translation of ten chapters of the most significant Tantric medical text to be recovered: the Kriyakalagunottara.
Raj Balkaran is a scholar, online educator, and life coach. For information see rajbalkaran.com.
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In Hospital Land USA: Sociological Adventures in Medicalization (Routledge, 2016), Wendy Simonds analyzes the wide-reaching powers of medicalization: the dynamic processes by which medical authorities, institutions, and ideologies impact our everyday experiences, culture, and social life. Simonds documents her own Hospital Land adventures and draws on a wide range of U.S. cultural representations — from memoirs to medical mail, from hospital signs to disaster movies — in order to urge critical thinking about conventional notions of care, health, embodiment, identity, suffering, and mortality.
This book is intended for general readers, medical practitioners, undergraduate and graduate students in courses on medical sociology, medicine, medical ethics, nursing, public health, carework, visual culture, cultural studies, and gerontology.
Michael O. Johnston, Ph.D. is an Assistant Professor of Sociology at William Penn University. He is the author of Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington, 2022). His general area of study is on media representations people and place at festivals and celebrations. His next book project is on research that he conducted about a canoeing and kayaking event that occurs annually on the Upper Mississippi River. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at [email protected].
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William Shakespeare found dozens of different ways to kill off his characters, and audiences today still enjoy the same reactions – shock, sadness, fear – that they did more than 400 years ago when these plays were first performed. But how realistic are these deaths, and did Shakespeare have the knowledge to back them up?
In the Bard's day death was a part of everyday life. Plague, pestilence and public executions were a common occurrence, and the chances of seeing a dead or dying body on the way home from the theatre were high. It was also a time of important scientific progress. Shakespeare kept pace with anatomical and medical advances, and he included the latest scientific discoveries in his work, from blood circulation to treatments for syphilis. He certainly didn't shy away from portraying the reality of death on stage, from the brutal to the mundane, and the spectacular to the silly.
Elizabethan London provides the backdrop for Death By Shakespeare: Snakebites, Stabbings and Broken Hearts (Bloomsbury, 2020), as Dr. Kathryn Harkup turns her discerning scientific eye to the Bard and the varied and creative ways his characters die. Was death by snakebite as serene as Shakespeare makes out? Could lack of sleep have killed Lady Macbeth? Can you really murder someone by pouring poison in their ear? Dr. Harkup investigates what actual events may have inspired Shakespeare, what the accepted scientific knowledge of the time was, and how Elizabethan audiences would have responded to these death scenes. Death by Shakespeare will tell you all this and more in a rollercoaster of Elizabethan carnage, poison, swordplay and bloodshed, with an occasional death by bear-mauling for good measure.
This interview was conducted by Dr. Miranda Melcher whose doctoral work focused on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Despite enormous advances in medical science and public health education over the last century, access to health care remains a dominant issue in American life. U.S. health care is often hailed as the best in the world, yet the public health emergencies of today often echo the public health emergencies of yesterday: consider the Great Influenza Pandemic of 1918–19 and COVID-19, the displacement of the Dust Bowl and the havoc of Hurricane Maria, the Reagan administration’s antipathy toward the AIDS epidemic and the lack of accountability during the water crisis in Flint, Michigan.
Spanning the period from the presidency of Woodrow Wilson to that of Donald Trump, American Health Crisis: One Hundred Years of Panic, Planning, and Politics (University of California Press, 2021) illuminates how—despite the elevation of health care as a human right throughout the world—vulnerable communities in the United States continue to be victimized by structural inequalities across disparate geographies, income levels, and ethnic groups. Martin Halliwell views contemporary public health crises through the lens of historical and cultural revisionings, suturing individual events together into a narrative of calamity that has brought us to our current crisis in health politics. American Health Crisis considers the future of public health in the United States and, presenting a reinvigorated concept of health citizenship, argues that now is the moment to act for lasting change.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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A medical doctor with an inquisitive mind and a traveling spirit, John Richens thought he had hit upon an exemplary public health case study – the story of donovanosis among the Marind people of early-twentieth-century New Guinea. The rare, sexually transmitted disease, locally known as “tik Merauke,” rose to epidemic level after the ruling Dutch moved to quash the Marind practice of headhunting. The intensive treatment campaign that followed was successful, at least insofar as curing the infection.
However, medical outcomes are only one aspect of the complex history of the Marind’s encounter with imperial power, as Richens recounts in Tik Merauke: An Epidemic Like No Other (Melbourne UP, 2022). He introduces us to a cast of characters drawn, for varying reasons, to New Guinea – among them anthropologists, bird hunters, film directors, and missionaries – through whom Western knowledge of the Marind has been filtered. Along the way, he exposes the “darker side of imperialism” which still afflicts the Marind today.
Rachel Pagones is an acupuncturist, educator, and author. Before moving to the UK in 2021 she was chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego.
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Entering the world of psychedelic drugs can be challenging, and many aren't sure where to start. As research continues to expand and legalization looms on the horizon for psychedelics like psilocybin, you may need a guide to navigate what psychedelics are, how they work, and their potential benefits and risks.
The Psychedelic Handbook: A Practical Guide to Psilocybin, LSD, Ketamine, MDMA, and DMT/Ayahuasca (Ulysses Press, 2022) is a complete manual that is accessible to anyone with an interest in these "mind-manifesting" substances. Packed with information on psilocybin, LSD, DMT/ayahuasca, mescaline/peyote, ketamine, MDMA, ibogaine, 5-methoxy-DMT ("the toad"), and Salvia divinorum/salvinorin A, this book is your ultimate reference for understanding the science and history of psychedelics; discovering their potential to treat depression, PTSD, substance abuse, and other disorders, as well as to increase wellness, creativity, and meditation; learning how to safely trip and explaining what we know about microdosing; and recognizing and caring for negative reactions to psychedelics.
Clinical research psychiatrist, founding figure of the American psychedelic research renaissance, and best-selling author of DMT: The Spirit Molecule, Dr. Rick Strassman shares his experience and perspectives as neither advocate nor foe of psychedelics in order to help readers understand the effects of these remarkable drugs.
Geert Slabbekoorn works as an analyst in the field of public security. In addition he has published on different aspects of dark web drug trade in Belgium. Find him on twitter, tweeting all things drug related @GeertJS.
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Today I talked to Sanjiv Chopra about his book Coffee the Magical Elixir: Facts That Will Astound and Perk You Up (Bookbaby, 2021)
2.25 billion cups of coffee are consumed globally everyday. Coffee has a myriad of health benefits the overwhelming majority are which not known to the lay public and even physicians. There has been a plethora of research published in peer reviewed scientific journals attesting to the health benefits of coffee. They are mechanistic explanations and often a dose dependent benefit. Coffee drinkers have a lower risk of seven common cancers, cirrhosis of the liver, type 2 diabetes, Parkinson's Disease, and many other common ailments. Astoundingly coffee drinkers, both women and men have lower total and cause specific mortality. Telomeres are caps at the end of our chromosomes that protect the chromosomes from sticking to each other and from fraying. Shorten telomere length implies accelerated cellular aging and is seen in mothers of chronically disabled children and care givers of folks with Alzheimer's Dementia. Longer telomere length is seen in individuals who exercise, meditate, are on the Mediterranean diet and those who drink coffee. Here is a mind boggling fact. Increase caffeine intake is linked with shortened telomeres, while increased coffee intake is linked with longer telomeres. Coffee has thousands of constituents and it is not caffeine that confers the health benefits.
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In recent decades, the North American public has pursued an inspirational vision of successful aging—striving through medical technique and individual effort to eradicate the declines, vulnerabilities, and dependencies previously commonly associated with old age. On the face of it, this bold new vision of successful, healthy, and active aging is highly appealing. But it also rests on a deep cultural discomfort with aging and being old.
The contributors to Sarah Lamb's Successful Aging as a Contemporary Obsession (Rutgers UP, 2017) explore how the successful aging movement is playing out across five continents. Their chapters investigate a variety of people, including Catholic nuns in the United States; Hindu ashram dwellers; older American women seeking plastic surgery; aging African-American lesbians and gay men in the District of Columbia; Chicago home health care workers and their aging clients; Mexican men foregoing Viagra; dementia and Alzheimer sufferers in the United States and Brazil; and aging policies in Denmark, Poland, India, China, Japan, and Uganda. This book offers a fresh look at a major cultural and public health movement of our time, questioning what has become for many a taken-for-granted goal—aging in a way that almost denies aging itself.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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Biomedical research using various animal species and in vitro cellular systems has resulted in both major successes and translational failure. In Model Systems in Biology: History, Philosophy, and Practical Concerns (MIT Press, 2022), comparative neurobiologist Georg Striedter examines how biomedical researchers have used animal species and in vitro cellular systems to understand and develop treatments for human diseases ranging from cancer and polio to Alzheimer’s disease and schizophrenia. Although there have been some major successes, much of this “translational” research on model systems has failed to generalize to humans. Striedter explores the history of such research, focusing on the models used and considering the question of model selection from a variety of perspectives—the philosophical, the historical, and that of practicing biologists.
Striedter reviews some philosophical concepts and ethical issues, including concerns over animal suffering and the compromises that result. He traces the history of the most widely used animal and in vitro models, describing how they compete with one another in a changing ecosystem of models. He examines how therapies for bacterial and viral infections, cancer, cardiovascular diseases, and neurological disorders have been developed using animal and cell culture models—and how research into these diseases has both taken advantage of and been hindered by model system differences. Finally, Striedter argues for a “big tent” biology, in which a diverse set of models and research strategies can coexist productively.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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Before Remdesivir and Hydroxycloroquin there was Tamiflu.
To prepare for Swine Flu and Bird Flu, governments spent billions stockpiling this drug called Tamiflu. You’d think governments used the best evidence-based advice, but the story of Tamiflu raises questions about how money shaped the process.
On this episode of Cited, Darts and Letters predecessor, we open up the black box of pharmaceutical and public health expertise. We tell the story of a drug, from its days as middling flu treatment through its meteoric rise to international blockbuster. How do experts decide what makes a good drug, and how do pharmaceutical companies make billions from pandemic panic?
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At Crosstown Clinic, doctors are turning addiction treatment on its head: they’re prescribing heroin-users the very drug they’re addicted to. This is the story of one clinic’s quest to remove the harms of addiction, without removing the addiction itself.
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Dr. Charles Smith performed autopsies at the Hospital for Sick Children in Toronto, ON. The cops kept turning to him with new corpses, and he kept claiming that these deaths were the result of foul play. He was thought of as a God in his field–few people were willing to question his work. That is until a 2008 inquiry, which found evidence of errors in 20 of the 45 autopsies they reviewed. Dr. Smith’s judgements played a role in 13 wrongful convictions. On this episode, we tell one of those stories.
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Health care is political. It entails fierce battles over the allocation of resources, arguments over the imposition of regulations, and the mediation of dueling public sentiments—all conflicts that are often narrated from a national, top-down view. In All Health Politics Is Local: Community Battles for Medical Care and Environmental Health (UNC Press, 2022), Merlin Chowkwanyun shifts our focus, taking us to four very different places—New York City, Los Angeles, Cleveland, and central Appalachia—to experience a national story through a regional lens. He shows how racial uprisings in the 1960s catalyzed the creation of new medical infrastructure for those long denied it, what local authorities did to curb air pollution so toxic that it made residents choke and cry, how community health activists and bureaucrats fought over who'd control facilities long run by insular elites, and what a national coal boom did to community ecology and health. In a country riven by regional differences, All Health Politics Is Local shatters the notion of a shared national health agenda. It shows that health has always been political and shaped not just by formal policy but also by grassroots community battles.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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An eye-opening exploration of the medical origins of gender in modern US history. Today, a world without "gender" is hard to imagine. Gender is at the center of contentious political and social debates, shapes policy decisions, and informs our everyday lives. Its formulation, however, is lesser known: Gender was first used in clinical practice. How the Clinic Made Gender: The Medical History of a Transformative Idea (U Chicago Press, 2022) tells the story of the invention of gender in American medicine, detailing how it was shaped by mid-twentieth-century American notions of culture, personality, and social engineering.
Sandra Eder shows how the concept of gender transformed from a pragmatic tool in the sex assignment of children with intersex traits in the 1950s to an essential category in clinics for transgender individuals in the 1960s. Following gender outside the clinic, she reconstructs the variable ways feminists integrated gender into their theories and practices in the 1970s. The process by which ideas about gender became medicalized, enforced, and popularized was messy, and the route by which gender came to be understood and applied through the treatment of patients with intersex traits was fraught and contested. In historicizing the emergence of the sex/gender binary, Eder reveals the role of medical practice in developing a transformative idea and the interdependence between practice and wider social norms that inform the attitudes of physicians and researchers. She shows that ideas like gender can take on a life of their own and may be used to question the normative perceptions they were based on. Illuminating and deeply researched, the book closes a notable gap in the history of gender and will inspire current debates on the relationship between social norms and medical practice.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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Over the course of the sixteenth and seventeenth centuries, works of botany underwent a radical change in the English book trade. A genre that was once produced in smaller cheaper formats became lavishly produced, authoritative editions. But as Early Modern Herbals and the Book Trade (Cambridge UP, 2022) shows, the relationships between making, producing, and consuming of botanical and medical knowledge was much more fluid. Today I am discussing this new book with the author Sarah Neville. Sarah Neville is Associate Professor of English and Creative Director of Lord Denney's Players at Ohio State University. Sarah serves as an assistant editor of the New Oxford Shakespeare and an associate coordinating editor of the Digital Renaissance Editions, as well as the writer/producer/director of the documentary Looking for Hamlet, 1603, available on Youtube.
John Yargo is Visiting Assistant Professor of English at Boston College. He recently received his PhD in English literature from the University of Massachusetts Amherst, specializing in the environmental humanities and early modern culture. His articles have been published or are forthcoming in the Journal for Early Modern Culture Studies, Studies in Philology, Early Theatre, and Shakespeare Studies.
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In the 1960s and 1970s, the exposure of Big Tobacco’s aggressive lobbying and internal efforts to obscure science showcasing the harmful effects of smoking changed U.S. public opinion of the industry and of product safety protocols, both of which had largely obscured these harms from public view for decades. Public awareness grew, triggering regulation on disclosure related to political influencing strategies, marketing tactics, and transparency regarding the devastating toll of tobacco products on many communities, including and especially children. As similar approaches to assessing the public health impacts of Big Oil and Big Pharma, among other industries, have gained traction in recent decades, Dr. Mélissa Mialon’s new book, Big Food & Co (Thierry Souccar Editions, 2021), adds the amalgamation of multinationals and transnational supply chains that make up Big Food, to that list.
Rising health inequities across race, class, and geography are subtle, yet central themes throughout Dr. Mialon’s meticulous accounting of a complex puzzle in which the marketing and distribution strategies of soft drink companies and ultra-processed food manufacturers are quietly but steadily ushering in a new globalized era of related public health crises – measured by increasing rates of of diabetes, cancers, and heart disease, etc– a crisis that has long been felt in the United States.
Whether branding t-shirts and games at summer camps in France for underprivileged children or blanketing entire streets in Mauritius with the unmistakable bright red and white flag of Coca-Cola, Dr. Mialon describes a taxonomy of commercial determinants of health common to nearly every example – whether multinational food companies’ policy advocacy in Colombia, public-private partnerships in Brazil, or culturally responsive branding for holidays in Southern Africa.
Between academic research and investigative journalism, the survey of trends in Big Food’s operation, marketing, and regulatory capture, offered throughout the book are additionally grounds for laying out a policy roadmap with public health indicators at the center of a wide range of potential reforms including campaign finance and heightened disclosure protocols for public-private partnerships to mitigating conflicts of interest in scientific studies related to food, agriculture, and health, among many others.
Dr. Mélissa Mialon is Associate Professor at Trinity College Dublin, in Ireland. She is a food engineer with a PhD in nutrition and co-coordinates the « Governance, Ethics and Conflicts of Interest in Public Health » (GECI-PH) network, based out of the American University of Beirut in Lebanon. Her research focuses on commercial determinants of health, and particularly on the practices used by corporations to influence public health policy, research and practice.
Anna Levy researches and teaches on emergency, crisis, and development practice & politics at Fordham & New York Universities. She is the founder and principal of Jafsadi.works, a research collective focused on advancing structural and participatory accountability in non-profit, movement, multilateral, city, and policy strategies. You can follow her @politicoyuntura.
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Before 1973's landmark Roe v. Wade decision, abortion in California was illegal for both doctors performing and women seeking the procedure. In From Back Alley to the Border: Criminal Abortion in California, 1920-1969 (U Nebraska Press, 2020), Dr. Alicia Gutierrez-Romine, an associate professor of history at La Sierra University, examines the experiences of doctors and patients in southern California during the mid-twentieth century. For doctors, performing abortions carried a good deal of risk, including extensive sentences of jail time. For women, the procedure was often safe, but not always, and carried risk of infection and even death. Women could use resources like the Pacific Coast Abortion Ring, a network of doctors willing to perform abortions, or even cross the border into Mexico, but every aspect of illegal reproductive medicine carried risks, moreso if patient or doctor were Black or poor. This is a relevant book and Gutierrez provides a window not just into the past, but into a post-Dobbs American future.
Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota.
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Has the pandemic taught us anything? As we look forward and imagine what the future might look like, we like to think ‘next time will be different.’ But, if we don’t take a serious look back, it won’t. Not as long as the people who made this pandemic so bad face zero consequences. In this episode of Darts and Letters, John Nichols says it’s time for a COVID reckoning. His new book is Coronavirus Criminals and Pandemic Profiteers: Accountability for Those Who Caused the Crisis. Nichols, who is also national affairs correspondent of the Nation, retraces his reporting – revealing how so many suffered while others made out like gangbusters. Plus, we ask: could it have been different?
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In Single Payer Healthcare Reform: Grassroots Mobilization and the Turn Against Establishment Politics in the Medicare for All Movement (Palgrave Macmillan, 2020), Lindy Hern provides a comprehensive history of the grassroots Movement for Health Care Reform in the United States from within the Single Payer Movement. Hern discusses the role that narrative (constructions of opportunity) plays in grassroots mobilization, which builds on existing social movement theory. She examines the turn against “politics as usual” and establishment politicians that began in progressive social movements long before the election of Donald Trump.
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In the late nineteenth century, medical educators intent on transforming American physicians into scientifically trained, elite professionals recognized the value of medical school design for their reform efforts. Between 1893 and 1940, nearly every medical college in the country rebuilt or substantially renovated its facility. In Building Schools, Making Doctors: Architecture and the Modern American Physician (U Pittsburgh Press, 2022), Katherine Carroll reveals how the schools constructed during this fifty-year period did more than passively house a remodeled system of medical training; they actively participated in defining and promoting an innovative pedagogy, modern science, and the new physician.
Interdisciplinary and wide ranging, her study moves architecture from the periphery of medical education to the center, uncovering a network of medical educators, architects, and philanthropists who believed that the educational environment itself shaped how students learned and the type of physicians they became. Carroll offers the first comprehensive study of the science and pedagogy formulated by the buildings, the influence of the schools’ donors and architects, the impact of the structures on the urban landscape and the local community, and the facilities’ privileging of white men within the medical profession during this formative period for physicians and medical schools.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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In The Mind and the Moon: My Brother’s Story, the Science of Our Brains, and the Search for Our Psyches (Ecco, 3033), Daniel Bergner examines these and other by describing three riveting case studies in the context of the history of psychiatry and psychopharmacology. Alongside the story of his brother Bob’s struggle with bipolar disorder, we learn about Caroline, who is besieged by the hallucinations of psychosis, and David, an attorney who is engulfed by anxiety and depression. In telling their stories while describing the frontiers of brain research, Bergner shows how the pharmaceutical industry has played a key role in perpetuating a biological view of the mind and drug-based cures for its disorders – despite mediocre drug effectiveness, many challenging side effects, and questionable patient outcomes. The Mind and the Moon addresses fundamental issues of selfhood and identity in ways that will challenge basic beliefs about who we are and who we might be.
Steve Beitler’s work in the history of medicine focuses on how pain has been understood, treated, experienced, and represented. His recently published articles examined the history of opiates in American football and surveyed the history of therapeutic drugs. He can be reached at [email protected].
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The health care sector frequently emphasizes “Cultural competence”, an elastic concept that stretches from the simplest recognition of diversity of patient populations, to include policy implications of patients’ overall worldviews re the body, health, and decision-making.
The issue, highlighted again in the recent U.S. Supreme Court abortion decision, gained prominence during Covid-19 pandemic, with the challenge of so-called marginal groups’ access to and compliance with vaccination programs.
Legislation for equality impacts minority health care. It has brought both benefits and unintended consequences.
We will talk about these important issues with today’s guest, Ben Kasstan, Ph.D., an anthropologist at the University of Bristol and London School of Hygiene and Tropical Medicine. His research explores public health, specifically, what health protection means and according to whom. Ben’s published works on public health issues include maternity care, childhood vaccinations, and sexuality education.
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Today I had the pleasure of talking to Professor Gonçalo Santos (University of Coimbra), about his new book, Chinese Village Life Today: Building Families in an Age of Transition, which was published in 2021 by University of Washington Press.
Chinese Village Life Today is based on more than twenty years of Gonçalo Santos’s field research. The book paints a richly detailed portrait of a rural township in Guangdong Province, north of the industrialized Pearl River Delta region, to consider the intimate choices that village families make in the face of larger forces of modernization. Filled with vivid anecdotes and keen observations, the book offers a fresh perspective on China’s urban-rural divide and a grounded theoretical approach to understand how China’s rural transformation is changing the ways that local people shape their intimate daily lives - from marriage, childbirth, and childcare to personal hygiene and public sanitation.
I highly recommend the book for anyone who wants to understand village life in China today, and more broadly for those interested in studies on medical anthropology and the workings of technocratic frameworks of governance.
Dr. Suvi Rautio is an anthropologist of China.
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To be an emergency room doctor is to be a professional listener to stories. Each patient presents a story; finding the heart of that story is the doctor’s most critical task. More technology, more tests, and more data won’t work if doctors get the story wrong. Empathy, creativity, and imagination are the cornerstones of clinical care. In Tornado of Life: A Doctor's Journey through Constraints and Creativity in the ER (MIT Press, 2022), ER physician Jay Baruch offers a series of short, powerful, and affecting essays that capture the stories of ER patients in all their complexity and messiness.
Patients come to the ER with lives troubled by scales of misfortune that have little to do with disease or injury. ER doctors must be problem-finders before they are problem-solvers. Cheryl, for example, whose story is a chaos narrative of “and this happened, and then that happened, and then, and then and then and then,” tells Baruch she is "stuck in a tornado of life.” What will help her, and and what will help Mr. K., who seems like a textbook case of post-combat PTSD but turns out not to be? Baruch describes, among other things, the emergency of loneliness (invoking Chekhov, another doctor-writer); his own (frightening) experience as a patient; the patient who demanded a hug; and emergency medicine during COVID-19. These stories often end without closure or solutions. The patients are discharged into the world. But if they’re lucky, the doctor has listened to their stories as well as treated them.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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The process of manipulating the genetic material of one animal to include the DNA of another creates a new transgenic organism. Several animals, notably goats, mice, sheep, and cattle are now genetically modified in this way. In Our Transgenic Future: Spider Goats, Genetic Modification, and the Will to Change Nature (NYU Press, 2022), Lisa Jean Moore wonders what such scientific advances portend. Will the natural world become so modified that it ceases to exist? After turning species into hybrids, can we ever get back to the original, or are they forever lost? Does genetic manipulation make better lives possible, and if so, for whom?
Moore centers the story on goats that have been engineered by the US military and civilian scientists using the DNA of spiders. The goat’s milk contains a spider-silk protein fiber; it can be spun into ultra-strong fabric that can be used to manufacture lightweight military body armor. Researchers also hope the transgenically produced spider silk will revolutionize medicine with biocompatible medical inserts such as prosthetics and bandages. Based on in-depth research with spiders in Florida and transgenic goats in Utah, Our Transgenic Future focuses on how these spider goats came into existence, the researchers who maintain them, the funders who have made their lives possible, and how they fit into the larger science of transgenics and synthetics. This book is a fascinating story about the possibilities of science and the likely futures that may come.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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Genome sequencing is one of the most exciting scientific breakthroughs of the past thirty years. But what precisely does it involve and how is it developing?
In Genomics: How Genome Sequencing Will Change Healthcare (Random House, 2022), Rachael Pells explains the science behind genomics. She analyses its practical applications in medical diagnosis and the treatment of conditions that range from cancer to severe allergic reactions to cystic fibrosis. She considers its potential to help with advances in agriculture and environmental science. She explores the ethics of genetic modification and the dangers involved when humans 'play God'. And she addresses the fundamental question: to what extent will future advances transform human longevity and the quality of life.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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The story of DDT as you’ve never heard it before: a fresh look at the much-maligned chemical compound as a cautionary tale of how powerful corporations have stoked the flames of science denialism for their own benefit In the 1940s, DDT helped the Allies win the Second World War by wiping out the insects that caused malaria, with seemingly no ill effects on humans. After the war, it was sprayed willy-nilly across fields, in dairy barns, and even in people's homes. Thirty years later the U.S. would ban the use of DDT—only to reverse the ban in the 1990s when calls arose to bring it back to fight West Nile and malaria. What changed?
How to Sell a Poison: The Rise, Fall, and Toxic Return of DDT (Bold Type Books, 2022) traces the surprising history of DDT’s rapid rise, infamous fall, and controversial revival to reveal to show that we’ve been taking the wrong lesson from DDT’s cautionary tale. Historian Elena Conis uncovers new evidence that it was not the shift in public opinion following the publication of Rachel Carson’s Silent Spring that led to the ban but in fact the behind-the-scenes political machinations of Big Business. She makes a compelling case that the real threat was not DDT itself but the prioritization of profits over public health. If we don't change the ways we make decisions about new scientific discoveries and technologies, Conis argues, we’re doomed to keep making the same mistakes and putting people at risk—both by withholding technologies that could help them and by exposing them to dangerous chemicals without their knowledge or consent. In an age when corporations and politicians are shaping our world behind closed doors and deliberately stoking misinformation around public health issues, from pesticides to vaccines to COVID-19 to climate change, we need greater transparency and a new way of communicating about science—as a discipline of discovery that's constantly evolving, rather than a finite and immutable collection of facts—in order to combat the war on facts and protect ourselves and our environment.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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Childbirth defines families, communities, and nations. In Birthing the West, Jennifer J. Hill fills the silences around historical reproduction with copious new evidence and an enticing narrative, describing a process of settlement in the American West that depended on the nurturing connections of reproductive caregivers and the authority of mothers over birth.
Economic and cultural development depended on childbirth. Hill’s expanded vision suggests that the mantra of cattle drives and military campaigns leaves out essential events and falls far short of an accurate representation of American expansion. The picture that emerges in Birthing the West presents a more complete understanding of the American West: no less moving or engaging than the typical stories of extraction and exploration but concurrently intriguing and complex.
Birthing the West: Mothers and Midwives in the Rockies and Plains (U Nebraska Press, 2022) unearths the woman-centric practice of childbirth across Montana, the Dakotas, and Wyoming, a region known as a death zone for pregnant women and their infants. As public health entities struggled to establish authority over its isolated inhabitants, they collaborated with physicians, eroding the power and control of mothers and midwives. The transition from home to hospital and from midwife to doctor created a dramatic shift in the intimately personal act of birth.
Jennifer J. Hill is an associate teaching professor of American studies at Montana State University and serves as the executive director of the Women’s Reproductive History Alliance, a digital museum dedicated to educating the public on reproductive history.
Troy A. Hallsell is the 341st Missile Wing Historian at Malmstrom AFB, Montana. The ideas represented in this podcast do not reflect the 341st Missile Wing, United States Air Force, or the Department of Defense.
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Managing diabetes often feels daunting and challenging. Conquer Your Diabetes comprehensively covers the best approaches to prevention, control and remission of this condition, and provides a roadmap for people with diabetes to live rewarding and fulfilling lives.
Drs. Abrahamson and Chopra are renowned master clinicians and teachers at Harvard Medical School, with decades of extensive clinical experience.
The global epidemic of diabetes and prediabetes afflicts more than 1 billion people. Sadly, more than 50% of people with diabetes do not achieve their desired glucose control. Moreover, less than 25% achieve their blood pressure, cholesterol and glucose goals.
In 25 succinct chapters, the authors put all the pieces of the diabetes puzzle together, including a concise history of the disease, underlying types and causes, prediabetes, obesity, weight loss, pregnancy, mental health, type 2 diabetes prevention and remission, and latest treatments.
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The last few years have brought to the fore the brilliant work of scientists as they worked to find a vaccine for Covid-19. But have you ever stopped to think about the role of biological materials in this and other science- and health-related research?
In this episode of SSEAC Stories, Dr Natali Pearson is joined by Associate Professor Sonja van Wichelen to take a close look at the complex world of global health governance, with a particular focus on biotechnology and bioscience governance in Indonesia. They discuss the crucial role of biological materials exchange for scientific research, what rules govern their use, and the history of inequality that has underpinned scientific use of biological materials. Taking Indonesia’s recent efforts to gain leverage in the uneven space of the global bioeconomy, they explore how bioscience governance mechanisms can perpetuate, or sometimes help address, global power inequalities in the way biological material is used.
About Sonja van Wichelen:
Sonja van Wichelen is Associate Professor with the School for Social and Political Sciences at the University of Sydney. She researches the social implications of biotechnology and law and has focused on reproductive technologies in previous projects. More recently she is examining bioscience governance in Southeast Asia. Focusing on Indonesia, she is particularly interested in the relationship between regulatory frameworks and global inequality. She is the author of Legitimating Life: Adoption in the Age of Globalization and Biotechnology (Rutgers University Press, 2019), and Religion, Gender, and Politics in Indonesia: Disputing the Muslim Body (Routledge, 2010).
For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac.
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“Vaccine: The Human Story” is a podcast and video series that tells the story of the global fight against smallpox, from its earliest history as a folk demon, to the birth of the anti-vax movement, through to its eradication in the 1960s. It is written and hosted by Dr. Annie Kelly.
Dr. Kelly, a specialist in antifeminism, conspiracy theories and the far right, earned her doctorate in American Studies in 2020 from the University of East Anglia. Her dissertation is entitled: “Fear, Hate and Countersubversion: American Antifeminism Online”. She specializes in research related to contemporary social movements, digital discourse analysis and their relation to race, gender and sexuality in American politics. Her writings have appeared in The New York Times and since 2019 she has been the UK correspondent for “QAnon Anonymous”, which The Washington Post named “Podcast of the Year”. Dr. Kelly is currently a postdoctoral researcher with “Everything Is Connected: Conspiracy Theories in the Age of the Internet”.
You can also find "Vaccine: A Human Story" on YouTube.
Michael G. Vann is a professor of world history at California State University, Sacramento. A specialist in imperialism and the Cold War in Southeast Asia, he is the author of The Great Hanoi Rat Hunt: Empires, Disease, and Modernity in French Colonial Vietnam (Oxford University Press, 2018). When he’s not reading or talking about new books with smart people, Mike can be found surfing in Santa Cruz, California.
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Sarah Fox's fascinating new book Giving Birth in Eighteenth-Century England (U London Press, 2022) rewrites all that we know about eighteenth-century childbirth by placing women’s voices at the center of the story. Examining childbirth from the perspective of the birthing woman, this research offers new perspectives on the history of the family, the social history of medicine, community and neighborhood studies, and the study of women’s lives in eighteenth-century England.
From “quickening” through to “confinement,” “giving caudle,” delivery, and “lying-in,” birth was once a complex ritual that involved entire communities. Drawing on an extensive and under-researched body of materials, such as letters, diaries, and recipe books, this book offers critical new perspectives on the history of the family, community, and the lives of women in the coming age of modern medicine. It unpacks the rituals of contemporary childbirth—from foods traditionally eaten before and after birth, birthing clothing, and how a woman’s relationship with her family, husband, friends, and neighbors changed during and after pregnancy. In this important and deeply moving study, we are invited onto a detailed and emotional journey through motherhood in an age of immense socio-cultural and intellectual change.
Hannah Smith is a PhD Candidate in History at the University of Minnesota-Twin Cities. She can be reached at [email protected].
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In Botanical Ecstasies: Psychoactive Plant Formulas in India and Beyond, Dr Matthew Clark proposes that soma/hoama is instead an ayahuasca-like plant complex made from many different species.
He discusses a range of candidates that reliably grow in the right areas and which in combination might produce an effect similar to the so-called 'classic' psychedelics. These early ecstatic experiences, he suggests, contributed to the emergent concept and ritual techniques of mysticism.
Raj Balkaran is a scholar, online educator, and life coach. For information see rajbalkaran.com.
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Commodities of Care: The Business of HIV Testing in China (U Minnesota Press, 2021) examines the unanticipated effects of global health interventions, ideas, and practices as they unfold in communities of men who have sex with men (MSM) in China. Targeted for the scaling-up of HIV testing, Elsa L. Fan examines how the impact of this initiative has transformed these men from subjects of care into commodities of care: through the use of performance-based financing tied to HIV testing, MSM have become a source of economic and political capital.
In ethnographic detail, Fan shows how this particular program, ushered in by global health donors, became the prevailing strategy to control the epidemic in China in the late 2000s. Fan examines the implementation of MSM testing and its effects among these men, arguing that the intervention produced new markets of men, driven by the push to meet testing metrics.
Fan shows how men who have sex with men in China came to see themselves as part of a global MSM category, adopting new selfhoods and socialities inextricably tied to HIV and to testing. Wider trends in global health programming have shaped national public health responses in China and, this book reveals, have radically altered the ways health, disease, and care are addressed.
Adam Bobeck is a PhD candidate in Cultural Anthropology at the University of Leipzig. His PhD is entitled “Object-Oriented Azadari: Shi’i Muslim Rituals and Ontology”. For more about his work, see www.adambobeck.com.
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Imagine knowing years in advance whether you are likely to get cancer or having a personalized understanding of your individual genes, organs, and cells. Imagine being able to monitor your body's well-being, or have a diet tailored to your microbiome. The Secret Body reveals how these and other stunning breakthroughs and technologies are transforming our understanding of how the human body works, what it is capable of, how to protect it from disease, and how we might manipulate it in the future.
Taking readers to the cutting edge of research, Daniel Davis shows how radical new possibilities are becoming realities thanks to the visionary efforts of scientists who are revealing the invisible and secret universe within each of us. Focusing on six important frontiers, Davis describes what we are learning about cells, the development of the fetus, the body's immune system, the brain, the microbiome, and the genome--areas of human biology that are usually understood in isolation. Bringing them together here for the first time, Davis offers a new vision of the human body as a biological wonder of dizzying complexity and possibility.
Written by an award-winning scientist at the forefront of this adventure, The Secret Body: How the New Science of the Human Body Is Changing the Way We Live (Princeton UP, 2022) is a gripping drama of discovery and a landmark account of the dawning revolution in human health.
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In Bedlam in the New World: A Mexican Madhouse in the Age of Enlightenment (UNC Press, 2022), Cristina Ramos tells us the story of Mexico city’s oldest public institution for the insane, the Hospital de San Hipólito. This institution, founded in 1567, was the first mental hospital in the New World. Remarkable as this fact may be, this book is not simply about the singularity of this institution––though by placing this institution au pair with similar ones in the European context Ramos reframes traditional narratives in the history of psychiatry. What makes this book truly remarkable is that Ramos presents San Hipólito as both a microcosm and a colonial laboratory of the Hispanic Enlightenment. According to Ramos, during the late eighteenth-century madness became understood in increasingly medical terms, and San Hipólito served as a site of care, confinement, and knowledge production.
Heeding the call of scholars who ask that histories of medicine take a more complex view of religion, Ramos traces the medicalization of madness that took place under the Hispanic Enlightenment and shows that the main agents of medicalization were not philosophers or physicians, but the clergy and more surprisingly still, inquisitors. Transcending the walls of the hospital, Ramos takes us to other colonial institutions such as the Holy Office and the criminal secular courts and shows us the stories of the individuals who were taken to San Hipólito. Inquisitors were fundamental actors in this story because, in their purpose of establishing veracity, they were at the forefront of devising new models for undertaking the complexities of human reasoning and the nuances of intent. Bedlam in the New World is a book beautifully written and poignantly argued and will captive listeners who are interested in histories of medicine, madness, colonialism, and religion!
Lisette Varón-Carvajal is a PhD Candidate at Rutgers University. You can tweet and suggest books at @LisetteVaron
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In her eighteenth-century medical recipe manuscript, the Philadelphia healer Elizabeth Coates Paschall asserted her ingenuity and authority with the bold strokes of her pen. Paschall developed an extensive healing practice, consulted medical texts, and conducted experiments based on personal observations. As British North America’s premier city of medicine and science, Philadelphia offered Paschall a nurturing environment enriched by diverse healing cultures and the Quaker values of gender equality and women’s education. She participated in transatlantic medical and scientific networks with her friend, Benjamin Franklin. Paschall was not unique, however. Women Healers: Gender, Authority, and Medicine in Early Philadelphia (U Pennsylvania Press, 2022) recovers numerous women of European, African, and Native American descent who provided the bulk of health care in the greater Philadelphia area for centuries.
Although the history of women practitioners often begins with the 1850 founding of Philadelphia’s Female Medical College, the first women’s medical school in the United States, these students merely continued the legacies of women like Paschall. Remarkably, though, the lives and work of early American female practitioners have gone largely unexplored. While some sources depict these women as amateurs whose influence declined, Susan Brandt documents women’s authoritative medical work that continued well into the nineteenth century. Spanning a century and a half, Women Healers traces the transmission of European women’s medical remedies to the Delaware Valley where they blended with African and Indigenous women’s practices, forming hybrid healing cultures.
Drawing on extensive archival research, Brandt demonstrates that women healers were not inflexible traditional practitioners destined to fall victim to the onward march of Enlightenment science, capitalism, and medical professionalization. Instead, women of various classes and ethnicities found new sources of healing authority, engaged in the consumer medical marketplace, and resisted physicians’ attempts to marginalize them. Brandt reveals that women healers participated actively in medical and scientific knowledge production and the transition to market capitalism.
Corinne Doria is a historian specializing in the social history of medicine. She is a lecturer at the Chinese University of Hong Kong in Shenzhen and teaches Disability Studies at Sciences-Po (Paris). Her work focuses on the history of ophthalmology and visual impairment in the West.
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A close look at stories of maternal death in Malawi that considers their implications in the broader arena of medical knowledge.
By the early twenty-first century, about one woman in twelve could expect to die of a pregnancy or childbirth complication in Malawi. Specific deaths became object lessons. Explanatory stories circulated through hospitals and villages, proliferating among a range of practitioners: nurse-midwives, traditional birth attendants, doctors, epidemiologists, herbalists. Was biology to blame? Economic underdevelopment? Immoral behavior? Tradition? Were the dead themselves at fault?
In Partial Stories: Maternal Death from Six Angles (U Chicago Press, 2022), Claire L. Wendland considers these explanations for maternal death, showing how they reflect competing visions of the past and shared concerns about social change. Drawing on extended fieldwork, Wendland reveals how efforts to legitimate a single story as the authoritative version can render care more dangerous than it might otherwise be. Historical, biological, technological, ethical, statistical, and political perspectives on death usually circulate in different expert communities and different bodies of literature. Here, Wendland considers them together, illuminating dilemmas of maternity care in contexts of acute change, chronic scarcity, and endemic inequity within Malawi and beyond.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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In the United States, systemic racism is embedded in policies and practices, thereby structuring American society to perpetuate inequality and all of the symptoms and results of that inequality. Racial, social, and class inequities and the public health crises in the United States are deeply intertwined, their roots and manifestations continually pressuring each other. This has been both illuminated and exacerbated since 2020, with the Movement for Black Lives (BLM) and the disproportionate effects of the COVID-19 pandemic on historically disadvantaged groups within the U.S. Dr. Dayna Bowen Matthew, Dean of the George Washington University Law School, explores and unpacks the public health crisis that is racism in her new book Just Health: Treating Structural Racism to Heal America (NYU Press, 2022). She describes how structural inequality undermines the interests of a thriving nation and the steps we can take to undo the pervasive nature of inequality to create more equitable and just systems.
Dr. Bowen Matthew describes her personal relationship with the concepts of structural inequality and racism in the public health system, opening with a heart-wrenching ode to her father’s experience with poverty and prejudice, which ultimately led to his premature death. Through her family’s story, she explains how structural inequality is perpetuated on a large-enough scale and with a powerful-enough scope so as to virtually guarantee social outcomes that reflect predetermined hierarchies based on race and/or class, hierarchies that remain consistent across generations. These disproportionate outcomes are often dismissed as due to comorbidities without the attention paid to social factors are the primary cause of comorbidities, because oppression in its many forms blocks equitable access to the social determinants of health. These social determinants include, but are not limited to, clean and safe housing, adequate education, nutritious food and fresh water, access to recreational spaces, and mental health services. Individuals who lack these, through no fault of their own, are then obligated to accept disproportionate care, illness, and disturbingly shorter life spans then are the norm for many Americans and are much closer to life spans in impoverished countries. Dr. Bowen Matthew presents evidence of discrimination in housing, education, employment, and the criminal justice system, detailing how law has played a central role in erecting disproportionate access to the social determinants of health, and therefore is a requisite tool for dismantling it. She provides a clear path to undoing structural racism and providing an equitable society to all, encouraging health providers, law makers, and citizens all to fight to dismantle the hurdles that many patients face because of the zip code in which they live.
Emma R. Handschke assisted in the production of this podcast.
Lilly J. Goren is a professor of political science at Carroll University in Waukesha, WI. She is co-editor of the award winning book, Women and the White House: Gender, Popular Culture, and Presidential Politics (University Press of Kentucky, 2012), as well as co-editor of Mad Men and Politics: Nostalgia and the Remaking of Modern America (Bloomsbury Academic, 2015). Email her comments at [email protected] or tweet to @gorenlj.
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Can a history of cure be more than a history of how disease comes to an end? In 1950s Madras, an international team of researchers demonstrated that antibiotics were effective in treating tuberculosis. But just half a century later, reports out of Mumbai stoked fears about the spread of totally drug-resistant strains of the disease. Had the curable become incurable?
Through an anthropological history of tuberculosis treatment in India, Bharat Jayram Venkat examines what it means to be cured, and what it means for a cure to come undone. At the Limits of Cure (Duke UP, 2021) tells a story that stretches from the colonial period—a time of sanatoria, travel cures, and gold therapy—into a postcolonial present marked by antibiotic miracles and their failures. Venkat juxtaposes the unraveling of cure across a variety of sites: in idyllic hill stations and crowded prisons, aboard ships and on the battlefield, and through research trials and clinical encounters. If cure is frequently taken as an ending (of illness, treatment, and suffering more generally), Venkat provides a foundation for imagining cure otherwise in a world of fading antibiotic efficacy.
Garima Jaju holds a Ph.D. in international development from Oxford University and is currently a post-doc in sociology at Cambridge University.
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Good leadership in medicine is crucial, but unfortunately, often woefully inadequate. Those chosen to lead often have limited experience in leadership themselves, or worse, are appointed because of achievements that have nothing to do with their ability to lead. Serving as a guide for those in, or considering, leadership positions in medicine, Successful Leadership in Academic Medicine (Cambridge UP, 2022) demonstrates how to play to one's strengths and effectively recognise and overcome weaknesses. Describing how to form a functional team, and align your goals with those of upper leadership, advice is applicable to all disciplines and hierarchy structures.
The author, David Greer, is a renowned clinician and educator, and has held department chair positions in several prestigious institutions, positioning him perfectly to educate on the qualities of a successful leader. Readers will learn how to work within a team, manage unforeseen crises and to embrace mistakes as opportunities for growth. Good leadership in medicine is crucial, but unfortunately, often woefully inadequate. Those chosen to lead often have limited experience in leadership themselves, or worse, are appointed because of achievements that have nothing to do with their ability to lead. Serving as a guide for those in, or considering, leadership positions in medicine, this book demonstrates how to play to one's strengths and effectively recognise and overcome weaknesses. Describing how to form a functional team, and align your goals with those of upper leadership, advice is applicable to all disciplines and hierarchy structures. The author, David Greer, is a renowned clinician and educator, and has held department chair positions in several prestigious institutions, positioning him perfectly to educate on the qualities of a successful leader. Readers will learn how to work within a team, manage unforeseen crises and to embrace mistakes as opportunities for growth.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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Mirelsie Velázquez (Associate Professor & Rainbolt Family Endowed Presidential Professor, University of Oklahoma) speaks with Natalie Lira (Associate Professor, University of Illinois at Urbana-Champaign) about Lira’s recent book, Laboratory of Deficiency: Sterilization and Confinement in California, 1900-1950s (University of California Press, 2021).
Over 20,000 residents of California were sterilized in the first half of the twentieth century. A vast archive of the sterilization request records provides chilling evidence of the identities and family resources of these people. Furthermore, the documents explain why physicians and social workers deemed reproductive intervention to be in the interests of the state. Using the records from the Pacific Colony institution, Lira investigates why young women and men of Mexican origin were disproportionately detained, narrates their experiences of confinement and sterilization, and traces diverse strands testifying to widespread individual and familial resistance. In this conversation, Lira and Velázquez dig deeper into some of the themes addressed in Lira’s book, and reflect broadly on the cultural and racialist assumptions that fuel carceral and sterilization strategies a century ago and in the present day.
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The story of India and Indians in World War II has been overshadowed by other historical events of the 1940s, a busy decade that included such historical watersheds as Indian independence (and the anti-colonial nationalist movement that led to it), as well as the partition of the Indian subcontinent. Indeed, many in Europe and North America, and even many in India, probably know very little about how crucial India was to the outcome of World War II. India and Indians were a very important part of World War II, and it is not an exaggeration to say that the role of India and Indians was indispensable in securing the victory of the British and Allied powers against Nazi Germany and imperial Japan. The stories of Indians in World War II have often been forgotten in popular accounts and memories of the conflict, but that is now changing, as more authors and scholars cover this subject.
Through highlighting the remarkable life and career of Jehangir Anklesaria, a heroic Parsi (Indian Zoroastrian) doctor who lived in Rangoon at the outbreak of the conflict, Dr. Tehmton S. Mistry’s The 24th Mile: An Indian Doctor’s Heroism in War-torn Burma (Harper Collins, 2021) makes a major contribution to our memory of World War II with the unique story of one individual during the most devastating conflict in human history. When the Japanese invaded Burma in December 1941, Jehangir sent his wife and daughter by ship to India, but feeling duty-bound, he decided to stay back in Burma. He joined the war effort and worked tirelessly to quell a cholera epidemic. He then found himself one of thousands on the trek through the treacherous jungle and mountains towards safety in northeastern India. The book reminds us of the difference a single individual’s foresight and leadership can make in bringing about better outcomes, even amidst war and disease.
The 24th Mile is a work of creative non-fiction, which means that although the storyline abides by the historical narrative of the period and follows historical figures, the author has taken the creative license to create secondary fictional characters, write descriptions, and recreate dialogues among the characters. The author, Tehmton Mistry, is part of the extended family and next generation of the protagonist’s family, and he successfully and evocatively recreates the story of Jehangir’s grit and heroism in a death-defying journey to safety in a major theater of World War II.
Tehmton S. Mistry is a retired obstetrician and gynaecologist who practiced in St. Louis, Missouri. Born and raised in Mumbai (Bombay), Dr. Mistry moved to the United States from India in the early 1970s, together with his wife – whom he met when he studied at St. Xavier’s College, Mumbai. The protagonist of The 24th Mile, Dr. Jehangir Anklesaria, was his wife’s uncle and a key influence on their early life. Now retired and living in California, Dr. Mistry enjoys writing, among other hobbies.
Shatrunjay Mall is a PhD candidate at the Department of History at the University of Wisconsin-Madison. He works on transnational Asian history, and his dissertation explores intellectual, political, and cultural intersections and affinities that emerged between Indian anti-colonialism and imperial Japan in the twentieth century.
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Insects are seldom mentioned in discussions surrounding human history, yet they have dramatically impacted today's societies. The Silken Thread: Five Insects and Their Impacts on Human History (Oxford UP, 2021) places them front and center, offering a multidisciplinary view of their significance.
Diseases vectored by insects have killed more people than all weapons of war. Fleas are common pests, but some can transmit illnesses such as the bubonic plague. In fact, three pandemics can be traced back to them. Epidemics of typhus have been caused by lice. Conversely, humans have also benefitted from insects for millennia. Silk comes from silkworms and honey comes from bees. Despite the undeniably powerful effects of insects on humans, their stories are typically left out of our history books.
In The Silken Thread, entomologists Robert. N. Wiedenmann and J. Ray Fisher link the history of insects to the history of empires, cultural exchanges, and warfare. The book narrows its focus to just five insects: a moth, a flea, a louse, a mosquito, and a bee. The authors explore the impact of these insects throughout time and the common threads connecting them. Using biology to complement history, they showcase these small creatures in a whole new light.
On every page, the authors thoughtfully analyze the links between history and entomology. The book begins with silkworms, which have been farmed for centuries. It then moves to fleas and their involvement in the spread of the plague before introducing the role lice played in the Black Death, wars, and immigration. The following section concerns yellow fever mosquitos, emphasizing the effects of yellow fever in the Americas and the connection to sugar and slavery. After discussing the importance of western honey bees, the authors tie these five insects together in an exciting closing chapter.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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In the early 1960s, Massachusetts writer and homemaker Clara Park and her husband took their 3-year-old daughter, Jessy, to a specialist after noticing that she avoided connection with others. Following the conventional wisdom of the time, the psychiatrist diagnosed Jessy with autism and blamed Clara for Jessy's isolation. Experts claimed Clara was the prototypical "refrigerator mother," a cold, intellectual parent who starved her children of the natural affection they needed to develop properly.
Refusing to accept this, Clara decided to document her daughter's behaviors and the family's engagement with her. In 1967, she published her groundbreaking memoir challenging the refrigerator mother theory and carefully documenting Jessy's development. Clara's insights and advocacy encouraged other parents to seek education and support for their autistic children. Meanwhile, Jessy would work hard to expand her mother's world, and ours.
Drawing on previously unexamined archival sources and firsthand interviews, science historian Marga Vicedo illuminates the story of how Clara Park and other parents fought against medical and popular attitudes toward autism while presenting a rich account of major scientific developments in the history of autism in the US. Intelligent Love: The Story of Clara Park, Her Autistic Daughter, and the Myth of the Refrigerator Mother (Beacon Press, 2021) is a fierce defense of a mother's right to love intelligently, the value of parents' firsthand knowledge about their children, and an individual's right to be valued by society.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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As a trainee doctor, A. J. Lees was enthralled by his mentors: esteemed neurologists who combined the precision of mathematicians, the scrupulosity of entomologists, and the solemnity of undertakers in their diagnoses and treatments. For them, there was no such thing as an unexplained symptom or psychosomatic problem--no difficult cases, just interesting ones--and it was only a matter of time before all disorders of the brain would be understood in terms of anatomical, electrical, and chemical connections.
Today, this kind of "holistic neurology" is on the brink of extinction as a slavish adherence to protocols and algorithms--plus a worship of machines--runs the risk of destroying the key foundational clinical skills of listening, observation, and imagination that have been at the heart of the discipline for more than 150 years.
In Brainspotting: Adventures in Neurology (Notting Hill Editions, 2022), Lees takes us on a kind of Sherlock Holmes tour of neurology, giving the reader insight into--and a defense of--the deep analytical tools that the best neurologists still rely on to diagnose patients: to heal minds and to fix brains.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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A potential crisis in human fertility is brewing. As societies become more affluent, they experience changes that have a dramatic impact on reproduction. As average family sizes fall, the selection pressure for high-fertility genes decreases; exacerbated by the IVF industry which allows infertility-linked genes to pass into the next generation. Male fertility rates are low, for many reasons including genetics and exposure to environmental toxins. So, a perfect storm of factors is contriving to drive fertility rates down at unprecedented rates. If we do not recognize the reality of our situation and react accordingly, an uncontrollable decline in population numbers is likely, which we'll be unable to reverse. R. John Aitken's book The Infertility Trap: Why Life Choices Impact your Fertility and Why We Must Act Now (Cambridge UP, 2022) addresses, in a unique and multi-faceted way, how the consequences of modern life affects fertility, so that we can consider behavioural, social, medical and environmental changes which could reduce the severity of what is about to come.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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A detailed exploration of parents' fight for a safe environment for their kids, interrogating how race, class, and gender shape health advocacy The success of food allergy activism in highlighting the dangers of foodborne allergens shows how illness communities can effectively advocate for the needs of their members.
In Food Allergy Advocacy: Parenting and the Politics of Care (U Minnesota Press, 2022), Danya Glabau follows parents and activists as they fight for allergen-free environments, accurate labeling, the fair application of disability law, and access to life-saving medications for food-allergic children in the United States. At the same time, she shows how this activism also reproduces the culturally dominant politics of personhood and responsibility, based on an idealized version of the American family, centered around white, middle-class, and heteronormative motherhood. By holding up the threat of food allergens to the white nuclear family to galvanize political and scientific action, Glabau shows, the movement excludes many, including Black women and disabled adults, whose families and health have too often been marginalized from public health and social safety net programs. Further, its strategies are founded on the assumption that market-based solutions will address issues of social exclusion and equal access to healthcare. Sharing the personal experiences of a wide spectrum of people, including parents, support group leaders, physicians, entrepreneurs, and scientists, Food Allergy Advocacy raises important questions about who controls illness activism. Using critical, intersectional feminism to interrogate how race, class, and gender shape activist priorities and platforms, it shows the way to new, justice-focused models of advocacy.
Danya Glabau is a medical anthropologist and science and technology studies scholar who researches patient activism, the political economy of the global pharmaceutical industry, and feminist cybercultures. She is a faculty member at the NYU Tandon School of Engineering and the Director of the Science and Technology Studies Program.
Autumn Wilke works in higher education as an ADA coordinator and diversity officer and am also an author and doctoral candidate with research/topics related to disability and higher education.
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When we think of electricity, we likely imagine the energy humming inside our home appliances or lighting up our electronic devices--or perhaps we envision the lightning-streaked clouds of a stormy sky. But electricity is more than an external source of power, heat, or illumination. Life at its essence is nothing if not electrical.
The story of how we came to understand electricity's essential role in all life is rooted in our observations of its influences on the body--influences governed by the body's central nervous system. Spark: The Life of Electricity and the Electricity of Life (Princeton UP, 2021) explains the science of electricity from this fresh, biological perspective. Through vivid tales of scientists and individuals--from Benjamin Franklin to Elon Musk--Timothy Jorgensen shows how our views of electricity and the nervous system evolved in tandem, and how progress in one area enabled advancements in the other. He explains how these developments have allowed us to understand--and replicate--the ways electricity enables the body's essential functions of sight, hearing, touch, and movement itself.
Throughout, Jorgensen examines our fascination with electricity and how it can help or harm us. He explores a broad range of topics and events, including the Nobel Prize-winning discoveries of the electron and neuron, the history of experimentation involving electricity's effects on the body, and recent breakthroughs in the use of electricity to treat disease.
Filled with gripping adventures in scientific exploration, Spark offers an indispensable look at electricity, how it works, and how it animates our lives from within and without.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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Since 2010 it has been possible to determine a person's genetic makeup in a matter of days at an accessible cost for many millions of people. Along with this technological breakthrough there has emerged a movement to use this information to help prospective parents "eliminate preventable genetic disease." As the prospect of systematically excluding the appearance of unwanted mutations in our children comes within reach, David B. Goldstein examines the possible consequences from these types of choices.
Engaging and accessible, The End of Genetics: Designing Humanity's DNA (Yale UP, 2022) is a clarion call for responsible and informed stewardship of the human genome provides an overview of what we do and do not know about human genetics and looks at some of the complex, yet largely unexplored, issues we must be most careful about as we move into an era of increasing numbers of parents exercising direct control over the genomes of their children.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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In Chemical Heroes: Pharmacological Supersoldiers in the US Military (Duke UP, 2021), Andrew Bickford analyzes the US military's attempts to design performance enhancement technologies and create pharmacological "supersoldiers" capable of withstanding extreme trauma. Bickford traces the deep history of efforts to biologically fortify and extend the health and lethal power of soldiers from the Cold War era into the twenty-first century, from early adoptions of mandatory immunizations to bio-protective gear, to the development and spread of new performance enhancing drugs during the global War on Terrorism. In his examination of government efforts to alter soldiers' bodies through new technologies, Bickford invites us to contemplate what constitutes heroism when armor becomes built in, wired in, and even edited into the molecular being of an American soldier. Lurking in the background and dark recesses of all US military enhancement research, Bickford demonstrates, is the desire to preserve US military and imperial power.
Dr. Bickford is Associate Professor of Anthropology at Georgetown University. You can learn more about his work here.
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Despite the Talmud being the richest repository of medical remedies in ancient Judaism, this important strain of Jewish thought has been largely ignored – even as the study of ancient medicine has exploded in recent years. In a comprehensive study of this topic, Jason Sion Mokhtarian recuperates this obscure genre of Talmudic text, which has been marginalized in the Jewish tradition since the Middle Ages, to reveal the unexpected depth of the rabbis' medical knowledge. Medicine in the Talmud: Natural and Supernatural Therapies Between Magic and Science (U California Press, 2022) argues that these therapies represent a form of rabbinic scientific rationality that relied on human observation and the use of nature while downplaying the role of God and the Torah in health and illness. Drawing from a wide range of both Jewish and Sasanian sources – from the Bible, the Talmud, and Maimonides to texts written in Akkadian, Syriac, and Mandaic, as well as the incantation bowls – Mokhatarian offers rare insight into how the rabbis of late antique Babylonia adapted the medical knowledge of their time to address the needs of their community. In the process, he narrates an untold chapter in the history of ancient medicine.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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Since the 1970s, health professionals, researchers, governments, advocacy groups, and commercial interests have invested in the pursuit of something called “sexual health.” Under this expansive banner, a wide array of programs have been launched, organizations founded, initiatives funded, products sold—and yet, no book before this one asks: What does it mean to be sexually healthy? When did people conceive of a form of health called sexual health? And how did it become the gateway to addressing a host of social harms and the reimagining of private desires and public dreams?
Conjoining “sexual” with “health” changes both terms: it alters how we conceive of sexuality and transforms what it means to be healthy, prompting new expectations of what medicine can provide. Yet the ideal of achieving sexual health remains elusive and open-ended, and the benefits and costs of promoting it are unevenly distributed across genders, races, and sexual identities. Rather than a thing apart, sexual health is intertwined with nearly every conceivable topical debate—from sexual dysfunction to sexual violence, from reproductive freedom to the practicalities of sexual contact in a pandemic.
In The Quest for Sexual Health: How an Elusive Ideal Has Transformed Science, Politics, and Everyday Life (U Chicago Press, 2022), Steven Epstein analyzes the rise, proliferation, uptake, and sprawling consequences of sexual health activities, offering critical tools to assess those consequences, expand capacities for collective decision making, and identify pathways that promote social justice.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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Causes of death have changed irrevocably across time. In the course of a few centuries we have gone from a world where disease or violence were likely to strike anyone at any age, and where famine could be just one bad harvest away, to one where in many countries excess food is more of a problem than a lack of it. Why have the reasons we die changed so much? How is it that a century ago people died mainly from infectious disease, while today the leading causes of death in industrialised nations are heart disease and stroke? And what do changing causes of death reveal about how previous generations have lived?
University of Manchester Professor Andrew Doig provides an eye-opening portrait of death throughout history, looking at particular causes – from infectious disease to genetic disease, violence to diet – who they affected, and the people who made it possible to overcome them. Along the way we hear about the long and torturous story of the discovery of vitamin C and its role in preventing scurvy; the Irish immigrant who opened the first washhouse for the poor of Liverpool, and in so doing educated the public on the importance of cleanliness in combating disease; and the Church of England curate who, finding his new church equipped with a telephone, started the Samaritans to assist those in emotional distress.
This Mortal Coil: A History of Death (Bloomsbury, 2022) is a thrilling story of growing medical knowledge and social organisation, of achievement and, looking to the future, of promise.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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Few substances have been researched as extensively, and debated as fiercely, as cannabis. In Marijuana on My Mind: The Science and Mystique of Cannabis (Cambridge University Press, 2022), psychiatrist Timmen Cermak offers a balanced, science-based analysis of how marijuana affects people physiologically, psychologically, and spiritually. Cermak draws on current understandings of the brain and nervous system to describe how cannabis achieves its effects as well as how it can pose risks to some individuals. Cermak believes that most people can enjoy cannabis safely as long as they apply sensible guidelines and precautions. Far different in tone from the heated polemics that cannabis can inspire, Marijuana on My Mind is a deeply informed assessment of what we know about cannabis and how people can deploy that knowledge wisely.
Steve Beitler’s work in the history of medicine focuses on how pain has been understood, treated, experienced, and represented. His recently published articles examined the history of opiates in American football and surveyed the history of therapeutic drugs. He can be reached at [email protected]
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Unmasked: COVID, Community, and the Case of Okoboji (Vanderbilt UP, 2022) is the story of what happened in Okoboji, a small Iowan tourist town, when a collective turn from the coronavirus to the economy occurred in the COVID summer of 2020. State political failures, local negotiations among political and public health leaders, and community (dis)belief about the virus resulted in Okoboji being declared a hotspot just before the Independence Day weekend, when an influx of half a million people visit the town. The story is both personal and political. Author Emily Mendenhall, an anthropologist at Georgetown University, grew up in Okoboji, and her family still lives there. As the events unfolded, Mendenhall was in Okoboji, where she spoke formally with over 100 people and observed a community that rejected public health guidance, revealing deep-seated mistrust in outsiders and strong commitments to local thinking. Unmasked is a fascinating and heartbreaking account of where people put their trust, and how isolationist popular beliefs can be in America's small communities.
Professor Emily Mendenhall is a medical anthropologist and Professor in the Edmund A. Walsh School of Foreign Service at Georgetown University. She was awarded the George Foster Award for Practicing Medical Anthropology by the Society for Medical Anthropology in 2017. She is Editor-in-Chief of Social Science and Medicine-Mental Health and leads the office of Medical Anthropology and Critical Social Science. She has served as Honorary Faculty at the University of the Witwatersrand for the past decade. At Georgetown, she leads the global health concentration in the Science, Technology, and International Affairs (STIA) Program in the School of Foreign Service.
Austin Clyde is a Ph.D. candidate at the University of Chicago Department of Computer Science. He researches artificial intelligence and high-performance computing for developing new scientific methods. He is also a visiting research fellow at the Harvard Kennedy School's Science, Technology, and Society program, where my research addresses the intersection of artificial intelligence, human rights, and democracy.
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Most stories of medical progress come with ready-made heroes. John Snow traced the origins of London's 1854 cholera outbreak to a water pump, leading to the birth of epidemiology. Florence Nightingale's contributions to the care of soldiers in the Crimean War revolutionized medical hygiene, transforming hospitals from crucibles of infection to sanctuaries of recuperation. Yet histories of individual innovators ignore many key sources of medical knowledge, especially when it comes to the science of infectious disease.
Reexamining the foundations of modern medicine, Jim Downs shows that the study of infectious disease depended crucially on the unrecognized contributions of nonconsenting subjects--conscripted soldiers, enslaved people, and subjects of empire. Plantations, slave ships, and battlefields were the laboratories in which physicians came to understand the spread of disease. Military doctors learned about the importance of air quality by monitoring Africans confined to the bottom of slave ships. Statisticians charted cholera outbreaks by surveilling Muslims in British-dominated territories returning from their annual pilgrimage. The field hospitals of the Crimean War and the US Civil War were carefully observed experiments in disease transmission.
The scientific knowledge derived from discarding and exploiting human life is now the basis of our ability to protect humanity from epidemics. Boldly argued and eye-opening, Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine (Harvard UP, 2021) gives a full account of the true price of medical progress.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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The global epidemic of diabetes and prediabetes afflicts more than 1 billion people. And sadly, more than 50% of people with the disease do not achieve their desired glucose control. In Conquer Your Diabetes: Prevention, Control, Remission, Drs. Martin Abrahamson and Sanjiv Chopra, two Harvard Medical School professors and master clinicians, provide a roadmap for people with diabetes to manage their condition and live rewarding and fulfilling lives.
Sine Yaganoglu trained as a neuroscientist and bioengineer (PhD, ETH Zurich). She currently works in innovation management and diagnostics.
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Before the nineteenth century, travelers who left Britain for the Americas, West Africa, India and elsewhere encountered a medical conundrum: why did they fall ill when they arrived, and why - if they recovered - did they never become so ill again? The widely accepted answer was that the newcomers needed to become 'seasoned to the climate'.
In his book Difference and Disease: Medicine, Race, and the Eighteenth-Century British Empire (Cambridge UP, 2020), Suman Seth explores forms of eighteenth-century medical knowledge, including conceptions of seasoning, showing how geographical location was essential to this knowledge and helped to define relationships between Britain and her far-flung colonies. In this period, debates raged between medical practitioners over whether diseases changed in different climes. Different diseases were deemed characteristic of different races and genders, and medical practitioners were thus deeply involved in contestations over race and the legitimacy of the abolitionist cause. In this innovative and engaging history, Seth offers dramatically new ways to understand the mutual shaping of medicine, race, and empire.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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Pandemic Re-Awakenings: The Forgotten and Unforgotten 'Spanish' Flu Of 1918-1919 (Oxford UP, 2021), edited by Guy Beiner, offers a multi-level and multi-faceted exploration of a century of remembering, forgetting, and rediscovering the influenza pandemic of 1918-1919, arguably the greatest catastrophe in human history. Twenty-three researchers present original perspectives by critically investigating the hitherto unexplored vicissitudes of memory in the interrelated spheres of personal, communal, medical, and cultural histories in different national and transnational settings across the globe. The volume reveals how, even though the Great Flu was overshadowed by the commemorative culture of the Great War, recollections of the pandemic persisted over time to re-emerge towards the centenary of the 'Spanish' Flu and burst into public consciousness following the outbreak of the COVID-19 pandemic. The chapters chart historiographical neglect (while acknowledging the often-unnoticed dialogues between scientific and historical discourses), probe silences, and trace vestiges of social and cultural memories that long remained outside of what was considered collective memory.
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Prisons operate according to the clockwork logic of our criminal justice system: we punish people by making them “serve” time. The Cage of Days: Time and Temporal Experience in Prison (Columbia UP, 2022) combines the perspectives of K. C. Carceral, a formerly incarcerated convict criminologist, and Michael G. Flaherty, a sociologist who studies temporal experience. Drawing from Carceral’s field notes, his interviews with fellow inmates, and convict memoirs, this book reveals what time does to prisoners and what prisoners do to time.
Carceral and Flaherty consider the connection between the subjective dimensions of time and the existential circumstances of imprisonment. Convicts find that their experience of time has become deeply distorted by the rhythm and routines of prison and by how authorities ensure that an inmate’s time is under their control. They become obsessed with the passage of time and preoccupied with regaining temporal autonomy, creating elaborate strategies for modifying their perception of time. To escape the feeling that their lives lack forward momentum, prisoners devise distinctive ways to mark the passage of time, but these tactics can backfire by intensifying their awareness of temporality. Providing rich and nuanced analysis grounded in the distinctive voices of diverse prisoners, The Cage of Days examines how prisons regulate time and how prisoners resist the temporal regime.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to John Tregoning, Imperial College respiratory infections researcher and author of the acclaimed book Infectious: Pathogens and How We Fight Them.
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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In 2014 Barbados introduced a vaccine to prevent certain strains of the human papillomavirus (HPV) and reduce the risk of cervical cancer in young women. Despite the disproportionate burden of cervical cancer in the Caribbean, many Afro-Barbadians chose not to immunize their daughters. In Suspicion: Vaccines, Hesitancy, and the Affective Politics of Protection in Barbados (Duke University Press, 2022), Nicole Charles reframes Afro-Barbadian vaccine refusal from a question of hesitancy to one of suspicion. Drawing on ethnographic fieldwork, black feminist theory, transnational feminist studies and science and technology studies, Charles foregrounds Afro-Barbadians' gut feelings and emotions and the lingering trauma of colonial and biopolitical violence. She shows that suspicion, far from being irrational, is a fraught and generative affective orientation grounded in concrete histories of mistrust of government and coercive medical practices foisted on colonized peoples. By contextualizing suspicion within these longer cultural and political histories, Charles troubles traditional narratives of vaccine hesitancy while offering new entry points into discussions on racialized biopolitics, neocolonialism, care, affect, and biomedicine across the Black diaspora.
Nicole Charles is Assistant Professor of Women and Gender Studies in Culture and Media, University of Toronto, Mississauga.
Reighan Gillam is an Assistant Professor in the Department of Anthropology at the University of Southern California.
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When Mark Henick was a teenager in Cape Breton, Nova Scotia, he was overwhelmed by depression and anxiety that led to a series of increasingly dangerous suicide attempts. One night, he climbed onto a bridge over an overpass and stood in the wind, clinging to a girder. Someone shouted, "Jump, you coward!" Another man, a stranger in a brown coat, talked to him quietly, calmly and with deep empathy. Just as Henick's feet touched open air, the man in the brown coat encircled his chest and pulled him to safety. This near-death experience changed Henick's life forever.
So-Called Normal: A Memoir of Family, Depression and Resilience (HarperCollins, 2021) is Henick's memoir about growing up in a broken home and the events that led to that fateful night on the bridge. It is a vivid and personal account of the mental health challenges he experienced in childhood and his subsequent journey toward healing and recovery.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to bestselling author and University of Oxford law professor Charles Foster on how the coronavirus pandemic reveals how so many of us—including so many scientists—have replaced rigorous scientific skepticism with an alarming cult of "scientism."
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Mid-century America had a problem talking about sex. Dr. Mary Calderone first diagnosed this condition and, in 1964, led the uphill battle to de-stigmatize sex education. Supporters hailed her as the “grandmother of modern sex education” while her detractors painted her as an “aging libertine,” but both could agree that she was quickly shaping the way sex was discussed in the classroom.
Part biography, part social history, The Transformation of American Sex Education: Mary Calderone and the Fight for Sexual Health (NYU Press, 2022) for the first time situates Dr. Mary Calderone at the center of decades of political, cultural, and religious conflict in the fight for comprehensive sex education. Ellen S. More examines Americans’ attempts to come to terms with the vexed subject of sex education in schools from the late 1940s to the early twenty-first century. Using Mary Calderone’s life and career as a touchstone, she traces the origins of modern sex education in the United States from the work of a group of reformers who coalesced around Calderone to create the Sexuality Information and Education Council of the United States (SIECUS) in 1964, to the development and use of the competing approaches known as “abstinence-based” and “comprehensive” sex education from the 1980s into the twenty-first century.
A fascinating and timely read, The Transformation of American Sex Education provides a substantial contribution to the history of one of America’s most intense and protracted culture wars, and the first account of the woman who fought those battles.
Jane Scimeca is Professor of History at Brookdale Community College.
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In this interdisciplinary study, Anthony Cerulli probes late- and postcolonial reforms in ayurvedic education, the development of the ayurvedic college, and the impacts of the college curriculum on ways that ayurvedic physicians understand and use the Sanskrit classics in their professional work today. By interrogating the politics surrounding the place of the Sanskrit classics in ayurvedic curricula, The Practice of Texts: Education and Healing in South India (U California Press, 2022) reveals a spectrum of views about the history and tradition of Ayurveda in modern India.
Raj Balkaran is a scholar, online educator, and life coach. For information see rajbalkaran.com.
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Medicine and slavery went hand-in-hand. But what was the nature of this vile partnership? In Medicalizing Blackness: Making Racial Difference in the Atlantic World, 1780-1840 (UNC Press, 2017), Rana Hogarth shows that familiar histories, though excellent, fail to explain how and why medicine and slavery became fused in the first place.
No doubt, defenders of slavery used medicine to justify the corrupt practice once it was under threat. But Hogarth shows how science and medicine grafted during times and in places where slavery was secure—where white elites had no need to justify the violent practice with medical ideas because slavery was taken for granted. How and why did medicine and slavery fuse, Hogarth asks, in the Atlantic World of the newly invented United States and ascendant imperial Britain? Understanding the answer helps us grasp the valences and impacts of racialized national and social identities, then as well as today.
White physicians inflated their value—financial as well as reputational—by locating medical reasons for already existing racist tropes. Circa 1800, white physicians were a disreputable and loosely aligned lot. They had many rivals (Black healers), rich skeptics (plantation owners), and no professional organization until the mid-nineteenth century under which they could rally. Before then, a wide-spread, active white belief in an innate difference between Black and white bodies was the foregone conclusion that white physicians worked to explain in order to appear of use. White physicians in the English-speaking Caribbean developed medical theories of innate difference in the etiology, progress and experience of illness in Black and white bodies—evidence to the contrary be damned. As a consequence, they ignored immense Black suffering, exposed Black workers to deadly diseases, and policed Black people through the hospital system, all the while seeing Black people as appropriate for service in the military and as objects for teaching dissection, that is to say, in projects of imperial and professional expansion.
Medicalizing Blackness broadens the story of medicine in the Atlantic World with a lens that perceives more than the institution of slavery. It also demonstrates the emergence of the Caribbean as a locus—not an outpost—of trustworthy medical knowledge circulated through an array of genres, journals articles, plantation guides, hospital advertisements, and other media of “textual subjugation” that Hogarth reads with great insight. In short, medicine needed the racist logics of slavery in order to gain power before slavery needed racist medicine to defend its own might.
July 2022 marks the fiftieth anniversary of the exposure of the abusive and unethical Tuskegee Syphilis Experiments in the US media. Engaging the roots of white supremacist ideas and practices is essential for better understanding and for stronger political action against racism, as important fifty years ago as it is in our ongoing racialized pandemic.
This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about the collaborative interview process: [email protected].
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It’s no secret that the United States has the most expansive prison system of any nation in the world. And the US carceral system overwhelmingly and unjustly impacts Black and Brown individuals and communities. With postwar efforts to dismantle Jim Crow policies, our era of mass incarceration reproduced the old logics of white supremacism that uphold racist capitalism in this new setting. These are the things we know.
But in his book, Silent Cells: The Secret Drugging of Captive America (U Minnesota Press, 2019), Professor Anthony Hatch observes a feature of mass incarceration essential to its everyday function that many of us had never considered: the large-scale, persistent use of psychotropic drugs, including antipsychotics and antidepressants, not for medical care but rather to control the behavior of incarcerated people. Making a persuasive claim drawn from his training in STS and sociology, Hatch observes how the drugs are used at the level of individual brain chemistry to commit “soul murder” with enormous systemic implications and political stakes. What’s more, the carceral elites’ use of psychotropic drugs for the purposes of pacification, not care, of their wards extends to other (often state-backed) settings of “captive America,” including the military, foster care, elder care, and international detention centers. “Is it possible for the US carceral state to exist without psychotropics,” Hatch asks. “I think we can say the answer is no.”
Silent Cells accomplishes more than the (important) tasks of documentation and analysis. It is a work of liberatory social science. The book is of a piece with Hatch’s abolitionist agenda that he pursues through his generous and generative scholarly and activist engagements, including his work as director of the Black Box teaching laboratory and chair of the Program in Science in Society at Wesleyan University.
This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course “Prison.” Please email Laura with any feedback on the interview or questions about the collaborative interview process: [email protected] .
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In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to renowned UC San Diego neurophilosopher Patricia Churchland about the importance of communicating science, the wonders of the biological world and the dangers of wishful thinking.
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Recent global events have unmasked inequitable healthcare systems that disproportionately affect poor Latinx populations along the U.S-Mexico border. Professor Jennifer K. Seman’s recent publication offers a brief insight into these inequities by approaching borderlands modes of care from a historical perspective to reveal how two vital practitioners of curanderismo – “An earth-based healing practice that blends elements of Indigenous medicine with folk Catholicism” (1) – served their communities to heal physical and societal ills at the turn of the twentieth century. Borderlands Curanderos: The Worlds of Santa Teresa Urrea and Don Pedrito Jaramillo (University of Texas Press, 2021) follows the biographies of these two Mexican folk healers as they traverse borders during a moment of increased nation-building, as they are implicated in the world of the spiritualist movement, and stand firm in their faith as they are wedged against professional modern medicine.
Seman grounds the history of curanderismo in the cross-cultural exchange between European, Native American, and African heritages and practices that depend largely on the belief that there is a connectedness between the mind, body, and spirit. By utilizing institutional and non-institutional archives, newspaper accounts, and built environments in which Santa Teresa and Don Pedrito traversed and are memorialized, Borderlands Curanderos offers a detailed look at their lives. One major thread linking the curanderos is how they negotiated the state and state power during the early 20th century in Mexico and the United States. “It was their extraordinary responses to the failure of institutions that made Santa Teresa and Don Pedro threats – and, in some cases, assets — to the states and institutional authority,” (4) writes Seman. In other words, their medicine did not come from the state, the church, or professional medicine, as argued in her book, but rather from a distinct cultural practice that revitalized the sick. These two healers took on the insurmountable task of tending to people and geographies who were experiencing the aftermath unleashed by settler colonialism and enslavement; or, as Seman would argue, the generational susto brought on by conquerors and settlers (9).
Jonathan Cortez is currently the 2021-2023 César Chávez Postdoctoral Fellow in the Department of Latin American, Latino, and Caribbean Studies at Dartmouth College. You can follow Jonathan on Twitter @joncortz
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When China’s War of Resistance against Japan began in July 1937, it sparked an immediate health crisis throughout China. In the end, China not only survived the war but emerged from the trauma with a more cohesive population.
Nicole Elizabeth Barnes’s book, Intimate Communities: Wartime Healthcare and the Birth of Modern China, 1937-1945 (University of California Press, 2018), argues that women who worked as military and civilian nurses, doctors, and midwives during this turbulent period built the national community, one relationship at a time. In a country with a majority illiterate, agricultural population that could not relate to urban elites’ conceptualization of nationalism, these women used their work of healing to create emotional bonds with soldiers and civilians from across the country. These bonds transcended the divides of social class, region, gender, and language.
This book has won two major awards, William H. Welch Award by American Association for the History of Medicine in 2020, and Joan Kelly Memorial Prize by American Historical Association in 2019.
A free ebook version of this title is available through Luminos, University of California Press’s Open Access publishing program. Visit www.luminosoa.org to learn more.
Nicole Elizabeth Barnes is Assistant Professor of History and Gender, Sexuality and Feminist Studies at Duke University.
Linshan Jiang is Ph.D. candidate in the Department of East Asian Languages and Cultural Studies, University of California, Santa Barbara. Her research interests are modern and contemporary literature, film, and popular culture in mainland China, Taiwan and Japan; trauma and memory studies; gender and sexuality studies; queer studies; as well as comparative literature and translation studies.
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When Dr. Rod Tanchanco, a busy internist and clinical researcher, began digging into old journals looking for a deeper history of renowned medical innovations, he wasn’t planning to write a book; he just liked writing, and the process of digging into “treasure troves” of overlooked or unknown medical lore. Most of all, he liked finding the human stories behind trumpeted technical or pharmaceutical advances.
Out of this pleasurable – if time-and-energy-consuming – pursuit came First Patients: The Incredible True Stories of Pioneer Patients (First Hawk, 2022). The histories-behind-the-histories of ten prominent medical narratives, the book offers new angles from which to understand how we came by such advancements as blood transfusions, the pacemaker, and the identification of mosquitos as the vector for yellow fever. Tanchanco centers his stories on the individuals who were sufficiently curious, persistent, or self-sacrificing (exposing themselves to infected mosquitos or dosing themselves with ulcer-inducing bacteria) to break old barriers.
As Tanchanco explains in our interview, there are parallels to medical breakthroughs today, including the development of the mRNA vaccine against covid-19. While technology moves ever forward, human nature remains both resistant to, and eager for, change – particularly when it comes to vexatious matters of disease and death.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Portuguese Member of Parliament and internationally renowned biologist Alexandre Quintanilha about the many valuable lessons Portugal's handling of the COVID-19 pandemic could teach all of us, if only we'd take the time to pay attention.
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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In 2020, COVID-19, the Australia bushfires, and other global threats served as vivid reminders that human and nonhuman fates are increasingly linked. Human use of nonhuman animals contributes to pandemics, climate change, and other global threats which, in turn, contribute to biodiversity loss, ecosystem collapse, and nonhuman suffering. Jeff Sebo argues that humans have a moral responsibility to include animals in global health and environmental policy. In particular, we should reduce our use of animals as part of our pandemic and climate change mitigation efforts and increase our support for animals as part of our adaptation efforts. Applying and extending frameworks such as One Health and the Green New Deal, Sebo calls for reducing support for factory farming, deforestation, and the wildlife trade; increasing support for humane, healthful, and sustainable alternatives; and considering human and nonhuman needs holistically. Sebo also considers connections with practical issues such as education, employment, social services, and infrastructure, as well as with theoretical issues such as well-being, moral status, political status, and population ethics. In all cases, he shows that these issues are both important and complex, and that we should neither underestimate our responsibilities because of our limitations, nor underestimate our limitations because of our responsibilities.
Both an urgent call to action and a survey of what ethical and effective action requires, Saving Animals, Saving Ourselves: Why Animals Matter for Pandemics, Climate Change, and Other Catastrophes (Oxford UP, 2022) is an invaluable resource for scholars, advocates, policy-makers, and anyone interested in what kind of world we should attempt to build and how.
Jeff Sebo is currently Clinical Associate Professor of Environmental Studies, Affiliated Professor of Bioethics, Medical Ethics, Philosophy, and Law, and Director of the Animal Studies M.A. Program at New York University. He is also on the executive committee at the NYU Center for Environmental and Animal Protection and the advisory board for the Animals in Context series at NYU Press.
Austin Clyde is a Ph.D. candidate at the University of Chicago Department of Computer Science. He researches artificial intelligence and high-performance computing for developing new scientific methods. He is also a visiting research fellow at the Harvard Kennedy School's Science, Technology, and Society program, where my research addresses the intersection of artificial intelligence, human rights, and democracy.
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Undoing Drugs: The Untold Story of Harm Reduction and the Future of Addiction (Hachette Go, 2021) tells a long-running, but largely unknown, story of how a few people and groups – propelled at first by the AIDS pandemic -- swam against one of the most powerful policy tides in America – our nation’s 50-year war on drugs. Maia Szalavitz’s book is a personal and political history of the idea of harm reduction, which is a philosophy, a set of health practices, and a call to action. Harm reduction is a powerful alternative to virtually all of the “conventional wisdom” about drugs and drug policy. Harm reduction starts by asserting that the health and safety of drug users, their families, and their communities should be the top priority of drug policy. Undoing Drugs is a global story, with stops in Liverpool, Amsterdam, the San Francisco Bay Area, Vancouver, Glasgow, and New York. By giving life to the saying that “the personal is political,” Szalavitz shows how America might still turn away from the massive failures of the drug war to embrace an approach that seeks to put people first.
Steve Beitler’s work in the history of medicine focuses on how pain has been understood, treated, experienced, and represented. Recently published articles examined the history of opiates in American football and surveyed the history of therapeutic drugs. He can be reached at [email protected].
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Robert Jacob’s book Nuclear Bodies: The Global Hibakusha (Yale UP, 2022) re‑envisions the history of the Cold War as a slow nuclear war, fought on remote battlegrounds against populations powerless to prevent the contamination of their lands and bodies. Jacobs’s book put these “nuclear bodies” and the legacy of our eighty years history of nuclear weapon and power use at the center of his inquiry. The contaminated bodies of the hibakusha and the contaminated grounds on which they live (or in many cases lived. As many lost their homes), Jacobs argues, are largely invisible because of the colonial and post -colonial power relations that made these communities a target to begin with. Nuclear weapon tests and power stations usually were set at remote places, and the harm was done to people with no political power. Furthermore, it is not just contemporary communities that were harmed, but also future generations. “Plutonium will remain dangerous for over two hundred thousand years, and uranium particles for more than one million years”. Eighty years of tests and nuclear power have saddled our future descendants with radiative waste, most of which is still not safely stored, “a global legacy currently sitting in spent fuel pools and dry storage casks, waiting.” The invisibility of the problem and people affected by it, Jacobs argues, is manufactured in science and politics. Furthermore, the way we study the problem historically further obscured its scope. Different sites have been studied through different national historical “silos,” Jacobs, however, takes a global approach, and look at sites from Nevada to Hiroshima and Nagasaki, Kazakhstan to Xinjian, and the various Pacific sites that were sites of nuclear tests and accidents since 1945 to make the invisible global hibakusha visible.
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In 2015, Professor Angus Deaton of Princeton University and his wife Professor Anne Case published a paper highlighting the rising mortality rate among middle-aged white non-Hispanic Americans. They described "deaths of despair" which were often related to drug and alcohol poisoning and suicide. They followed up with a widely read book: Deaths of Despair and the Future of Capitalism (Princeton UP, 2020). In this podcast Owen Bennett-Jones discusses the issue of life expectancy and asks what trends relating to life expectancy are likely to occur in the future.
Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.
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The human brain undergoes massive changes during its development, from early childhood and the teenage years to adulthood and old age. Across a wide range of species, from C. elegans and fruit flies to mice, monkeys, and humans, information about brain connectivity (connectomes) at different stages is now becoming available. New approaches in network neuroscience can be used to analyze the topological, spatial, and dynamical organization of such connectomes. In Changing Connectomes: Evolution, Development, and Dynamics in Network Neuroscience (MIT Press, 2020), Marcus Kaiser provides an up-to-date overview of the field of connectomics and introduces concepts and mechanisms underlying brain network changes during evolution and development.
Drawing on a range of results from experimental, clinical, and computational studies, Kaiser describes changes during healthy brain maturation and during brain network disorders (including such neurodevelopmental conditions as schizophrenia and depression), brain injury, and neurodegenerative disorders including dementia. He argues that brain stimulation is an area where understanding connectome development could help in assessing the long-term effects of interventions. Changing Connectomes is a suitable starting point for researchers who are new to the field of connectomics, and also for researchers who are interested in the link between brain network organization and brain and cognitive development in health and disease. Matlab/Octave code examples available at the MIT Press website will allow computational neuroscience researchers to understand and extend the shown mechanisms of connectome development.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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Our ability to act on some of the most pressing issues of our time, from pandemics and climate change to artificial intelligence and nuclear weapons, depends on knowledge provided by scientists and other experts. Meanwhile, contemporary political life is increasingly characterized by problematic responses to expertise, with denials of science on the one hand and complaints about the ignorance of the citizenry on the other.
Politics and Expertise: How to Use Science in a Democratic Society (Princeton University Press, 2021) offers a new model for the relationship between science and democracy, rooted in the ways in which scientific knowledge and the political context of its use are imperfect. Zeynep Pamuk starts from the fact that science is uncertain, incomplete, and contested, and shows how scientists' judgments about what is significant and useful shape the agenda and framing of political decisions. The challenge, Pamuk argues, is to ensure that democracies can expose and contest the assumptions and omissions of scientists, instead of choosing between wholesale acceptance or rejection of expertise. To this end, she argues for institutions that support scientific dissent, proposes an adversarial "science court" to facilitate the public scrutiny of science, reimagines structures for funding scientific research, and provocatively suggests restricting research into dangerous new technologies.
Through rigorous philosophical analysis and fascinating examples, Politics and Expertise moves the conversation beyond the dichotomy between technocracy and populism and develops a better answer for how to govern and use science democratically.
Zeynep Pamuk is assistant professor of political science at the University of California, San Diego.
Caleb Zakarin is the Assistant Editor of the New Books Network (Twitter: @caleb_zakarin).
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The accusation “you’re deluded” is often used as something of a cheap shot intended to silence an opponent in debate. But what is the nature of a delusion and how can we assess rationality and irrationality? In this podcast, Owen Bennett-Jones talks to Professor Lisa Bortolotti who studies the philosophy of psychology and psychiatry at Birmingham University and is the author of among many other things, Delusions and Other Irrational Beliefs (Oxford UP, 2010) and most recently edited Delusions in Context (Palgrave Macmillan, 2018).
Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.
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Although the dividing line between private life and public responsibilities can never be definite and clear, there is a moral threshold which is crossed both by those who assume power to change the lives of many men through public action and by those who undertake to represent in a public role the will and interests of many other men. A new responsibility, and even a new kind of responsibility, and new moral conflicts, present themselves.
– Stuart Hampshire, foreword to Public and Private Morality (1978)
Hampshire’s thoughts help articulate the inherent tensions underlying an institutionalized system of monopoly medicine that has commandeered the myth of free-market ideology in an ongoing and highly successful effort to profit from pharmaceutical patents generated by U.S. government-funded scientific research. This is the broader thesis of investigative journalist Alexander Zaitchik’s latest book, Owning the Sun: A People’s History of Monopoly Medicine from Aspirin to COVID-19 published by Counterpoint in March of 2022.
Zaitchik highlights the politics and players from founding fathers to the FDA’s Francis Kelsey to Hayek and the Chicago School in an engaging and well-researched narrative laying bare the situational ethics across the professional domains of the pharmaceutical industry, publicly-funded university research, and medicine more broadly while highlighting the public-private tension baked into our ‘free market’ political economy and its reification of knowledge through patent and intellectual property law.
Zaitchik’s narrative deftly outlines how generations of public health and science advocates have attempted to hold the line against pharmaceutical special interests and their allies in government while documenting privatized medicine’s evolution in the U.S. and its globalizing effects. From the controversial arrival of patent-seeking German chemical companies in the late nineteenth century to present-day coordination between industry and philanthropic organizations—including the influential Gates Foundation—that defeated efforts to loosen intellectual property restrictions for countries to produce vaccines against COVID-19. Relevant and smartly written with a disturbing message for everyone who cares about the cost and access of medicine.
Listeners will find the book and Zaitchik’s observations in this interview engaging as well as his 2018 article in The New Republic that previews part of the book’s larger thesis:
Complement and expand the topic focus with these recent NBN segments:
1) Davos Man: How the Billionaires Devoured the World (2022) written by Peter S. Goodman and
interviewed by Caleb Zakarin.
2) Disorder: A History of Reform, Reaction, and Money in American Medicine (2021) written by Peter
S. Swanson and interviewed by Stephen Pimpare.
Alexander Zaitchik is a freelance journalist and contributor to Atlantic magazine, The New Republic, The Nation and Foreign Policy among others, and has authored four books including this latest just published by Counterpoint Press in Berkeley.
Keith Krueger lectures at the SILC Business School in Shanghai University.
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In Weighing the Future: Race, Science, and Pregnancy Trials in the Postgenomic Era (University of California Press, 2022), Natali Valdez examines research trials that enroll pregnant people in the United States and England. These research trials aim to lower the health risks to future generations by intervening in and studying the diet and exercise of pregnant people. As an ethnographer, Valdez enrolled pregnant participants into the studies, met with them to administer the intervention, and observed the processes of the trials. Valdez argues that these studies focus on the pregnant individual without accounting for the social, cultural, economic, and environmental factors that present risk factors to their pregnancies. Structural factors such as racism, pollution, and poverty are not acknowledged, studied, or tracked. And this focus on the individual forecloses addressing issues, such as unstable housing, childcare, immigration, and racism. In the book, Valdez discusses how pregnancy trials have changed very little since the 1950s, the politics of recruiting participants to the trials, and how they handle racial diversity. Valdez asserts that these trials use race as an unstable and inconsistent marker of identifying participants, but they do not address racism, which is an underlying cause of health disparities. In the episode we discuss Valdez’s arguments, ethnographic work, and experience of writing the book. Weighing the Future would be of interest to those in medical anthropology, science and technology studies, as well as women and gender studies. Weighing the Future is the first book of its kind, and it contributes much to our understandings of the increasingly salient issues of maternal health, research, and race.
Natali Valdez is an Assistant Professor of Women’s and Gender Studies at Wellesley College.
Reighan Gillam is an Assistant Professor in the Department of Anthropology at the University of Southern California.
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In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Lorraine Daston, director emerita of the Max Planck Institute for the History of Science in Berlin about a number of hugely relevant issues at the intriguing overlap between science and societal values.
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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A camera obscura reflects the world back but dimmer and inverted. Similarly, science has long viewed woman through a warped lens, one focused narrowly on her capacity for reproduction. As a result, there exists a vast knowledge gap when it comes to what we know about half of the bodies on the planet.
That is finally changing. Today, a new generation of researchers is turning its gaze to the organs traditionally bound up in baby-making—the uterus, ovaries, and vagina—and illuminating them as part of a dynamic, resilient, and ever-changing whole. Welcome to Vagina Obscura: An Anatomical Voyage (W.W. Norton, 2022), an odyssey into a woman’s body from a fresh perspective, ushering in a whole new cast of characters.
In Boston, a pair of biologists are growing artificial ovaries to counter the cascading health effects of menopause. In Melbourne, a urologist remaps the clitoris to fill in crucial gaps in female sexual anatomy. Given unparalleled access to labs and the latest research, journalist Rachel E. Gross takes readers on a scientific journey to the center of a wonderous world where the uterus regrows itself, ovaries pump out fresh eggs, and the clitoris pulses beneath the surface like a shimmering pyramid of nerves.
This paradigm shift is made possible by the growing understanding that sex and gender are not binary; we all share the same universal body plan and origin in the womb. That’s why insights into the vaginal microbiome, ovarian stem cells, and the biology of menstruation don’t mean only a better understanding of female bodies, but a better understanding of male, non-binary, transgender, and intersex bodies—in other words, all bodies.
By turns funny, lyrical, incisive, and shocking, Vagina Obscura is a powerful testament to how the landscape of human knowledge can be rewritten to better serve everyone.
Sine Yaganoglu: Having trained as a neuroscientist and bioengineer, I switched to industry following my PhD at ETH Zurich and have been working in innovation management and diagnostics. Besides reading about science, innovation and entrepreneurship, I have become interested in the scientific and cultural aspects of parenting and motherhood since welcoming my first child.
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Within living memory, smallpox was a dreaded disease. Over human history, it has killed untold millions. In the eighteenth century, as epidemics swept Europe, the first rumours emerged of effective treatment: a mysterious method called inoculation.
But a key problem remained: convincing people to accept the preventative remedy, the forerunner of vaccination. Arguments raged over risks and benefits, and public resistance ran high. As smallpox ravaged her empire and threatened her court, Catherine the Great took the momentous decision to summon the Quaker physician Thomas Dimsdale from Hertford to St Petersburg to carry out a secret mission that would transform both their lives. In The Empress and the English Doctor: How Catherine the Great Defied a Deadly Virus (ONEworld, 2022), Lucy Ward expertly unveils the extraordinary story of Enlightenment ideals, female leadership and the fight to promote science over superstition.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Samuel Moyn, Henry R. Luce Professor of Jurisprudence and Professor of History at Yale University, about neoliberalism, human rights and what our collective response to the COVID-19 pandemic reveals about our true values.
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Howard Burton has been talking to very wise people for decades--scientists, historians, political thinkers, philosophers, etc. When Covid "hit" he was, like many of us, puzzled. Where did it come from? How should we respond to it? What does it say about us? So he did what he does: Had conversations with 32 very wise people about Covid. He filmed the discussions, and you can watch them here. Some of them will be released as podcasts on the Ideas Roadshow Podcast, which you can find here. He also wrote a book about his conversations: Pandemic Perspectives: A Filmmaker's Journey in 10 Essays (Open Agenda, 2022). You can buy it here.
Today I talked to Howard about the book, and what he learned in his discussions with these people. Enjoy.
Marshall Poe is the founder and editor of the New Books Network. He can be reached at [email protected].
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As we saw with the Ebola outbreak--and the disastrous early handling of the COVID-19 coronavirus pandemic--a lack of preparedness, delays, and system-wide problems with the distribution of critical medical supplies can have deadly consequences. Yet after every outbreak, the systems put in place to coordinate emergency responses are generally dismantled.
One of America's top biomedical researchers, Dr. Pardis Sabeti, and her Pulitzer Prize-winning collaborator, Lara Salahi, argue that these problems are built into the ecosystem of our emergency responses. With an understanding of the path of disease and insight into political psychology, they show how secrecy, competition, and poor coordination plague nearly every major public health crisis and reveal how much more could be done to safeguard the well-being of caregivers, patients, and vulnerable communities. A work of fearless integrity and unassailable authority, Outbreak Culture: The Ebola Crisis and the Next Epidemic (Harvard UP, 2021) seeks to ensure that we make some urgently needed changes before the next pandemic.
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Vaccines have controlled or even eradicated some of the world’s most serious diseases. Throughout the last century and up until recently with the COVID-19 pandemic, the development of successful vaccines has widely been heralded a triumph to combat devastating virus outbreaks.
The success of immunisations, however, has always been limited by issues of public acceptance. Understanding why people are or aren’t vaccinated is crucial to public health responses to diseases like measles and, of course, COVID-19. Many are concerned about the impact of anti-vaccination activism and misinformation on vaccine programs. But is vaccine hesitancy always due to misinformation, and how do we go about measuring it?
Joining Dr Natali Pearson on SSEAC Stories, Dr Kerrie Wiley unpacks some of these issues, and discusses the various drivers of vaccine acceptance in Southeast Asia.
About Kerrie Wiley:
Dr Kerrie Wiley is a Senior Research Fellow with the University of Sydney’s School of Public Health, in the Faculty of Medicine and Health. Kerrie’s research focuses on the social and behavioural aspects of immunisation and other preventive health behaviours, and their implications for policy and practice. Kerrie is a member of the World Health Organization ‘Measuring Behavioural and Social Drivers of Vaccination’ (BeSD) Working Group, and a founding member of the Collaboration of Social Science in Immunisation.
For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac.
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In this Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Stephen Scherer, Chief of Research at Toronto's Hospital for Sick Children, about how lessons learned from the pandemic might be best harnessed to increase the likelihood of future breakthroughs in biomedical research.
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Even after a decades-long opioid overdose crisis, intense controversy still rages over the fundamental nature of addiction and the best way to treat it. With uncommon empathy and erudition, Carl Erik Fisher draws on his own experience as a clinician, researcher, and alcoholic in recovery as he traces the history of a phenomenon that, centuries on, we hardly appear closer to understanding—let alone addressing effectively. As a psychiatrist-in-training fresh from medical school, Fisher was soon face-to-face with his own addiction crisis, one that nearly cost him everything. Desperate to make sense of the condition that had plagued his family for generations, he turned to the history of addiction, learning that the current quagmire is only the latest iteration of a centuries-old story: humans have struggled to define, treat, and control addictive behavior for most of recorded history, including well before the advent of modern science and medicine.
A rich, sweeping account that probes not only medicine and science but also literature, religion, philosophy, and public policy, The Urge: Our History of Addiction (Penguin, 2022) illuminates the extent to which the story of addiction has persistently reflected broader questions of what it means to be human and care for one another. Fisher introduces us to the people who have endeavored to address this complex condition through the ages: physicians and politicians, activists and artists, researchers and writers, and of course the legions of people who have struggled with their own addictions. He also examines the treatments and strategies that have produced hope and relief for many people with addiction, himself included. Only by reckoning with our history of addiction, he argues—our successes and our failures—can we light the way forward for those whose lives remain threatened by its hold. The Urge is at once an eye-opening history of ideas, a riveting personal story of addiction and recovery, and a clinician’s urgent call for a more expansive, nuanced, and compassionate view of one of society’s most intractable challenges.
Carl Erik Fisher is an addiction physician and bioethicist. He is an assistant professor of clinical psychiatry at Columbia University, where he works in the Division of Law, Ethics, and Psychiatry. He also maintains a private psychiatry practice focusing on complementary and integrative approaches to treating addiction.
Thomas Kingston is currently a Huayu Enrichment Scholar, studying Mandarin Chinese at National Cheng Kung University, as he finds himself in post MPhil and pre PhD limbo. He holds an MA in Pacific Asian Studies from SOAS, University of London and an MPhil in Philosophy from Renmin University of China. His research interests focus on the political and intellectual histories of nationalism(s), imaginaries and colonialism in the East and Southeast Asian context.
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52 Ways to Walk: The Surprising Science of Walking for Wellness and Joy, One Week at a Time (G. P. Putnam’s Sons; On Sale February 22, 2022), is a first-of-its-kind guide that blends cutting-edge research with an avid walker’s pragmatic how-to advice. This is the book for everyone—new walkers, seasoned walkers, and anyone who wants to boost the benefits of a daily constitutional.
Inspirational and grounded in science, 52 Ways to Walk delivers the best kept secrets of healthy and happy walkers—people who have learned that you actually can get more from life, one footstep at a time. Welcoming and wise, it’s a one-stop resource to enhance and maximize any kind of walk, from a ten-minute stroll on rain-splashed urban streets to a long rural ramble beside a river or through the woods.
Sine Yaganoglu trained as a neuroscientist and bioengineer (PhD, ETH Zurich). She currently works in innovation management and diagnostics.
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Dr. Maryam Ziaee is a University Lecturer at Victoria University in Australia teaching and researching Operations and Supply Chain Management. Dr. Ziaee has developed a cutting-edge model for big data analytics adoption in Australia’s pharmaceutical manufacturers that has garnered more attention in the light of the COVID-19 pandemic which has thrown the global supply chain into disarray. Manufacturing organisations around the globe are transitioning to big data analytics models to ramp up production and minimise manufacturing disruptions and uncertainties which can sometimes have adverse bearings on our social fabric. The shortage of critical goods and medicines in the last two years has shown how vital the role is the new oil in the current global market, but understanding and using data still remains a challenge. This is particularly more important when people’s lives and health are at stake. Dr. Ziaee’s research project provides a model that can be applied globally in manufacturing industries to improve their demand forecasting models and develop smart and data-driven decision-making.
Dr. Maryam Ziaee is a lecturer at Victoria University. Her research interests and interdisciplinary expertise are artificial intelligence adoption and implementation in the advanced manufacturing industry, optimisation of manufacturing performance, improving supply chain processes and resilience, implementation of quality management in manufacturing practices and products, sustainable engineering systems, and lean & agile manufacturing.
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In this first Pandemic Perspectives Podcast, Ideas Roadshow founder and host Howard Burton talks to Duke University neuroscientist Miguel Nicolelis who became trapped in his native Brazil when the pandemic exploded in early 2020 and found himself returning to his epidemiological roots, becoming co-leader of an impromptu scientific committee to advise 9 Brazilian Governors.
Ideas Roadshow's Pandemic Perspectives Project consists of three distinct, reinforcing elements: a documentary film (Pandemic Perspectives), book (Pandemic Perspectives: A filmmaker's journey in 10 essays) and a series of 24 detailed podcasts with many of the film's expert participants. Visit www.ideasroadshow.com for more details.
Howard Burton is the founder of Ideas Roadshow and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Much is known about the physical strain that athletes’ bodies are subjected to, but until recently, the role of psychological factors in risk and rehabilitation has been poorly understood. In The Mental Impact of Sports Injury (Routledge, 2021), Dr. Carly McKay bridges the gap between academic research and practical settings in an informative, yet easy to follow guide to the psychology of sports injury. Addressing risk, rehabilitation, and prevention, it outlines key considerations for researchers and practitioners across all levels of sport. Alongside the fundamentals of injury psychology, emerging areas of importance are also discussed, including training load monitoring and the technological advances that are shaping modern sport medicine. Targeted examples highlight the challenges of preventing and managing injury in grassroots, elite, and professional contexts, with chapters dedicated to the under-served communities of youth and Para sport athletes. Stepping away from traditional texts, this unique book presents the landmark literature, major concepts, and athlete insights into sports injury psychology from a totally new perspective.
This interview was conducted by Jolie Ho, a PhD candidate in clinical psychology whose research focuses on social support-seeking within the context of social anxiety and anxiety disorders. Outside of research, Jolie is a follower of figure skating and tennis who has long been fascinated by the unique challenges and dynamics faced by elite athletes in high-performance environments.
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Kile M. Ortigo's Beyond the Narrow Life: A Guide to Psychedelic Integration and Existential Exploration (Synergetic Press, 2021) addresses major issues that arise from the psychospiritual and therapeutic use of psychedelics. It describes a core structure that psychedelic journeys exhibit, and share, with classic mythologies; religious traditions; and spiritual practices. Its method is to integrate findings from cognitive-behavioral therapy, Jungian depth psychology, existential philosophy, compassion and mindfulness practices, comparative mythology, pop culture, film, and scientific understandings of the cosmos. The book also includes exercises designed to guide readers through the profound questions raised by diverse individual journeys of change and growth.
Steve Beitler’s work in the history of medicine focuses on how pain has been understood, treated, experienced, and represented. Recently published articles examined the history of opiates in American football and surveyed the history of therapeutic drugs. He can be reached at [email protected].
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We hear it all the time: “Sorry, it was just an accident.” And we’ve been deeply conditioned to just accept that explanation and move on. But, as Jessie Singer argues convincingly in There Are No Accidents: The Deadly Rise of Injury and Disaster—Who Profits and Who Pays the Price (Simon and Schuster, 2022), there are no such things as accidents. The vast majority of mishaps are not random but predictable and preventable. Singer uncovers how the term “accident” protects those in power and leaves the most vulnerable in harm’s way, preventing investigations, pushing off debts, blaming the victims, diluting anger, and even sparking empathy for the perpetrators.
As the rate of accidental death skyrockets in America, the poor and people of color end up bearing the brunt of the violence and blame, while the powerful use the excuse of the “accident” to avoid consequences for their actions. Born of the death of her best friend, and those who insisted it was an accident, this book is a moving investigation of the sort of tragedies that are all too common, and all too commonly ignored.
In this revelatory book, Singer tracks accidental death in America from turn-of-the-century factories and coal mines to today’s urban highways, rural hospitals, and Superfund sites. Drawing connections between traffic accidents, accidental opioid overdoses, and accidental oil spills, Singer illustrates how what we call accidents are hardly random. Rather, who lives and dies by an accident in America is defined by money and power. She also presents a variety of actions we can take as individuals and as a society to stem the tide of “accidents”—saving lives and holding the guilty to account.
Rachel Pagones is an acupuncturist, educator, and author. Before moving to the UK in 2021 she was chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego.
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Many people, at some stage of their life, worry about sleep: are they getting enough of it? Or even, too much? Derk-Jan Dijk is Professor of Sleep and Physiology at University of Surrey. His current research interests include the contribution of sleep to brain function in healthy ageing and dementia; the role of circadian rhythms in sleep regulation; negative effects of sleep loss; understanding age and sex related differences in sleep physiology and developing tests to monitor sleep. In this podcast he discusses these issues and the future direction of the discipline with Owen Bennett-Jones.
Owen Bennett-Jones is a freelance journalist and writer. A former BBC correspondent and presenter he has been a resident foreign correspondent in Bucharest, Geneva, Islamabad, Hanoi and Beirut. He is recently wrote a history of the Bhutto dynasty which was published by Yale University Press.
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This book cuts new ground by applying a human rights lens of analysis to domestic mental health laws. It makes a timely contribution into the discourse regarding mental health, supported decision-making and disability rights in the post CRPD era. In A New Era for Mental Health Law and Policy: Supported Decision-Making and the UN Convention on the Rights of Persons with Disabilities (Cambridge University Press, 2017) Research Fellow Dr Piers Gooding challenges law makers to bring domestic laws into compliance with the CRPD. At the same time, Gooding confronts the pragmatic concerns which continue to shape these same laws, such as the case where a person's mental impairment is perceived as a risk to self or others.
I had a great chat with Dr. Gooding in this hour; we spoke about arguments for and against coercive interventions, the right to and meaning of autonomy, tensions between rights based legalism and clinical governance, and more. We spoke about how domestic mental health laws have evolved since the 1980s, and especially since the introduction of the CRPD, and where to go from here.
Some of the scholarship mentioned in our conversation included that of Tina Minkowitz, John Fanning, and the collaborative work of Piers himself with Bernadette McSherry, Cath Roper, and Flick Grey.
Dr Piers Gooding is a Research Fellow at the Melbourne Social Equity Institute and Melbourne Law School, and is currently an Open Science Fellow at the Mozilla Foundation. His work focuses on the law and politics of disability and mental health, with a special interest in issues of legal capacity, decision-making, technology, and human rights.
Jane Richards is a doctoral student at the University of Hong Kong. You can find her on twitter where she follows all things related to human rights and Hong Kong politics @JaneRichardsHK
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Our brains are the most complex machines known to humankind, but they have an Achilles heel: the very molecules that allow us to exist can also sabotage our minds. Here are gripping accounts of unruly molecules and the diseases that form in their wake.
A college student cannot remember if she has eaten breakfast. By dinner, she is strapped to a hospital bed, convinced she is battling zombies. A man planning to propose marriage instead becomes violently enraged, gripped by body spasms so severe that he nearly bites off his own tongue. One after another, poor farmers in South Carolina drop dead from a mysterious epidemic of dementia.
With an intoxicating blend of history and intrigue, Sara Manning Peskin invites readers to play medical detective, tracing each diagnosis from the patient to an ailing nervous system. Along the way, Peskin entertains with tales of the sometimes outlandish, often criticized, and forever devoted scientists who discovered it all.
Peskin never loses sight of the human impact of these conditions. Alzheimer's Disease is more than the gradual loss of a loved one; it can be a family's multigenerational curse. The proteins that abound in every cell of our bodies are not simply strings of oxygen, hydrogen, nitrogen, and carbon; they are the building blocks of our personalities and relationships. A Molecule Away from Madness: Tales of the Hijacked Brain (Norton, 2022) is an unputdownable journey into the deepest mysteries of our brains.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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Thousands of stories are given voice by Marissa Mika in Africanizing Oncology: Creativity, Crisis, and Cancer in Uganda (Ohio UP, 2021), a fearless, warm, and humane history of the Uganda Cancer Institute’s first half century. Mika treads carefully but surely through the fields of colonial and post-colonial medical research and politics while never losing sight of the individuals who worked, planned, improvised, suffered, survived and died at the UCI. The book is a fascinating contrast to the global north history of pediatric oncology as told, for example, by former National Cancer Institute director Vincent DeVita Jr. in The Death of Cancer. As Mika makes abundantly clear, there is no such wild optimism surrounding cancer in Uganda. There is, though, resourcefulness, commitment, and an ability to adapt to extraordinary circumstances on a daily basis. This richly researched book undoubtedly has significant academic merit in fields including, but not limited to, the history of medicine. It should appeal equally to global health activists who want to understand better the challenges and incremental accomplishments of work on the ground.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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According to the National Center for Drug Abuse Statistics, since 2000, the United States has experienced over 700,000 deaths due to drug overdose. Addiction and substance use disorders are at the root of this enormous loss, and about half of people who struggle with substance use disorder will experience some mental health disorder during their life. And vice versa—many individuals struggling with mental health disorders also struggle with various forms of addiction.
Carl Erik Fisher, author of The Urge: Our History of Addiction (Penguin Press, 2022), has expertise in law, ethics, and policy related to psychiatry and neuroscience. His personal struggle with addiction in combination with his professional expertise converges to help us understand the forces that have shaped addiction throughout our history. On this episode of POTC, Carl and Yael discuss the social contingencies and historical contexts that lead to addiction, substance use disorder, and co-morbid mental health issues. Join us in this episode to learn more about commonly held beliefs about addiction, prescribers’ blind spots to certain medications, and much much more!
Yael Schonbrun is a licensed clinical psychologist who wears a number of professional hats: she a small private practice specializing in evidence-based relationship therapy, she’s an assistant professor at Brown University, and she writes for nonacademic audiences about working parenthood.
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Americans are deeply polarized on many issues, including science and medicine. Where once was widespread agreement, today the differences are sharp: on one hand, posters announce, “I believe in science!” and on the other hand, dramatic videos show ICU patients affirming their anti-vax beliefs with their final breaths.
What is going on?
Science is supposed to be based on reason, not faith. We get into a pile of metal – our cars – every day without fear because we trust the engineers, who built cars based on science. Science is characterized by observation, empirical findings, and replication. At least that’s the way it is supposed to be. Not long ago, Americans and most people around the world trusted the integrity of science. But that trust has been in decline for years, to our collective detriment.
Why did science lose so much of the public trust?
How does that loss relate to the decline of trust in other institutions?
What are the trust-related issues for minorities?
What can the scientific enterprise do to regain our trust?
Fran Kritz is a passionate journalist who has covered health and health policy for decades. Her reporting experience gives her a unique view of the changes in the relationship between the public and its medical and scientific experts. She has written for NPR, the Washington Post, Kaiser Health News, and the Robert Wood Johnson Foundation.
Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The New Books Network’s Van Leer Jerusalem Series on Ideas. Write her at [email protected]
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Many in the global West have heard something about acupuncture as a treatment for pain relief; they may even have learned of its use in treating opioid addiction. But few know that, in the early 1970s, acupuncture was employed as a means of social and political revolution by Black, Latinx, and radical left-wing activists, inspired by the barefoot doctors of Mao Zedong's Communist revolution. Led by Mutulu Shakur, a charismatic member of the Republic of New Afrika, these young and idealistic people learned to apply acupuncture in the gritty confines of Lincoln Hospital, in the South Bronx of New York. The derelict public hospital, long known as "the Butcher Shop," became an unlikely source of energy and hope as the activists successfully helped people from the community recover from heroin addiction. The acupuncturists - some of them recovering from heroin addiction themselves - employed a combination of needling points in the ear with counseling and "political education"; for instance, taking clients to witness the trials of political prisoners (people imprisoned for their political beliefs or activities). By the late 1970s, the activists' radical approach led to their forced removal from Lincoln. But Shakur and others formed the Black Acupuncture Advisory Association of North America (BAAANA) and founded a college to train a new generation of acupuncturists in the fine art of traditional Chinese medicine.
The fundamental principle was healthcare as a human right. The goal was the liberation of people oppressed by racism. The college had a short life; it was closed after an FBI raid in connection with the lethal armed robbery of a Brink's truck. Yet over three decades, the spirit of revolutionary acupuncture did not die, and neither did the issues that forced its rise, including drug addiction, racism, and social and health care inequities. Inspired by the radical acupuncturists of the 1970s, another group - the People's Organization of Community Acupuncture - founded the community acupuncture movement and took up the mantle of revolution. They, too, proclaim health care as a human right for people marginalized by society - and seek to give back that right through the art of inserting fine needles. Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press Limited, 2021) highlights a little-known intersection of acupuncture, leftist movements of the 1970s, and the global influence on the healthcare of Mao's Communist revolution - and shows how the legacy of that explosive meeting lives on today.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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Listen to this interview of Adam Marcus and Ivan Oransky, cofounders of Retraction Watch. We talk about lots of things, retracting very few.
Ivan Oransky : "Accountability in science certainly does not come down to only retracting papers, because there are just lots of issues. And by the way, just to remind everyone, science is very much a human endeavor. It doesn't exist outside of humans doing the science. I mean, facts exist, and there is truth out there, and we'd very much appear to be getting close and closer to it — that's not what I'm talking about. I'm talking about the actual process, like, how do we learn these things. How — as this podcast more generally looks at — how does knowledge get known. Basically, epistemology. But that requires human beings. It requires human beings interpreting, talking and listening, collaborating, and so that's one part of science that is really critical. Therefore, of course, the issue of accountability is multifactorial."
The Retraction Watch database is here. You might also be interested in this article: "Repeat Offenders: When Scientific Fraudsters Slip Through the Cracks." You can learn more about retraction here.
Watch Daniel edit your science here. Contact Daniel at [email protected].
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There is a logical flaw in the statistical methods used across experimental science. This fault is not a minor academic quibble: it underlies a reproducibility crisis now threatening entire disciplines. In an increasingly statistics-reliant society, this same deeply rooted error shapes decisions in medicine, law, and public policy with profound consequences. The foundation of the problem is a misunderstanding of probability and its role in making inferences from observations.
Aubrey Clayton traces the history of how statistics went astray, beginning with the groundbreaking work of the seventeenth-century mathematician Jacob Bernoulli and winding through gambling, astronomy, and genetics. Clayton recounts the feuds among rival schools of statistics, exploring the surprisingly human problems that gave rise to the discipline and the all-too-human shortcomings that derailed it. He highlights how influential nineteenth- and twentieth-century figures developed a statistical methodology they claimed was purely objective in order to silence critics of their political agendas, including eugenics.
Clayton provides a clear account of the mathematics and logic of probability, conveying complex concepts accessibly for readers interested in the statistical methods that frame our understanding of the world. He contends that we need to take a Bayesian approach--that is, to incorporate prior knowledge when reasoning with incomplete information--in order to resolve the crisis. Ranging across math, philosophy, and culture, Bernoulli's Fallacy: Statistical Illogic and the Crisis of Modern Science (Columbia UP, 2021) explains why something has gone wrong with how we use data--and how to fix it.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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Controversy over the medicinal uses of wild animals in China has erupted around the ethics and efficacy of animal-based drugs, the devastating effect of animal farming on wildlife conservation, and the propensity of these practices to foster zoonotic diseases. In Mao's Bestiary: Medicinal Animals and Modern China (Duke UP, 2021), Liz P. Y. Chee – Senior Research Fellow at the Asia Research Institute and Lecturer at Tembusu College, both at the National University of Singapore – traces the history of the use of medicinal animals in modern China. While animal parts and tissue have been used in Chinese medicine for centuries, Chee demonstrates that the early Communist state expanded and systematized their production and use to compensate for drug shortages, generate foreign investment in high-end animal medicines, and facilitate an ideological shift toward legitimating folk medicines. Among other topics, Chee investigates the craze for chicken blood therapy during the Cultural Revolution, the origins of deer antler farming under Mao and bear bile farming under Deng, and the crucial influence of the Soviet Union and North Korea on Chinese zootherapies. In the process, Chee shows Chinese medicine to be a realm of change rather than a timeless tradition, a hopeful conclusion given current efforts to reform its use of animals.
Rachel Pagones is an acupuncturist, educator, and author based in Cambridge, England. Her book, Acupuncture as Revolution: Suffering, Liberation, and Love (Brevis Press) was published in 2021.
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Facing a terminal cancer diagnosis, Karen Derris—professor, mother, and Buddhist practitioner—instinctually turned to books. By rereading ancient Buddhist stories with fresh questions and a new purpose in mind, she discovered evolving ways to make them immediate and real. Storied Companions interweaves Karen’s memoir of her lived experiences of trauma and terminal illness with stories from Buddhist literary traditions, sharing with the reader how she found ways to live fully even with the reality that she won’t live as long as she needs—or wants.
Using her knowledge, practice, and imagination, Karen illustrates how placing yourself within narratives can turn them from distant and static sources into companions, and from companions into guides. Reading along with her, you’ll realize how this practice of reading and these ancient narratives can help us come to terms with impermanence, develop empathy and compassion, and realize our own interconnectedness.
Honest, powerful, and insightful, Storied Companions: Trauma, Cancer, and Finding Guides for Living in Buddhist Narratives (Wisdom Publications, 2021) itself becomes an invaluable companion, guiding the reader to discover new ways of facing and experiencing life, death, and impermanence.
Natasha Heller is an associate professor of Chinese Religion and Buddhism at the University of Virginia. Find her on Twitter @nheller.
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From 1942 through 1972, American biomedical researchers deliberately infected people with hepatitis. Government-sponsored researchers were attempting to discover the basic features of the disease and the viruses causing it, and develop interventions that would quell recurring outbreaks. Drawing from extensive archival research and in-person interviews, Sydney Halpern traces the hepatitis program from its origins in World War II through its expansion during the initial Cold War years, to its demise in the early 1970s amid outcry over research abuse. The subjects in hepatitis studies were members of stigmatized groups--conscientious objectors, prison inmates, and developmentally disabled adults and children. Dangerous Medicine: The Story Behind Human Experiments with Hepatitis (Yale UP, 2021) reveals how researchers invoked military and scientific imperatives and the rhetoric of common good to win support for the experiments and access to potential recruits. Halpern examines consequences of participation for subjects' long-term health, and raises troubling questions about hazardous human experiments aimed at controlling today's epidemic diseases.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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This is the first translation in English of Rudolf Ramm’s textbook Ärztliche Rechts- und Standeskunde: Der Arzt als Gesundheitserzieher, translated and introduced by Melvin Wayne Cooper. Medical Jurisprudence and Rules of the Medical Profession (Springer, 2019) has been reported to be an influential manual for medical ethics in Nazi Germany and is commonly quoted as representing the Nazi viewpoint of the position and responsibilities of the physician in the National Socialist society. It interprets the National Socialist Weltanschauung, i.e. the National Socialist Philosophical Worldview, and makes explicit how this world view was to be actuated by the true National Socialist physician. It is a good text to attempt to see the National Socialist medical world view from the perspective of its practitioners. Ramm’s text could be viewed as being analogous to an Army Field Manual for the practicing National Socialist physician. It dictates the specific applications of the legal values and rules which emanate from this Weltanschauung to the developing medical students and practicing National Socialist physicians. According to some scholars Ramm’s book, which was written not only for students but also for postgraduates, and which received positive reviews in German medical journals, is the most important known historical source pertaining to the instruction of Nazi medical ethics. The 1942 edition sold out within a year, and a second edition published in 1943 included an extended appendix of medical laws. Through this book Ramm’s unique text is now available for an English language audience, thanks to the thorough translation and accessible introduction by Melvin Wayne Cooper.
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Ben Westhoff is an award-winning investigative journalist whose best-selling 2019 book Fentanyl, Inc.: How Rogue Chemists Are Creating the Deadliest Wave of the Opioid Epidemic (Grove Press, 2019), was one of the first to take fentanyl seriously as both a social phenomenon and a national threat. Since its release, Westhoff has become a policy expert, advising top government officials on the fentanyl crisis, and continuing to follow the story on his Substack account. The author of two previous nonfiction books and numerous articles in outlets like the Atlantic, The Guardian, and the Wall Street Journal, Westhoff’s fourth book, Little Brother: Love, Tragedy, and My Search for the Truth comes out this spring.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.
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Every medical decision—whether to have chemotherapy, an X-ray, or surgery—is a risk, no matter which way you choose. In You Bet Your Life: From Blood Transfusions to Mass Vaccination, the Long and Risky History of Medical Innovation (Basic Book, 2021), physician Paul A. Offit argues that, from the first blood transfusions four hundred years ago to the hunt for a COVID-19 vaccine, risk has been essential to the discovery of new treatments. More importantly, understanding the risks is crucial to whether, as a society or as individuals, we accept them.
Told in Offit’s vigorous and rigorous style, You Bet Your Life is an entertaining history of medicine. But it also lays bare the tortured relationships between intellectual breakthroughs, political realities, and human foibles. Our pandemic year has shown us, with its debates over lockdowns, masks, and vaccines, how easy it is to get everything wrong. You Bet Your Life is an essential read for getting the future a bit more right.
Sine Yaganoglu trained as a neuroscientist and bioengineer (PhD, ETH Zurich). She currently works in innovation management and diagnostics.
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The average person produces about four hundred pounds of excrement a year. More than seven billion people live on this planet. Holy crap!
Because of the diseases it spreads, we have learned to distance ourselves from our waste, but the long line of engineering marvels we've created to do so--from Roman sewage systems and medieval latrines to the immense, computerized treatment plants we use today--has also done considerable damage to the earth's ecology. Now scientists tell us: we've been wasting our waste. When recycled correctly, this resource, cheap and widely available, can be converted into a sustainable energy source, act as an organic fertilizer, provide effective medicinal therapy for antibiotic-resistant bacterial infection, and much more.
In The Other Dark Matter: The Science and Business of Turning Waste Into Wealth and Health (U Chicago Press, 2021), Lina Zeldovich documents the massive redistribution of nutrients and sanitation inequities across the globe. She profiles the pioneers of poop upcycling, from startups in African villages to innovators in American cities that convert sewage into fertilizer, biogas, crude oil, and even life-saving medicine. She breaks taboos surrounding sewage disposal and shows how hygienic waste repurposing can help battle climate change, reduce acid rain, and eliminate toxic algal blooms. Ultimately, she implores us to use our innate organic power for the greater good. Don't just sit there and let it go to waste.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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"Quarantine, as an invention of man, is the most primitive and universal instrument of defense against contagious disease epidemics. Almost universally maligned or ignored by historians, quarantine is like an iceberg with 90 percent of its secrets hidden from view in inaccessible archives of the government."
In Germs at Bay: Politics, Public Health, and American Quarantine (Praeger/ABC-Clio, 2021), Charles Vidich explores the surprisingly rich history of quarantine in America. It's gone through five different stages and has, at times, played a key role in the American revolutionary war, the development of immigration policy, and even spawned its own code language to prevent panic from breaking out among the public. When quarantine works well, it can save lives -- but, as Vidich argues, a number of factors have to work in sync for it to be successful, and that is rarely the case.
This book is for anyone seeking to understand the challenges of controlling the spread of COVID-19, and will help readers internalize the lessons that are being demonstrated through the handling of this pandemic. Replete with primary data from years of archival exploration, Germs at Bay demonstrates the United States' long reliance on quarantine practice, and the political, social, and economic factors at all levels of government that have influenced--and been influenced by--them.
Christopher S. Rose is a social historian of medicine focusing on Egypt and the Eastern Mediterranean in the 19th and 20th century. He currently (spring 2022) teaches History at Our Lady of the Lake University in San Antonio, Texas, and Middle Eastern Studies at the University of Texas at Austin.
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Kenneth Anderson is the author of Strychnine and Gold, a two-volume history of the “untold story of addiction treatment in the United States.” Anderson knows what he’s talking about when he discusses substance use and treatment–he holds multiple master’s degrees, including one in psychology and substance use disorders, and has worked in the field of addiction treatment for over twenty years as the founder and CEO of the HAMS Harm Reduction Network, the first worldwide harm reduction-based support group specifically for people who drink alcohol. The author of two previous books about alcohol harm reduction, Anderson is a regular presenter at the National Harm Reduction Conference, and has been a guest speaker at the Harlem Hospital Harm Reduction Program, the New School for Social Research, NYU, and the Drug Policy Conference, among other venues.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.
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In the United States, tens of thousands of children are conceived every year with donated gametes. When people decide to create a child with donated gametes, they’ll typically have to make a moral decision about whether the identity of the donor will be available to the resulting person. This quickly raises additional moral and even existential questions about the value of knowing about the circumstances of our own conception.
In Conceiving People: Genetic Knowledge and the Ethics of Sperm and Egg Donation (Oxford UP, 2021) Daniel Groll argues that because donor-conceived persons are likely to develop a significant and worthwhile interest in knowing the identity of their genetic progenitor, their intended parents have an obligation to use a non-anonymous donor.
Robert Talisse is the W. Alton Jones Professor of Philosophy at Vanderbilt University.
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Elaborately conceived, grandly constructed insane asylums—ranging in appearance from classical temples to Gothic castles—were once a common sight looming on the outskirts of American towns and cities. Many of these buildings were razed long ago, and those that remain stand as grim reminders of an often cruel system. For much of the nineteenth century, however, these asylums epitomized the widely held belief among doctors and social reformers that insanity was a curable disease and that environment—architecture in particular—was the most effective means of treatment.
In The Architecture of Madness: Insane Asylums in the United States (U Minnesota Press, 2007), Carla Yanni tells a compelling story of therapeutic design, from America’s earliest purpose—built institutions for the insane to the asylum construction frenzy in the second half of the century. At the center of Yanni’s inquiry is Dr. Thomas Kirkbride, a Pennsylvania-born Quaker, who in the 1840s devised a novel way to house the mentally diseased that emphasized segregation by severity of illness, ease of treatment and surveillance, and ventilation. After the Civil War, American architects designed Kirkbride-plan hospitals across the country.
Before the end of the century, interest in the Kirkbride plan had begun to decline. Many of the asylums had deteriorated into human warehouses, strengthening arguments against the monolithic structures advocated by Kirkbride. At the same time, the medical profession began embracing a more neurological approach to mental disease that considered architecture as largely irrelevant to its treatment.
Generously illustrated, The Architecture of Madness is a fresh and original look at the American medical establishment’s century-long preoccupation with therapeutic architecture as a way to cure social ills.
Bryan Toepfer, AIA, NCARB, CAPM is the Principal Architect for TOEPFER Architecture, PLLC, an Architecture firm specializing in Residential Architecture and Virtual Reality. He has authored two books, “Contractors CANNOT Build Your House,” and “Six Months Now, ARCHITECT for Life.” He is an Assistant Professor at Alfred State College and has served as the Director of Education for the AIA Rochester Board of Directors. Always eager to help anyone understand the world of Architecture, he can be reached by sending an email to btoepfer@toepferarchitecture.
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Inside our heads we carry around an infinite and endlessly unfolding map of the world. Navigation is one of the most ancient neural abilities we have―older than language. In Dark and Magical Places: The Neuroscience of Navigation (Norton, 2022), Christopher Kemp embarks on a journey to discover the remarkable extent of what our minds can do.
Fueled by his own spatial shortcomings, Kemp describes the brain regions that orient us in space and the specialized neurons that do it. Place cells. Grid cells. He examines how the brain plans routes, recognizes landmarks, and makes sure we leave a room through a door instead of trying to leave through a painting. From the secrets of supernavigators like the indigenous hunters of the Bolivian rainforest to the confusing environments inhabited by people with place blindness, Kemp charts the myriad ways in which we find our way and explains the cutting-edge neuroscience behind them.
How did Neanderthals navigate? Why do even seasoned hikers stray from the trail? What spatial skills do we inherit from our parents? How can smartphones and our reliance on GPS devices impact our brains? In engaging, engrossing language, Kemp unravels the mysteries of navigating and links the brain’s complex functions to the effects that diseases like Alzheimer’s, types of amnesia, and traumatic brain injuries have on our perception of the world around us.
A book for anyone who has ever felt compelled to venture off the beaten path, Dark and Magical Places is a stirring reminder of the beauty in losing yourself to your surroundings. And the beauty in understanding how our brains can guide us home.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland.
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From mosquito-borne diseases such as malaria and dengue to chronic bacterial infections such as yaws, Southeast Asia is home to a wide range of tropical diseases. For a long time, the arrival in the region of these and other dangerous tropical diseases was believed to be connected to the introduction of agriculture. But how long have these diseases really been around for? How are they connected to the region’s fluctuating social and environmental conditions? And how have they impacted the human populations of Southeast Asia over time?
Joining Dr Natali Pearson on SSEAC Stories, bioarchaeologist Dr Melandri Vlok sheds light on the complex science of paleoepidemiology and its use of advanced analytical practices such as DNA ancestry, skeletal studies, and teeth calculus to uncover ancient stories of illness and disease. She explains that far from being mere remnants of the past, archaeological human remains can help us understand the evolution and spread of pathogens, and inform strategies to curb the spread of infectious diseases in human populations.
About Melandri Vlok:
Dr Melandri Vlok is a Postdoctoral Research Associate at the Sydney Southeast Asia Centre. Melandri specialises in palaeopathology/ bioarchaeology and researches the implications for migration and trade on the presence of infectious and nutritional diseases in past populations in Asia. Melandri's work, funded by grant bodies including National Geographic and the Royal Society of New Zealand, has involved the analysis of human skeletal remains from Vietnam, Indonesia, Thailand, Japan, Mongolia, New Zealand and the Philippines. She is also involved with repatriation efforts focused on returning Māori and Moriori ancestral remains to iwi and imi (tribes) in New Zealand.
For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac.
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Societies all over the world are getting older, the result of the fact that we are living longer and having fewer children. At some point in the near future, much of the developed world will have at least twenty percent of their national populations over the age of sixty-five. Bradley Schurman calls this the Super Age. Today, Italy, Japan, and Germany have already reached the Super Age, and another ten countries will have gone over the tipping point in 2021. Thirty-five countries will be part of this club by the end of the decade. This seismic shift in the world population can portend a period of tremendous growth--or leave swaths of us behind.
In The Super Age: Decoding Our Demographic Destiny (Harper Business, 2022), Schurman explains how changing demographics will affect government and business and touch all of our lives. Fewer people working and paying income taxes, due to outdated employment and retirement practices, could mean less money feeding popular programs such as Social Security and Medicare--with greater numbers relying on them. The forced retirement or redundancy of older workers could impact business by creating a shortage of workers, which would likely drive wages up and result in inflation. Corporations, too, must rethink marketing strategies--older consumers are already purchasing the majority of new cars, and they are a growing and vitally important market for health technologies and housing. Architects and designers must re-create homes and communities that are more inclusive of people of all ages and abilities.
If we aren't prepared for the changes to come, Schurman warns, we face economic stagnation, increased isolation of at-risk populations, and accelerated decline of rural communities. Instead, we can plan now to harness the benefits of the Super Age: extended and healthier lives, more generational cooperation at work and home, and new markets and products to explore. The choice is ours to make.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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In Health, Healing and Illness in African History (Bloomsbury, 2021), Rebekah Lee makes an overall assessment of the history and historiography and health, healing and illness in the African context. This unique text is divided in two parts. In the first half of the book, Lee presents a chronological survey and analysis of the ideas and literature that multiple disciplines have produced while studying the experience of health and illness, as well as medical and healing practices in Africa. This part of the book guides readers through seminal questions about African agency and sources that are central to our understanding of the historiography of Africa in general, and to the study of healing and illness in particular.
By starting her narrative in the precolonial past, Lee is not only trying to highlight the value of the research that has been done in this area, but also provide the reader with a wider intellectual and chronological context that can reframe our reading of the literature that exists for the colonial and postcolonial periods. In the second part of the book, Lee examines four case studies each focused on a particular health problem: HIV/Aids, mental illness, malaria and sleeping sickness, and occupational lung disease. In each of these individual studies, Lee offers both a historiographical review and a critical assessment of the ideas and questions that have shaped our views of these issues. She also offers examples of primary sources that illustrate the complex ways in which scholars, from many different disciplinary backgrounds, have used them to draw conclusions about how Africans have experienced health and illness, and engaged with a wide range of healing practices over time.
Esperanza Brizuela-Garcia is an associate professor of history at Montclair State University.
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In 1948, the World Health Organization began to prepare its social psychiatry project, which aimed to discover the epidemiology and arrive at a classification of mental disorders. In Mad by the Millions: Mental Disorders and the Early Years of the World Health Organization (MIT Press, 2021), Harry Y-Jui Wu examines the WHO's ambitious project, arguing that it was shaped by the postwar faith in technology and expertise and the universalizing vision of a “world psyche.” Wu shows that the WHO's idealized scientific internationalism laid the foundations for today's highly metricalized global mental health system.
Examining the interactions between the WHO and developing countries, Wu offers an analysis of the “transnationality” of mental health. He examines knowledge-sharing between the organization and African and Latin American collaborators, and looks in detail at the WHO's selection of a Taiwanese scientist, Tsung-yi Lin, to be its medical officer and head of the social psychiatry project. He discusses scientists' pursuit of standardization—not only to synchronize sectors in the organization but also to produce a common language of psychiatry—and how technological advances supported this. Wu considers why the optimism and idealism of the social psychiatry project turned to dissatisfaction, reappraising the WHO's early knowledge production modality through the concept of an “export processing zone.” Finally, he looks at the WHO's project in light of current debates over psychiatry and global mental health, as scientists shift their concerns from the creation of universal metrics to the importance of local matrixes.
Harry Yi-Jui Wu is Associate Professor in the Cross College Elite Program and Department of Medical Humanities and Social Medicine at National Cheng-Kung University in Taiwan.
Kelvin Chan is a PhD Candidate at McGill University. His PhD dissertation focuses on the history of psychiatry and mental health care in colonial Hong Kong.
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Heroic science. Chaotic politics. Billionaire entrepreneurs. Award-winning journalist Brendan Borrell brings the defining story of our times alive through compulsively readable, first-time reporting on the players leading the fight against a vicious virus. The First Shots: The Epic Rivalries and Heroic Science Behind the Race to the Coronavirus Vaccine (Mariner Books, 2021), soon to be the subject of an HBO limited series with superstar director and producer Adam McKay (Succession, Vice, The Big Short), draws on exclusive, high-level access to weave together the intense vaccine-race conflicts among hard-driving, heroic scientists and the epic rivalries among Washington power players that shaped 18 months of fear, resolve, and triumph.
From infectious disease expert Michael Callahan, an American doctor secretly on the ground in Wuhan in January 2020 to gauge the terrifying ravages of Disease X; to Robert (Dr. Bob) Kadlec, one of Operation Warp Speed’s architects, whose audacious plans for the American people run straight into the buzz saw of the Trump White House factions; to Stéphane Bancel of upstart Moderna Therapeutics going toe-to-toe with pharma behemoth Pfizer, The First Shots lays bare, in a way we have not seen, the full stunning story behind the medical science “moon shot” of our lifetimes.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Tracing the dramatic conflicts both inside organized medicine and between the medical profession and the larger society over quality, equality, and economy in health care, Peter A. Swenson illuminates the history of American medical politics from the late nineteenth century to the present. Disorder: A History of Reform, Reaction, and Money in American Medicine (Yale UP, 2021) chronicles the role of medical reformers in the progressive movement around the beginning of the twentieth century and the American Medical Association’s dramatic turn to conservatism later. Addressing topics such as public health, medical education, pharmaceutical regulation, and health-care access, Swenson paints a disturbing picture of the entanglements of medicine, politics, and profit seeking that explain why the United States remains the only economically advanced democracy without universal health care. Swenson does, however, see a potentially brighter future as a vanguard of physicians push once again for progressive reforms and the adoption of inclusive, effective, and affordable practices.
Stephen Pimpare is director of the Public Service & Nonprofit Leadership program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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Tune in to hear Prof. Talya Miron Shatz, author of Your Life Depends on It: What You Can Do to Make Better Choices About Your Health (Basic Books, 2021) discuss her surprising decision to publish her book with a non-academic publisher and how her writing and revision were driven by her desire to get her book into thousands of homes around the world.
Avi Staiman is the founder and CEO of Academic Language Experts.
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Amy C. Sullivan explores the complexity of America’s opioid epidemic through firsthand accounts of people grappling with the reverberating effects of stigma, treatment, and recovery. Taking a clear-eyed, nonjudgmental perspective of every aspect of these issues—drug use, parenting, harm reduction, medication, abstinence, and stigma—Opioid Reckoning: Love, Loss, and Redemption in the Rehab State (U Minnesota Press, 2021) questions current treatment models, healthcare inequities, and the criminal justice system.
The oral histories associated with Opioid Reckoning will be archived with the University of Minnesota's Social Welfare History Archives. Learn more at the Minnesota Opioid Project.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.
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Anti-vaccination movements pose an increasing threat to global public health, but what of vaccine hesitancy? Join us for a discussion on the effects of vaccine hesitancy in Japan during the ongoing COVID-19 pandemic. University of Turku's Centre for East Asian Studies University Teacher Dr. Yoko Demelius and University Lecturer Dr. Kamila Szczepanska discuss historical, cultural, and legal factors that have led to present trends ranging from general vaccine skepticism to online and real-life anti-vaccination activism. Learn about historical developments in Japanese public health policy as well as socio-demographic factors that contribute to current attitudes. Dr. Szczepanska and Dr. Demelius also speak of the state of domestic vaccine manufacturing and Research & Development, and the significant continuing influence of anti-vaccination propaganda and misinformation campaigns from the US and Europe.
The Nordic Asia Podcast is a collaboration sharing expertise on Asia across the Nordic region, brought to you by the Nordic Institute of Asian Studies (NIAS) based at the University of Copenhagen, along with our academic partners: the Centre for East Asian Studies at the University of Turku, Asianettverket at the University of Oslo, and the Stockholm Centre for Global Asia at Stockholm University.
We aim to produce timely, topical and well-edited discussions of new research and developments about Asia.
Transcripts of the Nordic Asia Podcasts: http://www.nias.ku.dk/nordic-asia-podcast
About NIAS: www.nias.ku.dk
Satoko Naito is a docent of Japanese studies at the Centre for East Asian Studies, University of Turku, Finland. Research interests include Japanese literature, cultural history, and gender studies.
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It is one of the most extraordinary cases in the history of science: the mating calls of insects were mistaken for a “sonic weapon” that led to a major diplomatic row. Since August 2017, the world media has been absorbed in the “attack” on diplomats from the American and Canadian Embassies in Cuba. While physicians treating victims have described it as a novel and perplexing condition that involves an array of complaints including brain damage, the authors present compelling evidence that mass psychogenic illness was the cause of “Havana Syndrome.”
This mysterious condition that has baffled experts is explored across 11-chapters which offer insights by a prominent neurologist and an expert on psychogenic illness. A lively and enthralling read, the authors explore the history of similar scares from the 18th century belief that sounds from certain musical instruments were harmful to human health, to 19th century cases of “telephone shock,” and more contemporary panics involving people living near wind turbines that have been tied to a variety of health complaints. The authors provide dozens of examples of kindred episodes of mass hysteria throughout history, in addition to psychosomatic conditions and even the role of insects in triggering outbreaks.
Havana Syndrome: Mass Psychogenic Illness and the Real Story Behind the Embassy Mystery and Hysteria (Copernicus, 2020), is a scientific detective story and a case study in the social construction of mass psychogenic illness.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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For decades, some of our best and brightest medical scientists have dedicated themselves to finding a cure for Alzheimer's disease. What happened? Where is the cure? The biggest breakthroughs occurred twenty-five years ago, with little progress since. In How Not to Study a Disease: The Story of Alzheimer's (MIT Press, 2021), neurobiologist Karl Herrup explains why the Alzheimer's discoveries of the 1990s didn't bear fruit and maps a direction for future research. Herrup describes the research, explains what's taking so long, and offers an approach for resetting future research.
Herrup offers a unique insider's perspective, describing the red flags that science ignored in the rush to find a cure. He is unsparing in calling out the stubbornness, greed, and bad advice that has hamstrung the field, but his final message is a largely optimistic one. Herrup presents a new and sweeping vision of the field that includes a redefinition of the disease and a fresh conceptualization of aging and dementia that asks us to imagine the brain as a series of interconnected neighborhoods. He calls for changes in virtually every aspect of the Alzheimer's disease research effort, from the drug development process, to the mechanisms of support for basic research, to the often-overlooked role of the scientific media, and more. With How Not to Study a Disease, Herrup provides a roadmap that points us in a new direction in our journey to a cure for Alzheimer's.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Aro Velmet's Pasteur's Empire: Bacteriology in France, Its Colonies, and the World (Oxford UP, 2020) is a complex history of the Pasteur Institutes, a network of scientific laboratories established in France and throughout the French empire, beginning in the last decade of the nineteenth century. The book examines the crucial roles Pastorians and Pasteurization played in the imperial project in and between different locations, particularly in Southeast Asia and Africa. Participating in the "civilizing mission," helping to establish and maintain industrial monopolies, and the control of colonial bodies through public health regulation and disease management, the institutes had a tremendous political impact.
Attentive to the experiences and perspectives of the Vietnamese and African peoples in the sites the book focuses on, Pasteur's Empire examines a range of scientific responses and measures, from the study and containment of infectious and epidemic disease to the microbiological aspects of industry. The book's chapters move from "Indochina" to North and West Africa, tracing the way that Pastorians and Pasteurization worked with(in) and sometimes pushed against colonial structures and assumptions. French modernity and the "civilizing mission" had profound and practical biological dimensions. A history that pursues ideas about modernity and the meanings of scientific and other forms of mobility, Pasteur's Empire moves from the local to the global while bringing together science, medicine, and politics. Enjoy the episode!
Roxanne Panchasi is an Associate Professor of History at Simon Fraser University in Vancouver, Canada who specializes in twentieth and twenty-first century France and its empire. If you have a recent title to suggest for the podcast, please send her an email ([email protected]).
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In this lively, unexpected look at the hearts of animals—from fish to bats to humans—American Museum of Natural History zoologist Bill Schutt tells an incredible story of evolution and scientific progress.
We join Schutt on a tour from the origins of circulation, still evident in microorganisms today, to the tiny hardworking pumps of worms, to the golf-cart-size hearts of blue whales. We visit beaches where horseshoe crabs are being harvested for their blood, which has properties that can protect humans from deadly illnesses. We learn that when temperatures plummet, some frog hearts can freeze solid for weeks, resuming their beat only after a spring thaw. And we journey with Schutt through human history, too, as philosophers and scientists hypothesize, often wrongly, about what makes our ticker tick. Schutt traces humanity’s cardiac fascination from the ancient Greeks and Egyptians, who believed that the heart contains the soul, all the way up to modern-day laboratories, where scientists use animal hearts and even plants as the basis for many of today’s cutting-edge therapies.
Written with verve and authority, weaving evolutionary perspectives with cultural history, Pump: A Natural History of the Heart (Algonquin Books, 2021) shows us this mysterious organ in a completely new light.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Dr. Paul Steinberg, Clinical Professor in the Department of Psychiatry at the University of British Columbia, returns to New Books Network to discuss his latest book, Applying Psychoanalytic Thought to Contemporary Mental Health Practice (Routledge, 2021). In this latest work, a “sister” publication his prior Psychoanalysis in Medicine (Routledge, 2020), Dr. Steinberg describes the potential for psychoanalytic ideas and practice to be applied to a variety of mental health care contexts, including group therapy and partial hospitalization programs. He writes about how psychoanalysis has, and how it can continue to, reinvent itself on an ongoing basis, in parallel with evolving theory and technology. Through clinical vignettes, citation of psychoanalytic literature, and direct analysis, Dr. Steinberg offers an approachable, engaging, and personal discourse on psychoanalysis in modern mental health practice.
Alec Kacew is a medical school student at the University of Chicago.
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The idea that a woman may leave a biological trace on her gestating offspring has long been a commonplace folk intuition and a matter of scientific intrigue, but the form of that idea has changed dramatically over time. Beginning with the advent of modern genetics at the turn of the twentieth century, biomedical scientists dismissed any notion that a mother--except in cases of extreme deprivation or injury--could alter her offspring's traits. Consensus asserted that a child's fate was set by a combination of its genes and post-birth upbringing.
Over the last fifty years, however, this consensus was dismantled, and today, research on the intrauterine environment and its effects on the fetus is emerging as a robust program of study in medicine, public health, psychology, evolutionary biology, and genomics. Collectively, these sciences argue that a woman's experiences, behaviors, and physiology can have life-altering effects on offspring development.
Tracing a genealogy of ideas about heredity and maternal-fetal effects, Sarah S. Richardson's The Maternal Imprint: The Contested Science of Maternal-Fetal Effects (U Chicago Press, 2021) offers a critical analysis of conceptual and ethical issues--in particular, the staggering implications for maternal well-being and reproductive autonomy--provoked by the striking rise of epigenetics and fetal origins science in postgenomic biology today.
Sohini Chatterjee is a PhD Student in Gender, Sexuality, and Women's Studies at Western University, Canada. Her work has recently appeared in South Asian Popular Culture and Fat Studies.
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When Rebecca Lester was eleven years old--and again when she was eighteen--she almost died from anorexia nervosa. Now both a tenured professor in anthropology and a licensed social worker, she turns her ethnographic and clinical gaze to the world of eating disorders--their history, diagnosis, lived realities, treatment, and place in the American cultural imagination.
Famished: Eating Disorders and Failed Care in America (U California Press, 2019), the culmination of over two decades of anthropological and clinical work, as well as a lifetime of lived experience, presents a profound rethinking of eating disorders and how to treat them. Through a mix of rich cultural analysis, detailed therapeutic accounts, and raw autobiographical reflections, Famished helps make sense of why people develop eating disorders, what the process of recovery is like, and why treatments so often fail. It's also an unsparing condemnation of the tension between profit and care in American healthcare, demonstrating how a system set up to treat a disease may, in fact, perpetuate it. Fierce and vulnerable, critical and hopeful, Famished will forever change the way you understand eating disorders and the people who suffer with them.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Timothy Yang’s A Medicated Empire: The Pharmaceutical Industry and Modern Japan (Cornell 2021) is a case study of Hoshi Pharmaceutical, a Japanese drug company that exemplified the push for a modern “culture of self-medication.” The history of Hoshi is tightly intertwined with state promotion of Western biomedicine beginning in the late nineteenth century, but also reveals tensions between pharmaceutical manufacturers’ self-promotion “as a humanitarian endeavor for greater social good” and their profit motive. As the title suggests, A Medicated Empire also expands our understanding of the production and consumption of drugs―licit and illicit―in the Japanese empire, exploring topics including how companies like Hoshi exploited national-defense concerns to secure lucrative government support in times of crisis on the one hand, and the differential marketing and regulation of pharmaceuticals such as opium to Japanese and colonial subjects. In the latter sections of the book, these elements are central to the story of Hoshi’s fall and rise: the opium scandal which crippled and bankrupted the company in the early 1930s and its resurrection and profiteering as Japan geared up for war later in the decade. Throughout, Yang is sensitive to the tensions between state-led national strengthening, corporate profit motives, and the desires of individuals to optimize their health, and also to the imperial context in which the particular story of Hoshi played out. This book will of course be of interest to historians of Japan, STS, and business, among others, but as we discuss in the podcast, many of its core issues―trust in pharma, government interventions in public health, etc.—are more salient today than ever.
Nathan Hopson is an associate professor of Japanese language and history in the University of Bergen's Department of Foreign Languages.
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Today I talked to Thom Hartmann about his new book The Hidden History of American Healthcare: Why Sickness Bankrupts You and Makes Others Insanely Rich (Berrett-Koehler, 2021).
To hear Thom Hartmann tell it, the battle over whether healthcare should be seen as a right or a privilege has two phases in American history. From the 1880’s to the 1980’s the idea of universal American healthcare was opposed due to racist bias, i.e., to provide it would favor aiding African-Americans, too. Then from the Reagan Revolution to today, greed has taken over because the current system favors industry insiders benefitting while the average American pays more for less than is true elsewhere in the so-called Developed World. Get ready for plenty of surprises here, starting with the fact that the debate about healthcare got launched by three Germans: Karl Marx, Otto von Bismarck, and a person named Frederick Ludwig Hoffman. Never heard of the third guy? Well, at a time when Prudential Insurance was the biggest player in its sector Hoffman provided the platform for denying the healthcare that Bismarck had decided was a way to counter the appeal of Marxism.
Thom Hartmann is a four-time winner of the Project Censored Award, a New York Times bestselling authority of 32 books, and America’s #1 progressive talk radio show host.
Dan Hill, PhD, is the author of nine books and leads Sensory Logic, Inc. (https://www.sensorylogic.com). His new book is Blah, Blah, Blah: A Snarky Guide to Office Politics. To check out his related “Dan Hill’s EQ Spotlight” blog, visit https://emotionswizard.com.
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By exploring the uniquely dense urban network of the Low Countries, Janna Coomans debunks the myth of medieval cities as apathetic towards filth and disease. Based on new archival research and adopting a bio-political and spatial-material approach, Coomans traces how cities developed a broad range of practices to protect themselves and fight disease. Urban societies negotiated challenges to their collective health in the face of social, political and environmental change, transforming ideas on civic duties and the common good. Tasks were divided among different groups, including town governments, neighbours and guilds, and affected a wide range of areas, from water, fire and food, to pigs, prostitutes and plague. In Community, Urban Health and Environment in the Late Medieval Low Countries (Cambridge UP, 2021), Coomans offers new comparative insights and bolsters our understanding of the importance of population health and the physical world - infrastructures, flora and fauna - in governing medieval cities.
Mohamed Gamal-Eldin is a historian of Modern Egypt, who is interested in questions related to the built environment, urban history, architecture, social history and environmental ecology of urban centers in 19th and early 20th century Egypt, the Middle East and globally.
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Mindy Thompson Fullilove traverses the central thoroughfares of our cities to uncover the ways they bring together our communities After an 11-year study of Main Streets in 178 cities and 14 countries, Fullilove discovered the power of city centers to “help us name and solve our problems.” In an era of compounding crises including racial injustice, climate change, and COVID-19, the ability to rely on the power of community is more important than ever. However, Fullilove describes how a pattern of disinvestment in inner-city neighborhoods has left Main Streets across the U.S. in disrepair, weakening our cities and leaving us vulnerable to catastrophe. In the face of urban renewal programs built in response to a supposed lack of “personal responsibility,” Fullilove offers “a different story, that of a series of forced displacements that had devastating effects on inner-city communities. Through that lens, we can appreciate the strength of segregated communities that managed to temper the ravages of racism through the Jim Crow era, and build political power and many kinds of wealth. . . . Only a very well-integrated, powerful community—one with deep spiritual principles—could have accomplished such a feat.” This is the power she hopes we will find again.
Throughout Main Street: How a City's Heart Connects Us All (New Village Press, 2020), readers glimpse strong, vibrant communities who have conquered a variety of disasters, from the near loss of a beloved local business to the devastation of a hurricane. Using case studies to illustrate her findings, Fullilove turns our eyes to the cracks in city centers, the parts of the city that tend to be avoided or ignored. Providing a framework for those who wish to see their communities revitalized, Fullilove’s Main Street encourages us all to look both inward and outward to find the assets that already exist to create meaningful change.
See below for references mentioned in this episode:"A Score for Main Street" published by the University of Orange (twitter: @UofO_07050); A profile of photographer Wing Young Huie; The Schomburg Center for Research in Black Culture in Harlem.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Taking a multidisciplinary perspective (including public health, sociology, criminology, and political science amongst others), and using examples from across the globe, Alison Ritter's Drug Policy (Routledge, 2021) provides a detailed understanding of the complex and highly contested nature of drug policy, drug policy making and the theoretical perspectives that inform the study of drug policy. It draws on four different theoretical perspectives: evidence-informed policy, policy process theories, democratic theory, and post-structural policy analysis.
The use and trade in illegal drugs is a global phenomenon. It is viewed by governments as a significant social, legal, and health problem that shows no signs of abating. The key questions explored throughout this book are what governments and other bodies of social regulation should do about illicit drugs, including drug policies aimed at improving health and reducing harm, drug laws and regulation, and the role of research and values in policy development. Seeing policy formation as dynamic iterative interactions between actors, ideas, institutions, and networks of policy advocates, the book explores how policy problems are constructed and policy solutions selected, and how these processes intersect with research evidence and values. This then animates the call to democratise drug policy and bring about inclusive meaningful participation in policy development in order to provide the opportunity for better, more effective, and value-aligned drug policies.
This book will be of great interest to students and scholars of drug policy from a number of disciplines, including public health, sociology, criminology, and political science.
Geert Slabbekoorn works as an analyst in the field of public security. In addition he has published on different aspects of dark web drug trade in Belgium. Find him on twitter, tweeting all things drug related @GeertJS.
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From adrenaline to dopamine, most of us are familiar with the chemicals that control us. They are the hormones and neurotransmitters that our brains run on, and Overloaded: How Every Aspect of Your Life is Influenced by Your Brain Chemicals (Bloomsbury, 2021) looks at the role they play in every aspect of our lives, from what we remember, how we make decisions and who we love to basic survival drives such as hunger, fear and sleep.
Author Ginny Smith gets to the bottom of exactly what these tiny molecules do. What role do cortisol and adrenaline play in memory formation? Is it our brain chemicals that cause us to be 'hangry'? How do hormones and neurotransmitters affect the trajectory of our romantic relationships? These are just some of the questions that Ginny will answer as she meets the scientists at the cutting-edge of research into the world of brain chemistry who are uncovering the unexpected connections between these crucial chemicals that touch every aspect of our lives.
Listeners might be interested in Braintastic.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Fugitive Science: Empiricism and Freedom in Early African American Culture (NYU Press, 2017), by Professor Britt Rusert (UMass-Amherst), [Insert link] has already earned accolades from the American Studies Association and the MLA following its publication in 2017. Now book is also getting traction in the fields of STS, history of science, and history of medicine. It’s easy to see why.
At the level of documentation, the book chronicles the empirical work, rhetorical strategies, and material worlds of Black and African American scientists (avant la lettre) during the US antebellum period. The book connects a lineage of Black naturalists, ethnologist, and physicians who were creating and circulating empirical evidence of the moral and political equality of Black Americans relative to White people to argue against the institution of slavery, racist discrimination and violent dispossession. And they were pursuing their own empirical research questions—not only working in response to White racist science—about the pasts and potential emancipatory futures of Black Americans. The documentary work of the book is indispensable it its own right.
For scholars in STS and in history of science and medicine the book is important for anyone interested in speculative methods and speculative histories; anyone who takes seriously theories of history and wants to—or already is—practicing transformative justice through their own narrative craft. The book models one way of creating an anticolonial, antiracist “counter-archive” through an intentionally magpie accrual of material culture and through the rigorous use of imagination as interpretive method.
In the interview we also talk about Saidiya Hartman’s method of critical fabulation, Donna Haraway’s method of critical speculation, and Marissa Fuentes’ technique of “reading with the archive bias” – as well as why HBCUs are the places where transformative fugitive science is happening in the present day. Rusert also published with Whitney Battle-Baptiste W. E. B. Du Bois’s Data Portraits: Visualizing Black America – another important book for STS scholars and historians of science and medicine, enthusiastically reviewed in the New York Review of Books (Aug 2021).
This interview was a collaborative effort among Professor Laura Stark and STS scholars at Vanderbilt University: Kaelee Belleto, Hannah Crook, Aaron Hunt, Will Krause, Dionne Lucas, Esther Park, Grace Smith, McKenzie Yates, and Jaehyeong Yu. Please email Laura Stark with any feedback on the interview or questions about the collaborative interview process.
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What is “capacity”? In science research and health interventions, it typically refers to the relative availability of equipment, infrastructure, personnel, and skills needed to get a job done. Noémi Tousignant’s book, Edges of Exposure: Toxicology and the Problem of Capacity in Postcolonial Senegal (Duke UP, 2018), feels its way into the experience of capacity to observe a crucial characteristic. Capacity has “temporal qualities.”
Waiting, interrupting, prolonging, repairing: these processes show that the elements of lab science and public health called “capacity” operate with different rhythms that often fail to synchronize or to be formally acknowledged. Yet the material world of capacity also implies a direction, which orients scientists to (im)possibilities for better futures, “to moral imaginations of responsibility and commitment.”
The book won the 2020 Ludwik Fleck prize for outstanding book from the Society for the Social Studies of Science. The award signals the book’s broad relevance for anyone interested in critical studies of science, technology, and health; intrigued by the phenomenology of time; keen to combine training in history with ethnographic methods; or interested in postcolonial studies, especially Africa.
The book is based on Tousignant’s field work in Senegal from in 2010 and 2011 studying professional toxicologists across three institutions as they “improvised and imagined a more capacious and protective toxicology.” In terms of empirical content, this work is important for anyone interested in environmental contamination and the politics of poisoning lands, waters, and bodies.
The interview also refers to the work of Gabrielle Hecht on exposure and imaginaries of Africa, Julie Livingstone on improvisation and slow risks, Joanna Crane on commodification of global health, and Monika Krause on how NGOs perform worthy projects. This interview was a collaborative effort among Professor Laura Stark and students at Vanderbilt University in the course “American Medicine & the World.” Please email Laura with any feedback on the interview or questions about the collaborative interview process.
Laura Stark is Associate Professor at Vanderbilt University’s Center for Medicine, Health, and Society, and Associate Editor of the journal History & Theory.
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Today's guest is former US Army general, Stanley McChrystal. A retired four-star general with 34 years of service, Stanley was the commander of all US and coalition forces in Afghanistan from 2009 to 2010. Previously, he served as commander of JSOC or the Joint Special Operations Command, overseeing the US military’s most elite units including Delta Force and SEAL Team 6. According to journalist Sean Naylor, in his Book, Relentless Strike, McChrystal was, “the general whose vision and intensity transformed JSOC into a global man-hunting machine.” His tenure included the capture of Saddam Hussein and the killing infamous terrorist, Abu Musab al-Zarqawi.
Today Stanley is founder and CEO of the McChrystal Group, a strategic consulting firm. He is also a senior fellow at Yale University’s Jackson Institute for Global Affairs. His new book is, Risk. A User’s Guide, published by Portolio in October of 2021.
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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Throughout American history, lawmakers have limited the range of treatments available to patients, often with the backing of the medical establishment. The country's history is also, however, brimming with social movements that have condemned such restrictions as violations of fundamental American liberties. This fierce conflict is one of the defining features of the social history of medicine in the United States.
In Choose Your Medicine: Freedom of Therapeutic Choice in America (Oxford UP, 2021), Lewis A. Grossman presents a compelling look at how persistent but evolving notions of a right to therapeutic choice have affected American health policy, law, and regulation from the Revolution through the Trump Era. Grossman grounds his analysis in historical examples ranging from unschooled supporters of botanical medicine in the early nineteenth century to sophisticated cancer patient advocacy groups in the twenty-first. He vividly describes how activists and lawyers have resisted a wide variety of legal constraints on therapeutic choice, including medical licensing statutes, FDA limitations on unapproved drugs and alternative remedies, abortion restrictions, and prohibitions against medical marijuana and physician-assisted suicide. Grossman also considers the relationship between these campaigns for desired treatments and widespread opposition to state-compelled health measures such as vaccines and face masks. From the streets of San Francisco to the US Supreme Court, Choose Your Medicine examines an underexplored theme of American history, politics, and law that is more relevant today than ever.
Stephen Pimpare is director of the Public Service & Nonprofit Leadership program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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For a majority of African women, the “colonial encounter” occurred at the maternity ward, the health centre, or Maternal and Infant Welfare Centres. In Être mère en situation coloniale: Gold Coast (années 1910-1950) (Editions de la Sorbonne, 2020), Anne Hugon analyzes the consequences of colonialism on colonized women, through a history of maternal and child health institutions in the Gold Coast (present-day Ghana). How were colonial biomedical interventions around pregnancy and childbirth implemented? How did the women who sought care in these centres perceive and repurpose such interventions? By relying on administrative archives of medical services, oral history with retired midwives, private archives, and newspapers, this book sheds light on the multifaceted experiences of African mothers in a colonial context.
Anne Hugon is an Associate Professor of African History at Paris 1-Panthéon Sorbonne and a member of the Institut des Mondes Africains (IMAf).
Thomas Zuber is a PhD Candidate in History at Columbia University.
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The contemporary opioid crisis is widely seen as new and unprecedented. Not so. It is merely the latest in a long series of drug crises stretching back over a century. In White Market Drugs: Big Pharma and the Hidden History of Addiction in America (U Chicago Press, 2020), David Herzberg explores these crises and the drugs that fueled them, from Bayer's Heroin to Purdue's OxyContin and all the drugs in between: barbiturate "goof balls," amphetamine "thrill pills," the "love drug" Quaalude, and more. As Herzberg argues, the vast majority of American experiences with drugs and addiction have taken place within what he calls "white markets," where legal drugs called medicines are sold to a largely white clientele.
These markets are widely acknowledged but no one has explained how they became so central to the medical system in a nation famous for its "drug wars"--until now. Drawing from federal, state, industry, and medical archives alongside a wealth of published sources, Herzberg re-connects America's divided drug history, telling the whole story for the first time. He reveals that the driving question for policymakers has never been how to prohibit the use of addictive drugs, but how to ensure their availability in medical contexts, where profitability often outweighs public safety. Access to white markets was thus a double-edged sword for socially privileged consumers, even as communities of color faced exclusion and punitive drug prohibition. To counter this no-win setup, Herzberg advocates for a consumer protection approach that robustly regulates all drug markets to minimize risks while maintaining safe, reliable access (and treatment) for people with addiction.
Accomplishing this requires rethinking a drug/medicine divide born a century ago that, unlike most policies of that racially segregated era, has somehow survived relatively unscathed into the twenty-first century.
By showing how the twenty-first-century opioid crisis is only the most recent in a long history of similar crises of addiction to pharmaceuticals, Herzberg forces us to rethink our most basic ideas about drug policy and addiction itself--ideas that have been failing us catastrophically for over a century.
David Herzberg is an associate professor of history at the University of Buffalo is also the author of Happy Pills in America from Milltown to Prozac. David is also the co-editor of the journal Social History of Alcohol and Drugs.
Jay Shifman is a vulnerable storyteller, a stigma-destroying speaker, and the founder of Choose Your Struggle podcast. A guy in long-term recovery, Jay is dedicated to ending stigma and promoting fact-based education around Mental Health, Substance Misuse & Recovery, and Drug Use & Policy. You can learn more about Jay at his links here.
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Sleep Insights is based on an in-depth filmed conversation between Howard Burton and Matthew Walker, Professor of Neuroscience and Psychology and Founder and Director of the Center for Human Sleep Science at UC Berkeley. This extensive conversation gives a clear and compelling picture of our recent understanding of sleep’s essential role in our daily lives, from reinforcing learning and memory to regulating emotion.
Howard Burton is the founder of the Ideas Roadshow, Ideas on Film and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Craig W. Stevens' book The Drug Expert: A Practical Guide to the Impact of Drug Use in Legal Proceedings (Academic Press, 2021) targets academic and industry pharmacologists, pharmacology graduate students, and professionals and students of affiliated disciplines, such as pharmacy and toxicology. Users will find it to be an invaluable reference for those involved in the field. In addition, pharmacists and others who increasingly serve as expert witnesses and toxicologists will find an array of very useful information.
Geert Slabbekoorn works as an analyst in the field of public security. In addition he has published on different aspects of dark web drug trade in Belgium. Find him on twitter, tweeting all things drug related @GeertJS.
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We are delighted to present All for One and One for All: Public Seminar Series on Mental Health in Academia and Society. All for One and One for All talks will shine the light on and discuss mental health issues in academia across all levels – from students to faculty, as well as in wider society. Seminars are held online once per month on Wednesdays at 5pm CEST/ 11am EST and free for all to attend. Speakers include academics, organisations, and health professionals whose work focuses on mental health. Live Q and A sessions will be held after each talk. For live webinar schedule please visit this website. Follow us on Twitter: @LashuelLab
The first conversation is between Dr. Roy Richard Grinker and Dr. Hilal Lashuel, with support from Galina Limorenko.
Mental health experts and advocates tell us that "stigma" is the major barrier to mental health care throughout the world. But where did stigma come from? And how can we begin to eradicate it? Dr. Grinker, a cultural anthropologist, specializing in psychological anthropology will discuss his new book, Nobody's Normal. Drawing on research in sub-Saharan Africa, the U.S., and South Korea, as well as his own history as the son, grandson, and great-grandson of psychiatrists, Dr. Grinker writes that we are on the cusp of ending the marginalization of people with mental illnesses and developmental disorders.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Today I talked to Brandy Schillace about her book Mr. Humble and Dr. Butcher: A Monkey's Head, the Pope's Neuroscientist, and the Quest to Transplant the Soul (Simon and Schuster, 2021).
In the early days of the Cold War, a spirit of desperate scientific rivalry birthed a different kind of space race: not the race to outer space that we all know, but a race to master the inner space of the human body. While surgeons on either side of the Iron Curtain competed to become the first to transplant organs like the kidney and heart, a young American neurosurgeon had an even more ambitious thought: Why not transplant the brain?
Dr. Robert White was a friend to two popes and a founder of the Vatican's Commission on Bioethics. He developed lifesaving neurosurgical techniques still used in hospitals today and was nominated for the Nobel Prize. But like Dr. Jekyll before him, Dr. White had another identity. In his lab, he was waging a battle against the limits of science and against mortality itself--working to perfect a surgery that would allow the soul to live on after the human body had died.
This "fascinating" (The Wall Street Journal), "provocative" (The Washington Post) tale follows his decades-long quest into tangled matters of science, Cold War politics, and faith, revealing the complex (and often murky) ethics of experimentation and remarkable innovations that today save patients from certain death. It's a "masterful" (Science) look at our greatest fears and our greatest hopes--and the long, strange journey from science fiction to science fact.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Over the course of the twentieth century, campaigns to increase access to modern birth control methods spread across the globe and fundamentally altered the way people thought about and mobilized around reproduction. This book explores how a variety of actors translated this movement into practice on four islands (Jamaica, Trinidad, Barbados, and Bermuda) from the 1930s-70s. The process of decolonization during this period led to heightened clashes over imperial and national policy and brought local class, race, and gender tensions to the surface, making debates over reproductive practices particularly evocative and illustrative of broader debates in the history of decolonization and international family planning. Nicole C. Bourbonnais' book Birth Control in the Decolonizing Caribbean: Reproductive Politics and Practice on Four Islands, 1930–1970 (Cambridge UP, 2016) is at once a political history, a history of activism, and a social history, exploring the challenges faced by working class women as they tried to negotiate control over their reproductive lives.
Alejandra Bronfman is Associate Professor and Director of Undergraduate Studies Latin American, Caribbean & U.S. Latino Studies at SUNY, Albany.
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Just about everyone knows correlation does not equal causation, and probably that a randomized controlled experiment is the best way to solve that problem, if you can do one. If you’ve been following the economics discipline you will have heard about the Nobel Prize given to Abhijit Banerjee, Esther Duflo, and Michael Kremer for their work applying the experimental method to test real-world policy interventions out in the field. But what if you can’t do this? Are you just stuck with untestable claims? This year’s Nobel Prize to Josh Angrist, David Card, and Guido Imbens for methods of causal inference with observational data confirms that you don't have to give up. Scott Cunningham’s Causal Inference: The Mixtape (Yale UP, 2021) provides an accessible practical introduction to techniques developed by these luminaries and others. Along with the statistical theory, it provides intuitive explanations of these techniques, and examples of the computer code needed to run them. In our conversation we discuss why economists needed these techniques and how they work.
Scott Cunningham is a professor of economics at Baylor University. He researches topics including mental healthcare, sex work, abortion and drug policy. He is active on Twitter, has a blog on Substack, and frequently conducts workshops on causal inference methods. A complete web version of his book is available here.
Host Peter Lorentzen is an Associate Professor in the Department of Economics at the University of San Francisco, where he leads a new digital economy-focused Master's program in Applied Economics.
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Over the past decade, effective prevention and treatment policies have resulted in global health organizations claiming that the end of the HIV/AIDS crisis is near and that HIV/AIDS is now a chronic but manageable disease. These proclamations have been accompanied by stagnant or decreasing public interest in and financial support for people living with HIV and the organizations that support them, minimizing significant global disparities in the management and control of the HIV pandemic. The contributors to David A. B. Murray's Living with HIV in Post-crisis Times: Beyond the Endgame (Lexington Books, 2021) explore how diverse communities of people living with HIV (PLHIV) and organizations that support them are navigating physical, social, political, and economic challenges during these so-called “post-crisis” times.
Shraddha Chatterjee is a doctoral candidate at York University, Toronto, and author of Queer Politics in India: Towards Sexual Subaltern Subjects (Routledge, 2018).
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Nature wants you dead. Not just you, but your children and everyone you have ever met and everyone they have ever met; in fact, everyone. It wants you to cough and sneeze and poop yourself into an early grave. It wants your blood vessels to burst and pustules to explode all over your body. And - until recently - it was really good at doing this...
Covid-19 may be only the first of many modern pandemics. The subject of infection and how to fight it grows more urgent every day. How do pathogens cause disease? And what tools can we give our bodies to do battle?
Dr John S. Tregoning has dedicated his career to answering these questions. Infectious: Pathogens and How We Fight Them (Oneworld, 2021) uncovers fascinating success stories in immunology and virology, making this book not only a vital overview of infection, but also a hopeful story of ongoing human ingenuity.
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Do doctors really know what they are talking about when they tell us vaccines are safe? Should we take climate experts at their word when they warn us about the perils of global warming? Why should we trust science when our own politicians don’t? In this landmark book, Naomi Oreskes offers a bold and compelling defense of science, revealing why the social character of scientific knowledge is its greatest strength—and the greatest reason we can trust it.
Tracing the history and philosophy of science from the late nineteenth century to today, Oreskes explains that, contrary to popular belief, there is no single scientific method. Rather, the trustworthiness of scientific claims derives from the social process by which they are rigorously vetted. This process is not perfect—nothing ever is when humans are involved—but she draws vital lessons from cases where scientists got it wrong. Oreskes shows how consensus is a crucial indicator of when a scientific matter has been settled, and when the knowledge produced is likely to be trustworthy.
Based on the Tanner Lectures on Human Values at Princeton University, Why Trust Science? (Princeton UP, 2021) features critical responses by climate experts Ottmar Edenhofer and Martin Kowarsch, political scientist Jon Krosnick, philosopher of science Marc Lange, and science historian Susan Lindee, as well as a foreword by political theorist Stephen Macedo.
Marshall Poe is the founder and editor of the New Books Network. He can be reached at [email protected].
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With the opening of the Suez Canal, larger and faster steamships, plus dockside engineering to accommodate them – time shrunk in the British Empire. The movement of bodies between the U.K and colonial outposts quickened. In Kristen D. Hussey’s Imperial Bodies in London: Empire, Mobility, and the Making of British Medicine, 1880-1914 (U Pittsburgh Press, 2021), readers are introduced to how such mobility transformed British conceptions of health and illness and the medical practices to heal. A scramble for “imperial bodies” occurred as medical professionals sought to cure the Empire’s “tropical” diseases.
Hussey’s intense archival work delivers several case studies in British medicine that brings together various historical narratives. Merging spatial theories to the history of medicine, for example, Hussey communicates well the reciprocal nature of Empire, movement, and diseased bodies. London loomed large as a place of recuperation, a place to get well, and the best that medicine had to offer. Imperial Bodies in London reads as if a microhistory, but never deviates from connecting to larger, much broader sweep of history. The story of how European men and women – administrators, soldiers, sailors, missionaries, doctors, servants, and families – returned home to recover or readjust from their imperial duties and thereby became specimens (in a sense) to advance medical knowledge is deftly handled by the author.
In this interview, discussed are ways in which British medical practitioners approached diseases affecting the liver, eyes, brain and blood of those that served the Empire. Many of their discoveries and practices were the foundations of modern medicine. The current Covid-19 pandemic makes this book not only timely, but a terrific read into the origins of modern medicine.
Joseph Krulder is a historian of Britain's long eighteenth-century: cultural, social, military, and economic.
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Did you know that you're more likely to die from a catastrophe than in a car crash? The odds that a typical US resident will die from a catastrophic event—for example, nuclear war, bioterrorism, or out-of-control artificial intelligence—have been estimated at 1 in 6. That's fifteen times more likely than a fatal car crash and thirty-one times more likely than being murdered. In What's the Worst That Could Happen?: Existential Risk and Extreme Politics (MIT Press, 2021), Andrew Leigh looks at catastrophic risks and how to mitigate them, arguing provocatively that the rise of populist politics makes catastrophe more likely.
Leigh explains that pervasive short-term thinking leaves us unprepared for long-term risks. Politicians sweat the small stuff—granular policy details of legislation and regulation—but rarely devote much attention to reducing long-term risks. Populist movements thrive on short-termism because they focus on their followers' immediate grievances. Leigh argues that we should be long-termers: broaden our thinking and give big threats the attention and resources they need.
Leigh outlines the biggest existential risks facing humanity and suggests remedies for them. He discusses pandemics, considering the possibility that the next virus will be more deadly than COVID-19; warns that unchecked climate change could render large swaths of the earth uninhabitable; describes the metamorphosis of the arms race from a fight into a chaotic brawl; and examines the dangers of runaway superintelligence. Moreover, Leigh points out, populism (and its crony, totalitarianism) not only exacerbates other dangers but is also a risk factor in itself, undermining the institutions of democracy as we watch.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Edited by Diego Armus and Pablo Gómez, The Gray Zones of Medicine: Healers and History in Latin America (University of Pittsburgh Press 2021) tell the stories of health practitioners that thrived in a gray space between legality and criminality, the trajectories they followed, and the interstitial spaces they inhabited between official and unofficial medicines. Spanning from the seventeenth century up to the twentieth century, this book wonderfully brings together the little-known stories and biographies of African, Chinese, and indigenous healers, midwives, homeopaths, amongst others. In the end, The Gray Zones of Medicine question traditional narratives in the history of medicine that center around the professional doctor, as well as concepts and dichotomies that have narrowly defined different healing cultures (e.g. Western vs. non-Western medicine, popular vs. learned medicine, European vs. indigenous or African medical systems). By doing so, the contributors of this volume propose a new narrative in which healers are at the center of the social and cultural histories of the region bridging the divide between the early modern and modern periods, one in which the seeming social and cultural dominance of official medicine, and later biomedicine, was never preordained nor complete, ultimately, a world in which these health practitioners were and are incredibly resilient in the midst of change.
Lisette Varón-Carvajal is a PhD Candidate at Rutgers University-New Brunswick. You can tweet her and suggest books at @LisetteVaron.
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Political Scientist Renee Ann Cramer’s newest book Birthing a Movement tells the stories of American midwives and their battle for reproductive rights, legal intervention, and mobilization. This book is grounded in over a decade’s worth of empirical and qualitative data that illustrates the ways that gender, state regulations, health policy, law, and social movements intersect within the profession and advocation of midwives. Cramer uses the power of the personal narrative to expose the patchwork and fragmented nature of reproductive care in the United States, with a particular focus on the way that midwives do and don’t fit into the birthing process.
Birthing a Movement: Midwives, Law, and the Politics of Reproductive Care (Stanford UP, 2021) examines the legal and regulatory morass that certified professional midwives (CPM) face across the United States. Cramer explains the distinctions between CPM and certified nurse midwives (CNM) and how these two groups of differently trained midwives are differently treated by different laws in the various states across the country. Midwifery is part of the larger umbrella category of reproductive care in the United States, which is fragmented in a number of different policy areas, including access to abortion and pre- and post-natal care. Cramer’s multi-method approach to the research also provides the reader with an understanding of the distinctions between care available in urban or suburban parts of the country in contrast to the rural parts of America, where medical care is harder to come by and often far away from where individuals live and work. This is even more problematic around reproductive care, since, as Cramer notes in our conversation, the healthcare crisis in rural America is really a maternity care crisis. This crisis has been made more acute, of late, by the efforts to undermine or shutter Planned Parenthood centers, leading to what are essentially healthcare “deserts” in parts of the U.S.
The focus of Birthing a Movement, the capacity and regulation of midwives in the United States, also brings to the surface broader issues about the medical-industrial complex, including the way that this very natural process, the birth of a child, has been mechanized and has also led to substantial forms of intervention in the process itself. The mortality rates in the United States are higher than in other developed/industrialized countries, and these rates are disproportionate across the population, with much higher rates for women and children of color. Cramer dives into the research on how institutionalized racism is embedded in the birthing process, as it is in so many other aspects of American society and, specifically, healthcare.
Birthing a Movement: Midwives, Law, and the Politics of Reproductive Care weaves together research from across a host of different academic disciplines and presents the reader with an accessible and captivating understanding of the legal, regulatory, and policy complexities of midwifery and reproductive health in the United States.
Shaina Boldt assisted with this podcast.
Lilly J. Goren is professor of political science at Carroll University in Waukesha, WI. She is co-editor of the award winning book, Women and the White House: Gender, Popular Culture, and Presidential Politics (University Press of Kentucky, 2012), as well as co-editor of Mad Men and Politics: Nostalgia and the Remaking of Modern America (Bloomsbury Academic, 2015). Email her comments at [email protected] or tweet to @gorenlj.
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In Becoming Gods: Medical Training in Mexican Hospitals (Rutgers University Press, 2021), Vania Smith-Oka follows a cohort of interns throughout their year of medical training in hospitals to understand how medical students become medical doctors. She ethnographically tracks their engagements with one another, interactions with patients, experiences with doctors, and presentations of cases to show how medical students undergo a nuanced process of accumulating knowledge and practical experience in shaping their medical selves. Smith-Oka illuminates the gendered aspects of this process, whereby the medical interns’ gender informs the kind of treatment they receive from other doctors and the kinds of possibilities they imagine for their careers and areas of medical practice. She documents the lives of the interns during which time they develop their medical selves and come to understand the tacit values of medical practice. The book is full of descriptive vignettes and ethnographic details that make it accessible to undergraduate students. It would be of interest to those in medical anthropology, hospital ethnography, medical education as well as people interested in how expertise is acquired and developed. The book examines medical interns’ transformations through ordinary and extraordinary moments, through active and passive learning where they not only acquire new knowledge but also new ways of being.
Vania Smith-Oka is an associate professor in the Department of Anthropology at the University of Notre Dame in Indiana. She is the Director of the Health, Humanities, and Society Program at the John J. Reilly Center.
Reighan Gillam is an assistant professor in the Department of Anthropology at the University of Southern California.
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Our Human Variability is a comprehensive book based on an in-depth filmed conversation between Howard Burton and Stephen Scherer, the GlaxoSmithKline Research Chair in Genome Sciences at the Hospital for Sick Children and University of Toronto. Stephen Scherer discusses his lifelong passion for science that culminated in his groundbreaking discovery of copy-number variation. This conversation also covers his exciting work in autism research and how copy number variation brings us a deeper understanding of both human variability and disease.
Howard Burton is the founder of the Ideas Roadshow, Ideas on Film and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Mental Health: Policies, Laws and Attitudes is based on an in-depth filmed conversation between Howard Burton and Elyn Saks, Orrin B. Evans Distinguished Professor of Law, and Professor of Law, Psychology and Psychiatry and the Behavioral Sciences at USC. During this wide-ranging conversation Elyn Saks candidly shares her personal experiences with schizophrenia and discusses the intersection of law, mental health and ethics: the legal and ethical implications surrounding mental health. Further topics include psychotropic medication and the law, criminalization and mental illness, and an exploration of which countries are more progressive with respect to important mental health policies, laws and procedures, and more.
Howard Burton is the founder of the Ideas Roadshow, Ideas on Film and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Infertility Comics and Graphic Medicine (Routledge, 2021) examines women’s graphic memoirs on infertility, foregrounding the complex interrelationship between women’s life writing, infertility studies, and graphic medicine.
Through a scholarly examination of the artists’ use of visual-verbal codes of the comics medium in narrating their physical ordeals and affective challenges occasioned by infertility, the book seeks to foreground the intricacies of gender identity, embodiment, subjectivity, and illness experience. Providing long-overdue scholarly attention on the perspectives of autobiographical and comics studies, the authors examine the gendered nature of the infertility experience and the notion of motherhood as an ideological force which interpolates socio-cultural discourses, accentuating the potential of graphic medicine as a creative space for the infertile women to voice their hitherto silenced perspectives on childlessness with force and urgency.
This interdisciplinary volume will be of interest to scholars and students in comics studies, the health humanities, literature, and women’s and gender studies, and will also be suitable for readers in visual studies and narrative medicine.
Victoria Oana Lupașcu is an Assistant Professor of Comparative Literature and Asian Studies at University of Montréal. Her areas of interest include medical humanities, visual art, 20th and 21st Chinese, Brazilian and Romanian literature and Global South studies.
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Jacki Edry's Moving Forward: Reflections on Autism, Neurodiversity, Brain Surgery, and Faith (2021) is a journey between the worlds of autism, neurodiversity, brain surgery recovery, and faith. It provides a rare glimpse into how sensory and neurological processing affect functioning and thought, through the eyes of a professional, parent, and woman who has experienced them firsthand.This book presents an informative, emotional, and empowering account of the challenges and struggles on the road to recovery ‒ as well as the search for understanding, meaning, and faith. It enables you to step into the shoes of someone who has endured the types of sensory irregularities common in people with neurodiversity; including autism, ADHD, dyslexia, Irlen Syndrome, Auditory Processing Disorder, and more, and to gain understanding as to how to cope with these challenges and to compensate for them.Moving forward will enlighten parents, professionals, and family members to better understand and assist the neurodivergent people whom they work with and love.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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The current opioid epidemic in the United States began in the mid-1990s with the introduction of a new drug, OxyContin, viewed as a safer and more effective opiate for chronic pain management. By 2017, the opioid epidemic had become a full-blown crisis as over two million Americans had become dependent on and abused prescription pain pills and street drugs.
The Opioid Epidemics in the United States: Missed Opportunities and Policy Failures (Routledge, 2021) examines the origins, development, and rise of the opioid epidemic in the United States from the perspective of the public policy process. The authors, political scientists Kant Patel and Mark Rushefsky, discuss institutional features of the American political system that impact the making of public policy, arguing that the fragmentation of that system hinders the ability to coherently address policy problems, taking the opioid epidemic as an example. The book begins with a brief historical examination of the history of the problem of opioid addiction and crises in the United States and public policy responses to past crises, but the main focus is on the current national public health emergency.
Geert Slabbekoorn works as an analyst in the field of public security. In addition he has published on different aspects of dark web drug trade in Belgium. Find him on twitter, tweeting all things drug related @GeertJS.
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Listen to this interview of Hilary Glasman-Deal and Andrew Northern, teachers of STEMM communication at the Centre for Academic English, Imperial College London. We talk about what's so special about scientists: their communication!
Hilary Glasman-Deal : "You know, if I left this work for just one year, it would be the devil-of-a-job to get back in because the communication norms in each field and even the language itself changes so fast that you've got to go like the wind in order to keep up to date. I mean, let's be honest, we're all a little bit lazy. We'd like to have material that we can fall back on, last year's material for this year's course. But because we can't do that, because we are at the mercy of whatever research articles we are faced with by our students and by faculty, there's no escape for us. That graft has to be done. And it's that graft that gives us the credibility for scientists to trust us in the first place. Without that, you just don't have a starting point. You've got to be absolutely on point in terms of understanding what's currently being published in their fields, what the recent changes are — I mean, Andrew and I sit back to back in an office, in a large office, and sometimes he'll shout across and he'll say, 'Look, can you see this journal has started putting a strapline under the title!' And we all crowd around and say, 'Okay, which other journals are doing that? How's that connected to what's inside the research article? Is it a new sentence? Is it a rewrite of a sentence? What sentence are they using?' You start from that. You start from doing that hard work. And then you're, in a sense, entitled to sit down with authors and they'll trust you to work with them on a piece of writing."
Visit the Centre for Academic English here. Find an example of STEMM editing here.
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There’s nothing more vital to survival than water.
“Water water everywhere, and not a drop to drink!”, said the Ancient Mariner, in the poem by Samuel Taylor Coleridge.
Besides widespread water shortage, too much of America’s water is undrinkable. From big cities and suburbs to the rural heartland, chemicals linked to cancer, heart disease, obesity, birth defects, and lowered IQ routinely spill from our taps. The tragedy is that existing technologies could launch a new age of clean, healthy, and safe tap water for only a few dollars a week per person.
Scrupulously researched, Troubled Water: What's Wrong with What We Drink (Thomas Dunne, 2020) is full of shocking stories about contaminated water found throughout the U.S. and about the everyday heroes who have successfully forced changes in the quality and safety of our drinking water. Contamination is not the only critical water issue. The U.S. government predicts that forty of our fifty states-and 60 percent of the earth's land surface-will soon face alarming gaps between available water and the growing demand for it. Without action, food prices will rise, economic growth will slow, and political instability is likely to follow.
Let There Be Water illustrates how Israel can serve as a model for the United States and countries everywhere by showing how to blunt the worst of the coming water calamities. Even with 60 percent of its country made of desert, Israel has not only solved its water problem; it also had an abundance of water. Israel even supplies water to its neighbors-the Palestinians and the Kingdom of Jordan-every day.
Based on meticulous research and hundreds of interviews, Let There Be Water reveals the methods and techniques of the often-offbeat inventors who enabled Israel to lead the world in cutting-edge water technology.
Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The New Books Network’s Van Leer Jerusalem Series on Ideas. Write her at [email protected].
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In The Political Economy of Stigma: HIV, Memoir, Medicine, and Crip Positionalities (Ohio State UP, 2021), Ally Day offers a compelling critique of neoliberal medical practices in the US by coupling an analysis of HIV memoir with a critical examination of narrative medicine practice. Using insights from feminist disability studies and crip theory, Day argues that stories of illness and disability—such as HIV memoirs—operate within a political economy of stigma, which she defines as the formal and informal circulation of personal illness and disability narratives that benefits some while hindering others. On the one hand, this system decreases access to appropriate medical care for those with chronic conditions by producing narratives of personal illness that frame one’s relationship to structural inequality as a result of personal failure. On the other hand, the political economy of stigma rewards those who procure such narratives and circulate them for public consumption.
The political economy of stigma is theorized from three primary research sites: a reading group with women living with HIV, a reading group with AIDS service workers, and participant observation research and critical close reading of practices in narrative medicine. Ultimately, it is the women living with HIV who provide an alternative way to understand disability and illness narratives, a practice of differential reading that can challenge stigmatizing tropes and reconceptualize the creation, reception, and circulation of patient memoir.
Dr. Ally Day is Associate Professor in Disability Studies at the University of Toledo.
Sohini Chatterjee is a PhD Student in Gender, Sexuality, and Women's Studies at Western University, Canada. Her work has recently appeared in South Asian Popular Culture and Fat Studies.
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Welcome to The Academic Life! In this episode you’ll hear about:
Today’s book is: The Turnaway Study, which asks what happens when a person seeking an abortion is turned away. Dr. Diane Greene Foster and a team of scientists, psychologists, epidemiologists, demographers, nurses, physicians, economists, sociologists, and public health researchers conducted a ten-year study on the outcomes of a thousand pregnant people across America, studying both those who received abortions, and those who were turned away. Dr. Foster analyzes impacts on mental and physical health, careers, and romantic relationships, offering the first data-driven examination of the negative consequences for pregnant people who are denied abortions.
Our guest is: Dr. Diana Greene Foster, a professor and demographer who uses quantitative models and analyses to evaluate the effectiveness of family planning policies and the effect of unwanted pregnancy on women’s lives. She led the Turnaway Study in the US, and is collaborating with scientists on a Nepal Turnaway Study. Dr. Foster also worked on the evaluation of the California State family planning program, Family PACT, demonstrating the effectiveness of the program in reducing the incidence of unintended pregnancy and the effect of dispensing a one-year supply of contraception. Dr. Foster created a new methodology for estimating pregnancies averted based on a Markov model and a microsimulation to identify the cost-effectiveness of advance provision of emergency contraception.
Our host is: Dr. Christina Gessler, co-producer of the Academic Life. She is a historian of women and gender.
Listeners to this episode might be interested in:
You are smart and capable, but you aren’t an island and neither are we. We reach across our mentor network to bring you podcasts on everything from how to finish that project, to how to take care of your beautiful mind. Wish we’d bring on an expert about something? DM us on Twitter: The Academic Life @AcademicLifeNBN.
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On this episode, J.J. Mull interviews author Hannah Zeavin about her new book, The Distance Cure: A History of Teletherapy (MIT Press, 2021). Among Zeavin’s central interventions in the book is to reframe what is normally understood as the “therapeutic dyad” as always already a triad: therapist, patient, and mediating communication technology. Across the book’s chapters, she traces teletherapy’s history from Freud’s epistolary treatments to contemporary algorithmic therapies. Her account of the “distanced intimacy” characteristic of all therapeutic encounters complicates narratives of technologically mediated treatments as somehow inherently “less than.”
J.J. Mull is a poet, training clinician, and fellow in the Program for Psychotherapy at Cambridge Health Alliance. Originally from the west coast, he currently lives and bikes in Somerville, MA. He can be reached at: [email protected].
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Called the “quarterback of the new anti-drug movement,” Kevin Sabet received his Ph.D. in social policy from the University of Oxford and has worked in drug policy for over two decades. He’s served as an advisor for three presidential administrations, Pope Francis and the United Nations, and in 2013 he founded the group he still leads, Smart Approaches to Marijuana, better known as SAM, which opposes cannabis legalization and commercialization. His new book, Smokescreen: What the Marijuana Industry Doesn’t Want You to Know, was released by Forefront Books earlier this year.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.
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An event-by-event look at how institutionalized racism harms the health of African Americans in the twenty-first century A crucial component of anti-Black racism is the unconscionable disparity in health outcomes between Black and white Americans. Sickening: Anti-Black Racism and Health Disparities in the United States (U Minnesota Press, 2021) examines this institutionalized inequality through dramatic, concrete events from the past two decades, revealing how unequal living conditions and inadequate medical care have become routine. From the spike in chronic disease after Hurricane Katrina to the lack of protection for Black residents during the Flint water crisis--and even the life-threatening childbirth experience for tennis star Serena Williams--author Anne Pollock takes readers on a journey through the diversity of anti-Black racism operating in healthcare. She goes beneath the surface to deconstruct the structures that make these events possible, including mass incarceration, police brutality, and the hypervisibility of Black athletes' bodies. Ultimately, Sickening shows what these shocking events reveal about the everyday racialization of health in the United States. Concluding with a vital examination of racialized healthcare during the COVID pandemic and the Black Lives Matter rebellions of 2020, Sickening cuts through the mind-numbing statistics to vividly portray healthcare inequalities. In a gripping and passionate style, Pollock shows the devastating reality and consequences of systemic racism on the lives and health of Black Americans.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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In Healing Knowledge in Atlantic Africa (Cambridge UP, 2021), Kalle Kananoja tells the story of how pre-colonial communities throughout the west coast of Africa employed a wide range of medical and spiritual strategies to treat all kinds of diseases. In the sixteenth century, the arrival of European traders and colonists initiated an exchange of healing knowledge that moved across the Atlantic for the next three-hundred years. The initial links in this chain of exchanges were established by European settlers or visitors who, given the limited number of European doctors and medications available, sought the services of African healers whose methods were often seen as more suited and efficacious in the local environments. Missionaries, travelers and botanists also added to these exchanges by collecting and systematizing some of the knowledge they acquired from African informants.
By documenting the richness and mobility of African healing knowledge, Kananoja points that even though plants, remedies and practices from the Americas and Asia have been more widely studied, African contributions were equally significant. Africans also sought to learn from the practices, institutions and remedies that travelers brought back from Europe and other parts of the Atlantic world, and incorporated them into what was an already rich and diverse body of healing knowledge. Ultimately the prevalence of these exchanges illustrates not just the differences that existed between European and African understandings of disease and the human body, but also how much common ground there was between them. Kananoja compellingly argues that African healing knowledge should be seen as a rich and dynamic system, which was central to the emergence of an Atlantic world.
Esperanza Brizuela-Garcia is an associate professor of history at Montclair State University.
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The Limits of Consciousness is based on an in-depth filmed conversation between Howard Burton and Martin Monti, Associate Professor in Psychology and Neurosurgery, Brain Injury Research Centre, UCLA. This extensive conversation examines Martin Monti’s innovative work with patients who are in a vegetative state or minimally conscious state which has led to some surprising results that might well prove to be integral to our development of a deeper understanding of consciousness.
Howard Burton is the founder of the Ideas Roadshow, Ideas on Film and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Ranea Lenor Hanson's Watershed: Attending to Body and Earth in Distress (U Minnesota Press, 2021) weaves a narrative that captures life on the water, diverse classrooms, and the unique experiences from learning to cop with type-1 diabetes: constantly monitoring blood sugar and managing insulin levels. A mix of personal reflection and meditative vignettes, Watershed reflects how our bodies can become an extension to understanding the earth and dealing with large-scale climatic changes. Throughout the text, Hanson argues that listening to both our bodies and surroundings will aid in understanding the mesh of environmental, economic, cultural, and social concerns our world currently faces. Life represents a network of waterways navigated by love, trauma, transformation, stillness, and silence.
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Kyle Harper's book Plagues upon the Earth: Disease and the Course of Human History (Princeton UP, 2021) is a monumental history of humans and their germs. Weaving together a grand narrative of global history with insights from cutting-edge genetics, Kyle Harper explains why humanity’s uniquely dangerous disease pool is rooted deep in our evolutionary past, and why its growth is accelerated by technological progress. He shows that the story of disease is entangled with the history of slavery, colonialism, and capitalism, and reveals the enduring effects of historical plagues in patterns of wealth, health, power, and inequality. He also tells the story of humanity’s escape from infectious disease—a triumph that makes life as we know it possible, yet destabilizes the environment and fosters new diseases.
Panoramic in scope, Plagues upon the Earth traces the role of disease in the transition to farming, the spread of cities, the advance of transportation, and the stupendous increase in human population. Harper offers a new interpretation of humanity’s path to control over infectious disease—one where rising evolutionary threats constantly push back against human progress, and where the devastating effects of modernization contribute to the great divergence between societies. The book reminds us that human health is globally interdependent—and inseparable from the well-being of the planet itself.
Putting the COVID-19 pandemic in perspective, Plagues upon the Earth tells the story of how we got here as a species, and it may help us decide where we want to go.
Marshall Poe is the founder and editor of the New Books Network. He can be reached at [email protected].
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At first glance, medicine and poison might seem to be opposites. But in China’s formative era of pharmacy (200–800 CE), poisons were strategically deployed as healing agents to cure everything from chills to pains to epidemics. Healing with Poisons: Potent Medicines in Medieval China (U Washington Press, 2021) explores the ways physicians, religious devotees, court officials, and laypeople used powerful substances to both treat intractable illnesses and enhance life. It illustrates how the Chinese concept of du—a word carrying a core meaning of “potency”—led practitioners to devise a variety of techniques to transform dangerous poisons into efficacious medicines.
Recounting scandals and controversies involving poisons from the Era of Division to the early Tang period, Yan Liu considers how the concept of du was central to the ways people of medieval China perceived both their bodies and the body politic. Liu also examines a wide range of du-possessing minerals, plants, and animal products in classical Chinese pharmacy, including the highly poisonous herb aconite and the popular arsenic drug Five-Stone Powder. By recovering alternative modes of understanding wellness and the body’s interaction with potent medicines, this study cautions against arbitrary classifications and exemplifies the importance of paying attention to the technical, political, and cultural conditions in which substances become truly meaningful.
Healing with Poisons is freely available in an open access edition thanks to TOME (Toward an Open Monograph Ecosystem) and the generous support of the University at Buffalo Libraries. Open access edition: DOI 10.6069/9780295749013.
Yan Liu is assistant professor of history at the State University of New York at Buffalo.
Victoria Oana Lupașcu is an Assistant Professor of Comparative Literature and Asian Studies at University of Montréal. Her areas of interest include medical humanities, visual art, 20th and 21st Chinese, Brazilian and Romanian literature and Global South studies.
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How can we create a healthier world and prevent the crisis next time? In a few short months, COVID-19 devastated the world and, in particular, the United States. It infected millions, killed hundreds of thousands, and effectively made the earth stand still. Yet America was already in poor health before COVID-19 appeared. Racism, marginalization, socioeconomic inequality--our failure to address these forces left us vulnerable to COVID-19 and the ensuing global health crisis it became. Had we tackled these challenges twenty years ago, after the outbreak of SARS, perhaps COVID-19 could have been quickly contained. Instead, we allowed our systems to deteriorate.
Following on the themes of his award-winning publication Well, Sandro Galea's The Contagion Next Time (Oxford UP, 2021) articulates the foundational forces shaping health in our society and how we can strengthen them to prevent the next outbreak from becoming a pandemic. Because while no one could have predicted that a pandemic would strike when it did, we did know that a pandemic would strike, sooner or later. We're still not ready for the next pandemic. But we can be--we must be. In lyrical prose, The Contagion Next Time challenges all of us to tackle the deep-rooted obstacles preventing us from becoming a truly vibrant and equitable nation, reminding us of what we've seemed to have forgotten: that our health is a public good worth protecting.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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For most of our time on this planet, vermin were considered humanity's common inheritance. Fleas, lice, bedbugs, and rats were universal scourges, as pervasive as hunger or cold, at home in both palaces and hovels. But with the spread of microscopic close-ups of these creatures, the beginnings of sanitary standards, and the rising belief that cleanliness equaled class, vermin began to provide a way to scratch a different itch: the need to feel superior, and to justify the exploitation of those pronounced ethnically—and entomologically—inferior.
In Getting Under Our Skin: The Cultural and Social History of Vermin (Johns Hopkins UP, 2021), Lisa T. Sarasohn tells the fascinating story of how vermin came to signify the individuals and classes that society impugns and ostracizes. How did these creatures go from annoyance to social stigma? And how did people thought verminous become considered almost a species of vermin themselves? Focusing on Great Britain and North America, Sarasohn explains how the label "vermin" makes dehumanization and violence possible. She describes how Cromwellians in Ireland and US cavalry on the American frontier both justified slaughter by warning "Nits grow into lice." Nazis not only labeled Jews as vermin, they used insecticides in the gas chambers to kill them during the Holocaust.
Concentrating on the insects living in our bodies, clothes, and beds, Sarasohn also looks at rats and their social impact. Besides their powerful symbolic status in all cultures, rats' endurance challenges all human pretentions. From eighteenth-century London merchants anointing their carved bedsteads with roasted cat to repel bedbugs to modern-day hedge fund managers hoping neighbors won't notice exterminators in their penthouses, the studies in this book reveal that vermin continue to fuel our prejudices and threaten our status. Getting Under Our Skin will appeal to cultural historians, naturalists, and to anyone who has ever scratched—and then gazed in horror.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Over the past seventy years, the Diagnostic and Statistical Manual of Mental Disorders, or DSM, has evolved from a virtually unknown and little-used pamphlet to an imposing and comprehensive compendium of mental disorder. Its nearly 300 conditions have become the touchstones for the diagnoses that patients receive, students are taught, researchers study, insurers reimburse, and drug companies promote. Although the manual is portrayed as an authoritative corpus of psychiatric knowledge, it is a product of intense political conflicts, dissension, and factionalism. The manual results from struggles among psychiatric researchers and clinicians, different mental health professions, and a variety of patient, familial, feminist, gay, and veterans' interest groups. The DSM is fundamentally a social document that both reflects and shapes the professional, economic, and cultural forces associated with its use.
In DSM: A History of Psychiatry's Bible (Johns Hopkins UP, 2021), Allan V. Horwitz examines how the manual, known colloquially as "psychiatry's bible," has been at the center of thinking about mental health in the United States since its original publication in 1952. The first book to examine its entire history, this volume draws on both archival sources and the literature on modern psychiatry to show how the history of the DSM is more a story of the growing social importance of psychiatric diagnoses than of increasing knowledge about the nature of mental disorder. Despite attempts to replace it, Horwitz argues that the DSM persists because its diagnostic entities are closely intertwined with too many interests that benefit from them.
This comprehensive treatment should appeal to not only specialists but also anyone who is interested in how diagnoses of mental illness have evolved over the past seven decades—from unwanted and often imposed labels to resources that lead to valued mental health treatments and social services.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Political Mourning: Identity and Responsibility in the Wake of Tragedy (Temple UP, 2021) moves us, as readers, beyond the stages of grief to consider the effects of mourning. While grief consists of the internal thoughts, feelings, and ideas surrounding a loss, the process of mourning transforms grief into an external expression of those interior experiences. Political Theorist Heather Pool explores the political components to public mourning and poses the question: why are the deaths of certain people politically significant, or what makes an individual’s death politically important? Using critical and normative political theory, Pool answers this question by delving into political identities and the conceptions of responsibility to understand how they coincide with changes and shifts within politics and political institutions.
Pool begins the analysis with an exploration of the importance of public mourning within politics; she dissects political identities, framing the edges of belonging, and defining responsibility. To frame the exploration of the central cases within Political Mourning, Pool unpacks how political identity contributes to our understandings of the value of an individual’s life, and how that person or those people were contextualized within American society. This framework also integrates the role of responsibility among the citizenry in relation to these deaths, interrogating how these events and tragedies came to shape political outcomes that evolved from these events and tragedies. Pool examines political mourning in four separate cases that span the past American century, including the 1911 Triangle Shirtwaist Factory fire, the 1955 lynching of Emmett Till, the 2001 September 11th attacks in the United States, and the most recent Black Lives Matter movement—which encompasses a number of different deaths. Within each of these cases, Pool explores the competing political identities, the purpose and ways that these events became visible or legible to the public, and the implications for political institutions. Political Mourning is a fascinating and important examination of the politics of mourning, providing an understanding as to why the public is more fully aware of cases like the killing of Trayvon Martin and Sandra Bland, but may not be aware of other deaths that occurred under similar circumstances. Given when Political Mourning went to press, Pool was able to provide a brief Afterward that focuses on the COVID19 pandemic and the impact that this mass-casualty event, through which we are all living, may have on our response to grief and mourning. Political Mourning: Identity and Responsibility in the Wake of Tragedy weaves together political theory and politics to help us better understand the process of mourning, and provides readers with concepts and analysis that extend far beyond the disciplinary borders of political science.
Shaina Boldt assisted with this podcast.
Lilly J. Goren is professor of political science at Carroll University in Waukesha, WI. She is co-editor of the award winning book, Women and the White House: Gender, Popular Culture, and Presidential Politics (University Press of Kentucky, 2012), as well as co-editor of Mad Men and Politics: Nostalgia and the Remaking of Modern America (Bloomsbury Academic, 2015). Email her comments at [email protected] or tweet to @gorenlj.
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When we think of the forces driving cancer, we don’t necessarily think of evolution. But evolution and cancer are closely linked because the historical processes that created life also created cancer. The Cheating Cell: How Evolution Helps Us Understand and Treat Cancer (Princeton UP, 2020) delves into this extraordinary relationship, and shows that by understanding cancer’s evolutionary origins, researchers can come up with more effective, revolutionary treatments.
Athena Aktipis goes back billions of years to explore when unicellular forms became multicellular organisms. Within these bodies of cooperating cells, cheating ones arose, overusing resources and replicating out of control, giving rise to cancer. Aktipis illustrates how evolution has paved the way for cancer’s ubiquity, and why it will exist as long as multicellular life does. Even so, she argues, this doesn’t mean we should give up on treating cancer—in fact, evolutionary approaches offer new and promising options for the disease’s prevention and treatments that aim at long-term management rather than simple eradication. Looking across species—from sponges and cacti to dogs and elephants—we are discovering new mechanisms of tumor suppression and the many ways that multicellular life-forms have evolved to keep cancer under control. By accepting that cancer is a part of our biological past, present, and future—and that we cannot win a war against evolution—treatments can become smarter, more strategic, and more humane.
Unifying the latest research from biology, ecology, medicine, and social science, The Cheating Cell challenges us to rethink cancer’s fundamental nature and our relationship to it.
Hussein Mohsen is a PhD/MA Candidate in Computational Biology and Bioinformatics/History of Science and Medicine at Yale University. His research interests include machine learning, cancer genomics, and the history of human genetics. For more about his work, visit http://www.husseinmohsen.com.
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Dr Daniel Gibbs is one of 50 million people worldwide with an Alzheimer's disease diagnosis. Unlike most patients with Alzheimer's, however, Dr Gibbs worked as a neurologist for twenty-five years, caring for patients with the very disease now affecting him. Also unusual is that Dr Gibbs had begun to suspect he had Alzheimer's several years before any official diagnosis could be made. Forewarned by genetic testing showing he carried alleles that increased the risk of developing the disease, he noticed symptoms of mild cognitive impairment long before any tests would have alerted him. In A Tattoo on my Brain: A Neurologist's Personal Battle against Alzheimer's Disease (Cambridge UP, 2021), Dr Gibbs documents the effect his diagnosis has had on his life and explains his advocacy for improving early recognition of Alzheimer's. Weaving clinical knowledge from decades caring for dementia patients with his personal experience of the disease, this is an optimistic tale of one man's journey with early-stage Alzheimer's disease.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Focusing on the world of Norwegian Opioid Substitution Treatment (OST) in the aftermath of significant reforms, Aleksandra Bartoszko's book Treating Heroin Addiction in Norway: The Pharmaceutical Other (Routledge, 2021) casts a critical light on the intersections between medicine and law, and the ideologies infusing the notions of "individual choice" and "patient involvement" in the field of addiction globally.
With ethnographic attention to the encounters between patients, clinicians, and bureaucrats, the volume shows that OST sustains the realities it is meant to address. The chapters follow one particular patient through complex clinical and legal battles as they fight to achieve a better quality of life. The study provides ethnographic insight that captures the individual, experiential aspects of addiction treatment, and how these experiences find a register within different domains of treatment and policy, including the familial, social, legal, and clinical.
Offering a rare view of addiction treatment in a Scandinavian welfare state, this book will be of interest to scholars of medical and legal anthropology and sociology, and others with an interest in drug policy and addiction treatment.
Geert Slabbekoorn works as an analyst in the field of public security. In addition he has published on different aspects of dark web drug trade in Belgium. Find him on twitter, tweeting all things drug related @GeertJS.
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The Plant-Based Athlete: A Game-Changing Approach to Peak Performance (HarperOne, 2021) by Matt Frazier and Robert Cheeke reveals the incontrovertible proof that the human body does not need meat, eggs, or dairy to be strong. Instead, research shows that a consciously calibrated plant-based diet offers the greatest possible recovery times, cell oxidation, injury prevention, and restorative sleep, and allows athletes to train more effectively, with better results.
However, committing to a plant-based diet as an elite athlete, first-time marathoner, or weekend warrior isn't as simple as swapping vegetables for meat. Even the slightest food adjustments can impact performance. That's why Matt Frazier, founder of No Meat Athlete, and Robert Cheeke, founder of Vegan Bodybuilding, wrote this groundbreaking book, to guide those interested in making this important shift in how to do so with the best, most transformative results.
The Plant-Based Athlete offers readers:
An instant classic and mainstay on health and fitness shelves everywhere, The Plant-Based Athlete is the ultimate invitation for joining the growing community of athletes who use plants to power their workouts and their every day.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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How could you lose your memory overnight, and what would it mean? The day neurologist Jed Barash sees the baffling brain scan of a young patient with devastating amnesia marks the beginning of a quest to answer those questions. First detected in a cluster of stigmatized opioid overdose victims in Massachusetts with severe damage to the hippocampus--the brain's memory center--this rare syndrome reveals how the tragic plight of the unfortunate few can open the door to advances in medical science.
After overcoming initial skepticism that investigating the syndrome is worth the effort--and that fentanyl is the likely culprit--Barash and a growing team of dedicated doctors explore the threat that people who take opioids chronically as prescribed to treat severe pain may gradually put their memories at risk. At the same time, they begin to grasp the potential for this syndrome to shed light on the most elusive memory thief of all--Alzheimer's disease.
Through the prism of this fascinating story, Aguirre goes on to examine how researchers tease out the fundamental nature of memory and the many mysteries still to be solved. Where do memories live? Why do we forget most of what happens in a day but remember some events with stunning clarity years later? How real are our memories? And what purpose do they actually serve?
Perhaps the greatest mystery in The Memory Thief: And the Secrets Behind How We Remember (Pegasus, 2021) is why Alzheimer's has evaded capture for a century even though it afflicts tens of millions around the world and lies in wait for millions more. Aguirre deftly explores this question and reveals promising new strategies and developments that may finally break the long stalemate in the fight against this dreaded disease.
But at its core, Aguirre's genre-bending and deeply-reported book is about paying attention to the things that initially don't make sense--like the amnestic syndrome--and how these mysteries can move science closer to an ever-evolving version of the truth.
The research and writing of The Memory Thief was supported in part by a grant from the Alfred P. Sloan Foundation Program in Public Understanding of Science and Technology.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Conventional wisdom about running is passed down like folklore (and sometimes contradicts itself): the right kind of shoe prevents injury—or running barefoot, like our prehistoric ancestors, is best; eat a high-fat diet—and also carbo load before a race; running cures depression—but it might be addictive; running can save your life—although it can also destroy your knee cartilage. Often it's hard to know what to believe. In Running Smart: How Science Can Improve Your Endurance and Performance (MIT Press, 2021), Mariska van Sprundel, a science journalist and recreational runner who has had her fair share of injuries, sets out to explore the science behind such claims.
In her quest, van Sprundel reviews the latest developments in sports science, consults with a variety of experts, and visits a sports lab to have her running technique analyzed. She learns, among other things, that according to evolutionary biology, humans are perfectly adapted to running long distances (even if our hunter-gatherer forebears suffered plenty of injuries); that running sets off a shockwave that spreads from foot to head, which may or may not be absorbed by cushioned shoes; and that a good sports bra controls the ping pong–like movements of a female runner's breasts. She explains how the body burns fuel, the best foods to eat before and after running, and what might cause “runner's high.” More than fifty million Americans are runners (and a slight majority of them are women). This engaging and enlightening book will help both novice and seasoned runners run their smartest.
Mariska van Sprundel is a freelance science journalist who has written for Runner's World and other publications. The creator of The Rational Runner, a blog about science and running, she is a running instructor for recreational runners at a Utrecht athletics club.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Our bodies are scanned, probed, imaged, sampled, and transformed into data by clinicians and technologists. In Giving Bodies Back to Data: Image Makers, Bricolage, and Reinvention in Magnetic Resonance Technology (MIT Press, 2021), Silvia Casini reveals the affective relations and materiality that turn data into image–and in so doing, gives bodies back to data. Opening the black box of MRI technology, Casini examines the bodily, situated aspects of visualization practices around the development of this technology. Reframing existing narratives of biomedical innovation, she emphasizes the important but often overlooked roles played by aesthetics, affectivity, and craft practice in medical visualization.
Combining history, theory, laboratory ethnography, archival research, and collaborative art-science, Casini retrieves the multiple presences and agencies of bodies in data visualization, mapping the traces of scientists’ body work and embodied imagination. She presents an in-depth ethnographic study of MRI development at the University of Aberdeen’s biomedical physics laboratory, from the construction of the first whole-body scanner for clinical purposes through the evolution of the FFC-MRI. Going beyond her original focus on MRI, she analyzes a selection of neuroscience- or biomedicine-inspired interventions by artists in media ranging from sculpture to virtual reality. Finally, she presents a methodology for designing and carrying out small-scale art-science projects, describing a collaboration that she herself arranged, highlighting the relational and aesthetic-laden character of data that are the product of craftsmanship and affective labor at the laboratory bench.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Understanding ADHD is based on an in-depth, filmed conversation between Howard Burton and Stephen Hinshaw, Professor of Psychology at UC Berkeley. Stephen Hinshaw is an expert in the fields of clinical child and adolescent psychology and developmental psychopathology, as well as stigma, preventive interventions and dehumanization related to mental illness.
Howard Burton is the founder of the Ideas Roadshow, Ideas on Film and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Today's guests are Dr. Jeffrey Kuhlman and Dr. Daniel Peach. Dr. Kuhlman is a former White house physician. From 2007 to 2011, he served as Chief of the White House Medical Unit, designating him as the personal physician to President George W. Bush and President Barack Obama. He currently serves as Senior Vice President and Chief Quality and Safety Officer for AdventHealth.
Dr. Kuhlman is joined today by his colleague and co-author, Dr. Daniel Peach. Dr. Peach, a registered sports medicine physician in the UK, currently serves as Executive Director of Clinical Innovation for AdventHealth. Their new book, “Transformative Healthcare,” and their unique career paths are the subjects for today’s episode. Their book was published by AdventHealth Press in August of 2021.
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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The COVID-19 pandemic is changing how we think about care. Care work has long been devalued – the daily labors of sustaining the well-being of individuals and community members were seen as natural duties belonging to women, and did not receive recognition as labor. However, with the COVID-19 crisis, the popular media is increasingly valorizing care workers as essential workers because of the growing need for care from our vulnerable populations. The question remains whether we as society are ensuring care for both workers and recipients of state-funded domestic personal support, who are also marginalized from society because of their age, disability, class, and race. Home Care Fault Lines: Understanding Tensions and Creating Alliances (ILR Press, 2020) makes a timely intervention – the scholarship on care work focuses either on workers, recipients, policies, or private sectors. In her important sociological investigation, Cynthia Cranford examines both the workers’ and recipients’ perspectives through in-depth interviews with over 300 people in Canada and the US to understand how we can improve the workers’ security with recipients’ flexibility (often seen in opposition from one another) at levels of labor process, labor market, and state.
Through case studies of Toronto’s Direct Funding Program, Los Angeles’s In-Home Supportive Services program, Toronto’s Home Care program, and Toronto’s Attendant Services program, Cranford evaluates the potential of co-ethnic alliances, union organizing, and state-funded model in mediating the tension between security and flexibility. Drawing from a wide range of scholarship on domestic labor, migration, and unions, Cranford proposes a three-pronged model of intimate community unionism to ensure flexible and secure working environments for both workers and recipients where they can democratically contribute their knowledges and form alliances. Cranford’s in-depth, thought-provoking, and insightful work is an important read not only for scholars of care work and labor, but also for activists, social workers, and organizers outside of academia who are interested in building alliances of care.
Cynthia Cranford is a Professor of Sociology at the University of Toronto, where she studies inequalities of gender, work and migration, and collective efforts to resist them.
Da In Ann Choi is a PhD student at UCLA in the Gender Studies department. Her research interests include care labor and migration, reproductive justice, social movement, citizenship theory, and critical empire studies. She can be reached at [email protected].
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Despite, or perhaps because of, the fact that an enormous proportion of medical care worldwide is provided under the auspices of religious organizations, there has been a sustained and systematic campaign to drive out those with religious worldviews from the field of bioethics and indeed, from medicine itself. Obviously, this constitutes blatant discrimination against patients, the unborn, the elderly and the otherwise vulnerable and their families and faith-oriented medical providers and religiously-oriented bioethicists. But more importantly, the loss of a theological sensibility among scholars and providers and the consequent diminishment of fellow feeling for patients whose lives are suffused with religiosity is stripping away the foundations of compassion that religion has provided medicine since both entered the human scene.
That is the thrust of the 2021 book, Losing Our Dignity: How Secularized Medicine is Undermining Fundamental Human Equality (New City Press, 2021) by the bioethicist and theologian Charles C. Camosy.
The book sounds several alarms. Camosy shows in the book that the increased secularization of the field of bioethics has led it, ironically enough, to become less humane and less protective of the dignity of the least among us. And he tells us something that will be hard for many of us to hear—most of us may face years of life with dementia or caring for someone with it. Camosy argues, therefore, that now is not the time for bioethics to exclude from its deliberations and scholarship and impact on public policy religious people for whom the equality of all human beings is both sacred and a part of everyday life. We do so at our peril, for all of us will experience some sort of illness or disability and will need the protection of laws and policies crafted by those with a commitment to the idea of the worth of all human beings, even those seemingly brain dead as well as the unborn.
Indeed, one of the greatest strengths of the book is the way Camosy explains with reader-friendly clarity the differences between brain death and what was once called, chillingly, persistent vegetative state (PVS). He also examines the difference in matters of bioethics of the terms “human being” and “person” and why drawing a distinction between the two can lead to gross injustice and inhumanity, no matter how meretriciously clever notable members of the “person” school of philosophers are—think Peter Singer, one of the thinkers discussed in the book.
The book brings all of these arcane matters home by examining in-depth the heartrending stories of Jahi McMath, Terri Schiavo, and Alfie Evans and the legal battles that often rendered the parents of all of them powerless in the face of a secularized or racially-biased medicolegal system that was at times openly and brutally anti-religious.
This book is even more important to read as the current pandemic has highlighted the substandard care that has existed for decades in long-term care facilities and the unnecessary deaths among nursing home patients in many states during the pandemic era.
We can do better and be better people than this, says Camosy. Let’s hear how he says that can be.
Give a listen.
Hope J. Leman is a grants researcher.
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How can consumers, nations, and international organizations work together to improve food systems before our planet loses its ability to sustain itself and its people?
Do we have the right to eat wrongly?
As the world's agricultural, environmental, and nutritional needs intersect—and often collide—how can consumers, nations, and international organizations work together to reverse the damage by changing how we make, distribute, and purchase food? Can such changes in practice and policy reverse the trajectories of the biggest global crises impacting our world: the burden of chronic diseases, the consequences of climate change, and the systemic economic and social inequities that exist within and among nations?
Can Fixing Dinner Fix the Planet? (Johns Hopkins UP, 2021) is a clarion call for both individual consumers and those who shape our planet's food and environmental policies that:
• describes the often destructive path that foods take from farms and seas through their processing, distribution, marketing, purchasing and waste management sites
• explores the complex web of factors impacting our ability to simultaneously meet nutritional needs, sustain biodiversity and protect the environment
• raises readers' food and environmental literacy through an engaging narrative about Fanzo's research on five continents along with the work of other inspiring global experts who are providing solutions to these crises
• empowers readers to contribute to immediate and long-term changes by informing their decisions in restaurants, grocery stores, farmers markets, and kitchens.
Stephen Pimpare is director of the Public Service & Nonprofit Leadership program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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Stigma about mental illness makes life doubly hard for people suffering from mental or emotional distress. In addition to dealing with their conditions, they must also contend with social shame and secrecy. But by examining how mental illness is conceived of and treated in other cultures, we can improve our own perspectives in the Western world. In his new book, Nobody’s Normal: How Culture Created the Stigma of Mental Illness (Norton, 2021), anthropologist Roy Richard Grinker offers a critique of our current mental health system based on cross-cultural observations as well as suggestions for improving upon it. In our interview, we talk about the impact of stigma on mental health treatment and his ideas about where it comes from. He also explains why he feels optimistic about recent trends in the way individuals speak about their mental health challenges.
Roy Richard Grinker is professor of anthropology and international affairs at George Washington University. His specialties include ethnicity, nationalism, and psychological anthropology, with topical expertise in autism, Korea, and sub-Saharan Africa. He is also the director of George Washington University’s Institute for Ethnographic Research and editor-in-chief of the journal Anthropological Quarterly. He is author of several books, including Unstrange Minds: Remapping the World of Autism. He lives in Washington, DC.
Eugenio Duarte, Ph.D. is a psychologist and psychoanalyst practicing in Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image problems, and relationship issues. He is a graduate and faculty of William Alanson White Institute in Psychiatry, Psychoanalysis, and Psychology in New York City and former chair of their LGBTQ Study Group; and faculty at Florida Psychoanalytic Institute in Miami. He is also a contributing author to the book Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (2018, Routledge) and has published on issues of gender, sexuality, and sexual abuse.
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Over the past five years, medical aid-in-dying (also known as assisted suicide) has expanded rapidly in the United States, and is now legally available to one in five Americans. This growing social and political movement heralds the possibility of a new era of choice in dying. Yet very little is publicly known about how medical aid-in-dying laws affect ordinary citizens once they are put into practice. Sociological studies of new health policies have repeatedly demonstrated that the realities often fall short of advocacy visions, raising questions about how much choice and control aid-in-dying actually affords.
Scripting Death: Stories of Assisted Dying in America (U California Press, 2021) chronicles two years of ethnographic research documenting the implementation of Vermont's 2013 "Patient Choice and Control at End of Life" Act. Author Mara Buchbinder weaves together stories collected from patients, caregivers, health care providers, activists, and legislators to illustrate how they navigate aid-in-dying as a new medical frontier in the aftermath of legalization. Scripting Death explains how medical aid-in-dying works, what motivates people to pursue it, and ultimately, why upholding the "right to die" is very different from ensuring access to this life-ending procedure. This unprecedented, in-depth account uses the case of assisted death as an entry point into ongoing cultural conversations about the changing landscape of death and dying in the United States.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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"On the outskirts of Havana lies Mazorra, an asylum known to--and at times feared by--ordinary Cubans for over a century. Since its founding in 1857, the island's first psychiatric hospital has been an object of persistent political attention. Drawing on hospital documents and government records, as well as the popular press, photographs, and oral histories, Jennifer L. Lambe charts the connections between the inner workings of this notorious institution and the highest echelons of Cuban politics. Across the sweep of modern Cuban history, she finds, Mazorra has served as both laboratory and microcosm of the Cuban state: the asylum is an icon of its ignominious colonial and neocolonial past and a crucible of its republican and revolutionary futures. From its birth, Cuban psychiatry was politically inflected, drawing partisan contention while sparking debates over race, religion, gender, and sexuality. Psychiatric notions were even invested with revolutionary significance after 1959, as the new government undertook ambitious schemes for social reeducation. But Mazorra was not the exclusive province of government officials and professionalizing psychiatrists. U.S. occupiers, Soviet visitors, and, above all, ordinary Cubans infused the institution, both literal and metaphorical, with their own fears, dreams, and alternative meanings. Together, their voices comprise the madhouse that, as Lambe argues, haunts the revolutionary trajectory of Cuban history."
I talked with Dr. Lambe about her first book, Madhouse: Psychiatry and Politics in Cuban History, which was published in 2017 by University of North Carolina Press as part of the Envisioning Cuba Series. Dr. Lambe is an Associate Professor of Latin American and Caribbean history at Brown University and is also the co-editor of The Revolution from Within: Cuba, 1959-1980 (2019). Dr. Lambe and I talked corruption, politics, and madness. Don't miss this wonderful conversation!
Rozzmery Palenzuela Vicente is a PhD Candidate in the Department of History at Florida International University. Her dissertation examines the cultural and intellectual politics surrounding black motherhood in twentieth-century Cuba. Twitter: @RozzmeryPV
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Home to over 730,000 people, with close to four million people living in the metropolitan area, Seattle has the third-highest homeless population in the United States. In 2018, an estimated 8,600 homeless people lived in the city, a figure that does not include the significant number of "hidden" homeless people doubled up with friends or living in and out of cheap hotels. In Skid Road: On the Frontier of Health and Homelessness in an American City (Johns Hopkins UP, 2021), Josephine Ensign digs through layers of Seattle history—past its leaders and prominent citizens, respectable or not—to reveal the stories of overlooked and long-silenced people who live on the margins of society.
Stephen Pimpare is director of the Public Service & Nonprofit Leadership program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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Why is there such a deep partisan division within the United States regarding how health care should be organized and financed and how can we encourage politicians to band together again for the good of everyone? For decades, Democratic and Republican political leaders have disagreed about the fundamental goals of American health policy. The modern-day consequences of this disagreement, particularly in the Republicans' campaign to erode the coverage and equity gains of the Affordable Care Act, can be seen in the tragic and disparate impact of COVID-19 on the country. In Crossing the American Health Care Chasm: Finding the Path to Bipartisan Collaboration in National Health Care Policy (Johns Hopkins UP, 2021), Donald A. Barr, MD, PhD, details the breakdown in political relations in the United States. Why, he asks, has health policy, which used to be a place where the two sides could find common ground, become the nexus of fiery political conflict? Ultimately, Barr argues, this divide is more dangerous than ever at a time when health care costs continue to skyrocket, the number of uninsured Americans is rising, many state governments are chipping away at Medicaid, and the GOP has not let up in its efforts to dismantle the ACA.
Stephen Pimpare is director of the Public Service & Nonprofit Leadership program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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With technological advances and information sharing so prevalent, health care should be more transparent and easier to access than ever before. So why does it seem like everything about it―from pricing, drug development, and the emergence of new diseases to the intricacies of biologic and precision medicine therapies―is becoming more complex, not less?
Rohit Khanna's Misunderstanding Health: Making Sense of America's Broken Health Care System (Johns Hopkins UP, 2021) examines some of today's most revealing health care trends while imploring us to look at these issues with alacrity, humor, and vigilance. Over the course of eighteen short, engaging chapters, Khanna explains
• how unexamined beliefs can endanger patients, drive cost, and increase bureaucracy
• the "Dr. Google" effect on the ways that we seek (or eschew) care
• why our health care costs more than in any other country
• the unintended consequences of using rating sites like Yelp
• what we can learn about health care from hurricanes
• how social media influencers impact health care
• how artificial intelligence can improve health care
• why health screening programs are so complicated
• what the industry is doing to combat health care fraud
• what the big deal about legalizing medical cannabis is
• how to think about behavioral "nudges" designed to improve health
• why understanding how data are collected is critical to understanding what they can tell us
• and much more
Each provocative and easy-to-read chapter covers a familiar aspect of health care in a clear and succinct way. Offering inquisitive readers a warts-and-all view of American health care, Misunderstanding Health is the book that you'll want to read if you know enough to be frustrated by the system but want a deeper dive into its challenges and opportunities.
Stephen Pimpare is director of the Public Service & Nonprofit Leadership program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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Autism: A Genetic Perspective is based on an in-depth filmed conversation between Howard Burton and Jay Gargus, Professor of Physiology, Biophysics and Pediatrics and Director of the Center for Autism Research and Translation at UC Irvine. This wide-ranging conversation examines the recent explosion in our genetic understanding and its implications for the future of medicine, together with the importance of understanding the underlying molecular mechanisms in order to successfully treat a wide range of genetic disorders. Prof. Gargus focuses on autism, dispelling myths associated with the condition, advocating why a treatment should be actively pursued, and illustrating what we can learn from the recent breakthrough in cystic fibrosis research.
Howard Burton is the founder of the Ideas Roadshow, Ideas on Film and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Exploring Autism is based on an in-depth filmed conversation between Howard Burton and one of the world’s leading experts on autism Uta Frith, Professor of Cognitive Development at University College London. Topics that are examined in this extensive conversation are what autism actually is, the reasons behind the increased number of diagnoses over the last few years, autism spectrum disorders, Asperger’s syndrome, mentalizing, brain imaging to research the cognitive and neurobiological bases of autism and much more.
Howard Burton is the founder of the Ideas Roadshow, Ideas on Film and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Disturbing Spirits: Mental Illness, Trauma, and Treatment in Modern Syria and Lebanon by Beverly A. Tsacoyianis (University of Notre Dame Press, 2021) investigates the psychological toll of conflict in the Middle East during the twentieth century, including a discussion of how spiritual and religious frameworks influence practice and theory. Blending social, cultural, and medical history research methods with approaches in disability and trauma studies, it demonstrates that the history of mental illness in Syria and Lebanon since the 1890s is embedded in disparate—but not necessarily mutually exclusive—ideas about legitimate healing.
Dr. Beverly Tsacoyianis, is Associate Professor of History at the University of Memphis. Her research has focused so far on the history of mental illness in Lebanon and Syria, and she is currently collecting data for two other projects: one on disability, public health, and trauma in Israel and Palestine and one on the politics of health in Jewish and Muslim communities in Spanish, French, and postcolonial Morocco. She engages in peace and conflict studies with a commitment to diversity and inclusion. This has included research in, and community engagement with, social justice and disability rights activism both in the US and abroad.
Dr. Isabel Machado is an independent researcher and serves as reviews editor for the Oral History Journal.
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The first African nurse was certified in the Ciskei region of South Africa during the early decades of the twentieth century. Since then, African nurses have played a key role in the expansion and development of healthcare services in South Africa, particularly in rural areas. Using the stories of retired African nurses who worked in the Ciskei between 1950 and 1980, Leslie Anne Hatfield documents and contextualizes the achievements of these remarkable women. Their stories were prefaced by the last decades of British colonialism and shaped by the rise of apartheid and the creation of African homelands. In spite of the racial and economic injustices that Africans experienced under apartheid, nursing allowed many African women to pursue careers that gave them a sense of purpose and some measure of agency, while providing them with a stepping stone into the middle class. The stories collected by Hatfield speak of the rigorous training, long hours and minimal resources that African nurses endured while working in rural clinics; the role they played as brokers between biomedical and Xhosa medical approaches; and as pioneers in the expansion of gender roles, both as nurses and professional women who had to care for families of their own. A Bold Profession. African Nurses in Rural Apartheid South Africa (University of Wisconsin Press, 2021) deftly illustrates how the everyday challenges and triumphs of African nurses amounted not only to a substantial expansion of healthcare services in the Ciskei, but were also important in the continuous move towards increasing the opportunities available to African women.
Esperanza Brizuela-Garcia is an associate professor of history at Montclair State University.
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Defined By Relationship is based on an in-depth filmed conversation between Howard Burton and Charles Foster, who is a writer, traveller, veterinarian, barrister, philosopher and Fellow of Green Templeton College, University of Oxford. This wide-ranging conversation provides a detailed exploration of several of his books in many different fields with a particular focus on Human Dignity in Bioethics and Law and the New York Times Bestseller Being a Beast.
Howard Burton is the founder of the Ideas Roadshow, Ideas on Film and host of the Ideas Roadshow Podcast. He can be reached at [email protected].
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Climate change is a hoax--and so is coronavirus. Vaccines are bad for you. These days, many of our fellow citizens reject scientific expertise and prefer ideology to facts. They are not merely uninformed--they are misinformed. They cite cherry-picked evidence, rely on fake experts, and believe conspiracy theories. How can we convince such people otherwise? How can we get them to change their minds and accept the facts when they don't believe in facts? In How to Talk to a Science Denier (MIT Press, 2021), Lee McIntyre shows that anyone can fight back against science deniers, and argues that it's important to do so. Science denial can kill.
Drawing on his own experience--including a visit to a Flat Earth convention--as well as academic research, McIntyre outlines the common themes of science denialism, present in misinformation campaigns ranging from tobacco companies' denial in the 1950s that smoking causes lung cancer to today's anti-vaxxers. He describes attempts to use his persuasive powers as a philosopher to convert Flat Earthers; surprising discussions with coal miners; and conversations with a scientist friend about genetically modified organisms in food. McIntyre offers tools and techniques for communicating the truth and values of science, emphasizing that the most important way to reach science deniers is to talk to them calmly and respectfully--to put ourselves out there, and meet them face to face.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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In 1804, King Charles IV of Spain enacted a royal order mandating the postmortem cesarean procedure in all of Spain's dominions. The Audiencia de Guatemala, way back in 1785, had already enacted a law mandating postmortem cesareans for all deceased pregnant women and even those suspected of being pregnant when they had passed away. Audiencias of other viceroyalties also enacted similar laws before 1804. What explains the emergence of the postmortem cesarean operation in colonial Latin America? What was the purpose of this procedure?
Baptism Through Incision: The Postmortem Cesarean Operation in the Spanish Empire (Penn State Press, 2020), edited by Drs. Martha Few, Zeb Tortorici, and Adam Warren tell us the story of the postmortem cesarean operation in the Spanish Empire during the eighteenth century, though the book builds a genealogy that situates this procedure in a longer history that begins in the medieval period (and even earlier!) and extends way up the twentieth century. Part of the Latin American Original series (LAO) of the Pennsylvania University Press, this book centers on the translation (made by Nina M. Scott) of a fascinating medicoreligious text: Pedro José de Arrese’s Physical, Canonical, Moral Principles . . . on the Baptism of Miscarried Fetuses and the Cesarean Operation on Women Who Die Pregnant.
Additionally, the editors present us with shorter excerpts of a wide range of texts (other medical treatises, scientific and political journals, medical instructions) that also deal with the postmortem cesarean operation in the Spanish American world. Here we talk about transatlantic enlightenment cultures; different conceptions of life and death; the co-existence and co-production of religion and medical procedures; the changes that the cesarean operation went through in the eighteenth and nineteenth centuries; and lastly, as usual, why this history matters to the present. A must for those listeners that want to learn more about the history of the body, medicine, and gender!
Lisette Varón-Carvajal is a PhD Candidate at Rutgers University-New Brunswick. You can tweet her and suggest books at @LisetteVaron
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There's been a lot of resurgent interest in the Silk Routes lately, particularly looking at the cultural, political, and economic connections between "East" and "West" that challenge long held narratives of a world that only became interconnected in the last half millennium. Even so, it's been rarely appreciated how much of the history of Eurasian medicine in the premodern period hinges on cross-cultural interactions and knowledge transmissions along these same lines of contact. Using manuscripts found in key Eurasian nodes of the medieval world - Dunhuang, Kucha, the Cairo Geniza, and Tabriz - this fascinating and much-needed book analyses a number of case-studies of Eurasian medical encounters, giving a voice to places, languages, people and narratives which were once prominent but have gone silent.
ReOrienting Histories of Medicine: Encounters Along the Silk Roads (Bloomsbury, 2021) is an important book for those interested in the history of medicine and the transmissions of knowledge that have taken place over the course of global history.
Ronit Yoeli-Tlalim is Reader in History at Goldsmiths, University of London. She is the co-editor of Rashid al-Din: Agent and Mediator of Cultural Exchanges in Ilkhanid Iran, Islam and Tibet: Interactions along the Musk Routes, and Astro-Medicine: Astrology and Medicine, East and West.
Christopher S. Rose is a social historian of medicine focusing on Egypt and the Eastern Mediterranean in the 19th and 20th century. He currently teaches History at St. Edward's University in Austin, Texas and Our Lady of the Lake University in San Antonio, Texas.
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Tuberculosis: The Singapore Experience, 1867-2018 (Routledge, 2021), co-written by Dr. Loh, a historian and Dr. Hsu Li Yang, a medical doctor offers an inter-disciplinary analysis of the way in the which the disease was managed from the mid-nineteenth century to the present. This book charts the relationship between disease, society and the state, outlining the struggles of colonial and post-colonial governments to cope with infectious disease and to establish effective public health programmes and institutions. British colonial administrators initially viewed tuberculosis as a racial problem linked to the poverty, housing and insanitary habits of the Chinese working class. After the Second World War, ambitious medical and urban improvement initiatives were instituted by the returning British colonial government with considerable success. These schemes in the post-colonial period set the tone for continuous biopolitical intervention by the post-colonial Singapore state whose struggle against infectious disease in a densely populated city never really ended. The focus on infections makes this book an apt one to discuss when Singapore – and the world- is still struggling against Covid-19 and its multiple variants.
Dr. Loh Kah Seng a historian of Singapore and an Honorary Research Fellow at the University of Western Australia. He is interested in urban history and social history of cities. He currently runs Chronicles Research and Education, a research consultancy on Singapore heritage.
Faizah Zakaria is assistant professor of history at Nanyang Technological University. You can find her website at www.faizahzak.com and on Twitter @laurelinarien.
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When you are told that you have leukemia, your world stops. Your brain can't function. You are asked to make decisions about treatment almost immediately, when you are not in your right mind. And yet you pull yourself together and start asking questions. Beside you is your doctor, whose job it is to solve the awful puzzle of bone marrow gone wrong. The two of you are in it together. In When Blood Breaks Down: Life Lessons from Leukemia (MIT Press, 2020), Mikkael Sekeres, a leading cancer specialist, takes readers on the journey that patient and doctor travel together.
Sekeres, who writes regularly for the Well section of the New York Times, tells the compelling stories of three people who receive diagnoses of adult leukemia within hours of each other: Joan, a 48-year-old surgical nurse, a caregiver who becomes a patient; David, a 68-year-old former factory worker who bows to his family's wishes and pursues the most aggressive treatment; and Sarah, a 36-year-old pregnant woman who must decide whether to undergo chemotherapy and put her fetus at risk. We join the intimacy of the conversations Sekeres has with his patients, and watch as he teaches trainees. Along the way, Sekeres also explores leukemia in its different forms and the development of drugs to treat it--describing, among many other fascinating details, the invention of the bone marrow transplant (first performed experimentally on beagles) and a treatment that targets the genetics of leukemia.
The lessons to be learned from leukemia, Sekeres shows, are not merely medical; they teach us about courage and grace and defying the odds.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Mental Capacity in Relationship: Decision-Making, Dialogue, and Autonomy (Cambridge University Press, 2017), challenges the current legal landscape of mental capacity law and human rights legislation, arguing that assessments of mental capacity should take account the role of relationships in the decision-making capacity of individuals with impairments and mental disorders. Dr. Camillia Kong's is an interdisciplinary exploration, combining philosophy, legal analysis on the law of England and Wales, the European Convention of Human Rights, and the UN Convention on the Rights of Persons with Disabilities. Kong defends a concept of mental capacity, but one which at times provides scope for justifiable interventions into disabling relationships. The implications of Kong's hypothesis are groundbreaking; she provides a framework which articulates the practice of capacity assessments to help to better situate, interpret, and understand the decisions and actions of people with impairments.
This monograph is the basis of another publication (co-written with Alex Ruck Keene) Overcoming Challenges in the Mental Capacity Act 2005: Practical Guidance for Working with Complex Issues (Jessica Kingsley, 2018). You can listen to that interview with Dr. Kong and Ruck-Keene here.
Dr Camillia Kong is a Senior Research Fellow at the Institute for Crime & Justice, Policy Research at Birkbeck, University of London. She is the Principal Investigator of Judging Values and Participation in Mental Capacity Law.
Jane Richards is a doctoral student at the University of Hong Kong. You can find her on twitter where she follows all things related to human rights and Hong Kong politics @JaneRichardsHK
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The All India Institute of Medical Sciences (AIIMS) is iconic in the landscape of Indian healthcare. Established in the early years of independence, this enormous public teaching hospital rapidly gained fame for the high-quality treatment it offered at a nominal cost; at present, an average of ten thousand patients pass through the outpatient department each day. With its notorious medical program acceptance rate of less than 0.01%, AIIMS also sits at the apex of Indian medical education. To be trained as a doctor here is to be considered the best.
In what way does this enduring reputation of excellence shape the institution's ethos? How does elite medical education sustain India's social hierarchies and the health inequalities entrenched within? In Special Treatment: Student Doctors at the All India Institute of Medical Sciences (Stanford UP, 2021), Anna Ruddock considers prestige as a byproduct of norms attached to ambition, aspiration, caste, and class in modern India, and illustrates how the institution's reputation affects its students' present experiences and future career choices. Ruddock untangles the threads of intellectual exceptionalism, social and power stratification, and health inequality that are woven into the health care taught and provided at AIIMS, asking what is lost when medicine is used not as a social equalizer but as a means to cultivate and maintain prestige.
Anna Ruddock is a medical anthropologist, writer, and disability activist.
Sneha Annavarapu is a postdoctoral researcher at the University of Chicago.
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In the mid-1990s, experts predicted that India would face the world's biggest AIDS epidemic by 2000. Though a crisis at this scale never fully materialized, global public health institutions, donors, and the Indian state initiated a massive effort to prevent it. HIV prevention programs channeled billions of dollars toward those groups designated as at-risk—sex workers and men who have sex with men. At Risk: Indian Sexual Politics and the Global AIDS Response (Stanford UP, 2021) captures this unique moment in which these criminalized and marginalized groups reinvented their "at-risk" categorization and became central players in the crisis response. The AIDS crisis created a contradictory, conditional, and temporary opening for sex-worker and LGBTIQ activists to renegotiate citizenship and to make demands on the state.
Working across India and Kenya, Gowri Vijayakumar provides a fine-grained account of the political struggles at the heart of the Indian AIDS response. These range from everyday articulations of sexual identity in activist organizations in Bangalore to new approaches to HIV prevention in Nairobi, where prevention strategies first introduced in India are adapted and circulate, as in the global AIDS field more broadly. Vijayakumar illuminates how the politics of gender, sexuality, and nationalism shape global crisis response. In so doing, she considers the precarious potential for social change in and after a crisis.
Gowri Vijayakumar is Assistant Professor of Sociology and Women's, Gender, and Sexuality Studies at Brandeis University.
Sneha Annavarapu is a postdoctoral researcher at the University of Chicago.
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We are conscious of only a small fraction of our lives. Because the brain constantly receives an enormous quantity of information, we need to be able to do things without thinking about them—to act in “autopilot” mode. Automatic behaviors—the vast majority of our activities—occur without our conscious awareness, or subconsciously. Yet the physiological basis of subconsciousness remains poorly understood, despite its vast importance for physical and mental health.
The neurodegenerative disease expert Yves Agid offers a groundbreaking and accessible account of subconsciousness and its significance. He pinpoints the basal ganglia—the ancient “basement of the brain”—as the main physiological hub of the subconscious. Agid examines its roles in the control and production of automatic behavior, including motor, intellectual, and emotional processes. He highlights the consequences for various brain pathologies, showing how malfunctions of the subconscious have clinical repercussions including not only abnormal involuntary movements, as seen in Parkinson’s disease, but also psychiatric disorders such as obsessive-compulsive disorders and depression. Based on this understanding, Agid considers how seeing the basal ganglia as a therapeutic target can aid development of potential new treatments for neurological and psychiatric disorders.
Shedding new light on the physiological bases of our behavior and mental states, Subconsciousness: Automatic Behavior and the Brain (Columbia UP, 2021) provides an innovative exploration of the complexities of the mind, with implications ranging from clinical applications to philosophy’s thorniest problems.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Today we have John Christopoulos, Assistant Professor of History at the University of British Columbia, to talk about his new book, Abortion in Early Modern Italy (Harvard University Press, 2021)
In this authoritative history, John Christopoulos provides a provocative and far-reaching account of abortion in sixteenth- and seventeenth-century Italy. His poignant portraits of women who terminated or were forced to terminate pregnancies offer a corrective to longstanding views: he finds that Italians maintained a fundamental ambivalence about abortion. Italians from all levels of society sought, had, and participated in abortions. Early modern Italy was not an absolute anti-abortion culture, an exemplary Catholic society centered on the “traditional family.” Rather, Christopoulos shows, Italians held many views on abortion, and their responses to its practice varied.
Bringing together medical, religious, and legal perspectives alongside a social and cultural history of sexuality, reproduction, and the family, Christopoulos offers a nuanced and convincing account of the meanings Italians ascribed to abortion and shows how prevailing ideas about the practice were spread, modified, and challenged. Christopoulos begins by introducing readers to prevailing ideas about abortion and women’s bodies, describing the widely available purgative medicines and surgeries that various healers and women themselves employed to terminate pregnancies. He then explores how these ideas and practices ran up against and shaped theology, medicine, and law. Catholic understanding of abortion was changing amid religious, legal, and scientific debates concerning the nature of human life, women’s bodies, and sexual politics. Christopoulos examines how ecclesiastical, secular, and medical authorities sought to regulate abortion, and how tribunals investigated and punished its procurers—or did not, even when they could have. Abortion in Early Modern Italy offers a compelling and sensitive study of abortion in a time of dramatic religious, scientific, and social change.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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In When Brains Dream: Exploring the Science and Mystery of Sleep (W. W. Norton, 2021), psychologist Dr. Antonio Zadra and neuroscientist Dr. Robert Stickgold offer a fascinating survey of the biological and psychological bases of dreams and dreaming. The authors address head-on fundamental questions such as why do we dream? Do dreams hold psychological meaning or are they merely the reflection of random brain activity? What purpose do dreams serve? As part of their synthesis, Zadra and Stickgold introduce a new conceptual model of dream function, NEXTUP (Network Exploration to Understand Possibilities). This model can help readers and scientists to understand key features of several types of dreams, from prophetic dreams to nightmares and lucid dreams. When Brains Dream also explores the history of psychological, neuroscientific, and psychoanalytic dream research, examines a host of dream-related disorders, and explains how dreams can facilitate creativity and be a source of personal insight.
Dr. Robert Stickold is a full professor of psychiatry at the Harvard Medical School and the Beth Israel Deaconess Medical Center. A sleep researcher, his work focuses on the relationship between sleep and learning. His articles in the popular press are intended to illustrate the dangers of sleep deprivation.
Dr. Antonio Zadra is full Professor in the Department of Psychology at the Université de Montréal, and is a researcher at the Center for Advanced Research in Sleep Medicine, as well as a member of the Interdisciplinary Research Centre on Intimate Relationship Problems and Sexual Abuse. His research covers a wide range of topics on the psychology of dreaming, including parasomnias, somnambulism, interactions with personality and well-being, and consciousness.
Dr. John Griffiths (@neurodidact) is an Assistant Professor at the University of Toronto, and Head of Whole Brain Modelling at the CAMH Krembil Centre for Neuroinformatics. His research group (grifflab.com) works at the intersection of computational neuroscience and neuroimaging, building simulations of human brain activity aimed at improving the understanding and treatment of neuropsychiatric and neurological illness.
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On this episode of the Economic and Business History channel I spoke with Dr. Chinmay Tumbe, Assistant Professor of Economics at the Indian Institute of Management. He was Alfred D Chandler Jr. International Visiting Scholar in Business History, Harvard Business School in 2018. Dr, Tumbe has published academic articles in Management and Organizational History and in the Journal of Management History. He has written two books, one in 2018 India Moving: A History of Migration, which talks about how people have moved in India historically, and his 2020 book the Age of Pandemics 1817-1920: How They Shaped India and the World (HarperCollins, 2020). The book argues that the period between the early nineteenth century to the early twentieth century - an age otherwise known for the worldwide spread of the industrial revolution, imperialism, and globalization - was also the 'age of pandemics'. It documents the scale of devastation caused by different pandemics, cholera, the plague, influenza, and finally Covid. The book has great resources for the classroom and for the general public such as a timeline of pandemics, striking tables such as the death toll in millions for each epidemic, and a set of photographs at the end that is definitely worth viewing.
Paula De La Cruz-Fernández is a consultant, historian, and digital editor. New Books Network en español editor. Edita CEO.
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When someone you love appears to be struggling with an eating disorder, it is hard to know what to say or do. Families and friends need information and guidelines if they are to be helpful. In their recently-published fourth edition of Surviving an Eating Disorder (Fourth Edition; Harper Perennial, 2021), Michele Siegel, Judith Brisman, and Margot Weinshel walk loved ones through everything they need to know to help their loved one with an eating disorder, taking into account the latest developments in knowledge about the condition as well as the culture at large. In my interview with Dr. Brisman, we discuss why eating disorders are so complex to understand and treat and key strategies for engaging the suffering person that are helpful and supportive.
Judith Brisman, Ph.D. is a psychologist and psychoanalyst in private practice in Manhattan, New York. She is former director of the Eating Disorder Resource Center and serves as editor for the journals Contemporary Psychoanalysis as well as the journal Eating Disorders. She is also faculty at the William Alanson White Institute. She is internationally known as one of the first in her field to develop a treatment program for patients with bulimia, and she has published and lectured extensively regarding the interpersonal treatment of eating disorders.
Eugenio Duarte, Ph.D. is a psychologist and psychoanalyst practicing in Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image problems, and relationship issues. He is a graduate and faculty of William Alanson White Institute in Psychiatry, Psychoanalysis, and Psychology in New York City and former chair of their LGBTQ Study Group; and faculty at Florida Psychoanalytic Institute in Miami. He is also a contributing author to the book Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (2018, Routledge) and has published on issues of gender, sexuality, and sexual abuse.
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Rabbi Moses ben Nahman (1194–1270), known in English as Nahmanides and by the acronym the Ramban, was one of the most creative kabbalists, one of the deepest and most original biblical interpreters, and one of the greatest Talmudic scholars the Jewish tradition has ever produced.
Join us as we talk with Moshe Halbertal about his recent book: Nahmanides: Law and Mysticism (Yale UP, 2020), where he provides a broad, systematic account of Nahmanides’s thought, exploring his conception of halakhah and his approach to the central concerns of medieval Jewish thought, as well as the relationship between Nahmanides’s kabbalah and mysticism and the existential religious drive that nourishes them.
Moshe Halbertal is the John and Golda Cohen Professor of Jewish Thought and Philosophy at Hebrew University and Gruss Professor of Law at NYU Law School. He has also written Maimonides: Life and Thought.
Michael Morales is Professor of Biblical Studies at Greenville Presbyterian Theological Seminary, and the author of The Tabernacle Pre-Figured: Cosmic Mountain Ideology in Genesis and Exodus(Peeters, 2012), Who Shall Ascend the Mountain of the Lord?: A Biblical Theology of Leviticus(IVP Academic, 2015), and Exodus Old and New: A Biblical Theology of Redemption(IVP Academic, 2020). He can be reached at [email protected]
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Distributing Condoms and Hope: The Racialized Politics of Youth Sexual Health (U California Press, 2020) is a feminist ethnographic account of how youth sexual health programs in the racially and economically stratified city of “Millerston” reproduce harm in the marginalized communities they are meant to serve.
Chris Barcelos makes space for the stories of young mothers, who often recognize the narrow ways that public health professionals respond to pregnancies. Barcelos’s findings show that teachers, social workers, and nurses ignore systemic issues of race, class, and gender and instead advocate for individual-level solutions such as distributing condoms and promoting "hope." Through a lens of reproductive justice, Distributing Condoms and Hope imagines a different approach to serving marginalized youth—a support system that neither uses their lives as a basis for disciplinary public policies nor romanticizes their struggles.
In our interview, Chris Barcelos explains how they use the framework of a “teen pregnancy prevention industrial complex” to illuminate the webs of power that ultimately serve to perpetuate the systemic social inequities leading to teen pregnancy. They describe the concept of “messiness” as it applies to deviations from social normativity, and how such deviations “mess up” society’s ideas of what is right and normal. Distributing Condoms and Hope forthrightly engages with messiness. One hopes it will have a real-world impact – for, as Barcelos observes, “It is easy to critique social structures while nonetheless continuing on with your day-to-day work in ways that do not incorporate those critiques.”
Rachel Pagones teaches preventive medicine and public health in the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego, and she is a licensed acupuncturist. Her book about acupuncture as a tool of medical, social, and political revolution in the United States will be published later this year.
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In Epidemic Illusions: On the Coloniality of Global Public Health (MIT Press, 2020), physician-anthropologist Eugene T. Richardson explores how public health practices—from epidemiological modeling to outbreak containment—help perpetuate global inequities.
This book questions the Global North's "monopoly on truth" in global public health science, making a provocative claim: that public health science manages and maintains global health inequity. Richardson, a physician and anthropologist, examines the conventional public health approach to epidemiology through the lens of a participant-observer, identifying a dogmatic commitment to the quantitative paradigm. This paradigm, he argues, plays a role in causing and perpetrating public health crises. The mechanisms of public health science--and epidemiology in particular--that set public health agendas and claim a monopoly on truth stem from a colonial, racist, and patriarchal system that had its inception in 1492.
Deploying a range of rhetorical tools, including ironism, “redescriptions” of public health crises, Platonic dialogue, flash fiction, allegory, and koan, Richardson describes how epidemiology uses models of disease causation that serve protected affluence (the possessing classes) by setting epistemic limits to the understanding of why some groups live sicker lives than others—limits that sustain predatory accumulation rather than challenge it. Drawing on his clinical work in a variety of epidemics, including Ebola in West Africa and the Democratic Republic of Congo, leishmania in the Sudan, HIV/TB in southern Africa, diphtheria in Bangladesh, and SARS-CoV-2 in the United States, he concludes that the biggest epidemic we currently face is an epidemic of illusions—one that is propagated by the coloniality of knowledge production.
Eugene T. Richardson, MD, PhD, is Assistant Professor of Global Health and Social Medicine at Harvard Medical School, Visiting Faculty at the University of Global Health Equity in Butaro, Rwanda, and Chair of the Lancet Commission on Reparations and Redistributive Justice.
Catriona Gold is a PhD candidate in Geography at University College London. Her current work concerns the politics of travel in Cold War US; she has previously published on US intervention in the 2013-16 Ebola epidemic. She can be reached by email or on Twitter.
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Death and the dead body have never been more alive in the public imagination--not least because of current debates over modern medical technology that is deployed, it seems, expressly to keep human bodies from dying, blurring the boundary between alive and dead. In Technologies of the Human Corpse (MIT Press, 2020), John Troyer examines the relationship of the dead body with technology, both material and conceptual: the physical machines, political concepts, and sovereign institutions that humans use to classify, organize, repurpose, and transform the human corpse. Doing so, he asks readers to think about death, dying, and dead bodies in radically different ways.
Troyer explains, for example, how technologies of the nineteenth century including embalming and photography, created our image of a dead body as quasi-atemporal, existing outside biological limits formerly enforced by decomposition. He describes the "Happy Death Movement" of the 1970s; the politics of HIV/AIDS corpse and the productive potential of the dead body; the provocations of the Body Worlds exhibits and their use of preserved dead bodies; the black market in human body parts; and the transformation of historic technologies of the human corpse into "death prevention technologies." The consequences of total control over death and the dead body, Troyer argues, are not liberation but the abandonment of Homo sapiens as a concept and a species. In this unique work, Troyer forces us to consider the increasing overlap between politics, dying, and the dead body in both general and specifically personal terms.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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As soon as US media and politicians became aware of AIDS in the early 1980s, fingers were pointed not only at the gay community but also at other countries and migrant communities, particularly Haitians, as responsible for spreading the virus. Evangelical leaders, public health officials, and the Reagan administration quickly capitalized on widespread fear of the new disease to call for quarantines, immigration bans, and deportations, scapegoating and blaming HIV-positive migrants--even as the rest of the world regarded the US as the primary exporter of the virus.
In The Borders of AIDS: Race, Quarantine, and Resistance (U Washington Press, 2021), Karma Chávez demonstrates how such calls proliferated and how failure to impose a quarantine for HIV-positive citizens morphed into the successful enactment of a complete ban on the regularization of HIV-positive migrants--which lasted more than twenty years. News reports, congressional records, and AIDS activist archives reveal how queer groups and migrant communities built fragile coalitions to fight against the alienation of themselves and others, asserting their capacity for resistance and resiliency. Building on existing histories of HIV/AIDS, public health, citizenship, and immigration, Chávez establishes how politicians and public health officials treated different communities with HIV/AIDS and highlights the work these communities did to resist alienation.
You can get 30% off the cost of the book using the code WST30 when you are purchasing from the publishers University of Washington Press.
Rachel Stuart is a sex work researcher whose primary interest is the lived experiences of sex workers.
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Today on New Books in Gender Studies Jana Byars talks with Lindy McDougall, of Macquarie University in Sydney, Australia about her new book, The Perfect Vagina: Cosmetic Surgery in the Twenty-First Century, out this year, 2021, with Indiana University Press.
In The Perfect Vagina, Lindy McDougall provides an ethnographic account of women who choose FGCS in Australia and the physicians who perform these procedures, both in Australia and globally, while also examining the environment in which surgeons and women come together. Physicians have a vested interest in establishing this surgery as valid medical intervention, despite majority medical opinion explicitly acknowledging that a wide range of genital variation is normal. McDougall offers a nuanced picture of why and how these procedures are performed and draws parallels between FGCS and anthropological discussions of female genital circumcision (cutting). Using the neologism biomagical, she argues that cosmetic surgery functions as both ritual and sacrifice due to its promise of transformation while simultaneously submitting the body to the risks and pain of surgery, thus exposing biomedicine as an increasingly cultural and commercial pursuit.
The Perfect Vagina highlights the complexities involved with FGCS, its role in Western beauty culture, and the creation and control of body image in countries where self-care is valorized and medicine is increasingly harnessed for enhancement as well as health.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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Literature is a technology like any other. And the writers we revere--from Homer, Shakespeare, Austen, and others--each made a unique technical breakthrough that can be viewed as both a narrative and neuroscientific advancement. Literature's great invention was to address problems we could not solve: not how to start a fire or build a boat, but how to live and love; how to maintain courage in the face of death; how to account for the fact that we exist at all.
Wonderworks: The 25 Most Powerful Inventions in the History of Literature (Simon & Schuster, 2021) reviews the blueprints for twenty-five of the most powerful developments in the history of literature. These inventions can be scientifically shown to alleviate grief, trauma, loneliness, anxiety, numbness, depression, pessimism, and ennui--all while sparking creativity, courage, love, empathy, hope, joy, and positive change. They can be found all throughout literature--from ancient Chinese lyrics to Shakespeare's plays, poetry to nursery rhymes and fairy tales, and crime novels to slave narratives.
An easy-to-understand exploration of the new literary field of story science, Wonderworks teaches you everything you wish you learned in your English class. Based on author Angus Fletcher's own research, it is an eye-opening and thought-provoking work that offers us a new understanding of the power of literature.
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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Until now, the herbal traditions of the Ashkenazi people have remained unexplored and shrouded in mystery. Ashkenazi Herbalism: Rediscovering the Herbal Traditions of Eastern European Jews (North Atlantic Books, 2021) rediscovers the forgotten legacy of the Jewish medicinal plant healers who thrived in Eastern Europe’s Pale of Settlement, from their beginnings in the Middle Ages through the modern era. Including the first materia medica of 26 plants and herbs essential to Ashkenazi folk medicine, Ashkenazi Herbalism sheds light on the preparations, medicinal profiles, and applications of a rich but previously unknown herbal tradition–one hidden by language barriers, obscured by cultural misunderstandings, and nearly lost to history. Written for new and established practitioners, it offers illustrations, provides information on comparative medicinal practices, and illuminates the important historical and cultural contexts that gave rise to Eastern European Jewish herbalism.
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From the mid-nineteenth to the late twentieth centuries, Saint Elizabeths Hospital was one of the United States' most important institutions for the care and treatment of the mentally ill. Founded in 1855 to treat insane soldiers and sailors as well as civilian residents in the nation's capital, the institution became one of the country's preeminent research and teaching psychiatric hospitals. From the beginning of its operation, Saint Elizabeths admitted black patients, making it one of the few American asylums to do so.
Martin Summers' book Madness in the City of Magnificent Intentions (Oxford UP, 2019) is a history of the hospital and its relationship to Washington, DC's African American community. It charts the history of Saint Elizabeths from its founding to the late-1980s, when the hospital's mission and capabilities changed as a result of deinstitutionalization, and its transfer from the federal government to the District of Columbia. Drawing on a wide variety of sources, including patient case files, the book demonstrates how race was central to virtually every aspect of the hospital's existence, from the ways in which psychiatrists understood mental illness and employed therapies to treat it to the ways that black patients experienced their institutionalization. The book argues that assumptions about the existence of distinctive black and white psyches shaped the therapeutic and diagnostic regimes in the hospital and left a legacy of poor treatment of African American patients, even after psychiatrists had begun to reject racialist conceptions of the psyche. Yet black patients and their communities asserted their own agency and exhibited a "rights consciousness" in large and small ways, from agitating for more equal treatment to attempting to manage the therapeutic experience.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government’s largest and most important ongoing health surveys that tracks Americans’ use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they’ve been used (and misused), and what this means for our understanding of drug use in America today.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.
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A rich examination of the history of trans medicine and current day practice Surfacing in the mid-twentieth century, yet shrouded in social stigma, transgender medicine is now a rapidly growing medical field. In Trans Medicine: The Emergence and Practice of Treating Gender (NYU Press, 2021), stef shuster makes an important intervention in how we understand the development of this field and how it is being used to “treat” gender identity today. Drawing on interviews with medical providers as well as ethnographic and archival research, shuster examines how health professionals approach patients who seek gender-affirming care. From genital reconstructions to hormone injections, the practice of trans medicine charts new medical ground, compelling medical professionals to plan treatments without widescale clinical trials to back them up. Relying on cultural norms and gut instincts to inform their treatment plans, shuster shows how medical providers’ lack of clinical experience and scientific research undermines their ability to interact with patients, craft treatment plans, and make medical decisions. This situation defies how providers are trained to work with patients and creates uncertainty. As providers navigate the developing knowledge surrounding the medical care of trans folk, Trans Medicine offers a rare opportunity to understand how providers make decisions while facing challenges to their expertise and, in the process, have acquired authority not only over clinical outcomes, but over gender itself.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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How does understanding business help us understand sex? In The Business of Birth Control: Contraception and Commerce in Britain before the Sexual Revolution (Manchester UP, 2020), Claire Jones, a Senior Lecturer in the History of Medicine at the University of Kent, explores the intersection of commerce and medicine in the interwar period in Britain, as a way of rethinking both the history of contraception and the history of sex. The book uses new archival research, as well as perspectives from business history, to show changing attitudes and practices of people, clinics, and companies in the era before the contraceptive pill. Charting the rise of a new consumer culture, intertwined with company, technology, and medical history, the book is essential reading across the arts, humanities, and social sciences, as well as for anyone interested in sex!
Dave O'Brien is Chancellor's Fellow, Cultural and Creative Industries, at the University of Edinburgh's College of Art.
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On this episode, J.J. Mull interviews scholar and historian Camille Robcis. In her most recent book, Disalienation: Politics, Philosophy, and Radical Psychiatry in Postwar France (University of Chicago Press, 2021), Robcis grapples with the historical, intellectual, psychiatric and psychoanalytic meaning of institutional psychotherapy as articulated at Saint-Alban Hospital in France by exploring the movement’s key thinkers, including François Tosquelles, Frantz Fanon, Félix Guattari, and Michel Foucault. Anchored in the history of one hospital, Robcis's study draws on a wide geographic context—revolutionary Spain, occupied France, colonial Algeria, and beyond—and charts the movement's place within a broad political-economic landscape, from fascism to Stalinism to postwar capitalism.
J.J. Mull is a poet, training clinician, and graduate student at Smith College School for Social Work currently living in Northampton, MA. He can be reached at [email protected].
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Today we are talking with Becca Andrews, a journalist at Mother Jones, where she writes about reproductive rights and gender. The story we discuss is “When Choice is 221 Miles Away: The Nightmare of Getting an Abortion in the South” and its follow up.
Becca’s debut work of nonfiction, No Choice, based on her Mother Jones cover story about the past, present, and future of Roe v. Wade, will be published by in 2022.
Andrews is a graduate of UC Berkeley’s School of Journalism and wrote for newspapers in her home state of Tennessee.
Agata Popeda is a Polish-American journalist. Interested in everything, with a particular weakness for literature and foreign relations.
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Between the decriminalization of contraception in 1969 and the introduction of the Charter of Rights and Freedoms in 1982, a landmark decade in the struggle for women's rights, public discourse about birth control and family planning was transformed. At the same time, a transnational conversation about the "population bomb" that threatened global famine caused by overpopulation embraced birth control technologies for a different set of reasons, revisiting controversial ideas about eugenics, heredity, and degeneration.
In Challenging Choices: Canada's Population Control in the 1970s (McGill-Queen's University Press, 2020), Erika Dyck and Maureen Lux argue that reproductive politics in 1970s Canada were shaped by competing ideologies on global population control, poverty, personal autonomy, race, and gender. For some Canadians the 1970s did not bring about an era of reproductive liberty but instead reinforced traditional power dynamics and paternalistic structures of authority. Dyck and Lux present case studies of four groups of Canadians who were routinely excluded from progressive, reformist discourse: Indigenous women and their communities, those with intellectual and physical disabilities, teenage girls, and men.
In different ways, each faced new levels of government regulation, scrutiny, or state intervention as they negotiated their reproductive health, rights, and responsibilities in the so-called era of sexual liberation. While acknowledging the reproductive rights gains that were made in the 1970s, the authors argue that the legal changes affected Canadians differently depending on age, social position, gender, health status, and cultural background. Illustrating the many ways to plan a modern family, these case studies reveal how the relative merits of life and choice were pitted against each other to create a new moral landscape for evaluating classic questions about population control.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Overcoming Challenges in the Mental Capacity Act 2005: Practical Guidance for Working with Complex Issues (Jessica Kingsley Publishers, 2019) both delivers on what promises and more: it gives practical and ethical guidance for mental health law practitioners, and applicable tools to apply the Mental Capacity Act 2005. It also provides the ethical and philosophical justifications for doing so. This very useful book sets out the legal framework and within that shows how relationships can impact in both positive and negative ways. It demonstrates how autonomy can be supported within existing laws and practices and how to achieve excellent ethical standards in assessments of mental capacity and best interests.
In navigating the complexities of mental capacity law and practice, this book is essential reading for students and practitioners of law, and for those who work in medicine, mental health services and social care. It is also of great significance for those interested in the task of law reform - legislators, researchers and philosophers alike will make great use of this book. This is an important book which provides insight into how the law can either support or obstruct the autonomy of people whose capacity comes into question.
Dr. Camillia Kong is a Senior Research Fellow at the Institute for Crime and Justice Policy Research (ICPR) at Birkbeck, University of London. She is a moral and political philosopher with research expertise on medico-legal conceptualisation of mental capacity, the ethics of psychiatry and psychiatric genomics, and the hermeneutics and phenomenology of mental disorder.
Alex Ruck Keene of 39 Essex Chambers, is an experienced barrister, writer and educator. His practice is focused on mental capacity and mental health law, in which he is able to provide specialist advice and representation, as well as delivering expert training for front line professionals. He also writes extensively in the field, including publishing the 39 Essex Chambers Mental Capacity Law Report, the ‘bible’ for solicitors (and others) working in the area. He holds a number of prestigious academic roles and is the creator of the website http://www.mentalcapacitylawandpolicy.org.uk/.
Jane Richards is a doctoral student at the University of Hong Kong. You can find her on twitter where she follows all things related to human rights and Hong Kong politics @JaneRichardsHK
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The laws that govern psychiatric treatment under coercion have remain largely unchanged since the eighteenth century. But this is not because of their effectiveness, rather, these laws cling to outdated notions of disability, mental illness and mental disorder why deny the fundamental rights of this category of people on an equal basis with all others. In Men in White Coats: Treatment Under Coercion (Oxford University Press, 2017) Professor George Szmukler examines the violation of these rights, such as the right to autonomy, self-determination, liberty, and security and integrity of the person in the context of the domestic laws which themselves perpetuate ongoing discrimination against people with mental impairments.
Tracing first the history of the medical coercion and involuntary treatment of people with mental illnesses and mental disorders, Professor Szmukler offers a potential path which he argues would end discrimination against this category of people. He puts forward a legal framework which is non-discriminatory and is based on a person's decision-making abilities and best interests, as opposed to a diagnosis. Crucially, he argues that this law is generic, and would not apply by reason of a person's mental disorder. His solution - Fusion Law - would better support people's autonomy, better engage with the Convention on the Rights of Persons with Disabilities, and have significant social value by recognising the dignity and equality of people with mental health impairments. It would also have implications for the forensics system, in particular, with regards to defendants who have mental disorders.
Professor George Szmukler is a psychiatrist who started practising in the field as a trainee in 1972. He retired from clinical work in 2012, and is now an Emeritus Professor of Psychiatry and Society at the Institute of Psychiatry, Psychology and Neuroscience at King's college London. His major research now concerns methods of reducing compulsion and ’coercion’ in psychiatric care, for example, through the use of ’advance statements’. A related interest is mental health law, particularly the possibility of generic legislation centred on impaired decision-making capacity which would apply to all persons, regardless of the cause of the underlying disturbance of mental functioning.
Jane Richards is a doctoral student at the University of Hong Kong. You can find her on twitter where she follows all things related to human rights and Hong Kong politics @JaneRichardsHK
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Doctors of the World, also known as Médecins du Monde, is an international network of more than 400 programmes across 80 different countries, providing emergency and long term medical care to the world's most vulnerable people. Whether it's urgent response in the Ukraine, mental healthcare to refugees in Calais, or strengthening the health systems in west Africa, DOTW respond based on the needs of the people they work with. In the UK, Doctors of the World run clinic and advocacy programmes in London that provide medical care, information and practical support to people often excluded from wider society such as destitute migrants, sex workers and people with no fixed abode.
Their recent report Left out in the Cold: The extreme unmet health and service needs of street sex workers in East London before and during the Covid-19 pandemic highlights the devastating challenges that street sex workers have in accessing essential healthcare services, resulting in poor health outcomes. Rachel Stuart, one of the report's researchers and authors, spent 18 months speaking to women in Newham, East London, and she talks about the senseless violence and avoidable health issues faced by the women sex working there.
Victoria Holt is a PhD student at the University of Roehampton researching sex workers' experiences of domestic violence. I'm co-convenor for the British Sociological Association's Violence Against Women and Girls study group, and a board member for the Sex Work Research Hub.
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In this compelling history of the co-ordinated, transnational defence of medical experimentation in the nineteenth and early twentieth centuries, Rob Boddice explores the experience of vivisection as humanitarian practice. He captures the rise of the professional and specialist medical scientist, whose métier was animal experimentation, and whose guiding principle was 'humanity' or the reduction of the aggregate of suffering in the world. He also highlights the rhetorical rehearsal of scientific practices as humane and humanitarian, and connects these often defensive professions to meaningful changes in the experience of doing science. Humane Professions: The Defence of Experimental Medicine, 1876-1914 (Cambridge UP, 2021) examines the strategies employed by the medical establishment to try to cement an idea in the public consciousness: that the blood spilt in medical laboratories served a far-reaching human good.
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Jeanne Simons devoted her career as a social worker and educator to the study, treatment, and care of children with autism. In 1955, she established the Linwood Children's Center in Ellicott City, Maryland, one of the first schools dedicated to children with autism. Her Linwood Model, developed there, was widely adopted and still forms the basis for a variety of autism intervention techniques. Incredibly—although unknown at the time—Jeanne was herself autistic.
Behind the Mirror: The Story of a Pioneer in Autism Treatment and Her Work with Children on the Spectrum (Johns Hopkins UP, 2021) reveals the remarkable tale of Simons. In this interview I speak with Dr. Sabine Oishi, who co-author this book with Simons and also the book, the hidden child.
Sabine Oishi, PhD, was educated first as a teacher and then as a child psychologist at the University of Geneva. She earned her PhD in child development and family therapy from the University of Maryland. She has worked as a teacher, researcher, and therapist both in Switzerland and the United States. With Jeanne Simons, she was the coauthor of The Hidden Child.
Dr. Yakir Englander is the National Director of Leadership programs at the Israeli-American Council. He also teaches at the AJR. He can be reached at: [email protected]
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To many mathematicians and math enthusiasts, the word "innumeracy" brings to mind popular writing like that of John Allen Paulos. But inequities in our quantitative reasoning skills have received considerable interest and attention from researchers lately, including in psychology, development, education, and public health. Innumeracy in the Wild: Misunderstanding and Misusing Numbers (Oxford University Press, 2020) is a unified treatment of these broad-ranging studies, from the ways more and less numerate people differ in our perceptions of risk and our number-based decisions to the roots of our numeric faculties and how we can make the best of them. Dr. Ellen Peters has made significant contributions to the subject and brings her expertise and an exceptional clarity to its presentation.
Precious little of the research surveyed in her book could fit into this interview! We discussed the three components of numeric ability—objective numeracy, subjective numeracy, and the innate number sense—and how they vary within and across populations. We talked through some key lessons from this literature, such as the importance of calibrating our self-efficacy to our real ability and an awareness of how our cultural allegiances can drive even our mathematical reasoning. And we identified some of the essential personal habits and policy levers (early childhood education!!) available to us in our efforts to improve our individual numeracy and our collective numeric decision-making. For a firm grounding in the state of knowledge and urgent open questions, there may be no better resource for many years to come.
Suggested companion works: Contributions from the labs of Isaac Lipkus, Angela Fagerlin, John Opfer, Edward Cokely, Rocio Garcia-Retamero, Jakub Traczyk, Agata Sobków, Wändi Bruine de Bruin, Keith Stanovich, and Valerie Reyna.
Ellen Peters, Ph.D., is the Philip H. Knight Chair, and Director of the Center for Science Communication Research, in the University of Oregon’s School of Journalism and Communication. As a decision psychologist, she studies the basic building blocks of human judgment and decision making and their links with effective communication techniques and has published more than 150 peer-reviewed papers on these topics. She is former President of the Society for Judgment and Decision Making and a fellow of the American Association for the Advancement of Science, Association for Psychological Science, the American Psychological Association, and the Society for Experimental Social Psychology. She also works with federal agencies to advance decision and communication sciences in health and health policy, including having been Chair of FDA’s Risk Communication Advisory Committee and member of the NAS’s Science of Science Communication committee. She has been awarded the Jane Beattie Scientific Recognition Award and an NIH Group Merit Award. Finally, she has received extensive funding from the National Science Foundation and National Institutes of Health.
Cory Brunson is a Research Assistant Professor at the Laboratory for Systems Medicine at the University of Florida. His research focuses on geometric and topological approaches to the analysis of medical and healthcare data. He welcomes book suggestions, listener feedback, and transparent supply chains.
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Why do I feel bad? There is real power in understanding our bad feelings. With his classic Why We Get Sick, Dr. Randolph Nesse helped to establish the field of evolutionary medicine. Now he returns with Good Reasons for Bad Feelings: Insights from the Frontier of Evolutionary Psychiatry (Dutton, 2019), a book that transforms our understanding of mental disorders by exploring a fundamentally new question. Instead of asking why certain people suffer from mental illness, Nesse asks why natural selection has left us all with fragile minds.
Drawing on revealing stories from his own clinical practice and insights from evolutionary biology, Nesse shows how negative emotions are useful in certain situations yet can become overwhelming. Anxiety protects us from harm in the face of danger, but false alarms are inevitable. Low moods prevent us from wasting effort in pursuit of unreachable goals, but they often escalate into pathological depression. Other mental disorders, such as addiction and anorexia, result from the mismatch between modern environment and our ancient human past. And there are good evolutionary reasons for sexual disorders and for why genes for schizophrenia persist. Taken together, these and many more insights help to explain the pervasiveness of human suffering and show us new paths for relieving it by understanding individuals as individuals.
Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The New Books Network’s Van Leer Jerusalem Series on Ideas. Write her at [email protected].
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Military Medicine and the Making of Race: Life and Death in the West India Regiments (Cambridge University Press, 2020) by Tim Lockley demonstrates how Britain's black soldiers helped shape attitudes towards race throughout the nineteenth century. The West India Regiments were part of the British military establishment for 132 years, generating vast records with details about every one of their 100,000+ recruits which made them the best-documented group of black men in the Atlantic World. Tim Lockley shows how, in the late eighteenth century, surgeons established in medical literature that white and black bodies were radically different, forging a notion of the 'superhuman' black soldier able to undertake physical challenges far beyond white soldiers. By the late 1830s, however, military statisticians would contest these ideas and highlight the vulnerabilities of black soldiers instead. The popularity and pervasiveness of these publications spread far beyond British military or medical circles and had a significant international impact, particularly in the US, both reflecting and reinforcing changing notions about blackness.
R. Grant Kleiser is a Ph.D. candidate in the Columbia University History Department. His dissertation researches the development of the free-port system in the eighteenth-century Caribbean, investigating the rationale for such moves towards “free trade” and the impact these policies had on subsequent philosophers, policy-makers, and revolutionaries in the Atlantic world.
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Blood is messy, dangerous, and charged with meaning. By following it as it circulates through people and institutions, Jenny Bangham explores the intimate connections between the early infrastructures of blood transfusion and the development of human genetics. Focusing on mid-twentieth-century Britain, Blood Relations: Transfusion and the Making of Human Genetics (U Chicago Press, 2020) connects histories of eugenics to the local politics of giving blood, showing how the exchange of blood carved out networks that made human populations into objects of medical surveillance and scientific research. Bangham reveals how biology was transformed by two world wars, how scientists have worked to define racial categories, and how the practices and rhetoric of public health made genetics into a human science. Today, genetics is a powerful authority on human health and identity, and Blood Relations helps us understand how this authority was achieved.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Freedom of choice lies at the heart of American society. Every day, individuals decide what to eat, which doctors to see, who to connect with online, and where to educate their children. Yet, many Americans don't realize that these choices are illusory at best. By the start of the 21st century, every major industrial sector in the global economy was controlled by no more than five transnational corporations, and in about a third of these sectors, a single company accounted for more than 40 percent of global sales. The available options in food, healthcare, education, transportation, and even online presence are largely constructed by corporations, whose sweeping influence have made them the public face and executive agents of 21st-century capitalism.
At What Cost: Modern Capitalism and the Future of Health (Oxford UP, 2021) confronts how globalization, financial speculation, monopolies, and control of science and technology have enhanced the ability of corporations and their allies to overwhelm influences of government, family, community, and faith. As corporations manipulate demand through skillful marketing and veto the choices that undermine their bottom line, free consumer choice has all but disappeared, and with it, the personal protections guarding our collective health. At What Cost argues that the world created by 21st-century capitalism is simply not fit to solve our most serious public health problems, from climate change to opioid addiction. However, author and public health expert Nicholas Freudenberg also shows that though the road is steep, human and planetary well-being constitute a powerful mobilizing idea for a new social movement, one that will restore the power of individual voice to our democracy. With impeccably detailed research and an eye towards a better future, At What Cost arms ordinary citizens, activists, and health professionals with an understanding of how we've arrived at the precipice, and what we can do to ensure a healthier collective future.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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The COVID-19 virus has brought the spotlight to respiratory health. Over the past year, we have become more aware than ever of cough and cold-like symptoms, fevers, feeling tired, shortness of breath and any other indicators that our immune system is fighting off an infection. But COVID-19 is not the only health condition to affect the respiratory system. Tuberculosis is one of many infectious bacterial diseases that share a number of symptoms with COVID-19, and can also result in death.
Professor Gregory Fox talked to Dr Natali Pearson about his work on infectious lung disease in Vietnam, and how his research is contributing to better respiratory health outcomes throughout the country.
Disclaimer: This podcast was recorded in February 201 and the COVID-19 situation in Vietnam has since changed.
About Professor Gregory Fox:
Greg is a respiratory physician, epidemiologist and clinical trialist committed to using research to improve health care among disadvantaged populations. He is clinical Academic Lead (Research) for the Faculty of Medicine and Health at Cumberland Campus. Greg's research interests include the epidemiology of infectious disease in resource-limited setting, cluster randomised trials, clinical trials and digital technologies to support health care. He also has interests in systematic reviews and meta-analyses, translation of evidence into policy, decision analysis and capacity building in research.
You can follow Greg on Twitter @foxsimile.
For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac.
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A brief, elegant memoir of the author's work as a Red Cross volunteer delivering emergency water to residents of Flint, Michigan, Standpipe sets the struggles of a city in crisis against the author's personal journey as his mother declines into dementia and eventual death. Written with a poet's eye for detail and quiet metaphor, Standpipe: Delivering Water in Flint (Belt, 2021) is an intimate look at one man's engagement with both civic and familial trauma.
This gentle, observant book is for readers seeking to better understand the human experience of the Flint Water Crisis, and a vivid investigation into how we all heal.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Everyone has heard of the term "pseudoscience", typically used to describe something that looks like science, but is somehow false, misleading, or unproven. Many would be able to agree on a list of things that fall under its umbrella-- astrology, phrenology, UFOlogy, creationism, and eugenics might come to mind. But defining what makes these fields "pseudo" is a far more complex issue. It has proved impossible to come up with a simple criterion that enables us to differentiate pseudoscience from genuine science. Given the virulence of contemporary disputes over the denial of climate change and anti-vaccination movements--both of which display allegations of "pseudoscience" on all sides-- there is a clear need to better understand issues of scientific demarcation.
On the Fringe: Where Science Meets Pseudoscience (Oxford UP, 2021) explores the philosophical and historical attempts to address this problem of demarcation. This book argues that by understanding doctrines that are often seen as antithetical to science, we can learn a great deal about how science operated in the past and does today. This exploration raises several questions: How does a doctrine become demonized as pseudoscientific? Who has the authority to make these pronouncements? How is the status of science shaped by political or cultural contexts? How does pseudoscience differ from scientific fraud?
Michael D. Gordin both answers these questions and guides readers along a bewildering array of marginalized doctrines, looking at parapsychology (ESP), Lysenkoism, scientific racism, and alchemy, among others, to better understand the struggle to define what science is and is not, and how the controversies have shifted over the centuries. On the Fringe provides a historical tour through many of these fringe fields in order to provide tools to think deeply about scientific controversies both in the past and in our present.
Marshall Poe is the founder and editor of the New Books Network. He can be reached at [email protected].
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Cystic fibrosis was once a mysterious disease that killed infants and children. Now it could be the key to healing millions with genetic diseases of every type—from Alzheimer's and Parkinson's to diabetes and sickle cell anemia. In 1974, Joey O'Donnell was born with strange symptoms. His insatiable appetite, incessant vomiting, and a relentless cough—which shook his tiny, fragile body and made it difficult to draw breath—confounded doctors and caused his parents agonizing, sleepless nights. After six sickly months, his salty skin provided the critical clue: he was one of thousands of Americans with cystic fibrosis, an inherited lung disorder that would most likely kill him before his first birthday.
The gene and mutation responsible for CF were found in 1989—discoveries that promised to lead to a cure for kids like Joey. But treatments unexpectedly failed and CF was deemed incurable. It was only after the Cystic Fibrosis Foundation, a grassroots organization founded by parents, formed an unprecedented partnership with a fledgling biotech company that transformative leaps in drug development were harnessed to produce groundbreaking new treatments: pills that could fix the crippled protein at the root of this deadly disease.
From science writer Bijal P. Trivedi, Breath from Salt: A Deadly Genetic Disease, a New Era in Science, and the Patients and Families Who Changed Medicine Forever (Benbella, 2020) chronicles the riveting saga of cystic fibrosis, from its ancient origins to its identification in the dank autopsy room of a hospital basement, and from the CF gene's celebrated status as one of the first human disease genes ever discovered to the groundbreaking targeted genetic therapies that now promise to cure it. Told from the perspectives of the patients, families, physicians, scientists, and philanthropists fighting on the front lines, Breath from Salt is a remarkable story of unlikely scientific and medical firsts, of setbacks and successes, and of people who refused to give up hope—and a fascinating peek into the future of genetics and medicine.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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How does egg freezing reshape our conception of time, aging and fertility? In her new monograph, Freezing Fertility: Oocyte Cryopreservation and the Gender Politics of Aging (NYU Press, 2020) Dr. Lucy van de Wiel explores the significance of egg freezing in re-orienting the temporality of the gender politics of aging. Dr. van de Wiel argues that it is critical to examine the politicized dimensions of egg freezing because it transforms the broader discourses around aging and normative timeline of women's reproduction even though the technology is only accessible for an elite few.
Through a cultural analysis of popular media and documentaries to highlight the role of rhetoric in creating conditions that motivate women in making decisions about their reproductive futures, Dr. van de Wiel criticizes the moralistic boundaries between social and medical utilized by some state actors to condemn women who decide to freeze their eggs for their careers. Dr. van de Wiel also highlights the role of financialized capitalism in refiguring fertility under the investment logic of optimization to speculate on the potential risks posed by anticipated infertility. Egg freezing technology shows us how the biopolitical control of population shifted to managing fertility, which transcends national borders as frozen eggs circulate transnationally for assisted reproduction as well as stem cell research. An incredibly rich and nuanced book, Freezing Fertility would be an invaluable read for anyone who is interested in the politics of reproduction, ART, gendered politics of aging, mortality, life, and regeneration.
Dr. Lucy van de Wiel is a Research Associate at the Reproductive Sociology Research Group (ReproSoc), University of Cambridge. Her research focuses on the social and cultural analysis of assisted reproductive technologies like egg freezing, time-lapse embryo selection and cross-border reproductive care.
Da In Ann Choi is a PhD student at UCLA in the Gender Studies department. Her research interests include care labor and migration, reproductive justice, social movement, citizenship theory, and critical empire studies. She can be reached at [email protected].
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In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. 16 million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their seventies and eighties, the number of patients will rise to an estimated 13.8 million by 2025.
Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's: How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It (St. Martin's Press, 2021) traces Alzheimer’s from its beginnings to its recognition as a crisis. While it is an unambiguous account of decades of missed opportunities and our health care systems’ failures to take action, it tells the story of the biomedical breakthroughs that may allow Alzheimer’s to finally be prevented and treated by medicine and also presents an argument for how we can live with dementia: the ways patients can reclaim their autonomy and redefine their sense of self, how families can support their loved ones, and the innovative reforms we can make as a society that would give caregivers and patients better quality of life.
Rich in science, history, and characters, The Problem of Alzheimer's takes us inside laboratories, patients' homes, caregivers’ support groups, progressive care communities, and Jason Karlawish's own practice at the Penn Memory Center.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Exhale: Hope, Healing, and a Life in Transplant (Post Hill Press, 2021) is the riveting memoir of a top transplant doctor who rode the emotional rollercoaster of saving and losing lives—until it was time to step back and reassess his own life.
A young father with a rare form of lung cancer who has been turned down for a transplant by several hospitals. A kid who was considered not “smart enough” to be worthy of a transplant. A young mother dying on the waiting list in front of her two small children. A father losing his oldest daughter after a transplant goes awry. The nights waiting for donor lungs to become available, understanding that someone needed to die so that another patient could live.
These are some of the stories in Exhale, a memoir about Dr. Weill’s ten years spent directing the lung transplant program at Stanford. Through these stories, he shows not only the miracle of transplantation, but also how it is a very human endeavor performed by people with strengths and weaknesses, powerful attributes, and profound flaws.
Exhale is an inside look at the world of high-stakes medicine, complete with the decisions that are confronted, the mistakes that are made, and the story of a transplant doctor’s slow recognition that he needed to step away from the front lines. This book is an exploration of holding on too tight, of losing one’s way, and of the power of another kind of decision—to leave behind everything for a fresh start.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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In More Than Medicine: Nurse Practitioners and the Problems They Solve for Patients, Health Care Organizations, and the State (Cornell UP, 2020), LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing "difficult people" for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Fungal infections are amongst the leading infectious disease killers globally. They result in more deaths than malaria, and almost as many as tuberculosis. However, they are often overlooked, and receive less research attention and funding than viral or bacterial infections. Over the past decade, this has started to change as the emergence of resistance in fungal pathogens has caused global alarm. New, resistant organisms have emerged, and old familiar ones have become harder to treat - agricultural antifungal use is thought to be driving these trends.
Dr Justin Beardsley spoke to Dr Natali Pearson about the problem of resistant fungal infections in Vietnam, describing how agricultural practices are contributing, and what can be done to mitigate the risks.
Justin is a New Zealand trained infectious disease specialist and clinical researcher. From 2012 to 2017, he was based in the Oxford University Clinical Research Unit in Ho Chi Minh City, where he was focused on fungal infections. There, he conducted a multinational randomised clinical trial into adjunctive steroid therapy for Cryptococcal Meningitis in Southeast Asia and Africa, alongside other work on the epidemiology of fungal infections, immune responses in Cryptococcal Meningitis, pharmacokinetics of anti-fungal drugs in the central nervous system, and temporal trends in cryptococcal drug susceptibility. His current research focuses on the emergence of anti-fungal drug resistance, especially in Southeast Asia.
You can follow Justin on Twitter: @_jbeardsley_.
For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac.
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Some books are new, others are newly relevant – and so worth looking at from a new, contemporary perspective. Such is the case with Susan Reverby’s book Examining Tuskegee: The Infamous Syphilis Study and its Legacy (UNC Press, 2013). When the book was published in 2009, our world was reeling from a global financial crisis that exposed how subprime mortgages disproportionately affected Black homeowners; today we reel from a global pandemic that has starkly exposed how Black Americans and other people of color are disproportionately affected by the virus SARS-CoV-2 and its effects. Another inequity connected to the pandemic relates to vaccine distribution and uptake: they are much lower among Black (and Latinx) than white Americans.
Examining Tuskegee is a deeply researched work that ranges from the trial’s origins within a public health partnership between the Tuskegee Institute and the Public Health Service, to portraits of its protagonists – the researchers, the men who were its subjects, the complex Nurse Rivers, and the persistent Peter Buxton, whose efforts eventually exposed the full truth of the study after it ran for 40 years – to the ways it was portrayed in popular culture and the media, to matters of bioethics and presidential apologies. In our conversation, Susan Reverby explains what actually happened in the study – no, the men were not injected by the researchers with syphilis – what it meant 50 years ago, and how it pertains, or not, to issues such as vaccine hesitancy among African Americans today.
Rachel Pagones is chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego and a licensed acupuncturist. Her third book, an examination of the history of acupuncture as a means of social and political revolution, is under contract with the University of Michigan Press.
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Mary Brazelton’s new book, Mass Vaccination: Citizens’ Bodies and State Power in Modern China (Cornell UP, 2019) could hardly be more timely. During the Covid-19 pandemic, China was in the headlines of Euro-American media as the site of the first cases of the disease. China is also centerstage in Brazelton’s insightful, antiracist book—not as a source of disease but as the source of an effective and pervasive global public health strategy that other nations during the Covid-19 pandemic have strained to implement: mass vaccination.
As a historian of modern China and a historian of medicine, Brazelton offers a trustworthy and well-documented account of the National Epidemic Prevention Board and its successor agencies during the republic’s war-torn twentieth century. The location—and relocation—of the Board and its refugee scientists was decisive, Brazelton argues. During World War II and Japanese occupation (1937-45), the Board’s labs and scientists decamped from China’s coastal cities to the mountainous southwest borderland of Yunnan—exactly because the area was rugged, sparsely populated, and far from China’s urban hubs. In Yunnan, scientists were not isolated, but rather set within an idiosyncratic health infrastructure and network of longstanding political rivals vying for sway in the region—including France to the south, UK to the east, the League of Nations in the capital, and everywhere indigenous rulers, who retained local authority as the Nationalist Party struggled to consolidate power in the early years of the republic. The distinctive geography, epidemiology, and communities of health knowledge in Yunnan channeled the Board’s research and strategies. This regional system, developed under the banner of the national Board, became the blueprint for public health interventions for the People’s Republic of China after the Communist Revolution (1949). In the 1970s because of its repressive practices, China was officially excluded from the global health community, which was dominated by Europe and the US under the World Health Organization. Yet, China’s program of mass vaccination and strategy of universal primary care directly informed practices of new and nonaligned countries.
Brazelton’s important new book addresses a classic puzzle of biopolitics in the history of science and medicine: when and why did governing regimes build public health programs that prioritized changing people’s behaviors and values (sanitation, hygiene; mask wearing, social distancing) rather than changing people’s health with quick technical fixes—such as vaccination.
The interview refers to the image on the book’s cover (also p130) and to the important, related work of Alicia Altorfer-Ong, Ruth Rogawski, and the Connecting Three Worlds project. The conversation was a collective interview by Vanderbilt students in Laura Stark’s course, American Medicine & the World.
Laura Stark is Associate Professor at Vanderbilt University’s Center for Medicine, Health, and Society, and Associate Editor of the journal History & Theory.
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On 13 January 2020, Thailand confirmed the first known case of COVID-19 outside of China. As one of the world's most popular tourism destinations, with the majority of its travellers coming from China, this news came as no surprise. One year on, COVID-19 cases and related deaths have remained remarkably low in Thailand, and the country’s management of the pandemic has been hailed as a striking success. So what's the secret behind Thailand's COVID-19 response?
Dr Anjalee Cohen joined Dr Natali Pearson to explore the many factors that have contributed to Thailand’s success in managing COVID-19 thus far, including the country’s long history of public healthcare, the overturning of medical elitism, the influence of certain cultural practices, and the critical role played by Thailand’s village health volunteers.
Anjalee Cohen is a senior lecturer in the anthropology department at the University of Sydney. She joined the department in 2010 following research positions at the Brain and Mind Centre, University of Sydney, and the National Drug and Alcohol Research Centre, University of New South Wales. She specialises in medical anthropology and Northern Thailand. She has published on youth mental healthcare experiences in Australia, methamphetamine use among northern Thai youth, as well as northern Thai youth subcultures, including violent youth gangs. She is author of Youth Culture and Identity in Northern Thailand: Fitting in and sticking out (Routledge 2020), which explores how young people in urban Chiang Mai construct a sense of community and identity at the intersection of global capitalism, national ideologies and local culture. Her current research focuses on the role and success of Thailand’s village health volunteers in preventing and controlling the COVID-19 pandemic.
For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac.
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Elise K. Burton’s important book, Genetic Crossroads: The Middle East and the Science of Human Heredity (Stanford University Press, 2021), documents how race and nation became fused in concept and in political practice. Over the past century, nation-building and race-making became interdependent through the sciences of heredity and their uses during wartimes and their aftermaths. The book provincializes Euro-American histories of science by centering the intrepid and non-innocent scientists from land along the eastern coastline of the Mediterranean Sea (often called by the imperial name of “Middle East”)—and their transnational networks.
The book tracks how scientists’ reputations, access to resources, and interpretations of data shifted from the dissolution of the Ottoman Empire, the repackaged race science around World War II, the 1967 Six-Day War, and the lingering state-backed violence of the present day. The sciences of heredity—including physical anthropology and medical genetics—have continued to be used to justify violence and territorial occupation, as much as humanitarian “resettlement” programs, storage of biospecimen, and building of research infrastructures for a cosmopolitan science. Today, “the anti-racist, progressive discourses surrounding contemporary human genome projects have so far been unable to overcome the territorial regimes and ethnic concepts produced by a century of conflict,” Burton writes, because “nationalism is sustained by particular practices of human genetics research—specifically, the need to describe human populations according to geography and ancestral history, coinciding with the two major constituent elements of the nation-state paradigm.”
The interview refers to the important, related work of Jenny Bangham, Emma Kowal, Joanna Radin, Gayle Rubin, and Kim TallBear. The conversation was a collective interview by Vanderbilt Master’s students in Laura Stark’s seminar, Critical Bioethics: Jazmyn Ayers, Kell Coney, Anyssa Francis, Caroline Goodman, Lily Jaremski, Natalie Jones, Ashley Mullen, Enna Pehadzic, Olivia Post, Karrie Raymond, Christina Rosca, Cecile Sahel, Chad Smith, and McKenzie Yates.
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The Emergence of Modern Hospital Management and Organisation in the World 1880s-1930s (Emerald, 2021) uses a range of empirical evidence and case studies drawn from previously unpublished archival sources to offer one of the first international comparative studies on the transformation and modernization of hospital management globally, a century ago.
Focusing on the key years between the 1880s and the 1930s, when millions of people crossed the globe and created new large health care needs in the largest cities of the world, Paloma Fernández-Pérez analyzes core themes from a business history perspective, like organization, ownership and the professionalization of management, to reach a new understanding about the history of modern large scale healthcare institutions from the United States to China, with particular attention to Spain.
Paloma Fernández Pérez (PhD. in History University of California, Berkeley) is Professor of Economic History at the University of Barcelona. She is currently also a member of the Academic Board of the Emerging Markets Institute of the University of Cornell and an Invited Project Professor of the University of Kyoto in Japan. She is the founder, and coeditor in chief of the Journal of Evolutionary Studies in Business recently accepted for indexation in the Scopus database of journal
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Decades of data cannot be ignored: African American adults are far more likely to develop Type 2 diabetes than white adults. But has science gone so far in racializing diabetes as to undermine the search for solutions? In a rousing indictment of the idea that notions of biological race should drive scientific inquiry, Sweetness in the Blood: Race, Risk, and Type 2 Diabetes (University of Minnesota Press, 2021) provides an ethnographic picture of biotechnology’s framings of Type 2 diabetes risk and race and, importantly, offers a critical examination of the assumptions behind the recruitment of African American and African-descent populations for Type 2 diabetes research.
James Doucet-Battle begins with a historical overview of how diabetes has been researched and framed racially over the past century, chronicling one company’s efforts to recruit African Americans to test their new diabetes risk-score algorithm with the aim of increasing the clinical and market value of the firm’s technology. He considers African American reticence about participation in biomedical research and examines race and health disparities in light of advances in genomic sequencing technology. Doucet-Battle concludes by emphasizing that genomic research into sub-Saharan ancestry in fact underlines the importance of analyzing gender before attempting to understand the notion of race. No disease reveals this more than Type 2 diabetes.
Sweetness in the Blood challenges the notion that the best approach to understanding, managing, and curing Type 2 diabetes is through the lens of race. It also transforms how we think about sugar, filling a neglected gap between the sugar- and molasses-sweetened past of the enslaved African laborer and the high-fructose corn syrup- and corporate-fed body of the contemporary consumer-laborer.
Rachel Pagones is chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego and a licensed acupuncturist. Her book about acupuncture as a tool of medical, social, and political revolution in the United States is under contract with University of Michigan Press.
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If health policy truly seeks to improve population health and reduce health disparities, addressing homelessness must be a priority. Homelessness is a public health problem. Nearly a decade after the great recession of 2008, homelessness rates are once again rising across the United States, with the number of persons experiencing homelessness surpassing the number of individuals suffering from opioid use disorders annually. Homelessness presents serious adverse consequences for physical and mental health, and ultimately worsens health disparities for already at-risk low-income and minority populations. While some state-level policies have been implemented to address homelessness, these services are often not designed to target chronic homelessness and subsequently fail in policy implementation by engendering barriers to local homeless policy solutions.
In the face of this crisis, Ungoverned and Out of Sight: Public Health and the Political Crisis of Homelessness in the United States (Oxford University Press, 2021) seeks to understand the political processes influencing adoption of best-practice solutions to reduce chronic homelessness in US municipalities. Drawing on unique research from three exemplar municipal case studies in San Francisco, CA, Atlanta, GA, and Shreveport, LA, this volume explores conflicting policy solutions in the highly decentralized homeless policy space and provides recommendations to improve homeless governance systems and deliver policies that will successfully diminish chronic homelessness. Until issues of authority and fragmentation across competing or misaligned policy spaces are addressed through improved coordination and oversight, local and national policies intended to reduce homelessness may not succeed.
Stephen Pimpare is director of the Public Service & Nonprofit Leadership program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire.
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The conventional approach to suicide is psychiatric: ask the average person why people kill themselves, and they will likely cite depression. But this approach fails to recognize suicide’s social causes. People kill themselves because of breakups and divorces, because of lost jobs and ruined finances, because of public humiliations and the threat of arrest. While some psychological approaches address external stressors, this comprehensive study is the first to systematically examine suicide as a social behavior with social catalysts.
Drawing on Donald Black’s theories of conflict management and pure sociology, Suicide: The Social Causes of Self-Destruction (University of Virginia Press, 2020) presents a new theory of the social conditions that compel an aggrieved person to turn to self-destruction. Interpersonal conflict plays a central but under-appreciated role in the incidence of suicide. Examining a wide range of cross-cultural cases, Jason Manning argues that suicide arises from increased inequality and decreasing intimacy, and that conflicts are more likely to become suicidal when they occur in a context of social inferiority. As suicide rates continue to rise around the world, this timely new theory can help clinicians, scholars, and members of the general public to explain and predict patterns of self-destructive behavior.
Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The New Books Network’s Van Leer Jerusalem Series on Ideas. Write her at [email protected].
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MeaningFULL: 23 Life Changing Stories of Conquering Dieting, Weight, & Body Image Issues (Unsolicited Press, 2021) is a blend of motivational self-help, memoir, psychology, and health and wellness. Alli Spotts-De Lazzer is a Licensed Marriage and Family Therapist, an expert in eating and body image issues, and a woman on the other side of her own decades-long struggle with food and body.
A $702 billion global diet/nutrition and weight loss industry shows that people worldwide are devoted to achieving maximum health and their desired bodies. Yet mainstream approaches are failing these individuals, and sadly, science proves this. Intent on gaining the "health" and "happiness" that diets promise, consumers keep trying. They become sad and frustrated, believing they're failing when they're not. They simply need a legitimate, alternative path, which MeaningFULL offers. Through the contributors' diverse, real-life mini-memoirs followed by Spotts-De Lazzer's commentaries, readers will learn about themselves and discover their unique, unconventional formulas for conquering their issues. Along the way, MeaningFULL will also guide them towards more self-appreciation, wellness, and fulfillment.
Alli Spotts-De Lazzer is a Licensed Marriage and Family Therapist, a Licensed Professional Clinical Counselor, a CEDS Certified Eating Disorders Specialist, a CEDS Supervisor, and a person on the other side of her own decades-long struggle with food battles and body dislike. Alli has presented educational workshops at conferences, graduate schools, and hospitals; published articles in academic journals, trade magazines, and online information hubs; and appeared as an eating disorders expert on local news. For more information you can visit her website https://therapyhelps.us/
Her professional-related volunteerism includes co-chairing committees for both the International Association of Eating Disorders Professionals and the Academy for Eating Disorders and creating #ShakeIt for Self-Acceptance!(R), a series of public events sparking conversations about self-acceptance through fun, motivating messages. She was named the 2017 iaedp Member of the Year, and Mayor Garcetti declared July 13, 2017 #ShakeIt for Self-Acceptance! Day in the City of Los Angeles. Alli feels fortunate to share MeaningFULL with readers. She regards it as the book I needed years ago.
Elizabeth Cronin, Psy.D., is a licensed clinical psychologist and mindfulness meditation teacher with offices in Brookline and Norwood, MA. You can follow her on Instagram or visit her website.
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"Antipsychiatry," Esalen, psychedelics, and DSM III: Radical challenges to psychiatry and the conventional treatment of mental health in the 1970s. The upheavals of the 1960s gave way to a decade of disruptions in the 1970s, and among the rattled fixtures of American society was mainstream psychiatry. A "Radical Caucus" formed within the psychiatric profession and the "antipsychiatry" movement arose. Critics charged that the mental health establishment was complicit with the military-industrial complex, patients were released from mental institutions, and powerful antipsychotic drugs became available. Meanwhile, practitioners and patients experimented with new approaches to mental health, from primal screaming and the therapeutic use of psychedelics to a new reliance on quantification.
In Break on Through: Radical Psychiatry and the American Counterculture (MIT Press, 2020), Lucas Richert investigates the radical challenges to psychiatry and to the conventional treatment of mental health that emerged in the 1970s and the lessons they offer for current debates. Drawing on archives and government documents, medical journals, and interviews, and interweaving references to pop (counter)culture into his account, Richert offers fascinating stories of the decade's radical mental health practices. He discusses anti-Vietnam War activism and the new diagnosis of post-traumatic stress disorder given to some veterans; the radical psychiatrists who fought the system (and each other); the entry of New Age-style therapies, including Esalen's Human Potential Movement, into the laissez-faire therapeutic marketplace of the 1970s; the development of DSM III; and the use of LSD, cannabis, and MDMA. Many of these issues have resonance today. Debates over medical marijuana and microdoses of psychedelics echo debates of the 1970s. With rising rates of such disorders as anxiety and depression, practitioners and patients continue to search for therapeutic breakthroughs.
C.J. Valasek is a Ph.D. Candidate in Sociology & Science Studies at the University of California San Diego.
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Agnes Arnold-Forster's book The Cancer Problem: Malignancy in Nineteenth-Century Britain (Oxford UP, 2021) offers the first medical, cultural, and social history of cancer in nineteenth-century Britain. It begins by looking at a community of doctors and patients who lived and worked in the streets surrounding the Middlesex Hospital in London. It follows in their footsteps as they walked the labyrinthine lanes and passages that branched off Tottenham Court Road; then, through seven chapters, its focus expands to successively include the rivers, lakes, and forests of England, the mountains, poverty, and hunger of the four nations of the British Isles, the reluctant and resistant inhabitants of the British Empire, and the networks of scientists and doctors spread across Europe and North America.
The Cancer Problem argues that it was in the nineteenth century that cancer acquired the unique emotional, symbolic, and politicized status it maintains today. Through an interrogation of the construction, deployment, and emotional consequences of the disease's incurability, this book reframes our conceptualization of the relationship between medicine and modern life and reshapes our understanding of chronic and incurable maladies, both past and present.
Rachel Pagones is chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego and a licensed acupuncturist.
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A compassionate and captivating examination of evolving attitudes toward mental illness throughout history and the fight to end the stigma.
For centuries, scientists and society cast moral judgments on anyone deemed mentally ill, confining many to asylums. In Nobody's Normal: How Culture Created the Stigma of Mental Illness (W. W. Norton & Company, 2021), anthropologist Roy Richard Grinker chronicles the progress and setbacks in the struggle against mental-illness stigma—from the eighteenth century, through America’s major wars, and into today’s high-tech economy.
Nobody’s Normal argues that stigma is a social process that can be explained through cultural history, a process that began the moment we defined mental illness, that we learn from within our communities, and that we ultimately have the power to change. Though the legacies of shame and secrecy are still with us today, Grinker writes that we are at the cusp of ending the marginalization of the mentally ill. In the twenty-first century, mental illnesses are fast becoming a more accepted and visible part of human diversity.
Grinker infuses the book with the personal history of his family’s four generations of involvement in psychiatry, including his grandfather’s analysis with Sigmund Freud, his own daughter’s experience with autism, and culminating in his research on neurodiversity. Drawing on cutting-edge science, historical archives, and cross-cultural research in Africa and Asia, Grinker takes readers on an international journey to discover the origins of, and variances in, our cultural response to neurodiversity.
Urgent, eye-opening, and ultimately hopeful, Nobody’s Normal explains how we are transforming mental illness and offers a path to end the shadow of stigma.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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As the push for a Universal Healthcare system in the United States becomes more and more popular among the American people, we’re beginning to have more public conversations about access to and affordability of medical care. While many of us may not consider our health insurance until we need it, for those with chronic conditions, the American medical system can be a nightmare of insurance claims bureaucracy and that prevents patients from getting the care they need at a cost they can afford. Worse, the rising prices of drugs and treatments developed in this for-profit system mean that some patients receive more medical care than they want or need, sometimes at the expense of their quality of life.
When a young Katherine E. Standefer was suddenly diagnosed with Long QT Syndrome—the same congenital heart condition as her younger sister—she was faced with what felt like an impossible choice: implant a cardiac defibrillator and be forever tied to the American Medical System, or take a chance with death. In her stunning debut, Lightning Flowers: My Journey to Uncover the Cost of Saving a Life (Little, Brown, Spark, 2020) Standefer explores this system as both a patient and a consumer, visiting factories in California as well as mining communities in Rwanda and Madagascar where the metals in her defibrillator were sourced to learn more about the true human cost of the device that was meant to save her life. Throughout, Standefer wonders whether her life is worth this price, and asks us to reimagine approaches to care—both in medical and environmental.
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We are here today with Sara Ritchey, associate professor of history at the University of Tennessee in Knoxville, TN, about her new book, Acts of Care: Recovering Women in Late Medieval Health, out with Cornell University Press this year, 2021.
The author of Holy Matter: Changing Perceptions of the Material World in Late Medieval Christianity (Cornell, 2014) and numerous articles, including “Caring by the Hours: the Psalter as a Source of Gendered Healthcare,” “Health, Healing, and Salvation: Hagiography as a Source of Medieval Healthcare,” “The Wound’s Presence and Bodily Absence: The Experience of God in a Fourteenth-Century Manuscript,” Dr. Ritchey discusses her profound understanding in the intersection of religious practice (writ large) and the practice of medicine (writ large) in the Medieval era.
In Acts of Care, Sara Ritchey recovers women's healthcare work by identifying previously overlooked tools of care: healing prayers, birthing indulgences, medical blessings, liturgical images, and penitential practices. Ritchey demonstrates that women in premodern Europe were both deeply engaged with and highly knowledgeable about health, the body, and therapeutic practices, but their critical role in medieval healthcare has been obscured because scholars have erroneously regarded the evidence of their activities as religious rather than medical.
The sources for identifying the scope of medieval women's health knowledge and healthcare practice, Ritchey argues, are not found in academic medical treatises. Rather, she follows fragile traces detectable in liturgy, miracles, poetry, hagiographic narratives, meditations, sacred objects, and the daily behaviors that constituted the world, as well as in testaments and land transactions from hospitals and leprosaria established and staffed by beguines and Cistercian nuns.
Through its surprising use of alternate sources, Acts of Care reconstructs the vital caregiving practices of religious women in the southern Low Countries, reconnecting women's therapeutic authority into the everyday world of late medieval healthcare.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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As we mark the one-year anniversary of the COIVD-19 pandemic, take the time to listen to this discussion of previous efforts to fight yellow fever, cholera, and plague pandemics. Lukas Engelmann and Christos Lynteris’s Sulfuric Utopias: A History Maritime Fumigation (MIT Press, 2020) tells the story of the international dream of stopping the spread of infectious disease in global shipping networks. Their work shows how the interests of capitalism clashed with the efforts of public health officials. At the center of their narrative lies the Clayton, a machine which combined technocratic enthusiasm and necropolitical logic. Sulfuric Utopias brings together the history disease, capitalism, public health, and science. It is both a contribution to maritime history and urban history. Personally, I was so excited to interview two authors who know more about the history of rat killing than I do.
Lukas Engelmann is a Chancellor's Fellow in the History and Sociology of Biomedicine, in the department of Science, Technology and Innovation Studies at the University of Edinburgh.
Christos Lynteris is a Senior Lecturer in Social Anthropology at the University of St. Andrews.
Michael G. Vann is a professor of world history at California State University, Sacramento. A specialist in imperialism and the Cold War in Southeast Asia, he is the author of The Great Hanoi Rat Hunt: Empires, Disease, and Modernity in French Colonial Vietnam (Oxford University Press, 2018). When he’s not reading or talking about new books with smart people, Mike can be found surfing in Santa Cruz, California.
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Medicine is most often understood through the metaphor of war. We encounter phrases such as “the war against the coronavirus,” “the front lines of the Ebola crisis,” “a new weapon against antibiotic resistance,” or “the immune system fights cancer” without considering their assumptions, implications, and history. But there is nothing natural about this language. It does not have to be, nor has it always been, the way to understand the relationship between humans and disease.
Medicine Is War: The Martial Metaphor in Victorian Literature and Culture (SUNY Press, 2021) shows how this “martial metaphor” was popularized throughout the nineteenth century. Drawing on the works of Mary Shelley, Charles Kingsley, Bram Stoker, Arthur Conan Doyle, and Joseph Conrad, Lorenzo Servitje examines how literary form reflected, reinforced, and critiqued the convergence of militarism and medicine in Victorian culture. He considers how, in migrating from military medicine to the civilian sphere, this metaphor responded to the developments and dangers of modernity: urbanization, industrialization, government intervention, imperial contact, crime, changing gender relations, and the relationship between the one and the many.
While cultural and literary scholars have attributed the metaphor to late nineteenth-century germ theory or immunology, this book offers a new, more expansive history stretching from the metaphor’s roots in early nineteenth-century militarism to its consolidation during the rise of early twentieth-century pharmacology. In so doing, Servitje establishes literature’s pivotal role in shaping what war has made thinkable and actionable under medicine’s increasing jurisdiction in our lives. Medicine Is War reveals how, in our own moment, the metaphor remains conducive to harming as much as healing, to control as much as empowerment.
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An Organ of Murder: Crime, Violence, and Phrenology in Nineteenth-Century America (Rutgers UP, 2021) explores the origins of both popular and elite theories of criminality in the nineteenth-century United States, focusing in particular on the influence of phrenology. In the United States, phrenology shaped the production of medico-legal knowledge around crime, the treatment of the criminal within prisons and in public discourse, and sociocultural expectations about the causes of crime. The criminal was phrenology’s ideal research and demonstration subject, and the courtroom and the prison were essential spaces for the staging of scientific expertise. In particular, phrenology constructed ways of looking as well as a language for identifying, understanding, and analyzing criminals and their actions. This work traces the long-lasting influence of phrenological visual culture and language in American culture, law, and medicine, as well as the practical uses of phrenology in courts, prisons, and daily life.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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In 1524, Pope Clement VII gave two condemned criminals to his physician to test a promising new antidote. After each convict ate a marzipan cake poisoned with deadly aconite, one of them received the antidote, and lived—the other died in agony. In sixteenth-century Europe, this and more than a dozen other accounts of poison trials were committed to writing. Alisha Rankin tells their little-known story.
At a time when poison was widely feared, the urgent need for effective cures provoked intense excitement about new drugs. As doctors created, performed, and evaluated poison trials, they devoted careful attention to method, wrote detailed experimental reports, and engaged with the problem of using human subjects for fatal tests. In reconstructing this history, Rankin reveals how the antidote trials generated extensive engagement with “experimental thinking” long before the great experimental boom of the seventeenth century and investigates how competition with lower-class healers spurred on this trend.
Alisha Rankin's The Poison Trials: Wonder Drugs, Experiment, and the Battle for Authority in Renaissance Science (U Chicago Press, 2021) sheds welcome and timely light on the intertwined nature of medical innovations, professional rivalries, and political power.
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Normally we write blogposts that try to convince you to listen to a conversation with an author about their fascinating book. In the time of COVID-19, it doesn't seem necessary to have to sell you on why you should listen to this podcast. Suffice it to say that Mitchell Hammond’s excellent survey of a dozen deadly diseases is a must-read primer to make sense of epidemic history. In Epidemics and the Modern World (University of Toronto Press, 2020), he balances the science of disease etiology and disease cycles with political, socio-economic, and cultural contexts. Read this book!
Mitchell L. Hammond, an Assistant Professor at the University of Victoria in beautiful British Columbia. Dr. Hammond studied at Yale, where he earned a BA in Political Science and a MA in Religious History before getting another MA and a PhD in European History at the University of Virginia. His dissertation was entitled “The Origins of Civic Health Care in Early Modern Germany”. He has published several articles and book chapters on the intersection of medicine and religion in 16th and 17th century Germany.
Michael G. Vann is a professor of world history at California State University, Sacramento. A specialist in imperialism and the Cold War in Southeast Asia, he is the author of The Great Hanoi Rat Hunt: Empires, Disease, and Modernity in French Colonial Vietnam (Oxford University Press, 2018). When he’s not reading or talking about new books with smart people, Mike can be found surfing in Santa Cruz, California.
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Scientists have scientific reason and use the scientific method. Humanists have... Emotion? Close reading? Not so, argues Eric Hayot in
Humanist Reason: A History. An Argument. A Plan (Columbia UP, 2021). Contrary to popular belief, the humanities involve both reasoning and methods. Humanist reason, Hayot shows, is philosophically and historically grounded and applicable to almost every discipline. Part history of philosophy, part methods handbook, and part manifesto, Humanist Reason will change the way we advocate for the humanities in the twenty-first century.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Life expectancy in the United States has recently fallen for three years in a row—a reversal not seen since 1918 or in any other wealthy nation in modern times. In the past two decades, deaths of despair from suicide, drug overdose, and alcoholism have risen dramatically, and now claim hundreds of thousands of American lives each year—and they’re still rising. Anne Case and Angus Deaton, known for first sounding the alarm about deaths of despair, explain the overwhelming surge in these deaths and shed light on the social and economic forces that are making life harder for the working class. They demonstrate why, for those who used to prosper in America, capitalism is no longer delivering.
Deaths of Despair and the Future of Capitalism (Princeton University Press, 2020) paints a troubling portrait of the American dream in decline. For the white working class, today’s America has become a land of broken families and few prospects. As the college educated become healthier and wealthier, adults without a degree are literally dying from pain and despair. In this critically important book, Case and Deaton tie the crisis to the weakening position of labor, the growing power of corporations, and, above all, to a rapacious health-care sector that redistributes working-class wages into the pockets of the wealthy. Capitalism, which over two centuries lifted countless people out of poverty, is now destroying the lives of blue-collar America.
This book charts a way forward, providing solutions that can rein in capitalism’s excesses and make it work for everyone.
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Mao Zedong’s Great Leap Forward campaign organized millions of Chinese peasants into communes in a misguided attempt to rapidly collectivize agriculture with disastrous effects. Catastrophic famine lingered as the global cholera pandemic of the early 1960s spread rampantly through the infected waters of southeastern coastal China. Confronted with a political crisis and the seventh global cholera pandemic in recorded history, the communist government committed to social restructuring in order to affirm its legitimacy and prevent transmission of the disease. Focusing on the Wenzhou Prefecture in Zhejiang Province, the area most seriously stricken by cholera at the time, Xiaoping Fang demonstrates how China’s pandemic was far more than a health incident; it became a significant social and political influence during a dramatic transition for the People’s Republic.
China's Cholera Pandemic: Restructuring Society Under Mao (University of Pittsburgh Press, 2021) reveals how disease control and prevention, executed through the government’s large-scale, clandestine anticholera campaign, were integral components of its restructuring initiatives, aimed at restoring social order. The subsequent rise of an emergency disciplinary health state furthered these aims through quarantine and isolation, which profoundly impacted the social epidemiology of the region, dividing Chinese society and reinforcing hierarchies according to place, gender, and socioeconomic status.
Rachel Pagones is chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego and a licensed acupuncturist.
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Of all forms of alternative medicine, chiropractic is the one that is most generally accepted. In the UK, for instance, chiropractors are regulated by statute and even have their own ‘Royal College of Chiropractic’. In the US, chiropractic’s country of origin, most chiropractors carry the title ‘doctor’ and many consumers believe they are medically trained.
Despite this high level of acceptance, chiropractic is wide open to criticism. The claims and assumptions made by chiropractors are far from evidence based. Chiropractic manipulations are of doubtful effectiveness and have regularly been associated with severe adverse effects, including multiple fatalities. The advice issued by chiropractors to patients and consumers is often less than responsible. The behaviour of chiropractors and their organisations is frequently less than professional.
Edzard Ernst's Chiropractic:' Not All That It's Cracked Up to Be (Springer, 2020) presents and discusses recent evidence in and around chiropractic in a factual and unemotional manner. It amounts to an evidence-based critique of this profession and discloses the often dangerously misleading information published for the lay audience. It thereby contributes to advancing public health and critical thinking.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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In his book The Next Shift: The Fall of Industry and the Rise of Healthcare in Rust Belt America (Harvard University Press, 2021), Gabriel Winant explains how the social reproductive labor sustaining the US's industrial economy was institutionalized in response to steelworker layoffs, aging, and sickness beginning in the 1960s. The result was a recomposition of the American working class, from a predominantly white male industrial one, to a meagerly paid and socially devalued pool of care workers comprised mostly of women, and especially women of color. Neoliberalism's insecure labor regime is not a reversion to an earlier period of inequality but a consequence of midcentury welfare policy, the partial security it offered and the race and gender hierarchies it remade.
Patrick Reilly studies history at Vanderbilt University
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John M. Janzen's Health in a Fragile State: Science, Sorcery, and Spirit in the Lower Congo (Wisconsin University Press, 2019) offers a granular and insightful view of the state of healthcare services in the Manianga region of the Lower Congo (Democratic Republic of Congo), and examines the extent to which said services are able to improve the health of the communities that inhabit this region.
The collapse of the Congolese state during the 1980s and 1990s resulted in the deterioration and virtual disappearance of state-sponsored healthcare institutions. This vacuum came to be filled by organisms such as the World Health Organization, other NGOs and health-based institutions organized under the new framework of the health zone.
As a result, a precarious healthcare system emerged, one that combines the ingenuity and resources of the local population with those from external sources. Unfortunately, this system is only able to offer a limited and fragile solution to the health needs of the populations it seeks to serve. Janzen uses this examination to remind us that positive health outcomes are not merely a factor of adequate knowledge and resources, but also require that those in charge of creating and implementing health policies are seen as legitimate within their communities.
To support this argument, he starts by describing the population history of the region in relation to policies of the colonial and postcolonial era, and the ways in which specific diseases affected the lives peoples in the region. He then explores the different kind of institutions that support the social reproduction of health and the ways in which people in this region explain what it means to be healthy. Finally, he looks at theories of legitimation, both in Western thought and in the Kongo culture, and argues that legitimacy is a key element in the creation of a robust and effective healthcare system.
Esperanza Brizuela-Garcia is an associate professor of history at Montclair State University.
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Alzheimer’s disease, a haunting and harrowing ailment, is one of the world’s most common causes of death. Alzheimer’s lingers for years, with patients’ outward appearance unaffected while their cognitive functions fade away. Patients lose the ability to work and live independently, to remember and recognize. There is still no proven way to treat Alzheimer’s because its causes remain unknown.
Mind Thief: The Story of Alzheimer's (Columbia UP, 2021) is a comprehensive and engaging history of Alzheimer’s that demystifies efforts to understand the disease. Beginning with the discovery of “presenile dementia” in the early twentieth century, Han Yu examines over a century of research and controversy. She presents the leading hypotheses for what causes Alzheimer’s; discusses each hypothesis’s tangled origins, merits, and gaps; and details their successes and failures. Yu synthesizes a vast amount of medical literature, historical studies, and media interviews, telling the gripping stories of researchers’ struggles while situating science in its historical, social, and cultural contexts. Her chronicling of the trajectory of Alzheimer’s research deftly balances rich scientific detail with attention to the wider implications. In narrating the attempts to find a treatment, Yu also offers a critical account of research and drug development and a consideration of the philosophy of aging. Wide-ranging and accessible, Mind Thief is an important book for all readers interested in the challenge of Alzheimer’s.
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An exposé of the corruption of medicine by the pharmaceutical industry at every level, from exploiting the vulnerable destitute for drug testing, through manipulation of research data, to disease mongering and promoting drugs that do more harm than good.
Authors, Professor Jon Jureidini and Dr Leemon McHenry, made critical contributions to exposing the scientific misconduct in two infamous trials of antidepressants. Ghostwritten publications of these trials were highly influential in prescriptions of paroxetine (Paxil) and citalopram (Celexa) in paediatric and adolescent depression, yet both trials (Glaxo Smith Kline's paroxetine study 329 and Forest Laboratories' citalopram study CIT-MD-18) seriously misrepresented the efficacy and safety data.
The Illusion of Evidence-Based Medicine: Exposing the Crisis of Credibility in Clinical Research (Wakefield Press, 2020) provides a detailed account of these studies and argues that medicine desperately needs to re-evaluate its relationship with the pharmaceutical industry. Without a basis for independent evaluation of the results of randomised, placebo-controlled clinical trials, there can be no confidence in evidence-based medicine.
Science demands rigorous, critical examination and especially severe testing of hypotheses to function properly, but this is exactly what is lacking in academic medicine.
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Welcome to The Academic Life. You are smart and capable, but you aren’t an island, and neither are we. So we reached across our mentor network to bring you podcasts on everything from how to finish that project, to how to take care of your beautiful mind. Wish we’d bring in an expert about something? Email us at [email protected] or [email protected]. Find us on Twitter: The Academic Life @AcademicLifeNBN.
In this episode you’ll hear: about Dr Bikman’s unconventional path to pursuing degrees in science, why scientists need to do a postdoc, what it means to have your own lab, the important role of insulin in the body, and a discussion of the book Why We Get Sick: The Hidden Epidemic at the Root of Most Chronic Disease--And How to Fight It (Benbella Books, 2020).
Our guest is: Dr. Benjamin Bikman, associate professor of Physiology & Developmental Biology at BYU, where he has his own lab and is currently exploring the contrasting roles of insulin and ketones as key drivers of metabolic function. He frequently publishes his research in peer-reviewed journals and presents at international science meetings. He lives in Utah with his wife and children, and strongly believes in the importance of a work-life balance.
Your host is: Dr. Christina Gessler, a historian of women, gender, and sexuality. She specializes in decoding diaries written by rural women in 19th-century America. She supports her work-life balance by taking long walks, and making time for her loved ones.
Listeners to this episode might be interested in:
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Viruses are not very different from machines that process information, and thus, how the virus functions can be simulated on a computer. This ability to “imitate” the way viruses behave is particularly useful today, as we battle the impact of the coronavirus pandemic and struggle to prepare for similar events.
Dr. Klaus Mainzer, Co-founder and Senior Professor at the Carl Friedrich von Weizsäcker Center of the University of Tübingen and President of European Academy of Sciences and Arts in Salzburg, explains this further in a new podcast episode, in which he talks about his book Leben als Maschine: Wie entschlüsseln wir den Corona-Kode? published by Brill. He explains how bringing together the fields of bioinformatics, machine learning, AI, and big data can help us to decipher the workings of the novel coronavirus and, perhaps, be better equipped to deal with such crises in the future.
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Based on a viral article, the gripping medical mystery story of Ron Davis, a world-class Stanford geneticist who has put his career on the line to find the cure for chronic fatigue syndrome, the disease killing his son. For the past six years, Whitney Dafoe has been confined to a bedroom in the back of his parents' home, unable to walk, to eat, to speak. The sound of music causes him pain. At one point, the formerly healthy, young, freelance photographer, faced starvation as his 6'3" frame withered to 115 pounds. In desperation, Whitney and his parents went from one specialist to another, and still no answers. Then, finally, a diagnosis: the mysterious disease myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS). Whitney's story is heartbreaking, but it's also one of redemption. It reaches far beyond just one family's harrowing tale.
Today, ME/CFS affects between 1 and 2.5 million Americans--and 20 million people around the world. Those afflicted largely suffer in silence because the disease is little known and much misunderstood. The question lingers still whether it even exists outside the patient's mind. Often disbelieved, they're abandoned by family and friends. They lose their jobs, and battle with insurance companies over rising medical costs as the chronic disease continues on year after year. In one way, Whitney has been lucky. He could reach out to his father, a world renowned, scientist, for answers. This book is the story of one father's desperate hunt for the insidious illness that stole his son away. The Puzzle Solver follows Ron as he unravels the molecular trail within his own son's donated blood and genome, to began to find answers. He confirms this is a biological disease and uncovers new possibilities for treatments and potentially a cure. At its heart, The Puzzle Solver: A Scientist's Desperate Hunt to Cure the Illness That Stole His Son by Tracie White and Ronald W. Davis (Hachette Books, 2021) is about more than just cutting edge research or a race to find the cure for ME/CFS--it's about the unbreakable bond between a father and his son, and the lengths to which a parent will go to save their child's life.
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Although physicians during World War I, and scholars since, have addressed the idea of disorders such as shell shock as inchoate flights into sickness by men unwilling to cope with war's privations, they have given little attention to the agency many soldiers actually possessed to express dissent in a system that medicalized it.
In Germany, these men were called "war tremblers," for their telltale symptom of uncontrollable shaking. Based on archival research that constitutes the largest study of psychiatric patient files from 1914 to 1918, Rebecca Ayako Bennette examines the important space that wartime psychiatry provided soldiers expressing objection to the war in Diagnosing Dissent: Hysterics, Deserters, and Conscientious Objectors in Germany during World War One (Cornell University Press, 2020).
Michael E. O’Sullivan is Professor of History at Marist College where he teaches courses about Modern Europe. He published Disruptive Power: Catholic Women, Miracles, and Politics in Modern Germany, 1918-1965 with University of Toronto Press in 2018. It was recently awarded the Waterloo Centre for German Studies Book Prize for 2018.
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Can your zip code predict when you will die? Should you space out childhood vaccines? Does talcum powder cause cancer? Why do some doctors recommend e-cigarettes while other doctors recommend you stay away from them? Health information―and misinformation―is all around us, and it can be hard to separate the two. A long history of unethical medical experiments and medical mistakes, along with a host of celebrities spewing anti-science beliefs, has left many wary of science and the scientists who say they should be trusted. How can we unravel the knots of fact and fiction to find out what we should really be concerned about, and what we can laugh off?
In Viral BS: Medical Myths and Why We Fall for Them (Johns Hopkins UP, 2021), medical journalist, doctor, professor, and former CDC disease detective Seema Yasmin, driven by a need to set the record straight, dissects some of the most widely circulating medical myths and pseudoscience. Exploring how epidemics of misinformation and disinformation can spread faster than microbes, Dr. Yasmin asks why bad science is sometimes more believable and contagious than the facts. Each easy-to-read chapter covers a specific myth, whether it has endured for many years or hit the headlines more recently.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Typhoid fever is a food- and water-borne infectious disease that was insidious and omnipresent in Victorian Britain. It was one of the most prolific diseases of the Industrial Revolution. There was a palpable public anxiety about the disease in the Victorian era, no doubt fueled by media coverage of major outbreaks across the nation, but also because Queen Victoria's husband, Prince Albert, died of the disease in 1861. Their son and heir, Prince Albert Edward, contracted and nearly succumbed to typhoid a decade later in 1871.
The Filth Disease: Typhoid Fever and the Practices of Epidemiology in Victorian England (U Rochester Press, 2020) shows that typhoid was at the center of a number of critical debates about health, science, and governance. Victorian public health reformers, the book argues, working in central and local government, framed typhoid as the most pressing public health problem in order to persuade local officials to implement sanitary infrastructure to prevent the spread of disease. In this period British epidemiologists uncovered how typhoid is spread via food and water supplies, disrupting the longstanding idea that typhoid was spread via filth. In the process the modern disciple of epidemiology emerged as the chief science of public health. Typhoid was as much a social and political problem as it was a scientific one, and The Filth Disease provides a striking reminder of the cultural context in which infectious diseases strike populations and how scientists study them.
Jacob Steere-Williams is Associate Professor of History at the College of Charleston.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context
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Much of the world's politics revolve around questions about the development of the international market for drugs; the roles merchants, government officials, and drug manufacturers played in shaping this market over time and space; and the process of globalization. There are no easy answers to these questions, but the decisions that all of us make about them will have tremendous consequences for individuals and for the planet in the future.
Kenneth V. Faunce's new book Heavy Traffic: The Global Drug Trade in Historical Perspective (Oxford UP, 2020) helps students to understand globalization not as an inevitable or natural process, but instead as one that is created by and responds to a variety of human motivations. Examining the international trade in coffee, alcohol, opium, heroin, and cocaine, which have had a significant impact on economies and societies in countries around the world, it offers insight into globalization as a historical process, thereby helping to make sense of today's interconnected world, where products grown or produced in only a handful of places circulate widely, with varying impacts on local populations.
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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Today we speak to Hannah Marcus, Assistant Professor in the Department of the History of Science at Harvard University in Cambridge, Massachusetts, about her new monograph, Forbidden Knowledge: Medicine, Science, and Censorship in Early Modern Italy (University of Chicago Press, 2020).
Forbidden Knowledge explores the censorship of medical books from their proliferation in print through the prohibitions placed on them during the Counter-Reformation. How and why did books banned in Italy in the sixteenth century end up back on library shelves in the seventeenth? Historian Hannah Marcus uncovers how early modern physicians evaluated the utility of banned books and facilitated their continued circulation in conversation with Catholic authorities.
Through extensive archival research, Marcus highlights how talk of scientific utility, once thought to have begun during the Scientific Revolution, in fact began earlier, emerging from ecclesiastical censorship and the desire to continue to use banned medical books. What’s more, this censorship in medicine, which preceded the Copernican debate in astronomy by sixty years, has had a lasting impact on how we talk about new and controversial developments in scientific knowledge. Beautiful illustrations accompany this masterful, timely book about the interplay between efforts at intellectual control and the utility of knowledge.
Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender.
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What does the birth of babies whose embryos have gone through genome editing mean—for science and for all of us?
In November 2018, the world was shocked to learn that two babies had been born in China with DNA edited while they were embryos—as dramatic a development in genetics as the 1996 cloning of Dolly the sheep. In this book, Hank Greely, a leading authority on law and genetics, tells the fascinating story of this human experiment and its consequences in CRISPR People: The Science and Ethics of Editing Humans (The MIT Press, 2021). Greely explains what Chinese scientist He Jiankui did, how he did it, and how the public and other scientists learned about and reacted to this unprecedented genetic intervention.
The two babies, nonidentical twin girls, were the first “CRISPR'd” people ever born (CRISPR, Clustered Regularly Interspaced Short Palindromic Repeats, is a powerful gene-editing method). Greely not only describes He's experiment and its public rollout (aided by a public relations adviser) but also considers, in a balanced and thoughtful way, the lessons to be drawn both from these CRISPR'd babies and, more broadly, from this kind of human DNA editing—“germline editing” that can be passed on from one generation to the next.
Greely doesn't mince words, describing He's experiment as grossly reckless, irresponsible, immoral, and illegal. Although he sees no inherent or unmanageable barriers to human germline editing, he also sees very few good uses for it—other, less risky, technologies can achieve the same benefits. We should consider the implications carefully before we proceed.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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In today’s program, Dr. Paul Steinberg, a psychiatrist and clinical professor at the University of British Columbia, discusses his recently released book Psychoanalysis in Medicine: Applying Psychoanalytic Thought to Contemporary Medical Care (Routledge, 2020).
In this new volume, Dr. Steinberg offers both theoretical inferences and practical guidance related to the application of psychoanalysis to medical practice. Dr. Steinberg provides insight on, among many other topics, how clinicians’ awareness of their own feelings can aid in the diagnostic process and how a psychoanalytic approach can enrich patient interview.
Alec Kacew is a medical school student at the University of Chicago.
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Daniel A. Rodriguez's history of a newly independent Cuba shaking off the U.S. occupation, The Right to Live in Health: Medical Politics in Postindependence Havana (University of North Carolina Press, 2020), focuses on the intersection of public health and politics in Havana.
While medical policies were often used to further American colonial power, in Cuba, Rodriguez argues, they evolved into important expressions of anticolonial nationalism as Cuba struggled to establish itself as a modern state.
A younger generation of Cuban medical reformers, including physicians, patients, and officials, imagined disease as a kind of remnant of colonial rule. These new medical nationalists, as Rodriguez calls them, looked to medical science to guide Cuba toward what they envisioned as a healthy and independent future. Rodriguez describes how medicine and new public health projects infused republican Cuba's statecraft, powerfully shaping the lives of Havana's residents. He underscores how various stakeholders, including women and people of color, demanded robust government investment in quality medical care for all Cubans, a central national value that continues today.
On a broader level, Rodriguez proposes that Latin America, at least as much as the United States and Europe, was an engine for the articulation of citizens' rights, including the right to health care, in the twentieth century.
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A scientist assesses the potential of stem cell therapies for treating such brain disorders as stroke, Alzheimer’s disease, and Parkinson’s disease.
Stem cell therapies are the subject of enormous hype, endowed by the media with almost magical qualities and imagined by the public to bring about miracle cures. Stem cells have the potential to generate new cells of different types, and have been shown to do so in certain cases. Could stem cell transplants repair the damaged brain? In his book The Future of Brain Repair: A Realist's Guide to Stem Cell Therapy (MIT Press, 2020), neurobiologist Jack Price assesses the potential of stem cell therapies to treat such brain disorders as stroke, Alzheimer’s disease, Parkinson’s disease, and spinal cord injuries.
Certainly brain disorders are in need of effective treatments. These disorders don’t just kill, they disable, and conventional drug therapies have not had much success in treating them. Price explains that repairing the human brain is difficult, largely because of its structural, functional, and developmental complexity. He examines the self-repairing capacity of blood and gut cells—and the lack of such capacity in the brain; describes the limitations of early brain stem cell therapies for neurodegenerative disorders; and discusses current clinical trials that may lead to the first licensed stem cell therapies for stroke, Parkinson’s and macular degeneration. And he describes the real promise of pluripotential stem cells, which can make all the cell types that constitute the body.
New technologies, Price reports, challenge the very notion of cell transplantation, instead seeking to convince the brain itself to manufacture the new cells it needs. Could this be the true future of brain repair?
You can find more about Jack’s work here and here.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Vaccines make us wholly or partly immune to disease, such as Covid-19. But what is it to be immune? What is an immune system, and what does it do? In its beginnings, immunology was considered the science of the self/non-self distinction: the immune system comprised the self’s defenses against invading non-self pathogens, and was a sophisticated system possessed only by vertebrates. In Philosophy of Immunology (Cambridge University Press, 2020), Thomas Pradeu explains why these traditional conceptions have been upended over the past 20 years or so. It is now accepted that even single celled organisms have immune systems and that immune systems are also active in many biological activities, including regulation of foreign entities that are not part of the body but are not pathogens either, such as the gut microbiome. Pradeu, who is senior researcher at CNRS and University of Bordeau, defends his view of the individual as an immunologically unified chimera, and speculates about the implications for our understanding of cognition and psychiatric illness in the light of new discoveries of overlap between the immune and nervous systems.
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We are just over a year from when global news first reported a new type of pneumonia emerging in the Chinese city of Wuhan. A lockdown of Wuhan on January 23rd, 2020, was the first indication that these stories were more serious than originally thought.
All of us know what happened next: COVID-19 spread from China to other countries in Asia, then to Europe, then to North America, then worldwide. To slow the spread, countries frantically imposed travel restrictions on those coming from places affected by COVID-19: a massive shift away from the increasingly open borders seen over the past two decades.
One traveller caught up in these new restrictions was Ethan Lou, author of Field Notes From a Pandemic: A Journey Through a World Suspended (Signal, 2020). Ethan arrives in China in early 2020 to visit his family, as the first leg of a trip around the world. On each leg of his journey, he sees how different parts of the world are transformed by the global pandemic. Field Notes From a Pandemic, named among the CBC’s best Canadian non-fiction books of 2020, is one half travelogue, one half commentary, in and about a changed world.
In this interview, Ethan and I talk about his journey around the world, and how COVID-19 made a routine trip exceptionally complicated. He shares how he saw the world change in real-time, and which of those changes may end up sticking around.
Ethan Lou is a former Reuters reporter and has served as a visiting journalist at the University of British Columbia. His writing has appeared in the Guardian, the Globe and Mail, Maclean's, the South China Morning Post, the Walrus, and the Washington Post. His next book is Once a Bitcoin Miner: Scandal and Turmoil in the Cryptocurrency Wild West. He can be found on Twitter at @Ethan_Lou, and his work can be found at https://ethanlou.com/.
You can find more reviews, excerpts, interviews, and essays at The Asian Review of Books, including its review of Field Notes From a Pandemic. Follow on Facebook or on Twitter at @BookReviewsAsia.
Nicholas Gordon is a reviewer for the Asian Review of Books. In his day job, he’s a researcher and writer for a think tank in economic and sustainable development. He is also a print and broadcast commentator on local and regional politics. He can be found on Twitter at @nickrigordon.
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In the early 1970s, a new wave of public service announcements urged parents to help end an American tradition of child abuse. The message, relayed repeatedly over television and radio, urged abusive parents to seek help.
Support groups for parents, including Parents Anonymous, proliferated across the country to deal with the seemingly burgeoning crisis. At the same time, an ever-increasing number of abused children were reported to child welfare agencies, due in part to an expansion of mandatory reporting laws and the creation of reporting hotlines across the nation.
In Abusive Policies: How the American Child Welfare System Lost Its Way (University of North Carolina Press Books, 2020), Mical Raz examines this history of child abuse policy and charts how it changed since the late 1960s, specifically taking into account the frequency with which agencies removed African American children from their homes and placed them in foster care. Highlighting the rise of Parents Anonymous and connecting their activism to the sexual abuse moral panic that swept the country in the 1980s, Raz argues that these panics and policies--as well as biased viewpoints regarding race, class, and gender--played a powerful role shaping perceptions of child abuse. These perceptions were often directly at odds with the available data and disproportionately targeted poor African American families above others.
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Medicine and Memory in Tibet: Amchi Physicians in an Age of Reform (University of Washington Press, 2018) is the first full-length ethnography of Tibetan medical practitioners (amchi) in central Tibet working outside of major Tibetan medical institutions in Lhasa. Departing from extant ethnographies and scholarship on Tibetan medicine in the twentieth-century that often focus on institutions such as the Mentsikhang, Tibetan Medical College, and TAR Tibetan Pharmaceutical Factory, Theresia Hofer follows and traces the medical work of local Tibetan doctors in rural settings in Tsang and in Shigatse Town.
By centering on amchis who were not part of the Tibetan state-sponsored medical structures that were incorporated into the PRC socialist health care system in the 1950s, Hofer reveals perspectives and experiences that have been overlooked in national and institutional narratives. Drawing on literature addressing Tibetan amchis' memory and oral history in socialist and postsocialist contexts, Hofer also inquires into the social and political dynamics that influence memory and history-making, especially with regard to the violent past. Medicine and Memory in Tibet also consistently considers gender and aims to tackle the lack of understanding of gender in Tibetan medicine in the twentieth century. The perspectives of the amchis allow the inclusion of more women in the study of Tibetan medicine and uncover different subaltern histories of the Tibetan experience.
Medicine and Memory in Tibet demonstrates that amchis outside of major state-sponsored institutions have continued to contribute significantly to the survival and revival of Tibetan medicine and culture into the present day. Through the amchis' negotiations and agency within the new regime since the 1950s, Tibetan medicine was able to not only become an important health care resource for Tibetans and the state into the 1990s, it also became a stronghold for the preservation and revival of other aspects of Tibetan culture, language, and the local economy in contemporary China.
Daigengna Duoer is a Ph.D. student at the Religious Studies Department, University of California, Santa Barbara. Her dissertation is a digital humanities project mapping transnational and transregional Buddhist networks connecting twentieth-century Inner Mongolia, Manchuria, Republican China, Tibet, and the Japanese Empire.
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A reporter uncovers the secrets behind the scientific scam of the century.
The news breaks first as a tale of fear and pity. Doctors at a London hospital claim a link between autism and a vaccine given to millions of children: MMR. Young parents are terrified. Immunization rates slump. And as a worldwide ‘anti-vax’ movement kicks off, old diseases return to sicken and kill. But a veteran reporter isn’t so sure, and sets out on an epic investigation. Battling establishment cover-ups, smear campaigns, and gagging lawsuits, he exposes rigged research and secret schemes, the heartbreaking plight of families struggling with disability, and the scientific deception of our time.
Brian Deer's The Doctor Who Fooled the World: Andrew Wakefield's War on Vaccines (Johns Hopkins UP, 2020) tells the troubling story of Andrew Wakefield: a man in search of greatness, who stakes his soul on big ideas that, if right, might transform lives. But when the facts don’t fit, he can’t face failure. He’ll do whatever it takes to succeed.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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In Electric Brain: How the New Science of Brainwaves Reads Minds, Tells Us How We Learn, and Helps Us Change for the Better (BenBella, 2020), eminent neuroscientist R. Douglas Fields surveys the history and current state of scientific understanding about the brain as an electrical organ, and how the electrical activity of the brain relates to cognitive functioning and various clinical conditions. The book begins by documenting some of the fascinating and obscure history of the discovery and early science of electrical brain activity measurements, or ‘brainwaves’. It then goes on to summarize the latest cutting edge research on brainwaves in a wide variety of basic and applied areas of science and medicine - including neuroimaging, neuroplasticity, brain-machine interfaces, artificial intelligence, neurofeedback, brain stimulation therapies, and many others. Electric Brain is a highly accessible, but fact-filled and up-to-date, treatment of one of the most central - and yet still so enigmatic - topics in all of modern science.
Dr. R Douglas Fields is Chief of the Nervous System Development and Plasticity Section at the United States National Institutes of Health. He is a world expert on neuron-glia interactions and cellular mechanisms of memory, and is particularly well known for his work on white matter plasticity.
Dr. John Griffiths (@neurodidact) is an Assistant Professor at the University of Toronto, and Head of Whole Brain Modelling at the CAMH Krembil Centre for Neuroinformatics. His research group (grifflab.com) works at the intersection of computational neuroscience and neuroimaging, building simulations of human brain activity aimed at improving the understanding and treatment of neuropsychiatric and neurological illness.
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Americans today are often skeptical of scientific authority. Many conservatives dismiss climate change and Darwinism as liberal fictions, arguing that "tenured radicals" have coopted the sciences and other disciplines. Some progressives, especially in the universities, worry that science's celebration of objectivity and neutrality masks its attachment to Eurocentric and patriarchal values. As we grapple with the implications of climate change and revolutions in fields from biotechnology to robotics to computing, it is crucial to understand how scientific authority functions--and where it has run up against political and cultural barriers.
Science Under Fire: Challenges to Scientific Authority in Modern America (Harvard UP, 2020) reconstructs a century of battles over the cultural implications of science in the United States. Andrew Jewett reveals a persistent current of criticism which maintains that scientists have injected faulty social philosophies into the nation's bloodstream under the cover of neutrality. This charge of corruption has taken many forms and appeared among critics with a wide range of social, political, and theological views, but common to all is the argument that an ideologically compromised science has produced an array of social ills. Jewett shows that this suspicion of science has been a major force in American politics and culture by tracking its development, varied expressions, and potent consequences since the 1920s.
Looking at today's battles over science, Jewett argues that citizens and leaders must steer a course between, on the one hand, the naïve image of science as a pristine, value-neutral form of knowledge, and, on the other, the assumption that scientists' claims are merely ideologies masquerading as truths.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Today I talked to Chris Hamby about his book Soul Full of Coal Dust: The True Story of an Epic Battle for Justice (Little Brown, 2020). Hamby looks into why there has been a surge in black-lung disease in West Virginia and elsewhere in recent years. Poor self-policing and rapacious business practices go a long way in explaining the upsurge. Add in a tradition of fatalism caused by King Coal, and it becomes a minor miracle –but a miracle all the same—that some miners have been able to secure a measure of justice.
Chris Hamby is an investigative reporter for the New York Times. He won the Pulitzer Prize for Investigative Journalism in 2014 and was a finalist for the Pulitzer Prize in International Reporting in 2017.
Dan Hill, PhD, is the author of eight books and leads Sensory Logic, Inc. (https://www.sensorylogic.com). To check out his related “Dan Hill’s EQ Spotlight” blog, visit https://emotionswizard.com.
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Today, more than 200,000 men and women over age fifty are languishing in prisons around the United States. It is projected that by 2030, one-third of all incarcerated individuals will be older adults. An already overcrowded and underserved prison system is straining to manage the needs of incarcerated older adults with growing frailty and health concerns. Separated from their families and communities despite a low risk of recidivism, incarcerated older adults represent a major social-justice issue that reveals the intersectional factors at play in their imprisonment. How do the people aging in prison understand their life experiences?
In Aging Behind Prison Walls, Tina Maschi and Keith Morgen offer a data-driven and compassionate analysis of the lives of incarcerated older people. They explore the transferable resiliencies and coping strategies used by incarcerated aging adults to make meaning of their lives before, during, and after imprisonment. The book draws on extensive quantitative and qualitative research as well as national datasets. It features rich narrative case studies that present stories of trauma, coping, and well-being. Based on the data, Maschi and Morgen present a solution-focused caring-justice framework in order to understand and transform the individual- and community-level structural factors that have led to and perpetuate the aging-in-prison crisis. They offer concrete proposals--at the community and national policy levels--to address the pressing issues of incarcerated elders.
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The COVID-19 pandemic has affected every country around the world in a manner not seen since the Great Financial Crisis of 2008, and is perhaps one of the most transformative events in decades. Most countries and governments have played catch-up to the pandemic, trying to get a handle on case numbers after an explosive increase. But a few places: Taiwan, Singapore, Hong Kong, South Korea, New Zealand, Australia, Vietnam and China appear to have kept the virus largely under control.
Confronting COVID-19: A Strategic Playbook for Leaders and Decision Makers (Marshall Cavendish International Asia, 2020) by Devadas Krishnadas is one of the first attempts to seriously study the public responses to the COVID-19 pandemic, as well as plot out some of the possible economic, geopolitical and social changes that may arise. More information on the book can be found on its official microsite.
In this interview, Mr. Devadas and I talk about what policies worked to control COVID, how the region will develop, and how business and social operations might change as a result of the pandemic. We also talk about how recent events since the book’s publication affect its conclusions.
Devadas Krishnadas is CEO of the Future-Moves Group, with more than 20 years of experience in the public and private sectors. He previously held senior positions in the Singapore government, such as in the Prime Minister's Office, Ministry of Finance, Ministry of Community Development, Youth and Sports, and Ministry of Home Affairs. “Confronting COVID-19” is his fifth book.
You can find more reviews, excerpts, interviews, and essays at The Asian Review of Books, including its review of Confronting COVID-19. Follow on Facebook or on Twitter at @BookReviewsAsia.
Nicholas Gordon is a reviewer for the Asian Review of Books. In his day job, he’s a researcher and writer for a think tank in economic and sustainable development. He is also a print and broadcast commentator on local and regional politics. He can be found on Twitter at @nickrigordon.
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We live in an age of moral revolutions in which the once morally outrageous has become morally acceptable, and the formerly acceptable is now regarded as reprehensible. Attitudes toward same-sex love, for example, and the proper role of women, have undergone paradigm shifts over the last several decades. In this book, Robert Baker argues that these inversions are the product of moral revolutions that follow a pattern similar to that of the scientific revolutions analyzed by Thomas Kuhn in his influential book, The Structure of Moral Revolutions: Studies of Changes in the Morality of Abortion, Death, and the Bioethics Revolution (MIT Press, 2019).
After laying out the theoretical terrain, Baker develops his argument with examples of moral reversals from the recent and distant past. He describes the revolution, led by the utilitarian philosopher Jeremy Bentham, that transformed the postmortem dissection of human bodies from punitive desecration to civic virtue; the criminalization of abortion in the nineteenth century and its decriminalization in the twentieth century; and the invention of a new bioethics paradigm in the 1970s and 1980s, supporting a patient-led rebellion against medical paternalism. Finally, Baker reflects on moral relativism, arguing that the acceptance of "absolute" moral truths denies us the diversity of moral perspectives that permit us to alter our morality in response to changing environments.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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When is sorrow sickness? That is the question that this book asks, exploring how our understandings of sadness, melancholy, depression, mania and anxiety have changed over time, and how societies have tried to treat something which lies on the border between the natural and the pathological. Jonathan Sadowsky's book The Empire of Depression: A New History (Polity, 2020) explores the various medical treatments for depression, classed as a modern illness with definite (but changing) symptoms from the 20th century onwards, in relation to a longer history of treatments for ‘melancholia’ and related states considered either as biological or social sicknesses or as a natural part of some people’s constitution. He also compares the western history of medicalising depression with the experiences of both sadness and clinical depression in non-western cultures, such as Nigeria and Japan. He asks, what have we lost as a consequence of the hegemony of the western clinical model, and how can we reclaim the patient experience in the face of sometimes hostile doctors and pharmaceutical companies? The book is poetic but well-researched, written by a leading medical historian, and distinguished from the crowd of books about depression through its global focus, and its historical rigour.
C.J. Valasek is a Ph.D. Candidate in Sociology & Science Studies at the University of California San Diego.
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Between 1927 and 1979, more than 8,000 people were involuntarily sterilized in five hospitals across the state of Virginia. From this plain and terrible fact springs Elizabeth Catte's Pure America: Eugenics and the Making of Modern Virginia (Belt, 2021), a sweeping, unsparing history of eugenics in Virginia, and by extension the United States. Virginia's twentieth-century eugenics program was not the misguided initiative of well-meaning men of the day, writes Catte, with clarity and ferocity. It was a manifestation of white supremacy. It was a form of employment insurance. It was a means of controlling "troublesome" women and a philosophy that helped remove poor people from valuable land. It was cruel and it was wrong, and yet today sites where it was practiced like Western State Hospital, in Staunton, VA, are rehabilitated as luxury housing, their histories hushed up in the service of capital. As was amply evidenced by her acclaimed 2018 book What You Are Getting Wrong About Appalachia, Catte has no room for excuses; no patience for equivocation. What does it mean for modern America, she asks here, that such buildings are given the second chance that 8,000 citizens never got? And what possible interventions can be made now, repair their damage?
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In Diagnosing Desire: Biopolitics and Femininity into the Twenty-First Century, (The Ohio State University Press, 2020), Alyson K. Spurgas, Ph.D. examines the “new science of female sexuality” from a critical, sociological perspective, considering how today’s feminist-identified sex researchers study and manage women with low desire. Diagnosing Desire investigates experimental sex research that measures the disconnect between subjective and genital female arousal, contemporary psychiatric diagnoses for low female desire, new models for understanding women’s sexual response, and cutting-edge treatments for low desire in women—including from the realms of mindfulness and alternative healing.
Spurgas makes the case that, together, all of these technologies create a “feminized responsive desire framework” for understanding women’s sexuality, and that this, in fact, produces women’s sexuality as a complex problem to be solved. The biggest problem, Spurgas argues, is that gendered and sexualized trauma—including as it is produced within techno-scientific medicine itself—is too often ignored in contemporary renderings. Through incisive textual analysis and in-depth qualitative research based on interviews with women with low desire, Spurgas argues for a more radical and communal form of care for feminized—and traumatized—populations, in opposition to biopolitical mandates to individualize and neo-liberalize forms of self-care. Ultimately, this is a book not just about a specific diagnosis or dysfunction but about the material-discursive regimes that produce and regulate femininity.
Michael O. Johnston, Ph.D. is an Assistant Professor of Sociology at William Penn University. His most recent study, “The Queen and Her Royal Court: A Content Analysis of Doing Gender at a Tulip Queen Pageant”, was published in Gender Issues Journal. His interests include the sociology of art and culture, sociology of death and dying, and sociology of sex and gender. More can be found about Michael O. Johnston, Ph.D. by going to his website, Google Scholar, following him on Twitter @ProfessorJohnst, or emailing him at johnstonmo at wmpenn dot edu.
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In The Mutant Project: Inside the Global Race to Genetically Modify Humans (St. Martin's Press, 2020), anthropologist Eben Kirksey visits the frontiers of genetics, medicine, and technology to ask: Whose values are guiding gene editing experiments? And what does this new era of scientific inquiry mean for the future of the human species?
At a conference in Hong Kong in November 2018, Dr. He Jiankui announced that he had created the first genetically modified babies—twin girls named Lulu and Nana—sending shockwaves around the world. A year later, a Chinese court sentenced Dr. He to three years in prison for “illegal medical practice.”
As scientists elsewhere start to catch up with China’s vast genetic research program, gene editing is fueling an innovation economy that threatens to widen racial and economic inequality. Fundamental questions about science, health, and social justice are at stake: Who gets access to gene editing technologies? As countries loosen regulations around the globe, from the U.S. to Indonesia, can we shape research agendas to promote an ethical and fair society?
Eben Kirksey takes us on a groundbreaking journey to meet the key scientists, lobbyists, and entrepreneurs who are bringing cutting-edge genetic engineering tools like CRISPR to your local clinic. He also ventures beyond the scientific echo chamber, talking to disabled scholars, doctors, hackers, chronically-ill patients, and activists who have alternative visions of a genetically modified future for humanity.
The Mutant Project empowers us to ask the right questions, uncover the truth, and navigate this brave new world.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected].
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Though the current political climate might lead one to suspect that religion and medicine make for uncomfortable bedfellows, the two institutions have a long history of alliance. From religious healers and religious hospitals to religiously informed bioethics and research studies on the impact of religious and spiritual beliefs on physical and mental well-being, religion and medicine have encountered one another from antiquity through the present day. In Religion and Medicine: A History of the Encounter Between Humanity’s Two Greatest Institutions (Oxford University Press, 2020), Dr. Jeff Levin outlines this longstanding history and the multifaceted interconnections between these two institutions. The first book to cover the full breadth of this subject, it documents religion-medicine alliances across religious traditions, throughout the world, and over the course of history. Levin summarizes a wide range of material in the most comprehensive introduction to this emerging field of scholarship to date.
Jeff Levin holds a distinguished chair at Baylor University, where he is university professor of epidemiology and population health, professor of medical humanities, and director of the program on religion and population health at the Institute for the Studies of Religion.
Lindsey Jackson is a PhD student at Concordia University in Montreal, Canada.
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Séances, clairvoyance, and telepathy captivated public imagination in the United States from the 1850s well into the twentieth century. Though skeptics dismissed these experiences as delusions, a new kind of investigator emerged to seek the science behind such phenomena. With new technologies like the telegraph collapsing the boundaries of time and space, an explanation seemed within reach. As Americans took up psychical experiments in their homes, the boundaries of the mind began to waver. Common Phantoms: An American History of Psychic Science (Stanford UP, 2020) brings these experiments back to life while modeling a new approach to the history of psychology and the mind sciences.
Drawing on previously untapped archives of participant-reported data, Alicia Puglionesi recounts how an eclectic group of investigators tried to capture the most elusive dimensions of human consciousness. A vast though flawed experiment in democratic science, psychical research gave participants valuable tools with which to study their experiences on their own terms. Academic psychology would ultimately disown this effort as both a scientific failure and a remnant of magical thinking, but its challenge to the limits of science, the mind, and the soul still reverberates today.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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COVID-19 has had such far-reaching impacts that it can be, and has been, studied from the perspective of almost any academic discipline. For geographers, the ways in which COVID-19 affects place, space and movement is particularly consequential. It is at once a global phenomenon, yet it also ties us to localities in a way not experienced for a very long time in our increasingly mobile and interconnected world.
In Southeast Asia, the impact of COVID-19 has been particularly severe for migrant workers, who have found themselves un- or under-employed and sometimes stranded as economic activity has shut down and borders have closed. Professor Hirsch is part of a wide-ranging review of the implications of COVID-19 for migrant workers across the Asia-Pacific region, bringing in four main dimensions: what does it mean in terms of governance/rights, gender, public health and the environment?
On the occasion of International Migrants Day on 18 December, Professor Philip Hirsch spoke to Dr Natali Pearson about the impact that the pandemic has had on migrant workers in mainland Southeast Asia, and how we can better protect this vulnerable community.
Philip Hirsch is Emeritus Professor of Human Geography at the University of Sydney, where he taught from 1987 to 2017. He has written extensively on environment, development, natural resource governance and agrarian change in the Mekong Region. He is now based in Chiang Mai, Thailand. Books published over the past 10 years include the (edited) “Handbook of the Environment in Southeast Asia” (Routledge 2017), (co-authored) “The Mekong: A socio-legal approach to river basin development” (Earthscan 2016), (co-authored) "Powers of Exclusion: Land dilemmas in Southeast Asia" (NUS Press and Hawaii University Press 2011) and (co-edited) "Tracks and Traces: Thailand and the work of Andrew Turton" (Amsterdam University Press 2010). In 2021, University of Washington Press will publish his co-edited, “Turning land into capital: development and dispossession in the Mekong Region”. Professor Hirsch is fluent in Thai and Lao, speaks intermediate Vietnamese and elementary Khmer.
For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website here.
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Twentieth-century neuroscience fixed the brain as the basis of consciousness, the self, identity, individuality, even life itself, obscuring the fundamental relationships between bodies and the worlds that they inhabit. In Unraveling: Remaking Personhood in a Neurodiverse Age (University of Minnesota Press, 2020), Matthew J. Wolf-Meyer draws on narratives of family and individual experiences with neurological disorders, paired with texts by neuroscientists and psychiatrists, to decenter the brain and expose the ableist biases in the dominant thinking about personhood.
Unraveling articulates a novel cybernetic theory of subjectivity in which the nervous system is connected to the world it inhabits rather than being walled off inside the body, moving beyond neuroscientific, symbolic, and materialist approaches to the self to focus instead on such concepts as animation, modularity, and facilitation. It does so through close readings of memoirs by individuals who lost their hearing or developed trauma-induced aphasia, as well as family members of people diagnosed as autistic--texts that rethink modes of subjectivity through experiences with communication, caregiving, and the demands of everyday life.
Arguing for a radical antinormative bioethics, Unraveling shifts the discourse on neurological disorders from such value-laden concepts as "quality of life" to develop an inclusive model of personhood that honors disability experiences and reconceptualizes the category of the human in all of its social, technological, and environmental contexts.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Alan Berkman (1945–2009) was no campus radical in the mid-1960s; he was a promising Ivy League student, football player, Eagle Scout, and fraternity president. But when he was a medical student and doctor, his politics began to change, and soon he was providing covert care to members of revolutionary groups like the Weather Underground and becoming increasingly radicalized by his experiences at the Wounded Knee takeover, at the Attica Prison uprising, and at health clinics for the poor. When the government went after him, he went underground and participated in bombings of government buildings. He was eventually captured and served eight years in some of America's worst penitentiaries, barely surviving two rounds of cancer. After his release in 1992, he returned to medical practice and became an HIV/AIDS physician, teacher, and global health activist. In the final years of his life, he successfully worked to change U.S. policy, making AIDS treatment more widely available in the global south and saving millions of lives around the world.
In Co-Conspirator for Justice: The Revolutionary Life of Dr. Alan Berkman (UNC Press, 2020), Susan M. Reverby sheds fascinating light on questions of political violence and revolutionary zeal in her account of Berkman's extraordinary transformation from doctor to co-conspirator for justice.
Rachel Pagones is chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego and a licensed acupuncturist. Her third book, an examination of the history of acupuncture as a means of social and political revolution, is forthcoming from the University of Michigan Press.
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At first glance, the term “expressive individualism” seems benign enough. After all, people throughout the Western world value their personal freedom and the liberty to make crucial life decisions such as whether to have children and how and when they wish to die. What could possibly be wrong with the idea that everyone should be in control of his or her own body and fate to the greatest extent possible and with the least intrusion by either the state or “outdated” social mores?
But there is a dark side to expressive individualism when one enters the realm of public bioethics. In his 2020 book What It Means to Be Human: The Case for the Body in Public Bioethics (Harvard University Press, 2020), O. Carter Snead defines for us what the term “public bioethics” encompasses and provides a much-needed genealogy of the field.
He profiles key players in many of the most momentous bioethics-related developments of the post-WWII era from physicians such as Henry Knowles Beecher to jurists like Harry Blackmun and influential scholars in fields such as philosophy and sociology like Alasdair MacIntyre, Charles Taylor and Robert Bellah.
Snead chronicles how the field of bioethics came to be shaped by shocking revelations of cases of inhumanity many of which are well-known (such as the infamous Tuskegee Syphilis Study) but many of which are rarely discussed such as medical experiments performed on near-term alive aborted babies. Such cases shocked the public and led to legislation creating commissions and other bodies designed to prevent such horrors.
But Snead argues that much of the action on the public policy front failed for multiple reasons and left vulnerable groups (e.g., the aged, the cognitively disabled, the unborn) outside a legal regime built upon the precepts of expressive individualism. And even those who were supposedly able to express their wishes were often harmed by the expressive individualism paradigm and its legal framework. Snead gives examples of the many actors in the area of assisted reproduction and assisted suicide whose rights can be trampled in the name of a notion of personal liberty that does not account for changes of mind. He also demonstrates that regulation and oversight was often, for all intents and purposes, absent in many cases.
Snead’s book is a clarion call for what he calls “remembering the body.” This is an important book for anyone who may at some point become ill or disabled or who will end up caring for someone who is. That is, it is a book for everyone. It is by a leading scholar, but its readership is anyone with a body and who loves other people—or at least has some control over them.
Give a listen.
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While many doctors claim that Lyme disease--a tick-borne bacterial infection--is easily diagnosed and treated, other doctors and the patients they care for argue that it can persist beyond standard antibiotic treatment in the form of chronic Lyme disease. In Divided Bodies: Lyme Disease, Contested Illness, and Evidence-Based Medicine (Duke UP, 2020), Abigail A. Dumes offers an ethnographic exploration of the Lyme disease controversy that sheds light on the relationship between contested illness and evidence-based medicine in the United States. Drawing on fieldwork among Lyme patients, doctors, and scientists, Dumes formulates the notion of divided bodies: she argues that contested illnesses are disorders characterized by the division of bodies of thought in which the patient's experience is often in conflict with how it is perceived. Dumes also shows how evidence-based medicine has paradoxically amplified differences in practice and opinion by providing a platform of legitimacy on which interested parties--patients, doctors, scientists, politicians--can make claims to medical truth.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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An estimated 80 million people live with a neurodegenerative disease, with this number expected to double by 2050. Despite decades of research and billions in funding, there are no medications that can slow, much less stop, the progress of these diseases. The time to rethink degenerative brain disorders has come. With no biological boundaries between neurodegenerative diseases, illnesses such as Parkinson's and Alzheimer's result from a large spectrum of biological abnormalities, hampering effective treatment. In Brain Fables: The Hidden History of Neurodegenerative Diseases and a Blueprint to Conquer Them (Cambridge UP, 2020), acclaimed neurologist Dr Alberto Espay and Parkinson's advocate Benjamin Stecher present compelling evidence that these diseases should be targeted according to genetic and molecular signatures rather than clinical diagnoses. There is no Parkinson's or Alzheimer's, simply people with Parkinson's or Alzheimer's. An incredibly important story never before told, Brain Fables is a wakeup call to the scientific community and society, explaining why we have no effective disease-modifying treatments, and how we can get back on track.
Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. You can reach her at [email protected].
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Reducing harm or shrinking the likelihood of accidental death are remarkably contentions projects—in areas from sex education, to pandemic management, to drug use. Nancy Campbell’s important new book, OD: Naloxone and the Politics of Overdose (MIT Press, 2020) explores how a therapy that can stop an accidental drug overdose, called Naloxone, emerged in the American mainstream in the early years of the new millennium—despite existing in some form for nearly a century. What are now called “opioid antagonists” were used, not to save lives, but deployed by the carceral state to police drug users in the early twentieth century; sequestered within bioscience laboratories to build molecular theories of how the brain worked at midcentury; approved by the FDA in 1971 for the treatment of overdose only by physicians; and illicitly administered and widely shared in the 1980s and 1990s among drug-user-led activist organizations and communities, who created their own troves of training protocols, peer-education networks, and experiential evidence of its effectiveness. In the twenty-first century, Naloxone appeared on public policy agendas around harm reduction and arrived legally in the hands of the people best situated to intervene when an overdose was underway—but only in some US states and some countries.
Campbell tunes readers’ ears to the politics of evidence, the health effects of stigma, and the racism of false medical claims as she listens, amid a century of contention, to the quietness of “undone science.” As evidence, this intrepid book uses visual culture, vernacular documents, oral histories, and (expertly explained) scientific publications. It connects American histories at federal and local levels with the UK and especially Scotland. And it relates medical communities and activist networks without imposing false divides or drawing caricatures of either. The book builds on Campbell’s four previous books on the history of addiction, gendering knowledge, and social theory from the position of Science and Technology Studies.
The interview was a collaborative project among participants in the Vanderbilt University course, American Medicine & the World. For information about using NBN interviews as part of pedagogical practice, please email Laura Stark or see the essay “Can New Media Save the Book?” in Contexts (2015).
Laura Stark is Associate Professor at Vanderbilt University’s Center for Medicine, Health, and Society, and Associate Editor of the journal History & Theory.
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Globally, breast cancer is the most commonly diagnosed cancer in women, with over 1 million cases detected annually. The disease is particularly worrisome in Vietnam, where breast cancer incidence has more than doubled over the last two decades, making it the leading cancer among Vietnamese women, ahead of cervical and uterine cancers. It has also demonstrated a high level of aggressiveness, with over 80% of breast cancer patients presenting with local or distant metastases, while only 28% of breast cancers in Australia were diagnosed in late stages. Thus mortality rates are twofold higher in Vietnam compared with developed countries. Professor Patrick Brennan talks to Dr Natali Pearson about his decade-long work on improving breast cancer detection in Vietnam.
Professor Patrick Brennan is a leading researcher at the University of Sydney's School of Health Sciences. His research involves exploring novel technologies and techniques that enhance the detection of clinical indicators of disease, whilst minimising risk to the patient. His research has involved most major imaging modalities including X-ray, computerised tomography, ultrasound and magnetic resonance imaging, with a particular focus on breast and chest imaging. His research findings have translated into improved diagnosis and management of important disease states such as cancer, musculo-skeletal injury, arthritis and multiple sclerosis.
For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website here.
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We often hear stories of people in terrible and seemingly intractable situations who are preyed upon by someone offering promises of help. Frequently these cases are condemned in terms of "exploiting hope." These accusations are made in a range of contexts: human smuggling, employment relationships, unproven medical 'cures.' We hear this concept so often and in so many contexts that, with all its heavy lifting in public discourse, its actual meaning tends to lose focus. Despite its common use, it can be hard to understand precisely what is wrong about exploiting hope what can accurately be captured under this concept, and what should be done.
In Exploiting Hope: How the Promise of New Medical Interventions Sustains Us--and Makes Us Vulnerable (Oxford UP, 2020), philosopher Jeremy Snyder offers an in-depth study of hope's exploitation. First, he examines the concept in the abstract, including a close look at how this term is used in the popular press and analysis of the concepts of exploitation and hope. This theory-based section culminates in a definitive account of what it is to exploit hope, and when and why doing so is morally problematic. The second section of the book examines the particularly dangerous cases in which unproven medical interventions target the most vulnerable: for example, participants in clinical trials, purchasing unproven stem cell interventions, "right to try" legislation, and crowdfunding for unproven medical interventions.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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The figure of Sigmund Freud has captivated the Western imagination like few others. One hundred and twenty-five years after the publication of Studies on Hysteria, the good doctor from Vienna continues to stir controversy in institutions, academic circles, and nuclear households across the world.
Perhaps Freud’s sharpest and most adamant critic, Frederick Crews has been debating Freud’s legacy for over thirty years. His latest work, Freud: The Making of an Illusion (Picador, 2018) challenges us with an extensive psychological profile of the legend here revealed as scam artist. What some analysts might argue to be a 750 page character assassination, Crews maintains is simply a recitation of facts which leaves readers to draw their own conclusions. One might wonder if the story of facts that is conveyed is not itself a counter myth.
Was Freud a megalomaniacal, greedy, cocaine-addled opportunist and psychoanalysis a pseudoscience that has reigned tyrannically over twentieth century thought? Making use of Freud’s extensive letters to Martha Bernays, Crews paints a “damning portrait” (Esquire) of a money hungry, adulterous, and uncaring man.
How can this portrait be reconciled with the radically meaningful and deeply transformative process many of us know psychoanalysis to be? Is the tyranny of rationality preferable to the tyranny of myth? Does the unmaking of the myth of the man undo the gift of his work?
In this interview Crews responds to questions of what it means to have an empirical attitude, how we should “test” the process of healing, what’s so tempting about Freud, and what should become of psychoanalysis today. Meticulously researched, the Crews of the Freud wars is back again, and he’s going in for the kill shot.
Cassandra B. Seltman is a writer, psychoanalyst, and researcher in NYC. [email protected]
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In Enduring Cancer: Life, Death, and Diagnosis in Delhi (Duke UP, 2020) Dwaipayan Banerjee explores the efforts of Delhi's urban poor to create a livable life with cancer as patients and families negotiate an overextended health system unequipped to respond to the disease. Owing to long wait times, most urban poor cancer patients do not receive a diagnosis until it is too late to treat the disease effectively. Drawing on ethnographic fieldwork in the city's largest cancer care NGO and at India's premier public health hospital, Banerjee describes how, for these patients, a cancer diagnosis is often the latest and most serious in a long series of infrastructural failures. In the wake of these failures, Banerjee tracks how the disease then distributes itself across networks of social relations, testing these networks for strength and vulnerability. Banerjee demonstrates how living with and alongside cancer is to be newly awakened to the fragility of social ties, some already made brittle by past histories, and others that are retested for their capacity to support.
Sneha Annavarapu is a postdoctoral researcher at the University of Chicago.
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Common morality has been the touchstone of medical ethics since the publication of Beauchamp and Childress's Principles of Biomedical Ethics in 1979. Rosamond Rhodes challenges this dominant view by presenting an original and novel account of the ethics of medicine, one deeply rooted in the actual experience of medical professionals. She argues that common morality accounts of medical ethics are unsuitable for the profession, and inadequate for responding to the particular issues that arise in medical practice. Instead, Rhodes argues that medicine's distinctive ethics should be explained in terms of the trust that society allows to the profession. Trust is the core and starting point of Rhodes' moral framework, which states that the most basic duty of doctors is to "seek trust and be trustworthy."
In The Trusted Doctor: Medical Ethics and Professionalism (Oxford UP, 2020), Rhodes explicates the sixteen specific duties that doctors take on when they join the profession, and demonstrates how her view of these duties is largely consistent with the codes of medical ethics of medical societies around the world. She then explains why it is critical for physicians to develop the attitudes or "doctorly" virtues that comprise the character of trustworthy doctors and buttress physicians' efforts to fulfill their professional obligations. Her book's presentation of physicians' duties and the elements that comprise a doctorly character, together add up to a cohesive and comprehensive description of what medical professionalism really entails. Rhodes's analysis provides a clear understanding of medical professionalism as well as a guide for doctors navigating the ethically challenging situations that arise in clinical practice.
Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky College of Medicine.
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As the COVID-19 pandemic took hold in March, a self-isolating and easily distracted economist resolved to take himself in hand. "I decided I would do what I was good at: I would write a book" about the complex interplay between epidemiology and economics and the policy dilemmas it poses.
By June, Joshua Gans had published Economics in the Age of COVID-19 and, within days, he had started work on the expanded version - The Pandemic Information Gap: The Brutal Economics of COVID-19 (MIT Press, 2020) - to come out in the autumn. Its central thesis is that "at their heart, pandemics are an information problem. Solve the information problem and you can defeat the virus”.
Joshua Gans is Professor of Strategic Management and holder of the Jeffrey S. Skoll Chair of Technical Innovation and Entrepreneurship at the Rotman School of Management, University of Toronto.
Tim Gwynn Jones is an economic and political-risk analyst at Medley Global Advisors.
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On this episode of New Books in History, Jana Byars talks with Sharon Strocchia, Professor of History at Emory University. She is the author of Death and Ritual in Renaissance Florence, (Johns Hopkins University Press, 1992), Nuns and Nunneries in Renaissance Florence (Johns Hopkins University Press, 2009), and the book we are here to talk about today, Forgotten Healers: Women and the Pursuit of Health in Late Renaissance Italy, a 2019 Harvard University Press release. In this book, Professor Strocchia continues the work of her career: recentering the discourse to include the formative contributions of women in the Italian Renaissance. Through a discussion of Medici women, convent pharmacists, and hospital nurses, Strocchia adeptly argues that women played a leading role in the development of Renaissance medicine.
Jana Byars is the academic director of SIT Amsterdam’s study abroad program, Gender and Sexuality in an International Perspective.
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Science may be known for banishing the demons of superstition from the modern world. Yet just as the demon-haunted world was being exorcized by the enlightening power of reason, a new kind of demon mischievously materialized in the scientific imagination itself. Scientists began to employ hypothetical beings to perform certain roles in thought experiments—experiments that can only be done in the imagination—and these impish assistants helped scientists achieve major breakthroughs that pushed forward the frontiers of science and technology.
Spanning four centuries of discovery—from René Descartes, whose demon could hijack sensorial reality, to James Clerk Maxwell, whose molecular-sized demon deftly broke the second law of thermodynamics, to Darwin, Einstein, Feynman, and beyond—Jimena Canales tells a shadow history of science and the demons that bedevil it.
In Bedeviled: A Shadow History of Demons in Science (Princeton UP, 2020), she reveals how the greatest scientific thinkers used demons to explore problems, test the limits of what is possible, and better understand nature. Their imaginary familiars helped unlock the secrets of entropy, heredity, relativity, quantum mechanics, and other scientific wonders—and continue to inspire breakthroughs in the realms of computer science, artificial intelligence, and economics today.
The world may no longer be haunted as it once was, but the demons of the scientific imagination are alive and well, continuing to play a vital role in scientists’ efforts to explore the unknown and make the impossible real.
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Are psychedelics invaluable therapeutic medicines, or dangerously unpredictable drugs that precipitate psychosis? Tools for spiritual communion or cognitive enhancers that spark innovation? Activators for one’s private muse or part of a political movement? In the 1950s and 1960s, researchers studied psychedelics in all these incarnations, often arriving at contradictory results. In American Trip: Set, Setting, and the Psychedelic Experience in the Twentieth Century (MIT Press, 2020), Ido Hartogsohn examines how the psychedelic experience in midcentury America was shaped by historical, social, and cultural forces—by set (the mindset of the user) and setting (the environment in which the experience takes place). In this interview, Hartogsohn discusses the roles psychedelics have played worldwide, and what renewed interest in their medical value can offer individuals and society.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, she edits Points, the blog of the Alcohol and Drugs History Society.
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The pelvic exam is considered a fundamental procedure for medical students to learn; it is also often the one of the first times where medical students are required to touch a real human being in a professional manner. In Feeling Medicine: How the Pelvic Exam Shapes Medical Training (NYU Press, 2020), Kelly Underman gives us a look inside these gynecological teaching programs, showing how they embody the tension between scientific thought and human emotion in medical education.
Drawing on interviews with medical students, faculty, and the people who use their own bodies to teach this exam, Underman offers the first in-depth examination of this essential, but seldom discussed, aspect of medical education. Through studying, teaching, and learning about the pelvic exam, she contrasts the technical and emotional dimensions of learning to be a physician. Ultimately, Feeling Medicine explores what it means to be a good doctor in the twenty-first century, particularly in an era of corporatized healthcare.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Medical marijuana laws have spread across the U.S. to all but a handful of states. Yet, eighty years of social stigma and federal prohibition creates dilemmas for patients who participate in state programs.
Michelle Newhart and William Dolphin's The Medicalization of Marijuana: Legitimacy, Stigma, and the Patient Experience (Routledge, 2018) takes the first comprehensive look at how patients negotiate incomplete medicalization and what their experiences reveal about our relationship with this controversial plant as it is incorporated into biomedicine. Is cannabis used similarly to other medicines? Drawing on interviews with midlife patients in Colorado, a state at the forefront of medical cannabis implementation, this book explores the practical decisions individuals confront about medical use, including whether cannabis will work for them; the risks of registering in a state program; and how to handle questions of supply, dosage, and routines of use.
Individual stories capture how patients redefine and reclaim cannabis use as legitimate―individually and collectively―and grapple with an inherently political identity. These experiences help illustrate how stigma, prejudice, and social change operate.
By positioning cannabis use within sociological models of medical behavior, Newhart and Dolphin provide a wide-reaching, theoretically informed analysis of the issue that expands established concepts and provides new insight on medical cannabis and how state programs work.
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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Today I interview Marta Zaraska about her book Growing Young: How Friendship, Optimism, and Kindness Can Help You Live to 100 (Appetite/Random House, 2020). Now you may be thinking to yourself, “100? I’m not sure how appealing that is.” In our interview, Zaraska has a surprising response for you. And it’s important to say at the outset that Zaraska’s aim isn’t really to show us just how to prolong our years, but to help us understand how every one of our days between now and, if we’re lucky, 100 might be full and rich and immensely gratifying. And she helps us by taking us into the science of human thriving. What she discovers leads us not only into a better understanding of our own nature, but also to a deep connection with one another.
Eric LeMay is on the creative writing faculty at Ohio University. His work ranges from food writing to electronic literature. He is the author of three books, most recently In Praise of Nothing: Essay, Memoir, and Experiments (Emergency Press, 2014). He can be reached at [email protected].
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In the decades since it was identified in 1981, HIV/AIDS has devastated African American communities. Members of those communities mobilized to fight the epidemic and its consequences from the beginning of the AIDS activist movement. They struggled not only to overcome the stigma and denial surrounding a "white gay disease" in Black America, but also to bring resources to struggling communities that were often dismissed as too "hard to reach." To Make the Wounded Whole: The African American Struggle Against HIV/AIDS (UNC Press, 2020) offers the first history of African American AIDS activism in all of its depth and breadth. Dan Royles introduces a diverse constellation of activists, including medical professionals, Black gay intellectuals, church pastors, Nation of Islam leaders, recovering drug users, and Black feminists who pursued a wide array of grassroots approaches to slow the epidemic's spread and address its impacts. Through interlinked stories from Philadelphia and Atlanta to South Africa and back again, Royles documents the diverse, creative, and global work of African American activists in the decades-long battle against HIV/AIDS.
Dan Royles is an assistant professor of history at Florida International University.
Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky College of Medicine.
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Rene Almeling’s new book GUYnecology: The Missing Science of Men’s Reproductive Health (University of California Press, 2020) provides an in-depth look at why we do not talk about men’s reproductive health and this knowledge gap shapes reproductive politics today.
Over the past several centuries, the medical profession has made enormous efforts to understand and treat women’s reproductive bodies. It is only recently, however, that researchers have begun to ask basic questions about how men’s health matters for reproductive outcomes, from miscarriage to childhood illness. Andrology failed to establish itself as a medical specialty in the nineteenth-century and there continues to be a lack of attention to the importance of men’s age, health, and exposure.
Dr. Almeling examines the production, circulation, and reception of biomedical knowledge about men’s reproductive health. Throughout this book she conducts an in-depth analysis of male reproductive health by using historical documents, media messages, and qualitative interviews. The findings outlined in this book demonstrate how this non-knowledge shapes reproductive politics today.
Rene Almeling, Ph.D. is Associate Professor of Sociology, and, by courtesy, American Studies, Public Health, and Medicine at Yale University.
Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. His most recent research, “The Queen and Her Royal Court: A Content Analysis of Doing Gender at a Tulip Queen Pageant“, was published in Gender Issues Journal. He researches culture, social identity, and collective representation as it is presented in everyday social interactions. You can learn more about him on his website, Google Scholar, follow him on Twitter @ProfessorJohnst, or email him at [email protected].
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In the mid-1870s, the experimental therapy of lamb blood transfusion spread like an epidemic across Europe and the USA. Doctors tried it as a cure for tuberculosis, pellagra and anemia; proposed it as a means to reanimate seemingly dead soldiers on the battlefield. It was a contested therapy because it meant crossing boundaries and challenging taboos. Was the transfusion of lamb blood into desperately sick humans really defensible?
Boel Berner, Strange Blood: The Rise and Fall of Lamb Blood Transfusion in 19th Century Medicine and Beyond (Transcript Verlag, 2020) takes the reader on a journey into hospital wards and lunatic asylums, physiological laboratories and 19th century wars. It presents a fascinating story of medical knowledge, ambitions and concerns – a story that provides lessons for current debates on the morality of medical experimentation and care.
Boel Berner is a sociologist, historian, and professor emerita at Linköping University in Sweden. In her research she investigates the character and power of expertise, historically and today. She has studied education and work, the gendered nature of technical knowledge, household modernization, and issues of risk. Her current work is oriented towards the history of medicine. It focuses, besides questions of blood donation and transfusion, on the politics of blood group analysis in the interwar years.
Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky College of Medicine
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Relationship problems, struggles with substance abuse, poor memory, and difficulties with emotions are typical symptoms of complex trauma—yet many traumatized individuals have no idea their symptoms share a common cause. Research shows that treating one’s underlying traumatic experiences can yield immense relief from such symptoms and liberate individuals to live freer, more satisfying lives. This has been the focus of Dr. Tamara McClintock Greenberg’s work for 30 years, as she documents in her new book, Treating Complex Trauma: Combined Theories and Methods (2020, Springer). In our interview, we tackle such topics as the distinction between trauma and complex trauma, how to treat it, and the intersection of trauma with race and culture. This episode is for anyone who struggles with symptoms and difficulties that elude explanation or those who know someone who does.
Tamara McClintock Greenberg, Psy.D., M.S., is a clinical psychologist in private practice in San Francisco, CA, where she specializes in treating adults with depression, anxiety, relationship issues, trauma, and those who are coping with medical illness, either as a patient or affected family member. Her prior books include The Psychological Impact of Acute and Chronic Illness (2007, Springer-Verlag) and Psychodynamic Perspectives on Aging and Illness (2016, Springer International).
Eugenio Duarte, Ph.D. is a psychologist and psychoanalyst practicing in Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image problems, and relationship issues. He is a graduate and faculty of William Alanson White Institute in Psychiatry, Psychoanalysis, and Psychology in New York City and former chair of their LGBTQ Study Group; and faculty at Florida Psychoanalytic Institute in Miami. He is also a contributing author to the book Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (2018, Routledge).
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Cancer exists in nearly every animal and has afflicted humans as long as our species has walked the earth. In Rebel Cell: Cancer, Evolution, and the New Science of Life's Oldest Betrayal (Benbella Books, 2020), Kat Arney reveals the secrets of our most formidable medical enemy, most notably the fact that it isn't so much a foreign invader as a double agent: cancer is hardwired into the fundamental processes of life. New evidence shows that this disease is the result of the same evolutionary changes that allowed us to thrive. Evolution helped us outsmart our environment, and it helps cancer outsmart its environment as well—alas, that environment is us.
Rebel Cell is a story about life and death, hope and hubris, nature and nurture. It's about a new way of thinking about what this disease really is and the role it plays in human life. Above all, it's a story about where cancer came from, where it's going, and how we can stop it.
Matthew Jordan is a professor at McMaster University, where he teaches courses on AI and the history of science. You can follow him on Twitter @mattyj612 or his website matthewleejordan.com.
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Since the dawn of the industrial age, we have unleashed a bewildering number of potentially harmful chemicals. But out of this vast array, how do we identify the actual threats? What does it take to prove that a certain chemical causes cancer? How do we translate academic knowledge of the toxic effects of particular substances into understanding real-world health consequences? The science that answers these questions is toxicology.
In The Alchemy of Disease: How Chemicals and Toxins Cause Cancer and Other Illnesses (Columbia University Press), John Whysner offers an accessible and compelling history of toxicology and its key findings. He details the experiments and discoveries that revealed the causal connections between chemical exposures and diseases. Balancing clear accounts of groundbreaking science with human drama and public-policy relevance, Whysner describes key moments in the development of toxicology and their thorny social and political implications.
The book features discussions of toxicological problems past and present, including DDT, cigarettes and other carcinogens, lead poisoning, fossil fuels, chemical warfare, pharmaceuticals—including opioids—and the efficacy of animal testing. Offering valuable insight into the science and politics of crucial public-health concerns, The Alchemy of Disease shows that toxicology’s task—pinpointing the chemical cause of an illness—is as compelling as any detective story.
John Whysner was formerly an associate clinical professor of environmental health sciences at the Mailman School of Public Health, Columbia University. A board-certified toxicologist, he has consulted for the International Agency for Research on Cancer and federal agencies, including the Centers for Disease Control and Prevention, and was director of biomedical research for the Special Action Office for Drug Abuse Prevention, Executive Office of the President.
Claire Clark is a medical educator, historian of medicine, and associate professor at the University of Kentucky’s College of Medicine.
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In her new book Diabetes: A History of Race and Disease (Yale University Press, 2020), Arleen Tuchman, professor of history at Vanderbilt University, describes the history of how the perception of diabetes has evolved over the past two centuries. She charts the chronology of diabetes, from its beginnings as a disease associated with Jews to one associated with “non-whites.” She explores the connotations that patients, advocates, physicians, and policymakers have attached to diabetes (e.g., disease of the “civilized” versus disease of the “primitive”) and how researchers have consistently missed socioeconomic factors that may represent the most important risk factor for the disease.
Alec Kacew is a medical school student at the University of Chicago.
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Against the backdrop of a post-Soviet state set aflame by geopolitical conflict and violent revolution, Narkomania: Drugs, HIV, and Citizenship in Ukraine (Cornell UP, 2019) considers whether substance use disorders are everywhere the same and whether our responses to drug use presuppose what kind of people those who use drugs really are. Jennifer J. Carroll's ethnography is a story about public health and international efforts to quell the spread of HIV. Carroll focuses on Ukraine where the prevalence of HIV among people who use drugs is higher than in parts of sub-Saharan Africa and unpacks the arguments and myths surrounding medication-assisted treatment (MAT) in Ukraine. What she presents in Narkomania forces us to question drug policy, its uses, and its effects on "normal" citizens.
Carroll uses her findings to explore what people who use drugs can teach us about the contemporary societies emerging in post-Soviet space. With examples of how MAT has been politicized, how drug use has been tied to ideas of "good" citizenship, and how vigilantism towards people who use drugs has occurred, Narkomania details the cultural and historical backstory of the situation in Ukraine. Carroll reveals how global efforts supporting MAT in Ukraine allow the ideas surrounding MAT, drug use, and HIV to resonate more broadly into international politics and echo into the heart of the Ukrainian public.
Dr. Jennifer J. Carroll is a medical anthropologist, research scientist, and subject matter expert on substance use and public health interventions to prevent overdose. She earned her PhD in cultural anthropology and her MPH in epidemiology at the University of Washington. She currently holds appointments as an Assistant Professor of Anthropology at Elon University in Elon, North Carolina and Adjunct Assistant Professor of Medicine at Brown University in Providence, Rhode Island.
Steven Seegel is Professor of History at the University of Northern Colorado.
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In the early twentieth century, public health reformers approached the task of ameliorating unsanitary conditions and preventing epidemic diseases with optimism. Using exhibits, they believed they could make systemic issues visual to masses of people. Embedded within these visual displays were messages about individual action. In some cases, this meant changing hygienic practices. In other situations, this meant taking up action to inform public policy. Reformers and officials hoped that exhibits would energize America's populace to invest in protecting the public's health. Exhibiting Health is an analysis of the logic of the production and the consumption of this technique for popular public health education between 1900 and 1930. It examines the power and limits of using visual displays to support public health initiatives.
Jennifer Lisa Koslow is an associate professor of history and director of the Historical Administration and Public History program at Florida State University in Tallahassee. She is the author of Cultivating Health: Los Angeles Women and Public Health Reform (Rutgers University Press).
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Policing the Womb: Invisible Women and the Criminalization of Motherhood (Cambridge University Press, 2020) a brilliant but shocking account of the criminalization of all aspects of reproduction, pregnancy, abortion, birth, and motherhood in the United States. In her extensively researched monograph, Michele Goodwin recounts the horrific contemporary situation, which includes, for example, mothers giving birth shackled in leg irons, in solitary confinement, even in prison toilets, and in some states, women being coerced by the State into sterilization, in exchange for reduced sentences. She contextualises the modern day situation in America’s history of slavery and oppression, and also in relation to its place in the world. Goodwin shows how prosecutors abuse laws, and medical professionals are complicit in a system that disproportionally impacts the poor and women of color. However, Goodwin warns that these women are just the canaries in the coalmine. In the context of both the Black Lives Matter movement, and in the lead up to the 2020 Presidential election, her book could not be more timely; Not only is the United States the deadliest country in the developed world for pregnant women, but the severe lack of protections for reproductive rights and motherhood is compounding racial and indigent disparities.
Jane Richards is a doctoral candidate in Human Rights Law at the University of Hong Kong. Her research interests include disability, equality, criminal law and civil disobedience. You can find her on twitter @JaneRichardsHK where she avidly follows the Hong Kong’s protests and its politics.
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Today's guest is psychologist and behavioral scientist, Wendy Wood. She is currently a professor of psychology and business at the University of Southern California, and a visiting professor at the INSEAD Business School in Paris.
Wendy has spent much of her career studying what she considers the very building blocks of behavioral change, something we all know as habits. Angela Duckworth describes her as “the world's foremost expert in the field.” And according to Adam Grant, she is “widely recognized as the authority on the science of habits,”
We'll explore her research and recent book, Good Habits, Bad Habits: The Science of Making Positive Changes That Stick (Farrar, Straus and Giroux)
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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After his father died, James L. Nolan, Jr., took possession of a box of private family materials. To his surprise, the small secret archive contained a treasure trove of information about his grandfather’s role as a doctor in the Manhattan Project. Dr. Nolan, it turned out, had been a significant figure. A talented ob-gyn radiologist, he cared for the scientists on the project, organized safety and evacuation plans for the Trinity test at Alamogordo, escorted the “Little Boy” bomb from Los Alamos to the Pacific Islands, and was one of the first Americans to enter the irradiated ruins of Hiroshima and Nagasaki.
Participation on the project challenged Dr. Nolan’s instincts as a healer. He and his medical colleagues were often conflicted, torn between their duty and desire to win the war and their oaths to protect life. Atomic Doctors: Conscience and Complicity at the Dawn of the Nuclear Age (Harvard UP, 2020) follows these physicians as they sought to maximize the health and safety of those exposed to nuclear radiation, all the while serving leaders determined to minimize delays and maintain secrecy. Called upon both to guard against the harmful effects of radiation and to downplay its hazards, doctors struggled with the ethics of ending the deadliest of all wars using the most lethal of all weapons. Their work became a very human drama of ideals, co-optation, and complicity.
A vital and vivid account of a largely unknown chapter in atomic history, Atomic Doctors is a profound meditation on the moral dilemmas that ordinary people face in extraordinary times.
James L. Nolan, Jr., is Washington Gladden 1859 Professor of Sociology at Williams College. His previous books include What They Saw in America: Alexis de Tocqueville, Max Weber, G. K. Chesterton, and Sayyid Qutb and Reinventing Justice: The American Drug Court Movement.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Addiction occurs among physicians at the same rate as in the general population, about 10%. Unlike the general population, however, an intensive rehabilitation program, geared specifically for their profession, vastly improves their chances of finding long-term sobriety. Over 70% of these physicians will be clean and sober-and practicing medicine-five years later. How is this achieved, and can these principles be applied to anyone?
A Spiritual Pathway to Recovery from Addiction: A Physician’s Journey of Discovery (The Meadows Farm, Inc.) is the memoir of a group of physicians going through an intensive rehab program for addiction to drugs and alcohol. It is presented as a collection of their stories and the lessons they encountered during their time together.
As they proceed on a course of personal self-discovery, they share their past experiences, fears, and hopes. As the lessons of recovery begin to sink in, their thinking and behavior change from that of a self-absorbed ego-driven wreck to someone capable of changing their life for the better, without drugs or alcohol.
In his memoir, Dr. Meadows shares his insight into the spiritual pathway to recovery from addiction.
Linville Meadows, M.D. is an Honors graduate of the University of North Carolina School of Medicine and studied at Duke University.
For more information about Dr. Meadows and his book, please visit https://www.spiritualpathwaytorecovery.com/welcome
Elizabeth Cronin, Psy.D., is a licensed clinical psychologist and mindfulness meditation teacher with offices in Brookline and Norwood, MA. You can follow her on Instagram or visit her website at https://drelizabethcronin.com.
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Today's guest is Christopher Robertson, Associate Dean for Research and Innovation and Professor of Law at the University of Arizona. His background and research interests overlap several academic disciplines, including bioethics, health law, incentives, behavioral economics and more. His CV includes a PhD in philosophy and a law degree from Harvard.
His newest book is Exposed: Why Our Health Insurance is Incomplete and What can be Done About (Harvard University Press, 2019).
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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Hidden Valley Road: Inside The Mind of An American Family (Doubleday, 2020) is the story of a midcentury American family with twelve children, six of them diagnosed with schizophrenia, that became science's great hope in the quest to understand the disease.
Don and Mimi Galvin seemed to be living the American dream. After World War II, Don's work with the Air Force brought them to Colorado, where their twelve children perfectly spanned the baby boom: the oldest born in 1945, the youngest in 1965. In those years, there was an established script for a family like the Galvins--aspiration, hard work, upward mobility, domestic harmony--and they worked hard to play their parts. But behind the scenes was a different story: psychological breakdown, sudden shocking violence, hidden abuse. By the mid-1970s, six of the ten Galvin boys, one after another, were diagnosed as schizophrenic. How could all this happen to one family?
What took place inside the house on Hidden Valley Road was so extraordinary that the Galvins became one of the first families to be studied by the National Institute of Mental Health. Their story offers a shadow history of the science of schizophrenia, from the era of institutionalization, lobotomy, and the “schizophrenogenic” mother to the search for genetic markers for the disease, always amid profound disagreements about the nature of the illness itself. And unbeknownst to the Galvins, samples of their DNA informed decades of genetic research that continues today, bringing hope for paths to treatment, prediction, and even eradication of the disease for future generations.
Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The NBN’s Van Leer Jerusalem Series on Ideas. Write her at [email protected] or tweet @embracingwisdom.
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In Merchants of Medicine: The Commerce and Coercion of Health in Britain’s Long Eighteenth Century (The University of Chicago Press), medicines embody the hopes of those who prepared, sold, and ingested them.
By investigating the different contexts and practices associated with the British long-distance trade in patent medicines, Zachary Dorner unravels the intertwined history of financial markets, health concerns, and colonial warfare. He argues that from the late seventeenth-century, medicines were produced, distributed, and consumed in new ways, providing solutions to the problems of labor shortages in the armed forces, trading companies and plantations, while also informing the categories of difference that organized such institutions.
Zachary Dorner is the Patrick Henry Postdoctoral Fellow in history at Johns Hopkins University.
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Everyday suffering—those conditions or feelings brought on by trying circumstances that arise in everyone’s lives—is something that humans have grappled with for millennia. But the last decades have seen a drastic change in the way we approach it. In the past, a person going through a time of difficulty might keep a journal or see a therapist, but now the psychological has been replaced by the biological: instead of treating the heart, soul, and mind, we take a pill to treat the brain.
Chemically Imbalanced: Everyday Suffering, Medication, and Our Troubled Quest for Self-Mastery (University of Chicago Press) is a field report on how ordinary people dealing with common problems explain their suffering, how they’re increasingly turning to the thin and mechanistic language of the “body/brain,” and what these encounters might tell us.
Drawing on interviews with people dealing with struggles such as underperformance in school or work, grief after the end of a relationship, or disappointment with how their life is unfolding, Joseph E. Davis reveals the profound revolution in consciousness that is underway. We now see suffering as an imbalance in the brain that needs to be fixed, usually through chemical means. This has rippled into our social and cultural conversations, and it has affected how we, as a society, imagine ourselves and envision what constitutes a good life.
Davis warns that what we envision as a neurological revolution, in which suffering is a mechanistic problem, has troubling and entrapping consequences. And he makes the case that by turning away from an interpretive, meaning-making view of ourselves, we thwart our chances to enrich our souls and learn important truths about ourselves and the social conditions under which we live.
Joe Davis is Research Professor of Sociology at the University of Virginia
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Today’s guest is investigative journalist and author, Gerald Posner. His new book, Pharma: Greed, Lies, and the Poisoning of America (Simon and Schuster), explores the fascinating and complex history of pharmaceutical and bio-tech industries. It is an industry like no other and a story like no other.
Gerald Posner is an award-winning journalist who has written twelve books, including the Pulitzer Prize finalist Case Closed and multiple national bestsellers.
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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Today’s guest is journalist and author, Wendy Moore. Her new book, No Man’s Land: The Trailblazing Women Who Ran Britain's Most Extraordinary Military Hospital During World War I (Basic Books) explores the WWI British military hospital known as Endell Street.
A hospital run by two suffragette doctors, Louisa Garrett Anderson and Flora Murray. A hospital staffed almost completely by women who treated over 26,000 wounded soldiers. It’s an incredible book published by Atlantic Books in the UK and Basic Books in the US, in April 2020.
Wendy Moore is a journalist and author of several previous books, including How to Create the Perfect Wife and Wedlock, a Sunday Times bestseller.
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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Outbreaks of Ebola, SARS, MERS, and pandemic influenza are brutal reminders of the dangers of infectious disease. Comparing the development of disease control in Britain and the United States, from the 1793 yellow fever outbreak in Philadelphia to the H1N1 panics of more recent times, Diseased States: Epidemic Control in Britain and the United States (University of Massachusetts Press) provides a blueprint for managing pandemics in the twenty-first century.
To understand why these two nations have handled contemporary disease threats in such different ways, Charles Allan McCoy examines when and how disease control measures were adopted in each country from the nineteenth century onward, which medical theory of disease was dominant at the time, and where disease control was located within the state apparatus.
Particular starting conditions put Britain and the United States on distinct trajectories of institutionalization that led to their respective systems of disease control. As McCoy shows, even the seemingly objective matter of contagion is deeply enmeshed in social and political realities, and by developing unique systems of biopower to control the spread of disease, Britain and the United States have established different approaches of exerting political control over citizens’ lives and bodies.
Charles Allan McCoy is assistant professor of sociology at the State University of New York Plattsburgh.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Why Do Unnecessary and Often Counter-Productive Medical Interventions Happen So Often?
Today I talked to Paul Offit about his book Overkill: When Modern Medicine Goes Too Far (HarperCollins, 2020)
Offit is a professor of pediatrics at the University of Pennsylvania and the director of the Vaccine Education Center at the Children’s Hospital of Philadelphia. A prolific author, he’s also well known for being the public face of the scientific consensus that vaccines have no association with autism.
Topics covered in this episode include:
Dan Hill, PhD, is the author of eight books and leads Sensory Logic, Inc. To check out his “Faces of the Week” blog, visit https://emotionswizard.com.
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While the eradication of smallpox has long been documented, not many know the Chinese roots of this historic achievement. In this revelatory study, Mass Vaccination. Citizens' Bodies and State Power in Modern China (Cornell University Press), Mary Augusta Brazelton examines the PRC's public health campaigns of the 1950s to explain just how China managed to inoculate almost six hundred million people against this and other deadly diseases.
Mass Vaccination tells the story of the people, materials, and systems that built these campaigns, exposing how, by improving the nation's health, the Chinese Communist Party quickly asserted itself in the daily lives of all citizens. This crusade had deep roots in the Republic of China during the Second Sino-Japanese War, when researchers in China's southwest struggled to immunize as many people as possible, both in urban and rural areas. But its legacy was profound, providing a means for the state to develop new forms of control and of engagement.
Brazelton considers the implications of vaccination policies for national governance, from rural health care to Cold War-era programs of medical diplomacy. By embedding Chinese medical history within international currents, she highlights how and why China became an exemplar of primary health care at a crucial moment in global health policy.
Mary Augusta Brazelton is University Lecturer in Global Studies of Science, Technology and Medicine at the Department of History and Philosophy of Science at the University of Cambridge.
Victoria Oana Lupascu is a PhD candidate in dual-title doctoral program in Comparative Literature and Asian Studies at the Pennsylvania State University. Her areas of interest include 20th and 21st Chinese literature and visual art, medical humanities and Global South studies.
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Every year nine million people are diagnosed with tuberculosis, every day over 13,400 people are infected with AIDs, and every thirty seconds malaria kills a child. For most of the world, critical medications that treat these deadly diseases are scarce, costly, and growing obsolete, as access to first-line drugs remains out of reach and resistance rates rise. Rather than focusing research and development on creating affordable medicines for these deadly global diseases, pharmaceutical companies instead invest in commercially lucrative products for more affluent customers.
Nicole Hassoun argues that everyone has a human right to health and to access to essential medicines, and she proposes the Global Health Impact (global-health-impact.org/new) system as a means to guarantee those rights. Her proposal directly addresses the pharmaceutical industry's role: it rates pharmaceutical companies based on their medicines' impact on improving global health, rewarding highly-rated medicines with a Global Health Impact label.
Global Health Impact: Expanding Access to Essential Medicines (Oxford University Press, 2020) has three parts. The first makes the case for a human right to health and specifically access to essential medicines. Hassoun defends the argument against recent criticism of these proposed rights. The second section develops the Global Health Impact proposal in detail. The final section explores the proposal's potential applications and effects, considering the empirical evidence that supports it and comparing it to similar ethical labels. Through a thoughtful and interdisciplinary approach to creating new labeling, investment, and licensing strategies, Global Health Impact demands an unwavering commitment to global justice and corporate responsibility.
Nicole Hassoun is Professor of Philosophy at Binghamton University and Visiting Scholar at Cornell University.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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In The Brain from Inside Out (Oxford University Press, 2019), György Buzsáki contrasts what he terms the ‘outside-in’ and ‘inside-out’ perspectives on neuroscientific theory and research methodology. The ‘outside-in’ approach, which he sees as dominating thinking in the field at present and in most of recent history, conceptualizes the brain as a passive, information-absorbing, coding device. The ‘inside-out’ perspective, which Buzsáki seeks to develop and advocate, sees the brain rather as a device sculpted exquisitely by evolution for the generation and control of action and behaviour. The Brain from Inside Out is a candid and provocative monograph from one of the world’s most respected scientists, full of fascinating insights into the history and future of the science of the mind.
Dr György Buzsáki is Biggs Professor of Neuroscience at New York University.
Dr. John Griffiths (@neurodidact) is an Assistant Professor at the University of Toronto, and Head of Whole Brain Modelling at the CAMH Krembil Centre for Neuroinformatics. His research group (grifflab.com) works at the intersection of computational neuroscience and neuroimaging, building simulations of human brain activity aimed at improving the understanding and treatment of neuropsychiatric and neurological illness.
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Psychedelic drugs are making a comeback. In the mid-twentieth century, scientists actively studied the potential of drugs like LSD and psilocybin for treating mental health problems. After a decades-long hiatus, researchers are once again testing how effective these drugs are in relieving symptoms for a wide variety of psychiatric conditions, from depression and obsessive–compulsive disorder to posttraumatic stress disorder and substance addiction. In Acid Revival: The Psychedelic Renaissance and the Quest for Medical Legitimacy (University of Minnesota Press, 2020), Danielle Giffort examines how this new generation of researchers and their allies are working to rehabilitate psychedelic drugs and to usher in a new era of psychedelic medicine.
As this team of researchers and mental health professionals revive the field of psychedelic science, they are haunted by the past and by one person in particular: psychedelic evangelist Timothy Leary. Drawing on extensive archival research and interviews with people working on scientific psychedelia, Giffort shows how today’s researchers tell stories about Leary as an “impure” scientist and perform his antithesis to address a series of lingering dilemmas that threaten to rupture their budding legitimacy. Acid Revival presents new information about the so-called psychedelic renaissance and highlights the cultural work involved with the reassembly of dormant areas of medical science.
This colorful and accessible history of the rise, fall, and reemergence of psychedelic medicine is infused with intriguing narratives and personalities—a story for popular science aficionados as well as for scholars of the history of science and medicine.
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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So much relies on science. But what if science itself can’t be relied on? In Science Fictions: Exposing Fraud, Bias, Negligence, and Hype in Science (Penguin Books, 2020), Stuart Ritchie, a professor of psychology at King’s College London, lucidly explains how science works, and exposes the systemic issues that prevent the scientific enterprise from living up to its truth-seeking ideals.
While the scientific method will always be our best way of knowing about the world, the current system of funding and publishing incentivizes bad behavior on the part of scientists. As a result, many widely accepted and highly influential theories and claims—priming, sleep and nutrition, genes and the microbiome, and a host of drugs, allergies, and therapies—are based on unreliable, exaggerated and even fraudulent papers. Bad incentives in science have influenced everything from austerity economics to the anti-vaccination movement, and occasionally count the cost of them in human lives.
Stuart Ritchie has been at the vanguard of a movement within science aimed at exposing and fixing these problems. In this New Books Network conversation, we speak specifically about how even the most well-meaning and truth-seeking scientists can unwittingly introduce bias into their analyses. We discuss ways that scientists’ training is inadequate.
Matthew Jordan is a professor at McMaster University, where he teaches courses on AI and the history of science. You can follow him on Twitter @mattyj612 or his website matthewleejordan.com.
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In Afflicted: How Vulnerability Can Heal Medical Education and Practice (The MIT Press), Nicole Piemonte examines the preoccupation in medicine with cure over care, arguing that the traditional focus on biological intervention keeps medicine from addressing the complex realities of patient suffering.
Although many have pointed to the lack of compassion and empathy in medical practice, few have considered the deeper philosophical, psychological, and ontological reasons for it. Piemonte fills that gap, examining why it is that clinicians and medical trainees largely evade issues of vulnerability and mortality and, doing so, offer patients compromised care.
She argues that contemporary medical pedagogy and epistemology are not only shaped by the human tendency to flee from the reality of death and suffering but also perpetuate it. The root of the problem, she writes, is the educational and institutional culture that promotes reductionist understandings of care, illness, and suffering but avoids any authentic confrontation with human suffering and the fear and self-doubt that can come with that confrontation.
Through a philosophical analysis of the patient-practitioner encounter, Piemonte argues that the doctor, in escaping from authentic engagement with a patient who is suffering, in fact “escapes from herself.”
Piemonte explores the epistemology and pedagogy of medicine, examines its focus on calculative or technical thinking, and considers how “clinical detachment” diminishes physicians. She suggests ways that educators might cultivate the capacity for authentic patient care and proposes specific curricular changes to help students expand their moral imaginations.
Nicole Piemonte is Assistant Dean for Medical Education and Assistant Professor at Creighton School of Medicine, Phoenix Regional Campus
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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It is often said that bioethics emerged from theology in the 1960s, and that since then it has grown into a secular enterprise, yielding to other disciplines and professions such as philosophy and law. During the 1970s and 1980s, a kind of secularism in biomedicine and related areas was encouraged by the need for a neutral language that could provide common ground for guiding clinical practice and research protocols. Tom Beauchamp and James Childress, in their pivotal The Principles of Biomedical Ethics, achieved this neutrality through an approach that came to be known as "principlist bioethics."
In Pastoral Aesthetics: A Theological Perspective on Principlist Bioethics (Oxford University Press, 2019), Nathan Carlin critically engages Beauchamp and Childress by revisiting the role of religion in bioethics and argues that pastoral theologians can enrich moral imagination in bioethics by cultivating an aesthetic sensibility that is theologically-informed, psychologically-sophisticated, therapeutically-oriented, and experientially-grounded. To achieve these ends, Carlin employs Paul Tillich's method of correlation by positioning four principles of bioethics with four images of pastoral care, drawing on a range of sources, including painting, fiction, memoir, poetry, journalism, cultural studies, clinical journals, classic cases in bioethics, and original pastoral care conversations. What emerges is a form of interdisciplinary inquiry that will be of special interest to bioethicists, theologians, and chaplains.
Nathan Carlin is Associate Professor and the Samuel Karff Chair in the McGovern Center for Humanities and Ethics at The University of Texas Health Science Center at Houston (UTHealth).
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Using the narratives of women who use(d) drugs, this account challenges popular understandings of Appalachia spread by such pundits as JD Vance by documenting how women, families, and communities cope with generational systems of oppression. Prescription opioids are associated with rising rates of overdose deaths and hepatitis C and HIV infection in the US, including in rural Central Appalachia. Yet there is a dearth of studies examining rural opioid use.
RX Appalachia: Stories of Treatment and Survival in Rural Kentucky (Haymarket, 2020) explores the gendered inequalities that situate women’s encounters with substance abuse treatment as well as additional state interventions targeted at women who use drugs in one of the most impoverished regions in the US.
Lesly-Marie Buer is a harm reductionist and medical anthropologist in Knoxville, TN.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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In The Politics of Disease Control. Sleeping Sickness in Eastern Africa, 1890-1920 (Ohio University Press, 2019), Mari K. Webel tells a history of colonial interventions among three communities of the Great Lakes region of East Africa. At the dawn of the twentieth century, Eastern African societies faced a range of social, political and economic challenges, many of which were connected to the establishment of British and German colonial regimes. In the midst of these, African societies experienced an epidemic outbreak of human African Trypanosomiasis, commonly known as “sleeping sickness.” The epidemic posed a serious threat to the economic prospects of colonial regimes who felt it necessary to authorize and fund large scale campaigns aimed at researching a treatment that could cure and stop the spread of the disease. Dr. Webel locates these colonial interventions in the context of the rich intellectual worlds that Great Lakes’ communities used to make sense of experiences of misfortune and illness. She argues that only by understanding the concepts and strategies that Africans had historically used to navigate challenging times, can we explain how and whether they chose to interact with the health efforts promoted by colonial authorities. The book highlights the long, largely neglected, and mostly unsuccessful, quest to eradicate or treat human African trypanosomiasis. It explains the impact that early campaigns to contain the disease had on the rationale and design of subsequent public health interventions in other parts of Africa, and how colonial narratives continue to affect modern research agendas into tropical diseases. Moreover, the book underscores the importance of paying attention to local, cultural and historical factors in the design of any public health campaign.
Esperanza Brizuela-Garcia is Associate Professor of History at Montclair State University. She specializes in modern intellectual history of Africa, historiography, World history and Philosophy of History. She is the co-author of African Histories: New Sources and New Techniques for Studying African Pasts (Pearson, 2011).
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On this episode of New Books in History, Jana Byars talks with Olivia Weisser, Associate Professor of History at the University of Massachusetts – Boston, to talk about her 2015 Yale University Press release, Ill Composed: Sickness, Gender, and Belief in Early Modern England. Olivia Weisser can be described as an historian of Early Modern England, an historian of medicine, and as a gender historian. This book sits right at the intersection of all three of these subfields and contributes to our understanding of the lived experience of religion, the lived experience of gender, ideas about ‘nature,’ and, of course, the history of medicine. Through its investigation of the gender-specific ways women and men talk about their illnesses, Weisser argues that illness is a construction, ongoing, that is specific to space and time, age, class, country of origin, race, and, specifically in this discussion: gender.
Jana Byars is the academic director of SIT Amsterdam’s study abroad program, Gender and Sexuality in an International Perspective.
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Dr. James Burt believed women’s bodies were broken, and only he could fix them. In the 1950s, this Ohio OB-GYN developed what he called “love surgery,” a unique procedure he maintained enhanced the sexual responses of a new mother, transforming her into “a horny little house mouse.” Burt did so without first getting the consent of his patients. Yet he was allowed to practice for over thirty years, mutilating hundreds of women in the process.
It would be easy to dismiss Dr. Burt as a monstrous aberration, a modern-day Dr. Frankenstein. Yet as medical historian Sarah Rodriguez reveals, that’s not the whole story. The Love Surgeon: A Story of Trust, Harm, and the Limits of Medical Regulation (Rutgers University Press, 2020) asks tough questions about Burt’s heinous acts and what they reveal about the failures of the medical establishment: How was he able to perform an untested surgical procedure? Why wasn’t he obliged to get informed consent from his patients? And why did it take his peers so long to take action?
The Love Surgeon is both a medical horror story and a cautionary tale about the limits of professional self-regulation.
Sarah B. Rodriguez is a medical historian at Northwestern University in the Global Health Studies Program, the Department of Medical Education, and the Graduate Program in Medical Humanities and Bioethics. Her teaching and research focuses on the history of reproduction, clinical practice, and research ethics. Her publications include the book Female Circumcision and Clitoridectomy in the United States: A History of a Medical Practice.
Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context.
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Among the tens of thousands of Americans who volunteered their services during the Civil War was Mary Walker, a daring young woman who was one of the handful of female doctors in the nation at that time. Yet despite the often desperate need for medical professionals she spent much of the war struggling to earn the respect she felt she deserved. In Dr. Mary Walker's Civil War: One Woman's Journey to the Medal of Honor and the Fight for Women's Rights (Lyons Press, 2020), Theresa Kaminski describes this struggle and how it reflected her lifelong struggle to have the world accept her on her own terms. The daughter of free-thinking farmers, the young Mary enjoyed a level of education unusual for her era. Even before the war began she defined her identity with their radical choices in clothing and her decision to divorce her philandering husband. When the war began Dr. Walker sought a commission as a doctor, only to face opposition from every authority figure she met. Over time, however, her persistent efforts gradually won her a degree of acceptance and a role in the war. While her goal to earn a commission remained unfulfilled, at the end of the war her brave sacrifices on behalf of the Union earned for herself a Medal of Honor – one that a century and a half later remains the only Medal of Honor ever awarded to a woman.
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Today we are joined by Kathleen Bachynski, Assistant Professor of Public Health at Muhlenberg College, and author of No Game for Boys to Play: The History of Youth Football and the Origins of a Public Health Crisis (University of North Carolina Press, 2019). In our conversation, we discussed the intersection of public health and American football, the difficulty in assessing and quantifying sports injuries, and the way that football organizers were able to mete out responsibility for broken bones, torn ligaments, and brain trauma to a wide range of participants. At its core, Bachynski’s work addresses the issue of whether or not football is safe for children.
In No Game for Boys to Play, Bachynski examines American football from its origins from the perspective of a public health specialist and an historian. Her work illuminates the ways in which football came to shape and be shaped by hegemonic discourses of masculinity, frequently to the detriment of its players' health. Her work focuses on youth football – both in Pop Warner league and in high schools and considers a wide scope of medical issues rather than being limited to discussions of traumatic brain injury. She argues that an ethical response to youth football is to prohibit all dangerous contact (tackle football, cross checks in hockey, boxing) for children under age 18.
Bachynski’s combination of historical studies, epidemiological investigations, and public health research brings a new perspective to the history of football. Her engagement with a wide range of actors; including players, parents, coaches, doctors, legislators, equipment manufacturers, insurance agencies, and tort lawyers; showcases the importance of football to broader conversations about American masculinity, educational standards, and national defense. It also challenges teleological perspectives that might suggest that football safely has improved over time. While dental and traumatic spinal injuries are less severe, children are more likely to suffer traumatic brain injuries despite (or perhaps because of) increasing standardization of safety equipment including helmets.
No Game for Boys to Play is the winner of the 2020 North American Society for Sport History Monograph Book Award and so should be read by a wide audience. Her work will especially appeal to scholars interested in the overlap between histories of medicine and sport.
Keith Rathbone is a lecturer at Macquarie University in Sydney, Australia. He researches twentieth-century French social and cultural history. His manuscript, entitled A Nation in Play: Physical Culture, the State, and Society during France’s Dark Years, 1932-1948, examines physical education and sports in order to better understand civic life under the dual authoritarian systems of the German Occupation and the Vichy Regime. If you have a title to suggest for this podcast, please contact him at [email protected].
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Dismal spending on government health services is often considered a necessary consequence of a low per-capita GDP, but are poor patients in poor countries really fated to be denied the fruits of modern medicine?
In many countries, officials speak of proper health care as a luxury, and convincing politicians to ensure citizens have access to quality health services is a constant struggle. Yet, in many of the poorest nations, health care has long received a tiny share of public spending.
Colonial and postcolonial governments alike have used political, rhetorical, and even martial campaigns to rebuff demands by patients and health professionals for improved medical provision, even when more funds were available.
No More to Spend: Neglect and the Construction of Scarcity in Malawi's History of Health Care (Oxford University Press, 2020) challenges the inevitability of inadequate social services in twentieth-century Africa, focusing on the political history of Malawi.
Using the stories of doctors, patients, and political leaders, Luke Messac demonstrates how both colonial and postcolonial administrations in this nation used claims of scarcity to justify the poor state of health care. During periods of burgeoning global discourse on welfare and social protection, forestalling improvements in health care required varied forms of rationalization and denial.
Calls for better medical care compelled governments, like that of Malawi, to either increase public health spending or offer reasons for their inaction. Because medical care is still sparse in many regions in Africa, the recurring tactics for prolonged neglect have important implications for global health today.
Luke Messac is a resident in emergency medicine at Brown University. He received his M.D. and Ph.D. (History and the Sociology of Science) from the University of Pennsylvania.
Bekeh Utietiang Ukelina is an Assistant Professor of History at SUNY, Cortland. His research examines the ideologies and practices of development in Africa, south of the Sahara. He is the author of The Second Colonial Occupation: Development Planning, Agriculture, and the Legacies of British Rule in Nigeria. For more NBN interviews, follow him on Twitter @bekeh or head to bekeh.com.
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In Carving a Niche: The Medical Profession in Mexico 1800-1870 (McGill-Queen’s University Press, 2018), Luz María Hernández Sáenz follows the trajectory of physicians in their quest for the professionalization of medicine in Mexico.
In the nineteenth century, medical practitioners sought to earn scientific and professional recognition both at home an internationally, and in doing so, they created institutions that shaped their profession, and sought to establish a monopoly in the realm of public health.
Hernández Sáenz places this story in an international context and demonstrates the importance of the French model in the establishment of a modern medical profession in Mexico. Significantly, we see how medical institutions changed as Mexico transitioned from a colonial society to a liberal, independent republic.
As we hear by the end of the interview, Mexican medical practitioners were eventually successful in earning professional status, and in monopolizing medical knowledge, however, they did not oust their rivals, nor they managed to turn medicine into a priority for local and national governments.
This is particularly important in the context of the current global pandemic for as Hernández Sáenz tells us, many of the problems that preoccupied physicians and government officials in the nineteenth century, still accompany us today. Chief among them is the subordination of matters of public health to economic interests, an important consideration for listeners interested in thinking how the past informs our present.
Luz María Hernández Sáenz is associate professor of history at the University of Western Ontario.
Lisette Varón-Carvajal is a PhD student at Rutgers University-New Brunswick. You can tweet her and suggest books at @LisetteVaron
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Sex Matters: How Male-Centric Medicine Endangers Women's Health and What We Can Do About It (Hachette, 2020) tackles one of the most urgent, yet unspoken issues facing women's health care today: all models of medical research and practice are based on male-centric models that ignore the unique biological and emotional differences between men and women -- an omission that can endanger women's lives.
The facts surrounding how male-centric medicine impacts women's health every day are chilling: in the ER, women are more likely to receive a psychiatric diagnosis with regard to opioid use, while men are more likely to be referred for detoxification; the more vocal women become about their pain, the more likely their providers are to prescribe either inadequate or inappropriate pain relief medication; women often present with nontraditional symptoms of stroke, which causes delays in recognition by both them and their health professionals; and a government accountability study found that 80% of drugs that are withdrawn from the market are due to side effects that happen to women (a result of testing drugs mostly on men).
Leading expert on sex and gender medicine Dr. Alyson McGregor focuses on the key areas where these differences are most potentially harmful, addressing:
Not only does Dr. McGregor explore these disparities in depth, she shares clear, practical suggestions for what women can do to protect themselves. A work of riveting exposé with revelatory insights and actionable guidance for navigating the medical establishment, Sex Matters is an empowering roadmap for reinventing modern medicine -- and for self-care.
Alyson J. McGregor, MD, MA, FACEP, is an Associate Professor of Emergency Medicine at The Warren Alpert Medical School of Brown University, and the Co-Founder and Director for the Division of Sex and Gender in Emergency Medicine (SGEM) at Brown University's Department of Emergency Medicine. A co-founder of the national organization Sex and Gender Women's Health Collaborative, Dr. McGregor has written or co-written over seventy peer-reviewed publications in scientific journals and was also the lead editor for the medical textbook, Sex and Gender in Acute Care Medicine (Cambridge University Press, 2016).
Dr. Christina Gessler’s background is in women’s history, anthropology and literature. She is a historian, and photographer. In seeking the extraordinary in the ordinary, Gessler writes the histories of largely unknown women, and takes many, many photos in nature.
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Of the many medical specializations to transform themselves during the rise of National Socialism, anatomy has received relatively little attention from historians. While politics and racial laws drove many anatomists from the profession, most who remained joined the Nazi party, and some helped to develop the scientific basis for its racialist dogma. As Sabine Hildebrandt reveals in The Anatomy of Murder: Ethical Transgressions and Anatomical Science during the Third Reich (Berghahn, 2017), however, their complicity with the Nazi state went beyond the merely ideological. They progressed through gradual stages of ethical transgression, turning increasingly to victims of the regime for body procurement, as the traditional model of working with bodies of the deceased gave way, in some cases, to a new paradigm of experimentation with the “future dead.”
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Medical students and physicians-in-training embark on a long journey that, although steeped in scientific learning and technical skill building, includes little guidance on the emotional and interpersonal dimensions of becoming a healer.
On Becoming a Healer: The Journey from Patient Care to Caring about Your Patients (Johns Hopkins University Press) is written for anyone in the health care community who hopes to grow emotionally and cognitively in the way they interact with patients, On Becoming a Healer explains how to foster doctor-patient relationships that are mutually nourishing.
Dr. Saul J. Weiner, a physician-educator, argues that joy in medicine requires more than idealistic aspirations―it demands a capacity to see past the "otherness" that separates the well from the sick, the professional in a white coat from the disheveled patient in a hospital gown. Weiner scrutinizes the medical school indoctrination process and explains how it molds the physician's mindset into that of a task completer rather than a thoughtful professional. Taking a personal approach, Weiner describes his own journey to becoming an internist and pediatrician while offering concrete advice on how to take stock of your current development as a physician, how to openly and fully engage with patients, and how to establish clear boundaries that help defuse emotionally charged situations.
Readers will learn how to counter judgmentalism, how to make medical decisions that take into account the whole patient, and how to incorporate the organizing principle of healing into their practice. Each chapter ends with questions for reflection and discussion to help personalize the lessons for individual learners.
Saul J. Weiner, MD is a professor of medicine, pediatrics, and medical education at the University of Illinois at Chicago, the deputy director of the Veterans Health Administration's Center of Innovation for Complex Chronic Healthcare, and the cofounder of the Institute for Practice and Provider Performance Improvement (I3PI).
Dr. Yakir Englander is the National Director of Leadership programs at the Israeli-American Council. He also teaches at the AJR. He is a Fulbright scholar and was a visiting professor of Religion at Northwestern University, the Shalom Hartman Institute and Harvard Divinity School.
His books are Sexuality and the Body in New Religious Zionist Discourse (English/Hebrew and The Male Body in Jewish Lithuanian Ultra-Orthodoxy (Hebrew). He can be reached at: [email protected]
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He Bian’s new book Know Your Remedies: Pharmacy and Culture in Early Modern China (Princeton University Press, 2020) is a beautiful cultural history of pharmacy in early modern China. This trans-dynastic book looks at how Chinese approaches to knowledge changed during the Ming and Qing as state-commissioned pharmacopeias dwindled, amateur investigations into the knowledge of things soared, and, ultimately, as natural history was de-medicalized, all while commercialization, monetization, long-distance trade, and empire flourished. This exceptionally rich and intimately text-based study introduces readers to a number of fascinating bencao (materia media), makes a compelling case for studying Chinese history through the lens of pharmacy, and demonstrates that Chinese pharmacy itself has a rich and vibrant history—all with stunning ease. This is both an essential and a joyful read for China historians, while still accessible for non-specialists interested in reading about the early modern world, medicine, the history of knowledge, and stories of strange drugs and the even stranger men who dispensed them.
Sarah Bramao-Ramos is a PhD candidate in History and East Asian Languages at Harvard University. She is interested in book history, early modern translation, and anything involving a kesike.
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Natalie Kimball is the author of An Open Secret: The History of Unwanted Pregnancy and Abortion in Modern Bolivia, out this year from Rutgers University Press.
An Open Secret argues that, despite stigma and continued legal prohibitions, practices and attitudes surrounding abortion have changed in urban Bolivia since the 1950s. Kimball shows how women have pushed for and enacted changes in policy and services relating to unwanted pregnancy and abortion in Bolivia.
In particular, they argue that since the 1980s, women have opened space for themselves to be able to terminate pregnancies with more options and more safety, even as abortion remains illegal. In order to tell this story, Kimball conducted over 100 interviews with women and maternal health practitioners in both La Paz and El Alto, and their stories offer a history not only of policy change, but of transformations in official and unofficial attitudes.
An Open Secret tells these stories while remaining attuned to the specific contexts of urban Bolivia, where women and men navigate overlapping medical systems not reducible to western science alone. Their book also centers women’s affective responses to pregnancy and the structures that factor into decisions about care. In this interview, we talk about oral history practices as well as the challenges of rights and choice base frameworks for maternal health activism in postcolonial contexts.
An Open Secret is essential reading for anyone interested in women’s health or the practice of oral history in Latin America.
Natalie Kimball is an Assistant Professor of History at the College of Staten Island, which forms part of the City University of New York.
Elena McGrath is an Assistant Professor of History at Union College in Schenectady, NY.
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New mothers face a barrage of confounding decisions during the life-cycle of early motherhood which includes... Should they change their diet or mindset to conceive? Exercise while pregnant? Should they opt for a home birth or head for a hospital?
Whatever they “choose,” they will be sure to find plenty of medical expertise from health practitioners to social media “influencers” telling them that they’re making a series of mistakes. As intersectional feminists with two small children each, Bethany L. Johnson and Margaret M. Quinlan draw from their own experiences as well as stories from a range of caretakers throughout.
You’re Doing it Wrong! Mothering, Media and Medical Expertise (Rutgers University Press, 2019) investigates the storied history of mothering advice in the media, from the newspapers, magazines, doctors’ records and personal papers of the nineteenth-century to today’s websites, Facebook groups, and Instagram feeds.
Johnson and Quinlan find surprising parallels between today’s mothering experts and their Victorian counterparts, but they also explore how social media has placed unprecedented pressures on new mothers, even while it may function as social support for some.
They further examine the contentious construction of prenatal and baby care expertise itself, as individuals such as everyone from medical professionals to experienced moms have competed to have their expertise acknowledged in the public sphere.
Exploring potential health crises from infertility treatments to “better babies” milestones, You’re Doing it Wrong! provides a provocative look at historical and contemporary medical expertise during conception, pregnancy, childbirth, postpartum, and infant care stages.
Bethany L. Johnson (MPhil, M.A.) is a doctoral student in the history of science, technology and the environment at the University of South Carolina and an associate member to the graduate faculty and research affiliate faculty in the department of communication studies at the University of North Carolina at Charlotte.
Margaret M. Quinlan (PhD) is an associate professor in the Department of Communication Studies and core faculty in the interdisciplinary Health Psychology Ph.D. Program at the University of North Carolina at Charlotte.
Dr. Christina Gessler’s background is in anthropology, women’s history, and literature. She works as a historian, poet, and photographer. In seeking the extraordinary in the ordinary, Gessler writes the histories of largely unknown women, poems about small relatable moments, and takes many, many photos in nature.
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Elisheva A. Perelman's new book American Evangelists and Tuberculosis in Modern Japan (Hong Kong University Press, 2020) examines the consequences of Japan’s decision not to tackle the tuberculosis epidemic that ravaged the country during the last quarter of the nineteenth century and the first quarter of the twentieth. TB was a plague of epic proportions in industrializing Japan, particularly affecting young women workers in the new textile factories. These marginalized laborers, many from rural villages, were not a priority for Japan’s first modern administrations, who focused their energies elsewhere and left the welfare of tuberculosis patients to the private sector. The opening left by this choice was filled by American evangelicals, who saw an opportunity to advance their missionary work in Japan.
Perelman identifies a kind of twinned moral entrepreneurship, arguing that a tacit agreement was hammered out between the two sides, with the government accepting the evangelical groups’ assistance with this public health emergency in exchange for noninterference in their efforts to spread Christianity. The history of TB in Japan is well studied and understood, but American Evangelists and Tuberculosis in Modern Japan breathes new life into this old story by its attention to different actors and dynamics. It will be of interest not only to scholars of Japanese and East Asian history and culture, but also to historians of science, medicine and public health, and Christianity.
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In 1883, a young woman named Anandi Joshi set out from her native India to the United States to study medicine. To do so, as Nandini Patwardhan describes in her book Radical Spirits: India’s First Woman Doctor and Her American Champions (Story Artisan Press, 2020) required overcoming numerous hurdles, which she did thanks to the support of family and friends on two continents. One of them, as Patwardhan explains, was her husband Gopal, who often moved with his young wife to various posts throughout India so as to obtain an education for her. The death of their son soon after childbirth fueled Anandi’s desire to study medicine, while the couple’s relationships with American missionaries led to an invitation to stay in America. Though Anandi faced numerous problems adapting to life in America and her husband’s oftentimes antagonistic nature added to her stress, through her hard labors and the aid of her friends Anandi succeeded in obtaining her medical degree, only to die tragically soon after her celebrated return to India in 1886.
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Today we are joined by Dr Jonathan Gelber, author of the book Tiger Woods’s Back and Tommy John’s Elbow: Injuries and Tragedies That Transformed Careers, Sports and Society (Skyhorse Publishing, 2019). Gelber is an orthopedic surgeon with the Olmstead Medical Center in Rochester, Minnesota. A long time athlete, Gelber examines several athletes through the prism of the “Cobra Effect, ”a phenomenon that occurs when an attempted solution to a problem results in an unintended consequence. And sometimes, that solution might even make the original problem worse. Drawing on his vast medical background, Gelber looks at athletes such as Len Bias, Hank Gathers, Magic Johnson, Dale Earnhardt Sr., Lyle Alzado and more. And, of course, Tiger Woods and Tommy John. The situation of every athlete Gelber examines, he asserts, usually has two effects: the obvious one, and a secondary outcome that was unexpected. The flawed evangelism of Alzado, who used steroids and later had brain cancer, or the death of Bias, which resulted in a change in drug laws in the United States, are two pieces of a fascinating narrative that is certain to provoke more discussion about athletes, sports and society.
Bob D’Angelo earned his master’s degree in history from Southern New Hampshire University in May 2018. He earned his bachelor’s degree in journalism from the University of Florida and spent more than three decades as a sportswriter and sports copy editor, including 28 years on the sports copy desk at The Tampa (Fla.) Tribune. He is currently a digital news producer for Cox Media Group. Bob can be [email protected]. For more information, visit Bob D’Angelo’s Books and Blogs.
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The modern popularity of acupuncture and herbal medicine belies the long history of Chinese medicine in the U.S. In Herbs and Roots: A History of Chinese Doctors in the American Medical Marketplace (Yale University Press, 2019), Tamara Venit-Shelton (Claremont McKenna College) examines the historical contexts that shaped perceptions of traditional Chinese medicine from the colonial period to the present. Venit-Shelton draws from court records, material culture, census records, oral interviews, and newspapers to uncover the multi-faceted roles that Chinese herbalists played in both Chinese and non-Chinese communities during the “long Progressive Era.”
Through self-Orientalizing presentations, these health practitioners enterprisingly navigated, accommodated, and resisted waves of rising xenophobia and medical regulation. After a period of struggle between the 1930s and 1970s when depression and war disrupted supply chains, Chinese medicine made a roaring comeback even as increasing numbers of Chinese Americans trained in Western medicine, leading to the rise of integrative medicine. Herbs and Roots deepens our understanding of histories of medicine and public health, American Orientalism, Asian immigration to the US, and the environment and ideas of nature.
Ian Shin is assistant professor of History and American Culture at the University of Michigan.
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On this episode of the New Books Network, Lee Pierce (s/t) interviews Jay Timothy Dolmage of the University of Waterloo on the new book Disabled Upon Arrival: Eugenics, Immigration, and the Construction of Race and Disability (Ohio State University Press, 2018), a compelling examination of the spaces, technologies, and discourses of immigration restriction during the peak period of North American immigration in the early twentieth century.
In North America, immigration has never been about immigration. That was true in the early twentieth century when anti-immigrant rhetoric led to draconian crackdowns on the movement of bodies, and it is true today as new measures seek to construct migrants as dangerous and undesirable.
Through careful archival research and consideration of the larger ideologies of racialization and xenophobia, Disabled Upon Arrival links anti-immigration rhetoric to eugenics—the flawed “science” of controlling human population based on racist and ableist ideas about bodily values. Dolmage casts an enlightening perspective on immigration restriction, showing how eugenic ideas about the value of bodies have never really gone away and revealed how such ideas and attitudes continue to cast groups and individuals as disabled upon arrival.
Thanks to OSU Press for providing disabled Upon Arrival for free through the OSU Knowledge Bank (may require in Institutional subscription). Click here to access a PDF of disabled upon arrival. You can also find an open access version of Jay’s previous book, Academic Ableism, courtesy of the University of Waterloo Arts Research Office. Click here to access Academic Ableism. Connect with Jay on Twitter @jaydolmage Connect with your host,
Lee Pierce, on Twitter, Instagram, and Facebook @rhetoriclee for interview previews, the best book selfies, and new episode alerts.
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Combining expert storytelling with genuine self-scrutiny, Casey Schwartz details the decade she spend taking Adderall to help her pay attention (or so she thought) and then considers the role of attention in defining our lives as it has been understood by thinkers such as William James, David Foster Wallace, and Simone Weil. From our craving for distraction to our craving for a cure, from Silicon Valley consultants and psychedelic researchers to the findings of trauma expert Dr. Gabor Maté, Schwartz takes us on an eye-opening tour of the modern landscape of attention.
Blending memoir, biography, and original reporting, Schwarz examines her attempts to preserve her authentic life and decide what is most important in it. Attention: A Love Story (Pantheon, 2020) will resonate with readers who want to determine their own minds, away from the siren call of their screens.
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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Modern science uses the “randomized controlled trial”—whereby people are randomly allocated either the drug or a placebo—as a gold standard to find out whether a newly discovered drug works.
In this podcast, Dr. Martin Edwards, a general practitioner and retired clinician affiliated to the University of London, discusses the British Medical Research Council’s exploitation of the term “controlled” to establish “controlled trials” as the gold standard for therapeutic evaluation. His discussion is an extension of his paper “Control and the Therapeutic Trial: Rhetoric and Experimentation in Britain, 1918-48,” which is published in Brill’s Clio Medica.
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Donald F. Stevens offers us a portrait of early republican life in his new book, Mexico in the Time of Cholera, published in 2019 by the University of New Mexico Press. Although Stevens uses the 1833 Cholera epidemic that devastated independent Mexico as his his point of departure, this is not primarily a medical history.
Beginning with the suggestion of a contemporary observer that the epidemic put Mexicans on their best, or at least most religiously fervent behavior, Stevens asks how we might be able to measure everyday piety during a time of transition and crisis. His answer comes from following archival trails within parish records, novels, and memoirs and offers readers a glimpse of intimate urban life. In so doing, his book brings to life the day to day practices of Mexicans from birth and naming practices to death and burial norms and shows a country coming to terms with its independence. Students and scholars alike will enjoy following vibrant historical figures like fifteen-year-old Concha, navigating potential suitors with the help of parents and priests as well as unraveling the mystery of why a US-born bootmaker was murdered in Mexico City during a religious progression.
Donald Stevens is an Associate Professor of History at Drexel University and an assistant editor for the journal the Americas. He is the author of Origins of Instability in Early Republican Mexico by Duke University Press and editor of, Based on a True Story: Latin American History at the Movies.
Elena McGrath is Assistant Professor of History at Union College in Schenectady. She is a historian of 20th century Bolivia.
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Brian Greene is a Professor of Mathematics and Physics at Columbia University in the City of New York, where he is the Director of the Institute for Strings, Cosmology, and Astroparticle Physics, and co-founder and chair of the World Science Festival. He is well known for his TV mini-series about string theory and the nature of reality, including the Elegant Universe, which tied in with his best-selling 2000 book of the same name. In this episode, we talk about his latest popular book Until the End of Time: Mind, Matter, and Our Search for Meaning in an Evolving Universe (Random House, 2020)
Until the End of Time gives the reader a theory of everything, both in the sense of a “state of the academic union”, covering cosmology and evolution, consciousness and computation, and art and religion, and in the sense of showing us a way to apprehend the often existentially challenging subject matter. Greene uses evocative autobiographical vignettes in the book to personalize his famously lucid and accessible explanations, and we discuss these episodes further in the interview. Greene also reiterates his arguments for embedding a form of spiritual reverie within the multiple naturalistic descriptions of reality that different areas of human knowledge have so far produced.
John Weston is a University Teacher of English in the Language Centre at Aalto University, Finland. His research focuses on academic communication. He can be reached at [email protected] and @johnwphd.
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Though his advice has saved the lives of millions of people, the name Ignaz Semmelweis is not one commonly known today. In his book Anthony Valerio’s Semmelweis: The Women's Doctor (Zantedeschi Books, 2019). Valerio details the many struggles Semmelweis faced in winning acceptance for his advice on antiseptic procedures. The son of a Buda spice merchant, Semmelweis started his studies in law before a chance attendance at a medical lecture sparked his interest in becoming a doctor. After earning his degree he decided to specialize in obstetrics, a choice that soon brought him to confront the problem of childbed fever. Deducing that exposure to cadavers was a factor, Semmelweis devised a regimen of hand washing that dramatically reduced the morality rate at the maternity clinic where he worked. Though Semmelweis’s treatment was simple, his ideas faced considerable resistance from leading figures in the Western medical community, with the stress from his campaigns to promote his ideas contributing to the institutionalization that led to his death in 1865.
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The recent COVID-19 pandemic has received unprecedented media coverage in the past 3 months. A large part of this coverage includes comparisons of the ongoing crisis to some major crises of the past, including the SARS epidemic of 2002-2003. In a new study titled “When the Analogy Breaks: Historical References in Flemish News Media at the Onset of the COVID-19 Pandemic” published in Brill’s Journal of Applied History, Dr. Bram De Ridder from KU Leuven, Belgium, analyzes how three Flemish media outlets covered the crisis recently and how their misplaced historical analogies could affect public perception, causing a problem in dealing with the current pandemic.
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Consider a couple with an infant (or two) whose lives have become so harried and difficult the marriage is falling apart. Would it be ethical for them to take oxytocin to help them renew their emotional bonds, or would this be an unethical evasion of the hard work that keeping a marriage going requires? What if someone has sexual desires that they consider immoral – should they be able to take a drug to suppress those desires, or alternatively can society force them to? Debates about the ethics of using drugs for enhancement rather than treatment usually focus on the individual, such as doping in sports.
In Love Drugs: The Chemical Future of Relationships (Stanford University Press, 2020), Brian Earp and Julian Savulescu consider the case for using drugs to alter our love relationships. Earp, who is Associate Director of the Yale-Hastings Program in Ethics and and Health Policy at Yale University, and Savulescu, the Uehiro Chair in Practical Ethics at the University of Oxford, note that drugs that alter sexual desire and attachment are already available, although are restricted or illegal. What is needed, they argue, is more research into the interpersonal effects of drugs, and more discussion of the ethics of their use for non-medical purposes. Let’s turn to a fascinating interview on a complex topic with no easy answers.
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Howard Friedman's new book Ultimate Price: The Value We Place on Life (University of California Press, 2020) should be required reading for anyone sitting down to watch the evening news. The Covid-19 crisis is, unfortunately, a new broad-based instance in the valuation of human life. And I do mean value: in terms of cash dollars. Ultimate Price covers the ways that companies, courts, nations, and individuals have come to put a price tag on individual existence. While the book was written prior to the current situation, it provides an excellent starting point to understand what we are observing as governments, companies, healthcare providers, and individuals make life-and-death decisions.
Daniel Peris is Senior Vice President at Federated Investors in Pittsburgh. Trained as a historian of modern Russia, he is the author most recently of Getting Back to Business: Why Modern Portfolio Theory Fails Investors. You can follow him on Twitter @HistoryInvestor or at http://www.strategicdividendinvestor.com
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Slavery and the University: Histories and Legacies (University of Georgia Press, 2019), edited by Leslie M. Harris, James T. Campbell, and Alfred L. Brophy, is the first edited collection of scholarly essays devoted solely to the histories and legacies of this subject on North American campuses and in their Atlantic contexts. Gathering together contributions from scholars, activists, and administrators, the volume combines two broad bodies of work: (1) historically based interdisciplinary research on the presence of slavery at higher education institutions in terms of the development of proslavery and antislavery thought and the use of slave labor; and (2) analysis on the ways in which the legacies of slavery in institutions of higher education continued in the post–Civil War era to the present day.
The collection features broadly themed essays on issues of religion, economy, and the regional slave trade of the Caribbean. It also includes case studies of slavery’s influence on specific institutions, such as Princeton University, Harvard University, Oberlin College, Emory University, and the University of Alabama. Though the roots of Slavery and the University stem from a 2011 conference at Emory University, the collection extends outward to incorporate recent findings. As such, it offers a roadmap to one of the most exciting developments in the field of U.S. slavery studies and to ways of thinking about racial diversity in the history and current practices of higher education.
Today I spoke with Leslie Harris about the book. Dr. Harris is a professor of history at Northwestern University. She is the coeditor, with Ira Berlin, of Slavery in New York and the coeditor, with Daina Ramey Berry, of Slavery and Freedom in Savannah (Georgia).
Adam McNeil is a History PhD student at Rutgers University-New Brunswick.
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Can care be enacted through art? Inside a cathedral, staff members from a nursing home work with an artist to perform a poetic text about caregiving, loss, and taking the time to feel one’s feelings. In the months leading up to the performance, the artist navigates her twenties—and art and life converge in unexpected ways.
In Stages: On Dying, Working, and Feeling (Thick Press, 2020), Rachel Kauder Nalebuff has created a stirring work of hybrid nonfiction that takes us behind the scenes of artmaking and caregiving. Melding curiosity, humility, playfulness, and self-deprecation, Stages is an inquiry into the work it takes to sustain a meaningful life.
Rachel Kauder Nalebuff is a writer working often in the realms of performance and oral history. She is editor of My Little Red Book (Hachette, 2009), a collection of people’s first period stories, and co-editor of The Feminist Utopia Project (Feminist Press, 2015) with Alexandra Brodsky. She runs a mentor program for seniors with Caitlin Ryan O’Connell and many friends throughout the New York City Department of Aging.
Originally from the North Shore in Massachusetts, Toney Brown is a theater director/performer in New York City. He studied Theater Arts at the University of Massachusetts, Amherst. In NYC, was a Performance Project Fellow at the University Settlement and adapted Harmony Korine's A Crack Up at the Race Riots at Theater for a New City's Dream Up Festival. In addition, he was worked extensively with the director Dennis Yueh-yeh Li adapting King Lear, assistant directed Maeterlinck's The Blind, and performing in his production of Albert Camus' Caligula (Chaerea) as part of the New Ohio Theater's Producers Club Festival. When he is not podcasting on NBN, he hosts NYTF Radio, a podcast exploring the history of Yiddish Theatre for the National Yiddish Theatre Folksbiene, available on all platforms. He is an enthusiastic cinephile and avid Red Sox fan.
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Today's guest is scientist, surgeon, and dean of the Stanford University School of Medicine, Dr. Lloyd B. Minor. Previously he served as provost and senior vice president for academic affairs at The Johns Hopkins University. With more than 140 published articles and chapters, Dr. Minor is an expert in balance and inner ear disorders.
Our conversation covers innovative progress underway in replacing reactive medicine with precision and prevention. His new book, Discovering Precision Health: Predict, Prevent, and Cure to Advance Health and Well-Being (Wiley-Blackwell, 2020), takes us through this exciting and cutting edge work taking place at Stanford, and in Silicon Valley.
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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During this global pandemic, many of us will experience trauma, which the authors define as a severely stressful life-altering event. A traumatic event is like an earthquake, shattering an individual’s coherent world-view the way an earthquake can shatter the foundations of buildings. A traumatic event is undesirable in the extreme and significant enough to challenge “the basic assumptions about one’s future and how to move toward that future…such as the loss of loved ones, of cherished roles or capabilities, or of fundamental, accepted ways of understanding life.”
Posttraumatic Growth: Theory, Research and Applications (Routledge, 2018), Richard G. Tedeschi and his colleagues (Jane Shakespeare-Finch, Kanako Taku and Lawrence G. Calhoun rework and overhaul the seminal 2006 Handbook of Posttraumatic Growth. It provides a wide range of answers to questions concerning knowledge of posttraumatic growth (PTG) theory, its synthesis and contrast with other theories and models, and its applications in diverse settings.
The book starts with an overview of the history, components, and outcomes of PTG. Next, chapters review quantitative, qualitative, and cross-cultural research on PTG, including in relation to cognitive function, identity formation, cross-national and gender differences, and similarities and differences between adults and children.
The final section shows readers how to facilitate optimal outcomes with PTG at the level of the individual, the group, the community, and society.
Renee Garfinkel, Ph.D. is a Jerusalem-based psychologist, Middle East television commentator, and host of the Van Leer Series on Ideas with Renee Garfinkel
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Alzheimer's disease has not only profound medical consequences for the individual experiencing it but a life-changing impact on those around them. From the moment a person is suspected to be suffering from Alzheimer's or another form of dementia, the interactions they encounter progressively change.
Baptiste Brossard's new book Forgetting Items: The Social Experience of Alzheimer’s Disease (Indiana University Press, 2019) focuses on that social experience of Alzheimer's, delineating the ways disease symptoms manifest and are understood through the interactions between patients and the people around them. Mapping out those interactions takes readers through the offices of geriatricians, into patients' narratives and interviews with caregivers, down the corridors of nursing homes, and into the discourses shaping public policies and media coverage. Revealing the everyday experience of Alzheimer's helps us better understand the depth of its impact and points us toward more knowledgeable, holistic ways to help treat the disease.
In this interview, Dr. Brossard and I discuss the changing social role of individuals diagnosed with Alzheimers. Likewise, we discuss how credibility and deference are key components to the interactions between patients, caregivers, and physicians. I recommend this book for students, professors, and anyone else interested in medical sociology, health and illness, gerontology, and social psychology.
Dr. Baptiste Brossard received his Ph.D. in sociology at the School for Advanced Studies in the Social Sciences (2011). His primary areas of research are mental health, sociological theory, qualitative methods and utopian studies. He is currently a Lecturer in the College of Arts and Social Sciences at Australian National University.
Krystina Millar is a PhD student in the Department of Sociology at Indiana University. Her research interests include gender, sociology of the body, and sexuality. You can find her on Twitter at @KrystinaMillar.
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Carlo Caduff’s The Pandemic Perhaps: Dramatic Events in a Public Culture of Danger (University of California Press, 2015) is an ethnographic inquiry into pandemic anxieties in the mid-2000s when such an event was widely anticipated by experts. Examining how experts in the United States framed a catastrophe that has not happened yet, the book trains a lens on the many generative ways in which the absence of a disease made preparedness a permanent project. Drawing on fieldwork among scientists and public health professionals in New York City, the book investigates how experts, government actors and institutions co-produced pandemic prophecies that were made meaningful to communities on the ground through the framework of catastrophe. Centered on the question how to engage a disease such as influenza in anticipation of potential crisis, this monograph analyses the infelicities of failure and the limits of planning. The pandemic - past, present and future – is arguably always with us, even in its absence.
In this episode, we discuss the pandemic when it was a ‘perhaps’, unpack the blurring of reason and faith among expert interlocutors and draw out lessons on preparedness and its paradoxes for the present global coronavirus crisis.
Carlo Caduff is a Reader in the Department of Social Science, Health and Medicine at King’s College, London.
Faizah Zakaria is an assistant professor of history at Nanyang Technological University. Singapore. You can find her website here or on Twitter @laurelinarien
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At the start of 2020 few of us would have recognized the face of the current director general of the World Health Organization. Three months later, and in the midst of the coronavirus pandemic he and other senior WHO officials appear on television and online almost daily, exhorting governments around the world to take urgent measures to stop the spread of the virus, advising them on how to do so, and coordinating efforts. To these exhortations governments in Southeast Asia, like their counterparts elsewhere, have a duty to respond. This duty they owe not only to their citizens and neighbours, but also to the international community of states, via a special regulatory regime that has emerged in part out of experiences fighting recent contagions in East and Southeast Asia.
In Containing Contagion: The Politics of Disease Outbreaks in Southeast Asia (Johns Hopkins University Press, 2019), Sara E. Davies explains how and why a duty to contain contagion at the source or within borders became central to the contemporary politics of disease control. She tracks regulatory changes for the control of contagion worldwide in tandem with the emergence in the 1990s of a new regional regime to respond to disease outbreaks among the member states of the Association of Southeast Asian Nations. In ASEAN, she observes, agreement to combat contagious diseases rested on a shared understanding of contagion as a security threat that member states would have to combat in unison rather than apart. Notwithstanding the divergences in capacities and willingness to combat contagion among Southeast Asian states, securitization of disease outbreaks in the 2000s made member states better prepared, overall, to combat it. But it also carried risks of costs to civil liberties and democratic practices that, if anything, are even more pronounced today than they were a decade ago.
Sara Davies joins us for a coronavirus pandemic special on New Books in Southeast Asian Studies to talk about health security and political sovereignty; the revised International Health Regulations; experiments with SARS and the avian influenza; surveillance of and reporting on contagious disease in Southeast Asia; democracy, transparency and trust in the wake of outbreaks; how endemic diseases risk being neglected and relatively unfunded in the wake of epidemics; and, the responses of China and Singapore to coronavirus, so far.
Nick Cheesman is a Fellow in the College of Asia and the Pacific, Australian National University.
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George Scialabba is a prolific critic and essayist known for his incisive, wide-ranging commentary on literature, philosophy, religion, and politics. He is also, like millions of others, a lifelong sufferer from clinical depression. In How To Be Depressed (University of Pennsylvania Press, 2020), Scialabba presents an edited selection of his mental health records spanning decades of treatment, framed by an introduction and an interview with renowned podcaster Christopher Lydon. The book also includes a wry and ruminative collection of "tips for the depressed," organized into something like a glossary of terms—among which are the names of numerous medications he has tried or researched over the years. Together, these texts form an unusual, searching, and poignant hybrid of essay and memoir, inviting readers into the hospital and the therapy office as Scialabba and his caregivers try to make sense of this baffling disease.
In Scialabba's view, clinical depression amounts to an "utter waste." Unlike heart surgery or a broken leg, there is no relaxing convalescence and nothing to be learned (except, perhaps, who your friends are). It leaves you weakened and bewildered, unsure why you got sick or how you got well, praying that it never happens again but certain that it will. Scialabba documents his own struggles and draws from them insights that may prove useful to fellow-sufferers and general readers alike. In the place of dispensable banalities—"Hold on," "You will feel better," and so on—he offers an account of how it's been for him, in the hope that doing so might prove helpful to others.
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North America is in the grips of a drug epidemic; with the introduction of fentanyl, the chances of a fatal overdose are greater than ever, prompting many to rethink the war on drugs. Public opinion has slowly begun to turn against prohibition, and policy-makers are finally beginning to look at addiction as a health issue as opposed to one for the criminal justice system. While deaths across the continent continue to climb,
In Fighting for Space: How a Group of Drug Users Transformed One City’s Struggle with Addiction (Arsenal Pulp Press, 2018), Travis Lupick explains the concept of harm reduction as a crucial component of a city’s response to the drug crisis. It tells the story of a grassroots group of addicts in Vancouver's Downtown Eastside who waged a political street fight for two decades to transform how the city treats its most marginalized citizens.
Over the past twenty-five years, this group of residents from Canada's poorest neighborhood organized themselves in response to the growing number of overdose deaths and demanded that addicts be given the same rights as any other citizen; against all odds, they eventually won. But just as their battle came to an end, fentanyl arrived and opioid deaths across North America reached an all-time high. The "genocide" in Vancouver finally sparked government action.
Twenty years later, as the same pattern plays out in other cities, there is much that advocates for reform can learn from Vancouver's experience. Fighting for Space tells that story—including case studies in Ohio, Florida, New York, California, Massachusetts, and Washington state—with the same passionate fervor as the activists whose tireless work gave dignity to addicts and saved countless lives.
Manuel Arredondo is a Clinical Social Worker and Public Health advocate in Oakland, CA.
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Brain diseases are now the world's leading source of disability. The fastest growing of these is Parkinson's: the number of impacted patients has doubled to more than six million over the last twenty-five years and is projected to double again by 2040. Harmful pesticides that increase the risk of Parkinson's continue to proliferate, many people remain undiagnosed and untreated, research funding stagnates, and the most effective treatment is now a half century old.
In Ending Parkinson's Disease: A Prescription for Action (Public Affairs, 2020), Ray Dorsey MD, Todd Sherer PhD, Michael S. Okun MD, and Bastiaan R. Bloem MD PhD provide a plan to help prevent Parkinson's, improve care and treatment, and end the silence associated with this devastating disease.
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Psychiatry has always aimed to peer deep into the human mind, daring to cast light on its darkest corners and untangle its thorniest knots, often invoking the latest medical science in doing so. But, as Owen Whooley’s sweeping new book tells us, peering deep into the human mind is, well, really hard.
On the Heels of Ignorance: Psychiatry and the Politics of Not Knowing (University Chicago Press, 2019) begins with psychiatry’s formal inception in the United States in the 1840s and moves through two centuries of constant struggle simply to define and redefine mental illness, to say nothing of the best way to treat it. Whooley’s book is no anti-psychiatric screed, however; instead, he reveals a field that has muddled through periodic reinventions and conflicting agendas of curiosity, compassion, and professional striving. On the Heels of Ignorance draws from intellectual history and the sociology of professions to portray an ongoing human effort to make sense of complex mental phenomena using an imperfect set of tools, with sometimes tragic results.
In this interview, Dr. Whooley and I discuss the sociology of knowledge and ignorance that guide this book. We then discuss the changing identity of the field of psychiatry, how the DSM affected the legitimacy and perception of the discipline, and ways of managing ignorance. I highly recommend this book for students, professors, and anyone else interested in sociology of knowledge, health and illness and medical sociology, historical sociology, and mental health.
Dr. Owen Whooley is an Associate Professor in the Department of Sociology at the University of New Mexico and Senior Fellow, UNM Center for Health Policy.
Krystina Millar is a PhD student in the Department of Sociology at Indiana University. Her research interests include gender, sociology of the body, and sexuality. You can find her on Twitter at @KrystinaMillar.
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Paradox is a sophisticated kind of magic trick. A magician's purpose is to create the appearance of impossibility, to pull a rabbit from an empty hat. Yet paradox doesn't require tangibles, like rabbits or hats. Paradox works in the abstract, with words and concepts and symbols, to create the illusion of contradiction. There are no contradictions in reality, but there can appear to be. In Sleight of Mind: 75 Ingenious Paradoxes in Mathematics, Physics, and Philosophy (MIT Press, 2020), Matt Cook and a few collaborators dive deeply into more than 75 paradoxes in mathematics, physics, philosophy, and the social sciences. As each paradox is discussed and resolved, Cook helps readers discover the meaning of knowledge and the proper formation of concepts―and how reason can dispel the illusion of contradiction.
The journey begins with “a most ingenious paradox” from Gilbert and Sullivan's Pirates of Penzance. Readers will then travel from Ancient Greece to cutting-edge laboratories, encounter infinity and its different sizes, and discover mathematical impossibilities inherent in elections. They will tackle conundrums in probability, induction, geometry, and game theory; perform “supertasks”; build apparent perpetual motion machines; meet twins living in different millennia; explore the strange quantum world―and much more.
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Why does an estimated 5% of the general population intentionally and repeatedly hurt themselves? What are the reasons certain people resort to self-injury as a way to manage their daily lives?
In Why do We Hurt Ourselves? Understanding Self-Harm in Social Life (Indiana University Press, 2018), sociologist Baptiste Brossard draws on a five-year survey of self-injurers and suggests that the answers can be traced to social, more than personal, causes. Self-injury is not a matter of disturbed individuals resorting to hurting themselves in the face of individual weaknesses and difficulties. Rather, self-injury is the reaction of individuals to the tensions that compose, day after day, the tumultuousness of their social life and position. Self-harm is a practice that people use to self-control and maintain order—to calm down, or to avoid "going haywire" or "breaking everything." More broadly, through this research Brossard works to develop a perspective on the contemporary social world at large, exploring quests for self-control in modern Western societies.
In this interview, Dr. Brossard and I discuss how he came to study self-injury, managing the stigma of self-injury, how people use online forums for community, the discrete nature of self-injury, and the role of gender. I recommend this book for people interested in mental health, stigma, deviant behavior, and qualitative methods.
Dr. Baptiste Brossard, (@BaptistBrossard) a French sociologist, is a lecturer at the Australian National University. He received his PhD in sociology at the School for Advanced Studies in the Social Sciences (2011). His primary areas of research are mental health, sociological theory, qualitative methods and utopian studies.
Krystina Millar is a PhD student in the Department of Sociology at Indiana University. Her research interests include gender, sociology of the body, and sexuality. You can find her on Twitter at @KrystinaMillar.
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In her new book, Women Doctors in Weimar and Nazi Germany: Maternalism, Eugenics and Professional Identity (University of Toronto Press, 2019), Melissa Kravetz examines how German women physicians gained a foothold in the medical profession during the Weimar and Nazi periods, Women Doctors in Weimar and Nazi Germany reveals the continuity in rhetoric, strategy, and tactics of female doctors who worked under both regimes. Additionally, she explains how and why women occupied particular fields within the medical profession, how they presented themselves in their professional writing, and how they reconciled their medical perspectives with their views of the Weimar and later the Nazi state.
Melissa Kravetz is an assistant professor of history at Longwood University.
Craig Sorvillo is a PhD candidate in modern European history at the University of Florida. He specializes in Nazi Germany, and the Holocaust. He can be reached at [email protected] or on twitter @craig_sorvillo.
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In her new book, Doctors’ Orders: The Making of Status Hierarchies in an Elite Profession (Columbia University Press, 2020), Dr. Tania Jenkins engages readers in readers in a ethnography where she spent years observing and interviewing American, international, and osteopathic medical residents in two hospitals to reveal the unspoken mechanisms that are taken for granted and that lead to hierarchies among supposed equals. She found that the United States does not need formal policies to prioritize American-trained MDs. By relying on a system of informal beliefs and practices that equate status with merit and eclipse structural disadvantages, the profession convinces international and osteopathic graduates to participate in a system that subordinates them to American-trained MDs. Offering a rare ethnographic look at the inner workings of an elite profession, Doctors’ Orders sheds new light on the formation of informal status hierarchies and their significance for both doctors and patients. This social separation can be observed by looking at the social class of residents and practitioners; sponsorship; status beliefs, bias, and stigma; structural inequality among training programs; and differences in merit that result from these inequalities.
The United States does not have enough doctors. Each year there are residency positions available for internationally trained and osteopathic medical graduates to fill as a result of there being too few American-trained MDs. These international and osteopathic medical graduates also outperform their American MD counterparts to have the same likelihood of getting a residency position. They, however, often end up in lower-prestige training programs while the American-trained MDs tend to occupy elite training positions. Some of the most prestigious programs are even fully segregated and accept exclusively U.S. medical graduates or non-U.S. medical graduates.
Tania Jenkins, Ph.D. is an Assistant Professor at the University of North Carolina-Chapel Hill in the Department of Sociology.
Michael O. Johnston, Ph.D. is an Assistant Professor of Sociology at William Penn University. He earned his doctoral degree in Public Policy and Public Administration from Walden University. He researches place and the process of place making as it presents in everyday social interactions. You can find more about him on his website, follow him on Twitter @ProfessorJohnst or email him at [email protected].
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Today we are joined by Travis Bell, Janelle Applequist, and Christian Dotson-Pierson to discuss their new book CTE, Media, and the NFL: Framing a Public Health Crisis as a Football Epidemic (Lexington Books, 2019). In our conversation, we discussed public misconceptions about Chronic Traumatic Encephalopathy, the media’s problematic connection of CTE with the NFL and concussions, and the league’s efforts to produce alternative histories of CTE.
In CTE, Media, and the NFL, Bell, Applequist and Dotson-Pierson use media theory to unpack reporting on CTE. They explain the long history of Chronic Traumatic Encephalopathy, beginning with punch-drunk diagnosis among interwar boxers to the first female brain with confirmed CTE from a victim of domestic violence. Through a close reading of over seven hundred articles from six American newspapers, painstakingly coded for dozens of variables, they show how the media wrote about it. In these stories football plays a specific role in shaping American notions of masculinity, an athlete’s gender shapes reporting on their head injuries, and the celebrity framing the shape of the narrative.
The authors use earlier studies of the HIV/AIDs crisis and Big Tobacco’s battle to obfuscate the link between smoking and cancer to better understand the dangers of CTE coverage. They argue that the media’s framing of CTE as a health crisis, and the onslaught of incomplete information about the disease, has led to an availability cascade of problematic or wrong information. Most notably – CTE is linked with concussions in the reporting but is caused by all kinds of head trauma. The NFL’s efforts to muddle the science of CTE proved less effective than Big Tobacco’s and now the league may be over-connected to CTE to the detriment of athletes in other sports, military veterans, and even victims of domestic abuse whose stories are largely ignored.
Keith Rathbone is a lecturer at Macquarie University in Sydney, Australia. He researches twentieth-century French social and cultural history. His manuscript, entitled A Nation in Play: Physical Culture, the State, and Society during France’s Dark Years, 1932-1948, examines physical education and sports in order to better understand civic life under the dual authoritarian systems of the German Occupation and the Vichy Regime. If you have a title to suggest for this podcast, please contact him at [email protected].
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What is the role of the ambulance in the American city? The prevailing narrative provides a rather simple answer: saving and transporting the critically ill and injured. This is not an incorrect description, but it is incomplete.
Drawing on field observations, medical records, and his own experience as a novice emergency medical technician, sociologist Dr. Josh Seim reimagines paramedicine as a frontline institution for governing urban suffering. Bandage, Sort, and Hustle: Ambulance Crews on the Front Lines of Urban Suffering (University of California Press, 2020) argues that the ambulance is part of a fragmented regime that is focused more on neutralizing hardships (which are disproportionately carried by poor people and people of color) than on eradicating the root causes of agony. Whether by compressing lifeless chests on the streets or by transporting the publicly intoxicated into the hospital, ambulance crews tend to handle suffering bodies near the bottom of the polarized metropolis.
Dr. Seim illustrates how this work puts crews in recurrent, and sometimes tense, contact with the emergency department nurses and police officers who share their clientele. These street-level relations, however, cannot be understood without considering the bureaucratic and capitalistic forces that control and coordinate ambulance labor from above. Beyond the ambulance, this book motivates a labor-centric model for understanding the frontline governance of down-and-out populations.
In this interview, Dr. Seim and I discuss the idea of urban suffering, his in-depth, immersive ethnographic methods, how ambulance crews categorize and sort patients, and interactions between institutions like the police, hospitals, and ambulance crews. Bandage, Sort, Hustle is one of the best monographs I have read. Dr. Seim’s writing about his experience made the entire study more interesting to read because of his unique perspective as a sociologist on the front lines as an Emergency Medical Technician. I recommend this book for students, professors, and anyone else interested in labor, medical sociology, culture, ethnography, or urban sociology.
Krystina Millar is a PhD student in the Department of Sociology at Indiana University. Her research interests include gender, sociology of the body, and sexuality. You can find her on Twitter at @KrystinaMillar.
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In Well: What We Need to Talk About When We Talk About Health (Oxford University Press, 2019), physician Sandro Galea examines what Americans miss when they fixate on healthcare: health. Americans spend more money on health than people anywhere else in the world. And what do they get for it? Statistically, not much. Americans today live shorter, less healthy lives than citizens of other rich countries, and these trends show no signs of letting up.
The problem, Sandro Galea argues, is that Americans focus on the wrong things when they think about health. Our national understanding of what constitutes "being well" is centered on medicine — the lifestyles we adopt to stay healthy, and the insurance plans and prescriptions we fall back on when we're not. While all these things are important, they've not proven to be the difference between healthy and unhealthy on the large scale.
Well is a radical examination of the subtle and not-so-subtle factors that determine who gets to be healthy in America. Galea shows how the country's failing health is a product of American history and character — and how refocusing on our national health can usher enlightenment across American life and politics.
Dr. Sandro Galea, MD is the Robert A. Knox professor and dean at the Boston University School of Public Health. He is the former Chair of Epidemiology at the Columbia University Mailman School of Public Health. Prior to his academic career in public health, Dr. Galea practiced emergency medicine in Canada and served in Somalia with Doctors Without Borders. He was named one of TIME magazine's epidemiology innovators in 2006 and Thomson Reuters listed him as one of the “World's Most Influential Scientific Minds” for the social sciences in 2015.
Manuel Arredondo, LCSW, MPH is a clinical social worker and public health advocate in Oakland, CA.
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How does the world of book reviews work? In Inside the Critics’ Circle: Book Reviewing in Uncertain Times (Princeton University Press, 2020), Phillipa Chong, assistant professor in sociology at McMaster University, provides a unique sociological analysis of how critics confront the different types of uncertainty associated with their practice. The book explores how reviewers get matched to books, the ethics and etiquette of negative reviews and ‘punching up’, along with professional identities and the future of criticism. The book is packed with interview material, coupled with accessible and easy to follow theoretical interventions, creating a text that will be of interest to social sciences, humanities, and general readers alike.
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The definition of medical necessity has morphed over the years, from a singular physician’s determination to a complex and dynamic political contest involving patients, medical companies, insurance companies, and government agencies. In Medical Necessity: Health Care Access and the Politics of Decision Making (University of Minnesota Press, 2019), Daniel Skinner constructs a comprehensive understanding of the politics of defining this concept, arguing that sustained political engagement with medical necessity is essential to developing a health care system that meets basic public health objectives.
From medical marijuana to mental health to reproductive politics, the concept of medical necessity underscores many of the most divisive and contentious debates in American health care. Skinner’s close reading of medical necessity’s production illuminates the divides between perceptions of medical need as well as how the gatekeeper concept of medical necessity tends to frame medical objectives. He questions the wisdom of continuing to use medical necessity when thinking critically about vexing health care challenges, exploring the possibility that contracts, rights, and technology may resolve the contentious politics of medical necessity.
Skinner ultimately contends that a major shift is needed, one in which health care administrators, doctors, and patients admit that medical necessity is, at its base, a contestable political concept.
Stephen Pimpare is Senior Lecturer in the Politics & Society Program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. He is the author of The New Victorians (New Press, 2004), A Peoples History of Poverty in America (New Press, 2008), winner of the Michael Harrington Award, and Ghettos, Tramps and Welfare Queens: Down and Out on the Silver Screen (Oxford, 2017).
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If you live in America, chances are good you’ve heard the term “mental health crisis” bandied about in the media. While true that anxiety, depression, and other mood disorders seem to be on the rise—especially among young people—resources for addressing them remain scarce and stigmatized, and the conditions themselves remain poorly understood. Even doctors and scientists don’t have all the answers. For example, is the development of a mood disorder the product of nature or nurture? Why are more women diagnosed with anxiety and depression than men? And in an industry that pathologizes everything from anger to arrogance, what actually constitutes “normal” human behavior?
In her debut book of nonfiction, Quite Mad: An American Pharma Memoir (Mad Creek Books, 2018), author Sarah Fawn Montgomery explores these questions using both her own experiences and research as dual lenses to understanding mental illness, especially generalized anxiety disorder. From the fraught history of mental illness, to the fascinating science of how anti-depressants work, to a sharp examination of dubious practices within the American pharmaceutical industry, Montgomery takes the reader on a journey into the reality of mental health in the United States from a patient’s perspective, shining a much-needed light on a topic so often shrouded in stigma.
Zoë Bossiere is a doctoral student at Ohio University, where she studies creative nonfiction and teaches writing classes. For more NBn interviews, follow her on Twitter @zoebossiere or head to zoebossiere.com.
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Cryonics―also known as cryopreservation or cryosuspension―is the preservation of legally dead individuals at ultra-low temperatures. Those who undergo this procedure hope that future technology will not only succeed in reviving them, but also cure them of the condition that led to their demise. In this sense, some hope that cryopreservation will allow people to continue living indefinitely.
Francesca Minerva's The Ethics of Cryonics: Is It Immoral to be Immortal (Palgrave Pivot, 2018) discusses the moral concerns of cryonics, both as a medical procedure and as an intermediate step toward life extension. In particular, Minerva analyses the moral issues surrounding cryonics-related techniques (including the hypothetical cryosuspension of fetuses as an alternative to abortion) by focusing on how they might impact the individuals who undergo cryosuspension, as well as society at large.
John Danaher is a lecturer the National University of Ireland, Galway. He is also the host of the wonderful podcast Philosophical Disquisitions. You can find it here on Apple Podcasts.
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It seems unthinkable that citizens of one of the most powerful nations in the world must risk their lives and livelihoods in the search for access to necessary health care. And yet it is no surprise that in many places throughout the United States, getting an abortion can be a monumental challenge. Anti-choice politicians and activists have worked tirelessly to impose needless restrictions on this straightforward medical procedure that, at best, delay it and, at worst, create medical risks and deny women their constitutionally protected right to choose.
Obstacle Course: The Everyday Struggle to Get an Abortion in America (University of California Press, 2020) tells the story of abortion in America, capturing a disturbing reality of insurmountable barriers people face when trying to exercise their legal rights to medical services. Authors David S. Cohen and Carole Joffe lay bare the often arduous and unnecessarily burdensome process of terminating a pregnancy: the sabotaged decision-making, clinics in remote locations, insurance bans, harassing protesters, forced ultrasounds and dishonest medical information, arbitrary waiting periods, and unjustified procedure limitations.
Based on patients’ stories as well as interviews with abortion providers and allies from every state in the country, Obstacle Course reveals the unstoppable determination required of women in the pursuit of reproductive autonomy as well as the incredible commitment of abortion providers. Without the efforts of an unheralded army of medical professionals, clinic administrators, counselors, activists, and volunteers, what is a legal right would be meaningless for the almost one million people per year who get abortions. There is a better way—treating abortion like any other form of health care—but the United States is a long way from that ideal.
Stephen Pimpare is Senior Lecturer in the Politics & Society Program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. He is the author of The New Victorians (New Press, 2004), A People’s History of Poverty in America (New Press, 2008), winner of the Michael Harrington Award, and Ghettos, Tramps and Welfare Queens: Down and Out on the Silver Screen (Oxford, 2017).
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Attending: Medicine, Mindfulness, and Humanity (Scribner, 2017) is the first book about mindfulness and medical practice written for patients, their families, and for doctors and others providing health care. It is a groundbreaking, intimate exploration of how doctors approach their work with patients.
From his early days as a Harvard Medical School student, Ronald Epstein saw what makes good doctors great, how they deliver more accurate diagnoses, make fewer errors, and build stronger connections with their patients. This set the stage for his life's work—identifying the qualities and habits that distinguish master clinicians from those who are merely competent. The secret, he learned, was mindfulness.
Drawing on his clinical experiences and current research, Dr. Epstein explores four foundations of mindfulness — Attending, Curiosity, Beginner's Mind, and Being Present — and shows how clinicians can grow their capacity to provide high-quality care. In today's commodified health care system, with physician burnout at an all-time high, Dr. Epstein offers a model for doctors, patients, and their families on how to approach medical decisions mindfully and collaborate to achieve the best level of care for everyone.
Dr. Ronald Epstein is a practicing family physician and professor of family medicine, psychiatry, and oncology at the University of Rochester School of Medicine and Dentistry, where he directs the Center for Communication and Disparities Research. He is an internationally recognized educator, writer, and researcher whose landmark article, “Mindful Practice,” published in the Journal of the American Medical Association in 1999, has revolutionized physicians’ view of their work. Dr. Epstein has been named one of America’s Best Doctors every year since 1998 by U.S. News & World Report.
Elizabeth Cronin, Psy.D., is a licensed clinical psychologist and mindfulness meditation teacher with offices in Brookline and Norwood, MA. You can follow her on Instagram or visit her website.
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If you’re a grad student facing the ugly reality of finding a tenure-track job, you could easily be forgiven for thinking about a career change. However, if you’ve spent the last several years working on a PhD, or if you’re a faculty member whose career has basically consisted of higher ed, switching isn’t so easy. PhD holders are mostly trained to work as professors, and making easy connections to other careers is no mean feat. Because the people you know were generally trained to do the same sorts of things, an easy source of advice might not be there for you.
Thankfully, for anybody who wishes there was a guidebook that would just break all of this down, that book has now been written. Going Alt-Ac: A Guide to Alternative Academic Careers (Stylus Publishing, 2020) by Kathryn E. Linder, Kevin Kelly, and Thomas J. Tobin offers practical advice and step-by-step instructions on how to decide if you want to leave behind academia and how to start searching for a new career. If a lot of career advice is too vague or too ambiguous, this book corrects that by outlining not just how to figure out what you might want to do, but critically, how you might go about accomplishing that.
Zeb Larson is a recent graduate of The Ohio State University with a PhD in History. His research deals with the anti-apartheid movement in the United States. To suggest a recent title or to contact him, please send an e-mail to [email protected].
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For years, drug overdose was unmentionable in polite society. OD was understood to be something that took place in dark alleys―an ugly death awaiting social deviants―neither scientifically nor clinically interesting. But over the last several years, overdose prevention has become the unlikely object of a social movement, powered by the miracle drug naloxone. In OD: Naloxone and the Politics of Overdose (MIT Press, 2020), Nancy D. Campbell charts the emergence of naloxone as a technological fix for overdose and describes the remaking of overdose into an experience recognized as common, predictable, patterned―and, above all, preventable. Naloxone, which made resuscitation, rescue, and “reversal” after an overdose possible, became a tool for shifting law, policy, clinical medicine, and science toward harm reduction. Liberated from emergency room protocols and distributed in take-home kits to non-medical professionals, it also became a tool of empowerment.
After recounting the prehistory of naloxone―the early treatment of OD as a problem of poisoning, the development of nalorphine (naloxone's predecessor), the idea of “reanimatology”―Campbell describes how naloxone emerged as a tool of harm reduction. She reports on naloxone use in far-flung locations that include post-Thatcherite Britain, rural New Mexico, and cities and towns in Massachusetts. Drawing on interviews with approximately sixty advocates, drug users, former users, friends, families, witnesses, clinicians, and scientists―whom she calls the “protagonists” of her story―Campbell tells a story of saving lives amid the complex, difficult conditions of an unfolding unnatural disaster.
Dr. Dorian Deshauer is a psychiatrist, historian, and assistant professor at the University of Toronto. He is associate editor for the Canadian Medical Association Journal, Canada’s leading peer-reviewed general medical journal and is one of the hosts of CMAJ Podcasts, a medical podcast for doctors and researchers.
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Today I’m speaking with author Christina Adams, and Adams has something of a surprising muse: camels. That’s right, camels. One hump, two humps, crossing the Egyptian desert or the Siberian tundra. Adams’ muse is surprising, because she lives, like many of us, in North America—Orange County, California, to be exact. That’s not the place where you’d expect someone to develop a deep fascination and a deep respect for camels. And yet this improbability makes Adams’ new book Camel Crazy (New World Library, 2019) all the more intriguing, as she becomes, by turns, a smuggler, an activist, a scientist, a world traveler, and, in the end, an advocate, not just for camels, but for our public health, our environment, and for her son. He’s a child on the autistic spectrum, and Adam’s love for him becomes a beautiful and passionate engine that ultimately leads her to start a movement that may just transform how we see camels and how we see and treat autism.
Eric LeMay is on the creative writing faculty at Ohio University. His work ranges from food writing to electronic literature. He is the author of three books, most recently In Praise of Nothing: Essay, Memoir, and Experiments (Emergency Press, 2014). He can be reached at [email protected].
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Dementia provokes profound moral questions about our society and the meaning of life itself. How much are we connected to one another? In what ways are we distant and separated? What does it mean to have a self? How can we offer dignity to those who suffer from Alzheimer's and other forms of this terrible disease?
Worldwide around 50 million people have dementia. The US Centers for Disease Control estimates that the U.S. total is more than five million. The numbers are growing with the aging of the population. The incidence of Alzheimers increased more than 50% in the past 15 years. People over the age of 85 are the largest growing share of the population.
British journalist and author Nicci Gerrard is our guest. Her father's long struggle with dementia led Gerrard to investigate what the disease does to those who live with it and to their caregivers. She writes with deep wisdom, kindness and empathy in her new book, The Last Ocean A Journey Through Memory and Forgetting (Penguin, 2019).
In modern, developed nations, "we so value being young, healthy, vigorous, successful, purposeful, and autonomous," says Nicci. "In dementia all these things gradually unravel."
Following her father's death in 2014, Gerrard cofounded John's Campaign, which seeks to make care more compassionate for those who are vulnerable and powerless.
In this episode, we discuss her journey, what's she learned, and ways to improve dementia care, including the need for open an unrestricted visiting hours at hospitals-- still a controversial topic-- and dementia villages, a fairly new way to help people with memory loss improve quality of life.
Richard Davies and Jim Meigs are the host of the terrific podcast “How Do We Fix It?,” on which they talk to the world’s most creative thinkers about, well, how to fix things. Lots of things. Important ones. Highly recommended. You can find “How Do We Fix It” on Apple Podcasts.
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International organizations throw up several obstacles—their immense scale, their dry bureaucratic language—to the historian trying to piece together their past. In her book, The Colonial Politics of Global Health: France and the United Nations in Postwar Africa (Harvard University Press, 2018), Jessica Lynne Pearson steers clear of these obstacles and tells a captivating and consequential story about the relationship between global governance and empires. And that is no small feat.
The Colonial Politics of Global Health recounts France’s collision with the UN and World Health Organization in the immediate post-World War II years. She shows how French colonial administrators and doctors resisted organizations devoted to “global health,” fearing that they would would ramp up anticolonialism and eventually help detach colonial territories from the metropole. She also shows how that resistance has left legacies that continue to affect Sub-Saharan Africa to this day.
The book should interest historians of empire, health and medicine, and global governance.
Dexter Fergie is a PhD student of US and global history at Northwestern University. He is currently researching the 20th century geopolitical history of information and communications networks. He can be reached by email at [email protected] or on Twitter @DexterFergie.
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How did the modern, American body come into being? According to Rachel Louise Moran this is a story to be told through the lens of the advisory state. In her book, Governing Bodies: American Politics and the Shaping of the Modern Physique (University of Pennsylvania Press, 2018), she tracks the emergence of the American advisory state -- a key analytic introduced and developed by the author in this book -- and draws attention to polyvalence of bodies as both instruments and objects of public policy. Presenting a series of “body projects” which were pursued both formally and informally by the US federal state, Moran makes a case for the persistent political uses of physique throughout more than a century. In this manner, the author manages to tell a story not only of state expansion and citizenship, but also of gender roles, heteronormativity, standards of normality, and weight. This book, therefore, will be of great interest not only to US historians but also scholars interested in the medicalization of the body, gender and sexuality, childhood development, public health, and fat studies.
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In the aftermath of Prohibition, America’s top scientists joined forces with members of a new group, called Alcoholics Anonymous, and put their clout behind a campaign to convince the nation that alcoholism was a disease rather than a moral failing. Their campaign spanned decades, and from it grew a multimillion-dollar treatment industry that actively promoted AA groups and the Twelve Steps as the primary way to deal with problem drinking. In our conversation about his new book US of AA: How the Twelve Steps Hijacked the Science of Alcoholism (Chicago Review Press, 2019), author Joe Miller discusses the history of AA, the biggest names behind the group, and how alcoholism has been defined, and treated, over the decades.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, she edits Points, the blog of the Alcohol and Drugs History Society.
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Dr. Babette Becker’s memoir I Should Have Been Music (Page Publishing, 2018) recounts her experience as a patient in four different mental hospitals from 1957 to 1960. It was a time when little was known about mental illness, except the shame and horror of it, and nothing was known about early childhood trauma. Passed from hospital to hospital carrying several severe classic diagnostic labels, she narrowly missed being sent to a State hospital where, if not for luck, she might have been incarcerated for the rest her life. The memoir follows her progress through these hospitals as well as the progress from psychosis to functioning adult. Along with her memories and journal entries from her time in the hospitals the book includes doctors' reports from each of the hospitals. These primary source materials reveal the stark contrast between the doctors' portrayal and the reality of Dr. Becker’s experience.
Christopher Russell is a psychoanalyst in private practice in Chelsea, Manhattan.
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From its crude and uneasy beginnings thirty years ago, Chinese sperm banking has become a routine part of China’s pervasive and restrictive reproductive complex. Today, there are sperm banks in each of China’s twenty-two provinces, the biggest of which screen some three thousand to four thousand potential donors each year. Given the estimated one to two million azoospermic men--those who are unable to produce their own sperm--the demand remains insatiable. China’s twenty-two sperm banks cannot keep up, spurring sperm bank directors to publicly lament chronic shortages and even warn of a national ‘sperm crisis’ (jingzi weiji).
Ayo Wahlberg book Good Quality: The Routinization of Sperm Banking in China (U California Press, 2018) explores the issues behind the crisis, including declining sperm quality in the country due to environmental pollution, as well as a chronic national shortage of donors. In doing so, Wahlberg outlines the specific style of Chinese sperm banking that has emerged, shaped by the particular cultural, juridical, economic and social configurations that make up China’s restrictive reproductive complex. Good Quality shows how this high-throughput style shapes the ways in which men experience donation and how sperm is made available to couples who can afford it.
Victoria Oana Lupascu is a PhD candidate in dual-title doctoral program in Comparative Literature and Asian Studies at the Pennsylvania State University. Her areas of interest include 20th and 21st Chinese literature and visual art, medical humanities and Global South studies.
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Disease is a social issue and not just a medical one. This is the central tenet underlying The Kiss of Death: Contagion, Contamination, and Folklore (Utah State University Press 2019) by Andrea Kitta, Associate Professor in the English department at East Carolina University, examines the discourses and metaphors of contagion and contamination in vernacular beliefs and practices across a number of media and forms. Using ethnographic, media, and narrative analysis, chapters discuss the changing representations of vampires and zombies in popular culture, the online discussions of Slenderman in relation to adolescent experiences of bullying, the misogyny embedded in legends about kisses that kill, and the racialized nature of patient-zero narratives that surrounding the spread of things like ebola, and the ways in which the HPV vaccine to homophobia. Issues like tellability and the stigmatized vernacular loom large throughout. Although folklorists will already recognize the social importance of vernacular narrative and belief, The Kiss of Death also shows how medical professionals have often failed to take vernacular forms into account. Through attention to narrative and vernacular belief, folklorists can model new forms of engaging with public health professionals and local communities.
Timothy Thurston is Lecturer in Chinese Studies at the University of Leeds. His research examines language at the nexus of tradition and modernity in China’s Tibet.
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Today's guest is distinguished researcher and statistician, Sir David Spiegelhalter. A fellow of the Royal Society, he is currently Chair of the Winton Centre for Risk and Evidence Communication at the University of Cambridge. He has dedicated his career, in his words to, “improving the way that quantitative evidence is used in society.” This includes (of particular interest to us) biostatistics and medical research.
David is an ISI highly cited researcher who has also focused much of his time and energy to public education through numerous media appearances, documentaries such as his recent BBC series geared towards children, and books such as the one we are discussing today.
That book, The Art of Statistics: How to Learn from Data, was published in the UK by Penguin in March, 2019 and recently released here in the US by Basic Books in September 2019.
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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In Rethinking Human Enhancement: Social Enhancement and Emergent Technologies (Palgrave Macmillan, 2014), Laura Cabrera discusses three possible human enhancement paradigms and explores how each involves different values, uses of technology, and different degrees and kinds of ethical concerns. A new framework is advanced that promotes technological innovation that serves the improvement of the human condition in a respectful and sustainable way.
John Danaher is a lecturer the National University of Ireland, Galway. He is also the host of the wonderful podcast Philosophical Disquisitions. You can find it here on Apple Podcasts.
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In this interview, Prof. Emilia Nielsen discusses the problem of the usual breast cancer narrative. She says that the happy stories of breast cancer survivors are so common that any other types of narrative almost require an apology.
Emilia Nielsen is an assistant professor of arts, medicine and healing at York University’s Health & Society Program, Department of Social Science. She is the author of the scholarly text Disrupting Breast Cancer Narratives: Stories of Rage and Repair (University of Toronto Press, 2019) as well as two collections of poetry, Body Work and Surge Narrows.
Dr. Dorian Deshauer is a psychiatrist, historian, and assistant professor at the University of Toronto. He is associate editor for the Canadian Medical Association Journal, Canada’s leading peer-reviewed general medical journal and is one of the hosts of CMAJ Podcasts, a medical podcast for doctors and researchers.
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All wars, in a practical sense, center on the destruction of the human body, and in Bodies in Blue: Disability in the Civil War North (University of Georgia Press, 2019), Sarah Handley-Cousins, a clinical assistant professor at the University at Buffalo, shows how disability was a necessary by-product of the U.S. Civil War. Handley-Cousins argues that disability in the Civil War North extended far past amputations and highlights how wartime disability ranged from the temporary to the chronic, from disease to injury, and encompassed both physical and mental conditions. In Bodies in Blue, Handley-Cousins documents how the realities of living with a disability were at odds with the expectations of manhood. As a result, men who failed to perform the role of wounded warrior could be scrutinized for failing to live up to the ideal of martial masculinity. Importantly, Handley-Cousins challenges scholars to think about Civil War historiography in new ways. More specifically, by examining the lasting mental health implications of the conflict, Handley-Cousins forces us to face how soldiers had to reckon with the Civil War for the rest of their lives.
Chris Babits is an Andrew W. Mellon Engaged Scholar Initiative Postdoctoral Fellow at the University of Texas at Austin. He researches the intersecting histories of medicine, religion, and gender and sexuality and is currently working on his book manuscript about the history of conversion therapy in the United States.
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They were throwing garbage in the streets.
Rosalind Fredericks makes sense of the garbage-scape of Dakar, Senegal in the wake of the 2007 trash “revolts” against the city and country’s uneven and failing garbage infrastructure—and puts into readers’ senses the smelly, sticky, full-sensory politics of waste management in the Global South.
Garbage Citizenship: Vital Infrastructures of Labor in Dakar, Senegal (Duke University Press, 2018) brings together studies of infrastructure with scholarship on labor to make a case for understanding, not infrastructure and labor, but laboring bodies as infrastructure. The book breaths fresh life into the moribund concept of neoliberalism to show how civic care, like household care, fell unevenly in Dakar on the bodies of women, youths, and economically precarious workers. Their bodies carried the scars, as well as the stigma, of governments’ piecemeal moves over three decades to keep the labor force that was managing waste both flexible and disposable—at times devolving responsibility onto individuals and informal sectors in the name of modernity, community, and Islamic piety.
Garbage Citizenship is based on Fredericks’ political ethnography of Senegal and the book includes vivid, beautiful photos of people, machines, and garbage laboring together—and, at times, collaborating in their refusal to be governed. (Just check out the cover image!) With workers always in mind, Fredericks makes space for hope, tells us where she is working now, and, in this generous interview, suggests how we can give breathing room to social justice, too.
Fredericks is Associate Professor of Geography and Development Studies at New York University. The interview was conducted collaboratively by Laura Stark and students in her Vanderbilt seminar, History of Global Health: Emma Dahill, Savannah Larkin, Andrew Medland, Hailey Silver, Jesse Pullen, Gavin Yuan and Claudia Vial.
For ideas and resources on how to include the New Books Network in your classroom, feel free to email Laura Stark at [email protected] or see Stark’s essay “Can New Media Save the Book?” in Contexts (2015).
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“We cannot get answers to questions that cannot be asked.” Lundy Braun’s influential book, Breathing Race into the Machine: The Surprising Career of the Spirometer from Plantation to Genetics (University of Minnesota Press, 2014) documents the history and present-day use of an everyday medical instrument, the spirometer, which measures a person’s lung capacity. The instrument has a long history, but since the 1970s, this common medical device has been built with a switch that forces users to choose: are these the lungs of a person who is Black or a person who is White? In its materiality, the instrument forces racialized and individualized answers to the question: What explains human variation? In doing so, the people who have imagined, built, and refined the instrument have foreclosed structural, political explanations of human difference—and in doing so, foreclosed the possibility of holding governments and corporations accountable, including in recent workers’ compensation lawsuits.
Lundy Braun tells the long history of this instrument as it passed between “knowledge networks” in the United Kingdom, United States, and South Africa within the contexts of medicine, law, and education. Admirably, Braun documents how and in what terms experts (unsuccessfully) questioned the spirometer’s epistemic authority and its racialization, as well as how experts partnered with social justice groups to use the spirometer for liberatory ends. The book emphasizes the contexts of war and industrial labor, the importance of standardization, and, above all, the role of the spirometer in creating and maintaining the “white norm” in the body.
Lundy Braun is Professor of Medical Science in Pathology and Professor of Africana Studies at Brown University. The interview was conducted collaboratively by Laura Stark [insert www.laura-stark.com] and students in her Vanderbilt seminar, History of Global Health: Omar Amir, Maggie Cox, Bryce Bailey, Donald Fitzgerald, Ashley Hunter, Jillian Jackson, Rohit Kamath, Zoe Mulraine, Liu Lanxi, Madison Noall, Catie O’Reilly, Isabella Schaffer, Katie Swift, Charlotte Whitfield, and Allie Yan.
For ideas and resources to use NBN interviews in your classes, please email Laura Stark at [email protected] or see Stark’s essay “Can New Media Save the Book?” in Contexts (2015).
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We’ve all heard that a picture is worth a thousand words, but what if we don’t understand what we’re looking at? Social media has made charts, infographics, and diagrams ubiquitous―and easier to share than ever. We associate charts with science and reason; the flashy visuals are both appealing and persuasive. Pie charts, maps, bar and line graphs, and scatter plots (to name a few) can better inform us, revealing patterns and trends hidden behind the numbers we encounter in our lives. In short, good charts make us smarter―if we know how to read them.
However, they can also lead us astray. Charts lie in a variety of ways―displaying incomplete or inaccurate data, suggesting misleading patterns, and concealing uncertainty―or are frequently misunderstood, such as the confusing cone of uncertainty maps shown on TV every hurricane season. To make matters worse, many of us are ill-equipped to interpret the visuals that politicians, journalists, advertisers, and even our employers present each day, enabling bad actors to easily manipulate them to promote their own agendas.
In How Charts Lie: Getting Smarter about Visual Information (W. W. Norton, 2019), data visualization expert Alberto Cairo teaches us to not only spot the lies in deceptive visuals, but also to take advantage of good ones to understand complex stories. Public conversations are increasingly propelled by numbers, and to make sense of them we must be able to decode and use visual information. By examining contemporary examples ranging from election-result infographics to global GDP maps and box-office record charts, How Charts Lie demystifies an essential new literacy, one that will make us better equipped to navigate our data-driven world.
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There are few areas of modern life that are burdened by as much information and advice, often contradictory, as our diet and health: eat a lot of meat, eat no meat; whole-grains are healthy, whole-grains are a disaster; eat everything in moderation; eat only certain foods--and on and on. In 100 Million Years of Food: What Our Ancestors Ate and Why It Matters Today (Picador, 2016), biological anthropologist Stephen Le explains how cuisines of different cultures are a result of centuries of evolution, finely tuned to our biology and surroundings. Today many cultures have strayed from their ancestral diets, relying instead on mass-produced food often made with chemicals that may be contributing to a rise in so-called "Western diseases," such as cancer, heart disease, and obesity.
Travelling around the world to places as far-flung as Vietnam, Kenya, India, and the US, Stephen Le introduces us to people who are growing, cooking, and eating food using both traditional and modern methods, striving for a sustainable, healthy diet. In clear, compelling arguments based on scientific research, Le contends that our ancestral diets provide the best first line of defense in protecting our health and providing a balanced diet. Fast-food diets, as well as strict regimens like paleo or vegan, in effect highjack our biology and ignore the complex nature of our bodies. In 100 Million Years of Food Le takes us on a guided tour of evolution, demonstrating how our diets are the result of millions of years of history, and how we can return to a sustainable, healthier way of eating.
Aven McMaster and Mark Sundaram are historians and the hosts of the excellent podcast The Endless Knot.
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The idea of “backwardness” often plagues historical writing on Russia. In Russia in the Time of Cholera: Disease under Romanovs and Soviets (Bloomsbury Academic, 2018), Dr. John P. Davis counteracts this “backwardness” paradigm, arguing that from the early 19th to the early 20th centuries, Russian medical researchers—along with their counterparts in France and Germany—were at the forefront of the struggle against cholera. Davis’ birds-eye view of this hundred-year period illustrates that the conditions allowing cholera to flourish were the same set of conditions that helped create the collapse of the tsarist regime during the First World War. Credit for elimination of cholera must go to the Bolsheviks, both for implementing tsarist-era medical theory, and especially for making war on cholera in a organized, systematic manner that the old regime was variously unable or unwilling to achieve.
Aaron Weinacht is Professor of History at the University of Montana Western, in Dillon, MT. He teaches courses on Russian and Soviet History, World History, and Philosophy of History. His research interests include the sociological theorist Philip Rieff and the influence of Russian nihilism on American libertarianism.
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A funny thing happened to historian Michael Vann* on the way to his PhD thesis. While he was doing his research on French colonialism and the urbanist project in Hanoi, he came across an intriguing dossier: “Destruction of animals in the city”. The documents he found started him on a research path that led to a section of his dissertation, then an article that gained a wide academic and non-academic readership, and now The Great Hanoi Rat Hunt: Empire, Disease, and Modernity in French Colonial Vietnam (Oxford UP, 2018). But this isn’t your typical historical monograph. One of the latest volumes in Oxford University Press’s Graphic History Series, The Great Hanoi Rat Hunt (with illustrations by Liz Clarke), explores the history of modernization, urbanization, and the spread of epidemic disease in the era of “New Imperialism” in an exciting and highly engaging format.
The remaking of Hanoi as a capital of French empire from the end of the nineteenth century had unintended consequences. In the state-of-the-art sewers of the French/white areas of the city, rats found the perfect home. Then came the Third plague pandemic, the disease that travelled with rats and moved from one site to another around the globe…on railroads, ships, the growing networks of trade and empire. The Great Hanoi Rat Hunt mobilizes years of research about this episode in the city’s history, illustrating (literally!) the inherent contradictions of imperialism, and the complexities of domination and resistance in a colonial context. Framed as an undergraduate lecture that features the author as a character throughout the narrative, the book is set up with teaching in mind. In addition to the fascinating story of the rat hunt itself (and all the twists and turns involved), the volume includes a rich selection of primary sources and a series of contextual essays that will allow students to explore this history in a range of productive ways. An accessible book that is at once serious and fun, The Great Hanoi Rat Hunt was such a pleasure to read and to talk about. I hope listeners will enjoy my conversation with Mike as much as I did!
*Mike is also a host on New Books in History! Be sure to check out his interviews here on the network.
Roxanne Panchasi is an Associate Professor of History at Simon Fraser University in Vancouver, Canada who specializes in twentieth and twenty-first century France and its empire. She is the author of Future Tense: The Culture of Anticipation in France Between the Wars (2009). Her current research focuses on the history of French nuclear weapons and testing since 1945. Her most recent article, '"No Hiroshima in Africa": The Algerian War and the Question of French Nuclear Tests in the Sahara' appeared in the Spring 2019 issue of History of the Present. She lives and reads in Vancouver, Canada. If you have a recent title to suggest for the podcast, please send her an email ([email protected]).
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Dr. Wendy Gonaver discusses her book, The Peculiar Institution and the Making of Modern Psychiatry, 1840-1880 (University of North Carolina Press, 2019), the Eastern Lunatic Asylum in Virginia, and the roles that race, the institution of slavery, and slave labor played in the development of psychiatric diagnosis and care through the nineteenth century and beyond.
Though the origins of asylums can be traced to Europe, the systematic segregation of the mentally ill into specialized institutions occurred in the United States only after 1800, just as the struggle to end slavery took hold. In this book, Wendy Gonaver examines the relationship between these two historical developments, showing how slavery and ideas about race shaped early mental health treatment in the United States, especially in the South. She reveals these connections through the histories of two asylums in Virginia: the Eastern Lunatic Asylum in Williamsburg, the first in the nation; and the Central Lunatic Asylum in Petersburg, the first created specifically for African Americans. Eastern Lunatic Asylum was the only institution to accept both slaves and free blacks as patients and to employ slaves as attendants.
Drawing from these institutions' untapped archives, Gonaver reveals how slavery influenced ideas about patient liberty, about the proper relationship between caregiver and patient, about what constituted healthy religious belief and unhealthy fanaticism, and about gender. This early form of psychiatric care acted as a precursor to public health policy for generations, and Gonaver's book fills an important gap in the historiography of mental health and race in the nineteenth century.
Beth A. English is director of the Liechtenstein Institute's Project on Gender in the Global Community at Princeton University. She also is a past president of the Southern Labor History Association.
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Both colonies and insane asylums are well known institutions of power. But what of asylums in Europe’s early 20th-century colonial empires? How did they operate? Who was confined in them? Who worked there? What was daily life like in such an institution? How did Western medical experts and the colonized population understand mental illness and its treatment? How did colonial racism impact mental illness? In this episode we chat with Claire Edington, Assistant Professor of History at the University of California, San Diego, about her new book of Beyond the Asylum: Mental Illness in French Colonial Vietnam (Cornell University Press, 2019).
Beyond the Asylum draws from extensive archival research in Vietnam and France. A gifted writer, Edington is particularly good at presenting the life stories of patients, doctors, and workers drawn into French Indochina’s mental health system. She also looks at the families of patients and the Vietnamese language popular press, as they tried to make sense of troubling issues around mental health, including how the French colonizers understood and treated psychological afflictions. More than a history of the asylum as an institution, Edington uses mental health care facilities as a prism to explore crucial transformations of Vietnamese society in the era of high imperialism. This wide-ranging conversation will be of interest to listeners interested in Vietnam and Southeast Asia, imperialism, French history, and the study and treatment of mental illness. The book is an excellent complement to the increasingly rich historiography of colonial Vietnam.
Michael G. Vann is a professor of world history at California State University, Sacramento. A specialist in imperialism and the Cold War in Southeast Asia, he is the author of The Great Hanoi Rat Hunt: Empires, Disease, and Modernity in French Colonial Vietnam (Oxford, 2018). When he’s not reading or talking about new books with smart people, Mike can be found surfing in Santa Cruz, California.
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As you may know, university presses publish a lot of good books. In fact, they publish thousands of them every year. They are different from most trade books in that most of them are what you might called "fundamental research." Their authors--dedicated researchers one and all--provide the scholarly stuff upon which many non-fiction trade books are based. So when you are reading, say, a popular history, you are often reading UP books at one remove. Of course, some UP books are also bestsellers, and they are all well written (and, I should say, thoroughly vetted thanks to the peer review system), but the greatest contribution of UPs is to provide a base of fundamental research to the public. And they do a great job of it.
How do they do it? Today I talked to Kathryn Conrad, the president of the Association of University Presses, about the work of UPs, the challenges they face, and some terrific new directions they are going. We also talked about why, if you have a scholarly book in progress, you should talk to UP editors early and often. And she explains how! Listen in.
Marshall Poe is the editor of the New Books Network. He can be reached at [email protected].
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The things that make people academics -- as deep fascination with some arcane subject, often bordering on obsession, and a comfort with the solitude that developing expertise requires -- do not necessarily make us good teachers. Jessamyn Neuhaus’s Geeky Pedagogy: A Guide for Intellectuals, Introverts, and Nerds Who Want to Be Effective Teachers (West Virginia University Press, 2019) helps us to identify and embrace that geekiness in us and then offers practical, step-by-step guidelines for how to turn it to effective pedagogy. It’s a sharp, slim, and entertaining volume that can make better teachers of us all.
Stephen Pimpare is Senior Lecturer in the Politics & Society Program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. He is the author of The New Victorians (New Press, 2004), A Peoples History of Poverty in America (New Press, 2008), winner of the Michael Harrington Award, and Ghettos, Tramps and Welfare Queens: Down and Out on the Silver Screen (Oxford, 2017).
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Theodore Dalrymple is a retired physician in Great Britain, who has written an account of his year’s-worth of reading the New England Journal of Medicine. In his new book False Positive: A Year of Error, Omission, and Political Correctness in the New England Journal of Medicine (Encounter Books, 2019), he recounts each week’s new edition of the Journal with an eye toward analytical errors and a culture of political correctness in regard to the handling of medical and public health issues. Dalrymple notes how the medical community must put a significant degree of faith in the reliability of such publications, especially due to the scarcity of time that most practicing physicians have to dedicate to scrutinizing articles. But he warns that some publications often contain basic mistakes, such as the failure to understand that correlation is not causation. He is also concerned with the prevalence of political correctness concerning health issues and how they can affect the public’s understanding of these issues.
Ian J. Drake is an Associate Professor of Political Science and Law at Montclair State University. His scholarly interests include American legal and constitutional history and political theory.
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Behind every landmark drug is a story. It could be a researcher’s genius insight, a catalyzing moment in geopolitical history, a new breakthrough technology, or an unexpected but welcome side effect discovered during clinical trials. In his new book, Ten Drugs: How Plants, Powders, and Pills Have Shaped the History of Medicine (Harry N. Abrams, 2019), Thomas Hager traces the “mini-biographies” of ten drugs and drug treatments that have shaped the course of human history, showing how serendipity and sheer luck have transformed drug development. In our conversation, Hager discusses the astounding number of prescriptions Americans take, why the profit motive is dangerous for drug development, and the unexpected historical twists that have changed medicine, often for the better.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, she edits Points, the blog of the Alcohol and Drugs History Society.
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Today's guest is David Sinclair, professor of genetics at Harvard Medical School and co-director of the Paul Glenn Center Biological Mechanisms of Aging. He is widely considered on the world's foremost experts on longevity research. A co-founder of the journal Aging and several biotech companies, he also hold 35 patents. Dr. Sinclair is a recipient of more than 25 awards and honors, including being knighted in the Order of Australia. His work is featured in five books, two documentary movies, “60 Minutes,” Morgan Freeman’s “Through the Wormhole,” and other media. His newest book, LifeSpan. Why We Age and Why We Don't Have To, was released in September 2019 by Simon and Schuster.
Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon.
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Nora Jaffary’s Reproduction and its Discontents in Mexico: Childbirth and Contraception from 1750 to 1905 (University of North Carolina Press. 2016), tracks how medical ideas, practices, and policies surrounding reproduction changed between the late eighteenth and early twentieth centuries in Mexico. Perhaps the most important change analyzed in the book, and discussed extensively in the interview, is the increased interest of the state in controlling childbirth and contraception. Whereas the colonial state was mostly interested in controlling reproduction primarily of Spanish women of the elite, in the republican era—specially in the late nineteenth century—the state expanded its scope in order to reach broader and more popular sectors of women. Abortion and infanticide, treated jointly in the book for people did not draw a distinction between them, came under the purview of communities and the state. We learn that family members, lovers and neighbors started denouncing women more frequently, and that criminal trials rose.
According to Jaffary such change is explained by the emergence of a discourse of sexual honor and virtue that became imperative for a wider sector of women, one that linked reproduction and the creation of a healthy citizenry to the construction of the national state. However, and in spite of the state’s claim in controlling reproduction, this is not a story of an all-powerful state that defined the life and choices of women, nor is this a history of the march of modern medicine (whether that is a good thing or a bad one) in which the state endorsed learned medicine and banished midwives and popular practitioners. As we will learn, this is a much more convoluted story; in spite of the growing interest of the state in reproduction, cases of abortion and infanticide were widely tolerated as were popular healing practitioners, and criminal trials rarely ended in conviction. Judges treated women cautiously and with justice. Moreover, as Jaffary convincingly demonstrates, this unknown history of childbirth and contraception reveals a world of medical pluralism and medical mestizaje—concepts that refer to the somewhat peaceful co-existence, or even collaboration, between a wide range of medical practitioners. In this wonderful book, Jaffary invites us to think about Latin American history in its own terms, to question histories that posit a lineal or teleological progress, and to see that the past, as much as the present, builds its own concepts and ideas that shape how the body is seen, lived, and experienced.
Lisette Varon-Carvajal is a graduate student in history at Rutger’s University.
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Not a lot of authors go from spending their early twenties homeless and addicted to cocaine to becoming one of the world’s leading researchers on the neuroscience of addiction. But Dr. Judith Grisel, in her new book Never Enough: The Neuroscience and Experience of Addiction (Doubleday, 2019), uses her personal story to illuminate the ways in which the brain, in collusion with social and biological factors, makes addiction possible. In our discussion, Grisel outlines the effects of different drugs, explains the “three laws of psychopharmacology,” and wonders if we’ll ever find medicine’s “holy grail” – a cure for addiction.
Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, she edits Points, the blog of the Alcohol and Drugs History Society.
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On a spring day in 2015, Dr. Travis Rieder’s life changed. A motorcycle accident, a shattered foot, and a long series of surgeries later, the John Hopkins University bioethicist had a far deeper understanding of opioid use in America than he ever planned. In his new book In Pain: A Bioethicist’s Personal Struggle with Opioids(Harper Collins, 2019), Rieder shares the story of his accident and treatment, while also exploring the complicated history of opioid use in the United States, the challenge of treating something as subjective as pain, and alternatives to our reliance on these drugs. His recommendations—for medical practitioners and for individual patients—are insightful and necessary as America continues to grapple with the unanticipated effects of widespread opioid use.
Emily Dufton is a drug historian and the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017).
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Environmental racism is visible not only as cancer clusters or the location of grocery stores. It is responsible for the reported gap in IQ scores between white Americans and Black, Latinx, and Native Americans. So argues science writer Harriet Washington in A Terrible to Waste: Environmental Racism and Its Assault on the American Mind (Little, Brown Spark 2019). While acknowledging IQ is a biased and flawed metric, she contends it is useful for tracking cognitive damage. Using copious data and synthesizing a generation of studies, Washington calculates the staggering, population-scale neurological effects of marginalized communities having been forced to live and work in landscapes of waste, pollution, and insufficient sanitation services. She investigates heavy metals, neurotoxins, asthma, deficient prenatal care, bad nutrition, and even pathogens as drags on cognitive development to explain why communities of color are disproportionately affected—and what can be done to remedy this devastating problem.
Harriet A. Washington has been the Shearing Fellow at the University of Nevada's Black Mountain Institute, a Research Fellow in Medical Ethics at Harvard Medical School, a senior research scholar at the National Center for Bioethics at Tuskegee University, and a visiting scholar at DePaul University College of Law. She is the author of Deadly Monopolies, Infectious Madness, and Medical Apartheid, which won a National Book Critics Circle Award, the PEN/Oakland Award, and the American Library Association Black Caucus Nonfiction Award.
Brian Hamilton is a Ph.D. candidate at the University of Wisconsin–Madison where he is researching African American environmental history in the nineteenth-century Cotton South. He lives in Western Massachusetts and teaches at Deerfield Academy.
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Once upon a time, or so we’ve been told, medical ethics were confined to the patient-doctor relationship. As long as doctors were true to their Hippocratic oaths, as long as they acted with compassion and wisdom, then all expectations were met.
Life is more complicated today, and so is healthcare: an undertaking, like all others, that is influenced by social, political, legal and cultural factors.
Nothing is value-free.
In Bioethics and Biopolitics in Israel: Socio-legal, Political and Empirical Analysis (Cambridge University Press, 2019), Professor Shai Lavi and his colleagues have produced a groundbreaking work that offers a novel understanding of Israeli bioethics. It is a milestone in the comparative literature of bioethics.
Bringing together a range of experts, the book's interdisciplinary structure employs a contemporary, sociopolitical-oriented approach to bioethics issues, with an emphasis on empirical analysis, that will appeal not only to scholars of bioethics, but also to students of law, medicine, humanities, and social sciences around the world. Its focus on the development of bioethics in Israel serves as a template for cross-cultural and transcultural research into the moral, ethical, political and social aspects of bioethics.
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Are we in the midst of a psychedelic renaissance? If so, what can we learn about the present moment through the history of psychedelic experiments in the past? Matt Oram discusses contemporary debates about LSD and MDMA and brings much-needed context with his new book, The Trials of Psychedelic Therapy: LSD Psychotherapy in America (Johns Hopkins University Press, 2018), Oram talks about the role of psychiatry and the pharmaceutical industry as well the field of drug regulation. He underlines, too, that the history of psychedelics is a lot more complicated than researchers have previously suggested.
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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In 1978, doctors in Denver, Colorado observed several healthy children who suddenly and mysteriously developed a serious, life-threatening illness with no visible source. Their condition, which doctors dubbed ‘toxic shock syndrome’ (TSS) was rare, but observed with increasing frequency over the next few years in young women, and was soon learned to be associated with a bacterium and the use of high-absorbency tampons that had only recently gone on the market. In 1980, the Centers for Disease Control identified Rely tampons, produced by Procter & Gamble, as having the greatest association with TSS over every other tampon, and the company withdrew them from the market. To this day, however, women are frequently warned about contracting TSS through tampon use, even though very few cases are diagnosed each year.
Historian Sharra Vostral’s Toxic Shock: A Social History (NYU Press, 2018) is the first and definitive history of TSS. Vostral shows how commercial interests negatively affected women’s health outcomes; the insufficient testing of the first super-absorbency tampon; how TSS became a ‘women’s disease,’ for which women must constantly monitor their own bodies. Further, Vostral discusses the awkward, veiled and vague ways public health officials and the media discussed the risks of contracting TSS through tampon use because of social taboos around discussing menstruation, and how this has hampered regulatory actions and health communication around TSS, tampon use, and product safety.
A study at the intersection of public health and social history, Toxic Shock brings to light the complexities behind a stigmatized and under-discussed issue in women’s reproductive health. Importantly, Vostral warns that as we move forward with more and more joint replacements, implants, and internal medical devices, we must understand the relationship of technology to bacteria and recognize that both can be active agents within the human body. In other words, unexpected consequences and risks of bacteria and technology interacting with each other remain.
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Okezi Otovo’s Progressive Mothers, Better Babies: Race, Public Health, and the State in Brazil, 1850-1945 (U Texas Press, 2016) explores the intersecting histories of race, gender, and class in modern Brazil. Between 1850 and 1945, the period covered in the book, Brazil experienced a range of profound socio-political transformations: from the end of the transatlantic slave trade (1850), to the wholesale abolition of slavery (1988), the demise of the monarchy followed by the rise of a republican system of government, and the ultimate inauguration of the Vargas dictatorship. Set in Bahia, the book considers the impact of these changes in the lives of black mothers and their children by following the rise of the maternalist movement in Brazil and its relationship to international discourses on race, public health reform, and national modernity. In addition to tracking changes to medical ideas about motherhood and children, Okezi Otovo gives agency to these black and brown mothers and considers both how they acted and were acted upon by physicians, public health reformers, and newly-formed welfare institutions. Progressive Mothers, Better Babies provides an important contribution to scholarship working at the intersections of race, class, gender, public health, and medical thought. It will be an important read to anyone seeking to grapple with the essential role assigned to mothers – specifically to black and brown, poor women – by physicians and public health reformers in a deeply patriarchal society.
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Personalized healthcare―or what the award-winning author Donna Dickenson calls "Me Medicine"―is radically transforming our longstanding "one-size-fits-all" model. Technologies such as direct-to-consumer genetic testing, pharmacogenetically developed therapies in cancer care, private umbilical cord blood banking, and neurocognitive enhancement claim to cater to an individual's specific biological character, and, in some cases, these technologies have shown powerful potential. Yet in others they have produced negligible or even negative results. Whatever is behind the rise of Me Medicine, it isn't just science. So why is Me Medicine rapidly edging out We Medicine, and how has our commitment to our collective health suffered as a result?
In her cogent, provocative book Me Medicine vs. We Medicine: Reclaiming Biotechnology for the Common Good(Columbia University Press, 2016), Dickenson examines the economic and political factors fueling the Me Medicine phenomenon and explores how, over time, this paradigm shift in how we approach our health might damage our individual and collective well-being. Historically, the measures of "We Medicine," such as vaccination and investment in public-health infrastructure, have radically extended our life spans, and Dickenson argues we've lost sight of that truth in our enthusiasm for "Me Medicine."
Dickenson explores how personalized medicine illustrates capitalism's protean capacity for creating new products and markets where none existed before―and how this, rather than scientific plausibility, goes a long way toward explaining private umbilical cord blood banks and retail genetics. Drawing on the latest findings from leading scientists, social scientists, and political analysts, she critically examines four possible hypotheses driving our Me Medicine moment: a growing sense of threat; a wave of patient narcissism; corporate interests driving new niche markets; and the dominance of personal choice as a cultural value. She concludes with insights from political theory that emphasize a conception of the commons and the steps we can take to restore its value to modern biotechnology.
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Vanessa Heggie talks about the history of biomedical research in extreme environments. Heggie is a Fellow of the Institute for Global Innovation at the University of Birmingham. She is the author of Higher and Colder: A History of Extreme Physiology and Exploration(University of Chicago Press, 2019).
During the long twentieth century, explorers went in unprecedented numbers to the hottest, coldest, and highest points on the globe. Taking us from the Himalaya to Antarctica and beyond, Higher and Colder presents the first history of extreme physiology, the study of the human body at its physical limits. Each chapter explores a seminal question in the history of science, while also showing how the apparently exotic locations and experiments contributed to broader political and social shifts in twentieth-century scientific thinking.
Unlike most books on modern biomedicine, Higher and Colder focuses on fieldwork, expeditions, and exploration, and in doing so provides a welcome alternative to laboratory-dominated accounts of the history of modern life sciences. Though centered on male-dominated practices—science and exploration—it recovers the stories of women’s contributions that were sometimes accidentally, and sometimes deliberately, erased. Engaging and provocative, this book is a history of the scientists and physiologists who face challenges that are physically demanding, frequently dangerous, and sometimes fatal, in the interest of advancing modern science and pushing the boundaries of human ability.
Michael F. Robinson is professor of history at Hillyer College, University of Hartford. He's the author of The Coldest Crucible: Arctic Exploration and American Culture (University of Chicago Press, 2006) and The Lost White Tribe: Scientists, Explorers, and the Theory that Changed a Continent (Oxford University Press, 2016). He's also the host of the podcast Time to Eat the Dogs, a weekly podcast about science, history, and exploration.
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How do women -- especially poor and low-income women with histories of childhood sexual trauma and drug addiction -- respond to and deal with an HIV/AIDS diagnosis? How do some manage to not merely rebuild their lives, but remake them entirely? Why do others fail? Join us to talk to Celeste Watkins-Hayes about her book Remaking a Life: How Women Living with HIV/AIDS Confront Inequality(University of California Press, 2019). You'll hear what she learned from a decade’s long immersion in the lives of these remarkable women, and what lessons that has to offer to politicians, policymakers, and service-providers.
Stephen Pimpare is Senior Lecturer in the Politics & Society Program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. He is the author of The New Victorians (New Press, 2004), A People’s History of Poverty in America (New Press, 2008), winner of the Michael Harrington Award, and Ghettos, Tramps and Welfare Queens: Down and Out on the Silver Screen (Oxford, 2017).
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Alex Broadbent's Philosophy of Medicine (Oxford University Press, 2019) asks two central questions about medicine: what is it, and what should we think of it? Philosophy of medicine itself has evolved in response to developments in the philosophy of science, especially with regard to epistemology, positioning it to make contributions that are medically useful. This book locates these developments within a larger framework, suggesting that much philosophical thinking about medicine contributes to answering one or both of these two guiding questions.
Taking stock of philosophy of medicine's present place in the landscape and its potential to illuminate a wide range of areas, from public health to policy, Alex Broadbent introduces various key topics in the philosophy of medicine. The first part of the book argues for a novel view of the nature of medicine, arguing that medicine should be understood as an inquiry into the nature and causes of health and disease. Medicine excels at achieving understanding, but not at translating this understanding into cure, a frustration that has dogged the history of medicine and continues to the present day.
The second part of the book explores how we ought to consider medicine. Contemporary responses, such as evidence-based medicine and medical nihilism, tend to respond by fixing high standards of evidence. Broadbent rejects these approaches in favor of Medical Cosmopolitanism, or a rejection of epistemic relativism and pluralism about medicine that encourages conversations between medical traditions. From this standpoint, Broadbent opens the way to embracing alternative medicine.
An accessible and user-friendly guide, Philosophy of Medicine puts these different debates into perspective and identifies areas that demand further exploration.
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The AIDS crisis of the 1980s looms large in recent histories of sexuality, medicine, and politics, and justly so—an unknown virus without a cure ravages an already persecuted minority, medical professionals are unprepared and sometimes unwilling to care for the sick, and a national health bureaucracy is slow to invest resources in finding a cure. Yet this widely accepted narrative, while accurate, creates the impression that the gay community lacked any capacity to address AIDS. In fact, as Katie Batza demonstrates in this path-breaking book, there was already a well-developed network of gay-health clinics in American cities when the epidemic struck, and these clinics served as the first responders to the disease. Before AIDS: Gay Health Politics in the 1970s (University of Pennsylvania Press, 2018) explores this heretofore unrecognized story, chronicling the development of a national gay health network by highlighting the origins of longstanding gay health institutions in Boston, Chicago, and Los Angeles, placing them in a larger political context, and following them into the first five years of the AIDS crisis.
Like many other minority communities in the 1970s, gay men faced public health challenges that resulted as much from their political marginalization and social stigmatization as from any disease. Gay men mistrusted mainstream health institutions, fearing outing, ostracism, misdiagnosis, and the possibility that their sexuality itself would be treated as a medical condition. In response to these problems, a colorful cast of doctors and activists built a largely self-sufficient gay medical system that challenged, collaborated with, and educated mainstream health practitioners. Taking inspiration from rhetoric employed by the Black Panther, feminist, and anti-urban renewal movements, and putting government funding to new and often unintended uses, gay health activists of the 1970s changed the medical and political understandings of sexuality and health to reflect the new realities of their own sexual revolution.
Stephen Colbrook is a graduate student at the University College London, where he is researching a dissertation on the interaction between HIV/AIDS and state policy-making. This work will focus on the political and policy-making side of the epidemic and aims to compare the different contexts of individual states, such as California, Florida, and New Jersey. Stephen can be contacted at [email protected].
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Could cancer be a contagious disease? Although this possibility might seem surprising to many of us, it has a long history. In fact, efforts to develop a cancer vaccine drew more money than the Human Genome Project. In his first book, MIT historian of science Robin Wolfe Scheffler takes readers through the twists and turns of the American effort to identify human cancer viruses— a search which made fundamental contributions to molecular biology. In this podcast, we discuss how this was an effort which raises fundamental questions regarding how we think about disease in the laboratory and the legislature.
Dr. Robin Scheffler’s book is called A Contagious Cause: The American Hunt for Cancer Viruses and the Rise of Molecular Medicine(University of Chicago Press, 2019).
Dr. Dorian Deshauer is a psychiatrist, historian, and assistant professor at the University of Toronto. He is associate editor for the Canadian Medical Association Journal, Canada’s leading peer-reviewed general medical journal and is one of the hosts of CMAJ Podcasts, a medical podcast for doctors and researchers.
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Paul Ramírez’s first book explores how laypeople impacted the new medical techniques and technologies implemented by the imperial state in the final decades of Spanish rule in colonial Mexico. More than a scholarly intervention, Ramírez seeks to answer a very pragmatic and timely question: how and why do successful public health measures succeed? Through his surprising, nuanced, and complicated answer, Ramírez broadens our understanding of who counts as a vital actor in public health programs. Whereas historians have long thought of enlightened reform in the terms of absolutist monarchical power, Enlightened Immunity: Mexico’s Experiments with Disease Prevention in the Age of Reason (Stanford University Press, 2018)cracks the nut to find within a effervescent world of competitive and cooperative medical cultures. Through careful analyses of the Royal Vaccination Campaign of the early 19th century as well as prior public methods of responding to epidemic disease, Ramírez demonstrates a consistent pattern of mutual exchange and influence between professional communities and lay populations, both indigenous and not. Refreshingly, he also reassesses the role of the Catholic Church: despite common assumptions of an inherent antipathy between science and religion (especially Catholicism), we see here the integral role of religious ideas, practices, rituals, personnel, and political power in the implementation of modern public health initiatives. The resulting picture of negotiation, conciliation, and experimentation is essential reading for both historians of public health, science, and Latin America, as well as readers in the medical humanities generally.
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Too often keeping patients alive gets in the way of helping them as they approach death. Dr. Pauline Chen shares her experiences as a medical student and transplant surgeon and how they’ve shaped the way she practices medicine.
Chen is the author of Final Exam: A Surgeon’s Reflections on Mortality (Vintage, 2008) and the New York Times column “Doctor and Patient.” Her essays have appeared in The Washington Post, The New York Times Magazine, and The New York Times Book Review. Her work has been nominated for a National Magazine Award.
Michael F. Robinson is professor of history at Hillyer College, University of Hartford. He's the author of The Coldest Crucible: Arctic Exploration and American Culture (University of Chicago Press, 2006) and The Lost White Tribe: Scientists, Explorers, and the Theory that Changed a Continent (Oxford University Press, 2016). He's also the host of the podcast Time to Eat the Dogs, a weekly podcast about science, history, and exploration.
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Nara Milanich’s Paternity: The Elusive Quest for the Father (Harvard University Press, 2019) explains how fatherhood, long believed to be impossible to know with certainty, became a biological “fact” that could be ascertained with scientific testing. Though the advent of DNA testing might seem to make paternity less elusive, Milanich’s book invites readers to think about paternity not as a biological fact but as a socially-constructed role that has evolved over time. Historically, given assumed paternal uncertainty, fathers were defined in terms of their behavior (acting like a father) or their relationship to a child’s mother (being married to a woman made a man the father of her offspring). In the twentieth century, paternity testing developed as a way to scientifically determine male progenitors, although these new methods never replaced older ways of reckoning paternity. Milanich describes blood tests and other early techniques proffered by doctors and scrutinized by courts as a way to know the “true” father. Paternity testing, she points out, has been used to different ends in different societies: it could identify an errant progenitor or reveal a mother’s liaison. A certain paternity test result could mean economic security for a child or put a person’s life in jeopardy. Moreover, Milanich reveals the uneven application of paternity testing that has tended to protect the most privileged groups in different societies. Paternity is a transatlantic study that moves from South America to Europe and the United States, and its chapters touch upon the histories of science and medicine, gender and the family, and immigration. The podcast features fascinating case studies set in Brazil and Argentina. This book’s reflections on the making of modern paternity speak to our own time, when, for example, the U.S. government is using DNA testing at the border to separate “real” kin from “fictitious” families, as Milanich explains to podcast listeners. The stakes of knowing the father go far beyond determining biological progenitors, and this book vividly reconstructs the political uses and cultural implications of the paternity test.
Rachel Grace Newman is joining Smith College in July 2019 as Lecturer in the History of the Global South. She has a Ph.D. in History from Columbia University, and her dissertation was titled “Transnational Ambitions: Student Migrants and the Making of a National Future in Twentieth-Century Mexico.” She is also the author of a book on a binational program for migrant children whose families divided their time between Michoacán, Mexico and Watsonville, California. She is on Twitter (@rachelgnew).
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Why did Ebola, a virus so deadly that it killed or immobilized its victims within days, have time to become a full-blown epidemic? That’s what happened in 2013 in when the virus, already well-known to virologists and epidemiologists, broke out in West Africa, infecting twenty-eight thousand people and killing eleven thousand.
Stephan Bullard, associate professor of biology at the University of Hartford, discusses the 2013 outbreak which is the subject of his new book, A Day to Day Chronicle of the 2013-16 Ebola Outbreak, now out with Springer Press (2018).
Michael F. Robinson is professor of history at Hillyer College, University of Hartford. He's the author of The Coldest Crucible: Arctic Exploration and American Culture (University of Chicago Press, 2006) and The Lost White Tribe: Scientists, Explorers, and the Theory that Changed a Continent (Oxford University Press, 2016). He's also the host of the podcast Time to Eat the Dogs, a weekly podcast about science, history, and exploration.
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Today I talked with historian Erika Dyck about Aldous Huxley, Humphry Osmond and their correspondence over a ten year period. Psychedelic Prophets: The Letters of Aldous Huxley and Humphry Osmond (McGill-Queen's University Press, 2018) is a collection of letters which were carefully curated by Erika and Cynthia Carson Bisbee, Paul Bisbee, and Patrick Farrell. During our discussion, Erika recounts the special relationship between two intellectual juggernauts, Huxley and Osmond, and their discussions about drugs, addiction, and death and dying. This important set of letters raises fascinating questions about medicines, the "psychedelic renaissance," the nature of the mind, and perceptions of reality.
Dyck is the author of Psychedelic Psychiatry: LSD From Clinic to Campus (Johns Hopkins UP, 2010) as well as Culture's Catalyst: Historical Encounters with Peyote and the Native American Church in Canada (Manitoba, 2017).
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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Beginning in the mid-1850s, a number of people in Europe and the United States undertook a range of efforts in response to the horrors of war. In his book War, Law and Humanity: The Campaign to Control Warfare, 1853-1914 (Bloomsbury, 2018) James Crossland describes the emergence of various movements in the second half of the 19th century designed to address the suffering caused by military conflict. Though such suffering has been a part of warfare since time immemorial, as Crossland explains the emergence of the popular press in the early 19th century brought awareness of the battlefield experience to a greater part of the population. In response, several motivated volunteers embarked upon a variety of activities to address the effects of war, from providing better treatment for wounded soldiers to spearheading efforts to establish mutually-agreed-upon limits on the conduct of warfare. Within a decade, organizations such as the United States Sanitary Commission and the Red Cross emerged to coordinate and regularize these efforts, often with official support from warring governments. Yet these attempts to moderate misery were opposed by another product of the reaction to the warfare of the era – the peacemakers who wanted to end war altogether and who viewed the efforts to regulate it as an enabling of inter-state conflict.
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We are living in an age of addiction, from compulsive gaming and binge eating to pornography and opioid abuse. Today I talked with historian David Courtwright about the global nature of pleasure, vice, and capitalism. His new book is called The Age of Addiction: How Bad Habits Became Big Business (Harvard University Press, 2019). During our discussion, Courtwright walks us through the emergence of the worldwide commodification of vice and shares his views on "limbic capitalism," the network of competitive businesses targeting the brain pathways responsible for feeling, motivation, and long-term memory. The book is equally interesting and disturbing. And Courtwright offers timely recommendations about how we can understand and address the Age of Addiction. Coming from one of the world's leading experts on the history of drugs and addiction, this important work raises stimulating and sobering questions about consumption and free will.
Courtwright is the author of Forces of Habit: Drugs and the Making of the Modern World (Harvard University Press, 2001) as well as Dark Paradise: A History of Opiate Addiction in America (Harvard University Press, 1982).
Lucas Richert is an associate professor in the School of Pharmacy at the University of Wisconsin, Madison. He studies intoxicating substances and the pharmaceutical industry. He also examines the history of mental health.
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Medicine has lost its humanity. Doctors no longer have the time to make personal connections with their patients. In his new book Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again (Basic Books, 2019), Eric Topol explores how AI can help to fix many of the issues medicine is facing today. AI has the potential to transform almost everything doctors do, allowing them more time to make the human connection with patients.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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We are fed a steady stream of doom and gloom—terrorist attacks, erosion of democracy, robots taking our jobs. But Michael A. Cohen and his co-author Mich Zenko argue in Clear and Present Safety: The World Has Never Been Better and Why That Matters to Americans (Yale University Press, 2019) that our world has never been “more peaceful, freer, healthier, better educated, and wealthier,” and we only feel otherwise because of “threat inflation” that sensationalizes relatively minor threats. In our discussion, Cohen readily acknowledges serious problems remain, such as climate change and gun violence, but urges us to recognize how much progress has been made and apply the lessons that have been learned. Moreover, he asks us to beware the “threat-industrial complex” of military agencies, special interest groups and the media that distort our understanding of the world we live in.
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In a work that spans the twentieth century, Nancy Tomes questions the popular--and largely unexamined--idea that in order to get good health care, people must learn to shop for it. Remaking the American Patient: How Madison Avenue and Modern Medicine Turned Patients into Consumers (University of North Carolina Press, 2016) explores the consequences of the consumer economy and American medicine having come of age at exactly the same time. Tracing the robust development of advertising, marketing, and public relations within the medical profession and the vast realm we now think of as "health care," Tomes considers what it means to be a "good" patient. As she shows, this history of the coevolution of medicine and consumer culture tells us much about our current predicament over health care in the United States. Understanding where the shopping model came from, why it was so long resisted in medicine, and why it finally triumphed in the late twentieth century helps explain why, despite striking changes that seem to empower patients, so many Americans remain unhappy and confused about their status as patients today.
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It is estimated that malaria kills between 650,000 to 1.2 million people every year; experts believe that nearly 90 percent of these deaths occur in Africa. In The Long Struggle against Malaria in Tropical Africa (Reprint edition; Cambridge University Press, 2016), James L. A. Webb explains the disproportionate impact that malaria has on the African continent by examining the evolution of parasites, vectors, and human hosts and the different attempts at controlling and eradicating the disease. The author investigates these histories in the context of colonialism, independence, population movement, demographic growth, economic development, urbanization and violent conflict. This book is a contribution to the emerging field of historical epidemiology and makes use of archival sources previously unavailable to historians. It offers important insights to historians of Africa, as well as to students of medicine and public health.
Esperanza Brizuela-Garcia is Associate Professor of History at Montclair State University. She specializes in modern intellectual history of Africa, historiography, World history and Philosophy of History. She is the co-author of African Histories: New Sources and New Techniques for Studying African Pasts (Pearson, 2011).
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We cannot learn from disasters we do not yet understand. That conviction motivated historian Kate Brown to conduct groundbreaking research into nuclear energy’s most infamous chapter and write Manual for Survival: A Chernobyl Guide to the Future (Norton, 2019). By digging into recently opened regional archives, conducting dozens of interviews, and visiting sites across Ukraine, Belarus, and Russia, Brown sought to understand the extent of the damage from the 1986 explosion of Chernobyl’s reactor No. 4. From the initial reports of doctors that were concealed by Soviet officials to a careful examination of the way radioactive isotopes move through ecosystems, Brown’s research suggests the official death toll of 54 is an undercount—perhaps by more than three orders of magnitude. Even more haunting is her contentious claim that we still know too little about the ecological and health consequences of chronic exposure to low-dose radiation. Nuclear states were, in Brown’s view, insufficiently interested in studying such consequences in Chernobyl’s wake, at a time when they were being sued for reparations by communities living on landscapes on which they had spent decades dropping atomic weapons. In the end, Brown calls not for the shuttering of nuclear power plants or a moratorium on the construction of new ones. Instead, she hopes if we exact full look at Chernobyl’s worst, we can better plan for how to live in our contaminated world full of uncertainty and risk.
Kate Brown is Professor of Science, Technology, and Society at the Massachusetts Institute of Technology. Her three previous books are Dispatches from Dystopia: Histories of Places Not Yet Forgotten (2015), Plutopia: Nuclear Families, Atomic Cities, and the Great Soviet and American Plutonium Disasters (2013), and A Biography of No Place: From Ethnic Borderland to Soviet Heartland (2004).
Brian Hamilton is a Ph.D. candidate at the University of Wisconsin–Madison where he is researching African American environmental history in the nineteenth-century Cotton South. He is also an editor of the digital environmental magazine and podcast Edge Effects.
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What role do visual media play in establishing a medical phenomenon? Who mobilizes these representations, and to what end? In Mapping AIDS: Visual Histories of an Enduring Epidemic (Cambridge UP, 2018), Lukas Engelmann uses AIDS atlases to show how different kinds of visualization mapped on to different ideas of how to control the disease. By retelling the history of the most important epidemic of the twentieth century—which persists to this day—through clinical photographs, epidemiological maps, and the icon of the HIV virus, Engelmann reminds us that what often gets referred to in a monolithic sense as “knowledge production” is leveraged in local epistemic, cultural, and political contexts with major consequences.
Mikey McGovern is a PhD candidate in Princeton University’s Program in the History of Science. He works on computing, quantification, communication, and governance in modern America.
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Jungle medicine: it's everywhere, from chia seeds to ginseng tea to CBD oil. In the US, what was once the province of counter culture has moved squarely into the mainstream of Walmart and Walgreens. In his excellent new book The Ethnobotany of Eden: Rethinking the Jungle Medicine Narrative (University of Chicago Press, 2018), Robert A. Voeks explains that while rainforests may indeed have much to offer in the way of medically useful compounds, the fanfare for tropical miracle medicines and superfoods has been largely in err, counterproductive, and at times prejudicial.
The jungle medicine narrative – the idea that indigenous shamans of the virgin rainforst hold the antidotes to many of humankind’s most pernicious woes – grew widespread in the 1970s after childhood leukemia was all but cured with the Madagascar periwinkle. But the subsequent efforts of pharmaceutical companies to accelerate innovation through bioprospecting had a much deeper historical precedent. Christopher Columbus earmarked West Indian medicinal plants on his first voyage and European imperialists attempted to more systematically appropriate native medical knowledge though the Enlightenment. By tracing this long colonial history, Voeks emphasizes that the hype of the last 50 years has been mostly just that; rather than reflecting the advancement of science, the jungle medicine narrative derives instead from racial ideologies in which indigenous peoples are associated with wild, virgin nature. It is little surprise, then, that blockbuster drugs have proven allusive. If the profits of appropriating medical knowledge have been overblown, so too, writes Voeks, has been the criticism. Examples of exploitative biopiracy can be found, but these are exceptions in what are mostly more complex and dynamic interactions between researchers and healers.
We have much to gain from abandoning the jungle medicine narrative. Without its simplicities, stereotypes, and essentialisms perhaps we can come to a better appreciation the variety of ways that humans make knowledge about the natural world and without its promises of panaceas perhaps we can better understand how this knowledge has and can yet sustain communities in the face of environmental and political changes.
Robert A. Voeks is Professor of Geography and the Environment at California State University, Fullerton.
Lance C. Thurner recently completed a PhD in History at Rutgers University with a dissertation addressing the production of medical knowledge, political subjectivities, and racial and national identities in seventeenth- and eighteenth-century Mexico. He is broadly interested in the methods and politics of applying a global perspective to the history of science and medicine and the role of the humanities in the age of the Anthropocene.
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Normal turned to PTSD and a substance abuse nightmare for Jenny the instant a taxi struck her, catapulting her twenty feet across a busy New York City street. Jenny is one of the lucky ones to have survived the drug rehabilitation system, which routinely fails those at risk. Her story is multiplied across the U.S. in the shattered lives and torn-apart families of millions of Jennies.
Vivian Percy's new book Saving Jenny: Rescuing Our Youth from America's Opioid and Suicide Epidemic (Radius Books, 2018) is the narration of a mother and daughter’s long painful journey from tragedy, through opioid addiction, toward redemption. Its cautionary tale sheds light on drug dependency, suicidal depression, sexual exploitation and misdiagnosed mind disorders. We discover that these are symptoms of much larger societal issues: the decimation of the family, childhood traumatization, and a culture devoid of human values. These pages unmask a mental health industry focused more on profits than people, which regularly betrays those in its keeping, and the complicity of Big Pharma and insurance companies in these schemas. We see firsthand the abuse, negligence and illicit activities going on in psychiatric and rehab facilities.
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In the information age, knowledge is power. Hence, facilitating the access to knowledge to wider publics empowers citizens and makes societies more democratic. How can publishers and authors contribute to this process? This podcast addresses this issue. We interview Professor Austin Choi-Fitzpatrick, whose book, The Good Drone: How Social Movements Democratize Surveillance (forthcoming with MIT Press) is undergoing a Massive Online Peer-Review (MOPR) process, where everyone can make comments on his manuscript. Additionally, his book will be Open Access (OA) since the date of publication. We discuss with him how do MOPR and OA work, how he managed to combine both of them and how these initiatives can contribute to the democratization of knowledge.
You can participate in the MOPR process of The Good Drone through this link: https://thegooddrone.pubpub.org/
Felipe G. Santos is a PhD candidate at the Central European University. His research is focused on how activists care for each other and how care practices within social movements mobilize and radicalize heavily aggrieved collectives.
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American’s pay double what every other developed nation in the world pays for healthcare. Does that mean that we are the healthiest? No. In fact, we are the worst of them all. American healthcare is plagued by things like preventable medical error, high taxes, and the tens of thousands of people that die each year from treatable illness due to being unable to afford the care they require. In his book The Purple World: Healing the Harm in American Health Care (Scrivener Books, 2018), Dr. Joseph Jarvis not only digs into how we got here and who is to blame, but he also lays out a solution for fixing the American healthcare system. In this book Dr. Jarvis explains how he feels a solution can be implemented both quickly and effectively. He has a very unique take on healthcare reform.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Jessica Hardin's new book Faith and the Pursuit of Health: Cardiometabolic Disorders in Samoa (Rutgers University Press, 2018) explores how Pentecostal Christians manage chronic illness in ways that sheds light on health disparities and social suffering in Samoa, a place where rates of obesity and related cardiometabolic disorders have reached population-wide levels. Pentecostals grapple with how to maintain the health of their congregants in an environment that fosters cardiometabolic disorders. They find ways to manage these forms of sickness and inequality through their churches and the friendships developed within these institutions. Examining how Pentecostal Christianity provides many Samoans with tools to manage day-to-day issues around health and sickness, Jessica Hardin argues for understanding the synergies between how Christianity and biomedicine practice chronicity.
Dana Greenfield, MD PhD is a resident physician in Pediatrics at the University of California, San Francisco. She completed her PhD in Medical Anthropology from UCSF/UC Berkeley in 2015 and MD at UCSF in 2018. Reach her at [email protected] or on Twitter @DanaGfield.
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Carl Armato, the CEO of Novant Health, has lived with his diabetes diagnosis for over 50 years. In spite of his diabetes not being easy to live with, he has overcome it and lived a full, active, life with a very successful career. In the book A Future With Hope: An Inspiring Guide to Overcoming Diabetes (Carl S. Armato, 2018), Carl is transparent about the difficulties both he and his family faced as he was growing up. He talks about his family and his parents whom optimized their family life style for his health. Taking control of his diabetes at a young age, he never let it make him “different” or forfeit his dreams. In this book Carl talks about the importance of both a support network and vigilance when it comes to managing the disease. He hopes this book delivers hope to others with diabetes and encourages them to follow their dreams.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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American health care is the most expensive in the world, yet it produces some of the worst outcomes among developed nations. Many people offer unrealistic ideas or hot buzz words for how to fix it but implementing those fixes are unrealistic. In the book Health Care: Meet The American Dream (River Grove Books, 2018), Janis Powers offers a solution that is truly based on the American dream. In her solution she aims to eliminate health insurance and Medicare with her Longitudinal Health Care Plans. She feels insurance plans are obsolete but that the private sector is what should be driving healthcare innovation. Her Dream Plan focuses more on preventative care while shifting more outcome accountability to the patient. She envisions a more market-based economy for healthcare goods and services. In this interview you will see how Janis envisions a road forward for American health care.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Dr. Peter Hotez is a pediatrician-scientist who develops vaccines for neglected tropical diseases affecting the worlds poor. He is also the father of a daughter who was diagnosed with autism. The alleged link between vaccines and autism has long been disproven, but it is still a belief held onto by the anti-vaccine movement. This puts Dr. Hotez in a particularly powerful position to speak out.
As the anti-vaccine movement grows and vaccine-preventable diseases continue to spread due to the misinformation spread by the movement, Dr. Hotez is on a mission to spread the truth. In the book Vaccines Did Not Cause Rachel’s Autism: My Journey as a Vaccine Scientist, Pediatrician, and Autism Dad (Johns Hopkins University Press, 2018), Dr. Hotez uses his knowledge of vaccine science and experiences as a parent of a child with autism to dispel the dangerous myths the ani-vaccine movement spread.
This deeply personal and passionate book is a must read for any parent who is vaccine hesitant, parents of a child with autism, as well as health and science policy experts.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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The opioid crisis in America is considered by many to be the worst national public health crisis in the last 100 years. In his new book, The Opioid Crisis Wake Up Call: Health Care is Stealing the American Dream. Here is How We Take It Back (Health Rosetta Media, 2018), Dave Chase dives into the history and causes of the crisis and outlines a path towards fixing it. Dave takes a thoughtful look at our dysfunctional healthcare system and sees ways it can be fixed using technologies and strategies that are already in use at some organizations. He talks about ways to eliminate waste and corruption while restoring hope to the American public.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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While most people in the US are familiar with the ubiquitous Kellogg cereal brand, few know how it relates to US geography, science and technology around the turn of the 20th century. In A Geography of Digestion: Biotechnology and the Kellogg Enterprise (University of California Press, 2017), Nicholas Bauch explores the digestive system as a sociomaterial landscape developed from the Battle Creek Sanitarium, as run by Dr. John Kellogg. Bauch wants to focus less on Kellogg the man, but rather on Kellogg’s ability to enroll actants (a la Latour) in his geographical digestive network. Kellogg’s religious background as a Seventh-Day Adventist, and his scientific and medical training, made purity and cleanliness his central goals at the Battle Creek Sanitarium. Responding to the social and personal problems of indigestion and stagnation, Kellogg instituted a regime of tests, procedures and strict dieting (amongst other restrictions) to cure such prevalent ills. Kellogg thought that natural food was too impure a diet, so instead he turned to highly processed foods as developed in his experimental kitchen, which incidentally was how the first cereal flakes were made. Even with such plain and processed dieting, Kellogg found the human digestive system unable to process substances efficiently on its own. This problem led Kellogg to conceptualize an extended digestive system by developing a sewage system. Eventually, Kellogg became reliant upon industrial farming in rural Michigan. New developments in industrial equipment, such as grain-threshing machines, and industrial chemicals, to enrich the soil, provided a relatively clean and efficient food production process to fulfill the sanitarium’s needs. Before his death, Kellogg thus purified the nature/culture binary of food in favor of scientific approach, and engineered a collective digestive system across Battle Creek and nearby areas.
While some of Kellogg’s ideas seem antiquarian to today’s standards, Bauch makes a compelling argument for why we can see Kellogg’s paradoxical influence on today’s US food production and consumption. While Kellogg railed against the dominant “natural” cuisine of his day in favor of a new approach to processed foods, the new food movements of today are decidedly critical of processed foods; while Kellogg wanted zero bacteria in the gut, today there are numerous products that are probiotics. What the new food movements gain from Kellogg is not his precise views, but rather his focus on the gut and the potential medicinal properties of food.
A Geography of Digestion presents not only a geographical history, but a methodology for exploring sociomaterial processes as landscapes for future researchers to use in other contexts. As such, scholars interested in the relation between science and space, food studies, and materialist approaches to the body will find much use of this recently published work.
Chad J. Valasek is a Ph.D. Candidate in Sociology & Science Studies at the University of California, San Diego. His research interests includes the history of the human sciences, the influence of the behavioral sciences on medical practice and health policy, and political activism around science and the arts. You can follow him on Twitter @chadjvalasek.
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With transgender rights front and center in American politics, media, and culture, the pervasive myth still exists that today’s transgender children are a brand new generation—pioneers in a field of new obstacles and hurdles. Histories of the Transgender Child (University of Minnesota Press, 2018) shatters this myth, uncovering a previously unknown twentieth-century history when transgender children not only existed but preexisted the term transgender and its predecessors, playing a central role in the medicalization of trans people, and all sex and gender.
Beginning with the early 1900s when children with “ambiguous” sex first sought medical attention, to the 1930s when transgender people began to seek out doctors involved in altering children’s sex, to the invention of the category gender, and finally the 1960s and ‘70s when, as the field institutionalized, transgender children began to take hormones, change their names, and even access gender confirmation, Julian Gill-Peterson reconstructs the medicalization and racialization of children’s bodies. Throughout, they foreground the racial history of medicine that excludes black and trans of color children through the concept of gender’s plasticity, placing race at the center of their analysis and at the center of transgender studies.
Until now, little has been known about early transgender history and life and its relevance to children. Using a wealth of archival research from hospitals and clinics, including incredible personal letters from children to doctors, as well as scientific and medical literature, this book reaches back to the first half of the twentieth century—a time when the category transgender was not available but surely existed, in the lives of children and parents.
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Joseph Lister changed the world of medicine. In her book The Butchering Art: Joseph Lister’s Quest to Transform the Grisly World of Victorian Medicine (Scientific American, 2017), Dr. Lindsey Fitzharris explores the gruesome world of surgery in the 19th century. At this time even a successful surgeries had extremely high mortality rates due to persistent infections. Hospitals were terrifying places filled with death and anyone who could afford it opted to have surgeries in their own home.
It is in this world that a Quaker surgeon named Joseph Lister changed medicine forever. Lister bought into germ theory and claimed that they were the source of infection. At the time, this claim was considered ludicrous. He fought infection through the use and evangelization of antiseptics. Although everyone initially bought into his claims, Joseph Lister left the world of medicine a much different place than the one he entered.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Migraine headaches can be absolutely devastating. In the book Navigating Life with Migraine and Other Headaches (Oxford University Press, 2018), William B. Young and Stephen D. Silberstein set out to dispel the myths around migraine headaches. Young and Silberstein define what exactly a migraine headache is and what sets it apart from other headaches. They also dives into the various causes and explanations on how they occur.
This book is an excellent resource for people who suffer from migraine headaches and their family. Advice is given on how to manage these headaches, how to optimize doctor visits, and even when to go to the emergency department.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Is alternative medicine quackery? In the book Do You Believe in Magic? Vitamins, Supplements, and All Things Natural: A Look Behind the Curtain (Harper, 2014) (Harper Paperbacks, 2014),Paul A. Offit explores the legitimacy of the alternative medicine industry. In this book exposes some of the most popular therapies and how ineffective, expensive, and even deadly they are.
Dr. Offit investigates why this industry is unregulated and why so many people buy into alternative therapies that have no concrete evidence of working. He also explains the placebo effect and how some non-traditional methods can provide some good for patients. In the book Dr. Offit advises “There is no such thing as alternative medicine. There is only medicine that works and medicine that doesn’t.”
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Suman Seth's new book Difference and Disease: Medicine, Race, and the Eighteenth-Century British Empire (Cambridge University Press, 2018)provides a new angle on the formation of modern ideas of race through the formation of the British Empire. While scholars have often addressed this phenomenon through the lenses of academic anatomy and natural history, Seth suggests that medical care and theories of pathology were central to how Britons began to see their bodies as fundamentally distinct from other peoples. After the Seven Years War, medical thinkers started contributing to British imperial ambitions by interpreting the distinct disease environments of the empire’s disparate parts. Initially, a “seasoning sickness” was thought unavoidable as colonists entered a new clime, for the body’s complexion had to adapt to the qualities of the new environment. Through numerous iterations and variations, this Hippocratic sense of a porous and variable body was abandoned as illness and vulnerability became ever more tightly tied to inherited somatic traits and behaviors. This figured strongly in debates over abolition and the legitimacy of slavery and provided the precedent for nineteenth-century scientific racism.
Lance C. Thurner recently completed a PhD in History at Rutgers University with a dissertation addressing the production of medical knowledge, political subjectivities, and racial and national identities in eighteenth- and nineteenth-century Mexico. He is broadly interested in the methods and politics of bringing colonial peripheries and non-Western spaces into the history of science and medicine and the role of the humanities in the age of the Anthropocene.
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In this this interview, cross-posted from the podcast Psychologists Off The Clock, Dr. Diana Hill talks with Dr. Stephan J. Guyenet, neurobiologist and obesity researcher, about the unconscious systems that lead to overeating and weight gain. Dr. Guyenet discusses why dietary guidelines alone are not enough to change our eating behavior. In The Hungry Brain: Outsmarting the Instincts That Make Us Overeat (Flatiron Books, 2017), hee explores the biological and evolutionary reasons for overeating and offers concrete strategies to “outsmart” our hungry brains. This episode is a perfect accompaniment to go with the holidays, when we are bombarded with tasty food cues and stress induced overeating.
Stephan Guyenet is a researcher, science consultant, and science communicator. He earned a BS in biochemistry at the University of Virginia and a PhD in neuroscience at the University of Washington, where he continued as a postdoctoral fellow studying the brain mechanisms that regulate body fatness and eating behavior. His scientific publications have been cited more than 2,000 times by his peers. His book, The Hungry Brain, was named one of the best books of the year by Publishers Weekly and called “essential” by the New York Times Book Review. He is currently a Senior Fellow at GiveWell and scientific reviewer for the Examine.com Research Digest. He grows much of his own food and brews a mean hard cider.
Diana Hill, Ph.D. is a licensed psychologist practicing in Santa Barbara, California, and a co-host of the podcast Psychologists Off The Clock.
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Howard Chiang’s new book is a masterful study of the relationship between sexual knowledge and Chinese modernity. After Eunuchs: Science, Medicine, and the Transformation of Sex in Modern China (Columbia University Press, 2018) guides readers through the history of eunuchs in the late 19th and early 20th centuries, the techniques of visualization that helped establish the conditions that produced sex as an object of empirical knowledge, the rise of sexology in the 1920s, the discourse of “sex change” in the press from the 1920s to the 1940s, and a famous case of the “first” Chinese transsexual in 1950s Taiwan. It is a must-read for anyone interested in the history of sexuality in China, and will be of special interest for readers who are interested in bringing Foucault-inspired analyses to the craft of history.
Carla Nappi is the Andrew W. Mellon Chair in the Department of History at the University of Pittsburgh. You can learn more about her and her work here.
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The prologue to The Human Body in the Age of Catastrophe: Brittleness, Integration, Science, and the Great War (University of Chicago Press, 2018) begins by provocatively invoking a question American physiologist Walter Cannon first asked in 1926: “Why don’t we die daily?” In the erudite chapters that follow, Stefanos Geroulanos and Todd Meyers explore how practitioners and theorists working during and after World War I tried to answer that very thorny problem in light of the challenges of wound shock. This functional disorder demanded that doctors, surgeons, and physiologists account for two medical realities: first, that wound shock was a whole-body, multi-systemic response to trauma; and second, that a fairly homogenous group—namely the young, male soldier-patient—responded to wound shock in highly variable and individuals ways. Whereas the historiography of World War I and trauma has largely focused on psychopathological models, Geroulanos and Meyers illuminate how the work of Henry Head, Réné Leriche, Kurt Goldstein and others enacted a wholesale transformation of the concept of the individual, one that would define medico-physiological individuality as an integrated and indivisible body, but one constantly on “the verge of collapse.”
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Pillow of Dreams (Nivedita Lakhera, 2017) is an intensely emotional and inspirational collection of poetry and art by Dr. Nivedita Lakhera. She experienced a stroke, divorce, and then a heartbreak all at the young age of 27. She is a doctor of Internal Medicine and is serving as a Hospitalist in San Jose, California. Her career in medicine has inspired some of her greatest work, such as a poem written about the last moments of life of a cancer patient she treated. In this book, she opens each section with a letter written to the reader. In these sections you will meet: Saibo – the one who loves, Meera- the one who yearns, Anahita-the one who heals, and Mulan – the one who conquers. One hundred percent of the book sale profits go towards developing telemedicine software for Syrian refugee camps, developing countries, tribal / remote areas and acute disaster situations. Her work has inspired many and she is a keynote speaker at multiple conferences.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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In Patent Politics: Life Forms, Markets, and the Public Interest in the United States and Europe (University of Chicago Press, 2017), Shobita Parthasarathy takes us through a thirty year history of the legal debates around patents. This is an understudied area of STS that Parthasarathy carefully navigates in order to understand how knowledge production interacts with law. The reader learns the differences in values, law and objects between US and European patent politics. This comparison brings into focus the role that law, biotechnology corporations, scientists, activists, and more play in deciding what knowledge deserves legal protection. Patent Politics is a fascinating read that will continue to be relevant for many years to come.
Chad J. Valasek is a Ph.D. Candidate in Sociology & Science Studies at the University of California, San Diego. His research interests include the history of the human sciences, the influence of the behavioral sciences on medical practice and health policy, and political activism around science and the arts. You can follow him on Twitter @chadjvalasek.
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Assembling the Tropics: Science and Medicine in Portugal’s Empire, 1450-1700 (Cambridge University Press, 2018) by Hugh Cagle is an exciting analysis of the production of the tropics as an idea and as a dimension of imperialism through the development of the Portuguese empire. The global connections forged by seafaring empires demanded new ways of conceiving a unified world. As the Portuguese were first to discover, the ancient canon provided little guidance, and far-flung colonies all seemed unique and defied coherent categorization. Through efforts to interpret, control, and economize a their outposts in Africa, Asia, and the Americas, the Portuguese developed novel and creative methods of producing knowledge within a globalizing world. Late in the 17th century, some of these efforts would coalesce around the idea of the tropics as physicians attempted to consolidate their authority over the health of the empire. A space of prodigious nature and profuse disease, the tropics soon became an orienting notion of modern race theory and empires.
Lance C. Thurner recently completed a PhD in History at Rutgers University with a dissertation addressing the production of medical knowledge, political subjectivities, and racial and national identities in seventeenth- and eighteenth-century Mexico. He is broadly interested in the methods and politics of applying a global perspective to the history of science and medicine and the role of the humanities in the age of the Anthropocene.
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For most of us, eugenics — the “science of improving the human stock” — is a thing of the past, commonly associated with Nazi Germany and government efforts to promote a pure Aryan race. This view is incorrect: even in California, for example, sterilization of those deemed mentally defective was performed up to 1977. In The Eugenic Mind Project (MIT Press, 2017), Robert A. Wilson critically considers the type of thinking — which he calls eugenic thinking — that drives eugenic sterilization practices: the quest for human improvement that derives from negatively marked differences between “better” and “worse” kinds of humans. Wilson, who is a professor of philosophy at La Trobe University, also recounts his research with living survivors of these practices. The book is an eye-opening philosophically informed discussion of how eugenic thinking is found in prenatal genetic testing, selective abortion, discrimination of those with disabilities, and immigration policy, and why eugenic thinking is so persistent.
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The Fabrica of Andreas Vesalius: A Worldwide Descriptive Census, Ownership, and Annotations of the 1543 and 1555 Editions (Brill, 2018) is a masterful new book that will long be on the shelves of anyone working on the history of anatomy, early modern medicine, and/or the history of the book. This volume pays special attention to the Fabrica as material object, tracing how owners used and reacted to it by carefully tracing 475 years of its reading history through annotations, hand-coloring, binding, circulation, and other evidence left from the global movement of copies of the 1543 and 1555 editions. Dániel Margócsy and I talked about the process by which he and his co-authors (Mark Somos and Stephen N. Joffe) accomplished this massive task, and what the resulting volume can help us understand about the reception history of the Fabrica and its larger consequences for how we work with books as objects.
Carla Nappi is the Andrew W. Mellon Chair in the Department of History at the University of Pittsburgh. You can learn more about her and her work here.
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In Genetics in the Madhouse: The Unknown History of Human Heredity (Princeton University Press, 2018), Theodore Porter uncovers the unfamiliar origins of human genetics in the asylums of Europe and North America. Rather than beginning his story with Gregor Mendel or 1909, the date when Wilhelm Johannsen coined the term “gene,” Porter takes us back to King George III. After a political and medical crisis, doctors and researchers began to record and collect data on the causes of mental illness. In so doing, they increasingly investigated and theorized phenotypic heredity. Using paper technologies and demographic research, from asylum admissions records to census cards, largely unknown individuals helped establish the study of human inheritance. Excavating these figures’ contributions to the history of heredity, Porter sheds new light on the work of Karl Pearson and Charles Davenport.
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Schizophrènes au XXe siècle: des effets secondaires de l’histoire [Schizophrenics in the Twentieth Century: The Side Effects of History] is a strong argument in support of the history of psychiatry “from below.” Using vast archival resources and ample patient files, Hervé Guillemain demonstrates convincingly how schizophrenia in France was a socially constructed category—one that circumscribed and further stigmatized individuals who were already marginalized and left behind in a changing political, economic, and social landscape. Guillemain follows the surprising twists and turns proffered by his sources, and in so doing, reveals to us an untold and unexpected history of those youth and young adults who tried to take “a leap forward, but failed.” While focusing primarily on France, this book nevertheless surpasses its geographic boundaries and will undoubtedly be engaging for all those interested in the schizophrenia diagnosis.
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Hilary A. Smith’s new book examines the evolution of a Chinese disease concept, foot qi (jiao qi) from its documented origins in the fourth century to the present day. However, at its heart Forgotten Disease: Illnesses Transformed in Chinese Medicine (Stanford University Press, 2017) isn’t so much about the history of foot qi and its associated constellation of disease concepts, as it is about the larger questions of how we approach the pre-modern history of disease and understand historical disease concepts more generally. As a result, while readers looking for accounts that form part of a global history of beriberi and of athlete’s foot will find much of interest here, Smith’s book is of much wider interest as a pointed methodological intervention into how we might approach a history of disease in local contexts “on their own terms.”
Carla Nappi is the Andrew W. Mellon Chair in the Department of History at the University of Pittsburgh. You can learn more about her and her work here.
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Dr. Joshua Sharfstein has learned a lot as from his years of experience as a public health leader. He has dealt with everything from a rabid raccoon, to protestors, to potentially losing refrigeration on the city of Baltimore’s stock of vaccines. And now he has turned the insight gained from all these experiences into a guidebook for public health officials. The Public Health Crisis Survival Guide: Leadership and Management in Trying Times (Oxford University Press, 2018) details not just how to survive, but to lead and thrive in the most trying of circumstances. He digs into the history of some public health crises and explains what worked and what didn’t. Taboo topics, such as when and how to apologize for mistakes, are discussed in an honest and thoughtful way. This book is the definitive new manual for recognizing, managing, and communicating in a public health crisis.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Healthcare is extremely expensive for both patients and their employers. The costs of healthcare continue to increase with no end in sight. Dr. Josh Luke is a former Hospital CEO, disruptor, and healthcare futurist who understands the American healthcare delivery system. In his book Health-Wealth: 9 Steps To Financial Recovery (ForbesBooks, 2018), he exposes the villains of greed and outlines steps to overcome them. He shows how to not let healthcare bankrupt your business with 9 simple steps. These steps show how to provide employees with personalized, specialized, and enhanced care while saving money on healthcare costs. Dr. Luke also talks about his experiences as both Hospital CEO and healthcare consumer. He even talks about why he was proud of his first one-star review on Amazon.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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How did clinicians learn to see the human genome? In Life Histories of Genetic Disease (Johns Hopkins University Press, 2016), Andrew J. Hogan makes the subtle argument that a process described by scholars of biomedicine as “molecularization” took place gradually and unevenly as genetic tools became applied to prenatal diagnosis. Hogan follows the notion of a “one mutation, one disease” perspective that provided the rhetorical and epistemic scaffolding for the Human Genome Project’s imaginary of genetic medicine as it emerged and developed within the clinic. His deft analysis of visual practices and careful unpacking of the scientific literature make for an engaging read. This fresh alternative to the well-worn heroic narratives of gene sequencing and molecular genetics should be of particular interest to scholars of disability.
If you’re interested in learning more about the history and politics of genetic counseling, check out my interviews with Alexandra Minna Stern and Stefan Timmermans.
Mikey McGovern is a PhD candidate in Princeton University’s Program in the History of Science. He works on computing, quantification, communication, and governance in modern America.
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In Sharks Upon the Land: Colonialism, Indigenous Health, and Culture in Hawai’i, 1778-1855 (Cambridge University Press, 2018), Utah State University Assistant Professor of History Seth Archer traces the cultural impact of disease and health problems in the Hawaiian Islands from the arrival of Europeans to 1855. Colonialism in Hawaiʻi began with epidemiological incursions, and Archer argues that health remained the national crisis of the islands for more than a century. Introduced diseases resulted in reduced life spans, rising infertility and infant mortality, and persistent poor health for generations of Islanders, leaving a deep imprint on Hawaiian culture and national consciousness. Scholars have noted the role of epidemics in the depopulation of Hawaiʻi and broader Oceania, yet few have considered the interplay between colonialism, health, and culture – including Native religion, medicine, and gender. This study emphasizes Islanders’ own ideas about, and responses to, health challenges on the local level. Ultimately, Hawaiʻi provides a case study for health and culture change among Indigenous populations across the Americas and the Pacific.
Ryan Tripp teaches a variety of History courses, such as Native American Cultures and History in North America, at Los Medanos Community College. He also teaches History courses for two universities. He has a Ph.D. in History from the University of California, Davis, with a double minor that includes Native American Studies.
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In her new book, Health and Wealth on the Bosnian Market: Intimate Debt (Indiana University Press, 2017), Larisa Jašarević traces the odd entanglements between the body and the economy in Bosnia-Herzegovina. In the new post-war, post-socialist market, the feeling of being indebted is a condition shared by many, and the struggle to achieve a good life can make a person “worry themselves sick.” At the interface of health and wealth, Jašarević follows the many detours ordinary Bosnians take in order to try to achieve financial and medical well-being. In the process, she offers ethnographic insights on the informal gifting economy, the enigmatic power of alternative healers, and the political potential of the fleeting communities that form and separate as people try to live well, and to be well.
Jelena Golubovic is a PhD candidate in Anthropology at Simon Fraser University.
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Pediatrician and integrative medicine practitioner Michelle Perro, MD, has been treating an increasing number of children with complex chronic illnesses that do not fit into our usual diagnostic boxes. She has spent years treating and disentangling why chronic (and particularly auto-inflammatory) conditions seem to be on the rise in kids. She argues that toxicants in our food supply (from pesticides to genetically modified crops) is a major culprit. In What’s Making Our Children Sick? How Industrial Food Is Causing an Epidemic of Chronic Illness, and What Parents (and Doctors) Can Do About (Chelsea Green Publishing, 2017), Dr. Perro teams up with medical anthropologist Vincanne Adams, PhD, to explore the complex history of the agrochemical industry and the challenges in studying and regulating the human and health impacts of pesticides, herbicides and agricultural biotechnology. Together, they link case studies of Dr. Perro’s patients to the bigger story of how our foods have potentially also become poisons.
Michelle Perro, MD is a pediatrician with over thirty-five years of experience in acute and integrative medicine. Previously, she attended at New York’s Metropolitan Hospital and UCSF Benioff Children’s Hospital Oakland, as well as managing her own practice, Down to Earth Pediatrics. She is currently lecturing and consulting as well as working with Gordon Medical Associates, an integrative health center in Northern California.
Vincanne Adams, PhD is professor and vice-chair of Medical Anthropology, in the Department of Anthropology, History, and Social Medicine at the University of California, San Francisco. She has published six books on the social dynamics and politics of health and scientific knowledge including, Markets of Sorrow, Labors of Faith: New Orleans in the Wake of Katrina (2013), and Metrics: What Counts in Global Health (2016). She is currently editor for Medical Anthropology Quarterly, the flagship journal for the Society for Medical Anthropology of the American Anthropological Association.
Dana Greenfield, MD PhD is a resident physician in Pediatrics at the University of California, San Francisco. She completed her PhD in Medical Anthropology from UCSF/UC Berkeley in 2015 and MD at UCSF in 2018. Reach her at [email protected] or on Twitter @DanaGfield.
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“Appalachia was among the first places where the malaise of opioid pills hit the nation in the mid-1990s, ensnaring coal miners, loggers, furniture makers, and their kids.” This is how journalist Beth Macy premises her new book, Dopesick: Dealers, Doctors, and the Drug Company That Addicted America (Little, Brown, & Company, 2018). She then sets out to share a history of how and why this happened.
Macy offers readers a familiar story of industrial exploitation and economic distress in central Appalachia, only, instead of focusing on the coal industry’s role in this history, Macy describes exploitation that resulted from big pharmaceutical companies selling large quantities of prescription opioids in central Appalachia. Building on the work of authors such as Sam Quinones (Dreamland), Anna Lembke (Drug Dealer, MD), and Keith Wailoo (Pain), Macy argues that the sale and use of prescription opioids increased in part after medical professionals began to push the idea that new standards for the assessment and treatment of pain were needed in the 1990s.
The book looks critically not just at the over-prescription of opioids, but, paraphrasing Lembke, Macy also suggests that readers think critically about the “broader American narrative that promotes all pills as a quick fix” (136). As you’ll hear Macy say at the end of the podcast, she wants readers to think about “being better consumers and better listeners who are open to what’s happening on the ground.”
Chelsea Jack is a PhD student in the Anthropology Department at Yale University. She focuses on sociocultural and medical anthropology.
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What makes you who you are? What makes you distinct from me? What is identity? In the book You and Me: The Neuroscience of Identity (Notting Hill Editions, 2016), Baroness Susan Greenfield scientifically dives into concepts of identity from, a biological perspective, that are usually reserved for philosophers.
In this interview Dr. Greenfield discusses individual and cultural identity, what they mean, and how they are formed. She talks about why people believe irrational things that all evidence points to being incorrect, such as men are superior to women. She even talks about the effects of digital and social media on the brain.
Listen to this interview and explore the neuroscience of identity.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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You should never trust celebrities, politicians, or activists for health information. Why? Because they are not scientists! Scientists often cannot compete with celebrities when it comes to charm or evoking emotion. Science is complex and often cannot provide the easy “soundbite” worthy answers that celebrities and politicians truly comprehend. Americans are flooded with misleading or incorrect claims about health risks. In his book Bad Advice: Or Why Celebrities, Politicians, and Activists Aren’t Your Best Source of Health Information (Columbia University Press, 2018), Dr. Paul Offit sets the record straight.
In this book, Dr. Offit shares his advice from his years of experience battling misinformation in science and public health. He has often found himself in the crosshairs of the anti-vaccine movement and other pseudoscience groups. He has received a significant amount of hate mail and even death threats for speaking out in the name of good science and the health of mankind. Bad science isn’t just wrong, it’s dangerous. Luckily. Dr Offit offers his guide for taking on the quacks. This book is especially important due to the increased amounts of politicized attacks on science in the United States.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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What is the landscape of our cannabis knowledge? In his new book Jacob Levine author of the Cannabis Discourse: Facts and Opinions in Context (Jacob Levine, 2018) gives readers an overview of the perceptions, opinions, and arguments surrounding cannabis present in today’s political discourse. Levine encourages the reader to “read between the lines” with the information that is out there, thinking through confirmation bias and issues like correlation and causality. This book emphasizes the context of our knowledge about marijuana. For instance, Levine gives insights into the racialized history of early marijuana prohibition. The book exposes readers to the various forms of cannabis all the way through medical use and legalization.
This book explains cannabis in a clear and accessible manner. Parts of this book could be used in any Sociology course discussion about drugs, and the book would be a good addition or supplement to any course around the social context of drugs or racialization and history of policies.
Sarah E. Patterson is a postdoc at the University of Western Ontario. You can tweet her at @spattersearch.
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In this episode, cross posted from the podcast Psychologists Off the Clock, Dr. Diana Hill interviews Dr. Michael Kearney, a palliative care physician who takes an interpersonal, integrative approach to healing. Dr. Kearney shares with us how he has had to learn to “breathe underwater” and allow pain to move through him and he discusses his new book: The Nest in the Stream: Lessons from Nature on Being with Pain (Parallax Press, 2018).
Michael Kearney trained at St Christopher’s Hospice in London with Dame Cicely Saunders, pioneer of the modern hospice movement. He later returned to his Ireland as medical director at Our Lady’s Hospice in Dublin. In the early 2000’s he moved to North America, and now lives and works in Santa Barbara, California. Throughout his career, Michael has been interested in whole person care and approaches that combine medical treatment with the innate healing potential of body, soul, and spirit. He draws on depth psychology, mythology, Buddhist philosophy, indigenous wisdom and Earth-based spirituality.
Diana Hill, Ph.D. is a licensed psychologist practicing in Santa Barbara, California, and a co-host of the podcast Psychologists Off The Clock.
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The history of mankind is interlinked with microbes. As humans evolved and became more advanced, microbes evolved right along with us. Through infection, disease, and pandemic they have helped shape human culture and civilization.
In her book Deadly Companions: How Microbes Shaped our History (Oxford University Press, 2018), Dorothy H. Crawford details how changes in the way humans lived, spanning from hunter-gatherer to modern crowding and air travel, have been affected and shaped by the microbes that infect them. She discusses how microbes such as smallpox, flu, and malaria evolved to be so effective. She explores the cause and effect of some of the major epidemics in history such as the Plague of Athens, the Justinian Plague, the Black Death, and even SARS.
Listen to this interview to learn about the history of microbes and their impact on mankind.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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In Quilts and Health (Indiana University Press, 2017), Marsha MacDowell and her colleagues examine the phenomenon of health-related quilts, of which there are millions around the world. In fact, and as this book documents, almost any illness, disease, or condition is likely to be associated in some way with quiltmaking. Quilts are made to support health education and patient advocacy, to raise funds, to memorialize those passed, to promote personal well-being, and to comfort others in distress. Some quilts even document medical history; for example, Ohio-based quilter Helen Murrell created a piece that serves as a statement of outrage for the unjust treatment of 600 African-American men who, without their knowledge or consent, were subjected to a forty-year medical experiment of the United States government. During the experiment, 399 men were deliberately infected with syphilis and were allowed to go untreated, even after a cure was developed.
Quilts and Health explores the myriad connections that are forged between disease, recovery, and quilt making. As the authors note, systematic study of quilts and the stories they hold has “great potential to help us understand the human experience for illness and health, advance medical knowledge, and, ultimately, enhance the quality of health, outcomes, and life” (2).
McDowell’s co-writers are Clare Luz and Beth Donaldson, both of whom are also based at Michigan State University. Luz is Assistant Professor in the Department of Orthopedic Medicine. Donaldson is Digital Humanities Project Asset Coordinator at the Museum and Coordinator of the Museum’s Quilt Index.
Rachel Hopkin is a UK born, US based folklorist and radio producer and is currently a PhD candidate at the Ohio State University.
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Pablo Gomez‘s The Experiential Caribbean: Creating Knowledge and Healing in the Early Modern Atlantic (University of North Carolina Press, 2017) examines the strategies by which health and spiritual practitioners in the Caribbean claimed knowledge about the natural world during the 17th century. With penetrating research and analysis, Gomez illustrates how these specialists of African descent devised localized ways of knowing health, nature, and the body, while working within cosmopolitan Caribbean societies in which ritual traditions from around the Atlantic intersected. In a region that was of majority African descent, these practitioners rose to become the intellectual leaders, devising epistemological innovations that spoke to, engaged with and were parallel with European scientific developments, but have hitherto never been included in intellectual history.
Pablo Gomez is Associate Professor in the Department of History and the Department of Medical History and Bioethics at the University of Wisconsin, Madison.
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Treatment of addiction often focuses on abstinence or ‘harm reduction.’ While many people benefit greatly from such approaches, the underlying pain and heartache often go untreated, leaving individuals vulnerable to relapse. Focusing on the emotional undercurrents of addiction can help individuals address, once and for all, the deep-seated factors that drive them to substances in the first place. This approach is explained and elaborated by Dr. Edward Khantzian in his new book, Treating Addiction: Beyond the Pain (Rowman & Littlefield, 2018). In the book, he introduces his ‘self-medication hypothesis’ and explains what it adds to our understanding addiction relative to theories focused solely on pleasure-seeking or self-destruction. In our interview, we discuss how he arrived at this combined humanistic and psychoanalytic approach, and he offers compelling arguments to support its application. This interview will be relevant for anyone who suffers with, treats, or loves someone struggling with substance abuse and dependence.
Dr. Edward Khantzian is professor of psychiatry at Harvard Medical School and past president of the American Academy of Addiction Psychiatry. He is distinguished scholar, psychiatrist, and psychoanalyst, specializing in addictions for more than fifty years.
Eugenio Duarte, Ph.D. is a psychologist and psychoanalyst practicing in New York City and Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image problems, and relationship issues. He is a graduate of the psychoanalytic training program at William Alanson White Institute and former chair of their LGBTQ Study Group. He is also a contributing author to the book Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (2018, Routledge).
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Metabolism, behavior, sleep, mood swings, the immune system, fighting, fleeing, puberty, and sex: these are just a few of the things our bodies control with hormones. Armed with a healthy dose of wit and curiosity, medical journalist Randi Hutter Epstein takes us on a journey through the unusual history of these potent chemicals from a basement filled with jarred nineteenth-century brains to a twenty-first-century hormone clinic in Los Angeles.
Brimming with fascinating anecdotes, illuminating new medical research, and humorous details, Aroused: The History of Hormones and How They Control Just About Everything (W.W. Norton & Company, 2018) introduces the leading scientists who made life-changing discoveries about the hormone imbalances that ail us, as well as the charlatans who used those discoveries to peddle false remedies. Epstein exposes the humanity at the heart of hormone science with her rich cast of characters, including a 1920s doctor promoting vasectomies as a way to boost libido, a female medical student who discovered a pregnancy hormone in the 1940s, and a mother who collected pituitaries, a brain gland, from cadavers as a source of growth hormone to treat her son. Along the way, Epstein explores the functions of hormones such as leptin, oxytocin, estrogen, and testosterone, demystifying the science of endocrinology.
A fascinating look at the history and science of some of medicine’s most important discoveries, Aroused reveals the shocking history of hormones through the back rooms, basements, and labs where endocrinology began.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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In The Disappearing Spoon, bestselling author Sam Kean unlocked the mysteries of the periodic table. In The Violinist’s Thumb: And Other Lost Tales of Love, War, and Genius, as Written by Our Genetic Code (Bay Back Books, 2013), he explores the wonders of the magical building block of life: DNA.
There are genes to explain crazy cat ladies, why other people have no fingerprints, and why some people survive nuclear bombs. Genes illuminate everything from JFK’s bronze skin (it wasn’t a tan) to Einstein’s genius. They prove that Neanderthals and humans bred thousands of years more recently than any of us would feel comfortable thinking. They can even allow some people, because of the exceptional flexibility of their thumbs and fingers, to become truly singular violinists.
Kean’s vibrant storytelling once again makes science entertaining, explaining human history and whimsy while showing how DNA will influence our species’ future.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Whether through the anxiety of mutually assured destruction or the promise of decolonization throughout Asia and Africa, Cold War politics had a peculiar temporality. In Life on Ice: A History of New Uses for Cold Blood (University of Chicago Press, 2017), Joanna Radin explores the conjuncture of time and temperature in Cold War “salvage biology” projects.
Cryobiology, genetic epidemiology, and freezer anthropology constructed a dense and tangled global infrastructure of blood circulation. By following these circuits, Radin weaves a narrative about the Cold War human sciences that takes readers up to present ethical debates about the insufficiency of informed consent and the need to better involve communities whose vital materials have been taken for the sake of biomedical research. This book will be of interest to all historians of science, technology, and medicine, as well as to anthropologists and scholars working in Native American and Indigenous Studies.
Mikey McGovern is a PhD candidate in Princeton University’s Program in the History of Science. He works on computing, quantification, communication, and governance in modern America.
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Personal health information often seems locked-down: protected by patient privacy laws, encased in electronic record systems (EHRs) and difficult to share or transport by and between physicians and hospitals. But as Adam Tanner argues in his latest book, Our Bodies, Our Data: How Companies Make Billions Selling Our Medical Records (Beacon Press, 2017), our medical information is anything but static. He describes a vast and growing industry of trade in patient data, emanating from EHRs to pharmacy and drug company sales records. These data – ostensibly stripped of identifying information – are sold and bought largely to help medical and pharmaceutical companies better market their products (as well as for some research). Tanner asks, are these data completely safe? Could they be re-identified and threaten patient privacy? How might this trade in data impact patient care and physician practice? While consumer data breaches plague other industries, Tanner urges us as consumers, medical practitioners and society to have a much-needed and informed conversation about this largely hidden circulation of health information. His book is a great start.
Adam Tanner is a journalist, former foreign correspondent and leading expert on privacy and commercialization of personal data. His first book is entitled What Stays in Vegas: the World of Personal Data – Lifeblood of Big Businesses – and the End of Privacy as We Know It (Public Affairs, 2014). Currently, he is an associate at the Institute for Quantitative Social Science at Harvard University. Learn more about his work on his website Adamtanner.news and follow him on Twitter @DataCurtain
Dana Greenfield, MD PhD is a resident physician in Pediatrics at the University of California, San Francisco. She completed her PhD in Medical Anthropology from UCSF/UC Berkeley in 2015 and MD at UCSF in 2018. Reach her at [email protected] or on Twitter @DanaGfield.
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Londa Schiebinger‘s new book Secret Cures of Slaves: People, Plants, and Medicine in the Eighteenth-Century Atlantic World (Stanford University Press, 2017) examines the contexts, programs, and ethics of medical experimentation in the British and French West Indies from the 1760s to the early 19th century. Physicians were enlisted into the plantation systems to ensure the greatest profitability of the enslaved workforces. European practices, however, were ill-equipped for the tropics, and so many looked towards the knowledge of enslaved populations for effective remedies. Schiebinger analyses the circuits and structures of this knowledge exchange within the sugar plantation complex and between these islands and Europe. She brilliantly illuminates how and why some practices were adopted and appropriated, why others were prohibited, and how the colonial crucible so often resulted in the loss of vibrant medical traditions and knowledge.
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In Transnational Reproduction: Race, Kinship, and Commercial Surrogacy in India (NYU Press, 2016), Daisy Deomampo explores relationships between Indian surrogates, their families, aspiring parents from all over the world, egg donors and doctors in a setting marked by hierarchies of income, race, nationality and gender.
Based on three years of fieldwork in Mumbai, India, Deomampo shows how assisted reproductive technologies like IVF, sperm and egg donation, surrogacy and artificial insemination are not neutral scientific advances that enable parenthood, but in fact entrench “certain power relations, notions of gender, and particular constructions of the family.”
The transnational surrogacy industry is an example of “stratified reproduction”, a term first coined by Shellee Cohen in her study of female immigrant domestic workers in New York City, to understand the deeply unequal political, economic and social conditions that shape women’s reproductive labor. Deomampo approaches gestational surrogacy as a site of racialization, where actors rely on “racial reproductive imaginaries” to make sense of their relationships and family-making practices across boundaries of race, kinship and class. Writing against narratives of victimhood, Deomampo centers the creative agency exercised by surrogate women in their attempts to eke out opportunities for themselves and their families, albeit within larger structures of power.
Madhuri Karak is a Ph.D. candidate in cultural anthropology at The Graduate Center, City University of New York. Her dissertation titled “Part-time Insurgents, Civil War and Extractive Capital in an Adivasi Frontier” explores processes of statemaking in the bauxite-rich mountains of southern Odisha, India. She tweets @madhurikarak and more of her work can be found here.
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Our neighbors on other planets look with puzzlement at the United States, located on the beautiful planet Earth. Despite amazing knowledge, discovery, and skill, healthcare delivery in this country is expensive, episodic, not customer-friendly, and much better for citizens with lots of money than those with less.
Dr. Stephen Klasko’s book asks if this country can find the resolve to embrace change, learn from other planets (or at least other countries and industries on this planet), and create an optimistic future for an ideal delivery system?
In a picture story that embraces disruption and transformation, this journey through time and space offers a humorous exploration of the weaknesses of the American healthcare delivery system. Bless This Mess: A Picture Story of Healthcare in America (Lulu Publishing Services, 2018) asks how we might re-imagine how we teach, how we care, and how we put an end to health disparities … and get us closer to the holy grail of a believable understandable bill!
The challenge is ours. Will we take it?
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Melanie Kiechle‘s Smell Detectives: An Olfactory History of Nineteenth-Century Urban America (University of Washington Press, 2017) takes us into the cellars, rivers, gutters and similar smelly recesses of American cities in the 19th century. In the decades on either side of the fulcrum between “miasma theory” and the modern germ theory of disease, Americans typically linked smell with healthfulness, or lack thereof. In places like Chicago, New York and Boston, as industrializing businesses generated ever-greater amounts of noxious fumes, medical professionals, policymakers and ordinary people employed various techniques to follow stenches to their source–not always accurately. In a fascinating urban history that centers around the “invisible sense,” Kiechle examines not only what 19th-century cities smelled like, but how people’s thinking about smells changed and how that knowledge came to change their urban environments. This book is a highly creative and unusual glimpse into a realm of environmental history that is rarely accessible to modern observers.
Sean Munger is a historian, author, podcaster and speaker. He has his own historical podcast, Second Decade.
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French neurologist Jean-Martin Charcot is perhaps most well known today from the images of his “hysterical” female patients featured in Bourneville’s Iconographie Photographique de la Salpêtrière. While not diminishing the epistemological and aesthetic importance of “the image” to Charcot, Jonathan W. Marshall argues in Performing Neurology: The Dramaturgy of Dr. Jean-Martin Charcot (Palgrave Macmillan, 2016) that the work of the French neurologist is best understood through the lens of dramaturgy. He demonstrates the spatial and temporal implications of Charcot’s neurological practice as steeped in neo-classical aesthetics and deeply attuned to scenography, showmanship, and stage production. Using convincing evidence drawn from critiques of Charcot, Marshall demonstrates in Performing Neurology that the power and danger of mixing medicine and theatrics was not lost on Charcot’s contemporaries.
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What won’t we try in our quest for perfect health, beauty, and the fountain of youth? Well, just imagine a time when doctors prescribed morphine for crying infants. When liquefied gold was touted as immortality in a glass. And when strychnine—yes, that strychnine, the one used in rat poison—was dosed like Viagra.
Looking back with fascination, horror, and not a little dash of dark, knowing humor, Quackery: A Brief History of the Worst Ways to Cure Everything (Workman Publishing Company, 2017) recounts the lively, at times unbelievable, history of medical misfires and malpractices. Ranging from the merely weird to the outright dangerous, here are dozens of outlandish, morbidly hilarious “treatments”—conceived by doctors and scientists, by spiritualists and snake oil salesmen (yes, they literally tried to sell snake oil)—that were predicated on a range of cluelessness, trial and error, and straight-up scams. With vintage illustrations, photographs, and advertisements throughout, Lydia Kang and Nate Pedersen seamlessly combines macabre humor with science and storytelling to reveal an important and disturbing side of the ever-evolving field of medicine.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Professor Martha Few’s For All Humanity: Mesoamerican and Colonial Medicine in Enlightenment Guatemala (University of Arizona Press, 2015) describes the implementation of public health reforms in late eighteenth-century Guatemala and the diverse ways that indigenous communities engaged and resisted these programs. Contrary to expectations, colonists were often ahead of administrators in Spain in adopting new medical methods, such as inoculating patients against smallpox. But bringing these to rural communities, some with a significant degree of autonomy, required adaptation and compromise; and if resistance was stiff, medical officers reacted with the persecution of indigenous practices in ways that mirrored the church’s anti-idolatry purges. By bringing Guatemala and its native residents into the networks of Atlantic medicine in the eighteenth century, For All Humanity illuminates the plurality of medical cultures that interacted in the production of the Enlightenment.
Martha Few is Professor of Latin American History and Gender, Women’s, and Sexuality Studies at Penn State University.
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American healthcare is in crisis. It doesn’t have to be. Dr. Toby Cosgrove‘s The Cleveland Clinic Way: Lessons in Excellence from One of the World’s Leading Health Care Organizations (McGraw-Hill Education, 2014) is a blueprint for fixing what’s wrong with healthcare―and is a must-read for every leader seeking to transform his or her organization.
There’s a revolution going on right now. On the frontiers of medicine, some doctors have developed an approach for treating people that is more effective, more humane, and more affordable. It’s an approach to healthcare that has captured the attention of the media and business elite–and the President of the United States.
It’s all happening at Cleveland Clinic, one of the most innovative, forward-looking medical institutions in the nation.
In this groundbreaking book, the man who leads this global organization, Cosgrove reveals how the Clinic works so well and argues persuasively for why it should be the model for the nation. He details how Cleveland Clinic focuses on the eight key trends that are shaping the future of medicine. Readers will learn:
• Why group practices provide not only better–but cheaper–care
• Why collaborative medicine is more effective
• How big data can be harnessed to improve the quality of care and lower costs
• How cooperative practices can be the wellspring of innovation
• Why empathy is crucial to better patient outcomes
• Why wellness of both mind and body depends on healthcare, not sickcare
• How care is best provided in different settings for greater comfort and value
• How tailor-made care treats a person instead of a disease
At its core is Cleveland Clinic’s emphasis on patient care and patient experience.
A refreshingly positive and practical vision of healthcare, The Cleveland Clinic Way is essential reading for healthcare and business executives, medical professionals, industry analysts, and policymakers. It gives leaders lessons they can apply to their own organizations to achieve results and empowers average Americans to make more informed healthcare decisions.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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The Spanish flu of 1918-1920 was one of the greatest human disasters of all time. It infected a third of the people on Earth–from the poorest immigrants of New York City to the king of Spain, Franz Kafka, Mahatma Gandhi and Woodrow Wilson. But despite a death toll of between 50 and 100 million people, it exists in our memory as an afterthought to World War I.
In this gripping narrative history, Laura Spinney traces the overlooked pandemic to reveal how the virus travelled across the globe, exposing mankind’s vulnerability and putting our ingenuity to the test. As socially significant as both world wars, the Spanish flu dramatically disrupted–and often permanently altered–global politics, race relations and family structures, while spurring innovation in medicine, religion and the arts. It was partly responsible, Spinney argues, for pushing India to independence, South Africa to apartheid and Switzerland to the brink of civil war. It also created the true “lost generation.” Drawing on the latest research in history, virology, epidemiology, psychology and economics, Pale Rider: The Spanish Flu of 1918 and How It Changed the World (PublicAffairs, 2017) masterfully recounts the little-known catastrophe that forever changed humanity.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Autism as a condition has received much focused attention recently, but less attention has been paid to its politics. It is a condition that necessitates significant accommodations and interventions, which can be difficult for people with autism and their loved ones to obtain, depending on the state of autism public policy. Sociologist John J. Pitney argues that political science needs to more rigorously study autism policy and politics, as he outlines in his book The Politics of Autism: Navigating the Contested Spectrum (Rowman & Littlefield, 2015). In our interview, we explore the evolution of our understanding of autism, how public policy impacts the lives of autistic individuals, and suggestions for future research. For anyone with autism or their loves ones, this interview offers suggestions for meeting important needs and hope for a better future.
John J. Pitney Jr., Ph.D. is the Roy P. Crocker Professor of American Politics at Claremont McKenna College. He is the author of The Art of Political Warfare and the coauthor of several books, including Epic Journey: The 2008 Elections and American Politics as well as After Hope and Change: The 2012 Election and American Politics. In addition to his scholarly work, he has held staff positions in the U.S. Congress and the New York State Legislature. He maintains several blogs, including Autism Policy and Politics.
Eugenio Duarte, Ph.D. is a psychologist and psychoanalyst practicing in New York City and Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image, and relationship issues. He is a graduate of the psychoanalytic training program at William Alanson White Institute, where he also chairs their monthly LGBTQ Study Group. He is also a contributing author to the book Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (Routledge, 2018).
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Christy Ford Chapin, an associate professor of history at the University of Maryland, Baltimore County, has written a history of the funding of America’s health care system: Ensuring America’s Health: The Public Creation of the Corporate Health Care System (Cambridge University Press, 2015). She begins with an account of the development of physicians’ practices in the mid-nineteenth century and traces the evolution of the American Medical Association’s role in shaping how physicians practiced medicine and how it was financed. The advent of the insurance model for funding health care was a creation of the Progressive period and became dominant in the late 1930s, during the New Deal. Chapin provides an account of the pitfalls of the insurance funding mechanism and recounts the battles between vested, competing interests, such as the AMA, independent physicians, corporate employers, labor unions, insurance companies (nonprofit and commercial), and the state and federal governments. Each of these entities shaped the health care system we have today. Chapin’s book helps explain how we got here and her critique of the insurance model suggests possible alternatives to our contemporary system of paying for health care.
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How and where do transgender and gender non-conforming (TGNC) people find good mental healthcare? And how can psychotherapists and other mental health professionals become competent in this kind of care? Furthermore, what are the most important mental health issues faced by TGNC people? These are some of the questions with which TGNC people grapple regularly, and they motivated Dr. Eric Yarbrough to write his new book, Transgender Mental Health (2018, American Psychiatric Association). In our interview, we discuss what it means to be transgender and gender non-conforming, the importance of understanding the gender spectrum, and what gender-affirming mental health treatment looks like. We also address practical questions about how to find good care and what clinicians need to know in order to practice competently. This long-awaited book furthers our understanding about key issues for TGNC people and is a must-read for anyone, client or therapist, engaged with TGNC mental healthcare.
Eric Yarbrough is Director of Psychiatry at Callen-Lorde Community Health Center in New York and President of AGLP: The Association of LGBTQ Psychiatrists. He graduated from University of Alabama School of Medicine and completed his psychiatry residency at St. Luke’s Roosevelt Hospital in New York City.
Eugenio Duarte, Ph.D. is a psychologist and psychoanalyst practicing in New York City and Miami. He treats individuals and couples, with specialties in gender and sexuality, eating and body image, and relationship issues. He is a graduate of the psychoanalytic training program at William Alanson White Institute, where he also chairs their monthly LGBTQ Study Group. He is also a contributing author to the book Introduction to Contemporary Psychoanalysis: Defining Terms and Building Bridges (2018, Routledge).
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Early studies of the functions of the human brain used a simple method: wait for misfortune to strike—strokes, seizures, infectious diseases, lobotomies, horrendous accidents-and see how the victim coped. In many cases survival was miraculous, and observers could only marvel at the transformations that took place afterward, altering victims’ personalities. An injury to one section can leave a person unable to recognize loved ones; some brain trauma can even make you a pathological gambler, pedophile, or liar. But the book The Tale of the Dueling Neurosurgeons: The History of the Brain as Revealed by True Stories of Trauma, Madness, and Recovery (Back Bay Books, 2015) explains how a few scientists realized that these injuries were an opportunity for studying brain function at its extremes. With lucid explanations and incisive wit, Sam Kean explains the brain’s secret passageways while recounting forgotten stories of common people whose struggles, resiliency, and deep humanity made modern neuroscience possible.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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How do we create meaning after the genome? Such a profound question is at the center of the recently published book by Jenny Reardon, The Postgenomic Condition: Ethics, Knowledge and Justice after the Genome (University of Chicago Press, 2017). Drawing upon nearly a hundred interviews including with genetic scientists, social scientists, activists, lawyers and policy makers, Reardon constructs an engaging story detailing accounts of genomic projects from several field sites around the globe. Beyond her ethnographic accounts, Reardon engages with historical antecedents, such as the infamous Tuskegee study and the following Belmont Report, as well as philosophical discussions and insights from the likes of Hannah Arendt and Jean François Lyotard. The result is a reconsideration of genomics in a society vexed by inequality, and a push toward matters of science and justice.
Following the completion of the Human Genome Project, many subsequent genomic related projects (such as the Human Genome Diversity Project, Generation Scotland, and personal genomic projects like 23andMe) had to quibble with issues over labor, interpretation, cost, consent, and diversity. While many well-intentioned scientists hoped to be more inclusive and rebuke activist claims of “genetic colonialism”, these attempts fell through, due in part to problems of consent, structural inequalities, and conflicting points of view between scientists and potential DNA donors regarding the meaning and value of the genome. Other projects, such as Generation Scotland, had to deal with rising cost, and industry push toward more computerized, automated sequencing. For genomic researchers and investors, automation means reduced labor and reduced human error; however, citing Arendt, Reardon argues that such automation could jeopardize the very acts of meaningful speech that bring matters of concern, like the genome, into being. Instead, we should engage with a plurality of stories and gatherings around such matters of care and justice as they may come to constitute a new common world, including a transformed genomic science.
Chad J. Valasek is a Ph.D. Candidate in Sociology & Science Studies at the University of California, San Diego. His research interests includes the history of the human sciences, the influence of the behavioral sciences on medical practice and health policy, and political activism around science and the arts. You can follow him on Twitter @chadjvalasek.
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Most people say they would like to die quietly at home. But overly aggressive medical advice, coupled with an unrealistic sense of invincibility or overconfidence in our health-care system, results in the majority of elderly patients misguidedly dying in institutions. Many undergo painful procedures instead of having the better and more peaceful death they deserve. At Peace: Choosing a Good Death After a Long Life (Grand Central Life & Style, 2018) outlines specific active and passive steps that older patients and their health-care proxies can take to ensure loved ones live their last days comfortably at home and/or in hospice when further aggressive care is inappropriate.
Through Dr. Samuel Harrington’s own experience with the aging and deaths of his parents and of working with patients, he describes the terminal patterns of the six most common chronic diseases; how to recognize a terminal diagnosis even when the doctor is not clear about it; how to have the hard conversation about end-of-life wishes; how to minimize painful treatments; when to seek hospice care; and how to deal with dementia and other special issues.
Informed by more than thirty years of clinical practice, Dr. Harrington came to understand that the American health-care system wasn’t designed to treat the aging population with care and compassion. His work as a hospice trustee and later as a hospital trustee drove his passion for helping patients make appropriate end-of-life decisions.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Earlier this year, Jamila Michener visited the podcast to talk about her new book, Fragmented Democracy, about Medicaid and the state-based structure that results in very different experiences of Medicaid recipients from state to state. We return to the topic of health care this week. Jonathan Engel has recently written Unaffordable: American Healthcare from Johnson to Trump (University of Wisconsin Press, 2018). Engel is a professor in the School of Public Affairs at Baruch College and an adjunct professor of health policy and management at the Mailman School of Public Health, Columbia University. In Unaffordable, we read a fifty-year history of the adoption of a variety of health care programs, from Medicare to Obamacare. Engel unravels the implications of health policy design for the delivery of services. He pays particular attention to the ways that health policy design have resulted in rising health care costs and the unaffordability of health care for many Americans.
This podcast was hosted by Heath Brown, Assistant Professor of Public Policy, John Jay College and the Graduate Center at the City University of New York. You can follow him on Twitter @heathbrown.
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Susan M. Squier’s book, Epigenetic Landscapes: Drawings as Metaphor (Duke University Press, 2017) is about development— biological and ecological. It explores how the media (paintings, films, graphics) that experts have created to understand development and to communicate without verbal language has shaped—and continues to affect—the worlds in which we live.
Squier’s book takes its title from a set of images from the embryologist C.H. Waddington, all meant to demonstrate his theory of how life developed—as a dynamic process emerging within multiple scales of time and space. The first Epigenetic Landscape was, literally, a landscape painting—thick and confounding—that Waddington commissioned from the artist John Piper. Over the next twenty years, Waddington created two additional images that suggested a less contextual, more individually focused conception of development.
In her creative and persuasive book, Susan Squier follows iterations of the Epigenetic Landscape to spotlight moments of contingency in the new field of epigenetics in the 1960s and 1970s, when scientists had opportunities to follow interdisciplinary approaches, to emphasize multiple scales of time and space, and to take seriously process-oriented knowledge that defied orthodoxies of molecular genetics. Squier argues that attending to visual rhetoric of scientific fields, especially development, is an inroad both to understanding the history of those fields, and to imagining possible, more feminist, futures. In doing so, Squier shows that ways of knowing that have been separated as either “art” or “science” interact more often than is appreciated, and those lines of connection serve as important creative resources. Heeding her own call for transdisciplinary approaches, three chapters document how the Epigenetic Landscape has been used not only into embryology but also landscape design and bioArt.
Squier is Brill Professor Emeritus of English and Women’s, Gender, and Sexuality Studies at Penn State University. Her previous books include Liminal Lives and The Graphic Medicine Manifesto.
This interview was a collaborative effort among participants in the Vanderbilt graduate seminar, Social Studies of Science & Medicine. For information about using NBN interviews as part of pedagogical practice, please email Laura Stark or see the essay “Can New Media Save the Book?” in Contexts (2015).
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For thousands of years the human heart remained the deepest of mysteries; both home to the soul and an organ too complex to touch, let alone operate on. Then, in the late nineteenth century, medics began going where no one had dared go before. The following decades saw the mysteries of the heart exposed, thanks to pioneering surgeons, brave patients and even sacrificial dogs. In eleven landmark operations, Thomas Morris tells us stories of triumph, reckless bravery, swaggering arrogance, jealousy and rivalry, and incredible ingenuity: the trail-blazing blue baby procedure that transformed wheezing infants into pink, healthy children; the first human heart transplant, which made headline news around the globe. And yet the heart still feels sacred: just before the operation to fit one of the first artificial hearts, the patients wife asked the surgeon if he would still be able to love her.
The Matter of the Heart: A History of the Heart in Eleven Operations (Thomas Dunne Books, 2018) gives us a view over the surgeon’s shoulder, showing us the hearts inner workings and failings. It describes both a human story and a history of risk-taking that has ultimately saved millions of lives.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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In her new book, Consumptive Chic: A History of Beauty, Fashion, and Disease (Bloomsbury, 2017), Carolyn Day tracks the relationship between dress, appearance, and tuberculosis in the eighteenth and early nineteenth centuries. Blending the histories of medicine and fashion, she charts multiple and often contested understandings of consumption and its socio-cultural significance.
Day’s focus on experiences of upper- and middle-class women highlights gendered critiques of fashionable activities that allegedly led to the disease: riding, dancing, “impractical” dress. Emerging alongside these criticisms was the belief that some sufferers acquired desirable characteristics of feminine beauty—what Day terms an “aesthetics of consumption”—via the incurable illness. Complemented by rich case studies and illustrations, Consumptive Chic reveals the entangled history of ill health and beauty, as eighteenth- and early nineteenth-century aesthetics took an especially lethal turn.
Carolyn Day is an Associate Professor of History at Furman University, where she teaches courses on modern European history, modern British history, and the history of medicine.
Jess Clark is an Assistant Professor of History at Brock University (St. Catharines, Ontario). She is currently writing a history of the beauty business in Victorian London.
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In this highly engaging, thoroughly persuasive book, Dr. Halee Fischer-Wright presents a unique prescription for fixing America’s health care woes, based on her thirty years of experience as a physician and industry leader. The problem, Fischer-Wright asserts, is that we have lost our focus on strengthening the one thing that has always been at the heart of effective health care: namely, strong relationships between patients and physicians, informed by smart science and enabled by good business, that create the trust necessary to achieve the outcomes we all want. Drawing from personal stories and examples from popular culture, supported by scientific studies and rock-solid logic, Back to Balance: The Art, Science, and Business of Medicine (Disruption Books, 2017) shows how the business and science of medicine are combining to strangle the creative, compassionate, human side of medicine—what Dr. Fischer-Wright calls the “art of medicine.” She then details the three questions necessary to guide us toward true solutions and the five paradigm shifts crucial to bring the art, science, and business of medicine back to balance. . . before it’s too late. Irreverent and funny, steeped in storytelling but allergic to policy-speak, this is a wholly new brand of health care book—one that makes common sense transformational and that will appeal to anyone who has experienced the tribulations and indignities of American health care.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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As physicians, we cannot image or measure it, we can only try to locate within the lives and (sometimes) bodies of our patients. In All in Your Head: Making Sense of Pediatric Pain (University of California Press, 2015), an ethnography of a pediatric pain clinic, anthropologist Mara Buchbinder shows how continuing to treat pain as individual and isolated would not only be a mistake, it would miss how pain is actually experienced, treated and even generated. While the chronic pain of patients is hard to pin down, locate, diagnose and treat, it is most definitely not all in ones head, it is multifaceted and socially distributed. In many ways, the elusiveness of chronic pain syndromes makes it even more slippery, more likely to exceed the boundaries of private experience. To start, Buchbinder shows us how pain practitioners use metaphors to create a common language and experience of pain. Images of computer wiring and “sticky brains” are not just fanciful flourishes to engage the children with pain; they fundamentally alter how the patients relate to and experience their bodies; they give it life in social relations and language, in addition to reflecting contemporary views of the networked body. Moving beyond the clinic, she also connects the private experiences of pain to broader contexts, such as the family and school.
One of the greatest lessons of her work stems from the fundamental contribution of medical anthropology that suffering is social and so should its alleviation. Pediatrics—with its attention families, home and school life—tends to recognize this more than most. However, it is a worthy lesson to be learned for adult medicine as well. As Buchbinder explains, she felt the efficacy of the multidisciplinary clinic stemmed from how much it wrapped around its patients in a way that a single pill cannot. Then, perhaps our opioid crisis is many crises in one: a crisis of understanding pain in its social fullness and a crisis of care and meaning-making in medicine. All in Your Head charts one clinics attempt to navigate pain in a way that is unique and instructive.
Dana Greenfield received her PhD in Medical Anthropology from UCSF/UC Berkeley in 2015 and is currently a fourth year MD candidate at the UCSF. She will begin a residency in pediatrics at UCSF in June 2018. Reach her at [email protected] or on Twitter @DanaGfield.
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Eugenic sterilization is usually associated with Nazi horrors before and during World War II. But, as Dr. Molly Ladd-Taylor reminds us, it was also practiced in the United States. In her new book Fixing the Poor: Eugenic Sterilization and Child Welfare in the Twentieth Century (Johns Hopkins University Press, 2017), Ladd-Taylor examines a state-run sterilization program in Minnesota and reveals the everyday politics of eugenic sterilization in twentieth-century America. She demonstrates that eugenic sterilization in practice was dictated not only by long-standing attitudes toward poverty, disability, and gender, but also by financial and fiscal policies geared at managing the cost of public assistance and welfare.
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The biggest problem in American health care is us.
Do you know how to tell good health care from bad health care? Guess again. As patients, we wrongly assume the best care is dependent mainly on the newest medications, the most complex treatments, and the smartest doctors. But Americans look for healthcare solutions in the wrong places. For example, hundreds of thousands of lives could be saved each year if doctors reduced common errors and maximized preventive medicine.
For Dr. Robert Pearl, these kinds of mistakes are a matter of professional importance, but also personal significance: he lost his own father due in part to poor communication and treatment planning by doctors. And consumers make costly mistakes too: we demand modern information technology from our banks, airlines, and retailers, but we passively accept last century’s technology in our health care.
Solving the challenges of health care starts with understanding these problems. Mistreated: Why We Think Were Getting Good Health Care and Why Were Usually Wrong (PublicAffairs, 2017) explains why subconscious misperceptions are so common in medicine, and shows how modifying the structure, technology, financing, and leadership of American health care could radically improve quality outcomes. This important book proves we can overcome our fears and faulty assumptions, and provides a roadmap for a better, healthier future.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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A disease cannot be fully understood unless considered in its environmental context. That conviction drives Yellow Fever, Race, and Ecology in Nineteeth-Century New Orleans (LSU Press, 2017) by historian Urmi Engineer Willoughby. Much more than a history of mosquitoes and scientists, the book attends to ecology, economy, and culture to explore how yellow fever arrived in the Gulf South, why yellow fever epidemics became commonplace in the Crescent City, why they finally abated, and how residents made sense of the disease. Willoughby finds answers in landscapes: the contours of sugarcane plantations, the sprawl of a city brimming with global capital, the severed connections of a military occupation, the new rural railroad network of the postbellum South, the urban zones of public health interventions, and the massive plantations and infrastructure that followed imperial expansion across the hemisphere. Within these places, the notions of racial, ethnic, and geographic otherness permeating theories about susceptibility to yellow fever echoed broader social and political discourse. Both local and transnational, this study presents the spread of yellow fever as an unintended consequence of colonial and imperial development and raises important questions about our approach to controlling epidemic diseases today.
Urmi Engineer Willoughby is an assistant professor of history at Murray State University in western Kentucky. She earned her Ph.D. from the University of California, Santa Cruz and has held postdoctoral fellowships in world history at Colby College and the University of Pittsburgh. She is the co-author (with Merry Wiesner-Hanks) of A Primer for Teaching Women, Gender, and Sexuality in World History (Duke University Press, forthcoming).
Brian Hamilton is a Ph.D. candidate at the University of Wisconsin, Madison where he is researching African American environmental history in the nineteenth-century Cotton South. He is also an editor of the digital environmental magazine and podcast Edge Effects.
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A leading doctor offers answers on the one of the most urgent questions of our time: How do we prevent the next global pandemic?
The 2014 Ebola epidemic in Liberia terrified the world―and revealed how unprepared we are for the next outbreak of an infectious disease. Somewhere in nature, a killer virus is boiling up in the bloodstream of a bird, bat, monkey, or pig, preparing to jump to a human being. This not-yet-detected germ has the potential to wipe out millions of lives over a matter of weeks or months. That risk makes the threat posed by ISIS, a ground war, a massive climate event, or even the dropping of a nuclear bomb on a major city pale in comparison.
In The End of Epidemics: The Looming Threat to Humanity and How to Stop It (St. Martin’s Press, 2018), Harvard Medical School faculty member and Chair of the Global Health Council Dr. Jonathan D. Quick examines the eradication of smallpox and devastating effects of influenza, AIDS, SARS, and Ebola. Analyzing local and global efforts to contain these diseases and citing firsthand accounts of failure and success, Dr. Quick proposes a new set of actions which he has coined “The Power of Seven,” to end epidemics before they can begin. These actions include:
– Spend prudently to prevent disease before an epidemic strikes, rather than spending too little, too late
– Ensure prompt, open, and accurate communication between nations and aid agencies, instead of secrecy and territorial disputes
– Fight disease and prevent panic with innovation and good science
Practical and urgent,The End of Epidemics is crucial reading for citizens, health professionals, and policy makers alike. For more on the book, see its website here. Dr. Quick tweets at@jonoquick.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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Medicaid provides health care for around 1 in 5 Americans. Despite the large number served, the programs administration by state and local governments means very different things in different places. The geography of federalism matters a lot for Medicaid. But unlike some other large social welfare programs, Medicaid seems to reduce rather than increase political participation, resulting in a population of people stigmatized by the program itself and afforded less political representation.
Such is a snippet of the argument made by Jamila Michener in her fascinating new book, Fragmented Democracy: Medicaid, Federalism, and Unequal Politics (Cambridge University Press, 2018). Michener is assistant professor of political science at Cornell University.
Through extensive quantitative and qualitative research, Michener spotlights the people of Medicaid, their awareness of the inequalities that exist across states and localities, and how some are mobilizing to better represent the Medicaid community. What she finds is that where you reside determines a lot about your relationship to the Medicaid program, from state to state and even from neighborhood to neighborhood in a given city.
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Mentored by a Madman: The William Burroughs Experiment (Notting Hill Editions, 2017) is a fascinating account by one of the world’s leading and most decorated neurologists of the profound influence of William Burroughs on his medical career. Dr. Andrew Lees relates how Burroughs, author of Naked Lunch and troubled drug addict, inspired him to discover a ground-breaking treatment for Parkinson’s Disease, and learns how to use the deductive reasoning of Sherlock Holmes to diagnose patients. Lees follows Burroughs into the rainforest and under the influence of yage (ayahuasca) gains insights that encourage him to pursue new lines of pharmacological research and explore new forms of science.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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For many of the 40 million Americans who undergo anesthesia each year, it is the source of great fear and fascination. From the famous first demonstration of anesthesia in the Ether Dome at Massachusetts General Hospital in 1846 to today’s routine procedures that controls anxiety, memory formation, pain relief, and more, anesthesia has come a long way. But it remains one of the most extraordinary, unexplored corners of the medical world.
In Counting Backwards: A Doctor’s Notes on Anesthesia (W. W. Norton and Company, 2017), Dr. Henry Jay Przybylo—a pediatric anesthesiologist with more than thirty years of experience—delivers an unforgettable account of the procedures, daily dramas, and fundamental mysteries. Przybylo has administered anesthesia more than 30,000 times in his career—erasing consciousness, denying memory, and immobilizing the body, and then reversing all of these effects—on newborn babies, screaming toddlers, sullen teenagers, even a gorilla. With compassion and candor, he weaves his experiences into an intimate exploration of the nature of consciousness, the politics of pain relief, and the wonder of modern medicine.
Jeremy Corr is the co-host of the hit Fixing Healthcare podcast along with industry thought leader Dr. Robert Pearl. A University of Iowa history alumnus, Jeremy is curious and passionate about all things healthcare, which means he’s always up for a good discussion! Reach him at [email protected].
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What role has the World Bank played in influencing health sector reform in Latin America? In her new book, Banking on Health: The World Bank and Health Sector Reform in Latin America (Palgrave Macmillan, 2017), Shiri Noy explores this question and more using mixed methods, including interviews, quantitative analysis, and review of policy documents and archives. The book starts off by providing readers a history of the World Bank and its role in health reform. Even though it may seem as if the World Bank would have a similar solution across countries, Noy finds that involvement and plans are more variable due to the systems already in place within these countries. Noy then moves on to an analysis of health expenditures, finding surprising results that further drove her research project and curiosity. The book then explores three countries in turn: Argentina, Peru, and Costa Rica. This book provides rich analysis of a complex social issue and set of systems, sending the reader away with both empirical and theoretical findings.
This book will be enjoyed by sociologists broadly but particularly by historical sociologists or those studying Latin America specifically. This book will be of interest to political scientists and health scholars as well. Graduate level courses in health and stratification could utilize this book not only for understanding health reform and the role of the World Bank, but also in terms of the fascinating case studies of the three countries contained here.
Sarah E. Patterson is a Sociology postdoc at the University of Western Ontario. You can tweet her at @spattersearch.
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Anita Johnston, author of Eating in the Light of the Moon: How Women Can Transform Their Relationships with Food Through Myth, Metaphor, and Storytelling (Gurze Books, 2000), is an expert in the field of eating disorders treatment, who looks beyond eating itself in her approach. In this interview, Dr. Johnston describes why myth and metaphors are effective strategies for uncovering and understanding the function and meaning of disordered eating. Dr. Johnston shares examples of metaphors she uses in her book to illustrate the complexities of eating disorder recovery. Dr. Johnston explores food as metaphor, the difference between emotional and physical hunger, and why recovery looks more like a labyrinth than a maze.
Anita Johnston is the Director of the Anorexia & Bulimia Center of Hawaii, which she co-founded in 1982 and is the Clinical Director and the Founder of the Ai Pono Intensive Out-Patient Eating Disorders Programs in Honolulu and ‘Ai Pono Maui, a residential treatment facility in Maui. Dr. Johnston developed Hawaii’s first inpatient eating disorders treatment program at Kahi Mohala Hospital in 1986 and is an expert in treating a wide range of eating disorders.
Diana Hill, Ph.D. is a licensed psychologist practicing in Santa Barbara, California, and a co-host of the podcast Psychologists Off The Clock.
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In the early twentieth century, Robert Hertz, a French anthropologist, and Cesare Lombroso, the Italian criminologist, debated the causes and consequences of left-handedness. According to Lombroso, left-handed individuals were more likely to be criminals. Hertz disagreed. For him, to restrict left-handedness was to suppress individual expression. In his book, On the Other Hand: Left Hand, Right Brain, Mental Disorder, and History (Johns Hopkins University Press, 2017), Howard I. Kushner explores the fascinating and circuitous history of left-handedness. By looking at a wide variety of scientific research, as well as the cultural meanings attached to left-handedness, Kushner breaks down the binary between nature and nurture that has characterized most explanations of what some researchers have called non-right-handedness. Ultimately Kushner argues that discrimination against left-handers can be read as a barometer for a given society’s toleration of diversity.
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AIDS is one of the primary causes of death in Africa. Of the more than 24 million Africans infected with HIV, only about 54% have access to the treatment that they need. Despite the progress made in mitigating this disease in the global north, unfortunately, Africa is left behind. In her new book Doomed Interventions: The Failure of Global Responses to AIDs in Africa (Cambridge University Press, 2018), Kim Yi Dionne examines the obstacles to AIDs interventions in Africa. She challenges the narrative that the failure of these responses is because of insufficient funding or the lack of political will. She argues that designers of these intervention programs are often far removed from the agents who have to implement them and that the priorities between the international organizations who finance these interventions and the local people who have to navigate AIDs in Africa are often misaligned. She makes a case for local actors, priorities, and participation in the design and implementation of these intervention programs.
Professor Kim Yi Dionne. She is an Assistant professor of Government at Smith College. Professor Dionne teaches courses on African politics, ethnic politics and field research methods. Her research interests include political behavior and public opinion, health, ethnicity and research methods. The substantive focus of her work is on the opinions of ordinary Africans toward interventions aimed at improving their condition and the relative success of such interventions.
Bekeh Utietiang Ukelina is an Assistant Professor of History at SUNY, Cortland. His research examines the ideologies and practices of development in Africa, south of the Sahara. He is the author of The Second Colonial Occupation: Development Planning, Agriculture, and the Legacies of British Rule in Nigeria.
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Embracing a multi-perspectival authorial voice, Managing Madness: Weyburn Mental Hospital and the Transformation of Psychiatric Care in Canada (University of Manitoba Press, 2017), tells the story of the “last and largest” asylum in the British Commonwealth. From its founding in the 1920s until the age of deinstitutionalization, Weyburn Mental Hospital was central to the changing landscape of psychiatric care in Canada and beyond. Using a wide variety of documentary sources, Erika Dyck and Alex Deighton explore Weyburn’s rise and fall, from its role in Canada’s nation-building project to new experiments with LSD and the move towards community care. They also give voice to the often forgotten experience of patients, psychiatric nurses, and mental health activists.
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Zoe Wool‘s ethnography of rehabilitation After War: The Weight of Life at Walter Reed (Duke University Press, 2015) describes how soldiers injured in the war on terror are pulled towards a normal and idealized American life (Duke University Press, 2015). She describes how the iconic military hospital orients its patients (mostly men) towards normative masculine domestic ideals in an attempt to assimilate them to ordinary life. By closely following their lives in and out of rehabilitation (clinical and domestic), Wool shows us how impossible and fraught this “ordinary” is as the men subvert and are caught between multiple desires and realities: to be home, whole, ordinary fathers and husbands, heroes and symbols of exceptionalism. The weight of life is carried by these soldiers and veterans who are asked to do so much cultural work in the service of their nation on and off the battlefield.
Zoe Wool is Assistant Professor of Anthropology at Rice University, where her teaching and research includes queer theory, personhood and the body, critical disability studies, science and technology studies, and violence and care.
Dana Greenfield, PhD is a medical anthropologist and an MD candidate at the University of California, San Francisco. Next year, she will begin a residency in pediatrics. Reach her at [email protected] or on Twitter @DanaGfield.
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This podcast is usually devoted to book written about the past. The authors may be historians, or political scientists, or anthropologists, or even a member of the human rights community. But we’re almost always talking about a mass atrocity that took place ‘before.’
Sam Totten‘s new book Sudan’s Nuba Mountains People Under Siege: Accounts by Humanitarians in the Battle Zone (McFarland, 2017) is different. The book is a compilation of first hand accounts of people currently working in a crisis area. Some of are doctors, some journalists, some aid workers. Their contributions to the book are intensely personal, recounting experiences caring for the sick, communicating the truth, or simply trying to deliver food amidst the scorching heat and poor roads of the Nuba Mountains. Many are harrowing to read. All inspire a profound respect.
But collectively they raise interesting questions. What does it mean to study genocide while being an activist? How can activists raise the visibility of conflicts in far-away places. What level of response elevates one above the level of a ‘bystander?’ Is everyone called to risk life and limb? Or is it enough to speak for the living and the dead? And who gets to decide?
Sam will be continuing his efforts to deliver food to the Nuba. If you would like to learn more about the project or about how you can help, you can e-mail him [email protected].
Kelly McFall is Professor of History and Director of the Honors Program at Newman University. He’s the author of four modules in the Reacting to the Past series, including The Needs of Others: Human Rights, International Organizations and Intervention in Rwanda, 1994.
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Polio was a scourge that terrified generations of people throughout the United States and the rest of the world until Jonas Salk’s vaccine provided the first effective defense against it. In Jonas Salk: A Life (Oxford University Press, 2015), Charlotte DeCroes Jacobs chronicles the medical researcher whose success in developing a successful polio vaccine in the 1950s made him an international celebrity. Born to immigrant parents, Salk studied hard to graduate for college and earn his medical degree. His interest in helping all of humanity led Salk to pass on a career as a clinician in favor of one as a researcher in the burgeoning field of virology. After work during World War II on the first successful influenza vaccine Salk moved to Pittsburgh, where he soon found himself involved in a coordinated effort to defeat the disease. Salk’s vaccine became the first to achieve this. Yet as Jacobs demonstrates, the fame Salk won for his achievement came at a price. Though lionized the world over he found himself engaged in a lifelong campaign to prove the superiority of his vaccine, while his efforts to develop vaccines against other diseases never achieved the same degree of success.
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In Disability and Mobile Citizenship in Postsocialist Ukraine (Indiana University Press, 2010), Sarah D. Phillips offers a compelling investigation of disability policies and movements in Ukraine after the disintegration of the Soviet Union. Scrupulously studied and researched, the data that the author presents reflect social and political changes that have been taking place in the country. Most importantly, this study is centered around people, around the lives of people who change our perception of life, love, and care and our understanding of self and other. In this regard, Sarah Phillips explores how official policies and informal movements, connected with the framing of the concept of disability, shape the ways people with physical impairments are integrated into social consciousness.
As Sarah Phillips’s study shows, the concept of disability in Ukraine has undergone considerable transformations which were conditioned and triggered by historical circumstances. A particular attention is given to the Soviet period when official terms for the defining of disability became part not only of the Soviet official language but also of Soviet mentality as well. “Invalid”—a term defining a person who has an impairment—was rather often understood as a social stigma, entailing detrimental consequences for the emotional and psychological health of the individual. This “labelling” contributed to the deepening of a gap, separating citizens without impairments and citizens with disabilities.
The current stage of the disability policies in Ukraine is to a large extent shaped by the challenges that were emerging during the Soviet period. As Sarah Phillips convincingly demonstrates, a number of profound changes in terms of the improvement of disability rights movement have taken place. Volunteering initiatives and individual endeavors to recover from injuries and find new ways of social activities considerably re-shaped the understanding of disability. This research recounts personal stories of people who discovered inner strength and stimuli to re-define their lives after severe injuries. When recovering, they do not have much to rely on; their will to rediscover joy and love is probably the most significant factor. In spite of positive changes, postsocialist Ukraine still has a number of problems that hinder an effective and productive re-integration of people with disabilities into society. Lack of equipment and accommodations that would facilitate access to public amenities is one of the factors that reduces physical mobility of people with disabilities.
Disability and Mobile Citizenship in Postsocialist Ukraine touches upon the question of how the individual develops their relations with the inside and outside worlds after traumatizing experiences that lead to physical impairments. Drawing attention to the issues and concerns that are central to people experiencing spinal injuries, Sarah Philips invites her readers to think about disability as a phenomenon that breaks boundaries. Of course, medical diagnoses matter and in many cases these are, so to speak, official documents that shape the relationships within communities. But what seems to be at stake is the development of individual and societal relations which are based on inclusiveness that marks the individuals endeavor to reach out to others. In this regards, the title itself—Disability and Mobile Citizenship in Postsocialist Ukraine—encodes a message: disability, in spite of stereotypes and prejudices,
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In 1976, the landmark supreme court case Estelle v. Gamble, established that under the Eighth Amendment “deliberate indifference” to the health needs of incarcerated individuals was tantamount to cruel and unusual punishment. Now, jails and prisons are one of the rare places in the contemporary U.S. where healthcare is deemed a right and not a privilege. In her new ethnography Jailcare: Finding the Safety Net for Women behind Bars (University of California Press, 2017), physician and Anthropologist, Carolyn Sufrin, examines what this means for incarcerated women when health care, coercion and violence coalesce. In addition to describing in detail how women experience healthcare and motherhood in custody, she offers us devastating diagnoses of how broken our current health and social safety nets are that women come to desire the cruel relative safety of jail.
My conversation with Dr. Sufrin just begins to tackle the rich, beautiful and devastatingly complex lives of the women she encountered and cared for as both a clinician and social scientist. While an academic monograph, this book is accessible to scholars, activists and concerned citizens alike.
Dana Greenfield, PhD is a medical anthropologist and an MD candidate at the University of California, San Francisco. Her dissertation explored how the quantified-self movement and digital health technologies are shaping new ways of deriving personal and medical meaning out of new forms of data. Next year, she will begin a residency in Pediatrics. She can be reached at [email protected], or on Twitter @DanaGfield.
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Between 1902 and 1934, hundreds of Native American men, women, and children were institutionalized at the Canton Asylum for Insane Indians; only nine of them, however, were officially committed by court order. In Vanished in Hiawatha: The Story of the Canton Asylum for Insane Indians (University of Nebraska Press, 2016), independent scholar Carla Joinson examines the history of the only insane asylum in United States history dedicated solely to the institutionalization of Native Americans. Vanished in Hiawatha further connects the establishment of the Canton Asylum with efforts to assimilate Indigenous populations during the first three decades of the twentieth century, and considers how and why the institution remained open for three decades, given the ongoing mismanagement and mistreatment of Native patients at the facility.
Samantha M. Williams is a PhD candidate in History at the University of California, Santa Cruz. She is currently writing her dissertation, which examines the history of the Stewart Indian School in Carson City, Nevada through the lenses of settler colonialism and public history. She can be reached at [email protected].
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Katherine Paugh‘s new book The Politics of Reproduction: Race, Medicine, and Fertility in the Age of Abolition (Oxford University Press, 2017) examines the crucial role that reproduction took in the evolution of slavery in the British Caribbean. Using plantation records, Paugh reconstructs the life and work routine of Doll, an enslaved midwife tasked with delivering children on a Barbadian estate. Doll’s experience and approach butted up against the desires of slave reformers at the turn of the nineteenth century, who wanted to see a more routinized approach to enslaved women’s reproduction. As Paugh makes clear in her book, childbirth in the Caribbean became a critical goal for imperial observers who hoped to end the slave trade through a flourishing of natural reproduction in the colonies. This objective transformed the lives of enslaved people, and revolutionized the politics of slavery in the Anglophone world.
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In her new book, After the War: Returned Soldiers and the Mental and Physical Scars of World War I (UWA Publishing, 2017), Leigh Straw, a Senior Lecturer in Aboriginal Studies and History at the University of Notre Dame, explores the history of repatriation and return of WWI soldiers to Western Australia. The soldiers’ physical and mental scars, including tuberculosis and what we today call PTSD, did not end with the armistice, as soldiers and their families struggled with the consequences of wartime trauma well into the 1920s.
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Drawing on an ethnography of Down’s syndrome screening in two UK clinics, Gareth M. Thomas‘ Down’s Syndrome and Reproductive Politics: Care, Choice, and Disability in the Prenatal Clinic (Routledge, 2017) explores how and why we are so invested in this practice and what effects this has on those involved. Informed by theoretical approaches that privilege the mundane and micro practices, discourses, materials, and rituals of everyday life, Downs Syndrome Screening and Reproductive Politics describes the banal world of the clinic and, in particular, the professionals contained within it who are responsible for delivering this programme. In so doing, it illustrates how Downs syndrome screening is downgraded and subsequently stabilised as a routine part of a pregnancy. Further, the book captures how this routinisation is deepened by a systematic, but subtle, framing of Downs syndrome as a negative pregnancy outcome. By unpacking the complex relationships between professionals, parents, technology, policy, and clinical practice, Thomas identifies how and why screening is successfully routinised and how it is embroiled in both new and familiar debates surrounding pregnancy, ethics, choice, diagnosis, care, disability, and parenthood.
Nivedita Kar is a student at the University of Southern California, having graduated from UCLA with a double major in Anthropology and Statistics and a masters degree from Northwestern University in biostatistics and epidemiology. She is immersed in the realm of academia and medicine, she hopes to be one of the rare few who aim to bridge the gap between clinical literacy and statistical methods.
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Before the 1960s, doctors were generally in control of the treatment of drug addicts. And that made a certain sense, because drug addicts had something that looked a lot like a disease or mental illness. The trouble was that doctors had no effective way to treat drug addiction. Their best idea–Federal “narcotics farms,” one in Kentucky and one in Texas–kept junkies clean, but only by keeping them away from the drugs those junkies craved. In that sense, they were no more effective than prisons, though in fairness drug farms offered various treatment regimens that enabled some addicts to get and stay clean. Other than locking them up, the medical establishment had no good answer to the question “How do you cure someone of narcotics addiction?” Essentially, then, junkies (who could not spontaneously “kick,” and a lot do) usually ended up in one of three places: on the street, behind bars, or dead.
Enter Charles Dederich. In 1958, Dederich, a veteran of AA and ex-drug addict, decided that addicts should take their treatment into their own hands, much like Bill Wilson and Bob Smith had done with AA in the late 1930s. He took what he learned in AA, adapted it, and created a long-term residential “therapeutic community” expressly for addicts and run by addicts. He called it Synanon, and with it he started what Claire D. Clark calls “the recovery revolution.”
In her terrific book, The Recovery Revolution: The Battle Over Addiction Treatment in the United States (Columbia University Press, 2017), Clark tells the story of Dederich and those who followed him (literally and chronologically) in trying to find a way to treat narcotics addiction. It’s a tale of ebbs and flows, successes and failures, enthusiasm and exhaustion lasting sixty years. Clark makes clear that the “recovery revolution” is not over by any means–we are still groping toward a good answer to the question “How do you cure someone of narcotics addiction?”
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If you steered yourself away from books about brain science because you were interested in something completely different–psychoanalysis–then this is the book for you! This book will renew your appreciation for the revolutionary discovery and urgent need for psychoanalysis, as argued by one of the world’s leading neuroscientists.
Mark Solms invented the word “neuropsychoanalyis” twenty years ago because he believed that brain science at that time was still in a primitive state of learning about “wetware,” when in fact the brain gives rise to a mind which has critical things to teach us about the brain. Psychoanalysis is the science of the mental that challenges the arrogant self-sufficiency of a purely biological approach that excludes the subjective phenomena that characterizes the healthy brain. The brain is not just an object, it is also a subject.
The Feeling Brain (Karnac, 2015) is a collection of previously published papers that were selected to provide an introduction to the field of neuropsychoanalysis. Solms’ oeuvre constitutes the most impressive “return to Freud” since Lacan. Students of psychoanalysis will benefit from a re-visioning of Freudian concepts that brings them back to life in faithful devotion to Freud’s enduring commitment to the embodied nature of the mental apparatus.
Philip Lance, Ph.D. is a clinical psychologist and psychotherapist with a private practice in Los Angeles. He is candidate at The Psychoanalytic Center of California. He can be reached at [email protected].
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Anxiety has become a social epidemic. People feel anxious all the time about nearly everything: their work, families, and even survival. However, research shows that some of us are more prone to chronic anxiety than others, due in large part to experiences in utero and during the first year of life. My guest, psychologist Dr. Daniel Keating, explores these biological and genetic mechanisms in his new book, Born Anxious: The Lifelong Impact of Early Life Adversity–and How to Break the Cycle (St. Martin’s Press, 2017). His many years of research inform his ideas about the role of social inequality in elevated stress levels, and the impact of stress and adversity on gene expression and manifestations of anxiety. In our interview, we talk about the implications of these findings for understanding why some people perpetually feel tightly-wound and easily triggered. He also shares his suggestions for breaking this cycle and reducing our proneness to anxiety.
Daniel P. Keating is a professor of psychology at the University of Michigan. He has conducted research at leading North American universities, at Berlin’s Max Planck Institute, and with the Canadian Institute for Advanced Research, where he was a fellow for two decades and led the program in human development. His research focuses on developmental differences–cognitive, social, and emotional and in physical and mental health. Listen to our interview by clicking below.
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The book discussed here is entitled The Calculus of Happiness: How a Mathematical Approach to Life Adds Up to Health, Wealth, and Love (Princeton University Press, 2017) by Oscar Fernandez. If the thought of calculus makes you nervous, don’t worry, you won’t need calculus to enjoy and appreciate this book. Its actually an intriguing way to introduce some of the precalculus topics that will later be needed in a calculus class, through the examination of some of the basic mathematical ideas that can be used to analyze the problems of how to attain relationship bliss, live long, and prosper and all without being a Vulcan.
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If you’ve been hospitalized in Europe, North America, Australia or the Middle East in recent years, chances are that at some point a nurse from the Philippines has had some part in your treatment. As Megha Amrith writes in the introduction to Caring for Strangers: Filipino Medical Workers in Asia (NIAS Press, 2017), Filipinos today comprise one of the largest global diasporas of medical workers, with the Philippines having over 400 nursing colleges, many of them aimed primarily at preparing graduates for work abroad. But as the book’s subtitle indicates, it is a diaspora that stretches not only beyond but also across Asia. And whereas other studies have looked at the political economy of care in the West, Caring for Strangers is an ethnographic exploration of Filipino medical workers in Singapore. The story it tells is one of a community of women, and a few men, occupying an ambiguous space somewhere in-between their local counterparts on the one hand and tens of thousands of unskilled Filipino migrant workers on the other; between exhausting and demanding roles as care-givers for Singaporeans in hospitals and hospices, and high expectations of professional development; and, between nursing as a calling, and aspirations for a better life of consumption and modernity somewhere else.
Megha Amrith joins New Books in Southeast Asian Studies to talk about strategic self-essentialism; the importance of status and faith among Filipino nurses; the racialized and feminized features of the global medical worker economy; and the meaning of home among a migrant community in a transit city.
Nick Cheesman is a fellow at the College of Asia and the Pacific, Australian National University and in 2016-17 a member of the Institute for Advanced Study, Princeton. He can be reached at [email protected].
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Sharrona Pearl‘s new book is an absolute pleasure to read. Face/On: Face Transplants and the Ethics of the Other (The University of Chicago Press, 2017) looks closely at facial allotransplantations (FAT), commonly known as face transplants, in order to offer a careful and fascinating study of the stakes for changing the face, and the changing stakes for the face. Troubling the indexical relationship between the face and character and reminding us that “[t]he self has always been a set of choices,” Pearl explores face transplantation as it relates to cosmetic surgery and whole-organ transplants, the cinema of the 1960s, television shows, and more. She carefully and sensitively takes us into the debates among surgeons, bioethicists, and journalists that circled the first partial face transplant of Isabelle Dinoire in 2005, and offers a way toward a philosophical approach that brings together Levinas with the kind of (Deleuzian) subjectivity that allows for individuality through constant change and understands the self to be constantly in a process of becoming. The final chapter of the book also situates the analysis within larger contexts of online subjectivities and work with facial and bodily manipulation by artists and performers. It’s sparklingly written and well worth a read!
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The U.S. population is aging and we often rely on our family to care for us during our twilight years. But, families today can be quite complex, with divorce, step-families, and cohabitation changing the roles that family members are used to playing. In their new book, Homeward Bound: Modern Families, Elder Care, and Loss (Oxford University Press, 2017), Amy Ziettlow and Naomi Cahn interview families caring for a parent at the end of life and write about how these new norms and obligations are navigated in modern families. The book addresses many issues that become apparent at the end of life: family roles, financial as well as time costs, in addition to the planning (or lack thereof) for decisions that need to be made at the end of life for the parent. After the parent passes away, roles, once again, must be negotiated in families in addition to negotiations around wealth transfers and mourning.
This book would be a good addition to an upper level Sociology course on families or death and dying as the stories help illustrate some basic concepts and ideas. This book has a wide audience and would be of interest to sociologists, gerontologists, lawyers, as well as clergy or other religious leaders who help with end of life care. Ziettlow and Cahn not only provide interesting stories to illustrate what they find, they leave the reader with helpful tips and guides at the end of the book just in case the person reading it is also going through this life transition with a family member.
Sarah E. Patterson is a Family Demographer and is ABD at Penn State. Follow and tweet her at @spattersearch.
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The back cover of J. C. McKeown‘s new book, A Cabinet of Ancient Medical Curiosities (Oxford University Press, 2017), is adorned not with review quotes from contemporary scholars, but rather the discordant voices of the medical writers he excerpts. Speaking of Galen, Photius of Constantinople notes that the author tends to overload his writings with irrelevancies and digressions. Aristotle offers a characteristic caution, urging no one can become a doctor by reading books. These statements intimate the overall style and aims of this entertaining book: to approach the culture of antiquity through medical practice and belief. Though McKeown deliberately goes after the uncanny in selecting his excerpts to translate, one gets an overall impression of medicines remarkable continuity. Class, gender, and race were battlegrounds of medical legitimacy as much as they are now, and contemporary suspicion of medical advances was potent as ever. McKeown opts for evocation rather than scholarly interpretation of the medical cultures of antiquity, making this book entertaining reading for anyone interested in medicine’s long history.
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Apartheid in South Africa formally ended in 1994, but the issue of poverty and what to do about it remained as contentious as it had been a century earlier. In the new book, Poverty Knowledge in South Africa: A Social History of Human Science, 1855-2005 (Cambridge University Press, 2015), Grace Davie shows that the poverty question was up for grabs even into the twenty-first century because of ongoing disagreements about how to measure poverty and to manage the racists assumptions that underwrote it. The book uses the idiom of co-production to show how scientists, activists and other knowledge-makers made and remade poverty in dynamic interaction with the people they sought to know. The book documents the thwarted efforts of scientists to accomplish their political goals as their expert knowledge was variously invoked, reinterpreted, and dismissed not only by white-supremacist governments, but also by social activists, black communities, and labor unions, which all used experts poverty knowledge for their own political ends. At issue was the question of what constituted credible evidence, and over more than a century debates continued to toggle between quantitative and qualitative forms of evidence, between statistics and stories. Through this analysis, Davie pushes back against the familiar claim that the technocratic state was on a steady march towards quantitative objectivity. Poverty Knowledge in South Africa is a serious, thorough book and it is indispensable for thinking through questions of social justice not only among historical actors but among scholars in the present day.
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Susanna L. Blumenthal is a professor of law and associate professor of history at the University of Minnesota. Her book, Law and the Modern Mind: Consciousness and Responsibility in American Legal Culture (Harvard University Press, 2016) won the 2017 Merle Curti Prize from the Organization of American Historians. Blumenthal offers a historical examination of the jurisprudence of insanity, legal capacity, and accountability from post-revolutionary America through the nineteenth century. Americans struggling to set the boundaries of ordered liberty turned to Common Sense philosophy that held to divinely given rational faculties of intellect, volition, and moral sense. Republican citizenship assumed that a reasonable man, as a legal person, would act accordingly. The market economy of self-made men, the new field of medical psychology, will and contract challenges over wealth and property, tort law and increased liability claims exposed the inadequacy of social and political norms in defining human fallibility, and the limits of responsibility. Litigants, lawyers, judges, and medical experts struggled to find a reliable way to settle issues of mental competency and define the bounds of freedom. The incapacity of married women, children, and slaves provided a means of comparison for the male citizen involving metaphysical, political, social, and economic ideas wrapped up in the concept of self-government. Blumenthal has produced a remarkable piece of intellectual and legal history situated in the rapidly changing market environment of a young republic.
Lilian Calles Barger, www.lilianbarger.com, is a cultural, intellectual and gender historian. Her current book project is tentatively entitled The World Come of Age: Religion, Intellectuals and the Challenge of Human Liberation is forthcoming from Oxford University Press.
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Amit Prasad is widely admired for using Postcolonial Studies to explore questions about science, technology and medicine. In Imperial Technoscience: Transnational Histories of MRI in the United States, Britain, and India (MIT, 2014), Prasad looks at the linked histories of MRI research and development in India, UK, the USA to show how the patterns of exclusions created by imperialism continue to shape the topography of high-tech medicine. Pushing back against diffusion of science narratives, Prasad shows how the current story of the West (read: USA) as the center of MRI research and development was far from inevitable. The story was retrospectively, collectively created and has had the effect of obscuring the importance of transnational networks, idiosyncratic federal laws, corporate investments, and everyday habits of imagination in the production of medical technology. Prasad himself resists simple dichotomies because, as he writes, “The issue here is not simply the elision of the history of science in the non-West or its entrapment in within Eurocentric temporarily, but the very categories that the history of science takes as its objects of inquiry (80).”
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John Hudak‘s book Marijuana: A Short History (Brookings Institutions Press, 2016) is an accessible and informative dive into marijuana on a number of levels and from a variety of perspectives. Hudak unpacks and explains the historical place of marijuana in the United States, and the way that marijuana is situated within the criminal justice system, and how it is understood within our cultural vernacular and moral perspectives of what is right and wrong, legal and illegal. As marijuana now seems to be on a journey towards decriminalization or legalization in a number of states in the U.S., Hudak explores the way in which marijuana became an illegal substance, and how it is connected to the demonization of others–most specifically Mexicans, Mexican-Americans, African-Americans, and the American counter-culture of earlier decades. The history of marijuana is fascinating because it highlights the evolution of various forms of regulation in the United States; and, as marijuanas classification in some states is changing (in terms of the legal access to medical marijuana or the legalization of recreational marijuana), Hudak examines the constraints within the regulatory system that make those changes more difficult to execute. This text weaves together a variety of analytical perspectives, from political science, public policy, public administration, cultural studies, sociology, and criminal justice, in exploring marijuana.
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Alcoholism is a strange thing. That it exists, no one seriously doubts. But it’s not entirely clear (diagnostically speaking) what it is, who has it, how they get it, or how to treat it. The answers to these questions depend, apparently, on where you are, which is to say what culture you were born and raise in. Alcoholism and treatments for it in Country A might be very different from alcoholism and treatments for it in countries B, C, and D. Alcoholism is, well, relative.
This is one of the many thing I learned from reading Eugene Raikhel‘s fascinating book Governing Habits: Treating Alcoholism in the Post-Soviet Clinic (Cornell University Press, 2016). An anthropologist, Raikhel tells us the tale of how the Soviet discipline of “narcology”–the diagnosis and treatment of addiction– evolved during Soviet times and how it adapted after the USSR fell. I won’t spoil the story for you, but suffice it to say that Russians treated and continue to treat alcoholism quite differently that we do in the U.S., though that’s changing (AA has arrived in Russia, something we also discuss). Listen in.
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What makes for new science? What happens to the evidentiary basis of the medical profession when patients demand treatments beyond the range of their conception of human biology? Are the criteria of the sciences amenable to healing practices that are touted for their focus on singularity, rather than uniformity? Colleen Derkatch‘s Bounding Biomedicine: Evidence and Rhetoric in the New Science of Alternative Medicine (University of Chicago Press, 2016) investigates how boundaries between traditional and novel are erected at the level of medical rhetoric.
Derkatch analyzes both expert and popular literature on Complementary and Alternative Medicine (CAM), an umbrella term designed to encompass homeopathy, meditation, naturopathy, and traditional Chinese medicine, among other things. Demand for alternative treatments by patients has produced an uncertain situation in which clinical frameworks are used for practices traditionally seen as being outside the realm of biomedicine. Through concerted engagement with different genres of medical communication, Derkatch’s rhetorical cultural approach allows the reader to see the extent to which the boundaries of what counts as biomedicine or not rest on conceptions of evidence and categorization schemes promoted by allopathic medical professionals. With a keen eye turned to communication strategies and assumptions, Derkatch shows the subtle ways in which the norms of biomedicine are challenged and strengthened by attempts to reduce other treatments to processes that can be evaluated on the basis of standards of evidence and efficacy.
This is the second of a pair of interviews on alternative medicine: for a historical consideration of naturopathy as an alternative to allopathic medicine, look out for my interview with Susan Cayleff on her book, Nature’s Path.
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Susan Cayleff’s Nature’s Path: A History of Naturopathic Healing in America (Johns Hopkins University Press, 2016) offers a fascinating alternative to the development of allopathic orthodoxy in the twentieth-century United States. By following Naturopathy from its nineteenth-century origins in the popular health movement through debates in the 1970s, Cayleff sheds light on an enduring critique of the vision of medicine institutionalized by Progressive public health reformers. The holistic medicine proffered by naturopaths drew from a variety of sources and lacked a common theoretical basis; it required closer collaboration between practitioner and patient for gradual cures in the face of medical complexity, a scenario reminiscent of an increasing portion of today’s medical practice, as Robert Aronowitz points out in Risky Medicine.
However, Cayleff shows not merely a transhistorical struggle of self-determination, but rather shifting cultural and political grounds on which such different ideological battles were waged and heterodox practices staged. Notably, she highlights how naturopathy empowered female practitioners to work in line with their politics, and gave them access to medical power precluded by the medical establishment. This book is a great read for historians of medicine, countercultural movements, and professionalization.
This is the first of a pair of interviews on alternative medicine: for a rhetorical approach to how notions of evidence are invoked to demarcate between alternative and mainstream medical practice, look out for my forthcoming interview with Colleen Derkatch on her book, Bounding Biomedicine.
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Many people who either overeat, chronically diet, or feel a loss of control over food, have reduced awareness of their body’s internal signals of hunger and fullness. As children, most of us tend to eat when we are hungry and stop eating when we are starting to feel full. But by adulthood, many of us have lost this ability and instead establish unhelpful eating patterns, such ignoring hunger, mistaking certain emotional states for hunger, and eating past the point of feeling full. Dr. Linda Craighead, Professor of Psychology at Emory University in Atlanta,has published extensively in the areas of eating disorders and weight concerns. In her well-regarded book, The Appetite Awareness Workbook: How to Listen to Your Body and Overcome Binge Eating, Overeating and Preoccupation with Food (New Harbinger Publications, 2006),Dr. Craighead teaches people how to develop appetite awareness and mindful eating as a cognitive behavioral approach to eating and weight problems. Craighead describes a method of self-monitoring she developed to teach individuals how to tune into internal signals of hunger and fullness and use this heightened awareness to make conscious decisions about eating. Unlike dieting or monitoring calories/food, which increase preoccupation with food, Appetite Awareness Training teaches people how to use appetite cues and mindful eating to reestablish a normal relationship with food. In this interview, Dr. Craighead talks about why this flexible approach to eating is effective for people with eating disorders as well as other people who tend to have some maladaptive eating behavior patterns. She also discusses her current work on modifying and applying appetite awareness for children and adolescents, particularly as a tool to prevent or intervene early in the development of obesity.
Diana Hill, Ph.D. is a licensed psychologist practicing in Santa Barbara, California, and a co-host of the podcast Psychologists Off The Clock.
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Kathleen McAuliffe‘s This is Your Brain on Parasites: How Tiny Creatures Manipulate Our Behavior and Shape Society (Mariner Books, 2017) unveils the world of parasites. From the influence of parasites on the ability to transform rats brains to be easily susceptible to cat predation to altering web formation structures in spiders, parasites hold the power to control an animals behavior. McAuliffe illustrates the ways in which parasites have had influence in human cognition and behavior, as well, with examples of impulsivity and reckless driving. Parasites may have compounded influence in the greater dimensions of culture, where strong scientific research suggests the interplay between parasites and prejudice, political affiliation, sexual attraction, gender bias, and morality. The forgotten emotion of disgust and the avoidance of disease may be at the heart of this interplay as our innate mechanisms drive the impulse for survival. This book illuminates the role of parasites and challenges our behavioral responses to critically think and question social norms. Most importantly, McAuliffe offers the vantage point from a parasite-centric view, a voice that has been previously unheard-until now.
Nivedita Kar is a student at the University of Southern California, having graduated from UCLA with a double major in Anthropology and Statistics and a masters degree for Northwestern University in biostatistics and epidemiology. She is immersed in the realm of academia and medicine, she hopes to be one of the rare few who aim to bridge the gap between clinical literacy and statistical methods.
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Norman Ohler’s Blitzed: Drugs in the Third Reich (Houghton Mifflin Harcourt, 2017) explores the drug culture of Nazi Germany. Far from being a nation of physical and mental purity portrayed by Goebbels’s propaganda machine, Ohler shows Germany was a hub of drug production and abuse during the 1920s. Manufacturers like Merck and Bayer openly marketed their wares to the public, building the basis of so-called big pharma on intoxicants. Produced by Temmler, the Nazi elite embraced methamphetamine as a wonder drug, free of the connotations of disease and degeneracy associated with the drug culture of the Weimar years. Stimulants became a valuable tool in Germany’s wartime arsenal. The German military acknowledged the value of amphetamines and distributed Pervitin en masse. Ohler argues amphetamines powered the Wehrmacht’s armored Blitzkrieg of 1939-1941, defeating the Allies in France and elsewhere. These gains were short-lived, however. Nazi Germany’s Faustian bargain with drugs evaporated during the Battle of Stalingrad and in the distant steppes of the Soviet Union. Ever more powerful drug combinations were desperately sought by the Nazi state to save the Reich from annihilation, exposing horrors of the regime from experiments on concentration camp prisoners and drugged child soldiers.
Blitzed details how Hitler’s personal physician, Dr. Theo Morell, administered vitamin concoctions and hormone injections common to athletic doping to pump up Hitler’s ailing body during the war years. Though Hitler had promised to cleanse the nation of drug abuse, he himself became utterly dependent on drugs to survive. Military defeat and destruction took their toll on Nazism embodied, Morell increasingly looked towards methamphetamine and oxycodone (Eukodal) to keep Hitler wake and alert during the last apocalyptic years of the Reich. In so doing, Morell himself built an impressive medical empire based on quack medicines and bought political access. Ohler shows how in the final months of the conflict, Morell’s supplies of drugs ran out, exposing Hitler’s frail body to his inner circle with health crises, symptoms of chemical withdraw, and fits of madness.
James Esposito is a historian and researcher interested in digital history, empire, and the history of technology. James can be reached via email at [email protected] and on Twitter @james_esposito_
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On the frontier of feminist technoscience research, Ericka Johnson’s collaborative project Gendering Drugs: Feminist Studies of Pharmaceuticals (Palgrave Macmillan, 2017) explores how the gendered body is produced in and by medical technologies. From an Alzheimers disease study that relied on the process of sexing flies, to the pharamceuticalized prostate, to the medical experiences of transgender children, Part 1 uses the body as subject to disrupt the binaries of male/female, human/non-human and healthy/unhealthy. In Part 2, titled Creating Subjectivities for Patients in Advertising, the book expands its analysis to the commercial images and discourses used in marketing and prescribing relational subjectivities. Observing the way pharmaceuticals insert themselves into familial and romantic relationships, the HPV vaccine is used as an example of drugs as non-human participants in the parent-child partnership. Through an international lens, Part 3 provides three comparative case studies of the way that knowledge about HPV is produced in Columbia, the U.K. and Austria.
In perhaps the most poignant contribution to feminist research agendas, across disciplines, Johnson concludes our interview by explaining her unique metaphor of refraction. Noting the notorious difficulty of seeing and articulating discursive power structures, Johnson recognises that the ability to articulate what is being said to us or about us, and identifying who is doing that saying, is a cornerstone to feminist scholarship as it allows us to identify against whom can we protest, deny, and challenge. Her metaphor of refraction is thus a way of thinking about material objects, once they have become tropes, such as the HPV vaccine across national contexts, and being able to see it as a prism that refracts the discourses within which it was originally entangled. This image of refraction forces us to think of a material object like the HPV vaccine as creating a spectrum of visible actors, concerns and values. And it is these visible things that help us to articulate discourses – which then allow us to protest and possibly erase their problematic power structures.
Taylor Fox-Smith is teaching gender studies at Macquarie University and researching the gender gap in political behaviour and psychology at the United States Studies Centre in Sydney, Australia. Having received a Bachelor of International and Global Studies with first class Honours in American Studies at the University of Sydney, Taylor was awarded the American Studies Best Thesis Award for her work titled The Lemonade Nexus. The thesis uses the theme of marital infidelity in Beyonce’s 2016 visual album Lemonade as a popular cultural narrative of institutional betrayal, and parallels it with police brutality in Baltimore city. It argues that the album provides an alternative model of political formation which can help to understand redemption in the wake of an urban uprising. Rewriting the traditional protest to politics narrative with an iterative nexus named after the album, Taylor’s research continues to straddle political science, gender studies and popular culture.
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Matthew James Crawford’s new book is a fascinating history of an object that was central to the history of science, technology, and medicine in the early modern Spanish Atlantic world. The Andean Wonder Drug: Cinchona Bark and Imperial Science in the Spanish Atlantic, 1630-1800 (University of Pittsburgh Press, 2016) looks closely at the struggles of the Spanish Empire in the second half of the eighteenth century to control the cinchona tree and its bark, and traces the history of quina as a product of local, imperial, and commercial networks in [the] eighteenth-century Atlantic World. Science and empire were deeply intertwined in the Spanish Atlantic, and Crawford offers a window into the epistemic culture produced by Spanish colonial governance and resulting encounters across and within the Andean and Atlantic contexts. Part One of the book looks carefully at what it meant to know nature in the early modern Atlantic World. It traces the transformations of quina from a local Andean remedy into a botanical commodity and an imperial natural resource from the mid-seventeenth to mid-eighteenth centuries, showing how these transformations resulted from the bark’s integration into Andean, Atlantic, and imperial networks of circulation of people, texts, objects, and images. Part Two of the book explores several key conflicts in the late eighteenth century that emerged as the Spanish Crown tried to assert greater control over the tree and its bark. It’s a story that will be of interest to the histories of science, medicine, natural history, and early modernity!
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The wish to understand mental suffering is universal and requires an appreciation for its history. Since Biblical times, humans have understood madness, or other deviations from normal mental functioning, in diverse and unique ways. These have included belief in divine origins, biological causation, and environmental influences. And treatments for mental illness have undergone a similar evolution. In his book Madness in Civilization: A Cultural History of Insanity (Princeton University Press, 2015), Andrew Scull offers an important and timely examination of this complicated history. And in our interview, he talks about what motivated him to take on such an ambitious and important project and his hopes for the future of psychiatry and psychology.
Andrew Scull is Distinguished Professor of Sociology and Science Studies at the University of California, San Diego. His prior books include Masters of Bedlam: The Transformation of the Mad-Doctoring Trade (2016); Madhouses, Mad-Doctors, and Madmen: The Social History of Psychiatry in the Victorian Era (2015); and The Insanity of Place / The Place of Insanity: Essays on the History of Psychiatry (2015).
Eugenio Duarte, Ph.D.is a licensed psychologist and psychoanalyst practicing in New York City. He treats individuals and couples, with specialties in LGBTQ issues, eating and body image problems, and relationship problems. Follow him on Twitter.
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Projit Bihari Mukharji’s new book explores the power of small, non-spectacular, and everyday technologies as motors or catalysts of change in the history of science and medicine. Focusing on practices of Ayurveda in British Bengal between about 1870-1930, Doctoring Traditions: Ayurveda, Small Technologies, and Braided Science (University of Chicago Press, 2016) is structured around five case studies that each describe the incorporation of a particular technology into Ayurvedic practice, resulting in a braiding together of strands of sciences and the production of a new body image. Mukharji develops and engages a number of key concepts in the work, significantly introducing a notion of physiograms (materialized physiologies or materialized body metaphors, a development of John Tresch’s notion of cosmograms) and a way of thinking about the braiding of strands of science and medicine. It’s a beautifully written and compellingly argued work that will be of interest to a wide range of readers of the history of science and medicine!
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Pragmatism, as a philosophical concept, is often misunderstood and misapplied. Fortunately, I had the chance to speak with Philip Rosenbaum, psychoanalyst and editor of the book Making our Ideas Clear: Pragmatism in Psychoanalysis (Information Age Publishing, 2015)about what pragmatism really is and how it informs clinical theory and praxis. We discuss how pragmatisms influence reaches far back to the beginnings of psychoanalysis, in Sigmund Freud’s original ideas, and up through the ways clinicians conceptualize their work in the present. Dr. Rosenbaum’s book and our discussion raise prescient questions about how we evaluate our ideas, questions that will be relevant to clinicians and non-clinicians alike.
Philip Rosenbaum is a clinical psychologist and psychoanalyst trained at the William Alanson White Institute of Psychiatry, Psychoanalysis & Psychology. He serves as Director of Counseling and Psychological Services at Haverford College, co-editor of The Journal of College Student Psychotherapy, and associate editor for the journal Contemporary Psychoanalysis.
Eugenio Duarte, Ph.D. (www.eugenioduartephd.com) is a licensed psychologist and psychoanalyst practicing in New York City. He treats individuals and couples, with specialties in LGBTQ issues, eating and body image problems, and relationship problems. Follow him on Twitter.
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We are all familiar with the idea that some persons are disabled. But what is disability? What makes it such that a condition–physical, cognitive, psychological–is a disability, rather than, say, a disease or illness? Is disability always and intrinsically bad? Are disabilities things to be cured? Might disabilities be merely ways of being different? And what role should the testimony and experiences of disabled persons play in addressing these questions?
In The Minority Body: A Theory of Disability (Oxford University Press, 2016) Elizabeth Barnes argues that, at least for a range of physical conditions characterized as disabilities, disabilities are merely ways in which bodies can be different, not ways of their being intrinsically badly off. She argues that this view of disability as mere difference has important implications for broader moral and social issues concerning disabled persons; she also argues that her view is better able to respect the experiences and testimony of disabled persons.
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In A Special Hell: Institutional Life in Alberta’s Eugenic Years (University of Toronto Press, 2015), Claudia Malacrida explores the practices of the Michener Center in Red Deer, Northern Alberta, to uncover a close relationship between the institutionalization of persons with disabilities and eugenics. Canadian province of Alberta was infamous for its eugenics program, which lasted until the 1970s with a significant number of people being involuntary sterilized. Malacrida has opened many important questions including the normalization of eugenics, gender aspect of eugenics, social exclusion, dehumanization, violence, and loss of identity of the inmates. During this interview we have talked about ideological underpinnings of eugenics program, horror practices of the Michener Center, and about struggles of the inmates to cope with daily violence and neglect.
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When trying to conceive doesn’t go as planned, many women and couples are faced with difficult decisions about which interventions to pursue. Treatment of infertility, whether natural or high-tech, comes with stress and feelings of isolation when your friends or relatives seem to fall pregnant without much effort. Mindfulness-based stress reduction techniques and cognitive behavioral therapy (CBT) skills can be useful for reducing the stress and anxiety associated with fertility problems and for improving communication and support on the fertility journey.
In this interview, cross-posted from the new podcast Psychologists Off The Clock, Dr. Rae Littlewood interviews Ann Bracken, author of the book Mind, Body, Baby: How to Overcome Stress and Enhance Your Fertility with CBT, Mindfulness, and Good Nutrition. Drawing from research and from years of experience counseling couples on their fertility journey, Ann Bracken offers an easy-to-follow guide to mind-body health with clear strategies to overcome emotional stress, improve relationships, communicate with fertility consultants, and support individual and couple wellbeing.
Ann Bracken has many years of experience as a Fertility Counselor and Cognitive Behavioral Psychotherapist and teacher of Mindfulness Based Stress Reduction. In addition to training with Dr. Alice Domar, renowned fertility researcher at Boston IVF, Ann has worked as a fertility specialist in Irelands largest fertility clinic, SIMS IVF, and at the renowned Lister Fertility Clinic in London. She is now in private practice in Dublin, Ireland.
Contact Ann Bracken through her website: http://www.annbrackentherapy.com/
Dr. Rae Littlewood is a clinical psychologist in private practice in Albuquerque, NM and a co-host of the podcast Psychologists Off The Clock.
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Every night around the world, millions of people lie in bed at night, struggling to fall asleep. Experts suggest that about one in three people struggle with at least mild insomnia. Paradoxically, their efforts to control their sleep may actually result in digging them in even deeper into insomnia. Fortunately for people with insomnia, and the therapists and medical professionals who treat them, some behavioral interventions are helping many people to end the pattern of sleeplessness.
In this interview, cross-posted from the new podcast Psychologists Off The Clock, Dr. Diana Hill interviews Dr. Alisha Brosse, who co-authored the book End the Insomnia Struggle: A Step by Step Guide to Get to Sleep and Stay Asleep (New Harbinger Publications, 2016) with Dr. Colleen Ehrnstrom. Dr. Brosse is a specialist in Cognitive Behavioral Therapy for Insomnia (CBT-I), which is considered the best treatment for chronic insomnia. Dr. Brosse is also the Associate Director of the Robert D. Sutherland Center for the Evaluation and Treatment of Bipolar Disorder, provides evidence-based treatment for a variety of mental health concerns and offers training for mental health professionals.
Dr. Brosse explains how the cycle of insomnia develops and why our efforts to control sleep have paradoxical effects. Dr. Brosse then describes cognitive, behavioral and acceptance-based strategies in insomnia treatment. Specifically, Dr. Brosse explains two behavioral approaches that are key to CBT-Is effectiveness: Stimulus Control Therapy and Sleep Restriction Therapy. Dr. Brosse also shares how willingness is an important component to successful insomnia treatment.
Read an excerpt from End the Insomnia Struggle here!
Diana Hill, Ph.D. is a licensed psychologist practicing in Santa Barbara, California, and a co-host of the podcast Psychologists Off The Clock.
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In 2012, Canada stopped mining and exporting asbestos. Once considered a miracle mineral for its fireproof qualities, asbestos came to be better known as a carcinogenic, hazardous material banned in numerous countries around the world.Canada was once a leading producer of asbestos and home to the worlds largest chrysotile asbestos mine, located in the Town of Asbestos in the province of Quebec. This is the subject of a new book by Professor Jessica van Horssen, A Town Called Asbestos: Environmental Contamination, Health, and Resilience in a Resource Community (UBC Press, 2016), is a thoroughly researched and thoroughly shocking account of the history of asbestos mining, environmental health, and resistance in this small, Quebec resource town. How did the people of the Town of Asbestos respond to the growth of asbestos mining, the knowledge of the harmful health effects of asbestos, and the consequence for their own bodies? On this episode of the podcast, we speak with Jessica van Horssen about her new book.
Crossposted with permission from Nature’s Past: Canadian Environmental History Podcast.
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Statistics have been on the minds of more people than usual in the run-up and post-mortem of this past U.S. presidential election; some feel as though they were misled by numbers intended to lend a modicum of certainty to the complex calculus of modern life. But while election predictions come and go, the “empire of chance” lays siege to more and more aspects of daily life, alongside increasing possibilities for technological intervention–nowhere, perhaps, is this more clear than in medicine. Robert Aronowitz’s Risky Medicine: Our Quest to Cure Fear and Uncertainty (University of Chicago Press, 2015) is both a nuanced and accessible exploration of the historical transformation of risk in modern biomedicine. Through a series of case studies and broader reflections on the ways in which modern medicine has become “risky,” Aronowitz teases out salient features of an increasingly complex system of interventions and indicators.
In the book, Aronowitz defines three key aspects of our modern “risky medicine.” The first one discussed is a converged experience of risk and disease, exemplified in cancer screening in which bodies-at-risk can be subject to similar treatment and prevention regimes as those marked by a chronic condition or trying to prevent remission. Another aspect is the notion of risk reduction standing in place of efficacy for the psychological and social work it performs, which provides some explanation for the costliness of American medicine relative to the outcomes it achieves. Finally, Aronowitz argues that risk interventions have been driven by expansion of the medical market, and calls upon policymakers to become aware of the control pharmaceutical companies have in the generation of new health risks and the data to support them.
One way of understanding Aronowitz’s contribution is to contextualize it within the trajectory of sociological work on risk in modern society. Originally published in 1986 (in German), Ulrich Beck’s Risk Society: Towards a New Modernity was a watershed book for the understanding of modernity and technological change. Much of Beck’s account is concerned with environmental risks; the book came out on the heels of the Three Mile Island and Bhopal disasters. However, Beck’s take on medicine is somewhat lacking. Beck presciently calls attention to the “reflexive market strategy” of pharmaceutical companies, in which they profit from self-produced risks–echoing the third aspect of “risky medicine’–but misses its more immediate social and psychological dimensions, stating merely that the rise of chronic disease is evidence of a divergence of diagnosis and therapy. Aronowitz’s case studies suggest even more immediate consequences at hand. The importance of Risky Medicine is evident in how it disaggregates the changing landscape of health and medicine from an inexorable creep of modernity, spelling out the logic subjecting more bodies to greater interventions and recovering the relationship between experience and an ambivalent, anticipatory social order.
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Since it was published in 2004, Ruth Rogaski’s Hygienic Modernity: Meanings of Health and Disease in Treaty-Port China (University of California Press, 2014 reprint) has won four major prizes in fields ranging from history of medicine to East Asian history. It is easy to see why. Set in the Chinese treaty port of Tianjin, the book follows Chinese elites over the tumultuous decades that spanned the middle of the nineteenth century to World War Two. Chinese elites in Tianjin engaged British, French, and, importantly, Japanese imperialists and traders in their midst, creating what Rogaski thinks is best called a “hypercolony.” Simultaneously, Chinese elites pressed their own nation-building projects, working to distinguish themselves both from the foreigners and also from the masses they ruled. To do so, they adopted, adapted, and cultivated particular ways of building a modern nation in the final years of the Qing dynasty, which hung, importantly, on practices of hygiene. These ideal ways of being hygienic, thus modern, fundamentally rearranged the urban landscape of Tianjin and the practice of everyday life.
Rogaski writes wonderfully and leads the way through tricky historical evidence, pointing out how Chinese elites modernizing projects were apparent in the changed meaning of weisheng. In the early nineteenth century, the term referred to individual ways of guarding health and a century later had come explicitly to refer to government-directed public hygiene measures–“hygienic modernity”–without ever shedding its earlier inflections. The book shows that modernity is not so much a time period, but an aspiration and a process–always incomplete, seemingly right around the washroom corner. Creatively designed and insightfully analyzed, this study defies any simple binaries of colonizer and colonized, or of indigenous and scientific medicine. Rogaski wears her theory lightly and has plenty new to show–not least to historians of medicine who may be most familiar with the stories of colonial medicine from Africa and India.
Ruth Rogaski is Associate Professor of History at Vanderbilt University and generously agreed to a live faculty-student interview as part of a collaborative final project for Laura Starks course History of Global Health.
To learn more about using the New Books Network for classroom projects, see Laura Stark’s essay “Can new media save the book?” in the Fall 2015 issue of Contexts.
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In Healthcare Policy In Africa: Institutions and Politics from Colonialism to the Present (Rowman and Littlefield, 2016), Jean-Germain Gros argues that healthcare policy should be the black box rather than the black hole of African Studies. By this he means that policy should be decoded so its secrets can be laid bare, rather than treated as an impenetrable mystery. To this end, in the book, as well as in the interview, Gros uses a variety of methodological approaches to explain/explicate the relative roles of agency and institutions in the history of healthcare policy in Africa. The book’s central thesis is that healthcare policy does not take place in a vacuum and it fills an important gap in the scholarship by examining the impact of factors including debt relief, conflict, humanitarianism, brain drain and globalization on policy affecting and affected by the health and wealth of Africans.
Mireille Djenno is the African Studies Librarian at Indiana University. She can be reached at [email protected].
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Emerging in the 1980s, the AIDS epidemic was not just a public health crisis. It was a moral crisis too, argues Anthony M. Petro in his new book, After the Wrath of God: AIDS, Sexuality, and American Religion (Oxford University Press, 2015). Throughout the book, Petro describes the entanglements between the supposedly secular field of public health and the religious spheres of American Christianity during the long 1980s. After the Wrath of God, however, is not merely a book about the religious right or Protestant evangelical responses to the HIV/AIDS crisis. It is a broader exploration of the ways that a set of sexual ethics inspired by Christian doctrine encompassing abstinence and monogamy within heterosexual marriage came to become the national moral prescription against the epidemic as well as the religious and medical leaders who shaped that national sexuality and the AIDS activists who fought against it.
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“Life imitates Art far more than Art imitates Life,” Oscar Wilde famously observed. Wilde’s waning romanticism can be read in stark contrast with Nietzsche, who argued around the same time, “art is nothing but a kind of applied physiology.” Robert Brain’s The Pulse of Modernism: Physiological Aesthetics in Fin-de-Siecle Europe (University of Washington Press, 2015) unveils a fascinating world of exchange between artistic studios and physiology laboratories concealed by such pithy aphorisms. Brain argues that the influence and stature of physiological aesthetics have been overlooked in accounts of modernism in science and art, and seeks to recover experimental systems that were incredibly influential and fertile in their cultural situation.
Brain first sets himself to chart the development of physiological recording in the sciences, first as experimental technique, then as ontology, in a fascinating chapter on the protoplasm theory of life and on to its application to the human qua human problems of linguistic analysis. He then describes the experimentalization of visual art (Georges Seurat, Edvard Munch) and poetry (Gustave Kahn, F. T. Marinetti). The influence of Charles Henry, who inhabited both artists’ circles and physiology laboratories in his work as a preparateur, becomes a key pivot in Brain’s narrative through his creation a scientific aesthetic that could be deployed as a kind of productive black-box. The Pulse of Modernism is a rich portrait of fin-de-siecle material and intellectual culture, and challenges the pride of place given to Victorian sensibilities in the fashioning of the late modern (early modernist) scientific subject.
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When it comes to the history of psychoanalysis and psychiatry in the United States, to paraphrase Luce Irigaray, one never stirs without the other. While Freud sent Theodore Reik across the ocean to promote lay analysis, A.A. Brill, president of the New York Psychoanalytic Institute, was preparing to divorce the International Psychoanalytic Association. Brill, driven by a fear that psychoanalysis might be seen as quackery and so discredited, sought to guarantee that the only people allowed to practice psychoanalysis in America were medical doctors. Then came the Anschluss: humanitarian efforts were made to bring the very-same IPA members the Americans sought to separate from onto American soil.
This is a pretty well known tale–told by Gay, Hale, Roazen and others; enter Orna Ophir’s book, On the Borderland of Madness: Psychosis, Psychoanalysis and Psychiatry in Postwar USA (Routledge, 2015), offering a much needed explanation of how psychoanalysis in America lost its patina.
This intellectual history closely studies, via a reading of key journals, the way two professions, for years dancing in close embrace, began to fall out of step. In the same way that the birth of a child with developmental disabilities can reveal a cleavage in what was once thought to be a secure marital bond, debates over the treatment of psychosis led to the eventual separation of two longstanding bedfellows: psychiatry and psychoanalysis.
Ophir pieces together the confusing, and previously untold, tale of how psychoanalysis came to be marginalized–and what role psychosis played therein, for its role was key. To carry the conflicted parent metaphor a little further, when a child suffers from psychic distress one member of a couple might seek to understand that suffering in genetic terms while the other spouse might examine the kind of care shown that child: the story of psychiatrically influenced psychoanalysis and non-psychiatrically influenced psychoanalysis line up similarly.
While it is commonly known that the release of new medications to treat psychotic pain beginning in the late 1950s, and the birth of community psychiatry in the 70s, and of course the release of the anti-psychodynamic DSM-III in the 80s all played a role in arguments for the superfluity of analytic treatment for psychosis, Ophir argues that psychoanalysis got sidelined because American psychoanalysts, given their long-standing embrace of psychiatry, were duly handicapped. How to let go of the safety-net of psychiatry–that which is deemed irrefutable, scientific and biologically bound–and still survive was their question.
Using ideas from the sociology of the professions/knowledge, Ophir argues that analysts engaged in jurisdictional turf wars that the treatment of psychosis brought to the fore. In a profession largely populated by psychiatrists, during a time when psychosis came to be largely seen as a brain disorder rather than a defense or a remnant of pre-oedipal disturbance, analysts had to decide which side they were on. Analytic clinicians, attempting to stay relevant, began to employ the language of psychiatry, supporting what Ophir calls “the neosomatic revolution” only to find that by doing so, they had thrown out the (psychotic) baby with the bathwater.
Discursive shifts, be it in politics or a profession, have deep impacts–(when we hear analysts using the language of brain as opposed to mind we are in the presence of the data produced by that impact) and we see proof of this today: very, very few analysts treat psychosis.
As in most every divorce that involves children, custody is not usually distributed evenly. Ophir tells the story of how analysts handed over their psychotic patients ...
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Robert Peckham’s Epidemics in Modern Asia (Cambridge University Press, 2016) explores the crucial yet under-explored role that epidemics have played in both colonial and postcolonial Asia. At once broad in sweep and nuanced in analysis, Peckham’s work explores a series of world-changing disease outbreaks across from the eighteenth century through the present.
Organized around five themes (Mobility, Cities, Environment, War, and Globalization), the book looks at the interrelationship between disease and human society at both the particular and hemispheric level. In doing so, the book challenges old assumptions about Asia as a pre-modern hotspot and site of contamination, as well as the narrative of triumphant progress of western medicine east. Instead, Peckham examines how disease, infection, and epidemic are translated across divides of culture and power in both the colonial and postcolonial periods. This innovative study is an essential read for a number of audiences. Whether readers are interested in the lasting impacts of intersections between colonial and indigenous peoples, the history of world capitalism and trade, the development of bureaucratic structures and government power, and/or the demographic and environmental impacts of the rise of the modern world, Epidemics in Modern Asia presents a powerful revisionist interpretation, bringing the history of epidemics to the center of the frame.
Robert Peckham is an Associate Professor of History at the University of Hong Kong, where he also serves as Director of the Centre for the Humanities and Medicine. He had edited two previous volumes, Empires of Panic: Epidemics and Colonial Anxieties (Hong Kong: University Press, 2014) and Disease and Crime: A History of Social Pathologies and the New Politics of Health (New York: Routledge: 2014). He also is co-editer, with David M. Pomfret, of Imperial Contagions: Medicine, Hygiene, and Cultures of Planning in Asia (Hong Kong: University of Hong Kong Press, 2014), as well as the author of a rich body of articles on Asian history and the history of medicine.
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Roman Sieler’s Lethal Spots, Vital Secrets: Medicine and Martial Arts in South India (Oxford University Press, 2015) is a fine-grained ethnographic study of varmakkalai–the art of vital spots, a South Indian practice that encompasses both martial and medical activities. The interview explores how varmakkalai relates to the wider field of manual therapies and martial traditions in the subcontinent, the theories that inform the practice, the relationship between healing and fighting, as well as the role of secrets. A truly fascinating study that raises questions about topics such as categorisation, concealment and learning that go way beyond the confines of South India, Lethal Spots, Vital Secrets will be of interest to many.
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In his shining new book The Medieval Islamic Hospital: Medicine, Religion, and Charity (Cambridge University Press, 2015), Ahmed Ragab, Assistant Professor of Religion and Science at Harvard Divinity School, charts the institutional and intellectual history of hospitals or bimaristans in medieval Egypt and the Levant. A central argument of this book is that hospitals in Islamdom were more than just institutions where the sick were treated; hospitals also served as important sites of communal services and congregation, as urban architectural monuments, and as symbols and expressions of a rulers political authority. By exploring an astonishing variety and number of sources, Ragab provides an unparalleled window into the aspirations and operations that defined the medieval Islamic hospital. This splendid new book will be of great interest to students of medieval Islamic history, religion and science, medical history, and the study of Islam and religion more broadly.
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Many people carry around unresolved feelings and thoughts tied to difficult experiences, with no idea what to do with them. When left unattended for too long, these pent up feelings can lead to a variety of physical and mental health issues: sleep problems, depression, and even physical illness. Therapy can help, but its not always available for various reasons. Fortunately, long-time researchers and writers James Pennebaker and Joshua Smyth have developed expressive writing as an innovative approach for expressing ones emotions and achieving better health and wellness. They sat down with psychologist Eugenio Duarte to discuss various expressive writing strategies anyone can use as well as the research that backs up their methods. They’re all contained in their new book, Opening Up by Writing it Down: How Expressive Writing Improves Health and Eases Emotional Pain (3rd edition; Guilford Press, 2016).
Eugenio Duarte, Ph.D. is a licensed psychologist and psychoanalyst practicing in New York City. He treats individuals and couples, with specialties in LGBTQ issues, eating and body image problems, and relationship problems.
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When I first read Foucault’s Discipline and Punish as an undergrad, I remember wondering, “What does this look like, though? How might the disciplining of the body play out in different places?” Greg Eghigian, author of The Corrigible and the Incorrigible: Science, Medicine, and the Convict in Twentieth-Century Germany (University of Michigan Press, 2015) and Associate Professor of History at Pennsylvania State University, answers that question and more about the evolution of incarceration in modern Germany. Eghigian’s background is in both German history and the history of science, and his expertise in the latter shines through as he explores discourses of criminality among professionals in the fields of psychology, psychiatry, sociology, criminology, and medicine. He has done extensive previous work on the understanding and treatment of madness in modern Europe, and shows that many of the same concerns that motivated physicians, psychoanalysts, and reformers in the emerging field of psychology occupied criminologists in twentieth-century Germany, as well. Perhaps most importantly, the book provides a chronicle of how carceral norms emerge and evolve, one particularly instructive for an America which currently imprisons nearly 2.5 million of its people.
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What do the musical compositions of Bach, Gershwin, and the Beatles all have in common? Besides being great pieces of music, according to Andrew Schulman, they promote healing in intensive care (ICU) settings. Schulman is a classical guitar player and performer and author of Waking the Spirit: A Musician’s Journey Healing Body, Mind, and Soul (Picador, 2016). Schulman did not receive training as a music therapist and only began working in ICUs after he had a near-death experience at one. Waking the Spirit offers a gripping account of his medical journey and his decision to give back to others. As a result of his collaboration with his former doctors, Schulman became what he terms, a “medical musician.”
During the podcast, Schulman briefly describes his journey and reflects upon what he has learned about music from working in the ICU. He also talks about how his work in the ICU has made him a better concert performer. In our conversation, we explore how music heals, what forms of music seem most suited for healing, and the role of musicians and music therapists in ICUs.
Andrew Schulman is the resident musician in the Surgical Intensive Care Unit at Mount Sinai Beth Israel hospital in New York City and Berkshire Medical Center in Pittsfield, Massachusetts. He is the founder and artistic director of the Abaca String Band. He is also a solo guitarist and has appeared at Carnegie Hall, the Improv Comedy Club, and the White House. He lives in New York City with his wife, Wendy.
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In the early 2000s, the press–at least in Boston, where I was living at the time–was full of shrill stories about drug-crazed addicts breaking into area pharmacies in search of something called “Oxycontin.” I had no idea what Oxycontin was, but I was pretty sure there must be something remarkable about it if ordinary drug fiends were risking jail time and worse by robbing mom-and-pop drug stores to get it.
As Sam Quinones explains in his remarkable book Dreamland: The True Tale of American’s Opiate Epidemic (Bloomsbury Press, 2015), the Oxycontin crime wave was an early moment in the emergence of a full-blown Opiate epidemic in the United States. For many young doctors working in “pain management in the 90s and naughts, Oxycontin was remarkable indeed. It gave them just what their predecessors in the eternal fight against pain lacked: a supposedly non-addictive opium-based medication that they could prescribe far and wide without fear of hooking their patients on it. And with all the best intentions, prescribe it far and wide these doctors did.
But it wasn’t non-addictive at all; masses of patients become dependent. And not only them. Drug-users learned that “Oxy” afforded a wonderful high, and it became highly coveted “on the street.” The rub was that this new “wonder drug” was either hard to get–unless you had access to a “Pill Mill”–and/or very expensive. So Oxycontin addicts got desperate. Some, like the ones the press was screaming about in Boston, stole the drug from the local CVS and the like. Most, however, turned to an old drug that was easier to get and cheaper: Black Tar Heroin from Mexico. In the wake of Oxycontin, Black Tar spread from the Southwest across much of the U.S., even to places like Western Massachusetts, where I live now and the heroin epidemic is in full, tragic swing.
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What exactly is ADHD, and is it time to update our ideas about it? In her new book, Your Innovator Brain: The Truth About ADHD (Balboa Press, 2016), Carol Gignoux turns our ideas about Attention Deficit Hyperactivity Disorder on their head and introduces a strengths-based rather than deficits-based perspective on this brain type.
In her forty-plus years coaching individuals with ADHD, Gignoux has witnessed how ADHD stigma stymies these individuals’ creativity and self-esteem. They often adopt views of themselves predominated by what they can’t do rather than what they can. But these “innovators,” as she calls them, have unique capacities for creative problem-solving and productive risk-taking that others often envy. Look no further than Steve Jobs, Pablo Picasso, and Jonas Salk–innovators whose unique brain type helped them make extraordinary contributions to modern society. To make best use of their gifts, innovators need help with their very real limitations and greater understanding and appreciation for their assets. As she explains in our interview, Gignoux has made it her mission to help innovators find such understanding and support. In her book, she advances a paradigm shift in our conceptions of ADHD and outlines specific strategies for dealing with day-to-day challenges. This celebratory and useful first book from a decades-long advocate is a long-awaited update to our long-standing ideas about these unique individuals.
I spoke with Gignoux about her book and her coaching experiences with individuals and their loved ones. I hope you enjoy the interview.
Eugenio Duarte, Ph.D. is a licensed psychologist and psychoanalyst practicing in New York City. He treats individuals and couples, with specialties in LGBTQ issues, eating and body image problems, and working with cultural minorities.
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Among the achievements of Irish medicine in the twentieth century was ending the persistent epidemic of tuberculosis throughout the island, and one of the central figures in that effort was Dorothy Stopford Price. In her book Dorothy Stopford Price: Rebel Doctor (Irish Academic Press, 2014), Anne Mac Lellan provides readers with an account of the life of a pioneering MD and medical researcher. The daughter of an Anglo-Irish family, she trained as a doctor while Ireland participated in a world war and fought for its independence. As a member of Cumann na mBan, she provided medical care for members of the Irish Republican Army during the Irish War of Independence against the British. Following the war, she became a pediatrician, in which capacity she developed her interest in the tuberculosis vaccine BCG then being introduced in Europe. As Dr. Mac Lellan demonstrates, Price’s tireless championing of tuberculosis vaccination in the 1930s and 1940s played a key role in winning acceptance for both the vaccine and the nationwide campaign that ended the scourge of the disease in Ireland.
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Sabine Arnaud‘s new book explores a history of discursive practices that played a role in the construction of hysteria as pathology. On Hysteria: The Invention of a Medical Category between 1670 and 1820 (University of Chicago Press, 2015) considers a wide range of issues that are both specific to the particular history of hysteria, and more broadly applicable to the history medicine. Arnaud pays special attention to the role played by language in the definition of any medical category, basing her analysis on a masterful analysis of a spectrum of written medical genres (including dialogue, autobiography, correspondence, narrative, and polemic) that have largely been forgotten by the history of medicine. Arnaud asks, “What made it possible to view dozens of different diagnoses as variants of a single pathology, hysteria?” The answer can be found in a long process of rewriting and negotiation over the definition of these diagnoses enabled this retrospective assimilation, which was driven by enormously diverse political and epistemological stakes. In a series of fascinating chapters, the book interweaves the history of hysteria with studies of gender, class, literature, metaphor, narrative, and and religion. It’s an expertly-researched and compellingly-written account that will amply reward readers interested in the histories of medicine and gender.
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Miranda Brown‘s new book takes a sustained look at the role and significance of the medical fathers in the historiography of Chinese medicine. Paying careful attention to the ubiquity and persistence of figures including Bian Que, Chunyu Yi, Liu Xiang, Zhang Ji, and more, The Art of Medicine in Early China: The Ancient and Medieval Origins of a Modern Archive (Cambridge University Press, 2015) argues that the historiography of these figures reveals how early Chinese authors provided modern historians not only with the raw materials, but also the categories, genres, and objects of scholarly inquiry with which to study the past. Part 1 of the book considers representations of exemplary healers before the emergence of a category of medical history, looking closely at the rhetorical and historical contexts in which representations of these figures were produced. Part 2 of the book looks at the formation of medical histories in early China through the list of exemplary healers, and identifies a number of events that prompted responses that helped produce the present image of the early medical fathers. The result is a thoughtful account that will be of interest to readers interested in historiographical practices, as well as the histories of medicine and early China.
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Communities of parents who refuse, delay, or selectively decline to vaccinate their children pose familiar moral and political questions concerning public health, safety, risk, and immunity. But additionally there are epistemological questions about these communities. Though frequently dismissed as simply ignorant, misinformed, or superstitious, it turns out that vaccine suspicion, denial, and refusal are positively correlated with higher levels of education, and greater depth of knowledge about vaccine science. Accordingly, the common view that vaccine refusal is the product of ignorance seems simplistic. Yet the more strident forms of vaccine refusal are based in demonstrably false beliefs. How is this best explained? In Values and Vaccine Refusal: Hard Questions in Epistemology, Ethics, and Health Care (Routledge 2016) Mark Navin offers a balanced examination of the epistemology and value commitments of various stripes of vaccine refusal. After arguing that vaccine refusers may be reasonable, he defends a novel version of the view that there is a moral requirement to vaccinate one’s children. He then defends the claim that the State may use coercive means to enhance vaccination, but Navin makes room for exemptions for non-medical reasons. Navin’s book is a fascinating philosophical exploration of some very deep questions at the intersection of social epistemology and social ethics.
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Conversations about death during hospitalization are among the most difficult imaginable: the moral weight of a human life is suspended by stressful conversations in which medical knowledge and personal context must be negotiated. In Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human (Oxford University Press, 2016), Samuel Morris Brown approaches the problem of end-of-life care with a clinician’s eye and a scholar of religion’s touch.
The book places advance directives in the clinic in their historical context while unpacking their ethical and legal nature, describes the psychological aspects of medical decision-making and how moral distress clouds judgment, and provides recommendations on how to heal the process of healing in the Intensive Care Unit (ICU). An ICU physician himself, Brown’s account is interwoven with powerful stories that render his argument for humanistic care particularly salient. As such, Through the Valley of Shadows offers as much to dyed-in-the-wool humanists as it does to those focused on measuring and improving outcomes.
This is the second of a pair of interviews on communication in health care, preceded by Listening for What Matters: Avoiding Contextual Errors in Health Care, by Saul Weiner and Alan Schwartz.
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When clinicians listen to patients, what do they hear? In Listening for What Matters: Avoiding Contextual Errors in Health Care (Oxford UP, 2016), Saul Weiner and Alan Schwartz provide a riveting account of a decade of research on improving outcomes by incorporating patients’ individual life contexts into planning of care.
Their groundbreaking studies showed that physicians, while getting the biological details largely correct, frequently disregard personal circumstances that lead to medical errors. Such an assertion might appear intractable or unfit for empirical study, but Listening for What Matters describes a series of creative experiments that strongly support it. From placing fake patients into real clinical contexts to measure the appropriateness of recommendations, to recording interactions between real patients and doctors (for which they developed a system, Content Coding for Contextualization of Care), and finally training groups of medical students to ask about individual context, Weiner and Schwartz build a case for the existence of a widespread problem while simultaneously offering compelling solutions.
This is the first of a pair of interviews on communication in health care, to be followed by Samuel Morris Brown’s Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human.
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In his 1948 essay, “Harlem is Nowhere,” Ralph Ellison decried the psychological disparity between formal equality and discrimination faced by Blacks after the Great Migration as leaving “even the most balanced Negro open to anxiety.” In Under the Strain of Color: Harlem’s Lafargue Clinic and the Promise of an Antiracist Psychiatry (Cornell University Press, 2015), Gabriel Mendes undertakes an engaging study of race and mental health in the 20th century through the lens of an overlooked Harlem clinic.
While providing the first in-depth history of the Lafargue Clinic (1946-58), the book focuses on the figures who came together in a seemingly unlikely union to found it: Richard Wright, the prominent author; Fredric Wertham, a German Jewish emigre psychiatrist now known for his advocacy for censorship of comic books; and The Reverend Shelton Hale Bishop, an important Harlem pastor. Wright’s literary prowess, work for the Communist party, and brush with Chicago School sociology met with Wertham’s socially-conscious and uncompromising brand of psychoanalysis to challenge mainstream psychiatric theory and its discriminatory practices in the Jim Crow North. Those who could afford it were charged 25 cents for sessions in the basement of St. Philip’s Episcopal church in Harlem, and 50 cents for court testimonials. A thoroughgoing grassroots effort, ignored by philanthropists and state funding, the Lafargue Clinic throws mid-20th Century mental health and race relations into relief, and is sure to stir interest in the untold stories of projects like it.
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Daniel E. Dawes has written 150 Years of ObamaCare (Johns Hopkins University Press, 2016). Dawes is the executive director of health policy and external affairs at Morehouse School of Medicine and a lecturer within Morehouse’s Satcher Health Leadership Institute and Department of Community Health and Preventive Medicine. In 150 Years of ObamaCare, Dawes tells the long and often forgotten history of the nearly two century fight for health care equity that culminated in the passage of the Affordable Care Act or ObamaCare. He draws on his role as a leader in a large coalition of organizations that helped shape ObamaCare, revealing what went on behind the scenes. He illustrates this with copies of letters and e-mails written by those who worked to craft and pass the law. Ultimately, Dawes argues that ObamaCare is much more comprehensive in the historical context of previous reform efforts that go back to the Civil War.
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Rebecca Lemov‘s beautifully written Database of Dreams: The Lost Quest to Catalog Humanity (Yale University Press, 2015) is at once an exploration of mid-century social science through paths less traveled and the tale of a forgotten future. The book is anchored around the story of Harvard-trained social scientist Bert Kaplan, who embarked on, in her words, a dizzyingly ambitious 1950s-era project to capture peoples dreams in large amounts and store them in an experimental data bank. While unique in scope, Kaplan’s project can be characterized as the culmination of efforts to apply techniques of personality capture–projective testing, dream analysis, and life history–in cross-cultural research on indigenous peoples, an effort to account for the full spectrum of human life amidst the encroachment of modernity upon cultures based, for example, in oral traditions.
Richly documenting the entanglements of Kaplan and others in their attempts to render subjects as data, Lemov throws the transactional nature of anthropology into relief. A data point for an ethnographer can be many things for a research subject: cash for buying American niceties, a beer, a dream lost in the act of recounting, even a permanent mark of distrust. The book is also a history of a technology which never came to fruition: the futuristic reader for Kaplan’s Microcards was never realized, and the boxes of cards became dispersed and lost their value as a total archive of human personality. Lemov argues that we would do well to regard the fate of Kaplan’s database as a parable for our age by calling attention to the information loss upon which the technologies of documentation that saturate our present rely. What, then, will become of our compressed audio files, forgotten social media accounts, and backup hard drives stashed in the back corners of drawers?
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How is the medical profession regulated in a ‘risk society’. This is the core question of John M. Chamberlain‘s Medical Regulation, Fitness to Practice and Revalidation: A Critical Introduction (Policy Press, 2015). Chamberlain, an associate professor of medical criminology at the University of Southampton, explores both the history of the medical profession as well as recent attempts to regulate and manage medicine’s relationship with society. The book focuses on how practitioners are judged to be fit, or not, to practice, in the context of both transformations of the profession and high profile scandals. The text brings together an analysis of the impact of new modes of regulation, particularly in terms of numbers of doctors sanctioned for poor practice, with theories of the sociology of professions and risk society. Focused on the UK, the book has important global implications and is essential reading for anyone interested in contemporary medical practice, as well as those working on professions, risk and sociology more generally.
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Carin Berkowitz‘s new book takes readers into the world of nineteenth century London to explore the landscape of medicine and surgery along with Charles Bell, artist-anatomist-teacher-natural philosopher. Charles Bell and the Anatomy of Reform (University of Chicago Press, 2015) looks closely at the involvement of Bell and others in a project of conservative reform in nineteenth century British medical education. We follow Berkowitz not only into the pages of the works that made Bell famous, but also into the classrooms in which Bell advocated a pedagogy that trained hand and eye together and developed his interest in systems of all sorts, including the nerves, education, and display. Readers will learn about the growth of a new genre of medical weeklies that changed the public face of medicine, the founding of new institutions that changed the teaching of medicine, and the controversy over motor and sensory nerves that accompanied major transformations in the medical science of Bell’s lifetime. It is a fascinating story that honors the importance of the history of education in shaping the histories of science and medicine.
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I love this book, am using its recipes, and was thrilled to interview Dr. Koufman, an iconoclast who appears poised to torpedo a terribly wasteful and dangerous arm of the pharmaceutical-industrial complex. As the advertising copy for Dr. Koufman’s Acid Reflux Diet (Katalitix, 2015) notes: “Combining 35 years of work in the field of acid reflux, including scientific research and the treatment of thousands of patients at the Voice Institute of New York, Dr. Jamie Koufman has identified the causes and the cures for this much-misunderstood health crisis.” The opening section of the book explains the science of why this diet works, and the contains recipes. Our talk covered science along with the doctor’s personal biography.
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In his book, Schizophrenia: A Brother Finds Answers in Biological Science (Johns Hopkins University Press, 2013), biologist Ronald Chase explores the frequently misunderstood condition through an engaging combination of scientific exploration and personal memoir. In recounting the life of his older brother, Jim, who was a bright young graduate student at UCLA when his episodes began to intensify, Chase tells the story of how the treatment of schizophrenia has changed since the 1950s, connecting events in his own life to research on the causation and treatment of schizophrenia. He grapples with difficult questions about why the condition persists from an evolutionary perspective, and the stigma associated with it.
Chase takes a hard line on the physical nature of schizophrenia; only by accepting it as a disorder of the biological brain, rather than the moral mind, can we begin to find the right, albeit complex answers and accommodate those who suffer from the condition. Though individuals with schizophrenia can live long lives, Chase’s meetings with Jim call upon the reader to ask themselves how we, as a society, can help make these lives more meaningful. This book is essential reading for those interested in the stories behind brain disorders, and those who want to learn more about how mental illness has changed over the last 50 years.
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In his second visit with New Books in Psychoanalysis, Christopher Bollas elucidates his thinking about schizophrenia. But he also does more than that; because his beginnings as a clinician are intimately intertwined with the treatment of psychosis, the ways in which this early exposure colors all of his clinical thinking becomes apparent.
Indeed, in psychoanalysis we could say that there are two kinds of clinicians–those who treat psychosis and those who don’t. Bollas is clearly in the former camp. One wonders, given the centrality of psychosis in his theoretical work, if he would have been drawn to analytic work had he not started with the most primitive of human experiences?
We meet him as an undergraduate at UC Berkeley, studying history, working at a program for autistic and psychotic children presumably to pay the bills. We follow him to SUNY-Buffalo where, while pursuing his PhD in literature, he encounters psychotic students in a class he is teaching, walks across the campus to the clinic, asks if he might work there as a clinician and is brought on staff. (Those were the days…)
It is worth noting that Bollas, one of the most renown thinkers in psychoanalysis, began as a lay practitioner (he has an MSW which I presume he acquired so as to practice in this country). His longing for a clinical life, pursued while completing his studies in the humanities, seems to have been piqued by his encounters with psychosis.
While Bollas is one of the profession’s strongest critics of the medicalization of psychosis, he always works with a team that includes an MD, a social worker and others when treating schizophrenia. His role on the team is to help the person suffering from psychosis to talk and also, crucially, to historicize. (Interestingly, the book includes a chapter that shows him at work as an American historian.)
He reminds us that seeing psychosis as “other” places those who begin to have nascent-to-florid psychotic experiences at ever greater risk of being lost to us and to themselves, forever.
He minces no words as he argues on behalf of the psychotic persons need for speech. “We all know the wisdom of talking. In trouble, we turn to another. Being listened to inevitably generates new perspective, and the help we get lies not only in what is said but in that human connection intrinsic to the therapeutic process of talking that promotes unconscious thinking.” Indeed the barrage of medications on offer alongside treatment modalities that give short shrift to speech, run the risk of increasing isolation and blurring the mind which in turn increases psychosis. As is his wont, Bollas turns common treatment logic on its head: “the loss of un-selfconscious participation in the everyday …constitutes the gravest tragedy for the adult schizophrenic.” There is a way back, he argues, but, and here I riff on his thinking, only if the culture comes to understand anew what it means to be human.
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Janet Gyatso‘s new book is a masterfully researched, compellingly written, and gorgeously illustrated history of medicine in early modern Tibet that looks carefully at the relationships between medicine and religion in this context. Being Human in a Buddhist World: An Intellectual History of Medicine in Early Modern Tibet (Columbia University Press, 2015) looks carefully at the “double movements” of medicine and religion from the twelfth through seventeenth centuries: at the same time, medical learning in Tibet encouraged a critical approach to religious authority while also maturing within the context of Tibetan Buddhism. Gyatso finds a turn to “evidence of the empirical” in some aspects of Sowa Rikpa, a kind of mentality that shaped not just approaches to anatomy and pharmacy but also the writing of commentaries and the ethics of medical practice. The chapters of Being Human in a Buddhist World introduce readers to a wide variety of materials that include visual and verbal engagements in some fascinating debates over gendered bodies, the evidence of the senses, the possibility of having access to the word of the Buddha (and the stakes involved), and the relationships between Tibetan and other kinds of medical theory and practice, among much else. In addition to its obvious import for Tibetan and Buddhist studies, Gyatso’s book should be required reading for anyone working in the history of early modern science and medicine, especially those readers and writers who are interested in embracing a multi-sited, plural approach to the field.
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Nick Hopwood‘s Haeckel’s Embryos: Images, Evolution, and Fraud (University of Chicago Press, 2015) blends textual and visual analysis to answer the question of how images succeed or fail. Hopwood is Reader in History of Science at Cambridge University, and creator on the online exhibition “Making Visible Embryos,” which display some of the images from the book.
Hopwood’s ambitious book retraces the social life of drawings of embryos first produced in 1868 by the German embryologist Ernst Haeckel. The book follows the turbulent travels of the images across 150 years and three countries. Some of the perennial controversy surrounding the images centered on debates about Darwinism, for in them Haeckel drew the development of human embryos alongside that of other animals and, in retrospect, seemed to illustrate his famous claim that “ontogeny recapitulates phylogeny.” But Hopwood argues that, while Haeckel’s reputation has continued to suffer from repeated allegations of fraud, his images have actually thrived on controversy, appearing in 2010, for example, on the cover of Nature magazine. Hopwood’s far-reaching and intricate analysis explains how one of the most controversial images in the history of science–namely, Haeckel’s embryo grid–has also been one of its most successful. The book is an essential study in the history of images and is itself a masterpiece of visual argument.
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Jorg Matthias Determann‘s new book looks at the history of modern biology in the Arab Gulf monarchies, focusing on the treatment of evolution and related concepts in the publications of biologists who worked in the Gulf states. Researching Biology and Evolution in the Gulf States: Networks of Science in the Middle East (I. B. Tauris, 2015) begins by describing a fatwa against Pokemon and opens out into an introduction of the sensitive nature of discussions related to evolution and creation in the Gulf. The ensuing chapters approach and answer a major question: given this sensitivity, what enabled scientists to nevertheless employ evolution in the political, religious, social, and natural environments of the Gulf? At least part of the answer lies in the importance of networks between scientists, plants, princes, local tribes, European businesses, animals, and other historical actors. The history of those networks – and the botanical, zoological, ornithological, and paleontological research they enabled – is a transnational and transregional one, and looks carefully at concerns with conservation, climate change, and economies at multiple levels. Determann’s book avoids telling this story in terms of the common tropes of decline and stagnation, and seeks instead to “go beyond the wholesale and often negative views of scientific production in the contemporary Arab world.” Enjoy!
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[NB:Please be forewarned, there is some brief audio difficulty at the beginning of the interview. It does clear up quickly, so please do listen through.] We are drawn to what is hidden. We are excited by what is mysterious whether we find it beautiful or repellant. Erotic experience is all about this urge. Sexuality, both in its defensive function and as an intrinsic part of being human, defines the ways in which we engage in the psychoanalytic situation. However, it can be very difficult – even taboo – for analysts to admit having erotic feelings towards a patient, and it can be equally thorny handling erotic transference when it arises in a treatment. In Erotic Revelations: Clinical Applications and Perverse Scenarios (Routledge, 2014), Andrea Celenza discusses the importance of reclaiming sexuality as one of the many realms that are of central concern to our patients as she simultaneously observes the pervasive “desexualization” of the psychoanalytic field. She asserts that erotic transference and countertransference (of various manifestations) should be explored in every thorough analysis and she means to bring sex squarely back into psychoanalytic theorizing.
Celenza offers careful consideration of the use and perils of embodied erotic countertransference as well as dilemmas surrounding self-disclosure, guilty pleasure and the “slippery slope” towards sexual boundary transgression (the subject of her earlier writing.) Celenza and I discuss writing about patients, mutuality, asymmetry, embodiment, re-eroticization, multiplicity and contradictory gender considerations proposing ways in which the binary (e.g., “feminine” and “masculine”) poses constraints that may be transcended. Finally, Celenza reclaims the term “perversion” as a mode of relating vs. a descriptor of behavior thereby restoring its usefulness in the psychoanalytic lexicon. Among other points, she posits that perverse scenarios are attempts to construct a one-person fantasy/universe thereby defending against dangerous subjectivities (either within one’s self or in the other.)
Dr. Andrea Celenza, is a Training and Supervising Analyst at the Boston Psychoanalytic Society and Institute, Faculty at the Massachusetts Institute for Psychoanalysis and an Assistant Clinical Professor at Harvard Medical School. She is private practice in Lexington, Massachusetts and is a proud and avid soccer player.
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Anita Guerrini‘s wonderful new book explores Paris as a site of anatomy, dissection, and science during the reign of Louis XIV between 1643-1715. The journey begins with readers accompanying a dead body to sites of dissection across the city, after which we are introduced to four anatomists – charter members of the Paris Academy of Sciences – who will act as focal points for the rest of the story.The Courtiers’ Anatomists: Animals and Humans in Louis XIV’s Paris (University of Chicago Press, 2015) opens up Parisian bodies – human and animal, dead and alive – to argue that dissection played a major role in the development of experimental methods in seventeenth century science. In Guerrini’s hands, the history of science and medicine in early modern Paris was simultaneously a history of fairy tales and opera, dogs and chameleons, artists and knife-makers, labyrinth-making and oratory. It is a fascinating book that is a must-read for historians of anatomy and of early modern science and medicine, and will be accessible and gripping for readers well beyond those fields.
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To those unfamiliar with psychodiagnostics, Bipolar 3.5 might sound like the latest Apple software. To psychoanalyst Darian Leader it is indicative of the relatively recent proliferation and growing elasticity of bipolar disorders. For about the last twenty years, argues Leader, the bipolar spectrum has been tailored to a pharmaceutical industry eager to shift attention away from ineffective antidepressants and toward newly developed mood stabilizers. A household word since the mid-1990s, “bipolar” is now widely considered to be biological and hereditary. Its loosened parameters have saddled large swaths of the population with a chronic illness requiring life-long medication.
Strictly Bipolar (Penguin, 2013) is a trenchant case for the reexamination of the “bipolar revolution” and for a return to the older diagnosis of manic depression. Leader points out that while bipolarity is at the center of modern capitalist subjectivity – the principal feature of twenty-first-century worklife, which encourages and rewards herculean productivity and exuberant all-nighters — manic depression is a structural, much narrower and less frequent problem. The highs and lows of manic depression are not merely behavioral or ominously genetic but, rather, rooted in an individual’s early history: relationships with primary caregivers, fantasies regarding one’s symbolic place within the family. Manic depression also has common motifs that reflect its structural basis and identifications. Mania announces itself, for example, in fits of housecleaning, shopping sprees, and grand gestures of altruism. Manic episodes often begin with a steady stream of words – extravagant metaphors and brilliant rhetorical leaps — a levity in the symbolic, as Leader puts it. These great themes of mania are traced in Strictly Bipolar to personal stories of guilt, responsibility, and debt; distant or inconsistent parents and grandparents who expected too much or overwhelmingly little and elicited (split off) aggression and hate. We learn that manic-depressives struggle with the overproximity of the Other, attempting to keep the Other separate and safe from all that is bad, from murderous rage, from oneself.
Strictly Bipolar offers compelling clinical material and vivid biographical descriptions of the “signature motifs” of manic-depression. In reading the book, I could see how one might be tempted to lean too heavily on surface behaviors and mood states in thinking and diagnosing manic depression. Yet, as Leader points out, manic-depressives have a troubled relationship with time and find it difficult to integrate their own histories. It therefore behooves therapists not to join them in this, redoubling the problem. In the interview, Leader characterizes manic depression and other psychoses without the usual prognostic pessimism – not as problems of subjectivization resulting in social exclusion, medication, or institutional scrutiny but as “ways of being in the world.”
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How are scientific discoveries transmitted to medical clinical practice? When the science is new, controversial, or simply unclear, how should a doctor advise his or her patients? How should information from large randomized controlled trials be weighed against the clinician’s hard-won judgment from treating hundreds of patients? These are some of the questions that are considered by Miriam Solomon in Making Medical Knowledge (Oxford University Press 2015). Solomon, who is professor of philosophy at Temple University, provides an historically grounded critical assessment of the methods used in recent decades to turn basic science results into medical knowledge: consensus conferences, evidence-based medicine, translational medicine, and narrative medicine.
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Somatosphere is “a collaborative website covering the intersections of medical anthropology, science and technology studies, cultural psychiatry, psychology and bioethics.” Founded in July 2008, Somatosphere has evolved into an innovative platform for collaborative experiments, interdisciplinary exchange, and intellectual community. As such, it reveals how websites–and the communities of discourse that create and read them–have become important sites of intellectual production, authorship, and exchange. In editorial departments such as “In the Journals” and “Web Roundup,” authors distill recent scholarly contributions across disciplines and spaces. More recently, the editors have incubated creative digital endeavors such as Commonplaces, a “collaborative cabinet” that itemizes the technological present, with entries devoted to topics such as the petri dish, the brain, and the waiting room. Book Forum invites commentary from a range of authors, representing not only different scholarly disciplines but offering intriguing, timely, and often original angles on recent important texts. Thanks to its editorial vision and the palpable energy of its contributors, Somatosphere has become informative, creative, and essential reading.
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At New Books in Psychoanalysis, interviews are conducted using Skype. As the program is audio rather than video based, it never occurred to me to use the camera on my computer to see on the screen the person I was speaking to. Rather, I kept my ear turned acutely towards the authors, hanging on their every word while privately perusing my list of questions. I have joked with many interviewees that for all I know they are in their pajamas or naked. Truth be told, I have had no interest in seeing the authors during the interview. There was and is something about having the experience that the listener has on hearing, rather than seeing, the interview that may play a role in creating a certain kind of intensity and intimacy. So it was not lost on me that for this particular interview with Gillian Isaacs Russell about a book that looks straightforwardly at the impact of technology on the therapeutic relationship, that we would not be making eye contact. Though we could, I requested that we not do so. And anyway, of course, if you have used it, eye contact is actually impossible on Skype. We can see each other but we cannot lock orbs.
Our interview, as you will hear, is full of the same kinds of problems that one might have when working with a patient over the ether. At one point there is a bizarre reverb and everything Isaacs Russell says comes out in triplicate. We did not lose the connection though this has happened to me on several occasions while playing my interlocutory part. And of course we both had our anxieties about the capacity of the technology to connect us and to keep us connected but do bear in mind that we are not analyst and patient. Our relationship is layered with much less meaning or significance than that of the analytic couple. If the technology disconnected us, we would not wonder if it was something that one of us said. No one would have hurt feelings. We could keep it impersonal.
In Screen Relations: The Limits of Computer-Mediated Psychoanalysis and Psychotherapy (Karnac, 2015), Isaacs Russell asks a key question of psychoanalysts: what might be lost in working this way? The interview explores reasons why analysts have jumped in to use Skype and explores what the implications might be of the loss of two bodies in a room together. Her thinking is clear and the ideas she pits forth I found haunting. The age old question of what makes a treatment psychoanalysis came to mind when reading this book as I wondered if you can’t smell the patient, if there is not the risk of touch that is not acted upon, if there is not the walk out the door when the session is over, is essential grist for the mill irreparably lost?
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John Kinder brings to life the challenges and problems faced by the disabled veteran in American history from the Civil War to the current day in his evocative book, Paying with Their Bodies: American War and the Problem of the Disabled Veteran (University of Chicago Press, 2015). Considered by many reviewers to be one of the most important books in recent years on the human cost of war, Paying with Their Bodies blends lively anecdotal accounts of individual veterans with the complex questions of their imagined and real place in society before, during, and after their time served. Not surprisingly the answers are at times even more disheartening as Kinder uncovers a pattern of promises made and unfulfilled, in which the only consistencies across time are episodes of exploitation for political and personal gain by others and the eventual neglect as the public memory of their sacrifice fades.
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Valuation is a central question in contemporary social science. Indeed the question of value has a range of academic projects associated with it, whether in terms of specific questions or in terms of emerging fora for academic publications. In Value Practices in the Life Sciences and Medicine (Oxford University Press, 2015), Isabelle Dussauge, Claes-Fredrik Helgesson, and Francis Lee bring together a range of authors to outline a new research programme. Alongside individual essays that range from the allocation of transplant organs, questions of plagiarism in science, the ownership of generically modified organisms though to desire and neuroscience, the book points to a new way to think through questions of valuation. As a result its importance moves beyond an STS audience to establish value practices as a vital framework for understanding contemporary life.
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Mexican American religious healing – often called curanderismo – is a vital component of life in the US-Mexican borderlands. In his book Border Medicine: A Transcultural History of Mexican American Curanderismo (New York University Press, 2014) – Brett Hendrickson tracks healers going back to the nineteenth century and even before. He argues that these healing practices were never only Mexican American nor were they a sign of an inability to develop modern bio-medicine. They have in fact been shaped in a transcultural context where ideas about metaphysical healing and the efficacy of gifted individuals circulated among Mexicans, Mexican Americans, and Anglo-American settlers. Each population has contributed to the development and growing popularity of folk curanderismo.
Brett Hendrickson is Assistant Professor of Religious Studies at Lafayette College in Pennsylvania.
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Kristin Peterson‘s new ethnography looks carefully at the Nigerian pharmaceutical market, paying special attention to the ways that the drug trade links West Africa within a larger global economy. Speculative Markets: Drug Circuits and Derivative Life in Nigeria (Duke University Press, 2015) takes reads into a story that is part medical anthropology, part careful analysis of global economy, and shows that understanding one is vital to understanding the other in the modern West African pharmaceutical landscape. Peterson pays special attention to the Idumota market, an area that was strictly residential in the 1970s and has since become one of the largest West African points of drug distribution for pharmaceuticals and other materials from all over the world. Peterson looks at the consequences of major local and global historical factors in that transformation, including civil war in the late 1960s and migration that followed, a 1970s oil boom and bust, and changes in the global pharmaceutical market in the 1980s. By the early 1980s, Nigeria was deep into an economic crisis that had profound implications for the production, circulation, and marketing of pharmaceuticals. The pharmaceutical industry remade itself by becoming tied to the speculative marketplace, with wide-ranging implications that included the rise of new professional relationships & market formations in Nigeria, new relationships with firms in China and India, new forms of speculation, and new questions about the ontology of markets. Peterson demonstrates that these transformations continue to have important consequences for the bodies of individual Nigerians, including major problems with drug resistance and a mismatch between existing drug therapies and existing diseases. The book avoids the usual discourse of corporate greed, instead focusing on the “structural logics of pharmaceutical capital through which corporate practices can be understood.” It is a timely and fascinating study.
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Drugs exist that are meant to help people feel better. The doctors who prescribe them might believe that they work, while their patients do not. In explaining the drugs to their patients, should those doctors use the medical terminology they themselves use – which might not be immediately understandable to their patients – or should they translate the description into terms more comfortable and familiar to the patient? And what are the practical and ethical consequences of each decision? Stefan Ecks‘ new book carefully considers these problems in the context of health-related practices in modern Calcutta. Eating Drugs: Psychopharmaceutical Pluralism in India (NYU Press, 2013) looks successively at the different and overlapping medical and healing contexts that together make up a significant part of the medical marketplace in Calcutta. Ch. 1 treats popular notions that include the importance of the belly as the “somatic center of good health,” the power of the mind to regulate good health, and the connection between modernity and pollution as causes of illness. Ch. 2 looks at Ayurvedic practices in Calcutta. It reflects on some of the most important ways that Ayurveda is changing in India – especially at the levels of practitioner training, language, and the patient-physician relationship – despite the fact that the centrality of food and digestion has remained constant. Ch. 3 looks closely at homeopathy, the second most popular type of medicine in Bengal, and focuses on the principles, histories, and pluralities of homeopathic practices in Calcutta. Ch. 4 looks at the ways that Calcutta psychiatrists position themselves with respect to popular beliefs about psychopharmaceuticals, general physicians, practitioners of non-biomedical treatments, and the pharmaceutical industry. This chapter pays special attention to how Bengali doctors use metaphors to help patients understand and respond to psychiatric diagnoses, with comparisons to nature, the Ganges river, fairytales, everyday over-the-counter drugs, diabetes, and food. The conclusion explores a key argument of the book, proposing that “patients’ suspicions of psychopharmaceuticals are based on suspicions of biomedicine’s ‘magic bullet’ model of drug effects,” looking at the implications of this conclusion, and considering the possible broader impacts of this study beyond Calcutta. It’s a fascinating study of potential interest to historians and anthropologists of medicine and healing, as well as readers interested in learning more about the medical marketplace of modern India and anyone interested in modern psychopharmaceuticals.
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Paul A. Christensen‘s new book is a thoughtful ethnography of drinking, drunkenness, and male sociability in modern urban Japan. Focusing on two major alcohol sobriety support groups in Japan, Alcoholics Anonymous and Danshukai, Japan, Alcoholism, and Masculinity: Suffering Sobriety in Tokyo (Lexington Books, 2014) explores the ways that admitting to and living with alcoholism in Japan challenges prevailing norms of masculinity and sociability, and looks carefully at its profound consequences for the individual sufferer. After a brief history of alcohol and drunkenness in Japan, Christensen considers the ubiquitous coding of alcohol as fun and leisurely in mass media, and directs our attention to the difficulties that this framing creates for male alcoholics. The book then moves to a discussion of historical shifts in notions of addiction in Japan, as well as contemporary debates over treatment methodologies and the ways that methodologies transplanted into Japan from the US map – or not – onto local cultural and religious realities. Christensen follows this with detailed accounts of the major support groups available to sufferers in Tokyo, the languages and bodies of alcoholic experience, and much else. Throughout the study, Christensen offers an extraordinarily sensitive treatment of the struggle of individual men to build a new selfhood while their sense of masculinity, and of a place in society, have been dismantled.
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Are you happy? In his new book The Happiness Industry: How the Government and Big Business Sold Us Well-Being (Verso, 2015), William Davies, a senior lecturer at Goldsmiths’ College, University of London, critically investigates this question. The book offers skepticism towardsthe demand that economy and society be happy, skepticism founded in an interrogation of the practices of contemporary government and businesses. A whole range of our everyday experiences, including ‘nudges’ for citizens and staff, the perverse incentives of metrics, through tothe consequences of how psychiatry classifies depression, are subject to critical scrutiny.Moreover, the book acts as a primer on economics, psychology and organizational theory, clearly articulating the roots and the consequences of our current economic and social settlement. The book concludes with the possibility of a more democratic way of organizing the world, in contrast to our impersonal, oppressive, and data driven present. Dr Davies is a co-director of Goldsmiths’ Political Economy Research Centre and blogs at Potlatch.
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Due in part to lobbying efforts on behalf of the human genome project, human genes tend to be thought of in light of the present–genetic components of human disease and differential risks associated with genetic individuals–before the future, what gets passed on to later generations. However, public understanding of genetics did not merely radiate from laboratories, as Alexandra Minna Stern‘s book, Telling Genes: The Story of Genetic Counseling in America (Johns Hopkins University, 2012) shows. Before the age of genetic sequencing and mass-produced tests, physicians from various specialties provided genetic counseling on an ad-hoc basis, most of which took the form of reproductive advice. Medical genetics had only been established in the 1960s, with the shadow of eugenics still looming large over a field that was now more inclined toward description of heritable conditions than prescription of reproductive sanctions and sterilization. The founding of the first master’s program in genetic counseling in 1969 established the institutional and intellectual basis for a new kind of health care professional, one that would further the reorientation of medical genetics toward patient-centered care.
Stern’s book connects this emergent professional identity to the broader history of genetic and eugenic programs in the United States. So, while this is a history focused on how the distinct profession of genetic counseling emerged as an alternative to traditional medical authority, it is firmly situated within the conflicts that have persistently plagued the development and application of human genetic knowledge. This orientation toward fundamental tensions is reflected by the book’s structure. While she begins with a historical overview of genetic counseling as a profession, the rest of the book is organized around issues; genetic risk and the questionable efficacy of disease apprehension; the politics of race inherent in population knowledge; the fundamental role played by disability in the understanding of inherited disorders; the gender politics of genetic counseling as a challenge to the medical establishment; therapeutic ethics; and the emergence of prenatal testing.
This highly readable whirlwind tour through the complex ethical and historical landscape of genetic counseling rewards those new to the history of genetics by virtue of its accessibility, along with those more familiar through the vast amounts of new source material it blends in seamlessly with broader frames. If you enjoy this book, look out for a new edition of Eugenic Nation, Stern’s first book on the politics of eugenics.
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When we study the history of a famous scientific figure – especially one that has gone on to become a cultural icon – we are dealing not just with a person, but also with an identity or series of identities that have been constructed over time. Eva Hemmungs Wirten‘s new book looks carefully at the work that has gone into the making of Marie Curie (1867-1934) as an individual, a celebrity, an icon, and ultimately a brand. Three motifs that thread through the narrative of Making Marie Curie: Intellectual Property and Celebrity Culture in an Age of Information (University of Chicago Press, 2015), and they each form the basis for one of its chapters: the impact of intellectual property on science and research; the role of celebrity culture in shaping the image of the scientist; and the “question of how to organize scientific information as part of the modern infrastructure of knowledge.” It’s a compellingly argued book that’s also a pleasure to read.
For videos of two of the duels discussed in the book, check out the following links!:
https://www.youtube.com/watch?v=4QlUw1k0ItE
https://www.youtube.com/watch?v=rElNQuBvFeQ
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Physician/author Ian Williams coined the term “graphic medicine” to “denote the role that comics can play in the study and delivery of healthcare.” The robust emerging graphic medicine community can be witnessed in its website and annual conference, as well as in the profusion of fascinating graphic medicine texts created from a range of perspectives, visions, and voices. Graphic Medicine Manifesto (Penn State University Press, 2015)–the first book in the exciting Graphic Medicine series at The Pennsylvania State University Press–introduces graphic medicine as a practice, a movement, and an ethos to the wide and diverse audience it deserves and will surely attract. This interview features three of the authors of the Graphic Medicine Manifesto: MK Czerwiec, Ian Williams, and Susan Merrill Squier.
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Jonathan Eig is a New York Times best-selling author of four books and former journalist for the Wall Street Journal. His book The Birth of the Pill: How Four Crusaders Reinvented Sex and Launched a Revolution (W.W. Norton, 2014) gives us a lively narrative history of the development and marketing of the birth control pill. He presents us with four risk-taking outsiders whose path became intertwined in the pursuit of a reliable and simple contraceptive. The feminist Margaret Sanger, in her campaign for the rights of women, sought a reliable birth control method as a means to sexual and social liberation. The genius scientist Gregory Pincus’s research stretched the boundaries of law and ethics and tied him to the business interest of Searle pharmaceuticals. The wealthy socialite Katharine McCormick’s singular focus and funding kept the research going. The handsome promoter John Rock, a Catholic infertility doctor, was willing to go against his church’s teaching and provide untested drugs to desperate patients. The story begins in the radical and sexually freewheeling Greenwich Village of the early twentieth century. Eig follows Sanger’s crusade for birth control information, cultural change, scientific victories and defeats, and the marketing of what became the first FDA-approved contraceptive pill in 1960. This is a well-researched and riveting story of four exceptional people and a revolution in the intimate lives of women and men. The birth control pill forever changed how we think about marriage, sexuality, and parenting.
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Charis Thompson‘s Good Science: The Ethical Choreography of Stem Cell Research (MIT Press, 2013) is an important book. Good Science explores the “ethical choreography” of the consolidation of human embryonic stem cell research in the first decade of the twenty-first century, drawing important implications for the possible futures of stem cell research by looking carefully at its past and developing an approach to what Thompson calls “good science.” The book compellingly argues that “a high level of political attention to the ethics of the life sciences and biomedicine…is a good thing for science and democracy,” especially as we have now reached “the end of the beginning of human pluripotent stem cell research.”
Part I of the book (Stem Cell Biopolitics) explores early attention to the embryo debate. Ch. 2 looks at stem cell research as it’s widely understood to engage ethical concerns, describing the “pro-curial frame” of stem cell research in the period under scrutiny, when promoting stem cell innovation involved aspirations to be pro-cure and there was an ethical focus on the procurement of stem cells and cell lines for research. Pt. II of the book (Stem Cell Geopolitics) looks at what happened domestically as the debate over stem cells moved from the federal to the state levels and back in the US, and then turns to consider transnational circuits that were crucial to those practices and conversations. Ch. 3 looks at three phases that made up the beginning of human pluripotent stem cell research in the US: the time around President Bush’s 2001 policy, the period when states “seceded” from that policy (exemplified by California’s Proposition 71), and the period around Obama’s 2009 policy. Ch. 4 looks at the transnational geopolitics of stem cell research in an era when stem cell research became increasingly international and research advocates were deeply concerned with international competition and “brain drain.” Thompson takes readers into laboratory environments in South Korea and Singapore in order to undermine a popular rhetorical binary of East/West that contrasted an “East” that had a pro-science spirit and lack of concern with the moral status of the embryo, and a “West” that had been taken over by anti-science religious fanatics and technophobes.
Pt. III of the book (Thinking of Other Lives) looks carefully at questions of research subjecthood. Ch. 7 focuses on human-human relationships and practices of donation at a time when a number of norms came under renewed scrutiny – including altruism, anonymity, and the alienation of tissue from donors – and this led to the conclusion that the old model for donation wasn’t working. In this context, there were increasing demands for reciprocity in various forms, and Thompson considers various models in California that rethought the relationships between donor/recipient and biomaterial/bioinformation. Ch. 6 focuses on the logic of using animals as substitutive research subjects for human-focused research, and calling for a move away from using animals as research subjects and toward using in vitro systems instead.
To do all of this, Thompson develops a methodology she calls “triage” which we talk about early in the interview. Good Science is a wonderful and critical book, and well worth reading and teaching widely!
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Disputes over the definitions or legality of ‘rights’ and ‘rationing’ in their various guises have animated much of the debate around the United States Affordable Care Act. Many legislators and vocal members of their constituency have strong convictions about the state of our current national health care system and where it is going. Far fewer, however, understand how our current state of affairs is the product of a quite recent and contingent history, which is precisely what Beatrix Hoffman‘s Health Care for Some: Rights and Rationing in the United States since 1930 (University of Chicago, 2012) sets out to explain. While Hoffman’s scope is the U.S. as a whole, she draws out the local consequences of sweeping wartime and post-war reform by focusing on various cities, notably Chicago. Using a framework that addresses the reciprocal roles of rights and rationing as articulated by physicians, policymakers, and patients throughout the latter part of the twentieth century, she presents a concise history that speaks to far greater questions.
Throughout Health Care for Some, we learn much about the institutional transformations of modern U.S. healthcare: how the expansive yet exclusive county hospital system was not inevitable but fell in line with other infrastructural imperatives, while war-wrecked European nations actually improved primary care coverage through austerity policies; how doctors increasingly struggled with poor state management and strictures that, despite being legally sanctioned, discouraged providing care to the most needy; how Medicare and Medicaid were motivated as much by the civil rights movement as arguments for dignity of old age as a social right. Importantly, the human dimensions of care are never hidden from sight, as Hoffman unravels narratives of entangled structures and subjectivities that evince the personal damage wrought by a system too diffuse to overhaul. Her book is an engaging, informative, and concise read, as capable of becoming a valuable reference as it is of fomenting thought and action.
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Todd Meyers‘ The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy (University of Washington Press, 2013) is many things, all of them compelling and fully realized. Most directly, the book is an ethnography of drug dependence and treatment among adolescents in Baltimore between 2005-2008. Meyers traces twelve people through their treatment in the clinic and beyond, into what he calls “the afterlife of therapy.” The group of adolescents was diverse–their economic and family circumstances, their demographics, and arc of their narratives from addiction to treatment varied widely. Yet they shared at least one important experience: “each had either been enrolled in a clinical trial or were currently being treated with a relatively new drug for opiate withdrawal and replacement therapy: buprenorphine” (4). In this way, the book is also the story of a pharmaceutical making its way and its mark in the worlds of therapeutics, law, public opinion and, especially, in the lives of its users. Meyers shows how the lives and experiences of these adolescents (as well as others in their lives) were often shaped and constrained by their roles as subjects in pharmaceutical trials evaluating the effectiveness of buprenorphine. Moreover, Meyers looks beyond the questions and answers asked and answered under the constraints of randomized controlled trials. Rather, as he puts it, “my ethnographic gaze is fixed upon the intersection of clinical medicine and social life, at the place where medical and pharmacological subjects are constituted under the sign of therapeutics” (17). As a result, The Clinic as Elsewhere locates palpable places where medicine and the social intersect in the material world and lived experience; as readers, we see the relationship between the medical and the social as much as understand it as a conceptual given. Ultimately, Meyers shows how therapeutics is not only a form of intervention, but a “sign”: under which people are constituted as subjects, and with which people “assign value, meaning, and worth assign value to pharmaceutical intervention” (116).
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What happens when you allow human materials to become property? More specifically, how does granting monopoly rights over genetic material affect the potential for innovation and research on treatments of disease related to those genes? In his new book, The Genealogy of a Gene: Patents, HIV/AIDS, and Race (MIT Press, 2015), Myles W. Jackson (NYU) considers this question by examining the history of the sequencing and patenting of the CCR5 gene, which was found to have an important role in HIV/AIDS viral infection. In doing so, Jackson chronicles the challenges to the granting of property rights over materials that occur naturally, and the legal and policy arguments both for and against allowing patents on these materials.
But the book is more than just an examination of the instability of patent law. On the contrary, Jackson provides an interdisciplinary examination of the history of CCR5, which analyzes the role of race, culture, medicine and other fields, to examine of the wider impact of science and science policy on society. Just listen.
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Can we define ‘clinical reasoning’? Is it the ability to marshal the best available evidence to come to adecision within a medical framework, or is it the capacity to think holistically aboutwhether a given intervention is in the patient’s best interest? In his book, Intuition in Medicine: A Philosophical Defense of Clinical Reasoning (University of Chicago Press, 2012), Hillel Braude considers this apparent gap in the history of medical thought. He argues throughout that intuition provides the missing link between medical and moral reasoning. Rather than setting forth a definition of intuition outright, Braude traces its articulations through canonical works of philosophy and medical ethics. One comes away with an understanding that intuition is something like a pre-reflective practical wisdom bound to human faculties, resisting abstraction. Even this definition is contextually malleable, and through his historical and philosophical exploration he draws out the epistemological (and often practical) consequences of assuming it to be anything more finite or less consequential.
The scope of Braude’s work is impressive, as it touches on classic philosophical texts–including a thorough treatment of Aristotle–as much as work better known by medical ethicists. It also tackles the modernization of medicine, from the works of pathologist Xavier Bichat and statistician Francis Galton to more contemporaryissues such asequipoise in clinical trials and Evidence Based Medicine. Throughout, Braude’s clarity and scrutiny shine through his treatment of the material, while he suggests new ways forward through phenomenology as a deeper consideration of both the doctor and patient as subjects. Intuition in Medicine keeps the doors of the medical humanities open to both physicians and philosophers by elucidating a foundational issue about which both groups can–and must–learn from one another.
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In Black Skin, White Coats: Nigerian Psychiatrists, Decolonization, and the Globalization of Psychiatry (Ohio University Press, 2013), Matthew M. Heaton explores changes in psychiatric theory and practice during the decolonization of European empires in Africa in the mid-twentieth century. His story follows the transcultural Nigerian psychiatrists who tried to transform the discourse around and treatment of mental illness in both their local contexts and in global psychiatric circles. The decolonization of psychiatry, Heaton argues, had an “intensely cross-cultural, transnational, and international character that cannot be separated from local, regional, and national developments” (5). Heaton shows how, amid these contexts and changes, Nigerian psychiatrists actively participated in negotiating postcolonial modernity and the place of global psychiatry within it. The book begins by tracing the larger story from colonialism to postcolonialism: the first chapter offers an essential, incisive account of “Colonial Institutions and Networks of Ethnopsychiatry”; the second chapter lays out the decolonizing of psychiatric institutions and networks in the 1950s and 1960s, a story told mainly through the fascinating figure of Thomas Adeoye Lambo. In the remaining four chapters, Heaton narrows the aperture of historical lens to explore particular cases: Nigerian migrants in the UK who experienced psychiatric issues; debates about culture-bound syndromes such as “brain fag disease” and universality of psychiatric diseases; encounters between psychotherapists and “traditional” healers; and the ambivalence around the use and meaning of drug therapies by Nigerian psychiatrists. Black Skin, White Coats persuasively shows us that postcolonial psychiatry in particular and postcolonial modernity more broadly are best understood in terms of connectivity and interrelatedness rather than provincial dichotomies. In so doing, he also succeeds in bringing together scholarly areas such as African Studies, the history of medicine and psychology, and postcolonial studies.
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Migraine is real, and it is pervasive–at least 12% of Americans suffer some form of this spectrum disorder. Still, migraine remains a conflicted illness–people routinely dispute the legitimacy of both the experience and its sufferers. In Not Tonight: Migraine and the Politics of Gender and Health (University of Chicago Press, 2014), Joanna Kempner sets out to explore “how migraine can simultaneously disrupt so many lives and continue to be questioned and trivialized by the culture at large.” Kempner begins by tracing the changing biomedical understandings of migraine over the past three hundred years, discovering a long history of “migraine’s association with weak, gendered personalities.” Kempner then turns to four contemporary figures and cases: headache specialists, migraine advocates, pharmaceutical companies, and the case of cluster headaches (a disorder commonly associated with men). Throughout, she shows how the recent recasting of migraine from a “disorder of neurotic women” to a neurobiological disease has done little to change the cultural meaning of headache disorders because “even as a ‘brain disease,’ migraine remains plagued by gendered images, metaphors, and stereotypes.”
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The health of former NFL players has received plenty of attention in recent years. The suicides of Junior Seau and Dave Duerson, along with stories of retired players in only their 40s and 50s affected by dementia and ALS, have revealed the toll that a professional football career can take on a man’s body and brain. In their new book Is There Life After Football? Surviving the NFL (New York University Press, 2014), James Holstein, Richard Jones, and George Koonce, Jr., discuss the discovery of Chronic Traumatic Encephalopathy as well as other physical problems that afflict former NFL players. Yet the most stunning finding of their research is not how life in football affects players’ health, but rather how it affects their ability to find and hold a job, to maintain relationships, even to engage in basic social interactions.
The research leading to the book began with George Koonce, a nine-year veteran of the NFL. George’s career ended like those of most NFL players, not with a press conference announcing his retirement but with word from his last team that they “were moving in a different direction” and then a long wait for another team to call. After finally accepting that his playing days were over, he went on to earn his doctorate at Marquette University, writing his dissertation on the transitions of players into and out of professional football. Jim and Rick joined with their former graduate student to expand the research, accumulating thousands of pages of interview transcripts with former NFL players. The result is a candid look inside the “bubble” of NFL life and then the difficulties experienced by former players–men in only their late 20s and early 30s–when they leave that isolated, abnormal world.
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Donna J. Drucker is a guest professor at Darmstadt Technical University in Germany. Her book The Classification of Sex: Alfred Kinsey and the Organization of Knowledge (University of Pittsburg Press, 2014) is an in-depth and detailed study of Kinsey’s scientific approach. The book examines his career and method of gathering vast amounts of data, identifying patterns, and interpretation that was critical to his most influential works Sexual Behavior in the Human Male (1948) and Sexual Behavior in the Human Female (1953). Beginning with Kinsey’s study of the animal world, Drucker examines how he transferred natural science methods to sex education in his Marriage Course at Indiana University, and ultimately to the massive study of human sexual behavior. He brought into the interdisciplinary science of sexology a thoroughly naturalist approach and believed that taxonomy – collecting, classifying and describing patterns, revealed truths about the natural world and worked against what he considered the prejudice of misclassification. Kinsey was committed to scientific objectivity, free of moral judgment he believed possible through unprejudiced observation, the recording of mass data sets, and the application of biometrics. Nevertheless, Kinsey sex research had significant implications for understanding sexual difference between men and women, sexual preference tied to economic class, and the consideration of normal sexual behavior against standing societal norms. Drucker’s work brings attention to the historical contingency of the social and technological process, which produces, encodes and relays information over time. Drucker’s close attention to method and the role of data gathering technology again raises the question regarding the role of science in value formation and recovers Kinsey’s contribution to scientific practice.
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Lisa Stevenson‘s new book opens with two throat-singing women and one listening king. Whether we hear them sitting down to a normal night’s dinner (as the women) or stalking the pages of a short story from Italo Calvino’s Under the Jaguar Sun (as the king), listening to these voices can potentially transform our notion of listening itself, as well as our understanding of what a “self” is and could be. Life Beside Itself: Imagining Care in the Canadian Arctic (University of California Press, 2014) shows us this by exploring formulations and practices of life, death, and care in a history and ethnography of Canadian policies and attitudes toward the Inuit during two epidemics, a tuberculosis epidemic (1940s-early 1960s) and a suicide epidemic (1980s-present). In juxtaposing those two cases, the book considers different forms of “care,” bureaucratic and otherwise. In her archival and ethnographic research, Stevenson works as a collector of images, paying careful attention to the ways that they give meaning to life itself, even and especially amid conditions of uncertainty and confusion. The first three chapters of the book trace the practices of anonymous care that characterized the two epidemics in question, considering how the Canadian North has functioned as a massive laboratory for transforming Inuit into Canadian citizens. Whether the biopolitical project operated on tubercular or suicidal subjects, Inuit people were conceptualized as serialized bodies that needed to be brought back to health. Life Beside Itself shows that despite this, Inuit were never fully made into biopolitical subjects: instead, we come to know the friends and acquaintances that animate Stevenson’s work as they cultivate multiple forms of life and of care. This is a beautiful and thoughtful book that will reward a wide range of readers, whether they come to it with an interest in health care and its histories, in the Canadian North, in forms of life and death, or simply in a moving and generously narrated story.
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Commercial interests are often understood as impinging upon the ethical norms of medicine. In his new book, Medical Monopoly: Intellectual Property Rights and the Origins of the Modern Pharmaceutical Industry (University of Chicago Press, 2013), Joe Gabriel shows how the modernization of American medicine was bound up in the ownership, manufacture, and marketing of drugs. Gabriel unearths the early history of intellectual property concerns as they entered the domain of medical practice itself. Through his careful marshaling of evidence, he takes readers back to a time when the norms and legal structures of commercial capitalism in the U.S. were just as much at issue as those of the professionalization of medicine. This fascinating book serves as a pointed reminder that the sources of therapeutic rationale are just as much tied to the production and regulation of therapies as the collective decision-making on ethical practice. Along with my previous interview with Jeremy Greene, this discussion will hopefully make accessible a broad perspective on the development of medicine in the 20th century by focusing on its ties to industry.
Medical Monopoly charts the history of property rights over medicines at the dawn of the 19th century through World War I. The important broader transition here is that while before the Civil War–at least in medicine–patents were seen as tantamount to granting problematic monopoly, by the end of the 19th century they were understood as the best available regulatory mechanism for preventing more problematic imitation. Whereas patent medicines had previously been linked to quackery, the emergence and rapid expansion of the “ethical” pharmaceutical industry after the Civil War was due to its adherents advocating for more effective regulation of commerce within medicine. Rather than reverting to secrecy, firms began to circulate and publish information on new remedies and the results of studies to physicians. As the explosion of new medicines remained at pace with the boom of consumer goods in the late 19th century, patenting and corporate investment in monopolistic practices became understood as a mechanism to advance the public good. The expansion of laboratory science and norms of chemical manufacturing in the 20th century only bolstered this union further.Medical Monopoly is a fascinating and important read that people interested in medical policy should pay attention to.
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Emilie Cloatre‘s award-winning book, Pills for the Poorest:An Exploration of TRIPS and Access to Medication in Sub-Saharan Africa (Palgrave, 2013), locates the effects–and ineffectualness–of a landmark international agreement for healthcare: the World Trade Organization’s “Trade-related Aspects of Intellectual Property Rights.” Cloatre takes seriously the idea of TRIPS as a technology in Bruno Latour’s meaning of the word–as a material object that anticipates effects in specific settings. Cloatre follows the text from its consolidation in European meeting halls to its use in the former French and British colonies of Ghana and Djibouti. Pills for the Poorest is a significant ethnography of law and healthcare in Africa that shows precisely how this paper tool begat new buildings, relationships, experts, and, indeed, pills, but only in particular places, among certain people, and for particular kinds of pharmaceuticals. Cloatre is a broadly trained scholar and talented researcher who shows the power of Actor Network Theory as an analytic device, and yet does so with a spirit of critique in the best sense: that is, as an act of sympathetic, yet persistent, questioning. As a text itself, the book has potential to reshape the thinking of readers from a wide range of fields, from law, science studies, healthcare policy, and beyond.
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The 1960s marked a “new era of vaccination,” when Americans eagerly exposed their arms and hind ends for shots that would prevent a range of everyday illnesses–not only prevent the lurking killers, like polio. Medical historian Elena Conis shows that Americans’ gradual acceptance of vaccination was far from a medical fait accompli: it was–and remains–a political accomplishment that has stemmed from a patchwork of efforts to expose children, in particular, to compulsory vaccine programs. Grown in the culture of postwar American politics, vaccines deliver more than prophylactics. They succor a set of assumptions about economic inequality, racial difference, sexual norms, and gendered divisions of labor. Vaccine Nation: America’s Changing Relationship with Immunization (University of Chicago, 2014) is a timely and accessible social history of American policy and practices towards vaccination that shows how support for vaccination has rarely advanced for medical reasons alone.
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Is pain real? Is pain relief a right? Who decides? In Pain: A Political History (Johns Hopkins University Press, 2014),Keith Wailoo investigates how people have interpreted and judged the suffering of others in the US from the mid-1940s to the present. While doctors and patients figure in his story, the primary protagonists are politicians, judges, and ideologues, who variously understood the ambiguities of pain as political problems to be settled in legislatures and in courts of law and public opinion alike. For instance, in the 1940s and 1950s, the “pain complaint” of ailing World War II veterans became the locus of debates about manhood, federal disability benefits, and pharmaceutical interventions. Although physicians faced complex problems about adjudicating the pain of their patients, Wailoo shows that pain was also a deeply cultural problem, especially as new, competing theories of pain emerged to explain not only the experience of suffering, but the character, motives, and rights and responsibilities of the sufferer. In the Reagan administration-era, debates about pain were an index of America’s welfare problem, and in late 20thcentury, controversies over fetal pain and the “ultimate relief” of physician-assisted suicide reflected the polarized landscape of “liberal” and “conservative” positions. The last chapter, “OxyContin Unleashed,” compellingly shows how a de-regulated and pro-business pain policy led to the pain drug boom in a competitive and unstable medical marketplace. Ultimately, Wailoo claims that “we have a cultural problem understanding people’s pain.” Pain shows us how that has taken place throughout our recent history, and challenges us to acknowledge and attend to the way that we politicize the pain of others without regard for their suffering.
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Cancer pervades American bodies–and also habits of mind. Malignant: How Cancer Becomes Us (University of California Press, 2013) is a sharp, adventurous book by the established legal anthropologist, S. Lochlann Jain. The book simultaneously complicates and clarifies the multiple ways in which cancer and patient-hood gets appropriated, embodied and reproduced through seemingly quotidian activities–from opening an insurance bill to enjoying yoga class. Jain shows, in other words, exactly how and in what way cancer becomes you and me. The book draws together interviews, observations, and Jain’s first-hand experience as a cancer patient, as well as a range of cultural remains, from literature to law to life tables. In doing so, Jain holds a mirror to corporate stakeholders, to everyday Americans, and to herself in order to show, paradoxically, how modern Americans reinvest in cancer in the very practices designed to promote health. The book is a critique of the ways of life and “ways of knowing” that drive twenty-first century America–and an uncomfortable, necessary look at ourselves. Just when you think scholars have protested too much about the hidden costs of better health, Jain shows that Americans have not protested nearly enough.
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Dengue fever is on the rise globally. Since it is transmitted by mosquitoes which reside and reproduce in human environments, eradication efforts involve households and the people who keep them clean as well as moral and persuasive campaigns of surveillance and invigilation. In his new book Mosquito Trails: Ecology, Health and the Politics of Entanglement (University of California Press, 2014), Alex Nading follows the trails of garbage collectors and recyclers, local health care workers, and the mosquitoes themselves in this fascinating ethnography of Nicaragua’s Ciudad Sandino’s efforts to deal with dengue fever. He argues that these efforts are better understood as a series of entanglements and attachments that bring human and more than human actors together in intimate relationships. Nading’s book offers readers new ways to think about the relationships among the state and local actors as mediated through a series of objects: houses, viruses, immune systems, insects, and allocation budgets. This is a story about stories, and how they matter to health and urban environments.
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Khat, the fresh leaves of the plant Catha edulis, is a mild psycho-stimulant. It has been consumed in Yemen, Ethiopia, Eritrea, Djibouti, Somalia for over one thousand years. Khat consumption is an important part of Yemeni social and political life. During the early part of the twentieth century, Yemeni dockworkers brought khat to Madagascar, where other members of the Malagasy population have adopted its use.
In her excellent book Drug Effects: Khat in Biocultural and Socioeconomic Perspective (Left Coast Press, 2012), Lisa L. Gezon, Professor and Chair in the Department of Anthropology, University of West Georgia, analyzes the production and consumption of Khat on the island nation of Madagascar. Taking a cultural, medical, and anthropological approach, Gezon looks at the use of khat in pharmacological, cultural, political, economic and environmental contexts.As a student of plant drugs/medicines/intoxicants, her summary of the manner in which khat’s effects have been mischaracterized by many so called experts has echoes of reefer madness inspired characterizations of cannabis and its users.Like so many drugs, khat is a powerful force in the local economy, and the factors that have allowed khat to provide income for small hold farmers rather than becoming part of a centralized and commercial monoculture are worthy of further analysis.
In addition to teaching me about the specifics of khat consumption in Madagascar, the background material provided a great primer on CMA approaches to substance use, as well as on the history, pharmacology and policy surrounding Catha edulis.
I have been thinking a great deal about the economic forces that influence the consumption and availability of drugs.There are similarities and differences between poppy production in Afghanistan or the Golden Triangle, cannabis production in the Emerald Triangle, and khat production in Madagascar.The peaceful and widely distributed economic benefits of smallholder farming on Madagascar make this study particularly fascinating.
Lisa Gezon was a pleasure to interview, and was very patient with my still developing interviewing skills.Her research included extensive field work as well as research, and the book is almost encyclopedic in its synthesis of the literature, the findings of her studies as well as her excellent and insightful analysis.
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Janet K. Shim‘s new book juxtaposes the accounts of epidemiologists and lay people to consider the roles of race, class, and gender (among other things) in health and illness. Heart-Sick: The Politics of Risk, Inequality, and Heart Disease (New York University Press, 2014) integrates several kinds of sources into a theoretically-informed sociological investigation of inequality and cardiovascular disease, including interviews with epidemiologists and people of color who are dealing in different ways with the disease, participant observation at conferences and health education events, and engagement with discourses of cultural and social theory. Shim considers the points of commonality and divergence among lay and epidemiological communities in terms of how each group conceptualizes the nature of social and cultural difference, the significance of difference for health and disease, and the reliability of different forms of knowledge. In the process, Heart-Sick places these accounts into dialogue with theories of biopower and biopolitics, intersectionality (a notion that addresses how “interlocking systems of oppression shape both the distribution of chances and of risk”), and fundamental causality (a concept that considers social conditions as fundamental causes of disease). The result is a masterfully articulated and clearly argued study that will be of interest to sociologists of science and medicine, historians, and curious readers interested in becoming better informed about the processes through which we have come to understand our bodies and selves and the consequences of those processes for research and treatment of heart disease.
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Is there any such thing as a generic drug? Jeremy A, Greene‘s new book Generic: The Unbranding of Modern Medicine (Johns Hopkins University Press, 2014) treats its subject matter with a learned skepticism that lets the reader see through the eyes of the historical actors who helped define the modern drug industry. By inverting preconceived notions about what we take to be mundane, mass-produced chemical identities, the book offers a broad yet pointed glance at an industry and its attendant regulatory structures that developed alongside modern consumer culture. Claims about the equivalence and lower price of generic medicines, uncoupled from the patents held by major firms, were always hotly contested, and Jeremy’s book shows how debates about branding–or lack thereof–were at the heart of the rationalization of medical practice.
Generic opens with evocative stories about the legal and scientific crises and personal tragedies wrought by tense relations between medical science and industry. We then learn about early debates over international standardization of chemical names and the emergence of firms that marketed generics as a specific kind of product that were a part of the very same consumer-driven value system their proponents wanted to replace. These anonymous drugs prompted research that could establish sufficient similarity between them, while at the same time provoking disputes of authority between physicians and pharmacists that produced a new regulatory regime and standards which were embodied and shaped by emerging large, bureaucratic health care providers. In the end, the story of generics as champions of access and affordability in an age of elusive therapeutics and ‘me-too’ drugs designed to cash in on innovation is complicated by the global changes in production and trade they have wrought. Are ‘global’ drugs perceived as ‘universal’? Jeremy’s book will promote discussion and thought about the medical mundanities we so often take for granted. Generic takes the philosophically-inflected themes of the history of science into a realm of pressing urgency, and reveals fascinating parallels that actually make it more enjoyable for a broad audience.
This interview is the first half of a pair of new books on the pharmaceutical industry; be on the lookout for my next interview with Joseph M. Gabriel about his new book: Medical Monopoly: Intellectual Property Rights and the Origins of the Modern Pharmaceutical Industry (University of Chicago Press, 2014).
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Liberal Protestants are often dismissed as reflecting nothing more than a therapeutic culture or viewed as a measuring rod for the decline of Christian orthodoxy. Rarely have they been the subjects of anthropological inquiry. Pamela Klassen, Professor of Religion at the University of Toronto, wants to change that. Her recent book, Spirits of Protestantism: Medicine, Healing, and Liberal Christianity (University of California Press, 2011), charts a transition in liberal Protestant self-understanding over the course of the twentieth century whereby “supernatural liberalism,” as Klassen calls it, enabled imaginative shifts between Christianity, science, and secularism. In the process, she explores how Protestants went from seeing themselves as Christians who combined medicine and evangelism to effect ‘conversions to modernity’ among others, including Native Americans and colonized people, to understanding themselves as complicit in an oftentimes racist imperialism. At the same time, they have recombined forms of healing in new ways, drawing on practices such as yoga and reiki in order to continue the search for a universalized type of wholeness – both spiritual and physical. Focusing on Canadian Protestants in the Anglican and United churches, Spirits of Protestantism combines rich historical examples and four years of ethnographic study to show how liberal Protestants have exerted a major influence in public life and even on anthropology itself.
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David Wright‘s 2011 book Downs: The History of a Disability (Oxford University Press, 2011), offers readers a history that stretches far beyond the strictly defined genetic disorder that is its namesake. Wright shows us how the condition that came to be known as Down’s syndrome has as much to do with the social history of what was called ‘idiocy’ in Early Modern times and reform movements to integrate the disabled beginning in the 1960s as it does with the rise of asylums or the disputed discovery of “trisomie vingt-et-un.” Even the legacy of the condition’s name is a telling narrative about the modernization of medicine, from the use of the term ‘mongoloid’ to justify the (progressive for the time) anthropological theory of racial reversion to debates over whether to rename the disease in honor of John Langdon Down or place it within a more rigid taxonomy of congenital mental disorders. On their own, all of these stories are compelling windows into different dimensions of medicine, and as a whole they comprise a book that shows readers just how contested the process of ‘medicalizing’ a condition has always been.
The book’s chapters progress both chronologically and thematically. We begin with the legal definition of idiocy in the English Common Law as a way for the state to regulate the inheritance of property, and a glance at different contemporary philosophical understandings of mental handicap. Then, Wright discusses John Langdon Down’s work at the Earlswood Asylum and the influence of both education reforms and genetic studies on the definition of mental handicap. Proceeding through Jérôme Lejeune’s disputed discovery of trisomy 21 and the role of genetic screening in abortion debates, the book concludes by discussing how social movements in the late twentieth century have profoundly affected the ethical and political dimensions of Down’s syndrome. Winner of the British Society for the History of Science’s 2013 Dingle Prize, awarded biennially to a book exemplifying critical focus and a novel perspective while remaining accessible to the public, Downs is a great read for specialists and non-specialists alike.
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Beth Linker is the author of War’s Waste: Rehabilitation in World War I America (University of Chicago Press, 2011). As she reveals, the story of individual rehabilitation from war-related injury was intertwined with other political concerns at multiple levels. These century-old accounts matter greatly, as the First World War was that point where modern rehabilitative medicine and social policy was born, with many of the attitudes and aspects of this early response lingering to the present day. Beth’s book is an insightful consideration of the conflicted responses Americans presented to the unanticipated challenges of post-war reconstruction and rehabilitation for the nation’s thousands of veterans, standing in no small way as a cautionary tale as America winds down from its latest conflicts.
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In The Emergence of Tropical Medicine in France (University of Chicago Press, 2014), Michael Osborne offers a new way to think about and practice the history of colonial medicine. Eschewing pan-European or Anglo-centric models of the history of colonial medicine, Osborne’s book focuses on the centrality, transformations, and ultimate demise of naval medicine in France in the nineteenth and early twentieth centuries. Motivating the central arguments and narrative of the book is a concern with place, places, and emplacement, and Osborne explores maritime medical practices and the ecology of disease in French provincial port cities, on ships, in prisons, in hospitals and schools, and beyond. The Emergence of Tropical Medicine in France pays special attention to how the study and conception of race, and its connection with health and disease, was formed and reformed in these settings. Readers with a special interest in the relationship between medicine and the military will find much to enjoy here, as will those who come to the book wanting to know more about the maritime history of diseases like Yellow Fever, lead poisoning, and Malaria. There’s also some wonderful storytelling here, including a fascinating account of a book-bomber in Chapter 4. It is a beautifully written account, and it should be required reading for those interested in the history of medicine and healing, of France, of the colonial medical past, and of place and locality.
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In his new book, Imperial Technoscience: Transnational Histories of MRI in the United States, Britain, and India (MIT Press, 2014), Amit Prasad, an associate professor of sociology at the University of Missouri, examines what he calls the “entangled histories of MRI” by studying the development of the technology in the United States, Britain and India. In this way, Prasad deconstructs West/non-West technological and cultural divisions, as well as elucidating Euro/West-centrism in the histories of technology. To do so, Prasad examines five key aspects of MRI research: invention, industrial development, market, history, and culture. In so doing, Prasad provides a critique of the situating of the origin of modern science in the West.
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It may seem silly to ask why we seek ecstasy. We seek it, of course, because it’s ECSTASY. We are evolved to want it. It’s our brain’s way of saying “Do this again and as often as possible.” But there’s more to it than that. For one thing, there are many ways to get to ecstasy, and some of them are very harmful: cutting, starving, and, of course, drug-taking. These things may render an ecstatic state, but they will also kill you. Moreover, many of the ecstasy-inducing activities and substances are powerfully addictive. It’s fine, for example, for most people to use alcohol to feel more relaxed or even to achieve an ecstatic state. But something on the order of 10% to 15% of people cannot safely use alcohol at all without become seriously addicted. And once they do, they usually descend into a profoundly un-ecstatic nightmare that often ends in death.
According to Sharon K. Farber‘s Hungry for Ecstasy: Trauma, the Brain, and the Influence of the Sixties (Aronson, 2013), our desire for ecstasy is first and foremost a psychic defense that protects us against on-going or anticipated trauma. When reality (as we perceive it, which, of course, is not always or even often accurately) becomes “too much” for us, we seek refuge in altered states of consciousness. The most attractive of these, of course, is ecstasy. It makes everything frightening just “go away.” Sometimes, the ecstatic state appears spontaneously. More often, however, especially in our culture, it is consciously induced by self-harming and drug-taking. For most of us, this sort of self-medication “works.” For a large minority, however, it ends in addiction and death. Listen in.
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The twentieth-century West witnessed a revolution in childbirth. Before that time, most women gave birth at home and were attended by family members and midwives. The process was usually terribly painful for the mother. Beginning in the nineteenth century, however, doctors started to “medicalize” childbirth. Physicians began to think of ways to ease the pain of childbirth.
Two main options were explored. One–drugs–is quite familiar to us, for it is the primary tool used by doctors to make women comfortable during the birth process today. The other–“psychoprophylaxis”–has now passed into memory. The most famous form of psychoprophylaxis, and the subject of Paula A. Michaels’ excellent book Lamaze: An International History (Oxford University Press, 2014), is known as the “Lamaze method.” Its history is fascinating and surprising: born in the Soviet Union (or was it the United Kingdom?), it migrated to France, and then to much of Europe. It then jumped the Atlantic and became a quasi-political force in the United States (“natural childbirth”). And Lamaze is still with us, though in a form hard to recognize. Listen in.
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Abena Dove Osseo-Asare‘s wonderful new book is a thoughtful, provocative, and balanced account of the intersecting histories and practices of drug research in modern Ghana, South Africa, and Madagascar. Bitter Roots: The Search for Healing Plants in Africa (University of Chicago Press, 2014) tells the stories of six plants, all sourced in African countries, that competing groups of plant specialists have tried to transform into pharmaceuticals since the 1880s. The leaves and roots and seeds of the book’s narrative collectively map the contours of a story that emerges from a crucial and germinal tension: on the one hand, much of the history of the plant sciences in these African spaces is motivated by a race for patents and scientific credit; at the same time, the mobility of plants across the borders of Osseo-Asare’s study has complicated efforts to assign priority of discovery to individuals or groups, and in fact challenges the very notion of a “traditional” or “indigenous” body of knowledge in the first place. Simultaneously a carefully situated ethnography and a history informed by a material archive that encompasses pages and petals, the book explores that tension in a critical assessment of what it means to talk about “African” science or “local” knowledge. Bitter Roots will deservedly have a wide audience in African studies, science studies, and the histories of medicine, pharmacy, and botany.
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There are very few studies like the Harvard Grant Study. Started in 1938, it has been following its approximately 200 participants ever since, analyzing their physical and mental health and assessing which factors are correlated with healthy living and healthy aging. One of the psychiatrists of the study is George E. Vaillant, who was a young man in 1966 when he joined the research group, and has now written Triumphs of Experience: The Men of the Harvard Grant Study (Harvard University Press, 2012). This fascinating book relates how the participants have changed over the course of their lifetimes (yes, Dr. Vaillant claims, people can change) and highlights the factors correlated with both happiness (e.g. warm childhoods, close relationships) and misery (e.g. alcoholism). Some of the findings are what you would expect, but this longitudinal study also holds some surprises, even as its participants reach their 90s and beyond.
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What is the interplay between the physical human body and the body politic? This question is at the heart of Ellen J. Amster‘s Medicine and the Saints: Science, Islam, and the Colonial Encounter in Morocco, 1877-1956 (University of Texas Press, 2013). In this pioneering, interdisciplinary study, Professor Amster explores the French campaign to colonize Morocco through medicine. It is through medicine and medical encounters that Amster reveals competing ideas of “scientific paradigm (cosmologies), knowledge systems (hygiene and medical theory), and the technologies of physical intervention (therapeutics)” (p. 2) between the colonizing French positivists and the Moroccan populace.
Amster’s breadth of expertise in the fields of medical history, Moroccan/North African history, the history of French colonization, the study of Islam and Sufism, anthropology, sociology, and philosophy is equally matched to the depth in which she explores these topics throughout the six chapters of her work. Each chapter explores a unique encounter, or more often clash, between the French and the Moroccan. From Sufi saints in the first chapter to government hygiene initiatives in the fourth, Amster is meticulous and exhaustive with her source material. Even more distinctive is her use of oral narratives. Scholars interested in the role of women as medical practitioners will greatly benefit from Amster’s exploration of the qabla (midwife) in the fifth chapter. Gradually, Amster demonstrates that French attempts to “modernize” Morocco were in fact the very seeds that led to Moroccan ideas of independence and nationhood. This work will have a tremendous impact on many fields and hopefully give rise to further interdisciplinary work in the fields of Islam, North African and Moroccan history, and medicine.
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Sarah Franklin‘s new book is an exceptionally rich, focused yet wide-ranging, insightful account of in vitro fertilization (IVF) and the worlds that it creates and inhabits. Biological Relatives: IVF, Stem Cells, and the Future of Kinship (Duke University Press, 2013) treats IVF as a looking-glass in which can see not only ourselves, but also transformations in modern notions of biology, technology, and kinship. In addition to a fascinating ethnography of the various kinds of work (by artists, by scientists, by patients and doctors) at IVF and stem cell research facilities, readers will find insightful explorations of the work of Marx and Engels, Haraway, Plato, Strathern, Derrida, Firestone, along with a wide range of authors of feminist texts from the 1980s and after. It is a book full of hands, socks, pipettes, eggs, screens, organisms, and arguments, it is fascinating, and it was a great pleasure to talk with Sarah about it.
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In this episode, I talk with Carlo C. DiClemente, a Presidential Research Professor in the Department of Psychology at the University of Maryland- Baltimore County, about his co-authored book, Substance Abuse Treatment and the Stages of Change: Selecting and Planning Interventions (Guilford Press, 2013). We examine the stages-of-change model (also known as the transtheoretical model) in behavioral change, particularly in substance abuse and drug addiction treatment. We discuss the complexity involved in substance abuse, and the need to consider stage status in effective treatment. We talk about relapse and its implications for individuals’ recovery trajectories. The importance of the individual client as the central mechanism of change is emphasized throughout our discussion.
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In this episode, I sit down with Karen G. Weiss, associate professor in the Department of Sociology and Anthropology at West Virginia University, to talk about her book, Party School: Crime, Campus, and Community (Northeastern University Press, 2013). We discuss the subculture of the “party university,” and how such an environment normalizes and encourages extreme binge drinking and reckless partying. We talk about how extreme partying harms students as well as the larger community, and why students willingly put themselves (and others) at risk for victimization. We discuss why the party subculture appears so resistant to change, and why efforts from university personnel and law enforcement often appear futile. We also explore possible ways to transform the party subculture and address the problems it causes.
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Angela Creager‘s deeply researched and elegantly written new book is a must-read account of the history of science in twentieth-century America. Life Atomic: A History of Radioisotopes in Science and Medicine (University of Chicago Press, 2013) traces a history of radioisotopes as military and civilian objects, for experimentation and therapeutic use, from the 1930s through the late twentieth century. Creager follows the emergence of a political and economic market for radioisotopes, looking carefully at their use as controversial political instruments, as representations of the benefits of atomic energy for US citizens, and as commodities.
After six chapters that trace these broader contexts of the production and circulation of radioisotopes, the second half of the book offers a set of fascinating case studies that explore representative users and uses of the technology in biochemistry, molecular biology, medicine, and ecology. Aspects of the story touch on the history of scientific and medical research using human and animal subjects, the early history of radiation therapy, and the history of ecology and environmental science. Not only is it a historiographically important and meticulously crafted work based on exhaustive research, but it’s also a great set of stories. The pages of Life Atomic are full of guinea pigs, scientific vaudeville, and stories and characters from many different fields of the modern life sciences, expertly weaving them together into a compelling set of arguments. Enjoy!
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Addiction has recently emerged as an object of anthropological inquiry. In a wonderful, focused volume of ethnographies of addiction in a wide range of contexts, Eugene Raikhel and William Garriott have curated a collection of essays that each follow a particular “addiction trajectory.” Addiction Trajectories (Duke University Press, 2013) includes studies that trace epistemic, therapeutic, experiential and experimental transformations across time and space. Collectively, they blend approaches from ethnography and science studies. Readers who are interested in historical ontologies, the concretion of new diseases and illnesses, the history of pharmaceutics and drug use, local styles of medical and clinical reasoning, the politics of healing, and the spaces of experimentation will find much of interest here. Eugene and Will generously made time to talk with me about the volume itself the workshop with which it began, and their own fascinating contributions on addiction medicine in Russia and methamphetamine addiction in rural West Virginia. Enjoy!
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Two main questions frame Sienna R. Craig‘s beautifully written and carefully argued new book about Tibetan medical practices and cultures: How is efficacy determined, and what is at stake in those determinations?Healing Elements: Efficacy and the Social Ecologies of Tibetan Medicine (University of California Press, 2012)guides readers through the ecologies of mind, body, and society within which Sowa Rigpa is practiced, understood, and transformed from rural Nepal to New York City. The first two chapters each chronicle a day spent in one of the main ethnographic sites featured in the book: a rural clinic and school in Mustang, Nepal; and a major medical institution in urban China. After this grounding in the wide varieties of experience that might collectively fall under the category of “Tibetan medicine,” the following chapters explore how associated people, objects, and practices engage with the opportunities and challenges posed by encounters in very different contexts. These contexts range from warehouses meant to prepare drugs for the global pharmaceutical market, to government-supported medical facilities in Nepal and China, to dissertation defenses, to private clinics in a variety of towns and cities, to fields in which medicinal drugs grow wild, to randomized clinical drug trials. It is a fascinating story, a moving and engaging narrative, and a pleasure to read.
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Between WWII and the 1970s, prominent researchers from various fields established and defended a view that emotions are integral to the self, and that a mother’s love determines an individual’s emotional development. In Marga Vicedo, The Nature and Nurture of Love: From Imprinting to Attachment in Cold War America (University of Chicago Press, 2013), Marga Vicedo explores the emergence of the science of children’s emotional needs in the twentieth century. Masterfully bringing together approaches from the history and philosophy of the biological sciences, Vicedo’s book focuses on British psychoanalyst and psychiatrist John Bowlby (1907-1990), whose ethological work became one of the most influential and controversial psychological theories of the 20th century. Vicedo uses the story of Bowlby’s science to explore a broader modern history of work on animal and human behavior that includes Konrad Lorenz, Anna Freud, Benjamin Spock, and Niko Tinbergen, among others. Along the way, The Nature & Nurture of Love chronicles the emergence of a kind of anthropomorphic material culture of the human sciences, inhabiting its story with a fascinating cast of robots, dolls, geese, monkeys, and stuffed animals, as well as humans. It is a fascinating and gripping trans-disciplinary story and an absolute pleasure to read.
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Free will is essential to our understanding of human nature. We are masters of our own fate. We chart our own course. We take our own road. In short, we decide what we are going to do. There seems little doubt that free will is a reality. But how, psychologically and physiologically, does it work? How does free will arise out of what is essentially a biological machine? How do we decide?
That’s the question at the center of A. David Redish‘s fascinating The Mind Within the Brain: How We Made Decisions and How Those Decisions Go Wrong (Oxford UP, 2013). His elegant answer is that on the neurological level, we have a number of discrete decision-making mechanisms. They range (though there is no real order or hierarchy) from completely unconscious and mechanical, as when experience a nerve reflex, to completely explicit and flexible, as when we deliberate about options and choose one. Especially interesting is David’s discussion of what happens when one of these decision-making mechanisms breaks and goes into “failure mode,” namely, the manifestation of common psychological problems such as consistent irrationality, addictive behaviors, and PTSD. Listen in to our fascinating discussion.
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If you think about it, pretty much everything has a history insofar as everything exists in time. Historians, however, usually limit themselves to the history of humans and the things humans make. Occasionally, of course, they make forays into the history of animals, the environment and even the universe (see “Big History”), but these excursions are exceptions to the all-human rule.
In Virus Hunt: The Search for the Origin of HIV (Oxford UP, 2013), Dorothy H. Crawford–a biologist–breaks new historiographical ground by tracing the history of a virus, namely HIV. She is, naturally, interested in the tragic human story of HIV and AIDS. But her focus is on the virus itself. Where and when, she asks, was HIV born? In what populations did it live before it jumped to humans? And, most importantly, where and when did it jump to humans? Using an array of sophisticated tools, a group of biologists-cum-detectives were able to give credible answers to these historical questions. Crawford tells their story.
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For a patient choosing among available forms of healing in the medical marketplace of mid-20th century South Korea, the process was akin to shopping. In Reconstructing Bodies: Biomedicine, Health, and Nation-Building in South Korea Since 1945 (Stanford University Press, 2013), John DiMoia explores emergence of that marketplace in the context of a confluence between biomedicine, bodies, and the nation in South Korea since the last half of the 20th century. In a series of case studies that range from quarantine efforts after the arrival of the U.S. Military Government in Korea (USAMGIK) to plastic surgery in today’s South Korea, DiMoia traces a number of themes through his history of biomedicine and healing: the gradual transition from German/Japanese academic medicine to American and international models of medicine; a corresponding embracing of diverse forms of bodily intervention; and the ultimate adoption of private models of health care in modern South Korea. We meet several fascinating characters in the course of the narrative, from practitioners of traditional Korean medicine, to groundbreaking vascular surgeons, to men and women whose bodies became the testing grounds for reform in birth control technologies.
DiMoia’s account introduces public health practices that included spraying of human bodies with DDT, surgical practices that transformed the spaces and bodies of medicine mid-20th century South Korea, and antiparasitic practices that saw thousands of children bring stool samples to school. It is a rich account of a hybrid medical ecology with moments that would collectively make up a riveting fictional novel if they weren’t all true. Enjoy!
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Children born in the 1970s and 1980s received just a handful of vaccinations: measles, rubella, and a few others. Beginning the 1990s, the numbers of mandated vaccines exploded, so that today a fully-vaccinated child might receive almost three dozen vaccinations by the time he or she turns six. Worries over vaccinations are nothing new, but in recent years they have reached a new state of intensity. Supposed links between vaccinations and the spike in diagnoses of autism have generated a well-publicized anti-vaccination movement. Mark A. Largent addresses the roots of this controversy in Vaccine: The Debate in Modern America (Johns Hopkins University Press, 2012), a book that is as refreshing for its accessible, readable style as it is for the nuanced, dispassionate, and fair manner it treats the players in this debate, from health care professionals to Jenny McCarthy.
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Virginia Gray, David Lowery, and Jennifer Benz are the authors of Interest Group$ and Health Care Reform Across the United State$ (Georgetown University Press, 2013). Gray is Distinguished Professor of Political Science, UNC, Chapel Hill, Lowery is Professor of Political Science at Pennsylvania State University, and Jennifer Benz is a Senior Researcher at NORC at the University of Chicago.
In the wake of the passage of national health care reform (Affordable Care Act (ACA)), we may all have overlooked the plethora of policy making at the state level. Why is it that the ACA took over 50 years to pass, yet states have regularly changed their own health care regulations?
This book investigates how state policy makers have reformed health care laws from 1988-2002 with a focus on: market controls; mandated employee coverage; coverage for needy families; and single-payer systems. As the title suggests, they pay particular attention to the role interest groups have played in reform. The authors end the book with a discussion of the implementation of the ACA by states.
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Rachel Prentice‘s new book blends methodological approaches from science studies and anthropology to produce a riveting account of anatomical and surgical education in twenty-first century North America. Bodies in Formation: An Ethnography of Anatomy and Surgery Education (Duke University Press, 2013) carefully considers three field sites in which physical interaction is crucial to the development of medical knowledge: anatomy labs in which students dissect human cadavers, operating rooms that serve as spaces for surgical training, and design labs that are creating the body as a “computational object” at the same time that they produce technologies for simulating surgery and dissection or virtually enabling it from afar. Prentice offers a fascinating window into the aspects of medical education that produce the technical, ethical, and affective modes of the medical and surgical self. It is a sensorily-grounded, embodied ethnography that considers its bodies – of cadavers, of surgeons, of computer programs, of students, of patients – simultaneously as material entities and active participants in the narrative. Enjoy!
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Like it or not, the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM) has an enormous influence in deciding what qualifies as a mental health disorder in the United States and beyond. The each revision of the DSM directly influences people’s lives, guides treatment, and has important legal and economic consequences. In her book, The Making of DSM-III: A Diagnostic Manual’s Conquest of American Psychiatry (Oxford University Press, 2013), history professor Hannah S. Decker explores the history of the important third revision of DSM. DSM-III was revolutionary at the time because it changed the field of psychiatry from a generally psychoanalytic approach to a more symptom-based, medical model of diagnosis. Through the use of archival sources and interviews with people who were involved in its creation, Dr. Decker paints a picture of the DSM-III in the 1970s. She also explores the landscape of psychiatry before, during, and after the creation of DSM-III. Dr. Decker’s work is important in understanding the context and controversies that surround the DSM, which continue to this day with the recent release of DSM-V. This book will be of interest to people interested in the history of medicine and psychiatry, clinicians and researchers in any mental health discipline, and anyone who is interested in ongoing debates about the field of psychiatry.
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T. J. Hinrichs and Linda L. Barnes have produced a volume that will change the way we learn about and teach the history of health and healing in China and beyond. Chinese Medicine and Healing: An Illustrated History (Harvard University Press, 2012) collects ten chronologically-organized chapters that each explore practices of health and healing in a specific historical period, ranging from oracle bones in the pre-Han period to modern McDonald’s restaurant décor. Each chapter is supplemented by short vignettes that introduce noteworthy texts, important concepts, or examples relevant to and contemporary with the material in the chapter. Taken together, the resulting volume can be used and enjoyed by a wide range of readers, from instructors and students in a university classroom to interested browsers on a Sunday afternoon in the park. It’s a phenomenal accomplishment and makes for an enjoyable and compelling read. In the course of our conversation, we talked about a wide range of issues germane to the volume, the research and writing of each of the editors, and the wider field of medicine and healing in China. Enjoy!
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Dorothea was a widow who treated Martin Luther, the Duke of Saxony, and throngs of poor peasants with her medicinal waters. Anna was the powerful wife of the Elector of Saxony who favored testing medical remedies on others before using them on her friends and family. Elisabeth was an invalid patient whose preferred treatments included topical remedies and ministrations from the “almighty physician,” but never “the smear.” We meet these three lively women in the pages of Alisha Rankin‘s wonderful new book on the medical practices of noblewomen from the last decades of the sixteenth century. Panaceia’s Daughters: Noblewomen as Healers in Early Modern Germany (University of Chicago Press, 2013) considers the intellectual and social contexts of healing practices in early modern Germany, focusing on elite women who spent much of their adult lives devising and administering medicinal remedies. The book argues that noblewomen were celebrated as healers not despite their gender, but because of it, offering a useful corrective to the historiography of gender and the sciences in early modernity. Rankin situates three in-depth case studies within a careful exploration of some of the main factors that enabled the kind of success that noblewomen-healers like Dorothea of Mansfield and Anna of Saxony enjoyed in sixteenth-century Germany: more opportunities for information exchange through local communities and wider epistolary networks; an increasing focus on empirical knowledge in its many forms; and the foundation role of written medicinal recipes as a form of kunst. It is a thoughtfully written and very clearly argued work that informs many aspects of the history of gender, of science and medicine, and of practical epistemologies. Enjoy!
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It is common today to treat depression and other mental disorders as concrete illnesses – akin to having pneumonia or the flu. In fact, being prescribed a pill after complaining to your family doctor about feeling depressed is a common occurrence. But are mental disorders really illnesses the way that a sinus infection is? Gary Greenberg, in his fascinating new book The Book of Woe: The DSM and the Unmaking of Psychiatry (Blue Rider Press, 2013), argues that the answer is no. The DSM, which categorizes and defines mental disorders, is socially constructed, he claims, and changes over time. Homosexuality, for example, was considered an illness until 1973, and Asperger’s, now widely considered by the public to be a real condition (which many identify with), may no longer be in the newest revision of the DSM. Greenberg is not indicting all psychiatry or arguing that people should not take antidepressants, but he is criticizing the assumption that mental suffering is the same as physical suffering, arguing that mental anguish is often a multi-layered problem that cannot be fixed by a pill or explained by brain malfunction (though we are often led to believe that this is the case). Allowing the DSM to dictate reality as if it were a scientifically grounded book is a mistake, and we should be more aware of the haphazard way in which it was assembled.
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“This is a history of promises.”So begins Nathaniel Comfort‘s gripping and beautifully written new book on the relationships between and entanglements of medical genetic and eugenics in the history of the twentieth century. Based on a rich documentary and oral history archive, The Science of Human Perfection: How Genes Became the Heart of American Medicine (Yale University Press, 2012) reframes the histories of early and contemporary human genetics. Rather than treating eugenics as “a contaminant of good, honest biomedicine,” the book shows that early human genetics had many of the same basic goals – human improvement and the relief of suffering – as genetic medicine today. At the same time, contemporary genetic medicine emerges as much less benign than it has often been depicted.
All of this is accomplished through a sensitive historical tracing of two major approaches to understanding human heredity through the twentieth century: a Galtonian approach characterized by a concern with quantification, public health, and populations; and a Garrodian approach characterized by an interest in conceptualizing the human as individual, and in synthesizing heredity with other forms of knowledge. As we follow these threads along with Comfort, he introduces us to a bookful of colorful, vibrant characters from the history of medical genetics: the idealistic inventor of a “Gumption Reviver,” the sanitarium-operator who was fond of prescribing yogurt-enemas, and the medical geneticist with a talent for boogie-woogie piano, among others. These figures are embedded in an exceptionally carefully-wrought narrative of the spaces, practices, and events by which medicine became genetic, genetics became molecular, and molecules made the engineering of humanity possible in a new way.
In the course of our discussion, we talked about the importance, for Comfort, of paying careful attention to elements of the writer’s craft when composing a historical work. The John McPhee essay on narrative structure that was mentioned in that part of the interview can be found here (A subscription to the New Yorker is required to read the full piece.)
The Oral History of Human Genetics Project can be found here.
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Identical twins, separated at birth, raised in different families, and reunited in adulthood. In 1979, psychology researchers in Minnesota found some twins who had been reunited after a lifetime of separation, and brought them in to participate in a research study. And so began the Minnesota Study of Twins Reared Apart. At the time, psychology leaned heavily toward the nurture side of the nature-nurture debate. The twins provided unique information about the role of genes and environment in human development. Over the twenty years of the study, massive amounts of data about the twin pairs were collected about intelligence, personality, medical traits, and many other aspects of development. The results changed our understanding of how we become who we are in adulthood. In her book, Born Together-Reared Apart: The Landmark Minnesota Twin Study (Harvard University Press, 2012), Dr. Nancy Segal describes the history of the controversial Minnesota Study of Twins Reared Apart, as well as the results of the study and case examples of these fascinating twin pairs. Her book recently won the prestigious William James Book Award from The American Psychological Association.
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Before the Second World War, very few Americans visited psychologists or psychiatrists. Today, millions and millions of Americans do. How did seeing a “shrink” become, quite suddenly, a typical part of the “American Experience?” In his fascinating book Shrink: A Cultural History of Psychoanalysis in America (Nebraska University Press, 2013), Lawrence R. Samuel examines the arrival, remarkable growth, and transformation of psychoanalysis in the United States. As Samuel shows, Americans have a kind of love-hate relationship with their “shrinks”: sometimes they love them and sometimes they loath them. The “shrinks” seem to know that their clients are fickle, and so they “re-brand” their technique with some regularity. Sometimes it’s “analysis,” sometimes it’s “therapy,” sometimes it’s just “counseling.” But, regardless of what it’s called, it’s always some variation on the “talking cure” and it can always be traced to Freud.
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If you have studied neuroscience, memory, or even basic psychology, it is likely that you have heard of the famous amnesic patient Henry Molaison, or “H.M.” as he was known during his lifetime. In 1953, Henry underwent an experimental brain surgery in hopes of finding a cure for his severe epilepsy. As a result, he developed a severe case of amnesia. Unable to encode new memories into long-term storage, Henry lived constantly in the present, unable to recall events that had happened even minutes before. In the 55 years between the surgery and his death in 2008, Henry became the most famous and comprehensively studied patient in neuroscience. Decades of research on Henry’s cognitive abilities provided a lasting contribution to neuroscience, and research on his postmortem brain is continuing into the future. Perhaps no one knew the case of H.M. better than Dr. Suzanne Corkin. In this interview, Dr. Corkin will discuss her new book, Permanent Present Tense: The Unforgettable Life of the Amnesic Patient, H.M. (Basic Books, 2013) Her decades of research with Henry provided a major contribution to our understanding of various systems of memory and the brain, and the book tells the incredible tale of Henry the person, “H.M.” the willing research participant, and the complexity of human memory.
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There are pigeons, cats, and Martians here. There are CT scanners, dentures, computers large enough to fill rooms, war games, and neural networks. In Biomedical Computing: Digitizing Life in the United States (Johns Hopkins University Press, 2012), Joe November mobilizes this ecology of instruments and objects, people and programs, in a story that maps out the early years of the introduction of computers to biology and medicine from 1955 to 1965. As computing technology was gradually integrated into different spaces of biomedicine that were characterized by agents with very different agendas (a set of processes not without significant contestation), biomedicine and computing transformed one another. Life itself was changed as a result, as the objects of biomedical computing were translated into the kinds of system-entities that computers could describe. The historian of technology who reads November’s book will find fascinating stories of machines like LINC, ENIAC, and UNIVAC. The historian of science will find accounts of the ways that military funding shaped the computerization of biomedicine, windows into the mid-century work supported by the NIH, stories of the transformation of diagnostic medicine in the US, and chapters from the history of crystallography and molecular biology. The historian of networks and computing will find analyses of the importance of operations research, expert systems, and transdisciplinary research practices to the work of some of the central figures in the history of the computational sciences. In addition to all of this, November’s book can also be read as a history of the modern personal computer. (There are also men in RNA-themed neckties sprinkled throughout the early part of the story.) Enjoy the interview, and imagine as you listen that you’re here with me at the National Humanities Center, Skyping with Joe as a thunderstorm booms overhead, rain falls loudly outside the window, and brilliant humanities scholars share excited conversation about their work outside the door. It was a special afternoon.
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Every hundred years or so, the Supreme Court decides a question with truly vast economic implications. In 2012 such a decision was handed down, in a case that had the potential to affect the economy in the near term more than any court case ever had. The substance of the case, and its lasting legal implications, are the subject of Andrew Koppelman’s The Tough Luck Constitution and the Assault on Health Care Reform (Oxford University Press, 2012).
The plaintiffs in the “Obamacare” case, NFIB v. Sebelius, had political and legal goals. Politically, they failed, because Justice Roberts was not willing to undo the huge Congressional effort to reform the country’s health-insurance system. But legally, in terms of doctrine, the litigation was a smashing success, altering principles that reach back hundreds of years.
Andrew Koppelman has written a superb layman’s guide to what was at stake, legally, in last year’s case — and what the plaintiffs accomplished. They persuaded five justices of the Supreme Court to call into question both of the Court’s most economically significant previous decisions, one from the early days of the Republic, and one from the New Deal.
In 1819, the Court agreed unanimously that the federal government could solve national problems:
“Let the end be legitimate, let it be within the scope of the constitution, and all means which are appropriate, which are plainly adopted to that end, which are not prohibited, but consist with the letter and spirit of the constitution, are constitutional.” (James Marshall)
In 1935, the vote on a similar question was five to four: “Although activities may be intrastate in character when separately considered, if they have such a close and substantial relation to interstate commerce that their control is essential or appropriate to protect that commerce from burdens and obstructions, Congress cannot be denied the power to exercise that control.” (Charles Evan Hughes)
But the dissent in 1935 took a very different view, one that resonates with the conservative voices of 2012:
“The right to contract is fundamental, and includes the privilege of selecting those with whom one is willing to assume contractual relations.” (James McReynolds)
In 2012, the Court is now split 4-5, in the other direction, on both of these topics. Prof. Koppelman shows that the “necessary & proper” clause, held to trump states’ rights by Justice Marshall, is hollowed out by Justice Roberts’ opinion. And Justice McReynolds’ “right to contract,” made infamous by the Lochner court, has returned in ghostly form, as a new individual right not to contract with insurance companies. In economic matters, the tide of constitutional law is shifting.
The power of the Tough Luck constitutional doctrine was not exercised because of Justice Roberts’ forbearance in preserving the Affordable Care Act on other grounds. But with the help of Prof. Koppelman’s lucid and persuasive book, any reader can now fully grasp the legal significance of this line of thinking. Its practical implications, meanwhile, are becoming visible in the context of Medicaid, because a secondary holding in the case empowered governors to refuse new federal money for health care for the working poor.
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The liberal media in the Western World takes a firm line on how two of the big issues facing Africa intersect – bluntly speaking Africa’s high levels of religiosity have contributed substantially to its high levels of HIV infection. Religion and AIDS in Africa (Oxford UP, 2012), however, tells a different story, and one based upon an impressive amount of data.
For a start, the story that the authors tell is far more nuanced than this broad-brush representation of how religion has impacted HIV and AIDS in sub-Saharan Africa. In places it has aggravated infection rates and in others it has led to lower levels, for instance through emphasising sex within marriage and through education. Often the picture depends far more upon the message being put out by particular religious leaders in particular villages than the niceties of any Islamic or Christian doctrine.
Jenny Trinitapoli and Alex Weinreb also treat AIDS and HIV in a far more holistic way than simply talking about infection rates. They look at the impact of religion on care for the ill, on the intersection between religion and traditional medicine, and the role that stigma has to play.
The result is a very serious book about a very serious subject, packed full of insight, data and analysis. It deserves to be widely read by those interested in how HIV and AIDS have impacted.
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This past August, the saga of Lance Armstrong came to its inglorious end. The seven-time champion of the Tour de France and Olympic medalist ended his defense against charges that he had engaged in blood doping during his cycling career. In the judgment of the U.S. Anti-Doping Agency, the end of Armstrong’s challenge was effectively a concession of guilt. The body responded by stripping Armstrong of his titles and banning him from cycling competitions. Armstrong, however, has continued to maintain his innocence. It appears that many Americans agree with him. In various polls conducted after the USADA’s actions, large majorities of respondents stated their belief that Armstrong had not engaged in doping. But outside the US, opinion of the cyclist is somewhat different. As Peter Beaumont remarked in The Observer, the real question is not whether Armstrong engaged in doping, it’s why his fall from grace didn’t come sooner.
Lance Armstrong now joins a notorious collection of athletes who have been stained by allegations or proof of doping: baseball’s Barry Bonds and Mark McGwire, sprinter Marion Jones, swimmer Michelle Smith, cross-country skiers Olga Danilova and Larissa Lazutina, Chinese swimmers of the late 1990s. Chris Cooper begins his study of the science of doping with what was perhaps the most shocking episode of a champion athlete caught doping: Canadian sprinter Ben Johnson, who set the world record in the 100-meter dash at the 1988 Seoul Olympics only to be stripped of his record and gold medal days later. As Cooper points out, athletes had long been using anabolic steroids. And indeed, Johnson was not the only sprinter in that race to have been found using drugs. But the fall of the gold medalist in the Olympics’ marquee event brought the use of performance-enhancing drugs to broad public attention. Since 1988, great athletic accomplishments have been viewed with suspicion, while athletes have been obligated to pee in cups.
Athletes still take performance-enhancing drugs. Why? What benefits, if any, do they gain? Chris’ book, Run, Swim, Throw, Cheat: The Science Behind Drugs in Sport (Oxford University Press, 2012), addresses these questions. As a researcher in biochemistry, Chris explains what the drugs do, and whether they work. We learn from the interview that doping does provide a clear advantage, in some instances. But in other cases, the drug’s effects are slim–which raises the question: should they be banned?
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Volker Scheid and Hugh MacPherson‘s Integrating East Asian Medicine into Contemporary Healthcare (Churchill Livingstone, 2011) is the result of a wonderfully transdisciplinary project that aims to bring scholars and practitioners of East Asian medicine together in a common dialogue that also informs and is shaped by cutting-edge work in Science Studies. Not a typical conference volume, the book is instead the result of years of continuing collaboration among the editors and authors, and celebrates the spirit of collaborative work in every aspect of its structure and material. The chapters collectively explore some key ideas that thread through the work and are of broad relevance to the histories and practices of health and healing: the nature of “authenticity” in alternative and complementary health practices; the problem of standardization; learning through best practices and best practitioners; and the changing and plural nature of evidence and proof in the contemporary world. The material covered in the book is extended and deepened in a series of vignettes that each illustrate exemplary phenomena, texts, settings, or concepts relevant to the chapters in which they are embedded.
I had the opportunity to speak with both co-editors about the book, the larger intellectual and practical goals that inform it, and the history and potential futures of their collaboration. It was a very enjoyable conversation about a fascinating project, and I hope you’ll enjoy!
* A quick note: You’ll notice that there’s an echo on this one due to a rare circumstance with a three-way Skype call during which not all participants had earphones handy. Because there was a lot of good material, we decided to post it regardless of the echo. Apologies for that! We’re working on trying to reduce the incidence of this kind of audio issue for future interviews, to the extent possible. Thanks for listening!
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When a mother listens to the beats of her own heart, where angst, fear and fortitude compete, and then beautifully weaves emotion into a story about her ongoing journey to support a bipolar son, then you know something significant has happened in African American literature. At least I did, when I read Charlotte Pierce-Baker‘s insightful memoir, This Fragile Life: A Mother’s Story of a Bipolar Son (Lawrence Hill Books, 2012).
But what I didn’t know is why Pierce-Baker would “go there” again. I mean, she has already, once before, “gone there,” when she mined personal pain to write about trauma and black women’s narratives of rape. Yet, when I reflect on a line from her son’s poetry, which is what knits the narrative together, I understand. Her son Mark writes: “When mom is gone nothing is right and everything is wrong/A joke is not a joke, and the birds don’t sing their song.” The power of this book for me is that a mother has created a literary space for her son, a black man living with mental illness, to sing about being a father, a husband, a solid citizen, and yet struggling. Mark’s wrangles with his struggles are revealed in poetic opening lines like these:
“In the padded room of my heart/ A madman suffers.”
“Street vendors here do not sell soft pretzels/They trade toxic pebbles for pocket change until there is just lint left.”
“I will love you until God dies.”
This book is as much about a black man in America, as it is about a black man dealing with bipolar disorder, as it is about a mother, a family, learning to cope and ultimately to understand.
This Fragile Life is a must read. Listen to the interview, and you’ll see why?
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One of the best things about co-hosting New Books in STS is the opportunity to discover books like this one. Sherine Hamdy has given us something special in Our Bodies Belong to God: Organ Transplants, Islam, and the Struggle for Human Dignity in Egypt (University of California Press, 2012). Framed as a study of the history and ethnography of organ transplantation in modern Egypt, Hamdy’s work uses a wide range of sources to encourage readers to think in a much more nuanced way about categories that we tend to generalize: bodies, family, religion, Islam, the idea of a “black market.” The story ranges from printed texts and interviews, to television programs, participant observation in classes on Islamic jurisprudence, and fieldwork in hospitals, private clinics, and other medical institutions. At every stage, Hamdy offers accounts (often quite moving) of individuals who are in the process of weighing the risks and benefits of transplantation, reminding us that none of these individuals exists outside of a complex web of social, political, familial, and other relationships. It is an inspiring book that ought to be read and assigned widely.
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In her new book, The Pipes Plan: The Top Ten Ways to Dismantle and Replace Obamacare (Regnery Publishing, 2012), Sally C. Pipes, President and Chief Executive Officer of the Pacific Research Institute, argues that the Obama health care law will make our health care system worse and provides a step-by-step plan for how to dismantle and replace it. She also proposes an alternative, free market-based reform that will bring down costs, expand coverage, and support innovation in life-saving drugs and technology.
In our interview, we talked about her vision for the future of health care, the rise of new conservative health experts, and how the Canadian health system failed her own mother in a time of great need. Read all about it, and more, in Pipes’ detailed new book.
Please become a fan of “New Books in Public Policy” on Facebook if you haven’t already.
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What would a Presidential campaign be without a good dose of reproductive politics? To be sure, many of us are surprised to see contraception, and not just abortion, called into question – but maybe that’s because the intensity of abortion politics has allowed us to forget just how recently the issue of contraception was as fraught as the issue of abortion. And in any case, recent tussles over teen access to over-the-counter emergency contraception might have reminded us that debates about contraception are hardly closed.
In her new book The Morning After: A History of Emergency Contraception in the United States (Rutgers University Press, 2011), Heather Munro Prescott helps us to understand the politics of emergency contraception. Initially a side-product from research into infertility, hormonal contraceptives – both the “regular” and the “emergency” kind – became the subject of heated battles in the 1960s and 1970s. Feminist health care advocates protested that the medical establishment was pushing potentially unsafe medications on women who were not fully informed of side-effects. With conservatives’ attack on reproductive rights starting in the 1980s, however, feminist health care advocates and the medical profession became allies in the battle for continued access. This alliance bore results in the first decade of the twenty-first century, as the FDA reluctantly agreed to approve over-the-counter sales of emergency contraception (although not for minors).
Heather Munro Prescott is a professor of history at Central Connecticut State University. If you care about reproductive rights, you’ll want to take a look at her book.
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Southern Medicine for Southern People: Vietnamese Medicine in the Making (Cambridge Scholars Publishing, 2012) gives me hope for the future of edited volumes. Not only is it a fascinating and coherent treatment of the history and practice of Vietnamese medicine, but it’s also a wonderfully interdisciplinary collection of approaches that incorporates work by social scientists, humanists, and medical practitioners. The essays collectively challenge some pervasive assumptions about “traditional” versus “scientific” modes of knowledge, inviting readers to rethink our assumptions about traditional medical practices in Vietnam while offering a set of wonderful case studies to think with. This collection is a must-read for anyone working on the humanistic or social studies of medicine, but it’s also full of wonderful insights and for readers broadly interested in science studies, Asian studies, and colonial studies.
I spent a very energizing hour talking with Ayo Wahlberg, one of the volume co-editors. Our conversation ranged broadly from ethnographic practice in history and anthropology, to an inspiring journey across laboratory and countryside to find a local treatment for opium withdrawal, to the ways that “our medicine” took shape in the modern history of Vietnam.
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Marta Hanson‘s book is a rich study of conceptions of space in medical thought and practice. Ranging from a deep history of the geographic imagination in China to an account of the SARS outbreak of the 21st century, Hanson’s book maps the transformations of medicine and healing in late imperial China that accompanied transforming geographies of empire. Speaking of Epidemics in Chinese Medicine: Disease and the Geographic Imagination in Late Imperial China (Routledge, 2011) is both the biography of a disease and a masterful tour through the history of medical practice and knowledge in later imperial China. Over the course of our discussion, we talked about the people and ideas that inspired Hanson’s work, the importance of “eureka moments,” and the SARS epidemic in Beijing.
The author has generously shared a discount on her book for listeners of New Books in East Asian Studies. To order a copy of the book through the Routledge Press website at a 20% discount, visit http://www.routledge.com/9780415602532/ and enter discount code SECM11 at the checkout to claim your discount. Offer expires 28th February 2012.
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Forty-five years after her death, the reproductive rights activist Margaret Sanger remains a polarizing figure. Conservatives attack her social liberalism while liberals shy away from her perceived advocacy of eugenics and her supposed socialist tendencies. Though she was a pivotal 20th century figure, Sanger’s own voice has been drowned out by the cacophony of controversy.
As renown feminist historian Jean H. Baker writes in Margaret Sanger: A Life of Passion, “She has been written out of history, thereby easily caricatured and denied the context required for any fair appraisal of her life and work.” In Margaret Sanger: A Life of Passion, Baker strips away the layers of myth and inaccuracy to reveal how truly radical Sanger’s ambitions were.
A staunch advocate of the freedom and privacy of women, Sanger was determined that family planning must be seen as a basic human right. To that end, she opened clinics, challenged the obscenity laws and wrote explicit pamphlets on contraceptives. Undaunted by a stint in jail and constant bouts with the law, Sanger did everything in her power to help women take control of their reproductive lives.
Baker’s portrait of Sanger is fascinating because it captures the broad sweep of Sanger’s ambitions for the movement, but also because it illustrates how, to an extraordinary degree, Sanger did precisely what she said she would do. In 1931, in her autobiography Sanger wrote: “I resolved that women should have the knowledge of contraception. I would tell the world what was going on in the lives of these poor women. I would be heard. No matter what it cost. I would be heard.” And she was.
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For the past half century, Alcoholics Anonymous and its 12-step recovery program has been the dominant method for treating alcohol abuse in the United States. Reservation communities have been no exception. But as Erica Prussing vividly describes in her new book,White Man’s Water: The Politics of Sobriety in a Native American Community (University of Arizona Press, 2011), a one-size-fits-all approach to treatment does not, in fact, fit all.
An assistant professor of anthropology and community and behavior health at the University of Iowa, Prussing lived for three years on the Northern Cheyenne Reservation in Montana, working with community organizations, building long-lasting relationships, and gathering testimonies of alcohols’ often disruptive impacts on the lives of many Northern Cheyenne. While many young women have embraced the 12-step program, others – particularly of the older generation – find its moral assumptions foreign and unhelpful. What emerges from Prussing’s account is not a reductive and totalizing “Cheyenne culture” but rather a complex negotiation of tradition, community, and recovery in the face of persistent colonial challenges. This nuance and attention to detail makes Prussing’s call for indigenous self-determination in health care all the more powerful.
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In what must be one of the most well-organized and clearly-written books in the history of academic writing, Yi-Li Wu‘s book, Reproducing Women: Medicine, Metaphor, and Childbirth in Late Imperial China (University of California Press, 2010), introduces readers to a rich history of women’s medicine (fuke) in the context of late imperial China. Reproducing Women offers much more than a history of ideas and practices of women’s health in the late Ming and early Qing, however. Wu weaves together an impressive range of sources, including comparative perspectives from contemporary contexts, to create a fascinating account of the ways that human bodies were experienced and understood in Chinese medical history. In the course of our discussion and our journey through the book, we touched on topics ranging from monastery handbooks, to the late imperial version of Kinko’s, to the comparative history of pregnancy tests.
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The instructor of my freshman physics course fit the stereotype of a physics professor: unkempt white hair, black glasses case in the breast pocket of his short-sleeved shirt, thick German accent, and a tendency to mumble to himself while mulling over formula on the chalkboard. I was not his most attentive student, and finished the term with a grade of C (for which I was ecstatically grateful). Judging from his book Gold Medal Physics: The Science of Sports (The Johns Hopkins University Press, 2009), I imagine that my physics experience would have been much more enjoyable if John Eric Goff had been my professor.
Eric’s enthusiasm for both science and sports is evident in the book, as he explains concepts and laws of physics by analyzing well-known athletic feats. In the interview, we talk about Doug Flutie’s miraculous touchdown pass, Bob Beamon’s record-breaking long jump, and David Beckham’s bending free kicks. As Eric explains, his aim is not to turn the performances of athletes into purely mechanical processes. Instead, his analysis offers a new perspective and appreciation for what athletes can accomplish. And you’ll also pick up some fascinating nuggets to share with your friends, such as why the players at the 2010 World Cup complained about the ball, and why using a baseball without laces would bring a drop in home runs.
After listening to the interview, check out Eric’s blog, where he gave his stage-by-stage predictions for the winning times in the this year’s Tour de France–with impressive accuracy.
And please link to the Facebook page of New Books in Sports, where you can tell us with you think of the interviews, get announcements of new podcasts, and find links to recent, thoughtful sports writing.
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When in medical school, I found myself drawn to the study of infectious diseases in large part because of the mixture of science and anthropology – infectious diseases are always about the way we interact with the world around us, what we do with whom and when and where and how often. Take the recent examples of the global spread of pandemic influenza (a respiratory virus spread in the air) and the epidemic of cholera in Haiti (which depends on lack of access to clean water to spread), and how in each case the spread of the infection says something about the world and the ways in which the world’s population is connected. Now, the most important infection of our time is HIV, and its predominant modes of transmission are particularly complicated and culturally loaded human behaviors: sex and intravenous drug use.
In her engaging, informative, and fun book, The Wisdom of Whores: Bureaucrats, Brothels, and the Business of AIDS (Norton, 2008), Elizabeth Pisani draws on her experiences doing field work as an epidemiologist in Indonesia and on staff at UN AIDS, the joint United Nations Program on HIV/AIDS, during the time when the world was coming to grips with the fact of an exploding global epidemic of HIV. If you want to design effective interventions, you have to understand exactly who and what those interventions should target. But how easy is it to figure out who has sex with whom and when and where and how often? Or who injects drugs and shares needles? Doing so is loaded with pitfalls, and Elizabeth lays them out for us, exploring how preconceptions, ignorance, and technical problems can cloud our ability to see what’s really happening, to interpret what we see, and, most importantly, to figure out effective ways to intervene. She reminds us that what’s true for Jersey may be completely false in Jakarta. And, on top of all that, how do you convince the people who hold the purse-strings to pay for everything? These are fascinating problems and we thank Elizabeth for sharing her expert insights.
Elizabeth’s blog and website, The Wisdom of Whores, is also a great source of news and ideas in the world of HIV/AIDS and much else.
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If a parent decides not to vaccinate their children, is that an individual choice, or is it a serious threat to the public health? In Deadly Choices: How the Anti-Vaccine Movement Threatens Us All (Basic Books, 2011), Dr. Paul Offit discusses the very real threats to the public health created by the anti-vaccine movement, both in the U.S. and around the world. In the book, Dr. Offit reviews the history of vaccines, their importance, and the various attempts to discredit them over the past few centuries. One of these efforts, readers will be interested to know, led to the creation of the Raggedy Ann doll. Read all about it, and more, in Dr. Offit’s frightening new book.
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This week New Books in Public Policy interviews Bob Goldberg about his new book Tabloid Medicine: How the Internet Is Being Used to Hijack Medical Science for Fear and Profit (Simon & Schuster, 2010). The book is a look at the way medical science is discussed and played out over the Internet. As Goldberg says on his website, tabloid medicine is “medical reporting or information based on or consisting of Internet material that sensationalizes and exaggerate the dangers of medical technology without describing the benefits.”
In the interview, Goldberg talks about both this problem and its implications, from parents refusing to vaccinate their children to suicidal people avoiding antidepressants for fear of overhyped side effects. He also discusses the role of those who seek to foment fear, as well as discredit their opponents, using new media and innuendo regarding inappropriate conflicts of interest.
Finally, Bob takes on the New Books in Public Policy signature question, “What policies would you initiate if you were king for a day?” and gives his policy prescriptions for addressing the problem of Tabloid Medicine.
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You may not know who John Galsworthy is, but you probably know his work. Who hasn’t seen some production of The Forsyte Saga? Galsworthy was one of the most popular and famous British writers of the early 20th century (the Edwardian Era). He left an enormous body of work, for which he was awarded the Nobel Prize in Literature in 1932. But Galsworthy was also what we might call a “public humanitarian,” that is, he used his high profile and influence in a great, good cause. The focus of his effort was disabled solders returning from World War I. We, of course, are well acquainted with the remarkable destructive power of modern weaponry. Not a week goes by (alas) in which we do not hear about a soldier being wounded by mines, grenades, artillery fire or bombs (often of the “roadside” variety). But we also have come to expect that soldier, no matter how grievously wounded, will receive medical treatment that will stand at least a fighting chance of saving their lives. And indeed, many wounded soldiers do survive incredibly severe injuries and return to our world. The generation that fought and suffered World War I–or as they called it “The Great War”–were really not familiar with any of this. Europeans and Americans of the nineteenth century were surely used to wars, but they were generally short and decided by pivotal battles (Waterloo, Gettysburg, Sedan). But the Great War was different. Millions of men lived for years at the “front” and under the shells. Many died there and many more were wounded. Thanks to advances in medical knowledge (and particularly the discovery of the germ theory of disease), a goodly proportion of the wounded survived. This presented a new problem: How to re-integrate wounded men into society? This became Galsworthy’s cause. The course of his efforts on the part of wounded soldiers is detailed with great skill and care by Jeffrey Reznick in his John Galsworthy and the Disabled Soldiers of the Great War (Manchester UP, 2009). Reznick shows us Galsworthy attempting to create the modern infrastructure of veterans’ care: special hospitals, rehabilitation programs, work-transition agencies and so on. And we get to read Galsworthy’s writing on the subject, both non-fiction and fiction. All this give us–or gave me–a new understanding of Galsworthy’s literary work. Galsworthy was a great man. But as it turned out he was greater than I knew. We should thank Jeff for bringing his good-works to our attention.
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In 1980 I left Kansas to go to college in Iowa. A lot of things caught my attention about Iowa, for example, that the people really are very nice. I also noticed that there were a lot of drugs. One of them was “crystal methamphetamine,” or “crystal meth” for short. I’d never heard of it before (which is not surprising), but I quickly learned that, while not as fashionable as coke, it was inexpensive and widely available. Lots of people did it. It made them feel good. I left Iowa in 1984 for California, and with it any thought of crystal meth.
“Crank,” however, remained, ever ready to make people feel good when they had nothing much to feel good about. And as Nick Reding explains in Methland. The Death and Life of an American Small Town (Bloomsbury, 2009) America’s midland didn’t have much to feel good about in the closing decades of the twentieth century. Globalization was hammering the industries that had long supported places like little Oelwein, Iowa, the subject of Reding’s attention. Light manufacture, meatpacking, and agriculture were all in decline. Wages were dropping, poverty rising, and people were leaving for the coasts (as I had). Misery loves company, but there was less and less company to be had in Oelwein. Misery, however, also loves drugs, and there was plenty of meth to go around thanks to a peculiar alliance between: 1) big pharma–which opposed any legislation to limit the sale of the essential over-the-counter ingredient in meth; 2) south-of-the-border drug cartels–who took said over-the-counter ingredient and made massive quantities of meth; and 3) some down-on-their luck Iowans–who arranged for the import of said drug. In some ways, meth did what it was supposed to do: it made sad people happy and tired people strong. But it also destroyed the lives of users, their families, and their communities. The bi-costal press reported that the hicks of flyoverland had been possessed by a new kind of “reefer madness.” The rest of the story–globalization, lobbying by big pharma, the drug cartels–it missed for the most part. Nick Reding didn’t, and we in Iowa owe him a debt of gratitude.
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When you were in college, did you visit the health center? I did, several times. Did you ever wonder why there was a student health center? I didn’t. It seemed like a part of the college scenery, something that had “always” been there. Far from it, as Heather Prescott shows in her fascinating new book Student Bodies. The Influence of Student Health Services in American Society & Medicine (University of Michigan Press, 2007). Believe it or not, many very smart folks used to believe that college could hurt you, especially (though not exclusively) if you were a woman. And it wasn’t just that you could catch a nasty cold. Too much thinking, these folks said, might weaken the body and lead to a decline in fertility. That wouldn’t be good for the “race.” So some forward-thinking people began to consider ways in which the health of America’s sons and daughters might be protected while they studied. The result was a kind of early experiment in universal health care. In some ways it succeeded and in others it failed. But in either case it holds lessons for us (Americans, that is) as we think about how to fix our broken national health care system. We should thank Heather for teaching these lessons to us.
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En liten tjänst av I'm With Friends. Finns även på engelska.