Title: The elusive embryo: how women and men approach new reproductive technologies
Author: Becker, Gaylene
Published: University of California Press,  2000
Subjects: Anthropology | Cultural Anthropology | Sociology | Gender Studies | Medical Anthropology | Medicine | Women's Studies | Science
Publisher's Description: In the first book to examine the industry of reproductive technology from the perspective of the consumer, Gay Becker scrutinizes the staggering array of medical options available to women and men with fertility problems and assesses the toll - both financial and emotional - that the quest for a biological child often exacts from would-be parents. Becker interviewed hundreds of people over a period of years; their stories are presented here in their own words. Absorbing, informative, and in many cases moving, these stories address deep-seated notions about gender, self-worth, and the cultural ideal of biological parenthood. Becker moves beyond people's personal experiences to examine contemporary meanings of technology and the role of consumption in modern life. What emerges is a clear view of technology as culture, with technology the template on which issues such as gender, nature, and the body are being rewritten and continuously altered. The Elusive Embryo chronicles the history and development of reproductive technology, and shows how global forces in consumer culture have contributed to the industry's growth. Becker examines how increasing use of reproductive technology has changed ideas about "natural" pregnancy and birth. Discussing topics such as in vitro fertilization, how men and women "naturalize" the use of a donor, and what happens when new reproductive technologies don't work, Becker shows how the experience of infertility has become increasingly politicized as potential parents confront the powerful forces that shape this industry. The Elusive Embryo is accessible, well written, and well documented. It will be an invaluable resource for people using or considering new reproductive technologies as well as for social scientists and health professionals.   [brief]
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Title: Healing the infertile family: strengthening your relationship in the search for parenthood 
Author: Becker, Gaylene
Published: University of California Press,  1997
Subjects: Anthropology | Medical Anthropology | Psychology
Publisher's Description: Unlike most infertility books that focus on medical treatment, Healing the Infertile Family examines the social and emotional problems experienced by couples confronting infertility and suggests how they can be alleviated. In this updated edition, Gay Becker discusses her most recent study of couple . . . [more]
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Title: Beyond second opinions: making choices about fertility treatment 
Author: Turiel, Judith Steinberg 1948-
Published: University of California Press,  1998
Subjects: Science | Sociology | Gender Studies | Medicine
Publisher's Description: Beyond Second Opinions is both an exposé of the risks, errors, and distortions surrounding fertility medicine and an authoritative guide for people seeking treatment. Accessible, comprehensive, and extremely well-informed, this book takes the reader beyond hype to the hard data on diagnoses and treatments. Judith Steinberg Turiel, a consumer health activist and herself a veteran of fertility treatments, uses the most up-to-date medical literature to shed new light on difficult decisions patients face today and on reproductive questions society must begin to address now. Those who are seeking a more balanced perspective to help them make better, more informed decisions will find a wealth of information about current reproductive interventions - from simple fertility pills to dazzling experimental options - as well as a discussion of the non-medical forces (economic and political) that shape an individual's treatment choices and reproductive outcomes. Despite quantities of information showered upon patients, they remain woefully misinformed; some fertility treatments may actually reduce chances for a successful pregnancy and threaten a patient's health. Turiel looks beyond surface claims to the real information, often uncovering counterintuitive findings and sometimes scandalous revelations. She exposes a realm of unregulated expansion, unscientific experimentation, and recent scandal over stolen embryos. Weaving together first-hand accounts, compelling stories, a range of scientific information, and lively anecdotes, Turiel addresses the persistent gulfs that separate medical professionals and health care consumers. In the process she arms laypeople with what they might not learn about infertility practices from doctors, patient education brochures, and the newspaper.   [brief]
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Title: Life without disease: the pursuit of medical utopia 
Author: Schwartz, William B 1922-
Published: University of California Press,  1998
Subjects: Science | Medicine | Economics and Business | History and Philosophy of Science | Public Policy
Publisher's Description: The chaotic state of today's health care is the result of an explosion of effective medical technologies. Rising costs will continue to trouble U.S. health care in the coming decades, but new molecular strategies may eventually contain costs. As life expectancy is dramatically extended by molecular medicine, a growing population of the aged will bring new problems. In the next fifty years genetic intervention will shift the focus of medicine in the United States from repairing the ravages of disease to preventing the onset of disease. Understanding the role of genes in human health, says Dr. William B. Schwartz, is the driving force that will change the direction of medical care, and the age-old dream of life without disease may come close to realization by the middle of the next century. Medical care in 2050 will be vastly more effective, Schwartz maintains, and it may also be less expensive than the resource-intensive procedures such as coronary bypass surgery that medicine relies on today.Schwartz's alluring prospect of a medical utopia raises urgent questions, however. What are the scientific and public policy obstacles that must be overcome if such a goal is to become a reality? Restrictions on access imposed by managed care plans, the corporatization of charitable health care institutions, the increasing numbers of citizens without health insurance, the problems with malpractice insurance, and the threatened Medicare bankruptcy - all are the legacy of medicine's great progress in mastering the human body and society's inability to assimilate that mastery into existing economic, ethical, and legal structures. And if the average American life span is 130 years, a genuine possibility by 2050, what social and economic problems will result?Schwartz examines the forces that have brought us to the current health care state and shows how those same forces will exert themselves in the decades ahead. Focusing on the inextricable link between scientific progress and health policy, he encourages a careful examination of these two forces in order to determine the kind of medical utopia that awaits us. The decisions we make will affect not only our own care, but also the system of care we bequeath to our children.   [brief]
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Title: Disciplining reproduction: modernity, American life sciences, and "the problems of sex" 
Author: Clarke, Adele
Published: University of California Press,  1998
Subjects: Sociology | Medical Anthropology | Medicine | American Studies | Gender Studies
Publisher's Description: Reproductive issues from sex and contraception to abortion and cloning have been controversial for centuries, and scientists who attempted to turn the study of reproduction into a discipline faced an uphill struggle. Adele Clarke's engrossing story of the search for reproductive knowledge across the twentieth century is colorful and fraught with conflict.Modern scientific study of reproduction, human and animal, began in the United States in an overlapping triad of fields: biology, medicine, and agriculture. Clarke traces the complicated paths through which physiological approaches to reproduction led to endocrinological approaches, creating along the way new technoscientific products from contraceptives to hormone therapies to new modes of assisted conception - for both humans and animals. She focuses on the changing relations and often uneasy collaborations among scientists and the key social worlds most interested in their work - major philanthropists and a wide array of feminist and medical birth control and eugenics advocates - and recounts vividly how the reproductive sciences slowly acquired standing.By the 1960s, reproduction was disciplined, and the young and contested scientific enterprise proved remarkably successful at attracting private funding and support. But the controversies continue as women - the targeted consumers - create their own reproductive agendas around the world. Elucidating the deep cultural tensions that have permeated reproductive topics historically and in the present, Disciplining Reproduction gets to the heart of the twentieth century's drive to rationalize reproduction, human and nonhuman, in order to control life itself.   [brief]
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Title: Managing the medical arms race: public policy and medical device innovation 
Author: Foote, Susan Bartlett
Published: University of California Press,  1992
Subjects: Politics | Medicine | Public Policy | Economics and Business
Publisher's Description: The allure of medical innovation is powerful - it holds out the promise of perfect health, the end of pain, the deferral of death. Our insatiable appetite for costly new technologies, fed by a profusion of innovations and the profits they generate, has led to what has been dubbed the medical arms race. During the last several decades government has been called upon to manage the escalation of this race.Foote has written the first comprehensive examination of the profound influence of government policies on medical innovation. She explains how these policies have proliferated to affect every stage of the innovative process in medical device technology - from the first research idea to the patient's bedside. Drawing on case studies of technologies as diverse as lasers, cardiac pacemakers, CT scanners, and IUDs, she traces the interaction between the industry and government institutions, including the National Institutes of Health, the FDA, and the Medicare and Medicaid programs.Public policies during the 1950s and 1960s, Foote discovers, tended to promote innovation, while the regulation and cost controls of the 1970s and 1980s began to inhibit it. For the 1990s and beyond she proposes incremental policy improvements that will rationalize and streamline government intervention. She cautions that we must recognize the limits of medical technology and public policy to cure all ills.Medical innovation is a crucial part of health care reform, a subject of increasing complexity and controversy. Written clearly and accessibly, Managing the Medical Arms Race is an invaluable source for medical, industry, and policy professionals, but it also has much to say to anybody concerned with how we as a society choose to take care of our health.   [brief]
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Title: Just doctoring: medical ethics in the liberal state 
Author: Brennan, Troyen A
Published: University of California Press,  1991
Subjects: Philosophy | Ethics | Medicine
Publisher's Description: Just Doctoring draws the doctor-patient relationship out of the consulting room and into the middle of the legal and political arenas where it more and more frequently appears. Traditionally, medical ethics has focused on the isolated relationship of physician to patient in a setting that has left the physician virtually untouched by market constraints or government regulation. Arguing that changes in health care institutions and legal attention to patient rights have made conventional approaches obsolete, Troyen Brennan points the way to a new, more aware and engaged medical ethics.The medical profession is no longer isolated, even theoretically, from the liberal, market-dominated state. Old ideas of physician beneficence and altruism must make way for a justice-based medical ethics, assuming a relationship between equals more compatible with liberal political philosophy. Brennan offers clinical examples of many of today's most challenging medical problems - from informed consent to care rationing and the repercussions of the HIV epidemic - and gives his recommendation for a new ethical perspective. This lively and controversial plea for a rethinking of medical ethics goes right to the heart of medical care at the end of the twentieth century.   [brief]
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Title: What I learned in medical school: personal stories of young doctors
Author: Takakuwa, Kevin M
Published: University of California Press,  2004
Subjects: Medicine | Sociology | Ethnic Studies | Gender Studies | Anthropology | Health Care
Publisher's Description: Like many an exclusive club, the medical profession subjects its prospective members to rigorous indoctrination: medical students are overloaded with work, deprived of sleep and normal human contact, drilled and tested and scheduled down to the last minute. Difficult as the regimen may be, for those who don't fit the traditional mold - white, male, middle-to-upper class, and heterosexual - medical school can be that much more harrowing. This riveting book tells the tales of a new generation of medical students - students whose varied backgrounds are far from traditional. Their stories will forever alter the way we see tomorrow's doctors. In these pages, a black teenage mother overcomes seemingly insurmountable odds, an observant Muslim dons the hijab during training, an alcoholic hides her addiction. We hear the stories of an Asian refugee, a Mexican immigrant, a closeted Christian, an oversized woman - these once unlikely students are among those who describe their medical school experiences with uncommon candor, giving a close-up look at the inflexible curriculum, the pervasive competitive culture, and the daunting obstacles that come with being "different" in medical school. Their tales of courage are by turns poignant, amusing, eye-opening - and altogether unforgettable.   [brief]
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Title: From the fat of our souls: social change, political process, and medical pluralism in Bolivia
Author: Crandon-Malamud, Libbet
Published: University of California Press,  1991
Subjects: Anthropology | Latin American Studies | Politics | Medical Anthropology | Medicine
Publisher's Description: From the Fat of Our Souls offers a revealing new perspective on medicine, and the reasons for choosing or combining indigenous and cosmopolitan medical systems, in the Andean highlands. Closely observing the dialogue that surrounds medicine and medical care among Indians and Mestizos, Catholics and Protestants, peasants and professionals in the rural town of Kachitu, Libbet Crandon-Malamud finds that medical choice is based not on medical efficacy but on political concerns. Through the primary resource of medicine, people have access to secondary resources, the principal one being social mobility. This investigation of medical pluralism is also a history of class formation and the fluidity of both medical theory and social identity in highland Bolivia, and it is told through the often heartrending, often hilarious stories of the people who live there.   [brief]
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Title: Averting catastrophe: strategies for regulating risky technologies 
Author: Morone, Joseph G
Published: University of California Press,  1988
Subjects: Environmental Studies | History and Philosophy of Science | Politics
Publisher's Description: Chernobyl, Bhopal, and Love Canal are symbols of the potentially catastrophic risks that go hand in hand with much modern technology. This volume is a non-partisan study of the imperfect but steadily developing system for containing the risks of such technologies as chemicals, nuclear power, and gen . . . [more]
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Title: Paths to Asian medical knowledge
Author: Leslie, Charles M 1923-
Published: University of California Press,  1992
Subjects: Anthropology | Medical Anthropology | Asian Studies
Publisher's Description: Like its classic predecessor, Asian Medical Systems , Paths to Asian Medical Knowledge significantly expands the study of Asian medicine. These essays ask how patients and practitioners know what they know - what evidence of disease or health they consider convincing and what cultural traditions and symbols guide their thinking. Whether discussing Japanese anatomy texts, Islamic humoralism, Ayurvedic clinical practice, or a variety of other subjects, the authors offer an exciting range of information and suggest new theoretical avenues for medical anthropology.   [brief]
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Title: Genethics: moral issues in the creation of people 
Author: Heyd, David
Published: University of California Press,  1992
Subjects: Philosophy | Ethics
Publisher's Description: Unprecedented advances in medicine, genetic engineering, and demographic forecasting raise new questions that strain the categories and assumptions of traditional ethical theories. Heyd's approach resolves many paradoxes in intergenerational justice, while offering a major test case for the profound . . . [more]
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Title: Technology and gender: fabrics of power in late imperial China
Author: Bray, Francesca
Published: University of California Press,  1997
Subjects: Anthropology | History | China | Women's Studies
Publisher's Description: In this feminist history of eight centuries of private life in China, Francesca Bray inserts women into the history of technology and adds technology to the history of women. Bray takes issue with the Orientalist image that traditional Chinese women were imprisoned in the inner quarters, deprived of freedom and dignity, and so physically and morally deformed by footbinding and the tyrannies of patriarchy that they were incapable of productive work. She proposes a concept of gynotechnics , a set of everyday technologies that define women's roles, as a creative new way to explore how societies translate moral and social principles into a web of material forms and bodily practices.Bray examines three different aspects of domestic life in China, tracing their developments from 1000 to 1800 A.D. She begins with the shell of domesticity, the house, focusing on how domestic space embodied hierarchies of gender. She follows the shift in the textile industry from domestic production to commercial production. Despite increasing emphasis on women's reproductive roles, she argues, this cannot be reduced to childbearing. Female hierarchies within the family reinforced the power of wives, whose responsibilities included ritual activities and financial management as well as the education of children.   [brief]
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Title: Biodiversity conservation in Costa Rica: learning the lessons in a seasonal dry forest
Author: Frankie, G. W
Published: University of California Press,  2004
Subjects: EcologyEvolutionEnvironment | Ecology | Conservation | Latin American Studies
Publisher's Description: The beautiful tropical dry forest of northwest Costa Rica, with its highly seasonal rainfall and diversely vegetated landscape, is disappearing even more rapidly than Costa Rica's better-known rain forest, primarily because it has been easier to convert to agriculture. This book, based on more than thirty years of study, offers the first comprehensive look at the ecology, biodiversity, and conservation status of this endangered and fragile region. The contributors, from Costa Rica, Britain, Mexico, and the United States, and representing the fields of ecology, environmental education, policy, and the law, examine the major plant and animal groups living in the dry forest and present the first technical evaluation of Costa Rica's conservation efforts. As they assess the status of their area of specialty in the dry forest, the contributors also look beyond this particular region to show how its plants and animals are ecologically and evolutionarily connected to other geographic areas in Costa Rica and Central America. Their chapters cover topics such as watershed and coastal management, plant phenology, pollination, insects, birds, mammals, amphibians, and reptiles. They also consider the socioeconomic, policy, legal, and political aspects of biodiversity conservation, giving the volume a wide-ranging perspective and making a unique contribution to our knowledge of the tropical dry forest. The book concludes with an important synthesis of the contributors' recommendations on future directions, policies, and actions that will better conserve biodiversity in Costa Rica and other neotropical forests as well.   [brief]
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Title: American medicine: the quest for competence
Author: Good, Mary-Jo DelVecchio
Published: University of California Press,  1995
Subjects: Medicine | Science | Medical Anthropology | Public Policy
Publisher's Description: What does it mean to be a good doctor in America today? How do such challenges as new biotechnologies, the threat of malpractice suits, and proposed health-care reform affect physicians' ability to provide quality care?These and many other crucial questions are examined in this book, the first to fully explore the meaning and politics of competence in modern American medicine. Based on Mary-Jo DelVecchio Good's recent ethnographic studies of three distinct medical communities - physicians in rural California, academics and students involved in Harvard Medical School's innovative "New Pathway" curriculum, and oncologists working on breast cancer treatment - the book demonstrates the centrality of the issue of competence throughout the medical world. Competence, it shows, provides the framework for discussing the power struggles between rural general practitioners and specialists, organizational changes in medical education, and the clinical narratives of high-technology oncologists. In their own words, practitioners, students, and academics describe what competence means to them and reveal their frustration with medical-legal institutions, malpractice, and the limitations of peer review and medical training.Timely and provocative, this study is essential reading for medical professionals, academics, anthropologists, and sociologists, as well as health-care policymakers.   [brief]
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Title: Telematic embrace: visionary theories of art, technology, and consciousness
Author: Ascott, Roy
Published: University of California Press,  2003
Subjects: Art | Art Theory | Electronic Media
Publisher's Description: Long before e-mail and the Internet permeated society, Roy Ascott, a pioneering British artist and theorist, coined the term "telematic art" to describe the use of online computer networks as an artistic medium. In Telematic Embrace Edward A. Shanken gathers, for the first time, an impressive compilation of more than three decades of Ascott's philosophies on aesthetics, interactivity, and the sense of self and community in the telematic world of cyberspace. This book explores Ascott's ideas on how networked communication has shaped behavior and consciousness within and beyond the realm of what is conventionally defined as art. Telematics, a powerful marriage of computers and telecommunication, made technologies we now take for granted - such as e-mail and automated teller machines (ATMs) - part of our daily life, and made art a more interactive form of expression. Telematic art challenges traditional relationships between artist, artwork, and audience by allowing nonlocal audiences to influence the emergent qualities of the artwork, which consists of the ebb and flow of electronic information. These essays constitute a unique archaeology of ideas, tracing Ascott's meditations on the formation of consciousness through the intertwined cultural histories of art and technology from the 1960s to the present. Shanken's introduction situates Ascott's work within a history of ideas in art, technology, and philosophy. Given the increasing role of the Internet and the World Wide Web in the creation of commerce and community at the dawn of this new millennium, scholars, students, laypeople, policymakers, and artists will find this collection informative and thought-provoking.   [brief]
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Title: Healing the masses: Cuban health politics at home and abroad
Author: Feinsilver, Julie Margot
Published: University of California Press,  1993
Subjects: Latin American Studies | Politics | Medicine | Public Policy
Publisher's Description: How has Cuba, a small, developing country, achieved its stunning medical breakthroughs? Hampered by scarce resources and a long-standing U.S. embargo, Cuba nevertheless has managed to provide universal access to health care, comprehensive health education, and advanced technology, even amid desperate economic conditions. Moreover, Cuba has sent disaster relief, donations of medical supplies and technology, and cadres of volunteer doctors throughout the world, emerging, in Castro's phrase, as a "world medical power."In her significant and timely study, Julie Feinsilver explores the Cuban medical phenomenon, examining how a governmental obsession with health has reaped medical and political benefits at home and abroad. As a result of Cuba's forward strides in health care, infant mortality rates are low even by First World standards. Cuba has successfully dealt with the AIDS epidemic in a manner that has aroused controversy and that some claim has infringed on individual liberties - issues that Feinsilver succinctly evaluates.Feinsilver's research and travel in Cuba over many years give her a unique perspective on the challenges Cuba faces in this time of unprecedented economic and political uncertainty. Her book is a must-read for everyone concerned with health policy, international relations, and Third World societies.   [brief]
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Title: What machines can't do: politics and technology in the industrial enterprise
Author: Thomas, Robert Joseph 1952-
Published: University of California Press,  1994
Subjects: Economics and Business | Politics | Sociology | Technology and Society
Publisher's Description: Virtually every manufacturing company has plans for an automated "factory of the future." But Robert J. Thomas argues that smart machines may not hold the key to an industrial renaissance. In this provocative and enlightening book, he takes us inside four successful manufacturing enterprises to reveal the social and political dynamics that are an integral part of new production technology. His interviews with nearly 300 individuals, from top corporate executives to engineers to workers and union representatives, give his study particular credibility and offer surprising insights into the organizational power struggles that determine the form and performance of new technologies.Thomas urges managers not to put blind hopes into smarter machines but to find smarter ways to organize people. As U.S. companies battle for survival in an era of growing global competition, What Machines Can't Do is an invaluable treatise on the ways we organize work. While its call for change is likely to be controversial, it will also attract anyone who wishes to understand the full impact of new technology on jobs, organizations, and the future of the industrial enterprise.   [brief]
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Title: Technopolis: high-technology industry and regional development in southern California 
Author: Scott, Allen John
Published: University of California Press,  1994
Subjects: Urban Studies | Geography | Politics
Publisher's Description: Technopolis is a timely theoretical and empirical investigation of the world's largest high-technology industrial complex - Southern California. Allen Scott provides a new conceptual framework for understanding urban and regional growth processes based on a combination of inter-industrial, labor market, and geographical factors. He presents case studies and original data on three major industries that have become synonymous with Southern California: aircraft and parts, missiles and space equipment, and electronics. The business community will be particularly interested in Scott's diagnosis of post-Cold War economic ills and his suggestions for possible remedies.In good times or bad, knowledge of how Southern California's high-tech industry and regional development have interacted in the past and might interact in the future will be invaluable for regional and economic planners everywhere.   [brief]
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Title: Writing at the margin: discourse between anthropology and medicine
Author: Kleinman, Arthur
Published: University of California Press,  1997
Subjects: Anthropology | Medical Anthropology | Sociology | Medicine | Asian Studies | Social Problems
Publisher's Description: 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 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.   [brief]
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