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: Birth as an American rite of passage
Author: Davis-Floyd, Robbie
Published: University of California Press,  1992
Subjects: Anthropology | Medical  Anthropology | Women's Studies | Cultural Anthropology | Medicine | Gender Studies
Publisher's Description: Why do so many American women allow themselves to become enmeshed in the standardized routines of technocratic childbirth - routines that can be insensitive, unnecessary, and even unhealthy? And why, in spite of the natural childbirth movement, has hospital birth become even more intensely technologized? Robbie Davis-Floyd argues that these obstetrical procedures are rituals that reflect a cultural belief in the superiority of science over nature. Her interviews with 100 mothers and many health care professionals reveal in detail both the trauma and the satisfaction women derive from childbirth. She also calls for greater cultural and medical tolerance of the alternative beliefs of women who choose to birth at home.   [brief]
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Title: Birth on the threshold: childbirth and modernity in South India
Author: Van Hollen, Cecilia Coale
Published: University of California Press,  2003
Subjects: Anthropology | Cultural Anthropology | Medical  Anthropology | Sociology | Gender Studies | Hinduism | South Asia | Asian Studies | South Asia | South Asia
Publisher's Description: Even childbirth is affected by globalization - and in India, as elsewhere, the trend is away from home births, assisted by midwives, toward hospital births with increasing reliance on new technologies. And yet, as this work of critical feminist ethnography clearly demonstrates, the global spread of biomedical models of childbirth has not brought forth one monolithic form of "modern birth." Focusing on the birth experiences of lower-class women in the South Indian state of Tamil Nadu, Birth on the Threshold reveals the complex and unique ways in which modernity emerges in local contexts. Through vivid description and animated dialogue, this book conveys the birth stories of the women of Tamil Nadu in their own voices, emphasizing their critiques of and aspirations for modern births today. In light of these stories, author Cecilia Van Hollen explores larger questions about how the structures of colonialism and postcolonial international and national development have helped to shape the form and meaning of birth for Indian women today. Ultimately, her book poses the question: How is gender - especially maternity - reconfigured as birth is transformed?   [brief]
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Title: Birthing the nation: strategies of Palestinian women in Israel
Author: Kanaaneh, Rhoda Ann
Published: University of California Press,  2002
Subjects: Anthropology | Women's Studies | Medical  Anthropology | Sociology | Postcolonial Studies | Middle Eastern History | Sociology | Postcolonial Studies | Middle Eastern History | Middle Eastern History
Publisher's Description: In this rich, evocative study, Rhoda Ann Kanaaneh examines the changing notions of sexuality, family, and reproduction among Palestinians living in Israel. Distinguishing itself amid the media maelstrom that has homogenized Palestinians as "terrorists," this important new work offers a complex, nuanced, and humanized depiction of a group rendered invisible despite its substantial size, now accounting for nearly twenty percent of Israel's population. Groundbreaking and thought-provoking, Birthing the Nation contextualizes the politics of reproduction within contemporary issues affecting Palestinians, and places these issues against the backdrop of a dominant Israeli society.   [brief]
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Title: The caregiving dilemma: work in an American nursing home
Author: Foner, Nancy 1945-
Published: University of California Press,  1994
Subjects: Anthropology | Medical  Anthropology | Social Problems | Medicine | Women's Studies
Publisher's Description: Along with increasing life expectancy comes the knowledge that many Americans will one day enter nursing homes. Who are the people who will care for us or for our relatives? Nancy Foner provides a major study of institutional care that focuses on nursing aides, who are the backbone of American nursing homes. She examines the strains and paradoxes facing nursing aides - asked, on the one hand, to provide compassionate care and, on the other, to cope with the pressures of the workplace and the institution.Aides are expected to look after patients, who are predominantly older women, with kindness and consideration, but nursing home regulations and bureaucratic forces often hinder even the best efforts to offer consistently supportive care. Positioned at the bottom of the nursing hierarchy, aides must cope with the needs of frail, dependent residents, pressures from patients' relatives and from their own families, and demands of supervisors and coworkers.Foner's detailed description and analysis of caregiving dilemmas, based on intensive field research in a New York facility, brings the perspective of the nursing aides to the fore. This is a timely contribution to the study of work, bureaucracy, and the future of an aging American population.   [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: Doctors within borders: profession, ethnicity, and modernity in colonial Taiwan
Author: Lo, Ming-cheng Miriam
Published: University of California Press,  2002
Subjects: Asian Studies | Medical  Anthropology | China | Asian History | Sociology
Publisher's Description: This book explores Japan's "scientific colonialism" through a careful study of the changing roles of Taiwanese doctors under Japanese colonial rule. By integrating individual stories based on interviews and archival materials with discussions of political and social theories, Ming-cheng Lo unearths . . . [more]
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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: Emptying beds: the work of an emergency psychiatric unit
Author: Rhodes, Lorna A. (Lorna Amarasingham)
Published: University of California Press,  1991
Subjects: Anthropology | Medical  Anthropology | Psychiatry | Social Problems | Medicine
Publisher's Description: The work of inner-city emergency psychiatric units might best be described as "medicine under siege." Emptying Beds is the result of the author's two-year immersion in one such unit and its work. It is an account of the strategies developed by a staff of psychiatrists, social workers, nurses, and ot . . . [more]
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Title: Encounters with aging: mythologies of menopause in Japan and North America
Author: Lock, Margaret M
Published: University of California Press,  1994
Subjects: Anthropology | Medical  Anthropology | Women's Studies | Japan
Publisher's Description: Margaret Lock explicitly compares Japanese and North American medical and political accounts of female middle age to challenge Western assumptions about menopause. She uses ethnography, interviews, statistics, historical and popular culture materials, and medical publications to produce a richly detailed account of Japanese women's lives. The result offers irrefutable evidence that the experience and meanings - even the endocrinological changes - associated with female midlife are far from universal. Rather, Lock argues, they are the product of an ongoing dialectic between culture and local biologies.Japanese focus on middle-aged women as family members, and particularly as caretakers of elderly relatives. They attach relatively little importance to the end of menstruation, seeing it as a natural part of the aging process and not a diseaselike state heralding physical decline and emotional instability. Even the symptoms of midlife are different: Japanese women report few hot flashes, for example, but complain frequently of stiff shoulders.Articulate, passionate, and carefully documented, Lock's study systematically undoes the many preconceptions about aging women in two distinct cultural settings. Because it is rooted in the everyday lives of Japanese women, it also provides an excellent entree to Japanese society as a whole.Aging and menopause are subjects that have been closeted behind our myths, fears, and misconceptions. Margaret Lock's cross-cultural perspective gives us a critical new lens through which to examine our assumptions.   [brief]
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Title: Essential subtleties on the silver sea: the Yin-hai jing-wei: a Chinese classic on ophthalmology
Author: Sun, Simiao 581-682
Published: University of California Press,  1999
Subjects: Anthropology | Medical  Anthropology | China | History and Philosophy of Science
Publisher's Description: Here is the first translation into English of the complete Yin-Hai Jing-Wei , a classic fifteenth-century text on Chinese ophthalmology. As one of the few original manuscripts on traditional Chinese medicine translated into a Western language, this work offers an unprecedented view of the practice of medicine, and specifically eye care, in premodern China. Superbly rendered from the classical Chinese and extensively annotated by Paul U. Unschuld and Jürgen Kovacs, the text provides detailed descriptions of the etiology, symptomatology, and therapy of every eye disease known to fifteenth-century Chinese practitioners. The translators' introduction also provides the first in-depth analysis of the development of this specialty within Chinese medicine. As a source for comparative studies of Chinese and Western medicine and numerous other issues in the history of medicine and Chinese thought, the Yin-Hai Jing-Wei has no equal in the Western world.   [brief]
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Title: Evolution of sickness and healing 
Author: Fabrega, Horacio
Published: University of California Press,  1997
Subjects: Medicine | Medical  Anthropology
Publisher's Description: Evolution of Sickness and Healing is a theoretical work on the grand scale, an original synthesis of many disciplines in social studies of medicine. Looking at human sickness and healing through the lens of evolutionary theory, Horacio Fàbrega, Jr. presents not only the vulnerability to disease and injury but also the need to show and communicate sickness and to seek and provide healing as innate biological traits grounded in evolution. This linking of sickness and healing, as inseparable facets of a unique human adaptation developed during the evolution of the hominid line, offers a new vantage point from which to examine the institution of medicine.To show how this complex, integrated adaptation for sickness and healing lies at the root of medicine, and how it is expressed culturally in relation to the changing historical contingencies of human societies, Fàbrega traces the characteristics of sickness and healing through the early and later stages of social evolution. Besides offering a new conceptual structure and a methodology for analyzing medicine in evolutionary terms, he shows the relevance of this approach and its implications for the social sciences and for medical policy. Health scientists and medical practitioners, along with medical historians, economists, anthropologists, and sociologists, now have the opportunity to consider every essential aspect of medicine within an integrated framework.   [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: Healing sounds from the Malaysian rainforest: Temiar music and medicine
Author: Roseman, Marina 1952-
Published: University of California Press,  1991
Subjects: Anthropology | Medical  Anthropology | East Asia Other | Ethnomusicology | Asian Studies | Cultural Anthropology | Medicine | Musicology
Publisher's Description: Music and dance play a central role in the "healing arts" of the Senoi Temiar, a group of hunters and horticulturalists dwelling in the rainforest of peninsular Malaysia. As musicologist and anthropologist, Marina Roseman recorded and transcribed Temiar rituals, while as a member of the community she became a participant and even a patient during the course of her two-year stay. She shows how the sounds and gestures of music and dance acquire a potency that can transform thoughts, emotions, and bodies.   [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: Huang Di nei jing su wen: nature, knowledge, imagery in an ancient Chinese medical text, with an appendix, The doctrine of the five periods and six qi in the Huang Di nei jing su wen
Author: Unschuld, Paul U. (Paul Ulrich) 1943-
Published: University of California Press,  2003
Subjects: Anthropology | Asian Studies | Medical  Anthropology | China | History of Medicine
Publisher's Description: The Huang Di nei jing su wen, known familiarly as the Su wen, is a seminal text of ancient Chinese medicine, yet until now there has been no comprehensive, detailed analysis of its development and contents. At last Paul U. Unschuld offers entry into this still-vital artifact of China's cultural and intellectual past. Unschuld traces the history of the Su wen to its origins in the final centuries B.C.E., when numerous authors wrote short medical essays to explain the foundations of human health and illness on the basis of the newly developed vessel theory. He examines the meaning of the title and the way the work has been received throughout Chinese medical history, both before and after the eleventh century when the text as it is known today emerged. Unschuld's survey of the contents includes illuminating discussions of the yin-yang and five-agents doctrines, the perception of the human body and its organs, qi and blood, pathogenic agents, concepts of disease and diagnosis, and a variety of therapies, including the new technique of acupuncture. An extensive appendix, furthermore, offers a detailed introduction to the complicated climatological theories of Wu yun liu qi ("five periods and six qi"), which were added to the Su wen by Wang Bing in the Tang era. In an epilogue, Unschuld writes about the break with tradition and innovative style of thought represented by the Su wen. For the first time, health care took the form of "medicine," in that it focused on environmental conditions, climatic agents, and behavior as causal in the emergence of disease and on the importance of natural laws in explaining illness. Unschuld points out that much of what we surmise about the human organism is simply a projection, reflecting dominant values and social goals, and he constructs a hypothesis to explain the formation and acceptance of basic notions of health and disease in a given society. Reading the Su wen, he says, not only offers a better understanding of the roots of Chinese medicine as an integrated aspect of Chinese civilization; it also provides a much needed starting point for discussions of the differences and parallels between European and Chinese ways of dealing with illness and the risk of early death.   [brief]
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Title: Infertility around the globe: new thinking on childlessness, gender, and reproductive technologies
Author: Inhorn, Marcia Claire 1957-
Published: University of California Press,  2002
Subjects: Anthropology | Cultural Anthropology | Asian Studies | Medical  Anthropology | Ethnic Studies | Gender Studies | Politics | Medicine | Sociology | Sociology
Publisher's Description: This exceptional collection of essays breaks new ground by examining the global impact of infertility as a major reproductive health issue, one that has profoundly affected the lives of countless women and men. Based on original research by seventeen internationally acclaimed social scientists, it is the first book to investigate the use of reproductive technologies in non-Western countries. Provocative and incisive, it is the most substantial work to date on the subject of infertility. With infertility as the lens through which a wide range of social issues is explored, the contributors address a far-reaching array of topics: why infertility has been neglected in population studies, how the deeply gendered nature of infertility sets the blame squarely on women's shoulders, how infertility and its treatment transform family dynamics and relationships, and the distribution of medical and marital power. The chapters present informed and sophisticated investigations into cultural perceptions of infertility in numerous countries, including China, India, the nations of sub-Saharan Africa, Vietnam, Costa Rica, Egypt, Israel, the United States, and the nations of Europe. Poised to become the quintessential reference on infertility from an international social science perspective, Infertility around the Globe makes a powerful argument that involuntary childlessness is a complex phenomenon that has far-reaching significance worldwide.   [brief]
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Title: Listening in the silence, seeing in the dark: reconstructing life after brain injury
Author: Johansen, Ruthann Knechel 1942-
Published: University of California Press,  2002
Subjects: Medicine | Health Care | Autobiographies and Biographies | Medical  Anthropology | Psychiatry
Publisher's Description: Traumatic brain injury can interrupt without warning the life story that any one of us is in the midst of creating. When the author's fifteen-year-old son survives a terrible car crash in spite of massive trauma to his brain, she and her family know only that his story has not ended. Their efforts, Erik's own efforts, and those of everyone who helps bring him from deep coma to new life make up a moving and inspiring story for us all, one that invites us to reconsider the very nature of "self" and selfhood. Ruthann Knechel Johansen, who teaches literature and narrative theory, is a particularly eloquent witness to the silent space in which her son, confronted with life-shattering injury and surrounded by conflicting narratives about his viability, is somehow reborn. She describes the time of crisis and medical intervention as an hour-by-hour struggle to communicate with the medical world on the one hand and the everyday world of family and friends on the other. None of them knows how much, or even whether, they can communicate with the wounded child who is lost from himself and everything he knew. Through this experience of utter disintegration, Johansen comes to realize that self-identity is molded and sustained by stories. As Erik regains movement and consciousness, his parents, younger sister, doctors, therapists, educators, and friends all contribute to a web of language and narrative that gradually enables his body, mind, and feelings to make sense of their reacquired functions. Like those who know and love him, the young man feels intense grief and anger for the loss of the self he was before the accident, yet he is the first to see continuity where they see only change. The story is breathtaking, because we become involved in the pain and suspense and faith that accompany every birth. Medical and rehabilitation professionals, social workers, psychotherapists, students of narrative, and anyone who has faced life's trauma will find hope in this meditation on selfhood: out of the shambles of profound brain injury and coma can arise fruitful lives and deepened relationships. Keywords: narrative; selfhood; therapy; traumatic brain injury; healing; spirituality; family crisis; children   [brief]
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Title: Lives at risk: public health in nineteenth-century Egypt 
Author: Kuhnke, LaVerne
Published: University of California Press,  1990
Subjects: Anthropology | Medical  Anthropology
Publisher's Description: Lives at Risk describes the introduction of Western medicine into Egypt. The two major innovations undertaken by Muhammad Ali in the mid-nineteenth century were a Western-style school of medicine and an international Quarantine Board. The ways in which these institutions succeeded and failed will greatly interest historians of medicine and of modern Egypt. And because the author relates her narrative to twentieth-century health issues in developing countries, Lives at Risk will also interest medical and social anthropologists.The presence of the quarantine establishment and the medical school in Egypt resulted in a rudimentary public health service. Paramedical personnel were trained to provide primary health care for the peasant population. A vaccination program effectively freed the nation from smallpox. But the disease-oriented, individual-care practice of medicine derived from the urban hospital model of industrializing Europe was totally incompatible with the health care requirements of a largely rural, agrarian population.   [brief]
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Title: Migration, mujercitas, and medicine men: living in urban Mexico
Author: Napolitano, Valentina
Published: University of California Press,  2002
Subjects: Anthropology | Gender Studies | Latin American Studies | Urban Studies | Sociology | Medical  Anthropology | Ethnic Studies | Medical  Anthropology
Publisher's Description: Valentina Napolitano explores issues of migration, medicine, religion, and gender in this incisive analysis of everyday practices of urban living in Guadalajara, Mexico. Drawing on fieldwork over a ten-year period, Napolitano paints a rich and vibrant picture of daily life in a low-income neighborhood of Guadalajara. Migration, Mujercitas, and Medicine Men insightfully portrays the personal experiences of the neighborhood's residents while engaging with important questions about the nature of selfhood, subjectivity, and community identity as well as the tensions of modernity and its discontents in Mexican society.   [brief]
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