Carnivores provide innumerable ecological benefits and play a unique role in preserving and maintaining ecosystem services and function, but at the same time they can create serious problems for human populations. A key question for conservation biologists and wildlife managers is how to manage the world's carnivore populations to conserve this important natural resource while mitigating harmful impacts on humans.
In People and Predators, leading scientists and researchers offer case studies of human-carnivore conflicts in a variety of landscapes, including rural, urban, and political. The book covers a diverse range of taxa, geographic regions, and conflict scenarios, with each chapter dealing with a specific facet of human-carnivore interactions and offering practical, concrete approaches to resolving the conflict under consideration. Chapters provide background on particular problems and describe how challenges have been met or what research or tools are still needed to resolve the conflicts.
People and Predators will helps readers to better understand issues of carnivore conservation in the 21st century, and provides practical tools for resolving many of the problems that stand between us and a future in which carnivores fulfill their historic ecological roles.
Last seen in the 1880s, cougars (also known as pumas or mountain lions) are making a return to the plains regions of the Midwest. Their comeback, heralded by wildlife enthusiasts, has brought concern and questions to many. Will the people of the region make room for cougars? Can they survive the highly altered landscape of the Midwest? Is there a future for these intrepid pioneers if they head even farther east?
Using GIS technology, and historical data, among many other methods, Phantoms of the Prairie takes readers on a virtual journey, showing how the cougar might move over the landscape with minimal human contact. Drawing on his years of research on cougars, John W. Laundré offers an overview of what has been, what is, and what might be regarding the return of cougars to their ancestral prairie homeland.
“Monkey see, monkey do” may sound simple, but how an individual perceives and processes the behavior of another is one of the most complex and fascinating questions related to the social life of humans and other primates. In The Primate Mind, experts from around the world take a bottom-up approach to primate social behavior by investigating how the primate mind connects with other minds and exploring the shared neurological basis for imitation, joint action, cooperative behavior, and empathy.
In the past, there has been a tendency to ask all-or-nothing questions, such as whether primates possess a theory of mind, have self-awareness, or have culture. A bottom-up approach asks, rather, what are the underlying cognitive processes of such capacities, some of which may be rather basic and widespread. Prominent neuroscientists, psychologists, ethologists, and primatologists use methods ranging from developmental psychology to neurophysiology and neuroimaging to explore these evolutionary foundations.
A good example is mirror neurons, first discovered in monkeys but also assumed to be present in humans, that enable a fusing between one’s own motor system and the perceived actions of others. This allows individuals to read body language and respond to the emotions of others, interpret their actions and intentions, synchronize and coordinate activities, anticipate the behavior of others, and learn from them. The remarkable social sophistication of primates rests on these basic processes, which are extensively discussed in the pages of this volume.
In the last 30 years the bushmeat trade has led to the slaughter of nearly 90 percent of West Africa’s bonobos, perhaps our closest relatives, and has recently driven Miss Waldron’s red colobus monkey to extinction. Earth was once rich with primates, but every species—except one—is now extinct or endangered because of one primate—Homo sapiens. How have our economic and cultural practices pushed our cousins toward destruction? Would we care more about their fate if we knew something of their individual lives and sufferings? Would we help them if we understood how our choices threaten their existence? This anthology helps to answer these questions.
The first section of Primate People introduces forces that threaten nonhuman primates, such as the entertainment and “pet” industries, the bushmeat trade, habitat destruction, and logging. The second section exposes the exploitation of primates in research facilities, including the painful memories of an undercover agent, and suggests models of more enlightened scientific methods. The final section tells the stories of those who lobby for change, educate communities, and tenderly care for our displaced cousins in sanctuaries.
Sometimes shocking and disturbing, sometimes poignant and encouraging, Primate People always draws the reader into the lives of nonhuman primates. Activists around the world reveal the antics and pleasures of monkeys, the tendencies and idiosyncrasies of chimpanzees, and the sufferings and fears of macaques. Charming, difficult, sensitive—these testimonies demonstrate that nonhuman primates and human beings are, indeed, closely related. Woven into the anthology’s lucid narratives are the stories of how we harm and create the conditions that endanger primates, and what we can and must do to prevent their ongoing suffering and fast-approaching extinction.
Does biology condemn the human species to violence and war? Previous studies of animal behavior incline us to answer yes, but the message of this book is considerably more optimistic. Without denying our heritage of aggressive behavior, Frans de Waal describes powerful checks and balances in the makeup of our closest animal relatives, and in so doing he shows that to humans making peace is as natural as making war.
In this meticulously researched and absorbing account, we learn in detail how different types of simians cope with aggression, and how they make peace after fights. Chimpanzees, for instance, reconcile with a hug and a kiss, whereas rhesus monkeys groom the fur of former adversaries. By objectively examining the dynamics of primate social interactions, de Waal makes a convincing case that confrontation should not be viewed as a barrier to sociality but rather as an unavoidable element upon which social relationships can be built and strengthened through reconciliation.
The author examines five different species—chimpanzees, rhesus monkeys, stump-tailed monkeys, bonobos, and humans—and relates anecdotes, culled from exhaustive observations, that convey the intricacies and refinements of simian behavior. Each species utilizes its own unique peacemaking strategies. The bonobo, for example, is little known to science, and even less to the general public, but this rare ape maintains peace by means of sexual behavior divorced from reproductive functions; sex occurs in all possible combinations and positions whenever social tensions need to be resolved. “Make love, not war” could be the bonobo slogan.
De Waal’s demonstration of reconciliation in both monkeys and apes strongly supports his thesis that forgiveness and peacemaking are widespread among nonhuman primates—an aspect of primate societies that should stimulate much needed work on human conflict resolution.
Planet Without Apes demands that we consider whether we can live with the consequences of wiping our closest relatives off the face of the Earth. Leading primatologist Craig Stanford warns that extinction of the great apes—chimpanzees, bonobos, gorillas, and orangutans—threatens to become a reality within just a few human generations. We are on the verge of losing the last links to our evolutionary past, and to all the biological knowledge about ourselves that would die along with them. The crisis we face is tantamount to standing aside while our last extended family members vanish from the planet.
Stanford sees great apes as not only intelligent but also possessed of a culture: both toolmakers and social beings capable of passing cultural knowledge down through generations. Compelled by his field research to take up the cause of conservation, he is unequivocal about where responsibility for extinction of these species lies. Our extermination campaign against the great apes has been as brutal as the genocide we have long practiced on one another. Stanford shows how complicity is shared by people far removed from apes’ shrinking habitats. We learn about extinction’s complex links with cell phones, European meat eaters, and ecotourism, along with the effects of Ebola virus, poverty, and political instability.
Even the most environmentally concerned observers are unaware of many specific threats faced by great apes. Stanford fills us in, and then tells us how we can redirect the course of an otherwise bleak future.
Constantine Slobodchikoff and colleagues synthesize the results of their long-running study of Gunnison’s prairie dogs (Cynomys gunnisoni), one of the keystone species of the short-grass prairie ecosystem. They set their research in the context of the biology of the five Cynomys species found in the United States and Mexico, and detail their investigation into the prairie dogs’ sophisticated system of barks, yips, and chirps, which Slobodchikoff argues represents a referential communication capable of fine distinctions among predators.
Seen as vermin that spoiled valuable rangeland, prairie dogs were long the subject of eradication campaigns and are now threatened by habitat loss and the loss of genetic diversity. The authors hope their research will help to pull the prairie dog back from the brink of extinction, as well as foster an appreciation of larger conservation challenges. By examining the complex factors behind prairie dog decline, we can begin to understand the problems inherent in our adversarial relationship with the natural world. Understanding these interactions is the first step toward a more sustainable future.
A Wildlife Management Institute Book
In this lavishly illustrated volume Richard E. McCabe, Bart W. O'Gara and Henry M. Reeves explore the fascinating relationship of pronghorn with people in early America, from prehistoric evidence through the Battle of Little Bighorn in 1876. The only one of fourteen pronghorn-like genera to survive the great extinction brought on by human migration into North America, the pronghorn has a long and unique history of interaction with humans on the continent, a history that until now has largely remained unwritten.Winner of the Wildlife Society's Outstanding Book Award for 2005
Known as much for their pink curly tails and pudgy snouts as their low-brow choice of diet and habitat, pigs are prevalent in popular culture—from the Three Little Pigs to Miss Piggy to Babe. Today there are more than one billion pigs on the planet, and there are countless representations of pigs and piggishness throughout the world’s cultures.
In Pig, Brett Mizelle provides a richly illustrated and compelling look at the long, complicated relationship between humans and these highly intelligent, sociable animals. Mizelle traces the natural and cultural history of the pig, focusing on the contradictions between our imaginative representation of pigs and the real-world truth of the ways in which pigs are prized for their meat, used as subjects in medical research, and killed in order to make hundreds of consumer products. Pig begins with the evolution of the suidae, animals that were domesticated in multiple regions 9,000 years ago, and points toward a future where pigs and humans are even more closely intertwined as a result of biomedical breakthroughs. Pig both examines the widespread art, entertainment, and literature that imagines human kinship with pigs and the development of modern industrial pork production.
In charting how humans have shaped the pig and how the pig has shaped us, Mizelle focuses on the unresolved contradictions between the fiction and the reality of our relations with pigs.
Males are promiscuous and ferociously competitive. Females--both human and of other species--are naturally monogamous. That at least is what the study of sexual behavior after Darwin assumed, perhaps because it was written by men. Only in recent years has this version of events been challenged. Females, it has become clear, are remarkably promiscuous and have evolved an astonishing array of strategies, employed both before and after copulation, to determine exactly who will father their offspring.
Tim Birkhead reveals a wonderful world in which males and females vie with each other as they strive to maximize their reproductive success. Both sexes have evolved staggeringly sophisticated ways to get what they want--often at the expense of the other. He introduces us to fish whose first encounter locks them together for life in a perpetual sexual embrace; hermaphrodites who "joust" with their reproductive organs, each trying to inseminate the other without being inseminated; and tiny flies whose seminal fluid is so toxic that it not only destroys the sperm of rival males but eventually kills the female. He explores the long and tortuous road leading to our current state of knowledge, from Aristotle's observations on chickens, to the first successful artificial insemination in the seventeenth century, to today's ingenious molecular markers for assigning paternity. And he shows how much human behavior--from the wife-sharing habits of Inuit hunters to Charlie Chaplin's paternity case--is influenced by sperm competition.
Lucidly written and lavishly illustrated, with a wealth of fascinating detail and vivid examples, Promiscuity is the ultimate guide to the battle of the sexes.
A leading researcher provides a comprehensive review of the basic physiology of the hemostatic system, offering a solid foundation for understanding the pathological events leading up to thrombosis and abnormal bleeding. An introductory chapter, intended for the nonspecialist, outlines the whole hemostatic process and leads the reader carefully into the detailed information that follows. The first section of the book describes basic components of platelet structure and function, the coagulation system, and fibrinolytic enzyme system. The second is a unique discussion of the changes in these components induced by physiological parameters—hormones, sex, environment, nutrition, stress, and activity.
Derek Ogston performs an invaluable service in reviewing pertinent studies that show both positive and negative results and examining conflicting data and conclusions. His work will be a source of insight and data for practicing hematologists as well as researchers in this rapidly growing field.
It is rare indeed for one book to be both a first-rate classroom text and a major contribution to scholarship. The Pathway for Oxygen is such a book, offering a new approach to respiratory physiology and morphology that quantitatively links the two. Professionalism in science has led to a compartmentalization of biology. Function is the domain of the physiologist, structure that of the morphologist, and they often operate with vastly disparate concepts and procedures. Yet the performance of the respiratory system depends both on structural and on functional properties that cannot be separated.
The first chapter of The Pathway for Oxygen engages the student with the design and function of the vertebrate respiratory organs from a comparative viewpoint. The second chapter adds to that foundation the link between cell energetics and oxygen needs of the whole animal. With Chapter 3 the excitement begins—new ideas, fresh attacks on old problems, and a fuller account of the power of the quantitative approach Dr. Ewald Weibel has pioneered.
The Pathway for Oxygen will be read eagerly by medical students, graduate students, advanced undergraduates in zoology—and by their professors.
In our high-speed culture, terms like "stressed-out," "Type-A personality," "biofeedback," and "relaxation response" have become commonplaces. More than ever before, we are aware of the relationship between our mental and emotional states and our physical well-being. Findings from the field of psychophysiology, which investigates the reflexive interaction between psychology and physiology, have revised our approach to illness and its prevention and treatment. We know, for example, that stress, combined with other factors, increases vulnerability to heart attack and stroke. Successful treatment must include lifestyle changes to reduce the effects of stress on the body.
In this important text, Kenneth Hugdahl presents a comprehensive introduction to the history, methods, and applications of psychophysiology and explores other areas concerned with the "mind-body interface," such as psychosomatic medicine, behavioral medicine, clinical psychology, psychiatry, neuropsychology, and cognitive neuroscience. By showing how social, behavioral, cognitive, and emotional events are mirrored in physiological processes, he gives us a clearer understanding of complex cognitive processes.
This book illustrates psychophysiology's importance as a research and clinical tool and highlights its many contributions to the assessment and diagnosis of physical disorders. It also provides a framework for extending psychophysiological insights to other areas of psychology and neuroscience.
A leading neuroscientist argues that the peripheral nervous system, long understood to play a key role in regulating basic bodily functions, also signals the onset of illness.
The central nervous system, consisting of the brain and the spinal cord, has long been considered the command center of the body. Yet outside the central nervous system, an elaborate network of nerve cells and fibers extends throughout our bodies, transmitting messages between the brain and other organs. The peripheral nervous system, as it’s known, regulates such vital functions as heart rate, digestion, and perspiration and enables us to experience the barrage of sounds, tastes, smells, and other sensory information that surrounds us. But beyond these crucial roles, the peripheral nervous system might do even more: it might warn us of diseases in our future.
As Moses Chao argues in Periphery, from Parkinson’s disease to autism to dementia, many neurological conditions emerge not in the brain but rather within the peripheral nervous system, in the dense network of nerves that wrap around the gastrointestinal tract. What’s more, dysfunctions of the peripheral nervous system can signal the onset of disease decades before symptoms like tremor or memory loss occur. Fortunately, unlike nerves in the brain and spinal cord, peripheral nerves can heal and regenerate in response to injury and aging. The therapeutic implications are remarkable. Chao shows how, with a better understanding of the peripheral nervous system, we could not only predict and treat neurological diseases long before their onset, but possibly prevent them altogether.
Full of new ideas and bold interpretations of the latest data, Periphery opens exciting avenues for medical research while deepening our understanding of a crucial yet underappreciated biological system.
The cerebral cortex, occupying over 70 percent of our brain mass, is key to any understanding of the workings--and disorders--of the human brain. offering a comprehensive account of the role of the cerebral cortex in perception, this monumental work by one of the world's greatest living neuroscientists does nothing short of creating a new subdiscipline in the field: perceptual neuroscience.
For this undertaking, Vernon Mountcastle has gathered information from a vast number of sources reaching back through two centuries of investigation into the intrinsic operations of the cortex. His survey includes phylogenetic, comparative, and neuroanatomical studies of the neocortex; studies of the large-scale organization of the neocortex, of neuronal histogenesis and the specification of cortical areas, of synaptic transmission between neurons in cortical microcircuits, and of rhythmicity and synchronization in neocortical networks; and inquiries into the binding problem--how activities among the separate processing nodes of distributed systems coalesce in a coherent activity that we call perception.
The first book to summarize what is known about the physiology of the cortex in perception, Perceptual Neuroscience will be a landmark in the literature of neuroscience.
In this comprehensive and engaging volume, medical historian Jonathan Reinarz offers a historiography of smell from ancient to modern times. Synthesizing existing scholarship in the field, he shows how people have relied on their olfactory sense to understand and engage with both their immediate environments and wider corporal and spiritual worlds.
This broad survey demonstrates how each community or commodity possesses, or has been thought to possess, its own peculiar scent. Through the meanings associated with smells, osmologies develop--what cultural anthropologists have termed the systems that utilize smells to classify people and objects in ways that define their relations to each other and their relative values within a particular culture. European Christians, for instance, relied on their noses to differentiate Christians from heathens, whites from people of color, women from men, virgins from harlots, artisans from aristocracy, and pollution from perfume.
This reliance on smell was not limited to the global North. Around the world, Reinarz shows, people used scents to signify individual and group identity in a morally constructed universe where the good smelled pleasant and their opposites reeked.
With chapters including "Heavenly Scents," "Fragrant Lucre," and "Odorous Others," Reinarz's timely survey is a useful and entertaining look at the history of one of our most important but least-understood senses.
How has DNA come to be seen as a cosmic truth, representative of all life, potential for all cures, repository for all identity, and end to all stories? In The Poetics of DNA, Judith Roof examines the rise of this powerful symbol and the implications of its ascendancy for the ways we think—about ourselves, about one another, and about the universe.
Descriptions of DNA, Roof argues, have distorted ideas and transformed nucleic acid into the answer to all questions of life. This hyperbolized notion of DNA, inevitably confused or conflated with the “gene,” has become a vector through which older ways of thinking can merge with the new, advancing long-discredited and insidious ideas about such things as eugenics and racial selection and influencing contemporary debates, particularly the popular press obsession with the “gay gene.” Through metaphors of DNA, she contends, racist and homophobic ideology is masked as progressive science.
Grappling with twentieth-century intellectual movements as well as contemporary societal anxieties, The Poetics of DNA reveals how descriptions of DNA and genes typify a larger set of epistemological battles that play out not only through the assumptions associated with DNA but also through less evident methods of magical thinking, reductionism, and pseudoscience.
For the first time, Roof exposes the ideology and cultural consequences of DNA and gene metaphors to uncover how, ultimately, they are paradigms used to recreate prejudices.
Judith Roof is professor of English and film studies at Michigan State University. She is the author of several books, including All about Thelma and Eve: Sidekicks and Third Wheels.
What can one man accomplish, even a great man and brilliant scientist? Although every town in France has a street named for Louis Pasteur, was he alone able to stop people from spitting, persuade them to dig drains, influence them to undergo vaccination? Pasteur’s success depended upon a whole network of forces, including the public hygiene movement, the medical profession (both military physicians and private practitioners), and colonial interests. It is the operation of these forces, in combination with the talent of Pasteur, that Bruno Latour sets before us as a prime example of science in action.
Latour argues that the triumph of the biologist and his methodology must be understood within the particular historical convergence of competing social forces and conflicting interests. Yet Pasteur was not the only scientist working on the relationships of microbes and disease. How was he able to galvanize the other forces to support his own research? Latour shows Pasteur’s efforts to win over the French public—the farmers, industrialists, politicians, and much of the scientific establishment.
Instead of reducing science to a given social environment, Latour tries to show the simultaneous building of a society and its scientific facts. The first section of the book, which retells the story of Pasteur, is a vivid description of an approach to science whose theoretical implications go far beyond a particular case study. In the second part of the book, “Irreductions,” Latour sets out his notion of the dynamics of conflict and interaction, of the “relation of forces.” Latour’s method of analysis cuts across and through the boundaries of the established disciplines of sociology, history, and the philosophy of science, to reveal how it is possible not to make the distinction between reason and force. Instead of leading to sociological reductionism, this method leads to an unexpected irreductionism.
For years, scientists have been warning us that a pandemic was all but inevitable. Now it's here, and the rest of us have a lot to learn.
Fortunately, science writer Carl Zimmer is here to guide us. In this compact volume, he tells the story of how the smallest living things known to science can bring an entire planet of people to a halt--and what we can learn from how we've defeated them in the past.
Planet of Viruses covers such threats as Ebola, MERS, and chikungunya virus; tells about recent scientific discoveries, such as a hundred-million-year-old virus that infected the common ancestor of armadillos, elephants, and humans; and shares new findings that show why climate change may lead to even deadlier outbreaks. Zimmer’s lucid explanations and fascinating stories demonstrate how deeply humans and viruses are intertwined. Viruses helped give rise to the first life-forms, are responsible for many of our most devastating diseases, and will continue to control our fate for centuries. Thoroughly readable, and, for all its honesty about the threats, as reassuring as it is frightening, A Planet of Viruses is a fascinating tour of a world we all need to better understand.
Physician to the World by John M. Gibson is a study of the career of William Crawford Gorgas, focusing primarily on the 22 years from the Spanish-American War until his death at the age of 65. The book details the medical community’s gradual acceptance of the mosquito theory as the cause for yellow fever epidemics and follows Gorgas as his initial skepticism gave way to belief while he participated in Walter Reed’s massive cleanup of Havana. From this success Gorgas moved to the Panama Canal Zone and a bureaucratic quagmire as he attempted to apply sanitary principles there to control yellow fever and malaria. As canal construction proceeded, assorted red-tape and critics repeatedly thwarted Gorgas’s efforts. His particular nemesis was the imperious engineer George Goethals, who ruled the construction project with an iron hand. Gorgas’s dogged persistence to make Panama healthy for both Americans and natives eventually succeeded, enabling the project to be completed with minimum loss of life. During World War I Gorgas became U.S. Surgeon General, and finally his reputation equaled his accomplishments. He traveled widely in Europe, South Africa, and South America on behalf of public health improvements and was about to begin another such journey when he died of complications from a stroke in London in 1920.
Each day of working parenthood is a rollercoaster of success and failure. My child ate a carrot! Then spit it out on the dog. I got to work on time! But there is a mystery stain on my dress shirt and this Tide stick is definitely making it worse. Also yes, that was “Baby Shark” I was humming while accidentally unmuted on the Zoom call, and no, I am not going to be able to sew an octopus costume from scratch by Friday. Please tell me there is something available at Target.
As a parent, we live through levels of both joy and sorrow that we didn’t even know existed before. And we wonder—is it only me? Am I alone in this? In Parenting on the Frontlines, we explore both the lighter and heavier sides of working parenthood. The stories shared here are written by healthcare workers at Michigan Medicine, but all caregivers will find pieces to which they can relate. Most importantly, we want you to know that you are not alone on your journey, no matter where it takes you.
From Harry and Louise through the McCaughey septuplets, this book explains stories and issues in health care ethics that have appeared in the news media. Written for the general reader in a pluralistic society, it outlines and applies principles of justice from the Catholic tradition to contemporary problems that increasingly affect us all.
This second edition contains extensive new material and new topics, including physician-assisted suicide, managed care, organ donation, genetic testing, cloning, and the question of futility. Aimed at a wide audience, this book will also be useful for introductory ethics courses in colleges and high schools.
For nearly fifteen years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Devettere’s approach is not based on an ethics of abstract obligations and duties, but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.
This third edition is revised and updated and includes discussions of several landmark cases, including the tragic stories of Terri Schiavo and Jesse Gelsinger (the first death caused by genetic research). Devettere addresses new topics such as partial-birth abortion law, embryonic stem cell research, infant euthanasia in The Netherlands, recent Vatican statements on feeding tubes, organ donation after cardiac death, new developments in artificial hearts, clinical trials developed by pharmaceutical companies to market new drugs, ghostwritten scientific articles published in major medical journals, and controversial HIV/AIDS research in Africa. This edition also includes a new chapter on the latest social and political issues in American health care.
Devettere’s engaging text relies on commonsense moral concepts and avoids academic jargon. It includes a glossary of legal, medical, and ethical terms; an index of cases; and thoroughly updated bibliographic essays at the end of each chapter that offer resources for further reading. It is a true classic, brilliantly conceived and executed, and is now even more valuable to undergraduates and graduate students, medical students, health care professionals, hospital ethics committees and institutional review boards, and general readers interested in philosophy, medicine, and the rapidly changing field of health care ethics.
For more than twenty years Practical Decision Making in Health Care Ethics has offered scholars and students a highly accessible and teachable alternative to the dominant principle-based theories in the field. Raymond J. Devettere's approach is not based on an ethics of abstract obligations and duties but, following Aristotle, on how to live a fulfilled and happy life—in short, an ethics of personal well-being grounded in prudence, the virtue of ethical decision making.
New sections added in this revised fourth edition include sequencing whole genomes, even those of newborns; the new developments in genetic testing now provided by online commercial companies such as 23andMe; the genetic testing of fetuses by capturing their DNA circulating in the pregnant woman's blood; the Stanford Prison experiment and its relevance to the abuses at the Abu Graib prison; recent breakthroughs in the diagnosis of consciousness disorders such as PVS; the ongoing controversy generated by the NIH study of premature babies at many NICUs throughout the county, a study known as SUPPORT that the OHRP (Office of Human Research Protections, an office within the department of HHS) deemed unethical.
Devettere updates most chapters. New cases include Marlise Munoz (dead pregnant woman's body kept on life support by a Texas hospital), Jahi McMath (teenager pronounced dead in California but treated as alive in New Jersey), Margot Bentley (nursing home feeding a woman dying of end stage Alzheimer’s despite her advance directive that said no nourishment or liquids if she was dying with dementia), Brittany Maynard (dying 29-year-old California woman who moved to Oregon to commit suicide with a physician's help), and Samantha Burton (woman with two children who suffered rupture of membranes at 25 weeks and whose physician obtained a court order to keep her at the hospital to make sure she stayed on bed rest). Thoughtfully updated and renewed for a new generation of readers, this classic textbook will be required reading for students and scholars of philosophy and medical ethics.
We all have a good idea of how we want things to go when we visit a physician. We expect to be able to explain why we are there, and we hope the physician will listen and possibly ask questions that help us clarify our thoughts. Most of us hope that the physician will provide some expression of empathy, offer a clear, nontechnical assessment of our problem, and describe "next steps" in a way that is easy to understand. Ideally, we would like to be asked about our ability to follow treatment recommendations. Some experts say that these expectations are not only reasonable but even necessary if patients are to get the care they need. Yet there is a growing body of research that suggests the reality of physician communication with patients often falls short of this ideal in many respects.
A careful analysis of the findings of this research can provide guidance to physician educators, health care administrators, and health policy makers interested in understanding the role that improved physician communication can play in improving quality of care and patient outcomes. Physician Communication with Patients summarizes findings from the academic literature pertaining to various aspects of this question, discussing those findings in the context of current pressures for change in the organization and delivery of medical services.
Laurent Joubert was an important figure in the medical world of the French Renaissance. Born in 1529, he became a doctor at age 29 and shortly thereafter was appointed personal physician to Catherine de Medici and later became physician to three French monarchs. Joubert was an educator as well as a physician, and he wrote several works of medical literature, including his most controversial work, Erreurs populaires. While the work focuses on popular misconceptions concerning medicine and physicians in France in the 1500s, it also represents a wealth of information on the social, economic, political, and religious worldviews that framed and thus supported the development and conduct of medical science.
The first scholarly exploration of the forums, practice, and economics of functional medicine.
Physicians of the Future interrogates the hidden logics of inclusion and exclusion in functional medicine (FM), a holistic form of personalized medicine that targets chronic disease. Rosalynn Vega uncovers how, as “wounded healers,” some FM practitioners who are former chronic disease sufferers turn their illness narratives into a form of social capital, leveraging social media to relate to patients and build practices as “doctor-influencers.” Arguing that power and authority operate distinctly in FM when compared to conventional medicine, largely because FM services are paid for out of pocket by socioeconomically privileged “clients,” Vega studies how FM practitioners engage in entrepreneurship of their own while critiquing the profit motives of the existing healthcare system, pharmaceutical industry, and insurance industry. Using data culled from online support groups, conferences, docuseries, blogs, podcasts, YouTube, and TED Talks, as well as her own battles with chronic illness, Vega argues that FM practices prioritize the individual while inadvertently reinscribing inequities based on race and class. Ultimately, she opens avenues of possibility for FM interlocutors wrestling with their responsibility for making functional medicine accessible to all.
In 1927 the first bill to secure government support in the search for a cure for cancer was introduced to Congress. In 1971 Congress passed the Conquest of Cancer Act, which initiated a new and enlarged effort in the fight against cancer, including possible annual expenditures of up to one billion dollars. The forty-four years between these two dates have witnessed the evolution of medical research from a limited, private endeavor to a major national enterprise commanding substantial support from the federal government.
In this first historical analysis of national policy in biomedical research, Stephen Strickland examines the rise of the National Institutes for Health, tells of the recurrent struggle between elected public officials and science administrators over the pace and direction of cancer and heart disease research; analyzes the roles that key members of Congress have played in the development of medical research; and discusses the medical research lobby and its founder, Mrs. Albert D. Lasker. What emerges is a clear picture of how government officials actually formulate national policy, not only in medical research but in other areas as well.
Health care delivery in the United States is an enormously complex enterprise, and its $1.6 trillion annual expenditures involve a host of competing interests. While arguably the nation offers among the most technologically advanced medical care in the world, the American system consistently under performs relative to its resources. Gaps in financing and service delivery pose major barriers to improving health, reducing disparities, achieving universal insurance coverage, enhancing quality, controlling costs, and meeting the needs of patients and families.
Bringing together twenty-five of the nation’s leading experts in health care policy and public health, this book provides a much-needed perspective on how our health care system evolved, why we face the challenges that we do, and why reform is so difficult to achieve. The essays tackle tough issues including: socioeconomic disadvantage, tobacco, obesity, gun violence, insurance gaps, the rationing of services, the power of special interests, medical errors, and the nursing shortage.
Linking the nation’s health problems to larger political, cultural, and philosophical contexts, Policy Challenges in Modern Health Care offers a compelling look at where we stand and where we need to be headed.
Contributors. Lawrence Brown, Robert Evans, William Glaser, Colleen Grogan, Robert Hackey, Lawrence Jacobs, Nancy Jecker, Taeku Lee, Joan Lehman, David McBride, Ted Marmor, Cathie Jo Martin, James A. Morone, Mark Peterson, David Rochefort, Rand Rosenblatt, David Rothman, Joan Ruttenberg, Mark Schlesinger, Theda Skocpol, Michael Sparer, Deborah Stone, Kenneth Thorpe
Privatizing Health Services in Africa analyzes the disappearance of public health in the form of state services in Africa, and the growth of a private market in health care that will serve primarily an urban elite. Meredeth Turshen considers the implications of introducing private insurance in countries with growing unemployment, a shrinking formal job sector, and a lack of social security programs or other safety nets. She debates the pros and cons of shifting the delivery of health services to the nongovernmental sector in the context of new concepts of the role of the state. Many of the schemes to privatize the purchase and sale of pharmaceuticals reverse decades of United Nations work challenging the power of the multinational drug industry. Turshen weighs these policy changes in light of the World Bank’s eclipse of the World Health Organization as the premier UN health policy agency. Until now, no book has disputed the World Bank’s plans to privatize health care in Africa. This is the first book-length analysis of policy changes in light of monetarism and globalization.
Throughout the book, Turshen examines the implications of privatization for gender equity. She also provides a case study of Zimbabwe and comparative material from Malawi, Mozambique, and Zambia. Her study makes a contribution to current debates on the impact of structural adjustment policies on health and the design of health services in the Third World.
Starting with a brief overview of the history of charity medical care, Jonathan Engel presents the debates surrounding Medicaid’s creation and the compromises struck to allow federal funding of the nascent programs. He traces the development of Medicaid through the decades, as various states attempted to both enlarge the programs and more finely tailor them to their intended targets. At the same time, he describes how these new programs affected existing institutions and initiatives such as public hospitals, community clinics, and private pro bono clinical efforts. Along the way, Engel recounts the many political battles waged over Medicaid, particularly in relation to larger discussions about comprehensive health care and social welfare reform. Poor People’s Medicine is an invaluable resource for understanding the evolution and present state of programs to deliver health care to America’s poor.
Global health problems require global solutions, and public–private partnerships are increasingly called upon to provide these solutions. Such partnerships involve private corporations in collaboration with governments, international agencies, and nongovernmental organizations. They can be very productive, but they also bring their own problems. This volume examines the organizational and ethical challenges of partnerships and suggests ways to address them. How do organizations with different values, interests, and world-views come together to resolve critical public health issues? How are shared objectives and shared values created within a partnership? How are relationships of trust fostered and sustained in the face of the inevitable conflicts, uncertainties, and risks of partnership?
This book focuses on public–private partnerships that seek to expand the use of specific products to improve health conditions in poor countries. The volume includes case studies of partnerships involving specific diseases such as trachoma and river blindness, international organizations such as the World Health Organization, multinational pharmaceutical companies, and products such as medicines and vaccines. Individual chapters draw lessons from successful partnerships as well as troubled ones in order to help guide efforts to reduce global health disparities.
Public Health and the State constitutes both a fine piece of social history and an ideal model for evaluating our current definition of public health. In this thought-provoking account, Ms. Rosenkrantz perceptively traces the development of the Massachusetts State Board of Health--established in 1869 as the first state institution in the United States responsible for preventing unnecessary mortality and promoting all aspects of public health.
This study describes the areas in which state responsibility for deterring disease assumed increased authority after the Civil War. It begins at a time when the definition of health' implied that it could be achieved, supported by the perfectionist belief that a healthy populace--obedient to the laws of nature--guaranteed a sound society. As rapid urban and industrial growth began to sweep the country, however, there was an expressed concern that this expansion threatened the health and morals of the people. During this period, when the etiology of disease was ascribed to a variety of environmental and behavioral factors, the Massachusetts Board developed a comprehensive program of investigation and advice on such diverse issues as housing, water supplies, slaughterhouse conditions, and the use of alcohol.
Later, as specific medical prophylaxis and therapy came to characterize public health policy, the relationship between sanitary science and social reform was redefined by both professional standards and public expectation. The State Board depended less and less upon its ability to influence individual conduct. Laboratory scientists, chemists, and physicians, who tended to describe disease in biological terms, directed public health toward science.
In view of pressing public health problems posed by such hazards as drug abuse and environmental pollution, Ms. Rosenkrantz warns us that it is as important to identify the origins of the social and scientific assumptions regarding public health as it is to discover the biological etiology of disease. The last chapter of Public Health and the State suggests that the goal of perfect health, based upon the ideal concepts of the past, may no longer be a viable objective. For these reasons she views the development of the Massachusetts State Board of Health as "the story of a successful endeavor that can never be re-enacted."
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 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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