Heated debates are not unusual when confronting tough medical issues where it seems that moral and religious perspectives often erupt in conflict with philosophical or political positions. In The Sanctity of Human Life, Jewish theologian David Novak acknowledges that it is impossible not to take into account the theological view of human life, but the challenge is how to present the religious perspective to nonreligious people. In doing so, he shows that the two positions—the theological and the philosophical—aren't as far apart as they may seem.
Novak digs deep into Jewish scripture and tradition to find guidance for assessing three contemporary controversies in medicine and public policy: the use of embryos to derive stem cells for research, socialized medicine, and physician-assisted suicide. Beginning with thinkers like Plato, Aristotle, Kant, and Nietsche, and drawing on great Jewish figures in history—Maimonides, Rashi, and various commentators on the Torah (written law) and the Mishnah (oral law)—Novak speaks brilliantly to these modern moral dilemmas.
The Sanctity of Human Life weaves a rich and sophisticated tapestry of evidence to conclude that the Jewish understanding of the human being as sacred, as the image of God, is in fact compatible with philosophical claims about the rights of the human person—especially the right to life—and can be made intelligible to secular culture. Thus, according to Novak, the use of stem cells from embryos is morally unacceptable; the sanctity of the human person, and not capitalist or socialist approaches, should drive our understanding of national health care; and physician-assisted suicide violates humankind's fundamental responsibility for caring for one another.
Novak's erudite argument and rigorous scholarship will appeal to all scholars and students engaged in the work of theology and bioethics.
In the year 2000 the World Health Organization estimated that 85 percent of fifteen-year-olds in Botswana would eventually die of AIDS. In Saturday Is for Funerals we learn why that won’t happen.
Unity Dow and Max Essex tell the true story of lives ravaged by AIDS—of orphans, bereaved parents, and widows; of families who devote most Saturdays to the burial of relatives and friends. We witness the actions of community leaders, medical professionals, research scientists, and educators of all types to see how an unprecedented epidemic of death and destruction is being stopped in its tracks.
This book describes how a country responded in a time of crisis. In the true-life stories of loss and quiet heroism, activism and scientific initiatives, we learn of new techniques that dramatically reduce rates of transmission from mother to child, new therapies that can save lives of many infected with AIDS, and intricate knowledge about the spread of HIV, as well as issues of confidentiality, distributive justice, and human rights. The experiences of Botswana offer practical lessons along with the critical element of hope.
Schizophrenia: Science and Practice brings together the work of many of today's most distinguished authorities in psychiatry. From diverse perspectives, these specialists review what is presently known—and unknown—about schizophrenia. The conceptual underpinnings of the diagnosis of schizophrenic illness, recent elaborations of psychosocial and developmental theories, current genetic and biochemical research, and traditional as well as newer treatment approaches are among the topics discussed in this unusually clear and lively account.
How effective are contemporary psychotherapeutic approaches to schizophrenia? What drug therapies are being used or proposed, and why? What about the treatment milieu and the difficult strategic questions surrounding the recent movement toward the “deinstitutionalization” of schizophrenic patients? Ultimately, should schizophrenia be defined as a toxic illness or as a way of life? In attempting to answer these and other questions, Dr. Shershow is joined by contributors Irwin Savodnik, Seymour Kety, Theodore Udz, Gerald Klerman, Ian Creese, Solomon Snyder, Leo Hollister, Jonathan Borus, Daniel Schwartz, and Loren Mosher, among others.
All the issues confronting psychiatry as a self-conscious discipline within contemporary medicine converge on the problem of schizophrenia. The important hope Schizophrenia: Science and Practice raises is that a fruitful pluralism among the variety of approaches to schizophrehia, and to psychiatric problems in general, can be sustained.
Ever since the threads of seventeenth-century natural philosophy began to coalesce into an understanding of the natural world, printed artifacts such as laboratory notebooks, research journals, college textbooks, and popular paperbacks have been instrumental to the development of what we think of today as “science.” But just as the history of science involves more than recording discoveries, so too does the study of print culture extend beyond the mere cataloguing of books. In both disciplines, researchers attempt to comprehend how social structures of power, reputation, and meaning permeate both the written record and the intellectual scaffolding through which scientific debate takes place.
Science in Print brings together scholars from the fields of print culture, environmental history, science and technology studies, medical history, and library and information studies. This ambitious volume paints a rich picture of those tools and techniques of printing, publishing, and reading that shaped the ideas and practices that grew into modern science, from the days of the Royal Society of London in the late 1600s to the beginning of the modern U.S. environmental movement in the early 1960s.
In October of 1992, the Harvard Center for Population and Development Studies sponsored the Roger Revelle Memorial Symposium on Population and Environment. Two dozen eminent scientists—all friends, colleagues, or students of Roger Revelle—presented papers in a broad range of disciplines that reflect the remarkable scope of Revelle’s professional and academic contributions during his lifetime. This volume is a selection of the symposium papers.
A memoir of Revelle’s exposure to poverty in Pakistan, igniting his interest in the contribution that science could make to improving the lives of people in developing countries, serves as a moving introduction to the volume. This book stands as an enduring memorial to Roger Revelle’s lifelong concern that scientific developments contribute to comfortable, civilized survival in all countries of this increasingly crowded world.
Moving images are used as diagnostic tools and locational devices every day in hospitals, clinics, and laboratories. But how and when did they come to be established and accepted sources of knowledge about the body in medical culture? How are the specialized techniques and codes of these imaging techniques determined, and whose bodies are studied, diagnosed, and treated with the help of optical recording devices?
Screening the Body traces the fascinating history of scientific film during the late nineteenth and early twentieth centuries to show that early experiments with cinema are important precedents of contemporary medical techniques such as ultrasound and PET scanning. Lisa Cartwright brings to light eccentric projects in the history of science and medicine, such as Thomas Edison's sensational attempt to image the brain with X rays before a public audience, and the efforts of doctors to use the motion picture camera to capture movements of the body, from the virtually imperceptible flow of blood to epileptic seizures.Drawing on feminist film theory, cultural studies, the history of film, and the writings of Foucault, Cartwright illustrates how this scientific cinema was part of a broader tendency in society toward the technological surveillance, management, and physical transformation of the individual body and the social body. She unveils an area of film culture that has rarely been discussed but that will leave readers with a new way of seeing the everyday practice of diagnostic imaging that we all inevitably encounter in clinics and hospitals.English translation of the second volume of Laurent Joubert’s 1578 French work Erreurs Populaires
Joubert proposed to dispel folk remedies and folklore still relied on by doctors and care-givers in France. It also challenged medical theories and advice from classical Greek and Latin writers that French doctors followed uncritically.
Doctors of osteopathy today practice side by side with medical doctors, employing the same diagnostic and curative tools of scientific—with a difference. A Second Voice: A Century of Osteopathic Medicine in Ohio is the story of that difference. Focusing on the historical experience of a pivotal midwestern state, historian Carol Poh Miller illuminates struggles common to osteopathic medicine nationwide as it fought to secure its place in American health care.
First promulgated by Dr. Andrew Taylor Still in 1874, osteopathy was a reaction against the primitive medical practices of the period. Believing that the body had its own natural curative powers, Still manipulated vertebrae to free circulation and to remove pathology. Early osteopaths endured discrimination, as orthodox medicine and its allies sought to prevent the establishment of Still’s new healing method.
Written in conjunction with the one-hundredth anniversary of the Ohio Osteopathic Association, A Second Voice traces the origins and growth of the profession in Ohio. It recounts the early legal battles, the establishment of separate osteopathic hospitals, and the hard-fought campaigns to win equal practice rights and to build a state college of osteopathic medicine. Finally, it reconsiders the notorious murder trial of Cleveland osteopathic physician Sam Sheppard in the context of his family’s contributions to the osteopathic profession and a prosecution that, evidence has shown, fingered the wrong man.
A Second Voice is a valuable addition to the history of medicine in Ohio and the nation.
“A powerful and extraordinarily important book.”
—James P. Comer, MD
“A marvelous personal journey that illuminates what it means to care for people of all races, religions, and cultures. The story of this man becomes the aspiration of all those who seek to minister not only to the body but also to the soul.”
—Jerome Groopman, MD, author of How Doctors Think
Growing up in Jim Crow–era Tennessee and training and teaching in overwhelmingly white medical institutions, Gus White witnessed firsthand how prejudice works in the world of medicine. While race relations have changed dramatically since then, old ways of thinking die hard. In this blend of memoir and manifesto, Dr. White draws on his experience as a resident at Stanford Medical School, a combat surgeon in Vietnam, and head orthopedic surgeon at one of Harvard’s top teaching hospitals to make sense of the unconscious bias that riddles medical care, and to explore how we can do better in a diverse twenty-first-century America.
“Gus White is many things—trailblazing physician, gifted surgeon, and freedom fighter. Seeing Patients demonstrates to the world what many of us already knew—that he is also a compelling storyteller. This powerful memoir weaves personal experience and scientific research to reveal how the enduring legacy of social inequality shapes America’s medical field. For medical practitioners and patients alike, Dr. White offers both diagnosis and prescription.”
—Jonathan L. Walton, Plummer Professor of Christian Morals, Harvard University
“A tour de force—a compelling story about race, health, and conquering inequality in medical care…Dr. White has a uniquely perceptive lens with which to see and understand unconscious bias in health care…His journey is so absorbing that you will not be able to put this book down.”
—Charles J. Ogletree, Jr., author of All Deliberate Speed
If you’re going to have a heart attack, an organ transplant, or a joint replacement, here’s the key to getting the very best medical care: be a white, straight, middle-class male. This book by a pioneering black surgeon takes on one of the few critically important topics that haven’t figured in the heated debate over health care reform—the largely hidden yet massive injustice of bias in medical treatment.
Growing up in Jim Crow–era Tennessee and training and teaching in overwhelmingly white medical institutions, Gus White witnessed firsthand how prejudice works in the world of medicine. And while race relations have changed dramatically, old ways of thinking die hard. In Seeing Patients White draws upon his experience in startlingly different worlds to make sense of the unconscious bias that riddles medical treatment, and to explore what it means for health care in a diverse twenty-first-century America.
White and coauthor David Chanoff use extensive research and interviews with leading physicians to show how subconscious stereotyping influences doctor–patient interactions, diagnosis, and treatment. Their book brings together insights from the worlds of social psychology, neuroscience, and clinical practice to define the issues clearly and, most importantly, to outline a concrete approach to fixing this fundamental inequity in the delivery of health care.
“I’m covered—why should I foot the bill for somebody who isn’t?”
This question, unspoken but simmering at the center of the debate over universal health care coverage, comes in for a thoughtful hearing—and, perhaps, gentle corrective—in Larry Churchill’s timely book. Churchill, whose Rationing Health Care in America put the nation’s health care crisis into perspective, here does the same for our crisis of conscience over health care coverage. As Clinton and Congress spar over the financing and organization of a national health system, the true debate, this book reveals, is about moral and political values, about the meaning and ethics of health care reform.
Churchill begins by cutting through the confused discussion about rationing health care. Concerns about rationing, with all the moral and political questions they raise, deflect our attention from a more important issue, which this book brings into focus. Arguing that care is already rationed by ability to pay, Churchill suggests that the proper question is not whether to ration but how to do so fairly, and that answering requires a clear sense of the aims of a health care system. In pursuit of this necessary understanding, Churchill explores values and concepts such as security and solidarity, self-interest and social affinity, rights and responsibilities. Drawing on philosophical ideas of justice and individual responsibility, rendered here with remarkable clarity, he shows that universal care is morally as well as economically comprehensible and that a truly inclusive health care system should be seen as a common civic purpose rather than as a supply of services to be consumed. Accessible, deeply felt, and cogently argued, this book should revise the terms of the national debate over health care reform.
The hand is an organ of considerable capability. With it we feel, point, and reach, we determine the texture and shape of objects we palpate, we emit and receive signs of approval, compassion, condolence, and encouragement, and, on a different register, rejection, threat, dislike, antagonism, and attack.
Vernon Mountcastle has devoted his career to studying the neurophysiology of sensation--the extended sensory surface, consisting of skin and subcutaneous tissue--in the hand. In The Sensory Hand Mountcastle provides an astonishingly comprehensive account of the neural underpinnings of the rich and complex tactile experiences evoked by stimulation of the hand. Mountcastle focuses attention on the nerve pathways linking the hand to central neural structures, structures that play a role in several other aspects of somatic sensation. His new book thus becomes a sequel to his earlier volume, Perceptual Neuroscience, in which he offered a detailed analysis of the role of the distributed systems of the neocortex in perception generally.
Written by one of the giants of modern neuroscience and the first single-authored book-length treatment of the subject, The Sensory Hand is a major work of scholarship that will be essential reading for anyone interested in how the brain registers sensation and perception.
A provocative call to rethink America's values in health care.
This book is the first to offer a combined social science and psychoanalytic perspective on reproductive behavior. The author emphasizes the personal histories of his subjects within their cultural environment, and takes into account the setting of the interview and the subjective responses of both interviewee and interviewer. The study reveals how Jamaicans, particularly women, relate to their own parents, learn about sex, experience sexual maturity and first intercourse, and perceive their relations with subsequent partners. Other themes examined are the significance of pregnancy, childbirth, and parenthood and the folk context of Jamaican beliefs about reproduction and contraception.
All of these are aspects of what the author terms a “culture of motherhood.” His unique approach illuminates the many complex factors that influence this population's use or nonuse of contraceptive methods. In his concluding chapter, Eugene Brody offers suggestions for reconciling the private needs of individuals and the public goals of Jamaican population policy. Although his research centers on one Caribbean island, his ideas are applicable to other developing countries. In Sex, Contraception, and Motherhood in Jamaica, family planning professionals, psychologists, psychiatrists, and social scientists will find an intriguing new approach to reproductive policy.
A physician with thirty-five years of experience treating people with brain injuries shares the latest research on concussions and best practices for care.
The explosion of attention to sports concussions has many of us thinking about the addled brains of our football and hockey heroes. But concussions happen to everyone, not just elite athletes. Children fall from high chairs, drivers and cyclists get into accidents, and workers encounter unexpected obstacles on the job. Concussions are prevalent, occurring even during everyday activities. In fact, in less time than it takes to read this sentence, three Americans will experience a concussion. The global statistics are no less staggering.
Shaken Brain offers expert advice and urgently needed answers. Elizabeth Sandel, MD, is a board-certified physician who has spent more than three decades treating patients with traumatic brain injuries, training clinicians, and conducting research. Here she explains the scientific evidence for what happens to the brain and body after a concussion. And she shares stories from a diverse group of patients, educating readers on prevention, diagnosis, and treatment. Few people understand that what they do in the aftermath of their injury will make a dramatic difference to their future well-being; patient experiences testify to the best practices for concussion sufferers and their caregivers. Dr. Sandel also shows how to evaluate risks before participating in activities and how to use proven safety strategies to mitigate these risks.
Today concussions aren’t just injuries—they’re big news. And, like anything in the news, they’re the subject of much misinformation. Shaken Brain is the resource patients and their families, friends, and caregivers need to understand how concussions occur, what to expect from healthcare providers, and what the long-term consequences may be.
Sick building syndrome embodied a politics of uncertainty that continues to characterize contemporary American environmental debates. Michelle Murphy explores the production of uncertainty by juxtaposing multiple histories, each of which explains how an expert or lay tradition made chemical exposures perceptible or imperceptible, existent or nonexistent. She shows how uncertainty emerged from a complex confluence of feminist activism, office worker protests, ventilation engineering, toxicology, popular epidemiology, corporate science, and ecology. In an illuminating case study, she reflects on EPA scientists’ efforts to have their headquarters recognized as a sick building. Murphy brings all of these histories together in what is not only a thorough account of an environmental health problem but also a much deeper exploration of the relationship between history, materiality, and uncertainty.
An event-by-event look at how institutionalized racism harms the health of African Americans in the twenty-first century
A crucial component of anti-Black racism is the unconscionable disparity in health outcomes between Black and white Americans. Sickening examines this institutionalized inequality through dramatic, concrete events from the past two decades, revealing how unequal living conditions and inadequate medical care have become routine.
From the spike in chronic disease after Hurricane Katrina to the lack of protection for Black residents during the Flint water crisis—and even the life-threatening childbirth experience for tennis star Serena Williams—author Anne Pollock takes readers on a journey through the diversity of anti-Black racism operating in healthcare. She goes beneath the surface to deconstruct the structures that make these events possible, including mass incarceration, police brutality, and the hypervisibility of Black athletes’ bodies. Ultimately, Sickening shows what these shocking events reveal about the everyday racialization of health in the United States.
Concluding with a vital examination of racialized healthcare during the COVID pandemic and the Black Lives Matter rebellions of 2020, Sickening cuts through the mind-numbing statistics to vividly portray healthcare inequalities. In a gripping and passionate style, Pollock shows the devastating reality and consequences of systemic racism on the lives and health of Black Americans.
Each year one in four hundred births among black Americans is a baby with sickle cell anemia and a life expectancy of only twenty years. Fifty thousand Americans of all ages suffer from the disease, yet there is no treatment for the sickling of cells. This book is the first attempt to summarize all that we know about the historical and cultural roots of sickle cell anemia and the molecular details of how it attacks humans.
The discovery of the molecular basis of sickle cell disease is a riveting story that encapsulates many of the major events in the history of molecular biology. We now know that sickling is triggered by a mutation that alters hemoglobin molecules of the red blood cells. The high incidence of individuals of African descent with this mutation is linked to the slight resistance to malaria provided by the mutant hemoglobin.
But this volume tells more than the story of a disease. Stuart Edelstein recounts his personal experiences in Africa, where he conducted fieldwork among the Igbo of Nigeria. There he explored a possible relation between sickle cell anemia and the Igbo belief in ogbanje, the “repeater children” who are born, die young, and are reborn to the same parents. Sickling cells and “water in the blood,” as traditional healers describe the anemia, are implicated in the amputation of the end of the left little finger as part of a ritual to induce the ogbanje child to “stay.”
From such fascinating myths and practices the author proceeds to examine the evolutionary stages of the hemoglobin molecule in primates and how cells can become distorted into sickle shapes. These molecular aspects of the anemia provide the background for considering the latest efforts to diagnose and treat it. Although genetic engineering techniques may someday cure the disease, most current efforts are directed at developing antisickling drugs to modify the hemoglobin molecules. This engaging yet scholarly book blends cultural anthropology, linguistics, genetics, biochemistry, and medicine into a multifaceted look at a disease by a world-renowned expert on hemoglobin.
A critical investigation into the use of psychotropic drugs to pacify and control inmates and other captives in the vast U.S. prison, military, and welfare systems
For at least four decades, U.S. prisons and jails have aggressively turned to psychotropic drugs—antidepressants, antipsychotics, sedatives, and tranquilizers—to silence inmates, whether or not they have been diagnosed with mental illnesses. In Silent Cells, Anthony Ryan Hatch demonstrates that the pervasive use of psychotropic drugs has not only defined and enabled mass incarceration but has also become central to other forms of captivity, including foster homes, military and immigrant detention centers, and nursing homes.
Silent Cells shows how, in shockingly large numbers, federal, state, and local governments and government-authorized private agencies pacify people with drugs, uncovering patterns of institutional violence that threaten basic human and civil rights. Drawing on publicly available records, Hatch unearths the coercive ways that psychotropics serve to manufacture compliance and docility, practices hidden behind layers of state secrecy, medical complicity, and corporate profiteering.
Psychotropics, Hatch shows, are integral to “technocorrectional” policies devised to minimize public costs and increase the private profitability of mass captivity while guaranteeing public safety and national security. This broad indictment of psychotropics is therefore animated by a radical counterfactual question: would incarceration on the scale practiced in the United States even be possible without psychotropics?
Contributors. Larry Churchill, David DeGrazia, Cora Diamond, James Edwards, Carl Elliott, Grant Gillett, Paul Johnston, Margaret Olivia Little, James Lindemann Nelson, Knut Erik Tranoy
An NRC Handelsblad Book of the Year
“Offers rich discussions of olfactory perception, the conscious and subconscious impacts of smell on behavior and emotion.”
—Science
Decades of cognition research have shown that external stimuli “spark” neural patterns in particular regions of the brain. We think of the brain as a space we can map: here it responds to faces, there it perceives a sensation. But the sense of smell—only recently attracting broader attention in neuroscience—doesn’t work this way. So what does the nose tell the brain, and how does the brain understand it?
A. S. Barwich turned to experts in neuroscience, psychology, chemistry, and perfumery in an effort to understand the mechanics and meaning of odors. She discovered that scents are often fickle, and do not line up with well-defined neural regions. Upending existing theories of perception, Smellosophy offers a new model for understanding how the brain senses and processes odors.
“A beguiling analysis of olfactory experience that is fast becoming a core reference work in the field.”
—Irish Times
“Lively, authoritative…Aims to rehabilitate smell’s neglected and marginalized status.”
—Wall Street Journal
“This is a special book…It teaches readers a lot about olfaction. It teaches us even more about what philosophy can be.”
—Times Literary Supplement
Praise for the 3-volume second edition of The Social Medicine Reader:
“A superb collection of essays that illuminate the role of medicine in modern society. Students and general readers are not likely to find anything better.”—Arnold S. Relman, Professor Emeritus of Medicine and Social Medicine, Harvard Medical School
Praise for the first edition:
“This reviewer strongly recommends The Social Medicine Reader to the attention of medical educators.”—Samuel W. Bloom, JAMA: The Journal of the American Medical Association
Volume 3:
Over the past four decades the American health care system has witnessed dramatic changes in private health insurance, campaigns to enact national health insurance, and the rise (and perhaps fall) of managed care. Bringing together seventeen pieces new to this second edition of The Social Medicine Reader and four pieces from the first edition, Health Policy, Markets, and Medicine draws on a broad range of disciplinary perspectives—including political science, economics, history, and bioethics—to consider changes in health care and the future of U.S. health policy. Contributors analyze the historical and moral foundation of today’s policy debates, examine why health care spending is so hard to control in the United States, and explain the political dynamics of Medicare and Medicaid. Selections address the rise of managed care, its impact on patients and physicians, and the ethical implications of applying a business ethos to medical care; they also compare the U.S. health care system to the systems in European countries, Canada, and Japan. Additional readings probe contemporary policy issues, including the emergence of consumer-driven health care, efforts to move quality of care to the top of the policy agenda, and the implications of the aging of America for public policy.
Contributors: Henry J. Aaron, Drew E. Altman, George J. Annas, Robert H. Binstock, Thomas Bodenheimer, Troyen A. Brennan, Robert H. Brook, Lawrence D. Brown, Daniel Callahan, Jafna L. Cox, Victor R. Fuchs, Kevin Grumbach, Rudolf Klein, Robert Kuttner, Larry Levitt, Donald L. Madison, Wendy K. Mariner, Elizabeth A. McGlynn, Jonathan Oberlander, Geov Parrish, Sharon Redmayne, Uwe E. Reinhardt, Michael S. Sparer, Deborah Stone
Praise for the 3-volume second edition of The Social Medicine Reader:
“A superb collection of essays that illuminate the role of medicine in modern society. Students and general readers are not likely to find anything better.”—Arnold S. Relman, Professor Emeritus of Medicine and Social Medicine, Harvard Medical School
Praise for the first edition:
“This reviewer strongly recommends The Social Medicine Reader to the attention of medical educators.”—Samuel W. Bloom, JAMA: The Journal of the American Medical Association
Volume 1:
A woman with what is quite probably a terminal illness must choose between courses of treatment based on contradictory diagnoses. A medical student causes acute pain in his patients as he learns to insert a central line. One doctor wonders how to react when a patient asks him to pray with her; another struggles to come to terms with his mistakes. A physician writes in a prominent medical journal about facilitating a dying woman’s wish to end her life on her own terms; letters to the editor reflect passionate responses both in support of and in opposition to his actions. These experiences and many more are vividly rendered in Patients, Doctors, and Illness, which brings together nineteen pieces that appeared in the first edition of The Social Medicine Reader and eighteen pieces new to this edition. This volume examines the roles and training of health care professionals and their relationship with patients, ethics in health care, and end-of-life experiences and decisions. It includes fiction and nonfiction narratives and poetry; definitions and case-based discussions of moral precepts in health care, such as truth telling, informed consent, privacy, and autonomy; and readings that provide legal, ethical, and practical perspectives on many familiar but persistent ethical and social questions raised by illness and care.
Contributors: Yehuda Amichai, Marcia Angell, George J. Annas, Marc D. Basson, Doris Betts, Amy Bloom, Abenaa Brewster, Raymond Carver, Eric J. Cassell, Larry R. Churchill, James Dickey, Gerald Dworkin, James Dwyer, Miles J. Edwards, Charles R. Feldstein, Chris Feudtner, Leonard Fleck, Arthur Frank, Benjamin Freedman, Atul Gawande, Jerome Groopman, Lawrence D. Grouse, David Hilfiker, Nancy M. P. King, Perri Klass, Melvin Konner, Bobbie Ann Mason, Steven H. Miles, Sharon Olds, Katha Pollitt, Timothy E. Quill, David Schenck, Daniel Shapiro, Susan W. Tolle, Alice Stewart Trillin, William Carlos Williams
Praise for the 3-volume second edition of The Social Medicine Reader:
“A superb collection of essays that illuminate the role of medicine in modern society. Students and general readers are not likely to find anything better.”—Arnold S. Relman, Professor Emeritus of Medicine and Social Medicine, Harvard Medical School
Praise for the first edition:
“This reviewer strongly recommends The Social Medicine Reader to the attention of medical educators.”—Samuel W. Bloom, JAMA: The Journal of the American Medical Association
Volume 2:
Ranging from a historical look at eugenics to an ethnographic description of parents receiving the news that their child has Down syndrome, from analyses of inequalities in the delivery of health services to an examination of the meaning of race in genomics research, and from a meditation on the loneliness of the long-term caregiver to a reflection on what children owe their elderly parents, this volume explores health and illness. Social and Cultural Contributions to Health, Difference, and Inequality brings together seventeen pieces new to this edition of The Social Medicine Reader and five pieces that appeared in the first edition. It focuses on how difference and disability are defined and experienced in contemporary America, how the social categories commonly used to predict disease outcomes—such as gender, race and ethnicity, and social class—have become contested terrain, and why some groups have more limited access to health care services than others. Juxtaposing first-person narratives with empirical and conceptual studies, this compelling collection draws on several disciplines, including cultural and medical anthropology, sociology, and the history of medicine.
Contributors: Laurie K. Abraham, Raj Bhopal, Ami S. Brodoff, Daniel Callahan, David Diamond, Liam Donaldson, Alice Dreger, Sue E. Estroff, Paul Farmer, Anne Fausto-Sterling, Jerome Groopman, Gail E. Henderson, Linda M. Hunt, Barbara A. Koenig, Donald R. Lannin, Sandra Soo-Jin Lee, Carol Levine, Judith Lorber, Nancy Mairs, Holly F. Mathews, James P. Mitchell, Joanna Mountain, Alan R. Nelson, Martin S. Pernick, Rayna Rapp, Sally L. Satel, Robert S. Schwartz, Brian D. Smedley, Adrienne Y. Stith, Sharon Sytsma, Gordon Weaver, Bruce Wilson, Irving Kenneth Zola
Human beings evolved in the company of others and flourish in proportion to their positive social ties. To understand the human brain, we must situate its biology in the wider context of society. To understand society, we must also consider how the brains and minds of individuals shape interactions with other human beings. Social Neuroscience offers a comprehensive new framework for studying the brain, human development, and human behavior.
In this book, leading researchers in the fields of neurobiology, psychiatry, psychology, and sociology elucidate the connections between brain biology and the brain’s functioning in the social world, providing a state-of-the-art interdisciplinary explanation of how humans think and act, as well as the ways we define and treat pathological behavior. Synthesizing the insights and perspectives of these experts, Social Neuroscience examines how neural processes make the brain sensitive to social experience, how cognition shapes social behavior, and how social networks create a range of responses among different individuals to the same environmental stimuli.
The mutually reinforcing connections between brain, mind, and society have profound implications for human health, from the emotionally damaging effects of severe social deprivation to the neurological impact of parental abuse and neighborhood violence. The authors explore these connections, with special focus on mental illnesses, including schizophrenia—a disorder characterized by marked social deficits in which a neurological basis is now well established.
One out of every eight people between the ages of 18 and 67 in the United States has a hearing loss, estimated as 12 percent of the working-age population. Sound Sense: Living and Learning with Hearing Loss addresses the acute need of these people to function at the highest level in these income-earning years, the longest phase in their lives. In nine pointed chapters, author Sara Laufer Batinovich, who also has lost her hearing, shares her experience and knowledge in turning every challenge into an opportunity to become one’s best self-advocate.
Batinovich begins in the workplace, advising on winning a job, keeping it, and developing a long-term career, plus how to reduce stress and establish fulfilling professional relationships with colleagues. She offers tips on communication ranging from having sales people face you for easier speechreading to parsing boarding announcements at airports and play-by-play at ballparks. Her practical handbook also provides step-by-step guidance for getting a hearing aid or a cochlear implant and finding one’s way through prickly insurance claim mazes.
Sound Sense features information on finding a service dog, securing legally mandated accommodations for continuing education, tips on exercise and health, and even sensitive suggestions on strengthening personal relationships. Batinovich’s vivacious style and her own anecdotes add an upbeat, genuine sensibility to her book’s value as a positive guide to living with hearing loss.
Four decades have passed since reports of a mysterious “gay cancer” first appeared in US newspapers. In the ensuing years, the pandemic that would come to be called AIDS changed the world in innumerable ways. It also gave rise to one of the late twentieth century’s largest health-based empowerment movements. Scholars across diverse traditions have documented the rise of the AIDS activist movement, chronicling the impassioned echoes of protestors who took to the streets to demand “drugs into bodies.”
And yet not all activism creates echoes. Included among the ranks of 1980s and 1990s-era AIDS activists were individuals whose expressions of empowerment differed markedly from those demanding open access to mainstream pharmaceutical agents. Largely forgotten today, this activist tradition was comprised of individuals who embraced unorthodox approaches for conceptualizing and treating their condition. Rejecting biomedical expertise, they shared alternative clinical paradigms, created underground networks for distributing unorthodox nostrums, and endorsed etiological models that challenged the association between HIV and AIDS. The theatre of their protests was not the streets of New York City’s Greenwich Village but rather their bodies. And their language was not the riotous chants of public demonstration but the often-invisible embrace of contrarian systems for defining and treating their disease.
The Sounds of Furious Living seeks to understand the AIDS activist tradition, identifying the historical currents out of which it arose. Embracing a patient-centered, social historical lens, it traces historic shifts in popular understanding of health and perceptions of biomedicine through the nineteenth and twentieth centuries to explain the lasting appeal of unorthodox health activism into the modern era. In asking how unorthodox health activism flourished during the twentieth century’s last major pandemic, Kelly also seeks to inform our understanding of resistance to biomedical authority in the setting of the twenty-first century’s first major pandemic: COVID-19. As a deeply researched portrait of distrust and disenchantment, The Sounds of Furious Living helps explain the persistence of movements that challenge biomedicine’s authority well into a century marked by biomedical innovation, while simultaneously posing important questions regarding the meaning and metrics of patient empowerment in clinical practice.Government agencies and commissions, courts, and legislatures have during the past several decades produced reports, rendered decisions, and passed laws that have both defined the fundamental issues in the field of bioethics and established ways of managing them in our society. Providing a history of these key bioethical decisions, this Source Book in Bioethics is the first and only comprehensive collection of the critical public documents in biomedical ethics, including many hard-to-find or out-of-print materials.
Covering the period from 1947 to 1995, this volume brings together core legislative documents, court briefs, and reports by professional organizations, public bodies, and governments around the world. Sections on human experimentation, care of the terminally ill, genetics, human reproduction, and emerging areas in bioethics include such pivotal works as "The Nuremberg Code," "The Tuskegee Report," and "In the Matter of Baby M," as well less readily available documents as "The Declaration of Inuyama," the Council for International Organizations of Medical Sciences statement on genetic engineering, and "The Warnock Committee Report" on reproductive technologies from the United Kingdom. Three eminent scholars in the field provide brief introductions to each document explaining the significance of these classic sources.
This historical volume will be a standard text for courses in bioethics, health policy, and death and dying, and a primary reference for anyone interested in this increasingly relevant field.
In this collection JoAnn Scurlock assembles and translates medical texts that provided instructions for ancient doctors and pharmacists. Scurlock unpacks the difficult, technical vocabulary that describes signs and symptoms as well as procedures and plants used in treatments. This fascinating material shines light on the development of medicine in the ancient Near East, yet these tablets were essentially inaccessible to anyone without an expertise in cuneiform. Scurlock’s work fills this gap by providing a key resource for teaching and research.
Features:
Speechreading: A Way to Improve Understanding discusses the nature and process of speechreading, its benefits, and its limitations. This useful book clarifies commonly-held misconceptions about speechreading. The beginning chapters address difficult communication situations and problems related to the speaker, the speechreader, and the environment. It then offers strategies to manage them.
Speechreading provides practical exercises illustrating the use ofthese communication strategies in actual situations. It is an excellent book for late-deafened adults, families and friends, parents of children with hearing loss, and professionals and students.
Speed kills—this fading bumper-sticker pun recalls the romance between the counterculture and amphetamines. But America's real involvement with "speed" began far earlier, and has endured in spite of the disasters of counterculture experimentation.
Amphetamines continue to be respectable drugs for all classes and all ages—even, increasingly, schoolchildren. Unlike alcohol, marihuana, opium, and cocaine—the other "recreational" drugs—amphetamine and its relatives have no natural source or long cultural tradition. They are entirely a product of modern laboratories. Available for less than forty years, during most of their history they have borne the stamp of official scientific and medical approval. Their deleterious effects—including severe habituation—have only slowly been recognized, and today there is still a sizable constituency favoring their use in so-called hyperkinetic children as well as in obese and depressed adults.
Lester Grinspoon, author of Marihuana Reconsidered, and Peter Hedblom have taken a hard look at the amphetamines and their effects on man. They explore the social forces that favor use of these substances: drug-company profits, medical convenience, and user acceptance. And they analyze evidence showing that amphetamines are dangerous and unnecessary drugs, perhaps even when prescribed by physicians. At a time when federal action against the illicit use of amphetamines is becoming more and more stringent, Grinspoon and Hedblom find that pressures to expand their "legitimate" use remain intense, however questionable the results. They illustrate explicit efforts to expand the use of such drugs through advertisements implying "that human life itself is a drug-deficiency disease." And they explore the more pervasive and subtler cultural pressures for conformity to an impossible ideal of physical and intellectual vigor, industriousness, and efficiency—an ideal that amphetamines once seemed to put in the reach of every man.
With today's cumbersome insurance procedures, government regulations, endless paperwork, and concerns about malpractice rates, many health care professionals are asking: "Why am I doing this? Am I making a difference to my patients? Is there a better way—and if so, what is it?" In this book, Carson and Koenig examine the state of the health care system with the goal of providing healthcare professionals and caregivers the inspiration and practical tools to reclaim their sense of purpose.
The book begins with an evaluation of the current system from the perspective of the spiritual vision that initially motivated and nourished many caregivers. The authors then pose a vision of a health care system that supports and nurtures the spirituality of patients and their families, of which some elements already exist.
An overview is provided on the preparation necessary for health care professionals to offer spiritual care when there are major implications—for people with chronic illnesses, psychiatric issues, devastating injuries, and those preparing for surgery, facing death, and those living with chronic pain. Also explored are ways that health professionals and caregivers can maintain their own spiritual health even as they work to bring about healing, comfort, and solace to others.
Woven throughout the book are the personal narratives of physicians, nurses, chaplains, health care educators, community resource workers, administrators, therapists, and psychologists—all from a wide range of religious traditions. Their examples inspire and assist professionals in renewing the spiritual focus of health care.
Ever since the first edition of Verna Benner Carson's Spiritual Dimensions of Nursing Practice went out of print, second-hand copies have been highly sought after by practitioners in the field and nursing school faculty who appreciated the comprehensive scope of the seminal work on spirituality and health. In this highly anticipated revised edition, Carson and her co-editor, Harold G. Koenig, have thoroughly revised and updated this classic in the field.
In Spirituality and Health Research: Methods, Measurement, Statistics, and Resources, Dr. Harold G. Koenig leads a comprehensive overview of this complex subject. Dr. Koenig is one of the world’s leading authorities on the relationship between spirituality and health, and a leading researcher on the topic. As such, he is distinctively qualified to author such a book.
This book is intended as a guide for practicing physicians, medical students, and residents to help identify and address the spiritual needs of patients. Those who will benefit most will be physicians who wish to know how to integrate spirituality into clinical practice in an effective and sensitive manner. Other professionals, such as nurses and chaplains, may use this book as they interact with doctors, other health professionals, and hospital administrators.
From five-year-olds playing T-ball to teenagers showing off their inline skating skills, kids love participating in sports. Their parents, who often know little about their child's chosen sport, assume the roles of cheerleader, coach, or, when injuries occur, trainer. For these parent-coaches, here is a comprehensive, illustrated guide to preventing and treating sports-related injuries written by a family physician certified in sports medicine.
FEATURES:
- Explains the physical and psychological readiness of children for certain sports at different ages
- Identifies injuries by the part of the body Lists sport-specific injuries, from baseball through wrestling
- Emphasizes preventing injuries and illness
- Contains a glossary of basic medical terms
- Includes illustrations of injuries and preventive exercises
Whether their kids are avid or occasional athletes, this handy reference will increase parents' ability to deal with minor injuries and to identify potentially more serious problems that require professional attention.
This new edition of Fundamentals of Radiology brings up to date the consummate, classic work by Lucy Frank Squire and Robert A. Novelline that has introduced generations of medical students to radiology.
The standard introductory text for more than thirty years, Fundamentals of Radiology is a model of clarity and comprehensiveness. Robert Novelline continues that tradition by thoroughly updating and expanding this edition to reflect the latest types and uses of imaging techniques. Complementing the text are many superb reproductions of plain film, computed tomography, magnetic-resonance, and ultrasound images--hundreds of them new to this edition. In addition, Novelline has added five important chapters. A new chapter near the beginning of the book provides an atlas of drawings and images that allows the reader to review normal plain film and CT anatomy. Another new chapter is devoted to vascular imaging, including CT angiography, MR angiography, and vascular ultrasound, especially full-color Doppler ultrasound images. The chapter on interventional radiology covers therapeutic procedures performed by radiologists, such as angioplasty, embolization, and percutaneous biopsy. To address the different medical conditions of males, females, and children, another new chapter examines the imaging of obstetrical, gynecological, testicular, prostate, and urethral disorders, and considers a variety of childhood ailments and problems, including child abuse. Finally, a new chapter on TB and AIDS shows how radiology can track the course of a single disease over time and trace the depredations of a multisystem disease.
Medical students preparing for a career in clinical practice must become familiar with a wide range of diagnostic imaging techniques and image-guided interventions. They must learn to identify the indications for radiological examination and recognize the role each procedure plays in the workup, diagnosis, and therapeutic management of patients. That is why Squire’s Fundamentals of Radiology has been such an important, long-standing resource for medical students, physicians, and other professionals at all stages of their careers. It teaches essential topics in the radiology curriculum and features hundreds of illustrative cases clinicians can turn to again and again in practice.
In this long-awaited seventh edition, Robert Novelline provides more than 600 new high-resolution images representing the current breadth of radiological procedures: conventional x-rays, ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), angiography, radioisotope scanning, positron emission tomography (PET), and molecular imaging. This edition’s expanded coverage addresses dual energy CT, breast tomosynthesis, PET-MR scanning, and tractography brain imaging, along with best practices for managing patient experiences during and after examination. All new images were produced at a major teaching hospital using state-of-the-art imaging technologies.
Squire’s Fundamentals of Radiology is designed to be read cover to cover by students, with concepts, principles, and methods progressing in a logical, cumulative manner. It also serves as an invaluable tool for teachers and an indispensable reference for seasoned practitioners. Written by a radiologist who has trained thousands of medical students and residents, this textbook is the clear choice for excelling in the general practice of radiology.
If laughter is good medicine, then the twenty-two essays offered here by Dr. Allen B. Weisse should prove a hearty antidote to a host of ills suffered by doctors, students and would-be students of medicine, amateur and professional medical historians, and, of course, patients, those of us who wonder what the medical profession is all about and how it affects us.
Often humorous and always informative, these essays cover a broad range of medical subjects. Weisse tackles medical ethics, offers advice to medical and premedical students and their families, delves into unusual episodes in medical history, confronts considerations of aging and self-image, and discusses the vagaries of rewards and recognition available from medical research. He also examines honesty in medical thinking, investigates ways of dealing with bureaucracies, and considers ways of learning to live with oneself. Finally, he evaluates the changing nature of medicine and medical research and looks into the roles of minorities and women in medicine.
Weisse knows whereof he speaks, enlivening each essay with personal anecdotes. When he explains past and current medical school admissions policies, for example, he approaches the subject with the combined knowledge of a former premedical student, a medical student, a faculty member, and an admissions chairperson over the past thirty years. As a medical researcher whose chief turned against him, he certainly knows what he is talking about in "Betrayal." He also writes with authority in his humorous account of how he, as a senior physician, struggles to keep on top of the overwhelming onslaught of medical advances ("Confessions of Creeping Obsolescence"). And in an essay to boost all of our spirits, he tells how an ivory tower physician (Weisse himself) gets drawn up in the service of the IRS bureaucracy and winds up tweaking its nose a bit ("In the Service of the IRS").
Perhaps nothing better illustrates the vigor, wit, and élan that characterize Weisse’s essays than his titles. "On Chinese Restaurants" deals with unusual syndromes and the way in which they have evolved and affected the way we look at ourselves. Other titles are "Pneumocystis and Me," "The Vanishing Male," "Say It Isn’t ‘No," "Bats in the Belfry or Bugs in the Belly?: Helicobacter and the Resurrection of Johannes Fibiger," and "PC: Politically Correct or Potentially Corrupting?"
Finally, two words in this book’s subtitle succinctly characterize Weisse’s essays: pertinent and impertinent—germane and irreverent information rakishly presented.
Did you know that New Jersey spearheaded the discovery of antibiotics? Or that the Garden State had the first state hospital serving the mentally ill and the first community rescue squad? And did you know that close to a million people around the world can walk again, thanks to the New Jersey Knee?
New Jersey is a small state that has played a big role in the history of medicine. Adrenalin, streptomycin, pure milk, tranquilizers, malaria control, cortisone, vitamins, revelations of radium's dangers—New Jersey’s impressive contributions to American health have been on display in a major traveling exhibition, “A State of Health: New Jersey’s Medical Heritage.” By 2002, more than twelve sites throughout New Jersey and Philadelphia will have hosted this display.
This catalogue to the exhibition celebrates more than four centuries of New Jersey medicine through original essays and 150-plus striking illustrations of artifacts, manuscripts, books, photographs, works of art, and postcards. Taking subjects of perennial interest—epidemics, children’s health, public health, hospitals, and biomedical research—curator Karen Reeds explores the state’s rich medical heritage and its uniqueplace as the heart of the world’s pharmaceutical industry.
Engagingly written and handsomely produced, A State of Health: New Jersey’s
Medical Heritage is at once a lasting resource for students, teachers, and historians and the perfect gift to your favorite healthcare professional or local history buff.
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