Diabetes, referred to as an epidemic for more than a decade, remains one of our most significant health issues in the twenty-first century. Because self-management is an important component of living with the disease, the biomedical concept of patient agency has long stressed notions of individual responsibility and autonomy. However, dramatic shifts in both health care and cultural practices call for a reassessment of traditional definitions of patient agency.
Lora Arduser’s Living Chronic: Agency and Expertise in the Rhetoric of Diabetes answers this call with a unique rhetorical examination of one of the most critical issues in contemporary health: how we live and work with being chronic. Through her perceptive analysis of the discourse of both people with diabetes and health care providers, Arduser presents a new model for patient agency—one that advocates for a relational, fluid concept of agency that blurs the boundaries between medical experts and patients. Her thought-provoking use of bodily and rhetorical plasticity crafts a multidimensional picture of patient agency that profoundly affects how rhetorical scholars, people living with chronic illness, and health care providers can forge patient-centered discourse and practices.
It is often assumed that natural philosophy was the forerunner of early modern natural sciences. But where did these sciences’ systematic observation and experimentation get their starts? In Materials and Expertise in Early Modern Europe, the laboratories, workshops, and marketplaces emerge as arenas where hands-on experience united with higher learning. In an age when chemistry, mineralogy, geology, and botany intersected with mining, metallurgy, pharmacy, and gardening, materials were objects that crossed disciplines.
Here, the contributors tell the stories of metals, clay, gunpowder, pigments, and foods, and thereby demonstrate the innovative practices of technical experts, the development of the consumer market, and the formation of the observational and experimental sciences in the early modern period. Materials and Expertise in Early Modern Europe showcases a broad variety of forms of knowledge, from ineffable bodily skills and technical competence to articulated know-how and connoisseurship, from methods of measuring, data gathering, and classification to analytical and theoretical knowledge. By exploring the hybrid expertise involved in the making, consumption, and promotion of various materials, and the fluid boundaries they traversed, the book offers an original perspective on important issues in the history of science, medicine, and technology.
Governments throughout the industrialized world make decisions that fundamentally affect the quality and accessibility of medical care. In the United States, despite the absence of universal health insurance, these decisions have great influence on the practice of medicine.
In Medical Governance, David Weimer explores an alternative regulatory approach to medical care based on the delegation of decisions about the allocation of scarce medical resources to private nonprofit organizations. He investigates the specific development of rules for the U.S. organ transplant system and details the conversion of a voluntary network of transplant centers to one private rulemaker: the Organ Procurement and Transplantation Network (OPTN).
As the case unfolds, Weimer demonstrates that the OPTN is more efficient, nimble, and better at making evidence-based decisions than a public agency; and the OPTN also protects accountability and the public interest more than private for-profit organizations. Weimer addresses similar governance arrangements as they could apply to other areas of medicine, including medical records and the control of Medicare expenditures, making this timely and useful case study a valuable resource for debates over restructuring the U.S. health care system.
This newest annual edition of Osiris brings together a variety of scholars to consider a topic of increasing interest in the history of science: expertise. Focusing specifically on the role expertise has played in the support, legitimation, and growth of the state since early modern times, Expertise and the Early Modern State reveals how scientific expertise and practical knowledge were crucial to the construction of early modern empires and economies. The state, on the other hand, performed a similar function for scientists, giving them much of the status and resources they needed to further their work. A penetrating, multifaceted investigation, Osiris 25 will be required reading for historians of science and early modern political development.
Unlike autonomous professionals in Western industrialized democracies, professionals in a socialist, bureaucratic setting operate as employees of the state. The change in environment has important Implications not only for the practice of professions but also for the concept of professionalism itself. This collection of nine essays is the first to survey the major professions In the USSR, Czechoslovakia, and Poland. The contributors investigate the implications of professional experience in a socialist economy as well as relating changes in professional organization and power to reform movements in general and perestroika in particular.
In the series Labor and Social Change, edited by Paula Rayman and Carmen Sirianni.
What does it mean to be an expert? In Rethinking Expertise, Harry Collins and Robert Evans offer a radical new perspective on the role of expertise in the practice of science and the public evaluation of technology.
Collins and Evans present a Periodic Table of Expertises based on the idea of tacit knowledge—knowledge that we have but cannot explain. They then look at how some expertises are used to judge others, how laypeople judge between experts, and how credentials are used to evaluate them. Throughout, Collins and Evans ask an important question: how can the public make use of science and technology before there is consensus in the scientific community? This book has wide implications for public policy and for those who seek to understand science and benefit from it.
“Starts to lay the groundwork for solving a critical problem—how to restore the force of technical scientific information in public controversies, without importing disguised political agendas.”—Nature
“A rich and detailed ‘periodic table’ of expertise . . . full of case studies, anecdotes and intriguing experiments.”—Times Higher Education Supplement (UK)
Government “of the people, by the people, for the people” expresses an ideal that resonates in all democracies. Yet poll after poll reveals deep distrust of institutions that seem to have left “the people” out of the governing equation. Government bureaucracies that are supposed to solve critical problems on their own are a troublesome outgrowth of the professionalization of public life in the industrial age. They are especially ill-suited to confronting today’s complex challenges.
Offering a far-reaching program for innovation, Smart Citizens, Smarter State suggests that public decisionmaking could be more effective and legitimate if government were smarter—if our institutions knew how to use technology to leverage citizens’ expertise. Just as individuals use only part of their brainpower to solve most problems, governing institutions make far too little use of the skills and experience of those inside and outside of government with scientific credentials, practical skills, and ground-level street smarts. New tools—what Beth Simone Noveck calls technologies of expertise—are making it possible to match the supply of citizen expertise to the demand for it in government.
Drawing on a wide range of academic disciplines and practical examples from her work as an adviser to governments on institutional innovation, Noveck explores how to create more open and collaborative institutions. In so doing, she puts forward a profound new vision for participatory democracy rooted not in the paltry act of occasional voting or the serendipity of crowdsourcing but in people’s knowledge and know-how.
Never before have so many scholars produced so much work--and never before have they seemed to have so little to say to one another, or to the public at large. This is the dilemma of the modern university, which today sets the pattern for virtually all scholarship. In his eloquent book, David Damrosch offers a lucid, often troubling assessment of the state of scholarship in our academic institutions, a look at how these institutions acquired their present complexion, and a proposal for reforms that can promote scholarly communication and so, perhaps, broader, more relevant scholarship.
We Scholars explores an academic culture in which disciplines are vigorously isolated and then further divided into specialized fields, making for a heady mix of scholarly alienation and disciplinary territorialism, a wealth of specialized inquiry and a poverty of general discussion. This pattern, however, is not necessary and immutable; rather, it stems from decisions made a century ago, when the American university assumed its modern form. Damrosch traces the political and economic assumptions behind these decisions and reveals their persisting effects on academic structures despite dramatic changes in the larger society. We Scholars makes a compelling case for a scholarly community more reflective of and attuned to today's needs. The author's call for cooperation as the basis for intellectual endeavor, both within and outside the academy, will resonate for anyone concerned with the present complexities and future possibilities of academic work.
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