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)
A novel account of the rise of pictorial naturalism on the eve of the Reformation.
In the summer of 1507, the town of Bern was abuzz with rumors about a sculpture at the Dominican church that had wept tears of blood. But astonishment soon gave way to doubt when a group of local artisans denounced the authenticity of the miracle, complaining that the tears were too poorly made to be the work of a skilled hand, let alone divine intervention. The resulting trial exposed an elaborate fraud staged by the church’s leaders and, with it, a tension that had been building across the region for nearly a century. In a world where claims of sanctity faced judicial scrutiny, the threshold between artistry and deception had become dangerously thin.
Tamara Golan examines how three generations of painters working in fifteenth- and sixteenth-century Switzerland navigated this fraught terrain. Golan traces how, amid intensifying skepticism over the authenticity of miracles and visions, these artists forged what she calls an “alternative naturalism,” a conspicuously unnatural mode of painting marked by distorted perspective, unusual modeling, and heavily tooled gold ground. Rather than striving for the faithful transcription of appearances, these artists drew on shared premises of artisanal expertise and juridical inquiry to advance bold claims about the capacity of their craft to represent not just the natural but the supernatural. The first study to identify this body of work as a coherent enterprise, Unnatural Evidence recovers an epistemological experiment at once ambitious and inherently unstable.
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