“This is a splendid diary of a man and physician during the late antebellum years, sure to interest not only historians of medicine but also historians of gender, the South, and antebellum politics. . . . An exceptionally useful historical document as well as a good read.” —Steven M. Stowe, Indiana University
Elijah Millington Walker began to keep a diary midway through his medical apprenticeship in Oxford, Mississippi. He composed a lengthy preface to the diary, in which he remembered his life from the time of his family’s arrival in north Mississippi in 1834, when he was ten years old, until late 1848, when the University of Mississippi opened and Walker’s diary begins.
On one level, the diary records the life of a bachelor, chronicling the difficulties of an ambitious young physician who would like to marry but is hampered by poverty and his professional aspirations. Walker details the qualities he desires in a wife and criticizes women who do not measure up; a loyal wife, in Walker’s highly romanticized image, remains a true helpmeet even to the most debased drunkard. On another level, Walker describes various medical cases, giving readers an idea of the kinds of diseases prevalent in the lower South at mid-century, as well as their treatment by orthodox physicians. In this vivid chronicle of everyday life in antebellum Mississippi, Walker also finds space to comment on a wide range of topics that affected the state and the region, including pioneer life in north Mississippi, evangelical Protestantism, the new state university at Oxford, the threat of secession in 1849–50, Henry Clay’s Compromise of 1850, foreign affairs, and local railroad development. A strong defender of the Union at mid-century, Walker nonetheless defended slavery and distinctively Southern institutions.
A Bachelor’s Life in Antebellum Mississippi brings to the public one of the few diaries of a very intelligent yet “ordinary” man, a non-elite member of a society dominated by a planter aristocracy. The author’s frankness and flair for writing reflect a way of life not often seen; this volume will thus prove a valuable addition to the body of primary documents from the early republic.
Lynette Boney Wrenn has taught history at Memphis State University and Southwestern College. She is the author of Crisis and Commission Government in Memphis: Elite Rule in a Gilded Age City and Cinderella of the New South: A History of the Cottonseed Industry, 1855–1955. Wrenn lives in Greensboro, North Carolina.
Once rarely discussed in medical circles, the relationship between spirituality and health has become an important topic in health care. This change is evidenced in courses on religion and medicine taught in most medical schools, articles in journals such as the New England Journal of Medicine, and conferences being held all over the country. Yet, much of the discussion of the role of religion and spirituality in health care keeps the critical distance of only being about spirituality. A Balm for Gilead goes further, offering a work of spirituality.
Sulmasy moves between the poetic and the speculative, addressing his subject in the tradition of great spiritual writers like Augustine and Bonaventure. He draws from philosophical and theological sources—specifically, Hebrew and Christian scripture—to illuminate how the art of healing is integrally tied to a sense of the divine and our ultimate interconnectedness. Health care professionals—and anyone else involved with the care of the sick and dying—will find this series of meditations both inspiring and instructive.
Sulmasy addresses the spiritual malaise that physicians, nurses, and other health care workers experience in their professional lives, and explores how these Christian healers can be inspired to persevere in the care of the sick. Drawing on the parable of the prodigal son, for instance, Sulmasy illustrates how some physicians have put financial gain ahead of their patients, and how genuine spirituality might change their hearts. He examines both enigmatic topics such as the relationship between sinfulness, sickness, and suffering and the spirituality of more routine topics such as preventive medicine. In one especially stirring and poignant meditation, he reflects on the spirituality of dying in the light of Christian hope.
A Balm for Gilead interweaves prayer and reflection, pointing the way to a twenty-first-century spirituality for health care professionals and their patients.
Research with human subjects has long been controversial because of the conflicts that often arise between promoting scientific knowledge and protecting the rights and welfare of subjects. Twenty-five years ago the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research addressed these conflicts. The result was the Belmont Report: Ethical Principles and Guidance for Research Involving Human Subjects, a report that identified foundational principles for ethical research with human subjects: respect for persons, beneficence, and justice.
Since the publication of Belmont, these three principles have greatly influenced discussions of research with human subjects. While they are often regarded as the single-most influential set of guidelines for biomedical research and practice in the United States (and other parts of the world), not everyone agrees that they provide adequate guidance. Belmont Revisited brings together a stellar group of scholars in bioethics to revisit the findings of that original report. Their responses constitute a broad overview of the development of the Belmont Report and the extent of its influence, especially on governmental commissions, as well as an assessment of its virtues and shortcomings.
Belmont Revisited looks back to reexamine the creation and influence of the Belmont Report, and also looks forward to the future of research—with a strong call to rethink how institutions and investigators can conduct research more ethically.
A memoir by an African American physician in Alabama whose story in many ways typifies the lives and careers of black doctors in the south during the segregationist era
Beside the Troubled Waters is a memoir by an African American physician in Alabama whose story in many ways typifies the lives and careers of black doctors in the south during the segregationist era while also illustrating the diversity of the black experience in the medical profession. Based on interviews conducted with Hereford over ten years, the account includes his childhood and youth as the son of a black sharecropper and Primitive Baptist minister in Madison County, Alabama, during the Depression; his education at Huntsville’s all-black CouncillSchool and medical training at MeharryMedicalCollege in Nashville; his medical practice in Huntsville’s black community beginning in 1956; his efforts to overcome the racism he met in the white medical community; his participation in the civil rights movement in Huntsville; and his later problems with the Medicaid program and state medical authorities, which eventually led to the loss of his license.
The deprivations and cruelty of slavery have overshadowed our understanding of the institution's most human dimension: birth. We often don't realize that after the United States stopped importing slaves in 1808, births were more important than ever; slavery and the southern way of life could continue only through babies born in bondage.
In the antebellum South, slaveholders' interest in slave women was matched by physicians struggling to assert their own professional authority over childbirth, and the two began to work together to increase the number of infants born in the slave quarter. In unprecedented ways, doctors tried to manage the health of enslaved women from puberty through the reproductive years, attempting to foster pregnancy, cure infertility, and resolve gynecological problems, including cancer.
Black women, however, proved an unruly force, distrustful of both the slaveholders and their doctors. With their own healing traditions, emphasizing the power of roots and herbs and the critical roles of family and community, enslaved women struggled to take charge of their own health in a system that did not respect their social circumstances, customs, or values. Birthing a Slave depicts the competing approaches to reproductive health that evolved on plantations, as both black women and white men sought to enhance the health of enslaved mothers--in very different ways and for entirely different reasons.
Birthing a Slave is the first book to focus exclusively on the health care of enslaved women, and it argues convincingly for the critical role of reproductive medicine in the slave system of antebellum America.
The Body Multiple juxtaposes two distinct texts. Alongside Mol’s analysis of her ethnographic material—interviews with doctors and patients and observations of medical examinations, consultations, and operations—runs a parallel text in which she reflects on the relevant literature. Mol draws on medical anthropology, sociology, feminist theory, philosophy, and science and technology studies to reframe such issues as the disease-illness distinction, subject-object relations, boundaries, difference, situatedness, and ontology. In dialogue with one another, Mol’s two texts meditate on the multiplicity of reality-in-practice.
Presenting philosophical reflections on the body and medical practice through vivid storytelling, The Body Multiple will be important to those in medical anthropology, philosophy, and the social study of science, technology, and medicine.
Inspired by Michel Foucault’s writings about biopolitics and biopower, Cohen traces the migration of immunity from politics and law into the domains of medicine and science. Offering a genealogy of the concept, he illuminates a complex of thinking about modern bodies that percolates through European political, legal, philosophical, economic, governmental, scientific, and medical discourses from the mid-seventeenth century through the twentieth. He shows that by the late nineteenth century, “the body” literally incarnates modern notions of personhood. In this lively cultural rumination, Cohen argues that by embracing the idea of immunity-as-defense so exclusively, biomedicine naturalizes the individual as the privileged focus for identifying and treating illness, thereby devaluing or obscuring approaches to healing situated within communities or collectives.
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