Among the struggles of the twentieth century, the one between humans and mosquitoes may have been the most vexing. As vectors of diseases such as malaria, yellow fever, encephalitis, and dengue fever, mosquitoes forced open a new chapter in the history of medical entomology. Based on extensive use of primary sources, The Mosquito Crusades traces this saga and the parallel efforts of civic groups in New Jersey's Meadowlands and along San Francisco Bay's east side to manage the dangerous mosquito population.

Neonatal intensive care has been one of the most morally controversial areas of medicine during the past thirty years. This study examines the interconnected development of four key aspects of neonatal intensive care: medical advances, ethical analysis, legal scrutiny, and econometric evaluation. The authors assert that a dramatic shift in societal attitudes toward newborns and their medical care was a stimulus for and then a result of developments in the medical care of newborns. They divide their analysis into three eras of neonatal intensive care. The first, characterized by the rapid advance of medical technology from the late 1960s to the Baby Doe case of 1982, established neonatal care as a legitimate specialty of medical care, separate from the rest of pediatrics and medicine. During this era, legal scholars and moral philosophers debated the relative importance of parental autonomy, clinical prognosis, and children's rights. The second era, beginning with the Baby Doe case (a legal battle that spurred legislation mandating that infants with debilitating birth defects be treated unless the attending physician deems efforts to prolong life "futile"), stimulated efforts to establish a consistent federal standard on neonatal care decisions and raised important moral questions concerning the meaning of "futility" and of "inhumane" treatment. In the third era, a consistent set of decision-making criteria and policies was established. These policies were the result of the synergy and harmonization of newly agreed upon ethical principles and newly discovered epidemiological characteristics of neonatal care. Tracing the field's recent history, notable advances, and considerable challenges yet to be faced, the authors present neonatal bioethics as a paradigm of complex conversation among physicians, philosophers, policy makers, judges, and legislators which has led to responsible societal oversight of a controversial medical innovation.

Nursing, Physician Control, and the Medical Monopoly
Historical Perspectives on Gendered Inequality in Roles, Rights, and Range of Practice

Thetis M. Group and Joan I. Roberts

A history of physicians' efforts to dominate the healthcare system.

Nursing, Physician Control, and the Medical Monopoly traces the efforts by physicians over time to achieve a monopoly in healthcare, often by subordinating nurses -- their only genuine competitors. Attempts by nurses to reform many aspects of healthcare have been repeatedly opposed by physicians whose primary interest has been to achieve total control of the healthcare "system," often to the detriment of patients' health and safety.

Thetis M. Group and Joan I. Roberts first review the activities of early women healers and nurses and examine nurse-physician relations from the early 1900s on. The sexist domination of nursing by medicine was neither haphazard nor accidental, but a structured and institutionalized phenomenon. Efforts by nurses to achieve greater autonomy were often blocked by hospital administrators and organized medicine. The consolidation of the medical monopoly during the 1920s and 1930s, along with the waning of feminism, led to the concretization of stereotyped gender roles in nursing and medicine. The growing unease in nurse-physician relations escalated from the 1940s to the 1960s; the growth and complexity of the healthcare industry, expanding scientific knowledge, and increasing specialization by physicians all created heavy demands on nurses.

Conflict between organized medicine and nursing entered a public, open phase in the late 1960s and 1970s, when medicine unilaterally created the physician's assistant, countered by nursing's development of the advanced nurse practitioner. But gender stereotypes remained central to nurse-physician relations in the 1980s and into the 1990s.

Finally, Group and Roberts examine the results of the medical monopoly, from the impact on patients' health and safety, to the development of HMOs and the current overpriced, poorly coordinated, and fragmented healthcare system.

Thetis M. Group is Professor Emerita at Syracuse University, where she was Dean of the College of Nursing for 10 years, and an adjunct faculty member at the University of Utah College of Nursing. She is co-author of Feminism and Nursing and has published numerous articles in professional nursing journals.

Joan I. Roberts, social psychologist, is Professor Emerita at Syracuse University. A pioneer in women's studies in higher education, she is co-author of Feminism and Nursing and author of numerous books and articles on gender issues and racial and sex discrimination.

June 2001
352 pages, 6 1/8 x 9 1/4, index, append.
cloth 0-253-33926-X $29.95 s /

“‘I never got a chance to be a girl,’ Kate O’Hare Palmer lamented, thirty-four years after her tour as an army nurse in Vietnam. Although proud of having served, she felt that the war she never understood had robbed her of her innocence and forced her to grow up too quickly. As depicted in a photograph taken late in her tour, long hours in the operating room exhausted her both physically and mentally. Her tired eyes and gaunt face reflected th e weariness she felt after treating countless patients, some dying, some maimed, all, like her, forever changed. Still, she learned to work harder and faster than she thought she could, to trust her nursing skills, and to live independently. She developed a way to balance the dangers and benefits of being a woman in the army and in the war. Only fourteen months long, her tour in Vietnam profoundly affected her life and her beliefs.” Such vivid personal accounts abound in historian Kara Dixon Vuic’s compelling look at the experiences of army nurses in the Vietnam War. Drawing on more than 100 interviews, Vuic allows the nurses to tell their own captivating stories, from their reasons for joining the military to the physical and emotional demands of a horrific war and postwar debates about how to commemorate their service. Vuic also explores the gender issues that arose when a male-dominated army actively recruited and employed the services of 5,000 nurses in the midst of a growing feminist movement and a changing nursing profession. Women drawn to the army’s patriotic promise faced disturbing realities in the virtually all-male hospitals of South Vietnam. Men who joined the nurse corps ran headlong into the army's belief that women should nurse and men should fight. Officer, Nurse, Woman brings to light the nearly forgotten contributions of brave nurses who risked their lives to bring medical care to soldiers during a terrible—and divisive—war.

In 1886, Newark City Hospital opened a training school for nurses in New Jersey. With the dawn of a new century women began to demand rights that had been denied them, and nurses too demanded changes in health care and higher education. For the first time, On Duty offers a highly readable account of the struggle for professional autonomy by New Jersey nurses and reveals how their political and legislative battles mirrored the struggle of women throughout the country to redefine their roles in society.

Life in the Fast Lane: The author on the CHE

Uppers. Crank. Bennies. Dexies. Greenies. Black Beauties. Purple Hearts. Crystal. Ice. And, of course, Speed. Whatever their street names at the moment, amphetamines have been an insistent force in American life since they were marketed as the original antidepressants in the 1930s. On Speed tells the remarkable story of their rise, their fall, and their surprising resurgence. Along the way, it discusses the influence of pharmaceutical marketing on medicine, the evolving scientific understanding of how the human brain works, the role of drugs in maintaining the social order, and the centrality of pills in American life. Above all, however, this is a highly readable biography of a very popular drug. And it is a riveting story.

Incorporating extensive new research, On Speed describes the ups and downs (fittingly, there are mostly ups) in the history of amphetamines, and their remarkable pervasiveness. For example, at the same time that amphetamines were becoming part of the diet of many GIs in World War II, an amphetamine-abusing counterculture began to flourish among civilians. In the 1950s, psychiatrists and family doctors alike prescribed amphetamines for a wide variety of ailments, from mental disorders to obesity to emotional distress. By the late 1960s, speed had become a fixture in everyday life: up to ten percent of Americans were thought to be using amphetamines at least occasionally.

Although their use was regulated in the 1970s, it didn't take long for amphetamines to make a major comeback, with the discovery of Attention Deficit Disorder and the role that one drug in the amphetamine family—Ritalin—could play in treating it. Today’s most popular diet-assistance drugs differ little from the diet pills of years gone by, still speed at their core. And some of our most popular recreational drugs—including the "mellow" drug, Ecstasy—are also amphetamines. Whether we want to admit it or not, writes Rasmussen, we’re still a nation on speed.

In recent years, breastfeeding has been prominently in the public eye in relation to debates on issues ranging from parental leave policies, work−family balance, public decency, the safety of our food supply, and public health concerns such as health care costs and the obesity “epidemic.”

Breastfeeding has officially been considered “the one best way” for feeding infants for the past 150 years of Canadian history. This book examines the history and evolution of breastfeeding policies and practices in Canada from the end of the nineteenth century to the turn of the twenty-first. The authors’ historical approach allows current debates to be situated within a broader social, political, cultural, and economic context.

Breastfeeding shifted from a private matter to a public concern at the end of the nineteenth century. Over the course of the next century, the “best” way to feed infants was often scientifically or politically determined, and guidelines for mothers shifted from one generation to the next. Drawing upon government reports, academic journals, archival sources, and interviews with policy-makers and breastfeeding advocates, the authors trace trends, patterns, ideologies, and policies of breastfeeding in Canada.