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Vol. 55 (2000) through current issue
The journal covers a broad range of topics in medical history and related subjects. While recognizing the value of medical history as historically conceptualized, JHMAS also aims to publish papers that cross disciplines, traditional international boundaries, and historiographic categories.
Media, Medicine, and Morals in the American "Obesity Epidemic”
In the past decade, obesity has emerged as a major public health concern in the United States and abroad. At the federal, state, and local level, policy makers have begun drafting a range of policies to fight a war against fat, including body-mass index (BMI) report cards, “snack taxes,” and laws to control how fast food companies market to children. As an epidemic, obesity threatens to weaken the health, economy, and might of the most powerful nation in the world. In Killer Fat, Natalie Boero examines how and why obesity emerged as a major public health concern and national obsession in recent years. Using primary sources and in-depth interviews, Boero enters the world of bariatric surgeries, Weight Watchers, and Overeaters Anonymous to show how common expectations of what bodies are supposed to look like help to determine what sorts of interventions and policies are considered urgent in containing this new kind of disease. Boero argues that obesity, like the traditional epidemics of biological contagion and mass death, now incites panic, a doomsday scenario that must be confronted in a struggle for social stability. The “war” on obesity, she concludes, is a form of social control. Killer Fat ultimately offers an alternate framing of the nation’s obesity problem based on the insights of the “Health at Every Size” movement.
histoire des services de santé au Québec et au Canada
Sages-femmes, religieuses, sœurs hospitalières, bénévoles, infirmières de la Croix-Rouge, de colonie, militaires, en psychiatrie, assistantes sociales et professionnelles de la santé sont ici sujets de l’histoire dans le large champ des services de santé au Québec et au Canada. Plus qu’un sujet, il est ici question d’une extraordinaire caste. Soucieux de fermer le fossé linguistique qui divisa non seulement la pratique, mais aussi l’historiographie de la médecine au Canada et au Québec, l’ouvrage collige des recherches récentes dans le champ historique de la santé réalisées par des historiennes et des historiens francophones et anglophones.
Une invitation à découvrir sur plus d’un siècle la place prédominante de plusieurs générations de femmes qui ont participé activement au développement du système de santé au Québec et au Canada.
A Malady of the Whole Body
While premodern poets and preachers viewed leprosy as a “disease of the soul,” physicians in the period understood it to be a “cancer of the whole body.” In this innovative study, medical historian Luke Demaitre explores medical and social perspectives on leprosy at a time when judicious diagnosis could spare healthy people from social ostracization and help the afflicted get a license to beg. Extending his inquiry from the first century to late in the eighteenth century, Demaitre draws on translations of academic treatises and archival records to illuminate the professional standing, knowledge, and conduct of the practitioners who struggled to move popular perceptions of leprosy beyond loathing and pity. He finds that, while not immune to social and cultural perceptions of the leprous as degenerate, and while influenced by their own fears of contagion, premodern physicians moderated society's reactions to leprosy and were dedicated to the well-being of their patients.
The Stories and Their Meanings
The issues constituting the history of medicine are consequential: how societies organize health care, how individuals or states relate to sickness, how we understand our own identity and agency as sufferers or healers. In Locating Medical History: The Stories and Their Meanings, Frank Huisman, John Harley Warner, and other eminent historians explore and reflect on a field that accommodates a remarkable diversity of practitioners and approaches. At a time when medical history is facing profound choices about its future, these scholars explore the discipline in the distant and recent past in order to rethink its missions and methods today. They discuss such issues as the periodic estrangement of medical history from medicine, the influence of Foucault on the writing of medical history, and the shifts from social to cultural history and back again. Chapters explore the early history of the field, its transformations since the 1970s, and its prospects for the future. With diverse constituencies, a multiplicity of approaches, styles, and aims is both expected and desired. This volume locates medical history within itself and within larger historiographic trends, to provide a springboard for discussions about what the history of medicine should be, and what aims it should serve. Contributors: Olga Amsterdamska, University of Amsterdam; Warwick Anderson, University of Wisconsin, Madison; Allan M. Brandt, Harvard Medical School; Theodore M. Brown, University of Rochester; Roger Cooter, University College London; Martin Dinges, Institut f
Narratives of Language and the Brain, 1825-1926
In the mid-nineteenth century, physicians observed numerous cases in which individuals lost the ability to form spoken words, even as they remained sane and healthy in most other ways. By studying this condition, which came to be known as "aphasia," neurologists were able to show that functions of mind were rooted in localized areas of the brain. Here L. S. Jacyna analyzes medical writings on aphasia to illuminate modern scientific discourse on the relations between language and the brain, from the very beginnings of this discussion through World War I. Viewing these texts as literature--complete with guiding metaphors and rhetorical strategies--Jacyna reveals the power they exerted on the ways in which the human subject was constructed in medicine.
Jacyna submits the medical texts to various critical readings and provides a review of the pictorial representation involved with the creation of aphasiology. He considers the scientific, experimental, and clinical aspects of this new field, together with the cultural, professional, and political dimensions of what would become the authoritative discourse about language and the brain. At the core of the study is an inquiry into the processes whereby men and women suffering from language loss were transformed into the "aphasic," an entity amenable to scientific scrutiny and capable of yielding insights about the fundamental workings of the brain. But what became of the subject’s human identity? Lost Words explores the links among language, humanity, and mental presence that make the aphasiological project one of continuing fascination.
The Cardiac Pacemaker, the Implantable Defibrillator, and American Health Care
Today hundreds of thousands of Americans carry pacemakers and implantable cardioverter-defibrillators (ICDs) within their bodies. These battery-powered machines—small computers, in fact—deliver electricity to the heart to correct dangerous disorders of the heartbeat. But few doctors, patients, or scholars know the history of these devices or how "heart-rhythm management" evolved into a multi-billion-dollar manufacturing and service industry. Machines in Our Hearts tells the story of these two implantable medical devices. Kirk Jeffrey, a historian of science and technology, traces the development of knowledge about the human heartbeat and follows surgeons, cardiologists, and engineers as they invent and test a variety of electronic devices. Numerous small manufacturing firms jumped into pacemaker production but eventually fell by the wayside, leaving only three American companies in the business today. Jeffrey profiles pioneering heart surgeons, inventors from the realms of engineering and medical research, and business leaders who built heart-rhythm management into an industry with thousands of employees and annual revenues in the hundreds of millions. As Jeffrey shows, the pacemaker (first implanted in 1958) and the ICD (1980) embody a paradox of high-tech health care: these technologies are effective and reliable but add billions to the nation's medical bill because of the huge growth in the number of patients who depend on implanted devices to manage their heartbeats.
The Journey from Waiting Room to Birthing Room
Leavitt uses fathers' first-hand accounts from letters, journals, and personal interviews along with hospital records and medical literature to offer a new perspective on the changing role of expectant fathers from the 1940s to the 1980s. She shows how, as men moved first from the hospital waiting room to the labor room in the 1960s, and then on to the delivery and birthing rooms in the 1970s and 1980s, they became progressively more involved in the birth experience and their influence over events expanded. With careful attention to power and privilege, Leavitt charts not only the increasing involvement of fathers, but also medical inequalities, the impact of race and class, and the evolution of hospital policies.
Social and Economic Policy as Health Policy
The United States spends billions of dollars annually on social and economic policies aimed at improving the lives of its citizens, but the health consequences associated with these policies are rarely considered. In Making Americans Healthier, a group of multidisciplinary experts shows how social and economic policies seemingly unrelated to medical well-being have dramatic consequences for the health of the American people. Most previous research concerning problems with health and healthcare in the United States has focused narrowly on issues of medical care and insurance coverage, but Making Americans Healthier demonstrates the important health consequences that policymakers overlook in traditional cost-benefit evaluations of social policy. The contributors examine six critical policy areas: civil rights, education, income support, employment, welfare, and neighborhood and housing. Among the important findings in this book, David Cutler and Adriana Lleras-Muney document the robust relationship between educational attainment and health, and estimate that the health benefits of education may exceed even the well-documented financial returns of education. Pamela Herd, James House, and Robert Schoeni discover notable health benefits associated with the Supplemental Security Income Program, which provides financial support for elderly and disabled Americans. George Kaplan, Nalini Ranjit, and Sarah Burgard document a large and unanticipated improvement in the health of African-American women following the enactment of civil rights legislation in the 1960s. Making Americans Healthier presents ground-breaking evidence that the health impact of many social policies is substantial. The important findings in this book pave the way for promising new avenues for intervention and convincingly demonstrate that ultimately social and economic policy is health policy.
Poverty, Race, and Public Health in the United States
In Malaria: Poverty, Race, and Public Health in the United States, Margaret Humphreys presents the first book-length account of the parasitic, insect-borne disease that has infected millions and influenced settlement patterns, economic development, and the quality of life at every level of American society, especially in the south. Humphreys approaches malaria from three perspectives: the parasite's biological history, the medical response to it, and the patient's experience of the disease. It addresses numerous questions including how the parasite thrives and eventually becomes vulnerable, how professionals came to know about the parasite and learned how to fight them, and how people view the disease and came to the point where they could understand and support the struggle against it. In addition Malaria: Poverty, Race, and Public Health in the United States argues that malaria control was central to the evolution of local and federal intervention in public health, and demonstrates the complex interaction between poverty, race, and geography in determining the fate of malaria.