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The Matter of Maladies in Tanzania
This subtle and powerful ethnography examines African healing and its relationship to medical science. Stacey A. Langwick investigates the practices of healers in Tanzania who confront the most intractable illnesses in the region, including AIDS and malaria. She reveals how healers generate new therapies and shape the bodies of their patients as they address devils and parasites, anti-witchcraft medicine, and child immunization. Transcending the dualisms between tradition and science, culture and nature, belief and knowledge, Langwick tells a new story about the materiality of healing and postcolonial politics. This important work bridges postcolonial theory, science, public health, and anthropology.
Propaganda, Hygiene, and the Revolutionary State
Thinking at the Limit with Freud and Lacan
In The Book of Love and Pain, Juan-David Nasio offers the first exclusive treatment of psychic pain in Freudian and Lacanian psychoanalytic literature. Using insights gained from more than three decades as a practicing psychoanalyst, Nasio addresses the limits faced by the analyst in attempting to think and treat pain psychoanalytically. He suggests that while pain is about separation and loss, psychic pain is intensified by paradoxical overinvestment in the lost loved one. Included are discussions of the pain of mourning, the pain of jouissance, unconscious pain, pain as an object of the drive, pain as a form of sexuality, pain and the scream, and the pain of silence. In offering a phenomenological description of psychic pain, The Book of Love and Pain fills a gaping void in psychoanalytic research and will play an important role in our understanding of the human psyche.
Parenting and Adult-Child Intimacy
Discussing issues of parent-child contact ranging from breastfeeding and sleeping arrangements to sexual abuse, Jean O'Malley Halley traces the evolution of mainstream ideas about touching between adults and children over the course of the twentieth century in the United States. Boundaries of Touch shows how arguments about adult-child touch have been politicized, simplified, and bifurcated into "naturalist" and "behaviorist" viewpoints, thereby sharpening certain binary constructions such as mind/body and male/female. In addition to contemporary periodicals and self-help books on child rearing, Halley uses information gathered from interviews she conducted with mothers ranging in age from twenty-eight to seventy-three. Throughout, she reveals how the parent-child relationship, far from being a private or benign subject, continues as a highly contested, politicized affair of keen public interest.
Contemporary Controversies in Infant-Feeding Policy and Practice
Breast or Bottle? is the first scholarly examination of the shift in breastfeeding recommendations occurring over the last half century. Through a close analysis of scientific and medical controversies and a critical examination of the ways in which medical beliefs are communicated to the public, Amy Koerber exposes layers of shifting arguments and meaning that inform contemporary infant-feeding advocacy and policy. Whereas the phrase "breast or bottle" might once have implied a choice between two relative equals, human milk is now believed to possess unique health-promoting qualities. Although it is tempting to view this revision in medical thinking as solely the result of scientific progress, Koerber argues that a progress-based interpretation is incomplete. Epidemiologic evidence demonstrating the health benefits of human milk has grown in recent years, but the story of why these forms of evidence have dramatically increased in recent decades, Koerber reveals, is a tale of the dedicated individuals, coalitions, and organizations engaged in relentless rhetorical efforts to improve our scientific explanations and cultural appreciation of human milk, lactation, and breastfeeding in the context of a historical tendency to devalue these distinctly female aspects of the human body. Koerber demonstrates that the rhetoric used to promote breastfeeding at a given time and cultural moment not only reflects a preexisting reality but also shapes the infant-feeding experience for new mothers. Koerber's claims are grounded in extensive rhetorical research including textual analysis, archival research, and interviews with key stakeholders in the breastfeeding controversy. Her approach offers a vital counterpoint to other feminist analyses of the shift toward probreastfeeding scientific discourse and presents a revealing rhetorical case study in the complex relationship between scientific data and its impact on medical policy and practices. The resulting interdisciplinary study will be of keen interest to scholars and students of rhetoric, communication, women's studies, medical humanities, and public health as well as medical practitioners and policymakers.
The History of Coerced Sterilization in the United States
Most closely associated today with the Nazis and World War II atrocities, eugenics is sometimes described as a government-orchestrated breeding program, other times as a pseudo-science, and often as the first step leading to genocide. Less frequently is it depicted as a movement having links to the United States. But eugenics does have a history in this country, and Mark Largent tells that story by exploring one of the most disturbing aspects, the compulsory asterilization of more than 64,000 Americans.
Mass Media and Family Planning
The Tangled History of Cardiac Care
Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke. Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes.
Political-Economic Perspectives on Human Biology
Anthropology, with its dual emphasis on biology and culture, is--or should be--the discipline most suited to the study of the complex interactions between these aspects of our lives. Unfortunately, since the early decades of this century, biological and cultural anthropology have grown distinct, and a holistic vision of anthropology has suffered. This book brings culture and biology back together in new and refreshing ways. Directly addressing earlier criticisms of biological anthropology, Building a New Biocultural Synthesis concerns how culture and political economy affect human biology--e.g., people's nutritional status, the spread of disease, exposure to pollution--and how biological consequences might then have further effects on cultural, social, and economic systems. Contributors to the volume offer case studies on health, nutrition, and violence among prehistoric and historical peoples in the Americas; theoretical chapters on nonracial approaches to human variation and the development of critical, humanistic and political ecological approaches in biocultural anthropology; and explorations of biological conditions in contemporary societies in relationship to global changes. Building a New Biocultural Synthesis will sharpen and enrich the relevance of anthropology for understanding a wide variety of struggles to cope with and combat persistent human suffering. It should appeal to all anthropologists and be of interest to sister disciplines such as nutrition and sociology. Alan H. Goodman is Professor of Anthropology, Hampshire College. Thomas L. Leatherman is Associate Professor of Anthropology, University of South Carolina.