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Beyond the New Morality

The Responsibilities of Freedom, Third Edition

Germain Grisez

First published in 1974, with a second, revised edition in 1980, Beyond the New Morality has been used widely in introductory ethics courses at the undergraduate level. The book appeals to those who want something not overburdened with theory, and presented in a contemporary idiom. In this third edition of the now standard classroom text, Grisez and Shaw retain the best elements of the earlier versions, including their clear, straightforward presentation and use of nontechnical language. Although the basic approach, content, and organization remain substantially the same, the new edition does develop and amend some aspects of the theory. For example, the community dimension of morality is brought out more clearly and the first principle of morality is now formulated more accurately in terms of willing in line with integral human fulfillment.

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Beyond the state

The colonial medical service in British Africa

Anna Greenwood

The Colonial Medical Service was the personnel section of the Colonial Service, employing the doctors who tended to the health of both the colonial staff and the local populations of the British Empire. Although the Service represented the pinnacle of an elite government agency, its reach in practice stretched far beyond the state, with the members of the African service collaborating, formally and informally, with a range of other non-governmental groups. This collection of essays on the Colonial Medical Service of Africa illustrates the diversity and active collaborations to be found in the untidy reality of government medical provision. The authors present important case studies covering former British colonial dependencies in Africa, including Kenya, Malawi, Nigeria, Tanzania, Uganda and Zanzibar. They reveal many new insights into the enactments of colonial policy and the ways in which colonial doctors negotiated the day-to-day reality during the height of imperial rule in Africa. The book provides essential reading for scholars and students of colonial history, medical history and colonial administration.

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Beyond the Unconscious

Essays of Henri F. Ellenberger in the History of Psychiatry

Mark S. Micale

Henri F. Ellenberger, the Swiss medical historian, is best remembered today as the author of The Discovery of the Unconscious (1970), a brilliant, encyclopedic study of psychiatric theory and therapy from primitive times to the mid-twentieth century. However, in addition to this well-known work, Ellenberger has written over thirty essays in the history of the mental sciences. This collection unites fourteen of Ellenberger's most interesting and methodologically innovative historical essays, many of which draw on new and rich bodies of primary materials. Several of the articles appear here in English translation for the first time.

The essays deal with subjects such as the intellectual origins of psycho-analysis, the work of the French psychological school of Jean-Martin Charcot and Pierre Janet, the role of the "great patients" in the history of psychiatry, and the cultural history of psychiatry. The publication of these writings, which corresponds with the opening in Paris of the Institut Henri Ellenberger, truly establishes Ellenberger as the founding figure of the historiography of psychiatry. Accompanying the essays are an extensive interpretive introduction and a detailed bibliographical essay by the editor.

Originally published in 1993.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

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Beyond Words

Illness and the Limits of Expression

Kathlyn Conway

“Kathlyn Conway opens primordial questions about the shattering events of illness through close readings of selected illness narratives, proposing that only writing of a daring kind can utter the knowledge of the self-telling body. Wielding her ferocious intellect and braving exposure to self and other, Conway makes original discoveries about writing and illness and, more stunningly, about writing and life. Not a book about illness, this is a book about writing and being. It is taut, brave, unequalled in our scholarship, and true. Conway joins our most powerful investigators of the human predicament of mortality, helping us to see, helping us to live.”—Rita Charon, Columbia University, Program in Narrative Medicine

Published accounts of illness and disability often emphasize hope and positive thinking: the woman who still looked beautiful after losing her hair, the man who ran five miles a day during chemotherapy. This acclaimed examination of the genre of the illness narrative questions that upbeat approach. Author Kathlyn Conway, a three-time cancer survivor and herself the author of an illness memoir, believes that the triumphalist approach to writing about illness fails to do justice to the shattering experience of disease. By wrestling with the challenge of writing about the reality of serious illness and injury, she argues, writers can offer a truer picture of the complex relationship between body and mind.

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Beyond Words

Story of Sensitivity Training and the Encounter Movement

Sensitivity training, T-Groups, and encounter groups have become a way of life. Beyond Words traces the history of this movement, the background of its successes, its varieties, and its failures. Dr. Back's approach is neither one of wide-eyed admiration nor hostility. Instead, he has written a book that provides the first long, hard look at sensitivity training as a social phenomenon.

From its fortuitous beginnings the movement is followed through its developments at Bethel, its growth across the country, its new centers in California, its spread to Europe. The novelty of this movement, an almost religious exercise based on the scientific ethos, is related to the peculiar conditions of the last quarter century. The movement has acquired its own mythos. Dr. Back examines the interplay of the conflicting aims of self-expression and change, and shows how these contradictory aims have affected the ramifications of the movement in theory, in management, in recreation, and in education. Results emerging from studies on effects of sensitivity training indicate a recurrent pattern of great immediate emphasis followed by little permanent beneficial effect.

Finally, Beyond Words assesses the overall impact of the movement, its relation to science, its possible changes, and its portent as a symptom of the state of society.

Dr. Back examines the interplay of the conflicting aims of self-expression and change, and shows how these contradictory aims have affected the ramifications of the movement in theory, in management, in recreation, and in education.

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The Big Squeeze

A Social and Political History of the Controversial Mammogram

by Handel Reynolds

In 2009, an influential panel of medical experts ignited a controversy when they recommended that most women should not begin routine mammograms to screen for breast cancer until the age of fifty, reversing guidelines they had issued just seven years before when they recommended forty as the optimal age to start getting mammograms. While some praised the new recommendation as sensible given the smaller benefit women under fifty derive from mammography, many women's groups, health care advocates, and individual women saw the guidelines as privileging financial considerations over women's health and a setback to decades-long efforts to reduce the mortality rate of breast cancer.

In The Big Squeeze, Dr. Handel Reynolds, a practicing radiologist, notes that this episode was only the most recent controversy in the turbulent history of mammography since its introduction in the early 1970s. In a book written for the millions of women who face the decision about whether to get a mammogram, health professionals interested in cancer screening, and public health policymakers, Reynolds shows how pivotal decisions made during mammography's initial launch made it all but inevitable that the test would be contentious. He describes how, at several key points in its history, the emphasis on mammography screening as a fundamental aspect of women's preventive health care coincided with social and political developments, from the women's movement in the early 1970s to breast cancer activism in the 1980s and '90s.

At the same time, aggressive promotion of mammography made the screening tool the cornerstone of a huge new industry. Taking a balanced approach to this much-disputed issue, Reynolds addresses both the benefits and risks of mammography, charting debates, for example, that have weighed the early detection of aggressively malignant tumors against unnecessary treatments resulting from the identification of slow-growing and non-life-threatening cancers. The Big Squeeze, ultimately, helps to evaluate the ongoing public health controversies surrounding mammography and provides a clear understanding of how mammography achieved its current primacy in cancer screening.

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Bioarchaeological Studies of Life in the Age of Agriculture

A View from the Southeast

Edited by Patricia M. Lambert

Investigations of skeletal remains from key archaeological sites reveal new data and offer insights on prehistoric life and health in the
Southeast.

The shift from foraging to farming had important health consequences for prehistoric peoples, but variations in health existed

within communities that had made this transition. This new collection draws on the rich bioarchaeological record of the Southeastern United States
to explore variability in health and behavior within the age of agriculture. It offers new perspectives on human adaptation to various geographic and
cultural landscapes across the entire Southeast, from Texas to Virginia, and presents new data from both classic and little-known sites.

The contributors question the reliance on simple cause-and-effect relationships in human health and behavior by addressing such key bioarchaeological issues as disease history and epidemiology, dietary composition and sufficiency, workload stress, patterns of violence, mortuary practices, and biological consequences of European contact. They also advance our understanding of agriculture by showing that uses of maize were more varied than has been previously supposed.

Representing some of the best work being done today by physical anthropologists, this volume provides new insights into human adaptation for both archaeologists and osteologists. It attests to the heterogeneous character of Southeastern societies during the late prehistoric and early historic periods while effectively detailing the many factors that have shaped biocultural evolution.

Contributors include: Patricia S. Bridges, Elizabeth Monaham Driscoll, Debra L. Gold, Dale L. Hutchinson, Keith P. Jacobi, Patricia M. Lambert, Clark Spencer Larsen, Lynette Norr, Mary Lucas Powell, Marianne Reeves, Lisa Sattenspiel, Margaret J. Schoeninger, Mark R. Schurr, Leslie E. Sering, David S. Weaver, and Matthew A. Williamson

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A Biocultural Approach to Literary Theory and Interpretation

Nancy Easterlin

Combining cognitive and evolutionary research with traditional humanist methods, Nancy Easterlin here demonstrates how a biocultural perspective in theory and criticism opens up new possibilities for literary interpretation. Easterlin maintains that the goal of literary interpretation is still of central intellectual and social value. Taking an open yet judicious approach, she argues, however, that literary interpretation stands to gain dramatically from a fair-minded and creative application of cognitive and evolutionary research. This work does just that, expounding a biocultural method that charts a middle course between overly reductive approaches to literature and traditionalists who see the sciences as a threat to the humanities. Easterlin applies her biocultural method to four major subfields within literary studies: new historicism, ecocriticism, cognitive approaches, and evolutionary approaches. After a thorough review of each subfield, she reconsiders it in light of relevant research in cognitive and evolutionary psychology and provides a textual analysis of literary works from the romantic era to the present, including William Wordsworth’s “Simon Lee” and the Lucy poems, Mary Robinson’s “Old Barnard,” Samuel Taylor Coleridge’s “Dejection: An Ode,” D. H. Lawrence’s The Fox, Jean Rhys’s Wide Sargasso Sea, and Raymond Carver’s “I Could See the Smallest Things.” A Biocultural Approach to Literary Theory and Interpretation offers a fresh and reasoned approach to literary studies that at once preserves the central importance that interpretation plays in the humanities and embraces the exciting developments of the cognitive sciences.

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Bioethics and Organ Transplantation in a Muslim Society

A Study in Culture, Ethnography, and Religion

Farhat Moazam

"Dr. Farhat Moazam has written a wonderful book, based on her extraordinary first-hand study.... [S]he is an exceptionally gifted and evocative writer. Her book not only has the attributes of a superb piece of intellectual work, but it has literary artistic merit." -- Renee C. Fox, Annenberg Professor Emerita of the Social Sciences at the University of Pennsylvania

This is an ethnographic study of live, related kidney donation in Pakistan, based on Farhat Moazam's participant-observer research conducted at a public hospital. Her narrative is both a "thick" description of renal transplant cases and the cultural, ethical, and family conflicts that accompany them, and an object lesson in comparative bioethics.

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Bioethics and the Human Goods

An Introduction to Natural Law Bioethics

Alfonso Gomez-Lobo with John Keown

Bioethics and the Human Goods offers students and general readers a brief introduction to bioethics from a "natural law" philosophical perspective. This perspective, which traces its origins to classical antiquity, has profoundly shaped Western ethics and law and is enjoying an exciting renaissance. While compatible with much in the ethical thought of the great religions, it is grounded in reason, not religion. In contrast to the currently dominant bioethical theories of utilitarianism and principlism, the natural law approach offers an understanding of human flourishing grounded in basic human goods, including life, health, friendship, and knowledge, and in the wrongness of intentionally turning against, or neglecting, these goods.

The book is divided into two sections: Foundations and Issues. Foundations sketches a natural law understanding of the important ethical principles of autonomy, non-maleficence, beneficence, and justice and explores different understandings of "personhood" and whether human embryos are persons. Issues applies a natural law perspective to some of the most controversial debates in contemporary bioethics at the beginning and end of life: research on human embryos, abortion, infanticide, euthanasia, the withdrawal of tube-feeding from patients in a "persistent vegetative state," and the definition of death. The text is completed by appendices featuring personal statements by Alfonso Gómez-Lobo on the status of the human embryo and on the definition and determination of death.

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