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Medicine and Health
De façon concrète et opérationnelle, Paul-Marie Bernard présente ici les principaux outils d’analyse applicables aux données de tableaux de contingence en épidémiologie. Il décrit, dans un langage tout à fait accessible et sans trop de démonstrations, les méthodes statistiques qu’il illustre par des exemples numériques simples.
A Doctor’s Story
Theory, Issues and Practice
The use of animals by psychotherapists has been a growing trend. Psychological problems treated include emotional and behavioral problems, attachment issues, trauma, and developmental disorders. An influential 1970s survey suggests that over 20 percent of therapists in the psychotherapy division of the American Psychological Association incorporated animals into their treatment in some fashion. Anecdotal evidence suggests that the number is much higher today. Since Yeshiva psychologist Boris Levinson popularized the use of animals in the 1960s, Israel has come to be perhaps the most advanced country in the world in the area of animal-assisted psychotherapy (AAP). This is true especially in the area of training programs, theory-building, and clinical practice. Great effort has been put into understanding the mechanisms behind AAP, as well as into developing ethical guidelines that take into account the therapist's responsibility toward both client and animal. This book exposes the world to the theory and practice of AAP as conceived and used in Israel. It emphasizes evidence-based and clinically sound applications, differentiating between AAP, a psychotherapeutic approach, and AAE (animal-assisted education) and AAA (animal-assisted activities), both of which are psychoeducational. Not anyone and his/her dog can become an animal-assisted therapist, and this volume demonstrates not only the promise of animal-assisted psychotherapeutic approaches, but also some of the challenges the field still needs to overcome to gain widespread legitimacy.
Animals, Aging, and the Aged was first published in 1981. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions.
This volume explores the significant contributions of animals to our understanding of aging, to improving geriatric medicine, and to providing companionship and assistance to the elderly. Leo L. Bustad discusses what can be learned from animal life-span studies about the process of aging, including the problems of cardiovascular disease, cancer, osteoporosis, and age-related mental conditions. The results of these studies suggest that changes in life-style—especially the diet—may modify the effects of chronic degenerative diseases.
Other studies show that caring for a pet can contribute greatly to the health and well being of the elderly. Bustad surveys experiments using animals in therapy and he presents, for the first time, evaluative instruments for choosing the appropriate pet. Companion animals allow many elderly people to maintain their independence. Animals are also helpful as aids for those with visual, hearing, and physical impairments. An appendix lists agencies that train dogs as aids to the physically impaired.
Animals, Aging, and the Aged is a thoughtful discussion of the physical, psychological, and social problems faced by the elderly, with emphasis on the ways that animals have contributed to the solution of some of those problems. As such, it will be useful for those involved in geriatric medicine and social work and in veterinary medicine and research. This book is volume 5 in the series Wesley W. Spink Lectures in Comparative Medicine.
Over a ten-year period, Professor Ma carried out cross-disciplinary research in Hong Kong focused on the effectiveness of structural family therapy for Chinese patients suffering from anorexia nervosa. She found that although the Chinese patients received the same diagnosis as their Western counterparts, their experiences throughout the stages of the disease differed significantly due to interpersonal contexts and subjective cultural factors. The present collection synthesizes this clinical experience into a culturally specific, socially relevant, and clinically useful family treatment model for patients.
Exercises in Genealogical Criticism
Anti-Apocalypse was first published in 1994. Minnesota Archive Editions uses digital technology to make long-unavailable books once again accessible, and are published unaltered from the original University of Minnesota Press editions.
As the year 2000 looms, heralding a new millennium, apocalyptic thought abounds-and not merely among religious radicals. In politics, science, philosophy, popular culture, and feminist discourse, apprehensions of the End appear in images of cultural decline and urban chaos, forecasts of the end of history and ecological devastation, and visions of a new age of triumphant technology or a gender-free utopia. There is, Lee Quinby contends, a threatening "regime of truth" prevailing in the United States-and this regime, with its enforcement of absolute truth and morality, imperils democracy. In Anti-Apocalypse, Quinby offers a powerful critique of the millenarian rhetoric that pervades American culture. In doing so, she develops strategies for resisting its tyrannies.Drawing on feminist and Foucauldian theory, Quinby explores the complex relationship between power, truth, ethics, and apocalypse. She exposes the ramifications of this relationship in areas as diverse as jeanswear magazine advertising, the Human Genome project, contemporary feminism and philosophy, texts by Henry Adams and Zora Neale Hurston, and radical democratic activism. By bringing together such a wide range of topics, Quinby shows how apocalypse weaves its way through a vast network of seemingly unrelated discourses and practices. Tracing the deployment of power through systems of alliance, sexuality, and technology, Quinby reveals how these power relationships produce conflicting modes of subjectivity that create possibilities for resistance. She promotes a variety of critical stances—genealogical feminism, an ethics of the flesh, and "pissed criticism"—as challenges to apocalyptic claims for absolute truth and universal morality. Far-reaching in its implications for social and cultural theory as well as for political activism, Anti-Apocalypse will engage readers across the cultural spectrum and challenge them to confront one of the most subtle and insidious orthodoxies of our day.
Lee Quinby is associate professor of English and American studies at Hobart and William Smith Colleges. She is the author of Freedom, Foucault, and the Subject of America (1991) and coeditor (with Irene Diamond) of Feminism and Foucault: Reflections on Resistance (1988).
Reform, Resistance, and the Pursuit of a Rational Therapeutics
In The Antibiotic Era, physician-historian Scott H. Podolsky narrates the far-reaching history of antibiotics, focusing particularly on reform efforts that attempted to fundamentally change how antibiotics are developed and prescribed. This sweeping chronicle reveals the struggles faced by crusading reformers from the 1940s onward as they advocated for a rational therapeutics at the crowded intersection of bugs and drugs, patients and doctors, industry and medical academia, and government and the media. During the post–World War II “wonder drug” revolution, antibiotics were viewed as a panacea for mastering infectious disease. But from the beginning, critics raised concerns about irrational usage and overprescription. The first generation of antibiotic reformers focused on regulating the drug industry. The reforms they set in motion included the adoption of controlled clinical trials as the ultimate arbiters of therapeutic efficacy, the passage of the Kefauver-Harris amendments mandating proof of drug efficacy via well-controlled studies, and the empowering of the Food and Drug Administration to remove inefficacious drugs from the market. Despite such victories, no entity was empowered to rein in physicians who inappropriately prescribed, or overly prescribed, approved drugs. Now, in an era of emerging bugs and receding drugs, discussions of antibiotic resistance focus on the need to develop novel antibiotics and the need for more appropriate prescription practices in the face of pharmaceutical marketing, pressure from patients, and the structural constraints that impede rational delivery of antibiotics worldwide. Concerns about the enduring utility of antibiotics—indeed, about a post-antibiotic era—are widespread, as evidenced by reports from the Centers for Disease Control and Prevention, academia, and popular media alike. Only by understanding the historical forces that have shaped our current situation, Podolsky argues, can we properly understand and frame our choices moving forward.