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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).
More than fifty years ago, Thomas Szasz showed that the concept of mental illness—a disease of the mind—is an oxymoron, a metaphor, a myth. Disease, in the medical sense, affects only the body. He also demonstrated that civil commitment and the insanity defense, the paradigmatic practices of psychiatry, are incompatible with the political values of personal responsibility and individual liberty. The psychiatric establishment’s rejection of Szasz’s critique posed no danger to his work: its defense of coercions and excuses as "therapy" supported his argument regarding the metaphorical nature of mental illness and the transparent immorality of brutal psychiatric control masquerading as humane medical care.
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.
Challenges and Prospects
The introduction of antiretroviral therapy (ART) in middle and low income countries is arguably one of the most meaningful outcomes recorded in the fight against HIV and AIDS. A record number of some 6.2 million people living with HIV and AIDS are reported to be benefiting from the treatment, which is reported to have risen by 19 per cent between 2010 and 2011 and as a result of this, the region has also enjoyed a significant decline in AIDS mortality. This volume is the outcome of the ëcall for abstractsí put out by OSSREA in 2011 for senior researchers, social scientists and practitioners to write scientific articles on issues surrounding ARVs. The volume contains eight chapters organized into four sections: ART and quality of life; Adherence to ART; Traditional medicine and ART; and Sexual behaviour of ART attendants. The chapters are contributed by Academics and researchers from three different African countries: four from Ethiopia, two from Uganda and two from Zimbabwe.
A Short History
More people today report feeling anxious than ever before—even while living in relatively safe and prosperous modern societies. Almost one in five people experiences an anxiety disorder each year, and more than a quarter of the population admits to an anxiety condition at some point in their lives. Here Allan V. Horwitz, a sociologist of mental illness and mental health, narrates how this condition has been experienced, understood, and treated through the ages—from Hippocrates, through Freud, to today. Anxiety is rooted in an ancient part of the brain, and our ability to be anxious is inherited from species far more ancient than humans. Anxiety is often adaptive: it enables us to respond to threats. But when normal fear yields to what psychiatry categorizes as anxiety disorders, it becomes maladaptive. As Horwitz explores the history and multiple identities of anxiety—melancholia, nerves, neuroses, phobias, and so on—it becomes clear that every age has had its own anxieties and that culture plays a role in shaping how anxiety is expressed.
The Case of Iago
This book is a concise philosophical meditation on Iago and the nature of evil, through the exploration of the enduring puzzle found in Shakespeare's Othello. What drives Iago to orchestrate Othello's downfall? Instead of treating Iago's lack of motive as the play's greatest weakness, The Apologetics of Evil shows how this absence of motive is the play's greatest strength. Richard Raatzsch determines that Iago does not seek a particular end or revenge for a discrete wrong; instead, Iago is governed by a passion for intriguing in itself. Raatzsch explains that this passion is a pathological version of ordinary human behavior and that Iago lacks the ability to acknowledge others; what matters most to him is the difference between himself and the rest of the world.
The book opens with a portrait of Iago, and considers the nature and moral significance of the evil that he represents. Raatzsch addresses the boundaries dividing normality and pathology, conceptualizing evil as a pathological form of the good or ordinary. Seen this way, evil is conceptually dependent on the ordinary, and Iago, as a form of moral monster, is a kind of nonbeing. Therefore, his actions might be understood and defended, even if they cannot be justified. In a brief epilogue, Raatzsch argues that literature's presentation of what is monstrous or virtuous can constitute an understanding of these concepts, not merely illustrate them.
The Challenge of Mental Health
This thoughtful, compassionate book makes a major contribution to our understanding of the Southern Appalachian child -- his mental disorders and his adaptive strengths. Drawing upon his extensive fieldwork as a clinical child psychiatrist in Eastern Kentucky, Dr. Looff suggests means by which these children can be helped to bridge the gap between their subculture and the mainstream of American life today.
The children described in this book, the author points out, are in a real sense not "all children." Since no child grows up in a vacuum, the children of Eastern Kentucky cannot be understood apart from the historical, geographic, and socioeconomic characteristics of the area in which they grow. Knowledge of the children requires some knowledge of the lives of parent, teachers, and the many others upon whom they are dependent. That is to say, mental disorder -- or mental health -- is embedded in a social matrix. Dr. Looff therefore examines the milieu of these Southern Appalachian children, their future as adults, and how they can achieve their potential -- whether in their native or an urban setting. In viewing the children within their own cultural framework, Dr. Looff shows how they develop toward mental health or psychopathology, suggesting supportive techniques that build upon the strengths inherent in each child. These strengths, he suggests, rise out of the same culture that burdens the child with handicaps.
Dr. Looff's position is one of guarded optimism, based on the successes of the techniques he has used and observed in seven years of work in Appalachian field clinics. Although he details instances of mental disorder in children, and instances of failure in family functioning, he notes at the same time family strengths and sees these strengths as sources of hope.
Although this book is based on fieldwork techniques within a specific area and culture, it is paradigmatically suggestive of wider application. Dr. Looff demonstrates effectively and clearly the profound need for increased concern about what is happening to the rising generation -- the children of Eastern Kentucky, the children of the Southern Appalachian region, and the children of the rural south.