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This comprehensive volume is the first to offer guidance to clinicians and researchers treating or studying bipolar disorder in older adults. Growing numbers of elderly people are affected by this serious mental illness. Presenting the most recent information, experts in the fields of bipolar disorder, geriatrics, and mental health services research cover late-life bipolar disorder in four major domains: epidemiology and assessment, treatment, complexity and comorbidity, and specialized care delivery. Revealing the effect of the aging process on the disease, they address diagnosis patterns over the life course, rating scales of assessment, pharmacologic and psychological therapies, adherence to treatment, effects of cultural factors, assessing the quality of care, and legal and ethical issues. An important tool for clinicians, this book will serve as a springboard for further research into this complex disorder.
There was a time when birth was treated as a natural process rather than a medical condition. Before 1800, women gave birth seated in birth chairs or on stools and were helped along by midwives. Then societal changes in attitudes toward women and the practice of medicine made birthing a province of the male-dominated medical profession.
In Birth Chairs, Midwives, and Medicine, Amanda Carson Banks examines the history of the birth chair and tells how this birthing device changed over time. Through photographs, artists' renditions of births, interviews, and texts from midwives and early obstetricians, she creates an evolutionary picture of birthing practices and highlights the radical redefinition of birth that has occurred in the last two centuries.
During the 1800s the change from a natural philosophy of birth to a medical one was partly a result of heightened understandings of anatomy and physiology. The medical profession was growing, and with it grew the awareness of the economic rewards of making delivery a specialized practice. In the background of the medical profession's rise was the prevailing perception of women as fragile invalids. Gradually, midwives and birth chairs were relegated to rural and isolated settings.
The popularity of birth chairs has seen a revival in the late twentieth century as the struggle between medical obstetrics and the alternative birth movement has grown. As Banks shows through her careful examination of the chairs themselves, these questions have been answered and reconsidered many times in human history. Using the artifacts from the home and medical office, Banks traces sweeping societal changes in the philosophy of how to bring life into the world.
A Comparative Study
Throughout the fourteenth century AD/eighth century H, waves of plague swept out of Central Asia and decimated populations from China to Iceland. So devastating was the Black Death across the Old World that some historians have compared its effects to those of a nuclear holocaust. As countries began to recover from the plague during the following century, sharp contrasts arose between the East, where societies slumped into long-term economic and social decline, and the West, where technological and social innovation set the stage for Europe’s dominance into the twentieth century. Why were there such opposite outcomes from the same catastrophic event? In contrast to previous studies that have looked to differences between Islam and Christianity for the solution to the puzzle, this pioneering work proposes that a country’s system of landholding primarily determined how successfully it recovered from the calamity of the Black Death. Stuart Borsch compares the specific cases of Egypt and England, countries whose economies were based in agriculture and whose pre-plague levels of total and agrarian gross domestic product were roughly equivalent. Undertaking a thorough analysis of medieval economic data, he cogently explains why Egypt’s centralized and urban landholding system was unable to adapt to massive depopulation, while England’s localized and rural landholding system had fully recovered by the year 1500.
Depression and Gender in the Age of Self-Care
Winston Churchill called his own depression his "black dog." Black Dogs and Blue Words analyzes contemporary rhetoric surrounding depression and maintains that the techniques and language of depression marketing strategies target women and young girls, encoding a series of gendered messages about health and illness and encouraging self-diagnosis and self-medication. As depression and other forms of mental illness move from the medical-professional sphere to the consumer-public, the boundary at which distress becomes disease grows ever-more encompassing, the need for remediation and treatment increasingly warranted.
Edward C. Mazique, M.D.
This powerful biography traces the career of an African American physician and civil rights advocate, Edward Craig Mazique (1911-1987), from the poverty and discrimination of Natchez, Mississippi, to his status as a prominent physician in Washington, D.C. Florence Ridlon relates how Dr. Mazique's grandfather went from being a slave to becoming one of the largest landowners in Adams County, Mississippi. This moving story of one man's accomplishments, in spite of many opposing forces, is also a chapter in the struggle of African Americans to achieve equality in the twentieth-century.
Hemophilia and the Unintended Consequences of Medical Progress
By the 1970s, a therapeutic revolution, decades in the making, had transformed hemophilia from an obscure hereditary malady into a manageable bleeding disorder. Yet the glory of this achievement was short lived. The same treatments that delivered some normalcy to the lives of persons with hemophilia brought unexpectedly fatal results in the 1980s when people with the disease contracted HIV-AIDS and Hepatitis C in staggering numbers. The Bleeding Disease recounts the promising and perilous history of American medical and social efforts to manage hemophilia in the twentieth century. This is both a success story and a cautionary tale, one built on the emergence in the 1950s and 1960s of an advocacy movement that sought normalcy—rather than social isolation and hyper-protectiveness—for the boys and men who suffered from the severest form of the disease. Stephen Pemberton evokes the allure of normalcy as well as the human costs of medical and technological progress in efforts to manage hemophilia. He explains how physicians, advocacy groups, the blood industry, and the government joined patients and families in their unrelenting pursuit of normalcy—and the devastating, unintended consequences that pursuit entailed. Ironically, transforming the hope of a normal life into a purchasable commodity for people with bleeding disorders made it all too easy to ignore the potential dangers of delivering greater health and autonomy to hemophilic boys and men.
A Traveler's Memoir from Costa Rica to Cambodia
Through personal journeys both interior and across the globe, Alden Jones investigates what motivates us to travel abroad in search of the unfamiliar.
Essays in Psychoanalytic Folkloristics
Bloody Mary in the Mirror mixes Sigmund Freud with vampires and The Little Mermaid to see what new light psychoanalysis can bring to folklore techniques and forms.
Ever since Freud published his analysis of Jewish jokes in 1905 and his disciple Otto Rank followed with his groundbreaking The Myth of the Birth of the Hero in 1909, the psychoanalytic study of folklore has been an acknowledged part of applied psychoanalysis.
However, psychoanalysts, handicapped by their limited knowledge of folklore techniques, have tended to confine their efforts to the Bible, to classical mythology, and to the Grimm fairy tales. Most folklorists have been slow to consider psychoanalysis as a method of interpreting folklore.
One notable exception is folklorist Alan Dundes. In the seven fascinating essays of Bloody Mary in the Mirror, psychoanalytic theory illuminates such folklore genres as legend (in the vampire tale), folktale (in the ancient Egyptian tale of two brothers), custom (in fraternity hazing and ritual fasting), and games (in the modern Greek game of "Long Donkey"). One of two essays Dundes co-authored with his daughter Lauren Dundes, professor of sociology at Western Maryland College, successfully probes the content of Disney's The Little Mermaid, yielding new insights into this popular reworking of a Hans Christian Andersen favorite.
Among folk rituals investigated is the girl's game of "Bloody Mary." Elementary or middle school-age girls huddle in a darkened bathroom awaiting the appearance in the mirror of a frightening apparition. The plausible analysis of this well-known--if somewhat puzzling--American rite is one of many surprising and enlightening finds in this book.
All of the essays in this remarkable volume create new takes on old traditions. Bloody Mary in the Mirror is an expedition into psychoanalytic folklore techniques and constitutes a giant step towards realizing the potential Freud's work promises for folklore studies.
Alan Dundes is professor of anthropology and folklore at the University of California, Berkeley. Among many others, his books include Interpreting Folklore (1980) and From Game to War and Other Psychoanalytic Essays on Folklore (1997). He edited Mother Wit from the Laughing Barrel: Readings in the Interpretation of Afro-American Folklore (1991), which was published by University Press of Mississippi.
Euthanasia in Veterinary Medicine
Offering a candid behind-the-scenes look at small-animal veterinary practices, Blue Juice explores the emotional and ethical conflicts involved in providing a "good death" for companion animals. Patricia Morris presents a nuanced ethnographic account of how veterinarians manage patient care and client relations when their responsibility shifts from saving an animal's life to negotiating a decision to end it.
Using her own experiences and observations in veterinary settings as well as the voices of seasoned and novice vets, Morris reveals how veterinarians think about euthanasia and why this "dirty work" often precipitates "burnout," moral quandaries, and even tense or emotional interactions with clients. Closely observing these interactions, Morris illuminates the ways in which euthanasia reflects deep and unresolved tension in human-animal relationships.
Blue Juice seeks to understand how practitioners, charged with the difficult task of balancing the interests of animals and their humans, deal with the responsibility of ending their patients' lives.