The culture of contemporary medicine is the object of investigation in this book; the meanings and values implicit in biomedical knowledge and practice and the social processes through which they are produced are examined through the use of specific case studies. The essays provide examples of how various facets of 20th century medicine, including edu cation, research, the creation of medical knowledge, the development and application of technology, and day to day medical practice, are per vaded by a value system characteristic of an industrial-capitalistic view of the world in which the idea that science represents an objective and value free body of knowledge is dominant. The authors of the essays are sociologists and anthropologists (in almost equal numbers); also included are papers by a social historian and by three physicians all of whom have steeped themselves in the social sci ences and humanities. This co-operative endeavor, which has necessi tated the breaking down of disciplinary barriers to some extent, is per haps indicative of a larger movement in the social sciences, one in which there is a searching for a middle ground between grand theory and attempts at universal explanations on the one hand, and the context-spe cific empiricism and relativistic accounts characteristic of many historical and anthropological analyses on the other."

This book takes a new approach to understanding primate conservation research, adding a personal perspective to allow readers to learn what motivates those doing conservation work. When entering the field over a decade ago, many young primatologists were driven by evolutionary questions centered in behavioural ecology. However, given the current environment of cascading extinctions and increasing threats to primates we now need to ensure that primates remain in viable populations in the wild before we can simply engage in research in the context of pure behavioural ecology. This has changed the primary research aims of many primatologists and shifted our focus to conservation priorities, such as understanding the impacts of human activity, habitat conversion or climate change on primates. This book presents personal narratives alongside empirical research results and discussions of strategies used to stem the tide of extinction. It is a must-have for anyone interested in conservation research.

Why did emigrants leave their homeland and move to Minnesota? Where in the state did they settle? What did they do, and how did they organize? How did they maintain their ethnicity? Based on ground-breaking research. Each chapter of "They Chose Minnesota" describes the unique concerns of individual groups and delves into personal stories. Farmers and factory workers, men, women, and children, families and single people, idealists and pragmatists, people who were devout or irreligious or enthusiastic or fearful, those who cut ties with their homeland or intended to return--all form part of Minnesota's ethnic saga.

This book concerns the use of the drug qat in North Yemen (Yemen Arab Republic), a country lying on the southwestern corner of the Arabian Peninsula. However, because this substance is so interwoven into the fabric of society and culture, it is also necessarily about Yemen itself. The history and culture of South Arabia are still relatively unknown to the rest of the world, and the drug qat, so widely used there, is equally unknown. Thus, the material we present here should be of interest to all of those concerned with drug use, those who wish to understand more about Yemen and the Middle East, and to the Yemenis themselves. Another purpose is to develop some general understandings about sub stance uses and their effects which are less clouded by the mass hysteria and political considerations which often obscure drug issues in our own society. Examination of drug-use patterns in a country where millions of people are users on a regular basis, and where there has been familiarity with the drug for several hundred years, offers an opportunity to achieve perspectives not possible in countries with different attitudes and without such histories. I am not sanguine about the prospects of our abilities to learn from others or from the past, but I do not think we should abandon hope of doing so."

Over the past two decades increasing interest has emerged in the contribu tions that the social sciences might make to the epidemiological study of patterns of health and disease. Several reasons can be cited for this increasing interest. Primary among these has been the rise of the chronic, non-infectious diseases as important causes of morbidity and mortality within Western populations during the 20th century. Generally speaking, the chronic, non infectious diseases are strongly influenced by lifestyle variables, which are themselves strongly influenced by social and cultural forces. The under standing of the effects of the behavioral factors in, say, hypertension, thus requires an understanding of the social and cultural factors which encourage obesity, a sedentary lifestyle, non-compliance with anti-hypertensive medica tions (or other prescribed regimens), and stress. Equally, there is a growing awareness that considerations of human behavior and its social and cultural determinants are important for understanding the distribution and control of infectious diseases. Related to this expansion of epidemiologic interest into the behavioral realm 'has been the development of etiological models which focus on the psychological, biological and socio-cultural characteristics of hosts, rather than exclusive concern with exposure to a particular agent or even behavioral risk. Also during this period advances in statistical and computing techniques have made accessible the ready testing of multivariate causal models, and so have encouraged the measurement of the effects of social and cultural factors on disease occurrence."

By opening the ever-escalating debate regarding Latin America's "underdeveloped" status and cloaking the seriousness of the situation with wit and humor, the Guide to the Perfect Latin American Idiot reached number one status on the nonfiction bestseller lists in many countries in Latin America. It reveals the connection between economic success and cultural values attitudes toward work, education, health care and community and the consequence of the Latin American people retaining or evolving these values.

Mental retardation in the United States is currently defined as " ... signif icantly subaverage general intellectual functioning existing concurrently with deficits in adaptive behavior, and manifested during the development period" (Grossman, 1977). Of the estimated six million plus mentally retarded individuals in this country fully 75 to 85% are considered to be "func tionally" retarded (Edgerton, 1984). That is, they are mildly retarded persons with no evident organic etiology or demonstrable brain pathology. Despite the relatively recent addition of adaptive behavior as a factor in the definition of retardation, 1.0. still remains as the essential diagnostic criterion (Edgerton, 1984: 26). An 1.0. below 70 indicates subaverage functioning. However, even such an "objective" measure as 1.0. is prob lematic since a variety of data indicate quite clearly that cultural and social factors are at play in decisions about who is to be considered "retarded" (Edgerton, 1968; Kamin, 1974; Langness, 1982). Thus, it has been known for quite some time that there is a close relationship between socio-economic status and the prevalence of mild mental retardation: higher socio-economic groups have fewer mildly retarded persons than lower groups (Hurley, 1969). Similarly, it is clear that ethnic minorities in the United States - Blacks, Mexican-Americans, American Indians, Puerto Ricans, Hawaiians, and others - are disproportionately represented in the retarded population (Mercer, 1968; Ramey et ai., 1978)."

Ethnographic Research: A Guide to General Conduct is the first in the ASA Research Methods series. This volume is about ethnographic research, the production of data, and the practical aspects of research practice. It is general and introductory in scope. Designed as a handbook, it is suitable for rapid reference. It provides basic outlines on general practical matters of concern to all those engaged in ethnographic research, introduces the series as a whole, and serves as a guide to existing literature on issues not specifically covered by the more specialized volumes which follow.

In the last few years there has been a great revival of interest in culture-bound psychiatric syndromes. A spate of new papers has been published on well known and less familiar syndromes, and there have been a number of attempts to put some order into the field of inquiry. In a review of the literature on culture-bound syndromes up to 1969 Yap made certain suggestions for organizing thinking about them which for the most part have not received general acceptance (see Carr, this volume, p. 199). Through the seventies new descriptive and conceptual work was scarce, but in the last few years books and papers discussing the field were authored or edited by Tseng and McDermott (1981), AI-Issa (1982), Friedman and Faguet (1982) and Murphy (1982). In 1983 Favazza summarized his understanding of the state of current thinking for the fourth edition of the Comprehensive Textbook of Psychiatry, and a symposium on culture-bound syndromes was organized by Kenny for the Eighth International Congress of Anthropology and Ethnology. The strong est impression to emerge from all this recent work is that there is no substantive consensus, and that the very concept, "culture-bound syndrome" could well use some serious reconsideration. As the role of culture-specific beliefs and prac tices in all affliction has come to be increasingly recognized it has become less and less clear what sets the culture-bound syndromes apart."

This study of the 1870 and 1890 Ghost Dance movements among North American Indians offers an innovative theory about why these movements arose when they did. Emphasizing the demographic situation of American Indians prior to the movements, Professor Thornton argues that the Ghost Dances were deliberate efforts to accomplish a demographic revitalization of American Indians following their virtual collapse. By joining the movements, he contends, tribes sought to assure survival by increasing their numbers through returning the dead to life. Thornton supports this thesis empirically by closely examining the historical context of the two movements and by assessing tribal participation in them, revealing particularly how population size and decline influenced participation among and within American Indian tribes. He also considers American Indian population change after the Ghost Dance periods and shows that participation in the movements actually did lead the way to a demographic recovery for certain tribes. This occurred, Thornton argues, not, of course, by returning dead American Indians to life, but by creating enhanced tribal solidarity.

What do we think about when we think about human evolution? With his characteristic wit and wisdom, anthropologist Jonathan Marks explores our scientific narrative of human origins-the study of evolution-and examines its cultural elements and theoretical foundations. In the process, he situates human evolution within a general anthropological framework and presents it as a special case of kinship and mythology. Tales of the Ex-Apes argues that human evolution has incorporated the emergence of social relations and cultural histories that are unprecedented in the apes and thus cannot be reduced to purely biological properties and processes. Marks shows that human evolution has involved the transformation from biological to biocultural evolution. Over tens of thousands of years, new social roles-notably spouse, father, in-laws, and grandparents-have co-evolved with new technologies and symbolic meanings to produce the human species, in the absence of significant biological evolution. We are biocultural creatures, Marks argues, fully comprehensible by recourse to neither our real ape ancestry nor our imaginary cultureless biology.

With contributions from 70 experienced practitioners from around the world, this second edition of the authoritative Handbook of Forensic Archaeology and Anthropology provides a solid foundation in both the practical and ethical components of forensic work. The book weaves together the discipline's historical development; current field methods for analyzing crime, natural disasters, and human atrocities; an array of laboratory techniques; key case studies involving legal, professional, and ethical issues; and ideas about the future of forensic work--all from a global perspective. This fully revised second edition expands the geographic representation of the first edition by including chapters from practitioners in South Africa and Colombia, and adds exciting new chapters on the International Commission on Missing Persons and on forensic work being done to identify victims of the Battle of Fromelles during World War I. The Handbook of Forensic Anthropology and Archaeology provides an updated perspective of the disciplines of forensic archaeology and anthropology.

After putting down this weighty (in all senses of the word) collection, the reader, be she or he physician or social scientist, will (or at least should) feel uncomfortable about her or his taken-for-granted commonsense (therefore cultural) understanding of medicine. The editors and their collaborators show the medical leviathan, warts and all, for what it is: changing, pluralistic, problematic, powerful, provocative. What medicine proclaims itself to be - unified, scientific, biological and not social, non-judgmental - it is shown not to resemble very much. Those matters about which medicine keeps fairly silent, it turns out, come closer to being central to its clinical practice - managing errors and learning to conduct a shared moral dis course about mistakes, handling issues of competence and competition among biomedical practitioners, practicing in value-laden contexts on problems for which social science is a more relevant knowledge base than biological science, integrating folk and scientific models of illness in clinical communication, among a large number of highly pertinent ethnographic insights that illuminate medicine in the chapters that follow."

This Annals volume presents four scholarly meeting reports: (1) Application of combined omics platforms to accelerate biomedical discovery in diabesity; (2) Prioritizing health disparities in medical education to improve care; (3) The paradox of overnutrition in aging and cognition; and vitamin D: beyond bone. Diabesity has become a popular term to describe the specific form of diabetes that develops late in life and is associated with obesity. While there is a correlation between diabetes and obesity, the association is not universally predictive. Defining the metabolic characteristics of obesity that lead to diabetes, and how obese individuals who develop diabetes different from those who do not, are important goals. The use of large-scale omics analyses (e.g., metabolomic, proteomic, transcriptomic, and lipidomic) of diabetes and obesity may help to identify new targets to treat these conditions. This report discusses how various types of omics data can be integrated to shed light on the changes in metabolism that occur in obesity and diabetes. Despite yearly advances in life-saving and preventive medicine, as well as strategic approaches by governmental and social agencies and groups, significant disparities remain in health, health quality, and access to health care within the United States. The determinants of these disparities include baseline health status, race and ethnicity, culture, gender identity and expression, socioeconomic status, region or geography, sexual orientation, and age. In order to renew the commitment of the medical community to address health disparities, particularly at the medical school level, we must remind ourselves of the roles of doctors and medical schools as the gatekeepers and the value setters for medicine. Within those roles are responsibilities toward the social mission of working to eliminate health disparities. This effort will require partnerships with communities as well as with academic centers to actively develop and to implement diversity and inclusion strategies. Besides improving the diversity of trainees in the pipeline, access to health care can be improved, and awareness can be raised regarding population-based health inequalities. Populations of many countries are becoming increasingly overweight and obese, driven largely by excessive calorie intake and reduced physical activity; greater body mass is accompanied by epidemic levels of comorbid metabolic diseases. At the same time, individuals are living longer. The combination of aging and the increased prevalence of metabolic disease is associated with increases in aging-related comorbid diseases such as Alzheimer's disease, cerebrovascular dementia, and sarcopenia. Here, correlative and causal links between diseases of overnutrition and diseases of aging and cognition are explored. In recent years, vitamin D has been received increased attention due to the resurgence of vitamin D deficiency and rickets in developed countries and the identification of extraskeletal effects of vitamin D, suggesting unexpected benefits of vitamin D in health and disease, beyond bone health. The possibility of extraskeletal effects of vitamin D was first noted with the discovery of the vitamin D receptor (VDR) in tissues and cells that are not involved in maintaining mineral homeostasis and bone health, including skin, placenta, pancreas, breast, prostate and colon cancer cells, and activated T cells. However, the biological significance of the expression of the VDR in different tissues is not fully understood, and the role of vitamin D in extraskeletal health has been a matter of debate. This report summarizes recent research on the roles for vitamin D in cancer, immunity and autoimmune diseases, cardiovascular and respiratory health, pregnancy, obesity, erythropoiesis, diabetes, muscle function, and aging. NOTE: Annals volumes are available for sale as individual books or as a journal. For information on institutional journal subscriptions, please visit http://ordering.onlinelibrary.wiley.com/subs.asp?ref=1749-6632&doi=10.1111/(ISSN)1749-6632. ACADEMY MEMBERS: Please contact the New York Academy of Sciences directly to place your order (www.nyas.org). Members of the New York Academy of Science receive full-text access to Annals online and discounts on print volumes. Please visit http://www.nyas.org/MemberCenter/Join.aspx for more information about becoming a member.

Within the past two decades, there has been an increased interest in the study of culture and mental health relationships. This interest has extended across many academic and professional disciplines, including anthropology, psychology, sociology, psychiatry, public health and social work, and has resulted in many books and scientific papers emphasizing the role of sociocultural factors in the etiology, epidemiology, manifestation and treatment of mental disorders. It is now evident that sociocultural variables are inextricably linked to all aspects of both normal and abnormal human behavior. But, in spite of the massive accumulation of data regarding culture and mental health relationships, sociocultural factors have still not been incorporated into existing biological and psychological perspectives on mental disorder and therapy. Psychiatry, the Western medical specialty concerned with mental disorders, has for the most part continued to ignore socio-cultural factors in its theoretical and applied approaches to the problem. The major reason for this is psychiatry's continued commitment to a disease conception of mental disorder which assumes that mental disorders are largely biologically-caused illnesses which are universally represented in etiology and manifestation. Within this perspective, mental disorders are regarded as caused by universal processes which lead to discrete and recognizable symptoms regardless of the culture in which they occur. However, this perspective is now the subject of growing criticism and debate.

In contrast to other disciplines, social psychology has been slow in responding to the questions posed by the issue of ethnicity. The Social Psychology of Ethnic Identity, Second Edition, demonstrates the important and diverse contribution that social psychology can make. Comprehensively updated to include the latest research on dual and multiple identities, mutual links between sense of ethnic identity and social contexts, and the development of ethnic identity in adolescence, this new edition now also features research from non-European cultural contexts, including Turkey, Mauritius and Myanmar. The book shows, on the one hand, that social psychology can be used to develop a better understanding of ethnicity and, on the other hand, that increased attention to ethnicity can benefit social psychology. By filling in theoretical and empirical gaps, Maykel Verkuyten brings an original approach to subjects such as: ethnic minority identity - place, space and time; hyphenated identities and duality; and self-descriptions and the ethnic self. Featuring the latest theoretical ideas and research, the combination of diverse approaches to this burgeoning field make this book invaluable reading for students of psychology and related disciplines, as well as researchers and professionals.

In "Territories of Difference," Arturo Escobar, author of the widely debated book "Encountering Development," analyzes the politics of difference enacted by specific place-based ethnic and environmental movements in the context of neoliberal globalization. His analysis is based on his many years of engagement with a group of Afro-Colombian activists of Colombia's Pacific rainforest region, the Proceso de Comunidades Negras (PCN). Escobar offers a detailed ethnographic account of PCN's visions, strategies, and practices, and he chronicles and analyzes the movement's struggles for autonomy, territory, justice, and cultural recognition. Yet he also does much more. Consistently emphasizing the value of local activist knowledge for both understanding and social action and drawing on multiple strands of critical scholarship, Escobar proposes new ways for scholars and activists to examine and apprehend the momentous, complex processes engulfing regions such as the Colombian Pacific today.

Escobar illuminates many interrelated dynamics, including the Colombian government's policies of development and pluralism that created conditions for the emergence of black and indigenous social movements and those movements' efforts to steer the region in particular directions. He examines attempts by capitalists to appropriate the rainforest and extract resources, by developers to set the region on the path of modernist progress, and by biologists and others to defend this incredibly rich biodiversity "hot-spot" from the most predatory activities of capitalists and developers. He also looks at the attempts of academics, activists, and intellectuals to understand all of these complicated processes. "Territories of Difference" is Escobar's effort to think with Afro-Colombian intellectual-activists who aim to move beyond the limits of Eurocentric paradigms as they confront the ravages of neoliberal globalization and seek to defend their place-based cultures and territories.

A cultural history of the face in Western art, ranging from portraiture in painting and photography to film, theater, and mass media This fascinating book presents the first cultural history and anthropology of the face across centuries, continents, and media. Ranging from funerary masks and masks in drama to the figural work of contemporary artists including Cindy Sherman and Nam June Paik, renowned art historian Hans Belting emphasizes that while the face plays a critical role in human communication, it defies attempts at visual representation. Belting divides his book into three parts: faces as masks of the self, portraiture as a constantly evolving mask in Western culture, and the fate of the face in the age of mass media. Referencing a vast array of sources, Belting's insights draw on art history, philosophy, theories of visual culture, and cognitive science. He demonstrates that Western efforts to portray the face have repeatedly failed, even with the developments of new media such as photography and film, which promise ever-greater degrees of verisimilitude. In spite of sitting at the heart of human expression, the face resists possession, and creative endeavors to capture it inevitably result in masks--hollow signifiers of the humanity they're meant to embody. From creations by Van Eyck and August Sander to works by Francis Bacon, Ingmar Bergman, and Chuck Close, Face and Mask takes a remarkable look at how, through the centuries, the physical visage has inspired and evaded artistic interpretation.

How far back can you trace your family tree? Most people cannot go beyond their great-great-grandparents. The oldest written records recount only our most recent past. The farther back in time we go, the fewer the surviving traces. How can we know about the lives of our ancestors who lived 30,000 - or 300,000 - or 3 million years ago? In The Extraordinary Story of Human Origins, Piero and Alberto Angela address the many difficulties and challenges in assembling a truly complete picture of human evolution. In tracing our origins, different "documents" and "evidence" must be used: rock sediments, footprints, and fossils that were petrified in the folds of the earth over the course of millennia but have become the object of scientific study only in recent decades. To piece together the intriguing puzzle of human origins it is necessary to study all clues that are made available by multidisciplinary research, including paleontology, bio-chemistry, geology, genetics, physics, and climatology. Like so many Sherlock Holmeses, researchers seek all possible clues and analyze them meticulously in hopes of being able to reconstruct the past. Just as a cigarette butt, a hair, or a button may provide the key to identifying the "culprit" in a detective story, so can the layer of a fossil, the way a rock has been chipped, or the detail of a joint offer important information on the life, appearance, and behavior of our ancestors. These pieces are few and fragmentary, ranging from the footprints left in volcanic ash 3.7 million years ago by hominids who walked exactly as we do, to a "Y" pattern on molars and mitochondrial DNA. But they all provide information on the diet, diseases, hunting techniques, and art of Australopithecus, Homo habilis, Homo erectus, the Neanderthal, and the first Homo sapiens sapiens. Written in an accessible but authoritative style, this study includes many lively reconstructions of the everyday life of our earliest ancestors based on the most reliable data. The Extraordinary Story of Human Origins makes available to a wide audience a unique look inside the exciting world of research into the study of the beginnings of human life on earth.

This groundbreaking book addresses issues of the keenest interest to anthropologists, specialists on Africa, and those concerned with international aid and development. Drawing on extensive research among the Luo people in western Kenya and abroad over many years, Parker Shipton provides an insightful general ethnography. In particular, he focuses closely on nonmonetary forms of exchange and entrustment, moving beyond anthropology's traditional understanding of gifts, loans, and reciprocity. He proposes a new view of the social and symbolic dimensions of economy over the full life course, including transfers between generations. He shows why the enduring cultural values and aspirations of East African people--and others around the world--complicate issues of credit, debt, and compensation.
The book examines how the Luo assess obligations to intimates and strangers, including the dead and the not-yet-born. Borrowing, lending, and serial passing along have ritual, religious, and emotional dimensions no less than economic ones, Shipton shows, and insight into these connections demands a broad rethinking of all international aid plans and programs.

This volume in the Sage Series on Race and Ethnic Relations seeks to explain the phenomenon of racism throughout history by drawing on and integrating the massive literature on racism coming out of the economic, political, and cultural realms. In so doing, author Carter A. Wilson tackles four major goals: first, to help resolve the major debates surrounding racism; second, to demystify racism; third, to provide understanding of how racism has been sustained in various historical eras; and finally, to discuss how racism takes on different forms in various stages of history. This eye-opening volume sheds new light on racism and will be vital to students and professionals in race and ethnic studies, sociology, political science, economics, history, American studies and anthropology.

39 Medical sociology, on the other hand, is only beginning to be perceived as an established partner in medical education. What was still described in 1963 as its 'promise' (Reader, 1963) became a decade later the unequivocal assertion: 'Sociology has already contributed much to medicine ... has (in its work related to medicine) developed a distinct body of knowledge, and in fact, reached the position where it can contribute substantially to decision making in medicine'. (Kendall and Reader, 1972) As it has established its position, both as a legitimate sub-field of sociology as a collaborator with the medical professions, there is evidence of increasing attention by medical sociology to the applica tions of its knowledge. The literature reveals a remarkable degree of concern about its development. (Caudill, 1953; Clausen, 1956; Reader and Goss, 1959; Reader, 1963; Suchman, 1964; Graham, 1964; Bloom, 1965; McKin lay, 1972). Most of its continuing self-scrutiny, however, was - at least until recently - focused on the evaluation of its contribution to knowledge. We seem now to have found security in the legitimacy of this contribution, and to be turning to the effort to establish an organized dimension of applied social science - of which an example is seen in table 2.1. Williams, first in 1963 and again in 1972, sought to show how the knowledge of medical sociology was actually being applied. Hyman (1967) reviewed 'the uses of sociology for the problems of medicine'."

This methods book will guide the reader through the process of conducting and producing an autoethnographic study through the understanding of self, other, and culture. Readers will be encouraged to follow hands-on, though not prescriptive, steps in data collection, analysis, and interpretation with self-reflective prewriting exercises and self-narrative writing exercises to produce their own autoethnographic work. Chang offers a variety of techniques for gathering data on the self-from diaries to culture grams to interviews with others-and shows how to transform this information into a study that looks for the connection with others present in a diverse world. She shows how the autoethnographic process promotes self-reflection, understanding of multicultural others, qualitative inquiry, and narrative writing. Samples of published autoethnographies provide exemplars for the novice researcher to follow.

Interviews with young Muslims in Chicago explore the complexity of identities formed at the crossroads of Islam and hip hop This groundbreaking study of race, religion and popular culture in the 21st century United States focuses on a new concept, "Muslim Cool." Muslim Cool is a way of being an American Muslim-displayed in ideas, dress, social activism in the 'hood, and in complex relationships to state power. Constructed through hip hop and the performance of Blackness, Muslim Cool is a way of engaging with the Black American experience by both Black and non-Black young Muslims that challenges racist norms in the U.S. as well as dominant ethnic and religious structures within American Muslim communities. Drawing on over two years of ethnographic research, Su'ad Abdul Khabeer illuminates the ways in which young and multiethnic US Muslims draw on Blackness to construct their identities as Muslims. This is a form of critical Muslim self-making that builds on interconnections and intersections, rather than divisions between "Black" and "Muslim." Thus, by countering the notion that Blackness and the Muslim experience are fundamentally different, Muslim Cool poses a critical challenge to dominant ideas that Muslims are "foreign" to the United States and puts Blackness at the center of the study of American Islam. Yet Muslim Cool also demonstrates that connections to Blackness made through hip hop are critical and contested-critical because they push back against the pervasive phenomenon of anti-Blackness and contested because questions of race, class, gender, and nationality continue to complicate self-making in the United States.