Set in the context of the processes and practices of human reproduction and reproductive health in Northern India, this book examines the institutional exercise of power by the state, caste and kin groups. Drawing on ethnographic research over the past eighteen years among poor Hindu and Muslim communities in Rajasthan and among development and health actors in the state, this book contributes to developing analytic perspectives on reproductive practice, agency and the body-self as particular and novel sites of a vital power and politic. Rajasthan has been among the poorest states in the country with high levels of maternal and infant mortality and morbidity. The author closely examines how social and economic inequalities are produced and sustained in discursive and on the ground contexts of family-making, how authoritative knowledge and power in the domain of childbirth is exercised across a landscape of development institutions, how maternal health becomes a category of citizenship, how health-seeking is socially and emotionally determined and political in nature, how the health sector operates as a biopolitical system, and how diverse moral claims over the fertile, infertile and reproductive body-self are asserted, contested and often realised. A compelling analysis, this book offers both new empirical data and new theoretical insights. It draws together the practices, experiences and discourse on fertility and reproduction (childbirth, infertility, loss) in Northern India into an overarching analytical framework on power and gender politics. It will be of interest to academics in the fields of medical anthropology, medical sociology, public health, gender studies, human rights and sociolegal studies, and South Asian studies.

Based on several years of ethnographic fieldwork, the book explores life in and around a Luo-speaking village in western Kenya during a time of death: the epidemic of HIV/AIDS, which by the turn of the century had affected every aspect of sociality and pervaded villagers' debates about the past, the future and the ethics of everyday life. Central to such debates is a concern with touch in the broad sense of concrete, material contact between persons. In mundane practices as much as in ritual acts, touch is considered to be key to the creation of bodily life as well as social continuity. Underlying the significance of material contact is its connection with growth - of persons and groups, animals, plants and the land - and the forward movement of life more generally. Under the pressure of illness and death, economic hardship and land scarcity, as well as bitter struggles about the relevance and application of Christianity and "Luo tradition" in daily life, people found it difficult to agree about the role of touch in engendering growth, or indeed about the aims of growth itself. Yet they drew upon shared experiences and imaginaries in their struggles to restore a forward direction to their lives.

Since the 1970s, understanding of the effects of trauma, including flashbacks and withdrawal, has become widespread in the United States. As a result Americans can now claim that the phrase posttraumatic stress disorder (PTSD) is familiar even if the American Psychiatric Association's criteria for diagnosis are not. As embedded as these ideas now are in the American mindset, however, they are more widely applicable, this volume attempts to show, than is generally recognized. The essays in Culture and PTSD trace how trauma and its effects vary across historical and cultural contexts. Culture and PTSD examines the applicability of PTSD to other cultural contexts and details local responses to trauma and the extent they vary from PTSD as defined in the American Psychiatric Association's Diagnostic and Statistical Manual. Investigating responses in Peru, Indonesia, Haiti, and Native American communities as well as among combat veterans, domestic abuse victims, and adolescents, contributors attempt to address whether PTSD symptoms are present and, if so, whether they are a salient part of local responses to trauma. Moreover, the authors explore other important aspects of the local presentation and experience of trauma-related disorder, whether the Western concept of PTSD is known to lay members of society, and how the introduction of PTSD shapes local understandings and the course of trauma-related disorders. By attempting to determine whether treatments developed for those suffering PTSD in American and European contexts are effective in global settings of violence or disaster, Culture and PTSD questions the efficacy of international responses that focus on trauma. Contributors: Carmela Alcantara, Tom Ball, James K. Boehnlein, Naomi Breslau, Whitney Duncan, Byron J. Good, Mary-Jo DelVecchio Good, Jesse H. Grayman, Bridget M. Haas, Devon E. Hinton, Erica James, Janis H. Jenkins, Hanna Kienzler, Brandon Kohrt, Roberto Lewis-Fernandez, Richard J. McNally, Theresa D. O'Nell, Duncan Pedersen, Nawaraj Upadhaya, Carol M. Worthman, Allan Young.

This book examines the phenomenon of social withdrawal in Japan, which ranges from school non-attendance to extreme forms of isolation and confinement, known as hikikomori. Based on extensive original research including interview research with a range of practitioners involved in dealing with the phenomenon, the book outlines how hikikomori expresses itself, how it is treated and dealt with and how it has been perceived and regarded in Japan over time. The author, a clinical psychologist with extensive experience of practice, argues that the phenomenon although socially unacceptable is not homogenous, and can be viewed not as a mental disorder, but as an idiom of distress, a passive and effective way of resisting the many great pressures of Japanese schooling and of Japanese society more widely. The Open Access version of this book, available at http://www.taylorfrancis.com/books/e/9781351260800, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives (CCBY-NC-ND) licence.

This reader offers some of the most important writing to date from the science of COVID-19 and what science says about its spread and social implications. The readings have been carefully selected, introduced, and interpreted for an introductory or graduate student readership by a distinguished medical sociology and political science team. While some of the early science was inaccurate, lacking sufficient data, or otherwise incomplete, the author team has selected the most important and reliable early work for teachers and students in courses on medical sociology, public health, nursing, infectious diseases, epidemiology, anthropology of medicine, sociology of health and illness, social aspects of medicine, comparative health systems, health policy and management, health behaviors, and community health. Global in scope, the book tells the story of what happened and how COVID-19 was dealt with. Much of this material is in clinical journals, normally not considered in the social sciences, which are nonetheless informative and authoritative for student and faculty readers. Their selection and interpretation for students makes this concise reader an essential teaching source about COVID-19. An accompanying online resource on the book's Routledge web page will update and evolve by providing links to new readings as the science develops.

This book examines how Chinese-language newspapers across greater China report on severe mental illness, and why they do so in the ways they do, given that reporting in local newspapers can strongly influence how Chinese readers view the illness. By assessing how the reporting in three leading broadsheet newspapers from mainland China, Hong Kong, and Taiwan constructs the illness, the book considers how the distinct social and political histories of the three culturally Chinese communities shape the reporting, and whether it bears out or contests the intense stigma against the illness that prevails locally. The findings can usefully encourage and inform attempts to humanise, include, and empower those with a severe mental illness across greater China and the global Chinese diaspora. Employing a well-tested, transparent discourse analytic approach, the book also includes numerous Chinese-English bilingual news report extracts to illustrate its claims. As such, Reporting Mental Illness in China will be of interest to sinologists, discourse analysts, mental health professionals and public health authorities across the globe, especially in places where there are large Chinese-speaking populations.

Care, whether viewed as acts of civility, acts of compassion and skill, or acts of close personal interaction, is the fundamental process by which society perpetuates and recreates itself. Despite social need and the undeniable benefit of occupations such as Certified Nursing Assistants (CNAs), these workers-mostly female and disproportionally from minority groups-face very low wages, a notable lack of respect, and little public recognition of their abilities. The United States is experiencing what experts call a crisis of care with a current and growing shortage of nurses and CNAs. In U.S. Nursing Centers, the demand for Certified Nursing Assistants, the largest group of employees who operate on the front line of health care, is expected to grow exponentially due to dramatic increases in population aging. Over the course of a year and a half, Anne K. Vittoria examined the meaning and social construction of care work on an Alzheimer's Pavilion located in a geriatric facility in the mid-western United States. Through in-depth ethnographic research focused on the local culture and logic of care, Vittoria documents that, when given autonomy in their daily work in an institution, CNAs and the LPN Charge Nurse constructed a systematic body of knowledge and created a language of care-forging a "different" model of personal care in resistance to the medical model of care. This book challenges the assumptions of the outside world that low-level workers are alienated from their work and have minimal skills. Paradoxically, the Pavilion is both a refuge and a site of struggle for the CNAs; they desire to create a world that is the antithesis of the world in which they live on the outside. Women of Color in a World Apart provides a public forum for the voices of women of color, the development of concepts, and a practical as well as theoretical language of care that could be transformational in connecting the meanings of care with the organization of care.

Care, whether viewed as acts of civility, acts of compassion and skill, or acts of close personal interaction, is the fundamental process by which society perpetuates and recreates itself. Despite social need and the undeniable benefit of occupations such as Certified Nursing Assistants (CNAs), these workers-mostly female and disproportionally from minority groups-face very low wages, a notable lack of respect, and little public recognition of their abilities. The United States is experiencing what experts call a crisis of care with a current and growing shortage of nurses and CNAs. In U.S. Nursing Centers, the demand for Certified Nursing Assistants, the largest group of employees who operate on the front line of health care, is expected to grow exponentially due to dramatic increases in population aging. Over the course of a year and a half, Anne K. Vittoria examined the meaning and social construction of care work on an Alzheimer's Pavilion located in a geriatric facility in the mid-western United States. Through in-depth ethnographic research focused on the local culture and logic of care, Vittoria documents that, when given autonomy in their daily work in an institution, CNAs and the LPN Charge Nurse constructed a systematic body of knowledge and created a language of care-forging a "different" model of personal care in resistance to the medical model of care. This book challenges the assumptions of the outside world that low-level workers are alienated from their work and have minimal skills. Paradoxically, the Pavilion is both a refuge and a site of struggle for the CNAs; they desire to create a world that is the antithesis of the world in which they live on the outside. Women of Color in a World Apart provides a public forum for the voices of women of color, the development of concepts, and a practical as well as theoretical language of care that could be transformational in connecting the meanings of care with the organization of care.

Haemophilia in Aotearoa New Zealand provides a richly detailed analysis of the experience of the bleeding disorder of haemophilia based on longterm ethnographic research. The chapters consider experiences of diagnosis; how parents, children, and adults care and integrate medical routines into family life; the creation of a gendered haemophilia; the use and ethical dilemmas of new technologies for treatment, testing and reproduction; and how individuals and the haemophilia community experienced the infected blood tragedy and its aftermath, which included extended and ultimately successful political struggles with the neoliberalising state. The authors reveal a complex interplay of cultural values and present a close-up view of the effects of health system reforms on lives and communities. While the book focuses on the local biology of haemophilia in Aotearoa New Zealand, the analysis allows for comparison with haemophilia elsewhere and with other chronic and genetic conditions.

Medical Materialities investigates possible points of cross-fertilisation between medical anthropology and material culture studies, and considers the successes and limitations of both sub-disciplines as they attempt to understand places, practices, methods, and cultures of healing. The editors present and expand upon a definition of 'medical materiality', namely the social impact of the agency of often mundane, at times non-clinical, materials within contexts of health and illness, as caused by the properties and affordances of this material. The chapters address material culture in various clinical and biomedical contexts and in discussions that link the body and healing. The diverse ethnographic case studies provide valuable insight into the way cultures of medicine are understood and practised.

Ancestral Diets and Nutrition supplies dietary advice based on the study of prehuman and human populations worldwide over the last two million years. This thorough, accessible book uses prehistory and history as a laboratory for testing the health effects of various foods. It examines all food groups by drawing evidence from skeletons and their teeth, middens, and coprolites along with written records where they exist to determine peoples' health and diet. Fully illustrated and grounded in extensive research, this book enhances knowledge about diet, nutrition, and health. It appeals to practitioners in medicine, nutrition, anthropology, biology, chemistry, economics, and history, and those seeking a clear explanation of what humans have eaten across the ages and what we should eat now. Features: Sixteen chapters examine fat, sweeteners, grains, roots and tubers, fruits, vegetables, and animal and plant sources of protein. Integrates information about diet, nutrition, and health from ancient, medieval, modern and current sources, drawing from the natural sciences, social sciences, and humanities. Provides comprehensive coverage based on the study of several hundred sources and the provision of over 2,000 footnotes. Presents practical information to help shape readers' next meal through recommendations of what to eat and what to avoid.

Olumwullah examines disease, biomedicine, and processes of social change among the AbaNyole of Western Kenya and analyzes the introduction and use of biomedicine as a cultural tool of domination by British colonizers and the AbaNyole's reaction to this therapeutic tradition and its technologies. He argues that biomedicine is a tool that the colonizers used to think about the colonized. Through an examination of ideas about order and disorder in Nyole cosmology, Nyole experiences with new diseases and biomedical practices that were brought to bear on these diseases; and how these experiences and the meanings they produced transformed metaphors of disease, illness, and healing, this study argues that, just as colonialism was more than a quest for the construction of exploitative political and economic institutions, so was biomedicine more than a mere matter of scientific interest based on benevolent neutrality.

By setting the terms of discourse between the West and the African culural environment, and by insinuating itself at the center of contestation over knowledge between a British science and African ways of knowing, colonial biomedical science turned the African body into a site of colonizing power and of contestation between the colonized and the colonizer. Narratives about the incidence of diseases like the plague were in themselves experiences of suffering that opened a window to how local knowledge about disease etiology and disease causation was produced among the AbaNyole. Instead of being passive victims of capitalistic forces of domination and exploitation, the Nyole confronted biomedicine as its assemblage of practices inhabited, passed through, transformed, conserved, or escaped the terrain sketched by a pre-European Nyole worldview. Conventioanl expectations about disease as misfortune were altered as colonialism came to be seen and experienced as a form of social death the AbaNyole had never before encountered.

Offers the most up to date research on the subject

This book focuses on developing the use of ethnographic research for rehabilitation practitioners by recognizing its value methodologically and empirically in the field of rehabilitation. The very nature of ethnographic research offers an array of opportunities for researchers to understand the social world around them. The book identifies the multifaceted use of ethnographic methods in the rehabilitation setting. It touches on how acute and chronic conditions can affect the nature of ethnographic work in attempts to offer originality in a range of rehabilitation settings. Readers will find this collection of examples useful for informing their own research, and it aims to enlighten new discussion and arguments regarding both methodological and empirical use of ethnographic work internationally.

The problem of addiction is one of the major challenges and controversies confronting medicine and society. It also poses important and complex philosophical and scientific problems. What is addiction? Why does it occur? And how should we respond to it, as individuals and as a society? The Routledge Handbook of Philosophy and Science of Addiction is an outstanding reference source to the key topics, problems and debates in this exciting subject. It spans several disciplines and is the first collection of its kind. Organised into three clear parts, forty-five chapters by a team of international contributors examine key areas, including: the meaning of addiction to individuals conceptions of addiction varieties and taxonomies of addiction methods and models of addiction evolution and addiction history, sociology and anthropology population distribution and epidemiology developmental processes vulnerabilities and resilience psychological and neural mechanisms prevention, treatment and spontaneous recovery public health and the ethics of care social justice, law and policy. Essential reading for students and researchers in addiction research and in philosophy, particularly philosophy of mind and psychology and ethics, The Routledge Handbook of Philosophy and Science of Addiction will also be of great interest to those in related fields, such as medicine, mental health, social work, and social policy.

Originally published in 1986, this book draws upon a range of authors to reflect wide interest in systematising traditional medicine, and to include material on significant instances of regulation or organisation. It was the first book to study the efforts of traditional healers and their newly formed professional associations and as such constitutes a pioneering collection of sources. Because of the changing position of traditional medicine it may well also be a unique record: before long what is described here will largely have disappeared.

Extensive social science research, particularly by anthropologists, has explored women's reproductive lives, their use of reproductive technologies, and their experiences as mothers and nurturers of children. Meanwhile, few if any volumes have explored men's reproductive concerns or contributions to women's reproductive health: Men are clearly viewed as the "second sex" in reproduction. This volume argues that the marginalization of men is an oversight of considerable proportions. It sheds new light on male reproduction from a cross-cultural, global perspective, focusing not only upon men in Europe and America but also those in the Middle East, Asia, and Latin America. Both heterosexual and homosexual, married and unmarried men are featured in this volume, which assesses concerns ranging from masculinity and sexuality to childbirth and fatherhood.

Transforming Cities examines the profound changes that have characterised cities of the advanced capitalist societies in the final decades of the twentieth century. It analyses ways in which relationships of contest, conflict and co-operation are realised in and through the social and spatial forms of contemporary urban life. This book focuses on the impact of economic restructuring and changing forms of urban deprivation and social exclusion. It contends that these processes are creating new patterns of social division and new forms of regulation and control.

There are not many areas that are more rooted in both the biological and social-cultural aspects of humankind than diet and nutrition. Throughout human history nutrition has been shaped by political, economic, and cultural forces, and in turn, access to food and nutrition has altered the course and direction of human societies. Using a biocultural approach, the contributors to this volume investigate the ways in which food is both an essential resource fundamental to human health and an expression of human culture and society. The chapters deal with aspects of diet and human nutrition through space and time and span prehistoric, historic, and contemporary societies spread over various geographical regions, including Europe, North America, Africa, and Asia to highlight how biology and culture are inextricably linked.

A ground-breaking ethnographic study of suckling in the Arabian Gulf , this book reenergises the study of kinship. It analyses the misunderstood and marginalized phenomenon of suckling drawing on ethnographic fieldwork in Qatar over a seven-year period. Fadwa El Guindi situates suckling (often given other names or subsumed under misleading classifications) squarely in the analytical category of kinship, with recognition that kinship is necessarily biological, societal and cultural. The volume takes kinship study beyond origins, nature-culture debates, and social nurturing and relatedness, and challenges claims of deterministic, reductionist formulas. As well as key reading for those involved in milk kinship research, this book is valuable for anthropologists, Middle East scholars and others with an interest in breastfeeding, family and social organisation, and religion.

Recognizing the interplay between biomedicine and indigenous medicine among the Mapuche in Southern Chile, this book explores notions of culture and personhood through the bodily experiences and medical choices of patients. Through case studies of patients in the context of medical pluralism, Kristensen argues that medical practices are powerful social symbol indicative of overarching socio-political processes. As certain types of extreme and violent experiences-known as olvidos-lack a framework that allows them to be expressed openly, they therefore surface as symptoms of an illness, often with no apparent organic pathology. In these contexts, indigenous medicine, thanks to its sensitivity to socio-political contexts, provides a space for articulation and management of collective experiences and suffering among patients in Southern Chile.

First published in 1980, The limbo people is based upon research carried out in a day centre ('the Centre') for elderly Jewish people in a London Borough and studies the experience and the conception of time among the elderly. The development of the arguments concerning time was founded on (a) the relationship between the community of participants and the outside world; and (b) the construction of events and interactions between participants at the Centre. The organization of this book re-enacts the process of reconstituting time as manifested in the Centre, against the background of the participants previous experiences, and in terms of their present existential situations. This book will be of interest to students of sociology, anthropology and gerontology.

A diagnosis of dementia changes the ways people engage with each other - for those living with dementia, as well their families, caregivers, friends, health professionals, neighbours, shopkeepers and the community. Medical understandings, necessary as they are, provide no insights into how we may all live good lives with dementia. This innovative volume brings together an interdisciplinary group of researchers and practitioners to focus on dementia as lived experience. It foregrounds dementia's social, moral, political and economic dimensions, investigating the challenges of reframing the dementia experience for all involved. Part I critiques the stigmas, the negativity, language and fears often associated with a dementia diagnosis, challenging debilitating representations and examining ways to tackle these. Part II examines proactive practices that can support better long-term outcomes for those living with dementia. Part III looks at the relational aspects of dementia care, acknowledging and going beyond the notion of person-centred care. Collectively, these contributions highlight the social and relational change required to enhance life for those with dementia and those who care for them. Engaging in a critical conversation around personhood and social value, this book examines the wider social contexts within which dementia care takes place. It calls for social change, and looks for inspiration to the growing movement for relational care and the caring society. Dementia as Social Experience is important reading for all those people who, in various ways, are living with dementia, as well as for those working in this area as clinicians, researcher and carers.

Adopting an anthrozoological perspective to study the participation of non-human animals in regimes of care, this book examines the use of canine scent detection to alert 'hypo-unaware' individuals to symptoms of human chronic illness. Based on ethnographic research and interviews, it focuses on the manner in which trained assistance dogs are able to use their sense of smell to alert human companions with Type 1 diabetes to imminent hypoglycaemic episodes, thus reducing the risk of collapse into unconsciousness, coma or, at worst, death. Through analyses of participant narrations of the everyday complexities of 'doing' diabetes with the assistance of medical alert dogs, the author sheds light on the way in which each human-canine dyad becomes acknowledged as a team of 'one' in society. Based on the concept of dogs as friends and work colleagues, as animate instruments and biomedical resources, the book raises conceptual questions surrounding the acceptable use of animals and their role within society. As such, this volume will appeal to scholars across the social sciences with interests in human-animal interactions and intersections. It may also appeal to healthcare practitioners and individuals interested in innovative multispecies methods of managing chronic illness.

Over the last two decades, attempts to control the problem of tuberculosis have become increasingly more complex, as countries adopt and adapt to evolving global TB strategies. Significant funding has also increased apace, diagnostic possibilities have evolved, and greater attention is being paid to developing broader health systems. Against this background, this book examines tuberculosis control through an anthropological lens. Drawing on ethnographic case studies from China, India, Nepal, South Africa, Romania, Brazil, Ghana and France, the volume considers: the relationship between global and national policies and their unintended effects; the emergence and impact of introducing new diagnostics; the reliance on and use of statistical numbers for representing tuberculosis, and the politics of this; the impact of the disease on health workers, as well as patients; the rise of drug-resistant forms; and issues of attempted control. Together, the examples showcase the value of an anthropological understanding to demonstrate the broader bio-political and social dimensions of tuberculosis and attempts to deal with it.