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.

Drug use is widely understood in terms of its subjects, substances and settings. But what happens when these distinctions start to blur? Injecting Bodies in More-than-Human Worlds moves away from a hierarchical conceptualisation of drug use based on its subjects and their objects, offering unique and fresh insights into the complex world of injecting drugs. Focussing on the Deleuzian notion of bodies-in-process, Dennis proposes a new and timely approach to drugs where agency materialises in relation to others - human and not. Using rich, ethnographic data to demonstrate bodies' in/capacities to act through their relationality, Dennis carefully maps out where bodies are thought, practised, lived and intervened-with: caught in tension between pleasure and addiction, activity and passivity, 'becoming-other' and 'becoming-blocked', and making and breaking habits. Arguing for a deeper engagement both with how bodies are enacted and with our collective responsibility to bring them together in healthier ways, this volume offers a unique intervention into the sociology of drugs and, more widely, health and illness. It will appeal to students and researchers interested in fields such as Science and Technology Studies, Sociology and Social Policy, Drugs and Addiction, and Health and Medical Anthropology.

Setting out to challenge various common assumptions in risk research, this collection explores how uncertainty is handled in a range of social contexts across the globe. Social science research often emphasises the salience of risk and uncertainty for grasping the dynamics of late-modern societies, with theoretical frameworks tending to associate the emergence of risk with particular, fairly homogenous, European or 'North-Western' paths of modernisation. These theoretical narratives can be seen as shaping various assumptions regarding 'risk cultures', not least associations with post-traditional, largely secular and liberal characteristics. Risk is therefore analysed in terms of modern, active, 'rational' citizens, meanwhile faith, hope or magic are implicitly relegated to the past, the oriental, the passive and/or the irrational. Central to the book is the consideration of risk across a range of different modernities. While the precise meaning and organisational processes of risk vary, we see the common combining of risk, faith, magic and hope as people go forward amid uncertain circumstances. Whether seeking health amid illness, survival amid flooding, or safety amid migration, we explore the pertinence of risk around the globe. We also stress the ubiquity of faith and the magical in various modern settings. This book was originally published as a special issue of Health, Risk & Society.

Tobacco has become one of the most widely used and traded commoditites on the planet. Reflecting contemporary anthropological interest in material culture studies, Anthropology of Tobacco makes the plant the centre of its own contentious, global story in which, instead of a passive commodity, tobacco becomes a powerful player in a global adventure involving people, corporations and public health. Bringing together a range of perspectives from the social and natural sciences as well as the arts and humanities, Anthropology of Tobacco weaves stories together from a range of historical, cross-cultural and literary sources and empirical research. These combine with contemporary anthropological theories of agency and cross-species relationships to offer fresh perspectives on how an apparently humble plant has progressed to world domination, and the consequences of it having done so. It also considers what needs to happen if, as some public health advocates would have it, we are seriously to imagine 'a world without tobacco'. This book presents students, scholars and practitioners in anthropology, public health and social policy with unique and multiple perspectives on tobacco-human relations.

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.

Over the past decades, infectious disease epidemics have come to increasingly pose major global health challenges to humanity. The Anthropology of Epidemics approaches epidemics as total social phenomena: processes and events which encompass and exercise a transformational impact on social life whilst at the same time functioning as catalysts of shifts and ruptures as regards human/non-human relations. Bearing a particular mark on subject areas and questions which have recently come to shape developments in anthropological thinking, the volume brings epidemics to the forefront of anthropological debate, as an exemplary arena for social scientific study and analysis.

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.

"[S]heds light not only on the obstacles to making motherhood safer, but to improving the health of poor populations in general."-Social Anthropology Since 1987, when the global community first recognized the high frequency of women in developing countries dying from pregnancy-related causes, little progress has been made to combat this problem. This study follows the global policies that have been implemented in Solola, Guatemala in order to decrease high rates of maternal mortality among indigenous Mayan women. The author examines the diverse meanings and understandings of motherhood, pregnancy, birth and birth-related death among the biomedical personnel, village women, their families, and midwives. These incongruous perspectives, in conjunction with the implementation of such policies, threaten to disenfranchise clients from their own cultural understandings of self. The author investigates how these policies need to meld with the everyday lives of these women, and how the failure to do so will lead to a failure to decrease maternal deaths globally. From the Introduction: An unspoken effect of reducing maternal mortality to a medical problem is that life and death become the only outcomes by which pregnancy and birth are understood. The specter of death looms large and limits our full exploration of either our attempts to curb maternal mortality, or the phenomenon itself. Certainly women's survival during childbirth is the ultimate measure of success of our efforts. Yet using pregnancy outcomes and biomedical attendance at birth as the primary feedback on global efforts to make pregnancy safer is misguided.

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.

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.

What is illness? Is it a physiological dysfunction, a social label, or a way of experiencing the world? How do the physical, social, and emotional worlds of a person change when they become ill? Can there be well-being within illness? In this remarkable and thought-provoking book, Havi Carel explores these questions by weaving together the personal story of her own illness with insights and reflections drawn from her work as a philosopher. Carel's fresh approach to illness raises some uncomfortable questions about how we all - whether healthcare professionals or not - view the ill, challenging us to become more thoughtful. Illness unravels the tension between the universality of illness and its intensely private, often lonely, nature. It offers a new way of looking at a matter that affects every one of us. Revised and updated throughout, the third edition of this groundbreaking volume includes a new chapter on organ transplantation. Illness: The Cry of the Flesh will prove essential reading to those studying philosophy, medical ethics, and medical anthropology, as well as those in the healthcare and medical professions. It will also be of interest to individuals who live with illness, and their friends and families.

The dominance of "illness narratives" in narrative healing studies has tended to mean that the focus centers around the healing of the individual. Meza proposes that this emphasis is misplaced and the true focus of cultural healing should lie in managing the disruption of disease and death (cultural or biological) to the individual's relationship with society. By explicating narrative theory through the lens of cognitive anthropology, Meza reframes the epistemology of narrative and healing, moving it from relativism to a philosophical perspective of pragmatic realism. Using a novel combination of narrative theory and cognitive anthropology to represent the ethnographic data, Meza's ethnography is a valuable contribution in a field where ethnographic records related to medical clinical encounters are scarce. The book will be of interest to scholars of medical anthropology and those interested in narrative history and narrative medicine.

Research on health involves evaluating the disparities that are systematically associated with the experience of risk, including genetic and physiological variation, environmental exposure to poor nutrition and disease, and social marginalization. This volume provides a unique perspective - a comparative approach to the analysis of health disparities and human adaptability - and specifically focuses on the pathways that lead to unequal health outcomes. From an explicitly anthropological perspective situated in the practice and theory of biosocial studies, this book combines theoretical rigor with more applied and practice-oriented approaches and critically examines infectious and chronic diseases, reproduction, and nutrition.

A proliferation of press headlines, social science texts and "ethical" concerns about the social implications of recent developments in human genetics and biomedicine have created a sense that, at least in European and American contexts, both the way we treat the human body and our attitudes towards it have changed. This volume asks what really happens to social relations in the face of new types of transaction - such as organ donation, forensic identification and other new medical and reproductive technologies - that involve the use of corporeal material. Drawing on comparative insights into how human biological material is treated, it aims to consider how far human bodies and their components are themselves inherently "social." The case studies - ranging from animal-human transformations in Amazonia to forensic reconstruction in post-conflict Serbia and the treatment of Native American specimens in English museums - all underline that, without social relations, there are no bodies but only "human remains." The volume gives us new and striking ethnographic insights into bodies as sociality, as well as a potentially powerful analytical reconsideration of notions of embodiment. It makes a novel contribution, too, to "science and society" debates.

This book describes community ophthalmology professionals in South Asia who demonstrate social entrepreneurship in global health to help the rural poor. Their innovations contested economic and scientific norms, and spread from India and Nepal outwards to other countries in Africa and Asia, as well as the United States, Australia, and Finland. This feminist postcolonial global ethnography illustrates how these innovations have resulted in dual socio-technical systems to solve the problem of avoidable blindness. Policymakers and activists might use this example of how to avoid Schumacher's critique of low labor, large scale and implement Gandhi's philosophy of good for all.

Cancer is a transnational condition involving the unprecedented flow of health information, technologies, and people across national borders. Such movement raises questions about the nature of therapeutic citizenship, how and where structurally vulnerable populations obtain care, and the political geography of blame associated with this disease. This volume brings together cutting-edge anthropological research carried out across North and South America, Europe, Africa and Asia, representing low-, middle- and high-resource countries with a diversity of national health care systems. Contributors ethnographically map the varied nature of cancer experiences and articulate the multiplicity of meanings that survivorship, risk, charity and care entail. They explore institutional frameworks shaping local responses to cancer and underlying political forces and structural variables that frame individual experiences. Of particular concern is the need to interrogate underlying assumptions of research designs that may lead to the naturalizing of hidden agendas or intentions. Running throughout the chapters, moreover, are considerations of moral and ethical issues related to cancer treatment and research. Thematic emphases include the importance of local biologies in the framing of cancer diagnosis and treatment protocols, uncertainty and ambiguity in definitions of biosociality, shifting definitions of patienthood, and the sociality of care and support. Chapter 3 of this book is freely available as a downloadable Open Access PDF at www.tandfebooks.com/openaccess. It has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license.

This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris's framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease's naming and experience.

Drawing on the case of HIV/AIDS in Thailand, this book examines how anthropological and other interpretative social science research has been utilized in modeling the AIDS epidemic, and in the design and implementation of interventions. It argues that much social science research has been complicit with the forces that generated the epidemic and with the social control agendas of the state, and that as such it has increased the weight of structural violence bearing upon the afflicted. The book also questions claims of Thai AIDS control success, arguing that these can only be made at the cost of excluding categories such as intravenous drug users, the incarcerated, and homosexuals, who continue to experience extraordinarily high levels of levels of HIV infection. Considered deviant and undeserving, these persons have deliberately been excluded from harm reduction programs. Overall, this work argues for the untapped potential of anthropological research in the health field, a confident anthropology rooted in ethnography and a critical reflexivity. Crucially, it argues that in context of interdisciplinary collaborations, anthropological research must refuse relegation to the status of an adjunct discipline, and must be free epistemologically and methodologically from the universalizing assumptions and practices of biomedicine.

Breastfeeding: New Anthropological Approaches unites sociocultural, biological, and archaeological anthropological scholarship to spark new conversations and research about breastfeeding. While breastfeeding has become the subject of intense debate in many settings, anthropological perspectives have played a limited role in these conversations. The present volume seeks to broaden discussions around breastfeeding by showcasing fresh insights gleaned from an array of theoretical and methodological approaches, which are grounded in the close study of people across the globe. Drawing on case studies and analyses of key issues in the field, the book highlights the power of anthropological research to illuminate the evolutionary, historical, biological, and sociocultural context of the complex, lived experience of breastfeeding. By bringing together researchers across three anthropological subfields, the volume seeks to produce transformative knowledge about human lactation, breastfeeding, and human milk. This book is a key resource for scholars of medical and biological anthropology, evolutionary biology, bioarchaeology, sociocultural anthropology, and human development. Lactation professionals and peer supporters, midwives, and others who support infant feeding will find the book an essential read.

For over twenty years, A History of Anthropological Theory has provided a strong foundation for understanding anthropological thinking, tracing how the discipline has evolved from its origins to the present day. The sixth edition of this important text offers substantial updates throughout, including more balanced coverage of the four fields of anthropology, an entirely new section on the Anthropocene, and significantly revised discussions of public anthropology, gender and sexuality, and race and ethnicity. Written in accessible prose and enhanced with illustrations, key terms, and study questions in each section, this text remains essential reading for those interested in studying the history of anthropology. On its own or used with the companion volume, Readings for a History of Anthropological Theory, sixth edition, this text provides comprehensive coverage in a flexible and easy-to-use format for teaching in the anthropology classroom.

This book offers an accessible and up-to-date reference on primate zoonoses. Recent years have witnessed a rise in human diseases zoonotically transferred from animals, with wild primates implicated in the spread of numerous newly emerging infections. The authors go beyond simply providing an inventory of diseases, helping readers to understand how and why they are transmitted. Important consideration is given to the contemporary cultural and ecological factors involved.

Setting out to challenge various common assumptions in risk research, this collection explores how uncertainty is handled in a range of social contexts across the globe. Social science research often emphasises the salience of risk and uncertainty for grasping the dynamics of late-modern societies, with theoretical frameworks tending to associate the emergence of risk with particular, fairly homogenous, European or 'North-Western' paths of modernisation. These theoretical narratives can be seen as shaping various assumptions regarding 'risk cultures', not least associations with post-traditional, largely secular and liberal characteristics. Risk is therefore analysed in terms of modern, active, 'rational' citizens, meanwhile faith, hope or magic are implicitly relegated to the past, the oriental, the passive and/or the irrational. Central to the book is the consideration of risk across a range of different modernities. While the precise meaning and organisational processes of risk vary, we see the common combining of risk, faith, magic and hope as people go forward amid uncertain circumstances. Whether seeking health amid illness, survival amid flooding, or safety amid migration, we explore the pertinence of risk around the globe. We also stress the ubiquity of faith and the magical in various modern settings. This book was originally published as a special issue of Health, Risk & Society.

First published in 1992, Quality and Regulation in Health Care employs socio-legal ideas concerning regulation to examine the methods used to influence the quality of health care in the US, UK, and Western Europe. Throughout the Western world, health care systems, both public and private, are grappling with the problems of assuring quality while containing costs. On the one hand, governments and insurers argue that there must be some limit to the apparently endless growth of health care expenditures. On the other, patient groups and consumer advocates, already dissatisfied by the problems in holding doctors accountable for their actions, protest that such limits must not result in sick people getting inferior treatment. This book examines in detail the debate surrounding the question: How can the professional expertise of the clinicians be reconciled with the preferences of their patients and the economic concerns of taxpayers or insurers? It will be essential reading for graduate and undergraduate courses in health policy, medical sociology, and health law.

This book investigates the ways in which context shapes how cognitive challenges and strengths are navigated and how these actions impact the self-esteem of individuals with dementia and their conversational partners. The author examines both the language used and face maintenance in everyday social interaction through the lens of epistemic discourse analysis. In doing so, this work reveals how changes in cognition may impact the faces of these individuals, leading some to feel ashamed, anxious, or angry, others to feel patronized, infantilized, or overly dependent, and still others to feel threatened in both ways. It further examines how discursive choices made by healthy interactional partners can minimize or exacerbate these feelings. This path-breaking work will provide important insights for students and scholars of sociolinguistics, applied linguistics, medical anthropology, and health communication.

In Thailand, infertility remains a source of stigma for those couples that combine a range of religious, traditional and high-tech interventions in their quest for a child. This book explores this experience of infertility and the pursuit and use of assisted reproductive technologies by Thai couples. Though using assisted reproductive technologies is becoming more acceptable in Thai society, access to and choices about such technologies are mediated by differences in class position. These stories of women and men in private and public infertility clinics reveal how local social and moral sensitivities influence the practices and meanings of treatment.