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.

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.

A narrative ethnography about a Ugandan woman and her relatives, this novelistic, fine-grained volume shows how global questions of responsibility and inequity travel in family networks and confront people with decisions about life and death. It is a story of existence under extremely challenging conditions, about belonging and marginalization, about the opacity and ambiguity of social relations, and about growing up in a country haunted by violence and civil war only to be later lifted by optimism and devastated anew by the AIDS epidemic. The story draws on long-term fieldwork and letters from the woman who takes centre stage in the story, while at once providing unique and privileged insight into the ethical challenges of a research method that demands personal involvement that is ultimately withdrawn for scholarly analysis.

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.

Banking on Milk takes the reader on a journey through the everyday life of donor human milk banking across the United Kingdom (UK) and beyond, asking questions such as the following: Why do people decide to donate? How do parents of recipients hear about human milk? How does milk donation impact on lifestyle choices? Chapters record the practical everyday reality of work in a milk bank by drawing on extensive ethnographic observations and sensitive interview data from donors, mothers of recipients and the staff of four different milk banks from across the UK, and visits to milk banks across Europe and North America. It discusses the ongoing pressures to do with supply, demand and distribution. An empirically informed "ethnography of the contemporary", where both biosociality and biopower abound, this book includes an exploration of how milk banks evolved from registering wet nurses with hospitals, showing how a regulatory culture of medical authority began to quantify and organize human milk as a commodity. This book is a valuable read for all those with an interest in breastfeeding or organ and tissue donation from a range of fields, including midwifery, sociology, anthropology, geography, cultural studies and public health.

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.

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.

Focusing on practice more than theory, this collection offers new perspectives for studying the so-called "humoral medical traditions," as they have flourished around the globe during the last 2,000 years. Exploring notions of "balance" in medical cultures across Eurasia, Africa and the Americas, from antiquity to the present, the volume revisits "harmony" and "holism" as main characteristics of those traditions. It foregrounds a dynamic notion of balance and asks how balance is defined or conceptualized, by whom, for whom and in what circumstances. Balance need not connote egalitarianism or equilibrium. Rather, it alludes to morals of self care exercised in place of excessiveness and indulgences after long periods of a life in dearth. As the moral becomes visceral, the question arises: what constitutes the visceral in a body that is in constant flux and flow? How far, and in what ways, are there fundamental properties or constituents in those bodies?

Peregrine Horden is Professor of Medieval History at Royal Holloway, University of London, and an Extraordinary Research Fellow of All Souls College, Oxford. He is co-author of The "Corrupting Sea: A Study of Mediterranean History" (with Nicholas Purcell, Blackwell, 2000) and author of "Hospitals and Healing from Antiquity to the Later Middle Ages" (Ashgate, 2008). He is also writing a general book on early hospitals for Yale University Press.

Elisabeth Hsu is Professor of Anthropology at the Institute of Social and Cultural Anthropology of the University of Oxford, and Governing Body Fellow of Green Templeton College. Recent co-edited volumes include "Wind, Life, Health" (with Chris Low, Blackwell, 2008) and "Plants, Health and Healing: On the Interface of Ethnobotany and Medical Anthropology" (with Stephen Harris, Berghahn Books, 2010). Her most recent authored book is "Pulse Diagnosis in Early Chinese Medicine: The Telling Touch" (Cambridge University Press, 2010).

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.

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.

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.

There is a growing interest in studies that document the relationship between science and medicine - as ideas, practices, technologies and outcomes - across cultural, national, geographic terrain. Tibetan medicine is not only known as a scholarly medical tradition among other Asian medical systems, with many centuries of technological, clinical, and pharmacological innovation; it also survives today as a complex medical resource across many Asian nations - from India and Bhutan to Mongolia, Tibet (TAR) and China, Buryatia - as well as in Western Europe and the Americas. The contributions to this volume explore, in equal measure, the impacts of western science and biomedicine on Tibetan grounds - i.e., among Tibetans across China, the Himalaya and exile communities as well as in relation to globalized Tibetan medicine - and the ways that local practices change how such "science" gets done, and how this continually hybridized medical knowledge is transmitted and put into practice. As such, this volume contributes to explorations into the bi-directional flows of medical knowledge and practice.

The HIV/AIDS epidemic in sub-Saharan Africa has been addressed and perceived predominantly through the broad perspectives of social and economic theories as well as public health and development discourses. This volume however, focuses on the micro-politics of illness, treatment and death in order to offer innovative insights into the complex processes that shape individual and community responses to AIDS. The contributions describe the dilemmas that families, communities and health professionals face and shed new light on the transformation of social and moral orders in African societies, which have been increasingly marginalised in the context of global modernity.

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.

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.

How and to what extent have Islamic legal scholars and Middle Eastern lawmakers, as well as Middle Eastern Muslim physicians and patients, grappled with the complex bioethical, legal and social issues that are raised in the process of attempting to conceive life in the face of infertility? This path-breaking volume explores the influence of Islamic attitudes on assisted reproductive technologies (ARTs) and reveals the variations in both the Islamic jurisprudence and the cultural responses to ARTs.

As bio-capital in the form of medical knowledge, skills and investments moves with greater frequency from its origin in First World industrialized settings to resource-poor communities with weak or little infrastructure, countries with emerging economies are starting to expand new indigenous science bases of their own. The case studies here, from the UK, West Africa, Sri Lanka, Papua New Guinea, Latin America and elsewhere, explore the forms of collaborative knowledge relations in play and the effects of ethics review and legal systems on local communities, and also demonstrate how anthropologically-informed insights may hope to influence key policy debates. Questions of governance in science and technology, as well as ethical issues related to bio-innovation, are increasingly being featured as topics of complex resourcing and international debate, and this volume is a much-needed resource for interdisciplinary practitioners and specialists in medical anthropology, social theory, corporate ethics, science and technology studies.

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.

"This collection of ten essays is the latest major work to call for renewed attention to the topic of kinship], especially with respect to contemporary questions of how cultures relate to nature... It] is a welcome addition to the ongoing revival of kinship, and will stimulate further debate among its many participants." Ethnobiology Letters

The genealogical model has a long-standing history in Western thought. The contributors to this volume consider the ways in which assumptions about the genealogical model-in particular, ideas concerning sequence, essence, and transmission-structure other modes of practice and knowledge-making in domains well beyond what is normally labeled "kinship." The detailed ethnographic work and analysis included in this text explores how these assumptions have been built into our understandings of race, personhood, ethnicity, property relations, and the relationship between human beings and non-human species. The authors explore the influences of the genealogical model of kinship in wider social theory and examine anthropology's ability to provide a unique framework capable of bridging the "social" and "natural" sciences. In doing so, this volume brings fresh new perspectives to bear on contemporary theories concerning biotechnology and its effect upon social life.

Sandra Bamford is an Associate Professor at the University of Toronto. Her research focuses on Papua New Guinea and the West, with an emphasis on kinship, gender, landscape, environmentalism, globalization, and biotechnology. In addition to having authored several journal articles and book chapters, her most recent publications include: "Biology Unmoored: Melanesian Reflections on Life and Biotechnology" (University of California Press, 2006) and "Embodying Modernity and Postmodernity: Ritual, Praxis and Social Change in Melanesia" (Carolina Academic Press, 2007).

James Leach is Professor of Anthropology at the University of Aberdeen. Published works include "Creative Land: Place and Procreation on the Rai Coast of Papua New Guinea" (2003), "Reite Plants: An Ethnobotanical Study in Tok Pisin and English" (2010, with Porer Nombo), and "Recognising and Translating Knowledge, " 2012 "Anthropological Forum" Special Issue, ed with R. Davis).

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.

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.