Recognizing the significance of cultural aspects in the practice of medicine, this book places a strong emphasis on the social structure, customs, and history of the indigenous population and its ramifications on health care providers. The book also considers the econo-cultural influences on the way medicine is practiced. By including chapters that focus on health care's sudden advent as commodity and the microeconomic approach to public funding for health care facilities, the Nichters explore a world in which money and patients' expectations play an ever increasing role in the way health care is provided.
In this recently revised and updated edition of "Anthropology and International Health," prominent anthropologists Mark and Mimi Nichter examine some of the most significant health problems facing Southern Asia today and provide a critical assessment of the ways these problems are approached by those directly engaged in primary health care. This series of informative essays demonstrates th

Understanding one's health conditions plays a key role in a patient's response to illness, influencing stress levels and the likelihood of following treatment regimens and advice. Thus, the explanation of illness is a critical component of the interactions between health care providers and their patients. Emphasizing these exchanges and their potential for improving health and well being, Bryan B. Whaley has assembled this collection to serve both as a foundation for further research on explaining illness and as a resource for provider-patient interaction.
Contributors from the communication and health care disciplines examine the purpose and methods of explaining illness, as well as the role that illness explanations play in framing and reframing meaning and uncertainty regarding one's health welfare. Including theoretical, developmental, and cultural factors, the elegance of this book is the richness in the differences among populations and communication strategies, and the articulation of the intricacies of language, illness, and culture in the explanations.
As a resource for scholars and students of communication, medicine, nursing, public health, social work, and related areas, this volume establishes a benchmark from which to examine and evaluate current theory and strategies in explaining illness, and to launch systematic research endeavors. Health practitioners will also find the book invaluable in their exchanges with their patients, as a unique source of information on the factors influencing the explanation of illness.

"The Sociology of Medical Science and Technology" contributes to the growing debate about the relationship between science and medicine by bringing together approaches from two areas of sociology; the sociology of medicine, and the sociology of science and technology. Drawing on research in the United Kingdom, Europe, Australia, Japan and North America, this book provides a fascinating perspective on many key aspects of modern medicine.

Contributors examine the relationship between science and clinical practice, and the development, assessment and regulation of pharmaceutical products and health care technologies. The implications of the "new genetics" are also considered through case studies of genetic counseling practice and the development of genetic screening methods. Other chapters examine public understanding of science and medicine in the context of chronic disease. This book will form an invaluable resource to all those researching, teaching or studying modern health care.

This important collection of Margaret Pelling's essays brings together her key studies of health, medicine and poverty in Tudor and Stuart England - including a number published here for the first time. They show that - then as now - health and medical care were everyday obsessions of ordinary people in the Tudor and Stuart era. Margaret Pelling's book brings this vital dimension of the early modern world in from the periphery of specialist study to the heart of the concerns of social, economic and cultural historians.

Using data collected from 105 households in Sonora, Mexico, the author combines detailed ethnographic research with quantitative analyses of income, diet, and nutritional status to examine the dietary patterns of residents who "cook and cope among the cacti." Employing a new analytical concept of "available income" - which can differ greatly from total income and provide valuable insight into why people eat what they do - the work explores a variety of social and cultural factors that affect food expenditure and consumption. Home production of food and the extent to which women are employed outside of the home are just two of the many variables discussed that influence available income and how it is used. But even among groups with similar available incomes, variables of ethnicity, prestige, nutritional knowledge, and the desire for consumer goods come into play.

This text is a practical application of Foucault's archaeological and genealogical methods to the study of illness and modernity. It unravels the complex relationships that exist between the various types of discourses which have been engaged in the vast field of "psychosomatic" research since the early decades of the 20th century. From medicine and psychiatry to psychology and the social sciences, Monica Greco explores what the history of these different disciplines contributes to what we understand by the term "psychosomatic". She analyses how the study of psychosomatic illness can transform the way we think of illness, subjectivity and the ethics and politics of health, thus revealing the complex phenomenon of psychosomatics in all its ethical and political ramifications.

Though Foucault is now widely taught in universities, his writings are notoriously difficult. Reassessing Foucault critically examines the implications of his work for students and researchers in a wide range of areas in the social and human sciences.
Focusing on the social history of medicine, successive chapters deal with his historiographical, methodological and philosophical writings, his ideas about prisons, hospitals, madness and disease, and his thinking about the body.
The book also suggests ways in which Foucault's influence will continue to dominate cultural history and the social sciences.

The social anthropology of sickness and health has always been concerned with religious cosmologies: how societies make sense of such issues as prediction and control of misfortune and fate; the malevolence of others; the benevolence (or otherwise) of the mystical world; local understanding and explanations of the natural and ultra-human worlds. This volume presents differing categorizations and conflicts that occur as people seek to make sense of suffering and their experiences. Cosmologies, whether incorporating the divine or as purely secular, lead us to interpret human action and the human constitution, its ills and its healing and, in particular, ways which determine and limit our very possibilities.

Forbidden Narratives: Critical Autobiography as Social Science explores overlapping layers of voices and stories that convey the social relations of psychiatric survivor participation within a community mental health service system. It is written from the perspective of a woman who, in the course of working with the survivor movement, had a physical and emotional breakdown. Ironically, the author found herself personally confronted with issues she typically dealt with only from a distance: as a mental health professional, a researcher, and an activist.
The author of this volume writes herself into her work as a major character. Narratives such as this have traditionally been forbidden as outside proper professional standards. Now they are claiming and receiving attention. Forbidden Narratives has the power to speak to a broad audience not only of mental health professionals but also policy makers, sociologists and feminists. It is about the breaking up of professional discourse. It demonstrates and signals profound changes in the social sciences.

Near Human takes us into the borders of human and animal life. In the animal facility, fragile piglets substitute for humans who cannot be experimented on. In the neonatal intensive care unit, extremely premature infants prompt questions about whether they are too fragile to save or, if they survive, whether they will face a life of severe disability. Drawing on ethnographic fieldwork carried out on farms, in animal-based experimental science labs, and in hospitals, Mette N. Svendsen shows that practices of substitution redirect the question of "what it means" to be human to "what it takes" to be human. The near humanness of preterm infants and research piglets becomes an avenue to unravel how neonatal life is imagined, how societal belonging is evaluated, and how the Danish welfare state is forged. This courageous multi-sited and multi-species approach cracks open the complex ethical field of valuating life and making different kinds of pigs and different kinds of humans belong in Denmark.  

It is now impossible to imagine a world without sex hormones. Women all over the world take hormonal pills to control their fertility and estrogen and progesterone have become the most widely used drugs in the history of medicine. But why has the female rather than the male body become increasingly subjected to hormonal treatment?
Nelly Oudshoorn challenges the idea that there exists such a thing as a natural body and shows how concepts such as the hormonal body assume the appearance of natural phenomena by virtue of the activities of scientists, rather than being rooted in nature.
Beyond the Natural Body tells the fascinating story of scientists'search for the ovaries, testes and urine required to develop the hormonal body concept; investigating how sex hormones have shpaed our understanding of sex and the body, transforming science and medicine and ultimately redefining the relationship of women to reproduction. Nelly Oudshoorn concludes by evaluating the mixed blessings of the hormonal revolution.

Although Michel Foucault has had an impact upon the intellectual life of the last couple of decades, his work remains controversial. This work re-examines his ideas and their influence in many areas of the social sciences and the history of ideas and culture. Foucault's work has proved provocative. In terms of methodology, he challenged the outlooks of the history of ideas, denying continuity and progress and the stability of disciplines. In specific fields of enquiry, such as the history of madness or of prisons, he set out to expose the essentially mythic nature of the established narratives and analytical frameworks. He also produced radical new readings of central figures and bodies of thought, particularly of Freud and psychoanalysis.

This title was first published in 2000. The UNDP announced on 29th July 1999 that 'A human crisis of monumental proportions is emerging in the former Soviet Union.' This book reports on the crisis through original and detailed data made possible by the changes that have taken place in Russia in the 1990s. Based on an EU and ODA funded project, it examines in depth the patterns of contemporary unemployment and poverty, the origins of Russian social policies and their aims, implementation and effects up to 2000. The conclusion situates the findings within a discussion of the future of the Russian welfare state and the policy choices, alternatives and consequences emerging in the context of current social conflicts.

In this collection of essays, the four branches of radical cognitive science-embodied, embedded, enactive and ecological-will dialogue with performance, with particular focus on post-cognitivist approaches to understanding the embodied mind-in-society; de-emphasising the computational and representational metaphors; and embracing new conceptualisations grounded on the dynamic interactions of "brain, body and world". In our collection, radical cognitive science reaches out to areas of scholarship also explored in the fields of performance practice and training as we facilitate a new inter- and transdisciplinary discourse in which to jointly share and explore common reactions of embodied approaches to the lived mind. The essays originally published as a special issue in Connection Science.

Chronic diseases-cardiovascular disease, cancer, chronic respiratory disease and diabetes-are not only the principal cause of world-wide mortality but also are now responsible for a striking increase in the percentage of sickness in developing countries still grappling with the acute problems of infectious diseases. This "double disease burden" poses demanding questions concerning the organisation of health care, allocation of scarce resources and strategies for disease prevention, control and treatment; and it threatens not only improvement in health status but economic development in the many poorer countries of the Asia Pacific region. This book presents an historical account of the development of the double disease burden in Asia and the Pacific, a region which has experienced great economic, social, demographic and political change. With in-depth analysis of more than fifteen countries, this volume examines the impact of the double disease burden on health care regimes, resource allocation, strategies for prevention and control on the wealthiest nations in the region, as well as the smallest Pacific islands. In doing so, the contributors to this book elaborate on the notion of the double disease burden as discussed by epidemiologists, and present real policy responses, whilst demonstrating how vital health is to economic development. Health Transitions and the Double Disease Burden in Asia and the Pacific will be of great value to both scholars and policy makers in the fields of public health, the history of medicine, as well as to those with a wider interest in the Asia-Pacific region.

At Ansha's takes the reader inside the spirit mosque of a female healer in Nampula, northern Mozambique. It is here that Ansha, a Makonde spirit healer, heals the resisting ailments of her patients, discloses pieces of her story of affliction and healing, and engages the world outside her mosque. We come to know Ansha’s experiences as revolutionary and migrant, her religious trajectories, family, the healers who cured her, the spirits who possessed her, and her declining health. We follow Ansha’s shifts in her life and work in the mosque as these intersect with the visible and invisible borders of Mozambique and of its fraught history. Confronting events in her life and in the mosque between 2009 and 2016, Ansha invites us to make meaning with her, as we sit in her mosque, and engage with her family, spirits, friends, patients, and world.

Pain research is still dominated by biomedical perspectives and the need to articulate pain in ways other than those offered by evidence based medical models is pressing. Examining closely subjective experiences of pain, this book explores the way in which pain is situated, communicated and formed in a larger cultural and social context. Dimensions of Pain explores the lived experience of pain, and questions of identity and pain, from a range of different disciplinary perspectives within the humanities and social sciences. Discussing the acuity and temporality of pain, its isolating impact, the embodied expression of pain, pain and sexuality, gender and ethnicity, it also includes a cluster of three chapters discusses the phenomenon and experience of labour pains. This volume revitalizes the study of pain, offering productive ways of carefully thinking through its different aspects and exploring the positive and enriching side of world-forming pain as well as its limiting aspects. It will be of interest to academics and students interested in pain from a range of backgrounds, including philosophy, sociology, nursing, midwifery, medicine and gender studies.

Since the 1980s there has been a continual engagement with the history and the place of western medicine in colonial settings and non-western societies. In relation to South Asia, research on the role of medicine has focussed primarily on regions under direct British administration. This book looks at the 'princely states' that made up about two fifths of the subcontinent. Two comparatively large states, Mysore and Travancore - usually considered as 'progressive' and 'enlightened' - and some of the princely states of Orissa - often described as 'backward' and 'despotic' - have been selected for analysis. The authors map developments in public health and psychiatry, the emergence of specialised medical institutions, the influence of western medicine on indigenous medical communities and their patients and the interaction between them. Exploring contentious issues currently debated in the existing scholarship on medicine in British India and other colonies, this book covers the 'indigenisation' of health services; the inter-relationship of colonial and indigenous paradigms of medical practice; the impact of specific political and administrative events and changes on health policies. The book also analyses British medical policies and the Indian reactions and initiatives they evoked in different Indian states. It offers new insights into the interplay of local adaptations with global exchanges between different national schools of thought in the formation of what is often vaguely, and all too simply, referred to as 'western' or 'colonial' medicine. A pioneering study of health and medicine in the princely states of India, it provides a balanced appraisal of the role of medicine during the colonial era. It will be of interest to students and academics studying South Asian and imperial and commonwealth history; the history of medicine; the sociology of health and healing; and medical anthropology, social policy, public health, and international politics.

Engaging with a range of public health issues, this book charts important social and political transitions in Nepal through the lens of medicine and health development. It focuses on mission health care institutions, tuberculosis control programmes as a site of medical intervention, the "pharmaceuticalization" of mental health and public health, and in relation to development ideologies the attempted creation of modern subjects and citizens to advance the health of the nation. Based on two decades of experience, both as a physician and public health professional and an anthropologist, the author presents these issues through four case studies of health programme intervention in a district in central Nepal to show the inter-related aspects of the processes. The book explains how local realities align with, resist, and are complicated by globalized narratives and practices of health and development. It pays careful attention to traditional healers, infectious disease, micronutrient initiatives, mental health and the historical, ideological, and political-economic context of mission-based development work. Offering an ethnographic picture of the challenges and possibilities for action that exist in Nepal , this book is of interest to academics in the field of medical and development anthropology and those working directly in the fields of health and development.

Acts of public defiance towards biomedical public health policies have occurred throughout modern history, from resistance to early smallpox vaccines in 19th-century Britain and America to more recent intransigence to efforts to contain the Ebola outbreak in Central and West Africa. Thinking through Resistance examines a diverse range of case studies of opposition to biomedical public health policies - from resistance to HPV vaccinations in Texas to disputes over HIV prevention research in Malawi - to assess the root causes of opposition. It is argued that far from being based on ignorance, resistance instead serves as a form of advocacy, calling for improvements in basic health-care delivery alongside expanded access to infrastructure and basic social services. Building on this argument, the authors set out an alternative to the current technocratic approach to global public health, extending beyond greater distribution of medical technologies to build on the perspectives of a political economy of health. With contributions from medical anthropologists, sociologists, and public health experts, Thinking through Resistance makes important reading for researchers, students, and practitioners in the fields of public health, medical anthropology, and public policy.

In Israel, where the Orthodox rabbinate wields historically sanctioned influence over the legal definitions of marriage and parenthood, same-sex parenthood raises important questions such as what constitutes belonging to the national collective, who has the authority to define the norms of reproduction, and where the boundaries of Orthodox Judaism begin and end. Judaism in Motion addresses these questions from a transgenerational perspective that pays heed to how religiously informed rules, norms, and practices of transferring material properties, names, and societal belonging are adopted and transformed. It presents a detailed ethnographic account of the dynamic interaction between kinship, religion, and the state that complicates the commonly held assumption that places same-sex parenthood in a radically secular sphere that stands in stark opposition to Orthodox Judaism. Taking same-sex parenthood as a prism through which society at large is reflected, this volume further explores how transformations of societal structures take place, and what flexibility and leeway exist in organized religions.

Acts of public defiance towards biomedical public health policies have occurred throughout modern history, from resistance to early smallpox vaccines in 19th-century Britain and America to more recent intransigence to efforts to contain the Ebola outbreak in Central and West Africa. Thinking through Resistance examines a diverse range of case studies of opposition to biomedical public health policies - from resistance to HPV vaccinations in Texas to disputes over HIV prevention research in Malawi - to assess the root causes of opposition. It is argued that far from being based on ignorance, resistance instead serves as a form of advocacy, calling for improvements in basic health-care delivery alongside expanded access to infrastructure and basic social services. Building on this argument, the authors set out an alternative to the current technocratic approach to global public health, extending beyond greater distribution of medical technologies to build on the perspectives of a political economy of health. With contributions from medical anthropologists, sociologists, and public health experts, Thinking through Resistance makes important reading for researchers, students, and practitioners in the fields of public health, medical anthropology, and public policy.

"...It is well-written and well-referenced...this is an important, innovative, enjoyable textbook which can be highly recommended for use in undergraduate and postgraduate sociology courses on health related subjects, and which will be of value in courses on women's studies and gender. It will also be of interest to inquiring health care practitioners of whatever persuasion." - Sociology "This book takes a bold step in pointing new directions for sociological and social-historical studies of health and health care." - Social History of Medicine Throughout the book, the division of labour in health care, especially as it relates to social class and gender divisions, is taken as central. Its particular characteristic, and one that distinguishes it from other texts in this field, is that feminist critiques of health care are considered alongside the mainstream writing in the social history of medicine, and in medical sociology. Part I takes an historical approach to the types of healing knowledge, the modes of treatment, and the organization of health care found in Europe over the last four hundred years. Part II is a sociological analysis of contemporary health care covering concepts of health and illness, the organization of the National Health Service, the division of labour, the impact of international capitalism, and the issues at stake in arguments about human reproduction.