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.

This book celebrates and captures examples of the excellent scholarship that Palgrave's Health, Technology, and Society Series has published since 2006, and reflects on how the field has developed over this time. As a collection of readings drawn from twenty-two books, it is organized around five themes: Innovation, Responsibility, Locus of Care, Knowledge Production, and Regulation and Governance. Structured in this way, the book gives the reader a concise but nonetheless rich guide to the core issues and debates within the field. Complementing these narratives, the original authors have provided new reflection pieces on their texts and on their current work. This then is a book which in part looks back but also looks forward to emerging issues at the intersection of health, technology, and society. It uniquely encompasses and presents a range of expertise in a novel way that is both timely and accessible for students and others new to the field.

The etiology of the Wimbum people in the Western Grassfields of Cameroon is described through an examination of the way in which the meanings of key concepts, used to interpret and explain illness and other forms of misfortune, are continually being produced and reproduced in the praxis of everyday communication. During the course of numerous dialogues, witchcraft, a highly ambivalent force, gradually emerges as the prime mover. As destructive cannibals or respectable elders the witches are the ultimate cause of all significant illness, misfortune and death, and as diviners they are also the ultimate judges who apportion moral responsibility. Even the ancestors and the traditional gods turn out to be fronts behind which the witches hide their activities.The study is on three levels: a medical anthropological exploration of explanations of illness and misfortune; a detailed ethnography of traditional African cosmology and witchcraft; and an examination of recent theoretical issues in anthropology such as the nature of ethnographic fieldwork and the possibility of dialogical or postmodern ethnography.

Race and Human Diversity is an introduction to the study of human diversity in both its biological and cultural dimensions. Robert L. Anemone examines the biological basis of human difference and how humans have biologically and culturally adapted to life in different environments. The book discusses the history of the race concept, evolutionary theory, human genetics, and the connections between racial classifications and racism. It invites students to question the existence of race as biology, but to recognize race as a social construction with significant implications for the lived experience of individuals and populations. This second edition has been thoroughly revised, with new material on human genetic diversity, developmental plasticity and epigenetics. There is additional coverage of the history of eugenics; race in US history, citizenship and migration; affirmative action; and white privilege and the burden of race. Fully accessible for undergraduate students with no prior knowledge of genetics or statistics, this is a key text for any student taking an introductory class on race or human diversity.

Evolutionary medicine has been steadily gaining recognition, not only in modern clinical research and practice, but also in bioarchaeology (the study of archaeological human remains) and especially its sub-discipline, palaeopathology. To date, however, palaeopathology has not been necessarily recognised as particularly useful to the field and most key texts in evolutionary medicine have tended to overlook it. This novel text is the first to highlight the benefits of using palaeopathological research to answer questions about the evolution of disease and its application to current health problems, as well as the benefits of using evolutionary thinking in medicine to help interpret historical disease processes. It presents hypothesis-driven research by experts in biological anthropology (including palaeopathology), medicine, health sciences, and evolutionary medicine through a series of unique case studies that address specific research questions. Each chapter has been co-authored by two or more researchers with different disciplinary perspectives in order to provide original, insightful, and interdisciplinary contributions that will provide new insights for both palaeopathology and evolutionary medicine. Palaeopathology and Evolutionary Medicine is intended for graduate level students and professional researchers in a wide range of fields including the humanities (history), social sciences (anthropology, archaeology, palaeopathology, geography), and life sciences (medicine and biology). Relevant courses include evolutionary medicine, evolutionary anthropology, medical anthropology, and palaeopathology.

The Human Embryo in vitro explores the ways in which UK law engages with embryonic processes under the Human Fertilisation and Embryology Act 1990 (as amended), the intellectual basis of which has not been reconsidered for almost thirty years. McMillan argues that in regulating 'the embryo' - that is, a processual liminal entity in itself - the law is regulating for uncertainty. This book offers a fuller understanding of how complex biological processes of development and growth can be better aligned with a legal framework that purports to pay respect to the embryo while also allowing its destruction. To do so it employs an anthropological concept, liminality, which is itself concerned with revealing the dynamics of process. The implications of this for contemporary regulation of artificial reproduction are fully explored, and recommendations are offered for international regimes on how they can better align biological reality with social policy and law.

As a practising mortician, Caitlin Doughty has long been fascinated by our pervasive terror of dead bodies. In From Here to Eternity she sets out in search of cultures unburdened by such fears. With curiosity and morbid humour, Doughty introduces us to inspiring death-care innovators, participates in powerful death practices almost entirely unknown in the West and explores new spaces for mourning - including a futuristic glowing-Buddha columbarium in Japan, a candlelit Mexican cemetery, and America's only open-air pyre. In doing so she expands our sense of what it means to treat the dead with 'dignity' and reveals unexpected possibilities for our own death rituals.

A group of contributors highlight advances made in paleopathology and demography through the analyses of historic cemeteries. These advancements include associations of documentary evidence with skeletal evaluations, insights into history gained through the use of skeletal analyses when no documentation exists and applications of new evaluative techniques. Provides a glimpse into the problems faced by researchers embarking on the excavation and/or analysis of historic human remains.

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.

This book provides an up-to-date description of cross-cultural aspects of end-of-life decision-making. The work places this discussion in the context of developments in the United States such as the emphasis on patient informed consent, "right to die" legal cases, and the federal Patient Self-Determination Act. With the globalization of health care and increased immigration from developing to developed countries, health care professionals are experiencing unique challenges in communicating with seriously ill patients and their families about treatment options as well as counselling all patients about advance medical care planning. While many Western countries emphasize individual autonomy and patient-centered decision-making, cultures with a greater collectivist orientation have, historically, often protected patients from negative health information and emphasized family-centered decision-making. In order to place these issues in context, the history of informed consent in medicine is reviewed. Additionally, cross-cultural issues in health care decision-making are analysed from the perspective of multiple philosophical theories including deontology, utilitarianism, virtues, principlism, and communitarian ethics. This book is a valuable addition to courses on end-of-life care, death and dying, cross-cultural health, medical anthropology, and medical ethics and an indispensable guide for healthcare workers dealing with patients coming from various cultural backgrounds.

Understanding where ageing occurs, how it is experienced by different people in different places, and in what ways it is transforming our communities, economies and societies at all levels has become crucial for the development of informed research, policy and programmes. This book focuses on the interdisciplinary field of study - geographical gerontology - that addresses these issues. With contributions from more than 30 leading geographers and gerontologists, the book examines the scope and depth of geographical perspectives, concepts and approaches applied to the study of ageing, old age and older populations. The book features 25 chapters organized into five parts that cover the field's theoretical traditions and intellectual evolution; the contributions of key disciplinary perspectives from population geography, social and cultural geography, health geography, urban planning and environmental studies; the scales of inquiry within geographical gerontology from the global to the embodied; the thematic breadth of contemporary issues of interest that define the field (places, spaces and landscapes of ageing); and a discussion about challenges, opportunities and agendas for future developments in geography and gerontology. This book provides the first comprehensive foundation of knowledge about the state of the art of geographical gerontology that will be of interest to scholars of ageing around the world.

This book represents the first multi-disciplinary introduction to the study of war crimes trials and investigations. It introduces readers to the numerous disciplines engaged with this complex subject, including: Forensic Anthropology, Economics and Anthropometrics, Legal History, Violence Studies, International Criminal Justice, International Relations, and Moral Philosophy. The contributors are experts in their respective fields and the chapters highlight each discipline's major trends, debates, methods and approaches to mass atrocity, genocide, and crimes against humanity, as well as their interactions with adjacent disciplines. Case studies illustrate how the respective disciplines work in practice, including examples from the Allied Hunger Blockade, WWII, the Guatemalan and Spanish Civil Wars, the Former Yugoslavia, and Uganda. Including bibliographical essays to offer readers crucial orientation when approaching the specialist literature in each case, this edited collection equips readers with what they need to know in order to navigate a complex, and until now, deeply fragmented field. A diverse and interdisciplinary body of research, this book will be indispensable reading for scholars of war crimes.

This book examines the future of birthing practices, particularly by focusing on epidural analgesia in childbirth. It describes historical and cultural trajectories that have shaped the way in which birth is understood in Western, developed nations. In setting out the nature of epidural history, knowledge and practice, the book delves into related birth practices within the hospital setting. By critically examining these practices, which are embedded in a scientific discourse that rationalises and relies upon technology use, the authors argue that epidural analgesia has been positioned as a safe technology in contemporary maternity culture, despite it carrying particular risks. In examining alternative research the book proposes that increasing epidural rates are not only due to greater pain relief requirements or access but are influenced by technocratic values and a fragmented maternity system. The authors outline the way in which this epidural discourse influences how information is presented to women and how this affects their choices around the use of pain relief in labour.

Please see the website of author Thurka Sangaramoorthy for extra resources and material related to this book, at thurkasangaramoorthy.com. Click on the book's cover and be sure to check back for updated content This book provides provides a practical guide to understanding and conducting rapid ethnographic assessments (REAs) with an emphasis on their use in public health contexts. This team-based, multi-method, relatively low-cost approach results in rich understandings of social, economic, and policy factors that contribute to the root causes of an emerging situation and provides rapid, practical feedback to policy makers and programs. Using real-world examples and case studies of completed REAs, Sangaramoorthy and Kroeger provide readers with a logical, easy-to-follow introduction into key concepts, principles, and methods of REAs, including interview and observation techniques, triangulation, field notes and debriefing, theoretical saturation, and qualitative analysis. They also provide a practical guide for planning and implementing REAs and suggestions for transforming findings into written reports and actionable recommendations. Materials and detailed tools regarding the conduct of REAs are designed to help readers apply this method to their own research regardless of topic or discipline. REA is an applied approach that can facilitate collaborative work with communities and become a catalyst for action. Rapid Ethnographic Assessment will appeal to professionals and researchers interested in using REAs for research efficiency and productivity as well as action-oriented and translational research in a variety of fields and contexts.

Raising the Dust explores the relationship between human and ecological health through the lens of African traditional medicine, as practiced in the south of Malawi. The book employs an ethnographic methodology using the primary methods of semi-structured interviews and participant observation. The fieldwork for the research was conducted in the Mulanje Mountain Biosphere and the findings are presented as a narrative exploration of insider and outsider positions, in this context. The conceptual framework for the book encompasses a broad range of ecological ideas, focussing mainly on traditional ecological knowledge and radical ecology. The holistic theoretical framework for the book emerges in a grounded way from out of the fieldwork experience. The book is written in plain language and will appeal to anyone interested in holistic health outlooks, particularly cross-cultural health and wellbeing narratives.

This book takes a reproductive justice approach to argue that surrogacy as practised in the contemporary neoliberal biomarkets crosses the humanitarian thresholds of feminism. Drawing on her ethnographic work with surrogate mothers, intended parents and medical practitioners in India, the author shows the dark connections between poverty, gender, human rights violations and indignity in the surrogacy market. In a developing country like India, bio-technologies therefore create reproductive objects of certain female bodies while promoting an image of reproductive liberation for others. India is a classic example for how far these biomarkets can exploit vulnerabilities for individual requirements in the garb of reproductive liberty. This critical book refers to a range of liberal, radical and postcolonial feminist frameworks on surrogacy, and questions the individual reproductive rights perspective as an approach to examine global surrogacy. It introduces 'humanitarian feminism' as an alternative concept to bridge feminist factions divided on contextual and ideological grounds. It hopes to build a global feminist solidarity drawing on a 'reproductive justice' approach by recognizing the histories of race, class, gender, sexuality, ability, age and immigration oppression in all communities. This work is of interest to researchers and students of medical sociology and anthropology, gender studies, bioethics, and development studies.

This edited collection explores the multiple ways in which ethnography and health emerge and take form through the research process. There is now a plethora of disciplinary engagements with ethnography around the topic of health, including anthropology, sociology, geography, science and technology studies, and in health care professions such as nursing and occupational therapy. This dynamic and evolving landscape means ethnography and health are entangled in new and different ways, providing a timely opportunity to explore what these entanglements do and affect in the social production of knowledge. Rather than discussing the strengths (and limitations) of ethnography for engaging with health, the book asks: what does ethnography enable, make visible and possible for knowing and doing health in contemporary research settings and beyond?

The editors of the third edition of the seminal textbook Understanding and Applying Medical Anthropology bring it completely up to date for both instructors and students. The collection of 49 readings (17 of them new to this edition) offers extensive background description and exposes students to the breadth of theoretical, methodological, and practical perspectives and issues in the field of medical anthropology. The text provides specific examples and case studies of research as it is applied to a range of health settings: from cross-cultural clinical encounters to cultural analysis of new biomedical technologies and the implementation of programs in global health settings. The new edition features: * a major revision that eliminates many older readings in favor of more fresh, relevant selections; * a new section on structural violence that looks at the impact of poverty and other forms of social marginalization on health; * an updated and expanded section on "Conceptual Tools," including new research and ideas that are currently driving the field of medical anthropology forward (such as epigenetics and syndemics); * new chapters on climate change, Ebola, PTSD among Iraq/Afghanistan veterans, eating disorders, and autism, among others; * recent articles from Margaret Mead Award winners Sera Young, Seth Holmes, and Erin Finley, along with new articles by such established medical anthropologists as Paul Farmer and Merrill Singer.

This book examines how complementary and alternative medicine (CAM) - as knowledge, philosophy and practice - is constituted by, and transformed through, broader social developments. Shifting the sociological focus away from CAM as a stable entity that elicits perceptions and experiences, chapters explore the forms that CAM takes in different settings, how global social transformations elicit varieties of CAM, and how CAM philosophies and practices are co-produced in the context of social change. Through engagement with frameworks from Science and Technology Studies (STS), CAM is reconceptualised as a set of practices and knowledge-making processes, and opened up to new forms of analysis. Part 1 of the book explores how and why boundaries within CAM and between CAM and other health practices, are being constructed, challenged and changed. Part 2 asks how CAM as material practice is shaped by politics and regulation in a range of national settings. Part 3 examines how evidence is being produced and used in CAM research and practice. Including studies of CAM in Eastern and Western Europe, Asia, and North and South America, the volume will appeal to postgraduate students, researchers and health practitioners.

Autism is a complex phenomenon that is both individual and social. Showing both robust similarities and intriguing differences across cultural contexts, the autism spectrum raises innumerable questions about self, subjectivity, and society in a globalized world. Yet it is often misrepresented as a problem of broken bodies and disordered brains. So, in 2015, a group of interdisciplinary scholars gathered in Rio de Janeiro, Brazil for an intellectual experiment: a workshop that joined approaches from psychological anthropology to the South American tradition of Collective Health in order to consider autism within social, historical, and political settings. This book is the product of the ongoing conversation emerging from this event. It contains a series of comparative histories of autism policy in Italy, Brazil, and the United States; focuses on issues of voice, narrative, and representation in autism; and examines how the concept of autism shapes both individual lives and broader social and economic systems. Featuring contributions from: Michael Bakan Benilton Bezerra Pamela Block M. Ariel Cascio Jurandir Freire Costa Barbara Costa Andrada Cassandra Evans Elizabeth Fein Clara Feldman Roy Richard Grinker Rossano Lima Francisco Ortega Dawn Prince-Hughes Clarice Rios Laura Sterponi Thomas S. Weisner Enrico Valtellina

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.

Over the years, impairment has been discussed in bioarchaeology, with some scholars providing carefully contextualized explanations for their causes and consequences. Such investigations typically take a case study approach and focus on the functional aspects of impairments. However, these interpretations are disconnected from disability theory discourse. Other social sciences and the humanities have far surpassed most of anthropology (with the exception of medical anthropology) in their integration of social theories of disability. This volume has three goals: The first goal of this edited volume is to present theoretical and methodological discussions on impairment and disability. The second goal of this volume is to emphasize the necessity of interdisciplinarity in discussions of impairment and disability within bioarchaeology. The third goal of the volume is to present various methodological approaches to quantifying impairment in skeletonized and mummified remains. This volume serves to engage scholars from many disciplines in our exploration of disability in the past, with particular emphasis on the bioarchaeological context.

"Expected Miracles" explores the world of surgeons from their own perspective how they perceive themselves, their work, colleagues, and communities. Recognizing that surgery is an art, a craft, a science, and a business, Joan Cassell offers, through poignant, painful, and thrilling descriptions, a vivid portrayal of the culture of surgery. Cassell has entered a realm where laypersons are usually horizontal, naked, and anesthetized. Using the central metaphor of the surgical 'miracle', she illuminates the drama of the operating room, where surgeons and patients alike expect heroic performance. She takes us backstage to overhear conversations about patients, families, and colleagues, observe operations, eavesdrop on gossip about surgeons' performances, and examine the values, behavior, and misbehavior of surgeons at work. Said one Chief of Surgery, 'You couldn't have a good surgeon who didn't believe in the concept of the Hero'. Following this lead, Cassell explores the heroic temperament of those who perform surgical 'miracles' and finds that the demands and pressures of surgical practice require traits that in other fields, or in personal interactions, are often regarded as undesirable. She observes, 'surgeons must tread a fine line between courage and recklessness, confidence and hubris, a positive attitude and a magical one'. This delicate balance and frequent imbalance is portrayed through several character sketches. She contrasts the caring attention and technical mastery of The Exemplary Surgeon with the theatrical posturing of The Prima Donna and the slick showiness and questionable morals of The Sleazy Surgeon. She also identifies the attributes that surgeons admire in each other. They believe that only peers can really evaluate each other, and, while doctors might not speak negatively about colleagues in public, the community of surgeons exerts considerable pressure on its members to perform competently. Unlike 'doctor-bashing' chronicles, "Expected Miracles" seeks to understand the charismatic authority of surgeons, its instability, and its price-to surgeons and to patients. Joan Cassell is a research associate in the Department of Anthropology of Washington University and the editor of "Children in the Field: Anthropological Experiences" (Temple).

The contributions to this volume map the surprisingly multifarious circumstances in which trauma is invoked - as an analytical tool, a therapeutic term or as a discursive trope. By doing so, we critically engage the far too often individuating aspects of trauma, as well as the assumption of a universal somatic that is globally applicable to contexts of human suffering. The volume takes the reader on a journey across widely differing terrains: from Norwegian institutions for psychiatric patients to the post-war emergence of speech genres on violence in Mozambique, from Greek and Cameroonian ritual and carnivalesque treatments of historical trauma to national discourses of political assassinations in Argentina, the volume provides an empirically founded anti-dote against claiming a universal 'empire of trauma' (Didier Fassin) or seeing the trauma as successfully defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM). Instead, the work critically evaluates and engages whether the term's dual plasticity and endurance captures, encompasses or challenges legacies and imprints of multiple forms of violence.