As human migration brings an ever more diverse range of people, cultures and beliefs into contact, Western medical systems must adapt to cater for the different approaches it encounters towards illness, the body, gender, mental health and death. Based upon training courses taught by the author to staff at hospitals, mental health professionals, and on degree courses, this complete resource provides an essential foundation for understanding the complex and manifold approaches to medicine and health around the world. An awareness of this diversity moreover allows healthcare professionals to better engage with their patients and offer them satisfactory care and support in the future.

Measures of biological variation have long been associated with many indices of social inequality. Data on health, nutrition, fertility, mortality, physical fitness, intellectual performance and a range of heritable biological markers show the ubiquity of such patterns across time, space and population. This volume reviews the current evidence for the strength of such linkages and the biological and social mechanisms that underlie them. A major theme is the relationship between the proximate determinants of these linkages and their longer-term significance for biologically selective social mobility. This book therefore addresses the question of how social stratification mediates processes of natural selection in human groups. Data like this pose difficult and sensitive issues for health policy and developments in this area and in eugenics are reviewed for industrialised and developing countries.

This book explores the shift from hunting and gathering to agriculture as a way of life and the implications of this neolithic transition for the genetic structure of European populations.

Originally published in 1984.

The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These paperback editions preserve the original texts of these important books while presenting them in durable paperback editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

William LaFleur (1936-2010), an eminent scholar of Japanese studies, left behind a substantial number of influential publications, as well as several unpublished works. The most significant of these examines debates concerning the practice of organ transplantation in Japan and the United States, and is published here for the first time. This provocative book challenges the North American medical and bioethical consensus that considers the transplantation of organs from brain dead donors as an unalloyed good. It joins a growing chorus of voices that question the assumption that brain death can be equated facilely with death. It provides a deep investigation of debates in Japan, introducing numerous Japanese bioethicists whose work has never been treated in English. It also provides a history of similar debates in the United States, problematizing the commonly held view that the American public was quick and eager to accept the redefinition of death. A work of intellectual and social history, this book also directly engages with questions that grow ever more relevant as the technologies we develop to extend life continue to advance. While the benefits of these technologies are obvious, their costs are often more difficult to articulate. Calling attention to the risks associated with our current biotech trajectory, LaFleur stakes out a highly original position that does not fall neatly onto either side of contemporary US ideological divides.

Starting at the turn of the century, most African American midwives in the South were gradually excluded from reproductive health care. Gertrude Fraser shows how physicians, public health personnel, and state legislators mounted a campaign ostensibly to improve maternal and infant health, especially in rural areas. They brought traditional midwives under the control of a supervisory body, and eventually eliminated them. In the writings and programs produced by these physicians and public health officials, Fraser finds a universe of ideas about race, gender, the relationship of medicine to society, and the status of the South in the national political and social economies.

Fraser also studies this experience through dialogues of memory. She interviews members of a rural Virginia African American community that included not just retired midwives and their descendants, but anyone who lived through this transformation in medical care--especially the women who gave birth at home attended by a midwife. She compares these narrations to those in contemporary medical journals and public health materials, discovering contradictions and ambivalence: was the midwife a figure of shame or pride? How did one distance oneself from what was now considered "superstitious" or "backward" and at the same time acknowledge and show pride in the former unquestioned authority of these beliefs and practices?

In an important contribution to African American studies and anthropology, "African American Midwifery in the South" brings new voices to the discourse on the hidden world of midwives and birthing.

Sumud, meaning steadfastness in Arabic, is central to the issues of survival and resistance that are part of daily life for Palestinians. Although much has been written about the politics, leaders, and history of Palestine, less is known about how everyday working-class Palestinians exist day to day, negotiating military occupation and shifting social infrastructure. Wick's powerful ethnography opens a window onto the lives of Palestinians, exploring specifically the experience of giving birth. Drawing upon oral histories, Wick follows the stories of mothers, nurses, and midwives in villages and refugee camps. She maps the ways in which individuals narrate and experience birth, calling attention to the genre and form of these stories. Placing these oral histories in context, the book looks at the history of the infrastructure surrounding birth and medicine in Palestine, from large hospitals to village clinics, to private homes. As the medical landscape changed from centralized urban hospitals to decentralized independent caregivers, women increasingly carved a space for themselves in public discourse and employed the concept of sumud to relate their everyday struggles.

Culture and Health offers an overview of different areas of culture and health, building on foundations of medical anthropology and health behavior theory. It shows how to address the challenges of cross-cultural medicine through interdisciplinary cultural-ecological models and personal and institutional developmental approaches to cross-cultural adaptation and competency. The book addresses the perspectives of clinically applied anthropology, trans-cultural psychiatry and the medical ecology, critical medical anthropology and symbolic paradigms as frameworks for enhanced comprehension of health and the medical encounter. Includes cultural case studies, applied vignettes, and self-assessments.

"Extremely well-written, innovative, and timely, "Infertility Around the Globe is a definitive work. Together, the authors use infertility as the lens to examine numerous compelling social issues, generating a powerful argument that infertility is a globally significant phenomenon. This volume will attract anthropologists and other social scientists interested in the study of reproduction, as well as anyone interested in gender studies, women's studies, and international health."--Carolyn Sargent, co-editor of "Childbirth and Authoritative Knowledge: Cross-Cultural Perspectives

"This groundbreaking, interdisciplinary book will change how infertility is theorized and how intervention programs are designed. It will become the primary sourcebook for international and comparative research in a variety of cultural settings. Reading this book was a distinct pleasure."--Lynn Morgan, co-editor of "Fetal Subjects, Feminist Positions

"A stunning achievement. Through its richly textured ethnographic accounts, this book beautifully explicates the universals and particularities of involuntary childlessness in disparate world regions. It challenges the myopic view that the heartbreak is limited to advanced industrial societies. This book is a much-needed antidote in a field mostly characterized by polemic and untested assumptions."--C. H. Browner, UCLA School of Medicine

"Scholarship on infertility too often has been culture-bound, focusing on Western versions of biosocial reproductive problems and on technological solutions. This innovative volume decenters that perspective, with studies on the ostracism of elder childless men in Kenya, political suspicions of vaccination campaigns in theCameroons, new reproductive technologies for ultraorthodox use in Israel, and China's emergent eugenics. It enlarges the 'public' in public health."--Rayna Rapp, co-editor of "Conceiving the New World Order: The Global Politics of Reproduction

The World Health Organization is currently promoting a policy of replacing traditional or lay midwives in countries around the world. As part of an effort to record the knowledge of local midwives before it is lost, Midwives and Mothers explores birth, illness, death, and survival on a Guatemalan sugar and coffee plantation, or finca, through the lives of two local midwives, Dona Maria and her daughter Dona Siriaca, and the women they have served over a forty-year period. By comparing the practices and beliefs of the mother and daughter, Sheila Cosminsky shows the dynamics of the medicalization process and the contestation between the midwives and biomedical personnel, as the latter try to impose their system as the authoritative one. She discusses how the midwives syncretize, integrate, or reject elements from Mayan, Spanish, and biomedical systems. The midwives' story becomes a lens for understanding the impact of medicalization on people's lives and the ways in which women's bodies have become contested terrain between traditional and contemporary medical practices. Cosminsky also makes recommendations for how ethno-obstetric and biomedical systems may be accommodated, articulated, or integrated. Finally, she places the changes in the birthing system in the larger context of changes in the plantation system, including the elimination of coffee growing, which has made women, traditionally the primary harvesters of coffee beans, more economically dependent on men.

This research is focused on the Medieval human skeletal series recovered from Sanjan (Valsad District, Gujarat, India). Horizontal excavations were undertaken at the archaeological site of Sanjan for three field seasons during 2002-05 jointly by the World Zarathushti Cultural Foundation and the Indian Archaeological Society. Studies on human skeletal remains recovered from the excavations were undertaken at the Anthropology laboratory of Archaeology Department of Deccan College Post-Graduate and Research Institute, Pune in 2006-07. The skeletal series of Sanjan is promising for more than one reason. The Parsis are Zoroastrian refugees from Iran, who made their landing near the present town of Sanjan on the coast of western India around 750 A.D. The Parsis represented in the skeletal series are the 16th century representatives of the ancestral migrant population. The broader aim of this study is to provide anthropological data for the skeletal population, an intermediate stage, which could be effectively used to evaluate the evolutionary changes seen from the ancestral population residing in Iran and the contemporary Indian Parsis.

There have been many books, movies, and even TV commercials featuring Neandertals--some serious, some comical. But what was it really like to be a Neandertal? How were their lives similar to or different from ours?
In How to Think Like a Neandertal, archaeologist Thomas Wynn and psychologist Frederick L. Coolidge team up to provide a brilliant account of the mental life of Neandertals, drawing on the most recent fossil and archaeological remains. Indeed, some Neandertal remains are not fossilized, allowing scientists to recover samples of their genes--one specimen had the gene for red hair and, more provocatively, all had a gene called FOXP2, which is thought to be related to speech. Given the differences between their faces and ours, their voices probably sounded a bit different, and the range of consonants and vowels they could generate might have been different. But they could talk, and they had a large (perhaps huge) vocabulary--words for places, routes, techniques, individuals, and emotions. Extensive archaeological remains of stone tools and living sites (and, yes, they did often live in caves) indicate that Neandertals relied on complex technical procedures and spent most of their lives in small family groups. The authors sift the evidence that Neandertals had a symbolic culture--looking at their treatment of corpses, the use of fire, and possible body coloring--and conclude that they probably did not have a sense of the supernatural. The book explores the brutal nature of their lives, especially in northwestern Europe, where men and women with spears hunted together for mammoths and wooly rhinoceroses. They were pain tolerant, very likely taciturn, and not easy to excite.
Wynn and Coolidge offer here an eye-opening portrait of Neandertals, painting a remarkable picture of these long-vanished people and providing insight, as they go along, into our own minds and culture.

This revised textbook provides students with a first exposure to the growing field of medical anthropology. The narrative is guided by unifying themes. First, medical anthropology is actively engaged in helping to address pressing health problems around the globe through research, intervention, and policy-related initiatives. Second, illness and disease cannot be fully understood or effectively addressed by treating them solely as biological in nature; rather, health problems involve complex biosocial processes and resolving them requires attention to range of factors including systems of belief, structures of social relationship, and environmental conditions. Third, through an examination of health inequalities on the one hand and environmental degradation and environment-related illness on the other, the book underlines the need for going beyond cultural or even ecological models of health toward a comprehensive medical anthropology. The authors show that a medical anthropology that integrates biological, cultural, and social factors to truly understand the origin of ill health will contribute to more effective and equitable health care systems.

In the wake of structural adjustment programs in the 1980s and health reforms in the 1990s, the majority of sub-Saharan African governments spend less than ten dollars per capita on health annually, and many Africans have limited access to basic medical care. Using a community-level approach, anthropologist Ellen E. Foley analyzes the implementation of global health policies and how they become intertwined with existing social and political inequalities in Senegal. ""Your Pocket Is What Cures You"" examines qualitative shifts in health and healing spurred by these reforms, and analyzes the dilemmas they create for health professionals and patients alike. It also explores how cultural frameworks, particularly those stemming from Islam and Wolof ethnomedicine, are central to understanding how people manage vulnerability to ill health. While offering a critique of neoliberal health policies, ""Your Pocket Is What Cures You"" remains grounded in ethnography to highlight the struggles of men and women who are precariously balanced on twin precipices of crumbling health systems and economic decline. Their stories demonstrate what happens when market-based health reforms collide with material, political, and social realities in African societies.

In a world now filled with more people who are overweight than underweight, public health and medical perspectives paint obesity as a catastrophic epidemic that threatens to overwhelm health systems and undermine life expectancies globally. In many societies, being obese also creates profound personal suffering because it is so culturally stigmatized. Yet despite loud messages about the health and social costs of being obese, weight gain is a seemingly universal aspect of the modern human condition. Grounded in a holistic anthropological approach and using a range of ethnographic and ecological case studies, Obesity shows that the human tendency to become and stay fat makes perfect sense in terms of evolved human inclinations and the physical and social realities of modern life. Drawing on her own fieldwork in the rural United States, Mexico, and the Pacific Islands over the last two decades, Alexandra A. Brewis addresses such critical questions as why obesity is defined as a problem and why some groups are so much more at risk than others. She suggests innovative ways that anthropology and other social sciences can use community-based research to address the serious public health and social justice concerns provoked by the global spread of obesity.

Abject Relations presents an alternative approach to anorexia nervosa, long considered the epitome of a Western obsession with individualism, beauty, self-control, and autonomy. Through detailed ethnographic investigations, Megan Warin looks at the heart of what it means to live with anorexia on a daily basis. Participants describe difficulties with social relatedness, not being at home in their body, and feeling disgusting and worthless. For them, anorexia becomes a seductive and empowering practice that cleanses bodies of shame and guilt, becomes a friend and support, and allows them to forge new social relations. Unraveling anorexia's complex relationships and contradictions, Warin constructs a new theoretical perspective rooted in a socio-cultural context of bodies and gender. Abject Relations departs from conventional psychotherapy approaches and offers a different "logic," one that involves the shifting forces of power, disgust, and desire. It provides new ways of thinking that may have implications for future treatment regimes. Megan Warin is a social anthropologist in the Discipline of Gender, Work, and Social Inquiry at the University of Adelaide. She has previously worked across anthropology, psychiatry, and public health at various institutions, including Durham University, the University of Adelaide, and Flinders University of South Australia. Praise for Abject Relations: "Warin has taken the topic of anorexia, which many of us feel that we know something about, and brilliantly cast a whole new light on it. Through vivid ethnography and evocative prose, she ensures that you won't think about anorexia or those affected by it in quite the same way ever again."-C. H. Browner, UCLA School of Medicine "Anthropologist Megan Warin combines rich multisited ethnographic research on anorexic women's lived experiences with a sophisticated theoretical approach based on concepts of abjection and relatedness to offer fascinating and original insights into anorexia nervosa."-Carole M. Counihan, author of The Anthropology of Food and Body: Gender, Meaning, and Power

An in-depth and wide-ranging approach to the study of older adults in society Taking a holistic approach to the study of aging, this volume uses biological, archaeological, medical, and cultural perspectives to explore how older adults have functioned in societies around the globe and throughout human history. As the world's population over 65 years of age continues to increase, this wide-ranging approach fills a growing need for both academics and service professionals in gerontology, geriatrics, and related fields. Case studies from the United States, Tibet, Turkey, China, Nigeria, and Mexico provide examples of the ways age-related changes are influenced by environmental, genetic, sociocultural, and political-economic variables. Taken together, they help explain how the experience of aging varies across time and space. These contributions from noted anthropological scholars examine evolutionary and biological understandings of human aging, the roles of elders in various societies, issues of gender and ageism, and the role of chronic illness and "successful aging" among older adults. This volume highlights how an anthropology of aging can illustrate how older adults adapt to shifting life circumstances and environments, including changes to the ways in which individuals and families care for them. The research in Anthropological Perspectives on Aging can also help researchers, students, and practitioners reach across disciplines to address age discrimination and help improve health outcomes throughout the life course.

Many serious public health problems confront the world in the new millennium. Anthropology and Public Health examines the critical role of anthropology in four crucial public health domains: (1) anthropological understandings of public health problems such as malaria, HIV/AIDS, and diabetes; (2) anthropological design of public health interventions in areas such as tobacco control and elder care; (3) anthropological evaluations of public health initiatives such as Safe Motherhood and polio eradication; and (4) anthropological critiques of public health policies, including neoliberal health care reforms. As the volume demonstrates, anthropologists provide crucial understandings of public health problems from the perspectives of the populations in which the problems occur. On the basis of such understandings, anthropologists may develop and implement interventions to address particular public health problems, often working in collaboration with local participants. Anthropologists also work as evaluators, examining the activities of public health institutions and the successes and failures of public health programs. Anthropological critiques may focus on major international public health agencies and their workings, as well as public health responses to the threats of infectious disease and other disasters. Through twenty-four compelling case studies from around the world, the volume provides a powerful argument for the imperative of anthropological perspectives, methods, information, and collaboration in the understanding and practice of public health. Written in plain English, with significant attention to anthropological methodology, the book should be required reading for public health practitioners, medical anthropologists, and health policy makers. It should also be of interest to those in the behavioral and allied health sciences, as well as programs of public health administration, planning, and management. As the single most comprehensive and up-to-date analysis of anthropology's role in public health, this volume will inform debates about how to solve the world's most pressing public health problems at a critical moment in human history.

The field of medical anthropology is a discipline that incorporates the perspective of a wide range of approaches--from anthropologists, sociologists, epidemiologists, physicians, nurses, public health administrators, biologists, and many others, including the general public, to health care. This approach places culture and cultural relativism at the forefront and center of every model, and examines the ethics and fairness of health care issues associated with the African American population. The author examines data on mortality, census, preventive health, alternative medical practices, clinical research, and intervention from a comprehensive perspective. Finally, fieldwork in a public health department setting provides the medical anthropologist with a unique opportunity to investigate cultural and health issues of a particular population in a public health setting. The author explains the steps and procedures for conducting an applied medical anthropological study, based on his experience doing fieldwork projects over the past 15 years.

Understanding the connections between culture, race, politics, and disease This groundbreaking book chronicles the history of sickle cell anemia in the United States, tracing its transformation from an ""invisible"" malady to a powerful, yet contested, cultural symbol of African American pain and suffering. Set in Memphis, where one of the nation's first sickle cell clinics was founded in the 1950s, Dying in the City of the Blues reveals how the recognition, treatment, social understanding, and symbolism of the disease evolved in the twentieth century, shaped by the politics of race, region, health care, and biomedicine. Using medical journals, patients' accounts, black newspapers, blues lyrics, and many other sources, Keith Wailoo follows the disease and its sufferers from the early days of obscurity before sickle cell's ""discovery"" by Western medicine; through its rise to clinical, scientific, and social prominence in the 1950s; to its politicization in the 1970s and 1980s. Looking forward, he considers the consequences of managed care on the politics of disease in the twenty-first century. A rich and multilayered narrative, Dying in the City of the Blues offers valuable new insight into the African American experience, the impact of race relations and ideologies on health care, and the politics of science, medicine, and disease.

Aging occurs at the level of individual cells, a complex interplay between intrinsic "programming" and exogenous "wear and tear," with genetically-determined cellular capacity to repair environmentally-induced DNA damage playing a central role in the rate of aging and its specific manifestations. In 12 chapters, "The Role of DNA Damage and Repair in Cell Aging" provides an intellectual framework for aging of mitotic and post-mitotic cells, describes a variety of model systems for further studies, and reviews current concepts of DNA responses and their relationship to the phenomenon of aging.

As part of a series entitled "Advances in Cell Aging and Gerontology," this volume also summarizes seminal recent discoveries such as the molecular basis for Werner syndrome (a mutant DNA helicase), the complementary roles of telomere shortening and telomerase activity in cell senescence versus immortalization, the role of apoptosis in the homeostasis of aging tissue, and the existence of an inducible SOS-like response in mammalian cells that minimizes DNA damage from repeatedly encountered injurious environmental agents. Insights into the relationship between cellular aging and age-associated diseases, particularly malignancies, are also provided in several chapters.

This book is an excellent single source of information for anyone interested in DNA repair, mechanisms of aging, or certainly their intersection. Students will gain a general appreciation of these fields, but even the most senior investigators will benefit from the detailed coverage of rapidly advancing areas.

How are we to read and understand stories of Jesus healing the lame, deaf, blind, and those with a variety of other maladies? Pilch takes us beyond the historical and literary questions to examine the social questions of how the earliest followers of Jesus and ancient Judeans understood healing, what roles healers played, and the different emphases on healing among the gospels. In his comparative analysis, the author draws on the anthropology of the Mediterranean as well as the models employed by medical anthropologists to understand peasant societies and their health-care systems.Utilizes social-science modelsFeatures a complementary web- site with additional resources

..". a coherent and fascinating social analysis of AIDS-related knowledge, examining the social facts of knowledge production and developments interior to communities of science." Medical Humanities Review

..". a multilayered, composite approach that involves multisited ethnographic research in different spheres of the collective responses to AIDS... " Choice

The response to AIDS from various groups in developing knowledge of and about this health crisis is the focus of this revealing work. Rio de Janeiro serves as an observation point for the study of the intersecting worlds of activism, clinical practice, and biomedical research."

The central theme running through this book is the essentially "social" nature of health. This embraces the way medical knowledge emerged out of a specific set of historical and intellectual circumstances, and the shaping of the health professions by the cultural and political millieu of the 19th-century.;Like non-expert knowledge, the development and application of exper knowledge in health is embedded in social processes. This text makes accessible the complex relationships between inequality, race, gender and other social related to changes in health care.;Problems central to the delivery of health care are highlighted and linked to challenges to established health-care professions and systems. Michael Hardey shows the way in which health has become part of our identity, and relates this to the increasing range of health advice and the constant choices available in terms of our health and lifestyles.

Western medicine—especially in contrast with non-Western traditions of medical practice—is widely thought of as a coherent and unified field in which beliefs, definitions, and judgments are shared. Marc Berg and Annemarie Mol debunk this myth with an interdisciplinary and intercultural collection of essays that reveals the significantly varied ways practitioners of “conventional” Western medicine handle bodies, study test results, configure statistics, and converse with patients . Combining theoretical work with interviews and direct observation of the activities and interactions of doctors, nurses, technicians, and patients, the contributors to this volume provide comparative studies of specific cases. Individual chapters explore topics such as the contested domain of fetal surgery in a California hospital, the construction of gender identity before transsexual surgery in Germany, and differences in the treatment and definition of pain by two clinics in France. Differences in Medicine advances earlier studies on medicine’s social diversity and regional variations to expose significant differences in the presumptions and decisions that affect patients’ lives, and marks a dramatic development in both the study of medicine and in science studies generally. Revealing the ways in which the bodies and lives of people are constructed as medical objects by practitioners, technologies, and textbooks, this collection calls for and initiates new, more textured investigations and theories of the body in medicine and the practice of science. It will open new discussions among medical and healthcare professionals as well as scholars in medical anthropology, science studies, sociology, philosophy, and the history of medicine. Contributors. Isabelle Baszanger, Marc Berg, Geoffrey C. Bowker, Monica J. Casper, Charis M. Cussins, Nicolas Dodier, Stefan Hirschauer, Annemarie Mol, Vicky Singleton, Susan Leigh Star, Stefan Timmermans, Dick Willems