This long-awaited revision of what has now become the classic text in medical anthropology contains a wealth of new material on subjects as diverse as aging, creativity, and ideology. Originally cited in DEGREESIAmerican Anthropologist DEGREESR as must reading for all medical anthropologists, physicians, advanced medical anthropology students and advanced medical students, this new edition should prove twice as valuable. It is both a comprehensive introduction to the rapidly growing field of medical anthropology and a state-of-the-art reference work. The authors bring new perspectives to our understanding of both Western and non-Western medicine, from the biochemical and physiological aspects of health care in preindustrialized cultures to cultural and ideological factors inherent in past and present Western medical care. New chapters focus on ethnobotany, placebo and pain, shamanism, and psychiatry.

The contributors to this volume examine the acculturation process of healer, physician, and patient in diverse cultural settings. They explore the social and cultural context of medical events as well as the process of medical thought and problem solving. Medicine, they illustrate, embraces or is embraced by both the cultural and biological dimensions of mankind. From this perspective they show how human belief, knowledge, and action structure the experience of disease and affect ways in which doctors, healers, and patients experience illness and influence the matrix of decision making. This book is essential for students and professionals in anthropology, medicine, and all social science.

One of the most influential and creative scholars in medical anthropology takes stock of his recent intellectual odysseys in this collection of essays. Arthur Kleinman, an anthropologist and psychiatrist who has studied in Taiwan, China, and North America since 1968, draws upon his bicultural, multidisciplinary background to propose alternative strategies for thinking about how, in the postmodern world, the social and medical relate. Writing at the Margin explores the border between medical and social problems, the boundary between health and social change. Kleinman studies the body as the mediator between individual and collective experience, finding that many health problems--for example the trauma of violence or depression in the course of chronic pain--are less individual medical problems than interpersonal experiences of social suffering. He argues for an ethnographic approach to moral practice in medicine, one that embraces the infrapolitical context of illness, the responses to it, the social institutions relating to it, and the way it is configured in medical ethics. Previously published in various journals, these essays have been revised, updated, and brought together with an introduction, an essay on violence and the politics of post-traumatic stress disorder, and a new chapter that examines the contemporary ethnographic literature of medical anthropology.

This unique book applies concepts from the field of anthropology to clinical settings to result in a powerful and dynamic model/theory of clinical anthropology. These clinical settings could include hospitals, police and probation situations, individual and marriage and family counseling, as well as cross-cultural issues, governmental policy, and other instances of educational delivery of concepts and behaviors that allow individuals/groups to reduce stress and move toward personal/group health. In addition to appealing to anthropology and other social/behavioral science scholars, this book will be useful to clinicians of many specialities within Western biomedicine including physicians, nurses, and health care administrators.

The world view of the Iroquois League or Confederacy-the Mohawk, Oneida, Onondaga, Cayuga, Seneca, and Tuscarora nations-is based on a strong cosmological belief system. This is especially evident in Iroquois medical practices, which connect man to nature and the powerful forces in the supernatural realm. Iroquois Medical Botany is the first guide to understanding the use of herbal medi cines in traditional Iroquois culture. It links Iroquois cosmology to cultural themes by showing the inherent spiritual power of plants and how the Iroquois traditionally have used and continue to use plants as remedies. After an introduction to the Iroquois doctrine of the cosmos, authors James Herrick and Dean Snow examine how ill health directly relates to the balance and subsequent dis turbance of the forces in one's life. They next turn to general perceptions of illness and the causes of imbalances, which can result in physical manifestations from birthmarks and toothaches to sunstroke and cancer. In all, they list close to 300 phenomena. Finally, the book enumerates specific plant regimens for various ailments with a major compilation from numerous Iroquois authorities and sources of more than 450 native names, uses, and preparations of plants.

A significant update of the 1990 classic state-of-the-art handbook on medical anthropology. With new chapters on AIDS, psychology and emotion, nutrition, and bioethics, the text reflects the changes in medical anthropological theory and practice since the late 1980s. Chapters from the first edition are revised to reflect current trends and to include recent references. This work demonstrates the creative expansion and diversity in the field, amidst efforts to explore the individual sickness experience in the context of local cultures and global political and economic dynamics.

This illuminating guide to the Native American ritual of the Medicine Wheel makes an ancient spiritual practice available to everyone. Roy Wilson, Cowlitz Chief and Spiritual Leader in Washington, combines Sun Bear's Zodiac (outer circle) and his own vision. The Four Pathways are used to experience the God within. It is important to note that all Pathways go through the Creator. which includes the Creator in the center, surrounded by seven Spirit Messengers: Cougar, Hawk, Coyote, Wolf, Bear, Raven, and Owl; the four Gatekeepers: Buffalo in the East, Bear in the South; Eagle in the West; and Cougar in the North; the twelve Spirit Helpers: Turkey, Turtle, and Owl on the East Pathway; Beaver, Ant, and Squirrel on the South Pathway; Butterfly, Bat, and Grouse on the West Pathway; and, Hawk, Goose, and Wolf on the North Pathway.

Civilized nations popularly assume that "primitive" societies are poor, ill, and malnourished and that progress through civilization automatically implies improved health. In this provocative book, Mark Nathan Cohen challenges this belief. Using findings from epidemiology, anthropology, and archaeology, Cohen provides fascinating evidence about the actual effects of civilization on health, suggesting that some aspects of "progress" create as many health problems as they prevent or cure. "[This book] is certain to become a classic-a prominent and respected source on this subject for years into the future.... If you want to read something that will make you think, reflect, and reconsider, Cohen's Health and the Rise of Civilization is for you."-S. Boyd Eaton, Los Angeles Times Book Review "A major accomplishment. Cohen is a broad and original thinker who states his views in direct and accessible prose.... This is a book that should be read by everyone interested in disease, civilization, and the human condition."-David Courtwright, Journal of the History of Medicine "Cohen has done his homework extraordinarily well, and the coverage of the biomedical, nutritional, demographic, and ethnographic literature about foragers and low energy agriculturalists is excellent.... The book deserves a wide readership and a central place in our professional libraries. As a scholarly summary it is without parallel."-Henry Harpending, American Ethnologist "Deserves to be read by anthropologists concerned with health, medical personnel responsible for communities, and any medical anthropologists.... Indeed, it could provide great profit and entertainment to the general reader."-George T. Nurse, Current Anthropology

This is a lively and original book, which treats Western biomedical discourse about illness in Africa as a cultural system that constructed "the African" out of widely varying, and sometimes improbable, materials. Referring mainly to British dependencies in East and Central Africa in the late nineteenth to the mid-twentieth century, it draws on diverse sources ranging from court records and medical journals to fund-raising posters and "jungle doctor" cartoons. Curing Their Ills brings refreshing concreteness and dynamism to the discussion of European attitudes toward their others, as it traces the shifts and variations in medical discourse on African illness. Among the topics the book covers are the differences between missionary medicine, which emphasized individual responsibility for sin and disease, and secular medicine, which tended toward an ethnic model of collective pathology; leprosy and the construction of the social role of "the leper"; and the struggle to define insanity in a context of great ignorance about what the "normal African" was like and a determination to crush indigenous beliefs about bewitchment. The underlying assumption of this discourse was that disease was produced by the disintegration and degeneration of "tribal" cultures, which was seen to be occurring in the process of individualization and modernization. This was a cultural rather than a materialist model, the argument being that Africans were made sick not by the material changes to their lives and environment, but by their cultural "maladaptation" to modern life. The "scientific" discourse about the biological inferiority of "the African," traced by one school of scientists to defects in the frontal lobe, makes painful reading today; it persisted into the 1950s.

Chronic pain challenges the central tenet of biomedicine: that objective knowledge of the human body and mind is possible apart from subjective experience and social context. Sufferers, finding that chronic pain alters every aspect of life, often become frustrated and distrust a profession seemingly unable to explain or effectively treat their illness. The authors of this innovative volume offer an entirely different, ethnographic approach, searching out more effective ways to describe and analyze the human context of pain.
How can we analyze a mode of experience that appears to the pain sufferer as an unmediated fact of the body and is yet so resistant to language? With case studies drawn from anthropological investigations of chronic pain sufferers and pain clinics in the northeastern United States, the authors explore the great divide between the culturally shaped language of suffering and the traditional language of medical and psychological theorizing. They argue that the representation of experience in local social worlds is a central challenge to the human sciences and to ethnographic writing, and that meeting that challenge is also crucial to the refiguring of pain in medical discourse and health policy debates.
Anthropologists, scholars from the medical social sciences and humanities, and many general readers will be interested in "Pain as Human Experience," In addition, behavioral medicine and pain specialists, psychiatrists, and primary care practitioners will find much that is relevant to their work in this book.

"With finely crafted ethnography, Tsipy Ivry engages her readers in the most intimate of experiences-pregnancy. Research in Japan and Israel reveals how medical knowledge and technologies are made use of differentially in these two locations by both physicians and women to accomplish a remarkably dissimilar embodiment of future motherhood. Ivry's position is that concern about the ramifications of technologically assisted reproduction should not usurp representations of the cultures of pregnancy." -Margaret Lock, author of Twice Dead: Organ Transplants and the Reinvention of Death "A fascinating double-ethnography of pregnancy in two cultures. This outstanding book reveals stunning cultural differences in the interpretation of the embodied experience of pregnancy. In spite of their mutual technological sophistication, Japanese and Israeli views on pregnancy could hardly be more different, nor could the biomedical advice that women in each culture receive. Ivry's work takes Brigitte Jordan's analysis of birth in four cultures to a new level, focusing specifically on the cultural influences that profoundly affect both women's and obstetricians' perceptions and management of pregnancy, and deeply demonstrating the influence of culture on biomedical 'science.'" -Robbie Davis-Floyd, author of Birth as an American Rite of Passage With all of the burgeoning social interest in new reproductive technologies and in childbirth, why has pregnancy been forgotten? Isn't pregnancy just as culturally variant as other aspects of reproduction? Embodying Culture looks at pregnancy as much more than just "expecting." Tsipy Ivry juxtaposes pregnancy in two non-western postindustrial democracies, one preoccupied with military conflicts and existential threats (Israel), the other horrified by the graying of society and shrinking birth rates (Japan). Through ethnographic exploration of pregnancy experiences of Japanese and Israeli women and comparative study of ob-gyns and the bioemedical cultures that medicalize pregnancy in divergent ways, Ivry illuminates pregnancy as a meaningful cultural category for social analysis: a first step toward an anthropology of pregnancy. Tsipy Ivry is a lecturer in anthropology at the department of sociology and anthropology at the University of Haifa, Israel. A volume in the Studies in Medical Anthropology series, edited by Mac Marshall

The Republic of Therapy tells the story of the global response to the HIV epidemic from the perspective of community organizers, activists, and people living with HIV in West Africa. Drawing on his experiences as a physician and anthropologist in Burkina Faso and Cote d'Ivoire, Vinh-Kim Nguyen focuses on the period between 1994, when effective antiretroviral treatments for HIV were discovered, and 2000, when the global health community acknowledged a right to treatment, making the drugs more available. During the intervening years, when antiretrovirals were scarce in Africa, triage decisions were made determining who would receive lifesaving treatment. Nguyen explains how those decisions altered social relations in West Africa. In 1994, anxious to "break the silence" and "put a face to the epidemic," international agencies unwittingly created a market in which stories about being HIV positive could be bartered for access to limited medical resources. Being able to talk about oneself became a matter of life or death. Tracing the cultural and political logic of triage back to colonial classification systems, Nguyen shows how it persists in contemporary attempts to design, fund, and implement mass treatment programs in the developing world. He argues that as an enactment of decisions about who may live, triage constitutes a partial, mobile form of sovereignty: what might be called therapeutic sovereignty.

Working with human remains raises a whole host of ethical issues, from how the remains are used to how and where they are stored. Over recent years, attitudes towards repatriation and reburial have changed considerably and there are now laws in many countries to facilitate or compel the return of remains to claimant communities. Such changes have also brought about new ways of working with and caring for human remains, while enabling their ongoing use in research projects. This has often meant a reevaluation of working practices for both the curation of remains and in providing access to them. This volume will look at the issues and difficulties inherent in holding human remains with global origins, and how diverse institutions and countries have tackled these issues. Essential reading for advanced students in biological anthropology, museum studies, archaeology and anthropology, as well as museum curators, researchers and other professionals.

The lives of kings, poets, authors, criminals and celebrities are a perpetual fascination in the media and popular culture, and for decades anthropologists and other scientists have participated in 'post-mortem dissections' of the lives of historical figures. In this field of biohistory, researchers have identified and analyzed these figures' bodies using technologies such as DNA fingerprinting, biochemical assays, and skeletal biology. This book brings together biohistorical case studies for the first time, and considers the role of the anthropologist in the writing of historical narratives surrounding the deceased. Contributors theorize biohistory with respect to the sociology of the body, examining the ethical implications of biohistorical work and the diversity of social theoretical perspectives that researchers' work may relate to. The volume defines scales of biohistorical engagement, providing readers with a critical sense of scale and the different paths to 'historical notoriety' that can emerge with respect to human remains.

In The White Plague, Rene and Jean Dubos argue that the great increase of tuberculosis was intimately connected with the rise of an industrial, urbanized society and--a much more controversial idea when this book first appeared forty years ago--that the progress of medical science had very little to do with the marked decline in tuberculosis in the twentieth century.The White Plague has long been regarded as a classic in the social and environmental history of disease. This reprint of the 1952 edition features new introductory writings by two distinguished practitioners of the sociology and history of medicine. David Mechanic's foreword describes the personal and intellectual experience that shaped Rene Dubos's view of tuberculosis. Barbara Gutmann Rosenkrantz's historical introduction reexamines The White Plague in light of recent work on the social history of tuberculosis. Her thought-provoking essay pays particular attention to the broader cultural and medical assumptions about sickness and sick people that inform a society's approach to the conquest of disease.

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.

Across the world, the conditions of childbirth are changing but not all in the same direction. Women in Western countries press for more home deliveries, and to confront some of the effects of the over-medicalisation of motherhood. Most developing countries, by contrast, promote deliveries in clinics and hospitals, and stigmatize women who deliver at home. Mobile phones and social media are pressed into service to identify high-risk mothers and to offer them pregnancy and delivery advice. All of the South Asian countries have been accused of neglecting childbirth and women's healthcare. The Millennium Development Goals (2000-2015) prompted important new Government schemes across South Asia, designed to address the issues of safe motherhood and childbirth. The Sustainable Development Goals (2015-2030) now mandate further efforts to reduce maternal and neo-natal mortality. This book illustrates the continuing paradoxes as well as the new challenges linked to childbirth in India, Pakistan, Bangladesh and Nepal. It brings together anthropologists, historians, and sociologists who reflect on the implications of these new schemes for women's own experiences.

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

"This is a beautifully written and well-organized book, combining theoretical insights and ethnographic detail. It represents an important contribution to medical anthropological scholarship on reproduction as well as to the theoretical debates on modernity and development."--Carolyn Sargent, author of "Maternity, Medicine and Power

"By locating women's experiences of childbearing within a local political economy of class, caste and gender politics and international debates about development and human rights, "Birth on the Threshold provides a subtle and important contribution to the understanding of Indian modernity. With telling use of case material, the author shows us how poor Tamil women in contemporary south India are both willing collaborators and victims of changes in medical practice. Women's experiences at the hands of hospital staff, who often insert intrauterine contraceptive devices without their consent, are juxtaposed with their own perceptions and strategies of accommodation, negotiation and resistance. This book will be essential reading for students of gender, medical anthropology and of South Asia in general."--Patricia Jeffery, co-author of "Labour Pains and Labour Power: Women and Childbearing in India

"Compellingly argued and exquisitely written, Van Hollen's work stands as the best of a new generation of ethnographies critically rethinking the anthropology of childbirth. Accessible to anyone with an interest in the everyday and extraordinary politics of development, family planning, and poor women's lives, "Birth on the Threshold is necessary reading for all scholars of body, gender, and governmentality in South Asia and destined to become a classic in medicalanthropology. "--Lawrence Cohen, author of "No Aging in India: Alzheimer's, the Bad Family, and Other Modern Things

"Deep China" investigates the emotional and moral lives of the Chinese people as they adjust to the challenges of modernity. Sharing a medical anthropology and cultural psychiatry perspective, Arthur Kleinman, Yunxiang Yan, Jing Jun, Sing Lee, Everett Zhang, Pan Tianshu, Wu Fei, and Guo Jinhua delve into intimate and sometimes hidden areas of personal life and social practice to observe and narrate the drama of Chinese individualization. The essays explore the remaking of the moral person during China's profound social and economic transformation, unraveling the shifting practices and struggles of contemporary life.

These original essays, which combine theoretical argument with empirical observation, constitute a state-of-the-art platform for future research in medical anthropology. Ranging in time and locale, the essays are based on research in historical and cultural settings. The contributors accept the notion that all knowledge is socially and culturally constructed and examine the contexts in which that knowledge is produced and practiced in medicine, psychiatry, epidemiology, and anthropology. Professionals in behavioral medicine, public health, and epidemiology as well as medical anthropologists will find their insights significant.

In an era of globalization characterized by widespread migration and cultural contacts, psychologists, counselors, and other mental health professionals face a unique challenge: how does one practice successfully when working with clients from so many different backgrounds? Gielen, Draguns, and Fish argue that an understanding of the general principles of multicultural counseling is of great importance to all practitioners. The lack of this knowledge can have several negative consequences during therapy, including differences in expectations between counselor and client, misdiagnosis of the client s concerns, missed non-verbal cues, and the client feeling that she has been misunderstood. This volume focuses on the general nature of cultural influences in counseling rather than on counseling specific ethnic groups. Counseling practices from all over the world, not just those of Western society, are explored. Bringing together the work of a diverse group of international experts, the editors have compiled a volume that is not only concise and teachable, but also an essential guidebook for all mental-health professionals."

This reader offers some of the most important writing to date from the science of COVID-19 and what science says about its spread and social implications. The readings have been carefully selected, introduced, and interpreted for an introductory or graduate student readership by a distinguished medical sociology and political science team. While some of the early science was inaccurate, lacking sufficient data, or otherwise incomplete, the author team has selected the most important and reliable early work for teachers and students in courses on medical sociology, public health, nursing, infectious diseases, epidemiology, anthropology of medicine, sociology of health and illness, social aspects of medicine, comparative health systems, health policy and management, health behaviors, and community health. Global in scope, the book tells the story of what happened and how COVID-19 was dealt with. Much of this material is in clinical journals, normally not considered in the social sciences, which are nonetheless informative and authoritative for student and faculty readers. Their selection and interpretation for students makes this concise reader an essential teaching source about COVID-19. An accompanying online resource on the book's Routledge web page will update and evolve by providing links to new readings as the science develops.

Some investigators have hypothesized that estrogens and other hormonally active agents found in the environment might be involved in breast cancer increases and sperm count declines in humans as well as deformities and reproductive problems seen in wildlife. This book looks in detail at the science behind the ominous prospect of "estrogen mimics" threatening health and well-being, from the level of ecosystems and populations to individual people and animals. The committee identifies research needs and offers specific recommendations to decision-makers. This authoritative volume: Critically evaluates the literature on hormonally active agents in the environment and identifies known and suspected toxicologic mechanisms and effects of fish, wildlife, and humans. Examines whether and how exposure to hormonally active agents occurs?in diet, in pharmaceuticals, from industrial releases into the environment?and why the debate centers on estrogens. Identifies significant uncertainties, limitations of knowledge, and weaknesses in the scientific literature. The book presents a wealth of information and investigates a wide range of examples across the spectrum of life that might be related to these agents. Table of Contents Front Matter Executive Summary 1 Introduction 2 Hormonally Active Agents 3 Exposures: Sources and Dynamics of Hormonally Active Agents in the Environment 4 Dosimetry 5 Effects on Reproduction and Development 6 Neurologic Effects 7 Immunologic Effects 8 HAAs and Carcinogenesis in Animals 9 HAAS and Carcinogenesis in Humans 10 Ecologic Effects 11 Screening and Monitoring References Appendix A: Reproductive Effects Caused by Deithylstilbesterol Appendix B: Biographical Information on the Committee on Hormonally Active Agents in the Environment Addendum: Endocrine Disruptor Screening and Testing Advisory Committee Index

Like its classic predecessor, "Asian Medical Systems," "Paths to Asian Medical Knowledge" significantly expands the study of Asian medicine. These essays ask how patients and practitioners know what they know--what evidence of disease or health they consider convincing and what cultural traditions and symbols guide their thinking. Whether discussing Japanese anatomy texts, Islamic humoralism, Ayurvedic clinical practice, or a variety of other subjects, the authors offer an exciting range of information and suggest new theoretical avenues for medical anthropology.

What were the illnesses that plagued men, women, and children of the ancient world? Traditional approaches to this subject have often relied exclusively on literary evidence, but ancient texts are extraordinarily difficult to interpret. Different methodologies, archaic defitions of diseases, and technical terms whose meanings have shifted over time frustrate discovery of the actual diseases hidden behind textual sources. To uncover this "nosological reality," Mirko D. Grmek has fashioned a vast army of techniques into a new, multidisciplinary approach that combines philology, paleopathology, paleodemography, and iconography with recent developments in genetics, immunology, epidemiology, and clinical medicine. Also new is Grmek's concept of pathocoenosis (the ensemble of pathological states present in a given population) and his method of examining such ancient diseases as leprocy, tuberculosis, and syphilis in relation to one another, and to all other pathological conditions, rather than in isolation.