This book examines the phenomenon of social withdrawal in Japan, which ranges from school non-attendance to extreme forms of isolation and confinement, known as hikikomori. Based on extensive original research including interview research with a range of practitioners involved in dealing with the phenomenon, the book outlines how hikikomori expresses itself, how it is treated and dealt with and how it has been perceived and regarded in Japan over time. The author, a clinical psychologist with extensive experience of practice, argues that the phenomenon although socially unacceptable is not homogenous, and can be viewed not as a mental disorder, but as an idiom of distress, a passive and effective way of resisting the many great pressures of Japanese schooling and of Japanese society more widely. The Open Access version of this book, available at http://www.taylorfrancis.com/books/e/9781351260800, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives (CCBY-NC-ND) licence.

Evolutionary psychiatry attempts to explain and examine the development and prevalence of psychiatric disorders through the lens of evolutionary and adaptationist theories. In this edited volume, leading international evolutionary scholars present a variety of Darwinian perspectives that will encourage readers to consider 'why' as well as 'how' mental disorders arise. Using insights from comparative animal evolution, ethology, anthropology, culture, philosophy and other humanities, evolutionary thinking helps us to re-evaluate psychiatric epidemiology, genetics, biochemistry and psychology. It seeks explanations for persistent heritable traits shaped by selection and other evolutionary processes, and reviews traits and disorders using phylogenetic history and insights from the neurosciences as well as the effects of the modern environment. By bridging the gap between social and biological approaches to psychiatry, and encouraging bringing the evolutionary perspective into mainstream psychiatry, this book will help to inspire new avenues of research into the causation and treatment of mental disorders.

This book examines how Chinese-language newspapers across greater China report on severe mental illness, and why they do so in the ways they do, given that reporting in local newspapers can strongly influence how Chinese readers view the illness. By assessing how the reporting in three leading broadsheet newspapers from mainland China, Hong Kong, and Taiwan constructs the illness, the book considers how the distinct social and political histories of the three culturally Chinese communities shape the reporting, and whether it bears out or contests the intense stigma against the illness that prevails locally. The findings can usefully encourage and inform attempts to humanise, include, and empower those with a severe mental illness across greater China and the global Chinese diaspora. Employing a well-tested, transparent discourse analytic approach, the book also includes numerous Chinese-English bilingual news report extracts to illustrate its claims. As such, Reporting Mental Illness in China will be of interest to sinologists, discourse analysts, mental health professionals and public health authorities across the globe, especially in places where there are large Chinese-speaking populations.

Care, whether viewed as acts of civility, acts of compassion and skill, or acts of close personal interaction, is the fundamental process by which society perpetuates and recreates itself. Despite social need and the undeniable benefit of occupations such as Certified Nursing Assistants (CNAs), these workers-mostly female and disproportionally from minority groups-face very low wages, a notable lack of respect, and little public recognition of their abilities. The United States is experiencing what experts call a crisis of care with a current and growing shortage of nurses and CNAs. In U.S. Nursing Centers, the demand for Certified Nursing Assistants, the largest group of employees who operate on the front line of health care, is expected to grow exponentially due to dramatic increases in population aging. Over the course of a year and a half, Anne K. Vittoria examined the meaning and social construction of care work on an Alzheimer's Pavilion located in a geriatric facility in the mid-western United States. Through in-depth ethnographic research focused on the local culture and logic of care, Vittoria documents that, when given autonomy in their daily work in an institution, CNAs and the LPN Charge Nurse constructed a systematic body of knowledge and created a language of care-forging a "different" model of personal care in resistance to the medical model of care. This book challenges the assumptions of the outside world that low-level workers are alienated from their work and have minimal skills. Paradoxically, the Pavilion is both a refuge and a site of struggle for the CNAs; they desire to create a world that is the antithesis of the world in which they live on the outside. Women of Color in a World Apart provides a public forum for the voices of women of color, the development of concepts, and a practical as well as theoretical language of care that could be transformational in connecting the meanings of care with the organization of care.

This book 1. explores current methods and techniques employed by paleopathologists as means to highlight the range of data that can be generated. 2. introduces a range of diseases and conditions that have been noted in the fossil, archaeological, and historical record, offering readers a foundational understanding of pathological conditions, along with their potential etiologies. 3. will be indispensable for archaeologists, bioarchaeologists and historians, and those in medical fields, as it reflects current scholarship within paleopathology and the field's impact on our understanding of health and disease in the past, the present, and implications for our future.

Medical Materialities investigates possible points of cross-fertilisation between medical anthropology and material culture studies, and considers the successes and limitations of both sub-disciplines as they attempt to understand places, practices, methods, and cultures of healing. The editors present and expand upon a definition of 'medical materiality', namely the social impact of the agency of often mundane, at times non-clinical, materials within contexts of health and illness, as caused by the properties and affordances of this material. The chapters address material culture in various clinical and biomedical contexts and in discussions that link the body and healing. The diverse ethnographic case studies provide valuable insight into the way cultures of medicine are understood and practised.

Haemophilia in Aotearoa New Zealand provides a richly detailed analysis of the experience of the bleeding disorder of haemophilia based on longterm ethnographic research. The chapters consider experiences of diagnosis; how parents, children, and adults care and integrate medical routines into family life; the creation of a gendered haemophilia; the use and ethical dilemmas of new technologies for treatment, testing and reproduction; and how individuals and the haemophilia community experienced the infected blood tragedy and its aftermath, which included extended and ultimately successful political struggles with the neoliberalising state. The authors reveal a complex interplay of cultural values and present a close-up view of the effects of health system reforms on lives and communities. While the book focuses on the local biology of haemophilia in Aotearoa New Zealand, the analysis allows for comparison with haemophilia elsewhere and with other chronic and genetic conditions.

Originally published in 1986, this book draws upon a range of authors to reflect wide interest in systematising traditional medicine, and to include material on significant instances of regulation or organisation. It was the first book to study the efforts of traditional healers and their newly formed professional associations and as such constitutes a pioneering collection of sources. Because of the changing position of traditional medicine it may well also be a unique record: before long what is described here will largely have disappeared.

Offers the most up to date research on the subject

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.

Transforming Cities examines the profound changes that have characterised cities of the advanced capitalist societies in the final decades of the twentieth century. It analyses ways in which relationships of contest, conflict and co-operation are realised in and through the social and spatial forms of contemporary urban life. This book focuses on the impact of economic restructuring and changing forms of urban deprivation and social exclusion. It contends that these processes are creating new patterns of social division and new forms of regulation and control.

A ground-breaking ethnographic study of suckling in the Arabian Gulf , this book reenergises the study of kinship. It analyses the misunderstood and marginalized phenomenon of suckling drawing on ethnographic fieldwork in Qatar over a seven-year period. Fadwa El Guindi situates suckling (often given other names or subsumed under misleading classifications) squarely in the analytical category of kinship, with recognition that kinship is necessarily biological, societal and cultural. The volume takes kinship study beyond origins, nature-culture debates, and social nurturing and relatedness, and challenges claims of deterministic, reductionist formulas. As well as key reading for those involved in milk kinship research, this book is valuable for anthropologists, Middle East scholars and others with an interest in breastfeeding, family and social organisation, and religion.

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.

The Routledge Handbook of the Ethics of Human Enhancement provides readers with a philosophically rich and scientifically grounded analysis of human enhancement and its ethical implications. A landmark in the academic literature, the volume covers human enhancement in genetic engineering, neuroscience, synthetic biology, regenerative medicine, bioengineering, and many other fields. The Handbook includes a diverse and multifaceted collection of 30 chapters—all appearing here in print for the first time— that reveal the fundamental ethical challenges related to human enhancement. The chapters have been written by internationally recognized leaders in the field and are organized into seven parts: Historical Background and Key Concepts Human Enhancement and Human Nature Physical Enhancement Cognitive Enhancement Mood Enhancement and Moral Enhancement Human Enhancement and Medicine Legal, Social, and Political Implications The depth and topical range of the Handbook makes it an essential resource for upper-level undergraduates, graduate students, and postdoctoral fellows in a broad variety of disciplinary areas. Furthermore, it is an authoritative reference for basic scientists, philosophers, engineers, physicians, lawyers, and other professionals who work on the topic of human enhancement.

A diagnosis of dementia changes the ways people engage with each other - for those living with dementia, as well their families, caregivers, friends, health professionals, neighbours, shopkeepers and the community. Medical understandings, necessary as they are, provide no insights into how we may all live good lives with dementia. This innovative volume brings together an interdisciplinary group of researchers and practitioners to focus on dementia as lived experience. It foregrounds dementia's social, moral, political and economic dimensions, investigating the challenges of reframing the dementia experience for all involved. Part I critiques the stigmas, the negativity, language and fears often associated with a dementia diagnosis, challenging debilitating representations and examining ways to tackle these. Part II examines proactive practices that can support better long-term outcomes for those living with dementia. Part III looks at the relational aspects of dementia care, acknowledging and going beyond the notion of person-centred care. Collectively, these contributions highlight the social and relational change required to enhance life for those with dementia and those who care for them. Engaging in a critical conversation around personhood and social value, this book examines the wider social contexts within which dementia care takes place. It calls for social change, and looks for inspiration to the growing movement for relational care and the caring society. Dementia as Social Experience is important reading for all those people who, in various ways, are living with dementia, as well as for those working in this area as clinicians, researcher and carers.

Adopting an anthrozoological perspective to study the participation of non-human animals in regimes of care, this book examines the use of canine scent detection to alert 'hypo-unaware' individuals to symptoms of human chronic illness. Based on ethnographic research and interviews, it focuses on the manner in which trained assistance dogs are able to use their sense of smell to alert human companions with Type 1 diabetes to imminent hypoglycaemic episodes, thus reducing the risk of collapse into unconsciousness, coma or, at worst, death. Through analyses of participant narrations of the everyday complexities of 'doing' diabetes with the assistance of medical alert dogs, the author sheds light on the way in which each human-canine dyad becomes acknowledged as a team of 'one' in society. Based on the concept of dogs as friends and work colleagues, as animate instruments and biomedical resources, the book raises conceptual questions surrounding the acceptable use of animals and their role within society. As such, this volume will appeal to scholars across the social sciences with interests in human-animal interactions and intersections. It may also appeal to healthcare practitioners and individuals interested in innovative multispecies methods of managing chronic illness.

Over the last two decades, attempts to control the problem of tuberculosis have become increasingly more complex, as countries adopt and adapt to evolving global TB strategies. Significant funding has also increased apace, diagnostic possibilities have evolved, and greater attention is being paid to developing broader health systems. Against this background, this book examines tuberculosis control through an anthropological lens. Drawing on ethnographic case studies from China, India, Nepal, South Africa, Romania, Brazil, Ghana and France, the volume considers: the relationship between global and national policies and their unintended effects; the emergence and impact of introducing new diagnostics; the reliance on and use of statistical numbers for representing tuberculosis, and the politics of this; the impact of the disease on health workers, as well as patients; the rise of drug-resistant forms; and issues of attempted control. Together, the examples showcase the value of an anthropological understanding to demonstrate the broader bio-political and social dimensions of tuberculosis and attempts to deal with it.

The second decade of the twenty-first century has witnessed a surging interest in personalized medicine with the concomitant promise to enable more precise diagnosis and treatment of disease and illness, based upon an individual's unique genetic makeup. In this book, my goal is to contribute to a growing body of literature on personalized medicine by tracing and analyzing how this field has blossomed in Asia. In so doing, I aim to illustrate how various social and economic forces shape the co-production of science and social order in global contexts. This book shows that there are inextricable transnational linkages between developing and developed countries and also provides a theoretically guided and empirically grounded understanding of the formation and usage of particular racial and ethnic human taxonomies in local, national and transnational settings. The Open Access version of this book, available at http://www.taylorfrancis.com/doi/view/10.4324/9781315537177 has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license.

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

Set in the context of the processes and practices of human reproduction and reproductive health in Northern India, this book examines the institutional exercise of power by the state, caste and kin groups. Drawing on ethnographic research over the past eighteen years among poor Hindu and Muslim communities in Rajasthan and among development and health actors in the state, this book contributes to developing analytic perspectives on reproductive practice, agency and the body-self as particular and novel sites of a vital power and politic. Rajasthan has been among the poorest states in the country with high levels of maternal and infant mortality and morbidity. The author closely examines how social and economic inequalities are produced and sustained in discursive and on the ground contexts of family-making, how authoritative knowledge and power in the domain of childbirth is exercised across a landscape of development institutions, how maternal health becomes a category of citizenship, how health-seeking is socially and emotionally determined and political in nature, how the health sector operates as a biopolitical system, and how diverse moral claims over the fertile, infertile and reproductive body-self are asserted, contested and often realised. A compelling analysis, this book offers both new empirical data and new theoretical insights. It draws together the practices, experiences and discourse on fertility and reproduction (childbirth, infertility, loss) in Northern India into an overarching analytical framework on power and gender politics. It will be of interest to academics in the fields of medical anthropology, medical sociology, public health, gender studies, human rights and sociolegal studies, and South Asian studies.

Drug use is widely understood in terms of its subjects, substances and settings. But what happens when these distinctions start to blur? Injecting Bodies in More-than-Human Worlds moves away from a hierarchical conceptualisation of drug use based on its subjects and their objects, offering unique and fresh insights into the complex world of injecting drugs. Focussing on the Deleuzian notion of bodies-in-process, Dennis proposes a new and timely approach to drugs where agency materialises in relation to others - human and not. Using rich, ethnographic data to demonstrate bodies' in/capacities to act through their relationality, Dennis carefully maps out where bodies are thought, practised, lived and intervened-with: caught in tension between pleasure and addiction, activity and passivity, 'becoming-other' and 'becoming-blocked', and making and breaking habits. Arguing for a deeper engagement both with how bodies are enacted and with our collective responsibility to bring them together in healthier ways, this volume offers a unique intervention into the sociology of drugs and, more widely, health and illness. It will appeal to students and researchers interested in fields such as Science and Technology Studies, Sociology and Social Policy, Drugs and Addiction, and Health and Medical Anthropology.

Setting out to challenge various common assumptions in risk research, this collection explores how uncertainty is handled in a range of social contexts across the globe. Social science research often emphasises the salience of risk and uncertainty for grasping the dynamics of late-modern societies, with theoretical frameworks tending to associate the emergence of risk with particular, fairly homogenous, European or 'North-Western' paths of modernisation. These theoretical narratives can be seen as shaping various assumptions regarding 'risk cultures', not least associations with post-traditional, largely secular and liberal characteristics. Risk is therefore analysed in terms of modern, active, 'rational' citizens, meanwhile faith, hope or magic are implicitly relegated to the past, the oriental, the passive and/or the irrational. Central to the book is the consideration of risk across a range of different modernities. While the precise meaning and organisational processes of risk vary, we see the common combining of risk, faith, magic and hope as people go forward amid uncertain circumstances. Whether seeking health amid illness, survival amid flooding, or safety amid migration, we explore the pertinence of risk around the globe. We also stress the ubiquity of faith and the magical in various modern settings. This book was originally published as a special issue of Health, Risk & Society.

Tobacco has become one of the most widely used and traded commoditites on the planet. Reflecting contemporary anthropological interest in material culture studies, Anthropology of Tobacco makes the plant the centre of its own contentious, global story in which, instead of a passive commodity, tobacco becomes a powerful player in a global adventure involving people, corporations and public health. Bringing together a range of perspectives from the social and natural sciences as well as the arts and humanities, Anthropology of Tobacco weaves stories together from a range of historical, cross-cultural and literary sources and empirical research. These combine with contemporary anthropological theories of agency and cross-species relationships to offer fresh perspectives on how an apparently humble plant has progressed to world domination, and the consequences of it having done so. It also considers what needs to happen if, as some public health advocates would have it, we are seriously to imagine 'a world without tobacco'. This book presents students, scholars and practitioners in anthropology, public health and social policy with unique and multiple perspectives on tobacco-human relations.

Over the past decades, infectious disease epidemics have come to increasingly pose major global health challenges to humanity. The Anthropology of Epidemics approaches epidemics as total social phenomena: processes and events which encompass and exercise a transformational impact on social life whilst at the same time functioning as catalysts of shifts and ruptures as regards human/non-human relations. Bearing a particular mark on subject areas and questions which have recently come to shape developments in anthropological thinking, the volume brings epidemics to the forefront of anthropological debate, as an exemplary arena for social scientific study and analysis.

Medical Materialities investigates possible points of cross-fertilisation between medical anthropology and material culture studies, and considers the successes and limitations of both sub-disciplines as they attempt to understand places, practices, methods, and cultures of healing. The editors present and expand upon a definition of 'medical materiality', namely the social impact of the agency of often mundane, at times non-clinical, materials within contexts of health and illness, as caused by the properties and affordances of this material. The chapters address material culture in various clinical and biomedical contexts and in discussions that link the body and healing. The diverse ethnographic case studies provide valuable insight into the way cultures of medicine are understood and practised.