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Lazy, Crazy, and Disgusting - Stigma and the Undoing of Global Health (Paperback)
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Lazy, Crazy, and Disgusting - Stigma and the Undoing of Global Health (Paperback)
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How stigma derails well-intentioned public health efforts, creating
suffering and worsening inequalities. 2020 Winner, Society for
Anthropological Sciences Carol R. Ember Book Prize,Shortlisted for
the British Sociological Association's Foundation for the Sociology
of Health and Illness Book Prize Stigma is a dehumanizing process,
where shaming and blaming are embedded in our beliefs about who
does and does not have value within society. In Lazy, Crazy, and
Disgusting, medical anthropologists Alexandra Brewis and Amber
Wutich explore a darker side of public health: that
well-intentioned public health campaigns can create new and
damaging stigma, even when they are otherwise successful. Brewis
and Wutich present a novel, synthetic argument about how stigmas
act as a massive driver of global disease and suffering, killing or
sickening billions every year. They focus on three of the most
complex, difficult-to-fix global health efforts: bringing
sanitation to all, treating mental illness, and preventing obesity.
They explain how and why humans so readily stigmatize, how this
derails ongoing public health efforts, and why this process
invariably hurts people who are already at risk. They also explore
how new stigmas enter global health so easily and consider why
destigmatization is so very difficult. Finally, the book offers
potential solutions that may be able to prevent, challenge, and fix
stigma. Stigma elimination, Brewis and Wutich conclude, must be
recognized as a necessary and core component of all global health
efforts. Drawing on the authors' keen observations and decades of
fieldwork, Lazy, Crazy, and Disgusting combines a wide array of
ethnographic evidence from around the globe to demonstrate
conclusively how stigma undermines global health's basic goals to
create both health and justice.
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