Spare Parts examines major developments in the field of organ
replacement that occurred in the United States over the course of
the 1980s and the beginning of the 1990s. It focuses upon
significant medical and social changes in the transplantation of
human organs and on the development and clinical testing of the
Jarvik-7 artificial heart, with special emphasis on how these
biomedical events were related to the political, economic, and
social climate of American society.
Part I examines the important biomedical advances and events in
organ transplantation and their social and cultural concomitants.
In Part II, the focus shifts to the story of the rise and fall of
the Jarvik-7 artificial heart in the United States, its relation to
American social institutions and cultural patterns, and its bearing
on social control issues associated with therapeutic innovation and
the patient-oriented clinical research it entails. Part III is a
personal conclusion, which explains why the authors left the field
of organ transplantation after so many years.
Spare Parts is written in a narrative, ethnographic style, with
thickly descriptive, verbatim, and atmospheric detail. The primary
data it is based upon includes qualitative materials, collected via
participant observation, interviews in a variety of medical milieu,
and content analysis of medical journals, newspapers, and magazine
articles, and a number of television transcripts. The new
introduction provides an overview of some of the recent
developments in transplantation and also underscores how tenacious
many of the patterns associated with organ replacement have been.
Spare Parts should be read by all medical professionals,
sociologists, and historians.
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