On April 27th, 1994, the people of South Africa voted in their first democratic election, bringing down the curtain on 46 years of Apartheid. But, at the very moment of transition, the seeds of a grave epidemic had already been sown. AIDS has indelibly marked the era since the Apartheid's end, exacting an enormous toll on South Africa's Black community. Since the epidemic's onset, more thean 1,000,000 men, women and children have died. Shattered Dreams? is an oral history of how physicians and nurses in South Africa struggled to ride the tiger of the world's most catastrophic AIDS epidemic. Based on interviews - not only from the great urban centres of Johannesburg, Cape Town and Durban - but from provincial centres and rural villages, this book captures the experience of health care workers as they confronted indifference from colleagues, opposition from superiors, unexpected resistance from the country's political leaders, and material scarcity that was both the legacy of Apartheid and a consequence of the global power of the international pharmaceutical industry. In 2003, after years of bitter debate and persistent agitation on the part of treatment activists, the national government committed itself to making anti-retroviral drugs available to those whose lives hung in the balance. Now that a halting rollout of drug treatment has begun, it is more crucial than ever to capture the experiences of those who, as caregivers, have been witness to the unfolding South African epidemic and who are now able to provide these new medications to a small but growing number of their patients.

Examines psychiatric epidemiology's unique evolution, conceptually and socially, within and between diverse regions and cultures, underscoring its growing influence on the biopolitics of nations and worldwide health campaigns. Psychiatric epidemiology, like the epidemiology of cancer, heart disease, or AIDS, contributes increasingly to shaping the biopolitics of nations and worldwide health campaigns. Despite the field's importance, this is the first volume of historical scholarship addressing psychiatric epidemiology. It seeks to comprehensively trace the development of the discipline and the mobilization of its constructs, methods, and tools to further social ends. It is through this double lens-conceptual and social-that it envisions the history of psychiatric epidemiology. Furthermore, its chapters constitute elements for that history as a global phenomenon, formed by multiple approaches. Those numerous historical paths have not resulted in a uniform disciplinary field based on a common paradigm, as happened arguably in the epidemiology of cardiovascular disease and cancer, but in a plurality of psychiatric epidemiologies driven by different intellectual questions, political strategies, reformist ideals, national cultures, colonial experiences, international influences, and social control objectives. When examined together, the chapters depict an uneven global development of epidemiologies formed within distinct political-cultural regions but influenced by the transnational circulation and selective uptake of concepts, techniques, and expertise. These moved through multidirectional pathways between and within the Global North and South. Authored by historians, anthropologists, and psychiatrists, chapters trace this complex history, focusing on Brazil, Nigeria, Senegal, India, Taiwan, Japan, the United Kingdom, the United States and Canada, as well as multicountry networks.

Today, AIDS has been indelibly etched in our consciousness. Yet it was less than twenty years ago that doctors confronted a sudden avalanche of strange, inexplicable, seemingly untreatable conditions that signaled the arrival of a devastating new disease. Bewildered, unprepared, and pushed to the limit of their diagnostic abilities, a select group of courageous physicians nevertheless persevered. This unique collective memoir tells their story.

Based on interviews with nearly eighty doctors whose lives and careers have centered on the AIDS epidemic from the early 1980s to the present, this candid, emotionally textured account details the palpable anxiety in the medical profession as it experienced a rapid succession of cases for which there was no clinical history. The physicians interviewed chronicle the roller coaster experiences of hope and despair, as they applied newly developed, often unsuccessful therapies. Yet these physicians who chose to embrace the challenge confronted more than just the sense of therapeutic helplessness in dealing with a disease they could not conquer. They also faced the tough choices inherent in treating a controversial, sexually and intravenously transmitted illness as many colleagues simply walked away. Many describe being gripped by a sense of mission: by the moral imperative to treat the disempowered and despised. Nearly all describe a common purpose, an esprit de corps that bound them together in a terrible yet exhilarating war against an invisible enemy.

This extraordinary oral history forms a landmark effort in the understanding of the AIDS crisis. Carefully collected and eloquently told, the doctors' narratives reveal the tenacity and unquenchable optimism that has paved the way for taming a 20th-century plague.