A volume in I.S.C.E Book Series: Managing the Complex Series Editors Kurt Richardson and Michael Lissack, ISCE Research In this volume, Hugo Letiche tackles the all-important question, is there ""care"" in healthcare? If, as Klaus Krippendorff (2006) argues, ""meaning is a structured space, a network of expected senses, a set of possibilities .[that] emerges in the use of language,"" then within the healthcare systems of today, the meaning of ""care"" has been defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merely as a problem requiring eradication. Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcare situation. He argues that, through narratives and through complexity based social theory, the complexity of each individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggests that in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systems to allow for patients and family to engage in dialogue lies both the roots of the problem and the potential for its solution.If complexity theory has a role in the analysis understanding and betterment of social systems, then approaches such as the one Letiche undertakes herein will become essential tools of the trade.

The Bangladeshi population is the fastest growing ethnic group within the UK. Despite this, Bangladeshis in Britain are an under-researched group. This is especially true of the women in this community. Women in transition examines Bangladeshi women's domestic and community lives. London Borough of Tower Hamlets (home to the largest population of Bangladeshis in the UK) the report: presents a detailed study of this significant minority ethnic group; identifies the pressures facing women as they juggle competing demands from younger and older generations; addresses particular concerns such as the barriers to adopting English language within the community; highlights the issues for those involved in service delivery; and demonstrates the range of issues to be considered when trying to access minority ethnic communities for the purpose of research. The report should make fascinating reading for those working in the field of minority ethnic research, where studies of this depth are still comparatively rare. It will also be of particular value to policy makers and those involved in the delivery of services, as well as academics, students and practitioners with an interest in minority ethnic groups, women, and problems of social exclusion more generally.

While some theorists argue that medicine is caught in a relentless process of 'geneticization' and others offer a thesis of biomedicalization, there is still little research that explores how these effects are accomplished in practice. Joanna Latimer, whose groundbreaking ethnography on acute medicine gave us the social science classic The Conduct of Care, moves her focus from the bedside to the clinic in this in-depth study of genetic medicine. Against current thinking that proselytises the rise of laboratory science, Professor Latimer shows how the genetic clinic is at the heart of the revolution in the new genetics. Tracing how work on the abnormal in an embryonic genetic science, dysmorphology, is changing our thinking about the normal, The Gene, the Clinic, and the Family charts new understandings about family, procreation and choice. Far from medicine experiencing the much-proclaimed 'death of the clinic', this book shows how medicine is both reasserting its status as a science and revitalising its dominance over society, not only for now but for societies in the future. This book will appeal to students, scholars and professionals interested in medical sociology, science and technology studies, the anthropology of science, medical science and genetics, as well as genetic counselling.

While some theorists argue that medicine is caught in a relentless process of 'geneticization' and others offer a thesis of biomedicalization, there is still little research that explores how these effects are accomplished in practice. Joanna Latimer, whose groundbreaking ethnography on acute medicine gave us the social science classic The Conduct of Care, moves her focus from the bedside to the clinic in this in-depth study of genetic medicine. Against current thinking that proselytises the rise of laboratory science, Professor Latimer shows how the genetic clinic is at the heart of the revolution in the new genetics. Tracing how work on the abnormal in an embryonic genetic science, dysmorphology, is changing our thinking about the normal, The Gene, the Clinic, and the Family charts new understandings about family, procreation and choice. Far from medicine experiencing the much-proclaimed 'death of the clinic', this book shows how medicine is both reasserting its status as a science and revitalising its dominance over society, not only for now but for societies in the future. This book will appeal to students, scholars and professionals interested in medical sociology, science and technology studies, the anthropology of science, medical science and genetics, as well as genetic counselling.

A volume in I.S.C.E Book Series: Managing the Complex Series Editors Kurt Richardson and Michael Lissack, ISCE Research In this volume, Hugo Letiche tackles the all-important question, is there ""care"" in healthcare? If, as Klaus Krippendorff (2006) argues, ""meaning is a structured space, a network of expected senses, a set of possibilities .[that] emerges in the use of language,"" then within the healthcare systems of today, the meaning of ""care"" has been defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merely as a problem requiring eradication. Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcare situation. He argues that, through narratives and through complexity based social theory, the complexity of each individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggests that in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systems to allow for patients and family to engage in dialogue lies both the roots of the problem and the potential for its solution.If complexity theory has a role in the analysis understanding and betterment of so