Tales about organ transplants appear in mythology and folk stories, and surface in documents from medieval times, but only during the past twenty years has medical knowledge and technology been sufficiently advanced for surgeons to perform thousands of transplants each year. In the majority of cases individuals diagnosed as "brain dead" are the source of the organs without which transplants could not take place. In this compelling and provocative examination, Margaret Lock traces the discourse over the past thirty years that contributed to the locating of a new criterion of death in the brain, and its routinization in clinical practice in North America. She compares this situation with that in Japan where, despite the availability of the necessary technology and expertise, brain death was legally recognized only in 1997, and then under limited and contested circumstances. "Twice Dead" explores the cultural, historical, political, and clinical reasons for the ready acceptance of the new criterion of death in North America and its rejection, until recently, in Japan, with the result that organ transplantation has been severely restricted in that country. This incisive and timely discussion demonstrates that death is not self-evident, that the space between life and death is historically and culturally constructed, fluid, multiple, and open to dispute.
In addition to an analysis of that professional literature on and popular representations of the subject, Lock draws on extensive interviews conducted over ten years with physicians working in intensive care units, transplant surgeons, organ recipients, donor families, members of the general public in both Japan and North America, and political activists in Japan opposed to the recognition of brain death. By showing that death can never be understood merely as a biological event, and that cultural, medical, legal, and political dimensions are inevitably implicated in the invention of brain death, "Twice Dead" confronts one of the most troubling questions of our era.

"An excellent description and analysis of East Asian medicine ...Based on fieldwork conducted in Japan during 1973 and 1974, which involved the use of a variecy of participant-observer techniques, as well as extensive reading in primary and secondary sources in Japanese and English, Lock's study makes a significant contribution to our understanding of an important dimension of life in Japan...In well-written chapters dealing with the philosophical foundations and historical development of East Asian medicine, Japanese attitudes regarding health, illness, and the human body, detailed description of kanpo clinics, herbal pharmacies, acupuncture and moxibustion clinics, shiatsu and anma clinics, East Asian medical schools as well as the interactions between various providers and patients (customers), Lock develops the cultural thesis ...In the process, she provides information on things most visitors to Japan have seen, heard, felt, and smelled but rarely understood." (Journal of Asian Studies). "Breaks important new ground . Lock discusses concrete medical practice and its cultural significance in general...rich in comparisons, engrossing to read, and analytically penetrating ...an important and absorbing book. It is an engaging account of how at least some Japanese people respond to universal problems. Most readers will obtain from it their first clear impression of what East Asian medicine actually is and does." (Journal of Japanese Studies). "Of considerable significance for comparative cross-cultural studies of medicine, of which this is the best account for a Japanese setting that we now possess." (Monumenta Nipponica). "Both Japan specialists and medical anthropologists will be stimulated, challenged, and engaged by this book." (Medical Anthropology Newsletter).

These original essays, which combine theoretical argument with empirical observation, constitute a state-of-the-art platform for future research in medical anthropology. Ranging in time and locale, the essays are based on research in historical and cultural settings. The contributors accept the notion that all knowledge is socially and culturally constructed and examine the contexts in which that knowledge is produced and practiced in medicine, psychiatry, epidemiology, and anthropology. Professionals in behavioral medicine, public health, and epidemiology as well as medical anthropologists will find their insights significant.

"Remaking a World "completes a triptych of volumes on social suffering, violence, and recovery. "Social Suffering, "the first volume, deals with sources and major forms of social adversity, with an emphasis on political violence. The second, "Violence and Subjectivity, "contains graphic accounts of how collective experience of violence can alter individual subjectivity. This third volume explores the ways communities "cope" with--endure, work through, break apart under, transcend--traumatic and other more insidious forms of violence, addressing the effects of violence at the level of local worlds, interpersonal relations, and individual lives. The authors highlight the complex relationship between recognition of suffering in the public sphere and experienced suffering in people's everyday lives. Rich in local detail, the book's comparative ethnographies bring out both the recalcitrance of tragedy and the meaning of healing in attempts to remake the world.

Margaret Lock explicitly compares Japanese and North American medical and political accounts of female middle age to challenge Western assumptions about menopause. She uses ethnography, interviews, statistics, historical and popular culture materials, and medical publications to produce a richly detailed account of Japanese women's lives. The result offers irrefutable evidence that the experience and meanings--even the endocrinological changes--associated with female midlife are far from universal. Rather, Lock argues, they are the product of an ongoing dialectic between culture and local biologies.
Japanese focus on middle-aged women as family members, and particularly as caretakers of elderly relatives. They attach relatively little importance to the end of menstruation, seeing it as a natural part of the aging process and not a diseaselike state heralding physical decline and emotional instability. Even the symptoms of midlife are different: Japanese women report few hot flashes, for example, but complain frequently of stiff shoulders.
Articulate, passionate, and carefully documented, Lock's study systematically undoes the many preconceptions about aging women in two distinct cultural settings. Because it is rooted in the everyday lives of Japanese women, it also provides an excellent entree to Japanese society as a whole.
Aging and menopause are subjects that have been closeted behind our myths, fears, and misconceptions. Margaret Lock's cross-cultural perspective gives us a critical new lens through which to examine our assumptions.