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This book presents in detail the problems and ethical challenges in daily oncological practice. In western industrialized countries, roughly 25 percent of all citizens still die from cancer. Despite significant progress in basic science and in individual areas of clinical care, even in the 21st century, being diagnosed with cancer has lost none of its dread and can still be a death sentence. This situation raises many problems and challenges for medical ethics, e.g., the question of the benefits and risks of prevention programs, or the right to know and not to know. Clinical trials with cancer patients and quality assurance for surgery, radiotherapy and medication also pose a series of ethical dilemmas. Furthermore, cancer treatment is a psychological challenge not only for patients but also for physicians and caregivers. The issues of adequate pain management and good palliative care, of treatment limiting and the question of assisted suicide at the end of life also have to be considered. In order to reflect the subject’s diverse and multifaceted nature, the book incorporates legal, ethnographic, historical and literary perspectives into ethical considerations.
This book, based on original anthropological fieldwork, provides a detailed ethnography of Naikan in practice.
Focusing on terminally ill people in a German hospice, this study addresses the question, how meaningful experience is constructed for these patients in an attempt to preserve their dignity as persons. It is based on material from diary texts and active participation of the author in the role of a nurse.
Offers a fresh interpretation of the social, cultural and ideological foundations that shaped the rapid expansion of the global NGO sector. Kevin O'Sullivan explains how and why NGOs became the primary conduits of popular compassion for the global poor and how this shaped the West's relationship with the post-colonial world.
This volume explores the history of epidemiology from the mid-twentieth century to the present. Epidemiology has exerted major influence on the way that both infectious and chronic diseases are conceptualized and controlled, and, more generally, on the way that people in modern societies think about health, behavior, longevity, and risk. This collection consists of a series of in-depth analyses of the roots, development, and impact of epidemiological research, illuminating the complex relationship between medical research and data on the one hand, and social and cultural factors on the other. The thematical and geographical scope of the book ranges from indigenous and participant perspectives to the visualization of pandemics, and from Circumpolar North to East Africa. The book identifies significant historical changes and the driving forces behind them, charting forms of science-society interaction that characterize modern epidemiology. Chapter 1 and chapter 4 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.
This book explores the role and implications of responsibility for anthropology, asking how responsibility is recognised and invoked in the world, what relations it draws upon, and how it comes to define notions of the person, institutional practices, ways of knowing and modes of evaluation. The category of responsibility has a long genealogy within the discipline of anthropology and it surfaces in contemporary debates as well as in anthropologists’ collaboration with other disciplines, including when anthropology is applied in fields such as development, medicine, and humanitarian response. As a category that unsettles, challenges and critically engages with political, ethical and epistemological questions, responsibility is central to anthropological theory, ethnographic practice, collaborative research, and applied engagement. With chapters focused on a variety of cultural contexts, this volume considers how anthropology can contribute to a better understanding of responsibility, including the ‘responsibility of anthropology’ and the responsibility of anthropologists to specific others.
The global pharmaceutical industry is currently estimated to be worth $1 trillion. Contributors chart the rise of scientific marketing within the industry from 1920-1980. This is the first comprehensive study into pharmaceutical marketing, demonstrating that many new techniques were actually developed in Europe before being exported to America.
This electronic version has been made available under a Creative Commons (BY-NC-ND) open access license. Mass vaccination campaigns are political projects that presume to protect individuals, communities, and societies. Like other pervasive expressions of state power - taxing, policing, conscripting - mass vaccination arouses anxiety in some people but sentiments of civic duty and shared solidarity in others. This collection of essays gives a comparative overview of vaccination at different times, in widely different places and under different types of political regime. Core themes in the chapters include immunisation as an element of state formation; citizens' articulation of seeing (or not seeing) their needs incorporated into public health practice; allegations that donors of development aid have too much influence on third-world health policies; and an ideological shift that regards vaccines more as profitable commodities than as essential tools of public health.
This book explores issues surrounding measles and vaccination in Pakistan. Drawing on long-term ethnographic research, it focuses on two major outbreaks in Sindh Province and on Pakistan’s vaccination campaigns. The chapters examine the responses to outbreaks and vaccination from various stakeholders including local people, the Pakistani government and the WHO. Inayat Ali reflects on the competing agendas, differing conceptualizations of measles and vaccination, and the factors that lie behind these contestations. Situating outbreaks within the institutionalized form of disparities, he analyzes the rituals used to deal with measles and local resistance to vaccines in Pakistan. The distinct imaginaries and practices related to measles and vaccination are considered in national and global context, and the book makes a valuable contribution to the development of an anthropology of vaccination and medical anthropology of Pakistan.