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Everyday Ethics
This book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?
Medicine and Morality in Haiti
Morality and medicine are inextricably intertwined in rural Haiti, and both are shaped by the different local religious traditions, Christian and Vodoun, as well as by biomedical and folk medical practices. When people fall ill, they seek treatment not only from Western doctors but also from herbalists, religious healers and midwives. Dr Brodwin examines the situational logic, the pragmatic decisions, that guide people in making choices when they are faced with illness. He also explains the moral issues that arise in a society where suffering is associated with guilt, but where different, sometimes conflicting, ethical systems coexist. Moreover, he shows how in the crisis of illness people rework religious identities and are forced to address fundamental social and political problems.
Biotechnology and Culture
Essays on technology’s effect on our relationship with our bodies: “A timely and perceptive look . . . at some of the most anxiety producing issues of the day.” —Paul Rabinow, University of California, Berkeley As birth, illness, and death increasingly come under technological control, struggles arise over who should control the body and define its limits and capacities. Biotechnologies turn the traditional “facts of life” into matters of expert judgment and partisan debate. They blur the boundary separating people from machines, male from female, and nature from culture. In these diverse ways, they destroy the “gold standard” of the body, formerly taken for granted. Biotechn...
Pain as Human Experience
"With case studies drawn from anthropological investigations of chronic pain sufferers and pain clinics in the northeastern United States, the authors attempt to invent new ways of writing about this language-resistant human experience. Focused on substantive issues in the study of chronic pain, their work explores the great divide between the culturally shaped language of suffering and the traditional language of medical and psychological theorizing. They argue that the representation of experience in local social worlds is a central challenge to the human sciences and to ethnographic writing, and that meeting that challenge is also crucial to the refiguring of pain in medical discourse and health policy debates. Anthropologists, scholars from the medical social sciences and humanities, and many general readers will be interested in Pain as Human Experience. In addition, behavioral medicine and pain specialists, psychiatrists, and primary care practitioners will find much that is relevant to their work in this book."--Jacket.
Everyday Ethics
This book explores the moral lives of mental health clinicians serving the most marginalized individuals in the US healthcare system. Drawing on years of fieldwork in a community psychiatry outreach team, Brodwin traces the ethical dilemmas and everyday struggles of front line providers. On the street, in staff room debates, or in private confessions, these psychiatrists and social workers confront ongoing challenges to their self-image as competent and compassionate advocates. At times they openly question the coercion and forced-dependency built into the current system of care. At other times they justify their use of extreme power in the face of loud opposition from clients. This in-depth study exposes the fault lines in today's community psychiatry. It shows how people working deep inside the system struggle to maintain their ideals and manage a chronic sense of futility. Their commentaries about the obligatory and the forbidden also suggest ways to bridge formal bioethics and the realities of mental health practice. The experiences of these clinicians pose a single overarching question: how should we bear responsibility for the most vulnerable among us?
Motherhood Online
It may take a village to raise a child, but increasingly that means a virtual village. While the media may focus on the so-called “mommy wars,” and babyrazzi follow every move of celebrity moms, millions of mothers world-wide are creating online communities. These mommy groups provide an alternative context for understanding how women construct modern motherhood together. Motherhood Online explores the mutifaceted lives that moms live online. Ranging from longitudinal studies to focused explorations of identity, and the newest community context, mommy blogs, this book documents the millions of mommies who have found an outlet online. Whether centered on region, religion, race, or something else altogether, these communities of mothers are creating a new space for mom and allowing many women to maintain a grasp, however tenuous, on sanity in this crazy-making world of modern motherhood.
Strange Harvest
Strange Harvest illuminates the wondrous yet disquieting medical realm of organ transplantation by drawing on the voices of those most deeply involved: transplant recipients, clinical specialists, and the surviving kin of deceased organ donors. In this rich and deeply engaging ethnographic study, anthropologist Lesley Sharp explores how these parties think about death, loss, and mourning, especially in light of medical taboos surrounding donor anonymity. As Sharp argues, new forms of embodied intimacy arise in response, and the riveting insights gleaned from her interviews, observations, and descriptions of donor memorials and other transplant events expose how patients and donor families ma...
Crossing the Water and Keeping the Faith
Beginning in the late 1970s and early 1980s, significant numbers of Haitian immigrants began to arrive and settle in Miami. Overcoming some of the most foreboding obstacles ever to face immigrants in America, they, their children, and now their grandchildren, as well as more recently arriving immigrants from Haiti, have diversified socioeconomically. Together, they have made South Florida home to the largest population of native-born Haitians and diasporic Haitians outside of the Caribbean and one of the most significant Caribbean immigrant communities in the world. Religion has played a central role in making all of this happen. Crossing the Water and Keeping the Faith is a historical and e...
Genetics, Mass Media and Identity
This is the first book to explore the effect of genetic research on the Lemba Judaising community of Southern Africa and the phenomenon of Israelite identity. The science of genetics as relayed by the media is perceived by laymen as being irreproachably objective 'hard science': its disinterested 'scientific' findings appear immensely impressive and may therefore act as a powerful catalyst for change. In this case, an oral tradition cherished by many of the Lemba that they are of Jewish origin appears to be supported by recent DNA testing, which has deeply affected the narrative and religious identity of the group and the way the tribe is perceived in the Western world. International in appeal, this topical text brings together cutting-edge research on the social, cultural and ethical implications of genetics and the study of Judaising movements across the world. This book will be of interest to researchers and students of Jewish history, genetic anthropology, race and ethnicity studies, and religious and cultural studies.
