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Biotechnology and Culture
Biotechnology and Culture Bodies, Anxieties, Ethics Edited by Paul Brodwin Untangles the broad cultural effects of biotechnologies "A timely and perceptive look from many acute angles, at some of the most anxiety producing issues of the day." --Paul Rabinow, University of California, Berkeley "This impressive collection offers a number of rich examples of why the development of anthropological studies of science, technology, and their disruptive social effects is a leading edge of critical enquiry." --Arthur Kleinman, Harvard University As birth, illness, and death increasingly come under technological control, struggles arise over who should control the body and define its limits and capaci...
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?
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.
The Ethics of Torture
The first student-friendly introduction to the philosophical issues surrounding torture. It is a timely and useful contribution to a highly topical and on-going debate.
Understanding Health Inequalities and Justice
The need for informed analyses of health policy is now greater than ever. The twelve essays in this volume show that public debates routinely bypass complex ethical, sociocultural, historical, and political questions about how we should address ideals of justice and equality in health care. Integrating perspectives from the humanities, social sciences, medicine, and public health, this volume illuminates the relationships between justice and health inequalities to enrich debates. Understanding Health Inequalities and Justice explores three questions: How do scholars approach relations between health inequalities and ideals of justice? When do justice considerations inform solutions to health...
Under the Medical Gaze
This compelling account of the author's experience with a chronic pain disorder and subsequent interaction with the American health care system goes to the heart of the workings of power and culture in the biomedical domain. It is a medical whodunit full of mysterious misdiagnosis, subtle power plays, and shrewd detective work. Setting a new standard for the practice of autoethnography, Susan Greenhalgh presents a case study of her intense encounter with an enthusiastic young specialist who, through creative interpretation of the diagnostic criteria for a newly emerging chronic disease, became convinced she had a painful, essentially untreatable, lifelong muscle condition called fibromyalgia...
The Bioethics of Pain Management
In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, i...
Senses and Citizenships
What does disgust have to do with citizenship? How might pain and pleasure, movement, taste, sound and smell be configured as aspects of national belonging? Senses and Citizenships: Embodying Political Life examines the intersections between sensory phenomena and national and supra-national forms of belonging, introducing the new concept of sensory citizenship. Expanding upon contemporary understandings of the rights and duties of citizens, the volume presents anthropological investigations of the sensory aspects of participation in collectivities such as face-to-face communities, ethnic groups, nations and transnational entities. Rethinking relationships between ideology, aesthetics, affect...
Hurt and Pain
Hurt and Pain: Literature and the Suffering Body examines the strategies authors have used to portray bodies in pain, drawing on a diverse range of literary texts from the seventeenth century to the present day. Susannah B. Mintz provides readings of canonical writers including John Donne, Emily Dickinson, and Samuel Beckett, alongside contemporary writers such as Ana Castillo and Margaret Edson, focusing on how pain is shaped according to the conventions-and also experiments-of genre: poetry, memoir, drama, and fiction. With insights from disability theory and recent studies of the language of pain, Mintz delivers an important corrective to our most basic fears of physical suffering, revealing through literature that pain can be a source of connection, compassion, artistry, and knowledge. Not only an important investigation of authors' formal and rhetorical choices, Hurt and Pain reveals how capturing pain in literature can become a fundamental component of crafting human experience.
