New Books In Medicine

The 1960s marked a “new era of vaccination,” when Americans eagerly exposed their arms and hind ends for shots that would prevent a range of everyday illnesses–not only prevent the lurking killers, like polio. Medical historian Elena Conis shows that Americans’ gradual acceptance of vaccination was far from a medical fait accompli: it was–and remains–a political accomplishment that has stemmed from a patchwork of efforts to expose children, in particular, to compulsory vaccine programs. Grown in the culture of postwar American politics, vaccines deliver more than prophylactics. They succor a set of assumptions about economic inequality, racial difference, sexual norms, and gendered divisions of labor. Vaccine Nation: America’s Changing Relationship with Immunization (University of Chicago, 2014) is a timely and accessible social history of American policy and practices towards vaccination that shows how support for vaccination has rarely advanced for medical reasons a

Is pain real? Is pain relief a right? Who decides? In Pain: A Political History (Johns Hopkins University Press, 2014),Keith Wailoo investigates how people have interpreted and judged the suffering of others in the US from the mid-1940s to the present. While doctors and patients figure in his story, the primary protagonists are politicians, judges, and ideologues, who variously understood the ambiguities of pain as political problems to be settled in legislatures and in courts of law and public opinion alike. For instance, in the 1940s and 1950s, the “pain complaint” of ailing World War II veterans became the locus of debates about manhood, federal disability benefits, and pharmaceutical interventions. Although physicians faced complex problems about adjudicating the pain of their patients, Wailoo shows that pain was also a deeply cultural problem, especially as new, competing theories of pain emerged to explain not only the experience of suffering, but the character, motives, and rights and respo

Cancer pervades American bodies–and also habits of mind. Malignant: How Cancer Becomes Us (University of California Press, 2013) is a sharp, adventurous book by the established legal anthropologist, S. Lochlann Jain. The book simultaneously complicates and clarifies the multiple ways in which cancer and patient-hood gets appropriated, embodied and reproduced through seemingly quotidian activities–from opening an insurance bill to enjoying yoga class. Jain shows, in other words, exactly how and in what way cancer becomes you and me. The book draws together interviews, observations, and Jain’s first-hand experience as a cancer patient, as well as a range of cultural remains, from literature to law to life tables. In doing so, Jain holds a mirror to corporate stakeholders, to everyday Americans, and to herself in order to show, paradoxically, how modern Americans reinvest in cancer in the very practices designed to promote health. The book is a critique of the ways of life and “ways of kn

Dengue fever is on the rise globally. Since it is transmitted by mosquitoes which reside and reproduce in human environments, eradication efforts involve households and the people who keep them clean as well as moral and persuasive campaigns of surveillance and invigilation. In his new book Mosquito Trails: Ecology, Health and the Politics of Entanglement (University of California Press, 2014), Alex Nading follows the trails of garbage collectors and recyclers, local health care workers, and the mosquitoes themselves in this fascinating ethnography of Nicaragua’s Ciudad Sandino’s efforts to deal with dengue fever. He argues that these efforts are better understood as a series of entanglements and attachments that bring human and more than human actors together in intimate relationships. Nading’s book offers readers new ways to think about the relationships among the state and local actors as mediated through a series of objects: houses, viruses, immune systems, insects, and allocation budget

Khat, the fresh leaves of the plant Catha edulis, is a mild psycho-stimulant. It has been consumed in Yemen, Ethiopia, Eritrea, Djibouti, Somalia for over one thousand years. Khat consumption is an important part of Yemeni social and political life. During the early part of the twentieth century, Yemeni dockworkers brought khat to Madagascar, where other members of the Malagasy population have adopted its use. In her excellent book Drug Effects: Khat in Biocultural and Socioeconomic Perspective (Left Coast Press, 2012), Lisa L. Gezon, Professor and Chair in the Department of Anthropology, University of West Georgia, analyzes the production and consumption of Khat on the island nation of Madagascar. Taking a cultural, medical, and anthropological approach, Gezon looks at the use of khat in pharmacological, cultural, political, economic and environmental contexts.As a student of plant drugs/medicines/intoxicants, her summary of the manner in which khat’s effects have been mischaracterized by many so calle

Janet K. Shim‘s new book juxtaposes the accounts of epidemiologists and lay people to consider the roles of race, class, and gender (among other things) in health and illness. Heart-Sick: The Politics of Risk, Inequality, and Heart Disease (New York University Press, 2014) integrates several kinds of sources into a theoretically-informed sociological investigation of inequality and cardiovascular disease, including interviews with epidemiologists and people of color who are dealing in different ways with the disease, participant observation at conferences and health education events, and engagement with discourses of cultural and social theory. Shim considers the points of commonality and divergence among lay and epidemiological communities in terms of how each group conceptualizes the nature of social and cultural difference, the significance of difference for health and disease, and the reliability of different forms of knowledge. In the process, Heart-Sick places these accounts into dialogue with the

Is there any such thing as a generic drug? Jeremy A, Greene‘s new book Generic: The Unbranding of Modern Medicine (Johns Hopkins University Press, 2014) treats its subject matter with a learned skepticism that lets the reader see through the eyes of the historical actors who helped define the modern drug industry. By inverting preconceived notions about what we take to be mundane, mass-produced chemical identities, the book offers a broad yet pointed glance at an industry and its attendant regulatory structures that developed alongside modern consumer culture. Claims about the equivalence and lower price of generic medicines, uncoupled from the patents held by major firms, were always hotly contested, and Jeremy’s book shows how debates about branding–or lack thereof–were at the heart of the rationalization of medical practice. Generic opens with evocative stories about the legal and scientific crises and personal tragedies wrought by tense relations between medical science and industr

Liberal Protestants are often dismissed as reflecting nothing more than a therapeutic culture or viewed as a measuring rod for the decline of Christian orthodoxy. Rarely have they been the subjects of anthropological inquiry. Pamela Klassen, Professor of Religion at the University of Toronto, wants to change that. Her recent book, Spirits of Protestantism: Medicine, Healing, and Liberal Christianity (University of California Press, 2011), charts a transition in liberal Protestant self-understanding over the course of the twentieth century whereby “supernatural liberalism,” as Klassen calls it, enabled imaginative shifts between Christianity, science, and secularism. In the process, she explores how Protestants went from seeing themselves as Christians who combined medicine and evangelism to effect ‘conversions to modernity’ among others, including Native Americans and colonized people, to understanding themselves as complicit in an oftentimes racist imperialism. At the same time, they

David Wright‘s 2011 book Downs: The History of a Disability (Oxford University Press, 2011), offers readers a history that stretches far beyond the strictly defined genetic disorder that is its namesake. Wright shows us how the condition that came to be known as Down’s syndrome has as much to do with the social history of what was called ‘idiocy’ in Early Modern times and reform movements to integrate the disabled beginning in the 1960s as it does with the rise of asylums or the disputed discovery of “trisomie vingt-et-un.” Even the legacy of the condition’s name is a telling narrative about the modernization of medicine, from the use of the term ‘mongoloid’ to justify the (progressive for the time) anthropological theory of racial reversion to debates over whether to rename the disease in honor of John Langdon Down or place it within a more rigid taxonomy of congenital mental disorders. On their own, all of these stories are compelling windows into differ

Beth Linker is the author of War’s Waste: Rehabilitation in World War I America (University of Chicago Press, 2011).  As she reveals, the story of individual rehabilitation from war-related injury was intertwined with other political concerns at multiple levels.  These century-old accounts matter greatly, as the First World War was that point where modern rehabilitative medicine and social policy was born, with many of the attitudes and aspects of this early response lingering to the present day.  Beth’s book is an insightful  consideration of the conflicted responses Americans presented to the unanticipated challenges of post-war reconstruction and rehabilitation for the nation’s thousands of veterans, standing in no small way as a cautionary tale as America winds down from its latest conflicts.Learn more about your ad choices. Visit megaphone.fm/adchoices

In The Emergence of Tropical Medicine in France (University of Chicago Press, 2014), Michael Osborne offers a new way to think about and practice the history of colonial medicine. Eschewing pan-European or Anglo-centric models of the history of colonial medicine, Osborne’s book focuses on the centrality, transformations, and ultimate demise of naval medicine in France in the nineteenth and early twentieth centuries. Motivating the central arguments and narrative of the book is a concern with place, places, and emplacement, and Osborne explores maritime medical practices and the ecology of disease in French provincial port cities, on ships, in prisons, in hospitals and schools, and beyond. The Emergence of Tropical Medicine in France pays special attention to how the study and conception of race, and its connection with health and disease, was formed and reformed in these settings. Readers with a special interest in the relationship between medicine and the military will find much to enjoy here, as will

In his new book, Imperial Technoscience: Transnational Histories of MRI in the United States, Britain, and India (MIT Press, 2014), Amit Prasad, an associate professor of sociology at the University of Missouri, examines what he calls the “entangled histories of MRI” by studying the development of the technology in the United States, Britain and India. In this way, Prasad deconstructs West/non-West technological and cultural divisions, as well as elucidating Euro/West-centrism in the histories of technology. To do so, Prasad examines five key aspects of MRI research: invention, industrial development, market, history, and culture. In so doing, Prasad provides a critique of the situating of the origin of modern science in the West.Learn more about your ad choices. Visit megaphone.fm/adchoices

It may seem silly to ask why we seek ecstasy. We seek it, of course, because it’s ECSTASY. We are evolved to want it. It’s our brain’s way of saying “Do this again and as often as possible.” But there’s more to it than that. For one thing, there are many ways to get to ecstasy, and some of them are very harmful: cutting, starving, and, of course, drug-taking. These things may render an ecstatic state, but they will also kill you. Moreover, many of the ecstasy-inducing activities and substances are powerfully addictive. It’s fine, for example, for most people to use alcohol to feel more relaxed or even to achieve an ecstatic state. But something on the order of 10% to 15% of people cannot safely use alcohol at all without become seriously addicted. And once they do, they usually descend into a profoundly un-ecstatic nightmare that often ends in death. According to Sharon K. Farber‘s Hungry for Ecstasy: Trauma, the Brain, and the Influence of the Sixties (Aronson,

The twentieth-century West witnessed a revolution in childbirth. Before that time, most women gave birth at home and were attended by family members and midwives. The process was usually terribly painful for the mother. Beginning in the nineteenth century, however, doctors started to “medicalize” childbirth. Physicians began to think of ways to ease the pain of childbirth. Two main options were explored. One–drugs–is quite familiar to us, for it is the primary tool used by doctors to make women comfortable during the birth process today. The other–“psychoprophylaxis”–has now passed into memory. The most famous form of psychoprophylaxis, and the subject of Paula A. Michaels’ excellent book Lamaze: An International History (Oxford University Press, 2014), is known as the “Lamaze method.” Its history is fascinating and surprising: born in the Soviet Union (or was it the United Kingdom?), it migrated to France, and then to much of Europe. It then

Abena Dove Osseo-Asare‘s wonderful new book is a thoughtful, provocative, and balanced account of the intersecting histories and practices of drug research in modern Ghana, South Africa, and Madagascar. Bitter Roots: The Search for Healing Plants in Africa (University of Chicago Press, 2014) tells the stories of six plants, all sourced in African countries, that competing groups of plant specialists have tried to transform into pharmaceuticals since the 1880s. The leaves and roots and seeds of the book’s narrative collectively map the contours of a story that emerges from a crucial and germinal tension: on the one hand, much of the history of the plant sciences in these African spaces is motivated by a race for patents and scientific credit; at the same time, the mobility of plants across the borders of Osseo-Asare’s study has complicated efforts to assign priority of discovery to individuals or groups, and in fact challenges the very notion of a “traditional” or “indigenou

There are very few studies like the Harvard Grant Study.  Started in 1938, it has been following its approximately 200 participants ever since, analyzing their physical and mental health and assessing which factors are correlated with healthy living and healthy aging.  One of the psychiatrists of the study is George E. Vaillant, who was a young man in 1966 when he joined the research group, and has now written Triumphs of Experience: The Men of the Harvard Grant Study (Harvard University Press, 2012).  This fascinating book relates how the participants have changed over the course of their lifetimes (yes, Dr. Vaillant claims, people can change) and highlights the factors correlated with both happiness (e.g. warm childhoods, close relationships) and misery (e.g. alcoholism).  Some of the findings are what you would expect, but this longitudinal study also holds some surprises, even as its participants reach their 90s and beyond.Learn more about your ad choices. Visit megaphone.fm/adchoices

What is the interplay between the physical human body and the body politic? This question is at the heart of Ellen J. Amster‘s Medicine and the Saints: Science, Islam, and the Colonial Encounter in Morocco, 1877-1956 (University of Texas Press, 2013). In this pioneering, interdisciplinary study, Professor Amster explores the French campaign to colonize Morocco through medicine. It is through medicine and medical encounters that Amster reveals competing ideas of “scientific paradigm (cosmologies), knowledge systems (hygiene and medical theory), and the technologies of physical intervention (therapeutics)” (p. 2) between the colonizing French positivists and the Moroccan populace. Amster’s breadth of expertise in the fields of medical history, Moroccan/North African history, the history of French colonization, the study of Islam and Sufism, anthropology, sociology, and philosophy is equally matched to the depth in which she explores these topics throughout the six chapters of her work. E

Sarah Franklin‘s new book is an exceptionally rich, focused yet wide-ranging, insightful account of in vitro fertilization (IVF) and the worlds that it creates and inhabits. Biological Relatives: IVF, Stem Cells, and the Future of Kinship (Duke University Press, 2013) treats IVF as a looking-glass in which can see not only ourselves, but also transformations in modern notions of biology, technology, and kinship. In addition to a fascinating ethnography of the various kinds of work (by artists, by scientists, by patients and doctors) at IVF and stem cell research facilities, readers will find insightful explorations of the work of Marx and Engels, Haraway, Plato, Strathern, Derrida, Firestone, along with a wide range of authors of feminist texts from the 1980s and after. It is a book full of hands, socks, pipettes, eggs, screens, organisms, and arguments, it is fascinating, and it was a great pleasure to talk with Sarah about it.Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, I talk with Carlo C. DiClemente, a Presidential Research Professor in the Department of Psychology at the University of Maryland- Baltimore County, about his co-authored book, Substance Abuse Treatment and the Stages of Change: Selecting and Planning Interventions (Guilford Press, 2013). We examine the stages-of-change model (also known as the transtheoretical model) in behavioral change, particularly in substance abuse and drug addiction treatment. We discuss the complexity involved in substance abuse, and the need to consider stage status in effective treatment. We talk about relapse and its implications for individuals’ recovery trajectories. The importance of the individual client as the central mechanism of change is emphasized throughout our discussion.Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, I sit down with Karen G. Weiss, associate professor in the Department of Sociology and Anthropology at West Virginia University, to talk about her book, Party School: Crime, Campus, and Community (Northeastern University Press, 2013). We discuss the subculture of the “party university,” and how such an environment normalizes and encourages extreme binge drinking and reckless partying. We talk about how extreme partying harms students as well as the larger community, and why students willingly put themselves (and others) at risk for victimization. We discuss why the party subculture appears so resistant to change, and why efforts from university personnel and law enforcement often appear futile. We also explore possible ways to transform the party subculture and address the problems it causes. Learn more about your ad choices. Visit megaphone.fm/adchoices