New Books In Medicine

Todd Meyers‘ The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy (University of Washington Press, 2013) is many things, all of them compelling and fully realized. Most directly, the book is an ethnography of drug dependence and treatment among adolescents in Baltimore between 2005-2008. Meyers traces twelve people through their treatment in the clinic and beyond, into what he calls “the afterlife of therapy.” The group of adolescents was diverse–their economic and family circumstances, their demographics, and arc of their narratives from addiction to treatment varied widely. Yet they shared at least one important experience: “each had either been enrolled in a clinical trial or were currently being treated with a relatively new drug for opiate withdrawal and replacement therapy: buprenorphine” (4). In this way, the book is also the story of a pharmaceutical making its way and its mark in the worlds of therapeutics, law, public opinion and, especia

What happens when you allow human materials to become property? More specifically, how does granting monopoly rights over genetic material affect the potential for innovation and research on treatments of disease related to those genes? In his new book, The Genealogy of a Gene: Patents, HIV/AIDS, and Race (MIT Press, 2015), Myles W. Jackson (NYU) considers this question by examining the history of the sequencing and patenting of the CCR5 gene, which was found to have an important role in HIV/AIDS viral infection. In doing so, Jackson chronicles the challenges to the granting of property rights over materials that occur naturally, and the legal and policy arguments both for and against allowing patents on these materials. But the book is more than just an examination of the instability of patent law. On the contrary, Jackson provides an interdisciplinary examination of the history of CCR5, which analyzes the role of race, culture, medicine and other fields, to examine of the wider impact of science and science

Can we define ‘clinical reasoning’? Is it the ability to marshal the best available evidence to come to adecision within a medical framework, or is it the capacity to think holistically aboutwhether a given intervention is in the patient’s best interest? In his book, Intuition in Medicine: A Philosophical Defense of Clinical Reasoning (University of Chicago Press, 2012), Hillel Braude considers this apparent gap in the history of medical thought. He argues throughout that intuition provides the missing link between medical and moral reasoning. Rather than setting forth a definition of intuition outright, Braude traces its articulations through canonical works of philosophy and medical ethics. One comes away with an understanding that intuition is something like a pre-reflective practical wisdom bound to human faculties, resisting abstraction. Even this definition is contextually malleable, and through his historical and philosophical exploration he draws out the epistemological (and often pr

In Black Skin, White Coats: Nigerian Psychiatrists, Decolonization, and the Globalization of Psychiatry (Ohio University Press, 2013), Matthew M. Heaton explores changes in psychiatric theory and practice during the decolonization of European empires in Africa in the mid-twentieth century. His story follows the transcultural Nigerian psychiatrists who tried to transform the discourse around and treatment of mental illness in both their local contexts and in global psychiatric circles. The decolonization of psychiatry, Heaton argues, had an “intensely cross-cultural, transnational, and international character that cannot be separated from local, regional, and national developments” (5). Heaton shows how, amid these contexts and changes, Nigerian psychiatrists actively participated in negotiating postcolonial modernity and the place of global psychiatry within it. The book begins by tracing the larger story from colonialism to postcolonialism: the first chapter offers an essential, incisive account

Migraine is real, and it is pervasive–at least 12% of Americans suffer some form of this spectrum disorder. Still, migraine remains a conflicted illness–people routinely dispute the legitimacy of both the experience and its sufferers. In Not Tonight: Migraine and the Politics of Gender and Health (University of Chicago Press, 2014), Joanna Kempner sets out to explore “how migraine can simultaneously disrupt so many lives and continue to be questioned and trivialized by the culture at large.” Kempner begins by tracing the changing biomedical understandings of migraine over the past three hundred years, discovering a long history of “migraine’s association with weak, gendered personalities.” Kempner then turns to four contemporary figures and cases: headache specialists, migraine advocates, pharmaceutical companies, and the case of cluster headaches (a disorder commonly associated with men). Throughout, she shows how the recent recasting of migraine from a “disord

The health of former NFL players has received plenty of attention in recent years. The suicides of Junior Seau and Dave Duerson, along with stories of retired players in only their 40s and 50s affected by dementia and ALS, have revealed the toll that a professional football career can take on a man’s body and brain. In their new book Is There Life After Football? Surviving the NFL (New York University Press, 2014), James Holstein, Richard Jones, and George Koonce, Jr., discuss the discovery of Chronic Traumatic Encephalopathy as well as other physical problems that afflict former NFL players. Yet the most stunning finding of their research is not how life in football affects players’ health, but rather how it affects their ability to find and hold a job, to maintain relationships, even to engage in basic social interactions. The research leading to the book began with George Koonce, a nine-year veteran of the NFL. George’s career ended like those of most NFL players, not with a press confere

Donna J. Drucker is a guest professor at Darmstadt Technical University in Germany. Her book The Classification of Sex: Alfred Kinsey and the Organization of Knowledge (University of Pittsburg Press, 2014) is an in-depth and detailed study of Kinsey’s scientific approach. The book examines his career and method of gathering vast amounts of data, identifying patterns, and interpretation that was critical to his most influential works Sexual Behavior in the Human Male (1948) and Sexual Behavior in the Human Female (1953). Beginning with Kinsey’s study of the animal world, Drucker examines how he transferred natural science methods to sex education in his Marriage Course at Indiana University, and ultimately to the massive study of human sexual behavior. He brought into the interdisciplinary science of sexology a thoroughly naturalist approach and believed that taxonomy – collecting, classifying and describing patterns, revealed truths about the natural world and worked against what he consider

Lisa Stevenson‘s new book opens with two throat-singing women and one listening king. Whether we hear them sitting down to a normal night’s dinner (as the women) or stalking the pages of a short story from Italo Calvino’s Under the Jaguar Sun (as the king), listening to these voices can potentially transform our notion of listening itself, as well as our understanding of what a “self” is and could be. Life Beside Itself: Imagining Care in the Canadian Arctic (University of California Press, 2014) shows us this by exploring formulations and practices of life, death, and care in a history and ethnography of Canadian policies and attitudes toward the Inuit during two epidemics, a tuberculosis epidemic (1940s-early 1960s) and a suicide epidemic (1980s-present). In juxtaposing those two cases, the book considers different forms of “care,” bureaucratic and otherwise. In her archival and ethnographic research, Stevenson works as a collector of images, paying careful attentio

Commercial interests are often understood as impinging upon the ethical norms of medicine. In his new book, Medical Monopoly: Intellectual Property Rights and the Origins of the Modern Pharmaceutical Industry (University of Chicago Press, 2013), Joe Gabriel shows how the modernization of American medicine was bound up in the ownership, manufacture, and marketing of drugs. Gabriel unearths the early history of intellectual property concerns as they entered the domain of medical practice itself. Through his careful marshaling of evidence, he takes readers back to a time when the norms and legal structures of commercial capitalism in the U.S. were just as much at issue as those of the professionalization of medicine. This fascinating book serves as a pointed reminder that the sources of therapeutic rationale are just as much tied to the production and regulation of therapies as the collective decision-making on ethical practice. Along with my previous interview with Jeremy Greene, this discussion will hopefully

Emilie Cloatre‘s award-winning book, Pills for the Poorest:An Exploration of TRIPS and Access to Medication in Sub-Saharan Africa (Palgrave, 2013), locates the effects–and ineffectualness–of a landmark international agreement for healthcare: the World Trade Organization’s “Trade-related Aspects of Intellectual Property Rights.” Cloatre takes seriously the idea of TRIPS as a technology in Bruno Latour’s meaning of the word–as a material object that anticipates effects in specific settings. Cloatre follows the text from its consolidation in European meeting halls to its use in the former French and British colonies of Ghana and Djibouti. Pills for the Poorest is a significant ethnography of law and healthcare in Africa that shows precisely how this paper tool begat new buildings, relationships, experts, and, indeed, pills, but only in particular places, among certain people, and for particular kinds of pharmaceuticals. Cloatre is a broadly trained scholar and tale

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