New Books in Medicine

On this episode of the Economic and Business History channel I spoke with Dr. Chinmay Tumbe, Assistant Professor of Economics at the Indian Institute of Management. He was Alfred D Chandler Jr. International Visiting Scholar in Business History, Harvard Business School in 2018. Dr, Tumbe has published academic articles in Management and Organizational History and in the Journal of Management History. He has written two books, one in 2018 India Moving: A History of Migration, which talks about how people have moved in India historically, and his 2020 book the Age of Pandemics 1817-1920: How They Shaped India and the World (HarperCollins, 2020). The book argues that the period between the early nineteenth century to the early twentieth century - an age otherwise known for the worldwide spread of the industrial revolution, imperialism, and globalization - was also the 'age of pandemics'. It documents the scale of devastation caused by different pandemics, cholera, the plague, influenza, and finally Covid. The book has great resources for the classroom and for the general public such as a timeline of pandemics, striking tables such as the death toll in millions for each epidemic, and a set of photographs at the end that is definitely worth viewing. Paula De La Cruz-Fernández is a consultant, historian, and digital editor. New Books Network en español editor. Edita CEO. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Rabbi Moses ben Nahman (1194–1270), known in English as Nahmanides and by the acronym the Ramban, was one of the most creative kabbalists, one of the deepest and most original biblical interpreters, and one of the greatest Talmudic scholars the Jewish tradition has ever produced. Join us as we talk with Moshe Halbertal about his recent book: Nahmanides: Law and Mysticism (Yale UP, 2020), where he provides a broad, systematic account of Nahmanides’s thought, exploring his conception of halakhah and his approach to the central concerns of medieval Jewish thought, as well as the relationship between Nahmanides’s kabbalah and mysticism and the existential religious drive that nourishes them. Moshe Halbertal is the John and Golda Cohen Professor of Jewish Thought and Philosophy at Hebrew University and Gruss Professor of Law at NYU Law School. He has also written Maimonides: Life and Thought. Michael Morales is Professor of Biblical Studies at Greenville Presbyterian Theological Seminary, and the author of The Tabernacle Pre-Figured: Cosmic Mountain Ideology in Genesis and Exodus(Peeters, 2012), Who Shall Ascend the Mountain of the Lord?: A Biblical Theology of Leviticus(IVP Academic, 2015), and Exodus Old and New: A Biblical Theology of Redemption(IVP Academic, 2020). He can be reached at [email protected] Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Distributing Condoms and Hope: The Racialized Politics of Youth Sexual Health (U California Press, 2020) is a feminist ethnographic account of how youth sexual health programs in the racially and economically stratified city of “Millerston” reproduce harm in the marginalized communities they are meant to serve. Chris Barcelos makes space for the stories of young mothers, who often recognize the narrow ways that public health professionals respond to pregnancies. Barcelos’s findings show that teachers, social workers, and nurses ignore systemic issues of race, class, and gender and instead advocate for individual-level solutions such as distributing condoms and promoting "hope." Through a lens of reproductive justice, Distributing Condoms and Hope imagines a different approach to serving marginalized youth—a support system that neither uses their lives as a basis for disciplinary public policies nor romanticizes their struggles. In our interview, Chris Barcelos explains how they use the framework of a “teen pregnancy prevention industrial complex” to illuminate the webs of power that ultimately serve to perpetuate the systemic social inequities leading to teen pregnancy. They describe the concept of “messiness” as it applies to deviations from social normativity, and how such deviations “mess up” society’s ideas of what is right and normal. Distributing Condoms and Hope forthrightly engages with messiness. One hopes it will have a real-world impact – for, as Barcelos observes, “It is easy to critique social structures while nonetheless continuing on with your day-to-day work in ways that do not incorporate those critiques.” Rachel Pagones teaches preventive medicine and public health in the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego, and she is a licensed acupuncturist. Her book about acupuncture as a tool of medical, social, and political revolution in the United States will be published later this year. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In Epidemic Illusions: On the Coloniality of Global Public Health (MIT Press, 2020), physician-anthropologist Eugene T. Richardson explores how public health practices—from epidemiological modeling to outbreak containment—help perpetuate global inequities. This book questions the Global North's "monopoly on truth" in global public health science, making a provocative claim: that public health science manages and maintains global health inequity. Richardson, a physician and anthropologist, examines the conventional public health approach to epidemiology through the lens of a participant-observer, identifying a dogmatic commitment to the quantitative paradigm. This paradigm, he argues, plays a role in causing and perpetrating public health crises. The mechanisms of public health science--and epidemiology in particular--that set public health agendas and claim a monopoly on truth stem from a colonial, racist, and patriarchal system that had its inception in 1492. Deploying a range of rhetorical tools, including ironism, “redescriptions” of public health crises, Platonic dialogue, flash fiction, allegory, and koan, Richardson describes how epidemiology uses models of disease causation that serve protected affluence (the possessing classes) by setting epistemic limits to the understanding of why some groups live sicker lives than others—limits that sustain predatory accumulation rather than challenge it. Drawing on his clinical work in a variety of epidemics, including Ebola in West Africa and the Democratic Republic of Congo, leishmania in the Sudan, HIV/TB in southern Africa, diphtheria in Bangladesh, and SARS-CoV-2 in the United States, he concludes that the biggest epidemic we currently face is an epidemic of illusions—one that is propagated by the coloniality of knowledge production. Eugene T. Richardson, MD, PhD, is Assistant Professor of Global Health and Social Medicine at Harvard Medical School, Visiting Faculty at the University of Global Health Equity in Butaro, Rwanda, and Chair of the Lancet Commission on Reparations and Redistributive Justice. Catriona Gold is a PhD candidate in Geography at University College London. Her current work concerns the politics of travel in Cold War US; she has previously published on US intervention in the 2013-16 Ebola epidemic. She can be reached by email or on Twitter. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Death and the dead body have never been more alive in the public imagination--not least because of current debates over modern medical technology that is deployed, it seems, expressly to keep human bodies from dying, blurring the boundary between alive and dead. In Technologies of the Human Corpse (MIT Press, 2020), John Troyer examines the relationship of the dead body with technology, both material and conceptual: the physical machines, political concepts, and sovereign institutions that humans use to classify, organize, repurpose, and transform the human corpse. Doing so, he asks readers to think about death, dying, and dead bodies in radically different ways. Troyer explains, for example, how technologies of the nineteenth century including embalming and photography, created our image of a dead body as quasi-atemporal, existing outside biological limits formerly enforced by decomposition. He describes the "Happy Death Movement" of the 1970s; the politics of HIV/AIDS corpse and the productive potential of the dead body; the provocations of the Body Worlds exhibits and their use of preserved dead bodies; the black market in human body parts; and the transformation of historic technologies of the human corpse into "death prevention technologies." The consequences of total control over death and the dead body, Troyer argues, are not liberation but the abandonment of Homo sapiens as a concept and a species. In this unique work, Troyer forces us to consider the increasing overlap between politics, dying, and the dead body in both general and specifically personal terms. Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

As soon as US media and politicians became aware of AIDS in the early 1980s, fingers were pointed not only at the gay community but also at other countries and migrant communities, particularly Haitians, as responsible for spreading the virus. Evangelical leaders, public health officials, and the Reagan administration quickly capitalized on widespread fear of the new disease to call for quarantines, immigration bans, and deportations, scapegoating and blaming HIV-positive migrants--even as the rest of the world regarded the US as the primary exporter of the virus. In The Borders of AIDS: Race, Quarantine, and Resistance (U Washington Press, 2021), Karma Chávez demonstrates how such calls proliferated and how failure to impose a quarantine for HIV-positive citizens morphed into the successful enactment of a complete ban on the regularization of HIV-positive migrants--which lasted more than twenty years. News reports, congressional records, and AIDS activist archives reveal how queer groups and migrant communities built fragile coalitions to fight against the alienation of themselves and others, asserting their capacity for resistance and resiliency. Building on existing histories of HIV/AIDS, public health, citizenship, and immigration, Chávez establishes how politicians and public health officials treated different communities with HIV/AIDS and highlights the work these communities did to resist alienation. You can get 30% off the cost of the book using the code WST30 when you are purchasing from the publishers University of Washington Press. Rachel Stuart is a sex work researcher whose primary interest is the lived experiences of sex workers. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Literature is a technology like any other. And the writers we revere--from Homer, Shakespeare, Austen, and others--each made a unique technical breakthrough that can be viewed as both a narrative and neuroscientific advancement. Literature's great invention was to address problems we could not solve: not how to start a fire or build a boat, but how to live and love; how to maintain courage in the face of death; how to account for the fact that we exist at all. Wonderworks: The 25 Most Powerful Inventions in the History of Literature (Simon & Schuster, 2021) reviews the blueprints for twenty-five of the most powerful developments in the history of literature. These inventions can be scientifically shown to alleviate grief, trauma, loneliness, anxiety, numbness, depression, pessimism, and ennui--all while sparking creativity, courage, love, empathy, hope, joy, and positive change. They can be found all throughout literature--from ancient Chinese lyrics to Shakespeare's plays, poetry to nursery rhymes and fairy tales, and crime novels to slave narratives. An easy-to-understand exploration of the new literary field of story science, Wonderworks teaches you everything you wish you learned in your English class. Based on author Angus Fletcher's own research, it is an eye-opening and thought-provoking work that offers us a new understanding of the power of literature. Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orthopedic surgeon. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Today on New Books in Gender Studies Jana Byars talks with Lindy McDougall, of Macquarie University in Sydney, Australia about her new book, The Perfect Vagina: Cosmetic Surgery in the Twenty-First Century, out this year, 2021, with Indiana University Press. In The Perfect Vagina, Lindy McDougall provides an ethnographic account of women who choose FGCS in Australia and the physicians who perform these procedures, both in Australia and globally, while also examining the environment in which surgeons and women come together. Physicians have a vested interest in establishing this surgery as valid medical intervention, despite majority medical opinion explicitly acknowledging that a wide range of genital variation is normal. McDougall offers a nuanced picture of why and how these procedures are performed and draws parallels between FGCS and anthropological discussions of female genital circumcision (cutting). Using the neologism biomagical, she argues that cosmetic surgery functions as both ritual and sacrifice due to its promise of transformation while simultaneously submitting the body to the risks and pain of surgery, thus exposing biomedicine as an increasingly cultural and commercial pursuit. The Perfect Vagina highlights the complexities involved with FGCS, its role in Western beauty culture, and the creation and control of body image in countries where self-care is valorized and medicine is increasingly harnessed for enhancement as well as health. Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Until now, the herbal traditions of the Ashkenazi people have remained unexplored and shrouded in mystery. Ashkenazi Herbalism: Rediscovering the Herbal Traditions of Eastern European Jews (North Atlantic Books, 2021) rediscovers the forgotten legacy of the Jewish medicinal plant healers who thrived in Eastern Europe’s Pale of Settlement, from their beginnings in the Middle Ages through the modern era. Including the first materia medica of 26 plants and herbs essential to Ashkenazi folk medicine, Ashkenazi Herbalism sheds light on the preparations, medicinal profiles, and applications of a rich but previously unknown herbal tradition–one hidden by language barriers, obscured by cultural misunderstandings, and nearly lost to history. Written for new and established practitioners, it offers illustrations, provides information on comparative medicinal practices, and illuminates the important historical and cultural contexts that gave rise to Eastern European Jewish herbalism. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

From the mid-nineteenth to the late twentieth centuries, Saint Elizabeths Hospital was one of the United States' most important institutions for the care and treatment of the mentally ill. Founded in 1855 to treat insane soldiers and sailors as well as civilian residents in the nation's capital, the institution became one of the country's preeminent research and teaching psychiatric hospitals. From the beginning of its operation, Saint Elizabeths admitted black patients, making it one of the few American asylums to do so. Martin Summers' book Madness in the City of Magnificent Intentions (Oxford UP, 2019) is a history of the hospital and its relationship to Washington, DC's African American community. It charts the history of Saint Elizabeths from its founding to the late-1980s, when the hospital's mission and capabilities changed as a result of deinstitutionalization, and its transfer from the federal government to the District of Columbia. Drawing on a wide variety of sources, including patient case files, the book demonstrates how race was central to virtually every aspect of the hospital's existence, from the ways in which psychiatrists understood mental illness and employed therapies to treat it to the ways that black patients experienced their institutionalization. The book argues that assumptions about the existence of distinctive black and white psyches shaped the therapeutic and diagnostic regimes in the hospital and left a legacy of poor treatment of African American patients, even after psychiatrists had begun to reject racialist conceptions of the psyche. Yet black patients and their communities asserted their own agency and exhibited a "rights consciousness" in large and small ways, from agitating for more equal treatment to attempting to manage the therapeutic experience. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Joseph Gfroerer spent nearly 40 years working as a statistician for the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA). Starting in 1988, when the American drug war was taking its current shape, he led the National Survey on Drug Use and Health (NSDUH), one of the federal government’s largest and most important ongoing health surveys that tracks Americans’ use of illegal drugs, prescription drugs, alcohol and tobacco. War Stories from the Drug Survey: How Culture, Politics, and Statistics Shaped the National Survey on Drug Use and Health (Cambridge UP, 2018), written after he retired, shows where the survey came from, details how it gathers information, and tracks the impact that the shifting cultural and political climate surrounding drug use played on how these statistics were understood. Gfroerer provides necessary insight on what drug use statistics have meant, how they’ve been used (and misused), and what this means for our understanding of drug use in America today. Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

A rich examination of the history of trans medicine and current day practice Surfacing in the mid-twentieth century, yet shrouded in social stigma, transgender medicine is now a rapidly growing medical field. In Trans Medicine: The Emergence and Practice of Treating Gender (NYU Press, 2021), stef shuster makes an important intervention in how we understand the development of this field and how it is being used to “treat” gender identity today. Drawing on interviews with medical providers as well as ethnographic and archival research, shuster examines how health professionals approach patients who seek gender-affirming care. From genital reconstructions to hormone injections, the practice of trans medicine charts new medical ground, compelling medical professionals to plan treatments without widescale clinical trials to back them up. Relying on cultural norms and gut instincts to inform their treatment plans, shuster shows how medical providers’ lack of clinical experience and scientific research undermines their ability to interact with patients, craft treatment plans, and make medical decisions. This situation defies how providers are trained to work with patients and creates uncertainty. As providers navigate the developing knowledge surrounding the medical care of trans folk, Trans Medicine offers a rare opportunity to understand how providers make decisions while facing challenges to their expertise and, in the process, have acquired authority not only over clinical outcomes, but over gender itself. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

How does understanding business help us understand sex? In The Business of Birth Control: Contraception and Commerce in Britain before the Sexual Revolution (Manchester UP, 2020), Claire Jones, a Senior Lecturer in the History of Medicine at the University of Kent, explores the intersection of commerce and medicine in the interwar period in Britain, as a way of rethinking both the history of contraception and the history of sex. The book uses new archival research, as well as perspectives from business history, to show changing attitudes and practices of people, clinics, and companies in the era before the contraceptive pill. Charting the rise of a new consumer culture, intertwined with company, technology, and medical history, the book is essential reading across the arts, humanities, and social sciences, as well as for anyone interested in sex! Dave O'Brien is Chancellor's Fellow, Cultural and Creative Industries, at the University of Edinburgh's College of Art. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

On this episode, J.J. Mull interviews scholar and historian Camille Robcis. In her most recent book, Disalienation: Politics, Philosophy, and Radical Psychiatry in Postwar France (University of Chicago Press, 2021), Robcis grapples with the historical, intellectual, psychiatric and psychoanalytic meaning of institutional psychotherapy as articulated at Saint-Alban Hospital in France by exploring the movement’s key thinkers, including François Tosquelles, Frantz Fanon, Félix Guattari, and Michel Foucault. Anchored in the history of one hospital, Robcis's study draws on a wide geographic context—revolutionary Spain, occupied France, colonial Algeria, and beyond—and charts the movement's place within a broad political-economic landscape, from fascism to Stalinism to postwar capitalism. J.J. Mull is a poet, training clinician, and graduate student at Smith College School for Social Work currently living in Northampton, MA. He can be reached at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Today we are talking with Becca Andrews, a journalist at Mother Jones, where she writes about reproductive rights and gender. The story we discuss is “When Choice is 221 Miles Away: The Nightmare of Getting an Abortion in the South” and its follow up. Becca’s debut work of nonfiction, No Choice, based on her Mother Jones cover story about the past, present, and future of Roe v. Wade, will be published by in 2022. Andrews is a graduate of UC Berkeley’s School of Journalism and wrote for newspapers in her home state of Tennessee. Agata Popeda is a Polish-American journalist. Interested in everything, with a particular weakness for literature and foreign relations. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Between the decriminalization of contraception in 1969 and the introduction of the Charter of Rights and Freedoms in 1982, a landmark decade in the struggle for women's rights, public discourse about birth control and family planning was transformed. At the same time, a transnational conversation about the "population bomb" that threatened global famine caused by overpopulation embraced birth control technologies for a different set of reasons, revisiting controversial ideas about eugenics, heredity, and degeneration. In Challenging Choices: Canada's Population Control in the 1970s (McGill-Queen's University Press, 2020), Erika Dyck and Maureen Lux argue that reproductive politics in 1970s Canada were shaped by competing ideologies on global population control, poverty, personal autonomy, race, and gender. For some Canadians the 1970s did not bring about an era of reproductive liberty but instead reinforced traditional power dynamics and paternalistic structures of authority. Dyck and Lux present case studies of four groups of Canadians who were routinely excluded from progressive, reformist discourse: Indigenous women and their communities, those with intellectual and physical disabilities, teenage girls, and men. In different ways, each faced new levels of government regulation, scrutiny, or state intervention as they negotiated their reproductive health, rights, and responsibilities in the so-called era of sexual liberation. While acknowledging the reproductive rights gains that were made in the 1970s, the authors argue that the legal changes affected Canadians differently depending on age, social position, gender, health status, and cultural background. Illustrating the many ways to plan a modern family, these case studies reveal how the relative merits of life and choice were pitted against each other to create a new moral landscape for evaluating classic questions about population control. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Overcoming Challenges in the Mental Capacity Act 2005: Practical Guidance for Working with Complex Issues (Jessica Kingsley Publishers, 2019) both delivers on what promises and more: it gives practical and ethical guidance for mental health law practitioners, and applicable tools to apply the Mental Capacity Act 2005. It also provides the ethical and philosophical justifications for doing so. This very useful book sets out the legal framework and within that shows how relationships can impact in both positive and negative ways. It demonstrates how autonomy can be supported within existing laws and practices and how to achieve excellent ethical standards in assessments of mental capacity and best interests. In navigating the complexities of mental capacity law and practice, this book is essential reading for students and practitioners of law, and for those who work in medicine, mental health services and social care. It is also of great significance for those interested in the task of law reform - legislators, researchers and philosophers alike will make great use of this book. This is an important book which provides insight into how the law can either support or obstruct the autonomy of people whose capacity comes into question. Dr. Camillia Kong is a Senior Research Fellow at the Institute for Crime and Justice Policy Research (ICPR) at Birkbeck, University of London. She is a moral and political philosopher with research expertise on medico-legal conceptualisation of mental capacity, the ethics of psychiatry and psychiatric genomics, and the hermeneutics and phenomenology of mental disorder. Alex Ruck Keene of 39 Essex Chambers, is an experienced barrister, writer and educator. His practice is focused on mental capacity and mental health law, in which he is able to provide specialist advice and representation, as well as delivering expert training for front line professionals. He also writes extensively in the field, including publishing the 39 Essex Chambers Mental Capacity Law Report, the ‘bible’ for solicitors (and others) working in the area. He holds a number of prestigious academic roles and is the creator of the website http://www.mentalcapacitylawandpolicy.org.uk/. Jane Richards is a doctoral student at the University of Hong Kong. You can find her on twitter where she follows all things related to human rights and Hong Kong politics @JaneRichardsHK Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The laws that govern psychiatric treatment under coercion have remain largely unchanged since the eighteenth century. But this is not because of their effectiveness, rather, these laws cling to outdated notions of disability, mental illness and mental disorder why deny the fundamental rights of this category of people on an equal basis with all others. In Men in White Coats: Treatment Under Coercion (Oxford University Press, 2017) Professor George Szmukler examines the violation of these rights, such as the right to autonomy, self-determination, liberty, and security and integrity of the person in the context of the domestic laws which themselves perpetuate ongoing discrimination against people with mental impairments. Tracing first the history of the medical coercion and involuntary treatment of people with mental illnesses and mental disorders, Professor Szmukler offers a potential path which he argues would end discrimination against this category of people. He puts forward a legal framework which is non-discriminatory and is based on a person's decision-making abilities and best interests, as opposed to a diagnosis. Crucially, he argues that this law is generic, and would not apply by reason of a person's mental disorder. His solution - Fusion Law - would better support people's autonomy, better engage with the Convention on the Rights of Persons with Disabilities, and have significant social value by recognising the dignity and equality of people with mental health impairments. It would also have implications for the forensics system, in particular, with regards to defendants who have mental disorders. Professor George Szmukler is a psychiatrist who started practising in the field as a trainee in 1972. He retired from clinical work in 2012, and is now an Emeritus Professor of Psychiatry and Society at the Institute of Psychiatry, Psychology and Neuroscience at King's college London. His major research now concerns methods of reducing compulsion and ’coercion’ in psychiatric care, for example, through the use of ’advance statements’. A related interest is mental health law, particularly the possibility of generic legislation centred on impaired decision-making capacity which would apply to all persons, regardless of the cause of the underlying disturbance of mental functioning. Jane Richards is a doctoral student at the University of Hong Kong. You can find her on twitter where she follows all things related to human rights and Hong Kong politics @JaneRichardsHK Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Doctors of the World, also known as Médecins du Monde, is an international network of more than 400 programmes across 80 different countries, providing emergency and long term medical care to the world's most vulnerable people. Whether it's urgent response in the Ukraine, mental healthcare to refugees in Calais, or strengthening the health systems in west Africa, DOTW respond based on the needs of the people they work with. In the UK, Doctors of the World run clinic and advocacy programmes in London that provide medical care, information and practical support to people often excluded from wider society such as destitute migrants, sex workers and people with no fixed abode. Their recent report Left out in the Cold: The extreme unmet health and service needs of street sex workers in East London before and during the Covid-19 pandemic highlights the devastating challenges that street sex workers have in accessing essential healthcare services, resulting in poor health outcomes. Rachel Stuart, one of the report's researchers and authors, spent 18 months speaking to women in Newham, East London, and she talks about the senseless violence and avoidable health issues faced by the women sex working there. Victoria Holt is a PhD student at the University of Roehampton researching sex workers' experiences of domestic violence. I'm co-convenor for the British Sociological Association's Violence Against Women and Girls study group, and a board member for the Sex Work Research Hub. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In this compelling history of the co-ordinated, transnational defence of medical experimentation in the nineteenth and early twentieth centuries, Rob Boddice explores the experience of vivisection as humanitarian practice. He captures the rise of the professional and specialist medical scientist, whose métier was animal experimentation, and whose guiding principle was 'humanity' or the reduction of the aggregate of suffering in the world. He also highlights the rhetorical rehearsal of scientific practices as humane and humanitarian, and connects these often defensive professions to meaningful changes in the experience of doing science. Humane Professions: The Defence of Experimental Medicine, 1876-1914 (Cambridge UP, 2021) examines the strategies employed by the medical establishment to try to cement an idea in the public consciousness: that the blood spilt in medical laboratories served a far-reaching human good. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Jeanne Simons devoted her career as a social worker and educator to the study, treatment, and care of children with autism. In 1955, she established the Linwood Children's Center in Ellicott City, Maryland, one of the first schools dedicated to children with autism. Her Linwood Model, developed there, was widely adopted and still forms the basis for a variety of autism intervention techniques. Incredibly—although unknown at the time—Jeanne was herself autistic. Behind the Mirror: The Story of a Pioneer in Autism Treatment and Her Work with Children on the Spectrum (Johns Hopkins UP, 2021) reveals the remarkable tale of Simons. In this interview I speak with Dr. Sabine Oishi, who co-author this book with Simons and also the book, the hidden child. Sabine Oishi, PhD, was educated first as a teacher and then as a child psychologist at the University of Geneva. She earned her PhD in child development and family therapy from the University of Maryland. She has worked as a teacher, researcher, and therapist both in Switzerland and the United States. With Jeanne Simons, she was the coauthor of The Hidden Child. Dr. Yakir Englander is the National Director of Leadership programs at the Israeli-American Council. He also teaches at the AJR. He can be reached at: [email protected] Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

To many mathematicians and math enthusiasts, the word "innumeracy" brings to mind popular writing like that of John Allen Paulos. But inequities in our quantitative reasoning skills have received considerable interest and attention from researchers lately, including in psychology, development, education, and public health. Innumeracy in the Wild: Misunderstanding and Misusing Numbers (Oxford University Press, 2020) is a unified treatment of these broad-ranging studies, from the ways more and less numerate people differ in our perceptions of risk and our number-based decisions to the roots of our numeric faculties and how we can make the best of them. Dr. Ellen Peters has made significant contributions to the subject and brings her expertise and an exceptional clarity to its presentation. Precious little of the research surveyed in her book could fit into this interview! We discussed the three components of numeric ability—objective numeracy, subjective numeracy, and the innate number sense—and how they vary within and across populations. We talked through some key lessons from this literature, such as the importance of calibrating our self-efficacy to our real ability and an awareness of how our cultural allegiances can drive even our mathematical reasoning. And we identified some of the essential personal habits and policy levers (early childhood education!!) available to us in our efforts to improve our individual numeracy and our collective numeric decision-making. For a firm grounding in the state of knowledge and urgent open questions, there may be no better resource for many years to come. Suggested companion works: Contributions from the labs of Isaac Lipkus, Angela Fagerlin, John Opfer, Edward Cokely, Rocio Garcia-Retamero, Jakub Traczyk, Agata Sobków, Wändi Bruine de Bruin, Keith Stanovich, and Valerie Reyna. Ellen Peters, Ph.D., is the Philip H. Knight Chair, and Director of the Center for Science Communication Research, in the University of Oregon’s School of Journalism and Communication. As a decision psychologist, she studies the basic building blocks of human judgment and decision making and their links with effective communication techniques and has published more than 150 peer-reviewed papers on these topics. She is former President of the Society for Judgment and Decision Making and a fellow of the American Association for the Advancement of Science, Association for Psychological Science, the American Psychological Association, and the Society for Experimental Social Psychology. She also works with federal agencies to advance decision and communication sciences in health and health policy, including having been Chair of FDA’s Risk Communication Advisory Committee and member of the NAS’s Science of Science Communication committee. She has been awarded the Jane Beattie Scientific Recognition Award and an NIH Group Merit Award. Finally, she has received extensive funding from the National Science Foundation and National Institutes of Health. Cory Brunson is a Research Assistant Professor at the Laboratory for Systems Medicine at the University of Florida. His research focuses on geometric and topological approaches to the analysis of medical and healthcare data. He welcomes book suggestions, listener feedback, and transparent supply chains. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Why do I feel bad? There is real power in understanding our bad feelings. With his classic Why We Get Sick, Dr. Randolph Nesse helped to establish the field of evolutionary medicine. Now he returns with Good Reasons for Bad Feelings: Insights from the Frontier of Evolutionary Psychiatry (Dutton, 2019), a book that transforms our understanding of mental disorders by exploring a fundamentally new question. Instead of asking why certain people suffer from mental illness, Nesse asks why natural selection has left us all with fragile minds. Drawing on revealing stories from his own clinical practice and insights from evolutionary biology, Nesse shows how negative emotions are useful in certain situations yet can become overwhelming. Anxiety protects us from harm in the face of danger, but false alarms are inevitable. Low moods prevent us from wasting effort in pursuit of unreachable goals, but they often escalate into pathological depression. Other mental disorders, such as addiction and anorexia, result from the mismatch between modern environment and our ancient human past. And there are good evolutionary reasons for sexual disorders and for why genes for schizophrenia persist. Taken together, these and many more insights help to explain the pervasiveness of human suffering and show us new paths for relieving it by understanding individuals as individuals. Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The New Books Network’s Van Leer Jerusalem Series on Ideas. Write her at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Military Medicine and the Making of Race: Life and Death in the West India Regiments (Cambridge University Press, 2020) by Tim Lockley demonstrates how Britain's black soldiers helped shape attitudes towards race throughout the nineteenth century. The West India Regiments were part of the British military establishment for 132 years, generating vast records with details about every one of their 100,000+ recruits which made them the best-documented group of black men in the Atlantic World. Tim Lockley shows how, in the late eighteenth century, surgeons established in medical literature that white and black bodies were radically different, forging a notion of the 'superhuman' black soldier able to undertake physical challenges far beyond white soldiers. By the late 1830s, however, military statisticians would contest these ideas and highlight the vulnerabilities of black soldiers instead. The popularity and pervasiveness of these publications spread far beyond British military or medical circles and had a significant international impact, particularly in the US, both reflecting and reinforcing changing notions about blackness. R. Grant Kleiser is a Ph.D. candidate in the Columbia University History Department. His dissertation researches the development of the free-port system in the eighteenth-century Caribbean, investigating the rationale for such moves towards “free trade” and the impact these policies had on subsequent philosophers, policy-makers, and revolutionaries in the Atlantic world. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Blood is messy, dangerous, and charged with meaning. By following it as it circulates through people and institutions, Jenny Bangham explores the intimate connections between the early infrastructures of blood transfusion and the development of human genetics. Focusing on mid-twentieth-century Britain, Blood Relations: Transfusion and the Making of Human Genetics (U Chicago Press, 2020) connects histories of eugenics to the local politics of giving blood, showing how the exchange of blood carved out networks that made human populations into objects of medical surveillance and scientific research. Bangham reveals how biology was transformed by two world wars, how scientists have worked to define racial categories, and how the practices and rhetoric of public health made genetics into a human science. Today, genetics is a powerful authority on human health and identity, and Blood Relations helps us understand how this authority was achieved. Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Freedom of choice lies at the heart of American society. Every day, individuals decide what to eat, which doctors to see, who to connect with online, and where to educate their children. Yet, many Americans don't realize that these choices are illusory at best. By the start of the 21st century, every major industrial sector in the global economy was controlled by no more than five transnational corporations, and in about a third of these sectors, a single company accounted for more than 40 percent of global sales. The available options in food, healthcare, education, transportation, and even online presence are largely constructed by corporations, whose sweeping influence have made them the public face and executive agents of 21st-century capitalism. At What Cost: Modern Capitalism and the Future of Health (Oxford UP, 2021) confronts how globalization, financial speculation, monopolies, and control of science and technology have enhanced the ability of corporations and their allies to overwhelm influences of government, family, community, and faith. As corporations manipulate demand through skillful marketing and veto the choices that undermine their bottom line, free consumer choice has all but disappeared, and with it, the personal protections guarding our collective health. At What Cost argues that the world created by 21st-century capitalism is simply not fit to solve our most serious public health problems, from climate change to opioid addiction. However, author and public health expert Nicholas Freudenberg also shows that though the road is steep, human and planetary well-being constitute a powerful mobilizing idea for a new social movement, one that will restore the power of individual voice to our democracy. With impeccably detailed research and an eye towards a better future, At What Cost arms ordinary citizens, activists, and health professionals with an understanding of how we've arrived at the precipice, and what we can do to ensure a healthier collective future. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The COVID-19 virus has brought the spotlight to respiratory health. Over the past year, we have become more aware than ever of cough and cold-like symptoms, fevers, feeling tired, shortness of breath and any other indicators that our immune system is fighting off an infection. But COVID-19 is not the only health condition to affect the respiratory system. Tuberculosis is one of many infectious bacterial diseases that share a number of symptoms with COVID-19, and can also result in death. Professor Gregory Fox talked to Dr Natali Pearson about his work on infectious lung disease in Vietnam, and how his research is contributing to better respiratory health outcomes throughout the country. Disclaimer: This podcast was recorded in February 201 and the COVID-19 situation in Vietnam has since changed. About Professor Gregory Fox: Greg is a respiratory physician, epidemiologist and clinical trialist committed to using research to improve health care among disadvantaged populations. He is clinical Academic Lead (Research) for the Faculty of Medicine and Health at Cumberland Campus. Greg's research interests include the epidemiology of infectious disease in resource-limited setting, cluster randomised trials, clinical trials and digital technologies to support health care. He also has interests in systematic reviews and meta-analyses, translation of evidence into policy, decision analysis and capacity building in research. You can follow Greg on Twitter @foxsimile. For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Everyone has heard of the term "pseudoscience", typically used to describe something that looks like science, but is somehow false, misleading, or unproven. Many would be able to agree on a list of things that fall under its umbrella-- astrology, phrenology, UFOlogy, creationism, and eugenics might come to mind. But defining what makes these fields "pseudo" is a far more complex issue. It has proved impossible to come up with a simple criterion that enables us to differentiate pseudoscience from genuine science. Given the virulence of contemporary disputes over the denial of climate change and anti-vaccination movements--both of which display allegations of "pseudoscience" on all sides-- there is a clear need to better understand issues of scientific demarcation. On the Fringe: Where Science Meets Pseudoscience (Oxford UP, 2021) explores the philosophical and historical attempts to address this problem of demarcation. This book argues that by understanding doctrines that are often seen as antithetical to science, we can learn a great deal about how science operated in the past and does today. This exploration raises several questions: How does a doctrine become demonized as pseudoscientific? Who has the authority to make these pronouncements? How is the status of science shaped by political or cultural contexts? How does pseudoscience differ from scientific fraud? Michael D. Gordin both answers these questions and guides readers along a bewildering array of marginalized doctrines, looking at parapsychology (ESP), Lysenkoism, scientific racism, and alchemy, among others, to better understand the struggle to define what science is and is not, and how the controversies have shifted over the centuries. On the Fringe provides a historical tour through many of these fringe fields in order to provide tools to think deeply about scientific controversies both in the past and in our present. Marshall Poe is the founder and editor of the New Books Network. He can be reached at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

A brief, elegant memoir of the author's work as a Red Cross volunteer delivering emergency water to residents of Flint, Michigan, Standpipe sets the struggles of a city in crisis against the author's personal journey as his mother declines into dementia and eventual death. Written with a poet's eye for detail and quiet metaphor, Standpipe: Delivering Water in Flint (Belt, 2021) is an intimate look at one man's engagement with both civic and familial trauma. This gentle, observant book is for readers seeking to better understand the human experience of the Flint Water Crisis, and a vivid investigation into how we all heal. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Cystic fibrosis was once a mysterious disease that killed infants and children. Now it could be the key to healing millions with genetic diseases of every type—from Alzheimer's and Parkinson's to diabetes and sickle cell anemia. In 1974, Joey O'Donnell was born with strange symptoms. His insatiable appetite, incessant vomiting, and a relentless cough—which shook his tiny, fragile body and made it difficult to draw breath—confounded doctors and caused his parents agonizing, sleepless nights. After six sickly months, his salty skin provided the critical clue: he was one of thousands of Americans with cystic fibrosis, an inherited lung disorder that would most likely kill him before his first birthday. The gene and mutation responsible for CF were found in 1989—discoveries that promised to lead to a cure for kids like Joey. But treatments unexpectedly failed and CF was deemed incurable. It was only after the Cystic Fibrosis Foundation, a grassroots organization founded by parents, formed an unprecedented partnership with a fledgling biotech company that transformative leaps in drug development were harnessed to produce groundbreaking new treatments: pills that could fix the crippled protein at the root of this deadly disease. From science writer Bijal P. Trivedi, Breath from Salt: A Deadly Genetic Disease, a New Era in Science, and the Patients and Families Who Changed Medicine Forever (Benbella, 2020) chronicles the riveting saga of cystic fibrosis, from its ancient origins to its identification in the dank autopsy room of a hospital basement, and from the CF gene's celebrated status as one of the first human disease genes ever discovered to the groundbreaking targeted genetic therapies that now promise to cure it. Told from the perspectives of the patients, families, physicians, scientists, and philanthropists fighting on the front lines, Breath from Salt is a remarkable story of unlikely scientific and medical firsts, of setbacks and successes, and of people who refused to give up hope—and a fascinating peek into the future of genetics and medicine. Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

How does egg freezing reshape our conception of time, aging and fertility? In her new monograph, Freezing Fertility: Oocyte Cryopreservation and the Gender Politics of Aging (NYU Press, 2020) Dr. Lucy van de Wiel explores the significance of egg freezing in re-orienting the temporality of the gender politics of aging. Dr. van de Wiel argues that it is critical to examine the politicized dimensions of egg freezing because it transforms the broader discourses around aging and normative timeline of women's reproduction even though the technology is only accessible for an elite few. Through a cultural analysis of popular media and documentaries to highlight the role of rhetoric in creating conditions that motivate women in making decisions about their reproductive futures, Dr. van de Wiel criticizes the moralistic boundaries between social and medical utilized by some state actors to condemn women who decide to freeze their eggs for their careers. Dr. van de Wiel also highlights the role of financialized capitalism in refiguring fertility under the investment logic of optimization to speculate on the potential risks posed by anticipated infertility. Egg freezing technology shows us how the biopolitical control of population shifted to managing fertility, which transcends national borders as frozen eggs circulate transnationally for assisted reproduction as well as stem cell research. An incredibly rich and nuanced book, Freezing Fertility would be an invaluable read for anyone who is interested in the politics of reproduction, ART, gendered politics of aging, mortality, life, and regeneration. Dr. Lucy van de Wiel is a Research Associate at the Reproductive Sociology Research Group (ReproSoc), University of Cambridge. Her research focuses on the social and cultural analysis of assisted reproductive technologies like egg freezing, time-lapse embryo selection and cross-border reproductive care. Da In Ann Choi is a PhD student at UCLA in the Gender Studies department. Her research interests include care labor and migration, reproductive justice, social movement, citizenship theory, and critical empire studies. She can be reached at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. 16 million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their seventies and eighties, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's: How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It (St. Martin's Press, 2021) traces Alzheimer’s from its beginnings to its recognition as a crisis. While it is an unambiguous account of decades of missed opportunities and our health care systems’ failures to take action, it tells the story of the biomedical breakthroughs that may allow Alzheimer’s to finally be prevented and treated by medicine and also presents an argument for how we can live with dementia: the ways patients can reclaim their autonomy and redefine their sense of self, how families can support their loved ones, and the innovative reforms we can make as a society that would give caregivers and patients better quality of life. Rich in science, history, and characters, The Problem of Alzheimer's takes us inside laboratories, patients' homes, caregivers’ support groups, progressive care communities, and Jason Karlawish's own practice at the Penn Memory Center. Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Exhale: Hope, Healing, and a Life in Transplant (Post Hill Press, 2021) is the riveting memoir of a top transplant doctor who rode the emotional rollercoaster of saving and losing lives—until it was time to step back and reassess his own life. A young father with a rare form of lung cancer who has been turned down for a transplant by several hospitals. A kid who was considered not “smart enough” to be worthy of a transplant. A young mother dying on the waiting list in front of her two small children. A father losing his oldest daughter after a transplant goes awry. The nights waiting for donor lungs to become available, understanding that someone needed to die so that another patient could live. These are some of the stories in Exhale, a memoir about Dr. Weill’s ten years spent directing the lung transplant program at Stanford. Through these stories, he shows not only the miracle of transplantation, but also how it is a very human endeavor performed by people with strengths and weaknesses, powerful attributes, and profound flaws. Exhale is an inside look at the world of high-stakes medicine, complete with the decisions that are confronted, the mistakes that are made, and the story of a transplant doctor’s slow recognition that he needed to step away from the front lines. This book is an exploration of holding on too tight, of losing one’s way, and of the power of another kind of decision—to leave behind everything for a fresh start. Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In More Than Medicine: Nurse Practitioners and the Problems They Solve for Patients, Health Care Organizations, and the State (Cornell UP, 2020), LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing "difficult people" for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs. Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine. She teaches and writes about health behavior in historical context. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Fungal infections are amongst the leading infectious disease killers globally. They result in more deaths than malaria, and almost as many as tuberculosis. However, they are often overlooked, and receive less research attention and funding than viral or bacterial infections. Over the past decade, this has started to change as the emergence of resistance in fungal pathogens has caused global alarm. New, resistant organisms have emerged, and old familiar ones have become harder to treat - agricultural antifungal use is thought to be driving these trends. Dr Justin Beardsley spoke to Dr Natali Pearson about the problem of resistant fungal infections in Vietnam, describing how agricultural practices are contributing, and what can be done to mitigate the risks. Justin is a New Zealand trained infectious disease specialist and clinical researcher. From 2012 to 2017, he was based in the Oxford University Clinical Research Unit in Ho Chi Minh City, where he was focused on fungal infections. There, he conducted a multinational randomised clinical trial into adjunctive steroid therapy for Cryptococcal Meningitis in Southeast Asia and Africa, alongside other work on the epidemiology of fungal infections, immune responses in Cryptococcal Meningitis, pharmacokinetics of anti-fungal drugs in the central nervous system, and temporal trends in cryptococcal drug susceptibility. His current research focuses on the emergence of anti-fungal drug resistance, especially in Southeast Asia. You can follow Justin on Twitter: @_jbeardsley_. For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Some books are new, others are newly relevant – and so worth looking at from a new, contemporary perspective. Such is the case with Susan Reverby’s book Examining Tuskegee: The Infamous Syphilis Study and its Legacy (UNC Press, 2013). When the book was published in 2009, our world was reeling from a global financial crisis that exposed how subprime mortgages disproportionately affected Black homeowners; today we reel from a global pandemic that has starkly exposed how Black Americans and other people of color are disproportionately affected by the virus SARS-CoV-2 and its effects. Another inequity connected to the pandemic relates to vaccine distribution and uptake: they are much lower among Black (and Latinx) than white Americans. Examining Tuskegee is a deeply researched work that ranges from the trial’s origins within a public health partnership between the Tuskegee Institute and the Public Health Service, to portraits of its protagonists – the researchers, the men who were its subjects, the complex Nurse Rivers, and the persistent Peter Buxton, whose efforts eventually exposed the full truth of the study after it ran for 40 years – to the ways it was portrayed in popular culture and the media, to matters of bioethics and presidential apologies. In our conversation, Susan Reverby explains what actually happened in the study – no, the men were not injected by the researchers with syphilis – what it meant 50 years ago, and how it pertains, or not, to issues such as vaccine hesitancy among African Americans today. Rachel Pagones is chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego and a licensed acupuncturist. Her third book, an examination of the history of acupuncture as a means of social and political revolution, is under contract with the University of Michigan Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Mary Brazelton’s new book, Mass Vaccination: Citizens’ Bodies and State Power in Modern China (Cornell UP, 2019) could hardly be more timely. During the Covid-19 pandemic, China was in the headlines of Euro-American media as the site of the first cases of the disease. China is also centerstage in Brazelton’s insightful, antiracist book—not as a source of disease but as the source of an effective and pervasive global public health strategy that other nations during the Covid-19 pandemic have strained to implement: mass vaccination. As a historian of modern China and a historian of medicine, Brazelton offers a trustworthy and well-documented account of the National Epidemic Prevention Board and its successor agencies during the republic’s war-torn twentieth century. The location—and relocation—of the Board and its refugee scientists was decisive, Brazelton argues. During World War II and Japanese occupation (1937-45), the Board’s labs and scientists decamped from China’s coastal cities to the mountainous southwest borderland of Yunnan—exactly because the area was rugged, sparsely populated, and far from China’s urban hubs. In Yunnan, scientists were not isolated, but rather set within an idiosyncratic health infrastructure and network of longstanding political rivals vying for sway in the region—including France to the south, UK to the east, the League of Nations in the capital, and everywhere indigenous rulers, who retained local authority as the Nationalist Party struggled to consolidate power in the early years of the republic. The distinctive geography, epidemiology, and communities of health knowledge in Yunnan channeled the Board’s research and strategies. This regional system, developed under the banner of the national Board, became the blueprint for public health interventions for the People’s Republic of China after the Communist Revolution (1949). In the 1970s because of its repressive practices, China was officially excluded from the global health community, which was dominated by Europe and the US under the World Health Organization. Yet, China’s program of mass vaccination and strategy of universal primary care directly informed practices of new and nonaligned countries. Brazelton’s important new book addresses a classic puzzle of biopolitics in the history of science and medicine: when and why did governing regimes build public health programs that prioritized changing people’s behaviors and values (sanitation, hygiene; mask wearing, social distancing) rather than changing people’s health with quick technical fixes—such as vaccination. The interview refers to the image on the book’s cover (also p130) and to the important, related work of Alicia Altorfer-Ong, Ruth Rogawski, and the Connecting Three Worlds project. The conversation was a collective interview by Vanderbilt students in Laura Stark’s course, American Medicine & the World. Laura Stark is Associate Professor at Vanderbilt University’s Center for Medicine, Health, and Society, and Associate Editor of the journal History & Theory. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Elise K. Burton’s important book, Genetic Crossroads: The Middle East and the Science of Human Heredity (Stanford University Press, 2021), documents how race and nation became fused in concept and in political practice. Over the past century, nation-building and race-making became interdependent through the sciences of heredity and their uses during wartimes and their aftermaths. The book provincializes Euro-American histories of science by centering the intrepid and non-innocent scientists from land along the eastern coastline of the Mediterranean Sea (often called by the imperial name of “Middle East”)—and their transnational networks. The book tracks how scientists’ reputations, access to resources, and interpretations of data shifted from the dissolution of the Ottoman Empire, the repackaged race science around World War II, the 1967 Six-Day War, and the lingering state-backed violence of the present day. The sciences of heredity—including physical anthropology and medical genetics—have continued to be used to justify violence and territorial occupation, as much as humanitarian “resettlement” programs, storage of biospecimen, and building of research infrastructures for a cosmopolitan science. Today, “the anti-racist, progressive discourses surrounding contemporary human genome projects have so far been unable to overcome the territorial regimes and ethnic concepts produced by a century of conflict,” Burton writes, because “nationalism is sustained by particular practices of human genetics research—specifically, the need to describe human populations according to geography and ancestral history, coinciding with the two major constituent elements of the nation-state paradigm.” The interview refers to the important, related work of Jenny Bangham, Emma Kowal, Joanna Radin, Gayle Rubin, and Kim TallBear. The conversation was a collective interview by Vanderbilt Master’s students in Laura Stark’s seminar, Critical Bioethics: Jazmyn Ayers, Kell Coney, Anyssa Francis, Caroline Goodman, Lily Jaremski, Natalie Jones, Ashley Mullen, Enna Pehadzic, Olivia Post, Karrie Raymond, Christina Rosca, Cecile Sahel, Chad Smith, and McKenzie Yates. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

On 13 January 2020, Thailand confirmed the first known case of COVID-19 outside of China. As one of the world's most popular tourism destinations, with the majority of its travellers coming from China, this news came as no surprise. One year on, COVID-19 cases and related deaths have remained remarkably low in Thailand, and the country’s management of the pandemic has been hailed as a striking success. So what's the secret behind Thailand's COVID-19 response? Dr Anjalee Cohen joined Dr Natali Pearson to explore the many factors that have contributed to Thailand’s success in managing COVID-19 thus far, including the country’s long history of public healthcare, the overturning of medical elitism, the influence of certain cultural practices, and the critical role played by Thailand’s village health volunteers. Anjalee Cohen is a senior lecturer in the anthropology department at the University of Sydney. She joined the department in 2010 following research positions at the Brain and Mind Centre, University of Sydney, and the National Drug and Alcohol Research Centre, University of New South Wales. She specialises in medical anthropology and Northern Thailand. She has published on youth mental healthcare experiences in Australia, methamphetamine use among northern Thai youth, as well as northern Thai youth subcultures, including violent youth gangs. She is author of Youth Culture and Identity in Northern Thailand: Fitting in and sticking out (Routledge 2020), which explores how young people in urban Chiang Mai construct a sense of community and identity at the intersection of global capitalism, national ideologies and local culture. Her current research focuses on the role and success of Thailand’s village health volunteers in preventing and controlling the COVID-19 pandemic. For more information or to browse additional resources, visit the Sydney Southeast Asia Centre’s website: www.sydney.edu.au/sseac. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The Emergence of Modern Hospital Management and Organisation in the World 1880s-1930s (Emerald, 2021) uses a range of empirical evidence and case studies drawn from previously unpublished archival sources to offer one of the first international comparative studies on the transformation and modernization of hospital management globally, a century ago. Focusing on the key years between the 1880s and the 1930s, when millions of people crossed the globe and created new large health care needs in the largest cities of the world, Paloma Fernández-Pérez analyzes core themes from a business history perspective, like organization, ownership and the professionalization of management, to reach a new understanding about the history of modern large scale healthcare institutions from the United States to China, with particular attention to Spain. Paloma Fernández Pérez (PhD. in History University of California, Berkeley) is Professor of Economic History at the University of Barcelona. She is currently also a member of the Academic Board of the Emerging Markets Institute of the University of Cornell and an Invited Project Professor of the University of Kyoto in Japan. She is the founder, and coeditor in chief of the Journal of Evolutionary Studies in Business recently accepted for indexation in the Scopus database of journal Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Decades of data cannot be ignored: African American adults are far more likely to develop Type 2 diabetes than white adults. But has science gone so far in racializing diabetes as to undermine the search for solutions? In a rousing indictment of the idea that notions of biological race should drive scientific inquiry, Sweetness in the Blood: Race, Risk, and Type 2 Diabetes (University of Minnesota Press, 2021) provides an ethnographic picture of biotechnology’s framings of Type 2 diabetes risk and race and, importantly, offers a critical examination of the assumptions behind the recruitment of African American and African-descent populations for Type 2 diabetes research. James Doucet-Battle begins with a historical overview of how diabetes has been researched and framed racially over the past century, chronicling one company’s efforts to recruit African Americans to test their new diabetes risk-score algorithm with the aim of increasing the clinical and market value of the firm’s technology. He considers African American reticence about participation in biomedical research and examines race and health disparities in light of advances in genomic sequencing technology. Doucet-Battle concludes by emphasizing that genomic research into sub-Saharan ancestry in fact underlines the importance of analyzing gender before attempting to understand the notion of race. No disease reveals this more than Type 2 diabetes. Sweetness in the Blood challenges the notion that the best approach to understanding, managing, and curing Type 2 diabetes is through the lens of race. It also transforms how we think about sugar, filling a neglected gap between the sugar- and molasses-sweetened past of the enslaved African laborer and the high-fructose corn syrup- and corporate-fed body of the contemporary consumer-laborer. Rachel Pagones is chair of the doctoral program in acupuncture and Chinese medicine at Pacific College of Health and Science in San Diego and a licensed acupuncturist. Her book about acupuncture as a tool of medical, social, and political revolution in the United States is under contract with University of Michigan Press. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

If health policy truly seeks to improve population health and reduce health disparities, addressing homelessness must be a priority. Homelessness is a public health problem. Nearly a decade after the great recession of 2008, homelessness rates are once again rising across the United States, with the number of persons experiencing homelessness surpassing the number of individuals suffering from opioid use disorders annually. Homelessness presents serious adverse consequences for physical and mental health, and ultimately worsens health disparities for already at-risk low-income and minority populations. While some state-level policies have been implemented to address homelessness, these services are often not designed to target chronic homelessness and subsequently fail in policy implementation by engendering barriers to local homeless policy solutions. In the face of this crisis, Ungoverned and Out of Sight: Public Health and the Political Crisis of Homelessness in the United States (Oxford University Press, 2021) seeks to understand the political processes influencing adoption of best-practice solutions to reduce chronic homelessness in US municipalities. Drawing on unique research from three exemplar municipal case studies in San Francisco, CA, Atlanta, GA, and Shreveport, LA, this volume explores conflicting policy solutions in the highly decentralized homeless policy space and provides recommendations to improve homeless governance systems and deliver policies that will successfully diminish chronic homelessness. Until issues of authority and fragmentation across competing or misaligned policy spaces are addressed through improved coordination and oversight, local and national policies intended to reduce homelessness may not succeed. Stephen Pimpare is director of the Public Service & Nonprofit Leadership program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

MeaningFULL: 23 Life Changing Stories of Conquering Dieting, Weight, & Body Image Issues (Unsolicited Press, 2021) is a blend of motivational self-help, memoir, psychology, and health and wellness. Alli Spotts-De Lazzer is a Licensed Marriage and Family Therapist, an expert in eating and body image issues, and a woman on the other side of her own decades-long struggle with food and body. A $702 billion global diet/nutrition and weight loss industry shows that people worldwide are devoted to achieving maximum health and their desired bodies. Yet mainstream approaches are failing these individuals, and sadly, science proves this. Intent on gaining the "health" and "happiness" that diets promise, consumers keep trying. They become sad and frustrated, believing they're failing when they're not. They simply need a legitimate, alternative path, which MeaningFULL offers. Through the contributors' diverse, real-life mini-memoirs followed by Spotts-De Lazzer's commentaries, readers will learn about themselves and discover their unique, unconventional formulas for conquering their issues. Along the way, MeaningFULL will also guide them towards more self-appreciation, wellness, and fulfillment. Alli Spotts-De Lazzer is a Licensed Marriage and Family Therapist, a Licensed Professional Clinical Counselor, a CEDS Certified Eating Disorders Specialist, a CEDS Supervisor, and a person on the other side of her own decades-long struggle with food battles and body dislike. Alli has presented educational workshops at conferences, graduate schools, and hospitals; published articles in academic journals, trade magazines, and online information hubs; and appeared as an eating disorders expert on local news. For more information you can visit her website https://therapyhelps.us/ Her professional-related volunteerism includes co-chairing committees for both the International Association of Eating Disorders Professionals and the Academy for Eating Disorders and creating #ShakeIt for Self-Acceptance!(R), a series of public events sparking conversations about self-acceptance through fun, motivating messages. She was named the 2017 iaedp Member of the Year, and Mayor Garcetti declared July 13, 2017 #ShakeIt for Self-Acceptance! Day in the City of Los Angeles. Alli feels fortunate to share MeaningFULL with readers. She regards it as the book I needed years ago. Elizabeth Cronin, Psy.D., is a licensed clinical psychologist and mindfulness meditation teacher with offices in Brookline and Norwood, MA. You can follow her on Instagram or visit her website. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The conventional approach to suicide is psychiatric: ask the average person why people kill themselves, and they will likely cite depression. But this approach fails to recognize suicide’s social causes. People kill themselves because of breakups and divorces, because of lost jobs and ruined finances, because of public humiliations and the threat of arrest. While some psychological approaches address external stressors, this comprehensive study is the first to systematically examine suicide as a social behavior with social catalysts. Drawing on Donald Black’s theories of conflict management and pure sociology, Suicide: The Social Causes of Self-Destruction (University of Virginia Press, 2020) presents a new theory of the social conditions that compel an aggrieved person to turn to self-destruction. Interpersonal conflict plays a central but under-appreciated role in the incidence of suicide. Examining a wide range of cross-cultural cases, Jason Manning argues that suicide arises from increased inequality and decreasing intimacy, and that conflicts are more likely to become suicidal when they occur in a context of social inferiority. As suicide rates continue to rise around the world, this timely new theory can help clinicians, scholars, and members of the general public to explain and predict patterns of self-destructive behavior. Renee Garfinkel, Ph.D. is a psychologist, writer, Middle East television commentator and host of The New Books Network’s Van Leer Jerusalem Series on Ideas. Write her at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

"Antipsychiatry," Esalen, psychedelics, and DSM III: Radical challenges to psychiatry and the conventional treatment of mental health in the 1970s. The upheavals of the 1960s gave way to a decade of disruptions in the 1970s, and among the rattled fixtures of American society was mainstream psychiatry. A "Radical Caucus" formed within the psychiatric profession and the "antipsychiatry" movement arose. Critics charged that the mental health establishment was complicit with the military-industrial complex, patients were released from mental institutions, and powerful antipsychotic drugs became available. Meanwhile, practitioners and patients experimented with new approaches to mental health, from primal screaming and the therapeutic use of psychedelics to a new reliance on quantification. In Break on Through: Radical Psychiatry and the American Counterculture (MIT Press, 2020), Lucas Richert investigates the radical challenges to psychiatry and to the conventional treatment of mental health that emerged in the 1970s and the lessons they offer for current debates. Drawing on archives and government documents, medical journals, and interviews, and interweaving references to pop (counter)culture into his account, Richert offers fascinating stories of the decade's radical mental health practices. He discusses anti-Vietnam War activism and the new diagnosis of post-traumatic stress disorder given to some veterans; the radical psychiatrists who fought the system (and each other); the entry of New Age-style therapies, including Esalen's Human Potential Movement, into the laissez-faire therapeutic marketplace of the 1970s; the development of DSM III; and the use of LSD, cannabis, and MDMA. Many of these issues have resonance today. Debates over medical marijuana and microdoses of psychedelics echo debates of the 1970s. With rising rates of such disorders as anxiety and depression, practitioners and patients continue to search for therapeutic breakthroughs. C.J. Valasek is a Ph.D. Candidate in Sociology & Science Studies at the University of California San Diego. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

As the push for a Universal Healthcare system in the United States becomes more and more popular among the American people, we’re beginning to have more public conversations about access to and affordability of medical care. While many of us may not consider our health insurance until we need it, for those with chronic conditions, the American medical system can be a nightmare of insurance claims bureaucracy and that prevents patients from getting the care they need at a cost they can afford. Worse, the rising prices of drugs and treatments developed in this for-profit system mean that some patients receive more medical care than they want or need, sometimes at the expense of their quality of life. When a young Katherine E. Standefer was suddenly diagnosed with Long QT Syndrome—the same congenital heart condition as her younger sister—she was faced with what felt like an impossible choice: implant a cardiac defibrillator and be forever tied to the American Medical System, or take a chance with death. In her stunning debut, Lightning Flowers: My Journey to Uncover the Cost of Saving a Life (Little, Brown, Spark, 2020) Standefer explores this system as both a patient and a consumer, visiting factories in California as well as mining communities in Rwanda and Madagascar where the metals in her defibrillator were sourced to learn more about the true human cost of the device that was meant to save her life. Throughout, Standefer wonders whether her life is worth this price, and asks us to reimagine approaches to care—both in medical and environmental. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

A compassionate and captivating examination of evolving attitudes toward mental illness throughout history and the fight to end the stigma. For centuries, scientists and society cast moral judgments on anyone deemed mentally ill, confining many to asylums. In Nobody's Normal: How Culture Created the Stigma of Mental Illness (W. W. Norton & Company, 2021), anthropologist Roy Richard Grinker chronicles the progress and setbacks in the struggle against mental-illness stigma—from the eighteenth century, through America’s major wars, and into today’s high-tech economy. Nobody’s Normal argues that stigma is a social process that can be explained through cultural history, a process that began the moment we defined mental illness, that we learn from within our communities, and that we ultimately have the power to change. Though the legacies of shame and secrecy are still with us today, Grinker writes that we are at the cusp of ending the marginalization of the mentally ill. In the twenty-first century, mental illnesses are fast becoming a more accepted and visible part of human diversity. Grinker infuses the book with the personal history of his family’s four generations of involvement in psychiatry, including his grandfather’s analysis with Sigmund Freud, his own daughter’s experience with autism, and culminating in his research on neurodiversity. Drawing on cutting-edge science, historical archives, and cross-cultural research in Africa and Asia, Grinker takes readers on an international journey to discover the origins of, and variances in, our cultural response to neurodiversity. Urgent, eye-opening, and ultimately hopeful, Nobody’s Normal explains how we are transforming mental illness and offers a path to end the shadow of stigma. Galina Limorenko is a doctoral candidate in Neuroscience with a focus on biochemistry and molecular biology of neurodegenerative diseases at EPFL in Switzerland. To discuss and propose the book for an interview you can reach her at [email protected]. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

We are here today with Sara Ritchey, associate professor of history at the University of Tennessee in Knoxville, TN, about her new book, Acts of Care: Recovering Women in Late Medieval Health, out with Cornell University Press this year, 2021. The author of Holy Matter: Changing Perceptions of the Material World in Late Medieval Christianity (Cornell, 2014) and numerous articles, including “Caring by the Hours: the Psalter as a Source of Gendered Healthcare,” “Health, Healing, and Salvation: Hagiography as a Source of Medieval Healthcare,” “The Wound’s Presence and Bodily Absence: The Experience of God in a Fourteenth-Century Manuscript,” Dr. Ritchey discusses her profound understanding in the intersection of religious practice (writ large) and the practice of medicine (writ large) in the Medieval era. In Acts of Care, Sara Ritchey recovers women's healthcare work by identifying previously overlooked tools of care: healing prayers, birthing indulgences, medical blessings, liturgical images, and penitential practices. Ritchey demonstrates that women in premodern Europe were both deeply engaged with and highly knowledgeable about health, the body, and therapeutic practices, but their critical role in medieval healthcare has been obscured because scholars have erroneously regarded the evidence of their activities as religious rather than medical. The sources for identifying the scope of medieval women's health knowledge and healthcare practice, Ritchey argues, are not found in academic medical treatises. Rather, she follows fragile traces detectable in liturgy, miracles, poetry, hagiographic narratives, meditations, sacred objects, and the daily behaviors that constituted the world, as well as in testaments and land transactions from hospitals and leprosaria established and staffed by beguines and Cistercian nuns. Through its surprising use of alternate sources, Acts of Care reconstructs the vital caregiving practices of religious women in the southern Low Countries, reconnecting women's therapeutic authority into the everyday world of late medieval healthcare. Jana Byars is the Academic Director of Netherlands: International Perspectives on Sexuality and Gender. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

As we mark the one-year anniversary of the COIVD-19 pandemic, take the time to listen to this discussion of previous efforts to fight yellow fever, cholera, and plague pandemics. Lukas Engelmann and Christos Lynteris’s Sulfuric Utopias: A History Maritime Fumigation (MIT Press, 2020) tells the story of the international dream of stopping the spread of infectious disease in global shipping networks. Their work shows how the interests of capitalism clashed with the efforts of public health officials. At the center of their narrative lies the Clayton, a machine which combined technocratic enthusiasm and necropolitical logic. Sulfuric Utopias brings together the history disease, capitalism, public health, and science. It is both a contribution to maritime history and urban history. Personally, I was so excited to interview two authors who know more about the history of rat killing than I do. Lukas Engelmann is a Chancellor's Fellow in the History and Sociology of Biomedicine, in the department of Science, Technology and Innovation Studies at the University of Edinburgh. Christos Lynteris is a Senior Lecturer in Social Anthropology at the University of St. Andrews. Michael G. Vann is a professor of world history at California State University, Sacramento. A specialist in imperialism and the Cold War in Southeast Asia, he is the author of The Great Hanoi Rat Hunt: Empires, Disease, and Modernity in French Colonial Vietnam (Oxford University Press, 2018). When he’s not reading or talking about new books with smart people, Mike can be found surfing in Santa Cruz, California. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Medicine is most often understood through the metaphor of war. We encounter phrases such as “the war against the coronavirus,” “the front lines of the Ebola crisis,” “a new weapon against antibiotic resistance,” or “the immune system fights cancer” without considering their assumptions, implications, and history. But there is nothing natural about this language. It does not have to be, nor has it always been, the way to understand the relationship between humans and disease. Medicine Is War: The Martial Metaphor in Victorian Literature and Culture (SUNY Press, 2021) shows how this “martial metaphor” was popularized throughout the nineteenth century. Drawing on the works of Mary Shelley, Charles Kingsley, Bram Stoker, Arthur Conan Doyle, and Joseph Conrad, Lorenzo Servitje examines how literary form reflected, reinforced, and critiqued the convergence of militarism and medicine in Victorian culture. He considers how, in migrating from military medicine to the civilian sphere, this metaphor responded to the developments and dangers of modernity: urbanization, industrialization, government intervention, imperial contact, crime, changing gender relations, and the relationship between the one and the many. While cultural and literary scholars have attributed the metaphor to late nineteenth-century germ theory or immunology, this book offers a new, more expansive history stretching from the metaphor’s roots in early nineteenth-century militarism to its consolidation during the rise of early twentieth-century pharmacology. In so doing, Servitje establishes literature’s pivotal role in shaping what war has made thinkable and actionable under medicine’s increasing jurisdiction in our lives. Medicine Is War reveals how, in our own moment, the metaphor remains conducive to harming as much as healing, to control as much as empowerment. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine