New Books in Medicine

In his 1948 essay, “Harlem is Nowhere,” Ralph Ellison decried the psychological disparity between formal equality and discrimination faced by Blacks after the Great Migration as leaving “even the most balanced Negro open to anxiety.” In Under the Strain of Color: Harlem’s Lafargue Clinic and the Promise of an Antiracist Psychiatry (Cornell University Press, 2015), Gabriel Mendes undertakes an engaging study of race and mental health in the 20th century through the lens of an overlooked Harlem clinic. While providing the first in-depth history of the Lafargue Clinic (1946-58), the book focuses on the figures who came together in a seemingly unlikely union to found it: Richard Wright, the prominent author; Fredric Wertham, a German Jewish emigre psychiatrist now known for his advocacy for censorship of comic books; and The Reverend Shelton Hale Bishop, an important Harlem pastor. Wright’s literary prowess, work for the Communist party, and brush with Chicago School sociology met with Wertham’s socially-conscious and uncompromising brand of psychoanalysis to challenge mainstream psychiatric theory and its discriminatory practices in the Jim Crow North. Those who could afford it were charged 25 cents for sessions in the basement of St. Philip’s Episcopal church in Harlem, and 50 cents for court testimonials. A thoroughgoing grassroots effort, ignored by philanthropists and state funding, the Lafargue Clinic throws mid-20th Century mental health and race relations into relief, and is sure to stir interest in the untold stories of projects like it. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Daniel E. Dawes has written 150 Years of ObamaCare (Johns Hopkins University Press, 2016). Dawes is the executive director of health policy and external affairs at Morehouse School of Medicine and a lecturer within Morehouse’s Satcher Health Leadership Institute and Department of Community Health and Preventive Medicine. In 150 Years of ObamaCare, Dawes tells the long and often forgotten history of the nearly two century fight for health care equity that culminated in the passage of the Affordable Care Act or ObamaCare. He draws on his role as a leader in a large coalition of organizations that helped shape ObamaCare, revealing what went on behind the scenes. He illustrates this with copies of letters and e-mails written by those who worked to craft and pass the law. Ultimately, Dawes argues that ObamaCare is much more comprehensive in the historical context of previous reform efforts that go back to the Civil War. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Rebecca Lemov‘s beautifully written Database of Dreams: The Lost Quest to Catalog Humanity (Yale University Press, 2015) is at once an exploration of mid-century social science through paths less traveled and the tale of a forgotten future. The book is anchored around the story of Harvard-trained social scientist Bert Kaplan, who embarked on, in her words, a dizzyingly ambitious 1950s-era project to capture peoples dreams in large amounts and store them in an experimental data bank. While unique in scope, Kaplan’s project can be characterized as the culmination of efforts to apply techniques of personality capture–projective testing, dream analysis, and life history–in cross-cultural research on indigenous peoples, an effort to account for the full spectrum of human life amidst the encroachment of modernity upon cultures based, for example, in oral traditions. Richly documenting the entanglements of Kaplan and others in their attempts to render subjects as data, Lemov throws the transactional nature of anthropology into relief. A data point for an ethnographer can be many things for a research subject: cash for buying American niceties, a beer, a dream lost in the act of recounting, even a permanent mark of distrust. The book is also a history of a technology which never came to fruition: the futuristic reader for Kaplan’s Microcards was never realized, and the boxes of cards became dispersed and lost their value as a total archive of human personality. Lemov argues that we would do well to regard the fate of Kaplan’s database as a parable for our age by calling attention to the information loss upon which the technologies of documentation that saturate our present rely. What, then, will become of our compressed audio files, forgotten social media accounts, and backup hard drives stashed in the back corners of drawers? Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

How is the medical profession regulated in a ‘risk society’. This is the core question of John M. Chamberlain‘s Medical Regulation, Fitness to Practice and Revalidation: A Critical Introduction (Policy Press, 2015). Chamberlain, an associate professor of medical criminology at the University of Southampton, explores both the history of the medical profession as well as recent attempts to regulate and manage medicine’s relationship with society. The book focuses on how practitioners are judged to be fit, or not, to practice, in the context of both transformations of the profession and high profile scandals. The text brings together an analysis of the impact of new modes of regulation, particularly in terms of numbers of doctors sanctioned for poor practice, with theories of the sociology of professions and risk society. Focused on the UK, the book has important global implications and is essential reading for anyone interested in contemporary medical practice, as well as those working on professions, risk and sociology more generally. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Carin Berkowitz‘s new book takes readers into the world of nineteenth century London to explore the landscape of medicine and surgery along with Charles Bell, artist-anatomist-teacher-natural philosopher. Charles Bell and the Anatomy of Reform (University of Chicago Press, 2015) looks closely at the involvement of Bell and others in a project of conservative reform in nineteenth century British medical education. We follow Berkowitz not only into the pages of the works that made Bell famous, but also into the classrooms in which Bell advocated a pedagogy that trained hand and eye together and developed his interest in systems of all sorts, including the nerves, education, and display. Readers will learn about the growth of a new genre of medical weeklies that changed the public face of medicine, the founding of new institutions that changed the teaching of medicine, and the controversy over motor and sensory nerves that accompanied major transformations in the medical science of Bell’s lifetime. It is a fascinating story that honors the importance of the history of education in shaping the histories of science and medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

I love this book, am using its recipes, and was thrilled to interview Dr. Koufman, an iconoclast who appears poised to torpedo a terribly wasteful and dangerous arm of the pharmaceutical-industrial complex. As the advertising copy for Dr. Koufman’s Acid Reflux Diet (Katalitix, 2015) notes: “Combining 35 years of work in the field of acid reflux, including scientific research and the treatment of thousands of patients at the Voice Institute of New York, Dr. Jamie Koufman has identified the causes and the cures for this much-misunderstood health crisis.” The opening section of the book explains the science of why this diet works, and the contains recipes. Our talk covered science along with the doctor’s personal biography. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In his book, Schizophrenia: A Brother Finds Answers in Biological Science (Johns Hopkins University Press, 2013), biologist Ronald Chase explores the frequently misunderstood condition through an engaging combination of scientific exploration and personal memoir. In recounting the life of his older brother, Jim, who was a bright young graduate student at UCLA when his episodes began to intensify, Chase tells the story of how the treatment of schizophrenia has changed since the 1950s, connecting events in his own life to research on the causation and treatment of schizophrenia. He grapples with difficult questions about why the condition persists from an evolutionary perspective, and the stigma associated with it. Chase takes a hard line on the physical nature of schizophrenia; only by accepting it as a disorder of the biological brain, rather than the moral mind, can we begin to find the right, albeit complex answers and accommodate those who suffer from the condition. Though individuals with schizophrenia can live long lives, Chase’s meetings with Jim call upon the reader to ask themselves how we, as a society, can help make these lives more meaningful. This book is essential reading for those interested in the stories behind brain disorders, and those who want to learn more about how mental illness has changed over the last 50 years. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In his second visit with New Books in Psychoanalysis, Christopher Bollas elucidates his thinking about schizophrenia. But he also does more than that; because his beginnings as a clinician are intimately intertwined with the treatment of psychosis, the ways in which this early exposure colors all of his clinical thinking becomes apparent. Indeed, in psychoanalysis we could say that there are two kinds of clinicians–those who treat psychosis and those who don’t. Bollas is clearly in the former camp. One wonders, given the centrality of psychosis in his theoretical work, if he would have been drawn to analytic work had he not started with the most primitive of human experiences? We meet him as an undergraduate at UC Berkeley, studying history, working at a program for autistic and psychotic children presumably to pay the bills. We follow him to SUNY-Buffalo where, while pursuing his PhD in literature, he encounters psychotic students in a class he is teaching, walks across the campus to the clinic, asks if he might work there as a clinician and is brought on staff. (Those were the days…) It is worth noting that Bollas, one of the most renown thinkers in psychoanalysis, began as a lay practitioner (he has an MSW which I presume he acquired so as to practice in this country). His longing for a clinical life, pursued while completing his studies in the humanities, seems to have been piqued by his encounters with psychosis. While Bollas is one of the profession’s strongest critics of the medicalization of psychosis, he always works with a team that includes an MD, a social worker and others when treating schizophrenia. His role on the team is to help the person suffering from psychosis to talk and also, crucially, to historicize. (Interestingly, the book includes a chapter that shows him at work as an American historian.) He reminds us that seeing psychosis as “other” places those who begin to have nascent-to-florid psychotic experiences at ever greater risk of being lost to us and to themselves, forever. He minces no words as he argues on behalf of the psychotic persons need for speech. “We all know the wisdom of talking. In trouble, we turn to another. Being listened to inevitably generates new perspective, and the help we get lies not only in what is said but in that human connection intrinsic to the therapeutic process of talking that promotes unconscious thinking.” Indeed the barrage of medications on offer alongside treatment modalities that give short shrift to speech, run the risk of increasing isolation and blurring the mind which in turn increases psychosis. As is his wont, Bollas turns common treatment logic on its head: “the loss of un-selfconscious participation in the everyday …constitutes the gravest tragedy for the adult schizophrenic.” There is a way back, he argues, but, and here I riff on his thinking, only if the culture comes to understand anew what it means to be human. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Janet Gyatso‘s new book is a masterfully researched, compellingly written, and gorgeously illustrated history of medicine in early modern Tibet that looks carefully at the relationships between medicine and religion in this context. Being Human in a Buddhist World: An Intellectual History of Medicine in Early Modern Tibet (Columbia University Press, 2015) looks carefully at the “double movements” of medicine and religion from the twelfth through seventeenth centuries: at the same time, medical learning in Tibet encouraged a critical approach to religious authority while also maturing within the context of Tibetan Buddhism. Gyatso finds a turn to “evidence of the empirical” in some aspects of Sowa Rikpa, a kind of mentality that shaped not just approaches to anatomy and pharmacy but also the writing of commentaries and the ethics of medical practice. The chapters of Being Human in a Buddhist World introduce readers to a wide variety of materials that include visual and verbal engagements in some fascinating debates over gendered bodies, the evidence of the senses, the possibility of having access to the word of the Buddha (and the stakes involved), and the relationships between Tibetan and other kinds of medical theory and practice, among much else. In addition to its obvious import for Tibetan and Buddhist studies, Gyatso’s book should be required reading for anyone working in the history of early modern science and medicine, especially those readers and writers who are interested in embracing a multi-sited, plural approach to the field. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Nick Hopwood‘s Haeckel’s Embryos: Images, Evolution, and Fraud (University of Chicago Press, 2015) blends textual and visual analysis to answer the question of how images succeed or fail. Hopwood is Reader in History of Science at Cambridge University, and creator on the online exhibition “Making Visible Embryos,” which display some of the images from the book. Hopwood’s ambitious book retraces the social life of drawings of embryos first produced in 1868 by the German embryologist Ernst Haeckel. The book follows the turbulent travels of the images across 150 years and three countries. Some of the perennial controversy surrounding the images centered on debates about Darwinism, for in them Haeckel drew the development of human embryos alongside that of other animals and, in retrospect, seemed to illustrate his famous claim that “ontogeny recapitulates phylogeny.” But Hopwood argues that, while Haeckel’s reputation has continued to suffer from repeated allegations of fraud, his images have actually thrived on controversy, appearing in 2010, for example, on the cover of Nature magazine. Hopwood’s far-reaching and intricate analysis explains how one of the most controversial images in the history of science–namely, Haeckel’s embryo grid–has also been one of its most successful. The book is an essential study in the history of images and is itself a masterpiece of visual argument. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Jorg Matthias Determann‘s new book looks at the history of modern biology in the Arab Gulf monarchies, focusing on the treatment of evolution and related concepts in the publications of biologists who worked in the Gulf states. Researching Biology and Evolution in the Gulf States: Networks of Science in the Middle East (I. B. Tauris, 2015) begins by describing a fatwa against Pokemon and opens out into an introduction of the sensitive nature of discussions related to evolution and creation in the Gulf. The ensuing chapters approach and answer a major question: given this sensitivity, what enabled scientists to nevertheless employ evolution in the political, religious, social, and natural environments of the Gulf? At least part of the answer lies in the importance of networks between scientists, plants, princes, local tribes, European businesses, animals, and other historical actors. The history of those networks – and the botanical, zoological, ornithological, and paleontological research they enabled – is a transnational and transregional one, and looks carefully at concerns with conservation, climate change, and economies at multiple levels. Determann’s book avoids telling this story in terms of the common tropes of decline and stagnation, and seeks instead to “go beyond the wholesale and often negative views of scientific production in the contemporary Arab world.” Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

[NB:Please be forewarned, there is some brief audio difficulty at the beginning of the interview. It does clear up quickly, so please do listen through.] We are drawn to what is hidden. We are excited by what is mysterious whether we find it beautiful or repellant. Erotic experience is all about this urge. Sexuality, both in its defensive function and as an intrinsic part of being human, defines the ways in which we engage in the psychoanalytic situation. However, it can be very difficult – even taboo – for analysts to admit having erotic feelings towards a patient, and it can be equally thorny handling erotic transference when it arises in a treatment. In Erotic Revelations: Clinical Applications and Perverse Scenarios (Routledge, 2014), Andrea Celenza discusses the importance of reclaiming sexuality as one of the many realms that are of central concern to our patients as she simultaneously observes the pervasive “desexualization” of the psychoanalytic field. She asserts that erotic transference and countertransference (of various manifestations) should be explored in every thorough analysis and she means to bring sex squarely back into psychoanalytic theorizing. Celenza offers careful consideration of the use and perils of embodied erotic countertransference as well as dilemmas surrounding self-disclosure, guilty pleasure and the “slippery slope” towards sexual boundary transgression (the subject of her earlier writing.) Celenza and I discuss writing about patients, mutuality, asymmetry, embodiment, re-eroticization, multiplicity and contradictory gender considerations proposing ways in which the binary (e.g., “feminine” and “masculine”) poses constraints that may be transcended. Finally, Celenza reclaims the term “perversion” as a mode of relating vs. a descriptor of behavior thereby restoring its usefulness in the psychoanalytic lexicon. Among other points, she posits that perverse scenarios are attempts to construct a one-person fantasy/universe thereby defending against dangerous subjectivities (either within one’s self or in the other.) Dr. Andrea Celenza, is a Training and Supervising Analyst at the Boston Psychoanalytic Society and Institute, Faculty at the Massachusetts Institute for Psychoanalysis and an Assistant Clinical Professor at Harvard Medical School. She is private practice in Lexington, Massachusetts and is a proud and avid soccer player. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Anita Guerrini‘s wonderful new book explores Paris as a site of anatomy, dissection, and science during the reign of Louis XIV between 1643-1715. The journey begins with readers accompanying a dead body to sites of dissection across the city, after which we are introduced to four anatomists – charter members of the Paris Academy of Sciences – who will act as focal points for the rest of the story.The Courtiers’ Anatomists: Animals and Humans in Louis XIV’s Paris (University of Chicago Press, 2015) opens up Parisian bodies – human and animal, dead and alive – to argue that dissection played a major role in the development of experimental methods in seventeenth century science. In Guerrini’s hands, the history of science and medicine in early modern Paris was simultaneously a history of fairy tales and opera, dogs and chameleons, artists and knife-makers, labyrinth-making and oratory. It is a fascinating book that is a must-read for historians of anatomy and of early modern science and medicine, and will be accessible and gripping for readers well beyond those fields. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

To those unfamiliar with psychodiagnostics, Bipolar 3.5 might sound like the latest Apple software. To psychoanalyst Darian Leader it is indicative of the relatively recent proliferation and growing elasticity of bipolar disorders. For about the last twenty years, argues Leader, the bipolar spectrum has been tailored to a pharmaceutical industry eager to shift attention away from ineffective antidepressants and toward newly developed mood stabilizers. A household word since the mid-1990s, “bipolar” is now widely considered to be biological and hereditary. Its loosened parameters have saddled large swaths of the population with a chronic illness requiring life-long medication. Strictly Bipolar (Penguin, 2013) is a trenchant case for the reexamination of the “bipolar revolution” and for a return to the older diagnosis of manic depression. Leader points out that while bipolarity is at the center of modern capitalist subjectivity – the principal feature of twenty-first-century worklife, which encourages and rewards herculean productivity and exuberant all-nighters — manic depression is a structural, much narrower and less frequent problem. The highs and lows of manic depression are not merely behavioral or ominously genetic but, rather, rooted in an individual’s early history: relationships with primary caregivers, fantasies regarding one’s symbolic place within the family. Manic depression also has common motifs that reflect its structural basis and identifications. Mania announces itself, for example, in fits of housecleaning, shopping sprees, and grand gestures of altruism. Manic episodes often begin with a steady stream of words – extravagant metaphors and brilliant rhetorical leaps — a levity in the symbolic, as Leader puts it. These great themes of mania are traced in Strictly Bipolar to personal stories of guilt, responsibility, and debt; distant or inconsistent parents and grandparents who expected too much or overwhelmingly little and elicited (split off) aggression and hate. We learn that manic-depressives struggle with the overproximity of the Other, attempting to keep the Other separate and safe from all that is bad, from murderous rage, from oneself. Strictly Bipolar offers compelling clinical material and vivid biographical descriptions of the “signature motifs” of manic-depression. In reading the book, I could see how one might be tempted to lean too heavily on surface behaviors and mood states in thinking and diagnosing manic depression. Yet, as Leader points out, manic-depressives have a troubled relationship with time and find it difficult to integrate their own histories. It therefore behooves therapists not to join them in this, redoubling the problem. In the interview, Leader characterizes manic depression and other psychoses without the usual prognostic pessimism – not as problems of subjectivization resulting in social exclusion, medication, or institutional scrutiny but as “ways of being in the world.” Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

How are scientific discoveries transmitted to medical clinical practice? When the science is new, controversial, or simply unclear, how should a doctor advise his or her patients? How should information from large randomized controlled trials be weighed against the clinician’s hard-won judgment from treating hundreds of patients? These are some of the questions that are considered by Miriam Solomon in Making Medical Knowledge (Oxford University Press 2015). Solomon, who is professor of philosophy at Temple University, provides an historically grounded critical assessment of the methods used in recent decades to turn basic science results into medical knowledge: consensus conferences, evidence-based medicine, translational medicine, and narrative medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Somatosphere is “a collaborative website covering the intersections of medical anthropology, science and technology studies, cultural psychiatry, psychology and bioethics.” Founded in July 2008, Somatosphere has evolved into an innovative platform for collaborative experiments, interdisciplinary exchange, and intellectual community. As such, it reveals how websites–and the communities of discourse that create and read them–have become important sites of intellectual production, authorship, and exchange. In editorial departments such as “In the Journals” and “Web Roundup,” authors distill recent scholarly contributions across disciplines and spaces. More recently, the editors have incubated creative digital endeavors such as Commonplaces, a “collaborative cabinet” that itemizes the technological present, with entries devoted to topics such as the petri dish, the brain, and the waiting room. Book Forum invites commentary from a range of authors, representing not only different scholarly disciplines but offering intriguing, timely, and often original angles on recent important texts. Thanks to its editorial vision and the palpable energy of its contributors, Somatosphere has become informative, creative, and essential reading. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

At New Books in Psychoanalysis, interviews are conducted using Skype. As the program is audio rather than video based, it never occurred to me to use the camera on my computer to see on the screen the person I was speaking to. Rather, I kept my ear turned acutely towards the authors, hanging on their every word while privately perusing my list of questions. I have joked with many interviewees that for all I know they are in their pajamas or naked. Truth be told, I have had no interest in seeing the authors during the interview. There was and is something about having the experience that the listener has on hearing, rather than seeing, the interview that may play a role in creating a certain kind of intensity and intimacy. So it was not lost on me that for this particular interview with Gillian Isaacs Russell about a book that looks straightforwardly at the impact of technology on the therapeutic relationship, that we would not be making eye contact. Though we could, I requested that we not do so. And anyway, of course, if you have used it, eye contact is actually impossible on Skype. We can see each other but we cannot lock orbs. Our interview, as you will hear, is full of the same kinds of problems that one might have when working with a patient over the ether. At one point there is a bizarre reverb and everything Isaacs Russell says comes out in triplicate. We did not lose the connection though this has happened to me on several occasions while playing my interlocutory part. And of course we both had our anxieties about the capacity of the technology to connect us and to keep us connected but do bear in mind that we are not analyst and patient. Our relationship is layered with much less meaning or significance than that of the analytic couple. If the technology disconnected us, we would not wonder if it was something that one of us said. No one would have hurt feelings. We could keep it impersonal. In Screen Relations: The Limits of Computer-Mediated Psychoanalysis and Psychotherapy (Karnac, 2015), Isaacs Russell asks a key question of psychoanalysts: what might be lost in working this way? The interview explores reasons why analysts have jumped in to use Skype and explores what the implications might be of the loss of two bodies in a room together. Her thinking is clear and the ideas she pits forth I found haunting. The age old question of what makes a treatment psychoanalysis came to mind when reading this book as I wondered if you can’t smell the patient, if there is not the risk of touch that is not acted upon, if there is not the walk out the door when the session is over, is essential grist for the mill irreparably lost? Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

John Kinder brings to life the challenges and problems faced by the disabled veteran in American history from the Civil War to the current day in his evocative book, Paying with Their Bodies: American War and the Problem of the Disabled Veteran (University of Chicago Press, 2015). Considered by many reviewers to be one of the most important books in recent years on the human cost of war, Paying with Their Bodies blends lively anecdotal accounts of individual veterans with the complex questions of their imagined and real place in society before, during, and after their time served. Not surprisingly the answers are at times even more disheartening as Kinder uncovers a pattern of promises made and unfulfilled, in which the only consistencies across time are episodes of exploitation for political and personal gain by others and the eventual neglect as the public memory of their sacrifice fades. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Valuation is a central question in contemporary social science. Indeed the question of value has a range of academic projects associated with it, whether in terms of specific questions or in terms of emerging fora for academic publications. In Value Practices in the Life Sciences and Medicine (Oxford University Press, 2015), Isabelle Dussauge, Claes-Fredrik Helgesson, and Francis Lee bring together a range of authors to outline a new research programme. Alongside individual essays that range from the allocation of transplant organs, questions of plagiarism in science, the ownership of generically modified organisms though to desire and neuroscience, the book points to a new way to think through questions of valuation. As a result its importance moves beyond an STS audience to establish value practices as a vital framework for understanding contemporary life. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Mexican American religious healing – often called curanderismo – is a vital component of life in the US-Mexican borderlands. In his book Border Medicine: A Transcultural History of Mexican American Curanderismo (New York University Press, 2014) – Brett Hendrickson tracks healers going back to the nineteenth century and even before. He argues that these healing practices were never only Mexican American nor were they a sign of an inability to develop modern bio-medicine. They have in fact been shaped in a transcultural context where ideas about metaphysical healing and the efficacy of gifted individuals circulated among Mexicans, Mexican Americans, and Anglo-American settlers. Each population has contributed to the development and growing popularity of folk curanderismo. Brett Hendrickson is Assistant Professor of Religious Studies at Lafayette College in Pennsylvania. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Kristin Peterson‘s new ethnography looks carefully at the Nigerian pharmaceutical market, paying special attention to the ways that the drug trade links West Africa within a larger global economy. Speculative Markets: Drug Circuits and Derivative Life in Nigeria (Duke University Press, 2015) takes reads into a story that is part medical anthropology, part careful analysis of global economy, and shows that understanding one is vital to understanding the other in the modern West African pharmaceutical landscape. Peterson pays special attention to the Idumota market, an area that was strictly residential in the 1970s and has since become one of the largest West African points of drug distribution for pharmaceuticals and other materials from all over the world. Peterson looks at the consequences of major local and global historical factors in that transformation, including civil war in the late 1960s and migration that followed, a 1970s oil boom and bust, and changes in the global pharmaceutical market in the 1980s. By the early 1980s, Nigeria was deep into an economic crisis that had profound implications for the production, circulation, and marketing of pharmaceuticals. The pharmaceutical industry remade itself by becoming tied to the speculative marketplace, with wide-ranging implications that included the rise of new professional relationships & market formations in Nigeria, new relationships with firms in China and India, new forms of speculation, and new questions about the ontology of markets. Peterson demonstrates that these transformations continue to have important consequences for the bodies of individual Nigerians, including major problems with drug resistance and a mismatch between existing drug therapies and existing diseases. The book avoids the usual discourse of corporate greed, instead focusing on the “structural logics of pharmaceutical capital through which corporate practices can be understood.” It is a timely and fascinating study. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Drugs exist that are meant to help people feel better. The doctors who prescribe them might believe that they work, while their patients do not. In explaining the drugs to their patients, should those doctors use the medical terminology they themselves use – which might not be immediately understandable to their patients – or should they translate the description into terms more comfortable and familiar to the patient? And what are the practical and ethical consequences of each decision? Stefan Ecks‘ new book carefully considers these problems in the context of health-related practices in modern Calcutta. Eating Drugs: Psychopharmaceutical Pluralism in India (NYU Press, 2013) looks successively at the different and overlapping medical and healing contexts that together make up a significant part of the medical marketplace in Calcutta. Ch. 1 treats popular notions that include the importance of the belly as the “somatic center of good health,” the power of the mind to regulate good health, and the connection between modernity and pollution as causes of illness. Ch. 2 looks at Ayurvedic practices in Calcutta. It reflects on some of the most important ways that Ayurveda is changing in India – especially at the levels of practitioner training, language, and the patient-physician relationship – despite the fact that the centrality of food and digestion has remained constant. Ch. 3 looks closely at homeopathy, the second most popular type of medicine in Bengal, and focuses on the principles, histories, and pluralities of homeopathic practices in Calcutta. Ch. 4 looks at the ways that Calcutta psychiatrists position themselves with respect to popular beliefs about psychopharmaceuticals, general physicians, practitioners of non-biomedical treatments, and the pharmaceutical industry. This chapter pays special attention to how Bengali doctors use metaphors to help patients understand and respond to psychiatric diagnoses, with comparisons to nature, the Ganges river, fairytales, everyday over-the-counter drugs, diabetes, and food. The conclusion explores a key argument of the book, proposing that “patients’ suspicions of psychopharmaceuticals are based on suspicions of biomedicine’s ‘magic bullet’ model of drug effects,” looking at the implications of this conclusion, and considering the possible broader impacts of this study beyond Calcutta. It’s a fascinating study of potential interest to historians and anthropologists of medicine and healing, as well as readers interested in learning more about the medical marketplace of modern India and anyone interested in modern psychopharmaceuticals. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Paul A. Christensen‘s new book is a thoughtful ethnography of drinking, drunkenness, and male sociability in modern urban Japan. Focusing on two major alcohol sobriety support groups in Japan, Alcoholics Anonymous and Danshukai, Japan, Alcoholism, and Masculinity: Suffering Sobriety in Tokyo (Lexington Books, 2014) explores the ways that admitting to and living with alcoholism in Japan challenges prevailing norms of masculinity and sociability, and looks carefully at its profound consequences for the individual sufferer. After a brief history of alcohol and drunkenness in Japan, Christensen considers the ubiquitous coding of alcohol as fun and leisurely in mass media, and directs our attention to the difficulties that this framing creates for male alcoholics. The book then moves to a discussion of historical shifts in notions of addiction in Japan, as well as contemporary debates over treatment methodologies and the ways that methodologies transplanted into Japan from the US map – or not – onto local cultural and religious realities. Christensen follows this with detailed accounts of the major support groups available to sufferers in Tokyo, the languages and bodies of alcoholic experience, and much else. Throughout the study, Christensen offers an extraordinarily sensitive treatment of the struggle of individual men to build a new selfhood while their sense of masculinity, and of a place in society, have been dismantled. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Are you happy? In his new book The Happiness Industry: How the Government and Big Business Sold Us Well-Being (Verso, 2015), William Davies, a senior lecturer at Goldsmiths’ College, University of London, critically investigates this question. The book offers skepticism towardsthe demand that economy and society be happy, skepticism founded in an interrogation of the practices of contemporary government and businesses. A whole range of our everyday experiences, including ‘nudges’ for citizens and staff, the perverse incentives of metrics, through tothe consequences of how psychiatry classifies depression, are subject to critical scrutiny.Moreover, the book acts as a primer on economics, psychology and organizational theory, clearly articulating the roots and the consequences of our current economic and social settlement. The book concludes with the possibility of a more democratic way of organizing the world, in contrast to our impersonal, oppressive, and data driven present. Dr Davies is a co-director of Goldsmiths’ Political Economy Research Centre and blogs at Potlatch. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Due in part to lobbying efforts on behalf of the human genome project, human genes tend to be thought of in light of the present–genetic components of human disease and differential risks associated with genetic individuals–before the future, what gets passed on to later generations. However, public understanding of genetics did not merely radiate from laboratories, as Alexandra Minna Stern‘s book, Telling Genes: The Story of Genetic Counseling in America (Johns Hopkins University, 2012) shows. Before the age of genetic sequencing and mass-produced tests, physicians from various specialties provided genetic counseling on an ad-hoc basis, most of which took the form of reproductive advice. Medical genetics had only been established in the 1960s, with the shadow of eugenics still looming large over a field that was now more inclined toward description of heritable conditions than prescription of reproductive sanctions and sterilization. The founding of the first master’s program in genetic counseling in 1969 established the institutional and intellectual basis for a new kind of health care professional, one that would further the reorientation of medical genetics toward patient-centered care. Stern’s book connects this emergent professional identity to the broader history of genetic and eugenic programs in the United States. So, while this is a history focused on how the distinct profession of genetic counseling emerged as an alternative to traditional medical authority, it is firmly situated within the conflicts that have persistently plagued the development and application of human genetic knowledge. This orientation toward fundamental tensions is reflected by the book’s structure. While she begins with a historical overview of genetic counseling as a profession, the rest of the book is organized around issues; genetic risk and the questionable efficacy of disease apprehension; the politics of race inherent in population knowledge; the fundamental role played by disability in the understanding of inherited disorders; the gender politics of genetic counseling as a challenge to the medical establishment; therapeutic ethics; and the emergence of prenatal testing. This highly readable whirlwind tour through the complex ethical and historical landscape of genetic counseling rewards those new to the history of genetics by virtue of its accessibility, along with those more familiar through the vast amounts of new source material it blends in seamlessly with broader frames. If you enjoy this book, look out for a new edition of Eugenic Nation, Stern’s first book on the politics of eugenics. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

When we study the history of a famous scientific figure – especially one that has gone on to become a cultural icon – we are dealing not just with a person, but also with an identity or series of identities that have been constructed over time. Eva Hemmungs Wirten‘s new book looks carefully at the work that has gone into the making of Marie Curie (1867-1934) as an individual, a celebrity, an icon, and ultimately a brand. Three motifs that thread through the narrative of Making Marie Curie: Intellectual Property and Celebrity Culture in an Age of Information (University of Chicago Press, 2015), and they each form the basis for one of its chapters: the impact of intellectual property on science and research; the role of celebrity culture in shaping the image of the scientist; and the “question of how to organize scientific information as part of the modern infrastructure of knowledge.” It’s a compellingly argued book that’s also a pleasure to read. For videos of two of the duels discussed in the book, check out the following links!: https://www.youtube.com/watch?v=4QlUw1k0ItE https://www.youtube.com/watch?v=rElNQuBvFeQ Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Physician/author Ian Williams coined the term “graphic medicine” to “denote the role that comics can play in the study and delivery of healthcare.” The robust emerging graphic medicine community can be witnessed in its website and annual conference, as well as in the profusion of fascinating graphic medicine texts created from a range of perspectives, visions, and voices. Graphic Medicine Manifesto (Penn State University Press, 2015)–the first book in the exciting Graphic Medicine series at The Pennsylvania State University Press–introduces graphic medicine as a practice, a movement, and an ethos to the wide and diverse audience it deserves and will surely attract. This interview features three of the authors of the Graphic Medicine Manifesto: MK Czerwiec, Ian Williams, and Susan Merrill Squier. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Jonathan Eig is a New York Times best-selling author of four books and former journalist for the Wall Street Journal. His book The Birth of the Pill: How Four Crusaders Reinvented Sex and Launched a Revolution (W.W. Norton, 2014) gives us a lively narrative history of the development and marketing of the birth control pill. He presents us with four risk-taking outsiders whose path became intertwined in the pursuit of a reliable and simple contraceptive. The feminist Margaret Sanger, in her campaign for the rights of women, sought a reliable birth control method as a means to sexual and social liberation. The genius scientist Gregory Pincus’s research stretched the boundaries of law and ethics and tied him to the business interest of Searle pharmaceuticals. The wealthy socialite Katharine McCormick’s singular focus and funding kept the research going. The handsome promoter John Rock, a Catholic infertility doctor, was willing to go against his church’s teaching and provide untested drugs to desperate patients. The story begins in the radical and sexually freewheeling Greenwich Village of the early twentieth century. Eig follows Sanger’s crusade for birth control information, cultural change, scientific victories and defeats, and the marketing of what became the first FDA-approved contraceptive pill in 1960. This is a well-researched and riveting story of four exceptional people and a revolution in the intimate lives of women and men. The birth control pill forever changed how we think about marriage, sexuality, and parenting. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Charis Thompson‘s Good Science: The Ethical Choreography of Stem Cell Research (MIT Press, 2013) is an important book. Good Science explores the “ethical choreography” of the consolidation of human embryonic stem cell research in the first decade of the twenty-first century, drawing important implications for the possible futures of stem cell research by looking carefully at its past and developing an approach to what Thompson calls “good science.” The book compellingly argues that “a high level of political attention to the ethics of the life sciences and biomedicine…is a good thing for science and democracy,” especially as we have now reached “the end of the beginning of human pluripotent stem cell research.” Part I of the book (Stem Cell Biopolitics) explores early attention to the embryo debate. Ch. 2 looks at stem cell research as it’s widely understood to engage ethical concerns, describing the “pro-curial frame” of stem cell research in the period under scrutiny, when promoting stem cell innovation involved aspirations to be pro-cure and there was an ethical focus on the procurement of stem cells and cell lines for research. Pt. II of the book (Stem Cell Geopolitics) looks at what happened domestically as the debate over stem cells moved from the federal to the state levels and back in the US, and then turns to consider transnational circuits that were crucial to those practices and conversations. Ch. 3 looks at three phases that made up the beginning of human pluripotent stem cell research in the US: the time around President Bush’s 2001 policy, the period when states “seceded” from that policy (exemplified by California’s Proposition 71), and the period around Obama’s 2009 policy. Ch. 4 looks at the transnational geopolitics of stem cell research in an era when stem cell research became increasingly international and research advocates were deeply concerned with international competition and “brain drain.” Thompson takes readers into laboratory environments in South Korea and Singapore in order to undermine a popular rhetorical binary of East/West that contrasted an “East” that had a pro-science spirit and lack of concern with the moral status of the embryo, and a “West” that had been taken over by anti-science religious fanatics and technophobes. Pt. III of the book (Thinking of Other Lives) looks carefully at questions of research subjecthood. Ch. 7 focuses on human-human relationships and practices of donation at a time when a number of norms came under renewed scrutiny – including altruism, anonymity, and the alienation of tissue from donors – and this led to the conclusion that the old model for donation wasn’t working. In this context, there were increasing demands for reciprocity in various forms, and Thompson considers various models in California that rethought the relationships between donor/recipient and biomaterial/bioinformation. Ch. 6 focuses on the logic of using animals as substitutive research subjects for human-focused research, and calling for a move away from using animals as research subjects and toward using in vitro systems instead. To do all of this, Thompson develops a methodology she calls “triage” which we talk about early in the interview. Good Science is a wonderful and critical book, and well worth reading and teaching widely! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Disputes over the definitions or legality of ‘rights’ and ‘rationing’ in their various guises have animated much of the debate around the United States Affordable Care Act. Many legislators and vocal members of their constituency have strong convictions about the state of our current national health care system and where it is going. Far fewer, however, understand how our current state of affairs is the product of a quite recent and contingent history, which is precisely what Beatrix Hoffman‘s Health Care for Some: Rights and Rationing in the United States since 1930 (University of Chicago, 2012) sets out to explain. While Hoffman’s scope is the U.S. as a whole, she draws out the local consequences of sweeping wartime and post-war reform by focusing on various cities, notably Chicago. Using a framework that addresses the reciprocal roles of rights and rationing as articulated by physicians, policymakers, and patients throughout the latter part of the twentieth century, she presents a concise history that speaks to far greater questions. Throughout Health Care for Some, we learn much about the institutional transformations of modern U.S. healthcare: how the expansive yet exclusive county hospital system was not inevitable but fell in line with other infrastructural imperatives, while war-wrecked European nations actually improved primary care coverage through austerity policies; how doctors increasingly struggled with poor state management and strictures that, despite being legally sanctioned, discouraged providing care to the most needy; how Medicare and Medicaid were motivated as much by the civil rights movement as arguments for dignity of old age as a social right. Importantly, the human dimensions of care are never hidden from sight, as Hoffman unravels narratives of entangled structures and subjectivities that evince the personal damage wrought by a system too diffuse to overhaul. Her book is an engaging, informative, and concise read, as capable of becoming a valuable reference as it is of fomenting thought and action. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Todd Meyers‘ The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy (University of Washington Press, 2013) is many things, all of them compelling and fully realized. Most directly, the book is an ethnography of drug dependence and treatment among adolescents in Baltimore between 2005-2008. Meyers traces twelve people through their treatment in the clinic and beyond, into what he calls “the afterlife of therapy.” The group of adolescents was diverse–their economic and family circumstances, their demographics, and arc of their narratives from addiction to treatment varied widely. Yet they shared at least one important experience: “each had either been enrolled in a clinical trial or were currently being treated with a relatively new drug for opiate withdrawal and replacement therapy: buprenorphine” (4). In this way, the book is also the story of a pharmaceutical making its way and its mark in the worlds of therapeutics, law, public opinion and, especially, in the lives of its users. Meyers shows how the lives and experiences of these adolescents (as well as others in their lives) were often shaped and constrained by their roles as subjects in pharmaceutical trials evaluating the effectiveness of buprenorphine. Moreover, Meyers looks beyond the questions and answers asked and answered under the constraints of randomized controlled trials. Rather, as he puts it, “my ethnographic gaze is fixed upon the intersection of clinical medicine and social life, at the place where medical and pharmacological subjects are constituted under the sign of therapeutics” (17). As a result, The Clinic as Elsewhere locates palpable places where medicine and the social intersect in the material world and lived experience; as readers, we see the relationship between the medical and the social as much as understand it as a conceptual given. Ultimately, Meyers shows how therapeutics is not only a form of intervention, but a “sign”: under which people are constituted as subjects, and with which people “assign value, meaning, and worth assign value to pharmaceutical intervention” (116). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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

Can we define ‘clinical reasoning’? Is it the ability to marshal the best available evidence to come to adecision within a medical framework, or is it the capacity to think holistically aboutwhether a given intervention is in the patient’s best interest? In his book, Intuition in Medicine: A Philosophical Defense of Clinical Reasoning (University of Chicago Press, 2012), Hillel Braude considers this apparent gap in the history of medical thought. He argues throughout that intuition provides the missing link between medical and moral reasoning. Rather than setting forth a definition of intuition outright, Braude traces its articulations through canonical works of philosophy and medical ethics. One comes away with an understanding that intuition is something like a pre-reflective practical wisdom bound to human faculties, resisting abstraction. Even this definition is contextually malleable, and through his historical and philosophical exploration he draws out the epistemological (and often practical) consequences of assuming it to be anything more finite or less consequential. The scope of Braude’s work is impressive, as it touches on classic philosophical texts–including a thorough treatment of Aristotle–as much as work better known by medical ethicists. It also tackles the modernization of medicine, from the works of pathologist Xavier Bichat and statistician Francis Galton to more contemporaryissues such asequipoise in clinical trials and Evidence Based Medicine. Throughout, Braude’s clarity and scrutiny shine through his treatment of the material, while he suggests new ways forward through phenomenology as a deeper consideration of both the doctor and patient as subjects. Intuition in Medicine keeps the doors of the medical humanities open to both physicians and philosophers by elucidating a foundational issue about which both groups can–and must–learn from one another. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In Black Skin, White Coats: Nigerian Psychiatrists, Decolonization, and the Globalization of Psychiatry (Ohio University Press, 2013), Matthew M. Heaton explores changes in psychiatric theory and practice during the decolonization of European empires in Africa in the mid-twentieth century. His story follows the transcultural Nigerian psychiatrists who tried to transform the discourse around and treatment of mental illness in both their local contexts and in global psychiatric circles. The decolonization of psychiatry, Heaton argues, had an “intensely cross-cultural, transnational, and international character that cannot be separated from local, regional, and national developments” (5). Heaton shows how, amid these contexts and changes, Nigerian psychiatrists actively participated in negotiating postcolonial modernity and the place of global psychiatry within it. The book begins by tracing the larger story from colonialism to postcolonialism: the first chapter offers an essential, incisive account of “Colonial Institutions and Networks of Ethnopsychiatry”; the second chapter lays out the decolonizing of psychiatric institutions and networks in the 1950s and 1960s, a story told mainly through the fascinating figure of Thomas Adeoye Lambo. In the remaining four chapters, Heaton narrows the aperture of historical lens to explore particular cases: Nigerian migrants in the UK who experienced psychiatric issues; debates about culture-bound syndromes such as “brain fag disease” and universality of psychiatric diseases; encounters between psychotherapists and “traditional” healers; and the ambivalence around the use and meaning of drug therapies by Nigerian psychiatrists. Black Skin, White Coats persuasively shows us that postcolonial psychiatry in particular and postcolonial modernity more broadly are best understood in terms of connectivity and interrelatedness rather than provincial dichotomies. In so doing, he also succeeds in bringing together scholarly areas such as African Studies, the history of medicine and psychology, and postcolonial studies. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Migraine is real, and it is pervasive–at least 12% of Americans suffer some form of this spectrum disorder. Still, migraine remains a conflicted illness–people routinely dispute the legitimacy of both the experience and its sufferers. In Not Tonight: Migraine and the Politics of Gender and Health (University of Chicago Press, 2014), Joanna Kempner sets out to explore “how migraine can simultaneously disrupt so many lives and continue to be questioned and trivialized by the culture at large.” Kempner begins by tracing the changing biomedical understandings of migraine over the past three hundred years, discovering a long history of “migraine’s association with weak, gendered personalities.” Kempner then turns to four contemporary figures and cases: headache specialists, migraine advocates, pharmaceutical companies, and the case of cluster headaches (a disorder commonly associated with men). Throughout, she shows how the recent recasting of migraine from a “disorder of neurotic women” to a neurobiological disease has done little to change the cultural meaning of headache disorders because “even as a ‘brain disease,’ migraine remains plagued by gendered images, metaphors, and stereotypes.” Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The health of former NFL players has received plenty of attention in recent years. The suicides of Junior Seau and Dave Duerson, along with stories of retired players in only their 40s and 50s affected by dementia and ALS, have revealed the toll that a professional football career can take on a man’s body and brain. In their new book Is There Life After Football? Surviving the NFL (New York University Press, 2014), James Holstein, Richard Jones, and George Koonce, Jr., discuss the discovery of Chronic Traumatic Encephalopathy as well as other physical problems that afflict former NFL players. Yet the most stunning finding of their research is not how life in football affects players’ health, but rather how it affects their ability to find and hold a job, to maintain relationships, even to engage in basic social interactions. The research leading to the book began with George Koonce, a nine-year veteran of the NFL. George’s career ended like those of most NFL players, not with a press conference announcing his retirement but with word from his last team that they “were moving in a different direction” and then a long wait for another team to call. After finally accepting that his playing days were over, he went on to earn his doctorate at Marquette University, writing his dissertation on the transitions of players into and out of professional football. Jim and Rick joined with their former graduate student to expand the research, accumulating thousands of pages of interview transcripts with former NFL players. The result is a candid look inside the “bubble” of NFL life and then the difficulties experienced by former players–men in only their late 20s and early 30s–when they leave that isolated, abnormal world. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Donna J. Drucker is a guest professor at Darmstadt Technical University in Germany. Her book The Classification of Sex: Alfred Kinsey and the Organization of Knowledge (University of Pittsburg Press, 2014) is an in-depth and detailed study of Kinsey’s scientific approach. The book examines his career and method of gathering vast amounts of data, identifying patterns, and interpretation that was critical to his most influential works Sexual Behavior in the Human Male (1948) and Sexual Behavior in the Human Female (1953). Beginning with Kinsey’s study of the animal world, Drucker examines how he transferred natural science methods to sex education in his Marriage Course at Indiana University, and ultimately to the massive study of human sexual behavior. He brought into the interdisciplinary science of sexology a thoroughly naturalist approach and believed that taxonomy – collecting, classifying and describing patterns, revealed truths about the natural world and worked against what he considered the prejudice of misclassification. Kinsey was committed to scientific objectivity, free of moral judgment he believed possible through unprejudiced observation, the recording of mass data sets, and the application of biometrics. Nevertheless, Kinsey sex research had significant implications for understanding sexual difference between men and women, sexual preference tied to economic class, and the consideration of normal sexual behavior against standing societal norms. Drucker’s work brings attention to the historical contingency of the social and technological process, which produces, encodes and relays information over time. Drucker’s close attention to method and the role of data gathering technology again raises the question regarding the role of science in value formation and recovers Kinsey’s contribution to scientific practice. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Lisa Stevenson‘s new book opens with two throat-singing women and one listening king. Whether we hear them sitting down to a normal night’s dinner (as the women) or stalking the pages of a short story from Italo Calvino’s Under the Jaguar Sun (as the king), listening to these voices can potentially transform our notion of listening itself, as well as our understanding of what a “self” is and could be. Life Beside Itself: Imagining Care in the Canadian Arctic (University of California Press, 2014) shows us this by exploring formulations and practices of life, death, and care in a history and ethnography of Canadian policies and attitudes toward the Inuit during two epidemics, a tuberculosis epidemic (1940s-early 1960s) and a suicide epidemic (1980s-present). In juxtaposing those two cases, the book considers different forms of “care,” bureaucratic and otherwise. In her archival and ethnographic research, Stevenson works as a collector of images, paying careful attention to the ways that they give meaning to life itself, even and especially amid conditions of uncertainty and confusion. The first three chapters of the book trace the practices of anonymous care that characterized the two epidemics in question, considering how the Canadian North has functioned as a massive laboratory for transforming Inuit into Canadian citizens. Whether the biopolitical project operated on tubercular or suicidal subjects, Inuit people were conceptualized as serialized bodies that needed to be brought back to health. Life Beside Itself shows that despite this, Inuit were never fully made into biopolitical subjects: instead, we come to know the friends and acquaintances that animate Stevenson’s work as they cultivate multiple forms of life and of care. This is a beautiful and thoughtful book that will reward a wide range of readers, whether they come to it with an interest in health care and its histories, in the Canadian North, in forms of life and death, or simply in a moving and generously narrated story. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Commercial interests are often understood as impinging upon the ethical norms of medicine. In his new book, Medical Monopoly: Intellectual Property Rights and the Origins of the Modern Pharmaceutical Industry (University of Chicago Press, 2013), Joe Gabriel shows how the modernization of American medicine was bound up in the ownership, manufacture, and marketing of drugs. Gabriel unearths the early history of intellectual property concerns as they entered the domain of medical practice itself. Through his careful marshaling of evidence, he takes readers back to a time when the norms and legal structures of commercial capitalism in the U.S. were just as much at issue as those of the professionalization of medicine. This fascinating book serves as a pointed reminder that the sources of therapeutic rationale are just as much tied to the production and regulation of therapies as the collective decision-making on ethical practice. Along with my previous interview with Jeremy Greene, this discussion will hopefully make accessible a broad perspective on the development of medicine in the 20th century by focusing on its ties to industry. Medical Monopoly charts the history of property rights over medicines at the dawn of the 19th century through World War I. The important broader transition here is that while before the Civil War–at least in medicine–patents were seen as tantamount to granting problematic monopoly, by the end of the 19th century they were understood as the best available regulatory mechanism for preventing more problematic imitation. Whereas patent medicines had previously been linked to quackery, the emergence and rapid expansion of the “ethical” pharmaceutical industry after the Civil War was due to its adherents advocating for more effective regulation of commerce within medicine. Rather than reverting to secrecy, firms began to circulate and publish information on new remedies and the results of studies to physicians. As the explosion of new medicines remained at pace with the boom of consumer goods in the late 19th century, patenting and corporate investment in monopolistic practices became understood as a mechanism to advance the public good. The expansion of laboratory science and norms of chemical manufacturing in the 20th century only bolstered this union further.Medical Monopoly is a fascinating and important read that people interested in medical policy should pay attention to. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Emilie Cloatre‘s award-winning book, Pills for the Poorest:An Exploration of TRIPS and Access to Medication in Sub-Saharan Africa (Palgrave, 2013), locates the effects–and ineffectualness–of a landmark international agreement for healthcare: the World Trade Organization’s “Trade-related Aspects of Intellectual Property Rights.” Cloatre takes seriously the idea of TRIPS as a technology in Bruno Latour’s meaning of the word–as a material object that anticipates effects in specific settings. Cloatre follows the text from its consolidation in European meeting halls to its use in the former French and British colonies of Ghana and Djibouti. Pills for the Poorest is a significant ethnography of law and healthcare in Africa that shows precisely how this paper tool begat new buildings, relationships, experts, and, indeed, pills, but only in particular places, among certain people, and for particular kinds of pharmaceuticals. Cloatre is a broadly trained scholar and talented researcher who shows the power of Actor Network Theory as an analytic device, and yet does so with a spirit of critique in the best sense: that is, as an act of sympathetic, yet persistent, questioning. As a text itself, the book has potential to reshape the thinking of readers from a wide range of fields, from law, science studies, healthcare policy, and beyond. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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

Is pain real? Is pain relief a right? Who decides? In Pain: A Political History (Johns Hopkins University Press, 2014),Keith Wailoo investigates how people have interpreted and judged the suffering of others in the US from the mid-1940s to the present. While doctors and patients figure in his story, the primary protagonists are politicians, judges, and ideologues, who variously understood the ambiguities of pain as political problems to be settled in legislatures and in courts of law and public opinion alike. For instance, in the 1940s and 1950s, the “pain complaint” of ailing World War II veterans became the locus of debates about manhood, federal disability benefits, and pharmaceutical interventions. Although physicians faced complex problems about adjudicating the pain of their patients, Wailoo shows that pain was also a deeply cultural problem, especially as new, competing theories of pain emerged to explain not only the experience of suffering, but the character, motives, and rights and responsibilities of the sufferer. In the Reagan administration-era, debates about pain were an index of America’s welfare problem, and in late 20thcentury, controversies over fetal pain and the “ultimate relief” of physician-assisted suicide reflected the polarized landscape of “liberal” and “conservative” positions. The last chapter, “OxyContin Unleashed,” compellingly shows how a de-regulated and pro-business pain policy led to the pain drug boom in a competitive and unstable medical marketplace. Ultimately, Wailoo claims that “we have a cultural problem understanding people’s pain.” Pain shows us how that has taken place throughout our recent history, and challenges us to acknowledge and attend to the way that we politicize the pain of others without regard for their suffering. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Cancer pervades American bodies–and also habits of mind. Malignant: How Cancer Becomes Us (University of California Press, 2013) is a sharp, adventurous book by the established legal anthropologist, S. Lochlann Jain. The book simultaneously complicates and clarifies the multiple ways in which cancer and patient-hood gets appropriated, embodied and reproduced through seemingly quotidian activities–from opening an insurance bill to enjoying yoga class. Jain shows, in other words, exactly how and in what way cancer becomes you and me. The book draws together interviews, observations, and Jain’s first-hand experience as a cancer patient, as well as a range of cultural remains, from literature to law to life tables. In doing so, Jain holds a mirror to corporate stakeholders, to everyday Americans, and to herself in order to show, paradoxically, how modern Americans reinvest in cancer in the very practices designed to promote health. The book is a critique of the ways of life and “ways of knowing” that drive twenty-first century America–and an uncomfortable, necessary look at ourselves. Just when you think scholars have protested too much about the hidden costs of better health, Jain shows that Americans have not protested nearly enough. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Dengue fever is on the rise globally. Since it is transmitted by mosquitoes which reside and reproduce in human environments, eradication efforts involve households and the people who keep them clean as well as moral and persuasive campaigns of surveillance and invigilation. In his new book Mosquito Trails: Ecology, Health and the Politics of Entanglement (University of California Press, 2014), Alex Nading follows the trails of garbage collectors and recyclers, local health care workers, and the mosquitoes themselves in this fascinating ethnography of Nicaragua’s Ciudad Sandino’s efforts to deal with dengue fever. He argues that these efforts are better understood as a series of entanglements and attachments that bring human and more than human actors together in intimate relationships. Nading’s book offers readers new ways to think about the relationships among the state and local actors as mediated through a series of objects: houses, viruses, immune systems, insects, and allocation budgets. This is a story about stories, and how they matter to health and urban environments. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Khat, the fresh leaves of the plant Catha edulis, is a mild psycho-stimulant. It has been consumed in Yemen, Ethiopia, Eritrea, Djibouti, Somalia for over one thousand years. Khat consumption is an important part of Yemeni social and political life. During the early part of the twentieth century, Yemeni dockworkers brought khat to Madagascar, where other members of the Malagasy population have adopted its use. In her excellent book Drug Effects: Khat in Biocultural and Socioeconomic Perspective (Left Coast Press, 2012), Lisa L. Gezon, Professor and Chair in the Department of Anthropology, University of West Georgia, analyzes the production and consumption of Khat on the island nation of Madagascar. Taking a cultural, medical, and anthropological approach, Gezon looks at the use of khat in pharmacological, cultural, political, economic and environmental contexts.As a student of plant drugs/medicines/intoxicants, her summary of the manner in which khat’s effects have been mischaracterized by many so called experts has echoes of reefer madness inspired characterizations of cannabis and its users.Like so many drugs, khat is a powerful force in the local economy, and the factors that have allowed khat to provide income for small hold farmers rather than becoming part of a centralized and commercial monoculture are worthy of further analysis. In addition to teaching me about the specifics of khat consumption in Madagascar, the background material provided a great primer on CMA approaches to substance use, as well as on the history, pharmacology and policy surrounding Catha edulis. I have been thinking a great deal about the economic forces that influence the consumption and availability of drugs.There are similarities and differences between poppy production in Afghanistan or the Golden Triangle, cannabis production in the Emerald Triangle, and khat production in Madagascar.The peaceful and widely distributed economic benefits of smallholder farming on Madagascar make this study particularly fascinating. Lisa Gezon was a pleasure to interview, and was very patient with my still developing interviewing skills.Her research included extensive field work as well as research, and the book is almost encyclopedic in its synthesis of the literature, the findings of her studies as well as her excellent and insightful analysis. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Janet K. Shim‘s new book juxtaposes the accounts of epidemiologists and lay people to consider the roles of race, class, and gender (among other things) in health and illness. Heart-Sick: The Politics of Risk, Inequality, and Heart Disease (New York University Press, 2014) integrates several kinds of sources into a theoretically-informed sociological investigation of inequality and cardiovascular disease, including interviews with epidemiologists and people of color who are dealing in different ways with the disease, participant observation at conferences and health education events, and engagement with discourses of cultural and social theory. Shim considers the points of commonality and divergence among lay and epidemiological communities in terms of how each group conceptualizes the nature of social and cultural difference, the significance of difference for health and disease, and the reliability of different forms of knowledge. In the process, Heart-Sick places these accounts into dialogue with theories of biopower and biopolitics, intersectionality (a notion that addresses how “interlocking systems of oppression shape both the distribution of chances and of risk”), and fundamental causality (a concept that considers social conditions as fundamental causes of disease). The result is a masterfully articulated and clearly argued study that will be of interest to sociologists of science and medicine, historians, and curious readers interested in becoming better informed about the processes through which we have come to understand our bodies and selves and the consequences of those processes for research and treatment of heart disease. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Is there any such thing as a generic drug? Jeremy A, Greene‘s new book Generic: The Unbranding of Modern Medicine (Johns Hopkins University Press, 2014) treats its subject matter with a learned skepticism that lets the reader see through the eyes of the historical actors who helped define the modern drug industry. By inverting preconceived notions about what we take to be mundane, mass-produced chemical identities, the book offers a broad yet pointed glance at an industry and its attendant regulatory structures that developed alongside modern consumer culture. Claims about the equivalence and lower price of generic medicines, uncoupled from the patents held by major firms, were always hotly contested, and Jeremy’s book shows how debates about branding–or lack thereof–were at the heart of the rationalization of medical practice. Generic opens with evocative stories about the legal and scientific crises and personal tragedies wrought by tense relations between medical science and industry. We then learn about early debates over international standardization of chemical names and the emergence of firms that marketed generics as a specific kind of product that were a part of the very same consumer-driven value system their proponents wanted to replace. These anonymous drugs prompted research that could establish sufficient similarity between them, while at the same time provoking disputes of authority between physicians and pharmacists that produced a new regulatory regime and standards which were embodied and shaped by emerging large, bureaucratic health care providers. In the end, the story of generics as champions of access and affordability in an age of elusive therapeutics and ‘me-too’ drugs designed to cash in on innovation is complicated by the global changes in production and trade they have wrought. Are ‘global’ drugs perceived as ‘universal’? Jeremy’s book will promote discussion and thought about the medical mundanities we so often take for granted. Generic takes the philosophically-inflected themes of the history of science into a realm of pressing urgency, and reveals fascinating parallels that actually make it more enjoyable for a broad audience. This interview is the first half of a pair of new books on the pharmaceutical industry; be on the lookout for my next interview with Joseph M. Gabriel about his new book: Medical Monopoly: Intellectual Property Rights and the Origins of the Modern Pharmaceutical Industry (University of Chicago Press, 2014). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Liberal Protestants are often dismissed as reflecting nothing more than a therapeutic culture or viewed as a measuring rod for the decline of Christian orthodoxy. Rarely have they been the subjects of anthropological inquiry. Pamela Klassen, Professor of Religion at the University of Toronto, wants to change that. Her recent book, Spirits of Protestantism: Medicine, Healing, and Liberal Christianity (University of California Press, 2011), charts a transition in liberal Protestant self-understanding over the course of the twentieth century whereby “supernatural liberalism,” as Klassen calls it, enabled imaginative shifts between Christianity, science, and secularism. In the process, she explores how Protestants went from seeing themselves as Christians who combined medicine and evangelism to effect ‘conversions to modernity’ among others, including Native Americans and colonized people, to understanding themselves as complicit in an oftentimes racist imperialism. At the same time, they have recombined forms of healing in new ways, drawing on practices such as yoga and reiki in order to continue the search for a universalized type of wholeness – both spiritual and physical. Focusing on Canadian Protestants in the Anglican and United churches, Spirits of Protestantism combines rich historical examples and four years of ethnographic study to show how liberal Protestants have exerted a major influence in public life and even on anthropology itself. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

David Wright‘s 2011 book Downs: The History of a Disability (Oxford University Press, 2011), offers readers a history that stretches far beyond the strictly defined genetic disorder that is its namesake. Wright shows us how the condition that came to be known as Down’s syndrome has as much to do with the social history of what was called ‘idiocy’ in Early Modern times and reform movements to integrate the disabled beginning in the 1960s as it does with the rise of asylums or the disputed discovery of “trisomie vingt-et-un.” Even the legacy of the condition’s name is a telling narrative about the modernization of medicine, from the use of the term ‘mongoloid’ to justify the (progressive for the time) anthropological theory of racial reversion to debates over whether to rename the disease in honor of John Langdon Down or place it within a more rigid taxonomy of congenital mental disorders. On their own, all of these stories are compelling windows into different dimensions of medicine, and as a whole they comprise a book that shows readers just how contested the process of ‘medicalizing’ a condition has always been. The book’s chapters progress both chronologically and thematically. We begin with the legal definition of idiocy in the English Common Law as a way for the state to regulate the inheritance of property, and a glance at different contemporary philosophical understandings of mental handicap. Then, Wright discusses John Langdon Down’s work at the Earlswood Asylum and the influence of both education reforms and genetic studies on the definition of mental handicap. Proceeding through Jérôme Lejeune’s disputed discovery of trisomy 21 and the role of genetic screening in abortion debates, the book concludes by discussing how social movements in the late twentieth century have profoundly affected the ethical and political dimensions of Down’s syndrome. Winner of the British Society for the History of Science’s 2013 Dingle Prize, awarded biennially to a book exemplifying critical focus and a novel perspective while remaining accessible to the public, Downs is a great read for specialists and non-specialists alike. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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