New Books in Medicine

We are all familiar with the idea that some persons are disabled. But what is disability? What makes it such that a condition–physical, cognitive, psychological–is a disability, rather than, say, a disease or illness? Is disability always and intrinsically bad? Are disabilities things to be cured? Might disabilities be merely ways of being different? And what role should the testimony and experiences of disabled persons play in addressing these questions? In The Minority Body: A Theory of Disability (Oxford University Press, 2016) Elizabeth Barnes argues that, at least for a range of physical conditions characterized as disabilities, disabilities are merely ways in which bodies can be different, not ways of their being intrinsically badly off. She argues that this view of disability as mere difference has important implications for broader moral and social issues concerning disabled persons; she also argues that her view is better able to respect the experiences and testimony of disabled persons. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In A Special Hell: Institutional Life in Alberta’s Eugenic Years (University of Toronto Press, 2015), Claudia Malacrida explores the practices of the Michener Center in Red Deer, Northern Alberta, to uncover a close relationship between the institutionalization of persons with disabilities and eugenics. Canadian province of Alberta was infamous for its eugenics program, which lasted until the 1970s with a significant number of people being involuntary sterilized. Malacrida has opened many important questions including the normalization of eugenics, gender aspect of eugenics, social exclusion, dehumanization, violence, and loss of identity of the inmates. During this interview we have talked about ideological underpinnings of eugenics program, horror practices of the Michener Center, and about struggles of the inmates to cope with daily violence and neglect. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

When trying to conceive doesn’t go as planned, many women and couples are faced with difficult decisions about which interventions to pursue. Treatment of infertility, whether natural or high-tech, comes with stress and feelings of isolation when your friends or relatives seem to fall pregnant without much effort. Mindfulness-based stress reduction techniques and cognitive behavioral therapy (CBT) skills can be useful for reducing the stress and anxiety associated with fertility problems and for improving communication and support on the fertility journey. In this interview, cross-posted from the new podcast Psychologists Off The Clock, Dr. Rae Littlewood interviews Ann Bracken, author of the book Mind, Body, Baby: How to Overcome Stress and Enhance Your Fertility with CBT, Mindfulness, and Good Nutrition. Drawing from research and from years of experience counseling couples on their fertility journey, Ann Bracken offers an easy-to-follow guide to mind-body health with clear strategies to overcome emotional stress, improve relationships, communicate with fertility consultants, and support individual and couple wellbeing. Ann Bracken has many years of experience as a Fertility Counselor and Cognitive Behavioral Psychotherapist and teacher of Mindfulness Based Stress Reduction. In addition to training with Dr. Alice Domar, renowned fertility researcher at Boston IVF, Ann has worked as a fertility specialist in Irelands largest fertility clinic, SIMS IVF, and at the renowned Lister Fertility Clinic in London. She is now in private practice in Dublin, Ireland. Contact Ann Bracken through her website: http://www.annbrackentherapy.com/ Dr. Rae Littlewood is a clinical psychologist in private practice in Albuquerque, NM and a co-host of the podcast Psychologists Off The Clock. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Every night around the world, millions of people lie in bed at night, struggling to fall asleep. Experts suggest that about one in three people struggle with at least mild insomnia. Paradoxically, their efforts to control their sleep may actually result in digging them in even deeper into insomnia. Fortunately for people with insomnia, and the therapists and medical professionals who treat them, some behavioral interventions are helping many people to end the pattern of sleeplessness. In this interview, cross-posted from the new podcast Psychologists Off The Clock, Dr. Diana Hill interviews Dr. Alisha Brosse, who co-authored the book End the Insomnia Struggle: A Step by Step Guide to Get to Sleep and Stay Asleep (New Harbinger Publications, 2016) with Dr. Colleen Ehrnstrom. Dr. Brosse is a specialist in Cognitive Behavioral Therapy for Insomnia (CBT-I), which is considered the best treatment for chronic insomnia. Dr. Brosse is also the Associate Director of the Robert D. Sutherland Center for the Evaluation and Treatment of Bipolar Disorder, provides evidence-based treatment for a variety of mental health concerns and offers training for mental health professionals. Dr. Brosse explains how the cycle of insomnia develops and why our efforts to control sleep have paradoxical effects. Dr. Brosse then describes cognitive, behavioral and acceptance-based strategies in insomnia treatment. Specifically, Dr. Brosse explains two behavioral approaches that are key to CBT-Is effectiveness: Stimulus Control Therapy and Sleep Restriction Therapy. Dr. Brosse also shares how willingness is an important component to successful insomnia treatment. Read an excerpt from End the Insomnia Struggle here! Diana Hill, Ph.D. is a licensed psychologist practicing in Santa Barbara, California, and a co-host of the podcast Psychologists Off The Clock. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In 2012, Canada stopped mining and exporting asbestos. Once considered a miracle mineral for its fireproof qualities, asbestos came to be better known as a carcinogenic, hazardous material banned in numerous countries around the world.Canada was once a leading producer of asbestos and home to the worlds largest chrysotile asbestos mine, located in the Town of Asbestos in the province of Quebec. This is the subject of a new book by Professor Jessica van Horssen, A Town Called Asbestos: Environmental Contamination, Health, and Resilience in a Resource Community (UBC Press, 2016), is a thoroughly researched and thoroughly shocking account of the history of asbestos mining, environmental health, and resistance in this small, Quebec resource town. How did the people of the Town of Asbestos respond to the growth of asbestos mining, the knowledge of the harmful health effects of asbestos, and the consequence for their own bodies? On this episode of the podcast, we speak with Jessica van Horssen about her new book. Crossposted with permission from Nature’s Past: Canadian Environmental History Podcast. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Statistics have been on the minds of more people than usual in the run-up and post-mortem of this past U.S. presidential election; some feel as though they were misled by numbers intended to lend a modicum of certainty to the complex calculus of modern life. But while election predictions come and go, the “empire of chance” lays siege to more and more aspects of daily life, alongside increasing possibilities for technological intervention–nowhere, perhaps, is this more clear than in medicine. Robert Aronowitz’s Risky Medicine: Our Quest to Cure Fear and Uncertainty (University of Chicago Press, 2015) is both a nuanced and accessible exploration of the historical transformation of risk in modern biomedicine. Through a series of case studies and broader reflections on the ways in which modern medicine has become “risky,” Aronowitz teases out salient features of an increasingly complex system of interventions and indicators. In the book, Aronowitz defines three key aspects of our modern “risky medicine.” The first one discussed is a converged experience of risk and disease, exemplified in cancer screening in which bodies-at-risk can be subject to similar treatment and prevention regimes as those marked by a chronic condition or trying to prevent remission. Another aspect is the notion of risk reduction standing in place of efficacy for the psychological and social work it performs, which provides some explanation for the costliness of American medicine relative to the outcomes it achieves. Finally, Aronowitz argues that risk interventions have been driven by expansion of the medical market, and calls upon policymakers to become aware of the control pharmaceutical companies have in the generation of new health risks and the data to support them. One way of understanding Aronowitz’s contribution is to contextualize it within the trajectory of sociological work on risk in modern society. Originally published in 1986 (in German), Ulrich Beck’s Risk Society: Towards a New Modernity was a watershed book for the understanding of modernity and technological change. Much of Beck’s account is concerned with environmental risks; the book came out on the heels of the Three Mile Island and Bhopal disasters. However, Beck’s take on medicine is somewhat lacking. Beck presciently calls attention to the “reflexive market strategy” of pharmaceutical companies, in which they profit from self-produced risks–echoing the third aspect of “risky medicine’–but misses its more immediate social and psychological dimensions, stating merely that the rise of chronic disease is evidence of a divergence of diagnosis and therapy. Aronowitz’s case studies suggest even more immediate consequences at hand. The importance of Risky Medicine is evident in how it disaggregates the changing landscape of health and medicine from an inexorable creep of modernity, spelling out the logic subjecting more bodies to greater interventions and recovering the relationship between experience and an ambivalent, anticipatory social order. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Since it was published in 2004, Ruth Rogaski’s Hygienic Modernity: Meanings of Health and Disease in Treaty-Port China (University of California Press, 2014 reprint) has won four major prizes in fields ranging from history of medicine to East Asian history. It is easy to see why. Set in the Chinese treaty port of Tianjin, the book follows Chinese elites over the tumultuous decades that spanned the middle of the nineteenth century to World War Two. Chinese elites in Tianjin engaged British, French, and, importantly, Japanese imperialists and traders in their midst, creating what Rogaski thinks is best called a “hypercolony.” Simultaneously, Chinese elites pressed their own nation-building projects, working to distinguish themselves both from the foreigners and also from the masses they ruled. To do so, they adopted, adapted, and cultivated particular ways of building a modern nation in the final years of the Qing dynasty, which hung, importantly, on practices of hygiene. These ideal ways of being hygienic, thus modern, fundamentally rearranged the urban landscape of Tianjin and the practice of everyday life. Rogaski writes wonderfully and leads the way through tricky historical evidence, pointing out how Chinese elites modernizing projects were apparent in the changed meaning of weisheng. In the early nineteenth century, the term referred to individual ways of guarding health and a century later had come explicitly to refer to government-directed public hygiene measures–“hygienic modernity”–without ever shedding its earlier inflections. The book shows that modernity is not so much a time period, but an aspiration and a process–always incomplete, seemingly right around the washroom corner. Creatively designed and insightfully analyzed, this study defies any simple binaries of colonizer and colonized, or of indigenous and scientific medicine. Rogaski wears her theory lightly and has plenty new to show–not least to historians of medicine who may be most familiar with the stories of colonial medicine from Africa and India. Ruth Rogaski is Associate Professor of History at Vanderbilt University and generously agreed to a live faculty-student interview as part of a collaborative final project for Laura Starks course History of Global Health. To learn more about using the New Books Network for classroom projects, see Laura Stark’s essay “Can new media save the book?” in the Fall 2015 issue of Contexts. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In Healthcare Policy In Africa: Institutions and Politics from Colonialism to the Present (Rowman and Littlefield, 2016), Jean-Germain Gros argues that healthcare policy should be the black box rather than the black hole of African Studies. By this he means that policy should be decoded so its secrets can be laid bare, rather than treated as an impenetrable mystery. To this end, in the book, as well as in the interview, Gros uses a variety of methodological approaches to explain/explicate the relative roles of agency and institutions in the history of healthcare policy in Africa. The book’s central thesis is that healthcare policy does not take place in a vacuum and it fills an important gap in the scholarship by examining the impact of factors including debt relief, conflict, humanitarianism, brain drain and globalization on policy affecting and affected by the health and wealth of Africans. Mireille Djenno is the African Studies Librarian at Indiana University. 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

Emerging in the 1980s, the AIDS epidemic was not just a public health crisis. It was a moral crisis too, argues Anthony M. Petro in his new book, After the Wrath of God: AIDS, Sexuality, and American Religion (Oxford University Press, 2015). Throughout the book, Petro describes the entanglements between the supposedly secular field of public health and the religious spheres of American Christianity during the long 1980s. After the Wrath of God, however, is not merely a book about the religious right or Protestant evangelical responses to the HIV/AIDS crisis. It is a broader exploration of the ways that a set of sexual ethics inspired by Christian doctrine encompassing abstinence and monogamy within heterosexual marriage came to become the national moral prescription against the epidemic as well as the religious and medical leaders who shaped that national sexuality and the AIDS activists who fought against it. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

“Life imitates Art far more than Art imitates Life,” Oscar Wilde famously observed. Wilde’s waning romanticism can be read in stark contrast with Nietzsche, who argued around the same time, “art is nothing but a kind of applied physiology.” Robert Brain’s The Pulse of Modernism: Physiological Aesthetics in Fin-de-Siecle Europe (University of Washington Press, 2015) unveils a fascinating world of exchange between artistic studios and physiology laboratories concealed by such pithy aphorisms. Brain argues that the influence and stature of physiological aesthetics have been overlooked in accounts of modernism in science and art, and seeks to recover experimental systems that were incredibly influential and fertile in their cultural situation. Brain first sets himself to chart the development of physiological recording in the sciences, first as experimental technique, then as ontology, in a fascinating chapter on the protoplasm theory of life and on to its application to the human qua human problems of linguistic analysis. He then describes the experimentalization of visual art (Georges Seurat, Edvard Munch) and poetry (Gustave Kahn, F. T. Marinetti). The influence of Charles Henry, who inhabited both artists’ circles and physiology laboratories in his work as a preparateur, becomes a key pivot in Brain’s narrative through his creation a scientific aesthetic that could be deployed as a kind of productive black-box. The Pulse of Modernism is a rich portrait of fin-de-siecle material and intellectual culture, and challenges the pride of place given to Victorian sensibilities in the fashioning of the late modern (early modernist) scientific subject. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

When it comes to the history of psychoanalysis and psychiatry in the United States, to paraphrase Luce Irigaray, one never stirs without the other. While Freud sent Theodore Reik across the ocean to promote lay analysis, A.A. Brill, president of the New York Psychoanalytic Institute, was preparing to divorce the International Psychoanalytic Association. Brill, driven by a fear that psychoanalysis might be seen as quackery and so discredited, sought to guarantee that the only people allowed to practice psychoanalysis in America were medical doctors. Then came the Anschluss: humanitarian efforts were made to bring the very-same IPA members the Americans sought to separate from onto American soil. This is a pretty well known tale–told by Gay, Hale, Roazen and others; enter Orna Ophir’s book, On the Borderland of Madness: Psychosis, Psychoanalysis and Psychiatry in Postwar USA (Routledge, 2015), offering a much needed explanation of how psychoanalysis in America lost its patina. This intellectual history closely studies, via a reading of key journals, the way two professions, for years dancing in close embrace, began to fall out of step. In the same way that the birth of a child with developmental disabilities can reveal a cleavage in what was once thought to be a secure marital bond, debates over the treatment of psychosis led to the eventual separation of two longstanding bedfellows: psychiatry and psychoanalysis. Ophir pieces together the confusing, and previously untold, tale of how psychoanalysis came to be marginalized–and what role psychosis played therein, for its role was key. To carry the conflicted parent metaphor a little further, when a child suffers from psychic distress one member of a couple might seek to understand that suffering in genetic terms while the other spouse might examine the kind of care shown that child: the story of psychiatrically influenced psychoanalysis and non-psychiatrically influenced psychoanalysis line up similarly. While it is commonly known that the release of new medications to treat psychotic pain beginning in the late 1950s, and the birth of community psychiatry in the 70s, and of course the release of the anti-psychodynamic DSM-III in the 80s all played a role in arguments for the superfluity of analytic treatment for psychosis, Ophir argues that psychoanalysis got sidelined because American psychoanalysts, given their long-standing embrace of psychiatry, were duly handicapped. How to let go of the safety-net of psychiatry–that which is deemed irrefutable, scientific and biologically bound–and still survive was their question. Using ideas from the sociology of the professions/knowledge, Ophir argues that analysts engaged in jurisdictional turf wars that the treatment of psychosis brought to the fore. In a profession largely populated by psychiatrists, during a time when psychosis came to be largely seen as a brain disorder rather than a defense or a remnant of pre-oedipal disturbance, analysts had to decide which side they were on. Analytic clinicians, attempting to stay relevant, began to employ the language of psychiatry, supporting what Ophir calls “the neosomatic revolution” only to find that by doing so, they had thrown out the (psychotic) baby with the bathwater. Discursive shifts, be it in politics or a profession, have deep impacts–(when we hear analysts using the language of brain as opposed to mind we are in the presence of the data produced by that impact) and we see proof of this today: very, very few analysts treat psychosis. As in most every divorce that involves children, custody is not usually distributed evenly. Ophir tells the story of how analysts handed over their psychotic patients ... Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Robert Peckham’s Epidemics in Modern Asia (Cambridge University Press, 2016) explores the crucial yet under-explored role that epidemics have played in both colonial and postcolonial Asia. At once broad in sweep and nuanced in analysis, Peckham’s work explores a series of world-changing disease outbreaks across from the eighteenth century through the present. Organized around five themes (Mobility, Cities, Environment, War, and Globalization), the book looks at the interrelationship between disease and human society at both the particular and hemispheric level. In doing so, the book challenges old assumptions about Asia as a pre-modern hotspot and site of contamination, as well as the narrative of triumphant progress of western medicine east. Instead, Peckham examines how disease, infection, and epidemic are translated across divides of culture and power in both the colonial and postcolonial periods. This innovative study is an essential read for a number of audiences. Whether readers are interested in the lasting impacts of intersections between colonial and indigenous peoples, the history of world capitalism and trade, the development of bureaucratic structures and government power, and/or the demographic and environmental impacts of the rise of the modern world, Epidemics in Modern Asia presents a powerful revisionist interpretation, bringing the history of epidemics to the center of the frame. Robert Peckham is an Associate Professor of History at the University of Hong Kong, where he also serves as Director of the Centre for the Humanities and Medicine. He had edited two previous volumes, Empires of Panic: Epidemics and Colonial Anxieties (Hong Kong: University Press, 2014) and Disease and Crime: A History of Social Pathologies and the New Politics of Health (New York: Routledge: 2014). He also is co-editer, with David M. Pomfret, of Imperial Contagions: Medicine, Hygiene, and Cultures of Planning in Asia (Hong Kong: University of Hong Kong Press, 2014), as well as the author of a rich body of articles on Asian history and the history of medicine. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Roman Sieler’s Lethal Spots, Vital Secrets: Medicine and Martial Arts in South India (Oxford University Press, 2015) is a fine-grained ethnographic study of varmakkalai–the art of vital spots, a South Indian practice that encompasses both martial and medical activities. The interview explores how varmakkalai relates to the wider field of manual therapies and martial traditions in the subcontinent, the theories that inform the practice, the relationship between healing and fighting, as well as the role of secrets. A truly fascinating study that raises questions about topics such as categorisation, concealment and learning that go way beyond the confines of South India, Lethal Spots, Vital Secrets will be of interest to many. 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 shining new book The Medieval Islamic Hospital: Medicine, Religion, and Charity (Cambridge University Press, 2015), Ahmed Ragab, Assistant Professor of Religion and Science at Harvard Divinity School, charts the institutional and intellectual history of hospitals or bimaristans in medieval Egypt and the Levant. A central argument of this book is that hospitals in Islamdom were more than just institutions where the sick were treated; hospitals also served as important sites of communal services and congregation, as urban architectural monuments, and as symbols and expressions of a rulers political authority. By exploring an astonishing variety and number of sources, Ragab provides an unparalleled window into the aspirations and operations that defined the medieval Islamic hospital. This splendid new book will be of great interest to students of medieval Islamic history, religion and science, medical history, and the study of Islam and religion more broadly. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Many people carry around unresolved feelings and thoughts tied to difficult experiences, with no idea what to do with them. When left unattended for too long, these pent up feelings can lead to a variety of physical and mental health issues: sleep problems, depression, and even physical illness. Therapy can help, but its not always available for various reasons. Fortunately, long-time researchers and writers James Pennebaker and Joshua Smyth have developed expressive writing as an innovative approach for expressing ones emotions and achieving better health and wellness. They sat down with psychologist Eugenio Duarte to discuss various expressive writing strategies anyone can use as well as the research that backs up their methods. They’re all contained in their new book, Opening Up by Writing it Down: How Expressive Writing Improves Health and Eases Emotional Pain (3rd edition; Guilford Press, 2016). Eugenio Duarte, Ph.D. is a licensed psychologist and psychoanalyst practicing in New York City. He treats individuals and couples, with specialties in LGBTQ issues, eating and body image problems, and relationship problems. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

When I first read Foucault’s Discipline and Punish as an undergrad, I remember wondering, “What does this look like, though? How might the disciplining of the body play out in different places?” Greg Eghigian, author of The Corrigible and the Incorrigible: Science, Medicine, and the Convict in Twentieth-Century Germany (University of Michigan Press, 2015) and Associate Professor of History at Pennsylvania State University, answers that question and more about the evolution of incarceration in modern Germany. Eghigian’s background is in both German history and the history of science, and his expertise in the latter shines through as he explores discourses of criminality among professionals in the fields of psychology, psychiatry, sociology, criminology, and medicine. He has done extensive previous work on the understanding and treatment of madness in modern Europe, and shows that many of the same concerns that motivated physicians, psychoanalysts, and reformers in the emerging field of psychology occupied criminologists in twentieth-century Germany, as well. Perhaps most importantly, the book provides a chronicle of how carceral norms emerge and evolve, one particularly instructive for an America which currently imprisons nearly 2.5 million of its people. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

What do the musical compositions of Bach, Gershwin, and the Beatles all have in common? Besides being great pieces of music, according to Andrew Schulman, they promote healing in intensive care (ICU) settings. Schulman is a classical guitar player and performer and author of Waking the Spirit: A Musician’s Journey Healing Body, Mind, and Soul (Picador, 2016). Schulman did not receive training as a music therapist and only began working in ICUs after he had a near-death experience at one. Waking the Spirit offers a gripping account of his medical journey and his decision to give back to others. As a result of his collaboration with his former doctors, Schulman became what he terms, a “medical musician.” During the podcast, Schulman briefly describes his journey and reflects upon what he has learned about music from working in the ICU. He also talks about how his work in the ICU has made him a better concert performer. In our conversation, we explore how music heals, what forms of music seem most suited for healing, and the role of musicians and music therapists in ICUs. Andrew Schulman is the resident musician in the Surgical Intensive Care Unit at Mount Sinai Beth Israel hospital in New York City and Berkshire Medical Center in Pittsfield, Massachusetts. He is the founder and artistic director of the Abaca String Band. He is also a solo guitarist and has appeared at Carnegie Hall, the Improv Comedy Club, and the White House. He lives in New York City with his wife, Wendy. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

In the early 2000s, the press–at least in Boston, where I was living at the time–was full of shrill stories about drug-crazed addicts breaking into area pharmacies in search of something called “Oxycontin.” I had no idea what Oxycontin was, but I was pretty sure there must be something remarkable about it if ordinary drug fiends were risking jail time and worse by robbing mom-and-pop drug stores to get it. As Sam Quinones explains in his remarkable book Dreamland: The True Tale of American’s Opiate Epidemic (Bloomsbury Press, 2015), the Oxycontin crime wave was an early moment in the emergence of a full-blown Opiate epidemic in the United States. For many young doctors working in “pain management in the 90s and naughts, Oxycontin was remarkable indeed. It gave them just what their predecessors in the eternal fight against pain lacked: a supposedly non-addictive opium-based medication that they could prescribe far and wide without fear of hooking their patients on it. And with all the best intentions, prescribe it far and wide these doctors did. But it wasn’t non-addictive at all; masses of patients become dependent. And not only them. Drug-users learned that “Oxy” afforded a wonderful high, and it became highly coveted “on the street.” The rub was that this new “wonder drug” was either hard to get–unless you had access to a “Pill Mill”–and/or very expensive. So Oxycontin addicts got desperate. Some, like the ones the press was screaming about in Boston, stole the drug from the local CVS and the like. Most, however, turned to an old drug that was easier to get and cheaper: Black Tar Heroin from Mexico. In the wake of Oxycontin, Black Tar spread from the Southwest across much of the U.S., even to places like Western Massachusetts, where I live now and the heroin epidemic is in full, tragic swing. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

What exactly is ADHD, and is it time to update our ideas about it? In her new book, Your Innovator Brain: The Truth About ADHD (Balboa Press, 2016), Carol Gignoux turns our ideas about Attention Deficit Hyperactivity Disorder on their head and introduces a strengths-based rather than deficits-based perspective on this brain type. In her forty-plus years coaching individuals with ADHD, Gignoux has witnessed how ADHD stigma stymies these individuals’ creativity and self-esteem. They often adopt views of themselves predominated by what they can’t do rather than what they can. But these “innovators,” as she calls them, have unique capacities for creative problem-solving and productive risk-taking that others often envy. Look no further than Steve Jobs, Pablo Picasso, and Jonas Salk–innovators whose unique brain type helped them make extraordinary contributions to modern society. To make best use of their gifts, innovators need help with their very real limitations and greater understanding and appreciation for their assets. As she explains in our interview, Gignoux has made it her mission to help innovators find such understanding and support. In her book, she advances a paradigm shift in our conceptions of ADHD and outlines specific strategies for dealing with day-to-day challenges. This celebratory and useful first book from a decades-long advocate is a long-awaited update to our long-standing ideas about these unique individuals. I spoke with Gignoux about her book and her coaching experiences with individuals and their loved ones. I hope you enjoy the interview. Eugenio Duarte, Ph.D. is a licensed psychologist and psychoanalyst practicing in New York City. He treats individuals and couples, with specialties in LGBTQ issues, eating and body image problems, and working with cultural minorities. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Among the achievements of Irish medicine in the twentieth century was ending the persistent epidemic of tuberculosis throughout the island, and one of the central figures in that effort was Dorothy Stopford Price. In her book Dorothy Stopford Price: Rebel Doctor (Irish Academic Press, 2014), Anne Mac Lellan provides readers with an account of the life of a pioneering MD and medical researcher. The daughter of an Anglo-Irish family, she trained as a doctor while Ireland participated in a world war and fought for its independence. As a member of Cumann na mBan, she provided medical care for members of the Irish Republican Army during the Irish War of Independence against the British. Following the war, she became a pediatrician, in which capacity she developed her interest in the tuberculosis vaccine BCG then being introduced in Europe. As Dr. Mac Lellan demonstrates, Price’s tireless championing of tuberculosis vaccination in the 1930s and 1940s played a key role in winning acceptance for both the vaccine and the nationwide campaign that ended the scourge of the disease in Ireland. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Sabine Arnaud‘s new book explores a history of discursive practices that played a role in the construction of hysteria as pathology. On Hysteria: The Invention of a Medical Category between 1670 and 1820 (University of Chicago Press, 2015) considers a wide range of issues that are both specific to the particular history of hysteria, and more broadly applicable to the history medicine. Arnaud pays special attention to the role played by language in the definition of any medical category, basing her analysis on a masterful analysis of a spectrum of written medical genres (including dialogue, autobiography, correspondence, narrative, and polemic) that have largely been forgotten by the history of medicine. Arnaud asks, “What made it possible to view dozens of different diagnoses as variants of a single pathology, hysteria?” The answer can be found in a long process of rewriting and negotiation over the definition of these diagnoses enabled this retrospective assimilation, which was driven by enormously diverse political and epistemological stakes. In a series of fascinating chapters, the book interweaves the history of hysteria with studies of gender, class, literature, metaphor, narrative, and and religion. It’s an expertly-researched and compellingly-written account that will amply reward readers interested in the histories of medicine 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

Miranda Brown‘s new book takes a sustained look at the role and significance of the medical fathers in the historiography of Chinese medicine. Paying careful attention to the ubiquity and persistence of figures including Bian Que, Chunyu Yi, Liu Xiang, Zhang Ji, and more, The Art of Medicine in Early China: The Ancient and Medieval Origins of a Modern Archive (Cambridge University Press, 2015) argues that the historiography of these figures reveals how early Chinese authors provided modern historians not only with the raw materials, but also the categories, genres, and objects of scholarly inquiry with which to study the past. Part 1 of the book considers representations of exemplary healers before the emergence of a category of medical history, looking closely at the rhetorical and historical contexts in which representations of these figures were produced. Part 2 of the book looks at the formation of medical histories in early China through the list of exemplary healers, and identifies a number of events that prompted responses that helped produce the present image of the early medical fathers. The result is a thoughtful account that will be of interest to readers interested in historiographical practices, as well as the histories of medicine and early China. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Communities of parents who refuse, delay, or selectively decline to vaccinate their children pose familiar moral and political questions concerning public health, safety, risk, and immunity. But additionally there are epistemological questions about these communities. Though frequently dismissed as simply ignorant, misinformed, or superstitious, it turns out that vaccine suspicion, denial, and refusal are positively correlated with higher levels of education, and greater depth of knowledge about vaccine science. Accordingly, the common view that vaccine refusal is the product of ignorance seems simplistic. Yet the more strident forms of vaccine refusal are based in demonstrably false beliefs. How is this best explained? In Values and Vaccine Refusal: Hard Questions in Epistemology, Ethics, and Health Care (Routledge 2016) Mark Navin offers a balanced examination of the epistemology and value commitments of various stripes of vaccine refusal. After arguing that vaccine refusers may be reasonable, he defends a novel version of the view that there is a moral requirement to vaccinate one’s children. He then defends the claim that the State may use coercive means to enhance vaccination, but Navin makes room for exemptions for non-medical reasons. Navin’s book is a fascinating philosophical exploration of some very deep questions at the intersection of social epistemology and social ethics. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Conversations about death during hospitalization are among the most difficult imaginable: the moral weight of a human life is suspended by stressful conversations in which medical knowledge and personal context must be negotiated. In Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human (Oxford University Press, 2016), Samuel Morris Brown approaches the problem of end-of-life care with a clinician’s eye and a scholar of religion’s touch. The book places advance directives in the clinic in their historical context while unpacking their ethical and legal nature, describes the psychological aspects of medical decision-making and how moral distress clouds judgment, and provides recommendations on how to heal the process of healing in the Intensive Care Unit (ICU). An ICU physician himself, Brown’s account is interwoven with powerful stories that render his argument for humanistic care particularly salient. As such, Through the Valley of Shadows offers as much to dyed-in-the-wool humanists as it does to those focused on measuring and improving outcomes. This is the second of a pair of interviews on communication in health care, preceded by Listening for What Matters: Avoiding Contextual Errors in Health Care, by Saul Weiner and Alan Schwartz. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

When clinicians listen to patients, what do they hear? In Listening for What Matters: Avoiding Contextual Errors in Health Care (Oxford UP, 2016), Saul Weiner and Alan Schwartz provide a riveting account of a decade of research on improving outcomes by incorporating patients’ individual life contexts into planning of care. Their groundbreaking studies showed that physicians, while getting the biological details largely correct, frequently disregard personal circumstances that lead to medical errors. Such an assertion might appear intractable or unfit for empirical study, but Listening for What Matters describes a series of creative experiments that strongly support it. From placing fake patients into real clinical contexts to measure the appropriateness of recommendations, to recording interactions between real patients and doctors (for which they developed a system, Content Coding for Contextualization of Care), and finally training groups of medical students to ask about individual context, Weiner and Schwartz build a case for the existence of a widespread problem while simultaneously offering compelling solutions. This is the first of a pair of interviews on communication in health care, to be followed by Samuel Morris Brown’s Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human. 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 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