New Books in 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

In The Emergence of Tropical Medicine in France (University of Chicago Press, 2014), Michael Osborne offers a new way to think about and practice the history of colonial medicine. Eschewing pan-European or Anglo-centric models of the history of colonial medicine, Osborne’s book focuses on the centrality, transformations, and ultimate demise of naval medicine in France in the nineteenth and early twentieth centuries. Motivating the central arguments and narrative of the book is a concern with place, places, and emplacement, and Osborne explores maritime medical practices and the ecology of disease in French provincial port cities, on ships, in prisons, in hospitals and schools, and beyond. The Emergence of Tropical Medicine in France pays special attention to how the study and conception of race, and its connection with health and disease, was formed and reformed in these settings. Readers with a special interest in the relationship between medicine and the military will find much to enjoy here, as will those who come to the book wanting to know more about the maritime history of diseases like Yellow Fever, lead poisoning, and Malaria. There’s also some wonderful storytelling here, including a fascinating account of a book-bomber in Chapter 4. It is a beautifully written account, and it should be required reading for those interested in the history of medicine and healing, of France, of the colonial medical past, and of place and locality. 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 new book, Imperial Technoscience: Transnational Histories of MRI in the United States, Britain, and India (MIT Press, 2014), Amit Prasad, an associate professor of sociology at the University of Missouri, examines what he calls the “entangled histories of MRI” by studying the development of the technology in the United States, Britain and India. In this way, Prasad deconstructs West/non-West technological and cultural divisions, as well as elucidating Euro/West-centrism in the histories of technology. To do so, Prasad examines five key aspects of MRI research: invention, industrial development, market, history, and culture. In so doing, Prasad provides a critique of the situating of the origin of modern science in the West. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

It may seem silly to ask why we seek ecstasy. We seek it, of course, because it’s ECSTASY. We are evolved to want it. It’s our brain’s way of saying “Do this again and as often as possible.” But there’s more to it than that. For one thing, there are many ways to get to ecstasy, and some of them are very harmful: cutting, starving, and, of course, drug-taking. These things may render an ecstatic state, but they will also kill you. Moreover, many of the ecstasy-inducing activities and substances are powerfully addictive. It’s fine, for example, for most people to use alcohol to feel more relaxed or even to achieve an ecstatic state. But something on the order of 10% to 15% of people cannot safely use alcohol at all without become seriously addicted. And once they do, they usually descend into a profoundly un-ecstatic nightmare that often ends in death. According to Sharon K. Farber‘s Hungry for Ecstasy: Trauma, the Brain, and the Influence of the Sixties (Aronson, 2013), our desire for ecstasy is first and foremost a psychic defense that protects us against on-going or anticipated trauma. When reality (as we perceive it, which, of course, is not always or even often accurately) becomes “too much” for us, we seek refuge in altered states of consciousness. The most attractive of these, of course, is ecstasy. It makes everything frightening just “go away.” Sometimes, the ecstatic state appears spontaneously. More often, however, especially in our culture, it is consciously induced by self-harming and drug-taking. For most of us, this sort of self-medication “works.” For a large minority, however, it ends in addiction and death. Listen in. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

The twentieth-century West witnessed a revolution in childbirth. Before that time, most women gave birth at home and were attended by family members and midwives. The process was usually terribly painful for the mother. Beginning in the nineteenth century, however, doctors started to “medicalize” childbirth. Physicians began to think of ways to ease the pain of childbirth. Two main options were explored. One–drugs–is quite familiar to us, for it is the primary tool used by doctors to make women comfortable during the birth process today. The other–“psychoprophylaxis”–has now passed into memory. The most famous form of psychoprophylaxis, and the subject of Paula A. Michaels’ excellent book Lamaze: An International History (Oxford University Press, 2014), is known as the “Lamaze method.” Its history is fascinating and surprising: born in the Soviet Union (or was it the United Kingdom?), it migrated to France, and then to much of Europe. It then jumped the Atlantic and became a quasi-political force in the United States (“natural childbirth”). And Lamaze is still with us, though in a form hard to recognize. Listen in. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Abena Dove Osseo-Asare‘s wonderful new book is a thoughtful, provocative, and balanced account of the intersecting histories and practices of drug research in modern Ghana, South Africa, and Madagascar. Bitter Roots: The Search for Healing Plants in Africa (University of Chicago Press, 2014) tells the stories of six plants, all sourced in African countries, that competing groups of plant specialists have tried to transform into pharmaceuticals since the 1880s. The leaves and roots and seeds of the book’s narrative collectively map the contours of a story that emerges from a crucial and germinal tension: on the one hand, much of the history of the plant sciences in these African spaces is motivated by a race for patents and scientific credit; at the same time, the mobility of plants across the borders of Osseo-Asare’s study has complicated efforts to assign priority of discovery to individuals or groups, and in fact challenges the very notion of a “traditional” or “indigenous” body of knowledge in the first place. Simultaneously a carefully situated ethnography and a history informed by a material archive that encompasses pages and petals, the book explores that tension in a critical assessment of what it means to talk about “African” science or “local” knowledge. Bitter Roots will deservedly have a wide audience in African studies, science studies, and the histories of medicine, pharmacy, and botany. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

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

What is the interplay between the physical human body and the body politic? This question is at the heart of Ellen J. Amster‘s Medicine and the Saints: Science, Islam, and the Colonial Encounter in Morocco, 1877-1956 (University of Texas Press, 2013). In this pioneering, interdisciplinary study, Professor Amster explores the French campaign to colonize Morocco through medicine. It is through medicine and medical encounters that Amster reveals competing ideas of “scientific paradigm (cosmologies), knowledge systems (hygiene and medical theory), and the technologies of physical intervention (therapeutics)” (p. 2) between the colonizing French positivists and the Moroccan populace. Amster’s breadth of expertise in the fields of medical history, Moroccan/North African history, the history of French colonization, the study of Islam and Sufism, anthropology, sociology, and philosophy is equally matched to the depth in which she explores these topics throughout the six chapters of her work. Each chapter explores a unique encounter, or more often clash, between the French and the Moroccan. From Sufi saints in the first chapter to government hygiene initiatives in the fourth, Amster is meticulous and exhaustive with her source material. Even more distinctive is her use of oral narratives. Scholars interested in the role of women as medical practitioners will greatly benefit from Amster’s exploration of the qabla (midwife) in the fifth chapter. Gradually, Amster demonstrates that French attempts to “modernize” Morocco were in fact the very seeds that led to Moroccan ideas of independence and nationhood. This work will have a tremendous impact on many fields and hopefully give rise to further interdisciplinary work in the fields of Islam, North African and Moroccan history, 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

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

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

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

Angela Creager‘s deeply researched and elegantly written new book is a must-read account of the history of science in twentieth-century America. Life Atomic: A History of Radioisotopes in Science and Medicine (University of Chicago Press, 2013) traces a history of radioisotopes as military and civilian objects, for experimentation and therapeutic use, from the 1930s through the late twentieth century. Creager follows the emergence of a political and economic market for radioisotopes, looking carefully at their use as controversial political instruments, as representations of the benefits of atomic energy for US citizens, and as commodities. After six chapters that trace these broader contexts of the production and circulation of radioisotopes, the second half of the book offers a set of fascinating case studies that explore representative users and uses of the technology in biochemistry, molecular biology, medicine, and ecology. Aspects of the story touch on the history of scientific and medical research using human and animal subjects, the early history of radiation therapy, and the history of ecology and environmental science. Not only is it a historiographically important and meticulously crafted work based on exhaustive research, but it’s also a great set of stories. The pages of Life Atomic are full of guinea pigs, scientific vaudeville, and stories and characters from many different fields of the modern life sciences, expertly weaving them together into a compelling set of arguments. Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Addiction has recently emerged as an object of anthropological inquiry. In a wonderful, focused volume of ethnographies of addiction in a wide range of contexts, Eugene Raikhel and William Garriott have curated a collection of essays that each follow a particular “addiction trajectory.” Addiction Trajectories (Duke University Press, 2013) includes studies that trace epistemic, therapeutic, experiential and experimental transformations across time and space. Collectively, they blend approaches from ethnography and science studies. Readers who are interested in historical ontologies, the concretion of new diseases and illnesses, the history of pharmaceutics and drug use, local styles of medical and clinical reasoning, the politics of healing, and the spaces of experimentation will find much of interest here. Eugene and Will generously made time to talk with me about the volume itself the workshop with which it began, and their own fascinating contributions on addiction medicine in Russia and methamphetamine addiction in rural West Virginia. Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Two main questions frame Sienna R. Craig‘s beautifully written and carefully argued new book about Tibetan medical practices and cultures: How is efficacy determined, and what is at stake in those determinations?Healing Elements: Efficacy and the Social Ecologies of Tibetan Medicine (University of California Press, 2012)guides readers through the ecologies of mind, body, and society within which Sowa Rigpa is practiced, understood, and transformed from rural Nepal to New York City. The first two chapters each chronicle a day spent in one of the main ethnographic sites featured in the book: a rural clinic and school in Mustang, Nepal; and a major medical institution in urban China. After this grounding in the wide varieties of experience that might collectively fall under the category of “Tibetan medicine,” the following chapters explore how associated people, objects, and practices engage with the opportunities and challenges posed by encounters in very different contexts. These contexts range from warehouses meant to prepare drugs for the global pharmaceutical market, to government-supported medical facilities in Nepal and China, to dissertation defenses, to private clinics in a variety of towns and cities, to fields in which medicinal drugs grow wild, to randomized clinical drug trials. It is a fascinating story, a moving and engaging narrative, and a pleasure to read. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Between WWII and the 1970s, prominent researchers from various fields established and defended a view that emotions are integral to the self, and that a mother’s love determines an individual’s emotional development. In Marga Vicedo, The Nature and Nurture of Love: From Imprinting to Attachment in Cold War America (University of Chicago Press, 2013), Marga Vicedo explores the emergence of the science of children’s emotional needs in the twentieth century. Masterfully bringing together approaches from the history and philosophy of the biological sciences, Vicedo’s book focuses on British psychoanalyst and psychiatrist John Bowlby (1907-1990), whose ethological work became one of the most influential and controversial psychological theories of the 20th century. Vicedo uses the story of Bowlby’s science to explore a broader modern history of work on animal and human behavior that includes Konrad Lorenz, Anna Freud, Benjamin Spock, and Niko Tinbergen, among others. Along the way, The Nature & Nurture of Love chronicles the emergence of a kind of anthropomorphic material culture of the human sciences, inhabiting its story with a fascinating cast of robots, dolls, geese, monkeys, and stuffed animals, as well as humans. It is a fascinating and gripping trans-disciplinary story and an absolute pleasure to read. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Free will is essential to our understanding of human nature. We are masters of our own fate. We chart our own course. We take our own road. In short, we decide what we are going to do. There seems little doubt that free will is a reality. But how, psychologically and physiologically, does it work? How does free will arise out of what is essentially a biological machine? How do we decide? That’s the question at the center of A. David Redish‘s fascinating The Mind Within the Brain: How We Made Decisions and How Those Decisions Go Wrong (Oxford UP, 2013). His elegant answer is that on the neurological level, we have a number of discrete decision-making mechanisms. They range (though there is no real order or hierarchy) from completely unconscious and mechanical, as when experience a nerve reflex, to completely explicit and flexible, as when we deliberate about options and choose one. Especially interesting is David’s discussion of what happens when one of these decision-making mechanisms breaks and goes into “failure mode,” namely, the manifestation of common psychological problems such as consistent irrationality, addictive behaviors, and PTSD. Listen in to our fascinating discussion. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

If you think about it, pretty much everything has a history insofar as everything exists in time. Historians, however, usually limit themselves to the history of humans and the things humans make. Occasionally, of course, they make forays into the history of animals, the environment and even the universe (see “Big History”), but these excursions are exceptions to the all-human rule. In Virus Hunt: The Search for the Origin of HIV (Oxford UP, 2013), Dorothy H. Crawford–a biologist–breaks new historiographical ground by tracing the history of a virus, namely HIV. She is, naturally, interested in the tragic human story of HIV and AIDS. But her focus is on the virus itself. Where and when, she asks, was HIV born? In what populations did it live before it jumped to humans? And, most importantly, where and when did it jump to humans? Using an array of sophisticated tools, a group of biologists-cum-detectives were able to give credible answers to these historical questions. Crawford tells their story. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

For a patient choosing among available forms of healing in the medical marketplace of mid-20th century South Korea, the process was akin to shopping. In Reconstructing Bodies: Biomedicine, Health, and Nation-Building in South Korea Since 1945 (Stanford University Press, 2013), John DiMoia explores emergence of that marketplace in the context of a confluence between biomedicine, bodies, and the nation in South Korea since the last half of the 20th century. In a series of case studies that range from quarantine efforts after the arrival of the U.S. Military Government in Korea (USAMGIK) to plastic surgery in today’s South Korea, DiMoia traces a number of themes through his history of biomedicine and healing: the gradual transition from German/Japanese academic medicine to American and international models of medicine; a corresponding embracing of diverse forms of bodily intervention; and the ultimate adoption of private models of health care in modern South Korea. We meet several fascinating characters in the course of the narrative, from practitioners of traditional Korean medicine, to groundbreaking vascular surgeons, to men and women whose bodies became the testing grounds for reform in birth control technologies. DiMoia’s account introduces public health practices that included spraying of human bodies with DDT, surgical practices that transformed the spaces and bodies of medicine mid-20th century South Korea, and antiparasitic practices that saw thousands of children bring stool samples to school. It is a rich account of a hybrid medical ecology with moments that would collectively make up a riveting fictional novel if they weren’t all true. Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Children born in the 1970s and 1980s received just a handful of vaccinations: measles, rubella, and a few others. Beginning the 1990s, the numbers of mandated vaccines exploded, so that today a fully-vaccinated child might receive almost three dozen vaccinations by the time he or she turns six. Worries over vaccinations are nothing new, but in recent years they have reached a new state of intensity. Supposed links between vaccinations and the spike in diagnoses of autism have generated a well-publicized anti-vaccination movement. Mark A. Largent addresses the roots of this controversy in Vaccine: The Debate in Modern America (Johns Hopkins University Press, 2012), a book that is as refreshing for its accessible, readable style as it is for the nuanced, dispassionate, and fair manner it treats the players in this debate, from health care professionals to Jenny McCarthy. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Virginia Gray, David Lowery, and Jennifer Benz are the authors of Interest Group$ and Health Care Reform Across the United State$ (Georgetown University Press, 2013). Gray is Distinguished Professor of Political Science, UNC, Chapel Hill, Lowery is Professor of Political Science at Pennsylvania State University, and Jennifer Benz is a Senior Researcher at NORC at the University of Chicago. In the wake of the passage of national health care reform (Affordable Care Act (ACA)), we may all have overlooked the plethora of policy making at the state level. Why is it that the ACA took over 50 years to pass, yet states have regularly changed their own health care regulations? This book investigates how state policy makers have reformed health care laws from 1988-2002 with a focus on: market controls; mandated employee coverage; coverage for needy families; and single-payer systems. As the title suggests, they pay particular attention to the role interest groups have played in reform. The authors end the book with a discussion of the implementation of the ACA by states. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Rachel Prentice‘s new book blends methodological approaches from science studies and anthropology to produce a riveting account of anatomical and surgical education in twenty-first century North America. Bodies in Formation: An Ethnography of Anatomy and Surgery Education (Duke University Press, 2013) carefully considers three field sites in which physical interaction is crucial to the development of medical knowledge: anatomy labs in which students dissect human cadavers, operating rooms that serve as spaces for surgical training, and design labs that are creating the body as a “computational object” at the same time that they produce technologies for simulating surgery and dissection or virtually enabling it from afar. Prentice offers a fascinating window into the aspects of medical education that produce the technical, ethical, and affective modes of the medical and surgical self. It is a sensorily-grounded, embodied ethnography that considers its bodies – of cadavers, of surgeons, of computer programs, of students, of patients – simultaneously as material entities and active participants in the narrative. Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Like it or not, the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM) has an enormous influence in deciding what qualifies as a mental health disorder in the United States and beyond. The each revision of the DSM directly influences people’s lives, guides treatment, and has important legal and economic consequences. In her book, The Making of DSM-III: A Diagnostic Manual’s Conquest of American Psychiatry (Oxford University Press, 2013), history professor Hannah S. Decker explores the history of the important third revision of DSM. DSM-III was revolutionary at the time because it changed the field of psychiatry from a generally psychoanalytic approach to a more symptom-based, medical model of diagnosis. Through the use of archival sources and interviews with people who were involved in its creation, Dr. Decker paints a picture of the DSM-III in the 1970s. She also explores the landscape of psychiatry before, during, and after the creation of DSM-III. Dr. Decker’s work is important in understanding the context and controversies that surround the DSM, which continue to this day with the recent release of DSM-V. This book will be of interest to people interested in the history of medicine and psychiatry, clinicians and researchers in any mental health discipline, and anyone who is interested in ongoing debates about the field of psychiatry. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

T. J. Hinrichs and Linda L. Barnes have produced a volume that will change the way we learn about and teach the history of health and healing in China and beyond. Chinese Medicine and Healing: An Illustrated History (Harvard University Press, 2012) collects ten chronologically-organized chapters that each explore practices of health and healing in a specific historical period, ranging from oracle bones in the pre-Han period to modern McDonald’s restaurant décor. Each chapter is supplemented by short vignettes that introduce noteworthy texts, important concepts, or examples relevant to and contemporary with the material in the chapter. Taken together, the resulting volume can be used and enjoyed by a wide range of readers, from instructors and students in a university classroom to interested browsers on a Sunday afternoon in the park. It’s a phenomenal accomplishment and makes for an enjoyable and compelling read. In the course of our conversation, we talked about a wide range of issues germane to the volume, the research and writing of each of the editors, and the wider field of medicine and healing in China. Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

Dorothea was a widow who treated Martin Luther, the Duke of Saxony, and throngs of poor peasants with her medicinal waters. Anna was the powerful wife of the Elector of Saxony who favored testing medical remedies on others before using them on her friends and family. Elisabeth was an invalid patient whose preferred treatments included topical remedies and ministrations from the “almighty physician,” but never “the smear.” We meet these three lively women in the pages of Alisha Rankin‘s wonderful new book on the medical practices of noblewomen from the last decades of the sixteenth century. Panaceia’s Daughters: Noblewomen as Healers in Early Modern Germany (University of Chicago Press, 2013) considers the intellectual and social contexts of healing practices in early modern Germany, focusing on elite women who spent much of their adult lives devising and administering medicinal remedies. The book argues that noblewomen were celebrated as healers not despite their gender, but because of it, offering a useful corrective to the historiography of gender and the sciences in early modernity. Rankin situates three in-depth case studies within a careful exploration of some of the main factors that enabled the kind of success that noblewomen-healers like Dorothea of Mansfield and Anna of Saxony enjoyed in sixteenth-century Germany: more opportunities for information exchange through local communities and wider epistolary networks; an increasing focus on empirical knowledge in its many forms; and the foundation role of written medicinal recipes as a form of kunst. It is a thoughtfully written and very clearly argued work that informs many aspects of the history of gender, of science and medicine, and of practical epistemologies. Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

It is common today to treat depression and other mental disorders as concrete illnesses – akin to having pneumonia or the flu. In fact, being prescribed a pill after complaining to your family doctor about feeling depressed is a common occurrence. But are mental disorders really illnesses the way that a sinus infection is? Gary Greenberg, in his fascinating new book The Book of Woe: The DSM and the Unmaking of Psychiatry (Blue Rider Press, 2013), argues that the answer is no. The DSM, which categorizes and defines mental disorders, is socially constructed, he claims, and changes over time. Homosexuality, for example, was considered an illness until 1973, and Asperger’s, now widely considered by the public to be a real condition (which many identify with), may no longer be in the newest revision of the DSM. Greenberg is not indicting all psychiatry or arguing that people should not take antidepressants, but he is criticizing the assumption that mental suffering is the same as physical suffering, arguing that mental anguish is often a multi-layered problem that cannot be fixed by a pill or explained by brain malfunction (though we are often led to believe that this is the case). Allowing the DSM to dictate reality as if it were a scientifically grounded book is a mistake, and we should be more aware of the haphazard way in which it was assembled. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine

“This is a history of promises.”So begins Nathaniel Comfort‘s gripping and beautifully written new book on the relationships between and entanglements of medical genetic and eugenics in the history of the twentieth century. Based on a rich documentary and oral history archive, The Science of Human Perfection: How Genes Became the Heart of American Medicine (Yale University Press, 2012) reframes the histories of early and contemporary human genetics. Rather than treating eugenics as “a contaminant of good, honest biomedicine,” the book shows that early human genetics had many of the same basic goals – human improvement and the relief of suffering – as genetic medicine today. At the same time, contemporary genetic medicine emerges as much less benign than it has often been depicted. All of this is accomplished through a sensitive historical tracing of two major approaches to understanding human heredity through the twentieth century: a Galtonian approach characterized by a concern with quantification, public health, and populations; and a Garrodian approach characterized by an interest in conceptualizing the human as individual, and in synthesizing heredity with other forms of knowledge. As we follow these threads along with Comfort, he introduces us to a bookful of colorful, vibrant characters from the history of medical genetics: the idealistic inventor of a “Gumption Reviver,” the sanitarium-operator who was fond of prescribing yogurt-enemas, and the medical geneticist with a talent for boogie-woogie piano, among others. These figures are embedded in an exceptionally carefully-wrought narrative of the spaces, practices, and events by which medicine became genetic, genetics became molecular, and molecules made the engineering of humanity possible in a new way. In the course of our discussion, we talked about the importance, for Comfort, of paying careful attention to elements of the writer’s craft when composing a historical work. The John McPhee essay on narrative structure that was mentioned in that part of the interview can be found here (A subscription to the New Yorker is required to read the full piece.) The Oral History of Human Genetics Project can be found here. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine