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In 1748, as yellow fever raged in Charleston, South Carolina, doctor John Lining remarked, "There is something very singular in the constitution of the Negroes, which renders them not liable to this fever." Lining's comments presaged ideas about blackness that would endure in medical discourses and beyond. In this fascinating medical history, Rana A. Hogarth examines the creation and circulation of medical ideas about blackness in the Atlantic World during the late eighteenth and early nineteenth centuries. She shows how white physicians deployed blackness as a medically significant marker of difference and used medical knowledge to improve plantation labor efficiency, safeguard colonial and civic interests, and enhance control over black bodies during the era of slavery. Hogarth refigures Atlantic slave societies as medical frontiers of knowledge production on the topic of racial difference. Rather than looking to their counterparts in Europe who collected and dissected bodies to gain knowledge about race, white physicians in Atlantic slaveholding regions created and tested ideas about race based on the contexts in which they lived and practiced. What emerges in sharp relief is the ways in which blackness was reified in medical discourses and used to perpetuate notions of white supremacy.
Over the past half-century, the social terrain of health and illness has been transformed. What were once considered normal human events and common human problems—birth, aging, menopause, alcoholism, and obesity—are now viewed as medical conditions. For better or worse, medicine increasingly permeates aspects of daily life. Building on more than three decades of research, Peter Conrad explores the changing forces behind this trend with case studies of short stature, social anxiety, "male menopause," erectile dysfunction, adult ADHD, and sexual orientation. He examines the emergence of and changes in medicalization, the consequences of the expanding medical domain, and the implications for health and society. He finds in recent developments—such as the growing number of possible diagnoses and biomedical enhancements—the future direction of medicalization. Conrad contends that the impact of medical professionals on medicalization has diminished. Instead, the pharmaceutical and biotechnical industries, insurance companies and HMOs, and the patient as consumer have become the major forces promoting medicalization. This thought-provoking study offers valuable insight into not only how medicalization got to this point but also how it may continue to evolve.
Winner of the Donald W. Light Award for the Applied or Public Practice of Medical Sociology Medical marijuana laws have spread across the U.S. to all but a handful of states. Yet, eighty years of social stigma and federal prohibition creates dilemmas for patients who participate in state programs. The Medicalization of Marijuana takes the first comprehensive look at how patients negotiate incomplete medicalization and what their experiences reveal about our relationship with this controversial plant as it is incorporated into biomedicine. Is cannabis used similarly to other medicines? Drawing on interviews with midlife patients in Colorado, a state at the forefront of medical cannabis implementation, this book explores the practical decisions individuals confront about medical use, including whether cannabis will work for them; the risks of registering in a state program; and how to handle questions of supply, dosage, and routines of use. Individual stories capture how patients redefine and reclaim cannabis use as legitimate—individually and collectively—and grapple with an inherently political identity. These experiences help illustrate how stigma, prejudice, and social change operate. By positioning cannabis use within sociological models of medical behavior, Newhart and Dolphin provide a wide-reaching, theoretically informed analysis of the issue that expands established concepts and provides new insight on medical cannabis and how state programs work.
This collection of impassioned essays, published between 1973 and 2006, chronicles Thomas Szasz’s long campaign against the orthodoxies of “pharmacracy,” that is, the alliance of medicine and the state. From “Diagnoses Are Not Diseases” to “The Existential Identity Thief,” “Fatal Temptation,” and “Killing as Therapy,” the book delves into the complex evolution of medicalization, concluding with “Pharmacracy: The New Despotism.” In practice, society must draw a line between what counts as medical practice and what does not. Where it draws that line goes far in defining the kinds of laws its citizens live under, the kinds of medical care they receive, and the kinds of lives they are allowed to live.
The first book to examine the male body in relation to the sociology of health and gender.
A classic text on deviance is updated and reissued.
The Medicalization of Birth and Death is required reading for academics, patients, providers, policymakers, and anyone else interested in how policy shapes healthcare options and limits patients and providers during life's most profound moments.
This book provides readers with a single source reviewing and updating sociological theory in medical or health sociology. The book not only addresses the major theoretical approaches in the field today, it also identifies the future directions these theories are likely to take in explaining the social processes affecting health and disease. Many of the chapters are written by leading medical sociologists who feature the use of theory in their everyday work, including contributions from the original theorists of fundamental causes, health lifestyles, and medicalization. Theories focusing on both agency and structure are included to provide a comprehensive account of this important area in medical sociology.
An authoritative, topical, and comprehensive reference to the key concepts and most important traditional and contemporary issues in medical sociology. Contains 35 chapters by recognized experts in the field, both established and rising young scholars Covers standard topics in the field as well as new and engaging issues such as bioterrorism, bioethics, and infectious disease Chapters are thematically arranged to cover the major issues of the sub-discipline Global range of contributors and an international perspective
Our health care is staggeringly expensive, yet one in six Americans has no health insurance. We have some of the most skilled physicians in the world, yet one hundred thousand patients die each year from medical errors. In this gripping, eye-opening book, award-winning journalist Shannon Brownlee takes readers inside the hospital to dismantle some of our most venerated myths about American medicine. Brownlee dissects what she calls "the medical-industrial complex" and lays bare the backward economic incentives embedded in our system, revealing a stunning portrait of the care we now receive. Nevertheless, Overtreated ultimately conveys a message of hope by reframing the debate over health care reform. It offers a way to control costs and cover the uninsured, while simultaneously improving the quality of American medicine. Shannon Brownlee's humane, intelligent, and penetrating analysis empowers readers to avoid the perils of overtreatment, as well as pointing the way to better health care for everyone.