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This book presents new insights into the consequences of the impending growth in and impact of the older segment of Latino aging adults across distinctive regions of the Americas. It uses a comparative research framework to further understanding of current issues in health and aging in the transnational context of the health and migratory experiences of the U.S.- Mexican population. It provides an important contribution to the interdisciplinary investigation of chronic diseases and functional impairments, social care and medical services, care-giving and intervention development, and neighborhood factors supporting optimal aging, using new conceptual and methodological approaches (inter-group comparisons). Specifically, the chapters employ different methodologies that investigate trends in aging health and services related to immigration processes, family and household structure, macroeconomic changes in the quality of community life, and focus on the new realities of aging in Latino families in local communities. The book focuses on measurement, data-quality issues, new conceptual modeling techniques, and longitudinal survey capabilities, and suggests needed areas of new research. As such it is of interest to researchers and policy makers in a wide range of disciplines from social and behavioral sciences to economics, gerontology, geriatrics, and public health.
Winner of the Gradiva Award in Historical Cultural and Literary Analysis and The 2004 Boyer Prize for Contributions to Psychoanalytic Anthropology During the 1950's, US Army medical officers noted a new and puzzling syndrome that contemporary psychiatry could neither explain nor cure. These doctors reported that Puerto Rican soldiers under stress behaved in a very peculiar and dramatic manner, exhibiting a theatrical form of pseudo-epilepsy. Startled physicians observed frightened and disoriented patients foaming at the mouth, screaming, biting, kicking, shaking in seizures, and fainting. The phenomenon seemed to correspond to a serious neurological disease yet, as with some forms of hysteria, physical examination failed to identify any sign of an organic origin. This unusual set of symptoms, entered into medical records as "a group of striking psychopathological reaction patterns, precipitated by minor stress," and was designated "Puerto Rican Syndrome." In this lucid and sophisticated new work, Patricia Gherovici thoroughly examines the so-called Puerto Rican Syndrome in the contemporary world, its social and cultural implications for the growing Hispanic population in the US and, therefore, for the US as a whole. As a mental illness that is, allegedly, uniquely Puerto Rican, this syndrome links nationality and culture to a psychiatric disease whose reappearance recalls the spectacular hysteria that led to the discovery of the unconscious and the birth of psychoanalysis. Gherovici beautifully and systematically uses the combined insights of Freud and Lacan to examine the current state of psychoanalysis and the Hispanic community in America. Blending these insights with history, current events, and her own case material, Gherovici provides a startling, fresh look at Puerto Rican Syndrome as social and cultural phenomenon. She sheds new light on the future of American society and argues that psychoanalysis is not only possible, but much needed in the ghetto.
Health and medicine in colonial environments is one of the newest areas in the history of medicine, but one in which the Caribbean is conspicuously absent. Yet the complex and fascinating history of the Caribbean, borne of the ways European colonialism combined with slavery, indentureship, migrant labour and plantation agriculture, led to the emergence of new social and cultural forms which are especially evident the area of health and medicine. The history of medical care in the Caribbean is also a history of the transfer of cultural practices from Africa and Asia, the process of creolization in the African and Asian diasporas, the perseverance of indigenous and popular medicine, and the emergence of distinct forms of western medical professionalism, science, and practice. This collection, which covers the French, Hispanic, Dutch, and British Caribbean, explores the cultural and social domains of medical experience and considers the dynamics and tensions of power. The chapters emphasize contestations over forms of medicalization and the controls of public health and address the politics of professionalization, not simply as an expression of colonial power but also of the power of a local elite against colonial or neo-colonial control. They pay particular attention to the significance of race and gender, focusing on such topics as conflicts over medical professionalization, control of women’s bodies and childbirth, and competition between ‘European’ and ‘Indigenous’ healers and healing practices. Employing a broad range of subjects and methodological approaches, this collection constitutes the first edited volume on the history of health and medicine in the circum-Caribbean region and is therefore required reading for anyone interested in the history of colonial and post-colonial medicine.