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Over the last twenty years, type 2 diabetes skyrocketed to the forefront of global public health concern. In this book, Mari Armstrong-Hough examines the rise in and response to the disease in two societies: the United States and Japan. Both societies have faced rising rates of diabetes, but their social and biomedical responses to its ascendance have diverged. To explain the emergence of these distinctive strategies, Armstrong-Hough argues that physicians act not only on increasingly globalized professional standards but also on local knowledge, explanatory models, and cultural toolkits. As a result, strategies for clinical management diverge sharply from one country to another. Armstrong-Hough demonstrates how distinctive practices endure in the midst of intensifying biomedicalization, both on the part of patients and on the part of physicians, and how these differences grow from broader cultural narratives about diabetes in each setting.
An Anthropology of Biomedicine is an exciting new introduction to biomedicine and its global implications. Focusing on the ways in which the application of biomedical technologies bring about radical changes to societies at large, cultural anthropologist Margaret Lock and her co-author physician and medical anthropologist Vinh-Kim Nguyen develop and integrate the thesis that the human body in health and illness is the elusive product of nature and culture that refuses to be pinned down. Introduces biomedicine from an anthropological perspective, exploring the entanglement of material bodies with history, environment, culture, and politics Develops and integrates an original theory: that the human body in health and illness is not an ontological given but a moveable, malleable entity Makes extensive use of historical and contemporary ethnographic materials around the globe to illustrate the importance of this methodological approach Integrates key new research data with more classical material, covering the management of epidemics, famines, fertility and birth, by military doctors from colonial times on Uses numerous case studies to illustrate concepts such as the global commodification of human bodies and body parts, modern forms of population, and the extension of biomedical technologies into domestic and intimate domains Winner of the 2010 Prose Award for Archaeology and Anthropology
In recent years medicalization, the process of making something medical, has gained considerable ground and a position in everyday discourse. In this multidisciplinary collection of original essays, the authors expertly consider how issues around medicalization have developed, ways in which it is changing, and the potential shapes it will take in the future. They develop a unique argument that medicalization, biomedicalization, pharmaceuticalization and geneticization are related and co-evolving processes, present throughout the globe. This is an ideal addition to anthropology, sociology and STS courses about medicine and health.
The Open Access version of this book, available at https://www.taylorfrancis.com/books/9781351234146, has been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license. This book analyses the social and ethical implications of the globalization of emerging skin-whitening and anti-ageing biotechnology. Using an intersectional theoretical framework and a content analysis methodology drawn from cultural studies, the sociology of knowledge, the history of colonial medicine and critical race theory, it examines technical reports, as well as print and online advertisements from pharmaceutical and cosmetics companies for skin-whitening products. With close attention to the promises of ‘ageless beauty’, ‘brightened’, youthful skin and solutions to ‘pigmentation problems’ for non-white women, the author reveals the dynamics of racialization and biomedicalization at work. A study of a significant sector of the globalized health and wellness industries – which requires the active participation of consumers in the biomedicalization of their own bodies – Wellness in Whiteness will appeal to social scientists with interests in gender, race and ethnicity, biotechnology and embodiment.
In Biomedical Hegemony and Democracy in South Africa Ngambouk Vitalis Pemunta and Tabi Chama-James Tabenyang unpack the contentious South African government’s post-apartheid policy framework of the ‘‘return to tradition policy’’. The conjuncture between deep sociopolitical crises, witchcraft, the ravaging HIV/AIDS pandemic and the government’s initial reluctance to adopt antiretroviral therapy turned away desperate HIV/AIDS patients to traditional healers. Drawing on historical sources, policy documents and ethnographic interviews, Pemunta and Tabenyang convincingly demonstrate that despite biomedical hegemony, patients and members of their therapy-seeking group often shuttle between modern and traditional medicine, thereby making both systems of healthcare complementary rather than alternatives. They draw the attention of policy-makers to the need to be aware of ‘‘subaltern health narratives’’ in designing health policy.
This collection of essays brings together leading scholars from cultural anthropology, history, sociology and science studies to conduct a critical dialogue on the culture(s) of biomedical practice, discussing its material, epistemic and social implications.
Biomedicalization is seen as the natural outgrowth of continued scientific progress--a movement towards improving the quality and quantity of life through scientific inquiries using biomedical perspectives and methods. This approach carries with it the assumption that with "proper" risk assessment, detection, and treatment, our lives can be lengthened, improved, and indeed more fulfilling. Yet critics question biomedicalization's ability to deliver. There is concern about how biomedicalization can change our traditional concepts of health as we discover more conditions for which we are at risk, and health maintenance is seen as the responsibility of the individual. The purpose of the book is to describe, assess, and critique biomedicalization and its influence as a larger social trend on the health field and specifically in the area of alcohol research, policy, and programs. Chapter 1 gives a broad overview of biomedicalization. Chapter 2 lays the groundwork for a historical understanding of how medicalization and biomeidcalization have developed and are expressed in diverse fields such as aging, psychiatry/mental health, and women's health. Chapter 3 focuses in-depth on alcoholism and assesses the development and assumptions underlying the two movements that have greatly influenced the substance abuse field: the medicalization of deviance and the growth of the disease model of alcoholism. Chapter 4 discusses the origins and development of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) from its inception in 1970. Chapter 5 illustrates the growing biomedicalization that has occurred in the alcohol field prior to NIAAA's movement to the National Institute of Health (NIH). Chapter 6 assesses how Sweden has handled alcohol problems and currently funds alcohol research. Chapter 7 concludes with a rationale for an expanded discourse between social scientists and biomedical researchers working on social problems, particularly alcohol issues. This volume will stimulate discussion of the processes by which social problems, and specifically alcohol issues, are framed, managed, and studied. It will hold particular interest for researchers and students in the areas of alcohol studies, social science, and social welfare. Lorraine Midanik is a professor in the School of Social Welfare, University of California, Berkeley.
This book is the first major ethnography of Baloch midwives in Pakistan. Drawing on long-term ethnographic research in Balochistan province, it shows how dhīnabogs/dheenabogs (Baloch midwives ranging in age from about 30 to 80) and their dhīnabogirī (midwifery) aid women and their kin through labor and postpartum recovery. Its chapters show how Baloch midwives’ forms and ethics of care have persisted, despite nearly two centuries of British colonial policies and the subsequent disparaging official views regarding South Asian Indigenous midwives, commonly known as dāīs, in both postcolonial India and Pakistan. Through their continued presence and effective uses of their traditional medicine, Baloch midwives contain, mediate, and offer a powerful critique of women’s iatrogenic suffering caused by unnecessary biomedical interventions. Through a nuanced analysis of Baloch midwives' ethical approach to caring for women, and their responses to the exigencies of women’s health, this book demonstrates why over a century of state efforts to modernize and biomedicalize childbirth practices have failed to convince the majority of Baloch women in Balochistan to give birth in hospitals. They instead prefer home births and the midwifery care from the dhīnabogs whom they trust. This book will not only be of interest to scholars and students in anthropology, medical humanities, public health, sociology, gender and women’s studies, gender and medical history, South Asia studies, and global health studies, but also to those in the midwifery and the nursing profession. It will also be of interest to non-academic readers wishing to learn about midwives in South Asia and anyone interested in reading about traditional medicine and midwives who practice outside of European and North American cultural contexts.
The rise of Western scientific medicine fully established the medical sector of the U.S. political economy by the end of the Second World War, the first “social transformation of American medicine.” Then, in an ongoing process called medicalization, the jurisdiction of medicine began expanding, redefining certain areas once deemed moral, social, or legal problems (such as alcoholism, drug addiction, and obesity) as medical problems. The editors of this important collection argue that since the mid-1980s, dramatic, and especially technoscientific, changes in the constitution, organization, and practices of contemporary biomedicine have coalesced into biomedicalization, the second major transformation of American medicine. This volume offers in-depth analyses and case studies along with the groundbreaking essay in which the editors first elaborated their theory of biomedicalization. Contributors. Natalie Boero, Adele E. Clarke, Jennifer R. Fishman, Jennifer Ruth Fosket, Kelly Joyce, Jonathan Kahn, Laura Mamo, Jackie Orr, Elianne Riska, Janet K. Shim, Sara Shostak
Discoveries in biomedicine and biotechnology, especially in diagnostics, have made prevention and (self)surveillance increasingly important in the context of health practices. Frederike Offizier offers a cultural critique of the intersection between health, security and identity, and explores how the focus on risk and security changes our understanding of health and transforms our relationship to our bodies. Analyzing a wide variety of texts, from life writing to fiction, she offers a critical intervention on how this shift in the medical gaze produces new paradigms of difference and new biomedically facilitated identities: biosecurity individuals.