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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.
Exploring 18th-century medicine's construction of individuals with non-standard sexual anatomy as “hermaphrodites”, this book focuses on the genre of the case history from three different languages and national contexts-British, French, and German. Medicalizing Difference examines case studies written about Anne Grandjean, Michel Anne Drouart, Maria Dorothea Derrier, and an unnamed “Angolan hermaphrodite.” Multiple case studies were published about each of these individuals and are discussed throughout the book's four chapters, each of which focuses on one momentous epistemological shift in the eighteenth-century: an increasing focus on empiricism and the related professionalization of medicine, the expanding market for popular scientific literature, changing notions about generation and reproduction, and the exploration of foreign territories. This book reads these case histories against the grain and historicizes 18th-century medicine's construction of the category of the “hermaphrodite”, demonstrating that, rather than describing a fact, these histories created their subject of study
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.
The first book to examine the male body in relation to the sociology of health and gender.
In Medicalizing Ethnicity, Vilma Santiago-Irizarry shows how commendable intentions can produce unintended consequences. Santiago-Irizarry conducted ethnographic fieldwork in three bilingual, bicultural psychiatric programs for Latino patients at public mental health facilities in New York City. The introduction of "cultural sensitivity" in mental health clinics, she concludes, led doctors to construct essentialized, composite versions of Latino ethnicity in their drive to treat mental illness with sensitivity. The author demonstrates that stressing Latino differences when dealing with patients resulted not in empowerment, as intended, but in the reassertion of Anglo-American standards of behavior in the guise of psychiatric categories by which Latino culture was negatively defined. For instance, doctors routinely translated their patients' beliefs in the Latino religious traditions of espiritismo and Santería into psychiatric terms, thus treating these beliefs as pathologies.Interpreting mental health care through the framework of culture and politics has potent effects on the understanding of "normality" toward which such care aspires. At the core of Medicalizing Ethnicity is the very definition of multiculturalism used by a variety of institutional settings in an attempt to mandate equality.
This book extends the critical scope of the previous volume, De-Medicalizing Misery, into a wider social and political context, developing the critique of the psychiatrization of Western society. It explores the contemporary mental health landscape and poses possible alternative solutions to the continuing issues of emotional distress.
In Medicalizing Ethnicity, Vilma Santiago-Irizarry shows how commendable intentions can produce unintended consequences. Santiago-Irizarry conducted ethnographic fieldwork in three bilingual, bicultural psychiatric programs for Latino patients at public mental health facilities in New York City. The introduction of "cultural sensitivity" in mental health clinics, she concludes, led doctors to construct essentialized, composite versions of Latino ethnicity in their drive to treat mental illness with sensitivity. The author demonstrates that stressing Latino differences when dealing with patients resulted not in empowerment, as intended, but in the reassertion of Anglo-American standards of behavior in the guise of psychiatric categories by which Latino culture was negatively defined. For instance, doctors routinely translated their patients' beliefs in the Latino religious traditions of espiritismo and Santería into psychiatric terms, thus treating these beliefs as pathologies.Interpreting mental health care through the framework of culture and politics has potent effects on the understanding of "normality" toward which such care aspires. At the core of Medicalizing Ethnicity is the very definition of multiculturalism used by a variety of institutional settings in an attempt to mandate equality.
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
Psychiatry and psychology have constructed a mental health system that does no justice to the problems it claims to understand and creates multiple problems for its users. Yet the myth of biologically-based mental illness defines our present. The book rethinks madness and distress reclaiming them as human, not medical, experiences.
Written as a key introductory textbook for students, this work explores the reasons behind the expansion of the field of the history of medicine and health.