Arthur Kleinman – författare

Western medicine treats sick patients like broken machines -- figure out what is physically wrong, fix it, and send the patient on their way. But humans are not machines. When we are ill, we experience our illness: we become scared, distressed, tired, weary. Our illnesses are not just biological conditions, but human ones.It was Arthur Kleinman, a Harvard psychiatrist and anthropologist, who saw this truth when most of his fellow doctors did not. Based on decades of clinical experience studying and treating chronic illness, The Illness Narratives makes a case for interpreting the illness experience of patients as a core feature of doctoring.Before Being Mortal or The Body Keeps the Score, there was The Illness Narratives. It remains today a prescient and passionate case for bridging the gap between patient and practitioner.

Arthur Kleinman, M.D., examines how the prevalence and nature of disorders vary in different cultures, how clinicians make their diagnoses, and how they heal, and the educational and practical implications of a true understanding of the interplay between biology and culture.

The moving memoir of a doctor who became a family caregiver and learned why care is so central to all our lives 'Beautiful and deeply moving. A truly extraordinary work that will change how we think about our lives and the society we live in' Michael Puett, author of The Path When Dr Arthur Kleinman, an eminent Harvard psychiatrist and social anthropologist, began caring for his wife, Joan, after she was diagnosed with early-onset Alzheimer's disease, he found just how far the act of caregiving extended beyond the boundaries of medicine. In The Soul of Care, he delivers a deeply inspiring story about what it means to grapple with illness from both sides, as an experienced doctor and a loving husband.Caregiving is long, hard, unglamorous work - at moments joyous, more often tedious, sometimes agonizing, but always rich in meaning. Describing the practical, emotional and moral aspects of caring, Kleinman explores how we must ask uncomfortable questions of ourselves and of our doctors. Poignant and honest, The Soul of Care is an uplifting story about what really matters in our lives.

In this moving and thought-provoking volume, Arthur Kleinman tells the unsettling stories of a handful of men and women, some of whom have lived through some of the most fundamental transitions of the turbulent twentieth century.Here we meet an American veteran of World War II, tortured by the memory of the atrocities he committed while a soldier in the Pacific. A French-American woman aiding refugees in sub-Saharan Africa, facing the utter chaos of a society where life has become meaningless. A Chinese doctor trying to stay alive during Mao's cultural revolution, discovering that the only values that matter are those that get you beyond the next threat. These individuals found themselves caught in circumstances where those things that matter most to them--their desires, status, relationships, resources, political and religious commitments, life itself--have been challenged by the society around them. Each is caught up in existential moral experiences that define what it means to be human, with an intensity that makes their life narratives arresting. These stories reveal just how malleable moral life is, and just how central danger is to our worlds and our livelihood. Indeed, Kleinman offers in this book a groundbreaking approach to ethics, examining "who we are" through some of the most disturbing issues of our time--war, globalization, poverty, social injustice--all in the context of actual lived moral life."A fascinating and deeply entertaining book. For me at least, the richness of the book comes mainly from the stories Dr. Kleinman tells--complicated stories that confront life's miseries and renew the cheapened word 'inspiring.'"--Tracy Kidder"In this searingly written book, Arthur Kleinman takes us deep into the contrasting worlds of genuine reality and cultural pretense which he has spent so much of his life exploring. I have rarely read such a powerful portrayal of what Kleinman wonderfully calls 'the quality of anti-heroic everydayness.'"--Jonathan D. Spence

In many African countries, mental health issues, including the burden of serious mental illness and trauma, have not been adequately addressed. These essays shed light on the treatment of common and chronic mental disorders, including mental illness and treatment in the current climate of economic and political instability, access to health care, access to medicines, and the impact of HIV-AIDS and other chronic illness on mental health. While problems are rampant and carry real and devastating consequences, this volume promotes an understanding of the African mental health landscape in service of reform.

In many African countries, mental health issues, including the burden of serious mental illness and trauma, have not been adequately addressed. These essays shed light on the treatment of common and chronic mental disorders, including mental illness and treatment in the current climate of economic and political instability, access to health care, access to medicines, and the impact of HIV-AIDS and other chronic illness on mental health. While problems are rampant and carry real and devastating consequences, this volume promotes an understanding of the African mental health landscape in service of reform.

In 1974, the World Health Organization began research on the effectiveness of mental health services in the developing world. Through their efforts they found that treatment methods were extremely limited in their usefulness and, in some cases, even inappropriate and harmful. Little has changed in the last quarter century of the 20th century, but the research in these countries has shown that psychological need often stems from poor physical conditions. Elements including social and economical inequalities, gender discrimination, political violence and malnutrition and poor physical health all contribute to the social and psychological decay of both individuals and communities. The goal of the WHO is to document previous studies on communities of developing countries and to build on this information in order to move forward in research.Using real cases based in the South Pacific, Asia, South and Latin America and Europe, this volume sets out examples of community-based interventions that have succeeded by implementing: outreach to the families and community to identify those in need; reliable and adequate drug supplies; treatment interventions; and healthy psychosocial environments.

Prior to and during the Second World War, the Japanese Army established programs of biological warfare throughout China and elsewhere. In these “factories of death,” including the now-infamous Unit 731, Japanese doctors and scientists conducted large numbers of vivisections and experiments on human beings, mostly Chinese nationals. However, as a result of complex historical factors including an American cover-up of the atrocities, Japanese denials, and inadequate responses from successive Chinese governments, justice has never been fully served. This volume brings together the contributions of a group of scholars from different countries and various academic disciplines. It examines Japan’s wartime medical atrocities and their postwar aftermath from a comparative perspective and inquires into perennial issues of historical memory, science, politics, society and ethics elicited by these rebarbative events. The volume’s central ethical claim is that the failure to bring justice to bear on the systematic abuse of medical research by Japanese military medical personnel more than six decades ago has had a profoundly retarding influence on the development and practice of medical and social ethics in all of East Asia. The book also includes an extensive annotated bibliography selected from relevant publications in Japanese, Chinese and English.

China has experienced a tremendous turn-around over the past three decades from the ethos of sacrificing life to the emergent appeal for valuing life. This book takes an interdisciplinary look at China during these decades of transformation through the defining theme of governance of life. With an emphasis on how to achieve an adequate life, the contributors integrate a whole range of life-related domains including: the death of Sun Zhigang, the peril caused by rising tobacco consumption, the emerging suicide intervention, the turning points in the fight against AIDS, the intensely evolving birth policy, the emerging biological citizenship, and so on. In doing so, they explore how biological life has been governed differently to enhance the wellbeing of the population instead of promoting ideological goals. This change, dubbed "the deepening in governmentality," is one of the most important driving forces for China’s rise, and will have huge bearings on how the Chinese will achieve an adequate life in the 21st century. This book presents works by a number of internationally known scholars and will be of interest to students and scholars of anthropology, sociology, political science, history, Chinese philosophy, law, and public health.

China has experienced a tremendous turn-around over the past three decades from the ethos of sacrificing life to the emergent appeal for valuing life. This book takes an interdisciplinary look at China during these decades of transformation through the defining theme of governance of life. With an emphasis on how to achieve an adequate life, the contributors integrate a whole range of life-related domains including: the death of Sun Zhigang, the peril caused by rising tobacco consumption, the emerging suicide intervention, the turning points in the fight against AIDS, the intensely evolving birth policy, the emerging biological citizenship, and so on. In doing so, they explore how biological life has been governed differently to enhance the wellbeing of the population instead of promoting ideological goals. This change, dubbed "the deepening in governmentality," is one of the most important driving forces for China’s rise, and will have huge bearings on how the Chinese will achieve an adequate life in the 21st century. This book presents works by a number of internationally known scholars and will be of interest to students and scholars of anthropology, sociology, political science, history, Chinese philosophy, law, and public health.

Prior to and during the Second World War, the Japanese Army established programs of biological warfare throughout China and elsewhere. In these “factories of death,” including the now-infamous Unit 731, Japanese doctors and scientists conducted large numbers of vivisections and experiments on human beings, mostly Chinese nationals. However, as a result of complex historical factors including an American cover-up of the atrocities, Japanese denials, and inadequate responses from successive Chinese governments, justice has never been fully served. This volume brings together the contributions of a group of scholars from different countries and various academic disciplines. It examines Japan’s wartime medical atrocities and their postwar aftermath from a comparative perspective and inquires into perennial issues of historical memory, science, politics, society and ethics elicited by these rebarbative events. The volume’s central ethical claim is that the failure to bring justice to bear on the systematic abuse of medical research by Japanese military medical personnel more than six decades ago has had a profoundly retarding influence on the development and practice of medical and social ethics in all of East Asia. The book also includes an extensive annotated bibliography selected from relevant publications in Japanese, Chinese and English.

From the Preface, by Arthur Kleinman:Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements.The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research.

Some of the most innovative and provocative work on the emotions and illness is occurring in cross-cultural research on depression. Culture and Depression presents the work of anthropologists, psychiatrists, and psychologists who examine the controversies, agreements, and conceptual and methodological problems that arise in the course of such research. A book of enormous depth and breadth of discussion, Culture and Depression enriches the cross-cultural study of emotions and mental illness and leads it in new directions. It commences with a historical study followed by a series of anthropological accounts that examine the problems that arise when depression is assessed in other cultures. This is a work of impressive scholarship which demonstrates that anthropological approaches to affect and illness raise central questions for psychiatry and psychology, and that cross-cultural studies of depression raise equally provocative questions for anthropology.

Chronic pain challenges the central tenet of biomedicine: that objective knowledge of the human body and mind is possible apart from subjective experience and social context. Sufferers, finding that chronic pain alters every aspect of life, often become frustrated and distrust a profession seemingly unable to explain or effectively treat their illness. The authors of this innovative volume offer an entirely different, ethnographic approach, searching out more effective ways to describe and analyze the human context of pain. How can we analyze a mode of experience that appears to the pain sufferer as an unmediated fact of the body and is yet so resistant to language? With case studies drawn from anthropological investigations of chronic pain sufferers and pain clinics in the northeastern United States, the authors explore the great divide between the culturally shaped language of suffering and the traditional language of medical and psychological theorizing.They argue that the representation of experience in local social worlds is a central challenge to the human sciences and to ethnographic writing, and that meeting that challenge is also crucial to the refiguring of pain in medical discourse and health policy debates. Anthropologists, scholars from the medical social sciences and humanities, and many general readers will be interested in Pain as Human Experience. In addition, behavioral medicine and pain specialists, psychiatrists, and primary care practitioners will find much that is relevant to their work in this book.

One of the most influential and creative scholars in medical anthropology takes stock of his recent intellectual odysseys in this collection of essays. Arthur Kleinman, an anthropologist and psychiatrist who has studied in Taiwan, China, and North America since 1968, draws upon his bicultural, multidisciplinary background to propose alternative strategies for thinking about how, in the postmodern world, the social and medical relate. Writing at the Margin explores the border between medical and social problems, the boundary between health and social change. Kleinman studies the body as the mediator between individual and collective experience, finding that many health problems--for example the trauma of violence or depression in the course of chronic pain--are less individual medical problems than interpersonal experiences of social suffering. He argues for an ethnographic approach to moral practice in medicine, one that embraces the infrapolitical context of illness, the responses to it, the social institutions relating to it, and the way it is configured in medical ethics.Previously published in various journals, these essays have been revised, updated, and brought together with an introduction, an essay on violence and the politics of post-traumatic stress disorder, and a new chapter that examines the contemporary ethnographic literature of medical anthropology.

"Social suffering" takes in the human consequences of war, famine, depression, disease, torture--the whole assemblage of human problems that result from what political, economic, and institutional power does to people--and also human responses to social problems as they are influenced by those forms of power. In the same way that the notion of social suffering breaks down boundaries between specific scholarly disciplines, this cross-disciplinary investigation allows us to see the twentieth century in a new frame, with new emphases. Anthropologists, historians, literary theorists, social medicine experts, and scholars engaged in the study of religion join together to investigate the cultural representations, collective experiences, and professional and popular appropriations of human suffering in the world today. These authors contest traditional research and policy approaches. Recognizing that neither the cultural resources of tradition nor those of modernity's various programs seem adequate to cope with social suffering in our times, they base their distinctive vision on the understanding that moral, political, and medical issues cannot be kept separate.

The essays in "Violence and Subjectivity", written by a distinguished international roster of contributors, consider the ways in which violence shapes subjectivity and acts upon people's capacity to engage everyday life. Like its predecessor volume, "Social Suffering", which explored the different ways social force inflicts harm on individuals and groups, this collection ventures into many areas of ongoing violence, asking how people live with themselves and others when perpetrators, victims, and witnesses all come from the same social space. From civil wars and ethnic riots to governmental and medical interventions at a more bureaucratic level, the authors address not only those extreme situations guaranteed to occupy precious media minutes but also the more subtle violences of science and state. However particular and circumscribed the site of any fieldwork may be, today's ethnographer finds local identities and circumstances molded by state and transnational forces, including the media themselves.These authors contest a new political geography that divides the world into 'violence-prone areas' and 'peaceful areas' and suggest that such descriptions might themselves contribute to violence in the present global context.

Remaking a World completes a triptych of volumes on social suffering, violence, and recovery. Social Suffering, the first volume, deals with sources and major forms of social adversity, with an emphasis on political violence. The second, Violence and Subjectivity, contains graphic accounts of how collective experience of violence can alter individual subjectivity. This third volume explores the ways communities "cope" with--endure, work through, break apart under, transcend--traumatic and other more insidious forms of violence, addressing the effects of violence at the level of local worlds, interpersonal relations, and individual lives. The authors highlight the complex relationship between recognition of suffering in the public sphere and experienced suffering in people's everyday lives. Rich in local detail, the book's comparative ethnographies bring out both the recalcitrance of tragedy and the meaning of healing in attempts to remake the world.

This innovative volume is an extended intellectual conversation about the ways personal lives are being undone and remade today. Examining the ethnography of the modern subject, this preeminent group of scholars probes the continuity and diversity of modes of personhood across a range of Western and non-Western societies. Contributors consider what happens to individual subjectivity when stable or imagined environments such as nations and communities are transformed or displaced by free trade economics, terrorism, and war; how new information and medical technologies reshape the relation one has to oneself; and which forms of subjectivity and life possibilities are produced against a world in pieces. The transdisciplinary conversation includes anthropologists, historians of science, psychologists, a literary critic, a philosopher, physicians, and an economist. The authors touch on how we think and write about contingency, human agency, and ethics today.

"Deep China" investigates the emotional and moral lives of the Chinese people as they adjust to the challenges of modernity. Sharing a medical anthropology and cultural psychiatry perspective, Arthur Kleinman, Yunxiang Yan, Jing Jun, Sing Lee, Everett Zhang, Pan Tianshu, Wu Fei, and Guo Jinhua delve into intimate and sometimes hidden areas of personal life and social practice to observe and narrate the drama of Chinese individualization. The essays explore the remaking of the moral person during China's profound social and economic transformation, unraveling the shifting practices and struggles of contemporary life.

"Deep China" investigates the emotional and moral lives of the Chinese people as they adjust to the challenges of modernity. Sharing a medical anthropology and cultural psychiatry perspective, Arthur Kleinman, Yunxiang Yan, Jing Jun, Sing Lee, Everett Zhang, Pan Tianshu, Wu Fei, and Guo Jinhua delve into intimate and sometimes hidden areas of personal life and social practice to observe and narrate the drama of Chinese individualization. The essays explore the remaking of the moral person during China's profound social and economic transformation, unraveling the shifting practices and struggles of contemporary life.

Bringing together the experience, perspective and expertise of Paul Farmer, Jim Yong Kim, and Arthur Kleinman, "Reimagining Global Health" provides an original, compelling introduction to the field of global health. Drawn from a Harvard course developed by their student Matthew Basilico, this work provides an accessible and engaging framework for the study of global health. Insisting on an approach that is historically deep and geographically broad, the authors underline the importance of a transdisciplinary approach, and offer a highly readable distillation of several historical and ethnographic perspectives of contemporary global health problems. The case studies presented throughout "Reimagining Global Health" bring together ethnographic, theoretical, and historical perspectives into a wholly new and exciting investigation of global health. The interdisciplinary approach outlined in this text should prove useful not only in schools of public health, nursing, and medicine, but also in undergraduate and graduate classes in anthropology, sociology, political economy, and history, among others.

Bringing together the experience, perspective and expertise of Paul Farmer, Jim Yong Kim, and Arthur Kleinman, "Reimagining Global Health" provides an original, compelling introduction to the field of global health. Drawn from a Harvard course developed by their student Matthew Basilico, this work provides an accessible and engaging framework for the study of global health. Insisting on an approach that is historically deep and geographically broad, the authors underline the importance of a transdisciplinary approach, and offer a highly readable distillation of several historical and ethnographic perspectives of contemporary global health problems. The case studies presented throughout "Reimagining Global Health" bring together ethnographic, theoretical, and historical perspectives into a wholly new and exciting investigation of global health. The interdisciplinary approach outlined in this text should prove useful not only in schools of public health, nursing, and medicine, but also in undergraduate and graduate classes in anthropology, sociology, political economy, and history, among others.

What does human suffering mean for society? And how has this meaning changed from the past to the present? In what ways does "the problem of suffering" serve to inspire us to care for others? How does our response to suffering reveal our moral and social conditions? In this trenchant work, Arthur Kleinman - a renowned figure in medical anthropology - and Iain Wilkinson, an award-winning sociologist, team up to offer some answers to these profound questions. A Passion for Society investigates the historical development and current state of social science with a focus on how this development has been shaped in response to problems of social suffering. Following a line of criticism offered by key social theorists and cultural commentators who themselves were unhappy with the professionalization of social science, Wilkinson and Kleinman provide a critical commentary on how studies of society have moved from an original concern with social suffering and its amelioration to dispassionate inquiries.The authors demonstrate how social action through caring for others is revitalizing and remaking the discipline of social science, and they examine the potential for achieving greater understanding though a moral commitment to the practice of care for others. In this deeply considered work, Wilkinson and Kleinman argue for an engaged social science that connects critical thought with social action, that seeks to learn through caregiving, and that operates with a commitment to establish and sustain humane forms of society.

What does human suffering mean for society? And how has this meaning changed from the past to the present? In what ways does "the problem of suffering" serve to inspire us to care for others? How does our response to suffering reveal our moral and social conditions? In this trenchant work, Arthur Kleinman - a renowned figure in medical anthropology - and Iain Wilkinson, an award-winning sociologist, team up to offer some answers to these profound questions. A Passion for Society investigates the historical development and current state of social science with a focus on how this development has been shaped in response to problems of social suffering. Following a line of criticism offered by key social theorists and cultural commentators who themselves were unhappy with the professionalization of social science, Wilkinson and Kleinman provide a critical commentary on how studies of society have moved from an original concern with social suffering and its amelioration to dispassionate inquiries.The authors demonstrate how social action through caring for others is revitalizing and remaking the discipline of social science, and they examine the potential for achieving greater understanding though a moral commitment to the practice of care for others. In this deeply considered work, Wilkinson and Kleinman argue for an engaged social science that connects critical thought with social action, that seeks to learn through caregiving, and that operates with a commitment to establish and sustain humane forms of society.

A master class from four renowned Harvard professors—an anthropologist, a physician, a theologian, and a historian—on discovering wisdom in challenging times.In moments of uncertainty, to whom do we turn for solace and insight? How can we endure and overcome our own suffering? Harvard University professors Davíd Carrasco, Arthur Kleinman, Stephanie Paulsell, and Michael Puett turn to great thinkers, artists, and religious traditions not for definitive answers, but for lessons we can bring to our own quests for wisdom. Wisdom, they find, is not an abstract ideal but a way of living formed by caring for others and through everyday practices of solitude, ritual, and art. Based on their celebrated Harvard course, The Practice of Wisdom helps us brave loneliness, grief, and crises and bring beauty, healing, and spiritual significance into our lives.Wisdom, they teach, is an ongoing quest—a practice to be lived and deliberately cultivated. Through five interwoven chapters, we travel from Chinese temples and Hindu ashrams to Emily Dickinson’s Homestead and US-Mexico borderlands. We encounter philosopher William James on the power of the subconscious after trauma; theologian Howard Thurman on solitude as a source of dignity; Toni Morrison on the interplay between mercy and goodness; John Phillip Santos on generational wisdom; physician Paul Farmer on medical compassion; and Confucius on ritual as a way of breaking the patterns that entrap us. We hear from Wendy Doniger, the eminent scholar of Hinduism, whose reflections present wisdom as a lifelong, unfinished art of seeking meaning, balance, and purpose.Threaded throughout this short but powerful book is the image of the labyrinth: life as a series of turns that carry us through adversity and loss to hard-won clarity and grace. Led by teachers who have walked these paths, lost their way, and carried on, we learn the art—and practice—of living wisely.

Science of the Placebo: Toward an Interdisciplinary Research AgendaBased on a meeting in November 2000, this book brings together researchers from a wide range of disciplines to examine the biological, behavioral, social, cultural and ethical aspects related to the placebo effect. Perspectives on the necessity for including a placebo in randomized clinical trials will also be examined.This is the first attempt to examine the evidence-base of the placebo effect and will provide important information for clinicians.