Advances in Critical Medical Anthropology – serie

In this groundbreaking, global analysis of the relationship between climate change and human health, Hans Baer and Merrill Singer inventory and critically analyze the diversity of significant and sometimes devastating health implications of global warming. Using a range of theoretical tools from anthropology, medicine, and environmental sciences, they present ecosyndemics as a new paradigm for understanding the relationship between environmental change and disease. They also go beyond the traditional concept of disease to examine changes in subsistence and settlement patterns, land-use, and lifeways, throwing the sociopolitical and economic dimensions of climate change into stark relief. Revealing the systemic structures of inequality underlying global warming, they also issue a call to action, arguing that fundamental changes in the world system are essential to the mitigation of an array of emerging health crises link to anthropogenic climate and environmental change.

In this groundbreaking, global analysis of the relationship between climate change and human health, Hans Baer and Merrill Singer inventory and critically analyze the diversity of significant and sometimes devastating health implications of global warming. Using a range of theoretical tools from anthropology, medicine, and environmental sciences, they present ecosyndemics as a new paradigm for understanding the relationship between environmental change and disease. They also go beyond the traditional concept of disease to examine changes in subsistence and settlement patterns, land-use, and lifeways, throwing the sociopolitical and economic dimensions of climate change into stark relief. Revealing the systemic structures of inequality underlying global warming, they also issue a call to action, arguing that fundamental changes in the world system are essential to the mitigation of an array of emerging health crises link to anthropogenic climate and environmental change.

Khat, marijuana, peyote—are these dangerous drugs or vilified plants with rich cultural and medical values? In this book, Lisa Gezon brings the drug debate into the 21st century, proposing criteria for evaluating psychotropic substances. Focusing on khat, whose bushy leaves are an increasingly popular stimulant and the target of vehement anti-drug campaigns, she explores biocultural and socioeconomic contexts on local, national, and global levels. Gezon provides a multidisciplinary examination of the plant’s direct physical and psychological effects, as well as indirect social and structural effects on income and labor productivity, identity, gendered relationships, global drug discourses, and food security. This sophisticated, multi-leveled analysis cuts through the traditional battle lines of the drug debate and is a model for understanding and evaluating psychotropic substances around the world.

Khat, marijuana, peyote—are these dangerous drugs or vilified plants with rich cultural and medical values? In this book, Lisa Gezon brings the drug debate into the 21st century, proposing criteria for evaluating psychotropic substances. Focusing on khat, whose bushy leaves are an increasingly popular stimulant and the target of vehement anti-drug campaigns, she explores biocultural and socioeconomic contexts on local, national, and global levels. Gezon provides a multidisciplinary examination of the plant’s direct physical and psychological effects, as well as indirect social and structural effects on income and labor productivity, identity, gendered relationships, global drug discourses, and food security. This sophisticated, multi-leveled analysis cuts through the traditional battle lines of the drug debate and is a model for understanding and evaluating psychotropic substances around the world.

Native Americans, researchers increasingly worry, are disproportionately victims of epidemics and poor health because they “fail” to seek medical care, are “non-compliant” patients, or “lack immunity” enjoyed by the “mainstream” population. Challenging this dominant approach to indigenous health, Juliet McMullin shows how it masks more fundamental inequalities that become literally embodied in Native Americans, shifting blame from unequal social relations to biology, individual behavior, and cultural or personal deficiencies. Weaving a complex story of Native Hawai’ian health in its historical, political, and cultural context, she shows how traditional practices that integrated relationships of caring for the land, the body, and the ancestors are being revitalized both on the islands and in the indigenous diaspora. For the fields of medical anthropology, public health, nursing, epidemiology, and indigenous studies, McMullin’s important book offers models for more effective and culturally appropriate approaches to building healthy communities.

Native Americans, researchers increasingly worry, are disproportionately victims of epidemics and poor health because they “fail” to seek medical care, are “non-compliant” patients, or “lack immunity” enjoyed by the “mainstream” population. Challenging this dominant approach to indigenous health, Juliet McMullin shows how it masks more fundamental inequalities that become literally embodied in Native Americans, shifting blame from unequal social relations to biology, individual behavior, and cultural or personal deficiencies. Weaving a complex story of Native Hawai’ian health in its historical, political, and cultural context, she shows how traditional practices that integrated relationships of caring for the land, the body, and the ancestors are being revitalized both on the islands and in the indigenous diaspora. For the fields of medical anthropology, public health, nursing, epidemiology, and indigenous studies, McMullin’s important book offers models for more effective and culturally appropriate approaches to building healthy communities.

In a major contribution to the study of diabetes, this book is the first to analyze the disease through a syndemic framework. An innovative, mixed-methods study, Emily Mendenhall shows how adverse social conditions, such as poverty and oppressive relationships, disproportionately stress certain populations and expose them to disease clusters. She goes beyond epidemiological research that has linked diabetes and depression, revealing how broad structural inequalities play out in the life histories of individuals, families, and communities, and lead to higher rates of mortality and morbidity. This intimate portrait of syndemic suffering is a model study of chronic disease disparity among the poor in high income countries and will be widely read in public health, medical anthropology, and related fields.

In a major contribution to the study of diabetes, this book is the first to analyze the disease through a syndemic framework. An innovative, mixed-methods study, Emily Mendenhall shows how adverse social conditions, such as poverty and oppressive relationships, disproportionately stress certain populations and expose them to disease clusters. She goes beyond epidemiological research that has linked diabetes and depression, revealing how broad structural inequalities play out in the life histories of individuals, families, and communities, and lead to higher rates of mortality and morbidity. This intimate portrait of syndemic suffering is a model study of chronic disease disparity among the poor in high income countries and will be widely read in public health, medical anthropology, and related fields.

Acts of public defiance towards biomedical public health policies have occurred throughout modern history, from resistance to early smallpox vaccines in 19th-century Britain and America to more recent intransigence to efforts to contain the Ebola outbreak in Central and West Africa. Thinking through Resistance examines a diverse range of case studies of opposition to biomedical public health policies – from resistance to HPV vaccinations in Texas to disputes over HIV prevention research in Malawi – to assess the root causes of opposition. It is argued that far from being based on ignorance, resistance instead serves as a form of advocacy, calling for improvements in basic health-care delivery alongside expanded access to infrastructure and basic social services. Building on this argument, the authors set out an alternative to the current technocratic approach to global public health, extending beyond greater distribution of medical technologies to build on the perspectives of a political economy of health.With contributions from medical anthropologists, sociologists, and public health experts, Thinking through Resistance makes important reading for researchers, students, and practitioners in the fields of public health, medical anthropology, and public policy.

Acts of public defiance towards biomedical public health policies have occurred throughout modern history, from resistance to early smallpox vaccines in 19th-century Britain and America to more recent intransigence to efforts to contain the Ebola outbreak in Central and West Africa. Thinking through Resistance examines a diverse range of case studies of opposition to biomedical public health policies – from resistance to HPV vaccinations in Texas to disputes over HIV prevention research in Malawi – to assess the root causes of opposition. It is argued that far from being based on ignorance, resistance instead serves as a form of advocacy, calling for improvements in basic health-care delivery alongside expanded access to infrastructure and basic social services. Building on this argument, the authors set out an alternative to the current technocratic approach to global public health, extending beyond greater distribution of medical technologies to build on the perspectives of a political economy of health.With contributions from medical anthropologists, sociologists, and public health experts, Thinking through Resistance makes important reading for researchers, students, and practitioners in the fields of public health, medical anthropology, and public policy.

Health Policy in a Time of Crisis is a vivid ethnographic account of women and providers navigating the Catalan health system to obtain and provide publicly funded abortion care.Grounded in critical medical anthropology, the book situates access to publicly funded abortion care in the context of austerity and ongoing threats to recently liberalized laws, examining the actual levels of access in the region. In so doing, it examines the disparities experienced by immigrant and other women, documenting the diverse approaches adopted to overcome obstacles to care. Using accounts from both providers and women seeking care, Ostrach’s richly grounded analysis illuminates a healthcare system during a period of economic crisis and disagreement over reproductive governance. Researched against a backdrop of growing movements against austerity and for Catalan independence, the result is at once a study of true access to public health care in times of crisis and a compelling account of some women’s determination to go to any length to get the health care they need.Engagingly written, it will make interesting reading for scholars and students of anthropology and public health, as well as policymakers and the general reader concerned with the politics of abortion and public health.

Health Policy in a Time of Crisis is a vivid ethnographic account of women and providers navigating the Catalan health system to obtain and provide publicly funded abortion care.Grounded in critical medical anthropology, the book situates access to publicly funded abortion care in the context of austerity and ongoing threats to recently liberalized laws, examining the actual levels of access in the region. In so doing, it examines the disparities experienced by immigrant and other women, documenting the diverse approaches adopted to overcome obstacles to care. Using accounts from both providers and women seeking care, Ostrach’s richly grounded analysis illuminates a healthcare system during a period of economic crisis and disagreement over reproductive governance. Researched against a backdrop of growing movements against austerity and for Catalan independence, the result is at once a study of true access to public health care in times of crisis and a compelling account of some women’s determination to go to any length to get the health care they need.Engagingly written, it will make interesting reading for scholars and students of anthropology and public health, as well as policymakers and the general reader concerned with the politics of abortion and public health.

How do we understand and respond to the pressing health problems of modern society? Conventional practice focuses on the assessment and clinical treatment of immediate health issues presented by individual patients. In contrast, social medicine advocates an equal focus on the assessment and social treatment of underlying social conditions, such as environmental factors, structural violence, and social injustice.Social Justice and Medical Practice examines the practice of social medicine through extensive life history interviews with a physician practicing the approach in marginalized communities. It presents a case example of social medicine in action, demonstrating how such a practice can be successfully pursued within the context of the existing structure of twenty-first-century medicine. In examining the experience of a physician on the frontlines of reforming health care, the book critiques the restrictive nature of the dominant clinical model of medicine and argues for a radically expanded focus for modern-day medical practice.Social Justice and Medical Practice is a timely intervention at a time when even advanced health care systems are facing multiple crises. Lucidly written, it presents a striking alternative and is important reading for students and practitioners of medicine and anthropology, as well as policy makers.