Critical Approaches in the Health Social Sciences Series – serie

The purpose of this book is to provide an introduction and overview to the critical perspective as it has evolved in medical anthropology over the last ten years. Standing as an opposition approach to conventional medical anthropology, critical medical anthropology has emphasized the importance of political and economy forces, including the exercise of power, in shaping health, disease, illness experience, and health care.

Based on groundbreaking research on the working conditions of airport check-in workers in two countries, a previously unstudied category of predominantly women workers, Ellen Rosskam describes a form of work characterized as modern-day Taylorism. An occupation greatly affected by new forms of work organization and management practices-caught in the throes of rapid change due to international competition, alliances, mergers, and the application of cost-efficiency strategies-check-in work has been undermined in recent years by the adverse effects of liberalization and technological change.By peeling away the veneer of glamour associated with airport check-in work, Rosskam reveals how changes in work organization in this sector have de-skilled, disempowered, and ultimately demoralized workers. In "Excess Baggage", weaving through the psychological distress, physical pain from musculoskeletal disorders, strain, and violence that check-in workers experience and describe in their own words, a picture emerges of a job perceived to be "safe," "clean," "glamour girl" work, but which is comparable to industrial workplaces that require heavy manual lifting, obligingly performed in skirts, dresses, and pretty little shoes.

Features a collection of seven research-based articles on AIDS. This work seeks to cut through popular misunderstanding and conventional ideas about the spread and impact of AIDS by employing a political economic perspective in the analysis of the epidemic in diverse settings.

Work, so fundamental to well-being, has its darker and more costly side. Work can adversely affect our health, well beyond the usual counts of injuries that we think of as 'occupational health'. The ways in which work is organized - its pace and intensity, degree of control over the work process, sense of justice, and employment security, among other things - can be as toxic to the health of workers as the chemicals in the air. These work characteristics can be detrimental not only to mental well-being but to physical health. Scientists refer to these features of work as 'hazards' of the 'psychosocial' work environment. One key pathway from the work environment to illness is through the mechanism of stress; thus we speak of 'stressors' in the work environment, or 'work stress'. This is in contrast to the popular psychological understandings of 'stress', which locate many of the problems with the individual rather than the environment. In this book we advance a social environmental understanding of the workplace and health. The book addresses this topic in three parts: the important changes taking place in the world of work in the context of the global economy (Part I); scientific findings on the effects of particular forms of work organization and work stressors on employees' health, 'unhealthy work' as a major public health problem, and estimates of costs to employers and society (Part II); and, case studies and various approaches to improve working conditions, prevent disease, and improve health (Part III).

The purpose of this book is to provide an introduction and overview to the critical perspective as it has evolved in medical anthropology over the last ten years. Standing as an opposition approach to conventional medical anthropology, critical medical anthropology has emphasized the importance of political and economy forces, including the exercise of power, in shaping health, disease, illness experience, and health care.

Features a collection of seven research-based articles on AIDS. This work seeks to cut through popular misunderstanding and conventional ideas about the spread and impact of AIDS by employing a political economic perspective in the analysis of the epidemic in diverse settings.

Work, so fundamental to well-being, has its darker and more costly side. Work can adversely affect our health, well beyond the usual counts of injuries that we think of as 'occupational health'. The ways in which work is organized - its pace and intensity, degree of control over the work process, sense of justice, and employment security, among other things - can be as toxic to the health of workers as the chemicals in the air. These work characteristics can be detrimental not only to mental well-being but to physical health. Scientists refer to these features of work as 'hazards' of the 'psychosocial' work environment. One key pathway from the work environment to illness is through the mechanism of stress; thus we speak of 'stressors' in the work environment, or 'work stress'. This is in contrast to the popular psychological understandings of 'stress', which locate many of the problems with the individual rather than the environment. In this book we advance a social environmental understanding of the workplace and health. The book addresses this topic in three parts: the important changes taking place in the world of work in the context of the global economy (Part I); scientific findings on the effects of particular forms of work organization and work stressors on employees' health, 'unhealthy work' as a major public health problem, and estimates of costs to employers and society (Part II); and, case studies and various approaches to improve working conditions, prevent disease, and improve health (Part III).

Nursing is vital to millions of people worldwide. This book details the ebb and flow of its fascinating history and politics through case studies from Brazil, Argentina, Chile, Colombia, Mexico, Canada, and the United States. Authors from across the Americas share findings and explore new thinking about Western hemisphere-specific issues that affect nursing and health care. Using economic globalization as an overarching framework, these cross-national case studies show the strengths and contradictions in nursing, elucidating common themes and examining successes. The partnership of authors shapes a collective understanding of nursing in the Americas and forms a basis for enduring hemisphere-wide academic exchange. Thus, the book offers a new platform for understanding the struggles and obstacles of nursing in a climate of globalization, as well as for understanding nursing's richness and accomplishments. Because politics, economics, health, and nursing are inextricably linked, this volume critically explores the intersections among political economies and nursing and health care systems. The historical and contextual background allows readers to make sense of how and why nursing in the Americas has taken on its present form.

Based on groundbreaking research on the working conditions of airport check-in workers in two countries, a previously unstudied category of predominantly women workers, Ellen Rosskam describes a form of work characterized as modern-day Taylorism. An occupation greatly affected by new forms of work organization and management practices-caught in the throes of rapid change due to international competition, alliances, mergers, and the application of cost-efficiency strategies-check-in work has been undermined in recent years by the adverse effects of liberalization and technological change.By peeling away the veneer of glamour associated with airport check-in work, Rosskam reveals how changes in work organization in this sector have de-skilled, disempowered, and ultimately demoralized workers. In "Excess Baggage", weaving through the psychological distress, physical pain from musculoskeletal disorders, strain, and violence that check-in workers experience and describe in their own words, a picture emerges of a job perceived to be "safe," "clean," "glamour girl" work, but which is comparable to industrial workplaces that require heavy manual lifting, obligingly performed in skirts, dresses, and pretty little shoes.

The U.S.A. s nuclear weapons program has exposed workers and the public to health hazards since World War II. In the 1980s and 1990s, federal health agencies responded to new revelations about these hazards by pouring millions of dollars into research on the health impacts of radiation. In Tortured Science: Health Studies, Ethics and Nuclear Weapons in the United States , community health activists and researchers reflect on the research program for addressing the health effects of nuclear weapons production at Hanford, WA, Rocky Flats, CO, Livermore Labs, CA, and Fernald, OH. The authors describe conflicts of interest, data suppression, technical inadequacies, and other examples of how researchers failed in their social responsibility to the affected human populations. The research program s health studies did not lead to any meaningful follow-up on the major health concerns of community members, nor have they helped communities seek reparations for high radiation exposures that may have contributed to thyroid, bone, lung and other diseases. In Tortured Science , several ethicists review these health research problems. Research ethics as a discipline seeks to protect individuals and groups, obtain approval from affected communities, mitigate potential research harms, and guard against vigilance, scientific contrivance, denial, and suppression of findings. Such protections were not adequately provided in the research program on the health effects of nuclear weapons production, as critiqued in the ethical reviews. This book compels us to develop a new ethical framework for scientific research on military-industrial and other sources of contamination. Intended Audience: Public health professionals; graduates/undergraduates in public health, community health, environmental studies, epidemiology, medical anthropology, public sociology, ethics/religious studies, and science policy; government health researchers at federal health agencies, centres for ethics and bioethics (private/academic), and community health organisations; community-based researchers and environmental organisations; nuclear weapons and peace organisations.