to fix or to heal patient care public health and the limits of biomedicine biopolitics

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To Fix Or To Heal

Author : Ana Marta Gonzalez
ISBN : 9781479878246
Genre : Law
File Size : 29. 49 MB
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Do doctors fix patients? Or do they heal them? For all of modern medicine’s many successes, discontent with the quality of patient care has combined with a host of new developments, from aging populations to the resurgence of infectious diseases, which challenge medicine’s overreliance on narrowly mechanistic and technical methods of explanation and intervention, or “fixing’ patients. The need for a better balance, for more humane “healing” rationales and practices that attend to the social and environmental aspects of health and illness and the experiencing person, is more urgent than ever. Yet, in public health and bioethics, the fields best positioned to offer countervailing values and orientations, the dominant approaches largely extend and reinforce the reductionism and individualism of biomedicine. The collected essays in To Fix or To Heal do more than document the persistence of reductionist approaches and the attendant extension of medicalization to more and more aspects of our lives. The contributors also shed valuable light on why reductionism has persisted and why more holistic models, incorporating social and environmental factors, have gained so little traction. The contributors examine the moral appeal of reductionism, the larger rationalist dream of technological mastery, the growing valuation of health, and the enshrining of individual responsibility as the seemingly non-coercive means of intervention and control. This paradigm-challenging volume advances new lines of criticism of our dominant medical regime, even while proposing ways of bringing medical practice, bioethics, and public health more closely into line with their original goals. Precisely because of the centrality of the biomedical approach to our society, the contributors argue, challenging the reductionist model and its ever-widening effects is perhaps the best way to press for a much-needed renewal of our ethical and political discourse.

Personalized Medicine

Author : Barbara Prainsack
ISBN : 9781479814589
Genre : Health & Fitness
File Size : 47. 70 MB
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Inside today's data-driven personalized medicine, and the time, effort, and information required from patients to make it a reality Medicine has been personal long before the concept of “personalized medicine” became popular. Health professionals have always taken into consideration the individual characteristics of their patients when diagnosing, and treating them. Patients have cared for themselves and for each other, contributed to medical research, and advocated for new treatments. Given this history, why has the notion of personalized medicine gained so much traction at the beginning of the new millennium? Personalized Medicine investigates the recent movement for patients’ involvement in how they are treated, diagnosed, and medicated; a movement that accompanies the increasingly popular idea that people should be proactive, well-informed participants in their own healthcare. While it is often the case that participatory practices in medicine are celebrated as instances of patient empowerment or, alternatively, are dismissed as cases of patient exploitation, Barbara Prainsack challenges these views to illustrate how personalized medicine can give rise to a technology-focused individualism, yet also present new opportunities to strengthen solidarity. Facing the future, this book reveals how medicine informed by digital, quantified, and computable information is already changing the personalization movement, providing a contemporary twist on how medical symptoms or ailments are shared and discussed in society. Bringing together empirical work and critical scholarship from medicine, public health, data governance, bioethics, and digital sociology, Personalized Medicine analyzes the challenges of personalization driven by patient work and data. This compelling volume proposes an understanding that uses novel technological practices to foreground the needs and interests of patients, instead of being ruled by them.

Beyond Bioethics

Author : Osagie K. Obasogie
ISBN : 9780520277823
Genre : Medical
File Size : 36. 78 MB
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"For several decades, the field of bioethics has played a dominant role in shaping the way society thinks about ethical problems related to developments in science, technology, and medicine. But its traditional emphases on, for example, doctor-patient relationships, informed consent, and individual autonomy have led the field to not be fully responsive to the challenges posed by new human biotechnologies such as assisted reproduction, human genetic enhancement, and DNA forensics. Beyond Bioethics provides a focused overview for students and others grappling with the profound social dilemmas posed by these developments. It brings together the work of cutting-edge thinkers from diverse fields of study and public engagement, all of them committed to a new perspective that is grounded in social justice and public interest values. The contributors to this volume seek to define an emerging field of scholarly, policy, and public concern: a new biopolitics."--Provided by publisher.

Revolutionary Medicine

Author : P. Sean Brotherton
ISBN : 9780822352051
Genre : History
File Size : 67. 83 MB
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An ethnography of post-Soviet Cuba s health-care sector which reveals Cuba to be a pragmatic and contradictory state.

An Anthropology Of Biomedicine

Author : Margaret Lock
ISBN : 9781119069133
Genre : Medical
File Size : 20. 43 MB
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"Edition History: Margaret Lock and Vinh-Kim Nguyen (1e, 2010) published by Blackwell Ltd."--T.p. verso.

Life In Crisis

Author : Peter Redfield
ISBN : 9780520955189
Genre : Social Science
File Size : 46. 29 MB
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Life in Crisis tells the story of Médecins Sans Frontières (Doctors Without Borders or MSF) and its effort to "save lives" on a global scale. Begun in 1971 as a French alternative to the Red Cross, the MSF has grown into an international institution with a reputation for outspoken protest as well as technical efficiency. It has also expanded beyond emergency response, providing for a wider range of endeavors, including AIDS care. Yet its seemingly simple ethical goal proves deeply complex in practice. MSF continually faces the problem of defining its own limits. Its minimalist form of care recalls the promise of state welfare, but without political resolution or a sense of well-being beyond health and survival. Lacking utopian certainty, the group struggles when the moral clarity of crisis fades. Nevertheless, it continues to take action and innovate. Its organizational history illustrates both the logic and the tensions of casting humanitarian medicine into a leading role in international affairs.

Accounts Of Innocence

Author : Joseph E. Davis
ISBN : 0226137805
Genre : Family & Relationships
File Size : 75. 88 MB
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Since a new sensitivity and orientation to victims of injustice arose in the 1960s, categories of victimization have proliferated. Large numbers of people are now characterized and characterize themselves as sufferers of psychological injury caused by the actions of others. In contrast with the familiar critiques of victim culture, Accounts of Innocence offers a new and empirically rich perspective on the question of why we now place such psychological significance on victimization in people's lives. Focusing on the case of adult survivors of childhood sexual abuse, Joseph E. Davis shows how the idea of innocence shaped the emergence of trauma psychology and continues to inform accounts of the past (and hopes for the future) in therapy with survivor clients. His findings shed new light on the ongoing debate over recovered memories of abuse. They challenge the notion that victim accounts are an evasion of personal responsibility. And they suggest important ways in which trauma psychology has had unintended and negative consequences for how victims see themselves and for how others relate to them. An important intervention in the study of victimization in our culture, Accounts of Innocence will interest scholars of clinical psychology, social work, and sociology, as well as therapists and victim activists.

A Body Worth Defending

Author : Ed Cohen
ISBN : 9780822391111
Genre : Science
File Size : 67. 67 MB
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Biological immunity as we know it does not exist until the late nineteenth century. Nor does the premise that organisms defend themselves at the cellular or molecular levels. For nearly two thousand years “immunity,” a legal concept invented in ancient Rome, serves almost exclusively political and juridical ends. “Self-defense” also originates in a juridico-political context; it emerges in the mid-seventeenth century, during the English Civil War, when Thomas Hobbes defines it as the first “natural right.” In the 1880s and 1890s, biomedicine fuses these two political precepts into one, creating a new vital function, “immunity-as-defense.” In A Body Worth Defending, Ed Cohen reveals the unacknowledged political, economic, and philosophical assumptions about the human body that biomedicine incorporates when it recruits immunity to safeguard the vulnerable living organism. Inspired by Michel Foucault’s writings about biopolitics and biopower, Cohen traces the migration of immunity from politics and law into the domains of medicine and science. Offering a genealogy of the concept, he illuminates a complex of thinking about modern bodies that percolates through European political, legal, philosophical, economic, governmental, scientific, and medical discourses from the mid-seventeenth century through the twentieth. He shows that by the late nineteenth century, “the body” literally incarnates modern notions of personhood. In this lively cultural rumination, Cohen argues that by embracing the idea of immunity-as-defense so exclusively, biomedicine naturalizes the individual as the privileged focus for identifying and treating illness, thereby devaluing or obscuring approaches to healing situated within communities or collectives.

The Sage Handbook Of Nature

Author : Terry Marsden
ISBN : 9781526421975
Genre : Science
File Size : 66. 53 MB
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The SAGE Handbook of Nature offers an ambitious retrospective and prospective overview of the field that aims to position Nature, the environment and natural processes, at the heart of interdisciplinary social sciences. The three volumes are divided into the following parts: INTRODUCTION TO THE HANDBOOK NATURAL AND SOCIO-NATURAL VULNERABILITIES: INTERWEAVING THE NATURAL & SOCIAL SCIENCES SPACING NATURES: SUSTAINABLE PLACE MAKING AND ADAPTATION COUPLED AND (DE-COUPLED) SOCIO-ECOLOGICAL SYSTEMS RISK AND THE ENVIRONMENT: SOCIAL THEORIES, PUBLIC UNDERSTANDINGS, & THE SCIENCE-POLICY INTERFACE HUNGRY AND THIRSTY CITIES AND THEIR REGIONS CRITICAL CONSUMERISM AND ITS MANUFACTURED NATURES GENDERED NATURES AND ECO-FEMINISM REPRODUCTIVE NATURES: PLANTS, ANIMALS AND PEOPLE NATURE, CLASS AND SOCIAL INEQUALITY BIO-SENSITIVITY & THE ECOLOGIES OF HEALTH THE RESOURCE NEXUS AND ITS RELEVANCE SUSTAINABLE URBAN COMMUNITIES RURAL NATURES AND THEIR CO-PRODUCTION This handbook is a key critical research resource for researchers and practitioners across the social sciences and their contributions to related disciplines associated with the fast developing interdisciplinary field of sustainability science.

Reimagining Global Health

Author : Paul Farmer
ISBN : 9780520271999
Genre : Medical
File Size : 74. 42 MB
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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.

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