New Books In Medicine

In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. 16 million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their seventies and eighties, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's: How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It (St. Martin's Press, 2021) traces Alzheimer’s from its beginnings to its recognition as a crisis. While it is an unambiguous account of decades of missed opportunities and our health care systems’ failures to take action, it tells the story of the biomedical breakthroughs that may allow Alzheimer’s to finally be prevented and treated by medicine and also presents an argument for how we can live with dementia: the way

In More Than Medicine: Nurse Practitioners and the Problems They Solve for Patients, Health Care Organizations, and the State (Cornell UP, 2020), LaTonya J. Trotter chronicles the everyday work of a group of nurse practitioners (NPs) working on the front lines of the American health care crisis as they cared for four hundred African American older adults living with poor health and limited means. Trotter describes how these NPs practiced an inclusive form of care work that addressed medical, social, and organizational problems that often accompany poverty. In solving this expanded terrain of problems from inside the clinic, these NPs were not only solving a broader set of concerns for their patients; they became a professional solution for managing "difficult people" for both their employer and the state. Through More Than Medicine, we discover that the problems found in the NP's exam room are as much a product of our nation's disinvestment in social problems as of physician scarcity or rising costs. Claire C

Fungal infections are amongst the leading infectious disease killers globally. They result in more deaths than malaria, and almost as many as tuberculosis. However, they are often overlooked, and receive less research attention and funding than viral or bacterial infections. Over the past decade, this has started to change as the emergence of resistance in fungal pathogens has caused global alarm. New, resistant organisms have emerged, and old familiar ones have become harder to treat - agricultural antifungal use is thought to be driving these trends. Dr Justin Beardsley spoke to Dr Natali Pearson about the problem of resistant fungal infections in Vietnam, describing how agricultural practices are contributing, and what can be done to mitigate the risks. Justin is a New Zealand trained infectious disease specialist and clinical researcher. From 2012 to 2017, he was based in the Oxford University Clinical Research Unit in Ho Chi Minh City, where he was focused on fungal infections. There, he conducted a mult

Some books are new, others are newly relevant – and so worth looking at from a new, contemporary perspective. Such is the case with Susan Reverby’s book Examining Tuskegee: The Infamous Syphilis Study and its Legacy (UNC Press, 2013). When the book was published in 2009, our world was reeling from a global financial crisis that exposed how subprime mortgages disproportionately affected Black homeowners; today we reel from a global pandemic that has starkly exposed how Black Americans and other people of color are disproportionately affected by the virus SARS-CoV-2 and its effects. Another inequity connected to the pandemic relates to vaccine distribution and uptake: they are much lower among Black (and Latinx) than white Americans. Examining Tuskegee is a deeply researched work that ranges from the trial’s origins within a public health partnership between the Tuskegee Institute and the Public Health Service, to portraits of its protagonists – the researchers, the men who were its subjects, the complex Nurse

Mary Brazelton’s new book, Mass Vaccination: Citizens’ Bodies and State Power in Modern China (Cornell UP, 2019) could hardly be more timely. During the Covid-19 pandemic, China was in the headlines of Euro-American media as the site of the first cases of the disease. China is also centerstage in Brazelton’s insightful, antiracist book—not as a source of disease but as the source of an effective and pervasive global public health strategy that other nations during the Covid-19 pandemic have strained to implement: mass vaccination. As a historian of modern China and a historian of medicine, Brazelton offers a trustworthy and well-documented account of the National Epidemic Prevention Board and its successor agencies during the republic’s war-torn twentieth century. The location—and relocation—of the Board and its refugee scientists was decisive, Brazelton argues. During World War II and Japanese occupation (1937-45), the Board’s labs and scientists decamped from China’s coastal cities to the mountainous southw

Elise K. Burton’s important book, Genetic Crossroads: The Middle East and the Science of Human Heredity (Stanford University Press, 2021), documents how race and nation became fused in concept and in political practice. Over the past century, nation-building and race-making became interdependent through the sciences of heredity and their uses during wartimes and their aftermaths. The book provincializes Euro-American histories of science by centering the intrepid and non-innocent scientists from land along the eastern coastline of the Mediterranean Sea (often called by the imperial name of “Middle East”)—and their transnational networks.  The book tracks how scientists’ reputations, access to resources, and interpretations of data shifted from the dissolution of the Ottoman Empire, the repackaged race science around World War II, the 1967 Six-Day War, and the lingering state-backed violence of the present day. The sciences of heredity—including physical anthropology and medical genetics—have continued to be u

On 13 January 2020, Thailand confirmed the first known case of COVID-19 outside of China. As one of the world's most popular tourism destinations, with the majority of its travellers coming from China, this news came as no surprise. One year on, COVID-19 cases and related deaths have remained remarkably low in Thailand, and the country’s management of the pandemic has been hailed as a striking success. So what's the secret behind Thailand's COVID-19 response? Dr Anjalee Cohen joined Dr Natali Pearson to explore the many factors that have contributed to Thailand’s success in managing COVID-19 thus far, including the country’s long history of public healthcare, the overturning of medical elitism, the influence of certain cultural practices, and the critical role played by Thailand’s village health volunteers. Anjalee Cohen is a senior lecturer in the anthropology department at the University of Sydney. She joined the department in 2010 following research positions at the Brain and Mind Centre, University of Syd

The Emergence of Modern Hospital Management and Organisation in the World 1880s-1930s (Emerald, 2021) uses a range of empirical evidence and case studies drawn from previously unpublished archival sources to offer one of the first international comparative studies on the transformation and modernization of hospital management globally, a century ago. Focusing on the key years between the 1880s and the 1930s, when millions of people crossed the globe and created new large health care needs in the largest cities of the world, Paloma Fernández-Pérez analyzes core themes from a business history perspective, like organization, ownership and the professionalization of management, to reach a new understanding about the history of modern large scale healthcare institutions from the United States to China, with particular attention to Spain. Paloma Fernández Pérez (PhD. in History University of California, Berkeley) is Professor of Economic History at the University of Barcelona. She is currently also a member of the

Decades of data cannot be ignored: African American adults are far more likely to develop Type 2 diabetes than white adults. But has science gone so far in racializing diabetes as to undermine the search for solutions? In a rousing indictment of the idea that notions of biological race should drive scientific inquiry, Sweetness in the Blood: Race, Risk, and Type 2 Diabetes (University of Minnesota Press, 2021) provides an ethnographic picture of biotechnology’s framings of Type 2 diabetes risk and race and, importantly, offers a critical examination of the assumptions behind the recruitment of African American and African-descent populations for Type 2 diabetes research. James Doucet-Battle begins with a historical overview of how diabetes has been researched and framed racially over the past century, chronicling one company’s efforts to recruit African Americans to test their new diabetes risk-score algorithm with the aim of increasing the clinical and market value of the firm’s technology. He considers Afri

If health policy truly seeks to improve population health and reduce health disparities, addressing homelessness must be a priority. Homelessness is a public health problem. Nearly a decade after the great recession of 2008, homelessness rates are once again rising across the United States, with the number of persons experiencing homelessness surpassing the number of individuals suffering from opioid use disorders annually. Homelessness presents serious adverse consequences for physical and mental health, and ultimately worsens health disparities for already at-risk low-income and minority populations. While some state-level policies have been implemented to address homelessness, these services are often not designed to target chronic homelessness and subsequently fail in policy implementation by engendering barriers to local homeless policy solutions.  In the face of this crisis, Ungoverned and Out of Sight: Public Health and the Political Crisis of Homelessness in the United States (Oxford University Press,

MeaningFULL: 23 Life Changing Stories of Conquering Dieting, Weight, & Body Image Issues (Unsolicited Press, 2021) is a blend of motivational self-help, memoir, psychology, and health and wellness. Alli Spotts-De Lazzer is a Licensed Marriage and Family Therapist, an expert in eating and body image issues, and a woman on the other side of her own decades-long struggle with food and body. A $702 billion global diet/nutrition and weight loss industry shows that people worldwide are devoted to achieving maximum health and their desired bodies. Yet mainstream approaches are failing these individuals, and sadly, science proves this. Intent on gaining the "health" and "happiness" that diets promise, consumers keep trying. They become sad and frustrated, believing they're failing when they're not. They simply need a legitimate, alternative path, which MeaningFULL offers. Through the contributors' diverse, real-life mini-memoirs followed by Spotts-De Lazzer's commentaries, readers will learn about themselves and disc

The conventional approach to suicide is psychiatric: ask the average person why people kill themselves, and they will likely cite depression. But this approach fails to recognize suicide’s social causes. People kill themselves because of breakups and divorces, because of lost jobs and ruined finances, because of public humiliations and the threat of arrest. While some psychological approaches address external stressors, this comprehensive study is the first to systematically examine suicide as a social behavior with social catalysts. Drawing on Donald Black’s theories of conflict management and pure sociology, Suicide: The Social Causes of Self-Destruction (University of Virginia Press, 2020) presents a new theory of the social conditions that compel an aggrieved person to turn to self-destruction. Interpersonal conflict plays a central but under-appreciated role in the incidence of suicide. Examining a wide range of cross-cultural cases, Jason Manning argues that suicide arises from increased inequality and

"Antipsychiatry," Esalen, psychedelics, and DSM III: Radical challenges to psychiatry and the conventional treatment of mental health in the 1970s. The upheavals of the 1960s gave way to a decade of disruptions in the 1970s, and among the rattled fixtures of American society was mainstream psychiatry. A "Radical Caucus" formed within the psychiatric profession and the "antipsychiatry" movement arose. Critics charged that the mental health establishment was complicit with the military-industrial complex, patients were released from mental institutions, and powerful antipsychotic drugs became available. Meanwhile, practitioners and patients experimented with new approaches to mental health, from primal screaming and the therapeutic use of psychedelics to a new reliance on quantification.  In Break on Through: Radical Psychiatry and the American Counterculture (MIT Press, 2020), Lucas Richert investigates the radical challenges to psychiatry and to the conventional treatment of mental health that emerged in the

Agnes Arnold-Forster's book The Cancer Problem: Malignancy in Nineteenth-Century Britain (Oxford UP, 2021) offers the first medical, cultural, and social history of cancer in nineteenth-century Britain. It begins by looking at a community of doctors and patients who lived and worked in the streets surrounding the Middlesex Hospital in London. It follows in their footsteps as they walked the labyrinthine lanes and passages that branched off Tottenham Court Road; then, through seven chapters, its focus expands to successively include the rivers, lakes, and forests of England, the mountains, poverty, and hunger of the four nations of the British Isles, the reluctant and resistant inhabitants of the British Empire, and the networks of scientists and doctors spread across Europe and North America. The Cancer Problem argues that it was in the nineteenth century that cancer acquired the unique emotional, symbolic, and politicized status it maintains today. Through an interrogation of the construction, deployment, an

A compassionate and captivating examination of evolving attitudes toward mental illness throughout history and the fight to end the stigma. For centuries, scientists and society cast moral judgments on anyone deemed mentally ill, confining many to asylums. In Nobody's Normal: How Culture Created the Stigma of Mental Illness (W. W. Norton & Company, 2021), anthropologist Roy Richard Grinker chronicles the progress and setbacks in the struggle against mental-illness stigma—from the eighteenth century, through America’s major wars, and into today’s high-tech economy. Nobody’s Normal argues that stigma is a social process that can be explained through cultural history, a process that began the moment we defined mental illness, that we learn from within our communities, and that we ultimately have the power to change. Though the legacies of shame and secrecy are still with us today, Grinker writes that we are at the cusp of ending the marginalization of the mentally ill. In the twenty-first century, mental illness

As the push for a Universal Healthcare system in the United States becomes more and more popular among the American people, we’re beginning to have more public conversations about access to and affordability of medical care. While many of us may not consider our health insurance until we need it, for those with chronic conditions, the American medical system can be a nightmare of insurance claims bureaucracy and that prevents patients from getting the care they need at a cost they can afford. Worse, the rising prices of drugs and treatments developed in this for-profit system mean that some patients receive more medical care than they want or need, sometimes at the expense of their quality of life. When a young Katherine E. Standefer was suddenly diagnosed with Long QT Syndrome—the same congenital heart condition as her younger sister—she was faced with what felt like an impossible choice: implant a cardiac defibrillator and be forever tied to the American Medical System, or take a chance with death. In her s

We are here today with Sara Ritchey, associate professor of history at the University of Tennessee in Knoxville, TN, about her new book, Acts of Care: Recovering Women in Late Medieval Health, out with Cornell University Press this year, 2021. The author of Holy Matter: Changing Perceptions of the Material World in Late Medieval Christianity (Cornell, 2014) and numerous articles, including “Caring by the Hours: the Psalter as a Source of Gendered Healthcare,” “Health, Healing, and Salvation: Hagiography as a Source of Medieval Healthcare,” “The Wound’s Presence and Bodily Absence: The Experience of God in a Fourteenth-Century Manuscript,” Dr. Ritchey discusses her profound understanding in the intersection of religious practice (writ large) and the practice of medicine (writ large) in the Medieval era. In Acts of Care, Sara Ritchey recovers women's healthcare work by identifying previously overlooked tools of care: healing prayers, birthing indulgences, medical blessings, liturgical images, and penitential pr

As we mark the one-year anniversary of the COIVD-19 pandemic, take the time to listen to this discussion of previous efforts to fight yellow fever, cholera, and plague pandemics. Lukas Engelmann and Christos Lynteris’s Sulfuric Utopias: A History Maritime Fumigation (MIT Press, 2020) tells the story of the international dream of stopping the spread of infectious disease in global shipping networks. Their work shows how the interests of capitalism clashed with the efforts of public health officials. At the center of their narrative lies the Clayton, a machine which combined technocratic enthusiasm and necropolitical logic. Sulfuric Utopias brings together the history disease, capitalism, public health, and science. It is both a contribution to maritime history and urban history. Personally, I was so excited to interview two authors who know more about the history of rat killing than I do. Lukas Engelmann is a Chancellor's Fellow in the History and Sociology of Biomedicine, in the department of Science, Technol

Medicine is most often understood through the metaphor of war. We encounter phrases such as “the war against the coronavirus,” “the front lines of the Ebola crisis,” “a new weapon against antibiotic resistance,” or “the immune system fights cancer” without considering their assumptions, implications, and history. But there is nothing natural about this language. It does not have to be, nor has it always been, the way to understand the relationship between humans and disease. Medicine Is War: The Martial Metaphor in Victorian Literature and Culture (SUNY Press, 2021) shows how this “martial metaphor” was popularized throughout the nineteenth century. Drawing on the works of Mary Shelley, Charles Kingsley, Bram Stoker, Arthur Conan Doyle, and Joseph Conrad, Lorenzo Servitje examines how literary form reflected, reinforced, and critiqued the convergence of militarism and medicine in Victorian culture. He considers how, in migrating from military medicine to the civilian sphere, this metaphor responded to the de

An Organ of Murder: Crime, Violence, and Phrenology in Nineteenth-Century America (Rutgers UP, 2021) explores the origins of both popular and elite theories of criminality in the nineteenth-century United States, focusing in particular on the influence of phrenology. In the United States, phrenology shaped the production of medico-legal knowledge around crime, the treatment of the criminal within prisons and in public discourse, and sociocultural expectations about the causes of crime. The criminal was phrenology’s ideal research and demonstration subject, and the courtroom and the prison were essential spaces for the staging of scientific expertise. In particular, phrenology constructed ways of looking as well as a language for identifying, understanding, and analyzing criminals and their actions. This work traces the long-lasting influence of phrenological visual culture and language in American culture, law, and medicine, as well as the practical uses of phrenology in courts, prisons, and daily life. Clair