New Books In Medicine

Between 1927 and 1979, more than 8,000 people were involuntarily sterilized in five hospitals across the state of Virginia. From this plain and terrible fact springs Elizabeth Catte's Pure America: Eugenics and the Making of Modern Virginia (Belt, 2021), a sweeping, unsparing history of eugenics in Virginia, and by extension the United States. Virginia's twentieth-century eugenics program was not the misguided initiative of well-meaning men of the day, writes Catte, with clarity and ferocity. It was a manifestation of white supremacy. It was a form of employment insurance. It was a means of controlling "troublesome" women and a philosophy that helped remove poor people from valuable land. It was cruel and it was wrong, and yet today sites where it was practiced like Western State Hospital, in Staunton, VA, are rehabilitated as luxury housing, their histories hushed up in the service of capital. As was amply evidenced by her acclaimed 2018 book What You Are Getting Wrong About Appalachia, Catte has no room for

In Diagnosing Desire: Biopolitics and Femininity into the Twenty-First Century, (The Ohio State University Press, 2020), Alyson K. Spurgas, Ph.D. examines the “new science of female sexuality” from a critical, sociological perspective, considering how today’s feminist-identified sex researchers study and manage women with low desire. Diagnosing Desire investigates experimental sex research that measures the disconnect between subjective and genital female arousal, contemporary psychiatric diagnoses for low female desire, new models for understanding women’s sexual response, and cutting-edge treatments for low desire in women—including from the realms of mindfulness and alternative healing. Spurgas makes the case that, together, all of these technologies create a “feminized responsive desire framework” for understanding women’s sexuality, and that this, in fact, produces women’s sexuality as a complex problem to be solved. The biggest problem, Spurgas argues, is that gendered and sexualized trauma—including as

In The Mutant Project: Inside the Global Race to Genetically Modify Humans (St. Martin's Press, 2020), anthropologist Eben Kirksey visits the frontiers of genetics, medicine, and technology to ask: Whose values are guiding gene editing experiments? And what does this new era of scientific inquiry mean for the future of the human species? At a conference in Hong Kong in November 2018, Dr. He Jiankui announced that he had created the first genetically modified babies—twin girls named Lulu and Nana—sending shockwaves around the world. A year later, a Chinese court sentenced Dr. He to three years in prison for “illegal medical practice.” As scientists elsewhere start to catch up with China’s vast genetic research program, gene editing is fueling an innovation economy that threatens to widen racial and economic inequality. Fundamental questions about science, health, and social justice are at stake: Who gets access to gene editing technologies? As countries loosen regulations around the globe, from the U.S. to Ind

Though the current political climate might lead one to suspect that religion and medicine make for uncomfortable bedfellows, the two institutions have a long history of alliance. From religious healers and religious hospitals to religiously informed bioethics and research studies on the impact of religious and spiritual beliefs on physical and mental well-being, religion and medicine have encountered one another from antiquity through the present day. In Religion and Medicine: A History of the Encounter Between Humanity’s Two Greatest Institutions (Oxford University Press, 2020), Dr. Jeff Levin outlines this longstanding history and the multifaceted interconnections between these two institutions. The first book to cover the full breadth of this subject, it documents religion-medicine alliances across religious traditions, throughout the world, and over the course of history. Levin summarizes a wide range of material in the most comprehensive introduction to this emerging field of scholarship to date. Jeff Le

Séances, clairvoyance, and telepathy captivated public imagination in the United States from the 1850s well into the twentieth century. Though skeptics dismissed these experiences as delusions, a new kind of investigator emerged to seek the science behind such phenomena. With new technologies like the telegraph collapsing the boundaries of time and space, an explanation seemed within reach. As Americans took up psychical experiments in their homes, the boundaries of the mind began to waver. Common Phantoms: An American History of Psychic Science (Stanford UP, 2020) brings these experiments back to life while modeling a new approach to the history of psychology and the mind sciences. Drawing on previously untapped archives of participant-reported data, Alicia Puglionesi recounts how an eclectic group of investigators tried to capture the most elusive dimensions of human consciousness. A vast though flawed experiment in democratic science, psychical research gave participants valuable tools with which to study

COVID-19 has had such far-reaching impacts that it can be, and has been, studied from the perspective of almost any academic discipline. For geographers, the ways in which COVID-19 affects place, space and movement is particularly consequential. It is at once a global phenomenon, yet it also ties us to localities in a way not experienced for a very long time in our increasingly mobile and interconnected world. In Southeast Asia, the impact of COVID-19 has been particularly severe for migrant workers, who have found themselves un- or under-employed and sometimes stranded as economic activity has shut down and borders have closed. Professor Hirsch is part of a wide-ranging review of the implications of COVID-19 for migrant workers across the Asia-Pacific region, bringing in four main dimensions: what does it mean in terms of governance/rights, gender, public health and the environment? On the occasion of International Migrants Day on 18 December, Professor Philip Hirsch spoke to Dr Natali Pearson about the impa

Twentieth-century neuroscience fixed the brain as the basis of consciousness, the self, identity, individuality, even life itself, obscuring the fundamental relationships between bodies and the worlds that they inhabit. In Unraveling: Remaking Personhood in a Neurodiverse Age (University of Minnesota Press, 2020), Matthew J. Wolf-Meyer draws on narratives of family and individual experiences with neurological disorders, paired with texts by neuroscientists and psychiatrists, to decenter the brain and expose the ableist biases in the dominant thinking about personhood. Unraveling articulates a novel cybernetic theory of subjectivity in which the nervous system is connected to the world it inhabits rather than being walled off inside the body, moving beyond neuroscientific, symbolic, and materialist approaches to the self to focus instead on such concepts as animation, modularity, and facilitation. It does so through close readings of memoirs by individuals who lost their hearing or developed trauma-induced aph

Alan Berkman (1945–2009) was no campus radical in the mid-1960s; he was a promising Ivy League student, football player, Eagle Scout, and fraternity president. But when he was a medical student and doctor, his politics began to change, and soon he was providing covert care to members of revolutionary groups like the Weather Underground and becoming increasingly radicalized by his experiences at the Wounded Knee takeover, at the Attica Prison uprising, and at health clinics for the poor. When the government went after him, he went underground and participated in bombings of government buildings. He was eventually captured and served eight years in some of America's worst penitentiaries, barely surviving two rounds of cancer. After his release in 1992, he returned to medical practice and became an HIV/AIDS physician, teacher, and global health activist. In the final years of his life, he successfully worked to change U.S. policy, making AIDS treatment more widely available in the global south and saving million

At first glance, the term “expressive individualism” seems benign enough. After all, people throughout the Western world value their personal freedom and the liberty to make crucial life decisions such as whether to have children and how and when they wish to die. What could possibly be wrong with the idea that everyone should be in control of his or her own body and fate to the greatest extent possible and with the least intrusion by either the state or “outdated” social mores? But there is a dark side to expressive individualism when one enters the realm of public bioethics. In his 2020 book What It Means to Be Human: The Case for the Body in Public Bioethics (Harvard University Press, 2020), O. Carter Snead defines for us what the term “public bioethics” encompasses and provides a much-needed genealogy of the field. He profiles key players in many of the most momentous bioethics-related developments of the post-WWII era from physicians such as Henry Knowles Beecher to jurists like Harry Blackmun and influe

While many doctors claim that Lyme disease--a tick-borne bacterial infection--is easily diagnosed and treated, other doctors and the patients they care for argue that it can persist beyond standard antibiotic treatment in the form of chronic Lyme disease. In Divided Bodies: Lyme Disease, Contested Illness, and Evidence-Based Medicine (Duke UP, 2020), Abigail A. Dumes offers an ethnographic exploration of the Lyme disease controversy that sheds light on the relationship between contested illness and evidence-based medicine in the United States. Drawing on fieldwork among Lyme patients, doctors, and scientists, Dumes formulates the notion of divided bodies: she argues that contested illnesses are disorders characterized by the division of bodies of thought in which the patient's experience is often in conflict with how it is perceived. Dumes also shows how evidence-based medicine has paradoxically amplified differences in practice and opinion by providing a platform of legitimacy on which interested parties--pa

An estimated 80 million people live with a neurodegenerative disease, with this number expected to double by 2050. Despite decades of research and billions in funding, there are no medications that can slow, much less stop, the progress of these diseases. The time to rethink degenerative brain disorders has come. With no biological boundaries between neurodegenerative diseases, illnesses such as Parkinson's and Alzheimer's result from a large spectrum of biological abnormalities, hampering effective treatment. In Brain Fables: The Hidden History of Neurodegenerative Diseases and a Blueprint to Conquer Them (Cambridge UP, 2020), acclaimed neurologist Dr Alberto Espay and Parkinson's advocate Benjamin Stecher present compelling evidence that these diseases should be targeted according to genetic and molecular signatures rather than clinical diagnoses. There is no Parkinson's or Alzheimer's, simply people with Parkinson's or Alzheimer's. An incredibly important story never before told, Brain Fables is a wakeup c

Globally, breast cancer is the most commonly diagnosed cancer in women, with over 1 million cases detected annually. The disease is particularly worrisome in Vietnam, where breast cancer incidence has more than doubled over the last two decades, making it the leading cancer among Vietnamese women, ahead of cervical and uterine cancers. It has also demonstrated a high level of aggressiveness, with over 80% of breast cancer patients presenting with local or distant metastases, while only 28% of breast cancers in Australia were diagnosed in late stages. Thus mortality rates are twofold higher in Vietnam compared with developed countries. Professor Patrick Brennan talks to Dr Natali Pearson about his decade-long work on improving breast cancer detection in Vietnam. Professor Patrick Brennan is a leading researcher at the University of Sydney's School of Health Sciences. His research involves exploring novel technologies and techniques that enhance the detection of clinical indicators of disease, whilst minimising

Reducing harm or shrinking the likelihood of accidental death are remarkably contentions projects—in areas from sex education, to pandemic management, to drug use. Nancy Campbell’s important new book, OD: Naloxone and the Politics of Overdose (MIT Press, 2020) explores how a therapy that can stop an accidental drug overdose, called Naloxone, emerged in the American mainstream in the early years of the new millennium—despite existing in some form for nearly a century. What are now called “opioid antagonists” were used, not to save lives, but deployed by the carceral state to police drug users in the early twentieth century; sequestered within bioscience laboratories to build molecular theories of how the brain worked at midcentury; approved by the FDA in 1971 for the treatment of overdose only by physicians; and illicitly administered and widely shared in the 1980s and 1990s among drug-user-led activist organizations and communities, who created their own troves of training protocols, peer-education networks,

We often hear stories of people in terrible and seemingly intractable situations who are preyed upon by someone offering promises of help. Frequently these cases are condemned in terms of "exploiting hope." These accusations are made in a range of contexts: human smuggling, employment relationships, unproven medical 'cures.' We hear this concept so often and in so many contexts that, with all its heavy lifting in public discourse, its actual meaning tends to lose focus. Despite its common use, it can be hard to understand precisely what is wrong about exploiting hope what can accurately be captured under this concept, and what should be done. In Exploiting Hope: How the Promise of New Medical Interventions Sustains Us--and Makes Us Vulnerable (Oxford UP, 2020), philosopher Jeremy Snyder offers an in-depth study of hope's exploitation. First, he examines the concept in the abstract, including a close look at how this term is used in the popular press and analysis of the concepts of exploitation and hope. This

The figure of Sigmund Freud has captivated the Western imagination like few others. One hundred and twenty-five years after the publication of Studies on Hysteria, the good doctor from Vienna continues to stir controversy in institutions, academic circles, and nuclear households across the world.  Perhaps Freud’s sharpest and most adamant critic, Frederick Crews has been debating Freud’s legacy for over thirty years. His latest work, Freud: The Making of an Illusion (Picador, 2018) challenges us with an extensive psychological profile of the legend here revealed as scam artist. What some analysts might argue to be a 750 page character assassination, Crews maintains is simply a recitation of facts which leaves readers to draw their own conclusions. One might wonder if the story of facts that is conveyed is not itself a counter myth. Was Freud a megalomaniacal, greedy, cocaine-addled opportunist and psychoanalysis a pseudoscience that has reigned tyrannically over twentieth century thought? Making use of Freud’

In Enduring Cancer: Life, Death, and Diagnosis in Delhi (Duke UP, 2020) Dwaipayan Banerjee explores the efforts of Delhi's urban poor to create a livable life with cancer as patients and families negotiate an overextended health system unequipped to respond to the disease. Owing to long wait times, most urban poor cancer patients do not receive a diagnosis until it is too late to treat the disease effectively. Drawing on ethnographic fieldwork in the city's largest cancer care NGO and at India's premier public health hospital, Banerjee describes how, for these patients, a cancer diagnosis is often the latest and most serious in a long series of infrastructural failures. In the wake of these failures, Banerjee tracks how the disease then distributes itself across networks of social relations, testing these networks for strength and vulnerability. Banerjee demonstrates how living with and alongside cancer is to be newly awakened to the fragility of social ties, some already made brittle by past histories, and o

Common morality has been the touchstone of medical ethics since the publication of Beauchamp and Childress's Principles of Biomedical Ethics in 1979. Rosamond Rhodes challenges this dominant view by presenting an original and novel account of the ethics of medicine, one deeply rooted in the actual experience of medical professionals. She argues that common morality accounts of medical ethics are unsuitable for the profession, and inadequate for responding to the particular issues that arise in medical practice. Instead, Rhodes argues that medicine's distinctive ethics should be explained in terms of the trust that society allows to the profession. Trust is the core and starting point of Rhodes' moral framework, which states that the most basic duty of doctors is to "seek trust and be trustworthy." In The Trusted Doctor: Medical Ethics and Professionalism (Oxford UP, 2020), Rhodes explicates the sixteen specific duties that doctors take on when they join the profession, and demonstrates how her view of these d

On this episode of New Books in History, Jana Byars talks with Sharon Strocchia, Professor of History at Emory University. She is the author of Death and Ritual in Renaissance Florence, (Johns Hopkins University Press, 1992), Nuns and Nunneries in Renaissance Florence (Johns Hopkins University Press, 2009), and the book we are here to talk about today, Forgotten Healers: Women and the Pursuit of Health in Late Renaissance Italy, a 2019 Harvard University Press release. In this book, Professor Strocchia continues the work of her career: recentering the discourse to include the formative contributions of women in the Italian Renaissance. Through a discussion of Medici women, convent pharmacists, and hospital nurses, Strocchia adeptly argues that women played a leading role in the development of Renaissance medicine. Jana Byars is the academic director of SIT Amsterdam’s study abroad program, Gender and Sexuality in an International Perspective. Learn more about your ad choices. Visit megaphone.fm/adchoices

As the COVID-19 pandemic took hold in March, a self-isolating and easily distracted economist resolved to take himself in hand. "I decided I would do what I was good at: I would write a book" about the complex interplay between epidemiology and economics and the policy dilemmas it poses. By June, Joshua Gans had published Economics in the Age of COVID-19 and, within days, he had started work on the expanded version - The Pandemic Information Gap: The Brutal Economics of COVID-19 (MIT Press, 2020) - to come out in the autumn. Its central thesis is that "at their heart, pandemics are an information problem. Solve the information problem and you can defeat the virus”. Joshua Gans is Professor of Strategic Management and holder of the Jeffrey S. Skoll Chair of Technical Innovation and Entrepreneurship at the Rotman School of Management, University of Toronto. Tim Gwynn Jones is an economic and political-risk analyst at Medley Global Advisors. Learn more about your ad choices. Visit megaphone.fm/adchoices

Science may be known for banishing the demons of superstition from the modern world. Yet just as the demon-haunted world was being exorcized by the enlightening power of reason, a new kind of demon mischievously materialized in the scientific imagination itself. Scientists began to employ hypothetical beings to perform certain roles in thought experiments—experiments that can only be done in the imagination—and these impish assistants helped scientists achieve major breakthroughs that pushed forward the frontiers of science and technology. Spanning four centuries of discovery—from René Descartes, whose demon could hijack sensorial reality, to James Clerk Maxwell, whose molecular-sized demon deftly broke the second law of thermodynamics, to Darwin, Einstein, Feynman, and beyond—Jimena Canales tells a shadow history of science and the demons that bedevil it.  In Bedeviled: A Shadow History of Demons in Science (Princeton UP, 2020), she reveals how the greatest scientific thinkers used demons to explore problems