New Books In Medicine

Are you happy? In his new book The Happiness Industry: How the Government and Big Business Sold Us Well-Being (Verso, 2015), William Davies, a senior lecturer at Goldsmiths’ College, University of London, critically investigates this question. The book offers skepticism towardsthe demand that economy and society be happy, skepticism founded in an interrogation of the practices of contemporary government and businesses. A whole range of our everyday experiences, including ‘nudges’ for citizens and staff, the perverse incentives of metrics, through tothe consequences of how psychiatry classifies depression, are subject to critical scrutiny.Moreover, the book acts as a primer on economics, psychology and organizational theory, clearly articulating the roots and the consequences of our current economic and social settlement. The book concludes with the possibility of a more democratic way of organizing the world, in contrast to our impersonal, oppressive, and data driven present. Dr Davies is a

Due in part to lobbying efforts on behalf of the human genome project, human genes tend to be thought of in light of the present–genetic components of human disease and differential risks associated with genetic individuals–before the future, what gets passed on to later generations. However, public understanding of genetics did not merely radiate from laboratories, as Alexandra Minna Stern‘s book, Telling Genes: The Story of Genetic Counseling in America (Johns Hopkins University, 2012) shows. Before the age of genetic sequencing and mass-produced tests, physicians from various specialties provided genetic counseling on an ad-hoc basis, most of which took the form of reproductive advice. Medical genetics had only been established in the 1960s, with the shadow of eugenics still looming large over a field that was now more inclined toward description of heritable conditions than prescription of reproductive sanctions and sterilization. The founding of the first master’s program in genet

When we study the history of a famous scientific figure – especially one that has gone on to become a cultural icon – we are dealing not just with a person, but also with an identity or series of identities that have been constructed over time. Eva Hemmungs Wirten‘s new book looks carefully at the work that has gone into the making of Marie Curie (1867-1934) as an individual, a celebrity, an icon, and ultimately a brand. Three motifs that thread through the narrative of Making Marie Curie: Intellectual Property and Celebrity Culture in an Age of Information (University of Chicago Press, 2015), and they each form the basis for one of its chapters: the impact of intellectual property on science and research; the role of celebrity culture in shaping the image of the scientist; and the “question of how to organize scientific information as part of the modern infrastructure of knowledge.” It’s a compellingly argued book that’s also a pleasure to read. For videos of two of

Physician/author Ian Williams coined the term “graphic medicine” to “denote the role that comics can play in the study and delivery of healthcare.” The robust emerging graphic medicine community can be witnessed in its website and annual conference, as well as in the profusion of fascinating graphic medicine texts created from a range of perspectives, visions, and voices. Graphic Medicine Manifesto (Penn State University Press, 2015)–the first book in the exciting Graphic Medicine series at The Pennsylvania State University Press–introduces graphic medicine as a practice, a movement, and an ethos to the wide and diverse audience it deserves and will surely attract. This interview features three of the authors of the Graphic Medicine Manifesto: MK Czerwiec, Ian Williams, and Susan Merrill Squier.Learn more about your ad choices. Visit megaphone.fm/adchoices

Jonathan Eig is a New York Times best-selling author of four books and former journalist for the Wall Street Journal. His book The Birth of the Pill: How Four Crusaders Reinvented Sex and Launched a Revolution (W.W. Norton, 2014) gives us a lively narrative history of the development and marketing of the birth control pill. He presents us with four risk-taking outsiders whose path became intertwined in the pursuit of a reliable and simple contraceptive. The feminist Margaret Sanger, in her campaign for the rights of women, sought a reliable birth control method as a means to sexual and social liberation. The genius scientist Gregory Pincus’s research stretched the boundaries of law and ethics and tied him to the business interest of Searle pharmaceuticals. The wealthy socialite Katharine McCormick’s singular focus and funding kept the research going. The handsome promoter John Rock, a Catholic infertility doctor, was willing to go against his church’s teaching and provide untested drugs to d

Charis Thompson‘s Good Science: The Ethical Choreography of Stem Cell Research (MIT Press, 2013) is an important book. Good Science explores the “ethical choreography” of the consolidation of human embryonic stem cell research in the first decade of the twenty-first century, drawing important implications for the possible futures of stem cell research by looking carefully at its past and developing an approach to what Thompson calls “good science.” The book compellingly argues that “a high level of political attention to the ethics of the life sciences and biomedicine…is a good thing for science and democracy,” especially as we have now reached “the end of the beginning of human pluripotent stem cell research.” Part I of the book (Stem Cell Biopolitics) explores early attention to the embryo debate. Ch. 2 looks at stem cell research as it’s widely understood to engage ethical concerns, describing the “pro-curial frame” of stem cell

Disputes over the definitions or legality of ‘rights’ and ‘rationing’ in their various guises have animated much of the debate around the United States Affordable Care Act. Many legislators and vocal members of their constituency have strong convictions about the state of our current national health care system and where it is going. Far fewer, however, understand how our current state of affairs is the product of a quite recent and contingent history, which is precisely what Beatrix Hoffman‘s Health Care for Some: Rights and Rationing in the United States since 1930 (University of Chicago, 2012) sets out to explain. While Hoffman’s scope is the U.S. as a whole, she draws out the local consequences of sweeping wartime and post-war reform by focusing on various cities, notably Chicago. Using a framework that addresses the reciprocal roles of rights and rationing as articulated by physicians, policymakers, and patients throughout the latter part of the twentieth century, she

Todd Meyers‘ The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy (University of Washington Press, 2013) is many things, all of them compelling and fully realized. Most directly, the book is an ethnography of drug dependence and treatment among adolescents in Baltimore between 2005-2008. Meyers traces twelve people through their treatment in the clinic and beyond, into what he calls “the afterlife of therapy.” The group of adolescents was diverse–their economic and family circumstances, their demographics, and arc of their narratives from addiction to treatment varied widely. Yet they shared at least one important experience: “each had either been enrolled in a clinical trial or were currently being treated with a relatively new drug for opiate withdrawal and replacement therapy: buprenorphine” (4). In this way, the book is also the story of a pharmaceutical making its way and its mark in the worlds of therapeutics, law, public opinion and, especia

What happens when you allow human materials to become property? More specifically, how does granting monopoly rights over genetic material affect the potential for innovation and research on treatments of disease related to those genes? In his new book, The Genealogy of a Gene: Patents, HIV/AIDS, and Race (MIT Press, 2015), Myles W. Jackson (NYU) considers this question by examining the history of the sequencing and patenting of the CCR5 gene, which was found to have an important role in HIV/AIDS viral infection. In doing so, Jackson chronicles the challenges to the granting of property rights over materials that occur naturally, and the legal and policy arguments both for and against allowing patents on these materials. But the book is more than just an examination of the instability of patent law. On the contrary, Jackson provides an interdisciplinary examination of the history of CCR5, which analyzes the role of race, culture, medicine and other fields, to examine of the wider impact of science and science

Can we define ‘clinical reasoning’? Is it the ability to marshal the best available evidence to come to adecision within a medical framework, or is it the capacity to think holistically aboutwhether a given intervention is in the patient’s best interest? In his book, Intuition in Medicine: A Philosophical Defense of Clinical Reasoning (University of Chicago Press, 2012), Hillel Braude considers this apparent gap in the history of medical thought. He argues throughout that intuition provides the missing link between medical and moral reasoning. Rather than setting forth a definition of intuition outright, Braude traces its articulations through canonical works of philosophy and medical ethics. One comes away with an understanding that intuition is something like a pre-reflective practical wisdom bound to human faculties, resisting abstraction. Even this definition is contextually malleable, and through his historical and philosophical exploration he draws out the epistemological (and often pr

In Black Skin, White Coats: Nigerian Psychiatrists, Decolonization, and the Globalization of Psychiatry (Ohio University Press, 2013), Matthew M. Heaton explores changes in psychiatric theory and practice during the decolonization of European empires in Africa in the mid-twentieth century. His story follows the transcultural Nigerian psychiatrists who tried to transform the discourse around and treatment of mental illness in both their local contexts and in global psychiatric circles. The decolonization of psychiatry, Heaton argues, had an “intensely cross-cultural, transnational, and international character that cannot be separated from local, regional, and national developments” (5). Heaton shows how, amid these contexts and changes, Nigerian psychiatrists actively participated in negotiating postcolonial modernity and the place of global psychiatry within it. The book begins by tracing the larger story from colonialism to postcolonialism: the first chapter offers an essential, incisive account

Migraine is real, and it is pervasive–at least 12% of Americans suffer some form of this spectrum disorder. Still, migraine remains a conflicted illness–people routinely dispute the legitimacy of both the experience and its sufferers. In Not Tonight: Migraine and the Politics of Gender and Health (University of Chicago Press, 2014), Joanna Kempner sets out to explore “how migraine can simultaneously disrupt so many lives and continue to be questioned and trivialized by the culture at large.” Kempner begins by tracing the changing biomedical understandings of migraine over the past three hundred years, discovering a long history of “migraine’s association with weak, gendered personalities.” Kempner then turns to four contemporary figures and cases: headache specialists, migraine advocates, pharmaceutical companies, and the case of cluster headaches (a disorder commonly associated with men). Throughout, she shows how the recent recasting of migraine from a “disord

The health of former NFL players has received plenty of attention in recent years. The suicides of Junior Seau and Dave Duerson, along with stories of retired players in only their 40s and 50s affected by dementia and ALS, have revealed the toll that a professional football career can take on a man’s body and brain. In their new book Is There Life After Football? Surviving the NFL (New York University Press, 2014), James Holstein, Richard Jones, and George Koonce, Jr., discuss the discovery of Chronic Traumatic Encephalopathy as well as other physical problems that afflict former NFL players. Yet the most stunning finding of their research is not how life in football affects players’ health, but rather how it affects their ability to find and hold a job, to maintain relationships, even to engage in basic social interactions. The research leading to the book began with George Koonce, a nine-year veteran of the NFL. George’s career ended like those of most NFL players, not with a press confere

Donna J. Drucker is a guest professor at Darmstadt Technical University in Germany. Her book The Classification of Sex: Alfred Kinsey and the Organization of Knowledge (University of Pittsburg Press, 2014) is an in-depth and detailed study of Kinsey’s scientific approach. The book examines his career and method of gathering vast amounts of data, identifying patterns, and interpretation that was critical to his most influential works Sexual Behavior in the Human Male (1948) and Sexual Behavior in the Human Female (1953). Beginning with Kinsey’s study of the animal world, Drucker examines how he transferred natural science methods to sex education in his Marriage Course at Indiana University, and ultimately to the massive study of human sexual behavior. He brought into the interdisciplinary science of sexology a thoroughly naturalist approach and believed that taxonomy – collecting, classifying and describing patterns, revealed truths about the natural world and worked against what he consider

Lisa Stevenson‘s new book opens with two throat-singing women and one listening king. Whether we hear them sitting down to a normal night’s dinner (as the women) or stalking the pages of a short story from Italo Calvino’s Under the Jaguar Sun (as the king), listening to these voices can potentially transform our notion of listening itself, as well as our understanding of what a “self” is and could be. Life Beside Itself: Imagining Care in the Canadian Arctic (University of California Press, 2014) shows us this by exploring formulations and practices of life, death, and care in a history and ethnography of Canadian policies and attitudes toward the Inuit during two epidemics, a tuberculosis epidemic (1940s-early 1960s) and a suicide epidemic (1980s-present). In juxtaposing those two cases, the book considers different forms of “care,” bureaucratic and otherwise. In her archival and ethnographic research, Stevenson works as a collector of images, paying careful attentio

Commercial interests are often understood as impinging upon the ethical norms of medicine. In his new book, Medical Monopoly: Intellectual Property Rights and the Origins of the Modern Pharmaceutical Industry (University of Chicago Press, 2013), Joe Gabriel shows how the modernization of American medicine was bound up in the ownership, manufacture, and marketing of drugs. Gabriel unearths the early history of intellectual property concerns as they entered the domain of medical practice itself. Through his careful marshaling of evidence, he takes readers back to a time when the norms and legal structures of commercial capitalism in the U.S. were just as much at issue as those of the professionalization of medicine. This fascinating book serves as a pointed reminder that the sources of therapeutic rationale are just as much tied to the production and regulation of therapies as the collective decision-making on ethical practice. Along with my previous interview with Jeremy Greene, this discussion will hopefully

Emilie Cloatre‘s award-winning book, Pills for the Poorest:An Exploration of TRIPS and Access to Medication in Sub-Saharan Africa (Palgrave, 2013), locates the effects–and ineffectualness–of a landmark international agreement for healthcare: the World Trade Organization’s “Trade-related Aspects of Intellectual Property Rights.” Cloatre takes seriously the idea of TRIPS as a technology in Bruno Latour’s meaning of the word–as a material object that anticipates effects in specific settings. Cloatre follows the text from its consolidation in European meeting halls to its use in the former French and British colonies of Ghana and Djibouti. Pills for the Poorest is a significant ethnography of law and healthcare in Africa that shows precisely how this paper tool begat new buildings, relationships, experts, and, indeed, pills, but only in particular places, among certain people, and for particular kinds of pharmaceuticals. Cloatre is a broadly trained scholar and tale

The 1960s marked a “new era of vaccination,” when Americans eagerly exposed their arms and hind ends for shots that would prevent a range of everyday illnesses–not only prevent the lurking killers, like polio. Medical historian Elena Conis shows that Americans’ gradual acceptance of vaccination was far from a medical fait accompli: it was–and remains–a political accomplishment that has stemmed from a patchwork of efforts to expose children, in particular, to compulsory vaccine programs. Grown in the culture of postwar American politics, vaccines deliver more than prophylactics. They succor a set of assumptions about economic inequality, racial difference, sexual norms, and gendered divisions of labor. Vaccine Nation: America’s Changing Relationship with Immunization (University of Chicago, 2014) is a timely and accessible social history of American policy and practices towards vaccination that shows how support for vaccination has rarely advanced for medical reasons a

Is pain real? Is pain relief a right? Who decides? In Pain: A Political History (Johns Hopkins University Press, 2014),Keith Wailoo investigates how people have interpreted and judged the suffering of others in the US from the mid-1940s to the present. While doctors and patients figure in his story, the primary protagonists are politicians, judges, and ideologues, who variously understood the ambiguities of pain as political problems to be settled in legislatures and in courts of law and public opinion alike. For instance, in the 1940s and 1950s, the “pain complaint” of ailing World War II veterans became the locus of debates about manhood, federal disability benefits, and pharmaceutical interventions. Although physicians faced complex problems about adjudicating the pain of their patients, Wailoo shows that pain was also a deeply cultural problem, especially as new, competing theories of pain emerged to explain not only the experience of suffering, but the character, motives, and rights and respo

Cancer pervades American bodies–and also habits of mind. Malignant: How Cancer Becomes Us (University of California Press, 2013) is a sharp, adventurous book by the established legal anthropologist, S. Lochlann Jain. The book simultaneously complicates and clarifies the multiple ways in which cancer and patient-hood gets appropriated, embodied and reproduced through seemingly quotidian activities–from opening an insurance bill to enjoying yoga class. Jain shows, in other words, exactly how and in what way cancer becomes you and me. The book draws together interviews, observations, and Jain’s first-hand experience as a cancer patient, as well as a range of cultural remains, from literature to law to life tables. In doing so, Jain holds a mirror to corporate stakeholders, to everyday Americans, and to herself in order to show, paradoxically, how modern Americans reinvest in cancer in the very practices designed to promote health. The book is a critique of the ways of life and “ways of kn