A Companion to Medical Anthropology

A Companion to Medical Anthropology
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The fully revised new edition of the defining reference work in the field of medical anthropology A Companion to Medical Anthropology , Second Edition provides the most complete account of the key issues and debates in this dynamic, rapidly growing field. Bringing together contributions by leading international authorities in medical anthropology, this comprehensive reference work presents critical assessments and interpretations of a wide range of topical themes, including global and environmental health, political violence and war, poverty, malnutrition, substance abuse, reproductive health, and infectious diseases. Throughout the text, readers explore the global, historical, and political factors that continue to influence how health and illness are experienced and understood. The second edition is fully updated to reflect current controversies and significant new developments in the anthropology of health and related fields. More than twenty new and revised articles address research areas including war and health, illicit drug abuse, climate change and health, colonialism and modern biomedicine, activist-led research, syndemics, ethnomedicines, biocommunicability, COVID-19, and many others. Highlighting the impact medical anthropologists have on global health care policy and practice, A Companion to Medical Anthropology , Second Edition: Features specially commissioned articles by medical anthropologists working in communities worldwide Discusses future trends and emerging research areas in the field Describes biocultural approaches to health and illness and research design and methods in applied medical anthropology Addresses topics including chronic diseases, rising levels of inequality, war and health, migration and health, nutritional health, self-medication, and end of life care Part of the acclaimed Wiley Blackwell Companions to Anthropology series, A Companion to Medical Anthropology , Second Edition, remains an indispensable resource for medical anthropologists, as well as an excellent textbook for courses in medical anthropology, ethnomedicine, global health care, and medical policy.

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Группа авторов. A Companion to Medical Anthropology

Forthcoming

A Companion to Medical Anthropology

Contents

List of Figures

List of Tables

Guide

Pages

Notes on Contributors

Introduction

REFERENCES

CHAPTER 1 Re/inventing Medical Anthropology: Definitional Struggles and Key Debates (Or: Answering the Cri Du Coeur)

INTRODUCTION

MEDICAL ANTHROPOLOGY TAKES SHAPE. Application or Theory?

Generalists or Specialists?

An Uneasy Resolution

CULTURAL INTERESTS ASSUME THE LEAD

Whither Biology?

Keeping the Tent Big

FOUDATIONAL CONCEPTS. From Health to Sickness

Medical Systems?

CRITICAL APPROACHES

A New Form of Activism

Biocultural Developments

THEORY TO THE CENTER

Reinventing Wheels?

The Periphery’s Significance?

AN OUTWARD REACH

PERSISTENT DEBATES?

ACKNOWLEDGMENTS

REFERENCES CITED

CHAPTER 2 Critical Biocultural Approaches to Health and Illness

INTRODUCTION

The Emergence of Critical Biocultural Approaches

Themes in a Critical Biocultural Perspective

CRITICAL BIOCULTURAL APPROACHES IN STUDIES OF HUMAN HEALTH

Nodes of Critical Biocultural Research

Engaging Ethnographic Methods in Critical Biocultural Health Research

Conclusions

REFERENCES

CHAPTER 3 Applied Medical Anthropology: Praxis, Pragmatics, Politics, and Promises

INTRODUCTION

THEORY IN APPLIED MEDICAL ANTHROPOLOGY. There Is Nothing so Practical as a Good Theory

To Theorize or Not to Theorize: When to Theorize without Putting the Cart before the Horse (Or Descartes before De Horst)

USING THEORY AND APPLYING METHODS: THE MARRIAGE OF MIDRANGE THEORY AND THEORETICALLY DRIVEN METHODS TO ACCOMPLISH CHANGE

THE IMPORTANCE OF BEING ABLE TO TELL PEOPLE HOW YOU ARE GOING TO DO SOMETHING: METHODS IN APPLIED MEDICAL ANTHROPOLOGY

Examples of Midrange Theory in Application

Connections between the Internal and the External (Cognitive and Psychological Approaches)

Social Organization and Structure: Cultural Contexts Research

Cultural Ecology, Critical Medical Anthropology, and Cultural Epidemiology Theories

Cross-cultural Applicability Midrange Theory and Methods

Rapid Assessment as a Methodological Framework: Combining Emergent Theory, Midrange Theory, and Systematic Ethnographic Design

ETHICS3 AND APPLIED MEDICAL ANTHROPOLOGY: A COMFORTABLE FIT

CONCLUSION

NOTES

REFERENCES

CHAPTER 4 Research Design and Methods in Medical Anthropology

RESEARCH DESIGN

Qualitative, Quantitative

Exploratory–Confirmatory Questions

Unstructured–Structured Methods

Elements of Research Design

Basic Research Designs

SAMPLING

Probability and Nonprobability Sampling

Sample Size

DATA COLLECTION AND ANALYSIS

DATA COLLECTION

Data Analysis

CONCLUSION: LOOKING AHEAD

REFERENCES CITED

CHAPTER 5 Culture and the Stress Process

HISTORICAL FOUNDATIONS

Culture and Models of the Stress Process

ETHNOGRAPHIC SPECIFICATION OF MODELS OF THE STRESS PROCESS

RECENT TRENDS IN THE LITERATURE

CULTURAL CONSENSUS, CULTURAL CONSONANCE, AND HEALTH

INTEGRATING CULTURAL AND BIOLOGICAL DATA

IDIOMS OF DISTRESS

CONCLUSION

REFERENCES

CHAPTER 6 Global Health

INTRODUCTION

GLOBAL HEALTH AND THE LEGACIES OF SOCIAL MEDICINE

ANTHROPOLOGICAL PERSPECTIVES ON GLOBAL HEALTH ETHICS

The Ethics of Global Health Partnerships

Social Suffering and Humanitarian Ethics

GLOBAL STUDIES OF SCIENCE AND TECHNOLOGY

Globalizing Pharmaceuticals

Emerging Biomedical Technosciences

Biopolitics and New Citizenships

ANTHROPOLOGICAL PERSPECTIVES ON GLOBAL HEALTH GOVERNANCE

Social Relations of Governance

Metrics

CONCLUSIONS

LITERATURE CITED

CHAPTER 7 Syndemics in Global Health

CORONAVIRUS: THE PERFECT TRIPARTITE STORM

Syndemic Origins

CONCEPTUALIZING SYNDEMICS

A Theory of Interaction

SYNDEMIC INTERVENTIONS

Future of Syndemic Thinking

REFERENCES

CHAPTER 8 The Ecology of Health and Disease

Adaptation and Malaria

Disease, Genetics, and the Environment in the Postgenomic Era

Beyond DNA

Epigenetics

The Human Biome

FROM HUNTING TO FARMING

TECHNOLOGICAL DISASTERS AND TOXIC SITES

RADIATION AND HEALTH

ENVIRONMENTAL ANTHROPOLOGY AND HEALTH IN THE ANTHROPOCENE

Emerging Diseases

CONCLUSION

REFERENCES

CHAPTER 9 The Medical Anthropology of Water and Sanitation

INTRODUCTION

WATER AND SANITATION IN GLOBAL CONTEXT

A MEDICAL ANTHROPOLOGY PERSPECTIVE

The Case of Cholera: A Waterborne Epidemic

The Case of E. Coli: A Waterborne Infection

The Case of Dengue Fever: A Vector-borne Outbreak

ANTHROPOLOGY AND WATER/SANITATION POLICY

CONCLUSION

REFERENCES

CHAPTER 10 Medical Anthropology of Political Violence and War1

PART I. INTRODUCTION

PART II. DENATURALIZING VIOLENCE/PROMOTING PEACE

PART III. RECONCEPTUALIZING WAR AND POLITICAL VIOLENCE AS COMPLEX BIOSOCIAL DISEASE

Toll of War on Health and Well Being

Case Study: Post-9/11 Wars

Syndemics of War

The Aftermath of War and Political Violence

PART IV. POLITICAL VIOLENCE AND WAR THROUGH THE PRISM OF HEALTH CARE

PART V. APPLYING MEDICAL ANTHROPOLOGY TO ADDRESS WAR AND POLITICAL VIOLENCE

NOTE

REFERENCES

CHAPTER 11 Medical Anthropology at the End of Life

APPROACHING AN EXPERIENCE-NEAR THANATOLOGY

THE GOOD DEATH: IDEALS AND REALITIES

HEALING UNTO DEATH

HOSPICE CARE IN ENGLAND AND THE UNITED STATES

CONCLUSION

NOTES

REFERENCES

CHAPTER 12 The Anthropology of Reproduction

INTRODUCTION

PREGNANCY AND CHILDBIRTH: FROM CRITIQUES OF THE BIOMEDICALIZATION OF REPRODUCTION TO CALLS FOR REPRODUCTIVE JUSTICE

REPRODUCTION AND THE STATE: POLITICAL DEMOGRAPHY AND REPRODUCTIVE GOVERNANCE

FAMILY PLANNING, CONTRACEPTION, AND THE REPRODUCTIVE LIFECYCLE

REPRODUCTIVE DISRUPTIONS: ABORTION, MISCARRIAGE, AND INFERTILITY

ASSISTED REPRODUCTIVE TECHNOLOGIES

MALE AND LGBTQ+ EXPERIENCES OF REPRODUCTION

CONCLUSION

NOTE

REFERENCES

CHAPTER 13 Anthropological Approaches to Migration and Health

MEDICAL ANTHROPOLOGY AND THE STUDY OF MIGRATION AND HEALTH

EFFECTS OF PRECARITY AND DEPORTABILITY ON HEALTH

ACCESS TO HEALTH CARE

THE CLINICAL ENCOUNTER

STRATEGIES IN TIMES OF ILLNESS

REPRODUCTIVE HEALTH AND DISCOURSES OF CITIZENSHIP

COMMUNICABLE DISEASE

A MEDICAL ANTHROPOLOGICAL RESEARCH AGENDA FOR MIGRANT HEALTH

REFERENCES

CHAPTER 14 Current Approaches to Nutritional Health in Medical Anthropology

INTRODUCTION

THEME 1: GLOBALIZATION, FOOD MOVEMENTS, AND THEIR EFFECTS ON DIET AND LIFESTYLE. Globalization

Migration and Refugee Resettlement

Diet and Lifestyle

THEME 2: GENDER AND INTERSECTIONAL INEQUALITIES RELATED TO NUTRITIONAL HEALTH. Gender and Nutritional Health

Intersectional Inequalities and Nutritional Health

THEME 3: FOOD INSECURITY, NUTRITION, AND HEALTH. Food Insecurity as a Social Determinant of Health

Food Insecurity, Psychosocial Health, and Diet-Related Disease

Food Insecurity and Puberty

THEME 4: THE IMPACT OF COVID-19 ON FOOD SYSTEMS AND HEALTH

CONCLUSION

REFERENCES

CHAPTER 15 Cancers’ Multiplicities: Anthropologies of Interventions and Care

LUZVIMINDA’S LUMP

CANCERS’ CAUSES

SCREENING AND PREVENTION

THE PROMISE OF VACCINE

GENETICS AS PREDICTIVE

DIAGNOSIS AND CARE

SILENCE

REFLECTIONS

REFERENCES

CHAPTER 16 Anthropology and the Study of Illicit Drug Use

BACKGROUND

ACADEMIC HUNTING-AND-GATHERING

MIXED METHODS

The Qualitative Side

The Quantitative Side

WHAT WE KNOW AND HOW WE KNOW IT

CONCLUSIONS

NOTES

REFERENCES

FURTHER READING

CHAPTER 17 Revisiting Generation Rx: Emerging Trends in Pharmaceutical Enhancement, Lifestyle Regulation, Self-Medication, and Recreational Drug Use

INTRODUCTION

METHODOLOGICAL NOTES. A Need for Ethnography: Limitations of Survey Data

THE ROLE OF SUBSTANCES IN EVERYDAY LIFE. Personal Enhancement and Self-medication

EMERGING DRUG USE TRENDS IN SOCIOCULTURAL CONTEXT. New Drug Delivery Devices: E-Cigarettes and Vaping

Cannabis: Adolescent and Young Adult Perceptions and Use

Drinking Cultures: Persistent and Emerging Trends

Digital Spaces, Drug Use, and Identity Production

Nonmedical Use of Prescription Pain Relievers and the Emergence of Intertwined Epidemics

CONCLUSION

REFERENCES

CHAPTER 18 Ethnomedicines: Traditions of Medical Knowledge

WHAT IS ETHNOMEDICINE?

Translation

Explanatory Models

ETHNOMEDICINE OF THE BODY. Body Image

Ethnophysiology

ETHNOMEDICINE OF THE MIND: ETHNOPSYCHIATRY

Culture and Recognition of Mental Illness

Culture and Expression of Mental Illness

Culture and Mental Illness Occurrence

CULTURE AND TREATMENT

Medical Pluralism, Health-Seeking Behavior and Scale

Ethnopharmacology

Lost in Translation

Meaning and Efficacy in Ethnomedicine

CONCLUSION

ACKNOWLEDGMENTS

REFERENCES

CHAPTER 19 Medical Pluralism: An Evolving and Contested Concept in Medical Anthropology

INTRODUCTION

CHARLES LESLIE AND MEDICAL PLURALISM

THEORETICAL PERSPECTIVES INTERPRETATIONS OF MEDICAL PLURALISM

Cultural Interpretive or Phenomenological Analyses

Medical Ecological or Biocultural Analyses

Critical Perspectives on Medical Pluralism

RECONCEPTUALIZING MEDICAL PLURALISM: MEDICAL SYNCRETICISM, MEDICAL DIVERSITY, AND MEDISCAPES

TRANSNATIONALIZATION AND GLOBALIZATION OF MEDICAL SYSTEMS

CONCLUSION

REFERENCES

CHAPTER 20 Biotechnologies of Care

COMMUNITIES AND BIOTECHNOLOGIES OF SURVEILLANCE

HOSPITAL CONTEXTS AND NEOLIBERALISM

CYBORG EMBODIMENTS

DISCURSIVE PUBLIC CONTEXTS

CONCLUSION

ACKNOWLEDGMENTS

REFERENCES

CHAPTER 21 Medicine: Colonial, Postcolonial, or Decolonial?

COLONIAL MEDICINE

POSTCOLONIAL CONTINUITIES

DECOLONIAL POSSIBILITIES

CONCLUSIONS

REFERENCES

CHAPTER 22 The Politics of Communicability

THE STORY OF NARRATIVE RESEARCH IN MEDICAL ANTHROPOLOGY

“DOCTOR–PATIENT INTERACTION” REFRAMED

HEALTH COMMUNICATION: COMMUNICABILITIES EMBODIED AND DETACHED

FROM MINING “THE MEDIA” TO BIOMEDIATIZATION

CONCLUSION

NOTES

REFERENCES

CHAPTER 23 When Workers’ Health is Public Health: The Structural Complicity of State Public Health Policies on Covid-19 Spread in Meat-Processing Plants and Minority Communities

INTRODUCTION

THE US MEAT INDUSTRY: RISE OF AN EXTERNALIZING MACHINE

INVESTIGATING THE PANDEMIC - “CRISIS” MEDICAL ANTHROPOLOGY

MEAT PROCESSING AND THE NOVEL CORONAVIRUS

TRACKING THE COVID-19 SPREAD TO MEATPACKING IN RURAL NORTH CAROLINA

COVID-19 SPREAD IN GEORGIA’S POULTRY PRODUCTION REGIONS

UNREGULATED WORKPLACES: EXPENDABLE WORKERS

SPREAD IS “IN THE COMMUNITY” NOT THE PLANTS

STATE INITIATIVES TO REASSERT CONTROL OVER WORKPLACES

DISCUSSION: THE ROOTS OF “STRUCTURAL COMPLICITY”

ACKNOWLEDGMENTS

NOTES

REFERENCES

CHAPTER 24 Climate Change and Health: Anthropology and Beyond

INTRODUCTION

Primary Features of Climate Change

CLIMATE CHANGE AND HUMAN HEALTH

Heat

Weather-related Natural Disasters

Infectious Diseases

Human Conflict and Environmental Refugees

CLIMATE CHANGE AND “NATURAL” DISASTERS

CLIMATE CHANGE AND ENVIRONMENTAL JUSTICE

MEDICAL ANTHROPOLOGY AND HUMAN SUSTAINABILITY

REFERENCES

Index

WILEY END USER LICENSE AGREEMENT

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The Wiley Blackwell Companions to Anthropology offers a series of comprehensive syntheses of the traditional subdisciplines, primary subjects, and geographic areas of inquiry for the field. Taken together, the series represents both a contemporary survey of anthropology and a cutting edge guide to the emerging research and intellectual trends in the field as a whole.

The New Wiley Blackwell Companion to Linguistic Anthropology, edited by Alessandro Duranti, Rachel George, and Robin Conley Riner

.....

Dissatisfaction with (bio)medicalized medical anthropology has increased since. Methodologically, many condemn the unthinking acceptance of biomedicine’s penchant for separating health-related situations or experiences into discrete, static, countable units or factors. “Research that sets out to generate data that fits within pre-existing categories embraced by the ‘factorial’ model” (Parker and Harper 2005, p. 2) pulls experience to bits, focusing attention on parts rather than the whole, and treating culture as just another variable in a researcher-imposed equation. Instead, “complex interpretive strategies” (p. 4) should be applied. This includes being free to redefine research questions and methods as research moves along, as well as to question initial research assumptions with the express goals of “reconfiguring the boundaries of the problem” (Lambert and McKevitt 2002, p. 212) and making sure that various stakeholders’ standpoints are represented. Happily, health-care experts, too, increasingly recognize the shortcomings of a factorial gaze; medical anthropology has contributed greatly to the nascent growth of a new methodological openness in these circles.

Despite the scorn for science promulgated by some in the later twentieth century, biological medical anthropologists continued to attract students and quietly made substantial progress. They could afford to be quiet: Many journals outside of anthropology gladly accept their work. Importantly, in terms of tenure and promotion, many of the extra-anthropological journals that welcome biological anthropology have higher impact factors than those of the home discipline. Publications in such journals also can “count” more on grant applications, thereby helping assure a steadier stream of funding.

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