New Books in Medicine

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Infectious Behavior: Brain-Immune Connections in Autism, Schizophrenia, and Depression Aug 16, 2023

Show notes

In Infectious Behavior, neurobiologist Paul Patterson examines the involvement of the immune system in autism, schizophrenia, and major depressive disorder. Although genetic approaches to these diseases have garnered the lion's share of publicity and funding, scientists are uncovering evidence of the important avenues of communication between the brain and the immune system and their involvement in mental illness. Patterson focuses on this brain-immune crosstalk, exploring the possibility that it may help us understand the causes of these common, but still mysterious, diseases. The heart of this engaging book, accessible to nonscientists, concerns the involvement of the immune systems of the pregnant woman and her fetus, and a consideration of maternal infection as a risk factor for schizophrenia and autism. Patterson reports on research that may shed light on today's autism epidemic. He also outlines the risks and benefits of both maternal and postnatal vaccinations.

In the course of his discussion, Patterson offers a short history of immune manipulation in treating mental illness (recounting some frightening but fascinating early experiments) and explains how the immune system influences behavior and how the brain regulates the immune system, looking in particular at stress and depression. He examines the prenatal origins of adult disease and evidence for immune involvement in autism, schizophrenia, and depression. Finally, he describes the promise shown by recent animal experiments that have led to early clinical trials of postnatal and adult treatments for patients with autism and related disorders.

Paul H. Patterson, a developmental neurobiologist, is Anne P. and Benjamin R. Biaggini Professor of Biological Sciences at the California Institute of Technology and a Research Professor of Neurological Surgery at the University of Southern California’s Keck School of Medicine. He is the coauthor (with Alan Brown) of The Origins of Schizophrenia.

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Benjamin Y. Fong, "Quick Fixes: Drugs in America from Prohibition to the 21st Century Binge" (Verso, 2023) Aug 15, 2023

Show notes

Benjamin Y. Fong is author of the new book Quick Fixes: Drugs in America from Prohibition to the 21st Century Binge, which was just released in July, 2023 by Verso Books. Ben is an honors faculty fellow and associate director of the Center for Work & Democracy at Arizona State University, and his work has appeared in Jacobin, Catalyst, and the New York Times. Previously, Ben’s work focused on the (usually negative) effects of neoliberal capitalism, writing about NGOs, labor leaders, and health care. Quick Fixes expands this examination into the world of drugs, examining nine different kinds of intoxicants, and five “orienting claims” that place their use within in larger capitalist histories.

A bit about the book...

Americans are in the midst of a world-historic drug binge. Opiates, amphetamines, benzodiazepines, marijuana, antidepressants, antipsychotics--across the board, consumption has shot up in the 21st century. At the same time, the United States is home to the largest prison system in the world, justified in part by a now zombified "war" on drugs. How did we get here?

Quick Fixes is a look at American society through the lens of its pharmacological crutches. Though particularly acute in recent decades, the contradiction between America's passionate love and intense hatred for drugs has been one of its defining characteristics for over a century.

Through nine chapters, each devoted to the modern history of a drug or class of drugs, Fong examines Americans' fraught relationship with psychoactive substances. As society changes it produces different forms of stress, isolation, and alienation. These changes, in turn, shape the sorts of drugs society chooses.

By laying out the histories, functions, and experiences of our chemical comforts, the hope is to help answer that ever perplexing question: what does it mean to be an American?

Emily Dufton is the author of Grass Roots: The Rise and Fall and Rise of Marijuana in America (Basic Books, 2017). A drug historian and writer, her second book, on the development of the opioid addiction medication industry, is under contract with the University of Chicago Press.

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The Silent Epidemic: Coal and the Hidden Threat to Health Aug 14, 2023

Show notes

We will not find “exposure to burning coal” listed as the cause of death on a single death certificate, but tens of thousands of deaths from asthma, chronic obstructive pulmonary disease, lung cancer, heart attacks, strokes, and other illnesses are clearly linked to coal-derived pollution. As politicians and advertising campaigns extol the virtues of “clean coal,” the dirty secret is that coal kills. In The Silent Epidemic, Alan Lockwood, a physician, describes and documents the adverse health effects of burning coal. Lockwood's comprehensive treatment examines every aspect of coal, from its complex chemical makeup to details of mining, transporting, burning, and disposal—each of which generates significant health concerns. He describes coal pollution's effects on the respiratory, cardiovascular, and nervous systems, and how these problems will only get worse; explains the impact of global warming on coal-related health problems; and discusses possible policy approaches to combat coal pollution.

Coal fueled the industrial revolution and has become a major source of energy in virtually every country. In the United States, almost half of the energy used to generate electricity comes from burning coal. Relatively few people are aware of the health threats posed by coal-derived pollutants, and those who are aware lack the political clout of the coal industry. Lockwood's straightforward description of coal as a health hazard is especially timely, given the barrage of marketing efforts to promote coal as part of “energy independence.” His message is clear and urgent: “Coal-fired plants make people sick and die, particularly children and those with chronic illnesses, and they cost society huge amounts of money desperately needed for other purposes.”

Alan H. Lockwood, M.D. is Emeritus Professor of Neurology and Nuclear Medicine at the State University of New York at Buffalo. He is the lead author of a Physicians for Social Responsibility report on coal’s adverse health effects.

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Why Consumers Choose Private Over Public Health Services in Vietnam Aug 10, 2023

Show notes

Demographic changes, rise in disposable income, and steady economic growth has led to a growing demand for healthcare services in Vietnam. But the public healthcare system struggles to meet the diverse healthcare needs of the Vietnamese population. Within this context, the private sector in Vietnam fills an important gap left by the public sector. Today’s guest is interested in why consumers choose private over public health services in Vietnam, and in particular, the social factors that influence these choices, including word of mouth referrals, the patient-doctor relationship, the behaviour of healthcare staff, and marketing.

To discuss these issues is Dr Mai Nguyen, a public health specialist with the Ministry of Health in Vietnam. Mai was a SSEAC Writing Fellow in 2022, and her article looked at how public and private healthcare providers interact with consumers to affect their choices.

Dr Natali Pearson is Curriculum Coordinator at the Sydney Southeast Asia Centre, a university-wide multidisciplinary center at the University of Sydney, Australia. Her research focuses on the protection, management and interpretation of underwater cultural heritage in Southeast Asia.

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Michelle Daniel Jones and Elizabeth A. Nelson, "Besides, Who Would Believe a Prisoner?: Indiana Women's Carceral Institutions, 1848-1920" (New Press, 2023) Aug 09, 2023

Show notes

What if prisoners were to write the history of their own prison? What might that tell them--and all of us--about the roots of the system that incarcerates so many millions of Americans?

In Besides, Who Would Believe a Prisoner?: Indiana Women's Carceral Institutions, 1848-1920 (New Press, 2023), a group of incarcerated women at the Indiana Women's Prison have assembled a chronicle of what was originally known as the Indiana Reformatory Institute for Women and Girls, founded in 1873 as the first totally separate prison for women in the United States. In an effort that has already made the national news, and which was awarded the Indiana History Outstanding Project for 2016 by the Indiana Historical Society, the Indiana Women's Prison History Project worked under conditions of sometimes-extreme duress, excavating documents, navigating draconian limitations on what information incarcerated scholars could see or access, and grappling with the unprecedented challenges stemming from co-authors living on either side of the prison walls. With contributions from ten incarcerated or formerly incarcerated women, the result is like nothing ever produced in the historical literature: a document that is at once a shocking revelation of the roots of America's first prison for women, and also a meditation on incarceration itself. "Besides, Who Would Believe a Prisoner?" is a book that will be read and studied for years to come as the nation continues to grapple with the crisis of mass incarceration.

Claire Clark is a medical educator, historian of medicine, and associate professor in the University of Kentucky’s College of Medicine.

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Traditional Medicine in Laos (with Elizabeth Elliott and Ounkham Souksavanh) Aug 08, 2023

Show notes

Dr. Pierce Salguero sits down with two guests, Ounkham Souksavanh and Elizabeth Elliott, to talk about community engagement and community health in Laos. They discuss how Elizabeth as a medical anthropologist, and Ounkham as a physician, work together to build trust and improve healthcare access across an ethnically and religiously diverse landscape. Along the way, we learn about Elizabeth’s experience of foraging for herbs and Ounkham’s memories of growing up with traditional medicine in his family. If you want to learn about the landscape of Lao traditional healers and medicinal plants — with a few snake bites and plant talismans thrown in — then this episode is for you!

Enjoy! And, if you want to hear from more experts on Buddhist medicine and related topics, subscribe to Blue Beryl for monthly episodes here.

Resources mentioned in the podcast:

Elizabeth's dissertation: "Potent Plants, Cool Hearts" (2021)
Pierce Salguero, Traditional Thai Medicine: Buddhism, Animism, Yoga, Ayurveda (2016)
Richard Poitier, Yû dî mî hèng "être bien, avoir de la force" (2007)
Elizabeth's documentary: Traditional Medicine in Southern Laos (2023)
Brand new book released after the interview was recorded: Djaja Djendoel Soejarto et al, Medicinal Plants of Laos (2023)

Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. He is also the host (with Lan Li) of the Blue Beryl podcast. Subscribe to Blue Beryl here.

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Andreas Killen, "Nervous Systems: Brain Science in the Early Cold War" (Harper, 2023) Aug 06, 2023

Show notes

In this eye-opening chronicle of scientific research on the brain in the early Cold War era, the acclaimed historian Andreas Killen traces the complex circumstances surrounding the genesis of our present-day fascination with this organ.

The 1950s were a transformative, even revolutionary decade in the history of brain science. Using new techniques for probing brain activity and function, researchers in neurosurgery, psychiatry, and psychology achieved dramatic breakthroughs in the treatment of illnesses like epilepsy and schizophrenia, as well as the understanding of such faculties as memory and perception. Memory was the site of particularly startling discoveries. As one researcher wrote to another in the middle of that decade, “Memory was the sleeping beauty of the brain—and now she is awake.” Collectively, these advances prefigured the emergence of the field of neuroscience at the end of the twentieth century.

But the 1950s also marked the beginning of the Cold War and a period of transformative social change across Western society. These developments resulted in unease and paranoia. Mysterious new afflictions—none more mystifying than “brainwashing”—also appeared at this time. Faced with the discovery that, as one leading psychiatrist put it, “the human personality is not as stable as we often assume,” many researchers in the sciences of brain and behavior joined the effort to understand these conditions. They devised ingenious and sometimes transgressive experimental methods for studying and proposing countermeasures to the problem of Communist mind control. Some of these procedures took on a strange life of their own, escaping the confines of the research lab to become part of 1960s counterculture. Much later, in the early 2000s, they resurfaced in the War on Terror.

These stories, often told separately, are brought together by the historian Andreas Killen in this chronicle of the brain’s mid-twentieth-century emergence as both a new research frontier and an organ whose integrity and capacities—especially that of memory—were imagined as uniquely imperiled in the 1950s. Nervous Systems: Brain Science in the Early Cold War(Harper, 2023) explores the anxious context in which the mid-century sciences of the brain took shape and reveals the deeply ambivalent history that lies behind our contemporary understanding of this organ.

Paul Lerner is Professor of History at the University of Southern California where he directs the Max Kade Institute for Austrian-German-Swiss Studies. He can be reached at plerner@usc.edu and @PFLerner.

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Jill L. Newmark, "Without Concealment, Without Compromise: The Courageous Lives of Black Civil War Surgeons" (Southern Illinois UP, 2023) Aug 03, 2023

Show notes

Of some twelve thousand Union Civil War surgeons, only fourteen were Black men. This book is the first-ever comprehensive exploration of their lives and service.

In Without Concealment, Without Compromise: The Courageous Lives of Black Civil War Surgeons (Southern Illinois UP, 2023), Jill L. Newmark's outstanding research uncovers stories hidden for more than 150 years, illuminating the unique experiences of proud, patriotic men who fought racism and discrimination to attend medical school and serve with the U.S. military. Their efforts and actions influenced societal change and forged new pathways for African Americans.

Individual biographies bring to light Alexander T. Augusta, who challenged discriminatory laws; William P. Powell Jr., who pursued a military pension for twenty-five years; Anderson R. Abbott, a friend of Elizabeth Keckley's; John van Surly DeGrasse, the only Black surgeon to serve on the battlefield; John H. Rapier Jr., an international traveler; Richard H. Greene, the only Black surgeon known to have served in the Navy; Willis R. Revels, a preacher; Benjamin A. Boseman, a politician and postmaster; and Charles B. Purvis, who taught at Howard University. Information was limited for five other men, all of whom broke educational barriers by attending medical schools in the United States: Cortlandt Van Rensselaer Creed, William B. Ellis, Alpheus W. Tucker, Joseph Dennis Harris, and Charles H. Taylor.

Newmark presents all available information about the surgeons' early lives, influences, education, Civil War service, and post-war experiences. Many of the stories overlap, as did the lives of the men. Each man, through his service as a surgeon during the war and his lifelong activism for freedom, justice, and equality, became a catalyst of change and a symbol of an emancipated future.

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Thurka Sangaramoorthy, "Landscapes of Care: Immigration and Health in Rural America" (UNC Press, 2023) Aug 03, 2023

Show notes

Landscapes of Care: Immigration and Health in Rural America (UNC Press, 2023) examines the ways immigrants, mainly from Latin America and the Caribbean, navigate the healthcare system in the United States. Since 1990, immigration to the United States has risen sharply, and rural areas have seen the highest increases. Thurka Sangaramoorthy reveals that the corporatization of healthcare delivery and immigration policies are deeply connected in rural America. Drawing from fieldwork that centers on Maryland's sparsely populated Eastern Shore, Sangaramoorthy shows how longstanding issues of precarity among rural health systems along with the exclusionary logics of immigration have mutually fashioned a "landscape of care" in which shared conditions of physical suffering and emotional anxiety among immigrants and rural residents generate powerful forms of regional vitality and social inclusion. Sangaramoorthy connects the Eastern Shore and its immigrant populations to many other places around the world that are struggling with the challenges of global migration, rural precarity, and health governance. Her extensive ethnographic and policy research shows the personal stories behind health inequity data and helps to give readers a human entry point into the enormous challenges of immigration and rural health.

This book is open access, courtesy of the TOME (Toward an Open Monograph Ecosystem) project. You can learn more about open-access books published by the University of North Carolina Press here.

Thurka Sangaramoorthy is professor of anthropology at American University.

Alize Arıcan is a Society of Fellows Postdoctoral Scholar at Boston University and an incoming Assistant Professor of Anthropology at CUNY—City College, focusing on urban renewal, futurity, care, and migration. You can find her on Twitter @alizearican.

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Ruth Yun-Ju Chen, "Good Formulas: Empirical Evidence in Mid-Imperial Chinese Medical Texts" (U Washington Press, 2023) Aug 02, 2023

Show notes

Ruth Yun-Ju Chen is a historian of mid-imperial China (600–1400). Her research interests lie in the histories of medicine, publishing, and material cultures during this period. Her first book, Good Formulas: Empirical Evidence in Mid-Imperial Chinese Medical Texts, will come out from the University of Washington Press in 2023. This book charts how early print culture reshaped strategies for presenting medical knowledge in Song China (960–1279). Her current project explores the transregional circulation of medical knowledge and aromatic drugs across East Asia and Southeast Asia in Song-Jin-Yuan China (960–1368). She has published articles in Chinese and English language journals and, most recently, “A New Study of Scholar-officials’ Roles in the Printing of Medical Texts in Song China” in the Bulletin of IHP 92.3 (2021) and “The Quest for Efficiency: Knowledge Management in Medical Formularies” in the Harvard Journal of Asiatic Studies 80.2 (2021).

A bit about the book:

Why and how did the strategy of documenting medical practices through personal experience rise to prominence in China? This question is at the heart of Good Formulas, the first book-length study of the use of empirical evidence in Chinese medicine between the ninth and thirteenth centuries. The rise of this new approach to substantiating knowledge, which had appeared only sporadically in earlier medical literature, provides a window into transformations in the construction of textual authority in mid-imperial China.

Focusing on medical genres and working extensively with notebooks (biji), Ruth Yun-Ju Chen shows that employing empirical evidence became prominent in conjunction with a publishing boom that enabled wider availability of medical texts and treatises. To convince a more socioculturally diverse readership to believe their claims and to win intertextual debates with contemporaneous authors, many Song medical authors turned to empirical methodology. Revealing a correlation between publishing cultures and changes in persuasion strategies in medical genres, Good Formulas offers new insights into the histories of medicine, knowledge production, and publishing in China. It also provides rich examples for scholars interested in the development of empirical evidence in the premodern world.

Victoria Oana Lupașcu is an Assistant Professor of Comparative Literature and Asian Studies at University of Montréal. Her areas of interest include medical humanities, visual art, 20th and 21st Chinese, Brazilian and Romanian literature and Global South studies.

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