New Books In Medicine

In The Brain from Inside Out (Oxford University Press, 2019), György Buzsáki contrasts what he terms the ‘outside-in’ and ‘inside-out’ perspectives on neuroscientific theory and research methodology. The ‘outside-in’ approach, which he sees as dominating thinking in the field at present and in most of recent history, conceptualizes the brain as a passive, information-absorbing, coding device. The ‘inside-out’ perspective, which Buzsáki seeks to develop and advocate, sees the brain rather as a device sculpted exquisitely by evolution for the generation and control of action and behaviour. The Brain from Inside Out is a candid and provocative monograph from one of the world’s most respected scientists, full of fascinating insights into the history and future of the science of the mind. Dr György Buzsáki is Biggs Professor of Neuroscience at New York University. Dr. John Griffiths (@neurodidact) is an Assistant Professor at the University of Toronto, and Head of Whole Brain Modelling at the CAMH Krembil Centre f

Psychedelic drugs are making a comeback. In the mid-twentieth century, scientists actively studied the potential of drugs like LSD and psilocybin for treating mental health problems. After a decades-long hiatus, researchers are once again testing how effective these drugs are in relieving symptoms for a wide variety of psychiatric conditions, from depression and obsessive–compulsive disorder to posttraumatic stress disorder and substance addiction. In Acid Revival: The Psychedelic Renaissance and the Quest for Medical Legitimacy (University of Minnesota Press, 2020), Danielle Giffort examines how this new generation of researchers and their allies are working to rehabilitate psychedelic drugs and to usher in a new era of psychedelic medicine. As this team of researchers and mental health professionals revive the field of psychedelic science, they are haunted by the past and by one person in particular: psychedelic evangelist Timothy Leary. Drawing on extensive archival research and interviews with people work

So much relies on science. But what if science itself can’t be relied on? In Science Fictions: Exposing Fraud, Bias, Negligence, and Hype in Science (Penguin Books, 2020), Stuart Ritchie, a professor of psychology at King’s College London, lucidly explains how science works, and exposes the systemic issues that prevent the scientific enterprise from living up to its truth-seeking ideals. While the scientific method will always be our best way of knowing about the world, the current system of funding and publishing incentivizes bad behavior on the part of scientists. As a result, many widely accepted and highly influential theories and claims—priming, sleep and nutrition, genes and the microbiome, and a host of drugs, allergies, and therapies—are based on unreliable, exaggerated and even fraudulent papers. Bad incentives in science have influenced everything from austerity economics to the anti-vaccination movement, and occasionally count the cost of them in human lives. Stuart Ritchie has been at the vanguard

In Afflicted: How Vulnerability Can Heal Medical Education and Practice (The MIT Press), Nicole Piemonte examines the preoccupation in medicine with cure over care, arguing that the traditional focus on biological intervention keeps medicine from addressing the complex realities of patient suffering. Although many have pointed to the lack of compassion and empathy in medical practice, few have considered the deeper philosophical, psychological, and ontological reasons for it. Piemonte fills that gap, examining why it is that clinicians and medical trainees largely evade issues of vulnerability and mortality and, doing so, offer patients compromised care. She argues that contemporary medical pedagogy and epistemology are not only shaped by the human tendency to flee from the reality of death and suffering but also perpetuate it. The root of the problem, she writes, is the educational and institutional culture that promotes reductionist understandings of care, illness, and suffering but avoids any authentic con

It is often said that bioethics emerged from theology in the 1960s, and that since then it has grown into a secular enterprise, yielding to other disciplines and professions such as philosophy and law. During the 1970s and 1980s, a kind of secularism in biomedicine and related areas was encouraged by the need for a neutral language that could provide common ground for guiding clinical practice and research protocols. Tom Beauchamp and James Childress, in their pivotal The Principles of Biomedical Ethics, achieved this neutrality through an approach that came to be known as "principlist bioethics." In Pastoral Aesthetics: A Theological Perspective on Principlist Bioethics (Oxford University Press, 2019), Nathan Carlin critically engages Beauchamp and Childress by revisiting the role of religion in bioethics and argues that pastoral theologians can enrich moral imagination in bioethics by cultivating an aesthetic sensibility that is theologically-informed, psychologically-sophisticated, therapeutically-oriented

In The Politics of Disease Control. Sleeping Sickness in Eastern Africa, 1890-1920 (Ohio University Press, 2019), Mari K. Webel tells a history of colonial interventions among three communities of the Great Lakes region of East Africa. At the dawn of the twentieth century, Eastern African societies faced a range of social, political and economic challenges, many of which were connected to the establishment of British and German colonial regimes. In the midst of these, African societies experienced an epidemic outbreak of human African Trypanosomiasis, commonly known as “sleeping sickness.” The epidemic posed a serious threat to the economic prospects of colonial regimes who felt it necessary to authorize and fund large scale campaigns aimed at researching a treatment that could cure and stop the spread of the disease. Dr. Webel locates these colonial interventions in the context of the rich intellectual worlds that Great Lakes’ communities used to make sense of experiences of misfortune and illness. She argue

On this episode of New Books in History, Jana Byars talks with Olivia Weisser, Associate Professor of History at the University of Massachusetts – Boston, to talk about her 2015 Yale University Press release, Ill Composed: Sickness, Gender, and Belief in Early Modern England. Olivia Weisser can be described as an historian of Early Modern England, an historian of medicine, and as a gender historian. This book sits right at the intersection of all three of these subfields and contributes to our understanding of the lived experience of religion, the lived experience of gender, ideas about ‘nature,’ and, of course, the history of medicine. Through its investigation of the gender-specific ways women and men talk about their illnesses, Weisser argues that illness is a construction, ongoing, that is specific to space and time, age, class, country of origin, race, and, specifically in this discussion: gender. Jana Byars is the academic director of SIT Amsterdam’s study abroad program, Gender and Sexuality in an Inte

Among the tens of thousands of Americans who volunteered their services during the Civil War was Mary Walker, a daring young woman who was one of the handful of female doctors in the nation at that time. Yet despite the often desperate need for medical professionals she spent much of the war struggling to earn the respect she felt she deserved. In Dr. Mary Walker's Civil War: One Woman's Journey to the Medal of Honor and the Fight for Women's Rights (Lyons Press, 2020), Theresa Kaminski describes this struggle and how it reflected her lifelong struggle to have the world accept her on her own terms. The daughter of free-thinking farmers, the young Mary enjoyed a level of education unusual for her era. Even before the war began she defined her identity with their radical choices in clothing and her decision to divorce her philandering husband. When the war began Dr. Walker sought a commission as a doctor, only to face opposition from every authority figure she met. Over time, however, her persistent efforts gra

Today we are joined by Kathleen Bachynski, Assistant Professor of Public Health at Muhlenberg College, and author of No Game for Boys to Play: The History of Youth Football and the Origins of a Public Health Crisis (University of North Carolina Press, 2019). In our conversation, we discussed the intersection of public health and American football, the difficulty in assessing and quantifying sports injuries, and the way that football organizers were able to mete out responsibility for broken bones, torn ligaments, and brain trauma to a wide range of participants. At its core, Bachynski’s work addresses the issue of whether or not football is safe for children. In No Game for Boys to Play, Bachynski examines American football from its origins from the perspective of a public health specialist and an historian. Her work illuminates the ways in which football came to shape and be shaped by hegemonic discourses of masculinity, frequently to the detriment of its players' health. Her work focuses on youth football –

In Carving a Niche: The Medical Profession in Mexico 1800-1870 (McGill-Queen’s University Press, 2018), Luz María Hernández Sáenz follows the trajectory of physicians in their quest for the professionalization of medicine in Mexico. In the nineteenth century, medical practitioners sought to earn scientific and professional recognition both at home an internationally, and in doing so, they created institutions that shaped their profession, and sought to establish a monopoly in the realm of public health. Hernández Sáenz places this story in an international context and demonstrates the importance of the French model in the establishment of a modern medical profession in Mexico. Significantly, we see how medical institutions changed as Mexico transitioned from a colonial society to a liberal, independent republic. As we hear by the end of the interview, Mexican medical practitioners were eventually successful in earning professional status, and in monopolizing medical knowledge, however, they did not oust their

Dismal spending on government health services is often considered a necessary consequence of a low per-capita GDP, but are poor patients in poor countries really fated to be denied the fruits of modern medicine? In many countries, officials speak of proper health care as a luxury, and convincing politicians to ensure citizens have access to quality health services is a constant struggle. Yet, in many of the poorest nations, health care has long received a tiny share of public spending. Colonial and postcolonial governments alike have used political, rhetorical, and even martial campaigns to rebuff demands by patients and health professionals for improved medical provision, even when more funds were available. No More to Spend: Neglect and the Construction of Scarcity in Malawi's History of Health Care (Oxford University Press, 2020) challenges the inevitability of inadequate social services in twentieth-century Africa, focusing on the political history of Malawi. Using the stories of doctors, patients, and p

Sex Matters: How Male-Centric Medicine Endangers Women's Health and What We Can Do About It (Hachette, 2020) tackles one of the most urgent, yet unspoken issues facing women's health care today: all models of medical research and practice are based on male-centric models that ignore the unique biological and emotional differences between men and women -- an omission that can endanger women's lives.  The facts surrounding how male-centric medicine impacts women's health every day are chilling: in the ER, women are more likely to receive a psychiatric diagnosis with regard to opioid use, while men are more likely to be referred for detoxification; the more vocal women become about their pain, the more likely their providers are to prescribe either inadequate or inappropriate pain relief medication; women often present with nontraditional symptoms of stroke, which causes delays in recognition by both them and their health professionals; and a government accountability study found that 80% of drugs that are withd

Of the many medical specializations to transform themselves during the rise of National Socialism, anatomy has received relatively little attention from historians. While politics and racial laws drove many anatomists from the profession, most who remained joined the Nazi party, and some helped to develop the scientific basis for its racialist dogma. As Sabine Hildebrandt reveals in The Anatomy of Murder: Ethical Transgressions and Anatomical Science during the Third Reich (Berghahn, 2017), however, their complicity with the Nazi state went beyond the merely ideological. They progressed through gradual stages of ethical transgression, turning increasingly to victims of the regime for body procurement, as the traditional model of working with bodies of the deceased gave way, in some cases, to a new paradigm of experimentation with the “future dead.” Learn more about your ad choices. Visit megaphone.fm/adchoices

Medical students and physicians-in-training embark on a long journey that, although steeped in scientific learning and technical skill building, includes little guidance on the emotional and interpersonal dimensions of becoming a healer. On Becoming a Healer: The Journey from Patient Care to Caring about Your Patients (Johns Hopkins University Press) is written for anyone in the health care community who hopes to grow emotionally and cognitively in the way they interact with patients, On Becoming a Healer explains how to foster doctor-patient relationships that are mutually nourishing. Dr. Saul J. Weiner, a physician-educator, argues that joy in medicine requires more than idealistic aspirations―it demands a capacity to see past the "otherness" that separates the well from the sick, the professional in a white coat from the disheveled patient in a hospital gown. Weiner scrutinizes the medical school indoctrination process and explains how it molds the physician's mindset into that of a task completer rather t

He Bian’s new book Know Your Remedies: Pharmacy and Culture in Early Modern China (Princeton University Press, 2020) is a beautiful cultural history of pharmacy in early modern China. This trans-dynastic book looks at how Chinese approaches to knowledge changed during the Ming and Qing as state-commissioned pharmacopeias dwindled, amateur investigations into the knowledge of things soared, and, ultimately, as natural history was de-medicalized, all while commercialization, monetization, long-distance trade, and empire flourished. This exceptionally rich and intimately text-based study introduces readers to a number of fascinating bencao (materia media), makes a compelling case for studying Chinese history through the lens of pharmacy, and demonstrates that Chinese pharmacy itself has a rich and vibrant history—all with stunning ease. This is both an essential and a joyful read for China historians, while still accessible for non-specialists interested in reading about the early modern world, medicine, the his

Natalie Kimball is the author of An Open Secret: The History of Unwanted Pregnancy and Abortion in Modern Bolivia, out this year from Rutgers University Press. An Open Secret argues that, despite stigma and continued legal prohibitions, practices and attitudes surrounding abortion have changed in urban Bolivia since the 1950s. Kimball shows how women have pushed for and enacted changes in policy and services relating to unwanted pregnancy and abortion in Bolivia. In particular, they argue that since the 1980s, women have opened space for themselves to be able to terminate pregnancies with more options and more safety, even as abortion remains illegal. In order to tell this story, Kimball conducted over 100 interviews with women and maternal health practitioners in both La Paz and El Alto, and their stories offer a history not only of policy change, but of transformations in official and unofficial attitudes. An Open Secret tells these stories while remaining attuned to the specific contexts of urban Bolivia,

New mothers face a barrage of confounding decisions during the life-cycle of early motherhood which includes... Should they change their diet or mindset to conceive? Exercise while pregnant? Should they opt for a home birth or head for a hospital? Whatever they “choose,” they will be sure to find plenty of medical expertise from health practitioners to social media “influencers” telling them that they’re making a series of mistakes. As intersectional feminists with two small children each, Bethany L. Johnson and Margaret M. Quinlan draw from their own experiences as well as stories from a range of caretakers throughout. You’re Doing it Wrong! Mothering, Media and Medical Expertise (Rutgers University Press, 2019) investigates the storied history of mothering advice in the media, from the newspapers, magazines, doctors’ records and personal papers of the nineteenth-century to today’s websites, Facebook groups, and Instagram feeds. Johnson and Quinlan find surprising parallels between today’s mothering experts

Elisheva A. Perelman's new book American Evangelists and Tuberculosis in Modern Japan (Hong Kong University Press, 2020) examines the consequences of Japan’s decision not to tackle the tuberculosis epidemic that ravaged the country during the last quarter of the nineteenth century and the first quarter of the twentieth. TB was a plague of epic proportions in industrializing Japan, particularly affecting young women workers in the new textile factories. These marginalized laborers, many from rural villages, were not a priority for Japan’s first modern administrations, who focused their energies elsewhere and left the welfare of tuberculosis patients to the private sector. The opening left by this choice was filled by American evangelicals, who saw an opportunity to advance their missionary work in Japan. Perelman identifies a kind of twinned moral entrepreneurship, arguing that a tacit agreement was hammered out between the two sides, with the government accepting the evangelical groups’ assistance with this p

In 1883, a young woman named Anandi Joshi set out from her native India to the United States to study medicine. To do so, as Nandini Patwardhan describes in her book Radical Spirits: India’s First Woman Doctor and Her American Champions (Story Artisan Press, 2020) required overcoming numerous hurdles, which she did thanks to the support of family and friends on two continents. One of them, as Patwardhan explains, was her husband Gopal, who often moved with his young wife to various posts throughout India so as to obtain an education for her. The death of their son soon after childbirth fueled Anandi’s desire to study medicine, while the couple’s relationships with American missionaries led to an invitation to stay in America. Though Anandi faced numerous problems adapting to life in America and her husband’s oftentimes antagonistic nature added to her stress, through her hard labors and the aid of her friends Anandi succeeded in obtaining her medical degree, only to die tragically soon after her celebrated re

Today we are joined by Dr Jonathan Gelber, author of the book Tiger Woods’s Back and Tommy John’s Elbow: Injuries and Tragedies That Transformed Careers, Sports and Society (Skyhorse Publishing, 2019). Gelber is an orthopedic surgeon with the Olmstead Medical Center in Rochester, Minnesota. A long time athlete, Gelber examines several athletes through the prism of the “Cobra Effect, ”a phenomenon that occurs when an attempted solution to a problem results in an unintended consequence. And sometimes, that solution might even make the original problem worse. Drawing on his vast medical background, Gelber looks at athletes such as Len Bias, Hank Gathers, Magic Johnson, Dale Earnhardt Sr., Lyle Alzado and more. And, of course, Tiger Woods and Tommy John. The situation of every athlete Gelber examines, he asserts, usually has two effects: the obvious one, and a secondary outcome that was unexpected. The flawed evangelism of Alzado, who used steroids and later had brain cancer, or the death of Bias, which resulted