New Books In Medicine

In the aftermath of Prohibition, America’s top scientists joined forces with members of a new group, called Alcoholics Anonymous, and put their clout behind a campaign to convince the nation that alcoholism was a disease rather than a moral failing. Their campaign spanned decades, and from it grew a multimillion-dollar treatment industry that actively promoted AA groups and the Twelve Steps as the primary way to deal with problem drinking. In our conversation about his new book US of AA: How the Twelve Steps Hijacked the Science of Alcoholism (Chicago Review Press, 2019), author Joe Miller discusses the history of AA, the biggest names behind the group, and how alcoholism has been defined, and treated, over the decades. 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, she edits Points, the blog of the Alcohol and Drugs History Society. Learn more about your ad choices. Visit megaphone.fm/adchoices

From its crude and uneasy beginnings thirty years ago, Chinese sperm banking has become a routine part of China’s pervasive and restrictive reproductive complex. Today, there are sperm banks in each of China’s twenty-two provinces, the biggest of which screen some three thousand to four thousand potential donors each year. Given the estimated one to two million azoospermic men--those who are unable to produce their own sperm--the demand remains insatiable. China’s twenty-two sperm banks cannot keep up, spurring sperm bank directors to publicly lament chronic shortages and even warn of a national ‘sperm crisis’ (jingzi weiji). Ayo Wahlberg book Good Quality: The Routinization of Sperm Banking in China (U California Press, 2018) explores the issues behind the crisis, including declining sperm quality in the country due to environmental pollution, as well as a chronic national shortage of donors. In doing so, Wahlberg outlines the specific style of Chinese sperm banking that has emerged, shaped by the particular

Dr. Babette Becker’s memoir I Should Have Been Music (Page Publishing, 2018) recounts her experience as a patient in four different mental hospitals from 1957 to 1960. It was a time when little was known about mental illness, except the shame and horror of it, and nothing was known about early childhood trauma. Passed from hospital to hospital carrying several severe classic diagnostic labels, she narrowly missed being sent to a State hospital where, if not for luck, she might have been incarcerated for the rest her life. The memoir follows her progress through these hospitals as well as the progress from psychosis to functioning adult. Along with her memories and journal entries from her time in the hospitals the book includes doctors' reports from each of the hospitals. These primary source materials reveal the stark contrast between the doctors' portrayal and the reality of Dr. Becker’s experience. Christopher Russell is a psychoanalyst in private practice in Chelsea, Manhattan. Learn more about your ad ch

Disease is a social issue and not just a medical one. This is the central tenet underlying The Kiss of Death: Contagion, Contamination, and Folklore (Utah State University Press 2019) by Andrea Kitta, Associate Professor in the English department at East Carolina University, examines the discourses and metaphors of contagion and contamination in vernacular beliefs and practices across a number of media and forms. Using ethnographic, media, and narrative analysis, chapters discuss the changing representations of vampires and zombies in popular culture, the online discussions of Slenderman in relation to adolescent experiences of bullying, the misogyny embedded in legends about kisses that kill, and the racialized nature of patient-zero narratives that surrounding the spread of things like ebola, and the ways in which the HPV vaccine to homophobia. Issues like tellability and the stigmatized vernacular loom large throughout. Although folklorists will already recognize the social importance of vernacular narrati

Today's guest is distinguished researcher and statistician, Sir David Spiegelhalter. A fellow of the Royal Society, he is currently Chair of the Winton Centre for Risk and Evidence Communication at the University of Cambridge. He has dedicated his career, in his words to, “improving the way that quantitative evidence is used in society.” This includes (of particular interest to us) biostatistics and medical research. David is an ISI highly cited researcher who has also focused much of his time and energy to public education through numerous media appearances, documentaries such as his recent BBC series geared towards children, and books such as the one we are discussing today. That book, The Art of Statistics: How to Learn from Data, was published in the UK by Penguin in March, 2019 and recently released here in the US by Basic Books in September 2019. Colin Miller and Dr. Keith Mankin host the popular medical podcast, PeerSpectrum. Colin works in the medical device space and Keith is a retired pediatric orth

In Rethinking Human Enhancement: Social Enhancement and Emergent Technologies (Palgrave Macmillan, 2014), Laura Cabrera discusses three possible human enhancement paradigms and explores how each involves different values, uses of technology, and different degrees and kinds of ethical concerns. A new framework is advanced that promotes technological innovation that serves the improvement of the human condition in a respectful and sustainable way. John Danaher is a lecturer the National University of Ireland, Galway. He is also the host of the wonderful podcast Philosophical Disquisitions. You can find it here on Apple Podcasts. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this interview, Prof. Emilia Nielsen discusses the problem of the usual breast cancer narrative. She says that the happy stories of breast cancer survivors are so common that any other types of narrative almost require an apology. Emilia Nielsen is an assistant professor of arts, medicine and healing at York University’s Health & Society Program, Department of Social Science. She is the author of the scholarly text Disrupting Breast Cancer Narratives: Stories of Rage and Repair (University of Toronto Press, 2019) as well as two collections of poetry, Body Work and Surge Narrows. Dr. Dorian Deshauer is a psychiatrist, historian, and assistant professor at the University of Toronto. He is associate editor for the Canadian Medical Association Journal, Canada’s leading peer-reviewed general medical journal and is one of the hosts of CMAJ Podcasts, a medical podcast for doctors and researchers. Learn more about your ad choices. Visit megaphone.fm/adchoices

All wars, in a practical sense, center on the destruction of the human body, and in Bodies in Blue: Disability in the Civil War North (University of Georgia Press, 2019), Sarah Handley-Cousins, a clinical assistant professor at the University at Buffalo, shows how disability was a necessary by-product of the U.S. Civil War. Handley-Cousins argues that disability in the Civil War North extended far past amputations and highlights how wartime disability ranged from the temporary to the chronic, from disease to injury, and encompassed both physical and mental conditions. In Bodies in Blue, Handley-Cousins documents how the realities of living with a disability were at odds with the expectations of manhood. As a result, men who failed to perform the role of wounded warrior could be scrutinized for failing to live up to the ideal of martial masculinity. Importantly, Handley-Cousins challenges scholars to think about Civil War historiography in new ways. More specifically, by examining the lasting mental health imp

“We cannot get answers to questions that cannot be asked.” Lundy Braun’s influential book, Breathing Race into the Machine: The Surprising Career of the Spirometer from Plantation to Genetics (University of Minnesota Press, 2014) documents the history and present-day use of an everyday medical instrument, the spirometer, which measures a person’s lung capacity. The instrument has a long history, but since the 1970s, this common medical device has been built with a switch that forces users to choose: are these the lungs of a person who is Black or a person who is White? In its materiality, the instrument forces racialized and individualized answers to the question: What explains human variation? In doing so, the people who have imagined, built, and refined the instrument have foreclosed structural, political explanations of human difference—and in doing so, foreclosed the possibility of holding governments and corporations accountable, including in recent workers’ compensation lawsuits. Lundy Braun tells the l

They were throwing garbage in the streets. Rosalind Fredericks makes sense of the garbage-scape of Dakar, Senegal in the wake of the 2007 trash “revolts” against the city and country’s uneven and failing garbage infrastructure—and puts into readers’ senses the smelly, sticky, full-sensory politics of waste management in the Global South. Garbage Citizenship: Vital Infrastructures of Labor in Dakar, Senegal (Duke University Press, 2018) brings together studies of infrastructure with scholarship on labor to make a case for understanding, not infrastructure and labor, but laboring bodies as infrastructure. The book breaths fresh life into the moribund concept of neoliberalism to show how civic care, like household care, fell unevenly in Dakar on the bodies of women, youths, and economically precarious workers. Their bodies carried the scars, as well as the stigma, of governments’ piecemeal moves over three decades to keep the labor force that was managing waste both flexible and disposable—at times devolving res

There are few areas of modern life that are burdened by as much information and advice, often contradictory, as our diet and health: eat a lot of meat, eat no meat; whole-grains are healthy, whole-grains are a disaster; eat everything in moderation; eat only certain foods--and on and on. In 100 Million Years of Food: What Our Ancestors Ate and Why It Matters Today (Picador, 2016), biological anthropologist Stephen Le explains how cuisines of different cultures are a result of centuries of evolution, finely tuned to our biology and surroundings. Today many cultures have strayed from their ancestral diets, relying instead on mass-produced food often made with chemicals that may be contributing to a rise in so-called "Western diseases," such as cancer, heart disease, and obesity. Travelling around the world to places as far-flung as Vietnam, Kenya, India, and the US, Stephen Le introduces us to people who are growing, cooking, and eating food using both traditional and modern methods, striving for a sustainable,

We’ve all heard that a picture is worth a thousand words, but what if we don’t understand what we’re looking at? Social media has made charts, infographics, and diagrams ubiquitous―and easier to share than ever. We associate charts with science and reason; the flashy visuals are both appealing and persuasive. Pie charts, maps, bar and line graphs, and scatter plots (to name a few) can better inform us, revealing patterns and trends hidden behind the numbers we encounter in our lives. In short, good charts make us smarter―if we know how to read them. However, they can also lead us astray. Charts lie in a variety of ways―displaying incomplete or inaccurate data, suggesting misleading patterns, and concealing uncertainty―or are frequently misunderstood, such as the confusing cone of uncertainty maps shown on TV every hurricane season. To make matters worse, many of us are ill-equipped to interpret the visuals that politicians, journalists, advertisers, and even our employers present each day, enabling bad actors

The idea of “backwardness” often plagues historical writing on Russia. In Russia in the Time of Cholera: Disease under Romanovs and Soviets (Bloomsbury Academic, 2018), Dr. John P. Davis counteracts this “backwardness” paradigm, arguing that from the early 19th to the early 20th centuries, Russian medical researchers—along with their counterparts in France and Germany—were at the forefront of the struggle against cholera. Davis’ birds-eye view of this hundred-year period illustrates that the conditions allowing cholera to flourish were the same set of conditions that helped create the collapse of the tsarist regime during the First World War. Credit for elimination of cholera must go to the Bolsheviks, both for implementing tsarist-era medical theory, and especially for making war on cholera in a organized, systematic manner that the old regime was variously unable or unwilling to achieve. Aaron Weinacht is Professor of History at the University of Montana Western, in Dillon, MT. He teaches courses on Russian

A funny thing happened to historian Michael Vann* on the way to his PhD thesis. While he was doing his research on French colonialism and the urbanist project in Hanoi, he came across an intriguing dossier: “Destruction of animals in the city”. The documents he found started him on a research path that led to a section of his dissertation, then an article that gained a wide academic and non-academic readership, and now The Great Hanoi Rat Hunt: Empire, Disease, and Modernity in French Colonial Vietnam (Oxford UP, 2018). But this isn’t your typical historical monograph. One of the latest volumes in Oxford University Press’s Graphic History Series, The Great Hanoi Rat Hunt (with illustrations by Liz Clarke), explores the history of modernization, urbanization, and the spread of epidemic disease in the era of “New Imperialism” in an exciting and highly engaging format. The remaking of Hanoi as a capital of French empire from the end of the nineteenth century had unintended consequences. In the state-of-the-art s

Dr. Wendy Gonaver discusses her book, The Peculiar Institution and the Making of Modern Psychiatry, 1840-1880 (University of North Carolina Press, 2019), the Eastern Lunatic Asylum in Virginia, and the roles that race, the institution of slavery, and slave labor played in the development of psychiatric diagnosis and care through the nineteenth century and beyond. Though the origins of asylums can be traced to Europe, the systematic segregation of the mentally ill into specialized institutions occurred in the United States only after 1800, just as the struggle to end slavery took hold. In this book, Wendy Gonaver examines the relationship between these two historical developments, showing how slavery and ideas about race shaped early mental health treatment in the United States, especially in the South. She reveals these connections through the histories of two asylums in Virginia: the Eastern Lunatic Asylum in Williamsburg, the first in the nation; and the Central Lunatic Asylum in Petersburg, the first creat

Both colonies and insane asylums are well known institutions of power. But what of asylums in Europe’s early 20th-century colonial empires? How did they operate? Who was confined in them? Who worked there? What was daily life like in such an institution? How did Western medical experts and the colonized population understand mental illness and its treatment? How did colonial racism impact mental illness? In this episode we chat with Claire Edington, Assistant Professor of History at the University of California, San Diego, about her new book of Beyond the Asylum: Mental Illness in French Colonial Vietnam (Cornell University Press, 2019). Beyond the Asylum draws from extensive archival research in Vietnam and France. A gifted writer, Edington is particularly good at presenting the life stories of patients, doctors, and workers drawn into French Indochina’s mental health system. She also looks at the families of patients and the Vietnamese language popular press, as they tried to make sense of troubling issues

As you may know, university presses publish a lot of good books. In fact, they publish thousands of them every year. They are different from most trade books in that most of them are what you might called "fundamental research." Their authors--dedicated researchers one and all--provide the scholarly stuff upon which many non-fiction trade books are based. So when you are reading, say, a popular history, you are often reading UP books at one remove. Of course, some UP books are also bestsellers, and they are all well written (and, I should say, thoroughly vetted thanks to the peer review system), but the greatest contribution of UPs is to provide a base of fundamental research to the public. And they do a great job of it. How do they do it? Today I talked to Kathryn Conrad, the president of the Association of University Presses, about the work of UPs, the challenges they face, and some terrific new directions they are going. We also talked about why, if you have a scholarly book in progress, you should talk to

The things that make people academics -- as deep fascination with some arcane subject, often bordering on obsession, and a comfort with the solitude that developing expertise requires -- do not necessarily make us good teachers. Jessamyn Neuhaus’s Geeky Pedagogy: A Guide for Intellectuals, Introverts, and Nerds Who Want to Be Effective Teachers (West Virginia University Press, 2019) helps us to identify and embrace that geekiness in us and then offers practical, step-by-step guidelines for how to turn it to effective pedagogy. It’s a sharp, slim, and entertaining volume that can make better teachers of us all. Stephen Pimpare is Senior Lecturer in the Politics & Society Program and Faculty Fellow at the Carsey School of Public Policy at the University of New Hampshire. He is the author of The New Victorians (New Press, 2004), A Peoples History of Poverty in America (New Press, 2008), winner of the Michael Harrington Award, and Ghettos, Tramps and Welfare Queens: Down and Out on the Silver Screen (Oxford, 2017

Theodore Dalrymple is a retired physician in Great Britain, who has written an account of his year’s-worth of reading the New England Journal of Medicine. In his new book False Positive: A Year of Error, Omission, and Political Correctness in the New England Journal of Medicine (Encounter Books, 2019), he recounts each week’s new edition of the Journal with an eye toward analytical errors and a culture of political correctness in regard to the handling of medical and public health issues. Dalrymple notes how the medical community must put a significant degree of faith in the reliability of such publications, especially due to the scarcity of time that most practicing physicians have to dedicate to scrutinizing articles. But he warns that some publications often contain basic mistakes, such as the failure to understand that correlation is not causation. He is also concerned with the prevalence of political correctness concerning health issues and how they can affect the public’s understanding of these issues.

Behind every landmark drug is a story. It could be a researcher’s genius insight, a catalyzing moment in geopolitical history, a new breakthrough technology, or an unexpected but welcome side effect discovered during clinical trials. In his new book, Ten Drugs: How Plants, Powders, and Pills Have Shaped the History of Medicine (Harry N. Abrams, 2019), Thomas Hager traces the “mini-biographies” of ten drugs and drug treatments that have shaped the course of human history, showing how serendipity and sheer luck have transformed drug development. In our conversation, Hager discusses the astounding number of prescriptions Americans take, why the profit motive is dangerous for drug development, and the unexpected historical twists that have changed medicine, often for the better. 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, she edits Points, the blog of the Alcohol and Drugs History Society. Learn more about your ad