New Books In Medicine

Communities of parents who refuse, delay, or selectively decline to vaccinate their children pose familiar moral and political questions concerning public health, safety, risk, and immunity. But additionally there are epistemological questions about these communities. Though frequently dismissed as simply ignorant, misinformed, or superstitious, it turns out that vaccine suspicion, denial, and refusal are positively correlated with higher levels of education, and greater depth of knowledge about vaccine science. Accordingly, the common view that vaccine refusal is the product of ignorance seems simplistic. Yet the more strident forms of vaccine refusal are based in demonstrably false beliefs. How is this best explained? In Values and Vaccine Refusal: Hard Questions in Epistemology, Ethics, and Health Care (Routledge 2016) Mark Navin offers a balanced examination of the epistemology and value commitments of various stripes of vaccine refusal. After arguing that vaccine refusers may be reasonable, he defends a

Conversations about death during hospitalization are among the most difficult imaginable: the moral weight of a human life is suspended by stressful conversations in which medical knowledge and personal context must be negotiated. In Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human (Oxford University Press, 2016), Samuel Morris Brown approaches the problem of end-of-life care with a clinician’s eye and a scholar of religion’s touch. The book places advance directives in the clinic in their historical context while unpacking their ethical and legal nature, describes the psychological aspects of medical decision-making and how moral distress clouds judgment, and provides recommendations on how to heal the process of healing in the Intensive Care Unit (ICU). An ICU physician himself, Brown’s account is interwoven with powerful stories that render his argument for humanistic care particularly salient. As such, Through the Valley of Shadows offers as much to

When clinicians listen to patients, what do they hear? In Listening for What Matters: Avoiding Contextual Errors in Health Care (Oxford UP, 2016), Saul Weiner and Alan Schwartz provide a riveting account of a decade of research on improving outcomes by incorporating patients’ individual life contexts into planning of care. Their groundbreaking studies showed that physicians, while getting the biological details largely correct, frequently disregard personal circumstances that lead to medical errors. Such an assertion might appear intractable or unfit for empirical study, but Listening for What Matters describes a series of creative experiments that strongly support it. From placing fake patients into real clinical contexts to measure the appropriateness of recommendations, to recording interactions between real patients and doctors (for which they developed a system, Content Coding for Contextualization of Care), and finally training groups of medical students to ask about individual context, Weiner and

In his 1948 essay, “Harlem is Nowhere,” Ralph Ellison decried the psychological disparity between formal equality and discrimination faced by Blacks after the Great Migration as leaving “even the most balanced Negro open to anxiety.” In Under the Strain of Color: Harlem’s Lafargue Clinic and the Promise of an Antiracist Psychiatry (Cornell University Press, 2015), Gabriel Mendes undertakes an engaging study of race and mental health in the 20th century through the lens of an overlooked Harlem clinic. While providing the first in-depth history of the Lafargue Clinic (1946-58), the book focuses on the figures who came together in a seemingly unlikely union to found it: Richard Wright, the prominent author; Fredric Wertham, a German Jewish emigre psychiatrist now known for his advocacy for censorship of comic books; and The Reverend Shelton Hale Bishop, an important Harlem pastor. Wright’s literary prowess, work for the Communist party, and brush with Chicago School sociology

Daniel E. Dawes has written 150 Years of ObamaCare (Johns Hopkins University Press, 2016). Dawes is the executive director of health policy and external affairs at Morehouse School of Medicine and a lecturer within Morehouse’s Satcher Health Leadership Institute and Department of Community Health and Preventive Medicine. In 150 Years of ObamaCare, Dawes tells the long and often forgotten history of the nearly two century fight for health care equity that culminated in the passage of the Affordable Care Act or ObamaCare. He draws on his role as a leader in a large coalition of organizations that helped shape ObamaCare, revealing what went on behind the scenes. He illustrates this with copies of letters and e-mails written by those who worked to craft and pass the law. Ultimately, Dawes argues that ObamaCare is much more comprehensive in the historical context of previous reform efforts that go back to the Civil War.Learn more about your ad choices. Visit megaphone.fm/adchoices

Rebecca Lemov‘s beautifully written Database of Dreams: The Lost Quest to Catalog Humanity (Yale University Press, 2015) is at once an exploration of mid-century social science through paths less traveled and the tale of a forgotten future. The book is anchored around the story of Harvard-trained social scientist Bert Kaplan, who embarked on, in her words, a dizzyingly ambitious 1950s-era project to capture peoples dreams in large amounts and store them in an experimental data bank. While unique in scope, Kaplan’s project can be characterized as the culmination of efforts to apply techniques of personality capture–projective testing, dream analysis, and life history–in cross-cultural research on indigenous peoples, an effort to account for the full spectrum of human life amidst the encroachment of modernity upon cultures based, for example, in oral traditions. Richly documenting the entanglements of Kaplan and others in their attempts to render subjects as data, Lemov throws the transa

How is the medical profession regulated in a ‘risk society’. This is the core question of John M. Chamberlain‘s Medical Regulation, Fitness to Practice and Revalidation: A Critical Introduction (Policy Press, 2015). Chamberlain, an associate professor of medical criminology at the University of Southampton, explores both the history of the medical profession as well as recent attempts to regulate and manage medicine’s relationship with society. The book focuses on how practitioners are judged to be fit, or not, to practice, in the context of both transformations of the profession and high profile scandals. The text brings together an analysis of the impact of new modes of regulation, particularly in terms of numbers of doctors sanctioned for poor practice, with theories of the sociology of professions and risk society. Focused on the UK, the book has important global implications and is essential reading for anyone interested in contemporary medical practice, as well as those working o

Carin Berkowitz‘s new book takes readers into the world of nineteenth century London to explore the landscape of medicine and surgery along with Charles Bell, artist-anatomist-teacher-natural philosopher. Charles Bell and the Anatomy of Reform (University of Chicago Press, 2015) looks closely at the involvement of Bell and others in a project of conservative reform in nineteenth century British medical education. We follow Berkowitz not only into the pages of the works that made Bell famous, but also into the classrooms in which Bell advocated a pedagogy that trained hand and eye together and developed his interest in systems of all sorts, including the nerves, education, and display. Readers will learn about the growth of a new genre of medical weeklies that changed the public face of medicine, the founding of new institutions that changed the teaching of medicine, and the controversy over motor and sensory nerves that accompanied major transformations in the medical science of Bell’s lifetime. I

I love this book, am using its recipes, and was thrilled to interview Dr. Koufman, an iconoclast who appears poised to torpedo a terribly wasteful and dangerous arm of the pharmaceutical-industrial complex. As the advertising copy for Dr. Koufman’s Acid Reflux Diet (Katalitix, 2015) notes: “Combining 35 years of work in the field of acid reflux, including scientific research and the treatment of thousands of patients at the Voice Institute of New York, Dr. Jamie Koufman has identified the causes and the cures for this much-misunderstood health crisis.” The opening section of the book explains the science of why this diet works, and the contains recipes. Our talk covered science along with the doctor’s personal biography.Learn more about your ad choices. Visit megaphone.fm/adchoices

In his book, Schizophrenia: A Brother Finds Answers in Biological Science (Johns Hopkins University Press, 2013), biologist Ronald Chase explores the frequently misunderstood condition through an engaging combination of scientific exploration and personal memoir. In recounting the life of his older brother, Jim, who was a bright young graduate student at UCLA when his episodes began to intensify, Chase tells the story of how the treatment of schizophrenia has changed since the 1950s, connecting events in his own life to research on the causation and treatment of schizophrenia. He grapples with difficult questions about why the condition persists from an evolutionary perspective, and the stigma associated with it. Chase takes a hard line on the physical nature of schizophrenia; only by accepting it as a disorder of the biological brain, rather than the moral mind, can we begin to find the right, albeit complex answers and accommodate those who suffer from the condition. Though individuals with schizophrenia ca

In his second visit with New Books in Psychoanalysis, Christopher Bollas elucidates his thinking about schizophrenia. But he also does more than that; because his beginnings as a clinician are intimately intertwined with the treatment of psychosis, the ways in which this early exposure colors all of his clinical thinking becomes apparent. Indeed, in psychoanalysis we could say that there are two kinds of clinicians–those who treat psychosis and those who don’t. Bollas is clearly in the former camp. One wonders, given the centrality of psychosis in his theoretical work, if he would have been drawn to analytic work had he not started with the most primitive of human experiences? We meet him as an undergraduate at UC Berkeley, studying history, working at a program for autistic and psychotic children presumably to pay the bills. We follow him to SUNY-Buffalo where, while pursuing his PhD in literature, he encounters psychotic students in a class he is teaching, walks across the campus to the clinic,

Janet Gyatso‘s new book is a masterfully researched, compellingly written, and gorgeously illustrated history of medicine in early modern Tibet that looks carefully at the relationships between medicine and religion in this context. Being Human in a Buddhist World: An Intellectual History of Medicine in Early Modern Tibet (Columbia University Press, 2015) looks carefully at the “double movements” of medicine and religion from the twelfth through seventeenth centuries: at the same time, medical learning in Tibet encouraged a critical approach to religious authority while also maturing within the context of Tibetan Buddhism. Gyatso finds a turn to “evidence of the empirical” in some aspects of Sowa Rikpa, a kind of mentality that shaped not just approaches to anatomy and pharmacy but also the writing of commentaries and the ethics of medical practice. The chapters of Being Human in a Buddhist World introduce readers to a wide variety of materials that include visual and verbal enga

Nick Hopwood‘s Haeckel’s Embryos: Images, Evolution, and Fraud (University of Chicago Press, 2015) blends textual and visual analysis to answer the question of how images succeed or fail. Hopwood is Reader in History of Science at Cambridge University, and creator on the online exhibition “Making Visible Embryos,” which display some of the images from the book. Hopwood’s ambitious book retraces the social life of drawings of embryos first produced in 1868 by the German embryologist Ernst Haeckel. The book follows the turbulent travels of the images across 150 years and three countries. Some of the perennial controversy surrounding the images centered on debates about Darwinism, for in them Haeckel drew the development of human embryos alongside that of other animals and, in retrospect, seemed to illustrate his famous claim that “ontogeny recapitulates phylogeny.” But Hopwood argues that, while Haeckel’s reputation has continued to suffer from repeated allegatio

Jorg Matthias Determann‘s new book looks at the history of modern biology in the Arab Gulf monarchies, focusing on the treatment of evolution and related concepts in the publications of biologists who worked in the Gulf states. Researching Biology and Evolution in the Gulf States: Networks of Science in the Middle East (I. B. Tauris, 2015) begins by describing a fatwa against Pokemon and opens out into an introduction of the sensitive nature of discussions related to evolution and creation in the Gulf. The ensuing chapters approach and answer a major question: given this sensitivity, what enabled scientists to nevertheless employ evolution in the political, religious, social, and natural environments of the Gulf? At least part of the answer lies in the importance of networks between scientists, plants, princes, local tribes, European businesses, animals, and other historical actors. The history of those networks – and the botanical, zoological, ornithological, and paleontological research they en

[NB:Please be forewarned, there is some brief audio difficulty at the beginning of the interview. It does clear up quickly, so please do listen through.] We are drawn to what is hidden. We are excited by what is mysterious whether we find it beautiful or repellant. Erotic experience is all about this urge. Sexuality, both in its defensive function and as an intrinsic part of being human, defines the ways in which we engage in the psychoanalytic situation. However, it can be very difficult – even taboo – for analysts to admit having erotic feelings towards a patient, and it can be equally thorny handling erotic transference when it arises in a treatment. In Erotic Revelations: Clinical Applications and Perverse Scenarios (Routledge, 2014), Andrea Celenza discusses the importance of reclaiming sexuality as one of the many realms that are of central concern to our patients as she simultaneously observes the pervasive “desexualization” of the psychoanalytic field. She asserts that erotic t

Anita Guerrini‘s wonderful new book explores Paris as a site of anatomy, dissection, and science during the reign of Louis XIV between 1643-1715. The journey begins with readers accompanying a dead body to sites of dissection across the city, after which we are introduced to four anatomists – charter members of the Paris Academy of Sciences – who will act as focal points for the rest of the story.The Courtiers’ Anatomists: Animals and Humans in Louis XIV’s Paris (University of Chicago Press, 2015) opens up Parisian bodies – human and animal, dead and alive – to argue that dissection played a major role in the development of experimental methods in seventeenth century science. In Guerrini’s hands, the history of science and medicine in early modern Paris was simultaneously a history of fairy tales and opera, dogs and chameleons, artists and knife-makers, labyrinth-making and oratory. It is a fascinating book that is a must-read for historians of anatomy and of ea

To those unfamiliar with psychodiagnostics, Bipolar 3.5 might sound like the latest Apple software. To psychoanalyst Darian Leader it is indicative of the relatively recent proliferation and growing elasticity of bipolar disorders. For about the last twenty years, argues Leader, the bipolar spectrum has been tailored to a pharmaceutical industry eager to shift attention away from ineffective antidepressants and toward newly developed mood stabilizers. A household word since the mid-1990s, “bipolar” is now widely considered to be biological and hereditary. Its loosened parameters have saddled large swaths of the population with a chronic illness requiring life-long medication. Strictly Bipolar (Penguin, 2013) is a trenchant case for the reexamination of the “bipolar revolution” and for a return to the older diagnosis of manic depression. Leader points out that while bipolarity is at the center of modern capitalist subjectivity – the principal feature of twenty-first-century workli

How are scientific discoveries transmitted to medical clinical practice? When the science is new, controversial, or simply unclear, how should a doctor advise his or her patients? How should information from large randomized controlled trials be weighed against the clinician’s hard-won judgment from treating hundreds of patients? These are some of the questions that are considered by Miriam Solomon in Making Medical Knowledge (Oxford University Press 2015). Solomon, who is professor of philosophy at Temple University, provides an historically grounded critical assessment of the methods used in recent decades to turn basic science results into medical knowledge: consensus conferences, evidence-based medicine, translational medicine, and narrative medicine.Learn more about your ad choices. Visit megaphone.fm/adchoices

Somatosphere is “a collaborative website covering the intersections of medical anthropology, science and technology studies, cultural psychiatry, psychology and bioethics.” Founded in July 2008, Somatosphere has evolved into an innovative platform for collaborative experiments, interdisciplinary exchange, and intellectual community. As such, it reveals how websites–and the communities of discourse that create and read them–have become important sites of intellectual production, authorship, and exchange. In editorial departments such as “In the Journals” and “Web Roundup,” authors distill recent scholarly contributions across disciplines and spaces. More recently, the editors have incubated creative digital endeavors such as Commonplaces, a “collaborative cabinet” that itemizes the technological present, with entries devoted to topics such as the petri dish, the brain, and the waiting room. Book Forum invites commentary from a range of authors, repres

At New Books in Psychoanalysis, interviews are conducted using Skype. As the program is audio rather than video based, it never occurred to me to use the camera on my computer to see on the screen the person I was speaking to. Rather, I kept my ear turned acutely towards the authors, hanging on their every word while privately perusing my list of questions. I have joked with many interviewees that for all I know they are in their pajamas or naked. Truth be told, I have had no interest in seeing the authors during the interview. There was and is something about having the experience that the listener has on hearing, rather than seeing, the interview that may play a role in creating a certain kind of intensity and intimacy. So it was not lost on me that for this particular interview with Gillian Isaacs Russell about a book that looks straightforwardly at the impact of technology on the therapeutic relationship, that we would not be making eye contact. Though we could, I requested that we not do so. And anyway,