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The Five Horsemen of the Modern World: Climate, Food, Water, Disease, and Obesity
by Daniel CallahanIn recent decades, we have seen five perilous and interlocking trends dominate global discourse: irreversible climate change, extreme food and water shortages, rising chronic illnesses, and rampant obesity. Why can't we make any progress in counteracting these problems despite vast expenditures of intellectual, institutional, and social capital? What makes these global emergencies the "wicked problems" that resist our best efforts and only grow more daunting?Daniel Callahan, noted author and the nation's preeminent scholar in bioethics, examines these global problems and shines a light on the institutions, practices, and actors that block major change. We see partisan political and ideological forces, old-fashioned hucksters, and trumped-up scientific disagreements but also the problem of modern progress itself. Obesity, anthropogenic climate change, degenerative diseases, ecological degradation, and global famine are often the unintended consequences of unchecked industrial growth, insatiable eating habits, and technologically extended life spans. Only through well-crafted political, regulatory, industrial, and cultural counterstrategies can we change enough minds to check these threats. With big thinking on issues that are usually evaluated separately, this book is sure to scramble partisan divides and provoke unusual, heated debate.
The Five Horsemen of the Modern World: Climate, Food, Water, Disease, and Obesity
by Daniel CallahanIn recent decades, we have seen five perilous and interlocking trends dominate global discourse: irreversible climate change, extreme food and water shortages, rising chronic illnesses, and rampant obesity. Why can't we make any progress in counteracting these problems, despite vast expenditures of intellectual, institutional, and societal capital? What makes these global emergencies the "wicked problems" that resist our best efforts and only grow more daunting?Daniel Callahan, noted author and the nation's preeminent scholar in bioethics, takes a cross-cutting look at these global problems and shines a light on the institutions, practices, and actors that block major change. We see partisan political and ideological forces, old fashioned hucksters, and trumped up scientific disagreements, but also the problem of modern progress itself. Obesity, anthropocentric climate change, wasting illnesses, ecological degradation, and global famine are often the unintended consequences of unchecked industrial growth, reckless eating habits, and artificially extended lifespans. Only through well-crafted political, regulatory, industrial, and cultural counterstrategies can we change enough minds to check these threats. Big thinking on issues that are usually evaluated separately, this book is sure to scramble partisan divides and provoke unusual, heated debate.
Toxic Safety: Flame Retardants, Chemical Controversies, and Environmental Health
by Alissa CordnerInitially marketed as a life-saving advancement, flame retardants are now mired in controversy. Some argue that data show the chemicals are unsafe while others continue to support their use. The tactics of each side have far-reaching consequences for how we interpret new scientific discoveries.An experienced environmental sociologist, Alissa Cordner conducts more than a hundred interviews with activists, scientists, regulators, and industry professionals to isolate the social, scientific, economic, and political forces influencing environmental health policy today. Introducing "strategic science translation," she describes how stakeholders use scientific evidence to support nonscientific goals and construct "conceptual risk formulas" to shape risk assessment and the interpretation of empirical evidence. A revelatory text for public-health advocates, Toxic Safety demonstrates that while all parties interested in health issues use science to support their claims, they do not compete on a level playing field and even good intentions can have deleterious effects.
We Are All Cannibals: And Other Essays (European Perspectives: A Series in Social Thought and Cultural Criticism)
by Claude Lévi-StraussOn Christmas Eve 1951, Santa Claus was hanged and then publicly burned outside of the Cathedral of Dijon in France. That same decade, ethnologists began to study the indigenous cultures of central New Guinea, and found men and women affectionately consuming the flesh of the ones they loved. "Everyone calls what is not their own custom barbarism," said Montaigne. In these essays, Claude Lévi-Strauss shows us behavior that is bizarre, shocking, and even revolting to outsiders but consistent with a people's culture and context. These essays relate meat eating to cannibalism, female circumcision to medically assisted reproduction, and mythic thought to scientific thought. They explore practices of incest and patriarchy, nature worship versus man-made material obsessions, the perceived threat of art in various cultures, and the innovations and limitations of secular thought. Lévi-Strauss measures the short distance between "complex" and "primitive" societies and finds a shared madness in the ways we enact myth, ritual, and custom. Yet he also locates a pure and persistent ethics that connects the center of Western civilization to far-flung societies and forces a reckoning with outmoded ideas of morality and reason.
Sacred Knowledge: Psychedelics and Religious Experiences
by William RichardsSacred Knowledge is the first well-documented, sophisticated account of the effect of psychedelics on biological processes, human consciousness, and revelatory religious experiences. Based on nearly three decades of legal research with volunteers, William A. Richards argues that, if used responsibly and legally, psychedelics have the potential to assuage suffering and constructively affect the quality of human life.Richards's analysis contributes to social and political debates over the responsible integration of psychedelic substances into modern society. His book serves as an invaluable resource for readers who, whether spontaneously or with the facilitation of psychedelics, have encountered meaningful, inspiring, or even disturbing states of consciousness and seek clarity about their experiences. Testing the limits of language and conceptual frameworks, Richards makes the most of experiential phenomena that stretch our understanding of reality, advancing new frontiers in the study of belief, spiritual awakening, psychiatric treatment, and social well-being. His findings enrich humanities and scientific scholarship, expanding work in philosophy, anthropology, theology, and religious studies and bringing depth to research in mental health, psychotherapy, and psychopharmacology.
Nature's Pharmacopeia: A World of Medicinal Plants
by Dan ChoffnesThis beautifully illustrated, elegantly written textbook pairs the best research on the biochemical properties and physiological effects of medicinal plants with a fascinating history of their use throughout human civilization, revealing the influence of nature's pharmacopeia on art, war, conquest, and law. By chronicling the ways in which humans have cultivated plant species, extracted their active chemical ingredients, and investigated their effects on the body over time, Nature's Pharmacopeia also builds an unparalleled portrait of these special herbs as they transitioned from wild flora and botanical curiosities to commodities and potent drugs. The book opens with an overview of the use of medicinal plants in the traditional practices and indigenous belief systems of people in the Americas, Africa, Asia, and ancient Europe. It then connects medicinal plants to the growth of scientific medicine in the West. Subsequent chapters cover the regulation of drugs; the use of powerful plant chemicals—such as cocaine, nicotine, and caffeine—in various medical settings; and the application of biomedicine's intellectual frameworks to the manufacture of novel drugs from ancient treatments. Geared toward nonspecialists, this text fosters a deep appreciation of the complex chemistry and cultural resonance of herbal medicine, while suggesting how we may further tap the vast repositories of the world's herbal knowledge to create new pharmaceuticals.
FDA in the Twenty-First Century: The Challenges of Regulating Drugs and New Technologies
by Lynch Holly Fernandez Cohen I. GlennIn its decades-long effort to assure the safety, efficacy, and security of medicines and other products, the Food and Drug Administration has struggled with issues of funding, proper associations with industry, and the balance between consumer choice and consumer protection. Today, these challenges are compounded by the pressures of globalization, the introduction of novel technologies, and fast-evolving threats to public health. With essays by leading scholars and government and private-industry experts, FDA in the Twenty-First Century addresses perennial and new problems and the improvements the agency can make to better serve the public good.The collection features essays on effective regulation in an era of globalization, consumer empowerment, and comparative effectiveness, as well as questions of data transparency, conflicts of interest, industry responsibility, and innovation policy, all with an emphasis on pharmaceuticals. The book also intervenes in the debate over off-label drug marketing and the proper role of the FDA before and after a drug goes on the market. Dealing honestly and thoroughly with the FDA's successes and failures, these essays rethink the structure, function, and future of the agency and the effect policy innovations may have on regulatory institutions abroad.
Another Person’s Poison: A History of Food Allergy (Arts and Traditions of the Table: Perspectives on Culinary History)
by Matthew SmithTo some, food allergies seem like fabricated cries for attention. To others, they pose a dangerous health threat. Food allergies are bound up with so many personal and ideological concerns that it is difficult to determine what is medical and what is myth. Another Person's Poison parses the political, economic, cultural, and genuine health factors of a phenomenon that dominates our interactions with others and our understanding of ourselves. For most of the twentieth century, food allergies were considered a fad or junk science. While many physicians and clinicians argued that certain foods could cause a range of chronic problems, from asthma and eczema to migraines and hyperactivity, others believed that allergies were psychosomatic. ' <P><P>This book traces the trajectory of this debate and its effect on public-health policy and the production, manufacture, and consumption of food. Are rising allergy rates purely the result of effective lobbying and a booming industry built on self-diagnosis and expensive remedies? Or should physicians become more flexible in their approach to food allergies and more careful in their diagnoses? Exploring the issue from scientific, political, economic, social, and patient-centered perspectives, this book is the first to engage fully with the history of a major modern affliction, illuminating society's troubled relationship with food, disease, nature, and the creation of medical knowledge.
AIDS as an International Political Issue: A Selection from AIDS Between Science and Politics (To the Point)
by Peter PiotPeter Piot, founding executive director of the Joint United Nations Programme on HIV/AIDS (UNAIDS), reports on the influence of civil society in international relations and traditional partisan divides. AIDS thrust health into national and international politics where, he argues, it rightly belongs. The global reaction to AIDS over the past decade is the positive result of this partnership, showing what can be acheved when science, politics, and policy converge on the ground. Piot describes funding mechanisms for AIDS, the first international declarations, the response of the UN system, the establishment of UNAIDS, the response of high income countries to AIDS, The Global Fund and PEPFAR as game-changers, and lessons for other health problems.
The Thirteenth Step: Addiction in the Age of Brain Science
by Markus HeiligThe past thirty years have witnessed a revolution in the science of addiction, yet we still rely on outdated methods of treatment. Expensive new programs for managing addiction are also flourishing, but since they are not based in science, they offer little benefit to people who cannot afford to lose money or faith in their recovery.Clarifying the cutting-edge science of addiction for both practitioners and general readers, The Thirteenth Step pairs stories of real patients with explanations of key concepts relating to their illness. A police chief who disappears on the job illustrates the process through which a drug can trigger the brain circuits mediating relapse. One person's effort to find a burrito shack in a foreign city illuminates the reward prediction error signaled by the brain chemical dopamine. With these examples and more, this volume paints a vivid, readable portrait of drug seeking, escalation, and other aspects of addiction and suggests science-based treatments that promise to improve troubling relapse rates. Merging science and human experience, The Thirteenth Step offers compassionate, valuable answers to anyone who hopes for a better handle on a confounding disease.
The Age of Sustainable Development
by Jeffrey D. SachsJeffrey D. Sachs is one of the world's most perceptive and original analysts of global development. In this major new work he presents a compelling and practical framework for how global citizens can use a holistic way forward to address the seemingly intractable worldwide problems of persistent extreme poverty, environmental degradation, and political-economic injustice: sustainable development. <P><P>Sachs offers readers, students, activists, environmentalists, and policy makers the tools, metrics, and practical pathways they need to achieve Sustainable Development Goals. Far more than a rhetorical exercise, this book is designed to inform, inspire, and spur action. Based on Sachs's twelve years as director of the Earth Institute at Columbia University, his thirteen years advising the United Nations secretary-general on the Millennium Development Goals, and his recent presentation of these ideas in a popular online course, The Age of Sustainable Development is a landmark publication and clarion call for all who care about our planet and global justice.
The Age of Sustainable Development
by Jeffrey D. SachsJeffrey D. Sachs has shown himself to be one of the world's most perceptive and original analysts of global development in his groundbreaking books, including The End of Poverty and Common Wealth: Economics for a Crowded Planet. Now, in this major new work he presents a compelling and practical framework for how global citizens can address the seemingly intractable worldwide problems of persistent extreme poverty, environmental degradation, and political-economic injustice. Sachs outlines the holistic way forward: sustainable development. This provocative work offers readers, students, activists, environmentalists, and policy makers the tools, metrics, and practical pathways they need to achieve Sustainable Development Goals. Far more than a rhetorical exercise, this book is designed to inform, inspire, and spur action. Based on Sachs's twelve years as director of the Earth Institute at Columbia University, his thirteen years advising the United Nations secretary-general on the Millennium Development Goals, and his recent presentation of these ideas in a popular online course, The Age of Sustainable Development is a landmark publication and a clarion call for all who care about our planet and global justice.
Dying: A Selection from Waking, Dreaming, Being: Self and Consciousness in Neuroscience, Meditation, and Philosophy (To the Point)
by Evan ThompsonIn the ancient Indian epic, Mahabharata, the Lord of Death asks, "What is the most wondrous thing in the world?", and his son answers, "It is that all around us people can be dying and we don't believe it can happen to us." This refusal to face the inevitability of death is especially prevalent in modern Western societies. We look to science to tell us how things are but biomedicine and neuroscience divest death of any personal significance by presenting it as just the breakdown of the body and the cessation of consciousness. The Tibetan Buddhist perspective stands in sharp contrast to this modern scientific notion of death. This tradition conceives dying not as the mere termination of living processes within the body, but as a rite of passage and transformation of consciousness. Physical death, in this tradition, initiates a transition from one of the six bardos ("in-between states") of consciousness to an opportunity for total enlightenment. In Dying: What Happens When We Die?, Evan Thompson establishes a middle ground between the depersonalized, scientific account of death and the highly ritualized notion of death found in Tibetan Buddhism. Thompson's depiction of death and dying offers an insightful neurobiological analysis while also delving into the phenomenology of death, examining the psychological and spiritual effects of dying on human consciousness. In a trenchant critique of the near-death experience literature, he shows that these experiences do not provide evidence for the continuation of consciousness after death, but also that they must be understood phenomenologically and not in purely neuroscience terms. We must learn to tolerate the "ultimate ungraspability of death" by bearing witness to dying and death instead of turning away from them. We can learn to face the experience of dying through meditative practice, and to view the final moments of life not as a frightening inevitability to be shunned or ignored, but as a deeply personal experience to be accepted and even embraced.
Exhaustion: A History
by Anna K. SchaffnerToday our fatigue feels chronic; our anxieties, amplified. Proliferating technologies command our attention. Many people complain of burnout, and economic instability and the threat of ecological catastrophe fill us with dread. We look to the past, imagining life to have once been simpler and slower, but extreme mental and physical stress is not a modern syndrome. Beginning in classical antiquity, this book demonstrates how exhaustion has always been with us and helps us evaluate more critically the narratives we tell ourselves about the phenomenon.Medical, cultural, literary, and biographical sources have cast exhaustion as a biochemical imbalance, a somatic ailment, a viral disease, and a spiritual failing. It has been linked to loss, the alignment of the planets, a perverse desire for death, and social and economic disruption. Pathologized, demonized, sexualized, and even weaponized, exhaustion unites the mind with the body and society in such a way that we attach larger questions of agency, willpower, and well-being to its symptoms. Mapping these political, ideological, and creative currents across centuries of human development, Exhaustion finds in our struggle to overcome weariness a more significant effort to master ourselves.
Spiritual Assessment in Social Work and Mental Health Practice
by Hodge David R.Equips helping professionals with the tools needed to administer spiritual assessments ethically and professionally.
AIDS Between Science and Politics: A Selection From Aids Between Science And Politics (To The Point Ser.)
by Peter PiotPeter Piot, founding executive director of the Joint United Nations Programme on HIV/AIDS (UNAIDS), recounts his experience as a clinician, scientist, and activist fighting the disease from its earliest manifestation to today. The AIDS pandemic was not only catastrophic to the health of millions worldwide but also fractured international relations, global access to new technologies, and public health policies in nations across the globe. As he struggled to get ahead of the disease, Piot found science does little good when it operates independently of politics and economics, and politics is worthless if it rejects scientific evidence and respect for human rights. <P><P>Piot describes how the epidemic altered global attitudes toward sexuality, the character of the doctor-patient relationship, the influence of civil society in international relations, and traditional partisan divides. AIDS thrust health into national and international politics where, he argues, it rightly belongs. The global reaction to AIDS over the past decade is the positive result of this partnership, showing what can be achieved when science, politics, and policy converge on the ground. Yet it remains a fragile achievement, and Piot warns against complacency and the consequences of reduced investments. He refuses to accept a world in which high levels of HIV infection are the norm. Instead, he explains how to continue to reduce the incidence of the disease to minute levels through both prevention and treatment, until a vaccine is discovered.
Moral Hazard in Health Insurance (Kenneth J. Arrow Lecture Series)
by Amy FinkelsteinAddressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow&’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world&’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. &“Reads like a fireside chat among a group of distinguished, articulate health economists.&” —Choice
Moral Hazard in Health Insurance (Kenneth J. Arrow Lecture Series)
by Amy FinkelsteinMoral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow's seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world's foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow.
Mental Health in the War on Terror: Culture, Science, and Statecraft
by Neil Krishan AggarwalNeil Krishan Aggarwal's timely study finds that mental-health and biomedical professionals have created new forms of knowledge and practice in their desire to understand and fight terrorism. In the process, the state has used psychiatrists and psychologists to furnish knowledge on undesirable populations, and psychiatrists and psychologists have protected state interests.Professional interpretation, like all interpretations, is subject to cultural forces. Drawing on cultural psychiatry and medical anthropology, Aggarwal analyzes the transformation of definitions for normal and abnormal behavior in a vast array of sources: government documents, professional bioethical debates, legal motions and opinions, psychiatric and psychological scholarship, media publications, and policy briefs. Critical themes emerge on the use of mental health in awarding or denying disability to returning veterans, characterizing the confinement of Guantánamo detainees, contextualizing the actions of suicide bombers, portraying Muslim and Arab populations in psychiatric and psychological scholarship, illustrating bioethical issues in the treatment of detainees, and supplying the knowledge and practice to deradicalize terrorists. Throughout, Aggarwal explores this fascinating, troublesome transformation of mental-health science into a potential instrument of counterterrorism.
Being Human in a Buddhist World: An Intellectual History of Medicine in Early Modern Tibet
by Janet GyatsoA rare account of the effort by traditional Tibetan medical scholars to reconcile their religious worldview with an impulse toward greater scientific accountability and precision.
Wombs in Labor
by Amrita PandeThe first book to tackle the emerging and controversial issue of transnational surrogacy in India.
Vital Conversations: Improving Communication Between Doctors and Patients
by Dennis Rosen&“Engaging . . . provides patients tools they can use to improve dialogue with their doctors and, ultimately, improve their ultimate medical outcomes.&”—The Times of Israel The health-care system in the United States is by far the most expensive in the world, yet its outcomes are decidedly mediocre in comparison with those of other countries. Poor communication between doctors and patients, Dennis Rosen argues, is at the heart of this disparity, a pervasive problem that damages the well-being of the patient and the integrity of the health-care system and society. Drawing upon research in biomedicine, sociology, and anthropology and integrating personal stories from his medical practice in three different countries (and as a patient), Rosen shows how important good communication between physicians and patients is to high-quality—and less-expensive—care. Without it, treatment adherence and preventive services decline, and the rates of medical complications, hospital readmissions, and unnecessary testing and procedures rise. Rosen illustrates the consequences of these problems from both the caregiver and patient perspectives and explores the socioeconomic and cultural factors that cause important information to be literally lost in translation. He concludes with a prescriptive chapter aimed at building the cultural competencies and communication skills necessary for higher-quality, less-expensive care, making it more satisfying for all involved. &“An excellent source of ideas on how to enhance treatment.&”—Joseph Shrand, Instructor of Psychiatry at Harvard Medical School &“[Dr. Rosen] delivers much of his advice through anecdotes that take readers on a journey through a career filled with both positive and negative instances of doctor-patient communication.&”—Health Affairs
Vital Conversations: Improving Communication Between Doctors and Patients
by Dennis RosenThe health-care system in the United States is by far the most expensive in the world, yet its outcomes are decidedly mediocre in comparison with those of other countries. Poor communication between doctors and patients, Dennis Rosen argues, is at the heart of this disparity, a pervasive problem that damages the well-being of the patient and the integrity of the health-care system and society. Drawing upon research in biomedicine, sociology, and anthropology and integrating personal stories from his medical practice in three different countries (and as a patient), Rosen shows how important good communication between physicians and patients is to high-quality—and less-expensive—care. Without it, treatment adherence and preventive services decline, and the rates of medical complications, hospital readmissions, and unnecessary testing and procedures rise. Rosen illustrates the consequences of these problems from both the caregiver and patient perspectives and explores the socioeconomic and cultural factors that cause important information to be literally lost in translation. He concludes with a prescriptive chapter aimed at building the cultural competencies and communication skills necessary for higher-quality, less-expensive care, making it more satisfying for all involved.
Shadow Medicine: The Placebo in Conventional and Alternative Therapies
by John Haller Jr.Can Evidence Based Medicine (EBM) and Complementary and Alternative Medicine (CAM) find common ground? A distinguished historian of medicine, John S. Haller Jr., explores the epistemological foundations of EBM and the challenges these conceptual tools present for both conventional and alternative therapies. As he explores a possible reconciliation between their conflicting approaches, Haller maintains a healthy, scientific skepticism yet finds promise in select complementary and alternative (CAM) therapies. Haller elucidates recent research on the placebo effect and shows how a new engagement between EBM and CAM might lead to a more productive medical practice that includes both the objectivity of evidence-based medicine and the subjective truth of the physician-patient relationship. Haller's book tours key topics in the standoff between EBM and CAM: how and why the double blinded, randomized clinical trial (RCT) came to be considered the gold standard in modern medicine; the challenge of postmodern medicine as it counters the positivism of evidence-based medicine; and the politics of modern CAM and the rise of the National Center for Complementary and Alternative Medicine. He conducts an in-depth case study of homeopathy, explaining why it has emerged as a poster-child for CAM, and assesses CAM's popularity despite its poor performance in clinical trials. Haller concludes with hope, showing how new experimental protocols might tease out the evidentiary basis for the placebo effect and establish a foundation for some reconciliation between EBM and CAM.
Enigmas of Health and Disease
by Alfredo MorabiaThis book is the principal account of epidemiology's role in the development of effective measures to identify, prevent, and treat diseases. Throughout history, epidemiologists have challenged conventional knowledge, elucidating mysteries of causality and paving the way for remedies. From the outbreak of the bubonic plague, cholera, and cancer to the search for an effective treatment of AIDS and the origins of Alzheimer's disease, epidemiological thought has been crucial in shaping our understanding of population health issues.Alfredo Morabia's lucid retelling sheds new light on the historical triumphs of epidemiological research and allows for contemporary readers, patients, and nontechnical audiences to make sense of the immense amount of health information disseminated by the media. By drawing from both historical and contemporary sources, Morabia provides the reader with the tools to differentiate health beliefs from health knowledge. The book covers important topics, including the H1N1 swine flu epidemic, breast cancer, the effects of aspirin, and the link between cigarettes and lung cancer. Enigmas of Health and Disease is a concise narrative helping patients and health providers develop a more informed relationship.