Book Release: Haeckel’s Embryos by Nick Hopwood

Debuting May 2015 from the University of Chicago Press is Nick Hopwood’s Haeckel’s Embryos: Images, Evolution, and Fraud. The book describes the lasting cultural impact of 19th-century illustrations that demonstrate the identical appearance of human and other vertebrate embryos in the earliest stages of gestation, only later morphing into their adult-like forms. These drawings, produced by Darwinist Ernst Haeckel in 1868, caused an uproar in the scientific community at the time as well as in the 1990s, when biologists and creationists alike argued against their accuracy and inclusion into scientific textbooks.

Image courtesy University of Chicago Press

Image courtesy University of Chicago Press

Hopwood traces the heated history of Haeckel’s drawings from their initial publication in the 19th century through their controversial presence in the current age. In addition to considering the impact of these images on developing understandings of biology, Haeckel simultaneously draws attention to the continued power of these images in contemporary discourse. The book will prove of interest to scholars of medicine who are curious about how popular as well as scientific knowledge of the human body is shaped by visual media, as well as how scientific information is culturally and historically situated.

Nick Hopwood is Reader in History of Science and Medicine and the Director of Graduate Studies at the University of Cambridge’s Department of History and Philosophy of Science.


To learn more about the book, check out its feature page at UCP here: http://www.press.uchicago.edu/ucp/books/book/chicago/H/bo18785800.html

From the Archive: Biotechnology and the Culture of Medicine

In the “From the Archive” series, we highlight articles published throughout the journal’s history. We look forward to sharing with our readers these samples of the innovative research that CMP has published on the cultural life of medicine across the globe.

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In this installment of From the Archive, we turn to Mary-Jo Delvecchio Good’s article The Biotechnical Embrace (Vol 25 Issue 4, December 2001.) In this piece, Delvecchio Good frames three concepts in the cultural study of biomedicine: medical imaginaries, biotechnical embraces, and clinical narratives. Here, we will briefly outline these notions.

The medical imaginary, we learn, is the envisioned potential of the new technologies and treatments that medicine could produce in the future. The power of possibility in this sense impacts both clinicians, who are always working to stay ahead of new scientific knowledge, and patients: often those afflicted with diseases for which no current remedy exists. The medical imaginary situates medical progress in a position of hope and opportunity. Stories of medical failure, malpractice, or dearths of medical knowledge, although evidence contrary to establishing an “optimistic” view of the field, are framed in an overarching positive narrative of scientific progress.

Delvecchio Good next describes the biotechnical embrace: the embracing of, and the “being embraced” by technical innovations. This refers to the public “enthusiasm” for biotechnical therapies, as well as the engagement of biotechnologies with the patient’s body. Like the medical imaginary, the biotechnical embrace concept recalls a biomedical commitment to scientific progress and possibility. Even whenever a treatment is highly experimental, not yet approved as effective, or so new that its pitfalls are not fully known, patients will ’embrace’ and request it– and the public will hastily invest in it.

Lastly, we parse the concept of the clinical narrative, or ethnographic frame. This qualitative data is what evidences popular and clinical enthusiasm for bioscientific innovation and the use of the latest technological treatments.

Put simply, narratives can demonstrate that patients and clinicians alike are able to frame care in terms of the gap between what is presently the case, and what might be. For instance, a cancer patient might note the gaps between their condition, current treatments they have used, future therapeutic options, and subsequent clinical outcomes for his or her illness. Clinical narratives remind us that patients (and caregivers) do not view medicine as a static database of information, but instead a dynamic and progressive body of knowledge that exists in relation to illness experiences.


Click here for a link to the abstract and further details about the paper: http://link.springer.com/article/10.1023/A%3A1013097002487

AAA 2014: Perspectives on the Bruno Latour Distinguished Lecture

This year at the American Anthropological Association 2014 Meeting, Bruno Latour was invited to deliver the distinguished lecture. Entitled “Anthropology at the Time of the Anthropocene,” Latour discusses the rise in the term anthropocene to describe our current stage of natural history. Although the term makes reference to how “human” (anthro) our current age may be, Latour jests that this term was introduced by geologists, not social scientists. In the anthropocene, it is humans that play the defining role in our geological historical moment.

The assumption, Latour notes, is that human agency is the prime source of action that shapes the physical world. Humans are responsible for climate change, for pollution, for altering the literal, natural fabric of our world. Yet we know that not all humans have the same impact on our environment. As Latour quips, there is not “One Human” who is responsible for the changes we see in our climate or environment. We are simultaneously assessing human power as a plural, collective entity, as well as using this concept to suggest that the blame for global change does not fall evenly across all humans. As anthropologists and cultural theorists, we know how fragile human agency can be when we divide it amongst many contending social and cultural groups.

Our blog editor at the Latour Distinguished Lecture

Our blog editor at the Latour Distinguished Lecture

Is there another way to think about human action that does not problematically configure humans as both collective and individual, acting but not universally accountable for all human actions? Latour posits that rather than focusing solely on agency, with a strong emphasis on human intention and purpose when committing action, we could think instead about animation, or what forces–human and non-human– are in motion in a given social space. To do so, we can no longer assume that the human agent is a colloquial be-all-end-all.

How does this assertion speak to medical anthropology, social medicine, and medical humanities? At first, we might raise our brows at the discussions of geography, environment, and most of all the suspicion surrounding the primacy of human agency. Decentralizing the human agent, we might say, is perhaps the least humanistic approach to the study of human experience. Indeed, medicine is the care of humans by humans!

However, our human ability to question our own power and position in the universe, amidst other natural and non-human forces, is a mark of our species. Whether through philosophy, religion, or social science, humans have a proclivity for ruminating about our place in the material, corporal world. We crave knowledge about what sets us apart from non-human things, and how we are sometimes reliant on them. For scholars of medicine, such inquiries about our relationships with the physical universe is key. We consider the place of non-human agents in disease and care. We ask: why do physicians rely on certain tools? Why do patients see stethoscopes, thermometers, and scalpels as making a clinician legitimate in his or her practice? How are medical traditions made unique by their tools and pharmaceutical formulas? Could the layout of a hospital or clinic itself alter the way care is given?

In an age where technology permeates developed and developing societies, Latour’s suggestion to destabilize human agency is productive when considering medicine as a cultural object. We must think not only of ourselves, but the physical environments we live in and the material objects and devices we cannot seem to live without.

Many scholars understandably resist Latour’s idea that non-humans could have some primitive agency. Yet even if we do not assign agency to non-human tools, things, and environments, thinking seriously about their role in sociocultural systems is informative. Medicine is a lively site of exchange between patients and physicians, as well as practitioners and devices, patients and new medical innovations, and the built environments which house them. As Latour invites us to do, we should pause to consider humans within the midst of a rich material world around us that– like humanity itself– is constantly in motion.

Julia Balacko is a second-year PhD student in medical anthropology at Case Western Reserve University. She holds an MA in Humanities from the University of Chicago. Her research focuses on the culture of human anatomy and dissection in Western medical traditions, as well as public access to anatomical and pathological specimens.


Note on the presenter:

Bruno Latour is professor at the Sciences Po Paris in Paris, France. A central theorist in STS (science and technology studies), he is the author of We Have Never Been Modern (1991), Science in Action (1987) and Laboratory Life (1979).

You can read the full text of Latour’s lecture here: http://www.bruno-latour.fr/sites/default/files/139-AAA-Washington.pdf

Book Release: Sharon R. Kaufman’s “Ordinary Medicine”

Via the Duke UP website

Via the Duke UP website

In May 2015, Sharon R. Kaufman’s book Ordinary Medicine: Extraordinary Treatments, Longer Lives, and Where to Draw the Line is set to be released by Duke University Press. The text will address the contested division between what is a life-saving therapy and what proves to be over-treatment of older patients. This divide, Kaufman states, is frequently negotiated by pharmaceutical, biomedical, and insurance industries. Treatments that might seem aggressive or unnecessary to address late-life health concerns have become common procedures.

Drawing on ethnographic accounts from older patients, their families, and their physicians, Kaufman demonstrates how patients and their caregivers decide how much medical intervention is enough, or when it has gone too far. Kaufman considers what this new, medicalized meaning of the “end-of-life” means for patients and for the social world of medicine, while inviting us to consider how we might refresh the goals of medicine when caring for older patients.

Kaufman has previously published on a related topic in her book And a Time to Die: How American Hospitals Shape the End of Life. She is the Chair of the Department of Anthropology, History and Social Medicine at the University of California, San Francisco.

See more about the book from the publisher’s website here:

https://www.dukeupress.edu/Ordinary-Medicine/index.html

A Few Words from the AAA 2014 Meeting

This week, many of our readers (and staff members here in the office of Culture, Medicine, and Psychiatry) are attending the American Anthropological Association’s annual meeting in Washington, DC. For those of you presenting, we wish you the best of luck in delivering thoughtful and productive presentations. To all attendees, we hope you have pleasant travels to the nation’s capital, and return from the conference with new knowledge and fresh ideas.

via Wikimedia Commons

via Wikimedia Commons

Much like conferences in our field, CMP social media is a common space for intellectual inquiry about contemporary issues in anthropology. In the spirit of building this communal space electronically, we now invite our followers to submit approximately 500-word blog entries– ranging from brief commentaries on a research project, recent presentation, or reflections on topics in medical anthropology, medical humanities, and social medicine– to be considered for our blog.

We ask that submissions to the blog be widely accessible to readers across anthropology and the humanities: from advanced undergraduate students, graduate students, professors, as well as applied practitioners and interdisciplinary researchers. Accepted pieces will be posted here and shared via our Twitter account. This is an opportunity to showcase your work to new audiences and to gain valuable insight into producing widely accessible, digital scholarship. Please direct your submissions to Julia Balacko at jcb193@case.edu.

Thank you for following CMP social media. We look forward to receiving your guest blog submissions and hearing more from you about exciting new research from the AAA Annual Meeting.

Best Wishes,

The CMP Editorial Staff

AAA 2014: Sessions on Biotechnology and Medical Practice

For our readers attending the American Anthropological Association annual meeting this year, we’ve put together a second selected list of sessions on anthropological approaches to biotechnology and forms of medical practice. The following selection of sessions was drawn from this year’s AAA online presentation schedule for the 2014 annual meeting, to be held this year in Washington, DC from December 3-7th (for more information, click here: http://www.aaanet.org/meetings).

Wednesday, December 3rd

Reproductive Potentialities: Assisted Reproductive Technologies and the Imagination of Possible Futures

8:00pm-9:45pm

https://aaa.confex.com/aaa/2014/webprogram/Session11643.html

Thursday, December 4th

Techniques and Technologies of Global Health

9:00am-10:15am

https://aaa.confex.com/aaa/2014/webprogram/Session11699.html

What Constitutes Medical Knowledge?: Part 2 of a Discussion of Affliction by Veena Das

11:00am-12:45pm

https://aaa.confex.com/aaa/2014/webprogram/Session10870.html

Saturday, December 6th

Producing Intercultural Discourse in the Clinical Encounter, Part 2

2:30pm-4:15pm

https://aaa.confex.com/aaa/2014/webprogram/Session12505.html

Revisiting Midwifery: New Approaches to an Old Profession

6:30pm-8:15pm

https://aaa.confex.com/aaa/2014/webprogram/Session11410.html

Ordering, Morality, and Triage: Producing Medical Anthropology Beyond the Suffering Subject – Part 1: Biomedical Interventions and Failings

6:30pm-8:15pm

https://aaa.confex.com/aaa/2014/webprogram/Session11357.html

Sunday, December 7th

Doctors: Influencing and Being Influenced by Their Work and Subject

10:00am-11:45am

https://aaa.confex.com/aaa/2014/webprogram/Session12929.html

Book Release: Paul Stoller’s “Yaya’s Story: The Quest for Well-Being in the World”

9780226178790

Image from UC Press website

Out this month from the University of Chicago Press is Paul Stoller’s book Yaya’s Story: The Quest for Well-Being in the World. The text traces the author’s friendship with a Songhay trader from Niger named Yaya Harouna: a man who moved to the United States as Stoller, an anthropologist, had likewise made a journey from the USA to Africa as a Peace Corps volunteer. Their story begins whenever Stoller meets Yaya selling artwork in an African market in New York City’s Harlem neighborhood, where Stoller carried out research.

Although the men’s histories are markedly different, they become close after the two are each diagnosed with cancer: this serves as the heart of Yaya’s Story, and the experience upon which the two men’s culturally divergent, yet not entirely dissimilar, narratives cross paths. With extensive publications in the genres of both ethnography and memoir, Stoller is certain to blend keen anthropological insight with deeply personal accounts of human suffering, endurance, and resilience in the face of illness across cultures in his latest book.

Stoller, Professor of Anthropology at West Chester University, is a 1994 winner of a Guggenheim Fellowship and the 2013 recipient of the prestigious Anders Retzius Gold Medal in Anthropology from the King of Sweden.

You can find out more about the book here, at the UC Press website:

http://www.press.uchicago.edu/ucp/books/book/chicago/Y/bo18882897.html

Publication Highlight: “Online First” Articles (Oct 2014), Part One

The following collection of articles are from our “Online First” file at our publisher’s website: http://link.springer.com/journal/11013. The full text of these articles will be released in upcoming issues of Culture, Medicine, and Psychiatry, but here we’d like to lend our readers a glimpse into the innovative research in medical anthropology and social medicine that the journal publishes.

Clicking the title of each paper will send you to the “Online First” page for each article, including a full list of authors and abstracts.

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A Village Possessed by “Witches”: A Mixed-Methods Case–Control Study of Possession and Common Mental Disorders in Rural Nepal

Ram P. Sapkota, et al

Practicing and Resisting Constraint: Ethnography of “Counter Response” in American Adolescent Psychiatric Custody

Katherine Hejtmanek

The Invisibility of Informal Interpreting in Mental Health Care in South Africa: Notes Towards a Contextual Understanding

Leslie Swartz & Sanja Kilian

Learning Disabilities’ as a ‘Black Box’: On the Different Conceptions and Constructions of a Popular Clinical Entity in Israel

Ofer Katchergin

From the Archive: Biomedicine, Chinese Medicine, and Psychiatry

In the “From the Archive” series, we will highlight articles published throughout the journal’s history. We look forward to sharing with our readers these samples of the innovative research that CMP has published on the cultural life of medicine across the globe.

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At the journal, we often present fascinating work on psychiatric care throughout the world, including Joshua Breslau’s 2001 article “Pathways through the Border of Biomedicine and Traditional Chinese Medicine: A Meeting of Medical Systems in a Japanese Psychiatry Department” (volume 25 issue 3.) 

In this piece, Breslau recounts stories of the two medical systems interacting during a meeting of clinicians employing, to varying degrees, traditional Chinese medicine (TCM) alongside biomedical interventions within a Japanese psychiatric department. The author asserts that Japan is perhaps the most common ground for the two medical systems to meet, and that it represents the “traffic” of medical knowledge between Japan, the Asiatic mainland, and the rest of the world. Indeed, Japan has had a lengthy history of exchange with foreign medical systems,beginning with the 18th-century import of anatomy textbooks from Holland. Combined with expanded trade with “the West” in the 19th century and the later resurgence of local Japanese interest in Chinese herbal remedies during the 1970s, we see that the two medical systems have both held a prominent position in the dynamic medical landscape in Japan.

Breslau observes that the two medical systems complement one another most strikingly in psychiatry, where kanpo (herbal treatments) are used both to diminish the uncomfortable side effects of psychoactive medications and to treat conditions for which there are few biomedical interventions. Exemplifying this blended approach to care, the author notes that Dr. Nakai, professor of psychiatry at Kobe University, examines the tongue to diagnose his patients. This method of diagnosis has its roots in TCM, and was taught to Dr. Nakai from a visiting Chinese student; many such Chinese students, having studied TCM, go to Japan to learn “Western medicine.” Although there is little formal education in TCM available in Japan, these interpersonal (and intercultural) exchanges are important mechanisms for sharing diverse medical techniques.

Another physician, Dr. Song, initially specialized in the use of acupuncture to treat psychiatric patients in China. Breslau theorizes that although it seems anomalous for traditional medicine to find a niche in conditions that generally fall under the scope of biomedicine, Dr. Song’s work is a productive blend of psychiatric treatments from both medical systems. Whereas patients in the Chinese biomedical settings were admitted alone, patients and their families stayed together in the TCM centers for mental health, thereby offering a support network that the biomedical patients lacked. In Japan, Dr. Song combined TCM and biomedical approaches. She established an “open ward” psychiatric unit that welcomed patients and their families, and employed both pharmaceutical and herbal remedies depending on the severity and the stage of psychiatric distress suffered by the patient.

Breslau’s piece reminds us of the complicated ways in which cultures are in contact with one another. Rather than reading medicine in China and Japan as a contest, where biomedicine and traditional Chinese medicine are at odds in the race to be deemed “most effective,” it is more accurate to describe the ways that the systems are in dialogue– often in the same clinical settings.

You can find the contents of the full issue in which Breslau’s article is published here: http://link.springer.com/journal/11013/25/3/page/1

News: AAA Forms Task Force on the Israeli-Palestinian Conflict

The American Anthropological Association (AAA) has recently formed a task force that will examine implications of the conflict between Israel and Palestine for the anthropological community: including forming potential stances that the organization could take on issues that might impede upon scholarly inquiry surrounding the conflict.

Members of the task force, appointed by current AAA president Monica Heller, could profess no public opinion about the political nature of the conflict. They were each required to have a subject matter background pertinent to analyzing the conflict at hand.[i]

Logo of the AAA from Wikimedia Commons

Logo of the AAA from Wikimedia Commons

The AAA website notes that the task force members will investigate “the uses of anthropological research to support or challenge claims of territory and historicity; restrictions placed by government policy or practice on anthropologists’ academic freedom; or commissioning anthropological research whose methods and/or aims may be inconsistent with the AAA statement of professional responsibilities.”[ii] Beyond studying what effects the conflict has on anthropological research and scholarship, the task force will also make recommendations on whether or not the AAA should take a stance on issues unveiled by the report.

In describing the task force goals, the AAA website also notes that it is possible that no stance will be taken on problems raised in the findings—but that any position the organization takes must be substantiated by “neutral overviews” of the argument in favor of a particular stance.

An article about the task force posted earlier this year on the Anthropology News website—operated by the AAA—noted that anthropologists, “have an opportunity here to develop modes of mutually respectful exchange on controversial anthropological topics that will serve us well now and in the future.”[iii]

Although the task force will meet in person during the Annual Meeting in December to discuss these concerns, their findings will not be available in a complete written report until October 2015.


[i] https://www.insidehighered.com/quicktakes/2014/09/09/anthropology-group-creates-task-force-israeli-palestinian-conflict

[ii] http://www.aaanet.org/cmtes/commissions/Task-Force-on-AAA-Engagement-on-Israel-Palestine.cfm

[iii] http://www.anthropology-news.org/index.php/2014/04/30/towards-an-informed-aaa-position-on-israel-palestine/