New Books in Medicine

Around the world, millions are forcibly displaced by conflict, climate change, and persecution. Some cross international borders, while others are displaced within their own countries. In We Wait for a Miracle: Health Care and the Forcibly Displaced (Johns Hopkins UP, 2023), Muhammad H. Zaman shares poignant stories across continents to highlight the health care experiences of refugees and forced migrants. For many of these people, health risks unfortunately become part of the fabric of everyday life as they navigate new countries that treat them with varying degrees of care and indifference.

Across widely varied local systems, countries of origin, health concerns, and other contexts, Zaman finds that barriers to health care share these key factors: trust, social network, efficiency of the health system, and the regulatory framework of the host environment. A combination of these factors explains difficulties in accessing health care across the geographic and geopolitical spectrum and challenges the existing global public health framework, which is based entirely on local context. In moving stories that span seven countries—Sudan, South Sudan, Uganda, Zimbabwe, Pakistan, Colombia, and Venezuela—Zaman shares the everyday struggles of refugees, the internally displaced, and the stateless in accessing the health care they need.

This unique look at an urgent global challenge addresses the issue of access for populations that are currently in distress due to civil war, economic collapse, or a conflict driven by external state actors. Organic social networks and trust, rather than top-down policies, are often what save the lives of migrants, refugees, and the stateless. Focusing on that trust—and its deficit—in camps, urban slums, hospitals, and clinics, Zaman combines personal and journalistic accounts of refugees with broad systemic analysis on global health care access to compare problems and solutions in different regions and provide holistic policy and practice recommendations for refugees, internally displaced persons, and stateless populations.

In this episode, Ibrahim Fawzy interviews Muhammad Zaman about the healthcare experiences of refugees, and the power of storytelling.

Ibrahim Fawzy is a literary translator and writer based in Boston. His interests include translation studies, Arabic literature, ecocriticism, disability studies, and migration literature.

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In Radical Acts: HIV/AIDS Activism in Late Twentieth-Century England (Bloomsbury Academic, 2024), Dr George Severs draws on activist campaign literature and materials, broadcast media, and new oral history interviews to reconstruct the overlooked world of radical AIDS activism in England. This book provides one of the first detailed histories of the radical HIV/AIDS movement in England, following ACT UP's travels from New York to London via prominent queer intellectuals, and reconstructing the vibrant theatrical campaigns staged by ACT UP groups across England. 

But Radical Acts also highlights expressions of activism that were far more common than demonstrations and marches. Manifestations of a political commitment to ameliorating the injustices facing people living with HIV permeated most aspects of everyday life. These forms of 'everyday activism' played out in workplaces, universities and church halls across England, as well as through networks that stretched across Europe and North America. This book breaks new ground by studying the radical alongside the everyday, presenting a diverse constellation of activist responses to the epidemic.

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People with dementia are uniquely qualified to discuss the challenges of their condition and the features of effective support, but their voices are all too often drowned out in research and debates about policy. According to People with Dementia at the Heart of Research: Co-Producing Research through The Dementia Enquirers Model (Jessica Kingsley Publishers, 2024) by Rachael Litherland & Philly Hare, it's time for that to change.

Dementia Enquirers is an ambitious and novel programme of work which has tested out what it means for people with dementia to lead research and has developed a new 'driving seat' approach to co-research.

This ground-breaking book features 26 research projects led by groups of people with dementia, supported by group facilitators and academics, to make their voices heard. Topics include giving up driving, GP dementia reviews, living alone with dementia, and using AI platforms such as smart speakers. The book also describes how people with dementia shaped the entire programme, and addressed head-on issues such as ethics approval processes and complex research language. The book is a key read for anyone involved in dementia support, this research brings the voices of people with dementia to the fore to explore their experiences of researching the condition.

This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.

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Today I sit down with Volker Scheid, an interdisciplinary scholar and longtime practitioner of Chinese medicine. Together, we take an intellectual deep dive into his thoughts about the importance of blurring disciplinary boundaries and how “meta-practice” can make sense of the many different kinds of Chinese medicines. Along the way, Volker and I discuss the commensurability of Chinese medicine and biomedicine, the importance of connecting the self with the ten thousand things, and how premodern ideas can be the basis of a new politics for modern times.

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Resources mentioned in this episode:

Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. www.piercesalguero.com.

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In the 1980s, as HIV/AIDS ravaged queer communities and communities of color in the United States and beyond, a straight white teenager named Ryan White emerged as the face of the epidemic. Diagnosed with hemophilia at birth, Ryan contracted HIV through contaminated blood products. In 1985, he became a household name after he was barred from attending his Indiana middle school. As Ryan appeared on nightly news broadcasts and graced the covers of popular magazines, he was embraced by music icons and well-known athletes, achieving a curious kind of stardom. 

Analyzing his struggle and celebrity, Paul M. Renfro's powerful biography grapples with the contested meanings of Ryan's life, death, and afterlives. As Renfro argues in The Life and Death of Ryan White: AIDS and Inequality in America (UNC Press, 2024), Ryan's fight to attend school forced the American public to reckon with prevailing misconceptions about the AIDS epidemic. Yet his story also reinforced the hierarchies at the heart of the AIDS crisis. Because the "innocent" Ryan had contracted HIV "through no fault of his own," as many put it, his story was sometimes used to blame presumably "guilty" populations for spreading the virus. Reexamining Ryan's story through this lens, Renfro reveals how the consequences of this stigma continue to pervade policy and cultural understandings of HIV/AIDS today.

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The word "pharmacopoeia" has come to have many meanings, although it is commonly understood to be a book describing approved compositions and standards for drugs. In 1813 the Royal College of Physicians of London considered a proposal to develop an imperial British pharmacopoeia - at a time when separate official pharmacopoeias existed for England, Scotland, and Ireland. A unified British pharmacopoeia was published in 1864, and by 1914 it was considered suitable for the whole Empire.

Pharmacopoeias, Drug Regulation, and Empires: Making Medicines Official in Britain's Imperial World, 1618-1968  (McGill-Queen's University Press, 2024) by Dr. Stuart Anderson traces the 350-year development of officially sanctioned pharmacopoeias across the British Empire, first from local to national pharmacopoeias, and later to a standardised pharmacopoeia that would apply throughout Britain’s imperial world. The evolution of British pharmacopoeias and the professionalisation of medicine saw developments including a transition from Galenic principles to germ theory, and a shift from plant-based to chemical medicines. While other colonial powers in Europe usually imposed metropolitan pharmacopoeias across their colonies, Britain consulted with practitioners throughout its Empire. As the scope of the pharmacopoeia widened, the process of agreeing upon drug standardisation became more complex and fraught. A wide range of issues was exposed, from bioprospecting and the inclusion of indigenous medicines in pharmacopoeias, to adulteration and demands for the substitution of pharmacopoeial drugs with locally available ones.

Pharmacopoeias, Drug Regulation, and Empires uses the evolution of an imperial pharmacopoeia in Britain as a vehicle for exploring the hegemonic power of European colonial powers in the medical field, and the meaning of pharmacopoeia more broadly.

This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.

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Sick Note: A History of the British Welfare State (Oxford UP, 2022) is a history of how the British state asked, 'who is really sick?' Tracing medical certification for absence from work from 1948 to 2010, Gareth Millward shows that doctors, employers, employees, politicians, media commentators, and citizens concerned themselves with measuring sickness. At various times, each understood that a signed note from a doctor was not enough to 'prove' whether someone was really sick. Yet, with no better alternative on offer, the sick note survived in practice and in the popular imagination - just like the welfare state itself. 

Sick Note reveals the interplay between medical, employment, and social security policy. The physical note became an integral part of working and living in Britain, while the term 'sick note' was often deployed rhetorically as a mocking nickname or symbol of Britain's economic and political troubles. Using government policy documents, popular media, internet archives, and contemporary research, Millward covers the evolution of medical certification and the welfare state since the Second World War, demonstrating how sickness and disability policies responded to demographic and economic changes - though not always satisfactorily for administrators or claimants. Moreover, despite the creation of 'the fit note' in 2010, the idea of 'the sick note' has remained. With the specific challenges posed by the global pandemic in the early 2020s, Sick Note shows how the question of 'who is really sick?' has never been straightforward and will continue to perplex the British state.

This episode is hosted by Dr Dion Georgiou, an Associate Lecturer in History at Goldsmiths, University of London, and the writer of The Academic Bubble – a newsletter covering contemporary history, politics, and culture.

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The question of whether mental disorders are disorders of the brain has led to a long-running and controversial dispute within psychiatry, psychology and philosophy of mind and psychology. While recent work in neuroscience frequently tries to identify underlying brain dysfunction in mental disorders, detractors argue that labelling mental disorders as brain disorders is reductive and can result in harmful social effects.

Are Mental Disorders Brain Disorders? (Routledge, 2024) brings a much-needed philosophical perspective to bear on this important question. Anneli Jefferson argues that while there is widespread agreement on paradigmatic cases of brain disorder such as brain cancer, Parkinson's or Alzheimer’s dementia, there is far less clarity on what the general, defining characteristics of brain disorders are. She identifies influential notions of brain disorder and shows why these are problematic. On her own, alternative, account, what counts as dysfunctional at the level of the brain frequently depends on what counts as dysfunctional at the psychological level. On this notion of brain disorder, she argues, many of the consequences people often associate with the brain disorder label do not follow. She also explores the important practical question of how to deal with the fact that many people do draw unlicensed inferences about treatment, personal responsibility or etiology from the information that a condition is a brain disorder or involves brain dysfunction.

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Carceral Recovery: Prisons, Drug Markets, and the New Pharmaceutical Self (Lexington Books, 2023) explores the interrelation between carceral conditions and substance use by considering the intersections between drug markets, sidewalks, households, and prisons in Baltimore. Sanaullah Khan argues that while housing, medicalization, and incarceration fundamentally create the conditions for substance use, individuals are increasingly experiencing the paradoxes of care and punishment by being propelled into a new regime of recovery which creates new pharmaceuticalized identities. By shedding light on how addiction and the impetus for healing moves through families and institutions of the state, Khan provides an account of the different competing forces that shape substance use, recovery, and relapse. Through a combination of archival research and ethnography, the book makes a case for disentangling punishment from recovery.

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The “uncut” penis is viewed by some as attractive or erotic, and by others as ugly or undesirable. Secular parents of male infants worry about whether or not the foreskin should be removed so their little boy can grow up to “look like dad” or to avoid imagined bullying in the locker room. Medical experts and public health organisations argue back and forth about whether circumcision is medically necessary, while “intactivists” advocate that removing an infant’s foreskin without their consent is mutilation.

Uncut: A Cultural Analysis of the Foreskin (University of Regina Press, 2024) by Dr. Jonathan Allen takes an interdisciplinary approach to understanding the foreskin and its contentious position in contemporary Anglo-American culture. From language to art, from religion to medicine and public health, Uncut is a provocative book that asks us to ask ourselves what we know and don’t know about this seemingly small piece of skin.

Drawing on all these threads, Dr.. Allan leads us through the history and cultural construction of the foreskin—from Michelangelo’s David to parenting manuals, from nineteenth-century panic over masturbation to foreskin restoration—to ultimately ask: what is the future of the foreskin?

This interview was conducted by Dr. Miranda Melcher whose new book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.

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Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/medicine