Aids Rhetoric And Medical Knowledge

This 2005 book examines the formation of scientific knowledge about the AIDS epidemic in the 1980s and shows the broader cultural assumptions which grounded this knowledge. Alex Preda highlights the metaphors, narratives, and classifications which framed scientific hypotheses about the nature of the infectious agent and its transmission ways and compares these arguments with those used in the scientific knowledge about SARS. Through detailed rhetorical analysis of biomedical publications, the author shows how knowledge about epidemics is shaped by cultural narratives and categories of social thought. Preda situates his analysis in the broader frame of the world risk society, where scientific knowledge is called upon to support and shape public policies about prevention and health maintenance, among others. But can these policies avoid the influence of cultural narratives and of social classifications? The book shows how culture matters for prevention and health policies, as well as with respect to how scientific research is organized and funded.

Offers an innovative study of visual traditions in modern medical history through debates about the causes, impact and spread of AIDS.

This book examines the global governance of the HIV/AIDS epidemic, interrogating the role of this international system and global discourse on HIV/AIDS interventions. The geographical focus is Sub-Saharan Africa since the region has been at the forefront of these interventions. There is a need to understand the relationship between the international political environment and the impact of resulting policies on HIV/AIDS in the context of people’s lives. Hakan Seckinelgin points out a certain disjuncture between this governance structures and the way people experience the disease in their everyday lives. Although the structure allows people to emerge as policy relevant target groups and beneficiaries, the articulation of needs and design of policy interventions tends to reflect international priorities rather than people’s thinking on the problem. In other words, he argues that while the international interventions highlight the importance attributed to the HIV/AIDS problem, the nature of the system does not allow interventions to be far reaching and sustainable. Offering a critical contribution to the understanding of the problems in HIV/AIDS in Sub-Saharan Africa, International Politics of HIV/AIDS will be invaluable to students and researchers of health, international politics and development.

How influential has the Nazi analogy been in recent medical debates on euthanasia? Is the history of eugenics being revived in modern genetic technologies? And what does the tragic history of thalidomide and its recent reintroduction for new medical treatments tell us about how governments solve ethical dilemmas? Bioethics in Historical Perspective shows how our understanding of medical history still plays a part in clinical medicine and medical research today. With clear and balanced explanations of complex issues, this extensively documented set of case studies in biomedical ethics explores the important role played by history in thinking about modern medical practice and policy. This book provides student readers with up-to-date information about issues in bioethics, as well as a guide to the most influential ethical standpoints. New twists added to well-known stories will engage those more familiar with the challenging field of contemporary bioethics.

Over the last two decades, the implosion of economies under the burden of debt, the negative repercussions of structural adjustment programs, the crisis of legitimacy, civil wars, and the collapse of some states have resulted in serious health issues across the African continent. Newly emerging diseases, such as Ebola virus and HIV/AIDS have killed and disabled millions. Some “old diseases,” such as yellow fever, tuberculosis, and polio have reappeared. Malaria, cholera, and meningitis continue to kill thousands. In many countries, the medical infrastructure has collapsed, while an increasing number of physicians and nurses have migrated to more hospitable places. Stigmatization of the affected people has exacerbated social and racial discrimination and has affected the implementation of national and international public health programs. The complexity of the situation requires an interdisciplinary approach. This collection, including contributions by historians, sociologists, anthropologists, and biologists, emphasizes the social and cultural contexts of African health, paying particular attention to the history of the colonial public health system and its legacy.

This volume provides an essential roster of primary research methods as they apply to health communication inquiry. Editor Bryan B. Whaley brings together key health communication researchers to write about their primary methodological areas. Their chapters offer guidance and insights for a variety of approaches to answering research questions. The methods included here cover: Exploration and Description: interview/focus groups, case study, ethnography, and surveys; Examining Messages and Interpersonal Exchanges: narrative analysis, conversational analysis, analyzing physician-patient interactions, social network analysis, and content analysis; Causal Explication: experimental research, meta-analysis, and meta-synthesis; and Cultural, Population, and Critical Concerns: rhetorical methods and criticism, and methodological issues when investigating stigmatized populations, and groups with health disparities. Chapters cite or use examples from allied health areas -- nursing, public health, sociology, medicine -- to demonstrate the breadth of health communication studies. This work highlights the importance of methodology in health communication research in multiple contexts. Developed to provide a fundamental reference for investigating health communication, this volume will serve as an invaluable tool for researchers and students across the social science and health disciplines.

This volume explores the history of epidemiology from the mid-twentieth century to the present. Epidemiology has exerted major influence on the way that both infectious and chronic diseases are conceptualized and controlled, and, more generally, on the way that people in modern societies think about health, behavior, longevity, and risk. This collection consists of a series of in-depth analyses of the roots, development, and impact of epidemiological research, illuminating the complex relationship between medical research and data on the one hand, and social and cultural factors on the other. The thematical and geographical scope of the book ranges from indigenous and participant perspectives to the visualization of pandemics, and from Circumpolar North to East Africa. The book identifies significant historical changes and the driving forces behind them, charting forms of science-society interaction that characterize modern epidemiology. Chapter 1 and chapter 4 are available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Risky Rhetoric: AIDS and the Cultural Practices of HIV Testing is the first book-length study of the rhetoric inherent in and surrounding HIV testing. In addition to providing a history of HIV testing in the United States from 1985 to the present, J. Blake Scott explains how faulty arguments about testing’s power and effects have promoted unresponsive and even dangerous testing practices for so-called normal subjects as well as those deemed risky. Drawing on classical rhetoric as well as Michel Foucault’s theorizing of the examination as a form of disciplinary power, this study explores how HIV testing functions as a disciplinary technology that shapes subjects and exerts power over individual bodies and populations. Testing has largely been deployed to protect those defined as normal members of the general population by detecting, managing, and even punishing those diagnosed as risky (e.g., gay and bisexual men, poor women of color). But Scott reveals that testing’s function of protection-through-detection has been fueled in part by faulty arguments that exaggerate testing’s interventive power and benefits. These arguments have also created a perception that testing is a magic bullet. By overestimating the benefits of HIV testing and overlooking its contingencies and harmful effects, dominant arguments about testing have enabled a shortsighted public health response to HIV and unresponsive testing policies. The ultimate goal of Risky Rhetoric: AIDS and the Cultural Practices of HIV Testing is to offer strategies to policymakers, HIV educators and test counselors, and other rhetors for developing more responsive and egalitarian testing-related rhetorics and practices.