Medicalizing Ethnicity

In Medicalizing Ethnicity, Vilma Santiago-Irizarry shows how commendable intentions can produce unintended consequences. Santiago-Irizarry conducted ethnographic fieldwork in three bilingual, bicultural psychiatric programs for Latino patients at public mental health facilities in New York City. The introduction of "cultural sensitivity" in mental health clinics, she concludes, led doctors to construct essentialized, composite versions of Latino ethnicity in their drive to treat mental illness with sensitivity. The author demonstrates that stressing Latino differences when dealing with patients resulted not in empowerment, as intended, but in the reassertion of Anglo-American standards of behavior in the guise of psychiatric categories by which Latino culture was negatively defined. For instance, doctors routinely translated their patients' beliefs in the Latino religious traditions of espiritismo and Santería into psychiatric terms, thus treating these beliefs as pathologies.Interpreting mental health care through the framework of culture and politics has potent effects on the understanding of "normality" toward which such care aspires. At the core of Medicalizing Ethnicity is the very definition of multiculturalism used by a variety of institutional settings in an attempt to mandate equality.

In 1748, as yellow fever raged in Charleston, South Carolina, doctor John Lining remarked, "There is something very singular in the constitution of the Negroes, which renders them not liable to this fever." Lining's comments presaged ideas about blackness that would endure in medical discourses and beyond. In this fascinating medical history, Rana A. Hogarth examines the creation and circulation of medical ideas about blackness in the Atlantic World during the late eighteenth and early nineteenth centuries. She shows how white physicians deployed blackness as a medically significant marker of difference and used medical knowledge to improve plantation labor efficiency, safeguard colonial and civic interests, and enhance control over black bodies during the era of slavery. Hogarth refigures Atlantic slave societies as medical frontiers of knowledge production on the topic of racial difference. Rather than looking to their counterparts in Europe who collected and dissected bodies to gain knowledge about race, white physicians in Atlantic slaveholding regions created and tested ideas about race based on the contexts in which they lived and practiced. What emerges in sharp relief is the ways in which blackness was reified in medical discourses and used to perpetuate notions of white supremacy.

When medicalization—the characterization of human traits in terms of disease and ailment—first appeared as a concept in the 1970s, most social science gender scholarship focused on female or genderless bodies. The work on men, health, and medicine was scant and tended to depict masculinity as intrinsically damaging to men's health. Medicalized Masculinities considers how these threads in scholarship failed to consider the male body adequately and presents cutting-edge research into the definition and regulation of masculinity by medicine. Renowned health and gender studies experts examine medicalized conditions such as balding, aging, and other dimensions of the life cycle in the tradition of the sociology of health and gender.

If affirmative action and other ethnicity-based social programs are justified, then J. Angelo Corlett believes it is important to come to an adequate understanding of the nature of ethnicity in general and ethnic group membership in particular. In Race, Racism, and Reparations, Corlett reconceptualizes traditional ideas of race in terms of ethnicity. As he makes clear, the answers to the questions "What is a Native American"? or "What is a Latino/a"? have important implications for public policy, especially for those programs designed to address historic injustices and economic and social imbalances among different groups in our society. Having supplanted "race" with a well-defined concept of ethnicity, the author then analyzes the nature and function of racism. Corlett argues for a notion of racism that must encompass not only racist beliefs but also racist actions, omissions, and attempted actions. His aim is to craft a definition of racism that will prove useful in legal and public policy contexts.Corlett places special emphasis on the broad questions of whether reparations for ethnic groups are desirable and what forms those reparations should take: land, money, social programs? He addresses the need for differential affirmative action programs and reparations policies—the experiences (and oppressors) of different ethnic groups vary greatly. Arguments for reparations to Native and African Americans are considered in light of a variety of objections that are or might be raised against them. Corlett articulates and critically analyzes a number of possible proposals for reparations.

Language is a means we use to communicate feelings; we also reflect emotionally on the language we and others use. James Wilce analyses the signals people use to express emotion, looking at the social, cultural and political functions of emotional language around the world. His book demonstrates that speaking, feeling, reflecting, and identifying are interrelated processes and shows how desire or shame are attached to language. Drawing on nearly one hundred ethnographic case studies, it demonstrates the cultural diversity, historical emergence, and political significance of emotional language. Wilce brings together insights from linguistics and anthropology to survey an extremely broad range of genres, cultural concepts, and social functions of emotional expression.

" ... Examines the creation and circulation of medical ideas about blackness in the Atlantic World during the late eighteenth and early nineteenth centuries. She shows how white physicians deployed blackness as a medically significant marker of difference and used medical knowledge about black bodies to improve plantation labor efficiency, safeguard colonial and civic interests, and enhance control over black bodies during the era of slavery"--

With the first patent being granted to “BiDil,” a combined medication that is deemed to be most effective for a specific “race,” African-Americans for a specific form of heart failure, the on-going debate about the effect of the older category of race has been renewed. What role should “race” play in the discussion of genetic alleles and populations today? The new genetics has seemed to make “race” both a category that is seen useful if not necessary, as The New York Times noted recently: "Race-based prescribing makes sense only as a temporary measure." (Editorial, “Toward the First Racial Medicine,” November 13, 2004) Should one think about “race” as a transitional category that is of some use while we continue to explore the actual genetic makeup and relationships in populations? Or is such a transitional solution poisoning the actual research and practice. Does “race” present both epidemiological and a historical problem for the society in which it is raised as well as for medical research and practice? Who defines “race”? The self-defined group, the government, the research funder, the researcher? What does one do with what are deemed “race” specific diseases such as “Jewish genetic diseases” that are so defined because they are often concentrated in a group but are also found beyond the group? Are we comfortable designating “Jews” or “African-Americans” as “races” given their genetic diversity? The book answers these questions from a bio-medical and social perspective. This book was previously published as a special issue of Patterns of Prejudice.

More than one million Latinos now live in New England. This is the first book to examine their impact on the region's culture, politics, and economics. At the same time, it investigates the effects of the locale on Latino residents' lives, traditions, and institutions.Employing methodologies from a variety of disciplines, twenty-one contributors explore topics in three broad areas: demographic trends, migration and community formation, and identity and politics. They utilize a wide range of approaches, including oral histories, case studies, ethnographic inquiries, focus group research, surveys, and statistical analyses. From the "Dominicanization" of the Latino community in Waterbury, Connecticut, to the immigration experiences of Brazilians in Massachusetts, from the influence of Latino Catholics on New England's Catholic churches to the growth of a Latino community in Providence, Rhode Island, the essays included here contribute to a new and multifaceted view of the growing Pan-Latino presence in the birthplace of the United States.