Pushing In Silence

As Puerto Rico rapidly industrialized from the late 1940s until the 1970s, the social, political, and economic landscape changed profoundly. In the realm of heath care, the development of medical education, new medical technologies, and a new faith in science radically redefined childbirth and its practice. What had traditionally been a home-based, family-oriented process, assisted by women and midwives and "accomplished" by mothers, became a medicalized, hospital-based procedure, "accomplished" and directed by biomedical, predominantly male, practitioners, and, ultimately reconfigured, after the 1980s, into a technocratic model of childbirth, driven by doctors' fears of malpractice suits and hospitals' corporate concerns. Pushing in Silence charts the medicalization of childbirth in Puerto Rico and demonstrates how biomedicine is culturally constructed within regional and historical contexts. Prior to 1950, registered midwives on the island outnumbered registered doctors by two to one, and they attended well over half of all deliveries. Isabel M. Córdova traces how, over the next quarter-century, midwifery almost completely disappeared as state programs led by scientifically trained experts and organized by bureaucratic institutions restructured and formalized birthing practices. Only after cesarean rates skyrocketed in the 1980s and 1990s did midwifery make a modest return through the practices of five newly trained midwives. This history, which mirrors similar patterns in the United States and elsewhere, adds an important new chapter to the development of medicine and technology in Latin America.

WINNER OF THE 2021 TORONTO BOOK AWARD NOMINATED FOR THE 2022 EVERGREEN AWARD From the internationally bestselling and Giller-shortlisted author of The Disappeared, an astounding, poetic novel about war and loss, suffering and courage, and the strength of women through it all. It’s been eleven years since Gota has seen Kosmos, yet she still finds herself fantasizing about their intimate year together in Paris. Now it’s 1999 and, working as a journalist, she hears about a film festival in Sarajevo, where she knows Kosmos will be with his theatre company. She takes the assignment to investigate the fallout of the Bosnian war—and to reconnect with the love of her life. But when they are reunited, she finds a man, and a country, altered beyond recognition. Kosmos introduces Gota to Edina, the woman he has always loved. While Gota treads the precarious terrain of her evolving connection to Kosmos, she and Edina forge an unexpected bond. A lawyer and a force to be reckoned with, Edina exposes the sexual violence that she and thousands of others survived in the war. Before long, Gota finds her life entwined with the community of women and travels with them to The Hague to confront their abusers. The events she covers—and the stories she hears—will change her life forever. Written in Kim Echlin’s masterfully luminescent prose, Speak, Silence weaves together the experiences of a resilient sisterhood and tells the story of the real-life trial that would come to shape history. In a heart-wrenching tale of suffering and loss and a beautiful illustration of power and love, Echlin explores what it means to speak out against the very people who would do anything to silence you.

The thrilling finale to the Revenger Trilogy tells a desperate tale of greed, piracy, shadow governments, and ancient secrets that could unravel all of civilization The Ness sisters ran away from home to become the most fearsome pirates in the twenty thousand worlds of the Congregation. They've plundered treasures untold, taken command of their own ship, and made plenty of enemies. But now they're being hunted for crimes they didn't commit by a fleet whose crimes are worse than their own. To stay one step ahead of their pursuers and answer the questions that have plagued them, they'll have to employ every dirty, piratical trick in the book.... Read more by Alastair Reynolds! The Revenger Trilogy:RevengerShadow CaptainBone Silence

Jacob Horowitz, a worn and bitter business tycoon, has never spoken to anyone about his experience of Nazi persecution during World War II -- not even his recently deceased wife, Liza. Suddenly stricken with terminal cancer, the aging Jew receives an invitation from his old friend Pierre, a Gentile Christian and former Belgian underground operative, to pay him one last visit in Belgium. Jacob accepts, and determines to take along his estranged son Isaac. In this fast-paced, vivid historical account set alternately in war-torn Europe and today's United States, the consequences of war become clear. Momentous events push the hardened Horowitz toward reconciliation with his youngest son, with his past, with God, and with himself.

Faced with the challenges of transitioning from a Hard of Hearing School to a Hearing high school, Maya has more than a learning curve. But what if she has more to learn about herself and how far she is willing to push for what she believes in? Perfect for contemporary fiction fans, The Silence Between Us is a novel that doesn’t shy away from the real-life struggles of high school, heart break, and d/Deaf culture. Schneider Family Book Award, Best Teen Honor Book 2020 Torn from her Hard of Hearing school when her mother's job takes them across the country, Deaf teen Maya must attend a hearing school for the first time since her hearing loss. As if that wasn’t hard enough, she also has to adjust to the hearing culture, which she finds frustrating. When her new friends and classmates start pushing into Maya’s thoughts about what it means to be Deaf, it clashes with her idea of self-worth and values. Looking past graduation towards a future medical career, Maya knows nothing, not even an unexpected romance, will derail her pursuits or cause her to question her integrity. Wattpad sensation Alison Gervais writes a stunning portrayal of the Deaf and Hard of Hearing culture in this clean YA contemporary romance. Drawing from her own deaf experience and relationship with the HoH community, Gervais provides a personal interview and commentary on cochlear implants. The Silence Between Us mixes lighthearted romance with deeper social issues facing minority groups. “The Silence Between Us?is eminently un-put-down-able.” (NPR) “Gervais deftly renders both the nuanced, everyday realities of life with disability and Maya’s fierce pride in her Deafness, delivering a vibrant story that will resonate with Deaf and hearing audiences alike.” –?Booklist “A solid addition to middle/high school fiction that allows for deep discussion about stereotypes concerning disabilities.”?School Library Journal “This is a great YA contemporary (clean) romance that follows Maya as she navigates a new school and plans for her future. The addition of representation by a Deaf character was really beautifully done. Highly recommend for people looking for a sweet, engaging, and educational romantic read.” (YA and Kids Book Central)

CAST IN SILENCE A member of the elite Hawk force that protects the City of Elantra, Kaylin Neya has sacrificed much to earn the respect of the winged Aerians and immortal Barrani she works alongside. But the mean streets she escaped as a child aren't the ones she's vowed to give her life guarding. Those were much darker… Kaylin's moved on with her life—and is keeping silent about the shameful things she's done to stay alive. But when the city's oracles warn of brewing unrest in the outer fiefdoms, a mysterious visitor from Kaylin's past casts her under a cloud of suspicion. Thankfully, if she's anything, she's a survivor… Previously Published in 2009

Tell This Silence by Patti Duncan explores multiple meanings of speech and silence in Asian American women's writings in order to explore relationships among race, gender, sexuality, and national identity. Duncan argues that contemporary definitions of U.S. feminism must be expanded to recognize the ways in which Asian American women have resisted and continue to challenge the various forms of oppression in their lives. There has not yet been adequate discussion of the multiple meanings of silence and speech, especially in relation to activism and social-justice movements in the U.S. In particular, the very notion of silence continues to invoke assumptions of passivity, submissiveness, and avoidance, while speech is equated with action and empowerment. However, as the writers discussed in Tell This Silence suggest, silence too has multiple meanings especially in contexts like the U.S., where speech has never been a guaranteed right for all citizens. Duncan argues that writers such as Maxine Hong Kingston, Mitsuye Yamada, Joy Kogawa, Theresa Hak Kyung Cha, Nora Okja Keller, and Anchee Min deploy silence as a means of resistance. Juxtaposing their “unofficial narratives” against other histories—official U.S. histories that have excluded them and American feminist narratives that have stereotyped them or distorted their participation—they argue for recognition of their cultural participation and offer analyses of the intersections among gender, race, nation, and sexuality. Tell This Silence offers innovative ways to consider Asian American gender politics, feminism, and issues of immigration and language. This exciting new study will be of interest to literary theorists and scholars in women's, American, and Asian American studies.