From the Preface, by Arthur Kleinman:Patients and Healers in the Context of Culture presents a theoretical framework for studying the relationship between medicine, psychiatry, and culture. That framework is principally illustrated by materials gathered in field research in Taiwan and, to a lesser extent, from materials gathered in similar research in Boston. The reader will find this book contains a dialectical tension between two reciprocally related orientations: it is both a cross-cultural (largely anthropological) perspective on the essential components of clinical care and a clinical perspective on anthropological studies of medicine and psychiatry. That dialectic is embodied in my own academic training and professional life, so that this book is a personal statement. I am a psychiatrist trained in anthropology. I have worked in library, field, and clinic on problems concerning medicine and psychiatry in Chinese culture. I teach cross-cultural psychiatry and medical anthropology, but I also practice and teach consultation psychiatry and take a clinical approach to my major cross-cultural teaching and research involvements. The theoretical framework elaborated in this book has been applied to all of those areas; in turn, they are used to illustrate the theory. Both the theory and its application embody the same dialectic. The purpose of this book is to advance both poles of that dialectic: to demonstrate the critical role of social science (especially anthropology and cross-cultural studies) in clinical medicine and psychiatry and to encourage study of clinical problems by anthropologists and other investigators involved in cross-cultural research.

Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry (Comparative studies of health systems and medical care)

Arthur Kleinman

University of California Press

In some parts of the world spending on pharmaceuticals is astronomical. In others people do not have access to basic or life-saving drugs. Individuals struggle to afford medications; whole populations are neglected, considered too poor to constitute profitable markets for the development and distribution of necessary drugs. The ethnographies brought together in this timely collection analyze both the dynamics of the burgeoning international pharmaceutical trade and the global inequalities that emerge from and are reinforced by market-driven medicine. They demonstrate that questions about who will be treated and who will not filter through every phase of pharmaceutical production, from preclinical research to human testing, marketing, distribution, prescription, and consumption.Whether considering how American drug companies seek to create a market for antidepressants in Japan, how Brazil has created a model HIV/AIDS prevention and treatment program, or how the urban poor in Delhi understand and access healthcare, these essays illuminate the roles of corporations, governments, NGOs, and individuals in relation to global pharmaceuticals. Some essays show how individual and communal identities are affected by the marketing and availability of medications. Among these are an exploration of how the pharmaceutical industry shapes popular and expert understandings of mental illness in North America and Great Britain. There is also an examination of the agonizing choices facing Ugandan families trying to finance AIDS treatment. Several essays explore the inner workings of the emerging international pharmaceutical regime. One looks at the expanding quest for clinical research subjects; another at the entwining of science and business interests in the Argentine market for psychotropic medications. By bringing the moral calculations involved in the production and distribution of pharmaceuticals into stark relief, this collection charts urgent new territory for social scientific research.Contributors. Kalman Applbaum, João Biehl, Ranendra K. Das, Veena Das, David Healy, Arthur Kleinman, Betty Kyaddondo, Andrew Lakoff, Anne Lovell, Lotte Meinert, Adriana Petryna, Michael A. Whyte, Susan Reynolds Whyte

Global Pharmaceuticals: Ethics, Markets, Practices

Business & Money

Adriana Petryna

Andrew Lakoff

Industries

Duke University Press Books

Sometimes described as the nemesis of the primary care physician, somatoform disorders are frustrating, expensive to treat, and under-investigated. Somatic Presentations of Mental Disorders provides a fascinating and practical review of the epidemiology, diagnosis, and treatment of this category of disease. Somatic Presentations of Mental Disorders summarizes the proceedings of a unique international conference that convened experts from across disciplines to review perspectives on somatoform disorders. Organized with the practitioner in mind, the book surveys the latest research on phenomenology; etiology and clinical course; and treatment options. Unlike other literature on the topic, Somatic Presentations of Mental Disorders explores the entire range of this category of disorders, including conversion disorder, chronic pain and fatigue, and the multitude of presentations of medically unexplained symptoms. The contributions of international experts provide unique insights into cultural factors affecting the presentation and treatment of somatic disorders globally. In addition to providing an invaluable reference for clinicians in many disciplines, the book identifies specific gaps in the research literature, and addresses issues of nosology in advance of the publication of DSM-V. Comprehensive, thoughtful, and up-to-date, Somatic Presentations of Mental Disorders is a must-read for clinicians with somatizing patients.

Somatic Presentations of Mental Disorders: Refining the Research Agenda for DSM-V

Health, Fitness & Dieting

Darrel A. Regier

Paul J. Sirovatka

Yu, Xin

William E. Narrow

Joel E. Dimsdale

Vikram Patel

Mental Health

American Psychiatric Publishing, Inc.

A ten-year book by Kaibowen for caring for Harvard physicians and Alzheimers wives(Chinese Edition)

CITIC Publishing Group Co. Ltd. CITIC Press

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Books by Arthur Kleinman