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9780801887161 Academic Inspection Copy

Our Present Complaint

American Medicine, Then and Now
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Charles E. Rosenberg, one of the world's most influential historians of medicine, presents a fascinating analysis of the current tensions in American medicine. Situating these tensions within their historical and social contexts, Rosenberg investigates the fundamental characteristics of medicine: how we think about disease, how the medical profession thinks about itself and its moral and intellectual responsibilities, and what prospective patients -- all of us -- expect from medicine and the medical profession. He explores the nature and definition of disease and how ideas of disease causation reflect social values and cultural negotiations. His analyses of alternative medicine and bioethics consider the historically specific ways in which we define and seek to control what is appropriately medical. At a time when clinical care and biomedical research generate as much angst as they offer cures, this volume provides valuable insight into how the practice of medicine has evolved, where it is going, and how lessons from history can improve its prognosis.

1. Introduction: The History of Our Present Complaint2. The Tyranny of Diagnosis: Specific Entities and Individual Experience3. Contested Boundaries: Psychiatry, Disease, and Diagnosis4. Banishing Risk: Or, the More Things Change, the More They Remain the Same5. Pathologies of Progress: The Idea of Civilization as Risk6. The New Enchantment: Genetics, Medicine, and Society7. Alternative to What? Complementary to Whom? On the Scientific Project in Medicine8. Holism in Twentieth-Century Medicine: Always in Opposition9. Mechanism and Morality: On Bioethics in Context10. Anticipated Consequences: Historians, History, and Health PolicyAcknowledgmentsIndex

""[Rosenberg] reminds us that the problems addressed by disciplines such as bioethics and interdisiplinary communities such as that of health policy are inevitably situated and configured by a broader context to which ethicists and policy makers would do well to pay attention.""

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