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What price better health?: hazards of the research imperative
The idea that we have an unlimited moral imperative to pursue medical research is deeply rooted in American society and medicine. In this provocative work, Daniel Callahan exposes the ways in which such a seemingly high and humane ideal can be corrupted and distorted into a harmful practice. Medical research, with its power to attract money and political support, and its promise of cures for a wide range of medical burdens, has good and bad sides - which are often indistinguishable. In What Price Better Health?, Callahan teases out the distinctions and differences, revealing the difficulties that result when the research imperative is suffused with excessive zeal, adulterated by the profit motive, or used to justify cutting moral corners. Exploring the National Institutes of Health's annual budget, the inflated estimates of health care cost savings that result from research, the high prices charged by drug companies, the use and misuse of human subjects for medical testing, and the controversies surrounding human cloning and stem cell research, Callahan clarifies the fine line between doing good and doing harm in the name of medical progress. His work shows that medical research must be understood in light of other social and economic needs and how even the research imperative, dedicated to the highest human good, has its limits
Draw the lightning down: Benjamin Franklin and electrical technology in the Age of Enlightenment
Most of us know - at least we've heard - that Benjamin Franklin conducted some kind of electrical experiment with a kite. What few of us realize - and what this book makes powerfully clear - is that Franklin played a major role in laying the foundations of modern electrical science and technology. This fast-paced book, rich with historical details and anecdotes, brings to life Franklin, the large international network of scientists and inventors in which he played a key role, and their amazing inventions. We learn what these early electrical devices - from lights and motors to musical and medical instruments - looked like, how they worked, and what their utilitarian and symbolic meanings were for those who invented and used them. Against the fascinating panorama of life in the eighteenth century, Michael Brian Schiffer tells the story of the very beginnings of our modern electrical world. The earliest electrical technologies were conceived in the laboratory apparatus of physicists; because of their surprising and diverse effects, however, these technologies rapidly made their way into many other communities and activities. Schiffer conducts us from community to community, showing how these technologies worked as they were put to use in public lectures, revolutionary experiments in chemistry and biology, and medical therapy. This story brings to light the arcane and long-forgotten inventions that made way for many modern technologies - including lightning rods (Franklin's invention), cardiac stimulation, xerography, and the internal combustion engine - and richly conveys the complex relationships among science, technology, and culture
Gadamer's repercussions: reconsidering philosophical hermeneutics
Certainly one of the key German philosophers of the twentieth century, Hans-Georg Gadamer also influenced the study of literature, art, music, sacred and legal texts, and medicine. Indeed, while much attention has been focused on Gadamer's writings about ancient Greek and modern German philosophy, the relevance of his work for other disciplines is only now beginning to be properly considered and understood. In an effort to address this slant, this volume brings together many prominent scholars to assess, re-evaluate, and question Hans-Georg Gadamer's works, as well as his place in intellectual history. The book includes a recent essay by Gadamer on "the task of hermeneutics," as well as essays by distinguished contributors including Jürgen Habermas, Richard Rorty, Gerald Bruns, Georgia Warnke, and many others. The contributors situate Gadamer's views in surprising ways and show that his writings speak to a range of contemporary debates - from constitutional questions to issues of modern art. A controversial final section attempts to uncover and clarify Gadamer's history in relation to National Socialism. More an investigation and questioning than a celebration of this venerable and profoundly influential philosopher, this collection will become a catalyst for any future rethinking of philosophical hermeneutics, as well as a significant starting place for rereading and reviewing Hans-Georg Gadamer
Possessors and possessed: museums, archaeology, and the visualization of history in the late Ottoman Empire
Possessors and Possessed analyzes how and why museums - characteristically Western institutions - emerged in the late-nineteenth-century Ottoman Empire. Shaw argues that, rather than directly emulating post-Enlightenment museums of Western Europe, Ottoman elites produced categories of collection and modes of display appropriate to framing a new identity for the empire in the modern era. In contrast to late-nineteenth-century Euro-American museums, which utilized organizational schema based on positivist notions of progress to organize exhibits of fine arts, Ottoman museums featured military spoils and antiquities long before they turned to the "Islamic" collections with which they might have been more readily associated. The development of these various modes of collection reflected shifting moments in Ottoman identity production. Shaw shows how Ottoman museums were able to use collection and exhibition as devices with which to weave counter-colonial narratives of identity for the Ottoman Empire. Impressive for both the scope and the depth of its research, Possessors and Possessed lays the groundwork for future inquiries into the development of museums outside of the Euro-American milieu
Women and Confucian cultures in premodern China, Korea, and Japan
Representing an unprecedented collaboration among international scholars from Asia, Europe, and the United States, this volume rewrites the history of East Asia by rethinking the contentious relationship between Confucianism and women. The authors discuss the absence of women in the Confucian canonical tradition and examine the presence of women in politics, family, education, and art in premodern China, Korea, and Japan. What emerges is a concept of Confucianism that is dynamic instead of monolithic in shaping the cultures of East Asian societies. As teachers, mothers, writers, and rulers, women were active agents in this process. Neither rebels nor victims, these women embraced aspects of official norms while resisting others. The essays present a powerful image of what it meant to be female and to live a woman's life in a variety of social settings and historical circumstances. Challenging the conventional notion of Confucianism as an oppressive tradition that victimized women, this provocative book reveals it as a modern construct that does not reflect the social and cultural histories of East Asia before the nineteenth century
Unequal childhoods: class, race, and family life
Class does make a difference in the lives and futures of American children. Drawing on in-depth observations of black and white middle-class, working-class, and poor families, Unequal Childhoods explores this fact, offering a picture of childhood today. Here are the frenetic families managing their children's hectic schedules of "leisure" activities; and here are families with plenty of time but little economic security. Lareau shows how middle-class parents, whether black or white, engage in a process of "concerted cultivation" designed to draw out children's talents and skills, while working-class and poor families rely on "the accomplishment of natural growth," in which a child's development unfolds spontaneously - as long as basic comfort, food, and shelter are provided. Each of these approaches to childrearing brings its own benefits and its own drawbacks. In identifying and analyzing differences between the two, Lareau demonstrates the power, and limits, of social class in shaping the lives of America's children
Poverty in America: a handbook
Poverty may have always been with us, but it hasn't always been the same. In an in-depth look at trends, patterns, and causes of poverty in the United States, John Iceland combines the latest statistical information, historical data, and social scientific theory to provide a comprehensive picture of poverty in America - a picture that shows how poverty is measured and understood and how this has changed over time, as well as how public policies have grappled with poverty as a political issue and an economic reality. Why does poverty remain so pervasive? Is it unavoidable? Are people from particular racial or ethnic backgrounds or family types inevitably more likely to be poor? What can we expect over the next few years? What are the limits of policy? These are just a few of the questions this book addresses. In a remarkably concise, readable, and accessible format, Iceland explores what the statistics and the historical record, along with most of the major works on poverty, tell us. At the same time, he advances arguments about the relative nature and structural causes of poverty - arguments that eloquently contest conventional wisdom about the links between individual failure, family breakdown, and poverty in America. At a time when the personal, political, social, and broader economic consequences of poverty are ever clearer and more pressing, the depth and breadth of understanding offered by this handbook should make it an essential resource and reference for all scholars, politicians, policymakers, and people of conscience in America
Gender and morality in Anglo-American culture, 1650-1800
Ruth Bloch's stellar essays on the origins of Anglo-American conceptions of gender and morality are brought together in this valuable book, which collects six of her most influential pieces in one place for the first time and includes two new essays. The volume illuminates the overarching theme of her work by addressing a basic historical question: Why did the attitudes toward gender and family relations that we now consider traditional values emerge when they did? Bloch looks deeply into eighteenth-century culture to answer this question, highlighting long-term developments in religion, intellectual history, law, and literature, showing that the eighteenth century was a time of profound transformation for women's roles as wives and mothers, for ideas about sexuality, and for notions of female moral authority. She engages topics from British moral philosophy to colonial laws regarding courtship, and from the popularity of the sentimental novel to the psychology of religious revivalism. Lucid, provocative, and wide-ranging, these eight essays bring a revisionist challenge to both women's studies and cultural studies as they ask us to reconsider the origins of the system of gender relations that has dominated American culture for two hundred years
Reversible destiny: mafia, antimafia, and the struggle for Palermo
Reversible Destiny traces the history of the Sicilian mafia to its nineteenth-century roots and examines its late twentieth-century involvement in urban real estate and construction as well as drugs. Based on research in the regional capital of Palermo, this book suggests lessons regarding secretive organized crime: its capacity to reproduce a subculture of violence through time, its acquisition of a dense connective web of political and financial protectors during the Cold War era, and the sad reality that repressing it easily risks harming vulnerable people and communities. Charting the efforts of both the judiciary and a citizen's social movement to reverse the mafia's economic, political, and cultural power, the authors establish a framework for understanding both the difficulties and the accomplishments of Sicily's multifaceted antimafia efforts
Huang Di nei jing su wen: nature, knowledge, imagery in an ancient Chinese medical text, with an appendix, The doctrine of the five periods and six qi in the Huang Di nei jing su wen
The Huang Di nei jing su wen, known familiarly as the Su wen, is a seminal text of ancient Chinese medicine, yet until now there has been no comprehensive, detailed analysis of its development and contents. At last Paul U. Unschuld offers entry into this still-vital artifact of China's cultural and intellectual past. Unschuld traces the history of the Su wen to its origins in the final centuries B.C.E., when numerous authors wrote short medical essays to explain the foundations of human health and illness on the basis of the newly developed vessel theory. He examines the meaning of the title and the way the work has been received throughout Chinese medical history, both before and after the eleventh century when the text as it is known today emerged. Unschuld's survey of the contents includes illuminating discussions of the yin-yang and five-agents doctrines, the perception of the human body and its organs, qi and blood, pathogenic agents, concepts of disease and diagnosis, and a variety of therapies, including the new technique of acupuncture. An extensive appendix, furthermore, offers a detailed introduction to the complicated climatological theories of Wu yun liu qi ("five periods and six qi"), which were added to the Su wen by Wang Bing in the Tang era. In an epilogue, Unschuld writes about the break with tradition and innovative style of thought represented by the Su wen. For the first time, health care took the form of "medicine," in that it focused on environmental conditions, climatic agents, and behavior as causal in the emergence of disease and on the importance of natural laws in explaining illness. Unschuld points out that much of what we surmise about the human organism is simply a projection, reflecting dominant values and social goals, and he constructs a hypothesis to explain the formation and acceptance of basic notions of health and disease in a given society. Reading the Su wen, he says, not only offers a better understanding of the roots of Chinese medicine as an integrated aspect of Chinese civilization; it also provides a much needed starting point for discussions of the differences and parallels between European and Chinese ways of dealing with illness and the risk of early death