This is a lively and original book, which treats Western biomedical discourse about illness in Africa as a cultural system that constructed "the African" out of widely varying, and sometimes improbable, materials. Referring mainly to British dependencies in East and Central Africa in the late nineteenth to the mid-twentieth century, it draws on diverse sources ranging from court records and medical journals to fund-raising posters and "jungle doctor" cartoons. Curing Their Ills brings refreshing concreteness and dynamism to the discussion of European attitudes toward their others, as it traces the shifts and variations in medical discourse on African illness. Among the topics the book covers are the differences between missionary medicine, which emphasized individual responsibility for sin and disease, and secular medicine, which tended toward an ethnic model of collective pathology; leprosy and the construction of the social role of "the leper"; and the struggle to define insanity in a context of great ignorance about what the "normal African" was like and a determination to crush indigenous beliefs about bewitchment. The underlying assumption of this discourse was that disease was produced by the disintegration and degeneration of "tribal" cultures, which was seen to be occurring in the process of individualization and modernization. This was a cultural rather than a materialist model, the argument being that Africans were made sick not by the material changes to their lives and environment, but by their cultural "maladaptation" to modern life. The "scientific" discourse about the biological inferiority of "the African," traced by one school of scientists to defects in the frontal lobe, makes painful reading today; it persisted into the 1950s.

Curing their Ills traces the history of encounters between European medicine and African societies in the nineteenth and twentieth centuries. Vaughan's detailed examination of medical discourse of the period reveals its shifting and fragmented nature, highlights its use in the creation of the colonial subject in Africa, and explores the conflict between its pretensions to scientific neutrality and its political and cultural motivations. The book includes chapters on the history of psychiatry in Africa, on the treatment of venereal diseases, on the memoirs of European 'Jungle Doctors', and on mission medicine. In exploring the representations of disease as well as medical practice, Curing their Ills makes a fascinating and original contribution to both medical history and the social history of Africa.

The island of Mauritius lies in the middle of the Indian Ocean, about 550 miles east of Madagascar. Uninhabited until the arrival of colonists in the late sixteenth century, Mauritius was subsequently populated by many different peoples as successive waves of colonizers and slaves arrived at its shores. The French ruled the island from the early eighteenth century until the early nineteenth. Throughout the 1700s, ships brought men and women from France to build the colonial population and from Africa and India as slaves. In Creating the Creole Island, the distinguished historian Megan Vaughan traces the complex and contradictory social relations that developed on Mauritius under French colonial rule, paying particular attention to questions of subjectivity and agency. Combining archival research with an engaging literary style, Vaughan juxtaposes extensive analysis of court records with examinations of the logs of slave ships and of colonial correspondence and travel accounts. The result is a close reading of life on the island, power relations, colonialism, and the process of cultural creolization. Vaughan brings to light complexities of language, sexuality, and reproduction as well as the impact of the French Revolution. Illuminating a crucial period in the history of Mauritius, Creating the Creole Island is a major contribution to the historiography of slavery, colonialism, and creolization across the Indian Ocean.

Andy Lazris, MD, is a practicing primary care physician who experiences the effects of Medicare policy on a daily basis. As a result, he believes that the way we care for our elderly has taken a wrong turn and that Medicare is complicit in creating the very problems it seeks to solve. Aging is not a disease to be cured; it is a life stage to be lived. Lazris argues that aggressive treatments cannot change that fact but only get in the way and decrease quality of life. Unfortunately, Medicare's payment structure and rules deprive the elderly of the chance to pursue less aggressive care, which often yields the most humane and effective results. Medicare encourages and will pay more readily for hospitalization than for palliative and home care. It encourages and pays for high-tech assaults on disease rather than for the primary care that can make a real difference in the lives of the elderly. Lazris offers straightforward solutions to ensure Medicare’s solvency through sensible cost-effective plans that do not restrict patient choice or negate the doctor-patient relationship. Using both data and personal stories, he shows how Medicare needs to change in structure and purpose as the population ages, the physician pool becomes more specialized, and new medical technology becomes available. Curing Medicare demonstrates which medical interventions (medicines, tests, procedures) work and which can be harmful in many common conditions in the elderly; the harms and benefits of hospitalization; the current culture of long-term care; and how Medicare often promotes care that is ineffective, expensive, and contrary to what many elderly patients and their families really want.

A beautiful commemorative edition of Dr. Martin Luther King's essay "Letter from Birmingham Jail," part of Dr. King's archives published exclusively by HarperCollins. With an afterword by Reginald Dwayne Betts On April 16, 1923, Dr. Martin Luther King Jr., responded to an open letter written and published by eight white clergyman admonishing the civil rights demonstrations happening in Birmingham, Alabama. Dr. King drafted his seminal response on scraps of paper smuggled into jail. King criticizes his detractors for caring more about order than justice, defends nonviolent protests, and argues for the moral responsibility to obey just laws while disobeying unjust ones. "Letter from Birmingham Jail" proclaims a message - confronting any injustice is an acceptable and righteous reason for civil disobedience. This beautifully designed edition presents Dr. King's speech in its entirety, paying tribute to this extraordinary leader and his immeasurable contribution, and inspiring a new generation of activists dedicated to carrying on the fight for justice and equality.

Combines the histories of empire, leisure, tourism, culture, and medicine to explain how therapeutic spas for colonists facilitated French imperialism between 1830 and 1962.

A Telegraph Book of the Year A Washington Post Notable Work A Times Book of the Year A Hughes Award Finalist “An indisputable masterpiece...comprehensive, fascinating, and persuasive.” —Wall Street Journal “Compulsively readable...Scull has joined his wide-ranging reporting and research with a humane perspective on matters that many of us continue to look away from.” —Daphne Merkin, The Atlantic “I would recommend this fascinating, alarming, and alerting book to anybody. For anyone referred to a psychiatrist it is surely essential.” —The Spectator “Meticulously researched and beautifully written, and even funny at times.” —The Guardian “Brimming with wisdom and brio, this masterful work spans the history of psychiatry. Exceedingly well-researched, wide-ranging, provocative in its conclusions, and magically compact, it is riveting from start to finish. Mark my words, Desperate Remedies will soon be a classic.” —Susannah Cahalan, author of Brain on Fire From the birth of the asylum to the latest drug trials, Desperate Remedies brings together a galaxy of mind doctors working in and out of institutional settings: psychologists and psychoanalysts, neuroscientists and cognitive behavioral therapists, as well as patients and their families desperate for relief. One of the most provocative thinkers writing about psychiatry today, Andrew Scull carefully reconstructs the rise and fall of state-run mental hospitals to explain why so many of the mentally ill are now on the street, and why victims of experimental therapies were so often women. He reveals how drug companies expanded their reach to treat a growing catalog of ills, while deliberately concealing the side effects of drugs now routinely prescribed from childhood through senescence. Carefully researched and compulsively readable, this passionate and compassionate account of America’s long battle with mental illness challenges us to rethink our deepest assumptions about how we think and feel.