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Medical Anthropology in Ecological Perspective


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About the Authors and Contributors Preface Chapter One: The Ecology Of Health And Disease Environment, Culture, and Health Profile: Arctic Adaptations by Ann McElroy A Working Model of Ecology and Health Recommended Readings Chapter Two: Research Methods In Health Problems Anthropological Approaches to the Use of Medicinal Plants Bio-Environmental Data Profile: Cannibal Mourners by Patricia K. Townsend Clinical Data Epidemiological Data Social and Cultural Data Recommended Readings Chapter Three: Human Biocultural Diversity And Health Evolution and Biological Diversity Human Immune Systems and Defense against Disease Mutation, Genetic Change, and Disease Resistance Profile: Malaria And African Agriculture by Ann McElroy Evolution and Medicine Skin Color and Adaptation Recommended Readings Chapter Four: The Prehistory Of Disease Paleopathology: The Study of Disease in Prehistory Nutrition and the Transition to Agriculture Profile: Dry Bones: Health in Southwestern Prehistory by Patricia K. Townsend Beyond the Skeleton: Icemen and Mummies Daily Life in the Past: Clues from the Skeleton Violence and Inequality The Emergence of Cities Forensic anthropology: contemporary applications Recommended Readings Chapter Five: Emerging Diseases Of The 21st Century The Ecology of Disease in the Anthropocene Profile: The Medical Ecology of Cholera in Ecuador by Linda Whiteford Emerging Diseases in Aging Populations Recommended Readings Chapter Six: Changing Population and Environmental Hazards The Study of Population Profile: Stress, Alcohol, and Demographic Change in Northern Siberia by John P. Ziker Environmental Trauma in Industrial Societies Recommended Readings Chapter Seven: Human Reproduction as a Biocultural Process Evolutionary and Ecological Influences on Reproduction Pregnancy Profile: Three Birth Stories by Care Providers in Pregnancy and Birth Birth Alternatives Maternal Mortality Towards an Ecology of Birth Recommended Readings Chapter Eight: The Ecology of Nutrition Human Nutritional Requirements Subsistence by Hunting and Gathering Subsistence in the Humid Tropics Agriculture Profile: Local Differences in Iodine Deficiency Goiter in the Western Himalaya by Richard V. Lee Industrial Agriculture The Anthropology of Food and Cooking Food, Medicine, or Drug? Recommended Readings Chapter Nine: The Global Economy of Food: Stuffed or Starved Globalization and Food Systems The Obesity Epidemic: Alternative Interpretation Nutrition and Child Growth Food Insecurity Profile: Famine in Ethiopia by Patricia K. Townsend Recommended Readings Chapter Ten: Stress, Trauma, and Mental Illness Responding to Trauma: the Stress Concept Understanding the Physiology of Stress Can Stress Induce Healing? Biomarkers of Stress Stress and Psychiatric Disorders Profile: Legacies of War by Culture-Bound Syndromes Resilience: A Buffer Against Stress Stress and Evolutionary Adaptedness Recommended Readings Chapter Eleven: Health Resources for Vulnerable Populations Change and Vulnerability Repercussions of Culture Contact on Health in the Arctic Profile: Culture Change and Inuit Health: Two Families by Ann McElroy Health Care for Displaced Populations Medical Pluralism Health Disparities Living with Disability and Coping with Vulnerability Recommended Readings Chapter Twelve: Health Costs and Benefits of Globalization Spirit Possession in a Malaysian Factory Globalization and Health Evaluating the Health Effects of Agricultural Development Strategies for Improving Health Paying the Costs of Industrial Development Profile: Hazardous Waste and the Mohawks at Akwesasne by Patricia K. Townsend Recommended Readings Chapter Thirteen: First, Do No Harm: Ethics in Medical Anthropology Medical Anthropology and Bioethics Profile: Using Anthropological Methods to Understand Condom Use for STI Prevention in the Inner City by Pamela I. Erickson Difficulties in Following Bioethical Regulations in Anthropological Research Ethical Dilemmas in the Field Ethical Regulation and Conflicts in Anthropology Activism, Engaged Anthropology, and Participatory Research Recommended Readings Chapter Fourteen: Applying Medical Anthropology in Health Careers Medical Anthropologists in International Health Career Paths in Medical Anthropology Profile: Learning Field Methods in Costa Rica by Nancy Romero-Daza and David A. Himmelgreen Recommended Readings References Index

About the Author

Ann McElroy, Ph.D., Associate Professor Emerita of Anthropology, directed applied medical anthropology graduate concentrations at the University at Buffalo, SUNY, from 1985 to 2013. She has done research in Nunavut, Canada, for the past forty-seven years and is the author of Nunavut Generations: Change and Continuity in Baffin Island Inuit Communities (Waveland Press, 2008). Other current research interests include culture and disability, traumatic grief, and historical trauma in indigenous societies.Patricia K. Townsend, Ph.D., is Research Associate Professor at the University at Buffalo. Her most recent book is Environmental Anthropology: From Pigs to Policies (Waveland Press, Second Edition, 2009). She has done fieldwork in Papua New Guinea, Peru, and at Superfund sites in the United States. After several years of college teaching, she has spent much of her career applying anthropology to non-governmental organizations, including church and refugee agencies. Her current writing projects relate her Papua New Guinea research to broader issues of human and environmental health.


"I have used Medical Anthropology in Ecological Perspective on numerous occasions and it is close to my ideal for a textbook in anthropology. Its perspectives in ecology, evolution, and biocultural interpretation are in the forefront of the biomedical and social sciences. I should be proud to have written it myself." --Michael Little, Binghamton University, SUNY "McElroy and Townsend's textbook is a classic, and remains the best overall introduction to medical anthropology available. It is engagingly and clearly written, covering a broad range of topics from biocultural and evolutionary perspectives. I wouldn't consider using any other text to introduce students to this fascinating field of study." --Katherine A. Dettwyler, University of Delaware "The ecological perspective has proven its utility for understanding health and healing across cultures and through the major health transitions. The new edition of McElroy and Townsend retains the classic ecological approach while updating and expanding treatment of the major topics adding illustrative and contemporary case studies; it continues to be in the very first rank of medical anthropology texts." --Lawrence Schell, University at Albany, SUNY

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