This book discusses the social control of new biomedical technologies and the problems in organization and delivery of medical care in the face of new technological and social change.

This outstanding collection of essays by Renee C. Fox encompasses almost thirty years of original, pioneering research in the sociology of medicine. Based on fieldwork in a variety of medical settings in the United States, Belgium, and Zaire, these ethnographic essays examine chronic and terminal illness, medical research, therapeutic innovation, medical education and socialization, and bio-ethics. Within this framework, three empirical "cases" have been singled out for special scrutiny--the process of becoming a physician, the development of the artificial kidney machine and organ transplantation, and the evolution of medical research in Belgium. Without ignoring social structural or psychodynamic factors, Dr. Fox has explored basic cultural phenomena and questions associated with health, illness, and medicine: values, beliefs, symbols, rites, and the nuances of language: ethical and existential dilemmas and dualities; and the complex interrelationships between medicine, science, religion, and magic. She draws systematically and imaginatively upon anthropological, psychological, historical, and biological insights and integrates observations and analyses from her own studies in American, Western European, and Central African societies. This second, augmented edition includes Professor Fox's more recent contributions to the expanding field of the sociology of medicine. They are "The Evolution of Medical Uncertainty; The Human Condition of Health Professionals; Reflections on the Utah Artificial Heart Program; Is Religion Important in Belgium?; Medical Morality is Not Bioethics"--"Medical Ethics in China and the United States; "and "Medicine, Science and Technology. "The work also includes a new introduction, "Endings, Beginnings and Continuities." Now, anthropologists, sociologists, medical educators, scientists, researchers, and students can join her on her "journeys into the field" and share with her the priceless insights to be gained from the physicians, nurses, medical students, patients, and their families, who are working, living, and dying on the edge of what is known, scrutable, and remediable--on the edge of medical science.

First multi-year cumulation covers six years: 1965-70.

Neither minimizing the difficulty of the choices that modern genetics has created for us nor fearing them, Cowan argues that we can improve the quality of our own lives and the lives of our children by using the modern science and technology of genetic screening responsibly.

The contributors present a coherent set of case studies of practices, technologies and strategies aimed at the isolation, investigation, manipulation, production, and uses of molecules including vitamins, hormones, blood products, antibiotics, and vaccines. These case studies examine how processes of molecularization were set in motion in the inter-war period, how they were used as a resource in the biomedical 'mobilization' of World War II, and how new alliances and strategies created as part of the war effort played a central role in the reorganisation of biomedicine in the post-war period.

Spare Parts examines major developments in the field of organ replacement that occurred in the United States over the course of the 1980s and the beginning of the 1990s. It focuses upon significant medical and social changes in the transplantation of human organs and on the development and clinical testing of the Jarvik-7 artificial heart, with special emphasis on how these biomedical events were related to the political, economic, and social climate of American society. Part I examines the important biomedical advances and events in organ transplantation and their social and cultural concomitants. In Part II, the focus shifts to the story of the rise and fall of the Jarvik-7 artificial heart in the United States, its relation to American social institutions and cultural patterns, and its bearing on social control issues associated with therapeutic innovation and the patient-oriented clinical research it entails. Part III is a personal conclusion, which explains why the authors left the field of organ transplantation after so many years. Spare Parts is written in a narrative, ethnographic style, with thickly descriptive, verbatim, and atmospheric detail. The primary data it is based upon includes qualitative materials, collected via participant observation, interviews in a variety of medical milieu, and content analysis of medical journals, newspapers, and magazine articles, and a number of television transcripts. The new introduction provides an overview of some of the recent developments in transplantation and also underscores how tenacious many of the patterns associated with organ replacement have been. Spare Parts should be read by all medical professionals, sociologists, and historians.