This engaging and thought-provoking book interrogates the workings of stigma within a historical, political and sociological framework. In so doing, it highlights the way in which particular individuals and groups are ‘othered’, and the implications such a process has for how they are viewed and treated within society. A discussion of the various ways in which stigma has been conceptualised is followed by an analysis of the workings of stigma within the sphere of social welfare. The focus then turns to a consideration of the way specific groups and their allies have challenged their stigmatised status, and, in the process, have utilised and developed our understanding of the theoretical, political and practical ways in which stigma operates within society. In paying particular attention to mental health, disability and transgender politics, the book highlights both the progressive and regressive aspects of theoretical and practical campaigns to challenge stigma. In particular, it gives warning as to the way such developments often exhibit a marked disdain for the public and have become institutionalised in such a way as to constitute a threat to our political freedom.

#1 NEW YORK TIMES BESTSELLER • OPRAH’S BOOK CLUB PICK • “An instant American classic and almost certainly the keynote nonfiction book of the American century thus far.”—Dwight Garner, The New York Times The Pulitzer Prize–winning, bestselling author of The Warmth of Other Suns examines the unspoken caste system that has shaped America and shows how our lives today are still defined by a hierarchy of human divisions—now with a new Afterword by the author. #1 NONFICTION BOOK OF THE YEAR: Time ONE OF THE BEST BOOKS OF THE YEAR: The Washington Post, The New York Times, Los Angeles Times, The Boston Globe, O: The Oprah Magazine, NPR, Bloomberg, The Christian Science Monitor, New York Post, The New York Public Library, Fortune, Smithsonian Magazine, Marie Claire, Slate, Library Journal, Kirkus Reviews Winner of the Carl Sandberg Literary Award • Winner of the Los Angeles Times Book Prize • National Book Award Longlist • National Book Critics Circle Award Finalist • Dayton Literary Peace Prize Finalist • PEN/John Kenneth Galbraith Award for Nonfiction Finalist • PEN/Jean Stein Book Award Longlist • Kirkus Prize Finalist “As we go about our daily lives, caste is the wordless usher in a darkened theater, flashlight cast down in the aisles, guiding us to our assigned seats for a performance. The hierarchy of caste is not about feelings or morality. It is about power—which groups have it and which do not.” In this brilliant book, Isabel Wilkerson gives us a masterful portrait of an unseen phenomenon in America as she explores, through an immersive, deeply researched, and beautifully written narrative and stories about real people, how America today and throughout its history has been shaped by a hidden caste system, a rigid hierarchy of human rankings. Beyond race, class, or other factors, there is a powerful caste system that influences people’s lives and behavior and the nation’s fate. Linking the caste systems of America, India, and Nazi Germany, Wilkerson explores eight pillars that underlie caste systems across civilizations, including divine will, bloodlines, stigma, and more. Using riveting stories about people—including Martin Luther King, Jr., baseball’s Satchel Paige, a single father and his toddler son, Wilkerson herself, and many others—she shows the ways that the insidious undertow of caste is experienced every day. She documents how the Nazis studied the racial systems in America to plan their outcasting of the Jews; she discusses why the cruel logic of caste requires that there be a bottom rung for those in the middle to measure themselves against; she writes about the surprising health costs of caste, in depression and life expectancy, and the effects of this hierarchy on our culture and politics. Finally, she points forward to ways America can move beyond the artificial and destructive separations of human divisions, toward hope in our common humanity. Original and revealing, Caste: The Origins of Our Discontents is an eye-opening story of people and history, and a reexamination of what lies under the surface of ordinary lives and of American life today.

‘Empowerment’ is a term in widespread use today and one that is often considered to be a self-evident good. Here, McLaughlin explores its emergence in the 1960s through to its rise in the 1990s and ubiquity in present day discourse and interrogates its social status, paying particular attention to social policy, social work and health and social care discourse. He argues that a focus on empowerment has superseded the notion of political subjects exercising power autonomously. This innovative volume: - Discusses the relationship between concepts of empowerment and power, as they have been understood historically. - Analyses changes in the conception and meaning of empowerment in relation to the shifting social and political landscape. - Acknowledges the positive impact empowerment strategies have had on those who have campaigned to be empowered and also on those who have saw their role as being to help empower others. - Highlights ways in which talk about empowerment can actually work in such a way as to further disempower those already marginalised. Critically examining how ‘empowerment’ has become embedded in contemporary social and political life, this work offers a discussion of the term’s multiple meanings, what it actually entails, and how it constructs and positions those being empowered and those empowering.

First published in 1982. How do we account for such inconsistencies in public policy toward the disadvantaged? In instances where the civil rights of minority groups have been neglected, their relative lack of political power has no doubt been a factor, particularly when their demands have threatened the interests of the majority. Prejudice also plays a role. This book describes a program of research on people's reactions to blacks and the physically handicapped, categories that were selected because they seemed to be representative of a whole range of social classes that are generally seen as deviant but also as disadvantaged in their pursuit of life goals. The assumption is that this dual perception generates both hostile and compassionate dispositions.

In this collection of 16 essays, poets discuss psychiatric treatment and their work. Poets on Prozac shatters the notion that madness fuels creativity by giving voice to contemporary poets who have battled myriad psychiatric disorders, including depression, schizophrenia, post-traumatic stress disorder, and substance abuse. The sixteen essays collected here address many provocative questions: Does emotional distress inspire great work? Is artistry enhanced or diminished by mental illness? What effect does substance abuse have on esthetic vision? Do psychoactive medications impinge on ingenuity? Can treatment enhance inherent talents, or does relieving emotional pain shut off the creative process? Featuring examples of each contributor’s poetry before, during, and after treatment, this original and thoughtful collection finally puts to rest the idea that a tortured soul is one’s finest muse. Honorable Mention, 2008 PROSE Award for Best Book in Psychology. “A fascinating collection of 16 essays, as insightful as they are compulsively readable. Each is honest and sharply written, covering a range of issues (depression, anxiety, obsessive-compulsive disorder, psychosis, substance abuse or, in acutely deadpan Andrew Hudgins’s case, “tics, twitches, allergies, tooth-grinding, acid reflux, migraines . . . and shingles”) along with treatment methods, incorporating personal anecdotes and excerpts from poems and journals. . . . Anyone affected by mental illness or intrigued by the question of its role in the arts should find this volume absorbing.” —Publishers Weekly “Berlin has done a marvelous job of showing us how ordinary poets are; the selected poets have shown us that mental illness shares with other experiences a capacity to reveal our humanity.” —Metapsychology

The idea of ‘pornography’ is often employed to invoke titillation, anger, and disgust. Stigma and the Shaping of the Pornography Industry explores the effects that this stigmatized identity has on the pornography industry itself. From the video era to the emergence of the internet, to trade shows, white-collar workers, technological innovation, and industry-wide characteristics, this book looks beyond content production to explore how stigma has shaped the structures, practices, norms, and boundaries of the wider sector. By drawing on concepts such as dirty work, core-stigmatized industries, and outlaw innovation, this book offers rich insights into the ways in which stigma is socially constructed and managed, and the deep structural effects that it has on the industry.

The editors of the third edition of the seminal textbook Understanding and Applying Medical Anthropology bring it completely up to date for both instructors and students. The collection of 49 readings (17 of them new to this edition) offers extensive background description and exposes students to the breadth of theoretical, methodological, and practical perspectives and issues in the field of medical anthropology. The text provides specific examples and case studies of research as it is applied to a range of health settings: from cross-cultural clinical encounters to cultural analysis of new biomedical technologies and the implementation of programs in global health settings. The new edition features: • a major revision that eliminates many older readings in favor of more fresh, relevant selections; • a new section on structural violence that looks at the impact of poverty and other forms of social marginalization on health; • an updated and expanded section on “Conceptual Tools,” including new research and ideas that are currently driving the field of medical anthropology forward (such as epigenetics and syndemics); • new chapters on climate change, Ebola, PTSD among Iraq/Afghanistan veterans, eating disorders, and autism, among others; • recent articles from Margaret Mead Award winners Sera Young, Seth Holmes, and Erin Finley, along with new articles by such established medical anthropologists as Paul Farmer and Merrill Singer.

The author argues that to understand mental illness fully requires more than a study of biological models of mental processes and pathologies. As intensely social animals, he stresses, we need to look for the causes of human mental disorders in our interactions with others; in social rule-following and its role in the organization of mental content; in the power relations embedded within social structures and cultural norms; in the way that our mental life is inscribed by a cumulative life of encounters with others.

A groundbreaking work that explores human size as a distinctive cultural marker in Western thought Author, scholar, and editor Lynne Vallone has an international reputation in the field of child studies. In this analytical tour-de-force, she explores bodily size difference--particularly unusual bodies, big and small--as an overlooked yet crucial marker that informs human identity and culture. Exploring miniaturism, giganticism, obesity, and the lived experiences of actual big and small people, Vallone boldly addresses the uncomfortable implications of using physical measures to judge normalcy, goodness, gender identity, and beauty. This wide-ranging work surveys the lives and contexts of both real and imagined persons with extraordinary bodies from the seventeenth century to the present day through close examinations of art, literature, folklore, and cultural practices, as well as scientific and pseudo-scientific discourses. Generously illustrated and written in a lively and accessible style, Vallone's provocative study encourages readers to look with care at extraordinary bodies and the cultures that created, depicted, loved, and dominated them.

"Depictions of pregnancy on screen have varied wildly over the years, from Blondie's modest lack of a baby bump immediately before labor to JLo passing out into a friend's birthing pool while a placenta drifts by. Sturtevant examines the range between the various extremes in looking at the comic history of pregnancy in film and television. She argues that comedy provides an ideal framework to deal with the complexity and often hypocrisy of social attitudes toward the female body, which is often held up as saintly or familial with the wonderful blessing of bearing children, or alternately as profane or grotesque with the consequences of sex followed by the physical messiness of pregnancy and childbirth. She links the evolution of attitudes toward pregnancy in the US with representational strategies that transformed social discomforts into comedy. Comedy has provided the generic context for some of the most groundbreaking moments in pregnant representation in the United States, from the outrageous sextuplets of 1944's screwball comedy Miracle of Morgan's Creek to Lucille Ball's real-life pregnancy on I Love Lucy; Maude's abortion; Murphy Brown's controversial single motherhood; Arnold Schwarzenegger's medically improbable pregnancy in Junior; the use of abortion as a romantic comedy plot in Obvious Child; and the use of a stand-up comic's own pregnancy as a performance prop in Ali Wong's Baby Cobra routine. In each case, these breakthroughs were enabled by the "strengths" of comedy, which sanctions the violation of earlier, more restrictive norms of pregnant representation. Sturtevant examines how the history of pregnancy on screen provides a fascinating lens to understand how reproductive biology has defined women's roles across the American 20th century and into the present, beginning with studio-era prohibitions on using the word "pregnant" or showing a visible baby bump through the baby-boom-era fetishization of sentimental pregnancy. She then explores the sexual revolution and the birth control pill ushering in a new interest in non-marital pregnancy in the 1960s and '70s as well as the emphasis on biological clocks and infertility in the 1980s and '90s. She concludes with an examination of the millennial move toward more medically and socially candid representations of pregnancy. Throughout the book, she also examines the overwhelming whiteness of most of this history and the additional barriers and stigmas against non-white reproduction that have led to its shocking underrepresentation in popular media"--