"An eye for colorful vignettes and anecdotes. On target! She recognizes the importance of her subject." -- Thomas N. Bonner, author of To the Ends of the Earth: Women's Search for Education in Medicine Those struggling to deal with the AIDS epidemic might learn valuable lessons from the earlier struggle of the U.S. to deal with syphilis. Here, Suzanne Poirier tells the story of the Chicago Syphilis Control Program launched in 1937 by the Chicago Board of Health and the U.S. Public Health Service and severely limited from the start because of the refusal of government, the press, and the public to confront directly the issues underlying the problem. Poirier's narrative is memorable for its vivid scenes, colorful characters that include Chicago's "clap doctor," Dr. Ben Reitman, and its account of the heated debate that surrounded the effort. In an epilogue, the author discusses similarities between current efforts against AIDS and the handling and politics of the syphilis problem in the late 1930s.

This book examines posters produced by the Works Progress Administration (WPA), a federal relief program designed to create jobs in the United States during the Great Depression. Cory Pillen focuses on several issues addressed repeatedly in the roughly 2,200 extant WPA posters created between 1935 and 1943: recreation and leisure, conservation, health and disease, and public housing. As the book shows, the posters promote specific forms of knowledge and literacy as solutions to contemporary social concerns. The varied issues these works engage and the ideals they endorse, however, would have resonated in complex ways with the posters’ diverse viewing public, working both for and against the rhetoric of consensus employed by New Deal agencies in defining and managing the relationship between self and society in modern America. This book will be of interest to scholars in design history, art history, and American studies.

How did beliefs about syphilis shape the kinds of treatment people with this disease received? The story of how a town in the Ozark hinterlands played a key role in determining standards of medical care around syphilis. During the late 1800s and early 1900s, the central Arkansas city of Hot Springs enjoyed a reputation as one of the United States' premier health resorts. Throughout this period, the vast majority of Americans who traveled there did so because they had (or thought they had) syphilis—a disease whose incidence was said to be dramatically on the rise all across the country. Boasting an impressive medical infrastructure that included private clinics, a military hospital, and a venereal disease clinic operated by the United States Public Health Service, Hot Springs extended a variety of treatment options. Until the antibiotic revolution of the 1940s, Hot Springs occupied a central position in the country's struggle with sexually transmitted disease. Drawing upon health-seekers' firsthand accounts, clinical case files, and the writings of the city's privately practicing specialists, In Search of Sexual Health examines the era's "venereal peril" from the standpoint of medical practice. How, Elliott Bowen asks, did people with VD understand their illnesses, and what therapeutic strategies did they employ? Highlighting the unique role that resident doctors, visiting patients, and local residents played in shaping Hot Springs' response to syphilis, Bowen argues that syphilis's status as a stigmatized disease of "others" (namely prostitutes, immigrants, and African Americans) had a direct impact on the kinds of treatment patients received, and translated into very different outcomes for the city's diverse clientele—which included men as well as women, blacks as well as whites, and the poor as well as the rich. Whereas much of the existing scholarship on the history of sexually transmitted diseases privileges the actions of medical elites and federal authorities, this study reveals Hot Springs, a remote and fairly obscure town, as a local node with a significant national impact on American medicine and public health. Providing a richer, more complex understanding of a critical chapter in the history of sexually transmitted diseases, In Search of Sexual Health will prove valuable to historians of medicine, public health, and the environment, in addition to scholars of race, gender, sexuality.

This book discusses the development of key issues in research ethics relevant for clinical sociologists, concerning client rights to confidentiality, privacy, and informed consent. It describes the US human research protection system used by clinical and applied sociologists, through a history of research ethics, including the landmark Belmont Report and the creation of the regulatory structure of Institutional Review Boards (IRBs) in the United States. It also discusses ethical research systems in other nations like Canada, the UK, Australia and New Zealand. The book provides a comprehensive account of controversial studies in the US, including Milgram’s Obedience to Authority, Zimbardo’s Stanford Prison Experiment, and the US Public Health Service, and the Tuskegee Syphilis Study, and analyzes how ethical concerns in these studies were or were not resolved. This book covers a topic of core interest to clinical and applied sociologists and other social science practitioners who do research, as well as students and teachers in research ethics courses in anthropology, psychology, political science, sociology, and philosophy, thereby broadening an awareness of clinical sociology.

Hard Labor and Hard Time is a history of continuity and change in Florida's state prison system between 1910 and 1957, exploring conditions at the state prison farm at Raiford (the third largest prison farm in the South at this time) as well as in the chain gangs and road prisons. Vivien Miller examines the experiences of the prisoners as well as the guards and other prison personnel in this comprehensive, groundbreaking study. She demonstrates that despite progressive changes in the treatment of inmates (better diet, better structuring of work and leisure activities, better medical provision, and the like), these improvements were matched by continued brutality and mistreatment, unequal or discriminatory treatment according to race and/or gender, and neglect.

This book provides the first account of the invention of the tramp as a social type in the United States between the 1870s and the 1930s. Tim Cresswell considers the ways in which the tramp was imagined and described and how, by World War II, it was being reclassified and rendered invisible. He describes the "tramp scare" of the late nineteenth century and explores the assumption that tramps were invariably male and therefore a threat to women. Cresswell also examines tramps as comic figures and looks at the work of prominent American photographers which signaled a sympathetic portrayal of this often-despised group. Perhaps most significantly, The Tramp in America calls into question the common assumption that mobility played a central role in the production of American identity. “This is an effective, and sometimes touching, account of how a social phenomenon was created, classified and reclassified. The quality of the writing, the excellent illustrations and the high production standards give this reasonably-priced hardback a chance of appealing to a general audience . . . an important contribution to American studies, providing new perspectives on the significance of mobility and rootlessness at an important time in the development of the nation. Cresswell successfully illuminates the history of a disadvantaged and marginal group, while providing a lens by which to focus on the thinking and practices of the mainstream culture with which they dealt. As such, this book represents a considerable achievement.”—Cultural Geographies “An important book. Cresswell has made an important contribution to a homelessness literature still lacking a more sophisticated theoretical edge. Clearly written, beautifully illustrated and with a strong argument throughout, the book deserves to be widely read by students and practitioners alike.”—Progress in Human Geography

This book presents a comprehensive theory of the ethics and political philosophy of public health surveillance based on reciprocal obligations among surveillers, those under surveillance, and others potentially affected by surveillance practices. Public health surveillance aims to identify emerging health trends, population health trends, treatment efficacy, and methods of health promotion--all apparently laudatory goals. Nonetheless, as with anti-terrorism surveillance, public health surveillance raises complex questions about privacy, political liberty, and justice both of and in data use. Individuals and groups can be chilled in their personal lives, stigmatized or threatened, and used for the benefit of others when health information is wrongfully collected or used. Transparency and openness about data use, public involvement in decisions, and just distribution of the benefits of surveillance are core elements in the justification of surveillance practices. Understanding health surveillance practices, the concerns it raises, and how to respond to them is critical not only to ethical and trustworthy but also to publicly acceptable and ultimately sustainable surveillance practices. The book is of interest to scholars and practitioners of the ethics and politics of public health, bioethics, privacy and data technology, and health policy. These issues are ever more pressing in pandemic times, where misinformation can travel quickly and suspicions about disease spread, treatment efficacy, and vaccine safety can have devastating public health effects.