More people die by suicide each year than by homicide, wars, and terrorist attacks combined. Witnesses and survivors are left perplexed and troubled. Doctors, clinical psychologists, and social workers try to deal with it through their professional routines; sociologists and psychiatrists attempt to provide theoretical explanations of it. In a study of nearly 7000 suicides from 1900 to 1950 in New Zealand and Queensland, Australia, John Weaver documents the challenges that ordinary people experienced during turbulent times and, using witnesses' testimony, death bed statements, and suicide notes, reconstructs individuals' thoughts as they decide whether to endure their suffering. Bridging social and medical history, Weaver presents an intellectual and political history of suicide studies, a revealing construction and deconstruction of suicide rates, a discussion of gender, life stages, and socio-economic circumstances in relation to suicide patterns, reflections on reasoning processes and intent, and society's reactions to suicide, including medical intervention. A Sadly Troubled History marshals thousands of suicide inquests, replete with observations on the anxieties of unemployment, the heartbreak of romantic disappointment, the pain of domestic turmoil, and the torments of mental illness, to demonstrate that history - although, like biochemistry, sociology, psychology, and psychiatry, reliant on remarkable yet imperfect information - can contribute to a better understanding of the suicidal act and its motives.

A critique of the greatest reallocation of resources in the history of the world and an analysis of its effects on indigenous peoples, the growth of property rights, and the evolution of ideas that make up the foundation of the modern world.

What is the relationship between culture and mental health? Is mental illness universal? Are symptoms of mental disorders different across social groups? In the late 1960s these questions gave rise to a groundbreaking series of articles written by the psychiatrist Henri Ellenberger, who would go on to publish The Discovery of the Unconscious: The History and Evolution of Dynamic Psychiatry in 1970. Fifty years later they are presented for the first time in English translation, introduced by historian of science Emmanuel Delille. Ethnopsychiatry explores one of the most controversial subjects in psychiatric research: the role of culture in mental health. In his articles Ellenberger addressed the complex clinical and theoretical problems of cultural specificity in mental illness, collective psychoses, differentiations within cultural groups, and biocultural interactions. He was especially attuned to the correlations between rapid cultural transformations in postwar society, urbanization, and the frequency of mental illness. Ellenberger drew from a vast and varied primary and secondary literature in several languages, as well as from his own findings in clinical practice, which included work with indigenous peoples. In analyzing Ellenberger's contributions Delille unveils the transnational and interdisciplinary origins of transcultural psychiatry, which grew out of knowledge networks that crisscrossed the globe. The book has a rich selection of appendices, including Ellenberger's lecture notes on a case of peyote addiction and his correspondence with anthropologist and psychoanalyst Georges Devereux. These original essays, and their masterful contextualization, provide a compelling introduction to the foundations of transcultural psychiatry and one of its most distinguished and prolific researchers.

Drugs take strange journeys from the black market to the doctor's black bag. Changing marijuana laws in the United States and Canada, the opioid crisis, and the rising costs of pharmaceuticals have sharpened the public's awareness of drugs and their regulation. Government, industry, and the medical profession, however, have a mixed record when it comes to framing policies and generating knowledge to address drug use and misuse. In Strange Trips Lucas Richert investigates the myths, meanings, and boundaries of recreational drugs, palliative care drugs, and pharmaceuticals as well as struggles over product innovation, consumer protection, and freedom of choice in the medical marketplace. Scrutinizing how we have conceptualized and regulated drugs amid the pressing and competing interests of state regulatory bodies, pharmaceutical and for-profit companies, scientific researchers, and medical professionals, Richert asks how perceptions of a product shift – from dangerous substance to medical breakthrough, or vice versa. Through close examination of archival materials, accounts, and records, he brings substances into conversation with each other and demonstrates the contentious relationship between scientific knowledge, cultural assumptions, and social concerns. Weaving together stories of consumer resistance and government control, Strange Trips offers timely recommendations for the future of drug regulation.

Between the decriminalization of contraception in 1969 and the introduction of the Charter of Rights and Freedoms in 1982, a landmark decade in the struggle for women's rights, public discourse about birth control and family planning was transformed. At the same time, a transnational conversation about the "population bomb" that threatened global famine caused by overpopulation embraced birth control technologies for a different set of reasons, revisiting controversial ideas about eugenics, heredity, and degeneration. In Challenging Choices Erika Dyck and Maureen Lux argue that reproductive politics in 1970s Canada were shaped by competing ideologies on global population control, poverty, personal autonomy, race, and gender. For some Canadians the 1970s did not bring about an era of reproductive liberty but instead reinforced traditional power dynamics and paternalistic structures of authority. Dyck and Lux present case studies of four groups of Canadians who were routinely excluded from progressive, reformist discourse: Indigenous women and their communities, those with intellectual and physical disabilities, teenage girls, and men. In different ways, each faced new levels of government regulation, scrutiny, or state intervention as they negotiated their reproductive health, rights, and responsibilities in the so-called era of sexual liberation. While acknowledging the reproductive rights gains that were made in the 1970s, the authors argue that the legal changes affected Canadians differently depending on age, social position, gender, health status, and cultural background. Illustrating the many ways to plan a modern family, these case studies reveal how the relative merits of life and choice were pitted against each other to create a new moral landscape for evaluating classic questions about population control.

A social and occupational health history of the St Lawrence fluorspar mines.

During the apartheid era, thousands of South African political activists, militants, and refugees fled arrest by crossing into neighbouring southern African countries. Although they had escaped political oppression, many required medical attention during their period of exile. An Ambulance on Safari describes the efforts of the African National Congress (ANC) to deliver emergency healthcare to South African exiles and, in the same stroke, to establish political legitimacy and foster anti-apartheid sentiment on an international stage. Banned in South Africa from 1960 to 1990, the ANC continued its operations underground in anticipation of eventual political victory, styling itself as a "government in waiting." In 1977 it created its own Health Department, which it presented as an alternative medical service and the nucleus of a post-apartheid healthcare system. By publicizing its own democratic policies as well as the racist practices of healthcare delivery in South Africa, the Health Department won international attention for its cause and provoked widespread condemnation of the apartheid state. While the global campaign was unfolding successfully, the department's provision of healthcare on the ground was intermittent as patients confronted a fledgling medical system experiencing various growing pains. Still, the legacy of the department would be long, as many medical professionals who joined the post-apartheid Department of Health in South Africa had been trained in exile during the liberation struggle. With careful attention to both the international publicity campaign and on-the-ground medical efforts, An Ambulance on Safari reveals the intricate and significant political role of the ANC's Health Department and its influence on the anti-apartheid movement.

Aldous Huxley (1894–1963) was the author of nearly fifty books and numerous essays, best known for his dystopian novel Brave New World. Humphry Osmond (1917–2004) was a British-trained psychiatrist interested in the biological nature of mental illness and the potential for psychedelic drugs to treat psychoses, especially schizophrenia. In 1953, Huxley sent an appreciative note to Osmond about an article he and a colleague had published on their experiments with mescaline, which inspired an initial meeting and decade-long correspondence. This critical edition provides the complete Huxley-Osmond correspondence, chronicling an exchange between two brilliant thinkers who explored such subjects as psychedelics, the visionary experience, the nature of mind, human potentialities, schizophrenia, death and dying, Indigenous rituals and consciousness, socialism, capitalism, totalitarianism, power and authority, and human evolution. There are references to mutual friends, colleagues, and eminent figures of the day, as well as details about both men's personal lives. The letters bear witness to the development of mind-altering drugs aimed at discovering the mechanisms of mental illness and eventually its treatment. A detailed introduction situates the letters in their historical, social, and literary context, explores how Huxley and Osmond first coined the term "psychedelic," contextualizes their work in mid-century psychiatry, and reflects on their legacy as contributors to the science of mind-altering substances. Psychedelic Prophets is an extraordinary record of a full correspondence between two leading minds and a testament to friendship, intellectualism, empathy, and tolerance. The fact that these sentiments emerge so clearly from the letters, at a historical moment best known for polarizing ideological conflict, threats of nuclear war, and the rise of post-modernism, reveals much about the personalities of the authors and the persistence of these themes today.

The beginning of the Mexican War of Independence in 1810 triggered radical political, social, and economic changes, including the reorganization of the medical profession. During this tumultuous period of transition, physicians and surgeons merged in an effort to monopolize the field and ensure their professional survival in a postcolonial, liberal republic. Carving a Niche traces the evolution of various medical occupations in Mexico from the end of the colonial period to the beginning of the regime of Porfirio Díaz, demonstrating how competition and collaboration, identity, ever-changing legislation, political instability, and foreign intervention resulted in a complex, gradual, and unique process of medical professionalization – one that neither conformed to theoretical models nor resembled hierarchies found in other parts of the world. Through extensive research, Luz María Hernández Sáenz analyzes the uphill struggle of practitioners to claim their place as public health experts and to provide and control medical education in the face of seemingly insurmountable odds. Highlighting the significance of race, class, gender, and nationality, Carving a Niche demonstrates that in the case of Mexico, liberal reforms praised by traditional works often hindered, rather than promoted, the creation of a modern medical profession and the delivery of quality health care services.

For centuries, recurrent plague outbreaks took a grim toll on populations across Europe and Asia. While medical interventions and treatments did not change significantly from the fourteenth century to the eighteenth century, understandings of where and how plague originated did. Through an innovative reading of medical advice literature produced in England and France, Patterns of Plague explores these changing perceptions across four centuries. When plague appeared in the Mediterranean region in 1348, physicians believed the epidemic’s timing and spread could be explained logically and the disease could be successfully treated. This confidence resulted in the widespread and long-term circulation of plague tracts, which described the causes and signs of the disease, offered advice for preventing infection, and recommended therapies in a largely consistent style. What, where, and especially who was blamed for plague outbreaks changed considerably, however, as political, religious, economic, intellectual, medical, and even publication circumstances evolved. Patterns of Plague sheds light on what was consistent about plague thinking and what was idiosyncratic to particular places and times, revealing the many factors that influence how people understand and respond to epidemic disease.