Episodes
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Our stress response system is magnificent - it operates beneath our awareness, like an orchestra of organs playing a hidden symphony. When we are healthy, the orchestra plays effortlessly, but what happens when our bodies face chronic stress, and the music slips out of tune?
The alarming rise of stress-related conditions, such as heart disease, diabetes, and depression, show the price we're paying for our high-pressure living, while global warming, pandemics and technology have brought new kinds of stress into all our lives. But what can we do about it?
Explore the fascinating mysteries of our hidden stress response system with Dr. Wulsin, who uses his decades of experience to show how toxic stress impacts our bodies. In Toxic Stress: How Stress Is Making Us Ill and What We Can Do About It (Cambridge UP, 2024), Wulsin gives us the expert advice and tools needed to prevent toxic stress from taking over. Chapter by chapter, learn to help your body and mind recover from toxic stress.
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In The Virus Touch: Theorizing Epidemic Media (Duke UP. 2023), Bishnupriya Ghosh argues that media are central to understanding emergent relations between viruses, humans, and nonhuman life. Writing in the shadow of the HIV/AIDS and COVID-19 global pandemics, Ghosh theorizes "epidemic media" to show how epidemics are mediated in images, numbers, and movements through the processes of reading test results and tracking infection and mortality rates. Scientific, artistic, and activist epidemic media that make multispecies relations sensible and manageable eschew anthropocentric survival strategies and instead recast global public health crises as biological, social, and ecological catastrophes, pushing us toward a multispecies politics of health. Ghosh trains her analytic gaze on these mediations as expressed in the collection and analysis of blood samples as a form of viral media; the geospatialization of data that track viral hosts like wild primates; and the use of multisensory images to trace fluctuations in viral mutations. Studying how epidemic media inscribe, store, and transmit multispecies relations attunes us to the anthropogenic drivers of pathogenicity like deforestation or illegal wildlife trading and the vulnerabilities accruing from diseases that arise from socioeconomic inequities and biopolitical neglect.
Professor Bishnupriya Ghosh teaches at the Department of English and Global Studies at UC Santa Barbara. She studies global media cultures, environmental media and critical health studies. Her early research includes two monographs When Borne Across: Literary Cosmopolitics in the Contemporary Indian Novel and Global Icons: Apertures to the Popular, while the co-edited volume exemplifies her current research, The Routledge Companion to Media and Risk.
Priyam Sinha is a doctoral candidate in the South Asian Studies Programme at the National University of Singapore. She has interdisciplinary academic interests that lie at the intersection of film studies, disability studies, production cultures, affect studies, anthropology of the body, creative media industries and cultural studies. She can be reached here.
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Advancing Medical Posthumanism Through Twenty-First Century American Poetry (Palgrave MacMillan, 2024) places contemporary poetics in dialogue with posthumanism and biomedicine in order to create a framework for advancing a posthuman-affirmative ethics within the culture of medical practice. This book makes a case for a posthumanist understanding of the body—one that sees health and illness not as properties possessed by individual bodies, but as processes that connect bodies to their social and natural environment, shaping their capacity to act, think, and feel. Tana Jean Welch demonstrates how contemporary American poetry is specifically poised to develop a pathway toward a posthuman intervention in biomedicine, the field of medical humanities, medical discourse, and the value systems that guide U.S. healthcare in general.
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Raj Patel, the renowned political economist and New York Times bestselling author of The Value of Nothing, teams up with the physician Rupa Marya to offer a radical new cure: the deep medicine of decolonization. Decolonizing heals what has been divided, reestablishing our relationships with the Earth and one another. Combining the latest scientific research and scholarship on globalization with the stories of Marya's work with patients in marginalized communities, activist passion, and the wisdom of Indigenous groups, Inflamed: Deep Medicine and the Anatomy of Injustice (FSG, 2021) points the way toward a deep medicine that has the potential to heal not only our bodies, but the world. “This book advances a new level of diagnosis that incorporates history and lines of power into our understanding of the root causes of health disparities and the rise of inflammatory disease in industrialized places, offering compelling treatment options for what is ailing people and the planet”.
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Sociologist Neil M. Gong explains why mental health treatment in Los Angeles rarely succeeds, for the rich, the poor, and everyone in between.
In 2022, Los Angeles became the US county with the largest population of unhoused people, drawing a stark contrast with the wealth on display in its opulent neighborhoods. In Sons, Daughters, and Sidewalk Psychotics: Mental Illness and Homelessness in Los Angeles (U Chicago Press, 2024), sociologist Neil M. Gong traces the divide between the haves and have-nots in the psychiatric treatment systems that shape the life trajectories of people living with serious mental illness. In the decades since the United States closed its mental hospitals in favor of non-institutional treatment, two drastically different forms of community psychiatric services have developed: public safety-net clinics focused on keeping patients housed and out of jail, and elite private care trying to push clients toward respectable futures.
In Downtown Los Angeles, many people in psychiatric crisis only receive help after experiencing homelessness or arrests. Public providers engage in guerrilla social work to secure them housing and safety, but these programs are rarely able to deliver true rehabilitation for psychological distress and addiction. Patients are free to refuse treatment or use illegal drugs—so long as they do so away from public view.
Across town in West LA or Malibu, wealthy people diagnosed with serious mental illness attend luxurious treatment centers. Programs may offer yoga and organic meals alongside personalized therapeutic treatments, but patients can feel trapped, as their families pay exorbitantly to surveil and “fix” them. Meanwhile, middle-class families—stymied by private insurers, unable to afford elite providers, and yet not poor enough to qualify for social services—struggle to find care at all.
Gong’s findings raise uncomfortable questions about urban policy, family dynamics, and what it means to respect individual freedom. His comparative approach reminds us that every “sidewalk psychotic” is also a beloved relative and that the kinds of policies we support likely depend on whether we see those with mental illness as a public social problem or as somebody’s kin. At a time when many voters merely want streets cleared of “problem people,” Gong’s book helps us imagine a fundamentally different psychiatric system—one that will meet the needs of patients, families, and society at large.
Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. He is the author of The Social Construction of a Cultural Spectacle: Floatzilla (Lexington Books, 2023) and Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington Books, 2022). His general area of study is in the areas of social construction of experience, identity, and place. He is currently conducting research for his next project that looks at nightlife and the emotional labor that is performed by employees of bars and nightclubs. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at [email protected].
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A dazzling, evidence-based account of one man’s quest to heal from complex PTSD by turning to endangered coral reefs and psychedelic plants after traditional therapies failed—and his awakening to the need for us to heal the planet as well. Professor Greg Wrenn likes to tell his nature-writing students, “The ecological is personal, and the personal is ecological.” What he’s never told them is how he’s lived out those correspondences to heal from childhood abuse at the hands of his mother.
Mothership: A Memoir of Wonder and Crisis (Regalo Press, 2024) is a deeply researched account of Greg turning to coral reefs and a psychedelic rainforest tea called ayahuasca to heal from complex PTSD—a disorder of trust, which makes the very act of bonding with someone else panic-inducing. From the tide pools in Florida where he grew up, to Indonesia’s Raja Ampat archipelago and the Amazon rainforest, Greg takes his readers on a journey across the globe. In his search for healing from personal and ecological trauma, he dives into both the ocean and the psyche—and finds they have a lot in common. Mothership is one man’s audacious search for healing when talk therapy and pharmaceuticals did little to help. Written with prophetic urgency, Mothership ultimately asks if doses of nature will be enough to save us before it’s too late—and what well-being means in a fracturing society on a dying planet.
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Can you really die from laughing too hard? Between 1870 and 1920, hundreds of women suffered such a fate—or so a slew of sensationalist obituaries would have us believe. How could laughter be fatal, and what do these reports of women’s risible deaths tell us about the politics of female joy?
In Death by Laughter: Female Hysteria and Early Cinema (Columbia University Press, 2024), Dr. Maggie Hennefeld reveals the forgotten histories of “hysterical laughter,” exploring how women’s amusement has been theorised and demonised, suppressed and exploited. In nineteenth-century medicine and culture, hysteria was an ailment that afflicted unruly women on the cusp of emotional or nervous breakdown. Cinema, Hennefeld argues, made it possible for women to laugh outrageously as never before, with irreversible social and political consequences. As female enjoyment became a surefire promise of profitability, alarmist tales of women laughing themselves to death epitomised the tension between subversive pleasure and its violent repression.
Dr. Hennefeld traces the social politics of women’s laughter from the heyday of nineteenth-century sentimentalism to the collective euphoria of early film spectatorship, traversing contagious dancing outbreaks, hysteria photography, madwomen’s cackling, cinematic close-ups, and screenings of slapstick movies in mental asylums. Placing little-known silent films and an archive of remarkable, often unusual texts in conversation with affect theory, comedy studies, and feminist film theory, this book makes a timely case for the power of hysterical laughter to change the world.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Brynn Quick speaks with Erin Mulpur about how hospitals can better support patients from linguistic minority backgrounds. The conversation addresses the barriers to both communication and healthcare faced by linguistic minority patients. Drawing on Erin’s 2021 paper “Reducing Barriers to Language Assistance During a Pandemic," the focus is on Houston Methodist Hospital’s innovative use of language assistance technologies during the first waves of Covid-19.
For additional resources, show notes, and transcripts, go here.
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In 1995, a scandal erupted when the New York Times revealed that the Smithsonian possessed a century's worth of nude "posture" photos of college students. In this riveting history, Beth Linker tells why these photos were only a small part of the incredible story of twentieth-century America's largely forgotten posture panic--a decades-long episode in which it was widely accepted as scientific fact that Americans were suffering from an epidemic of bad posture, with potentially catastrophic health consequences. Tracing the rise and fall of this socially manufactured epidemic, Slouch: Posture Panic in Modern America (Princeton UP, 2024) also tells how this period continues to feed today's widespread anxieties about posture.
In the early twentieth century, the eugenics movement and fears of disability gave slouching a new scientific relevance. Bad posture came to be seen as an individual health threat, an affront to conventional race hierarchies, and a sign of American decline. What followed were massive efforts to measure, track, and prevent slouching and, later, back pain--campaigns that reached schools, workplaces, and beyond, from the creation of the American Posture League to posture pageants. The popularity of posture-enhancing products, such as girdles and lumbar supports, exploded, as did new fitness programs focused on postural muscles, such as Pilates and modern yoga. By 1970, student protests largely brought an end to school posture exams and photos, but many efforts to fight bad posture continued, despite a lack of scientific evidence.
A compelling history that mixes seriousness and humor, Slouch is a unique and provocative account of the unexpected origins of our largely unquestioned ideas about bad posture.
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In the middle of the second century AD, Rome was at its prosperous and powerful apex. The emperor Marcus Aurelius reigned over a vast territory that stretched from Britain to Egypt. The Roman-made peace, or Pax Romana, seemed to be permanent. Then, apparently out of nowhere, a sudden sickness struck the legions and laid waste to cities, including Rome itself. This fast-spreading disease, now known as the Antonine plague, may have been history’s first pandemic. Soon after its arrival, the Empire began its downward trajectory toward decline and fall. In Pox Romana: The Plague That Shook the Roman World (Princeton University Press, 2024), historian Dr. Colin Elliott offers a comprehensive, wide-ranging account of this pivotal moment in Roman history.
Did a single disease—its origins and diagnosis still a mystery—bring Rome to its knees? Carefully examining all the available evidence, Dr. Elliott shows that Rome’s problems were more insidious. Years before the pandemic, the thin veneer of Roman peace and prosperity had begun to crack: the economy was sluggish, the military found itself bogged down in the Balkans and the Middle East, food insecurity led to riots and mass migration, and persecution of Christians intensified. The pandemic exposed the crumbling foundations of a doomed Empire. Arguing that the disease was both cause and effect of Rome’s fall, Dr. Elliott describes the plague’s “preexisting conditions” (Rome’s multiple economic, social, and environmental susceptibilities); recounts the history of the outbreak itself through the experiences of physician, victim, and political operator; and explores postpandemic crises. The pandemic’s most transformative power, Dr. Elliott suggests, may have been its lingering presence as a threat both real and perceived.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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In a world of often confusing and terrifying global problems, how should we make choices in our everyday lives? Does anything on the individual level really make a difference? In Catastrophe Ethics: How to Choose Well in a World of Tough Choices (Dutton, 2024), Travis Rieder tackles the moral philosophy puzzles that bedevil us. He explores vital ethical concepts from history and today and offers new ways to think about the “right” thing to do when the challenges we face are larger and more complex than ever before.
Alongside a lively tour of traditional moral reasoning from thinkers like Plato, Mill, and Kant, Rieder posits new questions and exercises about the unique conundrums we now face, issues that can seem to transcend old-fashioned philosophical ideals. Should you drink water from a plastic bottle or not? Drive an electric car? When you learn about the horrors of factory farming, should you stop eating meat or other animal products? Do small commitments matter, or are we being manipulated into acting certain ways by corporations and media? These kinds of puzzles, Rieder explains, are everywhere now. And the tools most of us unthinkingly rely on to “do the right thing” are no longer enough. Principles like “do no harm” and “respect others” don’t provide guidance in cases where our individual actions don’t, by themselves, have any effect on others at all. We need new principles, with new justifications, in order to navigate this new world.
In the face of consequential and complex crises, Rieder shares exactly how we can live a morally decent life. It’s time to build our own catastrophe ethics.
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How did men cope with sexual health issues in early modern England? In Men's Sexual Health in Early Modern England (Amsterdam University Press, 2023), Dr. Jennifer Evans presents a vivid history that investigates how sexual, reproductive, and genitourinary conditions were understood between 1580 and 1740. Drawing on medical sources and personal testimonies, it reveals how men responded to bouts of ill health and their relationships with the medical practitioners tasked with curing them. In doing so, this study restores men’s health to medical histories of reproduction, demonstrating how men’s sexual self-identity was tied to their health.
Charting genitourinary conditions across the life cycle, the book illustrates how fertility and potency were key to medical understandings of men’s health. Men utilised networks of care to help them with ostensibly embarrassing and shameful conditions like hernias, venereal disease, bladder stones, and testicular injuries. The book thus offers a historical voice to modern calls for men to be alert to, and open about, their own bodily health.
This interview was conducted by Dr. Miranda Melcher whose forthcoming book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars.
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Kristine M. McCusker's book Just Enough to Put Him Away Decent: Death Care, Life Extension, and the Making of a Healthier South, 1900-1955 (U Illinois Press, 2023) takes, as its focus, the combined history of death and health in the American South between 1900 and 1955. The text is ambitious in scope, and weaves together multiple oral histories to create a nuanced and engaging narrative. McCusker charts the ways in which low life expectancy in the South was regarded as problematic by commercial life insurance firms, concerned that their customers were paying insufficient dues before mortality provoked funeral expenditures, and the various Churches seeking to save souls before an untimely demise robbed them of the opportunity. Both agencies were heavily invested in health care. McCusker expertly weaves further threads into this complex narrative: Southern funeral practices, the theological basis for strong belief in family re-union at death, and racial divides that created exclusions and opportunities for the Black Americans to express their own deathways, increasingly supported through commercial enterprise. Two World Wars test and refine common frameworks for organizing the dead, and McCusker underlines the importance, amongst other things, of etiquette guidance on the correct ways to grieve and to express condolence. This is a remarkably rich text that will intrigue a more general readership and prove essential to death scholars in the US and further afield.
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Mary Woodard Lasker had a singular goal: saving lives by increasing medical research. Together with her husband, advertising genius Albert, they created the Lasker Foundation, bestowing the Lasker Awards. Known as the "American Nobels," these became the most prestigious research awards in America. The Laskers' next step was transforming the sleepy and ineffectual American Society for the Control of Cancer, reinventing it as the American Cancer Society in 1944.
But the real increase in medical research funding occurred when Mary discovered a revolutionary source: the federal government. "I'm just a catalytic agent," she would insist, while she tirelessly lobbied Congress and presidents alike. She played a major role in expanding the National Institutes of Health from a single entity to the largest research facility in the world. A feminist who used her femininity wisely, Mary's ultimate victory was bringing together two political adversaries to help launch the original cancer moonshot: the 1971 National Cancer Act.
Judith Pearson's biography Crusade to Heal America: The Remarkable Life of Mary Lasker (Mayo Clinic Press, 2023) paints the portrait of a woman who was savvy, steely, and deliberate. Mary Lasker courageously positioned herself at the crossroads of politics, science, and medicine. At a time when women in research laboratories and the halls of Congress were anomalies, she smashed stereotypes in the fashion of Jeannette Rankin, Ruth Bader Ginsburg, and Shirley Chisholm. As eloquently described in this absorbing history, the country's march to conquer humanity's most feared maladies was well-fueled by its fearless and feisty crusader, Mary Lasker.
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Through a creative focus on skin, in Experiments in Skin: Race and Beauty in the Shadows of Vietnam (Duke UP, 2021), Thuy Linh Nguyen Tu examines the ongoing influence of the Vietnam War on contemporary ideas about race and beauty. Framing skin as the site around which these ideas have been formed, Tu foregrounds the histories of militarism in the production of US biomedical knowledge and commercial cosmetics. She uncovers the efforts of wartime scientists in the US Military Dermatology Research Program to alleviate the environmental and chemical risks to soldiers' skin. These dermatologists sought relief for white soldiers while denying that African American soldiers and Vietnamese civilians were also vulnerable to harm. Their experiments led to the development of pharmaceutical cosmetics, now used by women in Ho Chi Minh City to tend to their skin, and to grapple with the damage caused by the war's lingering toxicity.
In showing how the US military laid the foundations for contemporary Vietnamese consumption of cosmetics and practices of beauty, Tu shows how the intersecting histories of militarism, biomedicine, race, and aesthetics become materially and metaphorically visible on skin.
Yadong Li is a PhD student in socio-cultural anthropology at Tulane University. He is interested in the anthropology of time, hope studies, and post-structuralist philosophy. If you are interested in any of these topics, feel free to contact him by email: [email protected] / [email protected].
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An enduring paradox of urban public health is that many communities around hospitals are economically distressed and, counterintuitively, medically underserved. In The City and the Hospital two sociologists, Jonathan R. Wynn and Berkeley Franz, and a political scientist, Daniel Skinner, track the multiple causes of this problem and offer policy solutions.
Focusing on three urban hospitals—Connecticut’s Hartford Hospital, the flagship of the Hartford Healthcare system; the Cleveland Clinic, which coordinates with other providers for routine care while its main campus provides specialty care; and the University of Colorado Hospital, a rare example of an urban institution that relocated to a new community—the authors analyze the complicated relationship between a hospital and its neighborhoods. On the one hand, hospitals anchor the communities that surround them, often staying in a neighborhood for decades. Hospitals also craft strategies to engage with the surrounding community, many of those focused on buying locally and hiring staff from their surrounding area. On the other hand, hospitals will often only provide care to the neighboring community through emergency departments, reserving advanced medical care and long-term treatment for those who can pay a premium for it. In addition, the authors show, hospitals frequently buy neighborhood real estate and advocate for development programs that drive gentrification and displacement.
To understand how urban healthcare institutions work with their communities, the authors address power, history, race, and urbanity as much as the workings of the medical industry. These varied initiatives and effects mean that understanding urban hospitals requires seeing them in a new light—not only as medical centers but as complicated urban forces.
Michael O. Johnston, Ph.D. is a Assistant Professor of Sociology at William Penn University. He is the author of The Social Construction of a Cultural Spectacle: Floatzilla (Lexington Books, 2023) and Community Media Representations of Place and Identity at Tug Fest: Reconstructing the Mississippi River (Lexington Books, 2022). His general area of study is about the construction of identity and place. He is currently conducting research for his next project that looks at nightlife and the emotional labor that is performed by bouncers at bars and nightclubs. To learn more about Michael O. Johnston you can go to his website, Google Scholar, Twitter @ProfessorJohnst, or by email at [email protected].
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In The French Invention of Menopause and the Medicalisation of Women's Ageing (Oxford University Press, 2022), Alison Downham Moore discusses her contribution to the history of women's ageing. Doctors writing about menopause in France vastly outnumbered those in other cultures throughout the entire nineteenth century. The concept of menopause was invented by French male medical students in the aftermath of the French Revolution, becoming an important pedagogic topic and a common theme of doctors' professional identities in postrevolutionary biomedicine. Older women were identified as an important patient cohort for the expanding medicalisation of French society and were advised to entrust themselves to the hygienic care of doctors in managing the whole era of life from around and after the final cessation of menses. However, menopause owed much of its conceptual weft to earlier themes of women as the sicker sex, of vitalist crisis, of the vapours, and of astrological climacteric years.
This is the first comprehensive study of the origins of the medical concept of menopause, richly contextualising its role in nineteenth-century French medicine and revealing the complex threads of meaning that informed its invention. It tells a complex story of how women's ageing featured in the demographic revolution in modern science, in the denigration of folk medicine, in the unique French field of hygiène, and in the fixation on women in the emergence of modern psychiatry. It reveals the nineteenth-century French origins of the still-current medical and alternative-health approaches to women's ageing as something to be managed through gynaecological surgery, hormonal replacement, and lifestyle intervention.
Jana Byars is an independent scholar located in Amsterdam.
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Trauma surgeon and professor Dr. Brian H. Williams has seen it all: gunshot wounds, stabbings, and traumatic brain injuries. In The Bodies Keep Coming: Dispatches from a Black Trauma Surgeon on Racism, Violence, and How We Heal (Broadleaf Books, 2023), Williams ushers us into the trauma bay, where the wounds of a national emergency amass.
As a Harvard-trained physician, Williams learned to keep his head down and his scalpel ready. As a Black man, he learned to swallow the rage when patients told him to take out the trash. Just days after the tragic police shootings of two Black men, Williams tried to save the lives of police officers shot in Dallas in the deadliest incident for US law enforcement since 9/11. Thrust into the spotlight in a nation that loves feel-good stories about heroism more than hard truths about racism, Williams came to rethink everything he thought he knew about medicine, injustice, and what true healing looks like.
Now, in raw and intimate detail, Williams narrates not only the events of that night in 2016, but the grief and anger of a Black doctor on the front lines of trauma care. Working in the physician-writer tradition of Atul Gawande and Damon Tweedy, Williams diagnoses the roots of the violence that plagues us. He draws a through line between white supremacy, gun violence, and the bodies he tries to revive, and he trains his surgeon's gaze on the structural ills that manifest themselves in the bodies of his patients. What if racism is a feature of our healthcare system, not a bug? What if profiting from racial inequality is exactly what it was designed to do?
Black and brown bodies will continue to be wracked by all types of violence, Williams argues, until something changes. Until we transform policy and law with compassion and care, the bodies will keep coming.
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Dr Pierce Salguero is interviewed by James Bae on the Buddhist Medicine & Yoga Podcast. In this extensive and in-depth conversation, we talk about differentiating religion from medicine, what Buddhist medicine can teach contemporary clinicians, current trends in the field of Buddhist studies, and hybridity versus tradition. We also explore Buddhist medicine in America, different kinds of Buddhist healers in the US, and how Buddhist medicine circulates in the contemporary era. Along the way, we dig into the promise of “metadisciplinary” collaborations, and what it means to engage in “pedagogy of the soul.” This episode combines two interviews, abridged and edited together.
Enjoy, and please subscribe so that you do not miss any episodes in the future!
Resources mentioned in the episode:
Link to the original (non-abridged) interview, part 1
Link to the original (non-abridged) interview, part 2
Michael Stanley-Baker, Situating Religion and Medicine in Asia (2023)
Pierce Salguero, Translating Buddhist Medicine in Medieval China (2014)
Pierce’s “Pedagogy of the Soul” blog series
Pierce Salguero, “Beyond Mindfulness: Buddhism & Health in the US” (2022)
Pierce Salguero, “Varieties of Buddhist Healing in Multiethnic Philadelphia” (2019)
Pierce Salguero, “The Role of Buddhist Studies in Fostering Metadisciplinary Conversations and Improving Pedagogical Collaborations” (2021)
Pierce’s “Meta Approaches to Asian Medicine” blog series
Dr. Pierce Salguero is a transdisciplinary scholar of health humanities who is fascinated by historical and contemporary intersections between Buddhism, medicine, and crosscultural exchange. He has a Ph.D. in History of Medicine from the Johns Hopkins School of Medicine (2010), and teaches Asian history, medicine, and religion at Penn State University’s Abington College, located near Philadelphia. www.piercesalguero.com.
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A provocative chronicle of how US public health has strayed from its liberal roots.
The Covid-19 response was a crucible of politics and public health—a volatile combination that produced predictably bad results. As scientific expertise became entangled with political motivations, the public-health establishment found itself mired in political encampment.
It was, as Sandro Galea argues, a crisis of liberalism: a retreat from the principles of free speech, open debate, and the pursuit of knowledge through reasoned inquiry that should inform the work of public health.
Across fifty essays, Within Reason: A Liberal Public Health for an Illiberal Time (U Chicago Press, 2023) chronicles how public health became enmeshed in the insidious social trends that accelerated under Covid-19. Galea challenges this intellectual drift towards intolerance and absolutism while showing how similar regressions from reason undermined social progress during earlier eras. Within Reason builds an incisive case for a return to critical, open inquiry as a guiding principle for the future public health we want—and a future we must work to protect.
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