
Medical Anthropology: A Biocultural Approach
by Wiley, Andrea S; Allen, John S-
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Summary
Author Biography
Andrea S. Wiley is Professor of Anthropology and Director of the Human Biology Lab at Indiana University. She is the author of An Ecology of High-Altitude Infancy: A Biocultural Perspective (2004) as well as numerous articles in medical anthropology and related fields.
John S. Allen is Research Scientist at the Dornsife Cognitive Neuroscience Imaging Center and the Brain and Creativity Institute, University of Southern California, where he is also Adjunct Research Associate Professor of Anthropology. He is a coauthor of Biological Anthropology: The Natural History of Humankind, Second Edition (2008).
Table of Contents
Preface | p. xiii |
Introduction | p. 1 |
The Culture Concept | p. 4 |
A Biocultural Perspective | p. 5 |
Looking Ahead | p. 8 |
Anthropological Perspectives on Health and Disease | p. 10 |
Definitions of Health | p. 10 |
Disease | p. 11 |
Illness | p. 12 |
Sickness | p. 13 |
The Locus of Health: The Body and Society | p. 17 |
Biological/Medical Normalcy | p. 18 |
Evolutionary Perspectives on Health | p. 19 |
Adaptability | p. 22 |
Behavioral Adaptability | p. 23 |
Cultural Approaches in Medical Anthropology | p. 26 |
Power Differentials and Health | p. 26 |
Ethnomedical Systems | p. 27 |
Interpretive Approaches to Illness and Suffering | p. 29 |
Applied Medical Anthropology | p. 31 |
Epidemiology | p. 32 |
Conclusion | p. 34 |
Healers and Healing | p. 36 |
Culture and Healing Systems | p. 37 |
Recruitment: How Healers Become Healers | p. 44 |
Alternative and Complementary Medicines | p. 49 |
Acupuncture | p. 51 |
Chiropractic | p. 53 |
Navajo Medicine | p. 55 |
When Biomedicine Is Alternative Medicine | p. 57 |
Death as a Biocultural Concept | p. 60 |
Placebo and Nocebo | p. 66 |
Conclusion | p. 68 |
Diet and Nutrition in Health and Disease | p. 71 |
Fundamentals of Nutrition | p. 72 |
Digestive Physiology | p. 76 |
An Evolutionary Approach to Nutrition | p. 78 |
Nutrition and Chronic Diseases | p. 86 |
Obesity | p. 89 |
Diabetes | p. 96 |
Lactose Intolerance | p. 100 |
Salt and Hypertension | p. 102 |
Celiac Disease | p. 103 |
Conclusion | p. 104 |
Growth and Development | p. 107 |
Life History Theory | p. 107 |
Gestation: The First 40 Weeks of Growth and Development | p. 109 |
Infancy | p. 116 |
Childhood | p. 120 |
Small but Healthy? | p. 121 |
Is Bigger Better? | p. 123 |
Puberty and the Onset of Adolescence | p. 128 |
Teenage Pregnancy in the United States | p. 129 |
Sex, Gender, Growth and Health | p. 131 |
Environmental Toxins and Growth | p. 133 |
The End of Childhood: Transitions to Adulthood | p. 135 |
Reproductive Health | p. 138 |
Medicalization of Women's Health and Reproductive Health | p. 138 |
Menstruation | p. 139 |
Premenstrual Syndrome | p. 146 |
Determinants of Fertility | p. 147 |
Infertility | p. 151 |
Falling Sperm Counts: Environmental Causes of Male Reproductive Health Problems | p. 155 |
Female Genital Cutting | p. 158 |
Pregnancy | p. 161 |
Birth | p. 165 |
Mothering | p. 171 |
Menopause | p. 176 |
Reproductive Events and Breast Cancer Risk | p. 178 |
Conclusion | p. 181 |
Aging | p. 184 |
The Aging Body | p. 186 |
Physiological Theories of Aging | p. 192 |
Somatic Mutations | p. 192 |
Free Radicals | p. 192 |
Wear and Degeneration | p. 193 |
Evolutionary Theories of Aging | p. 194 |
The Aging Brain | p. 196 |
Extending Life? Caloric Restriction and an Okinawa Case Study | p. 202 |
Health, Illness, and the Cultural Construction of Aging | p. 207 |
Conclusion | p. 212 |
Infectious Disease: Introduction to Pathogens and the Immune System | p. 215 |
Koch's Postulates | p. 217 |
Taxonomy of Infectious Disease | p. 218 |
Viruses | p. 219 |
Bacteria | p. 220 |
Protozoa | p. 222 |
Fungi | p. 223 |
Worms | p. 224 |
Prions | p. 225 |
How Pathogens Spread | p. 225 |
Human Defenses against Pathogens | p. 226 |
The Immune Response | p. 229 |
How Does the Immune System Recognize Pathogens? | p. 230 |
How Does the Immune System Respond to a Recognized Pathogen? | p. 232 |
Pathogen Strategies for Avoiding Immune Destruction | p. 236 |
Concealment | p. 236 |
Antigenic Drift and Shift | p. 236 |
Immunosuppression | p. 237 |
Variation in Immune Response | p. 240 |
Variation in the MHC | p. 240 |
Undernutrition and Immune Response | p. 240 |
Allergies and Asthma: Relationship to Infectious Disease Exposure? | p. 241 |
The Hygiene Hypothesis | p. 242 |
The Helminth Hypothesis | p. 243 |
Variation in Pathogen Virulence | p. 246 |
Conclusion | p. 251 |
Historical Perspectives on Infectious Disease in Human Populations | p. 254 |
Origins of Infections in Humans | p. 255 |
Agriculture's Effects on Infectious Disease | p. 256 |
The Globalization of Infection | p. 264 |
Smallpox | p. 268 |
Colonization in the Tropics | p. 272 |
Immigration, War, and Infection | p. 280 |
Bioterrorism and Biological Warfare | p. 280 |
The 1918 Influenza Epidemic | p. 281 |
Conclusion | p. 283 |
Emerging and Resurging Infections: Biocultural Interactions between Humans and Pathogens | p. 286 |
Emergent and Resurgent Diseases | p. 287 |
Malaria: An Early "Emergent" Disease | p. 290 |
Malaria Life Cycle and Pathogencity | p. 291 |
Genetic Adaptations to Malaria | p. 293 |
Behavioral Adaptations to Malaria | p. 298 |
Efforts to Control Malaria | p. 299 |
Malaria as a Resurgent Disease | p. 300 |
Cholera | p. 301 |
Genetic Adaptation to Cholera: Cystic Fibrosis Alleles | p. 301 |
Ecology of Cholera Resurgence | p. 303 |
Dams and Infectious Disease | p. 304 |
Onchocerciasis | p. 305 |
Schistosomiasis | p. 305 |
HIV/AIDS: A New Disease | p. 309 |
How HIV Works | p. 310 |
Cultural Responses to HIV | p. 311 |
Origins of HIV | p. 312 |
Tuberculosis: A Resurgent Disease | p. 316 |
Biology and Pathogenicity of TB | p. 316 |
TB as a Resurgent Disease | p. 317 |
Conclusion | p. 321 |
Stress, Social Inequality, and Race and Ethnicity: Implications for Health Disparities | p. 324 |
Biology of the Stress Response | p. 325 |
The Nervous System Stress Response | p. 326 |
The Hormonal Stress Response | p. 327 |
Why Is Stress Different for Humans? | p. 327 |
Stress and Biological Normalcy | p. 329 |
Stress and Health | p. 330 |
Cardiovascular Disease | p. 330 |
Immune Function | p. 332 |
Immunosuppression | p. 332 |
Autoimmunity | p. 334 |
Child Growth | p. 336 |
Inequality, Stress, and Health | p. 338 |
Relative Status | p. 342 |
Social Cohesion | p. 343 |
Social Support | p. 345 |
Race and Ethnicity and Health in the United States | p. 346 |
Conclusion | p. 354 |
Mental Health and Illness | p. 357 |
The Medical Model in Biocultural Context | p. 358 |
Culture-Bound Syndromes | p. 363 |
Eating Disorders | p. 369 |
ADHD and Culture | p. 374 |
Mood Disorders | p. 376 |
Depression | p. 376 |
Bipolar Disorder and Creativity | p. 380 |
Schizophrenia | p. 385 |
Conclusion | p. 390 |
Epilogue: The Relevance of Medical Anthropology | p. 392 |
What Can I Do Next if I Am Interested in Medical Anthropology? | p. 395 |
Graduate Programs in Anthropology | p. 395 |
Public Health programs | p. 396 |
Medical Schools and Clinical Health Professions | p. 396 |
Work in Governmental and Nongovernmental Health Agencies | p. 397 |
Glossary | p. 398 |
References Cited | p. 412 |
Index | p. 444 |
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