Rebirth of the Clinic: Places and Agents in Contemporary Health Care (A Quadrant Book)

From physical location to payment processes to expectations of both patients and caregivers, nearly everything surrounding the contemporary medical clinic's central activity has changed since Michel Foucualt's __Birth of the Clinic__. Indebted to that work, but recognizing the gap between what the modern clinic hoped to be and what it has become, __Rebirth of the Clinic__ explores medical practices that shed light on the fraught relationship between medical systems, practitioners, and patients. Combining theory, history, and ethnography, the contributors to this volume ground today's clinic in a larger scheme of power relations, identifying the cultural, political, and economic pressures that frame clinical relationships, including the instrumentalist definition of health, actuarial-based medical practices, and patient self-help movements, which simultaneously hem in and create the conditions under which agents creatively change ideas of illness and treatment. From threatened community health centers in poor African American locales to innovative nursing practices among the marginally housed citizens of Canada's poorest urban neighborhood, this volume addresses not just the who, what, where, and how of place-specific clinical practices, but also sets these local experiences against a theoretical backdrop that links them to the power of modern medicine in shaping fundamental life experiences. Contributors: Christine Ceci, U of Alberta; Lisa Diedrich, Stony Brook U; Suzanne Fraser, Monash U; John Liesch, Simon Fraser U; Jenna Loyd, CUNY; Annemarie Mol, U of Amsterdam; Mary Ellen Purkis, U of Victoria. MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict MuPDF error: syntax error: invalid key in dict Contents 6 Preface and Acknowledgments 8 Introduction: Foucault after Neoliberalism; or. The Clinic Here and Now 10 1 Clinic or Spa?: Facial Surgery in the Context of AIDS-Related Facial Wasting 22 2 Implications of an Epistemological Vision: Knowing What to Do in Home Health Care 38 3 Where Is Community Health?: Racism, the Clinic, and the Biopolitical State 60 4 Repetition and Rupture: The Gender of Agency in Methodone Maintenance Treatment 90 5 Freedom or Socks: Market Promises versus Supportive Care in Diabetes Treatment 120 6 Clinic without the Clinic 142 7 Practices of Doctoring: Enacting Medical Experience 164 Contributors 190 Index 192 A 192 B 192 C 192 D 192 E 192 F 192 G 193 H 193 I 193 M 193 N 193 O 193 P 193 R 193 S 193 U 194 W 194 Introduction: Foucault After Neoliberalism; Or, The Clinic Here And Now / Cindy Patton -- Clinic Or Spa? Facial Surgery In The Context Of Aids-related Facial Wasting / John Liesch And Cindy Patton -- Implications Of An Epistemological Vision: Knowing What To Do In Home Health Care / Christine Ceci And Mary Ellen Purkis -- Where Is Community Health? Racism, The Clinic, And The Biopolitical State / Jenna Loyd -- Repetition And Rupture: The Gender Of Agency In Methadone Maintenance Treatment / Suzanne Fraser -- Freedom Or Socks: Market Promises Versus Supportive Care In Diabetes Treatment / Annemarie Mol -- Clinic Without The Clinic / Cindy Patton -- Practices Of Doctoring: Enacting Medical Experience / Lisa Diedrich. Cindy Patton, Editor. A Quadrant Book. Quadrant, A Joint Initiative Of The University Of Minnesota Press And The Institute For Advanced Study At The University Of Minnesota, Provides Support For Interdisciplinary Scholarship Within A New Collaborative Model Of Research And Publication. Includes Bibliographical References And Index.