内容

目次

Part One Concepts of health, disease and healing: Mirage of Health; Thehistory of pernicious anaemia from 1822 to the present day; Feed acold, starve a fever; What is health?; Illness as metaphor; Usingalternative therapies; The problem of the whole-person in holisticmedicine; Ethnic minorities and the psychiatrist; Hysteria and demonicpossession; Protecting the vulnerable margin: towards an analysis ofhow the mouth came to be separated from the body. Part Two Experiencinghealth and disease: The insanity of place; Tangled feelings - anaccount of Alzheimer's disease; The social impact of childhood asthma;Coping with migraine; Coming to terms with diabetes; Living with HIVand AIDS; Pride against prejudice: "Lives not worth living"; The stigmaof infertility; Hard-earned lives - experiences of doctors and healthcare; "Some bloody do-gooding cow". Part Three Influences on health anddisease: Health - 1844; Inequalities in health - ten years and littlefurther on; Depression - a sociological view; Entitlement anddeprivation; Deaths under 50; Malingering - Why must I be a teenager atall?; A new division of the life course; Prevention is better. PartFour The role of medicine: The medical contribution; The importance ofsocial intervention in Britain's mortality decline c. 1850-1914: areinterpretation of the role of public health; Effectiveness andefficiency; Ethical dilemmas in evaluation; Assessment of screening forcancer; The global eradication of smallpox; The epidemics of modernmedicine; The mode of state intervention in the health sector; Prioritysetting in the NHS. Part Five The social context of health care: Theevolution of the health-care systems in the United States and theUnited Kingdom - similarities and differences; Britain's health-careexperiment; Transferring power in health care; The villagehealth-worker - lackey or liberator; Traditional Indian medicine inpractice in an Indian metropolitan city; A short cut to better services- day surgery in England and Wales. Part Six Health Work: Caring forthe spouse who died; We didn't want him to die on his own; Truth, trustand paternalism; Doctor knows best; Second Report on MaternityServices; Normal rubbish - deviant patients in casualty; Food-work -maids in a hospital kitchen. Part Seven Prospects and speculations: Theflesh; What can be done about inequalities in health?; Ahealth-promotion primer for the 1990s; Public-health heresy - achallenge to the purchasing orthodoxy; The greening of medicine;Potential health effects of global climatic and environmental changes;The welfare man; Exits; The shadow of genetic injustice; The evolutionof Utopia; The last well person.