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Rebirth of the Clinic

Rebirth of the Clinic: Places and Agents in Contemporary Health Care

Series: A Quadrant Book
Copyright Date: 2010
Edition: NED - New edition
Pages: 200
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  • Book Info
    Rebirth of the Clinic
    Book Description:

    Indebted to Michel Foucault’s Birth of the Clinic, 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. _x000B_

    eISBN: 978-0-8166-7526-5
    Subjects: Sociology

Table of Contents

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  1. Front Matter
    (pp. i-iv)
  2. Table of Contents
    (pp. v-vi)
    (pp. vii-viii)
  4. INTRODUCTION Foucault after Neoliberalism; or, The Clinic Here and Now
    (pp. ix-xx)

    THE ENLIGHTENMENT IS OVER. Still, the inherited question of how to mediate the macrostructural (society, now market) and the individual (citizen, now consumer) lingers in the way of a really bad relationship: we know it’s over—there is no solution, likely it’s the wrong question—but we can’t quite find an “exit strategy.” We engage in deferral tactics. We devote our time to requiems for our enlightenment lost. The broad space of discourse and practice that Michel Foucault calledla cliniquelies in tatters, while nations grapple with how to produce “health for all.”¹ It is no surprise that I...

  5. 1 CLINIC OR SPA? Facial Surgery in the Context of AIDS-Related Facial Wasting
    (pp. 1-16)

    If the eyes are the window to the soul, then the face is a more equivocal tissue that sometimes hides and sometimes reveals across its expanse of naturalness. Except for the notoriously beautiful (the celebrities and fashion models who profit from the face), most of us simply want to appear natural and maybe a little bit singular through the range of our good and bad moods, wrinkles and smiles, and character-conveying lopsidedness. But for men who are long-term survivors of HIV especially those whose lives were saved by particular antiretroviral drugs during the early to mid-1990s, the individual face has...

  6. 2 IMPLICATIONS OF AN EPISTEMOLOGICAL VISION Knowing What to Do in Home Health Care
    (pp. 17-38)

    HOME CARE IN CANADA, as well as in many other jurisdictions, is increasingly conceptualized as a sector of health care operating under mounting pressure. In Canada, the site of our research, the current stresses on home care are well documented (e.g., Baranek, Deber, and Williams 2004; Ceci 2006b; Coyte and McKeever 2001; Hollander 2003; Purkis 2001). There has been a shift, for both fiscal and more individualized reasons, in the preferred location of care from hospital to home. Though some Canadians may choose home over institutions for recovery or rehabilitation, and new technologies make sophisticated treatment at home possible for...

  7. 3 WHERE IS COMMUNITY HEALTH? Racism, the Clinic, and the Biopolitical State
    (pp. 39-68)

    COMMUNITY HEALTH CENTERS have attracted global attention owing to the possibilities they offer for achieving “health for all,” a vision enshrined in the Declaration of Alma-Ata adopted in 1978.¹ Community health centers in the United States predate the declaration, having been established in the late 1960s as part of President Lyndon Johnson’s War on Poverty. American interest in this approach to care has waxed and waned, but not in politically predictable cycles. President George W. Bush championed community health centers as a mark of his “compassionate conservatism,” and he invested heavily in them so as to shift some of the...

  8. 4 REPETITION AND RUPTURE The Gender of Agency in Methadone Maintenance Treatment
    (pp. 69-98)

    METHADONE MAINTENANCE TREATMENT (MMT) was first introduced into Australia in 1970. In the mid-1980s the program saw significant expansion as a range of factors focused fresh attention on illicit drug use in Australia (McArthur 1999). The disease concept of addiction, especially of addiction to (or regular consumption of) opiates, had played a key role in illicit drug use discourse in Australia since at least the late decades of the nineteenth century. In many ways, MMT (or, more broadly, opioid pharmacotherapy treatment) represents one of the most intensively medicalized responses to this medical way of looking at regular drug consumption. Historically...

  9. 5 FREEDOM OR SOCKS Market Promises versus Supportive Care in Diabetes Treatment
    (pp. 99-120)

    AUTONOMOUS CHOICE is a widely celebrated ideal. This is hardly strange: who likes to be ordered around by others? Nobody does. But even so, in this essay I set out to question whether “choice” is always as wonderful as it seems to be. I do not seek to question choice in general but rather the generalization of choice. Other ideals suffer from this. In health care particularly, the ideal of “good care” gets squeezed. “Autonomous choice” and “good care” may sometimes complement each other, but often they do not. The different ways of thinking and acting linked up with each...

    (pp. 121-142)

    THE STREETS ARE ON FIRE with hyperactive men and women who openly challenge traffic laws by willfully crossing against the light and in the middle of the block. Their combination of anger and ecstasy frightens me; I have never felt the level of defiance that seems to grip these neighborhood residents. But my initial anxiety that I might become the object of this agitation dissipates. No one is interested in me, except perhaps when they want to get a little bit of a rise out of someone who obviously doesn’t know how to act on Welfare Wednesday. Everyone is above...

  11. 7 PRACTICES OF DOCTORING Enacting Medical Experience
    (pp. 143-168)

    IN A CHAPTER INThe Birth of the Clinictitled “The Old Age of the Clinic,” Michel Foucault argues that the history that medicine likes to tell of itself has at its center an unchanging idea of the clinic. “Medicine has tended,” Foucault writes, “since the eighteenth century, to recount its own history as if the patient’s bedside had always been a place of constant, stable experience, in contrast to theories and systems, which had been in perpetual change and masked beneath their speculation the purity of clinical evidence” (1973, 54). Like all of Foucault’s work,The Birth of the...

    (pp. 169-170)
  13. INDEX
    (pp. 171-173)