Hardcover. Etat : New. Contents Preface I Genealogies of Medicine in India 1 What Makes a Disease Marginal Tracing the History of KalaazarAnand Zachariah and R Srivatsan 2 PTSD DSM and India A CritiqueK S Jacob 3 Medicine and Government Histories in the PresentSusie Tharu II Health in the Time of Development Primary Health Care Nutrition and Population Control 4 Working the Contradictions Three DecadesSara Bhattacharji 5 Andhra Pradesh Ground Level ObservationsA P Ranga Rao 6 The Career of Hunger Critical Reflections on the History of Nutrition Science and PolicyVeena Shatrugna 7 Different Readings Demography and Population ControlSheela Prasad 8 Development and the Administration of Public Health An Overview of Contemporary HistoryR Srivatsan III Tertiary Care Medicine Evidence Based Medicine Pharmaceuticals and Cost 9 Rethinking Organophosphate PoisoningSuicide in IndiaAnand Zachariah 10 Development of the Cardiovascular Epidemic in India and Inappropriate Tertiary Care Treatment GuidelinesAnand Zachariah 11 Drug Pricing and Access to Health Care Some Issues and OptionsS Srinivasan IV Thinking with the Patient 12 The ?Intractable? Patient Managing Context Illness Health CareLakshmi Kutty 13 Patient QuestionsDuggirala Vasanta and Seemanthini Niranjana 14 After Ervadi Healing and Human Rights in the Context of Mental HealhJayasree Kalathil V Resources of Practice Calibrating Medicine to the Needs of Patients 15 Rethinking PracticesSusie Tharu 16 Practice in the ICU The Case of Organophosphate PoisoningSujoy Khan and Anand Zachariah 17 Peoples? Struggles Producing a Curative Public Health for AIDS 299Anand Zachariah 18 Reclaiming Primary Care Managing Depression and Anxiety in a Different FrameworkK S Jacob 19 What Constitutes Evidence Based Practice in RehabilitationDuggirala Vasanta References IndexHigh medical costs the impersonality of technology-intensive speciality medicine and the difficulty in accessing curative primary care constitute a crisis for medicine in India Towards a Critical Medical Practice is the outcome of a dialogue between a self-critical medicine and the new social sciences that offers original perspectives on the crisis� A set of historical studies provides fresh insights into the dilemmas that surround cholera kalaazar post-traumatic stress disorder ischemic heart disease and undernutrition in contemporary India Another group of papers argue that the public health focus on large-scale preventive programmes has resulted in the underdevelopment of primary care in the curative mode This deficit in curative care is targeted by the new corporate hospitals that adopt as standard an expensive and inappropriate form of tertiary care that is marketed globally Doctors trained in a tertiary setting are ill-equipped to provide appropriate medical care in any other context This book is a path-breaking study which captures the drama of the crisis as mirrored in the lives of the poor battling illness on an everyday basisDoctors practice against this formidable backdrop of knowledge orientation and elitism of modern medicine The constant everyday work of translating knowledge and experience to address a local situation and do justice to the individual patient remains largely invisible and undervalued in modern medicine We argue that theorising this practice be it in teaching or in research will open up new directions in health care and medical education 374 pp. N� de r�f. du vendeur 86079

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