Introduction 1. Diagnosis as the Threshold to 21st-Century Health Carolyn Smith-Morris Part I: Diagnostic Access 2. Testing Pregnant Women for HIV: Contestations in the Global Effort to Reduce the Spread of AIDS Anita Hardon 3. Resisting Tuberculosis or TB Resistance: Enacting Diagnosis in Georgian Labs and Prisons Erin Koch Part II: Medicalization and Resistance to Diagnosis 4. Promotion of Andropause in Brazil: A Case of Male Medicalization Fabiola Rohden 5. Making Sense of Unmeasurable Suffering: The Recontextualization of Debut Stories to a Diagnosis of Chronic Fatigue Syndrome Lisbeth Sachs 6. Credibility and the Inexplicable: Parkinson's Disease and Assumed Diagnosis in Contemporary Australia Narelle Warren and Lenore Manderson 7. Defiance, Epistemologies of Ignorance, and Giving Uptake Properly Nancy Nyquist Potter Part III: Diagnosis in a Global Community 8. Supervirus: The Framing of a Doomsday Diagnosis Johanna Crane 9. Diagnosing Psychosis: Scientific Uncertainty, Locally and Globally Neely Myers 10. The Lyme Wars: The Effects of Biocommunicability, Gender, and Epistemic Politics on Health Activation and Lyme Science Georgia Davis and Mark Nichter Afterword Afterword: Diagnosis: To Tell Apart Atwood D. Gaines
Carolyn Smith-Morris is a medical anthropologist and Associate Professor at Southern Methodist University.
This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris's framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease's naming and experience.