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Here, for the first time, is a collection of short speeches by the charismatic doctor and social activist Paul Farmer. One of the most passionate and influential voices for global health equity and social justice, Farmer encourages young people to tackle the greatest challenges of our times. Engaging, often humorous, and always inspiring, these speeches bring to light the brilliance and force of Farmer's vision in a single, accessible volume.A must-read for graduates, students, and everyone seeking to help bend the arc of history toward justice, To Repair the World:* Challenges readers to counter failures of imagination that keep billions of people without access to health care, safe drinking water, decent schools, and other basic human rights; * Champions the power of partnership against global poverty, climate change, and other pressing problems today; * Overturns common assumptions about health disparities around the globe by considering the large-scale social forces that determine who gets sick and who has access to health care;* Discusses how hope, solidarity, faith, and hardbitten analysis have animated Farmer's service to the poor in Haiti, Peru, Rwanda, Russia, and elsewhere;* Leaves the reader with an uplifting vision: that with creativity, passion, teamwork, and determination, the next generations can make the world a safer and more humane place.

Provides an examination of the everyday lives and suffering of Mexican migrants in our contemporary food system. The author shows how market forces, anti-immigrant sentiment, and racism undermine health and health care.

What does human suffering mean for society? And how has this meaning changed from the past to the present? In what ways does ';the problem of suffering' serve to inspire us tocare for others? How does our response to suffering reveal our moral and social conditions? In this trenchant work, Arthur Kleinmana renowned figure in medical anthropologyand Iain Wilkinson, an award-winning sociologist, team up to offer some answers to these profound questions.A Passion for Societyinvestigates the historical development and current state of social science with a focus on how this development has been shaped in response to problems of social suffering. Following a line of criticism offered by key social theorists and cultural commentators who themselves were unhappy with the professionalization of social science, Wilkinson and Kleinman provide a critical commentary on how studies ofsociety have moved from an original concern with social suffering and its amelioration to dispassionate inquiries. The authors demonstrate how social action throughcaring for others is revitalizing and remaking the discipline of social science, and they examine the potential for achieving greater understanding though a moral commitment to the practice of care for others. In this deeply considered work, Wilkinson and Kleinman argue for an engaged social science that connects critical thought with social action, that seeks to learn through caregiving, and that operates with a commitment to establish and sustain humane forms of society.

In Rio de Janeiro's favelas, traffickers assert power through conspicuous displays of wealth and force, brandishing high-powered guns, gold jewelry, and piles of cash and narcotics. Police, for their part, conduct raids reminiscent of action films or video games, wearing masks and riding in enormous armored cars called "e;big skulls."e; Images of these spectacles circulate constantly in local, national, and global media, masking everyday forms of violence, prejudice, and inequality. The Spectacular Favela offers a rich ethnographic examination of the political economy of spectacular violence in Rocinha, Rio's largest favela. Based on more than two years of residence in the community, the book explores how entangled forms of violence shape everyday life and how that violence is, in turn, connected to the market economy. Erika Robb Larkins shows how favela violence is produced as a marketable global brand. While this violence is projected in disembodied form through media, the favela is also sold as an embodied experience through the popular practice of favela tourism. The commodification of the favela becomes a form of violence itself; favela violence is transformed into a commercially viable byproduct of a profit-driven war on drugs, which serves to keep the poor marginalized. This book tells the story of how traffickers, police, cameras, tourists, and even anthropologists come together to create what the author calls the "e;spectacular favela."e;

In this groundbreaking ethnography, Ruben Andersson, a gifted anthropologist and journalist, travels along the clandestine migration trail from Senegal and Mali to the Spanish North African enclaves of Ceuta and Melilla. Through the voices of his informants, Andersson explores, viscerally and emphatically, how Europe's increasingly powerful border regime meets and interacts with its target-the clandestine migrant. This vivid, rich work examines the subterranean migration flow from Africa to Europe, and shifts the focus from the "e;illegal immigrants"e; themselves to the vast industry built around their movements. This fascinating and accessible book is a must-read for anyone interested in the politics of international migration and the changing texture of global culture.

This powerful study immerses the reader in the world of homelessness and drug addiction in the contemporary United States. For over a decade Philippe Bourgois and Jeff Schonberg followed a social network of two dozen heroin injectors and crack smokers on the streets of San Francisco, accompanying them as they scrambled to generate income through burglary, panhandling, recycling, and day labor. Righteous Dopefiend interweaves stunning black-and-white photographs with vivid dialogue, detailed field notes, and critical theoretical analysis. Its gripping narrative develops a cast of characters around the themes of violence, race relations, sexuality, family trauma, embodied suffering, social inequality, and power relations. The result is a dispassionate chronicle of survival, loss, caring, and hope rooted in the addicts' determination to hang on for one more day and one more "e;fix"e; through a "e;moral economy of sharing"e; that precariously balances mutual solidarity and interpersonal betrayal.

Donna M. Goldstein presents a hard-hitting critique of urban poverty and violence and challenges much of what we think we know about the "e;culture of poverty"e; in this compelling read. Drawing on more than a decade of experience in Brazil, Goldstein provides an intimate portrait of everyday life among the women of the favelas, or urban shantytowns in Rio de Janeiro, who cope with unbearable suffering, violence and social abandonment. The book offers a clear-eyed view of socially conditioned misery while focusing on the creative responses-absurdist and black humor-that people generate amid daily conditions of humiliation, anger, and despair. Goldstein helps us to understand that such joking and laughter is part of an emotional aesthetic that defines the sense of frustration and anomie endemic to the political and economic desperation among residents of the shantytown.

An examination of the deep politics of war. It takes us from the immediacy of war-zone survival, through the offices of power brokers, to vast extra-legal networks that fuel war and international profiteering. It captures the human face of the front lines, revealing both the visible and the hidden realities of war in the twenty-first century.

Provides an introduction to the field of global health. This title is suitable for schools of public health, nursing, and medicine, and also in undergraduate and graduate classes in anthropology, sociology, political economy, and history, among others.

Provides an introduction to the field of global health. This title is suitable for schools of public health, nursing, and medicine, and also in undergraduate and graduate classes in anthropology, sociology, political economy, and history, among others.

Neoliberalism has been the defining paradigm in global health since the latter part of the twentieth century. This book offers a tale about the forces driving decision making in health and development policy today, illustrating how the privatization of health care can have catastrophic outcomes for some of the world's most vulnerable populations.

Pathologies of Power uses harrowing stories of life-and death-in extreme situations to interrogate our understanding of human rights. Paul Farmer, a physician and anthropologist with twenty years of experience working in Haiti, Peru, and Russia, argues that promoting the social and economic rights of the world's poor is the most important human rights struggle of our times. With passionate eyewitness accounts from the prisons of Russia and the beleaguered villages of Haiti and Chiapas, this book links the lived experiences of individual victims to a broader analysis of structural violence. Farmer challenges conventional thinking within human rights circles and exposes the relationships between political and economic injustice, on one hand, and the suffering and illness of the powerless, on the other. Farmer shows that the same social forces that give rise to epidemic diseases such as HIV and tuberculosis also sculpt risk for human rights violations. He illustrates the ways that racism and gender inequality in the United States are embodied as disease and death. Yet this book is far from a hopeless inventory of abuse. Farmer's disturbing examples are linked to a guarded optimism that new medical and social technologies will develop in tandem with a more informed sense of social justice. Otherwise, he concludes, we will be guilty of managing social inequality rather than addressing structural violence. Farmer's urgent plea to think about human rights in the context of global public health and to consider critical issues of quality and access for the world's poor should be of fundamental concern to a world characterized by the bizarre proximity of surfeit and suffering.

Fleeing the murderous Pol Pot regime, Cambodian refugees arrive in America as at once the victims and the heroes of America's misadventures in Southeast Asia; and their encounters with American citizenship are contradictory as well. Service providers, bureaucrats, and employers exhort them to be self-reliant, individualistic, and free, even as the system and the culture constrain them within terms of ethnicity, race, and class. Buddha Is Hiding tells the story of Cambodian Americans experiencing American citizenship from the bottom-up. Based on extensive fieldwork in Oakland and San Francisco, the study puts a human face on how American institutions-of health, welfare, law, police, church, and industry-affect minority citizens as they negotiate American culture and re-interpret the American dream.In her earlier book, Flexible Citizenship, anthropologist Aihwa Ong wrote of elite Asians shuttling across the Pacific. This parallel study tells the very different story of "e;the other Asians"e; whose route takes them from refugee camps to California's inner-city and high-tech enclaves. In Buddha Is Hiding we see these refugees becoming new citizen-subjects through a dual process of being-made and self-making, balancing religious salvation and entrepreneurial values as they endure and undermine, absorb and deflect conflicting lessons about welfare, work, medicine, gender, parenting, and mass culture. Trying to hold on to the values of family and home culture, Cambodian Americans nonetheless often feel that "e;Buddha is hiding."e; Tracing the entangled paths of poor and rich Asians in the American nation, Ong raises new questions about the form and meaning of citizenship in an era of globalization.

Genocide is one of the most pressing issues that confronts us today. Its death toll is staggering: over one hundred million dead. This book collects together original essays on genocide, exploring a wide range of cases, including Nazi Germany, Cambodia, Guatemala, Rwanda and Bosnia.

In this rare firsthand account, Lorna Rhodes takes us into a hidden world that lies at the heart of the maximum security prison. Focusing on the "e;supermaximums"e;-and the mental health units that complement them-Rhodes conveys the internal contradictions of a system mandated to both punish and treat. Her often harrowing, sometimes poignant, exploration of maximum security confinement includes vivid testimony from prisoners and prison workers, describes routines and practices inside prison walls, and takes a hard look at the prison industry. More than an expose, Total Confinement is a theoretically sophisticated meditation on what incarceration tells us about who we are as a society. Rhodes tackles difficult questions about the extreme conditions of confinement, the treatment of the mentally ill in prisons, and an ever-advancing technology of isolation and surveillance. Using her superb interview skills and powers of observation, she documents how prisoners, workers, and administrators all struggle to retain dignity and a sense of self within maximum security institutions. In settings that place in question the very humanity of those who live and work in them, Rhodes discovers complex interactions-from the violent to the tender-among prisoners and staff. Total Confinement offers an indispensable close-up of the implications of our dependence on prisons to solve long-standing problems of crime and injustice in the United States.

This book illuminates one of the world's most troubled regions from a unique perspective-that of a prominent Russian intellectual. Valery Tishkov, a leading ethnographer who has also served in several important political posts, examines the evolution of the war in Chechnya that erupted in 1994, untangling the myths, the long-held resentments, and the ideological manipulations that have fueled the crisis. In particular, he explores the key themes of nationalism and violence that feed the turmoil there. Forceful, original, and timely, his study combines extensive interview material, historical perspectives, and deep local knowledge. Tishkov sheds light on Chechnya in particular and on how secessionist conflicts can escalate into violent conflagrations in general. With its balanced assessments of both Russian and Chechen perspectives, this book will be essential reading for people seeking to understand the role of Islamic fundamentalist nationalism in the contemporary world.

Tales about organ transplants appear in mythology and folk stories, and surface in documents from medieval times, but only during the past twenty years has medical knowledge and technology been sufficiently advanced for surgeons to perform thousands of transplants each year. In the majority of cases individuals diagnosed as "e;brain dead"e; are the source of the organs without which transplants could not take place. In this compelling and provocative examination, Margaret Lock traces the discourse over the past thirty years that contributed to the locating of a new criterion of death in the brain, and its routinization in clinical practice in North America. She compares this situation with that in Japan where, despite the availability of the necessary technology and expertise, brain death was legally recognized only in 1997, and then under limited and contested circumstances. Twice Dead explores the cultural, historical, political, and clinical reasons for the ready acceptance of the new criterion of death in North America and its rejection, until recently, in Japan, with the result that organ transplantation has been severely restricted in that country. This incisive and timely discussion demonstrates that death is not self-evident, that the space between life and death is historically and culturally constructed, fluid, multiple, and open to dispute. In addition to an analysis of that professional literature on and popular representations of the subject, Lock draws on extensive interviews conducted over ten years with physicians working in intensive care units, transplant surgeons, organ recipients, donor families, members of the general public in both Japan and North America, and political activists in Japan opposed to the recognition of brain death. By showing that death can never be understood merely as a biological event, and that cultural, medical, legal, and political dimensions are inevitably implicated in the invention of brain death, Twice Dead confronts one of the most troubling questions of our era.

Paradise in Ashes is a deeply engaged and moving account of the violence and repression that defined the murderous Guatemalan civil war of the 1980s. In this compelling book, Beatriz Manz-an anthropologist who spent over two decades studying the Mayan highlands and remote rain forests of Guatemala-tells the story of the village of Santa Maria Tzeja, near the border with Mexico. Manz writes eloquently about Guatemala's tortured history and shows how the story of this village-its birth, destruction, and rebirth-embodies the forces and conflicts that define the country today. Drawing on interviews with peasants, community leaders, guerrillas, and paramilitary forces, Manz creates a richly detailed political portrait of Santa Maria Tzeja, where highland Maya peasants seeking land settled in the 1970s. Manz describes these villagers' plight as their isolated, lush, but deceptive paradise became one of the centers of the war convulsing the entire country. After their village was viciously sacked in 1982, desperate survivors fled into the surrounding rain forest and eventually to Mexico, and some even further, to the United States, while others stayed behind and fell into the military's hands. With great insight and compassion, Manz follows their flight and eventual return to Santa Maria Tzeja, where they sought to rebuild their village and their lives.

In this vivid ethnography, Harri Englund investigates how ideas of freedom impede struggles against poverty and injustice in emerging democracies. Reaching beyond a narrow focus on the national elite, Prisoners of Freedom shows how foreign aid and human rights activism hamper the pursuit of democratic citizenship in Africa. The book explores how activists' aspirations of self-improvement, pursued under harsh economic conditions, find in the human rights discourse a new means to distinguish oneself from the poor masses. Among expatriates, the emphasis on abstract human rights avoids confrontations with the political and business elites. Drawing on long-term research among the Malawian poor, Englund brings to life the personal circumstances of Malawian human rights activists, their expatriate benefactors, and the urban and rural poor as he develops a fresh perspective on freedom-one that recognizes the significance of debt, obligation, and civil virtues.

In this book, France's leading medical anthropologist takes on one of the most tragic stories of the global AIDS crisis-the failure of the ANC government to stem the tide of the AIDS epidemic in South Africa. Didier Fassin traces the deep roots of the AIDS crisis to apartheid and, before that, to the colonial period. One person in ten is infected with HIV in South Africa, and President Thabo Mbeki has initiated a global controversy by funding questionable medical research, casting doubt on the benefits of preventing mother-to-child transmission, and embracing dissidents who challenge the viral theory of AIDS. Fassin contextualizes Mbeki's position by sensitively exploring issues of race and genocide that surround this controversy. Basing his discussion on vivid ethnographical data collected in the townships of Johannesburg, he passionately demonstrates that the unprecedented epidemiological crisis in South Africa is a demographic catastrophe as well as a human tragedy, one that cannot be understood without reference to the social history of the country, in particular to institutionalized racial inequality as the fundamental principle of government during the past century.

Carolyn Nordstrom explores the pathways of global crime in this stunning work of anthropology that has the power to change the way we think about the world. To write this book, she spent three years traveling to hot spots in Africa, Europe, Asia, and the United States investigating the dynamics of illegal trade around the world-from blood diamonds and arms to pharmaceuticals, exotica, and staples like food and oil. Global Outlaws peels away the layers of a vast economy that extends from a war orphan in Angola selling Marlboros on the street to powerful transnational networks reaching across continents and oceans. Nordstrom's extraordinary fieldwork includes interviews with scores of informants, including the smugglers, victims, power elite, and profiteers who populate these economic war zones. Her compelling investigation, showing that the sum total of extra-legal activities represents a significant part of the world's economy, provides a new framework for understanding twenty-first-century economics and economic power. Global Outlaws powerfully reveals the illusions and realities of security in all areas of transport and trade and illuminates many of the difficult ethical problems these extra-legal activities pose.

At a time when a global consensus on human rights standards seems to be emerging, this rich study steps back to explore how the idea of human rights is actually employed by activists and human rights professionals. Winifred Tate, an anthropologist and activist with extensive experience in Colombia, finds that radically different ideas about human rights have shaped three groups of human rights professionals working there--nongovernmental activists, state representatives, and military officers. Drawing from the life stories of high-profile activists, pioneering interviews with military officials, and research at the United Nations Human Rights Commission in Geneva, Counting the Dead underscores the importance of analyzing and understanding human rights discourses, methodologies, and institutions within the context of broader cultural and political debates.

Offers a view into the lives of ordinary South Africans more than ten years after the end of apartheid, with the promises of the democracy movement remaining largely unfulfilled. This work explores the emotional and personal aspects of the transition to black majority rule by homing in on questions of love, family, and community.

For nearly thirty years, anthropologist and physician Paul Farmer has traveled to some of the most impoverished places on earth to bring comfort and the best possible medical care to the poorest of the poor. Driven by his stated intent to "e;make human rights substantial,"e; Farmer has treated patients-and worked to address the root causes of their disease-in Haiti, Boston, Peru, Rwanda, and elsewhere in the developing world. In 1987, with several colleagues, he founded Partners In Health to provide a preferential option for the poor in health care. Throughout his career, Farmer has written eloquently and extensively on these efforts. Partner to the Poor collects his writings from 1988 to 2009 on anthropology, epidemiology, health care for the global poor, and international public health policy, providing a broad overview of his work. It illuminates the depth and impact of Farmer's contributions and demonstrates how, over time, this unassuming and dedicated doctor has fundamentally changed the way we think about health, international aid, and social justice.A portion of the proceeds from the sale of this book will be donated to Partners In Health.