Sarah is a young, pretty, confident teenager with a deep faith, and the world seems ready to cater to her wishes. But she hides a warped self-image, depression, and desperate need for self-control, only to force it out in secret purging sessions. As she adjusts to her junior year at a new high school, Sarah struggles to cope with her growing discomfort and self-critical attitudes, even while easily making friends and displaying a confident exterior. One fateful day, Sarah follows her friend's seemingly trivial suggestion and willingly walks into a corrosive world of binging, purging, and depression. As Sarah leaves for college, she feels increasing pressure from friends to seek help for her bulimia. But college offers a new opportunity to remake herself if only she doesn't get in her own way. As she struggles to maintain control, she slips further into the darkness and closer to self-destruction. The few strongholds in her life faith, friends, family, and her dog keep her together as her heart is battered by broken relationships and her body is abused by her own design. This novel, based on a true story, follows Sarah as she goes away to college and tries to navigate the difficulties of new adulthood, faces academic struggles, and decides whether to leave bulimia behind or take it with her. Brilliant Disguise narrates a story of a young woman with everything to gain and absolutely everything to lose.
Bariatric surgery rates have increased exponentially, both within the United States and worldwide. At a time when dieting is widespread throughout the US and beyond, bariatric surgery, most commonly gastric bypass and sleeve gastrectomy, is one of the only effective interventions for rapid and sustained weight loss. The surgeries, however, are not without their controversy. Public perceptions of surgery recipients often paint them as lazy for taking the easy way out, and pictures of the bypassed gut and reduced stomach often provoke shivers of revulsion. Individuals who experience surgery must deal with such perceptions, while also becoming accustomed to their dramatically changed physical bodies. This book is based on four years of ethnographic research in one particular bariatric program in the US. The key theme of the book centers on the concept of physical weight, as well as the less visible social weights that accompany it. Weight is intimately bound up with a great deal of social suffering in the world today, and yet, because of cultural perceptions that fatness is a physical reflection of moral laziness, the suffering is rendered unsympathetic and even invisible. In this volume, we delve into the perspectives and experiences of people who have lived with excess weight and who then, through surgery, have brought their bodies more in-line with social expectations and societal norms"--
This comparative text examines the rise of non-orthodox medicine and theorizes the changing nature of health care in modern societies. It engages with sociological debates on modernity and postmodernity, anthropological work.
This unique comparative ethnography uses a systematic and nuanced approach to delve into the myriad meanings of being fat within and across different global sites.
In the Sitapurdistrict of Uttar Pradesh, an agricultural region with high rates of infant mortality, maternal health services are poor while family planning efforts are intensive. By following the daily lives of women in this setting, the author considers the women’s own experiences of birth and infant death, their ways of making-do, and the hierarchies they create and contend with. This book develops an approach to the care that focuses on emotion, domestic spaces, illicit and extra-institutional biomedicine, and household and neighborly relations that these women are able to access. It shows that, as part of the concatenation of affect and access, globalized moralities about reproduction are dependent on ambiguous ideas about caste. Through the unfolding of birth and death, a new vision of "untouchability" emerges that is integral to visions of progress.
When soldiers at Fort Carson were charged with a series of 14 murders, PTSD and other "invisible wounds of war" were thrown into the national spotlight. With these events as their starting point, Jean Scandlyn and Sarah Hautzinger argue for a new approach to combat stress and trauma, seeing them not just as individual medical pathologies but as fundamentally collective cultural phenomena. Their deep ethnographic research, including unusual access to affected soldiers at Fort Carson, also engaged an extended labyrinth of friends, family, communities, military culture, social services, bureaucracies, the media, and many other layers of society. Through this profound and moving book, they insist that invisible combat injuries are a social challenge demanding collective reconciliation with the post-9/11 wars.
Drawing on extensive original qualitative research, Global Health and The Village brings the complex local and transnational factors governing women's access to safe maternity care into focus.
A comprehensive look at how violence has been used to manipulate competitive electoral processes around the world since World War II Throughout their history, political elections have been threatened by conflict, and the use of force has in the past several decades been an integral part of electoral processes in a significant number of contemporary states. However, the study of elections has yet to produce a comprehensive account of electoral violence. Drawing on cross-national data sets together with fourteen detailed case studies from around the world, Electoral Violence, Corruption, and Political Order offers a global comparative analysis of violent electoral practices since the Second World War. Sarah Birch shows that the way power is structured in society largely explains why elections are at risk of violence in some contexts but not in others. Countries with high levels of corruption and weak democratic institutions are especially vulnerable to disruptions of electoral peace. She examines how corrupt actors use violence to back up other forms of electoral manipulation, including vote buying and ballot stuffing. In addition to investigating why electoral violence takes place, Birch considers what can be done to prevent it in the future, arguing that electoral authority and the quality of electoral governance are more important than the formal design of electoral institutions. Delving into a deeply influential aspect of political malpractice, Electoral Violence, Corruption, and Political Order explores the circumstances in which individuals choose to employ violence as an electoral strategy.
Fighting for Dignity explores the impact of a mass deportation campaign on African and Asian migrant workers in Tel Aviv and their Israeli-born children. In this vivid ethnography, Sarah Willen shows how undocumented migrants struggle to craft meaningful, flourishing lives despite the exclusion and vulnerability they endure.
Higher Powers draws on four years of collaborative fieldwork carried out with Ugandans working to reconstruct their lives after attempting to leave behind problematic alcohol use. Given the relatively recent introduction of biomedical ideas of alcoholism and addiction in Uganda, most of these people have used other therapeutic resources, including herbal aversion therapies, engagements with balubaale spirits, and forms of deliverance and spiritual warfare practiced in Pentecostal churches. While these methods are at times severe, they contain within them understandings of the self and practices of sociality that point away from models of addiction as a chronic relapsing brain disease and towards the possibility of release. Higher Powers offers a reconceptualization of addiction and recovery that may prove relevant well beyond Uganda.
I can't do that until I've lost a bit of weight". "I need to slim down first". "When I'm thinner I'll..." What if you didn't feel held back by your body? This guide helps you to free yourself from harmful social attitudes about weight and to start living now. Break the Binds of Weight Stigma draws on Acceptance and Commitment Therapy (ACT), a positive, action-based form of therapy that works by accepting your natural emotions and using your own personal values to build a path to the life you want to live. Stories, worksheets, reflection questions, and guided exercises show you how to embrace yourself and fight back against the social structures that tie value to size. This is not a book about changing your body or losing weight. It's a guide to help you connect with the things that are important to you regardless of your weight. It's a step towards countering the harmful messages in society about our bodies. It's a movement. It's radical. It's freedom.
Principles of Addiction Medicine, 7th ed is a fully reimagined resource, integrating the latest advancements and research in addiction treatment. Prepared for physicians in internal medicine, psychiatry, and nearly every medical specialty, the 7th edition is the most comprehensive publication in addiction medicine. It offers detailed information to help physicians navigate addiction treatment for all patients, not just those seeking treatment for SUDs. Published by the American Society of Addiction Medicine and edited by Shannon C. Miller, MD, Richard N. Rosenthal, MD, Sharon Levy, MD, Andrew J. Saxon, MD, Jeanette M. Tetrault, MD, and Sarah E. Wakeman, MD, this edition is a testament to the collective experience and wisdom of 350 medical, research, and public health experts in the field. The exhaustive content, now in vibrant full color, bridges science and medicine and offers new insights and advancements for evidence-based treatment of SUDs. This foundational textbook for medical students, residents, and addiction medicine/addiction psychiatry fellows, medical libraires and institution, also serves as a comprehensive reference for everyday clinical practice and policymaking. Physicians, mental health practitioners, NP, PAs, or public officials who need reference material to recognize and treat substance use disorders will find this an invaluable addition to their professional libraries.
Focusing on juvenile transfer and disposition evaluations, this volume provides an up-to-date integration of current law, science, and practice with respect to juvenile risk assessment, treatment needs/amenability, and sophistication-maturity. Included are perspectives relating to international practices, use of specialized assessment tools, and a separate chapter on resentencing following US Supreme Court decisions on juveniles sentenced to mandatory life without parole. This text will be a useful and comprehensive reference for forensic psychologists and other mental health professionals engaged in juvenile evaluation, as well as legal professionals, juvenile and criminal justice professionals, and others involved with juvenile assessment, decision-making, and rehabilitation.
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