Self Medication And Society

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Self-Medication and Society

Author : Sylvie Fainzang
Publisher : Taylor & Francis
ISBN 13 : 1315447150
Total Pages : 147 pages
Book Rating : 4.3/5 (154 download)

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Book Synopsis Self-Medication and Society by : Sylvie Fainzang

Download or read book Self-Medication and Society written by Sylvie Fainzang and published by Taylor & Francis. This book was released on 2016-11-03 with total page 147 pages. Available in PDF, EPUB and Kindle. Book excerpt: The question of recourse to self-medication arises at the intersection of two partly antagonistic discourses: that of the public authorities, who advocate the practice primarily for economic reasons, and that of health professionals, who condemn it for fear that it may pose a danger to health and dispossess the profession of expertise. This books examines the reality of self-medication in context and investigates the social treatment of the notion of autonomy ever present in the discourses promoting this practice. Drawing on fieldwork conducted in France, the author examines the material, cognitive, symbolic and social dimensions of the recourse to self-medication, considering the motivations and practices of the subjects and what these reveal about their relationship with the medical institution, while addressing the question of open access to medicines – a subject of heated debate between the actors concerned on themes such as competence, knowledge and responsibility. A rigorous analysis of the strategies adopted by individuals to manage the risks of medicines and increase their efficacy, Self-Medication and Society will appeal to sociologists and anthropologists with interests in health, illness, the body and medicine.

Self-Medication and Society

Author : Sylvie Fainzang
Publisher : Routledge
ISBN 13 : 1315447142
Total Pages : 242 pages
Book Rating : 4.3/5 (154 download)

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Book Synopsis Self-Medication and Society by : Sylvie Fainzang

Download or read book Self-Medication and Society written by Sylvie Fainzang and published by Routledge. This book was released on 2016-11-03 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: The question of recourse to self-medication arises at the intersection of two partly antagonistic discourses: that of the public authorities, who advocate the practice primarily for economic reasons, and that of health professionals, who condemn it for fear that it may pose a danger to health and dispossess the profession of expertise. This books examines the reality of self-medication in context and investigates the social treatment of the notion of autonomy ever present in the discourses promoting this practice. Drawing on fieldwork conducted in France, the author examines the material, cognitive, symbolic and social dimensions of the recourse to self-medication, considering the motivations and practices of the subjects and what these reveal about their relationship with the medical institution, while addressing the question of open access to medicines – a subject of heated debate between the actors concerned on themes such as competence, knowledge and responsibility. A rigorous analysis of the strategies adopted by individuals to manage the risks of medicines and increase their efficacy, Self-Medication and Society will appeal to sociologists and anthropologists with interests in health, illness, the body and medicine.

Pharmaceutical Freedom

Author : Jessica Flanigan
Publisher : Oxford University Press
ISBN 13 : 0190684569
Total Pages : 289 pages
Book Rating : 4.1/5 (96 download)

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Book Synopsis Pharmaceutical Freedom by : Jessica Flanigan

Download or read book Pharmaceutical Freedom written by Jessica Flanigan and published by Oxford University Press. This book was released on 2017-07-03 with total page 289 pages. Available in PDF, EPUB and Kindle. Book excerpt: If a competent adult refuses medical treatment, physicians and public officials must respect her decision. Coercive medical paternalism is a clear violation of the doctrine of informed consent, which protects patients' rights to make medical decisions even if a patient's choice endangers her health. The same reasons for rejecting medical paternalism in the doctor's office are also reasons to reject medical paternalism at the pharmacy, yet coercive medical paternalism persists in the form of premarket approval policies and prescription requirements for pharmaceuticals. In Pharmaceutical Freedom Jessica Flanigan defends patients' rights of self-medication. Flanigan argues that public officials should certify drugs instead of enforcing prohibitive pharmaceutical policies that disrespect people's rights to make intimate medical decisions and prevent patients from accessing potentially beneficial new therapies. This argument has revisionary implications for important and timely debates about medical paternalism, recreational drug legalization, human enhancement, prescription drug prices, physician assisted suicide, and pharmaceutical marketing. The need for reform is especially urgent as medical treatment becomes increasingly personalized and patients advocate for the right to try. The doctrine of informed consent revolutionized medicine in the twentieth century by empowering patients to make treatment decisions. Rights of self-medication are the next step.

Ending Discrimination Against People with Mental and Substance Use Disorders

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309439124
Total Pages : 171 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Ending Discrimination Against People with Mental and Substance Use Disorders by : National Academies of Sciences, Engineering, and Medicine

Download or read book Ending Discrimination Against People with Mental and Substance Use Disorders written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-09-03 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.

Self-Injury, Medicine and Society

Author : Amy Chandler
Publisher : Springer
ISBN 13 : 1137405287
Total Pages : 227 pages
Book Rating : 4.1/5 (374 download)

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Book Synopsis Self-Injury, Medicine and Society by : Amy Chandler

Download or read book Self-Injury, Medicine and Society written by Amy Chandler and published by Springer. This book was released on 2016-09-23 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an appreciative, sociological engagement with accounts of the embodied practice of self-injury. It shows that in order to understand self-injury, it is necessary to engage with widely circulating narratives about the nature of bodies, including that they are separate from, yet containers of 'emotion'. Using a sociological approach, the book examines what self-injury is, how it functions, and why someone might engage in it. It pays close attention to the corporeal aspects of self-injury, attending to the complex ways in which 'lived experience' is narrated. By interrogating the way in which healthcare and psychiatric systems shape our understanding of self-injury, Self-Injury, Medicine and Society aims to re-invigorate traditional discourse on the subject. Combining analytical theory with real-life accounts, this book provides an engaging study which is both thought-provoking and informative. It will appeal to an interdisciplinary readership and scholars in the fields of medical sociology and health studies in particular.

Communities in Action

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309452961
Total Pages : 583 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Communities in Action by : National Academies of Sciences, Engineering, and Medicine

Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Medicine and Society, New Perspectives in Continental Philosophy

Author : Darian Meacham
Publisher : Springer
ISBN 13 : 9401798702
Total Pages : 320 pages
Book Rating : 4.4/5 (17 download)

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Book Synopsis Medicine and Society, New Perspectives in Continental Philosophy by : Darian Meacham

Download or read book Medicine and Society, New Perspectives in Continental Philosophy written by Darian Meacham and published by Springer. This book was released on 2015-05-22 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume addresses some of the most prominent questions in contemporary bioethics and philosophy of medicine: ‘liberal’ eugenics, enhancement, the normal and the pathological, the classification of mental illness, the relation between genetics, disease and the political sphere, the experience of illness and disability, and the sense of the subject of bioethical inquiry itself. All of these issues are addressed from a “continental” perspective, drawing on a rich tradition of inquiry into these questions in the fields of phenomenology, philosophical hermeneutics, French epistemology, critical theory and post-structuralism. At the same time, the contributions engage with the Anglo-American debate, resulting in a fruitful and constructive conversation that not only shows the depth and breadth of continental perspectives in bioethics and medicine, but also opens new avenues of discussion and exploration. For decades European philosophers have offered important insights into the relation between the practices of medicine, the concept of illness, and society more broadly understood. These interventions have generally striven to be both historically nuanced and accessible to non-experts. From Georges Canguilhem’s seminal The Normal and the Pathological, Michel Foucault’s lectures on madness, sexuality, and biopolitics, Hans Jonas’s deeply thoughtful essays on the right to die, life extension, and ethics in a technological age, Hans-Georg Gadamer’s lectures on The Enigma of Health, and more recently Jürgen Habermas’s carefully nuanced interventions on the question of liberal eugenics, these thinkers have sought to engage the wider public as much as their fellow philosophers on questions of paramount importance to current bioethical and social-political debate. The essays contained here continue this tradition of engagement and accessibility. In the best practices of European philosophy, the contributions in this volume aim to engage with and stimulate a broad spectrum of readers, not just experts. In doing so the volume offers a showcase of the richness and rigor of continental perspectives on medicine and society.

Chemically Imbalanced

Author : Joseph E. Davis
Publisher : University of Chicago Press
ISBN 13 : 022668671X
Total Pages : 257 pages
Book Rating : 4.2/5 (266 download)

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Book Synopsis Chemically Imbalanced by : Joseph E. Davis

Download or read book Chemically Imbalanced written by Joseph E. Davis and published by University of Chicago Press. This book was released on 2020-03-10 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: A study of how ordinary people deal with everyday problems through self-mastery and mental health care practices. Everyday suffering—those conditions or feelings brought on by trying circumstances that arise in everyone’s lives—is something that humans have grappled with for millennia. But the last decades have seen a drastic change in the way we approach it. In the past, a person going through a time of difficulty might keep a journal or see a therapist, but now the psychological has been replaced by the biological: instead of treating the heart, soul, and mind, we take a pill to treat the brain. Chemically Imbalanced is a field report on how ordinary people dealing with common problems explain their suffering, how they’re increasingly turning to the thin and mechanistic language of the “body/brain,” and what these encounters might tell us. Drawing on interviews with people dealing with struggles such as underperformance in school or work, grief after the end of a relationship, or disappointment with how their life is unfolding, Joseph E. Davis reveals the profound revolution in consciousness that is underway. We now see suffering as an imbalance in the brain that needs to be fixed, usually through chemical means. This has rippled into our social and cultural conversations, and it has affected how we, as a society, imagine ourselves and envision what constitutes a good life. Davis warns that what we envision as a neurological revolution, in which suffering is a mechanistic problem, has troubling and entrapping consequences. And he makes the case that by turning away from an interpretive, meaning-making view of ourselves, we thwart our chances to enrich our souls and learn important truths about ourselves and the social conditions under which we live. Praise for Chemically Imbalanced “Chemically Imbalanced is an excellent addition to the works in social sciences and humanities that examine the distress of ordinary Americans from the second half of the twentieth century onward, a period when commercialized pills and the psychology-based notion of self-improvement entered the minds of Americans.” —Metascience “Chemically Imbalanced raises important questions, offers new insight into the power and reach of the biomedical model and neurobiological thinking, and I highly recommend it. I encourage readers to assign it, especially in graduate-level mental health and illness classes—or any class looking for a discussion on people’s experiences with suffering and the broad impacts of biomedical thinking and treatment.” —Social Forces

Mad Dogs and Other New Yorkers

Author : Jessica Wang
Publisher : Johns Hopkins University Press
ISBN 13 : 1421409712
Total Pages : 345 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Mad Dogs and Other New Yorkers by : Jessica Wang

Download or read book Mad Dogs and Other New Yorkers written by Jessica Wang and published by Johns Hopkins University Press. This book was released on 2019-10-15 with total page 345 pages. Available in PDF, EPUB and Kindle. Book excerpt: The result is a probing history of medicine that details the social world of New York physicians, their ideas about a rare and perplexing disorder, and the struggles of an ever-changing, ever-challenging urban society.

Society and the Adolescent Self-Image

Author : Morris Rosenberg
Publisher : Princeton University Press
ISBN 13 : 1400876133
Total Pages : 339 pages
Book Rating : 4.4/5 (8 download)

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Book Synopsis Society and the Adolescent Self-Image by : Morris Rosenberg

Download or read book Society and the Adolescent Self-Image written by Morris Rosenberg and published by Princeton University Press. This book was released on 2015-12-08 with total page 339 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over 5,000 high-school students of different social, religious, and national backgrounds were studied to show the effects of family experience, neighborhoods, minority groups, etc. on their self-image and response to society. Originally published in 1965. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

Evidence-Based Medicine and the Changing Nature of Health Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309113695
Total Pages : 202 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Evidence-Based Medicine and the Changing Nature of Health Care by : Institute of Medicine

Download or read book Evidence-Based Medicine and the Changing Nature of Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2008-09-06 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.

Modernity and Self-Identity

Author : Anthony Giddens
Publisher : John Wiley & Sons
ISBN 13 : 0745666485
Total Pages : 305 pages
Book Rating : 4.7/5 (456 download)

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Book Synopsis Modernity and Self-Identity by : Anthony Giddens

Download or read book Modernity and Self-Identity written by Anthony Giddens and published by John Wiley & Sons. This book was released on 2013-04-30 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: This major study develops a new account of modernity and its relation to the self. Building upon the ideas set out in The Consequences of Modernity, Giddens argues that 'high' or 'late' modernity is a post traditional order characterised by a developed institutional reflexivity. In the current period, the globalising tendencies of modern institutions are accompanied by a transformation of day-to-day social life having profound implications for personal activities. The self becomes a 'reflexive project', sustained through a revisable narrative of self identity. The reflexive project of the self, the author seeks to show, is a form of control or mastery which parallels the overall orientation of modern institutions towards 'colonising the future'. Yet it also helps promote tendencies which place that orientation radically in question - and which provide the substance of a new political agenda for late modernity. In this book Giddens concerns himself with themes he has often been accused of unduly neglecting, including especially the psychology of self and self-identity. The volumes are a decisive step in the development of his thinking, and will be essential reading for students and professionals in the areas of social and political theory, sociology, human geography and social psychology.

Autistic Community and the Neurodiversity Movement

Author : Steven K. Kapp
Publisher : Springer Nature
ISBN 13 : 9811384371
Total Pages : 335 pages
Book Rating : 4.8/5 (113 download)

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Book Synopsis Autistic Community and the Neurodiversity Movement by : Steven K. Kapp

Download or read book Autistic Community and the Neurodiversity Movement written by Steven K. Kapp and published by Springer Nature. This book was released on 2019-11-07 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access book marks the first historical overview of the autism rights branch of the neurodiversity movement, describing the activities and rationales of key leaders in their own words since it organized into a unique community in 1992. Sandwiched by editorial chapters that include critical analysis, the book contains 19 chapters by 21 authors about the forming of the autistic community and neurodiversity movement, progress in their influence on the broader autism community and field, and their possible threshold of the advocacy establishment. The actions covered are legendary in the autistic community, including manifestos such as “Don’t Mourn for Us”, mailing lists, websites or webpages, conferences, issue campaigns, academic project and journal, a book, and advisory roles. These actions have shifted the landscape toward viewing autism in social terms of human rights and identity to accept, rather than as a medical collection of deficits and symptoms to cure.

Victorian Skin

Author : Pamela K. Gilbert
Publisher : Cornell University Press
ISBN 13 : 1501731602
Total Pages : 449 pages
Book Rating : 4.5/5 (17 download)

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Book Synopsis Victorian Skin by : Pamela K. Gilbert

Download or read book Victorian Skin written by Pamela K. Gilbert and published by Cornell University Press. This book was released on 2019-03-15 with total page 449 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Victorian Skin, Pamela K. Gilbert uses literary, philosophical, medical, and scientific discourses about skin to trace the development of a broader discussion of what it meant to be human in the nineteenth century. Where is subjectivity located? How do we communicate with and understand each other's feelings? How does our surface, which contains us and presents us to others, function and what does it signify? As Gilbert shows, for Victorians, the skin was a text to be read. Nineteenth-century scientific and philosophical perspectives had reconfigured the purpose and meaning of this organ as more than a wrapping and instead a membrane integral to the generation of the self. Victorian writers embraced this complex perspective on skin even as sanitary writings focused on the surface of the body as a dangerous point of contact between self and others. Drawing on novels and stories by Dickens, Collins, Hardy, and Wilde, among others, along with their French contemporaries and precursors among the eighteenth-century Scottish thinkers and German idealists, Gilbert examines the understandings and representations of skin in four categories: as a surface for the sensing and expressive self; as a permeable boundary; as an alienable substance; and as the site of inherent and inscribed properties. At the same time, Gilbert connects the ways in which Victorians "read" skin to the way in which Victorian readers (and subsequent literary critics) read works of literature and historical events (especially the French Revolution.) From blushing and flaying to scarring and tattooing, Victorian Skin tracks the fraught relationship between ourselves and our skin.

Clinical Manual of Addiction Psychopharmacology, Second Edition

Author : Henry R. Kranzler, M.D.
Publisher : American Psychiatric Pub
ISBN 13 : 1585624403
Total Pages : 466 pages
Book Rating : 4.5/5 (856 download)

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Book Synopsis Clinical Manual of Addiction Psychopharmacology, Second Edition by : Henry R. Kranzler, M.D.

Download or read book Clinical Manual of Addiction Psychopharmacology, Second Edition written by Henry R. Kranzler, M.D. and published by American Psychiatric Pub. This book was released on 2013-11-06 with total page 466 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of Clinical Manual of Addiction Psychopharmacology offers information on the pharmacology of the major classes of drugs related to addiction and the latest pharmacological treatment of dependence on these drugs. The manual reflects recent research and evidence-based perspectives on the pharmacological actions of drugs of abuse.

Medications for Opioid Use Disorder Save Lives

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309486483
Total Pages : 175 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Medicine, Health and Society

Author : Hannah Bradby
Publisher : SAGE
ISBN 13 : 1446292339
Total Pages : 202 pages
Book Rating : 4.4/5 (462 download)

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Book Synopsis Medicine, Health and Society by : Hannah Bradby

Download or read book Medicine, Health and Society written by Hannah Bradby and published by SAGE. This book was released on 2012-02-13 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Sharp, bold and engaging, this book provides a contemporary account of why medical sociology matters in our modern society. Combining theoretical and empirical perspectives, and applying the pragmatic demands of policy, this timely book explores society′s response to key issues such as race, gender and identity to explain the relationship between sociology, medicine and medical sociology. Each chapter includes an authoritative introduction to pertinent areas of debate, a clear summary of key issues and themes and dedicated bibliography. Chapters include: • social theory and medical sociology • health inequalities • bodies, pain and suffering • personal, local and global. Brimming with fresh interpretations and critical insights this book will contribute to illuminating the practical realities of medical sociology. This exciting text will be of interest to students of sociology of health and illness, medical sociology, and sociology of the body. Hannah Bradby has a visiting fellowship at the Department of Primary Care and Health Sciences, King′s College London. She is monograph series editor for the journal Sociology of Health and Illness and co-edits the multi-disciplinary journal Ethnicity and Health.