Divided Bodies: Lyme Disease, Contested Illness, and Evidence-Based Medicine by

Description: Divided Bodies by Abigail A. Dumes Abigail A. Dumes offers an ethnographic exploration of the Lyme disease controversy to shed light on the relationship between contested illness and evidence-based medicine in the United States. FORMAT Paperback LANGUAGE English CONDITION Brand New Publisher Description While many doctors claim that Lyme disease-a tick-borne bacterial infection-is easily diagnosed and treated, other doctors and the patients they care for argue that it can persist beyond standard antibiotic treatment in the form of chronic Lyme disease. In Divided Bodies, Abigail A. Dumes offers an ethnographic exploration of the Lyme disease controversy that sheds light on the relationship between contested illness and evidence-based medicine in the United States. Drawing on fieldwork among Lyme patients, doctors, and scientists, Dumes formulates the notion of divided bodies: she argues that contested illnesses are disorders characterized by the division of bodies of thought in which the patients experience is often in conflict with how it is perceived. Dumes also shows how evidence-based medicine has paradoxically amplified differences in practice and opinion by providing a platform of legitimacy on which interested parties-patients, doctors, scientists, politicians-can make claims to medical truth. Author Biography Abigail A. Dumes is Assistant Professor of Womens and Gender Studies at the University of Michigan. Table of Contents Acknowledgments ix Introduction: Lyme Disease Outside In 1 1. Mapping the Lyme Disease Controversy 27 2. Preventing Lyme 65 3. Living Lyme 99 4. Diagnosing and Treating Lyme 158 5. Lyme Disease, Evidence-Based Medicine, and the Biopolitics of Truthmaking 187 Conclusion: Through Lymes Looking Glass 222 Notes 235 Glossary 271 References 273 Index 327 Review "This exceptional book takes readers into the heart of an important medical controversy about the very nature of Lyme disease. Sensitively portraying the struggles of Lyme sufferers, as well as the divided opinions of the clinicians who care for them, this book demonstrates how evidence-based medicine may not reflect the social complexities of a deeply contested illness. A must-read for scholars of American health and medicine and for anyone interested in the growing Lyme disease epidemic." -- Marcia C. Inhorn, Professor of Anthropology and International Affairs, Yale University"The controversy over the existence and meaning of chronic Lyme disease is one of the most fascinating stories in contemporary medicine. In Divided Bodies, Abigail A. Dumes explores with penetration and subtlety this epistemic border on which patients and physicians wage an intense battle to impose their truth." -- Didier Fassin, Professor at the Institute for Advanced Study and Chair of Public Health at the Collège de France"This book is valuable for its illustration of how some medical paradigms become mainstream, while others disappear. Chronic Lyme, whatever it is, holds up a mirror to evidence-based medicine. Dumess ethnographic approach provides voluminous details, new insights, and a refreshing alternative to much of the existing literature on the Lyme controversy. Highly recommended. All readers." -- M. Gochfeld * Choice *"Divided Bodies will be of interest to medical anthropologists and sociologists, and health professionals curious about how illnesses come to be contested.... It is an impressive example of how ethnography can shed light on the relationship between illness, disease and evidence-based medicine." -- Caragh Brosnan * Sociology of Health & Illness *"Divided Bodies is a thorough, anthropological study of the controversies present in Lyme disease and inherent in EBM.... Interested physicians are encouraged to check it out." -- William Murdoch * Family Medicine *"Being the first of its kind, Abigail A. Dumes ethnographic study of Lyme disease in the United States introduces its readers to a world largely unknown.... Thanks to her continuous, careful attention, readers get a thorough idea of what is at stake." -- Josephine Rudbech * Ethnos *"I come away from this book with a clearer understanding of how evidence-based medicine makes multiple kinds of truth claims accessible, and how the idea of evidence becomes an agent in all approaches to chronic Lyme/post-treatment Lyme disease syndrome. This degree of balance, reflected down to Dumess word choice, is masterful. . . . Pre-COVID, most abled peoples lives were cordoned off from those who suffer chronically. Dumess text offers insight into what it might mean to distinguish, in our research and writing practices as much as in the subjects of our research, what we mean by evidence, what we mean by knowledge, and how we hold multiple competing worldviews in the same frame, as we pay attention to the suffering of others." -- Charis Boke * Medical Anthropology Quarterly *"Throughout [Divided Bodies], Dumes achieves a balancing act as an ethnographer of an onto-epistemological debate, wherein questions about what Lyme is frequently crowd out the social-scientific questions of what Lyme means and how it is actedupon." -- Emma Broder * H-Sci-Med-Tech, H-Net Reviews *"Divided Bodies is an excellent example of the scholarship possible for those who take seriously the prospect of contested truths in contemporary medicine. It is well worth a read for those interested in the hegemony of evidence-based medicine and the persistence of the medically unexplained, as well as others invested in the specificities of Lyme disease as it is experienced and treated." -- Paula Martin * Culture, Medicine, and Psychiatry *"Abigail Dumes effectively presents a transdisciplinary approach for articulating the rhizomatic representations of illness that yields the phenomenon of Lyme Disease. It was a joy to read." -- Frans Jackop Lourens Robberts * Sociology of Health & Illness * Review Quote "This exceptional book takes readers into the heart of an important medical controversy about the very nature of Lyme disease. Sensitively portraying the struggles of Lyme sufferers, as well as the divided opinions of the clinicians who care for them, this book demonstrates how evidence-based medicine may not reflect the social complexities of a deeply contested illness. A must-read for scholars of American health and medicine and for anyone interested in the growing Lyme disease epidemic." Details ISBN1478006668 Author Abigail A. Dumes Short Title Divided Bodies Publisher Duke University Press Series Critical Global Health: Evidence, Efficacy, Ethnography Language English Year 2020 ISBN-10 1478006668 ISBN-13 9781478006664 Format Paperback Subtitle Lyme Disease, Contested Illness, and Evidence-Based Medicine Pages 360 Publication Date 2020-09-25 DEWEY 616.924600973 UK Release Date 2020-09-25 Imprint Duke University Press Place of Publication North Carolina Country of Publication United States AU Release Date 2020-09-25 NZ Release Date 2020-09-25 US Release Date 2020-09-25 Translator Louise Rogers Lalaurie Birth 1927 Death 1997 Affiliation General Medical Practitioner, Aberdeen, Uk Position Author Qualifications MSW, PhD Alternative 9781478005988 Audience Professional & Vocational We've got this At The Nile, if you're looking for it, we've got it. 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