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Arc of Interference

Medical Anthropology for Worlds on Edge

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Critical Global Health: Evidence, Efficacy, Ethnography

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Book

Pages: 408

Illustrations: 16 illustrations

Published: March 2023

The radically humanistic essays in Arc of Interference refigure our sense of the real, the ethical, and the political in the face of mounting social and planetary upheavals. Creatively assembled around Arthur Kleinman’s medical anthropological arc and eschewing hegemonic modes of intervention, the essays advance the notion of a care-ful ethnographic praxis of interference. To interfere is to dislodge ideals of naturalness, blast enduring binaries (human/nonhuman, self/other, us/them), and redirect technocratic agendas while summoning relational knowledge and the will to create community. The book’s multiple ethnographic arcs of interference provide a vital conceptual toolkit for today’s world and a badly needed moral perch from which to peer toward just horizons.

Contributors. Vincanne Adams, João Biehl, Davíd Carrasco, Lawrence Cohen, Jean Comaroff, Robert Desjarlais, Paul Farmer, Marcia Inhorn, Janis H. Jenkins, David S. Jones, Salmaan Keshavjee, Arthur Kleinman, Margaret Lock, Adriana Petryna

Praise

“This is a book about life and death and about the aftermath of death. That alone makes it relevant to our species and to others, but Arc of Interference is also a book about the possibility of something more and something wonderful: across the continents, people struggle to care for one another.” - Paul Farmer, from the Foreword

“In this rich collection, leading medical anthropologists demonstrate ethnography as care. Attending to intimate realities and to the productive power of narrative, they use anthropology for collective healing.” - Helena Hansen, coauthor of Whiteout: How Racial Capitalism Changed the Color of Opioids in America

Arc of Interference is essential reading for anyone who cares about our troubled times. Its ethnographic creations mend what is broken by asking us to listen, care, and act.” - Angela Garcia, author of The Pastoral Clinic: Addiction and Dispossession along the Rio Grande

“A major undertaking of humanist anthropology, this volume insists on the necessity of medical anthropology for facing the great challenges of our time, from pandemics and structural violence to climate change and political oppression. Arc of Interference is a milestone in medical anthropology.” - Susan Reynolds Whyte, editor of Second Chances: Surviving AIDS in Uganda

“Biehl, Adams, and their contributors have . . . penned a classic in Arc of Interference. . . . In our current times of reckoning–both global and disciplinary–contributions like Arc of Interference are a good place to start.” 

- Evelyn Hoon, LSE Review of Books

"As a family physician who treats patients, not disease states, I found this book both reinvigorating and challenging. ... The book is a worthwhile read for physicians who care for their patients, whether domestically or globally."

- Mark K. Huntington, Family Medicine

"As a professor of psychiatry, anthropology, and global health at Harvard University, [Arthur] Kleinman has taught generations of students to see the world from cross-cultural perspectives. Each author in this collection of fine essays discusses Kleinman’s theories as they relate to her or his own research. . . . Recommended. Advanced undergraduates through faculty; professionals." - I. Glasser, Choice

"Arc of Interference pays tribute to [Arthur] Kleinman’s career through the writings of his students and colleagues, many of them renowned scholars in their own right. . . . The book is especially relevant for students and scholars interested in learning more about the approach that the authors describe as critical medical anthropology, especially as applied to global health (notably, including global mental health)." - Steven P. Black, Journal of Medical Humanities

"Arc of Interference will hold great interest for students, especially at the graduate level, and for nonanthropologists eager to understand how and why medical anthropology has come to wield powerful influence—and to interfere with tenacity—across so many domains of inquiry. Each exquisite chapter broadens our understanding of what medical anthropology, broadly construed, can offer in this multifaceted moment of reckoning. . . ." - Sarah S.Willen, Medical Anthropology Quarterly

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Author/Editor Bios

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João Biehl is Susan Dod Brown Professor and Chair of Anthropology at Princeton University and coeditor of Unfinished: The Anthropology of Becoming, also published by Duke University Press.

Vincanne Adams is Professor of Medical Anthropology at the University of California, San Francisco and author of Glyphosate and the Swirl: An Agroindustrial Chemical on the Move, also published by Duke University Press.

Paul Farmer (1959–2022) was Kolokotrones University Professor and Chair of the Department of Global Health and Social Medicine at Harvard Medical School.

Table Of Contents

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Foreword. Against the Grain: Medical Anthropology in the Anthropocene / Paul Farmer  xi
Introduction. Art of Interference / João Biehl and Vincanne Adams  1
Part I. Traversing Imperiled Worlds and Envisaging Human Futures
1. Death by Fire: The Problem of Moral Certainty in China’s Tibet / Vincanne Adams  23
2. Bringing Up the Bodies: Erasing and Caring for Mexicans in the Mexico-US Borderland / Davíd Carrasco  42
3. In the Vast Abrupt: Horizon Work in an Age of Runaway Climate Change / Adriana Petryna  65
Part II. The Category Fallacy and Care Amid the Experts
4. Justifying a Lower Standard of Health Care for the World’s Poor: A Call of Decolonizing Global Health / Salmaan Keshavjee  91
5. The Moral Economies of Heart Disease and Cardiac Care in India / David S. Jones  112
6. Intimate and Social Spheres of Mental Illness / Janis H. Jenkins  133
Part III. Worlds of Biotechnological Promise and the Plasticity of Self and Power
7. A Good Death: The Promise and Threat of Biometric Inclusion for Transgender Women in India / Lawrence Cohen  161
8. Medical Cosmopolitanism in Moral Worlds: Aspirations and Stratifications in Global Quests for Conception / Marcia C. Inhorn  187
9. Environments and Mutable Selves / Margaret Lock  210
Part IV. Tracing Arts of Living (Or, Anthropologies After Hope Has Departed)
10. Anthropology in a Mode of Dying / Robert Desjarlais  239
11. Ethnographic Open / João Biehl  257
12. Thinking on Borrowed Time . . . About Privileging the Human / Jean Comaroff  287
Afterword. Lessons Learned from the Ethnography of Care / Arthur Kleinman  305
In Memoriam  327
Acknowledgments  329
Bibliography  331
Contributors  371
Index  373

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Additional Information

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Related Links Paper ISBN: 978-1-4780-1980-0 / Hardcover ISBN: 978-1-4780-1709-7 / eISBN: 978-1-4780-2437-8 / DOI: https://doi.org/10.1215/9781478024378