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Incommunicable

Toward Communicative Justice in Health and Medicine

Book

Pages: 336

Illustrations: 16 illustrations

Published: April 2024

In Incommunicable, Charles L. Briggs examines the long-standing presumptions that medical discourse translates easily across geographic, racial, and class boundaries. Bringing linguistic and medical anthropology into conversation with Black and decolonial theory, he theorizes the failure in health communication as incommunicability, which negatively affects all patients, doctors, and healthcare providers. Briggs draws on W. E. B. Du Bois and the work of three philosopher-physicians—John Locke, Frantz Fanon, and Georges Canguilhem—to show how cultural models of communication and health have historically racialized people of color as being incapable of communicating rationally and understanding biomedical concepts. He outlines incommunicability through a study of COVID-19 discourse, in which health professionals defined the disease based on scientific medical knowledge in ways that reduced varieties of nonprofessional knowledge about COVID-19 to “misinformation” and “conspiracy theories.” This dismissal of nonprofessional knowledge led to a failure of communication that eroded trust in medical expertise. Building on efforts by social movements and coalitions of health professionals and patients to craft more just and equitable futures, Briggs helps imagine health systems and healthcare discourses beyond the oppressive weight of communicability and the stigma of incommunicability.

Praise

“In Incommunicable, Charles L. Briggs provokes readers to consider a deeper understanding of the political, cultural, and economic structurings over the long term of medicine, biomedical science, and global health as well as how these structurings set the grounds for their deconstruction and failure. Language and suffering, meaning and treatment, channel power to reshape health and disease and biomedical science so as to reproduce inequality. Briggs powerfully shows how this works. A book of real importance!” - Arthur Kleinman, Harvard University

"Kudos to Charles L. Briggs for his compelling account of health officials’ failure to communicate with the public. From COVID-19 to cholera outbreaks, critical medical information is ‘incommunicable’ to laypeople and communities with mounting health problems. The book is a heartbreaker, as clinicians fail again and again to listen to patients’ perspectives, and the ‘ruptures of understanding’ illness and death widen.” - Elinor Ochs, Distinguished Research Professor, University of California, Los Angeles

"Incommunicable offers a comprehensive exploration of how systemic inequities shape communication in healthcare contexts, drawing from historical figures and COVID-19 case studies to critically examine biomedicine's communicative practices. The book serves as both a critique and a call to action, urging stakeholders in healthcare to pursue communicative justice for more equitable systems." - Myles Joyce, E3W Review of Books

"Incommunicable presents a critical analysis of the intersection of communication, health, and justice. The book excels in its interdisciplinary approach and theoretical depth, drawing from a wide range of intellectual traditions to explore the historical and contemporary dynamics of medical communication." - Lucía Isabel Stavig, Journal of Folklore Research

"The book offers a rich interdisciplinary insight into issues of health, communication, and justice." - Tjaša Franko, Anthropological Notebooks

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Author/Editor Bios

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Charles L. Briggs is Distinguished Professor of Anthropology at the University of California, Berkeley. He is coauthor of Tell Me Why My Children Died: Rabies, Indigenous Knowledge, and Communicative Justice, also published by Duke University Press.

Table Of Contents

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Acknowledgments  ix
Introduction  1
Part I: Philosophical Dialogues in Search of Incommunicability
1. The Incommunicable Menance Lurking within Locke’s Charter for Communicability  29
2. W. E. B. Du Bois: Incommunicability and/as the Veil  41
3. Frantz Fanon: Doctors, Tarzan, and the Colonial Inscription of Incommunicability  53
4. Georges Canguilhem and the Clinical Production of Incommunicability  71
Part II: How Incommunicability Shapes Entanglements of Language and Medicine
5. Biocommunicable Labor and the Production of Incommunicability in “Doctor-Patient Interaction”  81
6. Health Communication: How In/communicabilities Jump Scale  109
Interlude: Social Movements and Incommunicability-Free Zones  149
Part III: Communicable Contours of the COVID-19 Pandemic
7. Pandemic Ecologies of Knowledge: In Defense of COVID-19 Conspiracy Theories, Sort of  161
8. Pandemic Ecologies of Care  197
Conclusion  265
Notes  275
References  283
Index  307

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Sales/Territorial Rights: World

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Additional Information

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Paper ISBN: 978-1-4780-2600-6 / Hardcover ISBN: 978-1-4780-2578-8 / eISBN: 978-1-4780-5924-0 / DOI: https://doi.org/10.1215/9781478059240