WS 565 Women, Health and Medicine Fall 1993 Professor S.E. Cayleff Office: AH 3134 San Diego State University Tuesday: 7:00 - 9:40 pm AH 2112 Phone: 594-5943 Office Hours: To Be Announced The following books are on sale at the SDSU bookstore for use in this course: Bair/Cayleff, eds. Wings of Gauze: Women of Color Cayleff Wash and Be Healed (optional) Ehrenreich and English For Her Own Good Gevitz, ed. Other Healers Gordon Woman's Body, Woman's Right Leavitt, ed. Women and Health in America Melosh The Physician's Hand Modesto Not for Innocent Ears Walsh Doctors Wanted: No Women Need Apply THERE IS ALSO A READER FOR SALE AT K-B BOOKS (5190 College Avenue. These readings will be designated [R] on the syllabus. Some readings in the Reader are optional. These are designated [R-O]. Students are expected to come to class having done all of the assigned readings. Class discussions and the professor's questions and comments will expand upon the material found in the readings. Analytical skills will be stressed in the class. Grading: Attendance will be taken during each class and discussion participation is expected. Students will work in groups on a final project during the course of the semester; group projects will have a research, written and oral component. A mid-term exam will be given 11/2. Finally, each student will turn in a proposal on 10/19 and 11/30, a 5-7 page paper on a topic of her/his choice is due. Discussion/attendance/group projects: one-third of grade Mid-term: one-third of grade Final individual paper: one-third of grade Any work turned in late will lose one grade per-day-late. Students will turn in TWO copies of every written piece of work. 8/31 Introduction: no readings are due Ethics: The Dynamics of the Health Care Relationship and Basic Ethical Principles **Note: These articles are 2-4 pages each** All are found in Medical Ethics: A Clinical Textbook and Reference for the Health Care Professions, N. Abrams and M. Buckner, eds. (Cambridge, Ma: The MIT Press, 1983). Reichman, "The Physician-Patient Relationship: Expectations and Reality" [R] Beauchamp and Childress, "The Professional and Patient Relationship" [R] Korsch, et. al. "Gaps in Doctor-Patient Communication" [R] Novack, et. al. "Changes in Physicians' Attitudes toward Telling the Cancer Patient" [R] Film: Women as providers and consumers of health care: 60 minutes. 9/7 NOTE: All readings listed under 8/31 should be completed for 16pp. 9/7. Eisenberg, "Disease and Illness: Distinctions Between Professional and Popular Ideas of Sickness" [R] 12pp. Vanderpool and Schreiber, "Orthopedic Case Conference" [R] 1p. Veatch, "The Case of the "Broken Leg" [R] 2pp. Gadow, "'Different Strokes'; re touch" [R] 1p. 41pp. Gender: Weisman, "Physician-Gender and the Physician- Patient Relationship" [R] 4pp. Lennane and Lennane, "Alleged Psychogenic Disorders in Women" [R] 7pp. Race: Kurtz, "Teaching Medical Students the Effects of Values and Stereotyping..." [R] 5pp. Levy, "White Doctors and Black Patients: Influence of Race on the Doctor-Patient Relationship" [R] 5pp. Coles, "Medical Ethics and Living a Life" [R] 2pp. Theoretical Background:The Cultural Construction of Beliefs and "Truths" 9/14 The Power of "Naming": Rosenham, "On Being Sane in Insane 63pp. Places" [R] 8pp. Raymond, "Medicine as Patriarchal Religion" [R] 17pp. Lowe/Hubbard, "The Dialectic of Biology and Culture" [R] 17pp. The Power of Science: Hubbard, "Social Effects of Some Contemporary Myths about Women" [R] 6pp. Zola, "Medicine as an Institution of Social Control" [R] 15pp. Folk and Alternative Healing Ways Film: Women as healers in the history of western civilization; 23 minutes. 25pp. What do we want from "medicine", anyway? Sobel, "Introduction" [R] 3pp. Cassell, "The Nature of Suffering and the Goals of Medicine" [R] 6pp. Veatch, "Models for Ethical Medicine in a Revolutionary Age" [R] 3pp. Powers, "The use of orthodox and black American folk medicine" [R] 11pp. Mull and Mull, "Residents' Awareness of Folk Medicine Beliefs of Their Mexican Patients" [R] 2pp. **Begin reading Modesto, Not for Innocent Ears** Folk Healing 9/21 Oakleaf, "Ozark Mountain and European White Witches" [R] 14pp. 33pp. Rubel, "The Epidemiology of a Folk Illness: Susto..." [R] 14pp. Harwood, "The Hot-Cold Theory of Disease" [R] 5pp. 43pp. Color Healing: Birrer, "To Heal the Body" and "The Symbolism of Red" [R] 8pp. Modesto, Not for Innocent Ears; Discussion Miracle Cures: What's At Work? Alison and Maloney, "Filipino Psychic Surgery..." [R] Larios, "Reticulum Cell Sarcoma of Right Pelvic Bone" [R] 8pp. Stauffer, "Chronic Rheumatoid Arthritis with Severe Disability" [R] 7pp. 19th Century American Health Reform 9/28 Cayleff, Wash and Be Healed (optional) Morantz, "Making Women Modern: Middle-Class Women and Health Reform..." in Leavitt Women and Health, pp. 346-359. Rothstein, "The Botanical Movements and Orthodox Medicine" in Other Healers, pp. 29-52 Sklar, "'All Hail to Pure Cold Water'", in Leavitt Women and Health, pp. 239-246. Kaufman, "Homeopathy in America..." in Other Healers, pp. 99-124. Shryock, "Sylvester Graham and the Popular Health Movement" [R-O] 12pp. Coulter, "Homeopathic Medicine" [R-O] 19pp. 10/5 Health Reformers: Blake, "Mary Gove Nichols, Prophetess of Health," and Numbers and Schoepflin, "Ministries of Healing..." both in Leavitt, Women and Health, pp. 359-391. Cayleff, "Gender, Ideology and Healing," in Gevitz, Other Healers, pp. 82-99. Whorton, "Patient, Heal Thyself..." in Other Healers, pp. 52-82. Inglis, "Osteopathy and Chiropractic" [R-O] 28pp. Gevitz, "Osteopathic Medicine..." in Other Healers, pp. 124-157. [optional] ** Begin Walsh, Doctors Wanted: No Women Need Apply ** Background to the Nineteenth Century 10/12 Medical Attitudes towards Women: Smith-Rosenberg, "The Female 79pp. Animal..." in Leavitt, Women and Health, pp. 12-27. + Walsh Smith-Rosenberg, "Puberty to Menopause..." [R] 12pp. Ehrenreich and English, For Her Own Good, pp. 33-68. Haller, "From Maidenhood to Menopause..." [R] 17pp. Institutional Exclusion Walsh, Doctors Wanted: No Women Need Apply (four chapters of your choice: COME IN WITH DISCUSSION QUESTIONS) Sexual Surgery 10/19 Gordon, "Nervous and Mental Disturbances Following Castration in Women" [R] 3pp. 15pp. + Gordon Engelmann, "Cliterodectomy" [R] 12pp. ** Begin reading, Gordon, Woman's Body, Woman's Right ** Birth Control ** ONE PAGE FINAL INDIVIDUAL PROPOSAL DUE *** Cott, "Passionlessness" in Leavitt, Women and Health, pp. 57-60. Reed, "Doctors, Birth Control, and Social Values, 1830- 1970" in Leavitt, Women and Health, pp. 124-140. Gordon, Woman's Body, Woman's Right pp. 3-186. Menstruation 10/26 Bullough and Voght, "Women, Menstruation..." in Leavitt, Women and Health, pp. 28-38. 34pp. Anon. "Should People Who Menstruate Be Admitted to Harvard" [R] 18pp. Abortion Mohr, "Patterns of Abortion and the Response of American Physicians" in Leavitt, Women and Health, pp. 117-123. Childbirth 37pp. Scholten, "On the Importance of the Obstetrick Art" in Leavitt, Women and Health, pp. 142-154. [optional] + [0] Leavitt and Walton, "'Down to Death's Door'" in Leavitt, Women and Health, pp. 155-165. Film: Five women, five births; 25 minutes Midwives Donegan, "'Safe Delivered', but by Whom?" in Leavitt, Women and Health, pp. 302-317. Kobrin, "The American Midwife Controversy" in Leavitt, Women and Health, pp. 318-326. 11/2 *** MID-TERM *** FILM: "Sentimental Women Need Not Apply" re: nursing history. Background to the Twentieth Century 11/9 Film: Killing us softly: advertising's image of women; 82pp. 30 minutes Ehrenreich and English, For Her Own Good, pp. 69-140 Garfield, "The Delivery of Medical Care" [R] 8pp. Baxandall, "Health is Women's Work" [R] 4pp. Women as Doctors Restak, "We Need Doctors We Can Pay Less and Boss More - Namely, Women" [R] 1p. Nursing Melosh, The Physician's Hand, pp. 3-93. (1/2 of class) Elmore, "Black Nurses: Their Service and Their Struggle" [R] 2pp. Melosh, The Physician's Hand, pp.159-219 (1/2 of class) Medical Management of the Menses 11/16 ***Students bring in media on this subject.*** 25pp. Robbins, "Psychosomatic Aspects of Dysmenorrhea" [R] 7pp. Smith, "Pre-Menstrual Syndrome" [R] 2pp. Lock, "Models and Practice in Medicine: Menopause as Syndrome or Life Transition" [R] 16pp. Aging 28pp. *** GROUP ONE *** presentation on aging Freeman, "A Mistaken Charity" [R] 9pp. Gadow, "Medicine, Ethics, and the Elderly" [R] 7pp. Ratzan, "'Being Old Makes You Different'" [R] 12pp. How American Medicine Sees Women 11/23 Film: The Perfect Baby 11pp. *** GROUP TWO *** Reproductive Technologies Scully and Bart, "A Funny Thing Happened on the Way to the Orifice: Women in Gynecological Textbooks" [R] 4pp. Howell,"What Medical Schools Teach About Women"[R] 3pp. Sciefelbein, "The Female Patient: Heeded? Hustled? Healed?" [R] 4pp. Racial and Ethnic Factors in the Health Care Setting 56pp. *** GROUP THREE *** presentation on racial and ethnic factors in receiving medical care. Hufford, "Contemporary Folk Medicine," in Other Healers, pp. 228-265. "Black Health Crisis: Poverty and Discrimination" [R] 7pp. Kyriakos and Coreil, "The Health of Hispanics in the Southwestern U.S.: an Epidemiologic Paradox" [R] 12pp. ** Class exercise with "Obstetrics and Gynecology Case Discussion" 11/30 FINAL INDIVIDUAL PAPERS ARE DUE 11/30 BY 9:40 IN PROFESSOR'S OFFICE. PAPERS TURNED IN AFTER THAT TIME WILL LOSE ONE GRADE PER-DAY-LATE ***** TWO COPIES MUST BE TURNED IN ***** Eating Disorders 11/30 Cayleff, "Anorexia Nervosa: Gender and Culture Collide" [R] 27pp. 2pp. Chemins, "Confessions of an Eater" [R] 14pp. "Runners and anorexics" An ascetic disorder?" [R] 1p. Baruch, "Anorexia Nervosa" [R] 10pp. *** GROUP FOUR *** presentation on cultural and medical dimensions of anorexia nervosa and bulimia. Continuation of discussion of 11/30 Acquired Immune Deficiency Syndrome 12/7 Film: "The Faces of AIDS" *** GROUP FIVE *** presentation of medical and social dimensions of AIDS. Women's Health Autonomy Under Technology Film: Breast and Cervical Cancer; 60 minutes 12/7 O'Donnell, "Lesbian Health Care Issues" [R] 11pp. 36pp. Pearson and Clark, "The Mal(e) Treatment of American Women in Gynecology and Obstetrics" [R] 14pp. Callahan, "How Technology is Reframing the Abortion Debate" [R] 9pp. Zimmerman, "How doctors are changing breast cancer treatment" [R] 2pp. Who Gets Scarce Medical Resources? 12/7 Murray, "Ethics and Health Care Allocation" [R] 9pp. 29pp. Outka, "Social Justice and Equal Access to Health Care" [R] 8pp. Rescher, "Allocation of Exotic Medical Lifesaving Therapy" [R] 12pp. *** Class debate: decide who gets scarce medical funding for life-saving therapies -- rank your "survivor" list and discuss why *** GROUP TOPICS Group No. Topic Date Due: Oral and Written 1. Aging 11/16 2. Reproductive Technologies 11/23 3. Racial and Ethnic Factors in 11/23 Receiving Health Care 4. Anorexia Nervosa and Bulimia 11/30 5. AIDS: Medical and Social 12/7 Dimensions