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Not Tonight: Migraine and the Politics of Gender and Health, by Joanna Kempner
PDF Download Not Tonight: Migraine and the Politics of Gender and Health, by Joanna Kempner
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Review
“An important contribution to our understanding of the multi-dimensional process through which society perceives and construes pain and disability. Her study of headache and especially migraine powerfully demonstrates the way in which gender, stakeholder interests (including those of status-oriented physicians and profit-oriented pharmaceutical manufacturers), and the very elusiveness of pain interact to create that social entity we call migraine—an entity that shapes attitudes, self-perceptions, and access to care. Carefully researched and engagingly written, this study should be of interest to anyone concerned with the social aspects of medicine. And anyone who suffers from the curse of headache pain.” (Charles E. Rosenberg Harvard University)“This insightful and eloquent account of our evolving understandings of migraine, from a condition of weak-nerved women, to a “real” neurobiological disease, does far more than document the cultural framing of headache. Kempner illuminates the complex, tangled relationship between medicine, morality, and meaning making in contemporary American society as she demonstrates that despite its biomedicalization and a shift from thinking of migraine as ‘all in the head’ to a genuine brain disease, migraine remains a disorder of personhood—and a particularly gendered one at that. The acuity of her sociological analysis is matched by her compassion for migraine sufferers and their fellow travelers on the quest for legitimacy and a cure.” (Elizabeth Mitchell Armstrong Princeton University)“Kempner’s incisive work analyzes migraine medicine and its gendered subtext as practitioners sought to make sense of the mind/body actions or interactions causing the common, yet devastating pain of sufferers. The book is beautifully written, with a moving preface in which Kempner locates herself as a fellow migraine sufferer as well as ethnographic observer.” (Linda Blum Northeastern University)“Kempner expertly illustrates how social legitimation of an illness is a multifactorial process and that effective recognition of a disease, which provides the basis for serious advances in research and treatment, can only result from a broad acknowledgment that persons who suffer from it are worthy of such interventions.” (Medical Anthropology Quarterly)
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About the Author
Joanna Kempner is assistant professor of sociology and an affiliate of the Institute for Health, Health Care Policy, and Aging Research at Rutgers University.
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Product details
Paperback: 260 pages
Publisher: University of Chicago Press (October 8, 2014)
Language: English
ISBN-10: 022617915X
ISBN-13: 978-0226179155
Product Dimensions:
6 x 0.6 x 9 inches
Shipping Weight: 14.9 ounces (View shipping rates and policies)
Average Customer Review:
4.8 out of 5 stars
6 customer reviews
Amazon Best Sellers Rank:
#832,314 in Books (See Top 100 in Books)
This book WILL NOT tell you how to heal your headaches. It WILL explain many of the reasons why you still have them and have been unable to get good help -- and that can be just as valuable. The chapter on cluster headache (super-masculine!) vs. migraine (wimpy wimmen!) alone is worth the price of admission.Deeply, profoundly researched and highly revealing. I have studied migraine for decades, astonished by how little useful information ever hits the popular press. I never realized until now that most of what we DO see comes from / is funded by the marketing departments of the pharmaceutical companies. It does NOT usually come from NIH or other publicly funded medical research sources. Why? Good question -- answered here.
As a migraine sufferer, I had read numerous books (Heal Your Headache, The Magnesium Solution, The Migraine Brain, etc) in a desperate effort to improve my condition. But many of those books left me feeling overwhelmed by complicated diets and trigger avoidance therapies, and made me feel as if my migraines were MY fault. Not Tonight helped me see all of those books, and everything I had heard from well-meaning but ultimately uninformed doctors, in historical/cultural perspective. This in turn empowered me to demand better treatment. It has helped me to stop blaming myself for my migraines, and to start seeking out people who would support me in finding a solution.This book is an absolute must-read for migraine sufferers everywhere.
Wonderful book! One of the best explanations I’ve heard why migraines and cluster headaches are such a burden
Wonderful informative book. I get to meet and film the author on Saturday. Very Comprehensive coming from a Migraine sufferer.
As a headache patient and advocate, I fell in love with Kempner's book, Not Tonight. She authentically weaves the reader through a 300 year timeline exposing the gritty layers migraine patients have experienced over time and offers up a "why". Her research and insights as a sociologist highlight how absent of scientific solutions, medicine sought to define migraine using gender. An hysterical woman of weak constitution disease. We learn how today, migraine is routinely overlooked and marginalized based on these outdated but deeply embedded cultural practices. The thoroughness in which Kempner convincingly spreads culpability in the stigmatizing of migraine patients serves to emphasize prevalence. Unbelievably, in the 21st century, as we strive to unravel the complexities of the brain, patients and researchers continue to await societies legitimization of migraine as a neurobiological condition.
A fabulous look at how research and medicine is shaped by cultural biases. This is easy and entertaining reading for all.
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