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This paper examines the discourse surrounding the release in 1955 of Miltown, America's first psychotropic wonder drug. According to many histories of psychiatry, Miltown heralded the arrival of a new paradigm in treating psychiatric patients – as a drug that operated on a neurochemical level, it was argued to replace a psychoanalytic approach with its focus on the mother‐child relation. Between 1955 and 1960, articles about pharmaceutical miracle cures for mental illnesses filled mass‐circulation news magazines and top fashion magazines. Through analysis of these representations, this article shows how the newly discovered pills came to be associated with existing concerns about conditions problematically referred to as 'maternal conditions,' ranging from a woman's frigidity, to a bride's uncertainty, to a wife's infidelity. Using these representations, the paper demonstrates how in American popular culture, psychoanalytic notions of motherhood prevalent in the 1950s shaped early understandings and uses of psychotropic drugs.

Intro -- Foreword: The Promise of Structural Competency -- Acknowledgements -- Contents -- About the Authors -- Contributors -- Introduction -- References -- Part I: Structural Competency in Classrooms and Clinics -- Teaching and Testing Structural Competency in Pre-health Undergraduate Classrooms -- The Problem -- Theoretical Framework -- The Path -- Medicine, Health, and Society -- Structural Foundations of Health Survey -- Health Disparity-Related Professional Preparation -- Obesity -- Heart Disease -- Depression -- Key Learnings -- Translation to Other Sites -- References -- The Walking Classroom and the Community Clinic: Teaching Social Medicine Beyond the Medical School -- The Problem: Placing Social Medicine in the Curriculum -- Theoretical Framework -- The Approach I: The Walking Classroom -- The Approach II: The Clinic and Its Communities -- Outcomes and Lessons Learned -- References -- This Ain't No Tool, This Ain't No Toolbox -- Slowing Down: The Question of Time -- Appendix 1: Structured Observation Guiding Questions -- References -- Reflections on the Intersection of Student Activism and Structural Competency Training in a New Medical School Curriculum -- The Problem: How Can Student Activists Work with Faculty for Curricular Change -- Theoretical Framework -- The Path -- Social Movements and the Field of Medicine -- Orientation to Medical School -- From Orientation to Medical School -- Deeply Personal -- Structural Competency -- Addressing Shortcomings -- References -- The Structural Competency Working Group: Lessons from Iterative, Interdisciplinary Development of a Structural Competency Training Module -- Building Social Analysis into Curricula for Health Professionals -- Theoretical Framework: Practicing "Impractical" Thinking -- The Path: Iterative, Interdisciplinary Collaboration.

Four assumptions frequently arise in the aftermath of mass shootings in the United States: (1) that mental illness causes gun violence, (2) that psychiatric diagnosis can predict gun crime, (3) that shootings represent the deranged acts of mentally ill loners, and (4) that gun control "won't prevent" another Newtown (Connecticut school mass shooting). Each of these statements is certainly true in particular instances. Yet, as we show, notions of mental illness that emerge in relation to mass shootings frequently reflect larger cultural stereotypes and anxieties about matters such as race/ethnicity, social class, and politics. These issues become obscured when mass shootings come to stand in for all gun crime, and when "mentally ill" ceases to be a medical designation and becomes a sign of violent threat.

This article outlines a four-part strategy for future research in mental health and complementary disciplines that will broaden understanding of mass shootings and multi-victim gun homicides. First, researchers must abandon the starting assumption that acts of mass violence are driven primarily by diagnosable psychopathology in isolated "lone wolf" individuals. The destructive motivations must be situated, instead, within larger social structures and cultural scripts. Second, mental health professionals and scholars must carefully scrutinize any apparent correlation of violence with mental illness for evidence of racial bias in the official systems that define, measure, and record psychiatric diagnoses, as well as those that enforce laws and impose criminal justice sanctions. Third, to better understand the role of firearm access in the occurrence and lethality of mass shootings, research should be guided by an overarching framework that incorporates social, cultural, legal, and political, but also psychological, aspects of private gun ownership in the United States. Fourth, effective policies and interventions to reduce the incidence of mass shootings over time—and to prevent serious acts of violence more generally—will require an expanded body of well-funded interdisciplinary research that is informed and implemented through the sustained engagement of researchers with affected communities and other stakeholders in gun violence prevention. Emerging evidence that the coronavirus pandemic has produced a sharp increase both in civilian gun sales and in the social and psychological determinants of injurious behavior adds special urgency to this agenda.

Frontmatter -- Contents -- Acknowledgments -- 1. Introduction: Why "Against Health"? -- Part I : What Is Health, Anyway? -- 2. What Is Health and How Do You Get It? -- 3 Risky Bigness: On Obesity, Eating, and the Ambiguity of "Health" -- 4 Against Global Health? Arbitrating Science, Non-Science, and Nonsense through Health -- Part II : Seeing Health through Morality -- 5 The Social Immorality of Health in the Gene Age: Race, Disability, and Inequality -- 6. Fat Panic and the New Morality -- 7 Against Breastfeeding (Sometimes) -- Part III : Making Health and Disease -- 8 Pharmaceutical Propaganda -- 9 The Strangely Passive-Aggressive History of Passive-Aggressive Personality Disorder -- 10 Obsession: Against Mental Health -- 11 Atomic Health, or How The Bomb Altered American Notions of Death -- Part IV : Pleasure and Pain after Health -- 12 How Much Sex Is Healthy? The Pleasures of Asexuality -- 13 Be Prepared -- 14 In the Name of Pain -- 15 Conclusion: What Next? -- About the Contributors -- Index

Frontmatter --Contents --Notes on Contributors --Introduction: The Political Landscapes of American Health, 1945-2020 --Part I: Geography, Community and American Health --Introduction --1 Health and Inequality in the Postwar Metropolis --2 Poverty, Health and Health Care in Rural Communities --3 The Politics of Immigration Meets the Politics of Health Care --4 Latinxs and the US Health Care System --5 American Indian Health: The Medicine Wheel versus the Iron Triangle --Part II: Critical Health Conditions: Debates and Histories --Introduction --6 The Politics of Polio Vaccination in Postwar America, 1950-60: Detractors and Defenders --7 Beyond the Cancer Wars --8 A System in Crisis: US Health Care Politics and the AIDS Epidemic --9 The Politics of 'Obesity': Medicalization, Stigmatization and Liberation of Fat Bodies --10 Revising Diagnoses, Reinventing Psychiatry: DSM and Major Depressive Disorder --Part III: The Politics of Children's Health --Introduction --11 US Children's Health Insurance: Policy Advocacy and Ideological Conflict --12 Autism and the Anti-Vaccine Movement --13 Diagnosing Deficit, Promising Enhancement: ADHD and Stimulants on Screen --14 On the Possibility of Affirmative Health Care for Transgender Children --15 Black Infant Mortality: Continuities, Contestations and Care --Part IV: The Institutional Matrix of Health Care --Introduction --16 The Regional and Racial Politics of Postwar Hospitals --17 Health Activism in the 1960s and the Community Health Center System --18 The Veterans Administration and PTSD: Challenges and Changes from Vietnam to Iraq --19 The Pharmaceutical Industry, Drug Regulation and US Health Services --20 The National Institutes of Health: Courting Congress, Creating a Research Infrastructure --Part V: The White House, Congress and Health Reform --Introduction --21 Left Out: Health Security and the American Welfare State, 1935-50 --22 Medicare and Medicaid after the Great Society: Containing Costs, Expanding Coverage --23 Mental Health, Stigma and Federal Reform in the 1970s and 1990s --24 The War on Drugs: Nixon, Reagan, Trump --25 Obamacare and Its Critics --Part VI: Justice, Ethics and American Health --Introduction --26 Roe v. Wade and the Cultural Politics of Abortion: The Shift from Rights to Health --27 Genetics, Health and the Making of America's Triracial Isolates, 1950-80 --28 The Rhetoric and Politics of American Ageism: Notes from a Pandemic --29 Towards a Structural Competency Framework for Addressing US Gun Violence --30 Mass Incarceration and Health Inequity in the United States --Part VII: Public Health and Global Health --Introduction --31 Occupational and Environmental Health in Twentieth-Century America --32 Environmental Health beyond the State: Thinking through the 1970s --33 Bioterrorism, Pandemic and the American Public --34 Health Internationalism in the US and Beyond --35 Pandemics and the Politics of Planetary Health --Bibliography --Index

Frontmatter -- Contents -- Foreword: Too Long Too Short / Vonnegut, Mark -- Acknowledgments -- Introduction: The Why, The What, And The How Of The Medical/Health Humanities / Friedman, Lester D. / Wear, Delese / Jones, Therese -- Part I. Disease And Illness -- Chapter 1. Being A Good Story: The Humanities As Therapeutic Practice / Frank, Arthur W. -- Chapter 2. Illuminating The It, Thee, And We Of Disease And Illness: The Metamorphosis And Related Works / Soricelli, Rhonda L. / Flood, David H. -- Chapter 3. "This Weird, Incurable Disease": Competing Diagnoses In The Rhetoric Of Morgellons / Keränen, Lisa -- Chapter 4. My Quest For Health / Wall, Shelley / Sappol, Michael -- Part II. Disability -- Chapter 5. Disability In Two Doctor Stories / Holmes, Martha Stoddard -- Chapter 6. Music And Disability / Straus, Joseph N. -- Chapter 7. American Narrative Films And Disability: An Uneasy History / Norden, Martin F. -- Chapter 8. Standout / Iezzoni, Lisa I. -- Part III. Death And Dying -- Chapter 9. When The Doctor Is Not God: The Impact Of Religion On Medical Decision Making At The End Of Life / Cohn, Felicia -- Chapter 10. Postmodern Death And Dying: A Literary Analysis / Lantos, John / Montello, Martha -- Chapter 11. Second Degree Block: Poem And Commentary / Haddad, Amy -- Part IV. Patient- Professional Relationships -- Chapter 12. Social Studies: The Humanities, Narrative, And The Social Context Of The Patient-Professional Relationship / Garden, Rebecca -- Chapter 13. Humanities And The Medical Home / Hester, Rebecca / Brody, Howard / Clark, Mark -- Chapter 14. Occupational Medicine / Coulehan, Jack -- Part V. The Body -- Chapter 15. The Virtues Of The Imperfect Body / Tong, Rosemarie -- Chapter 16. Seeing Bodies In Pain / Gilman, Sander L. -- Chapter 17. Public Fetuses / Hausman, Bernice L. -- Chapter 18. More Body: A Performance For Five (Or More) Bodies / Case, Gretchen A. -- Part VI. Gender And Sexuality -- Chapter 19. Adult Intake Form / Peterkin, Allan -- Chapter 20. What Is Sex For? Or, The Many Uses Of The Vag / Dreger, Alice -- Chapter 21. "I Always Prefer The Scissors": Isaac Baker Brown And Feminist Histories Of Medicine / Levine-Clark, Marjorie -- Chapter 22. Comics In The Health Humanities: A New Approach To Sex And Gender Education / Squier, Susan M. -- Chapter 23. I Am Gula, Hear Me Roar: On Gender And Medicine / Campo, Rafael -- Part VII. Race And Class -- Chapter 24. Listening As Freedom: Narrative, Health, And Social Justice / DasGupta, Sayantani -- Chapter 25. Race And Mental Health / Metzl, Jonathan M. -- Chapter 26. Law'S Hand In Race, Class, And Health Inequities: On The Humanities And The Social Determinants Of Health / Goldberg, Daniel -- Chapter 27. The Rooms Of Our Souls / Grainger-Monsen, Maren -- Part VIII. Aging -- Chapter 28. "Old Age Isn'T A Battle, It'S A Massacre": Reading Philip Roth'S Everyman / Saxton, Benjamin / Cole, Thomas R. -- Chapter 29. "Do You Remember Me?" Constructions Of Alzheimer'S Disease In Literature And Film / Kaplan, E. Ann -- Chapter 30. Love In The Time Of Dementia / Winakur, Jerald -- Part IX. Mental Illness -- Chapter 31. Narrating Our Sadness, With A Little Help From The Humanities / Lewis, Brad -- Chapter 32. Teaching Narratives Of Mental Illness / Jones, Anne Hudson -- Chapter 33. Community Psychiatry And The Medical Humanities / Rowe, Michael -- Chapter 34. Culpability / Williams, Ian -- Part X. Spirituality And Religion -- Chapter 35. Rites Of Bioethics / Chambers, Tod -- Chapter 36. Health And Humanities: Spirituality And Religion / Selman, Lucy / Barfield, Raymond C. -- Chapter 37. Scientia Mortis And The Ars Moriendi: To The Memory Of Norman / Bishop, Jeffrey P. -- Chapter 38. Meditations Of An Anesthesiologist: Poem And Commentary / Shafer, Audrey -- Part XI. Science And Technology -- Chapter 39. Andromeda'S Futures: A Story Of Humanities, Technology, Science, And Art / Belling, Catherine -- Chapter 40. Knowing And Seeing: Reconstructing Frankenstein / Wolpe, Paul Root -- Chapter 41. A Brief History Of Love: A Rationale For The History Of Epidemics / Kavey, Allison B. -- Chapter 42. Calcedonies / Nisker, Jeff -- Part XII. Health Professions Education -- Chapter 43. Teaching Autism Through Naturalized Narrative Ethics: Closing The Divide Between Bioethics And Medical Humanities / Aultman, Julie M. -- Chapter 44. Courting Discomfort In An Undergraduate Health Humanities Classroom / Lamb, Erin Gentry / Blackie, Michael -- Chapter 45. The Medical Humanities In Medical Education: Toward A Medical Aesthetics Of Resistance / Bleakley, Alan -- Chapter 46. In Defense Of Cheaper Stethoscopes / Baruch, Jay -- References -- Notes On Contributors -- Index