History 3724: Health, Disease, and Medicine
Spring 1999

  Essay #1
RESPOND TO EITHER A or B

A.
"Search for the cause [of disease] may be a hopeless pursuit because most disease states are the indirect outcome of a constellation of circumstances rather than the direct result of single determinant factors."
                    René Dubos, Mirage of Health (1959)

By using at least three incidents of disease (from readings, book presentations, and class discussions) explain, illustrate and analyze Dubos's warning. What constitutes the "constellation of circumstances" in each incident? What factors do the incidents share in common? And, in what ways is each "constellation" unique? 

B.
"In some ways disease does not exist until we have agreed that it does, by perceiving, naming, and responding to it."                  

"Perceptions of disease are context specific, but also context determining." 

"Disease classifications serve to rationalize, mediate, and legitimate relationships and institutions in a bureaucratic society."
                   Charles Rosenberg, Framing Disease (1992)

In what ways does Lia Lee's story (told in The Spirit Catches You and You Fall Down) illustrate the interpretation of disease expressed in these three quotes? And/or how does the story of the Hmong child raise questions about Rosenberg's perspective drawn from the study of history?

DUE FEBRUARY 10

Submission: In class or electronically, as an email attachment.

If you submit electronically:
Use your last name as the file name.

Use Word or Word Perfect files only.

Files created in all other word processing programs must be saved as txt files before submission.

I will confirm email submissions--if you do not receive a notice within 24 hours that I have your essay (and can open the file), please contact me immediately.

Format: 4-5 pages, typed, double-spaced.

Give essay an appropriate title; put title at beginning of essay and on a separate title page.

Please put you NAME on the SEPARATE TITLE PAGE and NOWHERE ELSE on the essay.  

Late Papers: Papers handed in after the due date lose one letter grade per day.

Citations:

For direct quotes put (author and page number) in body of text; as in Fadiman says "blah, blah, blah" (Fadiman, p. 3).


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