Cancer Patients, Cancer Pathways: Historical and Sociological Perspectives

Overview

The eleven essays in this volume examine cancer research and treatment as everyday practice in post-war Europe and North America. Rather than writing cancer's history as that of inevitable progress and obstacles overcome, these scholars emphasize how contingency, politics, and institutional interests have informed approaches to research and treatment. Focusing on the interface between individual patient trajectories and the evolving routines of research, therapy and care, the contributors bring together ...

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Cancer Patients, Cancer Pathways: Historical and Sociological Perspectives

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Overview

The eleven essays in this volume examine cancer research and treatment as everyday practice in post-war Europe and North America. Rather than writing cancer's history as that of inevitable progress and obstacles overcome, these scholars emphasize how contingency, politics, and institutional interests have informed approaches to research and treatment. Focusing on the interface between individual patient trajectories and the evolving routines of research, therapy and care, the contributors bring together ethnographically-inflected historical and sociological observation with technically well-informed accounts of encounters between patients and professionals. The picture that emerges is one of cancers rather than Cancer, of patients rather than "The Patient," and of medical practices that are both experimental and routine. As cancer treatment has come to epitomize biomedicine, these essays speak to readers interested more broadly in understanding patients' experiences with large institutions, sophisticated technologies, and clinical research, and the way these experiences can shape treatment policies.

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Meet the Author

CARSTEN TIMMERMANN is a lecturer at the Centre for the History of Science, Technology and Medicine, University of Manchester. He was lead researcher of the Wellcome Trust-funded research programme "Constructing Cancers 1945-2000" and is the editor (with Julie Anderson) of Devices and Designs: Medical Technologies in Historical Perspective (Palgrave, 2006) and the author of The Recalcitrant Disease: A History of Lung Cancer (Palgrave, 2012).

ELIZABETH TOON is a Wellcome Research Associate at the Centre for the History of Science, Technology and Medicine, University of Manchester. She is currently completing a monograph, Private Trauma, Public Drama: Breast Cancer Treatment in Britain, 1920 – 1985, and has also published on public health programmes and practices in the twentieth-century United States.

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Table of Contents

List of Figures vii

Acknowledgements viii

Notes on the Contributors ix

1 Introduction Carsten Timmermann Elizabeth Toon 1

Part I Patients 11

2 Three Stories: Generations of Breast Cancer Joanna Baines 13

3 Running Out of Options: Surgery, Hope and Progress in the Management of Lung Cancer, 1950s to 1990s Carsten Timmermann 36

4 A Case Study in Human Experimentation: The Patient as Subject, Object and Victim Gerald Kutcher 57

5 Captain Chemo and Mr Wiggly: Patient Information for Children with Cancer in the Late Twentieth Century Emm Barnes Johnstone 78

Part II Pathways 101

6 Knife, Rays and Women: Controversies about the Uses of Surgery versus Radiotherapy in the Treatment of Female Cancers in France and in the US, 1920-1960 Ilana Löwy 103

7 Measured Responses: British Clinical Researchers and Therapies for Advanced Breast Cancer in the 1960s and 1970s Elizabeth Toon 130

8 Cancer Research and Protocol Patients: From Clinical Material to Committee Advisors Peter Keating Alberto Cambrosio 161

9 Uncertain Enthusiasm: PSA Screening, Proton Therapy and Prostate Cancer Helen Valier 186

10 Patients and their Problems: Situated Alliances of Patient-Centred Care and Pathway Development Teun Zuiderent-Jerak Roland Bal Marc Berg 204

11 Radicalism, Neoliberalism and Biographical Medicine: Constructions of English Patients and Patient Histories Around 1980 and Now John Pickstone 230

Index 256

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