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PREFACE

图书名称:Writing at the Margin: Discourse between Anthropology and Medicine
图书作者:Arthur Kleinman    ISBN:
出版社:Berkeley: University of California Press    出版日期:1995年

Without exception, these essays were written in the last five years. Like seed scattered in a strong wind, they have appeared hither and yon in journals, edited volumes, and encyclopedias. I wanted to bring them together in one place, fix them in the scholar's amber. Together the essays attain a critical mass that more adequately than when considered individually represents my efforts to write a cultural critique of biomedicine and to elaborate a social theory of the experience of suffering.

The Introduction, which takes stock of my own intellectual odyssey, and the final chapter, which examines the current state of the field through a long review of the new wave of book-length ethnographies in medical anthropology, were written expressly for this volume. Chapter 8 also has not been published before. Other published essays, to different degrees, have been revised to remove redundant materials and extend and deepen the analyses. Occasionally the rewriting has led me to alter an argument substantially. It has also allowed me to play with style, lightening what had been functional, even heavy prose.

Chapters 2, 3, and 4 have been most extensively rewritten. These three, along with chapters 5 and 6 to a more limited extent, have been enriched with materials from other essays, so much so that chapter 3 is really an amalgam. Chapter 7 has been altered only slightly.

Taken together, these chapters represent the directions my work has taken over the past few years. I have chosen not to include recent work with collaborators on international mental health policy because the major ideas are presented in a recent report, World Mental Health , and I have also not included articles with colleagues in which, even when my contribution was substantial, I was not the first author.

The Appendix includes a chronological list of my more relevant publications. Should the intrepid reader feel he or she can tolerate more, if it is not all there, at least what matters is listed—most of it in greatly different publications which reflect the wandering academic life of an interdisciplinary scholar who has written for many different audiences and who has also had the dubious habit of taking on too many responsibilities.

An academic year spent on sabbatical at the Center for Advanced Study in the Behavioral Sciences provided what every scholar would want: time, plenty of it; also the right mix of seriousness and release, and a disciplined yet playful colloquy. Writing nearly full-time in a study nestled close into the fold of a golden hill behind Stanford, among gnarled scrub oak, straight-standing royal palm, spreading cedar and cypress, and clusters of redwoods was everything I had imagined it might be three decades earlier, when, as an undergraduate, I came across the nameplate of the gateway, paused before the long drive that wound toward the crest, and wondered what kind of special place loomed up there in the hills. For the freedom and the re-experience of enchantment I acknowledge with gratitude the support of the Guggenheim Foundation, the MacArthur Foundation, and the Center and its sensitive and sensible staff. I wish also to thank Stanley Holwitz of the University of California Press for his editorial assistance and the two anonymous reviewers who made so many useful comments on the manuscript. All three have strengthened this collection, as has the copy editor, Linda Benefield, and Michelle Nordon, whom I also thank.

Several of the chapters collected below (chapters 5 and 7) were written with my longtime coworker Joan Kleinman, a sinologist, who also happens to be my wife. She has decided for her own reasons not to have her name appear as coauthor of the book. Nonetheless, her ideas, work, and influence in this volume are extensive. This book would not have been put together without her contribution. Chapter 7 was originally written as part of a research collaboration with colleagues in the Institute of Neurosurgical Research and the Ministry of Health in Beijing; while chapter 8 was written with Robert Desjarlais, with whom I have written several other pieces on political violence. I thank each of these collaborators for their contribution. Inasmuch as I have reworked each of these essays for this volume, I alone accept responsibility for their content. I thank Lawrence Yang for his assistance with the bibliography. I also wish to thank my marvelous assistant, Joan Gillespie, who has typed and retyped each of these chapters many times. I suspect she is ready to have me move on to new themes. With this collection, I feel that I have given a fuller form to my work in the context of my several disciplines.

ARTHUR KLEINMAN
CAMBRIDGE, MASSACHUSETTS

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