Medicating Race: Heart Disease and Durable Preoccupations with Difference

Scholarly perspectives on the mixed race experience.

This study adds to the growing body of literature on multiracial identity by illustrating the importance of reflected appraisals in shaping racial identity. Importantly, these findings also show how reflected appraisals are fundamentally shaped by the one-drop rule (for black-white Americans in particular). Few studies examine reflected appraisals as a determinant of racial identity (Khanna 2004), and I find that biracial respondents frequently explain their black identities as due, in part, to how they believe they are viewed by “others” and by “larger society.” As suggested by Brunsma and Rockquemore (2001), however, who argue that how biracial people think others view them is moderated by social context, many respondents draw distinctions between how they believe they are perceived depending upon whether the observers are white or black. Other white people, they argue, see them as black, while other black people are more likely to recognize their multiracial backgrounds. These conflicting perceptions have the potential to shape different “racial reflections” (e.g., as black or multiracial), yet I find that the one-drop rule affects the entire reflected appraisal process, subsequently shaping “internalized” black identities for the majority of respondents.

Nikki Khanna, “‘If You’re Half Black, You’re Just Black’: Reflected Appraisals and the Persistence of the One-Drop Rule,” Sociological Quarterly, Volume 51, Issue 1 (Winter 2010). 113-114. http://dx.doi.org/10.1111/j.1533-8525.2009.01162.x.

Medicating Race: Heart Disease and Durable Preoccupations with Difference

Medicating Race: Heart Disease and Durable Preoccupations with Difference

Duke University Press
October 2012
280 pages
5 illustrations
Paperback ISBN: 978-0-8223-5344-7
Cloth ISBN: 978-0-8223-5329-4

Anne Pollock, Assistant Professor of Science, Technology and Culture
Georgia Institute of Technology, Atlanta, Georgia

In Medicating Race, Anne Pollock traces the intersecting discourses of race, pharmaceuticals, and heart disease in the United States over the past century, from the founding of cardiology through the FDA’s approval of BiDil, the first drug sanctioned for use in a specific race. She examines wide-ranging aspects of the dynamic interplay of race and heart disease: articulations, among the founders of American cardiology, of heart disease as a modern, and therefore white, illness; constructions of “normal” populations in epidemiological research, including the influential Framingham Heart Study; debates about the distinctiveness African American hypertension, which turn on disparate yet intersecting arguments about genetic legacies of slavery and the comparative efficacy of generic drugs; and physician advocacy for the urgent needs of black patients on professional, scientific, and social justice grounds. Ultimately, Pollock insists that those grappling with the meaning of racialized medical technologies must consider not only the troubled history of race and biomedicine but also its fraught yet vital present. Medical treatment should be seen as a site of, rather than an alternative to, political and social contestation. The aim of scholarly analysis should not be to settle matters of race and genetics, but to hold medicine more broadly accountable to truth and justice.

Table of Contents

Acknowledgments
Introduction
1. Racial Preoccupations and Early Cardiology
2. Making Normal Populations and Making Difference in the Framingham and Jackson Heart Studies
3. The Durability of African American Hypertension as a Disease Category
4. The Slavery Hypothesis beyond Genetic Determinism
5. Thiazide Diuretics as a Nexus of Associations: Racialized, Proven, Old, Cheap
6. BiDil: Medicating the Intersection of Race and Heart Failure
Conclusion
Notes
Works Cited
Index

Tags: Anne Pollock, BiDil, Duke University Press

This entry was posted on Saturday, December 22nd, 2012 at 19:05Z and is filed under Books, Health/Medicine/Genetics, Media Archive, Monographs, Politics/Public Policy, United States. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.

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Medicating Race: Heart Disease and Durable Preoccupations with Difference

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