New Books in Medicine

Religion, Spirituality and Public Health: Competing and Complementary Epistemes (British Academy, 2025) focuses on exploring the role of different 'ways of knowing' or arriving at truth, i.e. epistemes, particularly those found in religious and alternative health milieus. While biomedical solutions offer a dominant narrative, these are articulated differently in global contexts. Moreover, individuals often draw upon alternative framings that are sometimes oppositional to and at other times engaged with directives from medical and governmental authorities. The focus of this volume is worldviews and epistemes that are often marginalised or rejected in dominant discourses -- from shamanism in Korea to African Pentecostalism in Britain, and from global online 'AntiVax' narratives to traditional Siddha medicine in South India. Detailed case studies explore the contested, competing and strategically aligned relationships between mainstream and marginal epistemes; between religious healing, spirituality and biomedicine; and between politics and belief. These explorations promote greater insight into how marginalised religious epistemes are employed. Which beliefs and practices are drawn upon to create meaningful and effective responses? And how can we better understand the depth and breadth of these reactions to design more successful public health strategies for future global health crises?

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For this episode, we are joined by Dr Shingisai Chando, a published academic and Research Fellow of the POCHE Indigenous Health Centre at the University of Sydney to unpack the question: what does it mean for healthcare systems to be culturally safe? A big question, but one Shingisai tackles with detail and depth. Dr Chando talks to us about how cultural competence changes in different health contexts and across different communities but emphasises the underlying issues of racism in the workplace, as well as the importance of trust, belonging, and true community engagement to build trust.

Produced by: Adubi Plange, Dr Amy McHugh, Sarah Mashman

Podcast Artwork: Zein Arif

Resources:

Below are some of Shingisai’s academic works related to this episode of the Cultural Competence Collective:

Article: Chando, S., Howell, M., Dickson, M., Jaure, A., Craig, J., Eades, S., Howard, K. (2024). Factors informing funding of health services for Aboriginal and Torres Strait Islander children: perspectives of decision-makers. Australian Journal of Primary Health, 30(5), PY24054

Article: Chando, S., Dickson, M., Howell, M., Jaure, A., Craig, J., Slater, K., Smith, N., Nixon, J., Eades, S., Howard, K. (2022). Delivering health programs for Aboriginal and Torres Strait Islander children: Carer and staff views on what's important. Health Promotion Journal of Australia, 33(S1), 222-234.

Article: Chando, S., Howell, M., Young, C., Craig, J., Eades, S., Dickson, M., Howard, K. (2021). Outcomes reported in evaluations of programs designed to improve health in Indigenous people. Health Services Research, 56(6), 1114-1125

Mental Health Support Services:

For University of Sydney staff: CONVERGE

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Wellmob – social, emotional and cultural wellbeing resources for Aboriginal and Torres Strait Islander people

https://wellmob.org.au/

24-hour crisis hotlines

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Between May 1 and May 22, 1863, Union soldiers marched nearly 200 miles through the hot, humid countryside to assault and capture the fortified city of Vicksburg, Mississippi. Upon its arrival, the army laid siege to the city for a grueling forty-seven days. Disease and combat casualties threatened to undermine the army’s fighting strength, leaving medical officers to grapple with the battlefield conditions necessary to sustain soldiers' bodies. Medical innovations were vital to the Union victory. When Vicksburg fell on July 4, triumph would have been fleeting if not for the US Army Medical Department and its personnel.By centering soldiers' health and medical care in the Union army’s fight to take Vicksburg, in The Surgeon's Battle: How Medicine Won the Vicksburg Campaign and Changed the Civil War (UNC Press, 2025), Dr. Lindsay Rae Smith Privette offers a fresh perspective on the environmental threats, logistical challenges, and interpersonal conflicts that shaped the campaign and siege. In doing so, Privette shines new light on the development of the army’s medical systems as officers learned to adapt to their circumstances and prove themselves responsible stewards of soldiers' bodies.

This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda’s interviews on New Books with Miranda Melcher, wherever you get your podcasts.
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We often think of medieval medicine as strange, unhygienic and unscientific, but The Medieval Guide to Healthy Living (Reaktion, 2026) by Dr. Katherine Harvey reveals a far richer story. Long before modern wellness trends, people in the Middle Ages were actively thinking about how to live well. They followed detailed health regimens, balanced diet with exercise, considered the effects of emotions and sought to avoid illness through environmental awareness and routine care. This book sheds light on the practical and surprisingly relatable ways medieval individuals cared for body and mind. Drawing from historical sources that echo today’s wellness concerns, it offers a fresh, thoughtful view of a misunderstood era. In understanding their world, we might see our own in a new, more connected light.

This interview was conducted by Dr. Miranda Melcher whose book focuses on post-conflict military integration, understanding treaty negotiation and implementation in civil war contexts, with qualitative analysis of the Angolan and Mozambican civil wars. You can find Miranda’s interviews on New Books with Miranda Melcher, wherever you get your podcasts.
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Our guest today is Steffan Blayney, the author of Health & Efficiency: Fatigue, the Science of Work, and the Making of the Working-Class Body. In Health & Efficiency, Blayney explores a new model of health that emerged in Britain between 1870 and 1939. Centered on the working body, organized around the concept of efficiency, and grounded in scientific understandings of human labor, scientists, politicians, and capitalists of the era believed that national economic productivity could be maximized by transforming the body of the worker into a machine. At the core of this approach was the conviction that worker productivity was intimately connected to worker health. Under this new "science of work," fatigue was seen as the ultimate pathology of the working-class body, reducing workers' capacity to perform continued physical or mental labor. As Steffan Blayney shows, the equation between health and efficiency did not go unchallenged. While biomedical and psychological experts sought to render the body measurable, governable, and intelligible, ordinary men and women found ways to resist the logics of productivity and efficiency imposed on them, and to articulate alternative perspectives on work, health, and the body.

Steffan Blayney is a former Wellcome Trust Research Fellow at the University of Sheffield, where his work focused on the relations between health, the body, and society, and on histories of political activism in modern and contemporary Britain. He has taught at Birkbeck, Kent, and Sussex, was previously a member of the editorial team at History Workshop Online, and was a co-founder and organizer of History Acts - a radical history workshop and network connecting activists and historians. He also authored the book Long Live Southbank, which celebrates the history and culture of the Undercroft area of the South Bank - the oldest recognized and still existing skateboarding space in the world - and the community that has evolved there over the years. Today, he no longer works within the walls of academia; instead, he is out in the field as a labor organizer, utilizing his talents, knowledge, and expertise in his work with EQUITY, a performing arts and entertainment trade union based in London.

My co-producer today is Drew Marczewski a student in the MA Program in Communication at Oakland University.
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