Not Tonight: Migraine and the Politics of Gender and Health, by Joanna Kempner

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Not Tonight: Migraine and the Politics of Gender and Health, by Joanna Kempner

Not Tonight: Migraine and the Politics of Gender and Health, by Joanna Kempner


Not Tonight: Migraine and the Politics of Gender and Health, by Joanna Kempner


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Not Tonight: Migraine and the Politics of Gender and Health, by Joanna Kempner

Pain. Vomiting. Hours and days spent lying in the dark. Migraine is an extraordinarily common, disabling, and painful disorder that affects over 36 million Americans and costs the US economy at least $32 billion per year. Nevertheless, it is frequently dismissed, ignored, and delegitimized. In Not Tonight, Joanna Kempner argues that this general dismissal of migraine can be traced back to the gendered social values embedded in the way we talk about, understand, and make policies for people in pain. Because the symptoms that accompany headache disorders—like head pain, visual auras, and sensitivity to sound—lack an objective marker of distress that can confirm their existence, doctors rely on the perceived moral character of their patients to gauge how serious their complaints are. Kempner shows how this problem plays out in the history of migraine, from nineteenth-century formulations of migraine as a disorder of upper-class intellectual men and hysterical women to the influential concept of “migraine personality” in the 1940s, in which women with migraine were described as uptight neurotics who withheld sex, to contemporary depictions of people with highly sensitive “migraine brains.” Not Tonight casts new light on how cultural beliefs about gender, pain, and the distinction between mind and body influence not only whose suffering we legitimate, but which remedies are marketed, how medicine is practiced, and how knowledge about disease is produced.

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Product details

Paperback: 260 pages

Publisher: University of Chicago Press (October 8, 2014)

Language: English

ISBN-10: 022617915X

ISBN-13: 978-0226179155

Product Dimensions:

6 x 0.6 x 9 inches

Shipping Weight: 14.9 ounces (View shipping rates and policies)

Average Customer Review:

4.8 out of 5 stars

6 customer reviews

Amazon Best Sellers Rank:

#832,314 in Books (See Top 100 in Books)

This book WILL NOT tell you how to heal your headaches. It WILL explain many of the reasons why you still have them and have been unable to get good help -- and that can be just as valuable. The chapter on cluster headache (super-masculine!) vs. migraine (wimpy wimmen!) alone is worth the price of admission.Deeply, profoundly researched and highly revealing. I have studied migraine for decades, astonished by how little useful information ever hits the popular press. I never realized until now that most of what we DO see comes from / is funded by the marketing departments of the pharmaceutical companies. It does NOT usually come from NIH or other publicly funded medical research sources. Why? Good question -- answered here.

As a migraine sufferer, I had read numerous books (Heal Your Headache, The Magnesium Solution, The Migraine Brain, etc) in a desperate effort to improve my condition. But many of those books left me feeling overwhelmed by complicated diets and trigger avoidance therapies, and made me feel as if my migraines were MY fault. Not Tonight helped me see all of those books, and everything I had heard from well-meaning but ultimately uninformed doctors, in historical/cultural perspective. This in turn empowered me to demand better treatment. It has helped me to stop blaming myself for my migraines, and to start seeking out people who would support me in finding a solution.This book is an absolute must-read for migraine sufferers everywhere.

Wonderful book! One of the best explanations I’ve heard why migraines and cluster headaches are such a burden

Wonderful informative book. I get to meet and film the author on Saturday. Very Comprehensive coming from a Migraine sufferer.

As a headache patient and advocate, I fell in love with Kempner's book, Not Tonight. She authentically weaves the reader through a 300 year timeline exposing the gritty layers migraine patients have experienced over time and offers up a "why". Her research and insights as a sociologist highlight how absent of scientific solutions, medicine sought to define migraine using gender. An hysterical woman of weak constitution disease. We learn how today, migraine is routinely overlooked and marginalized based on these outdated but deeply embedded cultural practices. The thoroughness in which Kempner convincingly spreads culpability in the stigmatizing of migraine patients serves to emphasize prevalence. Unbelievably, in the 21st century, as we strive to unravel the complexities of the brain, patients and researchers continue to await societies legitimization of migraine as a neurobiological condition.

A fabulous look at how research and medicine is shaped by cultural biases. This is easy and entertaining reading for all.

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