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Postmortem: How Medical Examiners Explain Suspicious Deaths (Fieldwork Encounters and Discoveries) [Hardcover]

Stefan Timmermans (Author)
3.6 out of 5 stars  See all reviews (7 customer reviews)

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Book Description

June 15, 2006 0226803988 978-0226803982 1
As elected coroners came to be replaced by medical examiners with scientific training, the American public became fascinated with their work. From the grisly investigations showcased on highly rated television shows like C.S.I. to the bestselling mysteries that revolve around forensic science, medical examiners have never been so visible—or compelling. They, and they alone, solve the riddle of suspicious death and the existential questions that come with it. Why did someone die? Could it have been prevented? Should someone be held accountable? What are the implications of ruling a death a suicide, a homicide, or an accident? Can medical examiners unmask the perfect crime?

Postmortem goes deep inside the world of medical examiners to uncover the intricate web of pathological, social, legal, and moral issues in which they operate. Stefan Timmermans spent years in a medical examiner’s office, following cases, interviewing examiners, and watching autopsies. While he relates fascinating cases here, he is also more broadly interested in the cultural authority and responsibilities that come with being a medical examiner. Although these professionals attempt to remain objective, medical examiners are nonetheless responsible for evaluating subtle human intentions. Consequently, they may end—or start—criminal investigations, issue public health alerts, and even cause financial gain or harm to survivors. How medical examiners speak to the living on behalf of the dead, is Timmermans’s subject, revealed here in the day-to-day lives of the examiners themselves.

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Editorial Reviews

From Publishers Weekly

Controversial award-winning sociologist Timmermans (Sudden Death and the Myth of CPR) looks at the work of medical examiners in this intriguing study, which serves as a welcome antidote to the almost endless stream of true-crime memoirs by MEs across the country. Timmermans spent years as a field observer inside a large ME office in an effort to understand everything about their practices. He observes that the decision to label a death suspicious and thus to be reviewed by an ME means that "the social order of dying" has been disturbed and the ME's job is, in a sense, to manage the resulting uncertainty and possible danger (of, say, a previously unrecognized infectious disease). The portrait emerging from the author's study of the important social role MEs play is a useful corrective to the media-inspired image of the all-knowing and perfect CSI technicians. Some of the writing is not for a mass audience ("a meta-analysis of clinical trials trumps a randomized, double-blind clinical trial... "), but Timmermans's detailed look at the notorious Louise Woodward "nanny trial" and other topical subjects (such as organ donation) make this a must-read for anyone interested in learning what postmortems really involve. (May)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

Review

"Controversial award-winning sociologist Timmermans (Sudden Death and the Myth of CPR) looks at the work of medical examiners in this intriguing study, which serves as a welcome antidote to the almost endless stream of true-crime memoirs by MEs across the country. Timmermans spent years as a field observer inside a large ME office in an effort to understand everything about their practices. He observes that the decision to label a death suspicious and thus to be reviewed by an ME means that ''the social order of dying'' has been disturbed and the ME''s job is, in a sense, to manage the resulting uncertainty and possible danger (of, say, a previously unrecognized infectious disease). The portrait emerging from the author''s study of the important social role MEs play is a useful corrective to the media-inspired image of the all-knowing and perfect CSI technicians. Some of the writing is not for a mass audience ("a meta-analysis of clinical trials trumps a randomized, double-blind clinical trial... "), but Timmermans''s detailed look at the notorious Louise Woodward "nanny trial" and other topical subjects (such as organ donation) make this a must-read for anyone interested in learning what postmortems really involve."
(Publishers Weekly )

“The book is beautifully and intelligently written. Packed as it is with valuable and well-referenced information about forensic pathology, the articulation of concepts and issues is of even greater merit. . . . Postmortem is a wake-up call to forensic pathology. . . .This book should be viewed as provocative, rather than threatening, and should be a stimulus for important discussions and action by the forensic pathology community.”—Journal of the American Medical Association
(Victor W. Weedn JAMA )

Elliot Freidson Award (from the medical sociology section of the American Sociological Association
(American Sociological Association )

"The chaste, unemotive tone is as forensic as the subject matter and frames [Timmermans''] accounts, vividly and tightly written, but which cannot wash away either the sadness or the gruesomeness."—Owen Richardson, Toronto Globe and Mail
(Owen Richardson Toronto Globe and Mail )

"Considering the entire panorama of formal education and subsequent professional work experience inherent in the field of forensic pathology, the prospective reader of Postmortem has an understandable right to ask how the author . . . a professional sociologist . . . would be so presumptuous as to even attempt to address the subject. . . . Well, all such skepticism will be quickly dispelled by readers of this fascinating and provocative book. . . . Even longtime forensic scientific and medical experts . . . let alone all less experienced newcomers to the adversarial system of criminal and civil justice . . . would profit immensely by carefully reading and seriously considering the implications of this discussion."
(Cyril H. Wecht Jurimetrics )

"Postmortem should cause [forensic pathologists] to think more deeply about what they do. The case reports are intriguing, unlocking the secrets of the dead and merging the relation of the dead to the legitimate interests of the living. Well-written and extensively referenced."—Yale H. Caplan, New England Journal of Medicine
(Yale H. Caplan New England Journal of Medicine )

"As a text examining the role, position and contribution of forensic pathology in modern society, [the book] is an interesting and provocative read."
(Tim Thompson Times Higher Education Supplement )

"A captivating text that should be read by every forensic pathologist. It is one I particularly recommend to all persons interested in why decisions about the cause and manner of death are made as they are and in understanding the structural biases under which the system works. The book gives a unique look into the inner workings of the system because it does not focus on the processes as much as the how and why the system operates. The arguments are well structured and well supported by the author''s extensive research."—Kent E. Harshbarger, Journal of Legal Medicine
(Kent E. Harshbarger Journal of Legal Medicine )

"Postmortem is well written, at times memorably so. It is interesting, challenging and fresh. Those interested in death investigation will find it difficult to put down. . . . Postmortem is a landmark work in the sociology of death investigation and should be read by all who are interested in the competing methods of ascertaining how the dead can constructively speak to the living."
(Ian Freckelton Journal of Law and Medicine )

Product Details

  • Hardcover: 380 pages
  • Publisher: University Of Chicago Press; 1 edition (June 15, 2006)
  • Language: English
  • ISBN-10: 0226803988
  • ISBN-13: 978-0226803982
  • Product Dimensions: 9.2 x 6.7 x 1.1 inches
  • Shipping Weight: 1.4 pounds (View shipping rates and policies)
  • Average Customer Review: 3.6 out of 5 stars  See all reviews (7 customer reviews)
  • Amazon Best Sellers Rank: #1,548,964 in Books (See Top 100 in Books)

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Customer Reviews

7 Reviews
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Average Customer Review
3.6 out of 5 stars (7 customer reviews)
 
 
 
 
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9 of 10 people found the following review helpful:
5.0 out of 5 stars Superb and fascinating, March 16, 2007
By 
Crepuscular (Chicago, IL United States) - See all my reviews
This review is from: Postmortem: How Medical Examiners Explain Suspicious Deaths (Fieldwork Encounters and Discoveries) (Hardcover)
This is a superb book that examines the profession of medical examiners from a sociological perspective. The author spent several years observing the practices and methods of one (anonymous) urban medical examiner's office close-up, standing in at autopsies and conducting many interviews with all levels of staff.

The book looks at several topics in detail: coronary artery disease; shaken baby syndrome in the "Nanny Trial"; suicide; and organ and tissue donation. (I'm probably leaving something out here.)

The introduction is a tad jargony if you are not a sociologist or academic, but very interesting nonetheless. The author explains the difference between medical examiners (physicians) and coroners, who do not need any medical experience, are usually elected, and conduct public inquests. Much of the book looks at differences between various professions and explains why they may be competing with each other for authority and professional recognition. For example, forensic pathologists do not have the same goals as public health officials, as seen in the cases of coronary artery disease and suicide. Pathologists (looking at dead bodies) may come in conflict with clinicians (looking at the live patient), as seen in the case of shaken baby syndrome at criminal trials. The goals of pathologists are often at odds with those of organ and tissue donation advocates; the pathologist may need to do an exceptionally thorough autopsy in the case of a suspicious death or a homicide, while the organ donor advocate may insist that a patient in need of a liver should ethically take priority over the non-existent needs of a dead body.

The endnotes and bibliography are extensive and well worth reading.
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3 of 3 people found the following review helpful:
5.0 out of 5 stars Postmortem, January 14, 2008
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As a practicing forensic pathologist, I will recomend this book to anybody interested in the topic, specially my colleagues in this line of work. THe questions and arguments expressed in it are worth considering everytime we make a decision as to cause of death and specially on something so subjective as manner of death. This book is an open invitation to reflect on topics that we take for granted.

Pedro M. Ortiz Colom MD
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2 of 2 people found the following review helpful:
3.0 out of 5 stars Interesting only for those who work as medicolegal death investigators, December 4, 2009
By 
Jill A. Haslam (Salt Lake City, Utah) - See all my reviews
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I highly recommend this book, but only to those people who are medicolegal death investigators. It is a unique look at our profession from a social sciences standpoint. It is not an easy read but it definately changed my perspective.
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
forensic credibility, forensic homicide, organ procurers, suicide determination, nanny trial, transplant interests, tissue trade, suicide classification, forensic authority, death investigation system, routine homicides, death investigators, positional asphyxia, excited delirium, organ recovery, procurement organizations, organ transfer, postmortem investigation, forensic expertise, suicide verdict, forensic pathologists
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Matthew Eappen, The Perfect Crime, The Fifty-One Percent Rule of Suicide, Louise Woodward, Baby Died, United States, Steve Albom, Barbara Morris, New York, Andy Williams, Guy Dubos, Los Angeles County, Lindsay Prior, Jonathan Draper, God Co-pilot, Children's Hospital
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