Cloth $30.00 ISBN: 9780226803982 Published June 2006
Paper $18.00 ISBN: 9780226803999 Published April 2007
E-book $7.00 to $18.00 About E-books ISBN: 9780226804002 Published November 2008

Postmortem

How Medical Examiners Explain Suspicious Deaths

Stefan Timmermans

 Postmortem
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Stefan Timmermans

380 pages | 6 x 9 | © 2006
Cloth $30.00 ISBN: 9780226803982 Published June 2006
Paper $18.00 ISBN: 9780226803999 Published April 2007
E-book $7.00 to $18.00 About E-books ISBN: 9780226804002 Published November 2008
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.

ASA Medical Sociology Section: Eliot Freidson Award
Won

British Sociological Association: Medical Sociology Book of the Year Prize
Won

View Recent Awards page for more award winning books.
"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."


Postmortem is a revelatory account of how medical examiners use the tools of modern science to discern causes of suspicious deaths. Timmermans takes us deep into the grisly world of forensic investigators, with gripping stories from the autopsy table and vivid descriptions of the morgue’s back rooms. His greatest contribution is to explain how and why medical examiners gained the authority to tell us why we die, and to help us understand what their perspective reveals and conceals. An unforgettable book.”—Eric Klinenberg, author of Heat Wave



“This intriguing book builds on an illustrious tradition of explorations into how people give meaning to death. But it shines light in a radically new and largely unexplored direction, focusing on the officially propounded—and sometimes contested—meanings formulated by medical examiners. The investigations that forensic pathologists perform with people’s bodies are the physical analog to the grief that families experience and the symbolic work that societies perform more generally with death and dying. Timmermans explores all three. And, for good measure, he also considers how these examiners cope with uncertainty, make distinctions, assess causality, and create expert knowledge.  Timmermans has gone to a strange place, and he has returned with dramatic and careful and instructive tales from the field.”—Nicholas A. Christakis, author of Death Foretold



“Fascinating, carefully crafted, and very illuminating. Strongly grounded in the three years Stefan Timmermans spent shadowing medical examiners, Postmortem also draws extensively on written materials about forensic pathology, medical examiners, the coroners who preceded them, and especially on the court records of the infamous nanny trial. It is remarkably rich and gives us new insight into how we moderns manage death.”—Carol Heimer, Northwestern University


“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



Elliot Freidson Award (from the medical sociology section of the 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


"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."


"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


"As a text examining the role, position and contribution of forensic pathology in modern society, [the book] is an interesting and provocative read."


"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


"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."


Contents
Preface and Acknowledgments
Introduction: Brokering Suspicious Deaths
1. Making the Case for Heart Disease
2. The Fifty-One Percent Rule of Suicide
3. Forensic Credibility at the "Nanny Trial"
4. The Perfect Crime
5. A Baby Died. Where Were the Parents?
6. The Organ and Tissue Trade
Conclusion: The Hope of Forensic Authority
Postscript: "How Can You Watch Autopsies?"
Notes
Bibliography
Index
For more information, or to order this book, please visit http://www.press.uchicago.edu
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