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Appalachia first entered the American consciousness as a distinct region in the decades following the Civil War. The place and its people have long been seen as backwards and 'other' because of their perceived geographical, social, and economic isolation.
Much criticism has been directed at negative stereotypes of Appalachia perpetuated by movies, television shows, and news media. Books, on the other hand, often draw enthusiastic praise for their celebration of the simplicity and authenticity of the Appalachian region. Dear Appalachia: Readers, Identity, and Popular Fiction since 1878 employs the innovative new strategy of examining fan mail, reviews, and readers’ geographic affiliations to understand how readers have imagined the region and what purposes these imagined geographies have served for them. As Emily Satterwhite traces the changing visions of Appalachia across the decades, from the Gilded Age (1865–1895) to the present, she finds that every generation has produced an audience hungry for a romantic version of Appalachia. According to Satterwhite, best-selling fiction has portrayed Appalachia as a distinctive place apart from the mainstream United States, has offered cosmopolitan white readers a sense of identity and community, and has engendered feelings of national and cultural pride. Thanks in part to readers’ faith in authors as authentic representatives of the regions they write about, Satterwhite argues, regional fiction often plays a role in creating and affirming regional identity. By mapping the geographic locations of fans, Dear Appalachia demonstrates that mobile white readers in particular, including regional elites, have idealized Appalachia as rooted, static, and protected from commercial society in order to reassure themselves that there remains an “authentic” America untouched by global currents. Investigating texts such as John Fox Jr.’s The Trail of the Lonesome Pine (1908), Harriette Arnow’s The Dollmaker (1954), James Dickey’s Deliverance (1970), and Charles Frazier’s Cold Mountain (1997), Dear Appalachia moves beyond traditional studies of regional fiction to document the functions of these narratives in the lives of readers, revealing not only what people have thought about Appalachia, but why.
The Appalachian region of the United States sees hunger, poverty, disability, preventable illness and premature death in disproportionally high numbers. Yet, Appalachia also knows the quiet strength of people working together to lift one another up as a community. In this collection of essays, health professionals explore how clinics and communities address the barriers to healthcare that continue to plague this underserved region and discuss theoretical perspectives about Appalachian healthcare. Topics include regional dental care, cancer and diabetes treatment, the integration of primary care and behavioral health, telehealth, the importance of "patient responsibility," and the effects of faith, fatalism and family dynamics on the health of Appalachian youth. Avoiding simplification and stereotype while presenting data, analysis and anecdotes, this volume gives a detailed picture of Appalachia's complex and multi-faceted public health challenges. Instructors considering this book for use in a course may request an examination copy here.
Few career opportunities were available to minority women in Appalachia in the first half of the 20th century. Nursing offered them a respected, relatively well paid profession and--as few physicians or hospitals would treat people of color--their work was important in challenging health care inequities in the region. Working in both modern surgical suites and tumble-down cabins, these women created unprecedented networks of care, managed nursing schools and built professional nursing organizations while navigating discrimination in the workplace. Focusing on the careers and contributions of dozens of African American and Eastern Band Cherokee registered nurses, this first comprehensive study of minority nurses in Appalachia documents the quality of health care for minorities in the region during the Jim Crow era. Racial segregation in health care and education and state and federal policies affecting health care for Native Americans are examined in depth.
Known for its dramatic beauty and valuable natural resources, Appalachia has undergone significant technological, economic, political, and environmental changes in recent decades. Home to distinctive traditions and a rich cultural heritage, the area is also plagued by poverty, insufficient healthcare and education, drug addiction, and ecological devastation. This complex and controversial region has been examined by generations of scholars, activists, and civil servants -- all offering an array of perspectives on Appalachia and its people. In this innovative volume, editors William Schumann and Rebecca Adkins Fletcher assemble both scholars and nonprofit practitioners to examine how Appalachia is perceived both within and beyond its borders. Together, they investigate the region's transformation and analyze how it is currently approached as a topic of academic inquiry. Arguing that interdisciplinary and comparative place-based studies increasingly matter, the contributors investigate numerous topics, including race and gender, environmental transformation, university-community collaborations, cyber identities, fracking, contemporary activist strategies, and analyze Appalachia in the context of local-to-global change. A pathbreaking study analyzing continuity and change in the region through a global framework, Appalachia Revisited is essential reading for scholars and students as well as for policymakers, community and charitable organizers, and those involved in community development.
In the last fifty years, the Appalachian Mountains have suffered permanent and profound change due to the expansion of surface coal mining. The irrevocable devastation caused by this practice has forced local citizens to redefine their identities, their connections to global economic forces, their pasts, and their futures. Religion is a key factor in the fierce debate over mountaintop removal; some argue that it violates a divine mandate to protect the earth, while others contend that coal mining is a God-given gift to ensure human prosperity and comfort. In Religion and Resistance in Appalachia: Faith and the Fight against Mountaintop Removal Coal Mining, Joseph D. Witt examines how religious and environmental ethics foster resistance to mountaintop removal coal mining. Drawing on extensive interviews with activists, teachers, preachers, and community leaders, Witt's research offers a fresh analysis of an important and dynamic topic. His study reflects a diversity of denominational perspectives, exploring Catholic and mainline Protestant views of social and environmental justice, evangelical Christian readings of biblical ethics, and Native and nontraditional spiritual traditions. By placing Appalachian resistance to mountaintop removal in a comparative international context, Witt's work also provides new outlooks on the future of the region and its inhabitants. His timely study enhances, challenges, and advances conversations not only about the region, but also about the relationship between religion and environmental activism.
