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Critiques of the ecological model from critical medical anthropologists such as Singer (1989) led to spirited debate on the pages of Medical Anthropology Quarterly, including a defense of the ecological approach and biocultural paradigm in medical anthropology by Andrea Wiley (1992), a subsequent series of rejoinders and commentaries (e.g., Leatherman et al. 1993), and a collection of papers and commentaries on “Critical and Biocultural Approaches in Medical Anthropology” in 1996 (Baer 1996). These dialogues were formative in developing a critical biocultural anthropology that emerged from efforts to “build a new biocultural synthesis,” which was the focus of a Wenner-Gren symposium in 1992 (see Goodman and Leatherman 1998). The conference brought together cultural and biological anthropologists, many of whose work focused on human health, to consider how we might better formulate critical and political-economic biocultural approaches. A number of themes, presented later, emerged from discussions at the conference, the subsequent volume and further efforts to advance a critical biocultural approach to health and illness.

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