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Book Review: Landscapes of globalisation: Human geographies of economic change in the Philippines

sclerosis. In so doing, these chapters seek to decentre the medical model of health and illness in order to explore the complex relations that exist between people, health and place. Lee et al. take a political approach to explore the health needs of homeless people in Los Angeles County, USA, illustrating the need for a holistic approach to improving health and well-being, while Takahashi and Asthana use examples from the USA and Madras respectively as a means of illustrating the importance of place in understanding AIDS and AIDS-related behaviour. The final section is concerned with the connections between health, place and policy, considering both the determinants of ill health and how place becomes shaped by healthcare policy, local character and communities to enrich the experience of place itself. While Hydeman’s chapter takes up the now wellrehearsed theme of improved housing for good health, Poland examines how political initiatives – through smoking policies – can act to control how we use and act in public spaces. In examining the relationships between healthcare services, the meaning of place and resistance to the centralizing tendencies of healthcare reform in a predominantly Maori region of New Zealand, Kearns’ contribution aims at ‘a wider post-medical geography of health that connects with wider issues of health and place such as social welfare and the sustainability of communities’ (p. 244). The final chapters in this section (by Eyles and Litva, and Moon and Brown) examine the relationships between place and healthcare policy. In sum, contributors argue that health is inextricably entangled with community, and community is integral to local territory. This is without doubt an interesting and insightful collection of work that illustrates the growing concern with social and cultural theory within health geography. Nevertheless, the view that this marks a paradigm shift within the subdiscipline does, I think, rather overstate the claim. While I wholeheartedly endorse the need for a greater concern with social and cultural theory as vehicles through which we might examine and expand our understanding of the relationship between health, space and place, the continued strength of traditional approaches within the subdiscipline, combined with the rise of increasingly sophisticated GIS, spatial and multi-level modelling techniques, make it hard to sustain the view that the growing concern with a postmedical approach represents a paradigm shift. Like all edited volumes, the book can be criticized for its omission of a number of key developments within a postmedical geography. This is inevitable in a volume of this size and to resort to this level of ‘nitpicking’ undermines, I think, the broader aims and overall strengths of the book. The text represents the consolidation of a growing concern with social and cultural issues in health geography and marks a milestone in developments within the subdiscipline. As such, I think it will prove compulsory reading for all those with a keen interest in geographical issues of health and well-being.