Foreword to Front Matter: Recovery

IF 0.2 4区 文学 0 LITERATURE LITERATURE AND MEDICINE Pub Date : 2023-03-01 DOI:10.1353/lm.2023.a911438
Michael Blackie
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Abstract

Foreword to Front Matter:Recovery Michael Blackie We all know something about recovery. The return of a lost object, like health or dignity, maybe a cherished memento, or a talisman from another time. It is a narrative driven experience, propelled by expectation, a story we tell to make sense of what can be recovered or to put into perspective that which remains beyond reach. In either case, getting there or not is the story. In this time of Covid, many of us can now describe recovering from an infection, an idea that seemed frighteningly uncertain before vaccines became available. And for too many, recovery doesn't come, like for my dear mentor Carol Donley, who died this past April from complications of Covid, or for those enduring symptoms of long Covid, like the author whose relapse prevented her from completing her contribution to this issue's Front Matter. There are even grimmer realities, like when a search-and-rescue mission becomes a recovery operation. Yes, we all know something about recovery and we're drawn to stories about someone, even a stranger, who has triumphed over illness, adversity, or injustice. The six contributions that follow tell stories about recovery or challenge the narrative conventions upon which they are told. Here is mine. Each spring I teach a session on close reading to nursing students in a seminar on hospice care. The literary text I assign is Sherman Alexie's "Blankets," told by a narrator who is the son of an elderly Indian man who has just undergone a surgical amputation of his right foot and several toes from his left, the consequences of alcoholism and diabetes.1 Most of the story takes place in what the son calls a "recovery hallway" in a busy urban hospital in Washington state (44). The story's rich descriptions and metaphors reward close reading, but it's an odd story for a class on hospice care because no one in it dies or enters hospice. The focus is, rather, on becoming a caregiver. The son's growing awareness of what his father's recovery will demand [End Page 5] from him as his caretaker illuminates the dynamics of informal care- giving for these future nurses. The recovery ahead promises to be daunting. The son knows his father will continue to drink once he is discharged, that he will likely put his disfigurement to work in the local bar, winning bets doing wheelies in his new wheelchair. As the son begins to see traditional roles reversing, with the adult child now caring for the ill parent (the "circle of life" he calls "poetic bullshit"), students inevitably begin sharing their own experiences with caregiving (47). They will differ in the details, but where we get to is mostly the same: how the idea of recovery can become oppressive when it seems always out of reach, when one realizes recovery's narrative expectations will go unmet. It is at this point in the discussion when I draw students back to the text, back to the "recovery hallway" specifically, to highlight its liminality and ask them to consider how much caregiving takes place in such spaces. The narrator's father, whose position in the hallway affords him "no privacy, not even a thin curtain," so that "his decades of poor health and worse decisions [are] illuminated" (45), is not alone. The narrator is there beside him, equally exposed to the judgment of others who "believed there was a point when doctors should stop rescuing people from their own self-destructive impulses" (46). He admits to us, his readers, that he "couldn't disagree" with such judgments, but insists that he should also be able to "ask for the most basic of comforts" for his father despite his addiction and poor health (46). That exposure is experienced and shared by anyone whose illness—whose fall from health, or infirmity, or loss of independence—carries a tinge of guilt or shame. Knowing addiction intimately, how it pulls a family together and apart in equal measure, means I know something about judgment—and how it slyly links up with hope. How intoxicatingly imperious hope can be in a recovery story; how...
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《前沿问题:恢复》前言
《前沿问题:恢复》的前言迈克尔·布莱基我们都知道一些关于恢复的事情。失去的东西的回归,比如健康或尊严,也许是珍贵的纪念品,或者是来自另一个时代的护身符。这是一种叙事驱动的体验,由期望推动,我们讲述的故事是为了让人们明白什么是可以恢复的,什么是无法企及的。无论哪种情况,能否达到目标都是一个故事。在疫情期间,我们中的许多人现在可以描述从感染中恢复的情况,在疫苗问世之前,这个想法似乎非常不确定。对于太多人来说,康复并没有到来,就像我亲爱的导师卡罗尔·唐利,她在今年4月死于新冠肺炎的并发症,或者对于那些长期患有新冠肺炎的人来说,就像作者的复发使她无法完成对本期《前沿问题》的贡献。甚至还有更严峻的现实,比如搜救任务变成了恢复行动。是的,我们都知道一些关于康复的事情,我们被一些人的故事所吸引,即使是陌生人,他们战胜了疾病、逆境或不公。接下来的六篇文章讲述了关于康复的故事,或者挑战了讲述这些故事的叙事惯例。这是我的。每年春天,我都会在临终关怀研讨会上给护理专业的学生讲授一门关于细读的课程。我指定的文学文本是谢尔曼·阿列克谢(Sherman Alexie)的《毯子》(blanket),叙述者是一位印度老人的儿子,由于酗酒和糖尿病的后果,这位老人刚刚接受了右脚和左脚几个脚趾的截肢手术故事的大部分发生在儿子所说的华盛顿州一家繁忙的城市医院的“康复走廊”(44)。这个故事丰富的描述和隐喻值得仔细阅读,但对于一个关于临终关怀的课程来说,这是一个奇怪的故事,因为里面没有人死亡或进入临终关怀。更确切地说,重点是成为一个照顾者。作为父亲的看护人,儿子越来越意识到父亲的康复对他的要求[End Page 5],这说明了这些未来护士非正式照顾的动态。未来的复苏前景不容乐观。儿子知道他的父亲出院后还会继续酗酒,他可能会把他的毁容放在当地的酒吧里工作,在他的新轮椅上做轮滑赢得赌注。当儿子开始看到传统角色的转变,成年的孩子现在要照顾生病的父母(他称之为“诗意的胡扯”的“生命循环”),学生们不可避免地开始分享他们自己的照顾经验。它们在细节上有所不同,但我们得出的结论大多是相同的:当复苏似乎总是遥不可及时,当人们意识到复苏的叙事期望将无法实现时,复苏的想法是如何变得压抑的。正是在讨论的这一点上,我把学生们拉回到文本中,特别是回到“康复走廊”,以强调它的局限性,并要求他们考虑在这样的空间里发生了多少护理。叙述者的父亲,他在走廊的位置让他“没有隐私,甚至没有薄窗帘”,所以“他几十年的健康状况不佳和糟糕的决定被照亮了”(45),并不孤单。叙述者就在他身边,同样暴露在其他人的评判之下,这些人“认为医生应该停止从自我毁灭的冲动中拯救人们”(46)。他向我们,他的读者承认,他“不能反对”这样的判断,但他坚持认为,他也应该能够“要求最基本的舒适”,尽管他的父亲吸毒成瘾,健康状况不佳(46)。任何因健康、虚弱或丧失独立性而患病的人都会经历和分享这种暴露。对毒瘾的深入了解,它是如何让一个家庭既和睦又分离,这意味着我对判断力有所了解——以及它是如何巧妙地与希望联系在一起的。在一个复苏的故事中,希望是多么令人陶醉;如何……
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来源期刊
CiteScore
0.40
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20
期刊介绍: Literature and Medicine is a journal devoted to exploring interfaces between literary and medical knowledge and understanding. Issues of illness, health, medical science, violence, and the body are examined through literary and cultural texts. Our readership includes scholars of literature, history, and critical theory, as well as health professionals.
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