Journal of Medical Humanities最新文献

The outbreak and impact of COVID-19 alert humans to the fragility of life and interpersonal bonds. The pandemic and its aftermath bring us not only disease and death but fear and suspicion. Enforced lockdown, quarantine, and isolation worldwide hampered and slowed down human interaction. However, epidemics also prompt us to rediscover valuable qualities inherent in our everyday lives despite the many problems. The retrieval of love in Maugham's The Painted Veil (1925) is a case in point. By reading Maugham's The Painted Veil via the lens of epidemics and their impact on humanity, this paper discusses how disease can precipitate rather than impede human interaction. The discussion will help shed light on the meanings and implications of love during and after epidemics.

In the wake of the Russian invasion of Ukraine in February 2022, I found myself struggling with debilitating professional burnout as a physician assistant (PA) in emergency medicine. Despite initial fears and uncertainties, I chose to volunteer at a refugee center in Wroclaw, Poland, where I provided medical care to Ukrainian war victims. This experience proved to be a transformative journey, reigniting my passion for patient-centered care and addressing my burnout. Establishing a profound connection between medical care and humanity reminded me of the reasons I entered the medical profession. Practicing medicine in a refugee center, free from the constraints of the healthcare business model, allowed me to reconnect with the core values of my profession. This experience underscored the therapeutic potential of volunteering as a means to combat professional burnout and fostered a renewed commitment to patient care upon my return home. In an era where clinician burnout is increasingly prevalent, this narrative explores the importance of rekindling one's passion for medicine by returning to its fundamental purpose: compassionate, patient-centered care.

This article argues that mid-century Surrealist German author Unica Zürn's writing on the fetus and pregnancy anticipates New Materialist analyses of the liveliness of matter and the interactions of biology and history. Using philosopher-physicist Karen Barad's theories of Agential Realism as a lens, I unite a close reading of key moments in Zürn's oeuvre with an examination of medical practices in the midcentury and the lingering history of Nazi eugenics, demonstrating how politics and science come to both shape and deform the body in Zürn's prose. Through the interactions of both language and material, the bodies of the mother and fetus begin to double each other, and holocaust atrocities and abortion practices take on uncanny resonances.

Four decades after the Baby M case that led to the prohibition of commercial surrogacy in New York, much has changed in the infertility industry. Advanced technologies including the advent of gestational carrier pregnancies had made it easier and more efficient to create IVF embryos at a distance and over time, accelerating a boom in cross-border, reproductive services and allowing compensated surrogacy to flourish in a growing number of surrogacy-friendly states and beyond. For international couples, the USA has become a hot spot for "circumvention tourism" given its first-rate medical care, ample supply of willing gestational carriers, burgeoning interest in family building among gay couples, and immediate USA citizenship for the child. This commentary reviews selected sociocultural and global forces that helped set the stage for the passage of the Child-Parent Security Act in New York state in 2021, and the efforts by its opponents for stronger protections not only for gestational carriers, but for gamete donors and the donor-conceived offspring. I argue that despite more responsive medical and legal guidelines, the high market demand and economic profits, combined with the lack of regulatory teeth, faulty assumptions about health risks and decision-making autonomy, and inadequate research on long-term health outcomes, continue to make compensated gestational surrogacy in the state of New York a high-risk venture without adequate informed consent. Possible unintended consequences and future research questions are proposed.

Attention is essential to the practice of medicine. It is required for expert and timely diagnoses and treatments, is implicated in the techniques and practices oriented toward healing, and enlivens the interpersonal dimensions of care. Attention enables witnessing, presence, compassion, and discernment. The French philosopher and activist Simone Weil (1909-1943) developed one of the most original and important descriptions of attention in the last century. For Weil, attention is not an attitude of strained focus but of perceptive waiting that leads to the acquisition and integration of knowledge. Contrary to activities often foregrounded in clinical medicine, it requires renunciation of the will, gentle directedness toward the origin of actions, and diminishment of the self. This paper critically examines Weil's concept of attention as it applies to health systems, technical/intellectual work, and interpersonal care, as well as its connection to theology, and considers whether attention might find a home within the contemporary clinic.

Like other key terms in the medical and health humanities-empathy, creativity, and reflection, to name just a few-wellness has become a weasel word, rife the language of optimization, duty, and self-perception. While alternative vocabularies exist-well-being and quality of life among them-these options usually privilege the objectives of academic (often psychological) research, health institutions, and the economic state apparatus, rather than people themselves. In mind of these concerns, why attempt to make a case for wellness at all? We present a historically informed, theoretically driven, praxis-guided framework for a renewed vision of social wellness (a concept first defined in the late 1950s). While definitions since Bill Hettler's "hexagonal" model (1980) have included mutual respect for others and the assumption of cooperative behaviors, conspicuously absent from contemporary definitions and usage is any mention of the aesthetic realm, which we-alongside philosophers like Amartya Sen and Martha Nussbaum-take as a central human capability. How can the relational possibilities of arts engagement be understood as not just a means of promoting individual wellness, but also as a method and outcome of social wellness? We propose that social wellness is ultimately premised on the interplay between wellness of the collective and the strength of the relational encounters it engenders. We turn to a key practice paradigm-community arts engagement-as both a vehicle for and site of social wellness. With brief reference to a Canadian exemplar, we conclude with concrete recommendations for addressing critical opportunities for advancing arts-led social wellness initiatives involving academic and community partners.

Comic storyboards that participants co-create can function as generative data collection tools when integrated into interviews or focus groups in a qualitative-rhetorical study. As a preliminary stage of a study, user testing comic storyboards can help ensure that they are generative and participant-informed, the latter being especially important when researching issues related to participant vulnerability, such as stigma. This article discusses the exigency, user testing, adaptation, and affordances of comic storyboards as data collection or story elicitation tools in a study of provider-enacted HIV stigma. Our user testing of comics storyboards enabled us to implement more responsive, participant-centered, and participatory forms of data collection. Given that the goal of this study is to develop anti-stigma provider training materials in the form of comics, participants' contributions through user testing not only helped us improve our data collection in the main study, but also generated input that informed our conceptualization and drafting of provider training comics.