Journal of Medical Humanities最新文献

Illness narratives invite practitioners to understand how biomedical and traditional health information is incorporated, integrated, or otherwise internalized into a patient's own sense of self and social identity. Such narratives also reveal cultural values, underlying patterns in society, and the overall life context of the narrator. Most illness narratives have been examined from the perspective of European-derived genres and literary theory, even though theorists from other parts of the globe have developed locally relevant literary theories. Further, illness narratives typically examine only the experience of illness through acute or chronic suffering (and potential recovery). The advent of biomedical disease prevention methods like post- and pre-exposure prophylaxis (PEP and PrEP) for HIV, which require daily pill consumption or regular injections, complicates the notion of an illness narrative by including illness prevention in narrative accounts. This paper has two aims. First, we aim to rectify the Eurocentrism of existing illness narrative theory by incorporating insights from African literary theorists; second, we complicate the category by examining prevention narratives as a subset of illness narratives. We do this by investigating several narratives of HIV prevention from informants enrolled in an HIV prevention trial in Kenya and Uganda in 2022.

In this essay, we recommend Kali Fajardo-Anstine's short story "Remedies" (2019) for inclusion on health humanities syllabi based on our experiences teaching it at two undergraduate institutions. The story is drawn from Sabrina & Corina, Fajardo-Anstine's award-winning book of short stories about Chicana and Indigenous women in Colorado, but is available for free online, making it highly accessible for students. "Remedies" is narrated by Clarisa, who turns to her great-grandmother Estrella for the traditional knowledge that ultimately cures her family's recurrent outbreaks of lice. As a health narrative that centers familial and cultural healing practices, "Remedies" offers a much needed counterpart to the biomedical frameworks that tend to dominate health humanities syllabi and curricula. At the same time that it illuminates the physical and emotional efficacy of such practices, "Remedies" rejects a binary that pits them against biomedicine, offering a complex portrait of how various members of a family integrate traditional and biomedical approaches to health. We discuss how themes related to familial and cultural healing practices are developed in the story and introduce our approach to initiating productive conversations about the relationship between traditional healing and biomedicine in our classrooms.

While early modern Spain may seem a world away, it is an extremely rich and relevant context for gaining a better understanding of the Rhetoric of Health, specifically the power of metaphor, in the related spheres of policy-making and public debate. It was a time and place in which the urban populace's physical well-being depended upon the fortunes of theatrical performances due to a system of alms for hospitals driven by ticket receipts. Anti-theatricalists argued that the immoral nature of theatrical performances made them spiritually and medically detrimental to society. Pro-theatricalists argued that plays were always a public good on balance because they raised much-needed funds for hospitals. Instead of producing a conflict between morality and public health, each side reinforced their connection until the two topics became nearly inseparable in the sphere of public debate. While pro-theatricalists mainly stayed with their arguments about funding hospitals, anti-theatricalists developed a new strategy of literalising the metaphor of theatre as a "plague of the republic" and arguing that immoral entertainment brought literal disease to the populace as a punishment from God. This exemplifies Stephen Pender's observation of how, in an early modern medical context, "Rhetoric as a way of perceiving probabilities and adjusting one's argument to the audience and circumstance offers a model of ethical action and interaction". This article is organised chronologically to track specific adjustments to a specific public-health debate that rely upon moral metaphors of medicine. Each side wrangled over these metaphors in an effort to break a deadlock in a public-health policy debate with entertainment, finance, and morality at its centre. By the end of the seventeenth century, anti-theatricalists finally found their best rhetorical weapon in the literalisation of the "plague of the republic" metaphor, but it only offered a short-term solution to banning theatre contingent upon the ebb and flow of epidemics. Simultaneously, the finance structure of funding hospitals began to erase the role of hospitals from the longstanding debate about the morality of public theatre. The case of early modern Spain provides valuable lessons about the power of metaphor in the Rhetoric of Healthcare that are still applicable today.

In Brazil, the health emergency unleashed by the Covid-19 pandemic must be understood in the context of the government administration of the former president, Jair Bolsonaro. The new coronavirus was turned into a war machine, something already seen in other moments of the history of indigenous peoples, when epidemics were strategically used to promote indigenous genocide and usurp their territories. The Sanöma, a subgroup of the Yanomami language family, assert that Covid-19 did not leave individualized traces of 'sequelae' but made itself felt in the deaths that could not undergo the traditional funeral rites due to the sanitary measures, generating a cosmological and existential tension for the collective as a whole. It was also felt in the invasion of their lands by thousands of miners who brought violence and malaria to the communities, debilitating their food sovereignty, and in the dismantling of public health services in the indigenous land. Time was suspended, and the infection continued with the accompanying violation of rights, with a divergent understanding of who is recovered or who is healthy. This article is the result of a Covid-19 research project conducted in partnership with the Sanöma leaders. Based on reports from the Sanöma themselves, reports about the Yanomami and the government of former President Bolsonaro, interviews with indigenous leaders in newspapers and reports produced by indigenous organizations and their supporters, a set of information about Covid-19 among indigenous peoples and violations of human rights among the Sanöma people were systematized and analyzed and now make up this article.