Routledge handbook of the medical humanities


The humanities are implicit in medicine, where democracy must be builtBone-tired, on skeletal resourcing, but muscling through—can the medical humanities help?Networks, border crossings, translationsSurfing the waves of the medical humanitiesThe Critical Medical Humanities is an emerging area in Medical Humanities research.New horizons for the medical humanitiesSummary of the work of the medical humanitiesConceptual frames, methodologies and methods of inquiryReferencesI. Medical humanities as networks, systems and translationsA DOSE OF EMPATHY FROM MY SYRIAN DOCTORTHE CULTURAL CROSSINGS OL CARE: A call for translational medical humanitiesCura and the chronotopy of careBoundary work across the nature-culture divideThe healing powers of translation: the case of SouadTowards a translational medical humanitiesAcknowledgementReferencesMEDICAL WORK IN TRANSITION: Towards collaborative and transformative expertiseExpertise as object-oriented activity systemsExpertise as knotworkingExpertise as expansive learningConclusionReferencesHEALTH, HEALTH CARE, AND HEALTH EDUCATION: Problems, paradigms, and patternsThe nature of patternsTraditional problems: the whole equals the sum of its partsParadigms: shift happensComplex patterns: the whole is greater than, and different from, the sum of its partsSelf-organisation in human systemsThe CDE ModelPattern LogicAdaptive ActionWhat has been closed is disclosedAcknowledgementsNoteReferencesII. Democratising medicine: The medical humanities as forms of resistanceTHE STATE OF THE UNION: Rigour and responsibility in US health humanitiesExpertise: Who teaches?Content and methodology: what is taught and how?Evaluation: what are the goals, and how are they met?ConclusionNotesReferencesTHE CUTTING EDGE: Health humanities for equity and social justiceSelf-inflicted wounds: the problem with the health humanitiesCritical consciousness: the object of learning in critical humanitiesThe power of storiesNarrative disruptionQuestioning postcolonialism and neocolonialism in decolonising medical educationThere is no social justice and equity without reflexivity: how does who I am influence what I see and how others see me?Putting the health humanities under a critical gazeMaking strangeTowards a dialogical approach to teaching for social justiceAcknowledgementsReferencesGEOGRAPHY AS ENGAGED MEDICAL-HEALTH- HUMANITIESMedical-health-humanities as approaches to capturing overlooked experiencesPlace and micro-aggressions in geographies of healthUnpacking the relationship of inequality and geography in ‘Milk’ConclusionReferencesCHALLENGING HETERONORMATIVITY IN MEDICINEDefining heteronormativityAb/normality and the production of heteronormativity in medicineThe problem of heteronormativity in medicineChallenging heteronormativity in medicineReferencesMEDICAL NEMESIS 40 YEARS ON: The enduring legacy of Ivan IllichThemes of Medical NemesisMedicine and the health of populationsSocial iatrogenesisCultural iatrogenesisIllich’s remediesProse styleMedical Nemesis and Illich’s ‘apophasis’Contemporary reaction to Medical NemesisHave Illich’s prophecies come true?Influence of IllichAcknowledgementReferencesHOSPITALANDTour of HospitalandThemes in Hospitaland Reprogramming one’s mindsetA ‘good patient’Distrust the foolishRemember ‘me’Animalistic dehumanisationStripping off clothing: the separation between man and beastPrivate body parts, now public!‘Maintain’ the dignityMechanistic dehumanisationNothing but an objectStandardise individualityBy my commandReferencesIII. Medicine’s metaphors and rhetoricDON’T BREATHE A WORD: A psychoanalysis of medicine’s inflationsMy father’s deathMedicine’s inflationPutting medicine on the couchMetaphor 1: the body as machineMetaphor 2: medicine as warThe aerial imaginationCombat breathing and the survival of the sickestReferencesMETAPHOR AS ART: A thought experimentTHE PRACTICE OF METAPHORThe doctors I admireThe Avhy of metaphoric interventionThe how of metaphoric interventionDecentred sharingThe family metaphorThe choice metaphorPersonificationBalance and wholesNotesReferencesAppendix: Excerpt from actual chart noteMEDICAL SLANG: Symptom or solution?A blueberry muffin babyWhy culinary metaphors?Language, epistemology, and practiceConflicting messagesMedical education as socialisationSaying what we really meanNotesReferencesAGEISM AND RHETORICPrefaceAgeism: an introductionMy subject positionMethodology and theoryRhetorical observationsConclusionNotesReferencesTHE RHETORICAL POSSIBILITIES OF A MULTI- METAPHORICAL VIEW OF CLINICAL SUPERVISIONConceptual framework: what’s in a metaphor?Conventional metaphors: how do we currently know clinical supervision?Emerging metaphors: hoAV can we otherwise understand clinical supervision?Metaphors that trouble the binary assumptionMetaphors that trouble the realism assumptionMetaphors that trouble the linearity assumptionMetaphors that trouble the neutrality assumptionConclusion: what are the rhetorical possibilities of a multi-metaphorical view?ReferencesTHE CHAOTIC NARRATIVES OF ANTI-VACCINATIONNarratives of anti-vaccinationNotesReferencesTHOUGHT CURFEW: Empathy’s endgame?The conceitThe contextThe consentThe curfewNoteReferencesAcknowledgementsIV. Medicine as performance and public engagementTHE PERFORMING ARTS IN MEDICINE AND MEDICAL EDUCATIONScene I: set in the pastScene II: an air of verisimilitude—’front stage’ and ‘back stage’ as a theory of social action in medicineScene III: mimesis—simulation and sensibilityScene IV: so much more real than life—authenticity and expertiseEntr’acte: smoke machine seeking ‘empathy’Scene V: that within which passes show—improvising the futureScene VI: finaleReferencesA MANIFESTO FOR ARTISTS’ BOOKS AND THE MEDICAL HUMANITIESWhat is (not) an artist’s book?The aesthetic and political characteristics of artists’ booksThe book as matter and metaphorArtists’ books and the medical humanitiesTo make a book is . ..Patient doctor relationsThe radical pedagogy of artists’ booksNotesReferencesGRASPING EMERGENCY CARE THROUGH POP CULTURE: The truths and lies of film, television and other video-based mediaPop culture consumersDoctor-patient relationshipReplacing the bedside assessment with technologyBias and diversityJourney of a doctor over a lifetimeFuture thinking in emergency pop cultureControlling the narrativeReferencesWHO IS THE AUDIENCE FOR THE MEDICAL/HEALTH HUMANITIES?How do we think about audiences?Who are our audiences and how can we engage with them?Why do Ave want to engage Avith these audiences?ReferencesDESIRE IMAGINATION ACTION: Theatre of the Oppressed in medical educationThe problemTheatre of the Oppressed and medical humanitiesWhat happens in TO workshopsChallenges and reason for hopeNoteReferenceFurther readingZOMBIE SICKNESS: Contagious ideas in performanceTHE MASKS OF UNCERTAINTYV. Embodiment and disembodimentNOBODY’S HOMEECSTASYTo know what happens, what isThe chosen vulnerabilityAnxiety and resolveHigh-risk leisureEcstasyReferencesRELATIONSHIPS THAT MATTER: Embodying absent kinships in the Japanese child welfare systemSTILL ALICE? Ethical aspects of conceptualising selfhood in dementiaRecognitionResponsibilityRethinking the two tendencies via Still AliceAcknowledgementReferencesBODY MAPSWe are all embodied beingsEmbodiment and ethnographyReading the bodyHistory of Body MappingEthnographic Body MapsNoteReferencesPERSPECTIVES ON OLFACTION IN MEDICAL CULTUREReferencesVI. The medical humanities in medical educationTHE ‘AWE-FULL’ FASCINATION OF PATHOLOGYMedical pathology as a human scienceAwe-full metaphors in pathologyThe meta/neurocognitive perspectiveCognitive complexity and diversityFour metacognitive lensesThe ‘awe-full’ dualities of the human brainEngendering awe-full fascination in medical educationSummaryReferencesBIOMEDICAL ETHICS AND THE MEDICAL HUMANITIES: Sensing the aestheticBiomedical ethics and medical humanities understood conventionallyThe medical humanitiesCommonalities between biomedical ethics and medical humanities understood conventionallyBiomedical ethics and medical humanities understood as aesthetic practicesAestheticsBiomedical ethics as an aestheticThe medical humanities as an aestheticConclusionNotesReferencesMEDICAL HUMANITIES ONLINE: Experiences from South AfricaThe motivation for ‘going online’Transforming a face-to-face course into an online formatThe experience of online learningThe interaction of online and face-to-face coursesWhat is the role of online education in medical humanities?Is online learning a feasible and suitable medium for promoting the field more broadly?ConclusionReferences‘YOUR EFFORT WAS GREAT/YOU CARRIED ME NINE MONTHS’: The birth of medical humanities in EthiopiaI: ‘YOUR EFFORT WAS GREAT’When I hear your nameII: SPICES AND HARD QUESTIONSNotesMEDICAL HUMANITIES IN CANADIAN MEDICAL SCHOOLS: Progress, challenges and opportunitiesMethodsSetting and participantsData collectionData analysisFindingsThe lay of the land: key survey findingsAt the heart of it: tales from the fieldTheme 1: successes and challengesTheme 2: medical students and medical humanities teachingTheme 3: moving forwardInterpretationAcknowledgementsReferencesAppendix A: Medical humanities curricular and co-curricular offerings, by Canadian medical school (2005-2006)Appendix В: Admissions and medical/health humanities curriculum characteristics by medical school (2014/2015)Appendix С: Medical/health humanities co-curricular opportunities by medical school (2014/2015)VII. The patient will see you nowCAN WE MAKE EMPATHY MORE INTELLIGENT? TRY SOCIAL EMPATHY!A LETTER FROM MARIJKE BOUCHERIE TO ALAN BLEAKLEYHEALTH HUMANITIES: A democratising future beyond medical humanitiesIntroduction and backgroundCreative Practice as Mutual RecoveryResearch contextFindingsAcknowledgementsReferencesDOCTORS NEED SAFE CONFESSIONAL AND CATHARTIC SPACES: What we learned from the research project ‘People Talking: Digital Dialogues for Mutual Recovery’Doctors losing libidoThe pilot projectTheoretical underpinning to the pilot project StoriesDigital storytellingMutualityResilienceRecoveryDiscoveryKey findings Doctors’ concernsDevelopment of resilience, mutuality, recovery and discoveryHealing fictionConclusions and implicationsReferencesALL THANKS TO THE WORDS OF A STRANGERV: An homage to the UK’s National Health ServiceDoctorPatientVIII. Overview: Celebrating the flaw in the Persian rugNEGOTIATING RESEARCH IN THE MEDICAL HUMANITIESAesthetics and the politics of resistanceThe politics of expertise: competing for authority in medical humanitiesThe medical humanities as educational practiceConclusion: towards an aesthetics of praxisReferences
 
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