Routledge Handbook of the Medical Humanities

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Cover Half Title Title Page Copyright Page Table of Contents List of contributors Introduction: the medical humanities—a mixed weather front on a global scale The humanities are implicit in medicine, where democracy must be built Bone-tired, on skeletal resourcing, but muscling through—can the medical humanities help? Networks, border crossings, translations Surfing the waves of the medical humanities New horizons for the medical humanities Summary of the work of the medical humanities References PART I: Medical humanities as networks, systems and translations Chapter 1: A dose of empathy from my Syrian doctor Chapter 2: The cultural crossings of care: a call for translational medical humanities Introduction Cura and the chronotopy of care Boundary work across the nature–culture divide The healing powers of translation: the case of Souad Towards a translational medical humanities Acknowledgement References Chapter 3: Medical work in transition: towards collaborative and transformative expertise Introduction Expertise as object-oriented activity systems Expertise as knotworking Expertise as expansive learning Conclusion References Chapter 4: Health, health care, and health education: problems, paradigms, and patterns Introduction The nature of patterns Traditional problems: the whole equals the sum of its parts Paradigms: shift happens Complex patterns: the whole is greater than, and different from, the sum of its parts Self-organisation in human systems The CDE Model Pattern Logic Adaptive Action What has been closed is disclosed Acknowledgements Note References PART II: Democratising medicine: the medical humanities as forms of resistance Chapter 5: The state of the union: rigour and responsibility in US health humanities Expertise: who teaches? Content and methodology: what is taught and how? Evaluation: what are the goals, and how are they met? Conclusion Notes References Chapter 6: The cutting edge: health humanities for equity and social justice Introduction Critical consciousness: the object of learning in critical humanities The power of stories Questioning postcolonialism and neocolonialism in decolonising medical education There 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 gaze Towards a dialogical approach to teaching for social justice Acknowledgements References Chapter 7: Geography as engaged medical-health-humanities Introduction Medical-health-humanities as approaches to capturing overlooked experiences Place and micro-aggressions in geographies of health Unpacking the relationship of inequality and geography in ‘Milk’ Conclusion References Chapter 8: Challenging heteronormativity in medicine Introduction Defining heteronormativity Ab/normality and the production of heteronormativity in medicine The problem of heteronormativity in medicine Challenging heteronormativity in medicine References Chapter 9: Medical Nemesis 40 years on: the enduring legacy of Ivan Illich Introduction Themes of Medical Nemesis Prose style Medical Nemesis and Illich’s ‘apophasis’ Contemporary reaction to Medical Nemesis Have Illich’s prophecies come true? Influence of Illich Acknowledgement References Chapter 10: Hospitaland Tour of Hospitaland Themes in Hospitaland References PART III: Medicine’s metaphors and rhetoric Chapter 11: Don’t breathe a word: a psychoanalysis of medicine’s inflations My father’s death Medicine’s inflation Putting medicine on the couch The aerial imagination Combat breathing and the survival of the sickest References Chapter 12: Metaphor as art: a thought experiment Notes Acknowledgements References Chapter 13: The practice of metaphor The doctors I admire The why of metaphoric intervention The how of metaphoric intervention Notes References Appendix Excerpt from actual chart note Chapter 14: Medical slang: symptom or solution? Introduction A blueberry muffin baby Why culinary metaphors? Language, epistemology, and practice Conflicting messages Medical education as socialisation Saying what we really mean Notes References Chapter 15: Ageism and rhetoric Preface Ageism: an introduction My subject position Methodology and theory Rhetorical observations Conclusion Notes References Chapter 16: The rhetorical possibilities of a multi-metaphorical view of clinical supervision Conceptual framework: what’s in a metaphor? Conventional metaphors: how do we currently know clinical supervision? Emerging metaphors: how can we otherwise understand clinical supervision? Conclusion: what are the rhetorical possibilities of a multi-metaphorical view? References Chapter 17: The chaotic narratives of anti-vaccination Narratives of anti-vaccination Notes References Chapter 18: Thought curfew: empathy’s endgame? The conceit The context The consent The curfew Note References Acknowledgements PART IV: Medicine as performance and public engagement Chapter 19: The performing arts in medicine and medical education Introduction Scene I: Scene II: an air of verisimilitude—’front stage’ and ‘back stage’ as a theory of social action in medicine Scene III: mimesis—simulation and sensibility Scene IV: so much more real than life—authenticity and expertise Entr’acte: seeking ‘empathy’ Scene V: that within which passes show—improvising the future Scene VI: finale References Chapter 20: A manifesto for artists’ books and the medical humanities What is (not) an artist’s book? The aesthetic and political characteristics of artists’ books The book as matter and metaphor Artists’ books and the medical humanities To make a book is . . . Patient 📖 doctor relations The radical pedagogy of artists’ books Notes References Chapter 21: Grasping emergency care through pop culture: the truths and lies of film, television and other video-based media Pop culture consumers Doctor–patient relationship Replacing the bedside assessment with technology Bias and diversity Journey of a doctor over a lifetime Future thinking in emergency pop culture Controlling the narrative References Chapter 22: Who 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 we want to engage with these audiences? References Recommended reading Chapter 23: Desire imagination action: Theatre of the Oppressed in medical education The problem Theatre of the Oppressed and medical humanities What happens in TO workshops Challenges and reason for hope Note Reference Further reading Chapter 24: Zombie sickness: contagious ideas in performance References Chapter 25: The masks of uncertainty PART V: Embodiment and disembodiment Chapter 26: Nobody’s home Chapter 27: Ecstasy To know what happens, what is The chosen vulnerability Anxiety and resolve High-risk leisure Ecstasy References Chapter 28: Relationships that matter: embodying absent kinships in the Japanese child welfare system Notes References Chapter 29: Still Alice? Ethical aspects of conceptualising selfhood in dementia Recognition Responsibility Rethinking the two tendencies via Still Alice Acknowledgement References Chapter 30: Body Maps: reframing embodied experiences through ethnography and art Introduction We are all embodied beings Embodiment and ethnography Reading the body History of Body Mapping Ethnographic Body Maps Note References Chapter 31: Perspectives on olfaction in medical culture References PART VI: The medical humanities in medical education Chapter 32: The ‘awe-full’ fascination of pathology Medical pathology as a human science Awe-full metaphors in pathology The meta/neurocognitive perspective Engendering awe-full fascination in medical education Summary References Chapter 33: Biomedical ethics and the medical humanities: sensing the aesthetic Introduction Biomedical ethics and medical humanities understood conventionally The medical humanities Commonalities between biomedical ethics and medical humanities understood conventionally Biomedical ethics and medical humanities understood as aesthetic practices Biomedical ethics as an aesthetic The medical humanities as an aesthetic Conclusion Notes References Chapter 34: Medical humanities online: experiences from South Africa Introduction The motivation for ‘going online’ Transforming a face-to-face course into an online format The experience of online learning The interaction of online and face-to-face courses What is the role of online education in medical humanities? Is online learning a feasible and suitable medium for promoting the field more broadly? Conclusion References Chapter 35: ‘Your effort was great/you carried me nine months’: the birth of medical humanities in Ethiopia When I hear your name Notes Chapter 36: Medical humanities in Canadian medical schools: progress, challenges and opportunities Introduction Methods Findings At the heart of it: tales from the field Interpretation Acknowledgements References Appendices Appendix B Appendix C PART VII: The patient will see you now Chapter 37: Can we make empathy more intelligent? Try social empathy! Note References Chapter 38: A letter from Marijke Boucherie to Alan Bleakley References Chapter 39: Health humanities: a democratising future beyond medical humanities Introduction and background Creative Practice as Mutual Recovery Acknowledgements References Chapter 40: Doctors need safe confessional and cathartic spaces: what we learned from the research project ‘People Talking: Digital Dialogues for Mutual Recovery’ Doctors losing libido The pilot project Theoretical underpinning to the pilot project Key findings Conclusions and implications References Chapter 41: All thanks to the words of a stranger: an homage to the UK’s National Health Service Doctor Patient PART VIII: Overview: celebrating the flaw in the Persian rug Chapter 42: Negotiating research in the medical humanities Aesthetics and the politics of resistance The politics of expertise: competing for authority in medical humanities The medical humanities as educational practice Conclusion: towards an aesthetics of praxis References Index