Linacre QuarterlyPub Date : 2025-05-21DOI: 10.1177/00243639251334426
Gaia Calcini
{"title":"Trauma and Disfigurement: Psychosocial Impact and Ethical Reflections on esthetic Normalization in Medicine.","authors":"Gaia Calcini","doi":"10.1177/00243639251334426","DOIUrl":"10.1177/00243639251334426","url":null,"abstract":"<p><p>The present article examines the psychological repercussions and ethical challenges associated with the medical treatment of disfigurement, highlighting how such interventions, while essential for physical recovery, can have significant impacts on personal identity and the psychosocial wellbeing of patients. In particular, it discusses the psychological trauma stemming from the condition of disfigurement and the complex dynamics of stigmatization and discrimination that follow. The analysis also focuses on the tendency of modern medicine to promote esthetic normalization, emphasizing how such medical treatments, although often necessary for physical recovery, raise profound questions about self-determination, individual freedom, and respect for human diversity. Through a critical examination of contemporary medical practices, the text discusses how the pressure toward esthetic normalization can negatively influence personal identity and the social perception of individuals affected by disfigurement. It argues that the prevailing medical approach, focused on physical correction, may not only limit esthetic diversity but also perpetuate stereotypes and discrimination. It highlights how academic literature and artistic practices offer alternative paradigms that value the uniqueness and authenticity of the human body, proposing a more inclusive and less conformist vision of physical and psychological wellbeing. The work of artists like Laura Ferguson and Mark Gilbert, along with theorizations by philosophers like Michel Foucault, provides a critical perspective on dominant cultural norms and suggests new ways of thinking about and treating disfigurement, emphasizing the importance of an approach that respects individual freedom and celebrates bodily diversity.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251334426"},"PeriodicalIF":0.4,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12095215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linacre QuarterlyPub Date : 2025-05-01Epub Date: 2025-04-03DOI: 10.1177/00243639251321869
Margaret S Chisolm
{"title":"We Need to Talk: How Art-Inspired Discussions can Bridge Our Differences.","authors":"Margaret S Chisolm","doi":"10.1177/00243639251321869","DOIUrl":"10.1177/00243639251321869","url":null,"abstract":"","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":"92 2","pages":"221-224"},"PeriodicalIF":0.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11970080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linacre QuarterlyPub Date : 2025-04-30DOI: 10.1177/00243639251334418
William Newton
{"title":"The Connection Between the Normalization of Homosexuality and Erroneous Theories on Sex and Gender: A Challenge for Gender Critical Feminism.","authors":"William Newton","doi":"10.1177/00243639251334418","DOIUrl":"https://doi.org/10.1177/00243639251334418","url":null,"abstract":"<p><p>Among the strongest critics of gender identity theory (GIT) and queer theory (QT) are gender critical feminists (GCF) because of the potentially negative impact of these theories on women and the feminist movement. Yet, GCF are fully supportive of the notion of homosexuality as a normal and authentic expression of human sexuality. In this essay, I explore the logical connections that exist between the normalization of homosexuality and both GIT and QT, arguing that the acceptance of homosexuality as normal necessarily entails commitments that are at the very heart of these erroneous theories of sex and gender. In this way, there is fundamental incoherence in the opposition of GCF to GIT and QT. At the very heart of these theories is the denial of the significance of the way in which an individual is configured for human generation when it comes to personal identity. Homosexuality, likewise, fosters the notion that the generative configuration of an individual is insignificant because it is accorded no importance in guiding the truthful expression of sexuality precisely in that realm where generative configuration is the foundational reality. Developing this point, the essay shows how: (a) the acceptance of homosexuality as normal undermines the insistence by GCF of the primacy of sex over gender as the category on which the distinction of woman from man is founded; (b) the acceptance of homosexual inclination as normal undermines the possibility of claiming that transgenderism and those with gender identity disorder misperceive reality; and (c) how acceptance of homosexuality as an authentic alternative to heterosexuality involves logical commitments that validate the claim that a \"transwoman\" is equally a woman as any other.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251334418"},"PeriodicalIF":0.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linacre QuarterlyPub Date : 2025-04-30DOI: 10.1177/00243639251334417
Kalei R J Hosaka, Wilson R Ricketts, Ezer Kang, Savita Duomai
{"title":"Reimagining Medicine as a Practice of Solidarity: A Corrective to Spaceship Ethics.","authors":"Kalei R J Hosaka, Wilson R Ricketts, Ezer Kang, Savita Duomai","doi":"10.1177/00243639251334417","DOIUrl":"https://doi.org/10.1177/00243639251334417","url":null,"abstract":"<p><p>The culture of medical training and contemporary medicine is largely influenced by \"spaceship ethics,\" where healthcare professionals are taught to take \"refuge in principles that place them outside, or above, the complicated, ambiguous, contradictory lives of those others who sicken and die\" (Irvine and Charon 2016). Is there a better way that medicine can care for individuals immersed in ambiguous, contradictory lives of sickness and death? In this paper, we argue that one corrective to spaceship ethics is reimagining medicine as a practice of solidarity. At its conceptual core, solidarity is a cooperative relationship that transcends self-interest and respects each person's dignity and sense of belonging-a collective human need that does not distinguish caregivers from patients. We build a theory of solidarity in the context of medical training by describing the life and legacy of Father Damien as well as the ongoing HIV-focused work of <i>Shalom Delhi</i>. We then discuss three practical ways in which contemporary medical training can encourage solidarity: (1) proximity to patients and communities; (2) choosing careers based on a community's needs; and (3) an openness to transformation by patients. We conclude that solidarity can be a corrective to spaceship ethics by enabling healthcare professionals to engage in complicated social realities of sickness, death, and provider-patient dynamics. A practice of medicine that is animated by a commitment to this type of solidarity reorients clinicians' lives and professional priorities around the experiences of the patients they care for. In a medical culture that trains healthcare practitioners to distance themselves from patients as whole persons, practicing solidarity encourages sustained proximity, advocacy, and dignity.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251334417"},"PeriodicalIF":0.4,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linacre QuarterlyPub Date : 2025-04-13DOI: 10.1177/00243639251328388
{"title":"Corrigendum to Incoherence in the Brain Death Guideline Regarding Brain Blood Flow Testing: Lessons from the Much-Publicized Case of Zack Dunlap.","authors":"","doi":"10.1177/00243639251328388","DOIUrl":"https://doi.org/10.1177/00243639251328388","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1177/00243639251317690.].</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251328388"},"PeriodicalIF":0.4,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11996823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linacre QuarterlyPub Date : 2025-02-04DOI: 10.1177/00243639251317690
Doyen Nguyen, Christine M Zainer
{"title":"Incoherence in the Brain Death Guideline Regarding Brain Blood Flow Testing: Lessons from the Much-Publicized Case of Zack Dunlap.","authors":"Doyen Nguyen, Christine M Zainer","doi":"10.1177/00243639251317690","DOIUrl":"10.1177/00243639251317690","url":null,"abstract":"<p><p>At age 21, following a severe traumatic brain injury, Zack Dunlap was declared brain-dead according to the American Academy of Neurology guideline (Guideline) when he met the clinical criteria of brain death (minus apnea testing because of bradycardia) with technetium-99m diethylene-triamine-pentaacetate scintigraphy reported as showing no intracranial blood flow. His parents agreed to organ donation. During preparations for organ donation, Zack manifested a purposeful movement in response to a noxious stimulus made by his cousin. Following subsequent neurological recovery, he has returned to a normal life, holding steady employment and raising a family. During an interview, he reported that while in coma, he heard a doctor say that he was brain-dead and felt angry about it. His experience fits the phenomenon of cognitive-motor dissociation. Recently, Zack's medical records were made available to the first author. A critical review of the records uncovered a problem inherent in the logic of the Guideline algorithm regarding brain blood flow scintigraphy. This article discusses the lessons drawn from Zack's case, namely, that both the aforementioned problem and the occurrence of cognitive-motor dissociation in patients deemed to be brain-dead can pose a significant risk of a false-positive declaration of death.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639251317690"},"PeriodicalIF":0.4,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11795570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linacre QuarterlyPub Date : 2025-02-02DOI: 10.1177/00243639241311314
Jeremy Jones, Nicholas Nguyen, MaryClaire Cooke
{"title":"The Imitation of Christ as a Model for Physician Wellness.","authors":"Jeremy Jones, Nicholas Nguyen, MaryClaire Cooke","doi":"10.1177/00243639241311314","DOIUrl":"10.1177/00243639241311314","url":null,"abstract":"<p><p>Physician burnout, studied for over fifty years in scientific literature, has been shown to negatively affect physician health, patient care, and the healthcare system. While various commendable systemic and individualistic approaches have been described and actively implemented to minimize burnout, it is important to also consider approaches to maximize physician wellness. For the Catholic physician, the ultimate model of wellness is Jesus Christ, the Divine Physician. In this article, we propose that the physician can follow the spiritual progress model of wellness presented in <i>The Imitation of Christ</i> by Thomas à Kempis to address burnout.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639241311314"},"PeriodicalIF":0.4,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linacre QuarterlyPub Date : 2025-02-01Epub Date: 2023-08-08DOI: 10.1177/00243639231189333
Thomas Clark Howell
{"title":"Cultivating Attention as a Surgical Resident: Sabbath as Resistance.","authors":"Thomas Clark Howell","doi":"10.1177/00243639231189333","DOIUrl":"10.1177/00243639231189333","url":null,"abstract":"<p><p>Despite our being created in right relationship with the Sabbath and holy time, we often have a dysfunctional relationship with rest, time, and ceasing. Our dysfunctional relationship with time, our hurriedness, has created an illness: \"hurry sickness.\" In medicine, our hurry sickness is often transformed into a supposed virtue we call efficiency. As a surgical resident, I am evaluated on and celebrated for my efficiency. If hurry and efficiency have created an illness, what is our remedy? Theologians propose the Sabbath as the cure to our hurry sickness. The Sabbath is the proper treatment but cannot be traditionally observed by most surgical trainees. Therefore, I explore elements of the Sabbath that can be practiced by surgical residents.</p>","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"27-31"},"PeriodicalIF":0.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44799006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linacre QuarterlyPub Date : 2025-01-29DOI: 10.1177/00243639241309930
Barbara Golder
{"title":"<i>The Power Broker</i> Conveys the Risks of Rejecting Reality.","authors":"Barbara Golder","doi":"10.1177/00243639241309930","DOIUrl":"https://doi.org/10.1177/00243639241309930","url":null,"abstract":"","PeriodicalId":44238,"journal":{"name":"Linacre Quarterly","volume":" ","pages":"00243639241309930"},"PeriodicalIF":0.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}