{"title":"An Appetite for Injection: Addiction, Gender, and Race in Arthur Conan Doyle's <i>The Sign of Four</i> (1890).","authors":"Hannah Markley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This essay explores representations of injection in nineteenth-century medical and literary culture. Through an analysis of medical texts, I show how injection came to be understood through descriptions of racial and gender difference borrowed, in part, from literary culture. By unpacking how moments of injection, perforation, and interpretive crisis in Arthur Conan Doyle's The Sign of Four rely on tropes of race, gender, and sexuality that nineteenth-century physicians used to understand addiction, this essay underscores the importance of the hypodermic needle for the invention of addiction as a concept ineluctably shaped by the social and political hierarchies of British imperial culture.</p>","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 2","pages":"413-437"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Afterlife and Life-After.","authors":"Jaime Konerman-Sease","doi":"10.1353/lm.2024.a935829","DOIUrl":"https://doi.org/10.1353/lm.2024.a935829","url":null,"abstract":"","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 1","pages":"21-25"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Palliative Images in Marion Coutts's <i>The Iceberg</i> and Marco Peano's <i>L'invenzione della madre</i>.","authors":"Maria Vaccarella","doi":"10.1353/lm.2024.a935840","DOIUrl":"https://doi.org/10.1353/lm.2024.a935840","url":null,"abstract":"<p><p>This article explores the representation of terminal brain cancer in Marion Coutts's memoir The Iceberg (2014), on her husband's illness and death, and Marco Peano's autofiction L'invenzione della madre (The invention of the mother; 2015), about a son who cares for his mother during her final days. While addressing the medicalization of dying and the efficacy of palliative care, both texts engage pervasively with visual culture. This emphasis on the visual arts and cinema provides a thought-provoking commentary on the protagonists' experience of witnessing the gradual erosion of verbal expression in their dying loved ones. This essay will thus explore both the use of visual culture as palliative praxis and the authors' implicit considerations on the role of narrativity in dying.</p>","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 1","pages":"197-214"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cicely Saunders and the Literary and Cultural Heritage of \"Total Pain\".","authors":"Joe Wood","doi":"10.1353/lm.2024.a935834","DOIUrl":"https://doi.org/10.1353/lm.2024.a935834","url":null,"abstract":"<p><p>In this article, I present some of the literary and cultural influences behind hospice pioneer Cicely Saunders's idea of \"total pain,\" a term she used from the 1960s onwards to promote the holistic approach which has since become palliative care. Existing studies imply \"total pain\" emerged from Saunders's own mixed career experiences and her attention to patient narratives. However, I explore how the term originates not only in Saunders's direct encounters with her patients but also in her readings of literary, philosophical, and theological texts from a range of European post-war contexts, from Viktor Frankl and Simone de Beauvoir to Martin Buber and Ladislaus Boros. Examining \"total pain\" in light of Saunders's reading reveals the particular intellectual milieu-often ignored-from which palliative care emerged.</p>","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 1","pages":"65-87"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction: A \"Totalizing\" View of Palliative Care.","authors":"Anna M Elsner, Steven Wilson","doi":"10.1353/lm.2024.a935833","DOIUrl":"https://doi.org/10.1353/lm.2024.a935833","url":null,"abstract":"","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 1","pages":"55-64"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Knowing Black Afterlives.","authors":"Kimberly Bain","doi":"10.1353/lm.2024.a935825","DOIUrl":"https://doi.org/10.1353/lm.2024.a935825","url":null,"abstract":"","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 1","pages":"7-9"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Last Narratives: Life Writing Palliative Praxis.","authors":"Franziska Gygax","doi":"10.1353/lm.2024.a935838","DOIUrl":"https://doi.org/10.1353/lm.2024.a935838","url":null,"abstract":"<p><p>Research on palliative care emphasizes the crucial role of narratives in the encounter with suffering and dying patients because we need to learn from the dying in order to improve care for them. Autobiographical narratives by terminally ill writers contribute to a more encompassing understanding of what it means to be dying as they often thematize dying and death, besides theorizing all kinds of implications of terminal illness. Among such autothanatographers are well-known writers such as Gillian Rose, Jenny Diski, and Tom Lubbock. The process of writing about the last stage of their lives is palliative narrative praxis because the narrative act alleviates suffering. Exploring dying and death in philosophical, literary, and often highly poetic terms needs to be read and interpreted within a more complex web of meaning-making.</p>","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 1","pages":"157-173"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Holes in the Protective Cloak of Palliative Care: Mathieu Simonet's <i>La maternité</i> and Eduardo Berti's <i>An Ideal Presence</i>.","authors":"Julia Pröll","doi":"10.1353/lm.2024.a935837","DOIUrl":"https://doi.org/10.1353/lm.2024.a935837","url":null,"abstract":"<p><p>In the novels An Ideal Presence (2020) by Eduardo Berti and La maternité [Maternity] (2012) by Mathieu Simonet, relatives of the dying and palliative care professionals are given a voice. Their experiences highlight \"holes\" in the cloak of care, which can never protect the terminally ill completely. However, they also raise the question of a pallium for the carers themselves. This need of protection, expressed in both novels by a concern to find the right dosage between caring presence for the terminally ill and self-caring distance from their suffering, risks clashing with the low-tech, high-touch approach associated with the hospice movement. By exposing the limits of palliative care, these (auto-)fictional accounts may prevent inflated expectations in this important medical field.</p>","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 1","pages":"137-156"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Love, Death, and-No Hospital!: Assisted Dying, \"Liebestod,\" and Existential Suffering.","authors":"Marc Keller","doi":"10.1353/lm.2024.a935836","DOIUrl":"https://doi.org/10.1353/lm.2024.a935836","url":null,"abstract":"<p><p>Contemporary literature about assisted dying in Germany, Switzerland, and France repeatedly explores the impact of illness on romantic relationships. Faced with the imminent or experienced death of their loved one, the healthy partner is affected by existential suffering and refuses to outlive the other. This dynamic leads to (joint) suicide, echoing the literary tradition of the Liebestod, where lovers prefer death over separation. This paper examines three contemporary texts on this theme. It illustrates that while the Liebestod is depicted as a romantic death, it inherently rejects a medicalized end of life. Despite overlaps between palliative care and the notion of a \"good death,\" palliative care is absent, as the focus is on avoiding the existential suffering from losing a beloved partner, making suicide the only viable option.</p>","PeriodicalId":44538,"journal":{"name":"LITERATURE AND MEDICINE","volume":"42 1","pages":"112-136"},"PeriodicalIF":0.2,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}