Journal of Medical Humanities最新文献_第2页

Disabling Dynamics: Long Covid and the Challenges of Securitizing Slow-Onset Health Threats. 禁用动态：长期Covid和证券化缓慢发作的健康威胁的挑战。

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Journal of Medical Humanities Pub Date : 2026-09-04 DOI: 10.1007/s10912-026-10058-x

Philip Finkelstein

{"title":"Disabling Dynamics: Long Covid and the Challenges of Securitizing Slow-Onset Health Threats.","authors":"Philip Finkelstein","doi":"10.1007/s10912-026-10058-x","DOIUrl":"https://doi.org/10.1007/s10912-026-10058-x","url":null,"abstract":"This paper investigates why the United States fully securitized acute Covid-19 but not Long Covid, despite the latter's potentially greater long-term socioeconomic burden. Drawing on securitization theory, riskification, and scholarship on slow-onset and delayed-onset threats, it develops a four-part theoretical framework to explain structural variation in security responses: (1) actor framing and audience uptake; (2) the spatiotemporal visibility of harm; (3) a systemic 'body count bias' that privileges mortality over morbidity; and (4) domestic and international disincentives that suppress sustained attention to chronic, ambiguous crises. Using a most-similar systems design, the study compares U.S. governmental discourse, policy actions, and media framings of acute Covid-19-marked by temporal compression, spectacular mortality, and rapid elite mobilization-with the diffuse, bottom-up emergence of Long Covid, characterized by invisible, dispersed, and medically uncertain disability. The analysis shows that Long Covid's slow-creeping trajectory, lack of spectacle, and association with stigmatized or marginalized populations prevent it from being framed as an existential threat to a clearly identifiable referent object, relegating it instead to technocratic risk management. The study concludes that the U.S. security apparatus is structurally ill-equipped to recognize and respond to slow-onset, disabling threats, leaving the country vulnerable not only to Long Covid's long-term societal effects but to future mass-disabling events-natural or engineered-that erode state capacity gradually rather than through acute, lethal shock.","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teaching Epistemic Reflexivity in Medical Education: Reading Michel Foucault and Amitav Ghosh as Pedagogical Interventions. 医学教育中的认知反思性教学：解读米歇尔·福柯和阿米塔夫·高希作为教学干预的观点。

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Journal of Medical Humanities Pub Date : 2026-09-03 DOI: 10.1007/s10912-026-10060-3

Devaleena Das

{"title":"Teaching Epistemic Reflexivity in Medical Education: Reading Michel Foucault and Amitav Ghosh as Pedagogical Interventions.","authors":"Devaleena Das","doi":"10.1007/s10912-026-10060-3","DOIUrl":"https://doi.org/10.1007/s10912-026-10060-3","url":null,"abstract":"Medical education increasingly acknowledges the importance of teaching structural inequality, colonial histories, social determinants of health, and health inequities. Yet students often encounter a persistent tension between critical reflection and clinical action, asking how such knowledge translates into the practical work of becoming a physician. This article argues that questioning how medical knowledge is produced, authorized, and institutionalized constitutes a form of professional action rather than a departure from it. Drawing on my teaching of the Social and Community Health course within a required pre-clinical medical curriculum, I propose the concept of epistemic intervention as a pedagogical approach that encourages students to examine how evidence, expertise, diagnosis, and clinical authority are historically and politically constituted. Rather than advocating a new canon for medical education, I use Michel Foucault's The Birth of the Clinic and Amitav Ghosh's The Calcutta Chromosome as pedagogical exemplars of a broader educational strategy. Read together, these texts illuminate complementary dimensions of medical knowledge: the institutional production of clinical authority and the persistence of alternative forms of knowing that remain partially invisible to dominant biomedical frameworks. Through patient stories, reflective discussion, and applied bioethical analysis, such interventions can help students cultivate reflexive clinical judgment, epistemic humility, and resistance to premature diagnostic closure. In an era characterized by algorithmic medicine, persistent health inequities, and contested expertise, the article argues that future physicians require not only technical competence but also the capacity to critically evaluate how medicine comes to know what it knows.","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Virtues and Narratives in Medicine: An Analysis and Collection of Virtue-Illustrating Stories in Medical Journals. 医学中的德性与叙事：医学期刊德性故事分析与合集。

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Journal of Medical Humanities Pub Date : 2026-09-02 DOI: 10.1007/s10912-026-10057-y

Lauris C Kaldjian, Brittany A Bettendorf, Fabrice Jotterand

{"title":"Virtues and Narratives in Medicine: An Analysis and Collection of Virtue-Illustrating Stories in Medical Journals.","authors":"Lauris C Kaldjian, Brittany A Bettendorf, Fabrice Jotterand","doi":"10.1007/s10912-026-10057-y","DOIUrl":"10.1007/s10912-026-10057-y","url":null,"abstract":"This paper draws from a framework of virtue ethics and narrative medicine to present a content analysis and teaching resource of virtue-illustrating stories found in medical journals. As acquired dispositions, virtues are cultivated not merely by listening to lectures but through reflection, experience, role-modeling, practice, and internalization. One way to encourage such cultivation is to use narratives to illustrate moral virtues in action. With this in mind, we identified a literature-based taxonomy of 12 core virtues in medicine, selected a sample of 180 narratives published in medical journals to perform a content analysis and frequency calculation of core virtues they illustrate, and identified a collection of 24 of these narratives to illustrate the 12 core virtues. In decreasing order of frequency, the 12 core virtues found in these narratives were benevolence, humility, practical wisdom, courage, respectfulness, trustworthiness, altruism, cooperativeness, temperance, honesty, integrity, and justice. The taxonomy and bibliographic resource we offer can help medical educators utilize medical narratives to reflect on and discuss core moral virtues in medicine, and the 24 virtue-illustrating narratives are short, accessible, and practical for time-constrained teachers and learners interested in the way stories manifest virtues in medicine. This taxonomical framework and narrative collection can help shine practical light on ethical challenges in medicine-which so often are complex, multilayered, uncertain, and fluid-and on the virtues that enable physicians and other healthcare professionals to respond well to those challenges.","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

William Carlos Williams Poetry Competition Celebrates Medical Student and Physician Poets. 威廉卡洛斯威廉姆斯诗歌比赛庆祝医学生和医生诗人。

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Journal of Medical Humanities Pub Date : 2026-09-02 DOI: 10.1007/s10912-026-10061-2

Rachel Conrad Bracken

{"title":"William Carlos Williams Poetry Competition Celebrates Medical Student and Physician Poets.","authors":"Rachel Conrad Bracken","doi":"10.1007/s10912-026-10061-2","DOIUrl":"https://doi.org/10.1007/s10912-026-10061-2","url":null,"abstract":"Northeast Ohio Medical University (NEOMED)'s annual poetry competition was named for and envisioned in the spirit of the iconic American poet and pioneering patient-centered physician William Carlos Williams. It honors his legacy by celebrating contemporary clinician writers-both medical students and established practitioners-whose work illustrates the art of medicine and the dynamic interplay of health care and the humanities. An influential poet in the imagist movement in modernist art and literature, Williams' poetry is appreciated for its stark minimalism and vivid attention to the details of early twentieth-century life, particularly in the working-class neighborhoods outside of New York City where he practiced medicine. While Williams at times struggled to balance his desire to write with the demands of his medical practice, his medical career afforded him the financial freedom to write, as well as the inspiration for poems jotted down on prescription blanks in the breaks between patient visits. Each of the past 44 years, NEOMED has recognized exceptional medical student poetry by awarding first-, second-, and third-place prizes, as well as honorable mentions, to students enrolled in a medical degree program in the US, Puerto Rico, or Canada. Having begun under the leadership of Drs. Delese Wear and Martin Kohn in 1982, NEOMED's William Carlos Williams poetry competition is the oldest running poetry competition for medical students in the United States. The competition introduced a new category for physician poets in 2025, welcoming submissions from any rank of physician (MD or DO) at any career stage, from residency to retirement, in North America.","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Embodied, Transpersonal Agency: Singing at the Bedside. 具体化的、超个人的能动性：在床边唱歌。

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Journal of Medical Humanities Pub Date : 2026-09-01 Epub Date: 2025-05-09 DOI: 10.1007/s10912-025-09947-4

Kim Hensley Owens

引用次数: 0

"How Do I Tell My Children I Have Cancer?" Disclosing a Cancer Diagnosis to School-Aged Children: A Qualitative Study. “如何告诉我的孩子我得了癌症？”向学龄儿童披露癌症诊断：一项定性研究。

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Journal of Medical Humanities Pub Date : 2026-09-01 Epub Date: 2025-05-09 DOI: 10.1007/s10912-025-09949-2

Vaida Kazlauskaite, Brandon Eddy, Tai Mendenhall, Jacqueline LaPlant-Braughton

引用次数: 0

The Value of Researcher Reflexivity in the Coproduction of Public Policy: A Practical Perspective. 研究人员的反思性在共同制定公共政策中的价值：实践视角。

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Journal of Medical Humanities Pub Date : 2026-09-01 Epub Date: 2024-06-24 DOI: 10.1007/s10912-024-09853-1

Yamini Cinamon Nair, Mark Fabian

{"title":"The Value of Researcher Reflexivity in the Coproduction of Public Policy: A Practical Perspective.","authors":"Yamini Cinamon Nair, Mark Fabian","doi":"10.1007/s10912-024-09853-1","DOIUrl":"10.1007/s10912-024-09853-1","url":null,"abstract":"Coproduction of public policy involves bringing together technical experts, practitioners, and people with lived experience of that policy to collaboratively and deliberatively codesign it. Coproduction can leverage different ways of knowing and evaluative perspectives on a policy area to enhance the legitimacy and efficaciousness of policymaking. This article argues that researcher reflexivity is crucial for getting the most out of coproduction ethically and epistemically. By reflecting on our positionality, habitus, and biases, we can gain new insights into how we affect the research design, production and analysis of data, and communication of findings. This reflexivity helps to disrupt power dynamics that underly research and policymaking, helping to realise the radical potential of coproduction to democratise practice, empower citizens, and make research more relational. We demonstrate the value of reflexivity through an analysis of our work coproducing a theory of thriving in financial hardship in partnership with the UK national anti-poverty charity Turn2us. We contextualise our advocacy for reflexivity within the practical realities of advancing coproduction in the UK today.","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"459-475"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13490248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443512","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}

引用次数: 0

Glass Ceiling. 玻璃天花板。

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Journal of Medical Humanities Pub Date : 2026-09-01 Epub Date: 2025-01-18 DOI: 10.1007/s10912-025-09927-8

James S Huntley

引用次数: 0

Serving Refugees, Rediscovering Medicine, and Recovering from Burnout. 服务难民，重新发现医学，从倦怠中恢复。

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Journal of Medical Humanities Pub Date : 2026-09-01 Epub Date: 2024-12-12 DOI: 10.1007/s10912-024-09922-5

Malwina Huzarska

引用次数: 0

Cutting into Change: Reflection on Surgeon Diet and Professional Identity. 切入变化：对外科医生饮食与职业认同的反思。

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Journal of Medical Humanities Pub Date : 2026-09-01 Epub Date: 2025-05-28 DOI: 10.1007/s10912-025-09959-0

Thriaksh Rajan, Neil Mehta

{"title":"Cutting into Change: Reflection on Surgeon Diet and Professional Identity.","authors":"Thriaksh Rajan, Neil Mehta","doi":"10.1007/s10912-025-09959-0","DOIUrl":"10.1007/s10912-025-09959-0","url":null,"abstract":"The intersection of surgical identity and dietary choices remains an underexplored yet profoundly relevant domain in modern medicine. Surgeons, trained to heal through precision and restraint, often overlook the cognitive dissonance between their professional ethos and personal behaviors-most notably, diet. This paper examines the alignment of a plant-based diet with the ethical, cognitive, and performance-driven imperatives of surgical practice. Drawing on theories of professional identity formation and cognitive development, we explore how surgeons internalize values through training yet fail to extend this scrutiny to their own health behaviors. Despite compelling evidence linking plant-based nutrition to improved longevity, cognitive resilience, and reduced burnout, the ingrained habits of US medical training persist into practice, often unchecked. We argue that a paradigm shift-one that reframes dietary choice as an extension of surgical responsibility-can serve as a catalyst for professional reinvention. Furthermore, we analyze the environmental and public health ramifications of meat consumption, positioning the surgeon as both a healer of individuals and a steward of planetary well-being. Through a synthesis of medical literature, ethical inquiry, and personal reflection, we advocate for a reevaluation of dietary norms in surgery. By reevaluating entrenched behaviors, surgeons may unlock new avenues for resilience, coherence, and purpose in their practice.","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"561-566"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0