{"title":"Products of Conception: Imaging and Imagining Maternal-Fetal Relationships.","authors":"Sabina Dosani","doi":"10.1007/s10912-025-09940-x","DOIUrl":"https://doi.org/10.1007/s10912-025-09940-x","url":null,"abstract":"<p><p>When my pregnancies ended in silence in an ultrasound suite, I was left with many questions that my medical training did not help me to answer. To investigate what an ultrasonically imaged embryo might represent in obstetric and maternal contexts, I turned to novels and memoirs, where I discovered that new traditions of writing about miscarriage and ultrasound are being crafted. In this paper, I consider the ghostly motifs in depictions of obstetric ultrasound in three contemporary works: Queenie (2019) by Candice Carty-Williams; Hilary Mantel's memoir, Giving up the Ghost (2013); and Maggie O'Farrell's personal essay \"Baby and Bloodstream,\" from I am, I am, I am: Seventeen Brushes with Death (2017). In each text, the ultrasound is a contested site where obstetric and maternal miscarriage narratives collide.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732198","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}
{"title":"Sex in Limbo: Noninvasive Prenatal Testing and the (Un)Making of Sex Chromosome Variations.","authors":"Shana Riethof","doi":"10.1007/s10912-025-09939-4","DOIUrl":"https://doi.org/10.1007/s10912-025-09939-4","url":null,"abstract":"<p><p>In 2017, Belgium became the first European country to offer full access to noninvasive prenatal testing (NIPT) for all pregnant individuals. NIPT is commonly used to screen for aneuploidies like Down syndrome and assess fetal sex. One consequence of genome-wide NIPT is the potential to detect sex chromosome variations (SCVs), whose inclusion in the NIPT panel remains debated. This paper examines the moral ambivalence surrounding the prenatal detection of SCVs in light of the ongoing medicalization of intersex bodies. Combining humanities and ethnography, I explore how two techniques have made SCVs visible to the scientific community. I contrast NIPT with the Barr body, a sex testing method developed in the 1950s. I ask, what are the social and material consequences of each mode of making sex visible? In turn, how does it inform the debate on including SCVs in prenatal screening? First, I show how SCVs have been historically framed as medical conditions, disconnected from intersex concerns. Drawing on fieldwork on NIPT in Belgium, I highlight how the framing of SCVs as pathological categories is underpinned by epistemic uncertainties related to the role of vision in scientific practice. I argue that contemporary genetics' approach to SCVs reflects a continuation of the gender binary framework, wherein SCVs are treated as medical conditions rather than as evidence that sex, like gender, is socially mediated. Ultimately, I suggest that integrating an intersex perspective into the conversation about SCVs could offer an alternative to the medicalization of sex differences.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674734","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}
{"title":"Magazines, Meat, and Animal Encounters: Gender and Domestic Medicine in Sarah Grand's The Beth Book (1897).","authors":"Louise Benson James","doi":"10.1007/s10912-025-09935-8","DOIUrl":"https://doi.org/10.1007/s10912-025-09935-8","url":null,"abstract":"<p><p>In an early scene of Sarah Grand's novel The Beth Book, the child protagonist attempts to create a cure for rheumatism. Having read about the curative properties of snails in a \"story of French life\", she corks up garden snails in a blacking bottle and places them in the oven to render into \"snail oil\", envisaging rubbing patients with her product. This misguided attempt to create a cure explodes, and \"boiling animal matter\" bespatters the kitchen. This vignette indicates three previously overlooked topics that run through the novel. First is that Beth produces medical treatments and home remedies from a young age and continues to do so into adulthood. Second is the influence of the Family Herald magazine, which, I demonstrate, is fundamental in forming Beth's early medical interests. Finally, it foreshadows numerous other instances in which animal bodies function as material in the pursuit of healing and care. The Beth Book is a text of New Woman fiction, significant for its political and moral agendas in relation to the women's rights movement. In scholarship, this context tends to overshadow the medical culture, objects, and encounters which evidence day-to-day life in the novel. This article examines how ephemeral reading material and animals, both living and dead, function in acts of care and the pursuit of healing.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651204","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}
{"title":"Forget It: Reading with an IUD.","authors":"Lilith Todd","doi":"10.1007/s10912-024-09909-2","DOIUrl":"https://doi.org/10.1007/s10912-024-09909-2","url":null,"abstract":"<p><p>Exposing the insides of the reproductive body visually and narratively has been a long project that has had positive and negative effects on a person's control over their choice to or not to have a child, as historians of medicine, reproduction, and the body have told us and as feminist health advocates have long insisted. The intrauterine device is a relatively new contraceptive technology that, once inserted, promises the user that they may prevent pregnancy while forgetting about the device. This essay examines how this \"forgetting\" method of relating to conception bumps up against historical circumstances and narrative structures that aim to expose and make legible the reproductive body. In this case, that exposure is to reveal the acute pain of the shifting political circumstances of birth control access. It ultimately proposes that forgetting, which is figured here as accepting limited knowledge and choosing not to read the reproductive body, produces its own dilemma: at once, the user is exempt from such day-to-day worries and denied certainty over fertility.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626354","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}
{"title":"Viral Storytelling: COVID-19 Comes to Albany, Georgia.","authors":"Daniel A Pollock","doi":"10.1007/s10912-025-09936-7","DOIUrl":"https://doi.org/10.1007/s10912-025-09936-7","url":null,"abstract":"<p><p>Early in the COVID-19 pandemic, when the novel coronavirus SARS-CoV-2 spilled into the United States and spawned devastating outbreaks in Albany, Georgia, and multiple other cities, news media organizations served an important public health function. Journalists gathered and reported information about a new infectious disease peril, and they used increasing tolls of cases, hospitalizations, and deaths as a shorthand form of risk communication. However, there were ample reasons from the start to question the completeness, accuracy, and fairness of the information that local news sources provided, and reporters repeated in numerous accounts of the Albany hotspot from March to July 2020. The story that went viral adhered to and supported a standard but strikingly deficient explanation of how novel infectious diseases wreak widespread havoc. The conventional outbreak narrative, exemplified by the Albany news coverage, frames causality, spread, and repercussions in ways that implicate personal behaviors while diminishing or disregarding population-level drivers of epidemics and the contribution of institutional lapses in healthcare safety. A second, closely related ramification of this responsibility framing is stigmatization of specific individuals or groups when they are singled out on the basis of an attribute, such as their race/ethnicity, religion, or sexual orientation, and identified as bearers and spreaders of a communicable disease. As the COVID-19 pandemic once again demonstrated, and the Albany story epitomizes, the conventional outbreak narrative sends strong stigma cues while leaving large gaps in the information needed to contend more equitably and effectively with emerging infectious diseases.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605534","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}
{"title":"Mary Unknown.","authors":"Lisa Philip","doi":"10.1007/s10912-024-09867-9","DOIUrl":"10.1007/s10912-024-09867-9","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"161-162"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433031","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}
{"title":"The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No, by Carl Elliott. New York: W.W. Norton & Company, 2024.","authors":"Carolyn Riley Chapman","doi":"10.1007/s10912-024-09863-z","DOIUrl":"10.1007/s10912-024-09863-z","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"165-167"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433032","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}
{"title":"Shame-Sensitive Public Health.","authors":"Fred Cooper, Luna Dolezal, Arthur Rose","doi":"10.1007/s10912-024-09877-7","DOIUrl":"10.1007/s10912-024-09877-7","url":null,"abstract":"<p><p>In this article, we argue that shaming interventions and messages during Covid-19 have drawn the relationship between public health and shame into a heightened state of contention, offering us a valuable opportunity to reconsider shame as a desired outcome of public health work, and to push back against the logics of individual responsibility and blame for illness and disease on which it sits. We begin by defining shame and demonstrating how it is conceptually and practically distinct from stigma. We then set out evidence on the consequences of shame for social and relational health outcomes and assess the past and present dimensions of shame in the context of the Covid-19 pandemic, primarily through a corpus of international news stories on the shaming of people perceived to have transgressed public health directions or advice. Following a brief note on shame (and policymaking) in a cultural context, we turn to the concept and practice of 'shame-sensitivity' in order to theorise a set of practical and adaptable principles that could be used to assist policymakers in short- and medium-term decision-making on urgent, tenacious, and emerging issues within public health. Finally, we consider the longer consequences of pandemic shame, making a wider case for the acknowledgement of the emotion as a key determinant of health.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"59-73"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7616610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749227","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}
{"title":"Wait for Me: Chronic Mental Illness and Experiences of Time During the Pandemic.","authors":"Lindsey Beth Zelvin","doi":"10.1007/s10912-023-09829-7","DOIUrl":"10.1007/s10912-023-09829-7","url":null,"abstract":"<p><p>As someone diagnosed with severe chronic mental illness early in my adolescence, I have spent over half of my life feeling out of step with the rest of the world due to hospitalizations, treatment programs, and the disruptions caused by anxiety, anorexia, depression, and obsessive-compulsive disorder. The effect of my mental health conditions compounded by these treatment environments means I often feel that I experience time passing differently, which results in sensations of removal and isolation from those around me. The global shutdown caused by the COVID-19 pandemic seemed a way for normative bodies to experience the passing of time the way I always have. In this paper, I extend Dr. Sara Wasson's analysis of the ways in which chronic pain resists narrative coherence to my own temporal experience of chronic mental illness, specifically my embodied experience of the pandemic. I use that embodied experience as a case study for examining how the reciprocal nature of time and narrativity, as outlined by Dr. Paul Ricoeur, can create isolation for those struggling with their temporality due to chronic mental illness. To acknowledge and grapple with the ramifications of discursive and material privilege involved in such situations, I include an analysis of Robert Desjarlais's 1994 article \"Struggling Along: The Possibilities for Experience among the Homeless Mentally Ill,\" in which he investigates a similar phenomenon of being outside of structured sequential narrative time in the residents of a Boston shelter for the mentally ill.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"21-36"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038051","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}
{"title":"The Long or the Post of It? Temporality, Suffering, and Uncertainty in Narratives Following COVID-19.","authors":"Katharine Cheston, Marta-Laura Cenedese, Angela Woods","doi":"10.1007/s10912-023-09824-y","DOIUrl":"10.1007/s10912-023-09824-y","url":null,"abstract":"<p><p>Long COVID affects millions of individuals worldwide but remains poorly understood and contested. This article turns to accounts of patients' experiences to ask: What might narrative be doing both to long COVID and for those who live with the condition? What particular narrative strategies were present in 2020, as millions of people became ill, en masse, with a novel virus, which have prevailed three years after the first lockdowns? And what can this tell us about illness and narrative and about the importance of literary critical approaches to the topic in a digital, post-pandemic age? Through a close reading of journalist Lucy Adams's autobiographical accounts of long COVID, this article explores the interplay between individual illness narratives and the collective narrativizing (or making) of an illness. Our focus on temporality and suffering knits together the phenomenological and the social with the aim of opening up Adams's narrative and ascertaining a deeper understanding of what it means to live with the condition. Finally, we look to the stories currently circulating around long COVID and consider how illness narratives-and open, curious, patient-centered approaches to them-might shape medicine, patient involvement, and critical medical humanities research.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"3-20"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92156930","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}