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Who Is responsible for the Opioid Crisis? A Discourse Analysis of Responsibility Claims in Medicine. 谁应该为阿片类药物危机负责？医学责任索赔的语篇分析。
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-30 DOI: 10.1007/s10912-024-09918-1
Ariane Hanemaayer, Shahina Parvin
{"title":"Who Is responsible for the Opioid Crisis? A Discourse Analysis of Responsibility Claims in Medicine.","authors":"Ariane Hanemaayer, Shahina Parvin","doi":"10.1007/s10912-024-09918-1","DOIUrl":"https://doi.org/10.1007/s10912-024-09918-1","url":null,"abstract":"<p><p>The opioid crisis has continued despite efforts to intervene on its identified causes. In this article, we analyse responsibility claims in pain and addiction medical journals concerning the opioid crisis. Selected journals represent the opioid crisis as a medical problem. Using the method of discourse analysis, we examine 32 sampled articles from 3 medical journals published over the past decade to understand how the cause of the opioid crisis is represented. Drawing upon the sociological concept of responsibilization, we observe and explain two patterns in the responsibility claims. Pain medicine specialty journals tended to responsibilize physicians for their part in the crisis, whereas the addiction journal directed responsibility toward users. Despite some differences in proposed solutions, statements in both journals tend to responsibilize individual behaviours as the cause of the crisis. Accordingly, each article suggested solutions that target these behaviours. We argue that by focusing on individual behaviours, other factors and social conditions related to the crisis are omitted, including pharmaceutical companies, regulators, and health system infrastructure. We advocate for the need to redefine the assumptions related to the cause of the opioid crisis in order to consider alternative solutions.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142910906","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
Epidemics That Unveil and Accelerate Love: Rebirth via Disease in W. Somerset Maugham's The Painted Veil. 揭示和加速爱情的流行病：W.萨默塞特·毛姆的《彩绘的面纱》中的疾病重生。
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-14 DOI: 10.1007/s10912-024-09920-7
Hawk Chang
{"title":"Epidemics That Unveil and Accelerate Love: Rebirth via Disease in W. Somerset Maugham's The Painted Veil.","authors":"Hawk Chang","doi":"10.1007/s10912-024-09920-7","DOIUrl":"https://doi.org/10.1007/s10912-024-09920-7","url":null,"abstract":"<p><p>The outbreak and impact of COVID-19 alert humans to the fragility of life and interpersonal bonds. The pandemic and its aftermath bring us not only disease and death but fear and suspicion. Enforced lockdown, quarantine, and isolation worldwide hampered and slowed down human interaction. However, epidemics also prompt us to rediscover valuable qualities inherent in our everyday lives despite the many problems. The retrieval of love in Maugham's The Painted Veil (1925) is a case in point. By reading Maugham's The Painted Veil via the lens of epidemics and their impact on humanity, this paper discusses how disease can precipitate rather than impede human interaction. The discussion will help shed light on the meanings and implications of love during and after epidemics.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822753","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
Serving Refugees, Rediscovering Medicine, and Recovering from Burnout. 服务难民，重新发现医学，从倦怠中恢复。
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-12 DOI: 10.1007/s10912-024-09922-5
Malwina Huzarska
{"title":"Serving Refugees, Rediscovering Medicine, and Recovering from Burnout.","authors":"Malwina Huzarska","doi":"10.1007/s10912-024-09922-5","DOIUrl":"https://doi.org/10.1007/s10912-024-09922-5","url":null,"abstract":"<p><p>In the wake of the Russian invasion of Ukraine in February 2022, I found myself struggling with debilitating professional burnout as a physician assistant (PA) in emergency medicine. Despite initial fears and uncertainties, I chose to volunteer at a refugee center in Wroclaw, Poland, where I provided medical care to Ukrainian war victims. This experience proved to be a transformative journey, reigniting my passion for patient-centered care and addressing my burnout. Establishing a profound connection between medical care and humanity reminded me of the reasons I entered the medical profession. Practicing medicine in a refugee center, free from the constraints of the healthcare business model, allowed me to reconnect with the core values of my profession. This experience underscored the therapeutic potential of volunteering as a means to combat professional burnout and fostered a renewed commitment to patient care upon my return home. In an era where clinician burnout is increasingly prevalent, this narrative explores the importance of rekindling one's passion for medicine by returning to its fundamental purpose: compassionate, patient-centered care.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814265","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
Doctor, Will You Pray for Me? Medicine, Chaplains, and Healing the Whole Person, by Robert Klitzman. New York: Oxford University Press, 2024. 医生，你会为我祈祷吗？医学、牧师和治愈整个人，罗伯特·克里茨曼著。纽约：牛津大学出版社，2024。
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-11 DOI: 10.1007/s10912-024-09919-0
Benjamin W Frush
{"title":"Doctor, Will You Pray for Me? Medicine, Chaplains, and Healing the Whole Person, by Robert Klitzman. New York: Oxford University Press, 2024.","authors":"Benjamin W Frush","doi":"10.1007/s10912-024-09919-0","DOIUrl":"https://doi.org/10.1007/s10912-024-09919-0","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807986","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
Cut Bodies: Unica Zürn's Agential (Sur)Realism. 切割的身体：Unica z<e:1> rn的代理（Sur）现实主义。
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-03 DOI: 10.1007/s10912-024-09914-5
Skye Shannon Savage
{"title":"Cut Bodies: Unica Zürn's Agential (Sur)Realism.","authors":"Skye Shannon Savage","doi":"10.1007/s10912-024-09914-5","DOIUrl":"https://doi.org/10.1007/s10912-024-09914-5","url":null,"abstract":"<p><p>This article argues that mid-century Surrealist German author Unica Zürn's writing on the fetus and pregnancy anticipates New Materialist analyses of the liveliness of matter and the interactions of biology and history. Using philosopher-physicist Karen Barad's theories of Agential Realism as a lens, I unite a close reading of key moments in Zürn's oeuvre with an examination of medical practices in the midcentury and the lingering history of Nazi eugenics, demonstrating how politics and science come to both shape and deform the body in Zürn's prose. Through the interactions of both language and material, the bodies of the mother and fetus begin to double each other, and holocaust atrocities and abortion practices take on uncanny resonances.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773558","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
The State of Surrogacy in New York: A New National Prototype, New Patrons, New Perils? 纽约的代孕状况：新的国家模式，新的赞助人，新的危险？
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-03 DOI: 10.1007/s10912-024-09913-6
Nancy King Reame
{"title":"The State of Surrogacy in New York: A New National Prototype, New Patrons, New Perils?","authors":"Nancy King Reame","doi":"10.1007/s10912-024-09913-6","DOIUrl":"https://doi.org/10.1007/s10912-024-09913-6","url":null,"abstract":"<p><p>Four decades after the Baby M case that led to the prohibition of commercial surrogacy in New York, much has changed in the infertility industry. Advanced technologies including the advent of gestational carrier pregnancies had made it easier and more efficient to create IVF embryos at a distance and over time, accelerating a boom in cross-border, reproductive services and allowing compensated surrogacy to flourish in a growing number of surrogacy-friendly states and beyond. For international couples, the USA has become a hot spot for \"circumvention tourism\" given its first-rate medical care, ample supply of willing gestational carriers, burgeoning interest in family building among gay couples, and immediate USA citizenship for the child. This commentary reviews selected sociocultural and global forces that helped set the stage for the passage of the Child-Parent Security Act in New York state in 2021, and the efforts by its opponents for stronger protections not only for gestational carriers, but for gamete donors and the donor-conceived offspring. I argue that despite more responsive medical and legal guidelines, the high market demand and economic profits, combined with the lack of regulatory teeth, faulty assumptions about health risks and decision-making autonomy, and inadequate research on long-term health outcomes, continue to make compensated gestational surrogacy in the state of New York a high-risk venture without adequate informed consent. Possible unintended consequences and future research questions are proposed.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773564","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
The Rarest and Purest Form of Generosity: Simone Weil's Attention and Medical Practice. 最稀有、最纯粹的慷慨形式：西蒙娜-威尔的关注与医疗实践。
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-01 Epub Date: 2024-09-20 DOI: 10.1007/s10912-024-09885-7
Mark Kissler
{"title":"The Rarest and Purest Form of Generosity: Simone Weil's Attention and Medical Practice.","authors":"Mark Kissler","doi":"10.1007/s10912-024-09885-7","DOIUrl":"10.1007/s10912-024-09885-7","url":null,"abstract":"<p><p>Attention is essential to the practice of medicine. It is required for expert and timely diagnoses and treatments, is implicated in the techniques and practices oriented toward healing, and enlivens the interpersonal dimensions of care. Attention enables witnessing, presence, compassion, and discernment. The French philosopher and activist Simone Weil (1909-1943) developed one of the most original and important descriptions of attention in the last century. For Weil, attention is not an attitude of strained focus but of perceptive waiting that leads to the acquisition and integration of knowledge. Contrary to activities often foregrounded in clinical medicine, it requires renunciation of the will, gentle directedness toward the origin of actions, and diminishment of the self. This paper critically examines Weil's concept of attention as it applies to health systems, technical/intellectual work, and interpersonal care, as well as its connection to theology, and considers whether attention might find a home within the contemporary clinic.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"391-402"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298183","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
"This Is What You Get When You Lead with the Arts": Making the Case for Social Wellness. "这就是以艺术为引领的结果"：为社会健康辩护。
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-01 Epub Date: 2024-10-08 DOI: 10.1007/s10912-024-09895-5
Andrea Charise, Nicole Dufoe, Dirk J Rodricks
{"title":"\"This Is What You Get When You Lead with the Arts\": Making the Case for Social Wellness.","authors":"Andrea Charise, Nicole Dufoe, Dirk J Rodricks","doi":"10.1007/s10912-024-09895-5","DOIUrl":"10.1007/s10912-024-09895-5","url":null,"abstract":"<p><p>Like other key terms in the medical and health humanities-empathy, creativity, and reflection, to name just a few-wellness has become a weasel word, rife the language of optimization, duty, and self-perception. While alternative vocabularies exist-well-being and quality of life among them-these options usually privilege the objectives of academic (often psychological) research, health institutions, and the economic state apparatus, rather than people themselves. In mind of these concerns, why attempt to make a case for wellness at all? We present a historically informed, theoretically driven, praxis-guided framework for a renewed vision of social wellness (a concept first defined in the late 1950s). While definitions since Bill Hettler's \"hexagonal\" model (1980) have included mutual respect for others and the assumption of cooperative behaviors, conspicuously absent from contemporary definitions and usage is any mention of the aesthetic realm, which we-alongside philosophers like Amartya Sen and Martha Nussbaum-take as a central human capability. How can the relational possibilities of arts engagement be understood as not just a means of promoting individual wellness, but also as a method and outcome of social wellness? We propose that social wellness is ultimately premised on the interplay between wellness of the collective and the strength of the relational encounters it engenders. We turn to a key practice paradigm-community arts engagement-as both a vehicle for and site of social wellness. With brief reference to a Canadian exemplar, we conclude with concrete recommendations for addressing critical opportunities for advancing arts-led social wellness initiatives involving academic and community partners.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"449-463"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394132","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
Escape! 逃跑
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-01 Epub Date: 2024-07-02 DOI: 10.1007/s10912-024-09869-7
Jude Okonkwo
{"title":"Escape!","authors":"Jude Okonkwo","doi":"10.1007/s10912-024-09869-7","DOIUrl":"10.1007/s10912-024-09869-7","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"481-482"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493906","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
Maps of Our Spectacular Bodies, by Maddie Mortimer. London: Picador, 2022. 我们壮观的身体地图》，玛蒂-莫蒂默著。伦敦：Picador，2022 年。
IF 1.2
Journal of Medical Humanities Pub Date : 2024-12-01 Epub Date: 2024-02-13 DOI: 10.1007/s10912-023-09836-8
Arden Hegele
{"title":"Maps of Our Spectacular Bodies, by Maddie Mortimer. London: Picador, 2022.","authors":"Arden Hegele","doi":"10.1007/s10912-023-09836-8","DOIUrl":"10.1007/s10912-023-09836-8","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"467-469"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724425","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
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