{"title":"Silent Speech in Phaswane Mpe's HIV/AIDS Writing.","authors":"Sheila Giffen","doi":"10.1007/s10912-024-09871-z","DOIUrl":"10.1007/s10912-024-09871-z","url":null,"abstract":"<p><p>South African writer Phaswane Mpe (1970-2004) is often canonized and memorialized as a brave truth-teller who broke the silence on HIV/AIDS in the context of government silence and denial. And yet Mpe's writings-including poetry, short stories, a novel, and scholarly criticism-contemplate illness as a problem for truth and representation in works that linger in silence and ambiguity. This article analyses the tension between silence and speech in Mpe's creative writing in response to HIV/AIDS. Using Mpe's works as an illustrative example, I trouble the desire to read illness narratives as forms of truth-telling and silence-breaking. The desire for the transparency of speech in a global archive of illness narratives also informs a colonial politics of representation that instrumentalizes literature as ethnographic evidence. Mpe's writing on HIV/AIDS refuses a demand for authenticity by holding the embodied experience of disease at a slight remove from the reader in order to register the forms of spiritual and epistemological crisis that epidemic and social loss produce. My contention is that the political stakes of this writing lie not in Mpe's ability to render a public health crisis with verisimilitude, but in the capacity for writing to provide solace and sublimity faced with death. Through an analysis of Mpe's fiction and poetry, this article proposes a methodology for reading the politics of illness narratives across globalized space which attends to the world-building potential of creative expression as a radical practice that resists incorporative models of aesthetic intelligibility.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"205-220"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113241","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}
Virginjia Vilkelyte, Luna Dolezal, Juanita Navarro-Páez, Charlotte A Wu, Will Bynum, Zara Slattery
{"title":"The Room.","authors":"Virginjia Vilkelyte, Luna Dolezal, Juanita Navarro-Páez, Charlotte A Wu, Will Bynum, Zara Slattery","doi":"10.1007/s10912-024-09899-1","DOIUrl":"10.1007/s10912-024-09899-1","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"259-265"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394133","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}
Rachel Conrad Bracken, Kenneth A Richman, Rebecca Garden, Rebecca Fischbein, Raman Bhambra, Neli Ragina, Shay Dawson, Ariel Cascio
{"title":"Correction: Developing Disability-Focused Pre-Health and Health Professions Curricula.","authors":"Rachel Conrad Bracken, Kenneth A Richman, Rebecca Garden, Rebecca Fischbein, Raman Bhambra, Neli Ragina, Shay Dawson, Ariel Cascio","doi":"10.1007/s10912-024-09917-2","DOIUrl":"10.1007/s10912-024-09917-2","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"321-322"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689127","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":"Introduction to Special Issue on \"Beyond Illness and Literature: A Global Approach\".","authors":"Jorge J Locane, Marta Puxan-Oliva","doi":"10.1007/s10912-025-09951-8","DOIUrl":"10.1007/s10912-025-09951-8","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"177-180"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217230","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":"Perspectives.","authors":"Lilit Sargsyan","doi":"10.1007/s10912-025-09934-9","DOIUrl":"10.1007/s10912-025-09934-9","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"319-320"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190944","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":"Narrating Loneliness: Isolation, Disaffection, and the Contemporary Novel.","authors":"Neus Rotger","doi":"10.1007/s10912-024-09855-z","DOIUrl":"10.1007/s10912-024-09855-z","url":null,"abstract":"<p><p>This article focuses on the ways in which narrative accounts of loneliness in literature problematize current definitions of this important and yet underexplored determinant of health. I argue that the prevailing conceptualization of loneliness in health research, with a general emphasis on social prescribing, obscures other dimensions of loneliness beyond social connectedness that also need to be accounted for in its definition. Drawing on narrative approaches to health and care and taking as a case study Santiago Lorenzo's Spanish novel Los asquerosos (2018), the article gestures toward a more political-rather than exclusively subjective and relational-reading of loneliness. It shows how the novel's exploration of loneliness as an ambivalent experience of tranquility and disaffection questions whether there is any direct causation between loneliness and aloneness or social isolation, presenting loneliness not so much as a problem or a social pain in need of curing, but as a symptom of a larger structural crisis. The article also reflects on the ability of literary narratives to illuminate, discuss, and ultimately challenge the underlying dynamics of loneliness, raising questions about how we understand these narratives and the type of agency we attribute to them.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"221-234"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440947","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 Use of Hand Gestures (Hastas) in Bharatanatyam for Creative Aging.","authors":"Sloka Iyengar","doi":"10.1007/s10912-024-09861-1","DOIUrl":"10.1007/s10912-024-09861-1","url":null,"abstract":"<p><p>Bharatanatyam is a traditional Indian dance form that involves the use of facial expressions and body movements to tell stories. A key aspect of Bharatanatyam is the use of hand gestures, also known as hastas, which are used to communicate with specificity and precision. Hastas are symbols, and along with facial expressions and body movements that are contextually relevant, they help to communicate narratives. I am a neuroscientist and have been immersed in Bharatanatyam for 25 years; true to the tradition of the form that emphasizes lifelong scholarship and immersion, I continue to learn from my gurus and supplement my dance training with the study of Carnatic music and Sanskrit. My journey in creative aging started after losing my mother and witnessing the lack of access to expressive movement that was available to her; for fear of falls, my previously-dynamic mother spent the last three months of her life without leaving the bed or feeling the sunshine on her skin. By using hastas in the context of creative aging, I describe how we can promote the acquisition of new skills, the physical benefits even in the face of arthritis and limited mobility, the ability to ascribe meaning to the gestures, and the capability to form new meanings and new gestures that are contemporary and relevant to the lives of older adults. Above all, we can engage older adults actively in the creation and appreciation of art.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"235-242"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443511","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}
Susanna Foxworthy Scott, Nicole L Johnson, Jennifer J Bute, Maria Brann, Darla Imhausen-Slaughter
{"title":"\"I Delivered With a Team Where I Recognized No One\": Understanding Depersonalization of Healthcare Through Women's Birth Stories.","authors":"Susanna Foxworthy Scott, Nicole L Johnson, Jennifer J Bute, Maria Brann, Darla Imhausen-Slaughter","doi":"10.1007/s10912-025-09957-2","DOIUrl":"https://doi.org/10.1007/s10912-025-09957-2","url":null,"abstract":"<p><p>The COVID-19 pandemic brought significant changes to obstetric care, leading to decreased interactions, heightened medical interventions, and restricted support for birthing individuals, which in turn increased the risk of maternal and infant health concerns. This study investigated how birth stories from individuals who gave birth during the pandemic reflected their relational orientation toward healthcare providers, using Martin Buber's I-It and I-Thou framework and Davis-Floyd's technocratic model of birth as analytical lenses. Based on a phronetic iterative approach, data were gathered at three time points from surveys, focus groups, and interviews with 50 participants. Results revealed that birth narratives often reflected an I-It orientation, with healthcare providers described impersonally as a collective \"they.\" Experiences were characterized by strict protocols, information control, and isolation, forming the mechanized birth. In contrast, stories involving meaningful interpersonal connections with healthcare providers illustrated the preservation of a \"normal\" birth experience and revealed the dialogical nature of birth and I-Thou orientation, in which relational, humanized care emerged despite pandemic restrictions. Findings emphasize the need for relationship-centered care that prioritizes patient individuality, humanity, and rights, even in times of crisis. Healthcare providers and policymakers should consider balancing technological efficiency with holistic, humanistic medicine, and consider how post-pandemic obstetric care can incorporate philosophical and ethical principles that prioritize relational aspects of birth for improved maternal and infant outcomes.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175218","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":"Cutting into Change: Reflection on Surgeon Diet and Professional Identity.","authors":"Thriaksh Rajan, Neil Mehta","doi":"10.1007/s10912-025-09959-0","DOIUrl":"https://doi.org/10.1007/s10912-025-09959-0","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-28","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}
{"title":"Building the Worlds That Kill Us: Disease, Death, and Inequality in American History, by David Rosner and Gerald Markowitz. New York: Columbia University Press, 2024.","authors":"Arline T Geronimus","doi":"10.1007/s10912-025-09961-6","DOIUrl":"https://doi.org/10.1007/s10912-025-09961-6","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162726","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}