Kristin Zeiler, Sofia Morberg Jämterud, Anna Bredström, Anestis Divanoglou, Richard Levi
{"title":"A Qualitative Phenomenological Philosophy Analysis of Affectivity and Temporality in Experiences of COVID-19 and Remaining Symptoms after COVID-19 in Sweden.","authors":"Kristin Zeiler, Sofia Morberg Jämterud, Anna Bredström, Anestis Divanoglou, Richard Levi","doi":"10.1007/s10912-024-09858-w","DOIUrl":"10.1007/s10912-024-09858-w","url":null,"abstract":"<p><p>This article explores affectivity, temporality, and their interrelation in patients who contracted COVID-19 during the first wave of the pandemic in Sweden and with symptoms indicative of post-COVID-19 Condition (PCC) that remained one year after the infection. It offers a qualitative phenomenological philosophy analysis, showing how being ill with acute COVID-19 and with symptoms indicative of PCC can entail a radically altered self-world relation. We identify two examples of pre-intentional (existential) feelings: that of listlessness and that of not being able to sense what is real and not real, both of which, in different ways, imply a changed self-world relation. We offer an analysis of intentional feelings: how the fear of not \"returning\" to one's previous self and the hope of such a return weave together the present and the absent, as well as the past and the future, in ways that make the future appear as constricted, disquieting, or lost. We argue that a phenomenological differentiation among experiences of living with symptoms indicative of PCC-through attention to the way intentional affectivity and pre-intentional affectivity help shape the embodied self's attunement to the world-is apt to yield a better understanding of the variations within these experiences and contribute to clinical practice.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"37-57"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451842","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":"\"This was never about a virus\": Perceptions of Vaccination Hazards and Pandemic Risk in #Covid19NZ Tweets.","authors":"Maebh Long, Andreea Calude, Jessie Burnette","doi":"10.1007/s10912-024-09859-9","DOIUrl":"10.1007/s10912-024-09859-9","url":null,"abstract":"<p><p>In this paper, we draw on qualitative methods from the medical humanities and quantitative approaches from corpus linguistics to assess the different mappings of pandemic risks by Twitter (X) users employing the #Covid19nz hashtag. We look specifically at their responses to government measures around vaccines between August and November 2021. Risk, we reveal, was a major discursive thread in tweets during this period, but within our tweets, it was the vaccine rather than the virus around which hazard perception and response were grouped. We find that the discursive stance of those opposed to the vaccine evoked entangled medical and political hazards, untrustworthy experts, obscure information, restrictions on sovereignty, threats to children, and uncertain future dangers, all of which positioned them within what Ulrich Beck termed the world risk society. We also found that these narratives of risk manifested in specific Twitter styles, which employed a consistently larger number of hashtags. The lack of conjunctions between the hashtags, we argue, encouraged a disordered reading of doubt and precaution, as the hashtags presented triggering phrases whose interconnections were hinted at rather than specified. By contrast, those who tweeted in support of government measures were rhetorically led by solutions rather than risks, with one exception: their perception of those who were vaccine opposed. We use scholarship on risk and precautionary logic to map out the contrasting positions in tweets addressing Aotearoa New Zealand's pandemic experience during the closing months of 2021.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"115-140"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564800","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}
Allan Køster, Anthony Vincent Fernandez, Lars Peter Kloster Andersen
{"title":"Complicating Objectification in the Medical Encounter: Embodied Experiences in the ICU during COVID-19.","authors":"Allan Køster, Anthony Vincent Fernandez, Lars Peter Kloster Andersen","doi":"10.1007/s10912-024-09860-2","DOIUrl":"10.1007/s10912-024-09860-2","url":null,"abstract":"<p><p>Illness and injury are often accompanied by experiences of bodily objectification. Medical treatments intended to restore the structure or function of the body may amplify these experiences of objectification by recasting the patient's body as a biomedical object-something to be examined, measured, and manipulated. In this article, we contribute to the phenomenology of embodiment in illness and medicine by reexamining the results of a qualitative study of the experiences of nurses and patients isolated in an intensive care unit during the first wave of COVID-19. Drawing upon the phenomenological concept of embodiment-as developed in the work of Edmund Husserl, Maurice Merleau-Ponty, Jean-Paul Sartre, and Emmanuel Levinas-we reconsider how bodily objectification manifests in complex clinical encounters. We show that, in these settings, objectification is not simply the unilateral act of a clinician objectifying a patient. Rather, both clinicians and patients reported a variety of objectifying experiences influenced by their interactions, the immediate context of the intensive care milieu, and the broader atmosphere of a global pandemic. In light of these findings, we argue that bodily objectification in illness and medicine can often be more complicated than typically presented in the phenomenological literature.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"75-90"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141493905","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 Pandemic, Mining Violence, and the Case of the Sanöma/Yanomami People.","authors":"Sílvia Guimarães","doi":"10.1007/s10912-024-09905-6","DOIUrl":"10.1007/s10912-024-09905-6","url":null,"abstract":"<p><p>In Brazil, the health emergency unleashed by the Covid-19 pandemic must be understood in the context of the government administration of the former president, Jair Bolsonaro. The new coronavirus was turned into a war machine, something already seen in other moments of the history of indigenous peoples, when epidemics were strategically used to promote indigenous genocide and usurp their territories. The Sanöma, a subgroup of the Yanomami language family, assert that Covid-19 did not leave individualized traces of 'sequelae' but made itself felt in the deaths that could not undergo the traditional funeral rites due to the sanitary measures, generating a cosmological and existential tension for the collective as a whole. It was also felt in the invasion of their lands by thousands of miners who brought violence and malaria to the communities, debilitating their food sovereignty, and in the dismantling of public health services in the indigenous land. Time was suspended, and the infection continued with the accompanying violation of rights, with a divergent understanding of who is recovered or who is healthy. This article is the result of a Covid-19 research project conducted in partnership with the Sanöma leaders. Based on reports from the Sanöma themselves, reports about the Yanomami and the government of former President Bolsonaro, interviews with indigenous leaders in newspapers and reports produced by indigenous organizations and their supporters, a set of information about Covid-19 among indigenous peoples and violations of human rights among the Sanöma people were systematized and analyzed and now make up this article.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"141-158"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629681","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":"Tuning.","authors":"Katherine Blanton","doi":"10.1007/s10912-024-09866-w","DOIUrl":"10.1007/s10912-024-09866-w","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":"159"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433033","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":"A Missed Opportunity: Humanities in Anatomy Lab.","authors":"Emily Beckman, Chad E Childers, Jane Hartsock","doi":"10.1007/s10912-025-09937-6","DOIUrl":"https://doi.org/10.1007/s10912-025-09937-6","url":null,"abstract":"<p><p>A first-year medical student's first patient is already dead. For decades, the cadaver, or body donor, has been the human body on which students first examine, cut, identify, and discover. That the student forms a detachment from the body and the person who once occupied the body, however, initiates a pedagogical series of events that is difficult to undo at best and may be harmful at worst. This process reveals gaps in the anatomical instruction process that present a missed opportunity to educate future physicians in a way that not only maintains their humanity and capacity for empathy but also enhances it. The anatomy lab should be a place where early medical students converse about death and begin to confront their own feelings of discomfort and hesitation. Relying on a metaphor of disappearance, as articulated by Jewson, this paper reframes this problem and offers new ways of improving human anatomy instruction through a brief examination of the history of anatomy in general, the history of the actual human being (body donor) in particular, and the response of the student through humanities-based interventions and content. In what follows, we consider the existing gaps, the possible curricular options for enhanced education, and the potential benefits of incorporating a more robust humanities curriculum in the anatomy laboratory for first-year medical students.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524970","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":"Scripts and Revelations: Notes on the Gender Reveal Party.","authors":"George Estreich","doi":"10.1007/s10912-025-09930-z","DOIUrl":"https://doi.org/10.1007/s10912-025-09930-z","url":null,"abstract":"<p><p>\"Scripts and Revelations\" argues that the gender reveal party is a creative response to the affordances of recent technologies: prenatal tests allow us to discern fetal sex before birth, and social media platforms allow us to share intimate moments for a potentially unlimited audience. Building on the work of scholars of gender (Astri Jack, Carli Gieseler) and disability (Robert McRuer, Tobin Siebers), and interpolating his experience as the father of a young woman with Down syndrome, the author argues that gender and disability cannot be considered in separation, and that the ritual's peculiarities are, in part, a reaction to prenatal tests that disclose both fetal sex and disability status; the gender reveal party strictly separates these-celebrating one, silencing the other-and thus tends to enforce strict norms around both disability and gender. Examining blog posts about gender reveal parties sponsored by prenatal testing companies, viral videos of catastrophic accidents, and compilations of \"gender reveal fails,\" the author considers the gender reveal party from multiple angles, including economic (the gender reveal is an expressive act within a system that monetizes expression) and technological (the ritual reveals the extent to which our lives are coextensive with digital technologies). The author then turns to personal experience, raising the question of how to publicly welcome children with disabilities and other differences, those for whom no script of welcome yet exists.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190945","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":"Phenomenology of Identity: Narrative Medicine Curricula in the Care of Eating Disorders.","authors":"Laila Knio, Harini Sridhar","doi":"10.1007/s10912-025-09929-6","DOIUrl":"10.1007/s10912-025-09929-6","url":null,"abstract":"<p><p>A growing body of literature explores the intersection of eating disorders and identity formation-an entanglement that makes eating disorders particularly challenging to treat. Narrative medicine is a discipline of the health humanities that is interested in bearing witness to patients' stories with a closeness and rigor that enhances clinical care. The pedagogy of the field is the narrative medicine workshop, which mobilizes close-reading of works of art and reflective writing to improve our understanding of Self and Other. Narrative medicine workshops can be a compelling tool in enhancing the care of eating disorders by helping patients and their providers embrace uncertainty and challenge a singular narrative of illness. We facilitated parallel workshop series for patients and providers at a residential eating disorder treatment center and conducted qualitative interviews with four patients and three staff participants. Through a close read of participants' accounts, we constructed three themes: Phenomenology of Illness, Phenomenology of Change, and Orientation to Treatment. Group participants shared how workshops illuminated the embodied experience of eating disorders, fostered agency, and provided a sense of recognition and belonging. Providers particularly expressed newfound allyship with patients. This study highlights the value of narrative medicine workshops in shifting a patient's perspectives towards treatment and in promoting a patient-as-partner approach in the treatment of eating disorders-outcomes that situate the pedagogy of narrative medicine as a promising supplement to traditional eating disorder treatment.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048225","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":"\"DNA Doesn't Lie:\" Genetic Essentialism and Determinism in Law & Order: Special Victims Unit.","authors":"Alice Lillydahl, Jay Clayton","doi":"10.1007/s10912-024-09923-4","DOIUrl":"https://doi.org/10.1007/s10912-024-09923-4","url":null,"abstract":"<p><p>Law and Order: Special Victims Unit (SVU) (1999-present) is a popular primetime drama that spotlights the use of genetic information to solve crimes. Despite the show's heavy reliance on the forensic use of DNA evidence, the role of genetics in defining family and identity arises in complex ways. Many episodes wrestle with social, ethical, and legal questions that reflect assumptions about genetic essentialism and genetic determinism, but counterarguments about the importance of non-biological relationships, social factors, and legal entitlements are given equal or greater weight. For this study, we identified and viewed 38 episodes from SVU's first twenty seasons centered on genetic themes in non-forensic contexts. Two recurring themes emerged: (1) that the role DNA plays is only one factor in a complex web of biological and social considerations that shape our understanding of kinship; and (2) that genetic predispositions to behavioral traits such as mental illness or violence should not be seen as obscuring the responsibility of personal choice. By treating genetics as a complex source of information requiring social context to be understood, SVU allows audiences to play an active role in interpreting its meaning.</p>","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034483","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":"House Calls in the Desert.","authors":"Evelyn M Potochny","doi":"10.1007/s10912-025-09933-w","DOIUrl":"https://doi.org/10.1007/s10912-025-09933-w","url":null,"abstract":"","PeriodicalId":45518,"journal":{"name":"Journal of Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025121","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}