{"title":"Communicating multispecies planetary health through multimodal humour and satire.","authors":"Massih Zekavat","doi":"10.1136/medhum-2025-013359","DOIUrl":"https://doi.org/10.1136/medhum-2025-013359","url":null,"abstract":"<p><p>This article explores the role of humour and satire in promoting multispecies planetary health, with a focus on the work of Indian cartoonist Rohan Chakravarty. Following a critical examination of anthropocentric perspectives in planetary health, the study examines how multimodal satirical narratives critique anthropocentrism, capitalism and environmental injustice through a qualitative analysis of his <i>Green Humour</i> series, while advocating for a holistic understanding of health that integrates human, non-human and ecological well-being. The analysis highlights the potential of humour and satire to engage diverse audiences, encouraging critical reflection on human-nature relationships, challenging systemic inequities and fostering a biocentric perspective. By addressing intersections of race, coloniality, gender and interspecies relationships, the study demonstrates how satirical communication can subvert traditional paradigms and encourage reflection on deeper environmental issues. The findings suggest that humour and satire offer a promising strategy for advancing planetary health, particularly in the context of climate change and global multispecies health promotion.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<i>Performing Endometriosis</i> as placental dramaturgy.","authors":"Verónica Rodríguez, Magdalena Mosteanu","doi":"10.1136/medhum-2024-013102","DOIUrl":"https://doi.org/10.1136/medhum-2024-013102","url":null,"abstract":"<p><p><i>Performing Endometriosis</i> is an autopathographic piece, written and performed by VR and directed by MM (coauthors of the present article). Divided into very short scenes (called Glimpses), <i>Performing Endometriosis</i> is a solo work about VR's lived experience of stage 4 endometriosis, where audiences are invited to encounter some key moments in her chronic illness journey. Most often experienced by women, endometriosis occurs when tissue similar to the lining of the uterus appears elsewhere in the body, becoming entrapped and finding no bodily exit. One of the uterus' healthy functions (if pregnancy occurs) is developing placenta, a disc of tissue that, among other things, provides nourishment to new life and is spontaneously delivered once it has performed its function. Departing from the ambivalently proliferative character of uteri and looking at feminist theory, feminist pedagogy in theatre training and the medical and health humanities, this article discusses the methodology used during the creative process of <i>Performing Endometriosis</i>, that is, placental dramaturgy. Originally developed towards performance-making, placental dramaturgy is a creative process characterised by a co-nurturing yet independent sense of collaboration. This article unpacks 'placental dramaturgy' with the aim of its replication in other feminist creative processes towards the making and delivering of performance.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Return to normal? Remembered futures and the post-pandemic.","authors":"Sara DiCaglio","doi":"10.1136/medhum-2025-013303","DOIUrl":"https://doi.org/10.1136/medhum-2025-013303","url":null,"abstract":"<p><p>The COVID-19 pandemic was and is many pandemics, experienced unevenly by people of different races, classes, bodies, in different locations, nations and circumstances. Moreover, the pandemic evolved across time and through distinct phases. In the USA, for instance, 2 weeks to stop the spread morphed into a summer marked by George Floyd's death and the ensuing activism; the winter's joy over vaccination availability became concern over its slow, uneven rollout. Waves of changing pop culture phenomena-Netflix shows like <i>Tiger King</i> or <i>Bridgerton</i>, hashtags like #hotvaxsummer-combined with the lived realities of the day-to-day, marked by illness, death, survival, fear, boredom, violence and grief. It is easy to forget the nuances of that day-to-day reality. Pandemics themselves are out of step with time, as a pandemic's past and present are a collapsed future time, as symptoms and diagnoses of infection remain out of sync with actual infection. And now, in this quasi-post-pandemic moment, the rhetoric of 'return to normal' and discourse about 'learning loss' suggest that society should operate uninterrupted-that it is possible to devise a future without the pandemic past. This article introduces the concept of remembered futures, or memories of futures imagined in the past. The pandemic's lived experience was an experience of many presents and possible futures, and so post-pandemic presents must also make room for those past futures imagined in past presents. To make this argument, I look at three works composed and published during Spring and Summer of 2020: Sabrina Orah Mark's <i>Paris Review</i> web column, 'Happily'; Charles Yu's short story 'Systems'; and Nguyên Khôi Nguyễn's graphic novel, 'Bittersweet: A Pandemic Sketchbook'. I argue that post-pandemic futures do not just require a memory of the past, but a memory of the futures of the past, to find their way towards the new possibilities for the future present.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Embodied wisdom: towards acceptable and helpful explanations for functional somatic symptoms.","authors":"Chloe Saunders, Heidi Frølund Pedersen, Charlotte Ulrikka Rask, Monica Greco, Lisbeth Frostholm","doi":"10.1136/medhum-2025-013380","DOIUrl":"https://doi.org/10.1136/medhum-2025-013380","url":null,"abstract":"<p><p>Many people with persistent symptoms navigate illness without an adequate explanatory framework. The systematic disadvantages that arise from the lack of a collectively shared explanation can be considered a form of epistemic injustice, namely hermeneutic injustice. In response to this problem, we explored whether therapeutically relevant and broadly acceptable explanations for symptoms could be developed through iterative stages of dialogue between knowledge partners with lived experience of multisystem functional somatic symptoms (FSS), healthcare professionals across disciplines, symptom researchers, translators and designers. This participatory design project, positioned within a contested area of healthcare, aimed to bridge the gap between patients' and healthcare professionals' epistemic worlds by offering a symptom explanation framework that can reflect complex causality and multiple perspectives. Key conceptual considerations encountered during the process included: the importance of coherence across ontological, scientific and clinical levels of explanation; the need for a therapeutic model of agency that empowers without assigning blame; the integration of temporal dimensions into explanation; the use of metaphor and personal narrative; the role of the internet in shaping illness identity; and the challenge of personalisation of explanations intended for the public domain. The resulting framework is available open-access at www.bodysymptoms.org and presents 28 broadly relevant, acceptable and usable explanations for FSS, drawn from current perspectives of patients, healthcare professionals and researchers across Europe, alongside actionable health advice.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Empathy, the scientific clinical gaze and contemporary practice: a critical reflection.","authors":"Lena Halawi, Atika Khalaf","doi":"10.1136/medhum-2025-013371","DOIUrl":"https://doi.org/10.1136/medhum-2025-013371","url":null,"abstract":"<p><p>This review essay critically examines a modern manifestation of the scientific clinical gaze, drawing upon Michel Foucault's foundational concepts. Using a Swedish medical case involving cultural bias and delayed diagnosis, the essay questions the strengths and vulnerabilities of the clinical gaze, highlighting its susceptibility to subjective distortions despite aspirations toward scientific objectivity. It situates this analysis within broader critiques of the sociopolitical entanglement of medicine, emphasising how implicit bias, institutional norms and power structures continue to influence clinical practice. The discussion further integrates recent scholarship from narrative medicine, cultural competence and reflexivity studies to propose an enriched model of clinical engagement. By advocating for the incorporation of empathy, narrative competence and reflexive awareness into clinical training and practice, the essay outlines strategies to mitigate the epistemic violence historically associated with the clinical gaze. These recommendations aim to advance medical humanities scholarship, foster more equitable healthcare delivery and prepare future practitioners for ethically attuned and culturally sensitive patient care. Through this critical reflection, the essay contributes to ongoing debates regarding the rehumanisation of modern medicine.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Áurea Esparza, Lorena Garcia, Francisco López Muñoz, Ana Olano, Eduardo M García-Rico
{"title":"Suffering and the collapse of language: between the sayable and the impossible.","authors":"Áurea Esparza, Lorena Garcia, Francisco López Muñoz, Ana Olano, Eduardo M García-Rico","doi":"10.1136/medhum-2025-013361","DOIUrl":"https://doi.org/10.1136/medhum-2025-013361","url":null,"abstract":"<p><p>This article explores the relationship between human suffering and the limits of language, positing that suffering is not simply an experience of physical pain or emotional distress but a fracture in the capacity to articulate meaning. It clearly distinguishes between pain (a localised sensory experience that is potentially communicable) and suffering (an existential experience that involves a rupture of the symbolic order).It is argued that suffering appears when personal narrative is interrupted or becomes incoherent, provoking what is termed a 'collapse of language'-moments when experience exceeds the expressive and symbolic capacity of the subject. This phenomenon is examined from multiple perspectives: the phenomenology of the body, philosophies of the limit (Lévinas, Derrida, Ricoeur) and clinical cases such as trauma, dementia and the diagnosis of serious illnesses.The text criticises the traditional definition of suffering proposed by Eric Cassell for presupposing a narrative self-consciousness, excluding prelinguistic or non-narrative forms of suffering. The text also tackles the issue of epistemic injustice in clinical contexts, where individuals discredit or lack conceptual resources to articulate their experiences of suffering.Finally, the article suggests an ethics of care that involves being open to what cannot be fully expressed, understanding that truly responding to suffering means not just trying to understand it completely or get rid of it, but being there in that difficult space where words fall short, while still providing human presence as support.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Emancipation through health: John Harvey Kellogg's advice to white women in the late 19th and early 20th centuries.","authors":"Laura Hirshbein, Mira Sripada","doi":"10.1136/medhum-2025-013350","DOIUrl":"https://doi.org/10.1136/medhum-2025-013350","url":null,"abstract":"<p><p>In the late 19th- and early 20th-century USA, at a time when most physicians were focused on women's health as it related to their reproductive organs, John Harvey Kellogg offered advice and assistance for women's good health based on their dress, diet and exercise. Kellogg was a physician, reformer and self-proclaimed scientist who was also the superintendent of a popular health resort, the Battle Creek Sanitarium, in Michigan. Kellogg was involved with the eugenics movement and supported measures such as the sterilisation of those deemed \"unfit\". At the same time, though, he insisted that white women could achieve emancipation by way of dressing and eating well and exercising their bodies and minds. His work offers a view into untangling the assumptions of the time about women's bodies and health.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From comics to care: exploring the education potential of graphic novel in organ transplantation journey.","authors":"Veronica Moretti, Enrica Baraldi, Patrizia Burra, Stefano Ratti","doi":"10.1136/medhum-2025-013277","DOIUrl":"https://doi.org/10.1136/medhum-2025-013277","url":null,"abstract":"<p><p>Organ transplantation profoundly enhances survival and quality of life for patients with end-stage organ failure but presents challenges such as lifelong immunosuppression, complications and psychosocial stress. The graphic novel <i>I nuovi noi</i> ('Our new selves') leverages Graphic Medicine to address these challenges, combining visual storytelling with healthcare insights. Developed collaboratively with patients, healthcare professionals and artists, the graphic novel offers an empathetic narrative that fosters understanding, improves treatment adherence and enhances communication. Based on structured interviews with 36 different healthcare professionals, this study evaluates the novel's impact on post-transplant care, underscoring the potential of Graphic Medicine to enrich medical education and patient support frameworks. Our analyses of healthcare professionals' opinions reveal the graphic novel's educational potential on three levels: health professionals, patients who had transplants and the public. The findings underscore the importance of tailoring communication tools to specific populations to maximise their impact in medical education and patient care.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The future of reproduction in Eve Smith's <i>Off Target</i> and Kira Peikoff's <i>Baby X</i>.","authors":"Aline Ferreira","doi":"10.1136/medhum-2025-013321","DOIUrl":"https://doi.org/10.1136/medhum-2025-013321","url":null,"abstract":"<p><p>This essay analyses two novels that explore reproductive scenarios which may be implemented in the near future: human germline genome editing and in vitro gametogenesis (IVG), dramatised in Eve Smith's <i>Off-Target</i> (2022) and Kira Peikoff's <i>Baby X</i> (2024), respectively.Smith's <i>Off Target</i> considers the plethora of medical, ethical, social and familial implications of germline editing, which is used to modify an embryo's genome and enhance it with traits deemed optimal that will be passed on to future generations, in this way effectively creating designer babies and radically interfering with the laws of evolution and genetic inheritance. The novel deals with the potential unintended consequences of genetic engineering, in particular CRISPR/Cas9. Genetic edits, if insufficiently tested, can have off-target effects, alluded to in the name of the novel. Peikoff's <i>Baby X</i> takes the premise of <i>Off Target</i> a step further by introducing IVG, exploring the multiple ramifications of this as yet undeveloped reproductive technology which would radically change the reproductive landscape as we know it.Meanwhile, the science that will enable germline editing and IVG is advancing rapidly, making it imperative to consider the far-reaching repercussions of these technologies, not only in medical terms but specifically with regard to ethical implications for families and society in general. These novels are powerful reminders that the debate about the future applications of genome editing and IVG needs to happen now. The issues raised by the novels will be analysed mainly through a gender studies and bioethics lens.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}