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":"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":"310-317"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","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":"Shaping Indian biocitizens: Americanisation through medical education in the TB sanatorium paper <i>Sioux San Sun</i> (1938-1941<b>)</b>.","authors":"Joanna Ziarkowska","doi":"10.1136/medhum-2025-013262","DOIUrl":"10.1136/medhum-2025-013262","url":null,"abstract":"<p><p>The article aims to analyse health-related articles written for <i>Sioux San Sun</i>, an Indian tuberculosis sanatorium paper published between October 1938 and September 1941 in Sioux Sanatorium, Rapid City, South Dakota. To account for the ideological agenda behind the seemingly strictly informative content of the articles devoted to medical education, I apply the concept of biocitizenship. While biocitizenship is usually associated with the era of molecularisation, that is, the 21st century, I argue that it can be traced to the first half of the 20th century, when information campaigns about public health were engaged in the process of shaping medically informed biocitizens. By using particular biomedical language, this process resulted in the reconfiguration of individual personas within diverse spheres of authority, encompassing political, medical, legal and occupational domains. I believe that the main idea behind educational articles in <i>Sioux San Sun</i> is, apart from disseminating medical knowledge, to transform uneducated Indians into biocitizens.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"326-335"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276149","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":"Scenario planning and the medical humanities: envisioning the futures of health and healthcare.","authors":"Matthew Finch","doi":"10.1136/medhum-2025-013691","DOIUrl":"10.1136/medhum-2025-013691","url":null,"abstract":"","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"285-286"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146259589","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}
Priya Vaughan, Chloe Watfern, Barbara Doran, Ann Dadich, Stephanie Habak, Katherine Boydell
{"title":"Working in (and between) art and health: challenges and missteps.","authors":"Priya Vaughan, Chloe Watfern, Barbara Doran, Ann Dadich, Stephanie Habak, Katherine Boydell","doi":"10.1136/medhum-2025-013316","DOIUrl":"10.1136/medhum-2025-013316","url":null,"abstract":"<p><p>Art can have a positive impact on health and well-being and be efficacious in health research and dissemination processes. However, creative, arts-based approaches to research and knowledge translation sometimes have a precarious toehold in the spheres of both health and art. In this paper, we report on failures, misunderstandings, difficulties and ethical tensions associated with work undertaken in, and between, art and health. Using collaborative autoethnography, we draw on professional experiences and relevant literature to present four core challenges that can be encountered, and should be considered, when working in the art and health space: (1) who is art for? (2) gatekeeping, (3) ethical tensions and (4) taste and quality. We share these challenges to make visible the often-tacit expectations, ways of working and hierarchies of knowledge that underpin arts and health work. In our discussion, we offer suggestions for overcoming these challenges, in the hope they will be useful to others working in arts and health. We raise and explore questions-about knowledge, value, art and ethics-that might not have definitive answers, but that are productive to interrogate before undertaking an arts and health endeavour.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"381-391"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Metricorexia: the illness is hyper-real, even if the disease is not.","authors":"Sati Heer-Stavert","doi":"10.1136/medhum-2026-014298","DOIUrl":"https://doi.org/10.1136/medhum-2026-014298","url":null,"abstract":"<p><p>The proliferation of consumer health technologies that allow individuals to measure and monitor biometrical parameters of uncertain clinical significance facilitates the decoupling of disease and illness. Drawing on Baudrillard's account of the successive phases of the image, this paper maps the migration of clinical signs through four stages: disease, predisease, statistical risk and self-referential. This final stage is described as metricorexia, a preoccupation with self-recorded biometrical data that has become dissociated from recognised disease. Using a hypothetical example alongside emerging and contested clinical entities, the paper explores the emergence of algorithmic authority and questions how clinicians can respond to this challenge. I propose a hyper-real medicine that acknowledges this separation from material reality and adopts narrative-based medicine to understand the meaning of these metrics for the patient.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799377","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":"Psych ward gothic: melodrama, hospitalisation anxiety and a case for the humanities in psychiatric research.","authors":"Alastair Morrison","doi":"10.1136/medhum-2025-013521","DOIUrl":"10.1136/medhum-2025-013521","url":null,"abstract":"<p><p>This article offers a critical assessment of representations of psychiatric hospitalisation in modern Western societies, with the goal of informing clinicians' approach to communication and reassurance around involuntary hospitalisation. With evidence from film and fiction, it shows that these representations overwhelmingly fall into the genre of melodrama and, further, that this genre encodes conflicting but simultaneous historical anxieties about individual self-determination and community belonging, which become engrafted to the psychiatric hospital as a subject. With this critical assessment, the article also offers a model of how humanities scholarship can inform clinical psychiatry at the level of content, as distinct from the emphasis on listening skills and empathy in recent discussions of the humanities in psychiatry.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"392-399"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483506","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":"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":"304-309"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","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":"Return to normal? Remembered futures and the post-pandemic.","authors":"Sara DiCaglio","doi":"10.1136/medhum-2025-013303","DOIUrl":"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":"318-325"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","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":"Empathy, the scientific clinical gaze and contemporary practice: a critical reflection.","authors":"Lena Halawi, Atika Khalaf","doi":"10.1136/medhum-2025-013371","DOIUrl":"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":"292-295"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","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}
Mümtaz Dadalı, Arif Hüdai Köken, Nüket Örnek Büken
{"title":"Cases of child sexual abuse (Fi'l-i Şenî') and punishments during the Tanzimat Era in the Ottoman Empire.","authors":"Mümtaz Dadalı, Arif Hüdai Köken, Nüket Örnek Büken","doi":"10.1136/medhum-2025-013448","DOIUrl":"10.1136/medhum-2025-013448","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to examine cases of <i>fi'l-i şenî'</i> (sexual abuse) against children during the Tanzimat period using archival documents and scholarly literature, with the goal of revealing the punitive measures imposed on perpetrators.</p><p><strong>Methods: </strong>The research employs qualitative methods, specifically document analysis. A keyword search using 'fiil-i şeni' in the database of the Ottoman Archives under the Presidency of the Republic of Turkey yielded 29 relevant cases. The documents were examined with particular attention to maintaining semantic integrity on completion of the translation process. These cases were systematically tabulated in the findings section and analysed in the discussion section.</p><p><strong>Results: </strong>The study identified 29 cases of <i>fi'l-i şenî'</i> between 1839 and 1876. Four of these cases occurred before the implementation of the 1858 Penal Code, while 25 were adjudicated based on the 1858 Ottoman Penal Code. In the majority of cases, punishment was imposed in accordance with Articles 197, 198, 199 and 200 of the code.</p><p><strong>Conclusion: </strong>In the period preceding the 1858 Penal Code, <i>pranga</i> punishment-entailing the chaining of offenders' feet and forcing them to perform hard labour-was prominent. This served both punitive and deterrent functions. With the enforcement of the 1858 Penal Code, the legal framework became more systematic and sexual crimes were more explicitly defined and categorised. In particular, Articles 197, 198, 199 and 200 determined the type and severity of punishment based on the nature of the crime, the victim's age and the perpetrator's relationship to the victim.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"369-372"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410351","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}