Medical Humanities最新文献_第2页

Narratives and the psychological functions of narration in French lockdown diaries. 法国禁闭日记中的叙事与叙事的心理功能。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-23 DOI: 10.1136/medhum-2026-014079

Cynthia Fleury, Valérie Gateau

{"title":"Narratives and the psychological functions of narration in French lockdown diaries.","authors":"Cynthia Fleury, Valérie Gateau","doi":"10.1136/medhum-2026-014079","DOIUrl":"https://doi.org/10.1136/medhum-2026-014079","url":null,"abstract":"The COVID-19 pandemic was an 'extraordinary' situation that raised many ethical and political questions about the role of care in society, as well as the exercise of democracy in the context of major restrictions on freedoms. During the first lockdown in France, many people shared their daily experiences in 'lockdown diaries'. This can be explained by the psychological functions of narration which, among other things, allow people to break out of isolation by sharing their feelings and daily life. For this reason, we analysed pandemic-related narratives published online in France throughout the initial lockdown, viewing them as a way of accessing people's lived experiences during this period. We classified three categories of diaries according to the narrator's perspective: those of the general public, those of healthcare professionals and patients, and those of intellectuals. The main objectives of the study were: (1) To understand the plurality of pandemic experiences; (2) To highlight the different functions of narration mobilised by the three types of narrators; and (3) To understand how they adressed the ethical and political questions raised by the crisis. Through a qualitative analysis of 292 entries from 11 'logbooks', this research uncovered themes common to all narrators, notably the central role of solidarity in crisis response. Additionally, it identified distinct thematic patterns across narrator categories-disruptions to daily life for the general public, ethical dilemmas in care for healthcare professionals and political critiques among intellectuals. The study showed that all narrators used the sharing and memorisation functions of narration, and that they mobilised the cathartic, political and imaginative functions of narration in different ways. Finally, the results suggested that pandemic narratives could contribute to democratic debate and the formulation of collective crisis responses in the future.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031678","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}

引用次数: 0

How illuminating, clarifying and contextualising shame can transform healthcare: the shame lens. 如何启发性，澄清和背景羞耻感可以改变医疗保健：羞耻镜头。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-23 DOI: 10.1136/medhum-2025-013636

William Bynum, Luna Dolezal

{"title":"How illuminating, clarifying and contextualising shame can transform healthcare: the shame lens.","authors":"William Bynum, Luna Dolezal","doi":"10.1136/medhum-2025-013636","DOIUrl":"https://doi.org/10.1136/medhum-2025-013636","url":null,"abstract":"Despite widespread efforts to advance the Quadruple Aim, persistent challenges continue to impede progress. One important yet largely unacknowledged contributor may be shame-a complex and deeply human emotion that can profoundly shape behaviours, relationships and organisational dynamics throughout healthcare. In this paper, we propose the 'shame lens' as a novel framework for advancing the Quadruple Aim. We describe three functions of the shame lens: illuminating shame, clarifying shame-driven behaviours and contextualising shame within social and institutional structures, and we discuss their value in advancing health outcomes, healthcare professional well-being and effective organisational dynamics. We incorporate practical strategies for integrating shame-sensitive approaches into healthcare, including education for clinicians and learners, organisational reform and everyday practices that foster respect, accountability and emotional awareness. We ultimately argue that recognising and addressing shame can enhance professional well-being, improve health outcomes and strengthen trust, advancing meaningful progress towards the Quadruple Aim.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031715","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}

引用次数: 0

Gates of hardened steel: Bruce Springsteen's Mansion on the Hill and the father-son relationship. 硬钢之门：布鲁斯·斯普林斯汀的山上的豪宅和父子关系。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-21 DOI: 10.1136/medhum-2026-014144

Adam Flynn

{"title":"Gates of hardened steel: Bruce Springsteen's Mansion on the Hill and the father-son relationship.","authors":"Adam Flynn","doi":"10.1136/medhum-2026-014144","DOIUrl":"https://doi.org/10.1136/medhum-2026-014144","url":null,"abstract":"This essay contributes to the medical humanities by using Bruce Springsteen's 1982 song 'Mansion on the Hill' from his album Nebraska to interrogate the clinical aetiology of the 'paternal void' and generational emotional inheritance. Grounded in rigorous psychoanalytical scholarship, the analysis synthesises the relational theories of D W Winnicott and more contemporary advances by Jessica Benjamin, Christopher Bollas and André Green to decode the song's architectural and narrative metaphors.The distant, hardened steel gates of the mansion represent the emotional distance of the father rather than the typical socioeconomic framing of the song. This is used to demonstrate how the child narrator of the song must create a Winnicottian 'False Self' to survive in a failed emotional environment. The mansion is further conceptualised as a 'conservative object' and a monument of 'normotic' architecture, representing the father's defensive psychic boundary and profound emotional decathexis. Finally, through Benjamin's intersubjective lens, the essay examines how the silent father-son car ride traps the dyad in a coercive state of complementary 'twoness', precipitating a collapse of mutual recognition and further fostering the child's compliant 'False Self'.The manuscript demonstrates how the literary and performing arts serve as a vital 'facilitating environment' for processing Bollas' 'unthought known', illustrating how artistic sublimation transforms isolated relational deprivation into a shared space of cultural and clinical understanding, creating a safe environment in which to explore inter-relational theories.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018158","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}

引用次数: 0

Visiting recognition: a palimpsest model of personhood at the threshold of death. 来访的认识：在死亡的门槛上的人格的重写模型。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-18 DOI: 10.1136/medhum-2026-013922

Lita Doolan

{"title":"Visiting recognition: a palimpsest model of personhood at the threshold of death.","authors":"Lita Doolan","doi":"10.1136/medhum-2026-013922","DOIUrl":"https://doi.org/10.1136/medhum-2026-013922","url":null,"abstract":"Background: At the end of life, clinical care often reduces a person to a single dimension-a past biography, a present symptom or a future decline. Existing person-centred models offer immense value but provide limited guidance for sustaining personhood across time.Methods: This essay builds a 'palimpsest model' of personhood by pairing close readings of Sophocles' Antigone and Sebastian Barry's The Steward of Christendom with dementia care frameworks, narrative medicine and genetic risk research. Drawing on the UK Research and Innovation (UKRI)-funded Time and Tide coastal arts project (2022), the analysis examines how recognition practices either sustain or collapse personhood's temporal complexity. Clinical observations from dementia care settings provide grounded evidence of how recognition works in practice.Findings: Personhood persists across its three dimensions-past biography, present relationship and anticipated future. Ethical failures happen when we freeze a life in a single time frame-whether through Creon's political decrees, institutional care routines or the predictive profiling of apolipoprotein E (APOE)-ε4 genetic risk. Countering this requires what this essay calls 'visiting recognition': an ongoing, distributed practice that moves between a person's layers without demanding coherence. APOE-ε4 provides a case study showing how gene-gene interaction offers biological grounding for rejecting reductionist personhood models. Clinical observation reveals that biographical memory, material preferences and routine provide anchoring points for recognition even when cognitive capacity diminishes.Conclusions: Effective care at life's threshold requires institutional support for temporal recognition. Dementia care, advance planning and genomic counselling should hold memorial, relational and anticipatory dimensions simultaneously, with recognition understood as ongoing relational work rather than one-time acknowledgement.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002487","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}

引用次数: 0

Looking back to look ahead: a BERTopic-assisted scoping review of Medical Humanities (2000-2025). 回顾未来：bertopic辅助的医学人文学科范围审查（2000-2025）。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-18 DOI: 10.1136/medhum-2025-013682

Luxin Yin

{"title":"Looking back to look ahead: a BERTopic-assisted scoping review of Medical Humanities (2000-2025).","authors":"Luxin Yin","doi":"10.1136/medhum-2025-013682","DOIUrl":"https://doi.org/10.1136/medhum-2025-013682","url":null,"abstract":"This study provides a scoping review of the periodical BMJ Medical Humanities in order to identify thematic changes evident in the journal between 2000 to 2025. Metadata for the review, including abstracts, publication years, authors and PubMed Identifiers (PMIDs), were gathered from PubMed, followed by data cleaning to remove partial and duplicate documents; the resulting final corpus consisted of 912 open access validated sources. Analysis was conducted in three parts: (1) Prevalent topics were identified using BERTopic, a topic-modelling approach based on transformers well suited to large corpora; (2) Themes were created using a synthesis of machine-derived topics; and (3) Data were visualised through R to identify changes in the themes. Five overarching themes emerged from the analysis: The Patient Journeys & Specific Conditions has grown significantly since 2015, indicating a growing interest in the journal towards articles addressing phenomenology, stigma, disabilities and personal experiences. Meanwhile, Narrative & Arts in Health and History & Culture of Medicine have remained foundational while Practice & Education and Mind, Body & Ethics remain reflective themes. This paper highlights the debate between narrative medicine and narrative humility and the importance of critical and posthumanist perspectives, thereby promoting structural and phenomenological research approaches. The study's findings may be limited by its use of abstracts only in topic modelling and the sensitivity of machine learning parameters. The study concludes with a discussion on its findings' implications for justice-based education in the medical humanities and mixed-methods syntheses in the field.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149002434","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}

引用次数: 0

Hot flashes, brain fog, nobility: menopause narratives and breached cultural silences in Bombay Begums. 潮热、脑雾、高贵：孟买贝格姆斯的更年期叙事和打破文化沉默。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-15 DOI: 10.1136/medhum-2026-013909

Meghna Haridas, Gayathri Prabhu

{"title":"Hot flashes, brain fog, nobility: menopause narratives and breached cultural silences in Bombay Begums.","authors":"Meghna Haridas, Gayathri Prabhu","doi":"10.1136/medhum-2026-013909","DOIUrl":"https://doi.org/10.1136/medhum-2026-013909","url":null,"abstract":"In contradistinction to an expanding corpus of texts that depict experiences of menopause in the Global North, there has been a paucity of cultural representations of the menopausal experience in the Global South. A recent exception to this has been the Hindi web series Bombay Begums (2021), directed by Alankrita Shrivastava and Bornilla Chatterjee, which has explicit depictions of a middle-aged successful professional coping with menopause. The character's body is repeatedly shown as the register for her experiences of menopausal symptoms such as hot flashes, in lieu of a merely diagnostic or medicalised presentation. The article argues that the audiovisual medium emerges as the primary representational site where long-standing cultural reticence in depicting menopause is addressed in India. Drawing from Elizabeth Grosz's argument of 'textualised bodies' the paper proposes the concept of menopause textualities as an alternative framework to analyse the complexities of cultural productions such as Bombay Begums, where the semantics of menopause are presented by the character's physical actions while the audiovisual mode employs its narrative devices to stay sympathetic and give an account of such embodiment. It is through the experiences of the central character, who is facing a crisis in her leadership role, as also her simultaneous exploration of new desires and ambitions, that the series addresses and presents a nuanced intertextuality of gender, class, age and health of the urban subject, thus breaching collective silences in a manner that has no precedence in the Indian cultural industry.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978047","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}

引用次数: 0

Everything in PICU is πr²: compassion and personhood in paediatric intensive care. PICU的一切都是πr²：儿童重症监护中的同情心和人格。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-15 DOI: 10.1136/medhum-2026-013888

Amy Marie Sanders, Edgar Brincat

引用次数: 0

The liminal diagnosis: how language shapes identity and care in desmoid tumours. 阈限诊断：语言如何在硬纤维瘤中塑造身份和护理。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-09 DOI: 10.1136/medhum-2026-013859

Brendan James Clark

引用次数: 0

Two banks of the same river: a conversation with Dr Justice D Y Chandrachud, the fiftieth Chief Justice of India, on medical humanities and jurisprudence. 同一条河的两岸：与印度第五十任首席大法官钱德拉楚德（D Y Chandrachud）博士关于医学人文和法学的谈话。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-09 DOI: 10.1136/medhum-2026-014244

Satendra Singh, Gayathri Prabhu

{"title":"Two banks of the same river: a conversation with Dr Justice D Y Chandrachud, the fiftieth Chief Justice of India, on medical humanities and jurisprudence.","authors":"Satendra Singh, Gayathri Prabhu","doi":"10.1136/medhum-2026-014244","DOIUrl":"https://doi.org/10.1136/medhum-2026-014244","url":null,"abstract":"This essay emerges from a detailed interview with India's former Chief Justice of the Supreme Court, Dr Justice D Y Chandrachud, on legal matters related to medical ethics. The interlocutors-a scholar of literary studies and a scholar of medical sciences who is also a noted public activist in disability litigation-cover a wide range of topics that include health advocacy, legal implications for medical practice, language and expression, autonomy and morality, and medical jurisprudence. This essay synthesises an attempted overarching perspective that the former Chief Justice (who served from 2022 to 2024) provided to medical humanities in the institutional Indian context of courts and universities as well as individuals and families. Dr Justice Chandrachud's responses address the historical context of Indian law-how its colonial inheritance had to perforce interact with a wide and heterogeneous body of indigenous Indian religious and secular law, and how that interaction is still ongoing and continually re-interpreted. Dr Chandrachud references landmark judgements from varied global legal systems as well as canonical texts to discuss the challenges of judgements and policy to continually recognise, and then ameliorate, newer and subtler structures of exclusion. He foregrounds the importance of rights, where consent, confidentiality and non-discrimination are legal duties. The conversation concludes with the affirmation of how medical education and curricula need to customise pedagogy to facilitate and partake in a transformative and ethically informed citizenship.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921195","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}

引用次数: 0

Sociotechnical imaginaries and enabling infrastructures: Türkiye's digitally mediated pandemic response. 社会技术想象和有利的基础设施：<s:1> rkiye的数字媒介大流行应对。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-09-07 DOI: 10.1136/medhum-2026-014074

Melike Şahinol

{"title":"Sociotechnical imaginaries and enabling infrastructures: Türkiye's digitally mediated pandemic response.","authors":"Melike Şahinol","doi":"10.1136/medhum-2026-014074","DOIUrl":"https://doi.org/10.1136/medhum-2026-014074","url":null,"abstract":"This article examines how 3D printing emerged as an enabling technology during the COVID-19 pandemic in Türkiye and how its emergency deployment helped shape post-pandemic futures of care, production and sociotechnical coordination. Drawing on sociotechnical imaginaries, infrastructure studies and feminist science and technology studies approaches to care, I argue that pandemic responses did not simply introduce new tools but reorganised practices of care and production and redistributed responsibility among actors. Empirically, the paper combines situated field engagement in a makerspace and subsequent tracing of its pandemic-related activities with qualitative analysis of institutional documents, media reports and scientific literature on digital health and additive manufacturing. The analysis traces how heterogeneous infrastructures linking maker communities, hospitals, technoparks and state innovation agendas stabilised imaginaries of rapid response, civic participation and future-oriented healthcare. I use the concept of enabling infrastructures to show how these arrangements made particular interventions technically possible, socially legitimate and politically imaginable. They also exposed tensions between openness and standardisation, civic empowerment and unevenly distributed labour, and technosovereign aspirations and continued global dependencies. Taken together, these tensions reveal how encounters among engineering, medicine and civic making reshaped expectations about who should care, who could legitimately innovate and whose work became visible within post-pandemic health infrastructures.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.3,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907570","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}

引用次数: 0