{"title":"When words fail: silence, moral injury and the ethics of presence in South Asian healthcare.","authors":"Mishra Prashant","doi":"10.1136/medhum-2025-013627","DOIUrl":"10.1136/medhum-2025-013627","url":null,"abstract":"","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"284"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935513","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 work of stories.","authors":"Sabina Dosani","doi":"10.1136/medhum-2026-014392","DOIUrl":"https://doi.org/10.1136/medhum-2026-014392","url":null,"abstract":"","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":"52 3","pages":"277-278"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799385","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}
Sara Nourmusavi Nasab, Rebecca Mclaughlan, Chris L Smith
{"title":"The home within care: exploring home-like design in paediatric/adolescent palliative care environments.","authors":"Sara Nourmusavi Nasab, Rebecca Mclaughlan, Chris L Smith","doi":"10.1136/medhum-2025-013379","DOIUrl":"10.1136/medhum-2025-013379","url":null,"abstract":"<p><p>This study explores the integration of home-like design elements in paediatric/adolescent palliative care inpatient units, drawing on perspectives from both medical and architectural professionals. Recognising the unique developmental and psychosocial needs of young patients, this research explores how the spatial and emotional qualities associated with 'home' are interpreted and operationalised in palliative care environments. A multimethod approach was employed, including a targeted literature review, analysis of seven international paediatric hospice design and semistructured interviews with 22 experts from the medical and architectural fields.The findings identify two central themes in the design of supportive palliative care settings: (1) Supporting Moments of Normalcy, which highlights the importance of daily routines, social connections and familiar activities in fostering emotional well-being, and (2) Architectural Features of Home, which addresses spatial layout, materiality and aesthetic elements that evoke comfort and familiarity of home.A key divergence was observed between the disciplines: medical professionals emphasised the emotional and social aspects of care, while architects prioritised spatial configuration and material considerations. Additionally, the study discusses how design approaches may vary between younger children and adolescents in creating home-like environments. The contrast points to the need for more integrated design strategies that balance clinical functionality with emotional and social well-being. Limitations include the lack of direct input from young patients and families, as well as a limited exploration of cultural interpretations of 'home'. Future research should address these gaps to inform more inclusive and holistic design approaches in paediatric palliative care.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"336-346"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276183","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":"Graphic medicine in mental health nursing education: a phenomenological approach to using graphic pathographies as a pedagogical tool.","authors":"María José Mompeán-Mejías, Rocío Juliá-Sanchis","doi":"10.1136/medhum-2025-013281","DOIUrl":"10.1136/medhum-2025-013281","url":null,"abstract":"<p><p>Training healthcare students on topics of psychiatry and mental health is challenging because, besides scientific knowledge, addressing attitudes towards mental health is equally important. In this sense, graphic pathographies, understood as stories of patient experience, can foster meaningful learning opportunities and support a deeper understanding of the patient's perspective from a more social, emotional and inclusive approach to the healthcare discourse. The purpose of the present research was to explore nursing students' experiences with a graphic medicine-based intervention in a mental health and psychiatric context. A qualitative study was conducted using a focus group methodology. The Spanish graphic pathography addressing schizophrenia, <i>Las Voces y el Laberinto</i>, was introduced. Four main themes were identified: (1) advantages of graphic pathographies in comparison with other educational materials, emphasising their capacity to enhance information retention, capture the reader's sustained attention and encourage a uniform interpretation of concepts; (2) potential of graphic pathographies in the assimilation of theory, where students point out that these narratives facilitate the understanding of mental disorders, promote empathy and favour critical reflection on stigma; and (3) usefulness of graphic pathographies in the transfer of knowledge, evidencing its potential for the training of professionals, patient education and social awareness; (4) from reluctance to acceptance: a change in the perception of graphic pathographies in education. The findings advocate that graphic pathographies can enhance learning and reflection on complex mental health content in the context of a well-designed and facilitated teaching session, in which students have prior knowledge on the topic.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"296-303"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076310","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}
Sankari Palanivel, Sashi Kala Govindarajulu, Rajendran V G
{"title":"End chapter: illness memoirs and narrative humility in shaping the language of palliative care.","authors":"Sankari Palanivel, Sashi Kala Govindarajulu, Rajendran V G","doi":"10.1136/medhum-2025-013569","DOIUrl":"10.1136/medhum-2025-013569","url":null,"abstract":"<p><p>Palliative care communication often balances clarity with compassion, yet its professional and goal-oriented language can inadvertently mute the emotional and existential realities of dying. Illness memoirs, by contrast, linger in the texture of lived experience, offering narrative forms that resist closure and invite deeper engagement with mortality. This study conducts a comparative analysis of professional palliative care discourse and two contemporary illness memoirs, Paul Kalanithi's <i>When Breath Becomes Air</i> and Jenny Diski's <i>In Gratitude</i>, applying Rita Charon's concept of narrative competence and Arthur Frank's illness narrative typology to examine how each portrays and narrates the experience of dying. Kalanithi's quest narrative integrates clinical insight with existential reflection, while Diski's ironic, chaos-inflected style resists conventional narrative resolutions. Juxtaposing these with professional palliative care discourse reveals a narrative gap between institutional goals and the complex interior landscapes of dying patients. We argue that incorporating illness memoirs into palliative care education can cultivate narrative humility, enhance clinicians' sensitivity to diverse narrative forms and improve the emotional and ethical quality of end-of-life care.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"373-380"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427133","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":"Reclaiming care: integrating nursing humanities into Philippine nursing education.","authors":"Noriel Calaguas, John Paolo Sarce","doi":"10.1136/medhum-2024-013160","DOIUrl":"10.1136/medhum-2024-013160","url":null,"abstract":"<p><p>Traditional undergraduate nursing education often prioritises biomedical and technical skills, neglecting the humanistic dimensions vital for holistic practice. This abstract advocates for integrating nursing humanities, an interdisciplinary field bridging arts, humanities and social sciences with nursing, to humanise care, cultivate empathy and decolonise nursing in the Philippine context. Globally, methods like narrative medicine and arts-based learning foster critical thinking and cultural sensitivity. However, in the Philippines, humanities are marginalised in the Bachelor of Science in Nursing curriculum, a structural imbalance perpetuated by Western biomedical models and colonial legacies that undervalue interpretive knowledge. This marginalisation sidelines Filipino philosophies of care and indigenous epistemologies. This paper proposes a decolonised and culturally grounded integration of nursing humanities, specifically by incorporating local concepts like kapwa, the recognition of shared identity and interdependence, into the curriculum. A case study, demonstrating the use of patient narratives within a pharmacology course, illustrates how narrative and arts-based methods bridge theoretical knowledge with lived experience. This approach strengthens students' empathy and moral imagination, aligning scientific rigour with compassion and social consciousness. Lastly, embedding humanities prepares Filipino nurses to deliver culturally responsive, person-centred care, positioning nursing humanities as a transformative force towards a more humane and decolonised healthcare system.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"279-283"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514613","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":"Neuroetymology: bridging memorisation and meaning in medical education through narrative and critical reflection.","authors":"Marleide da Mota Gomes, Lucas Lima Najar","doi":"10.1136/medhum-2025-013698","DOIUrl":"https://doi.org/10.1136/medhum-2025-013698","url":null,"abstract":"<p><p>The vast and complex terminology of clinical neuroscience often drives students towards rote memorisation, yielding short-term recall but undermining long-term retention and the humanistic connection between words and meaning. To address this, we introduce <i>neuroetymology</i> as a formal, scalable pedagogical framework that differs from general medical etymology or narrative medicine by focusing specifically on the terminology of clinical neuroscience. It operationalises a set of teaching practices that link terminology to narrative, critical reflection and clinical application, transforming passive recall into active, meaning-based learning.Inspired by the historical scholarship of medical historian Owsei Temkin, neuroetymology views medical terms as living archives of human thought, preserving layers of historical, cultural and scientific meaning across changing systems of knowledge. By examining terms from neuroanatomy, neuropsychiatry and neuropharmacology, we demonstrate its dual utility: enhancing mnemonic retention through narrative encoding while fostering critical reflection on the biases and cultural assumptions embedded in medical language.Beyond cognitive gains, neuroetymology promotes ethical reasoning and cultural sensitivity by exposing students to the hidden histories of terms such as <i>hysteria</i> and <i>schizophrenia</i>, encouraging more inclusive, non-stigmatising clinical communication. It also addresses global inclusivity by integrating non-Western metaphors and cultural contexts.In conclusion, neuroetymology reframes medical terminology not as a barrier to learning but as a bridge between scientific precision and humanistic insight, offering a practical pathway towards a more reflective, empathetic and intellectually engaged generation of clinicians.</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":"148799335","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":"Ethical aspects of medical television: qualitative research methods in the context of China.","authors":"Xuan Wang, Zheng Zachory Wei","doi":"10.1136/medhum-2025-013456","DOIUrl":"10.1136/medhum-2025-013456","url":null,"abstract":"<p><p>Medical television lies at the intersection between 'media ethics' and 'clinical representation', shaping the public perception of medical practice. Its epistemic authority is shaped by two main factors: realism (the accuracy of representations compared with real clinical practice) and affective engagement (the emotional impact of dramatised narratives). The research endeavours to unravel the ethical dimensions of Chinese medical television by examining its normative aspects and assessing the balance between pedagogical intentions and commercial imperatives. Using a qualitative-interpretative paradigm that integrates discourse analysis with perceptual evaluation, the researchers conducted an in-depth examination of 280 hours of programming across four television genres (2020-2024). Findings revealed that 32% of respondents expressed full trust in televised medical representations, while 41% indicated moderate trust. Notably, 62% reported encountering factual inaccuracies. Documentary formats received 79% trust ratings, compared with 41% for reality-based programming. Content analysis facilitated the quantification of representational distortions: 52% of programmes employed pathophysiological exaggeration, 74% compressed therapeutic timelines and 59% portrayed unrealistically high success rates (90% effectiveness). This study underscores the significant divergence between medically grounded narratives and dramatised portrayals in popular media, with implications for public health literacy and patient expectations. Future research should delve deeper into comparative regulatory paradigms, exploring how government oversight effectively mitigates misinformation compared with market self-regulation. It is necessary to determine whether epistemic stability is achieved through ethical standardisation or through the pluralistic moderation of the discourse.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"347-357"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368907","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":"A note on forgiveness: film as case history.","authors":"Robert Clark Abrams","doi":"10.1136/medhum-2025-013538","DOIUrl":"10.1136/medhum-2025-013538","url":null,"abstract":"<p><p>This article begins as a review of the French-Moroccan film, <i>Carved by the Wind</i> (2024), directed by Layla Triqui. The film offers an opportunity to use a 'case history' approach in considering classical and recent psychoanalytic theories of forgiveness, a theme embedded in the storyline. A contemporary model of forgiveness proposed by the Italian psychoanalyst Carla Mucci is applied to the principal character, a woman suffering from the overpowering guilt of infanticide. Here, forgiveness is characterised as a potent exchange between the forgiver and the forgiven, involving truthful witnessing of fact, emotional expression and the emergence of shared empathy. The adaptation of Professor Mucci's psychoanalytic model to the non-clinical setting of the film suggests how forgiveness might foster healing in ordinary life.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"287-291"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349198","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":"Gaze that shamed science: Canine defiance and the ethics of experimental physiology.","authors":"Ruth Y Y Hung","doi":"10.1136/medhum-2025-013346","DOIUrl":"10.1136/medhum-2025-013346","url":null,"abstract":"<p><p>This paper explores how dogs in Victorian experimental physiology sparked a fundamental ethical and epistemological crisis through their embodied resistance to mechanistic reduction. Using archival evidence from Claude Bernard's laboratory notebooks, feminist antivivisection literature and the public controversy surrounding the Brown Dog memorial, it argues that canine subjects challenged the conceptual foundations of experimental science through persistent agency and interspecies recognition. The analysis highlights three interconnected acts of resistance: Bernard's private struggles with 'uncooperative' experimental subjects that undermined his mechanistic doctrine; the feminist witnessing practices of Lizzy Lind-af-Hageby and Leisa Katherina Schartau, whose documentation of prolonged experiments exposed the systemic violence masked by claims to scientific objectivity; and the Brown Dog Affair, where a terrier's transformation from laboratory subject to contested political symbol crystallised intersecting politics of species, gender and class in Edwardian London. Theoretically, the paper develops the concept of felt reality-the embodied, affective dimension of experimental practice that persistently challenged positivist frameworks. Through feminist animal studies, it examines how dogs' 'absent referent' status required elaborate discursive and psychological mechanisms to suppress evidence of their consciousness and agency. This interdisciplinary inquiry contributes to medical humanities by foregrounding animal agency, ethical witnessing and the limitations of biomedical rationality. Ultimately, it argues that Victorian experimental dogs participated as active agents in historical debates over knowledge, ethics and human dominion. Their resistance shaped a counter-history of science-one that evaluates progress not by dominating life, but by the bravery to confront the irreducible otherness of conscious beings and acknowledge, in that vulnerable exchange, the basis for more compassionate scientific practice.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"358-368"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13539850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145393973","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}