Medical Humanities最新文献

{"title":"Smoothies, bone broth, and fitspo: the historicity of TikTok postpartum bounce-back culture.","authors":"Bethany L Johnson, Margaret M Quinlan, Audrey Curry","doi":"10.1136/medhum-2023-012830","DOIUrl":"10.1136/medhum-2023-012830","url":null,"abstract":"<p><p>TikTok, a now iconoclastic social media platform, hosts millions of videos on health, wellness and physical fitness, including content on postpartum wellness and 'bouncing back'. At present, few studies analyse the content of postpartum videos urging viewers to bounce-back or the potential influence of these videos. Given the acknowledged relationship between social media use and adverse mental health outcomes (eg, lowered self-esteem, increased stress, disordered eating risk), an investigation of bounce-back-related postpartum content on TikTok explores important intersections between wellness and fitness cultures and the embodied experience of postpartum recovery. Using a qualitative thematic analysis of bounce-back videos (n=175), we explore three themes: (1) Smoothies: eat, but don't be fat; (2) Bone broth: bounce-back with today's wellness trends; (3) Fitspo: moving your body matters. Importantly, videos recycle historically constructed thinking about what makes a 'good' or 'bad' body, invoke vintage diet-culture tropes (ie, drinking water to fill up before eating), and maintain potentially dangerous expectations for caregivers rooted in historical gender, race and class constructs. This results in a postfeminist mishmash of modern maternity practices and traditional hierarchies. Unpacking the historicity of TikTok content assists health practitioners, scholars and users in understanding the potential impacts of video content on new parents, as well as how to flag and contextualise potentially harmful content. Future studies should examine other TikTok subcultures, including teen mothers and trans parents, and explore the messaging directed at and the impact on those communities.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"352-362"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162687","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 the womb to the world: a study of pregnancy narratives by celebrity moms in India.","authors":"Pratyusha Pramanik, Ajit K Mishra","doi":"10.1136/medhum-2023-012842","DOIUrl":"10.1136/medhum-2023-012842","url":null,"abstract":"<p><p>This article examines how celebrity moms in India are self-constructing their public persona through their pregnancy narratives. As a form of personal narrative, pregnancy narratives provide important insights into the unnarrated private world of pregnancy and its nuanced experiences. Although pregnancy and motherhood are glorified in India, it is subjected to a regime of cultural control thereby influencing women's disclosure of pregnancy behaviour and their narrative freedom. Despite being a life-altering event for women, pregnancy experiences and their narrativisation in India have largely been confined to the domestic spaces. However, some recent developments suggest the modernisation of maternity in India and point towards the emergence of a new cultural phenomenon as celebrity mothers through their pregnancy narratives are questioning the traditional beliefs and scientific practices which restrict women and their narrative freedom during pregnancy and childbirth. They are also documenting their obstetric violence, postpartum changes and the alternative means adopted by them to give birth. Through a narrative analysis of Kareena Kapoor's <i>Pregnancy Bible</i> (2021), Tahira Kashyap's <i>The 7 Sins of Being a Mother</i> (2021) and Kalki Koechlin's <i>The Elephant in the Womb</i> (2021), this article examines how modern maternity is being constructed in India and how it is entering popular discourse through personal narratives. In the process, it investigates how these celebrity mothers, to make themselves more acceptable, subvert the existing discourse of maternity and modernise it while retaining its necessary traditionalism. Most importantly, the article develops an understanding of the role of these narratives in encouraging the performance of maternity beyond the domestic setup.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"343-351"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093327","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>You and Your Baby</i> (home, husband, and doctor): maternal responsibility in the British Medical Association booklet (1957-1987).","authors":"Kate Errington","doi":"10.1136/medhum-2023-012864","DOIUrl":"10.1136/medhum-2023-012864","url":null,"abstract":"<p><p><i>You and Your Baby</i> was a pregnancy advice booklet, produced by the British Medical Association (BMA) from 1957-1987. This booklet was provided to expectant mothers in the UK, free of charge, and offered authoritative information on pregnancy, childbirth and caring for infants. Reprinted each year, <i>You and Your Baby</i> captured contemporary maternity policy and advice. But, in addition to the typical information that you might expect about mother and baby health, <i>You and Your Baby</i> advised readers on matters such as maintaining their appearance, marital relations and domestic duties. In this way, it advocated a specific vision of motherhood, with responsibilities to the home and husband. Further to these duties, this article will focus on the balance of responsibilities between pregnant women and their doctors, and how attitudes to trust and authority developed over time. The BMA publication repeatedly warned readers against listening to 'old wives' tales', instead emphasising the importance of accepting (and not questioning) professional medical guidance. Following the thalidomide scandal, however, women were made partially responsible for doctors' professional integrity; women were advised to avoid asking their doctors to prescribe medication that may later prove to be harmful, shifting the responsibility from the healthcare practitioner to the mother. This created an uncomfortable dissonance between the publication's attempts to establish and reinforce medical authority, and yet shift professional responsibility. The booklet series, therefore, posed women as responsible for their doctors, as well as their babies. In summary, this article presents a case study of the <i>You and Your Baby</i> BMA booklet, examining developing healthcare messaging around maternal behaviour and responsibility. It draws attention to supposed responsibilities to the home, husband and doctor and how those responsibilities changed over 30 years.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"292-305"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238411","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":"Federal field nurses and Indigenous births.","authors":"Laurel Sanders","doi":"10.1136/medhum-2023-012845","DOIUrl":"10.1136/medhum-2023-012845","url":null,"abstract":"<p><p>Beginning in 1924, the US Office of Indian Affairs sent public health or 'field' nurses to Native nations to provide preventative healthcare and education. The field nurse programme began under the US policy of assimilating Native Americans. To that end, field nurses championed 'modern' institutionalised medicine and opposed Indigenous health traditions. They taught an ethnocentric form of health education to Native mothers, and their work was complicit in the genocidal policy of removing Native children to federal boarding schools. However, Indigenous women resisted many of the interventions of the field nurse programme. They also exercised medical pluralism and sought other field nurse services relating to childbirth, prenatal and postpartum health, sometimes in defiance of the nursing programme's professional boundaries. The history of the field nurse programme reveals the ways in which professionalised public health nursing served settler colonial policy, yet it also showcases Native women's self-determination as pregnant patients and as nurses themselves.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"235-245"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591688","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":"Motherhood, wet-nursing and nation: nineteenth-century Brazilian medical perspectives.","authors":"Tiago Fernandes Maranhão","doi":"10.1136/medhum-2023-012825","DOIUrl":"10.1136/medhum-2023-012825","url":null,"abstract":"<p><p>This paper explores the viewpoints of nineteenth-century Brazilian physicians regarding women's roles as the 'propagators of the race'. It emphasises their perspectives on reproduction, breast feeding, and the involvement of enslaved wet nurses in a society grappling with significant paradoxes and conflicts as it sought to embrace modernisation. It also examines various aspects of women's health and childcare, encompassing topics like miscarriage and <i>puériculture</i> Through an analysis of medical discourse, this paper underscores physicians' profound influence in shaping societal assumptions surrounding maternal roles in Brazil. These understandings were instrumental in shaping the expectations for a 'modern nation', where racial considerations intertwined with broader discourses about female bodies. Drawing on diverse sources from the latter half of the nineteenth century, including newspapers and medical records, this paper also highlights the lived experiences of mothers-both tangible realities and imagined constructs. It emphasises how these experiences became integrated in ideological debates that centred on maternity, race, nationhood and modernity within a South Atlantic context. Conducting a discourse analysis of published medical sources, the paper finally uncovers the intricate interplay between reproductive politics, biological risk perceptions and national defence. It dissects how these elements coalesced into the language of biopolitics, moulding regulations and institutional control over the bodies of both white and black women. This exploration aims to enrich discussions about the intricate dynamics shaping institutional actions within the realms of reproductive health and national interests.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"211-221"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072273","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":"'What's a D and C between friends?' Space, intimacy and the medicalisation of unmotherhood in modernist literature.","authors":"Kate Schnur","doi":"10.1136/medhum-2023-012857","DOIUrl":"10.1136/medhum-2023-012857","url":null,"abstract":"<p><p>This essay theorises what 'unmotherhood'-or, living outside of motherhood-means within the specific context of 'the modern'. Unmotherhood is an actively constructed state; it is explored through the parameters of agentive choice, social pressure and state control; and at the turn-of-the-20th-century novels articulate this state through specific vocabularies of contemporaneous phenomena of modernity. I look to four novels representative of four forms of unmotherhood: Tess Slesinger's <i>The Unpossessed</i> depicts a somewhat voluntary abortion; H.D.'s <i>Asphodel</i> (and its sister novel <i>Bid Me to Live</i>) are fictional representations of the author's own stillbirth; Jean Rhys's <i>Good Morning, Midnight</i> depicts a woman's life in the wake of her newborn son's death and Nella Larsen's <i>Quicksand</i> is a narrative dependent on the protagonist's refusal to marry because of her equation of marriage with conception. Reading these narratives together affords us the opportunity to consider what 'unmotherhood' means as a constructed state in and of itself, beyond the presumed negative, passive state of the 'not' or the 'not yet'. Through this analysis, I define 'unmotherhood' as: (1) a state mediated through medical knowledge, objects, spaces and authority figures; (2) an experience narrated through vocabularies pulled from phenomena closely associated with 20th-century modernity and (3) a role dynamically shaped through compulsory heterosexuality embedded in familial relationships. In these three ways, my analysis of the selected novels defines unmotherhood as a permanent, transient, chosen, enforced and-contradictory as it all may be-a legible and definable experience.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"266-275"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157744","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":"Making Modern Maternity.","authors":"Whitney Wood, Heather A Love, Jerika Sanderson, Karen Weingarten","doi":"10.1136/medhum-2024-012995","DOIUrl":"10.1136/medhum-2024-012995","url":null,"abstract":"","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":"50 2","pages":"197-200"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141983579","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":"Integrating humanities in healthcare: a mixed-methods study for development and testing of a humanities curriculum for front-line health workers in Karachi, Pakistan.","authors":"Danya Arif Siddiqi, Fatima Miraj, Mehr Munir, Nowshaba Naz, Asna Fatima Shaikh, Areeba Wajahat Khan, Shama Dossa, Inamullah Nadeem, Monica J Hargraves, Jennifer Urban, Mubarak Taighoon Shah, Subhash Chandir","doi":"10.1136/medhum-2022-012576","DOIUrl":"10.1136/medhum-2022-012576","url":null,"abstract":"<p><p>Lady health workers (LHWs) provide lifesaving maternal and child health services to >60% of Pakistan's population but are poorly compensated and overburdened. Moreover, LHWs' training does not incorporate efforts to nurture attributes necessary for equitable and holistic healthcare delivery. We developed an interdisciplinary humanities curriculum, deriving its strengths from local art and literature, to enhance character virtues such as empathy and connection, interpersonal communication skills, compassion and purpose among LHWs. We tested the curriculum's feasibility and impact to enhance character strengths among LHWs.We conducted a multiphase mixed-methods pilot study in two towns of Karachi, Pakistan. We delivered the humanities curriculum to 48 LHWs via 12 weekly sessions, from 15 June to 2 September 2021. We developed a multiconstruct character strength survey that was administered preintervention and postintervention to assess the impact of the training. In-depth interviews were conducted with a subset of randomly selected participating LHWs.Of 48 participants, 47 (98%) completed the training, and 34 (71%) attended all 12 sessions. Scores for all outcomes increased between baseline and endline, with highest increase (10.0 points, 95% CI 2.91 to 17.02; p=0.006) observed for empathy/connection. LHWs provided positive feedback on the training and its impact in terms of improving their confidence, empathy/connection and ability to communicate with clients. Participants also rated the sessions highly in terms of the content's usefulness (mean: 9.7/10; SD: 0.16), the success of the sessions (mean: 9.7/10; SD: 0.17) and overall satisfaction (mean: 8.2/10; SD: 3.3).A humanities-based training for front-line health workers is a feasible intervention with demonstrated impact of nurturing key character strengths, notably empathy/connection and interpersonal communication. Evidence from this study highlights the value of a humanities-based training, grounded in local literature and cultural values, that can ultimately translate to improved well-being of LHWs thus contributing to better health outcomes among the populations they serve.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"372-382"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491332","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":"\"The highest in each class was a twilight baby\": scientific motherhood, twilight sleep and the eugenics movement in <i>McClure's Magazine</i>.","authors":"Jerika Sanderson, Heather A Love","doi":"10.1136/medhum-2023-012859","DOIUrl":"10.1136/medhum-2023-012859","url":null,"abstract":"<p><p>In the early twentieth century, childbirth was increasingly being viewed as a medical experience in North America. Women were encouraged to engage with 'scientific motherhood' by adhering to medical advice and undergoing the latest medical and technological interventions. Two movements simultaneously emerged that engaged with scientific motherhood: the positive eugenics movement, which sought to encourage reproduction among specific groups, and the twilight sleep movement, which promoted the use of pain management during childbirth. While these two distinct movements had different goals, they intersected both in their intended audiences (white, middle-class and upper-class American women) and in their prioritisation of medical and scientific authority. This article builds on work that has identified connections between twilight sleep and the eugenics movement to consider the role of twentieth-century magazines in rhetorically linking the eugenics and twilight sleep movements, and how this contributed to constructing the cultural role of the 'scientific mother'.As a key proponent of twilight sleep, the American monthly periodical <i>McClure's Magazine</i> is the focus of this investigation. Articles published in <i>McClure's</i> incorporated the rhetoric of the eugenics movement to promote twilight sleep and 'painless childbirth', while also engaging with concerns of the eugenics movement by framing the falling birthrate among American women as a social and political problem. Alongside the rhetorical framing within <i>McClure's</i> articles, we focus on visual material such as photographs that exhibit 'eugenic mothers' and healthy 'twilight sleep babies' to promote the method's safety and efficacy to American audiences. This article incorporates scholarship on early twentieth-century eugenics and photography, women's involvement in the eugenics movement, and twilight sleep and the politics of women's health. Through its analysis, this article demonstrates that the convergence of developments in obstetrics and the eugenics movement in popular media had complex implications for women's reproductive agency in the early twentieth century.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"222-234"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140959887","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":"Fluid modernities: the birthing pool in late twentieth-century Britain.","authors":"Victoria Bates, Jennifer Crane, Maria Fannin","doi":"10.1136/medhum-2023-012820","DOIUrl":"10.1136/medhum-2023-012820","url":null,"abstract":"<p><p>Birthing pools are a common feature of maternity units across Europe and North America, and in home birth practice. Despite their prevalence and popularity, these blue or white, often bulky plastic objects have received minimal empirical or theoretical analysis. This article attends to the emergence, design and meaning of such birthing pools, with a focus on the UK in the 1980s and 1990s. Across spheres of media, political and everyday debate, the pools characterise the paradoxes of 'modern maternity': they are 'fluidly' timeless and new, natural and medical, homely and unusual, safe and risky. Beyond exploring the contradictions of 'modern maternity', we also make two key interventions. First, we contend that modern maternity has substantially expanded in recent decades to hold and include additional ideas about comfort and experience. Second, we flag the culturally specific notions of 'modernity' at play in modern births: the popularity of the birthing pool was typically among white, middle-class women. We argue that birthing pools have had an impact at a critical moment in birthing people's care, and we map out the uneven and unjust terrains through which they have assumed cultural and medical prominence.</p>","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"312-321"},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11347258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141459808","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}