Medical Humanities最新文献_第8页

Territories of coexistence: rodents, risk and disease in a dynamic ecosystem in rural Tanzania. 共存领域：坦桑尼亚农村动态生态系统中的啮齿动物、风险和疾病。

IF 1.2 3区社会学

Medical Humanities Pub Date : 2026-06-08 DOI: 10.1136/medhum-2025-013591

Caroline Mwihaki Mburu

{"title":"Territories of coexistence: rodents, risk and disease in a dynamic ecosystem in rural Tanzania.","authors":"Caroline Mwihaki Mburu","doi":"10.1136/medhum-2025-013591","DOIUrl":"https://doi.org/10.1136/medhum-2025-013591","url":null,"abstract":"In Kilombero district, in South-central Tanzania, rapidly evolving environmental conditions, land-use transformations and conservation policies are restructuring human-rodent interactions including epizootics. This article examines how these changes shape the local epistemologies of health and coexistence. While biomedical discourses frame rodents as transmitters of zoonotic infections, local perceptions frame them as inevitable cohabitants, embedded within broader multispecies entanglements. The accelerating pace of environmental change which is marked by frequent flooding, expanding agricultural frontiers and conservation policies has intensified rodent proliferation and encounters, particularly in temporary farm settlements where structural precarity heightens human-rodent contact. At the same time, conservation initiatives that emphasise the protection of charismatic wildlife species inadvertently create complex ecological interactions, allowing rodents to flourish. By interrogating these intersections of environmental dynamism, governance and livelihood practices, this article argues that human-rodent entanglements in Kilombero problematise dominant One Health narratives of zoonotic risk by emphasising cohabitation and by tracing rodent lives beyond farms and biosecurity underpinnings. This article, therefore, calls us to rethink zoonoses through the lens of multispecies interactions, lay knowledges and environmental complexities.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148206501","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

"It stayed with me": learning the legacy of Canada's residential schools through the Indigenous Teaching Through Art programme. “它与我同在”：通过土著艺术教学项目学习加拿大寄宿学校的遗产。

IF 1.2 3区社会学

Medical Humanities Pub Date : 2026-06-04 DOI: 10.1136/medhum-2025-013318

Joyce Zazulak, Lorrie Gallant, Nicole Knibb, Laura Cleghorn

{"title":"\"It stayed with me\": learning the legacy of Canada's residential schools through the Indigenous Teaching Through Art programme.","authors":"Joyce Zazulak, Lorrie Gallant, Nicole Knibb, Laura Cleghorn","doi":"10.1136/medhum-2025-013318","DOIUrl":"https://doi.org/10.1136/medhum-2025-013318","url":null,"abstract":"In response to the Truth and Reconciliation Commission of Canada report, the McMaster University Department of Family Medicine developed Indigenous Teaching Through Art, an experiential, arts and place-based programme for faculty, clinicians and staff to address knowledge gaps pertaining to historical injustices experienced by Indigenous Peoples in Canada, particularly related to the residential school system.Focus groups and individual interviews were conducted to understand participants' experiences of the programme and their awareness of the legacy of residential schools. This study employed the Two-Eyed Seeing approach to data analysis to guide a reflexive thematic analysis that combined Indigenous and Western ways of knowing. Two-Eyed Seeing was paramount in making meaning of and reconciling the data.Four major themes emerged: (1) experiencing; (2) reflecting; (3) meaning making and (4) acting. These themes fall directly in line with the Experiential Learning Cycle for Indigenous Learners. Although the cycle suggests an ordered progression through each element, analysis of the data showed that participants entered the programme at diverse stages of this cycle, some navigating through its entirety, while others traversed through various points within the cycle.The programme's intention was to be a starting point for all participants, the majority were settlers, to journey toward learning and reconciliation. Based on participant data, the programme achieved this goal. Providing space for participants to learn would increase awareness and offer new knowledge and, in this journey, consider their individual responsibility to respond to what they learnt and how to provide more equitable and culturally appropriate care, education and service for Indigenous Peoples.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165050","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

Amplified stigma: a conceptual synthesis of embodied intersections of menstruation and homelessness in Western urban contexts. 放大的耻辱：在西方城市背景下，月经和无家可归的具体交叉点的概念合成。

IF 1.2 3区社会学

Medical Humanities Pub Date : 2026-06-04 DOI: 10.1136/medhum-2025-013523

Meghna R Gaddam

{"title":"Amplified stigma: a conceptual synthesis of embodied intersections of menstruation and homelessness in Western urban contexts.","authors":"Meghna R Gaddam","doi":"10.1136/medhum-2025-013523","DOIUrl":"https://doi.org/10.1136/medhum-2025-013523","url":null,"abstract":"Menstruation and homelessness are each highly stigmatised experiences, yet their intersection remains critically understudied. This paper introduces the concept of amplified stigma to describe the compounded psychosocial, material and structural harms faced by individuals who menstruate without stable housing in high-income Western cities. Drawing from a conceptual synthesis of over 70 interdisciplinary sources, including public health, feminist theory, medical sociology, anthropology and gender studies, we employ three core analytical frameworks: embodiment, objectification and intersectionality. These lenses reveal how stigma is not merely symbolic but deeply lived and institutionalised, shaping how menstruating unhoused bodies are surveilled, controlled and excluded.Through embodiment, we explore the visceral experiences of bleeding without privacy, resources or relief, compounded by internalised shame and systemic misrecognition, especially among ageing and transgender menstruators. Objectification highlights the bureaucratic demands and surveillance that reduce menstruators to regulated bodies, often denied dignity and care. Intersectionality foregrounds how race, gender identity, class and age intersect to exacerbate exclusion and harm within shelters, healthcare and public spaces.Our analysis challenges dominant menstrual equity narratives that focus narrowly on product access, advocating instead for a structural justice approach grounded in dignity, recognition and systemic reform. Addressing amplified stigma requires trauma-informed, gender-inclusive policies and healthcare, alongside decriminalisation of survival behaviours and intersectional research. This paper calls for moving beyond silence and charity towards accountability and societal transformation, affirming the right of all bodies to bleed with dignity.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165114","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

Seeing is making: AI visualisation and genomic prediction. 眼见为实：人工智能可视化和基因组预测。

IF 1.2 3区社会学

Medical Humanities Pub Date : 2026-06-04 DOI: 10.1136/medhum-2026-013948

Amanda Furiasse

{"title":"Seeing is making: AI visualisation and genomic prediction.","authors":"Amanda Furiasse","doi":"10.1136/medhum-2026-013948","DOIUrl":"https://doi.org/10.1136/medhum-2026-013948","url":null,"abstract":"The integration of artificial intelligence (AI) into genomics is reshaping not only how biological data are analysed, but how genomic knowledge is produced and operationalised in clinical practice. Earlier computational approaches relied on alphanumeric outputs-risk scores, statistical associations and textual reports-that required interpretive reasoning to translate data into clinical meaning. By contrast, contemporary AI systems increasingly generate visual outputs such as maps, rankings and image-based representations that render genomic information immediately perceptible as clinically relevant futures.This paper argues that this shift from alphanumeric processing to visual forms reconfigures the role of interpretation in genomic reasoning. Instead of requiring clinicians to reconstruct the inferential steps linking data to conclusion, AI systems present structured visualisations that foreground outcomes as ready for action. In this context, visualisation does not simply display results but participates in organising what counts as knowledge in the first place. As a result, genomic modelling no longer functions primarily as a predictive framework grounded in explainable evidence, but as a system that presents actionable futures whose authority lies in their visual form, raising the question of how clinical action is being grounded when these images shape the very biological outcomes they appear to represent.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165079","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

Intersex medical guidelines in the UK and Germany: a critical discourse analysis. 英国和德国的双性人医疗指南：批判性话语分析。

IF 1.2 3区社会学

Medical Humanities Pub Date : 2026-05-28 DOI: 10.1136/medhum-2026-013921

Sarah Knaus, Robbie Duschinsky, Tessa Morgan

{"title":"Intersex medical guidelines in the UK and Germany: a critical discourse analysis.","authors":"Sarah Knaus, Robbie Duschinsky, Tessa Morgan","doi":"10.1136/medhum-2026-013921","DOIUrl":"https://doi.org/10.1136/medhum-2026-013921","url":null,"abstract":"The medical care of infants born with atypical sex characteristics sits at a peculiar ideological intersection. While many healthcare practitioners hold biologically essentialist views on sex development, the history of intersex medical management also illustrates the ways in which the sexed body is socially constructed. In practice, this meant that children born with an intersex trait or difference in sex development (DSD) were often subjected to non-consensual, invasive procedures in the name of sex assignment. The fields of paediatric endocrinology and surgery have since undergone reforms, centering open communication and family support while delaying surgical interventions. However, surgical corrective practices are still widespread, demonstrating that the underlying ideological conflict has not changed in a substantial way. The most recent DSD medical guidelines from the UK and Germany were released in 2021 and 2024, respectively. This article analyses and compares these texts by using a critical discourse analysis framework as a guide and placing them in dialogue with poststructuralist queer theory. This study is the first to systematically analyse the most recent paediatric endocrinological guidelines. Studying medical intersex discourse has implications beyond patient management. It can reveal both the power and possibility inherent in guidelines as performative speech acts, as well as the ways in which sex and gender are constructed and negotiated in medical discourse across different national contexts.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057593","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

Pandemic response during the 1918 influenza pandemic: exploring non-pharmaceutical interventions in Norway. 1918年流感大流行期间的大流行应对：探索挪威的非药物干预措施。

IF 1.2 3区社会学

Medical Humanities Pub Date : 2026-05-27 DOI: 10.1136/medhum-2025-013495

Vibeke Narverud Nyborg, Hilde Orderud, Svenn-Erik Mamelund

引用次数: 0

Critique, critical theory and systems theory in the medical humanities: a history and a call to action. 医学人文中的批判、批判理论和系统理论：一段历史和行动的号召。

IF 1.2 3区社会学

Medical Humanities Pub Date : 2026-05-22 DOI: 10.1136/medhum-2025-013662

Neil Vickers

{"title":"Critique, critical theory and systems theory in the medical humanities: a history and a call to action.","authors":"Neil Vickers","doi":"10.1136/medhum-2025-013662","DOIUrl":"10.1136/medhum-2025-013662","url":null,"abstract":"This article reconstructs the historical development and evolving conceptual architecture of the medical humanities since its emergence as a university subject in the 1960s. Originating in late 1960s US 'values programmes', the medical humanities initially deployed critique-philosophical, theological, psychoanalytical and sociological-to interrogate medicine's epistemic authority, ethical commitments and social power. Yet, from the 1970s onwards, critique operated in implicit conversation with systems theoretical approaches, particularly through the emergence of the biopsychosocial model and early engagements with phenomenology, cybernetics, anthropology and process philosophy. The subsequent rise of narrative methodologies in the 1980s and 1990s consolidated this synthesis by enabling scholars to conceptualise illness experience as an emergent property of complex, open biological and social systems. The article contends that renewing this synthesis is now essential for advancing the field's transdisciplinary ambitions. Contemporary systems science-encompassing epidemiology, developmental research, social determinants of health and the 'omics' disciplines-provides a powerful framework for understanding how social experience becomes biologically embedded across the lifecourse. At the same time, critique remains indispensable for revealing the often-concealed values, power relations and institutional arrangements that shape health and illness. Integrating these orientations would reconnect the medical humanities with its diverse intellectual constituencies, address long-standing fragmentation and enable new engagements with topics such as childhood, inequality, embodiment and lifecourse health. The article concludes by proposing that a concise set of shared systems theoretical concepts could provide the durable conceptual infrastructure needed to sustain ambitious transdisciplinary dialogue across the field.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976422","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

Embodied wisdom: towards acceptable and helpful explanations for functional somatic symptoms. 体现的智慧：对功能性躯体症状的可接受和有益的解释。

IF 1.2 3区社会学

Medical Humanities Pub Date : 2026-05-20 DOI: 10.1136/medhum-2025-013380

Chloe Saunders, Heidi Frølund Pedersen, Charlotte Ulrikka Rask, Monica Greco, Lisbeth Frostholm

{"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":"10.1136/medhum-2025-013380","url":null,"abstract":"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.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"234-244"},"PeriodicalIF":1.2,"publicationDate":"2026-05-20","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}

引用次数: 0

Full circle: a patient, a baby and the making of a doctor. 一个完整的循环：一个病人，一个婴儿和一个医生的形成。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-05-20 DOI: 10.1136/medhum-2025-013441

Roshni Jagaram

引用次数: 0

Reproductive technology's animal unconscious: multispecies motherhood and humanimal horror. 生殖技术的动物无意识：多物种母性和人类的恐惧。

IF 1.3 3区社会学

Medical Humanities Pub Date : 2026-05-20 DOI: 10.1136/medhum-2025-013322

Georgia Walton, Dominic O'Key

{"title":"Reproductive technology's animal unconscious: multispecies motherhood and humanimal horror.","authors":"Georgia Walton, Dominic O'Key","doi":"10.1136/medhum-2025-013322","DOIUrl":"10.1136/medhum-2025-013322","url":null,"abstract":"Preclinical animal testing has played a critical role within medical history. Yet it remains an underdiscussed topic within the medical humanities. What might happen, then, if we analyse the animal studies of the lab via the method of cultural critique that is animal studies? This essay responds to this question by exploring the roles that animals play, and are made to play, within the technologies for, debates about and narratives of human reproduction. The essay is comparative. First, it focuses on how the Children's Hospital of Philadelphia (CHOP) represents their experiments with lambs as part of their development of an artificial placenta. Then, it juxtaposes these narratives with two recent horror films that dramatise and hyperbolise the very human-animal relations on which CHOP's research relies. Both Laura Moss's Birth/Rebirth (2023) and Valdimar Jóhannsson's Lamb (2021) can be read, we suggest, as narratives of multispecies family-making that, in their representation of human reproduction as dependent on the exploitation of animal reproduction, signify and subvert the species hierarchies that attend animal testing. Yet we also wish to track how each of these films, just like CHOP, ultimately figures animals as sacrificial objects. We argue that reading these texts together illuminates the politics of species that undergirds CHOP's research, its medical humanities critique and the horror genre. More than simply adding an animal studies perspective to the debate about the future of human reproduction, this essay models forms of reading that, by combining the interpretive practices of animal studies and medical humanities, unsettle the ways that animals are positioned as literal and symbolic surrogates for the human.","PeriodicalId":46435,"journal":{"name":"Medical Humanities","volume":" ","pages":"245-253"},"PeriodicalIF":1.3,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034444","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}

引用次数: 0