{"id":1848,"date":"2019-02-27T10:00:22","date_gmt":"2019-02-27T09:00:22","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=1848"},"modified":"2023-04-21T10:30:50","modified_gmt":"2023-04-21T09:30:50","slug":"lets-not-talk-about-death-review-of-euforia-directed-by-valeria-golino-italy-2018","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2019\/02\/27\/lets-not-talk-about-death-review-of-euforia-directed-by-valeria-golino-italy-2018\/","title":{"rendered":"Let\u2019s NOT Talk About Death: Review of \u2018Euforia\u2019, Directed by Valeria Golino, Italy 2018"},"content":{"rendered":"<p><strong>Showing in \u2018Cinema made in Italy 2019\u2019, London, <a href=\"https:\/\/www.british-italian.org\/cinema-made-in-italy-2019\/\">https:\/\/www.british-italian.org\/cinema-made-in-italy-2019\/<\/a>.<\/strong><\/p>\n<p><strong>Review by Dr Khalid Ali, film and media correspondent<\/strong><\/p>\n<p>\u2018Euphoria\u2019 is defined as \u2018a feeling or state of intense excitement and happiness\u2019. The word originates from the 17<sup>th<\/sup> century when it described well-being produced in a sick person by the use of drugs. In her second feature film as a director, award-wining film actress Valeria Golino tells a story of two estranged brothers coming together after one is diagnosed with a \u2018brain mass\u2019. Matteo (Riccardo Scamarcio) is a high-flying businessman living in a hedonistic world of one-night stands and drunken parties. In spite of his privileged lifestyle, Matteo is a lonely middle-aged man longing for human connection even if it comes in the form of a fleeting moment of fingers touching with a fellow car-driver on the road. Matteo\u2019s brother Ettore (Valerio Mastandrea) is a village school teacher living a humdrum life with his wife and son. Bored with his mundane existence, Ettore has an illicit affair, contemplates divorce and marrying his mistress in the hope for a new start. Persistent headaches and unexplained falls trigger a visit to a physician who is friends with his brother. Upon Matteo\u2019s request, the doctor withholds from Ettore the true nature of his \u2018brain cyst\u2019. Ettore is reassured that a series of radiotherapy sessions in a specialist treatment centre in Rome will shrink \u2018the cyst\u2019. Ettore moves to live in his brother\u2019s lavish flat in Rome to undergo treatment. The brothers maintain a pact of \u2018silence\u2019 about the \u2018cyst\u2019 while spending intimate time getting to know each other as they have never done before. The prognosis of the \u2018cyst\u2019 is never openly discussed; it remains the \u2018elephant in the room\u2019, hinted at but never confronted. The brothers\u2019 mother, Ettore\u2019s wife, son, and mistress all come to visit, adding more tension and strain to the \u2018tense atmosphere\u2019; old arguments, sibling rivalry, and guilt resurfaces and threatens to destroy the emerging bond between the two brothers.<\/p>\n<p style=\"text-align: center\">Watch the film trailer on Youtube <a href=\"https:\/\/www.youtube.com\/watch?v=wQ9ndgsx4ow\">here<\/a>.<\/p>\n<p>Several ethical dilemmas run through the narrative; is Matteo justified in withholding the true nature of his brother\u2019s diagnosis? Does he have the right to pretend to Ettore, their mother and everybody else that everything is fine just because he is paying for Ettore\u2019s treatment? What justifies the doctor\u2019s decision to take Matteo\u2019s side in lying to Ettore about the actual diagnosis?<\/p>\n<p>Loneliness and self-doubt are maybe the driving forces behind Matteo\u2019s paternalistic approach; this terminal illness is a \u2018golden opportunity\u2019 to be close to his vulnerable brother, to do something good and valuable for once in his life. The truth is just a word that can only result in pain and misery. He firmly believes that by withholding the real diagnosis, he can bring a sense of \u2018well-being\u2019, perhaps a heightened state of \u2018euphoria\u2019, to all those around him, a feeling that neither money nor drugs can provide. As a responsible caregiver, driven by love and a duty of care, Matteo thinks that he is acting in \u2018everybody\u2019s best interests\u2019. He is protecting them from the \u2018painful truth\u2019.<\/p>\n<p>Respect for autonomy, patients\u2019 right to know their diagnosis, and paternalistic attitudes to terminally ill patients are themes handled with warmth, wit and subtlety in \u2018Euforia\u2019, and is delivered by two outstanding actors, Scamarcio and Mastandrea. A non-judgemental observational, yet compassionate style is consistently adopted by Golino, the film\u2019s director, as the brother\u2019s story unfolds. The director challenges the established consensus that terminally ill patients prefer to know their diagnosis; while the film does not fully endorse the practice of \u2018withholding the truth\u2019, it invites the audience to explore the motivations behind the \u2018non-disclosure\u2019 of bad news undertaken by close family members. Healthcare professionals need to understand individual family dynamics and the socio-cultural context before communicating with all involved; patients and family members alike. The psychological and spiritual dimensions of suffering and death must be borne in mind at times when an individual illness is a \u2018shared family affair\u2019.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Showing in \u2018Cinema made in Italy 2019\u2019, London, https:\/\/www.british-italian.org\/cinema-made-in-italy-2019\/. Review by Dr Khalid Ali, film and media correspondent \u2018Euphoria\u2019 is defined as \u2018a feeling or state of intense excitement and happiness\u2019. The word originates from the 17th century when it described well-being produced in a sick person by the use of drugs. In her second [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2019\/02\/27\/lets-not-talk-about-death-review-of-euforia-directed-by-valeria-golino-italy-2018\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":345,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15032,206,15025],"tags":[15099],"class_list":["post-1848","post","type-post","status-publish","format-standard","hentry","category-arts-in-medicine","category-film","category-reviews","tag-film-review"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Let\u2019s NOT Talk About Death: Review of \u2018Euforia\u2019, Directed by Valeria Golino, Italy 2018 - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2019\/02\/27\/lets-not-talk-about-death-review-of-euforia-directed-by-valeria-golino-italy-2018\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Let\u2019s NOT Talk About Death: Review of \u2018Euforia\u2019, Directed by Valeria Golino, Italy 2018 - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"Showing in \u2018Cinema made in Italy 2019\u2019, London, https:\/\/www.british-italian.org\/cinema-made-in-italy-2019\/. Review by Dr Khalid Ali, film and media correspondent \u2018Euphoria\u2019 is defined as \u2018a feeling or state of intense excitement and happiness\u2019. The word originates from the 17th century when it described well-being produced in a sick person by the use of drugs. 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