{"id":2774,"date":"2021-01-15T09:00:51","date_gmt":"2021-01-15T08:00:51","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=2774"},"modified":"2021-01-08T04:54:53","modified_gmt":"2021-01-08T03:54:53","slug":"review-moving-worlds-special-issue-on-literature-medicine-health","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2021\/01\/15\/review-moving-worlds-special-issue-on-literature-medicine-health\/","title":{"rendered":"Review: \u201cMoving Worlds&#8221; Special Issue on Literature, Medicine, Health"},"content":{"rendered":"<p>by Jeffrey M. Brown<\/p>\n<p>\u201c<a href=\"http:\/\/www.movingworlds.net\/volumes\/19\/literature-medicine-health\/\">Literature, Medicine, Health [Special Issue]<\/a>.\u201d <em>Moving Worlds<\/em> 19.2 (2019)<\/p>\n<figure id=\"attachment_2775\" aria-describedby=\"caption-attachment-2775\" style=\"width: 310px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-2775\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2021\/01\/Literature-Medicine-Health__Cover.jpg\" alt=\"Moving Worlds Special Issue - Literature, Medicine, Health (cover)\" width=\"310\" height=\"440\" srcset=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2021\/01\/Literature-Medicine-Health__Cover.jpg 310w, https:\/\/blogs.bmj.com\/medical-humanities\/files\/2021\/01\/Literature-Medicine-Health__Cover-211x300.jpg 211w\" sizes=\"auto, (max-width: 310px) 100vw, 310px\" \/><figcaption id=\"caption-attachment-2775\" class=\"wp-caption-text\">Moving Worlds Special Issue &#8211; Literature, Medicine, Health (cover)<\/figcaption><\/figure>\n<p>A recent volume of <em>Moving Worlds<\/em> begins with a short poem by UK Poet Laureate Simon Armitage entitled \u201cFinishing It.\u201d \u201cI can\u2019t configure \/ a tablet \/ chiselled by God\u2019s finger \/ or forge \/ a scrawled prescription,\u201d the poet admits; instead, he offers only \u201cthe sugared pill \/ of a poem, one sentence \/ that speaks ill \/ of illness itself, bullet \/ with cancer\u2019s name \/ carved brazenly on it.\u201d In an image on the adjoining page, we see that Armitage\u2019s poem has been etched into a chemotherapy pill by the micro-artist Graham Short. Though we are told that the inscription was performed on \u201cstandard sized pill,\u201d the image shows an ovoid form magnified to many times the original scale, the words leaping out as white scars on a mottled gray surface that looms out of a blackened void\u2014what we are told, in the poem, is \u201cthe small white dot \/ of its own \/ full stop\u201d (4). From its opening lines, the poem thus emphasizes the ironic disparity between the work of literature and the work of medicine even as it promises their material union in the act of healing. Though the poet possesses the powers of neither God nor doctor, his work provides an opportunity to reflect on both with equal measures of hope and hubris. Of course, the most problematic of the poet\u2019s ambitions is that he may achieve any kind of \u201cfull stop\u201d: for the \u201csugared pill\u201d of poetry may conceal its own poisons, and metaphors, too, have the potential to metastasize.<\/p>\n<p>It is to the immense credit of <em>Moving Worlds\u2019<\/em> contributors that each subsequent piece in this volume meets the challenge of Armitage\u2019s opening provocation, as the journal presents a sequence of engagements\u2014in critical scholarship, short fiction, poetry, and visual art\u2014with the ambivalent \u201centanglements\u201d of its subtitle and theme: \u201cLiterature, Medicine, Health.\u201d As Clare Barker acknowledges in her editorial preface, \u201c[t]he field of medical humanities has recently undergone a critical turn,\u201d one that questions the scholarly focus on Anglo-American forms of knowledge and the methodological privileging of individual encounters between healthcare providers and their patients (1). In order to resist the exclusions implicit in such approaches, <em>Moving Worlds<\/em>\u2014a humanities journal published through a collaboration between the School of English at the University of Leeds and the Division of English at Nanyang Technological University in Singapore\u2014leverages the strategies of postcolonial and transcultural critique, seamlessly integrating the close examination of various works of art and literature with a wider interrogation of the systems that these works inhabit and illuminate, from acts of corporate biopiracy predicated upon universalist, rights-based health discourses to the troubling intersection of neoliberal narratives of development with indigenous accounts of generational growth and trauma.<\/p>\n<p>The greatest difficulty of such work lies in the problem of <em>representation<\/em>: the tendency, in literature and politics, to allow one thing to stand for something else. In medical practice, this tendency manifests most obviously through anatomical synecdoche\u2014the biomedical distillation of a patient\u2019s fullness of being into a particular organ or ailment\u2014but also through a colonialist fixation on \u201cauthenticity\u201d or cultural integrity; under certain conditions, the rejection of one of these tendencies occurs only through a commitment to the other. In its stylistic minimalism and literal miniaturization, Armitage\u2019s poem ironically attests to the subtle perils of representational reductionism: the rest of this volume thus takes shape around this problem, as each essay bears a multiplicity of insights and interventions inspired by its singular site of critique.<\/p>\n<p>This agenda is most deliberately pursued in contributions by Emily Kate Timms, Clare Barker, and Veronica Barnsley. Timms\u2019s assessment of intergenerational wellbeing in Patricia Grace\u2019s <em>Chappy<\/em> begins by interrogating the political hazards of a common metaphor\u2014that of the \u201csilver tsunami,\u201d which likens the effects of a rapidly aging population in the Global North to an irresistible natural disaster\u2014but also notes the dangers of the inverse response: the \u201cwell-meaning\u201d recourse to indigenous epistemologies regarding the value of age and elderhood, which is often built upon the exoticization of \u201calternative\u201d ways of knowing and upon a reductive and hierarchical approach to history. Her investigation of Grace\u2019s representation of M\u0101ori communities\u2014and especially the meeting of public health, colonial trauma, and ecological sustainability through the operation of metaphor and memory\u2014therefore emphasizes intergenerational reciprocity rather than unidirectional acts of transmission. Barker takes on similar work in a profound critique of Ann Patchett\u2019s <em>State of Wonder<\/em>, where a scientific expedition to discover the medicinal properties of symbiotic Amazon ecologies is implicated in the extractivist logics of global health prerogatives and in a proleptic discourse that preserves the value of indigenous culture only by assuming (and assuring) its extinction. Likewise, Barnsley\u2019s analysis of Amma Darko\u2019s <em>The Housemaid<\/em> challenges reductive approaches to reproductive health and social development in Ghana: by focusing on the intersectional issues embedded in the practice of midwifery, Darko\u2019s novel exposes the interplay of class, geography, and the cultural imaginary that complicates both rights- and policy-based neoliberal health initiatives.<\/p>\n<p>Through their detailed studies of individual works of literature from across the world, these essays refuse tidy forms of distillation; nevertheless, common themes and methods provide enlightening moments of connection. A skepticism regarding the use of language in defining specific health demographics is seen in Frances Hemsley\u2019s critique of Marie B\u00e9atrice Umutesi\u2019s memoir of the Rwandan genocide and its aftermath, where enduring health impacts among displaced peoples\u2014from malnutrition to the unchecked spread of cholera or tuberculosis\u2014allows for the articulation of \u201cepidemic narratives\u201d that parallel and undo categorical distinctions around victimhood and thereby disturb efforts toward justice and reconciliation; similarly, Amy Rushton demonstrates both the power and the danger of defining depression in Tsitsi Dangarembga\u2019s <em>This Mournable Body<\/em>, for diagnostic reading runs the risk of affirming a bio-psychiatric model that locates blame within the individual even as depression becomes a powerful metaphor for and affective response to the general condition of colonization. Problems of narratology\u2014particularly, the thorny issue of determining \u201cends\u201d\u2014that appear in Hemsley\u2019s work also resonate with Michelle Chiang\u2019s discussion of temporality and the \u201cabsurdity of being terminal\u201d in managing end-of-life discussions. In the same way, an exploration of the fluid boundaries between culture- and faith-based forms of knowledge and biomedical treatments defines both Katherine Storm Hindley\u2019s writing on medieval representations of Hippocrates and Graham Matthews\u2019s survey of contemporary Singaporean cancer narratives.<\/p>\n<p>Much like Armitage\u2019s \u201cFinishing It,\u201d poems and short fiction by Madeline Lee, Avaes Mohammad, and Kathy Jet\u00f1il-Kijiner punctuate these essays by testing the potential and the duplicity of metaphorical connections between literature, medicine, and health, particularly through their simultaneous representation of a disease, its source, and its cure. In a moving reflection on her collaboration with Jet\u00f1il-Kijiner, Michelle Keown analyzes their work on the legacy of US nuclear testing in the Marshall Islands, which has resulted in generations of radiogenic illnesses and enduring ecological devastation. Jet\u00f1il-Kijiner focuses on women\u2019s reproductive health, linking the epidemic of miscarriages, stillbirths, and birth defects caused by the irradiated environment to older, \u201cmonstrous\u201d cultural images of postpartum depression; Keown\u2019s sensitive appraisal and adaptation of the work notes how Jet\u00f1il-Kijiner\u2019s repeated deployment of sun-imagery appropriates a common journalistic trope for positivist visions of nuclear power\u2014a \u201cnew dawn\u201d\u2014and uses it to represent internalized trauma, activist exposure, and the potential for restitution, relief, and rehabilitation.<\/p>\n<p>Keown\u2019s meditation on the ambivalence of this imagery thus provides a suitable conclusion for the volume as a whole. Far from \u201cfinishing it,\u201d such analysis demonstrates that the entanglements of literature, medicine, and health, when viewed with the goal of \u201chelping to imagine more equitable health futures\u201d (3), produce not a self-contained end but rather an explosion of energy and light. This eclectic assortment of transcultural works follows through provocatively on the promise of the critical medical humanities, offering, through its multivalent \u201cfull stops,\u201d many new beginnings.<\/p>\n<p><em>Jeffrey Brown is Assistant Professor of English in the Department of Humanities at the University of the Sciences in Philadelphia.<\/em><\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>by Jeffrey M. Brown \u201cLiterature, Medicine, Health [Special Issue].\u201d Moving Worlds 19.2 (2019) A recent volume of Moving Worlds begins with a short poem by UK Poet Laureate Simon Armitage entitled \u201cFinishing It.\u201d \u201cI can\u2019t configure \/ a tablet \/ chiselled by God\u2019s finger \/ or forge \/ a scrawled prescription,\u201d the poet admits; instead, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2021\/01\/15\/review-moving-worlds-special-issue-on-literature-medicine-health\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":422,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2965],"tags":[15111,15115,15088,15159],"class_list":["post-2774","post","type-post","status-publish","format-standard","hentry","category-book-reviews","tag-healer","tag-literature","tag-medicine","tag-moving-worlds"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Review: \u201cMoving Worlds&quot; Special Issue on Literature, Medicine, Health - 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\/2021\/01\/15\/review-moving-worlds-special-issue-on-literature-medicine-health\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Review: \u201cMoving Worlds&quot; Special Issue on Literature, Medicine, Health - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"by Jeffrey M. Brown \u201cLiterature, Medicine, Health [Special Issue].\u201d Moving Worlds 19.2 (2019) A recent volume of Moving Worlds begins with a short poem by UK Poet Laureate Simon Armitage entitled \u201cFinishing It.\u201d \u201cI can\u2019t configure \/ a tablet \/ chiselled by God\u2019s finger \/ or forge \/ a scrawled prescription,\u201d the poet admits; instead, [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/2021\/01\/15\/review-moving-worlds-special-issue-on-literature-medicine-health\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Humanities\" \/>\n<meta property=\"article:published_time\" content=\"2021-01-15T08:00:51+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2021\/01\/Literature-Medicine-Health__Cover.jpg\" \/>\n<meta name=\"author\" content=\"Cristina Hanganu-Bresch\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@crisoi\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Cristina Hanganu-Bresch\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2021\\\/01\\\/15\\\/review-moving-worlds-special-issue-on-literature-medicine-health\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2021\\\/01\\\/15\\\/review-moving-worlds-special-issue-on-literature-medicine-health\\\/\"},\"author\":{\"name\":\"Cristina Hanganu-Bresch\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#\\\/schema\\\/person\\\/b7e03d91a7ed43f7a6ef2747b0d1fbf8\"},\"headline\":\"Review: \u201cMoving Worlds&#8221; 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Brown \u201cLiterature, Medicine, Health [Special Issue].\u201d Moving Worlds 19.2 (2019) A recent volume of Moving Worlds begins with a short poem by UK Poet Laureate Simon Armitage entitled \u201cFinishing It.\u201d \u201cI can\u2019t configure \/ a tablet \/ chiselled by God\u2019s finger \/ or forge \/ a scrawled prescription,\u201d the poet admits; instead, [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/medical-humanities\/2021\/01\/15\/review-moving-worlds-special-issue-on-literature-medicine-health\/","og_site_name":"Medical Humanities","article_published_time":"2021-01-15T08:00:51+00:00","og_image":[{"url":"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2021\/01\/Literature-Medicine-Health__Cover.jpg","type":"","width":"","height":""}],"author":"Cristina Hanganu-Bresch","twitter_card":"summary_large_image","twitter_creator":"@crisoi","twitter_misc":{"Written by":"Cristina Hanganu-Bresch","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/2021\/01\/15\/review-moving-worlds-special-issue-on-literature-medicine-health\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/medical-humanities\/2021\/01\/15\/review-moving-worlds-special-issue-on-literature-medicine-health\/"},"author":{"name":"Cristina Hanganu-Bresch","@id":"https:\/\/blogs.bmj.com\/medical-humanities\/#\/schema\/person\/b7e03d91a7ed43f7a6ef2747b0d1fbf8"},"headline":"Review: \u201cMoving Worlds&#8221; 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