Showing 201 - 210 of 211 annotations tagged with the keyword "Psycho-social Medicine"

Kitchen Table Wisdom

Remen, Rachel Naomi

Last Updated: Sep-15-1997
Annotated by:
Willms, Janice

Primary Category: Literature / Nonfiction

Genre: Collection (Essays)

Summary:

The author, a pediatrician by training who has gradually moved into psycho-oncology and training others in relationship centered care, writes about life in this collection of short vignettes and analyses. She blends stories of her own experiences as patient and as woman with those she has gathered from a long history of patient encounters. There is no temporal sequence, but the work is grouped into thematic segments. The author shares selected, carefully garnered and assessed narratives of life events intended to be spiritually healing to those who are ill or who care for the sick.

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Annotated by:
Aull, Felice

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Narrated in the style of an "advice" manual, this is the chronicle of a woman who undergoes a hysterectomy and removal of her ovaries. The tone is sardonic. The story begins with the office visit in which the doctor delivers the news and reassures her that she is too "intelligent and sophisticated" to associate her womanhood with her reproductive organs. The physician attempts to persuade the narrator to have her ovaries removed--preventive medicine against the possibility of ovarian cancer--and she finally agrees while groggy from pre-operative anaesthesia. Nothing has prepared her for the emotional and physical lability she experiences after surgery. Even her sexual relationship with her husband is changed.

As she returns for post-operative check-ups, she becomes increasingly conscious of the indignities of the office visit and physical examination: "it strikes [her] that this maximum-efficiency set-up [three cubicles with naked, waiting women] might serve equally well for a brothel and perhaps already does." She feels that she has made a terrible mistake in allowing the doctor to have talked her into anything and that as a male, "there is nothing he can tell you about how you feel, for the simple reason that he does not know."

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A Country Doctor

Kafka, Franz

Last Updated: Jan-29-1997

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

A hapless country doctor describes with breathless urgency a night-time summons to attend a young patient. Events soon take on a surreal aspect as "unearthly horses" transport him instantaneously to the bedside. The doctor, preoccupied with personal distractions and grievances against those he is employed to care for, fails to find what is revealed to be a vile, fatal wound (symbolizing the Crucifixion?). He is humiliated by the villagers, who are "always expecting the impossible from the doctor," and doomed to an endless return trip, losing everything.

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Dreamsnake

McIntyre, Vonda

Last Updated: Jan-22-1997
Annotated by:
Kohn, Martin

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The initial chapter in this novel, Of Mist, and Grass, and Sand (annotated separately), sets the stage for the quest of the young healer/heroine, "Snake," to find a replacement for the snake she had carelessly allowed to come to harm, in the course of caring for a seriously ill child. The remainder of this coming-of-age novel chronicles Snake's journey during her "proving year" (aka/residency training).

Over the course of this year, Snake continues to minister to the sick and encounters, among others, a patient who demands assistance in suicide, a patient who refuses treatment for a gangrenous leg, and a young girl who has been sexually abused (whom Snake eventually adopts and begins to apprentice). There are, as well, myriad lessons in humility, rigidity of thought, and ethnocentrism.

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Cousin Bette

Balzac, Honore de

Last Updated: Jan-13-1997

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Bette is a poor spinster, a frequent visitor at her cousin Hulot’s household. When the story opens, the Hulot family fortune has been decimated by Baron Hulot’s mistress. He spends all his money on her, leaving his wife, Adeline, and daughter, Hortense, to struggle meagerly along. Hortense, whose dowry is shrinking daily, mindlessly amuses herself by teasing Bette about her "lover", the sculptor, Count Steinbock, who lives above Bette’s apartment. Bette treats the sculptor maternally but loves him with a jealous affection.

Hortense decides she must meet Steinbock and the two fall in love at first sight. Though Steinbock has little money, Adeline agrees to their marriage, but the engagement is kept from Bette. Baron Hulot’s mistress leaves him and he becomes invoved with Madame Marneffe, the wife of one of his employees.

Cousin Bette is bitter towards the Baron and his family because they treat her like a servant. When she hears about Hortense’s engagement to her friend Steinbock, she determines to destroy the whole family. Bette introduces Crevel (whose mistress Hulot once stole) to Madame Marneffe and he becomes a rival lover. Bette also anonymously has Steinbock imprisoned for his unpaid debts.

Meanwhile, Madame Marneffe seduces Steinbock. She then secures her power by telling each of her lovers that he is the father of her unborn child. Hulot reaches the end of the line shortly thereafter, when it is discovered that he has been stealing money from the government. Hulot’s brother dies of grief and Hulot himself goes off to live with a seamstress in the slums.

Madame Marneffe and Crevel also meet miserable ends. Several months later, Adeline discovers her missing husband while on a charity mission. He comes home, but soon seduces the maid. Adeline then dies, her emotional reserves exhausted.

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Primary Category: Literature / Fiction

Genre: Novel

Summary:

A man called "The Counselor" is wandering the deserts, plains, and villages. He teaches scripture and rebuilds churches, like a monk, eating and sleeping very little. He attracts an odd group of followers--cripples, murderers, fanatical boys--and leads them to Canudos where they build a town and a glorious cathedral. The town is designed in imitation of Jerusalem. Many people flock to the site to see The Counselor; he heals them with a touch and washes them clean of sin.

The newly-installed conservative government is suspicious of Canudos, seeing it as a bastion of progressive sentiment. They resolve to attack the town and wipe it out. The Counselor, however, has long warned his followers that the Dog and his forces of evil will try to ruin their sanctuary.

When the small branch of the army sent to destroy what they think is a band of cripples and madmen arrives, they are slaughtered with all the vengeance of a holy war. The angered government sends a larger force and the town is eventually destroyed, but the few survivors insist that they saw The Counselor ascend to heaven, and so his reign lives on.

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Annotated by:
Aull, Felice

Primary Category: Performing Arts / Film, TV, Video

Genre: Film

Summary:

Bud (Marlon Brando), a lieutenant in battle during World War II, is shot in the spine by enemy fire. A former college football star, he is now paraplegic. When the film opens, Bud has been in a veteran's rehabilitation unit for a year, flat on his back, bitter and depressed, with no will to help himself or to allow his former fiancee, Ellen (Teresa Wright) to resume their relationship. Ellen persists, enlisting the help of Dr. Brock (Everett Sloane), the rehab unit physician, who arranges for her to visit Bud.

Brock, a no-nonsense-tell-it-like-it-is doctor, hopes that the visit will finally motivate Bud to participate more actively in his own rehabilitation. He moves Bud into a ward with others like himself, where Norm (Jack Webb) and the other paraplegic veterans ("The Men") have developed a sardonic camaraderie; they don't allow Bud to wallow in self-pity.

Ellen convinces Bud that she still loves him and with her support and that of his fellow paraplegic vets, he progresses and does well. With some trepidation, and against the advice of Ellen's parents, Bud agrees to marry Ellen. The wedding and coming-home don't go smoothly--Bud loses his balance while trying to stand through the ceremony, and Ellen, stricken by the realization of what she has committed to, regrets the marriage. Bud runs off, returning to the hospital. In the end, Bud is forced to leave the sheltering cocoon of the hospital and decides to give his marriage another try; Ellen has reconfirmed her love for him and welcomes him back.

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Mr. Peebles' Heart

Gilman, Charlotte Perkins

Last Updated: Apr-12-1996
Annotated by:
Willms, Janice

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

A physician comes to live with her sister and brother-in-law while setting up practice in their town. She observes the relationship between the two and determines to practice her art, albeit a bit deceitfully, to remedy what she sees as unhealthy and unhappy between the elderly married couple. The story unravels the physician's psycho-social methods and follows their implementation to an apparently successful outcome.

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Anti-Clockwise (1)

Abse, Dannie

Last Updated: May-09-1995
Annotated by:
Aull, Felice

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The physician narrator is trying to elicit information from a female patient. The reader isn't sure what is wrong. The physician seems to suspect that she is having sexual/marital difficulties: she denies it. Wondering whether "I could slowly pan, with ophthalmoscope" the physician envisions uncovering the evidence of separate bedrooms in the patient's eyes. But all he has to go by is the body language of the woman, who sighs and twists her wedding ring "anti-clockwise"--as if her life were heading in the wrong direction.

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The Fairy Godfathers

Updike, John

Last Updated: Jul-11-1994
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Two lovers discuss their psychiatrists. Oz is Tod's psychiatrist, Rhadamanthus is Pumpkin's. They interpret their daily lives in light of what their psychiatrists say. In fact, their psychiatrists tell them how they feel about each other.

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