Showing 371 - 380 of 420 annotations tagged with the keyword "Pain"

Disease, Pain, & Sacrifice

Bakan, David

Last Updated: May-17-1999
Annotated by:
Coulehan, Jack

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

This book is subtitled, "Toward a Psychology of Suffering." In the first chapter, Bakan sketches a theory of disease as telic decentralization. He defines "telos" as that which is "determinant of form." In multicellular organisms, there are multiple, subsidiary tele, as well as an overall telos of the organism. Growth and development can occur only if there is a certain degree of telic decentralization, yet disease can also result from this internal separation or estrangement. Bakan supports this theory with arguments from post-Darwinian evolutionary theory, Selye, and Freud.

In the second chapter, Bakan considers pain as the psychic manifestation of telic decentralization. Suffering is a pain-annihilation complex: the experience of pain external to the ego, associated with an internal fear of annihilation. In the last chapter, the author considers the Book of Job as a literary approach to understanding the meaning of pain, sacrifice, and suffering.

View full annotation

Rhymes of a Red Cross Man

Service, Robert

Last Updated: Mar-14-1999
Annotated by:
Coulehan, Jack

Primary Category: Literature / Poetry

Genre: Collection (Poems)

Summary:

This is a collection of poems based on Robert Service’s experience as a Red Cross ambulance driver in France during World War I. The book begins with the patriotic call to war: "High and low, all must go: / Hark to the shout of War!" Some of the volunteers never come back (e.g. "The Fool," "Our Hero," and "My Mate"). Others are severely wounded (e.g. "The Convalescent" and "Wounded").

Many of the narrators express their love of home, family, and especially their fellow soldiers (e.g. "The Man From Athabaska," "Carry On," and "Bill the Bomber"). Only a small number of these poems evoke specifically Red Cross work. One of these is "The Odyssey of ’Erbert ’Iggins," in which two medics carry the wounded from the battlefield. Another is "The Stretcher Bearer," in which the narrator is unable to clean a blood stain from his stretcher and wonders, "if in ’Eaven’s height, / Our God don’t turn away ’Is Face."

Throughout the collection there is evidence of ambivalence toward the individual German soldier. In some moments he is "Only a Boche" (or Hun) who has killed the soldier’s buddies, but in other moments the narrators reflect that their opponents are also ordinary men, sons and fathers, who love their families.

View full annotation

The Reconstruction

Casper, Claudia

Last Updated: Feb-08-1999
Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Margaret is a sculptor whose detached and unaffectionate physician-husband has just exited their marriage. Depressed, she is in dire need of work to survive and to cover the costs of urgently needed dental work. She gladly accepts a museum commission to recreate a life-sized likeness of Lucy, the Australopithecus afarensis hominid.

The plan is to reconstruct the body using casts of the fossil bones and to depict a single moment in Lucy's past, as captured by the fossilized Laetoli footprints. Made by a hominid pair, the prehistoric footprints show how the smaller creature--Lucy--hesitated in her unknown journey 3.6 million years ago.

As Margaret reassembles her ancestor and situates her plausibly in that mysterious moment, she rediscovers her own animal body, its senses, needs, and beauty--and she begins to reassemble her life.

In the end, she appears to find love and joy with a musician whom she first encounters on a purely physical basis. Yet she is comfortable with an ambiguous future.

View full annotation

Annotated by:
Shafer, Audrey

Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

This history of western medicine in the nineteenth century chronicles the lives of some men and women who were innovators in the field of medicine. Williams begins the book in the 1700s with the life of John Hunter and his influence on nineteenth century medical practice and research.

The book consists of 16 chapters, many of which, like the one on Hunter are biographic. For example, Williams writes of the contributions, education, and lives of Florence Nightingale, Hugh Owen Thomas (orthopedics), Marie Curie, Joseph Lister, Ignaz Semmelweis (maternal health), Patrick Manson (tropical medicine), Jean-Martin Charcot, and William Conrad Röntgen. Other chapters are more theme-oriented, such as body-snatchers, discovery of anesthesia, homeopathic medicine, blood transfusion, and medical use of spas.

Black and white illustrations, such as Mrs. Röntgen's hand in an X-ray photograph help the reader to appreciate the advances in medical knowledge in the nineteenth century.

View full annotation

The Hypnotist

Schneider-Braus, Kathleen

Last Updated: Nov-24-1998
Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

A psychiatrist who is skilled at hypnotism is asked by an oncologist to hypnotize a difficult patient prior to a bone marrow biopsy. The psychiatrist is able to achieve excellent pain relief through hypnotism, much to her own surprise. She is exhausted by the mental energy she has expended in this experience, and is discredited by the oncologist, who doesn't really believe that hypnotism is anything special.

View full annotation

Tears

Krauser, Paula

Last Updated: Nov-24-1998
Annotated by:
Squier, Harriet

Primary Category: Literature / Nonfiction

Genre: Essay

Summary:

A pediatric intern encounters her first dying child. Her initial response is to care for the child, hold him, and try to comfort him. She is told by her attending physician that this behavior is unprofessional. When she cries in response to her stress and grief, she is told she will never be an effective physician. The narrator then describes how she ultimately came to terms with her impulse to cry at stressful times, and how she interacts with patients in her current practice.

View full annotation

Healing Lessons

Winawer, Sidney

Last Updated: Sep-30-1998
Annotated by:
Belling, Catherine

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

Sidney Winawer is a New York physician specializing in gastrointestinal cancers. When his wife, Andrea, is diagnosed with stomach cancer, he is made to see his own work from a new perspective, that of the patient and her family. The experience gives him new insights into aspects of health care he had not considered before, such as the alienating effects of some hospital routines on patient and family, the patient's need to find hope from any source, regardless of its intellectual provenance, and, encouragingly, the life-enhancing effects on his family as they join Andrea in her determined struggle to prolong and enrich whatever time remains for her.

For the first time, Winawer explores alternative and complementary approaches to cancer treatment, including meditation, antioxidant therapies, hyperthermia, and other attempts to stimulate the immune system. At first resistant, he comes to recognize the need for the terminally ill and their families to have access to as many resources as possible, and eventually it becomes his "mission" to emphasize the need for practitioners of conventional medicine to learn as much as possible about integrative medicine.

An interesting subplot is the story of Dr. Casper Schmidt, Andrea's psychiatrist, whose remarkable knowledge of new treatments for terminal illness is explained when he dies of AIDS. As another physician led by personal experience of disease to explore beyond the boundaries of conventional therapies, Schmidt forms an illuminating counterpoint to Winawer himself.

View full annotation

Annotated by:
Ratzan, Richard M.

Primary Category: Literature / Poetry

Genre: Poem

Summary:

This poem is in the form of a villanelle, a French verse form derived from an Italian folk song of the late 15th-early 17th Centuries. Originally reserved for pastoral subjects, modern poets from W. H. Auden ("Time Will Say Nothing") to Dylan Thomas (Do Not Go Gentle into That Good Night) have employed it for more somber subjects.

The strict definition of a villanelle adheres to the following pattern: five tercets followed by a quatrain with the rhyming scheme of a1ba2 aba1 aba2 aba1 aba2 aba1a2. Williams's "Villanelle," like Thomas's "Do Not Go Gentle into That Good Night," obeys this convention while relating a bereaved, haunted mother's lament over her dead daughter.

View full annotation

Cold Mountain

Frazier, Charles

Last Updated: Mar-26-1998
Annotated by:
Shafer, Audrey

Primary Category: Literature / Fiction

Genre: Novel

Summary:

This novel chronicles the long journey home of a Civil War soldier, Inman, to Cold Mountain in North Carolina. The story begins in a military hospital, and Inman's neck wound, a long difficult-to-heal horizontal slice received in battle, is drawing flies. Inman is a moral man, and the brutality and killing he has witnessed on the battlefield lead him to leave the hospital AWOL and journey secretively, by foot, back to Ada, his love.

The trip is perilous; Inman is subject not only to the difficulties of near starvation and a poorly healing wound, but also the cruelties of people he meets along the way. However, every so often, he is also succored by compassionate people, such as the goat woman who provides the cure for his neck wound, if not for the wounds inside. Intertwined with Inman's story is Ada's: her preacher father dies of tuberculosis, leaving her utterly unable to provide for her own basic needs on the farm. Fortunately, a self-reliant young woman, Ruby, joins Ada on the farm, and helps transform both the farm and Ada.

The book details the ways of nourishment: physical (precise descriptions of food, its paucity and preparation) and nonphysical (themes of love, generosity, intellectual curiosity, and spiritual questing underpin the book). Cold Mountain itself provides both types of nourishment by offering hope, goals, shelter, food and a place where love and forgiveness are possible despite the savagery of man.

View full annotation

Concussion

Stanton, Maura

Last Updated: Mar-26-1998
Annotated by:
Dittrich, Lisa

Primary Category: Literature / Poetry

Genre: Poem

Summary:

The speaker describes falling on the stairs and badly hitting her head--the nausea and dizziness she experiences frighten her, reminding her of the vulnerability of her body and the ever-with-us potential for tragedy. She recalls a friend who suffered a blood clot and had to be rushed to surgery and the details of her father’s last days.

View full annotation