Showing 541 - 550 of 869 annotations tagged with the keyword "Communication"

The Abortion

Walker, Alice

Last Updated: Jun-15-2006
Annotated by:
Nixon, Lois LaCivita

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

The story does concern an abortion, but, more so, the failure of the protagonist’s husband to participate in essential discussions relating to their marriage. Imani, a well-educated black woman, and her husband, Clarence, have a two-year old child and a seemingly good life. The marriage, however, is on uneasy ground because Clarence’s focus has shifted from family to job. Busy as a key advisor to the mayor, he has not thought about this, but Imani, now pregnant, has had time to reach this disturbing conclusion. She decides that unless Clarence will fight to save this child, she will abort the pregnancy. When he fulfills her expectations, quickly acquiescing to her termination plans, Imani recognizes that the partnership is over.

For Imani, abortion is no small matter nor is it new. While still in college, she had undergone a brutal experience with severe hemorrhaging. This time it is an "assembly line" event with no complications, but, again, she is alone. Clarence, oblivious to her smoldering rage about his complacency, subordinates her needs to those associated with his job.

The abortion concretizes the distance between them: "She had known the moment she left the marriage, the exact second. But apparently that moment had left no perceptable mark." Twice Imani had been scarred by abortion, and Clarence, oblivious to these marks, remained in uncomprehending disbelief as the marriage deteriorated and, then, dissolved.

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Annotated by:
Duffin, Jacalyn

Primary Category: Literature / Fiction

Genre: Novel

Summary:

The Canadian narrator, Marie, is in a Paris archive, reading and translating excerpts from the diary of the Jewish mother of Marcel Proust. The entries cover the period from 1890 to 1905. Mme. Proust and her physician husband make excuses for their son's lax behavior, and they worry over his chronic asthma, his social agenda, his apparent lack of interest in women, and his risky future as a writer. Like the entire country, the Proust family divides over the anti-Semitic Dreyfus affair. Later, Mme. Proust writes of her own illness with cancer.

Nearly half a century later, young Sophie Bensimon is sent to safety in Canada from France by her Jewish parents who were never heard from again. In reaction to this loss, Sophie walls herself from emotional expression. Her childless, adoptive parents, the Plots, have difficulty understanding her return to France to search for evidence of her birth parents' demise. She too must cope with archives, papers, and bureaucracy, but she discovers some details of their fate at Auschwitz. She marries a doctor, keeps a kosher kitchen, and worries over every minor event in the life of her son, Max.

As Marie struggles against a pressing deadline to research and translate without reinterpretation, she is aware that her choices will inevitably skew her findings. With this work, she imposes herself, her tastes and her needs on another woman's past. And she remembers her passionate love for Max whose genuine fondness for her finds no sexual expression because he, like Marcel Proust, prefers men.

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The Body Beautiful

Onwurah, Ngozi

Last Updated: May-12-2006
Annotated by:
Holmes, Martha Stoddard

Primary Category: Performing Arts / Film, TV, Video

Genre: Film

Summary:

This documentary, narrated alternately by the daughter-filmmaker and mother whose stories it tells, focuses on how two women move apart and together while experiencing, respectively, adolescence and mid-life. The mother has cancer, a mastectomy, and then rheumatoid arthritis, and these experiences intertwine thematically and structurally with the narrative of the mother-daughter relationship.

Another provocative juxtaposition cross-cuts scenes from the daughter's modeling career (and the social and erotic body that context constructs for her) with scenes of the mother's illness, stigmatization, and erotic daydreams. Both women come to a new awareness of the social meaning of mastectomy within heterosexual and same-sex contexts by the documentary's end; they also come to a place of recognition of the mother's personal and social value and the nature of their relationship.

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Poison

Dahl, Roald

Last Updated: May-02-2006
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Short Story

Summary:

Harry Pope is afraid to move even a muscle. While lying in bed and reading a book, he notices a krait--Bungarus caeruleus, a deadly Asian snake--slithering on top of his pajamas. When his companion, Timber, arrives at the bungalow around midnight, Harry is still petrified with fright. Convinced the snake is asleep on his stomach beneath the bed sheet, Harry has been lying motionless for hours.

Timber telephones Dr. Ganderbai for help and despite the late hour, the Indian physician promptly makes a house call. He administers an injection of anti-venom just in case the snake bites Harry. Next, Dr. Ganderbai carefully infuses chloroform underneath the bed sheet in an attempt to anesthetize the krait. Timber and the doctor then remove the sheet but no snake is found. Dr. Ganderbai questions the validity of Harry's account and wonders if the man was merely dreaming. Harry becomes enraged and spews insults including racial slurs. The doctor remains composed and exits quietly, remarking only that Harry could use a vacation.

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Clock Without Hands

McCullers, Carson

Last Updated: May-02-2006
Annotated by:
Miksanek, Tony

Primary Category: Literature / Fiction

Genre: Novel

Summary:

In the early 1950's, Milan, Georgia is a racially divided town where secrets are plentiful and the meaning of justice is muddled. J. T. Malone, a 40-year-old pharmacist who failed his second year of medical school, is diagnosed with leukemia and told he has only 12-15 months to live. In some ways, Malone's last year of life parallels the declining fortunes of the town's leading citizen, Judge Fox Clane, an overweight and elderly former Congressman who suffers from diabetes and a previous stroke. Judge Clane's wife died of breast cancer, his only son committed suicide, and his daughter-in-law died during childbirth. He raises his grandson, John Jester Clane, and aspires to restore the grandeur of the South in conjunction with redeeming his personal hoard of Confederate currency.

Judge Clane hires Sherman Pew, a "colored boy" and orphan, as his personal assistant, but Sherman eventually resigns from the position when he can no longer tolerate the Judge or his prejudice. Sherman moves into a house located in a white neighborhood. A group of townspeople including the Judge plots to get rid of him. A local man bombs the building and Sherman dies. Shortly after his death, the United States Supreme Court announces its decision supporting school integration.

The Judge is infuriated and goes on the radio station to express his opinion, but he has not prepared a speech. Instead, he begins babbling Lincoln's Gettysburg Address. The radio station cuts him off. Malone has been listening to the Judge on the radio, but his wife turns it off. Integration no longer matters to Malone. Near the end of his life, Malone finds solace in the renewed love for his wife, Martha. He finally appreciates the order and simplicity of life. The pharmacist dies peacefully in his own bed.

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Interior

Degas, Edgar

Last Updated: Apr-27-2006
Annotated by:
Aull, Felice

Primary Category: Visual Arts / Painting/Drawing

Genre: Oil on canvas

Summary:

We look into what appears to be a woman's bedroom with two human figures. The wallpaper design of pastel colored flowers and a delicate lampshade similarly decorated give the room a feminine appearance. A single-width bed covered in a white bedspread is set against the far corner of the right-hand wall, projecting almost at right angles to the viewer. The head of the bed abuts this wall, a pillow propped up against the bedstead.

At the foot of the bed, toward the right foreground of the painting, a coat is thrown over the metal bedpost frame. In the right foreground is a closed door against which leans a bearded man, his trouser legs spread apart, hands in his trouser pockets; he wears a dark jacket and a collared shirt. His shadow looms behind him, large against the door. The shadow is generated by the single small lamp set upon a small round table near the center of the room.

Also on the table is an open suitcase-like case, possibly a sewing box (p. 674 of reference below); a light colored cloth or piece of clothing hangs partially out of it. Small implements are strewn on the table -- a scissors is among them. On the floor next to the table lies another piece of cloth or clothing (said to be a corset, p. 674).

Turned bent away from the man, partially kneeling on the floor at the other side of the room, is the other human figure in the painting -- a young woman whose left shoulder and upper back are bare, the short sleeve of her white dress (nightgown?) hanging off her shoulder. She clutches to her body a blanket or drape. In contrast to the man, who stands in semidarkness, the woman's back is bathed in the light of the nearby lamp. The expression on the woman's face is difficult to discern.

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The Shooting Party

Chekhov, Anton

Last Updated: Apr-26-2006
Annotated by:
Coulehan, Jack

Primary Category: Literature / Fiction

Genre: Novel

Summary:

Chekhov wrote The Shooting Party during his final year in medical school, and it was published serially in 32 weekly segments during 1884 to 1885. The book's plot is essentially a murder mystery, although in its depictions of setting and character the story anticipates Chekhov's mature style.

"The Shooting Party" is the name of a manuscript that an unknown author, who appears out of nowhere, begs a publisher to read and publish. The author agrees at least to read it, and the author says that he will return in three months for the verdict. The body of the book then is this mysterious manuscript, which is written as a first person narrative. Its narrator and central character is the author recounting his own experience. In a "Postscript" the publisher tells us what happened when the author's returned three months later.

The narrator is the local magistrate in a rural region. His good friend and drinking partner, Count Alexei, has an estate nearby. Count Alexei's bailiff, Urbenin, is a middle-aged widower with two children. Also living on the estate are Nikolai Efimych, an old retainer who has gone crazy, and his beautiful daughter Olga. During the first part of The Shooting Party we learn that Count Alexei is a drunk and a lecher; Urbenin is a decent, hard-working, and lonely man; and Olga is caught between her presumably "true" love of the narrator and her desire to advance in life by marrying Urbenin. However, after marrying the bailiff, she takes another step upward by leaving her husband for a live-in affair with the Count, meanwhile secretly protesting her love for the narrator.

The climax occurs during a hunting party in the woods, when Olga goes off by herself and is later found murdered. All the evidence leads to her husband as the culprit. When an unexpected witness who might be able to implicate a different killer appears, the witness himself is mysteriously murdered. At the end of the manuscript, Urbenin is convicted of murder and sent to prison. However, in the "Postscript" the publisher, who proves to be a far better detective than the narrator/magistrate, identifies the real killer from clues that he has observed in the manuscript.

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Annotated by:
Donley, Carol

Primary Category: Literature / Nonfiction

Genre: Memoir

Summary:

Nathaniel Lachenmeyer’s memoir is a reconstructed account of his father Charles’s battle with paranoid schizophrenia and Nathaniel’s inability or unwillingness to recognize his father’s need for help. After his father’s death, Nathaniel contacted many of the people who had known his father, both when he was a student and college professor and later when his illness forced him into mental hospitals, squalid apartments, and homeless living on the streets. Nathaniel’s search to understand his father after his death led him to interview the many health care workers, police, street people, restaurant staff, and others who knew Charles when he was very ill.

Charles was delusional, often hearing voices and talking to his mother, who had been dead for years. Typical of people suffering from paranoid schizophrenia, Charles did not see himself as mentally ill. Therefore he did not like to take medications and would refuse treatments when he could, although his health care workers could see substantial changes for the better when he was on medication. He believed he was the victim of a mind control experiment, forced on him by his persecutors. He died out of touch with his family, having suffered almost twenty years on his own with his illness.

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Primary Category: Literature / Nonfiction

Genre: Treatise

Summary:

This is an ambitious and far-ranging book, the result of years of thinking, teaching, and working with patients. An internist at the College of Physicians and Surgeons at Columbia University, Charon sees a wide range of patients in an urban setting. Also a Ph.D. in English literature, Charon has devised a "Parallel Chart" and other means for caregivers to write personally about the dynamics between healer and patient, to read texts--narratives in particular--and, as a result, to listen better to patients, thus improving the delivery of medical care.

Charon defines narrative medicine as "medicine practiced with these skills of recognizing, absorbing, interpreting, and being moved by the stories of illness" (4). She calls this a "new frame" for medicine, believing that it can improve many of the defects of our current means of providing (or not) medical care. Caregivers who possess "narrative competence" are able to bridge the "divides" of their relation to mortality, the contexts of illness, beliefs about disease causality, and emotions of shame, blame, and fear.

Charon finds that medical care and literature share five narrative features; she argues that careful reading of narratives builds skills that improve medical care, including intersubjectivity between caregiver and patient, and ethicality. Beyond the theory, there are powerful and persuasive examples of interactions between caregiver and patient, many from Charon's own practice. A mother of a sick daughter experiences stress that makes her ill; when she sees a narrative connection, she begins to heal.

Charon sees wider applications. As caregivers understand better concepts of attention, representation, and affiliation, they become more ethical, more community minded, and better healers to their patients. Patient interviews will be different: instead of following a grid of questions, physicians will converse with patients in an open-ended way. What is most important will emerge and emerge in ways that are most beneficial to the patient. Yes, this method will take more time but it will be more efficient in the long run. Bioethics, Charon argues, has been limited by legal approaches and philosophical principles. For her, narrative bioethics offers more human values in how people feel, experience reality, and relate to each other. Finally, there are implications for social justice: why are the poor underserved in this country and in many others?

One of the most exciting and radical formulations comes late in the book: ". . . practitioners, be they health care professionals to begin with or not, must be prepared to offer the self as a therapeutic instrument" (p. 215). This notion links up fruitfully with concepts of energy medicine (v1377v), therapeutic touch (Tiffany Field), and intentionality (Wayne W. Dyer).

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Opera Therapy

Evison-Griffith, Traicee

Last Updated: Mar-29-2006
Annotated by:
Aull, Felice

Primary Category: Performing Arts / Film, TV, Video

Genre: Video

Summary:

This documentary video follows the making of an opera, based on the illness experiences of four Australians who have been diagnosed and treated for cancer. Their feelings about these experiences are translated into music (with lyrics) as they work closely with music therapist/composer, Emma O'Brien. As the three women and one man tell their stories of physical debility and emotional pain, the music therapist asks them to think in terms of color (they choose purple, black) and tones and rhythms that she plays for them on the piano.

When the narratives and their musical representations have evolved sufficiently, trained singers take on the roles "written" for them by the four former patients; the latter continue to be intimately involved in the opera's production, directed by David Kram. At the end of the project, which is also the conclusion of the film, the opera is performed in front of an audience (with musicians playing instruments, singing, and dramatic enactment) and the four people whose illness experience is performed take their bows together with the singers.

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