Showing 591 - 600 of 632 annotations tagged with the keyword "Power Relations"
A woman medical student finds herself in a hierarchical dilemma while rotating through her internal medicine clerkship. She is helping to take care of a middle-aged man who has been hospitalized for a diagnostic work-up. As a consequence of invasive procedures ordered by his physicians to determine the cause of his symptoms, the patient has suffered serious complications and is moribund. The doctors are evasive with the patient and his family, who beseech the medical student for an explanation. Even though she has been instructed by the physicians to refer all issues back to them, she follows her own convictions and tells the truth: "Your father is dying."
As a result of this "insubordination," she is called in to see the head of the department, a man of "legendary diagnostic skill" with a long tenure at the hospital. He says that he will have her dismissed, and launches into a long diatribe, making the case for a paternalistic medicine in which the patient needs to believe that the physician is omniscient and possesses quasi-magical healing powers. "Miracle, mystery, and authority," he says, are at the heart of what physicians can do for their patients and to undermine these is to do harm to the vast majority of the sick. Having made his point, he terminates the interview but reinstates the student, who, it is suggested, is so grateful (for his advice or for not being dismissed?) that she kisses him.
Smiley's novel, King Lear (see King Lear in this database) with a shocking twist, portrays the enduring violence of incest to body and spirit. The narrative voice describes her family--a wealthy farmer and his three daughters. Family relationships are explored, especially the hidden roots that shape and define behaviors and conflicts, some lasting a lifetime.
The disclosure of a horribly dark secret explains the personalities of the three daughters and, for two, their metaphoric afflictions (infertility and breast cancer). Smiley's novel is layered with rich complexities, but none more powerful and astonishing than the core event, the sexual victimization of two vulnerable teenage girls who, as the story unfolds, are permanently scarred. Through a reinterpretation of Lear, Smiley demonstrates the cost of this hideous form of male domination and female victimization.
Consuelo Camacho Ramos (Connie) was placed in Bellevue Hospital because she abused drugs and alcohol after the police killed her blind, African-American lover. She was accused of child abuse and her daughter was put up for adoption. When the novel opens, Connie has been released and is living in New York with little money and no hope of a job.
She begins to be visited by an individual from the year 2137 who calls "himself" Luciente. He communicates with Connie mentally and she visits his world in the same way, experiencing everything without moving her body. Luciente’s community is not divided along gender lines. Indeed, "he" turns out to be what Connie calls "female," though the name means nothing in this future world.
Reproduction takes place in an artificial environment in which fetuses are delivered at ten months to improve their strength. Every child has three "mothers," but is raised by the entire community. Luciente’s community is fighting a war against forces that want people to live in a hierarchical system in which women all become prostitutes, victims of a larger, manipulating force, a battle Connie also fights in her world.
When Connie breaks the nose of her niece’s pimp, he takes her back to Bellevue. No one believes that she did not provoke the attack. They assume she is mad. In an exemplary moment, the nurses who attend to Connie talk over her head about how dirty these mad people are. Left tied to a bed for many hours, Connie has urinated on herself and has been unable to wipe her nose. The nurses ignore every word she says.
Connie learns to manipulate the system, not swallowing her pills and telling her counselor that indeed she was sick but now feels much better. She draws the line, however, when she is chosen to be a subject in an experiment. The doctors plan to implant electrodes into the patients’ brains to control the patients’ emotions. Connie kills the doctors by slipping poison into their coffee.
Scarry argues that pain is the most absolute definer of reality. For the person in pain, there is no reality besides pain; if it hurts, it must be real. This characteristic of pain makes it useful politically. In torture, for example, the reality of the one being tortured is reduced to an awareness of pain, while the torturer’s world remains fully present. This is realized most emphatically when torture is described as information-gathering. The torturer insists on questions that for the tortured are no longer of any concern.
War also makes use of pain. In the dispute that leads to war, one country’s beliefs are pitted against another’s. Both sides’ positions are thus called into question; if there is disagreement about the facts, it becomes apparent that the facts are based in opinion, not reality. The injured bodies of war re-connect the victor’s beliefs with the material world. If the injured body is the ultimate in reality, the injured bodies of war can be used to signify the reality of the victor’s position. Simultaneously, the pain of individuals in war is transferred to inanimate objects or large groups. Thus, one speaks of "Division Six" being wounded or weapons being disabled.
This language also uses the absolute reality of the body in pain to secure the truth of a cultural/political position. Scarry discusses the reality-producing quality of pain in Judeo-Christian scriptures, Marx, and humans’ relationships with inanimate objects.
This collection of vignettes follows the growth and development of one internist as he reflects on some of the critical experiences that shaped him as physician. The common thread of the work is the celebration of the relationship that can, and perhaps should, be built between the physician and his or her patient in the course of caring: this relationship is the sacred space of the title.
The author accomplishes his self-imposed task of describing this space by presenting situations in his practice life that illustrate the concept. The chronological structure of the collection enables the reader to study the maturation of the author as a self-reflective practitioner over the many decades of his professional life. Many of the stories are very funny; others are wrenching; all are gently told.
Geek Love is the saga of a traveling carnival, the owners of which try to save it from financial failure by using ingested chemicals and toxins to create the birth of amazing freaks for the show. The outcome is a family that is both proud and vain about its specialness. The narrative unfolds the intricacies of greed and jealousy that tear the family asunder, resulting in the deaths of some members, the madness of others, and the escape of one.
It is Olympia, the hunchback albino dwarf, who lives on to tell the story of the Binewski clan. Central to the heyday of the carnival is Doc P, a physician of questionable credentials who performs bizarre operations in the traveling hospital that moves with the carnival. The story moves relentlessly toward a climax and denouement that is sufficiently unimaginable to be consistent with the cast of characters.
Summary:This five-line poem poses a direct question of distributive justice to a mother faced with scarce resources. "Indian Poem" asks the mother to decide how she will divide what little she has among her children. She must choose between her strong son who has no immediate need, her weak son who is bound to die soon , and her daughter, "who is a girl anyway." The poem presents an imperative choice, but acknowledges that in choosing, the mother will also suffer along with her children.
In the "brave new world" of 632 A. F. (After Ford), universal human happiness has been achieved. (Well, almost.) Control of reproduction, genetic engineering, conditioning--especially via repetitive messages delivered during sleep--and a perfect pleasure drug called "Soma" are the cornerstones of the new society. Reproduction has been removed from the womb and placed on the conveyor belt, where reproductive workers tinker with the embryos to produce various grades of human beings, ranging from the super-intelligent Alpha Pluses down to the dwarfed semi-moron Epsilons.
Each class is conditioned to love its type of work and its place in society; for example, Epsilons are supremely happy running elevators. Outside of their work, people spend their lives in constant pleasure. This involves consuming (continually buying new things, whether they need them or not), participating in elaborate sports, and free-floating sex. While uninhibited sex is universal and considered socially constructive, love, marriage, and parenthood are viewed as obscene.
The story concerns Bernard, an alpha whose programming is a bit off--he is discontented and desires to spend time alone just thinking or looking at the stars. At one point he takes Lenina on a vacation to the savage reservation in New Mexico. There he discovers John (the Savage), son of Linda who had visited the reservation more than 20 years previously and was accidentally left behind. When she discovered she was pregnant (the ultimate humiliation!), she had to remain among the savages. John returns to the Brave New World where he is feted as the Visiting Savage. However, he cannot adapt to this totally alien society and, ultimately, he takes his own life.
A nephrologist is named in a lawsuit after serving as a consulting physician in a diabetes case. The diabetic patient had had a serious infection and later his leg was amputated; he apparently felt the doctors neglected the seriousness of his condition. When the dialysis unit treating this patient requests to transfer his care to the author, whose unit is in the patient's home town, the author is uncertain what to do.
The author is angry about the law suit, and his colleagues counsel him to refuse to take this patient. But after realizing that the lawsuit was merely a reflection of the patient's suffering, and that he needs the same compassion and care as any other human being, the author agrees to accept the patient. The author discovers that his patient is a meek, gentle man; over time, he helps him come to terms with his illness, his disability, and his approaching death. Eventually the patient drops his malpractice suit.
Summary:A woman looks back on how a rape 15 years earlier still affects her life, her relationships with others, and the way she feels about herself. The event itself is recounted piecemeal throughout the story as the narrator describes the dissolution of her relationship with Lenny, whom she was seeing at the time of the rape, and compares her experience to the gang rape of an acquaintance. She compares Lenny with her husband, Dan, and the ways they dealt differently with the event; Lenny was helpless and passive, her husband, strong and protective. The narrator is caught between the desire to strike back and the need to submit to the mercy of others in order to stay alive.