Showing 591 - 600 of 680 Nonfiction annotations
This essay is told from the perspective of an ophthalmologist who was consulted about a patient who had blurry vision. She is told by his internist that he has cancer but the family does not want him to know it. She plays along with the deception and does not inform the patient that his vision problems are from brain metastases. By serendipity she later learns that the patient knows his diagnosis but is playing along with the deception so as not to hurt his family. She is relieved to finally talk with him openly about his disease and his prognosis.
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.
Summary:A physician recounts the experience of caring for a small child with an incurable disease. The father brings in a bright stuffed dinosaur for the child and despite all expectations, the child opens one eye and reaches for the toy, then lapses back into a coma. The family and physicians cry together. A week later the child dies. The narrator uses this example to argue that it is the intensity of a physician's experiences and the privilege of being a part of them, rather than whether or not the experience is happy, that gives medicine its meaning and satisfaction.
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.
Summary:The author describes her experience of growing up with hearing loss. In this excerpt, she describes herself as a six year old orphan who is being raised by two aunts. Young Frances tries to hide her hearing loss from her aunts because she is afraid they will recognize that she is inferior or useless and get rid of her. She invents an invisible friend who chooses to hear what he wants to and who doesn't feel ashamed of this disability.
Mrs. Seaver writes about what it is like living in a nursing home. She writes cogently about the attitudes and behavior of staff, loneliness, lack of privacy, and her day to day experiences as a disabled 84 year old nursing home resident. The contrast between her former life and still-evident wit and intellect, and the way she is treated and diminished in her current environment is profound.
The thirty-four autobiographical essays were written while Klass was a medical student in the Harvard class of 1986. Many of her short chapters were previously published as columns in magazines, journals and newspapers. The insightful but often funny stories cover a variety of scientific and clinical subjects, lifestyle, eating habits, and relationships with other professionals, including nurses.
Pregnancy and the birth of her son half-way though training makes her experience somewhat unusual. In several other essays, including "Macho" and "Learning the Language," Klass reveals her particular sensitivity to language and the advantages and disadvantages of professional discourse.
For Booth all encounters between a storyteller (author) and listener (reader) are ethical in that they bring together the character (ethos) of each. These good and bad qualities of character describe both the author and the reader who "keeps company" with the author. Narratives, in addition to whatever aesthetic pleasure they may give us, always interpret life; they tell us about our lives and other possible lives. We are changed by our reading; the quality of life in the moment of our listening is not what it would be if we had not listened.
While we may disagree about what is great literature within and between cultures, Booth asks if we can hope to find a criticism that will respect variety and yet offer knowledge about why some fictions are worth more than others. His answer is "yes," and he devotes several hundred pages of careful argument and plentiful examples to support his claim.
Fictions are the most powerful of all the architects of our souls and societies. The ethics of criticism is a universal concern; no one can escape the effect of stories because everyone tells them and listens to them; therefore everyone consciously or not asks and answers these questions: Should I believe this narrator and thus join him? Am I willing to be the kind of person this story-teller is asking me to be? What kind of company am I keeping?
Ethics of narrative is a reflexive study, because it starts with one of its conclusions: that some experiences with narrative are beneficial and some are harmful. The minds we use in judging stories have been in part constituted by the stories we judge; there is no control group of untouched souls who have lived without narrative. We absorb the values of what we read; we have been that kind of person for at least as long as we remain in the presence of the work. The ethics of narrative is reciprocal; it affects teller as well as listener. Ethical debate about narrative values can lead to ultimate questions about the quality of life as it is lived.
Booth says every use of language carries freight of cultural values and norms. Ethical criticism cannot divorce itself from social and political contexts. Therefore, he says we come to our sense of value in narratives by experiencing them in context of others that are like and unlike them. We rely on past experiences to make judgments; validity is checked and corrected in conversation (a process he calls coduction). Coduction incorporates what we have experienced of other poems and poets; it judges by comparison and conversation (like a case-based approach). Whenever a narrative really works for us, we are sure to feel that the author's choices and ours are alike in kind, that he or she is our kind of person, practicing skills, virtues, moral powers that we admire.
In reader-response theory, regardless of what the author has tried to give, we can judge only what we manage to take. The reader-response denial that literary works have any intrinsic power or value comes in 2 forms: (1) all aesthetic values are subjective, belonging to each individual; (2) evaluations are corrected and improved in a given community; the community confers value. (Stanley Fish, Is There a Text in This Class? Harvard Univ. Press, 1980) Booth says that the question of whether the value is in the poem or in the reader is radically ambiguous. On the one hand, value is not there actually until it is actualized by the reader; on the other hand, it could not be actualized if it were not there in potential in the poem.
When we read a story we find ourselves in a world different from our own; we are exposed to the "Other" and to other value systems, which we "try on" and evaluate in comparison to the ones we know. We can surrender uncritically to whatever appeals to us, or we can stay aloof so we don't have to really examine these other values, or we can correct and refine our own experience once we have really understood the other value system (coduction).
According to Booth, serious ethical disasters produced by narratives can occur when people sink themselves into an "unrelieved hot bath" of one kind of narrative, such as one of racial superiority. He also notes that writers who come from ideological positions, such as Walker Percy and Flannery O'Connor, often hold those positions against the mistaken views held by their characters, so if the reader cannot distinguish the author's position from his characters' the reader is likely to misinterpret the message. He comments on that problem in Twain's Huck Finn, Conrad's Heart of Darkness, Shakespeare's Merchant of Venice. He refers to Chekhov's story, Home (annotated in this database), and many of Dostoevsky's works.
Booth says that we conduct our lives with and in metaphor, and he warns us not to think we have a literal picture when we're really dealing with metaphor. Some think ordinary language is unfigured and refers literally to a real world behind their language. They don't recognize their own metaphoric world. (See also Metaphors We Live By, by George Lakoff and Mark Johnson, annotated in this database.)
In a discussion pertinent to medicine as a "battle against disease," Booth points out that the war metaphor implies a world where winning or losing is primary. While that cultural value may dominate western culture, it does not accurately describe the value systems of many people. Even the simplest narratives imply whole worlds according to which the narrative makes sense; all narrative is metaphoric.
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.
In 1996, George Delury was sentenced to four months in jail for assisting in the suicide of his wife, Myrna Lebov. In this book, Delury tells the story of his marriage, his wife's struggle with multiple sclerosis, her decision to end her life, his own role in helping her achieve this, and the subsequent legal and media ramifications that culminated in his indictment.