Summary:

Nisbett, a professor of psychology at the University of Michigan, argues that thinking is not universally the same, in time or around the globe. Specifically, Asians and Westerners vary in what they perceive, how they process it, and what action they might take. Nisbett has studied seminal figures such as Aristotle and Confucius, the geographical and social origins of Greece and China, and clues from the languages involved.

He explains a series of polarities, which can be quickly sketched (Eastern first/then Western): relationships/action, choice; feelings/logic; interdependence/independence; circularity, cycles/linearity; field dependence/divisible categories; harmony/debate; ground/figure; context/focal object; setting/outcome; and multiple causes/single cause and effect. Nisbett has also conducted experiments with students of Eastern and Western backgrounds to demonstrate that such differences are still real.

Finally, he argues that, with globalization, the two traditions will merge.

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A severe synopsis of Foucault's first major work might show how Foucault charts the journey of the mad from liberty and discourse to confinement and silence and how this is signposted by the exercise of power. He starts in the epoch when madness was an "undifferentiated experience" (ix), a time when the mad roamed the countryside in "an easy wandering existence" (8); Foucault shows the historical and cultural developments that lead to "that other form of madness, by which men, in an act of sovereign reason, confine their neighbors" (ix), challenging the optimism of William Tuke and Phillipe Pinel's "liberation" of the mad and problematizing the genesis of psychiatry, a "monologue of reason about madness" (xi).

Central to this is the notion of confinement as a meaningful exercise. Foucault's history explains how the mad came first to be confined; how they became identified as confined due to moral and economic factors that determined those who ought to be confined; how they became perceived as dangerous through their confinement, partly by way of atavistic identification with the lepers whose place they had come to occupy; how they were "liberated" by Pinel and Tuke, but in their liberation remained confined, both physically in asylums and in the designation of being mad; and how this confinement subsequently became enacted in the figure of the psychiatrist, whose practice is "a certain moral tactic contemporary with the end of the eighteenth century, preserved in the rites of the asylum life, and overlaid by the myths of positivism." Science and medicine, notably, come in at the later stages, as practices "elaborated once this division" between the mad and the sane has been made (ix).

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The description on the cover of this collection of essays states that it is "candid firsthand accounts of the profound experiences that transform medical students into doctors". It is edited by a woman breast surgeon (Susan Pories) who teaches students in the Harvard Medical School Patient-Doctor Course; a MD/MBA candidate (Sachin Jain) who anticipates a career as a clinician , scholar and activist; and a psychiatrist (Gordon Harper) who is director of the Patient-Doctor III course at Harvard. The short forward is by physician-writer Jerome Groopman. The 44 essays are divided into sections by theme: Communication, Empathy, Easing Suffering and Loss, and Finding a Better Way. I found it helpful to read the short biographies of each student in the back of the book, before reading that student's essay.

The diversity of the essayists is very wide which makes for a broad look at many important issues. There are several subjects that we tend to avoid (student response to the nude body, the presence of students when end of life decisions are being made, the tensions between caring for a patient and having to do something which causes pain, trying to think of patients a people as well as complex biomedical problems). One of the editors wishes that the book will help people understand the working of the hospital and the many ways in which new doctors learn. The book is certainly a personal look at the teaching hospital from the students' view.

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The narrator is visiting a patient in a mental hospital and sits chewing his sandwich. He has also brought a sandwich for the patient (his brother? father? friend?), but the patient just holds his sandwich motionless in front of his mouth. The narrator tries to accept this as ordinary; he keeps chewing. But his "past is sitting in front of" him, trying unsuccessfully "to bring the present to its mouth."

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This erudite collection of twelve essays by a physician-scientist weaves allegory, myth, clinical experience, science, and western history and religion (particularly Catholicism) with ruminations on the meaning of medicine and health. The author is the chair of the Department of Medicine at Jagiellonian University School of Medicine in Cracow, Poland – a university founded in 1364 and which counts Copernicus and Pope John Paul II as alumni. Hence it is with this sense of history that the author addresses such topics as cardiology, pain and its relief, genomics, critical care, infectious disease, health care financing. For instance, in Chapter VII “A Purifying Power” Szczeklik traces the word “katharsis” (the title of the book in the original Polish) to the Greek chorus, Pythagoras and Aristotle, then explores the interplay between music and medicine.

Some of the memorable clinical tales are of the reanimation of a frozen man and the resuscitation of a man who drags himself to the newly opened critical care unit and then very cooperatively codes. The narratives about research, such as the self-experimentation with prostacyclin just after its discovery in the 1970s, are also riveting.

The scope includes the realms of science and religion. For instance, Szczeklik mentions both the Papal Academy of Sciences session on evolution (Pope John Paul II: “The scientific theory of evolution is not at odds with any truth of the Christian faith.” p. 128) as well as religious overtones to metaphoric declarations about the power of the genome (“the language of God” p. 125).

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Pym’s novels depict ordinary life among middle class Englishmen and women with compassion, humor, and irony. The quartet denoted in this title consists of two men and two women in their sixties, the autumn of their lives. These characters hold menial jobs at the same office in London during the nineteen-seventies; two live in rented rooms, and two own their own small houses. Pym’s opening chapter catches them going to the library, because it is free. She clues us in to their personalities by describing their hair: Edwin’s hair is “thin, graying and bald on top”; Norman’s hair is “difficult”, as he is; Letty wears her faded brown hair too long and soft and wispy. Marcia’s hair is “short, stiff, lifeless” and home dyed. (1-2)

Only Letty visits the library because she likes to read; the others take advantage of the shelter it offers. Edwin frequents the local churches when there are masses or holiday celebrations with sherry and perhaps free food. Pym depicts their office routines, conversations, and uneventful lives. When Letty and Marcia retire, the (acting) deputy assistant director wonders what they have done during their working life: ”The activities of their department seemed to be shrouded in mystery – something to do with records or filing, it was thought, nobody knew for certain, but it was evidently ‘women’s work’, the kind of thing that could easily be replaced by a computer.” (101)

Letty moves in with another woman, and Marcia, alone in her house, wears her old clothes and forgets to eat. She resists the well-meaning social worker knocking on her door. Letty begins thinking of her failures: she did not marry, and she has no children or grandchildren. After some time, Edwin arranges a reunion at a restaurant; Letty tries to be upbeat: ”She must never give the slightest hint of loneliness or boredom, the sense of time hanging heavy.” (134) Marcia complains about the social worker and brags about her “major operation”, a mastectomy. She takes the bus to her surgeon’s, Mr. Strong’s, house to spy on him, and her encounters with him are her happiest moments. After Marcia’s decline into dementia and lonely death, the three office mates meet at her house, which Marcia has willed to Norman. Here they divide up the contents of her cupboards: the tins of sardines, butter beans, and macaroni cheese. They find an unopened bottle of sherry and toast each other as they remember their deceased friend.

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This film tells the remarkable story of Vivien Thomas (played by Mos Def), an African-American fine carpenter, who found his way into medicine through the back door and changed medical history. Hired when jobs were in short supply to work as a custodian and sometime lab assistant to Dr. Alfred Blalock (Alan Rickman), a research cardiologist, Thomas quickly becomes an irreplaceable research assistant. His keen observations, his skill with the most delicate machinery and, eventually, in performing experimental surgery on animals, make clear that he has both a genius and a calling.

Though the relationship has its tensions (Blalock, as a Southern white man and a doctor, has some blind spots in the matter of mutual human respect, though he highly values Thomas’s skills) it lasts for decades. The two move their families to Baltimore, where Blalock becomes Head of Surgery at Johns Hopkins and, much to his colleagues surprise and to some of their dismay, brings Thomas in to perform groundbreaking open heart surgery on a blue baby. It is not until after Blalock’s death that Thomas is granted an honorary doctorate from Johns Hopkins, where he continues to work in research until his own retirement.

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Act One: The professor, John, receives his student, Carol, who is seeking help with an essay. She readily admits that she does not understand the premise of the course. During the interview, he is animated and cavalier about her difficulty. He is also distracted by preoccupations from home and allows their encounter to be interrupted by phone calls about the sale of his house. Insisting that academic work is not as difficult as some would pretend, he suggests that she simply come to see him from time to time.

Act Two: Carol and John meet again in his office. She has reported to his tenure committee, accusing him of sexism, elitism, grandiosity, and offering good grades in exchange for coming to see him. He is upset and angry because he thinks she has misinterpreted his offer. He had considered himself a good and original teacher. More than insulting, the accusations now mean that he is in financial trouble because he had bought a house on the strength of his bid for tenure. He asks how he can make amends. She interprets the question as attempt to force a retraction. She moves to leave, he moves to restrain her, and she screams.

Act Three: Carol comes to John’s office at his request and against advice. There has been an investigation and he is to be disciplined. He refers to her complaints as “allegations,” but she insists that they are “proven facts.” She has asked that his book be banned, and is considering criminal charges for battery and attempted rape. His career and perhaps also his marriage are ruined. Outraged he starts to beat her—but suddenly stops as if he finally understands her position.

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The world as everyone knew it ended years earlier when "the clocks stopped at 1:17" [p 45] and power was lost. Not many people are still alive. The landscape is charred and hostile with "cauterized terrain" [p 12], "ashen scabland" [p 13], and "the mummied dead everywhere" [p 20]. A father and his young son travel south towards the coast. The boy's mother has committed suicide. Papa and the child wear masks and tote knapsacks. The father pushes a shopping cart filled with potentially useful items that he has collected during the journey. The man keeps his pistol close. It only contains two bullets - one reserved for him and one for the boy.

The father and son follow a road towards the ocean, but they scurry and hide like two animals. Papa's biggest worries are marauders, food, and shoes. The world is cold. Rape and cannibalism are common occurrences. Although their goal is to remain alive and reach the coast, father and son wonder if the destination is any more hospitable than the rest of the dying world. Often hungry and freezing, both of them become sick. The boy contracts a febrile illness. The man frequently coughs blood and is wounded in the leg by an arrow.

Father and child ultimately reach the ocean, but it too is cold and dead. Not long after arriving at the coast, Papa dies. A stranger finds the grieving boy and invites the child to join his family - wife, son, and daughter. He assures the boy that he is a good man. He tells the child that his family does not eat other people. He advises the boy to hold onto his father's pistol.

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Having remarried after a long and partly happy life with a woman who bore him three sons, novelist Campbell Armstrong lives in rural Ireland with his second wife. He learns that his first wife, who works in Phoenix, has advanced lung cancer and, with his second wife’s blessing, goes to spend time with her and their grown sons. In the course of that trip, he reflects on their life together, their romance, his alcoholism and its effect on their family, their move to the U.S., their losses, and the remarkably enduring affection between them and, surprisingly, between the first wife and the second.

Completely surprising all of them, a daughter his first wife gave up for adoption, who has searched for years for her birth mother, shows up in the months before Eileen’s death and makes the trip to Phoenix to meet her birth mother. Her appearance turns out to be a gift to the whole family. She assuages decades of sorrow and longing in both her and her mother’s hearts. She herself has cancer, not as advanced as her mothers. Both she and her mother work in health care professions. Much psychological and spiritual healing is accomplished between them in the short time they have before Eileen’s death several months later.

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