Summary:

Frank Eloff, the novel’s narrator, is a white doctor working at a hospital in the former capital of one of South Africa’s now-defunct independent homelands (rural areas set aside by the apartheid government for black "separate development"). The hospital, in its deserted and decaying city, is understaffed and understocked, and there are hardly any patients. Those who do arrive usually need to be taken elsewhere if they need any significant treatment. The homeland’s former leader, the Brigadier, has returned as a criminal gang leader to loot the place, and a white former army commander, now in the employ of the present government, is trying to capture him.

Frank moved to this place when promised directorship of the hospital (and in flight after his wife left him for his best friend), but the previous director has not left yet, and Frank is in a kind of personal and professional bureaucratic limbo. He has a sexual relationship with a black woman who runs a roadside souvenir stall. It is not quite prostitution, not quite a love affair: she is married, speaks little English, and Frank regularly gives her money.

A new doctor, Laurence Waters, arrives. He is fresh from medical school, sent to the hospital in order to complete the rural community service year required by the government of all new physicians. He and Frank become roommates and begin an uneasy friendship. Laurence is an idealist, planning to make heroic changes, but he misunderstands the complex balance of tolerance, cynicism and patience that characterize survival at the hospital, and his well-intentioned efforts, such as trying to end theft from the hospital and to establish a clinic in a local tribal village, lead to disaster. The novel ends with Frank appointed hospital director at last, and things returning to their depressingly ineffective "normality."

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A young woman observes the slow decline of her grandmother into dementia and her grandfather’s reaction to the situation. Issues of denial, anger, autonomy, and intimacy rise to the surface—and expose the formerly private dimensions of their marriage. The illness also stresses her own relationship and invites the idea that someday she and her partner could be projected into a future with the same vulnerability.

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A night on the town with two friends turns into "an attack of nerves" for Vasilyev, a law student. The three students spend the night drinking and visiting houses of prostitution; Vasilyev is horrified and repulsed by the women, who he thinks are "more like animals than human beings." The social problem of prostitution becomes an obsession; he is so fixated on finding a solution that he is in moral agony. His friends, among whom is a medical student, are concerned only with his health; they take him to a psychiatrist who "cures" Vasilyev with bromide and morphine.

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The narrator is a Vietnamese husband who has a beautiful, flirtatious wife. They have been living in the New Orleans area for more than a decade, arriving in America after the fall of South Vietnam. The husband tells a remarkable story about the lengths to which he has gone, both in Vietnam and in America, to intercept and discourage his wife’s extra-marital interests. The narrator is humorously self-deprecating and matter-of-fact.

In Vietnam, he was a spy for the Americans, and able to "bring fire from heaven" in the form of American rocket attacks to scare off his wife’s would-be lovers; in America, he adapts to the local culture by consulting a "low-down papa" voodoo specialist. What follows this consultation is a hilariously told sequence of events that succeeds finally in winning the wife’s loyalty.

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The author tells the story of two Native-American (Chippewa) families whose lives interweave through several generations during the years 1934-1984. The primary setting is a reservation in North Dakota. The main characters, Marie and Nector Kashpaw and Lulu Lamartine, are colorful, sympathetic people caught in a love triangle that endures for most of their adult lives. "Love medicine" represents an attempt by a Kashpaw grandson to assure once and for all that his aging grandfather will love and be true to his wife and cease "hankering after the Lamartine." The plan ends in disaster when corners are cut and the authentic old Indian customs for preparing the "love medicine" are circumvented.

There is a strong sense of the blending of cultures--religion, medicine, commerce, education all take on the distinctive qualities of an evolving mixed culture. Displacement and disenfranchisement are a fact of life, taken almost for granted, with humor, but not without a response. "They gave you worthless land to start with and then they chopped it out from under your feet. They took your kids away and stuffed the English language in their mouth . . . They sold you booze for furs and then told you not to drink. It was time, high past time, the Indians smartened up and started using the only leverage they had-federal law." (p. 326) So begins an initiative to establish a gambling casino; "gambling fit into the old traditions . . . . "

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This 15-line poem considers how, through the ages, dwarves have been ridiculed. Something about their appearance makes us, in our "big, proper bodies" laugh at them. We "snicker" at the immensely obese as well, even as we are aware of the danger to their health. Then the narrator takes us one step further: "And imagine the small political base / of a fat dwarf."

In the final stanza, the "we" becomes restricted to the narrator and his friends, who are socializing over dinner and can "hardly contain" themselves. But does that let the rest of us--the complicitous larger audience--off the hook?

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This poem by physician, Rafael Campo, is No. 5 in the sequence, "Canción de las Mujeres" ("Song of the Women"). A drag queen is dying of AIDS, as she and the physician try to maintain her dignity and her identity. "Her shade of eye shadow was emerald green; / She clutched her favorite stones."

The patient is resigned, "almost at peace" while she remembers the strength that she drew from the community of drag queens who were her friends, now dead. The physician turns up the morphine drip, and straightens her wig, "[b]efore pronouncing her to no applause."

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As much about the abusive treatment of women, and the clash of traditional and contemporary mores as it is about the HIV/AIDS pandemic, this beautifully crafted novel tells the story of a nineteen-year-old Mosa (for mosadi--woman) who has already lost two brothers to AIDS. The reader is caught up in the mega-deaths and non-mention of the dreaded acronym, AIDS, as the story unfolds. At their brother’s gravesite Mosa’s one remaining living brother is halted as he shovels in the final loads of earth: "All around him were fresh graves . . . He looked at the not fresh, fresh graves, and noted the dates of birth. Young people who had died prematurely . . . He had known about their long illnesses, their deaths and their funerals." (p. 20)

The author is the first (and only) female judge of the High Court of Botswana and a human rights activist. She is internationally renowned for bringing about the Dow Case, which challenged Botswana nationality laws; she argued successfully for revisions allowing women to pass their nationality on to their children.

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Couser, long interested in autobiography, explores the ethics of representation in biographical writing, and in particular, the ethics of representing vulnerable subjects--for example, the aged or very young, the sick or impaired, or those who are "socially or culturally disadvantaged." He is concerned with representation of people who are intimately connected to the biographer, either as family members, or in some other "trust-based relationship." Couser argues that the relationship between vulnerable subjects and their biographers is analogous to that between patients and their physicians and that therefore principles of bioethics should be applied to such life writing, especially the principles of autonomy, nonmaleficence, and beneficence.

Couser explores life writing and betrayal (Chapter 1), outlines how he will apply the principles of biomedical ethics and ethnographical ethics to life writing (Chapter 2), and applies these principles to examples of collaborative autobiography (Chapter 3). He then critiques in detail Michael Dorris’s memoir about his adopted son, The Broken Cord (Chapter 4); the work of Oliver Sacks (Chapter 6); memoirs of euthanasia (Couser calls these "euthanographies"), Saying Goodbye to Daniel: When Death Is the Best Choice, by Julia Cassutto Rothman; Rescuing Jeffrey, by Richard Galli, and But What If She Wants to Die, by George DeLury (Chapter 7). Finally, in the last chapter, Couser considers how investigation of the human genome might influence the "scripts" of our lives and hence life writing, and also how life writing might be a counter discursive force against genomic essentialism.

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The story takes place in the mid-19th century in a remote settlement of Queensland, Australia. One day as a group of children are playing at the edge of the village, a remarkable figure stumbles out of the bush. This dark, unkempt person (Gemmy) turns out to be a white man who fell from a ship 16 years earlier (when he was a 19 year old sailor) and has lived with an aboriginal tribe ever since. He hardly remembers English, and his culture and sensibility have become those of his adopted people.

At first Gemmy creates a sensation in the settlement and people want to help him, despite his obvious savage mentality (after all, he isn't even embarrassed by nakedness!). He goes to live with the McIvor family, whose daughter, Janet, and nephew, Lachlan Beattie, were among the children who found him. While Mrs. McIvor accepts Gemmy with Christian love, her husband Jock is skeptical.

In fact, it soon becomes clear that there are major tensions in the village regarding Gemmy. Has he really become "one of them" (a black)? Can he be trusted? He seems harmless enough--almost a pleasant imbecile--but perhaps it is all a subterfuge. Perhaps he is in contact with THEM.

Among the European settlers, there are two views of how to handle the blacks. One group believes they should simply be wiped out--every one of them killed--because they are savage, worthless, and couldn't possibly become (real) Christians. A second group has a more romantic view. They think the black people could be "tamed" and become their servants. They envision themselves as owners of large plantations (as in the southern United States) worked by multitudes of happy and harmless black servants.

Representatives of both groups try to win Gemmy's confidence and obtain information regarding the whereabouts and plans of the black tribes. He, however, remains silent about these matters, although pleasant and deferential toward everyone. An uneasy truce holds until one day two aboriginal people are observed visiting with Gemmy on McIvor's property. This creates an uproar, which eventually leads some of the God-fearing whites to commit acts of vandalism and to injure Gemmy.

To preserve the peace, the McIvors send Gemmy to live with Mrs. Hutchence, an eccentric woman who lives on the margin of the settlement. However, he soon disappears into the wilderness, but not until he retrieves--and destroys--what he thinks are the seven pieces of paper on which Mr. Frazier, the minister, had written Gemmy's life story soon after he had emerged from the bush.

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