Summary:

In this collection, Judith Arcana brings together her long-standing feminist activism, especially for reproductive health and abortion rights, and her gifts as a poet. Although Arcana's activism dates back to the early seventies, most of the poems in the book were written between 1998 and 2004. They draw from "the lives of women and girls I know or have simply encountered" (xi).

The collection is divided into four sections: "Separating argument from fact," "Information rarely offered," "Don't tell me you didn't know this," and "Here, in the heart of the country." Spoken in first, second, or third person, these poems evoke the myriad individual situations in which women of childbearing age become pregnant, and the trajectories their lives may take as a result.

The title of the collection derives from one of its poems ("What if your mother") and the related, immediately preceding poem, "My father tells me something, 1973" (6-7). Arguing back to those who confront her with, "What if your mother had an abortion? . . . they mean me," the speaker/poet answers, "then I say she did . . . . "What if, what if. / What's the point of asking this phony question?"

From the preceding poem, the reader has learned, along with the speaker listening to her father in 1973, that the poet's mother had an abortion in the Depression era, early in marriage. With this juxtaposition of poems we are introduced early in the book to the complexity of the issues surrounding pregnancy, parenthood, and abortion and to the timeline of a continuing national and personal debate. This complexity is the subject of the collection.

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Karen Newman traces the visual depictions of the pregnant female body, the fetus, and obstetrical illustrations from the 9th century to the present in western culture. These images, in which the fetus looks baby-like or even adult and in which the female body is truncated or mythologized, have supported the anti-feminist rhetoric where the fetus or embryo is privileged with full human rights. Even in the fetal studies by Leonardo da Vinci (Studies of the Fetus), which were far more accurate than any prior or concurrent renditions, the roles of the uterus and placenta are de-emphasized and the uterus is simply a vessel, "almost a Fabergé egg."

Analysis and critique of medical art history is of relevance for today's society: "Early obstetrical illustration, Bologna's Museo ostetrico, and eighteenth-century anatomical sculpture and engraving are not merely antiquarian esoterica; rather, they constitute crucial political knowledge for the present." In fact, the book begins and ends in the 20th century.

In the first section, a close analysis of the Lennart Nilsson fetal photographs in Life Magazine "Drama of Life Before Birth" (1965) reveals that not only the photo captions, but also the manipulations of the specimens during and prior to photography (all the pictures but one were ex utero), were designed to proclaim and reinforce "fetal personhood." A similar conclusion is reached at the end of the book, when images from the current, widely used obstetrical text and from new imaging procedures are examined.

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This fine collection of writings by women involved in health care stems largely from a writing group cosponsored by the Nebraska Humanities Council and the Creighton University Center for Health Policy and Ethics. However, other writings also appear in this volume: in all there are 40 pieces by 16 authors. Writing genres include essay, short story, and poetry. The works are divided into three sections: Power and Powerlessness, Vulnerability and Voice, Connection and Disconnection. As noted in the introduction, these are "major themes in feminist perspectives in ethics" and the works are offered as reflections on modern ethical dilemmas in health care.

Some of the most powerful pieces are stories about being the newcomer--the student or junior trainee. For instance, "Washing Cora's Hair" by co-editor Amy Haddad is a poignant look at the struggle of two young nursing students to wash the long braids of a bed-bound elderly woman in her cramped home, and "The Story of David" by Ruth Purtilo, written as a memoir looking back to when she was a newly graduated physical therapist, concerns her interactions with a young, angry, depressed quadriplegic patient and with her superiors.

Another memorable piece is "The Things You Do" by Kelly Jennings Olsen. This story about being a new volunteer emergency medical technician masterfully controls the tensions of emergency medical care, the anguish of the father whose little girl slipped under his tractor, and the nuances of living in a small town. Several poems also deal with issues of the newcomer and witness to suffering (e.g., "As Ordered" by Ruth Ann Vogel--a poem about shaving the head of a neurosurgical patient on the pediatric ward)

As noted by the multiple keywords listed above, these pieces touch on many topics. Power relations play a key role, both between professionals and between patient and the health care team. For instance, in the polished story, "Procedures" the author Kim Dayton writes from the perspective of a young single mother with a critically ill neonate. This mother is repeatedly prevented from visiting her child because of "important" events like rounds and procedures, and she ironically only gets to hold her baby after the baby dies.

Throughout the collection the patients are described with honesty and vividness. Their suffering can haunt the health care worker ("Maggie Jones" by Veneta Masson) as well as teach ("Back to Square One" by Barbara Jessing). Many of the pieces remind us of our good fortune and the privilege we have in our lives and in providing health care services (e.g., "Spring Semester" by Amy Haddad). Ultimately in this volume our common humanity is emphasized--the connections between people and the remarkable grace that can be exhibited in the face of suffering.

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This is an exhibition catalogue for a show of 16 photographers who documented major topics in health over the last century. Carol Squiers, curator of the show, provides ten essays, amply illustrated by photos, on critical topics such as child labor, domestic violence, environmental pollution, AIDS, veterans of war, and aging. Some 80 per cent of the images treat American subjects.

Lewis Wickes Hine's photographs of child labor are dramatic and disturbing; these document children in coal mines, cotton mills, glass works, etc. in the first part of the 20th century. The Farm Security Administration sponsored photographers (including Dorothea Lange) to represent the New Deal Health Initiatives. Topics include farm labor, poverty in the South and Southwest, and inoculations. W. Eugene Smith created a photographic essay for Life magazine about Maude Callen, an African-American nurse-midwife in 1950s rural South Carolina.

Donna Ferrato documented domestic violence in the U.S. in powerful, personal shots, including a series of an actual attack. David T. Hanson created triptychs about environmental pollution: one panel shows a map of the area, a middle panel gives descriptive text, the last panel is an aerial shot in color. Eugene Richards spent time in the 1980s in Denver General's Emergency Room. Eleven black and white photos show the turmoil and drama.

Gideon Mendal documented HIV/AIDS in several African countries. Lori Grinker took photos of army veterans (some without hands) but also noncombatants harmed by war, including children. Ed Kashi presents images of aging Americans, rich and poor, urban and rural. Sebastião Salgado provides photos of vaccination in Africa and Asia.

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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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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 young Beatrice Cenci (1577-1599) is kept with her stepmother, Lucretia, in the appalling isolation and darkness of a forbidding castle outside the Papal States by her cruel father, Francesco, whose enormous debts and misdeeds make him unable, as well as unwilling, to support his offspring. He wants to prevent Beatrice from marrying to avoid paying a dowry. She has suitors, among them a “smooth” prelate, but is unhappily resigned to her lot until her father rapes her.

With the support of her brother, Giacomo, she commands two servants--Olimpio and Marzio--to kill her father, but they waver in their resolve. She taunts them and they return to strangle the man, tossing his body below a balcony as if he had fallen. She rewards them with a bag of coins.

Suspicions about the death are raised almost within the moment of its discovery because of the wounds on the body, bloody evidence in the bedchamber, and the apparent lack of grief in the family. Confessions are extracted by torture.

The defense argued sexual abuse of Beatrice as a mitigating circumstance, but failed to convince the court. Beatrice, her stepmother, Lucretia, and Giacomo are to be executed while a younger brother is forced to watch. In the doleful final scene, the family accepts their fate with tenderness and courage.

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Summary:

The young and beautiful Beatrice Cenci (1577-1599) is kept with her stepmother, Lucretia, in appalling isolation and darkness in a forbidding castle by her cruel father, Francesco, whose enormous debts and misdeeds make him unable as well as unwilling to support his offspring. He wants to keep Beatrice from marrying to avoid paying a dowry.

He suffers from a horrifying skin disease, possibly syphilis, that covers his lower body in itchy painful sores. He requires Beatrice to rub him nightly with a rough towel, and he is careless to the point of exhibitionism about his sexual and eliminatory functions.

Beatrice decides that he must be killed if her lot is to improve. She begins an affair with Olimpio the married seneschal of the castle—giving herself to obtain his allegiance; soon she is pregnant. She appeals to her brother in Rome for help. He sends poison, but Beatrice cannot use it, because Cenci has her sample all his food and drink.

Angry and impatient with her situation and fearing her father’s wrath when he discovers the affair with an underling, she insists that Olimpio kill Francesco immediately. With the help of the peasant, Marzio, Olimpio smashes the sleeping man’s skull with a hammer and together they stuff his body through a hole in the balcony to make the crime look like an accident.

Suspicions about the death are raised almost within the moment of its discovery because of the wounds on the body, blood in the bedchamber, and the apparent lack of grief in the family. Time passes. Beatrice and Lucretia go back to the family mansion in Rome. Olimpio leaves his own wife to be with Beatrice, and he blackmails the Cenci family into treating him as an equal. Her brother, Giacomo, barely tolerates him.

Beatrice gives birth and the child is handed to the nuns for care. Eventually charges are laid and confessions are extracted by torture on the wheel. Marzio dies in prison of his wounds. Olimpio roams freely but is himself murdered for a ransom.

The lawyer for the defense argued that the father’s sexual abuse of Beatrice was a mitigating circumstance, but he failed to convince the court. Beatrice is beheaded along with her stepmother, while her brother is tortured, drawn and quartered. Because the killig of a parent is the most odious of crimes, the executions are staged as a public spectacle in front of Hadrian’s tomb. Beatrice’s corpse is escorted by a vast crowd to its final resting place near the altar of San Pietro Montorio by Rome’s Gianicolo garden.

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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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The novel is set in Washington, DC in April, 1865. At fourteen, Emily is sole caretaker of her mother who is dying of tuberculosis. Her neighbor, Annie Surratt, is her best friend, though their mothers have been estranged for some time. Both families have deep roots in the South. Annie’s brother, Johnny, an object of Emily’s romantic fantasies, has recently left on a secret mission. The war is nearly over. Emily’s uncle Valentine, a physician, wants to take custody of her after her mother dies, but because her mother has also felt estranged from him, Emily resists. Still, after her mother’s death, she does go to live with her uncle, and learns that he (with his two assistants, one of whom is a woman who is 1/8 African American) has a lively practice among the poor and the African Americans who have flooded the streets of Washington since the emancipation.

Valentine is called to Lincoln’s bedside the night of his assassination, and participates in efforts to track down John Wilkes Booth and his accomplices, one of whom appears to have been Johnny Surratt, who has escaped to Canada. In the course of her time there Emily discovers that her uncle and his assistant are involved in elaborate, marginally legal, schemes to obtain bodies for study at the medical college. Emily, at first horrified by this discovery, comes to recognize the good that comes of anatomical studies and to sympathize with her uncle’s efforts to bring about legislation making the acquisition of bodies for medical research easier. Annie’s mother is hanged as an accomplice in the Booth conspiracy, Annie leaves town, and Emily comes to understand a great deal more about the harsh terms on which life must be lived in times of national crisis and ideological warfare. The story ends with her growing interest in medicine as a possible career path.

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