Summary:

Harry Pope is afraid to move even a muscle. While lying in bed and reading a book, he notices a krait--Bungarus caeruleus, a deadly Asian snake--slithering on top of his pajamas. When his companion, Timber, arrives at the bungalow around midnight, Harry is still petrified with fright. Convinced the snake is asleep on his stomach beneath the bed sheet, Harry has been lying motionless for hours.

Timber telephones Dr. Ganderbai for help and despite the late hour, the Indian physician promptly makes a house call. He administers an injection of anti-venom just in case the snake bites Harry. Next, Dr. Ganderbai carefully infuses chloroform underneath the bed sheet in an attempt to anesthetize the krait. Timber and the doctor then remove the sheet but no snake is found. Dr. Ganderbai questions the validity of Harry's account and wonders if the man was merely dreaming. Harry becomes enraged and spews insults including racial slurs. The doctor remains composed and exits quietly, remarking only that Harry could use a vacation.

View full annotation

Summary:

We look into what appears to be a woman's bedroom with two human figures. The wallpaper design of pastel colored flowers and a delicate lampshade similarly decorated give the room a feminine appearance. A single-width bed covered in a white bedspread is set against the far corner of the right-hand wall, projecting almost at right angles to the viewer. The head of the bed abuts this wall, a pillow propped up against the bedstead.

At the foot of the bed, toward the right foreground of the painting, a coat is thrown over the metal bedpost frame. In the right foreground is a closed door against which leans a bearded man, his trouser legs spread apart, hands in his trouser pockets; he wears a dark jacket and a collared shirt. His shadow looms behind him, large against the door. The shadow is generated by the single small lamp set upon a small round table near the center of the room.

Also on the table is an open suitcase-like case, possibly a sewing box (p. 674 of reference below); a light colored cloth or piece of clothing hangs partially out of it. Small implements are strewn on the table -- a scissors is among them. On the floor next to the table lies another piece of cloth or clothing (said to be a corset, p. 674).

Turned bent away from the man, partially kneeling on the floor at the other side of the room, is the other human figure in the painting -- a young woman whose left shoulder and upper back are bare, the short sleeve of her white dress (nightgown?) hanging off her shoulder. She clutches to her body a blanket or drape. In contrast to the man, who stands in semidarkness, the woman's back is bathed in the light of the nearby lamp. The expression on the woman's face is difficult to discern.

View full annotation

Summary:

Chekhov wrote The Shooting Party during his final year in medical school, and it was published serially in 32 weekly segments during 1884 to 1885. The book's plot is essentially a murder mystery, although in its depictions of setting and character the story anticipates Chekhov's mature style.

"The Shooting Party" is the name of a manuscript that an unknown author, who appears out of nowhere, begs a publisher to read and publish. The author agrees at least to read it, and the author says that he will return in three months for the verdict. The body of the book then is this mysterious manuscript, which is written as a first person narrative. Its narrator and central character is the author recounting his own experience. In a "Postscript" the publisher tells us what happened when the author's returned three months later.

The narrator is the local magistrate in a rural region. His good friend and drinking partner, Count Alexei, has an estate nearby. Count Alexei's bailiff, Urbenin, is a middle-aged widower with two children. Also living on the estate are Nikolai Efimych, an old retainer who has gone crazy, and his beautiful daughter Olga. During the first part of The Shooting Party we learn that Count Alexei is a drunk and a lecher; Urbenin is a decent, hard-working, and lonely man; and Olga is caught between her presumably "true" love of the narrator and her desire to advance in life by marrying Urbenin. However, after marrying the bailiff, she takes another step upward by leaving her husband for a live-in affair with the Count, meanwhile secretly protesting her love for the narrator.

The climax occurs during a hunting party in the woods, when Olga goes off by herself and is later found murdered. All the evidence leads to her husband as the culprit. When an unexpected witness who might be able to implicate a different killer appears, the witness himself is mysteriously murdered. At the end of the manuscript, Urbenin is convicted of murder and sent to prison. However, in the "Postscript" the publisher, who proves to be a far better detective than the narrator/magistrate, identifies the real killer from clues that he has observed in the manuscript.

View full annotation

Summary:

Williams's autobiography recounts his life from his first memory ("being put outdoors after the blizzard of '88") to the composition of "Patterson" and a trip to the American West in 1950. The book's 58 short chapters epitomize the writer's episodic and impressionistic style, presenting a series of scenes and meditations, rather than a narrative life story.

View full annotation

Summary:

Nathaniel Lachenmeyer’s memoir is a reconstructed account of his father Charles’s battle with paranoid schizophrenia and Nathaniel’s inability or unwillingness to recognize his father’s need for help. After his father’s death, Nathaniel contacted many of the people who had known his father, both when he was a student and college professor and later when his illness forced him into mental hospitals, squalid apartments, and homeless living on the streets. Nathaniel’s search to understand his father after his death led him to interview the many health care workers, police, street people, restaurant staff, and others who knew Charles when he was very ill.

Charles was delusional, often hearing voices and talking to his mother, who had been dead for years. Typical of people suffering from paranoid schizophrenia, Charles did not see himself as mentally ill. Therefore he did not like to take medications and would refuse treatments when he could, although his health care workers could see substantial changes for the better when he was on medication. He believed he was the victim of a mind control experiment, forced on him by his persecutors. He died out of touch with his family, having suffered almost twenty years on his own with his illness.

View full annotation

Summary:

This is an ambitious and far-ranging book, the result of years of thinking, teaching, and working with patients. An internist at the College of Physicians and Surgeons at Columbia University, Charon sees a wide range of patients in an urban setting. Also a Ph.D. in English literature, Charon has devised a "Parallel Chart" and other means for caregivers to write personally about the dynamics between healer and patient, to read texts--narratives in particular--and, as a result, to listen better to patients, thus improving the delivery of medical care.

Charon defines narrative medicine as "medicine practiced with these skills of recognizing, absorbing, interpreting, and being moved by the stories of illness" (4). She calls this a "new frame" for medicine, believing that it can improve many of the defects of our current means of providing (or not) medical care. Caregivers who possess "narrative competence" are able to bridge the "divides" of their relation to mortality, the contexts of illness, beliefs about disease causality, and emotions of shame, blame, and fear.

Charon finds that medical care and literature share five narrative features; she argues that careful reading of narratives builds skills that improve medical care, including intersubjectivity between caregiver and patient, and ethicality. Beyond the theory, there are powerful and persuasive examples of interactions between caregiver and patient, many from Charon's own practice. A mother of a sick daughter experiences stress that makes her ill; when she sees a narrative connection, she begins to heal.

Charon sees wider applications. As caregivers understand better concepts of attention, representation, and affiliation, they become more ethical, more community minded, and better healers to their patients. Patient interviews will be different: instead of following a grid of questions, physicians will converse with patients in an open-ended way. What is most important will emerge and emerge in ways that are most beneficial to the patient. Yes, this method will take more time but it will be more efficient in the long run. Bioethics, Charon argues, has been limited by legal approaches and philosophical principles. For her, narrative bioethics offers more human values in how people feel, experience reality, and relate to each other. Finally, there are implications for social justice: why are the poor underserved in this country and in many others?

One of the most exciting and radical formulations comes late in the book: ". . . practitioners, be they health care professionals to begin with or not, must be prepared to offer the self as a therapeutic instrument" (p. 215). This notion links up fruitfully with concepts of energy medicine (v1377v), therapeutic touch (Tiffany Field), and intentionality (Wayne W. Dyer).

View full annotation

Summary:

This film tells the story of Alfred Kinsey (Liam Neeson), the scientist who famously changed his focus in mid-career from the study of gall wasps to the study of human sexuality and through his publications on male and female sexuality (1948, 1953) revolutionized the way we think and talk about sex. Kinsey entered adult life with the classic Boy Scout's view of sex that it was best not to think about it. (He collected a million gall wasps instead.) But under the influence of one of his students, Clara McMillen (Laura Linney), who later became his wife, and listening to the questions some students were asking about sex, he decided to teach a course at Indiana University on human sexuality. "Sexual morality needs to be reformed," he proclaims, and "science will show the way."

He begins doing statistical research on individual sexual behavior, training his interviewers to be open and neutral as they encounter a very wide variety of behaviors. He also encourages them to experiment sexually among themselves, and later even to participate in sexual encounters filmed for research purposes. Naturally, not everyone accepts this readily, and there are problems between Alfred and Clara, among the research assistants, and eventually between the whole project and Indiana University and the Rockefeller Foundation.

Rockefeller withdraws its support, complaining that Kinsey is preaching in public, and Clara tearfully complains that some social restraints are needed to keep people from hurting each other. The assistants struggle with the ties between sex, which is part of the experiment, and love, which is not. Kinsey continues striving, but with much reduced means. The film ends with video clips of interview subjects speaking strongly about the benefits that Kinsey's revolution has brought to them, one woman concluding: "You saved my life, sir!"

View full annotation

Summary:

The artist faces the viewer at a slight angle. He wears a bandage across his ear and under his chin, a purple and black winter cap upon his head, and a green overcoat with only the top button fastened. His sallow skin, in combination with the bandage, makes clear that the artist is unwell. In the background, upon a yellow wall, hangs one completed painting, vibrant and colorful, depicting a landscape and three women. Another painting that is only a sketch sits on a wooden easel to Van Gogh's right. A small section of a large window is visible on the right side of the painting.

Every color used to paint Van Gogh's person and clothing finds its pair in his surroundings: the purple of his hat couples with the window, his yellow skin couples with the wall, his overcoat and eyes pair with the landscape in the painting on the wall, and the white of his bandage complements the sketch behind him.

View full annotation

Summary:

Henry Earlforward runs a crowded, dusty bookstore. He meets his neighbor, Mrs. Violet Arb, when they haggle over the price of a cookbook. She refuses to buy the book as she finds every price too high. Henry is a miser and admires her steadfastness. They eventually marry.

Henry is outraged at the cost of the wedding breakfast and grows increasingly annoyed as his new wife insists on spending even more money to celebrate. Sensing a threat to his savings, Henry grows more miserly than ever, refusing to light the stove and eating almost nothing. Violet insists that the maid, Elsie, cook steaks and omelets for them. When her husband refuses to eat them, Violet refuses too.

Henry finally becomes ill. Dr. Raste urges him to go into the hospital, but Henry fears losing his autonomy and his life. He only consents after much arguing. When the doctor arrives to pick him up, however, Violet is much more ill than her husband. She is taken to the hospital, while Henry resolutely refuses to go.

To Dr. Raste, the family is ridiculous and annoying. They are business he must put up with. Henry still holds his purse-strings tight and Elsie is forced to steal money from him to send for news of Violet. Violet dies after an operation for the removal of fibroids from her uterus. She was too undernourished to handle the intervention.

Henry still refuses to change his ways and even leaves his bed to check on his books. He discovers Elsie’s theft. Neighbors find his body on the floor of his office. Elsie and her lover Joe go to work for Dr. Raste.

View full annotation

Summary:

A woman begins the morning by assessing her mother's mood through her reaction to breakfast toast. They are off to visit her father who has dementia and no memory of his past as a war hero, or of his present as husband and parent. Yet a fleeting smile suggests that, on some level, unbeknownst to him and inaccessible to them, remain shreds of the same person.

View full annotation