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  Subjects -> HUMANITIES (Total: 885 journals)
    - ASIAN STUDIES (159 journals)
    - CLASSICAL STUDIES (111 journals)
    - DEMOGRAPHY AND POPULATION STUDIES (145 journals)
    - ETHNIC INTERESTS (155 journals)
    - GENEALOGY AND HERALDRY (7 journals)
    - HUMANITIES (280 journals)
    - NATIVE AMERICAN STUDIES (28 journals)

HUMANITIES (280 journals)                  1 2     

Showing 1 - 71 of 71 Journals sorted alphabetically
Aboriginal and Islander Health Worker Journal     Full-text available via subscription   (Followers: 14)
Aboriginal Child at School     Full-text available via subscription   (Followers: 5)
About Performance     Full-text available via subscription   (Followers: 12)
Access     Full-text available via subscription   (Followers: 26)
ACCESS: Critical Perspectives on Communication, Cultural & Policy Studies     Full-text available via subscription   (Followers: 10)
Acta Academica     Full-text available via subscription   (Followers: 6)
Acta Universitaria     Open Access   (Followers: 4)
Adeptus     Open Access   (Followers: 1)
Advocate: Newsletter of the National Tertiary Education Union     Full-text available via subscription   (Followers: 1)
African and Black Diaspora: An International Journal     Hybrid Journal   (Followers: 11)
African Historical Review     Hybrid Journal   (Followers: 17)
AFRREV IJAH : An International Journal of Arts and Humanities     Open Access   (Followers: 2)
Agriculture and Human Values     Hybrid Journal   (Followers: 13)
Akademika : Journal of Southeast Asia Social Sciences and Humanities     Open Access   (Followers: 5)
Aldébaran     Open Access   (Followers: 3)
Alterstice : Revue internationale de la recherche interculturelle     Open Access  
Altre Modernità     Open Access   (Followers: 4)
Amaltea. Revista de mitocrítica     Open Access   (Followers: 1)
American Imago     Full-text available via subscription   (Followers: 3)
American Journal of Humanities and Social Sciences     Open Access   (Followers: 10)
American Review of Canadian Studies     Hybrid Journal   (Followers: 7)
Anabases     Open Access  
Analyse & Kritik. Zeitschrift f     Full-text available via subscription   (Followers: 1)
Angelaki: Journal of Theoretical Humanities     Hybrid Journal   (Followers: 17)
Antik Tanulmányok     Full-text available via subscription  
Antipode     Hybrid Journal   (Followers: 50)
Anuario Americanista Europeo     Open Access  
Arbutus Review     Open Access  
Argumentation et analyse du discours     Open Access   (Followers: 6)
Ars & Humanitas     Open Access   (Followers: 9)
Arts and Humanities in Higher Education     Hybrid Journal   (Followers: 34)
Asia Europe Journal     Hybrid Journal   (Followers: 5)
Australasian Journal of Popular Culture, The     Hybrid Journal   (Followers: 2)
Behaviour & Information Technology     Hybrid Journal   (Followers: 52)
Behemoth     Open Access   (Followers: 3)
Bereavement Care     Hybrid Journal   (Followers: 11)
Cahiers de praxématique     Open Access   (Followers: 1)
Carl Beck Papers in Russian and East European Studies     Full-text available via subscription   (Followers: 5)
Child Care     Full-text available via subscription   (Followers: 7)
Choreographic Practices     Hybrid Journal   (Followers: 1)
Chronicle of Philanthropy     Full-text available via subscription   (Followers: 2)
Ciencias Sociales y Humanidades     Open Access   (Followers: 1)
Claroscuro     Open Access   (Followers: 1)
Co-herencia     Open Access  
Coaching: An International Journal of Theory, Research and Practice     Hybrid Journal   (Followers: 10)
Cogent Arts & Humanities     Open Access   (Followers: 3)
Colloquia Humanistica     Open Access  
Communication and Critical/Cultural Studies     Hybrid Journal   (Followers: 26)
Comprehensive Therapy     Hybrid Journal   (Followers: 3)
Congenital Anomalies     Hybrid Journal   (Followers: 1)
Conjunctions. Transdisciplinary Journal of Cultural Participation     Open Access   (Followers: 3)
Conservation Science in Cultural Heritage     Open Access   (Followers: 10)
Cornish Studies     Hybrid Journal   (Followers: 2)
Creative Industries Journal     Hybrid Journal   (Followers: 9)
Critical Arts : South-North Cultural and Media Studies     Hybrid Journal   (Followers: 11)
Crossing the Border : International Journal of Interdisciplinary Studies     Open Access   (Followers: 4)
Cuadernos de historia de España     Open Access   (Followers: 4)
Cultural History     Hybrid Journal   (Followers: 25)
Cultural Studies     Hybrid Journal   (Followers: 51)
Culturas     Open Access   (Followers: 1)
Culture, Theory and Critique     Hybrid Journal   (Followers: 27)
Daedalus     Hybrid Journal   (Followers: 21)
Dandelion : Postgraduate Arts Journal & Research Network     Open Access   (Followers: 2)
Death Studies     Hybrid Journal   (Followers: 18)
Debatte: Journal of Contemporary Central and Eastern Europe     Hybrid Journal   (Followers: 5)
Digital Humanities Quarterly     Open Access   (Followers: 58)
Diogenes     Hybrid Journal   (Followers: 8)
Doct-Us Journal     Open Access  
Dorsal Revista de Estudios Foucaultianos     Open Access  
e-Hum : Revista das Áreas de Humanidade do Centro Universitário de Belo Horizonte     Open Access   (Followers: 1)
Early Modern Culture Online     Open Access   (Followers: 40)
Égypte - Monde arabe     Open Access   (Followers: 4)
Eighteenth-Century Fiction     Full-text available via subscription   (Followers: 20)
Éire-Ireland     Full-text available via subscription   (Followers: 9)
En-Claves del pensamiento     Open Access   (Followers: 1)
Ethiopian Journal of the Social Sciences and Humanities     Full-text available via subscription   (Followers: 8)
Études arméniennes contemporaines     Open Access   (Followers: 1)
Études canadiennes / Canadian Studies     Open Access   (Followers: 1)
Études de lettres     Open Access   (Followers: 3)
European Journal of Cultural Studies     Hybrid Journal   (Followers: 27)
European Journal of Social Theory     Hybrid Journal   (Followers: 17)
Expositions     Full-text available via subscription  
Fronteras : Revista de Ciencias Sociales y Humanidades     Open Access   (Followers: 2)
Frontiers in Digital Humanities     Open Access   (Followers: 1)
Fudan Journal of the Humanities and Social Sciences     Hybrid Journal  
GAIA - Ecological Perspectives for Science and Society     Full-text available via subscription   (Followers: 4)
German Research     Hybrid Journal   (Followers: 1)
German Studies Review     Full-text available via subscription   (Followers: 27)
Germanic Review, The     Hybrid Journal   (Followers: 5)
Globalizations     Hybrid Journal   (Followers: 8)
Gothic Studies     Full-text available via subscription   (Followers: 15)
Gruppendynamik und Organisationsberatung     Hybrid Journal   (Followers: 1)
Habitat International     Hybrid Journal   (Followers: 5)
Hacettepe Üniversitesi Edebiyat Fakültesi Dergisi     Open Access   (Followers: 1)
Harvard Journal of Asiatic Studies     Full-text available via subscription   (Followers: 14)
Heritage & Society     Hybrid Journal   (Followers: 17)
History of Humanities     Full-text available via subscription   (Followers: 5)
Hopscotch: A Cultural Review     Full-text available via subscription  
Human Affairs     Open Access   (Followers: 1)
Human and Ecological Risk Assessment: An International Journal     Hybrid Journal   (Followers: 4)
Human Nature     Hybrid Journal   (Followers: 19)
Human Performance     Hybrid Journal   (Followers: 5)
Human Remains and Violence : An Interdisciplinary Journal     Full-text available via subscription  
Human Studies     Hybrid Journal   (Followers: 11)
humanidades     Open Access  
Humanitaire     Open Access   (Followers: 2)
Humanities     Open Access   (Followers: 11)
Hungarian Cultural Studies     Open Access  
Hungarian Studies     Full-text available via subscription  
Ibadan Journal of Humanistic Studies     Full-text available via subscription  
Inkanyiso : Journal of Humanities and Social Sciences     Open Access   (Followers: 1)
Inter Faculty     Open Access  
Interim : Interdisciplinary Journal     Open Access   (Followers: 3)
International Journal for History, Culture and Modernity     Open Access   (Followers: 7)
International Journal of Arab Culture, Management and Sustainable Development     Hybrid Journal   (Followers: 8)
International Journal of Cultural Studies     Hybrid Journal   (Followers: 26)
International Journal of Heritage Studies     Hybrid Journal   (Followers: 18)
International Journal of Humanities and Arts Computing     Hybrid Journal   (Followers: 13)
International Journal of Humanities and Cultural Studies     Open Access   (Followers: 6)
International Journal of Humanities of the Islamic Republic of Iran     Open Access   (Followers: 11)
International Journal of Listening     Hybrid Journal   (Followers: 4)
International Journal of the Classical Tradition     Hybrid Journal   (Followers: 12)
Interventions : International Journal of Postcolonial Studies     Hybrid Journal   (Followers: 16)
ÍSTMICA. Revista de la Facultad de Filosofía y Letras     Open Access   (Followers: 1)
Jangwa Pana     Open Access  
Jewish Culture and History     Hybrid Journal   (Followers: 19)
Journal de la Société des Américanistes     Open Access  
Journal des africanistes     Open Access   (Followers: 1)
Journal for Cultural Research     Hybrid Journal   (Followers: 12)
Journal for General Philosophy of Science     Hybrid Journal   (Followers: 7)
Journal for Learning Through the Arts     Open Access   (Followers: 7)
Journal for New Generation Sciences     Open Access   (Followers: 2)
Journal for Research into Freemasonry and Fraternalism     Hybrid Journal  
Journal for Semitics     Full-text available via subscription   (Followers: 5)
Journal Of Advances In Humanities     Open Access   (Followers: 3)
Journal of Aesthetics & Culture     Open Access   (Followers: 22)
Journal of African American Studies     Hybrid Journal   (Followers: 8)
Journal of African Cultural Studies     Hybrid Journal   (Followers: 5)
Journal of African Elections     Full-text available via subscription  
Journal of Arts & Communities     Hybrid Journal   (Followers: 5)
Journal of Arts and Humanities     Open Access   (Followers: 20)
Journal of Bioethical Inquiry     Hybrid Journal   (Followers: 3)
Journal of Cultural Economy     Hybrid Journal   (Followers: 9)
Journal of Cultural Geography     Hybrid Journal   (Followers: 22)
Journal of Data Mining and Digital Humanities     Open Access   (Followers: 29)
Journal of Developing Societies     Hybrid Journal   (Followers: 2)
Journal of Family Theory & Review     Hybrid Journal   (Followers: 3)
Journal of Franco-Irish Studies     Open Access   (Followers: 1)
Journal of Happiness Studies     Hybrid Journal   (Followers: 27)
Journal of Interactive Humanities     Open Access   (Followers: 3)
Journal of Intercultural Communication Research     Hybrid Journal   (Followers: 16)
Journal of Intercultural Studies     Hybrid Journal   (Followers: 12)
Journal of Interdisciplinary History     Hybrid Journal   (Followers: 25)
Journal of Labor Research     Hybrid Journal   (Followers: 20)
Journal of Medical Humanities     Hybrid Journal   (Followers: 22)
Journal of Medieval and Early Modern Studies     Full-text available via subscription   (Followers: 34)
Journal of Modern Greek Studies     Full-text available via subscription   (Followers: 4)
Journal of Modern Jewish Studies     Hybrid Journal   (Followers: 13)
Journal of Open Humanities Data     Open Access   (Followers: 1)
Journal of Semantics     Hybrid Journal   (Followers: 11)
Journal of the Musical Arts in Africa     Hybrid Journal   (Followers: 1)
Journal of Visual Culture     Hybrid Journal   (Followers: 33)
Journal Sampurasun : Interdisciplinary Studies for Cultural Heritage     Open Access  
Jurisprudence     Hybrid Journal   (Followers: 19)
Jurnal Sosial Humaniora     Open Access   (Followers: 2)
L'Orientation scolaire et professionnelle     Open Access   (Followers: 1)
La lettre du Collège de France     Open Access   (Followers: 1)
La Revue pour l’histoire du CNRS     Open Access   (Followers: 2)
Lagos Notes and Records     Full-text available via subscription  
Language and Intercultural Communication     Hybrid Journal   (Followers: 21)
Language Resources and Evaluation     Hybrid Journal   (Followers: 7)
Law and Humanities     Hybrid Journal   (Followers: 7)
Law, Culture and the Humanities     Hybrid Journal   (Followers: 12)
Le Portique     Open Access   (Followers: 1)
Leadership     Hybrid Journal   (Followers: 33)
Legal Ethics     Hybrid Journal   (Followers: 13)
Legon Journal of the Humanities     Full-text available via subscription  
Letras : Órgano de la Facultad de Letras y Ciencias Huamans     Open Access  
Literary and Linguistic Computing     Hybrid Journal   (Followers: 5)
Litnet Akademies : 'n Joernaal vir die Geesteswetenskappe, Natuurwetenskappe, Regte en Godsdienswetenskappe     Open Access  
Lwati : A Journal of Contemporary Research     Full-text available via subscription  
Measurement     Hybrid Journal   (Followers: 2)
Medical Humanities     Full-text available via subscription   (Followers: 22)
Medieval Encounters     Hybrid Journal   (Followers: 9)
Médiévales     Open Access   (Followers: 5)
Mélanges de la Casa de Velázquez     Partially Free   (Followers: 1)
Memory Studies     Hybrid Journal   (Followers: 35)
Mens : revue d'histoire intellectuelle et culturelle     Full-text available via subscription  
Messages, Sages and Ages     Open Access  
Mind and Matter     Full-text available via subscription   (Followers: 3)
Mneme - Revista de Humanidades     Open Access  
Modern Italy     Hybrid Journal   (Followers: 8)
Motivation Science     Full-text available via subscription   (Followers: 2)
Mouseion     Open Access   (Followers: 1)
Mouseion: Journal of the Classical Association of Canada     Full-text available via subscription   (Followers: 14)
Museum International Edition Francaise     Hybrid Journal   (Followers: 4)
National Academy Science Letters     Hybrid Journal   (Followers: 5)
Nationalities Papers     Hybrid Journal   (Followers: 7)
Natures Sciences Sociétés     Full-text available via subscription  
Neophilologus     Hybrid Journal   (Followers: 8)

        1 2     

Journal Cover Medical Humanities
  [SJR: 0.481]   [H-I: 19]   [22 followers]  Follow
    
   Full-text available via subscription Subscription journal
   ISSN (Print) 1468-215X - ISSN (Online) 1473-4265
   Published by BMJ Publishing Group Homepage  [57 journals]
  • Love'
    • Authors: Harrison, N. S; Noble, H, on behalf of the Renal Arts Group
      Abstract: Do we feel it – do we miss it' The word unspoken but implicit; the heart symbol drawn – unsaid; thoughts of love, though not explicit. Do we think it – do we believe it' Connection lost behind jagged lines; swirls of emotion – the ache of now; the coiled snake, fearful signs. Do we know it – do we see it' The search for meaning making; the desire to paint it, dance it; aching for a way of speaking. Do we hear it – do we perceive it' Open the closed, find curved lines, ways around to explore, to find; clear the thinking with creative mind. Do we read it – echo the song of it' It’s powerful, this thinking out loud, this music of freedom and life: it’s straightforward and proud. Do you sense it – are you stirred by it' More...
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011262
      Issue No: Vol. 43, No. 4 (2017)
       
  • Congenital Glaucoma
    • Authors: Ratzan; R. M.
      Abstract: She sat in bed, a room to drama givenNot often or of late. With her a throngOf fellow teens, all smiles as if room sevenWere home, were Méjico, speaking the tongueI’d learned one college summer with aimsOf studying pre-Columbian deities -Those eyeless gods of stone and clay with namesLike Ixtacíhuatl, snow capped queen of trees.Ciega. Blind. Mi chica had no sight.I looked into her eyes and saw two sunsOf blinding white - atrophic holes, where lightFell off the cliff to disappear, forever gone:Her aqueous flowed but poorly from her eyes.For Ixtacíhuatl, a maiden sacrifice.Competing interestsNone declared.Provenance and peer reviewNot commissioned; internally peer reviewed.
      Keywords: Emergency medicine
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011257
      Issue No: Vol. 43, No. 4 (2017)
       
  • Clouds
    • Authors: Leach; M. J.
      Abstract: You spent most your life with your head in the clouds of smoke that billowed forth from the O-shaped mouths of the ones you love. You never smoked so much as one cigarette in all your cloudy days spent in places you came to call bittersweet home. Your parents and husband fought for breath and coughed blood before dying one by one, leaving you and your dear daughter all alone. You lived on as a widow who sold bright bouquets to people who knew you by a smoker’s cough, a cheeky smile, and photos of your granddaughter. When the time came for you to fight for breath and cough blood, you felt a poignant love for the grand one who shaved her tiny head for your cure. The chemo made you bald like your granddaughter and vomit like your daughter yet kept you alive...
      Keywords: Palliative care
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011299
      Issue No: Vol. 43, No. 4 (2017)
       
  • Digital dust
    • Authors: Roduit; J. A. R.
      Abstract: A creature of clay. I amShattered so easily.Delicate dust,Facing Pompeii’s destiny.A man of steel. I desireAn artificial heart.Simulated soul,Chasing the philosopher’s stone.A ghost in a shell. I becomeDeprived of my flesh.Digital dust,Dissolving under Icarus’ sun.A creature of steel. I remainFragile undoubtedly.Digital death,Hoping for the Potter’s breath.Competing interestsNone declared.Provenance and peer reviewNot commissioned; internally peer reviewed.
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011265
      Issue No: Vol. 43, No. 4 (2017)
       
  • An unpredictable vision
    • Authors: Medford; A. R. L.
      Abstract: Unquenchable thirst,draining sequelae,a pervasive feeling of lethargy,throbbing headaches are master now.And then blurring of vision,all is not what it seems,sweats abound with unbearable discomfort,a bruising encounter.A brief hiatus.Vivid dreams and a flurry of activity,vision begins to clear and headaches subside,but lethargy is new master now.Good days intertwined with bad days,beware vacillating tiredness,hidden from outside but omnipresent.Will this hidden metabolic assassin ever depart'ContributorsARLM conceived the idea, wrote and reviewed the manuscript.Competing interestsNone declared.Provenance and peer reviewNot commissioned; internally peer reviewed.Author noteARLM is a respiratory consultant working and living in Bristol, UK. The poem is a reflective following the diagnosis of type two diabetes to give an insight into the experience of unpredictable yet debilitating apparently invisible illness.
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011269
      Issue No: Vol. 43, No. 4 (2017)
       
  • The Gift
    • Authors: Ridout; S.
      Abstract: I want to give you a gift.The side of her you could never see.The sober moments when her addictions were briefly quieted.She loved you, sobbed with shame and grief,In the brief clarity of the hospital pulling herself together.You’ll never know this.Never see the side of her that ached for a normal life with you.You know the cloud, the avalanche.Gathering speed.Fueled by the weight of your life as a ward of the state.Gathering speed.The inevitable end you would hear from a social worker.But this gift, you deserve it.To know there was a cement of love among the cracks.Competing interestsNone declared.Provenance and peer reviewNot commissioned; internally peer reviewed.
      Keywords: Psychiatry
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011266
      Issue No: Vol. 43, No. 4 (2017)
       
  • Determined
    • Authors: Toffolo; D. C.
      Abstract: Red ribbons cut by the blissful sliver,One of many trying not to quiver,A grizzled man with cold dead steel,The stain of death closes the seal,Inky blackness all consuming,Only feeling is slowly moving,Closer, but just out of reach,Light is back, dark thoughts impeach,Take this hand and we shall see,If the lock is lost and we’ve found the key,For all is nought without this grip,So squeeze these fingers and pray; don’t slip.Competing interestsNone declared.Provenance and peer reviewNot commissioned; internally peer reviewed.
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011290
      Issue No: Vol. 43, No. 4 (2017)
       
  • The Evening Shift
    • Authors: Gibson; H.
      Abstract: the page bleeps relentlesslya chain of patients still to see and the phone rings rings againspot tests nebs bloods LP awaiting results but treat IV the page bleeps relentlesslycannula fails dad complainscalm situation hit the veinand the phone rings rings againtoddler bruising no historyparents aggressive contradictorythe page bleeps relentlesslyresus breathless call ITU inno local beds or transfer ‘til tenand the phone rings rings againnight reg sick no capacitynegotiate maintain endlesslythe page bleeps relentlesslyand the phone rings rings againCompeting interestsNone declared.Provenance and peer reviewNot commissioned; internally peer reviewed.
      Keywords: Paediatrics
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011272
      Issue No: Vol. 43, No. 4 (2017)
       
  • The Seahorses
    • Authors: Habash-Bailey; H.
      Abstract: There is a secret self, a shadowRelax your peepers and you’ll miss her-Some say she’s not welcome here,Others that she’s always beenResting on gyri, enveloped in some sulcus,She’s very small you know.Her favourite thing is riding the opal-grey seahorses, over and over,They watch her in wonderment, ache a little at her touchOther times she sits in an oval orchard,Feasting on almonds, leaving scatteringsWhen she is full she wanders along silvery-spindle tracts,Until she reaches the cusp of the water and waits-At the point of a kissCompeting interestsNone declared.Provenance and peer reviewNot commissioned; internally peer reviewed.
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011224
      Issue No: Vol. 43, No. 4 (2017)
       
  • A visit to Brookwood Aslyum in the 19th century
    • Authors: Cliffe; C.
      Abstract: During a visit to Surrey History museum, I reviewed a number of archived patient notes from the old Brookwood Asylum. Patient notes dating back to the late 19th century. Reading through these prompted considerable sadness as it became clear many patients were incarcerated for several years without contact from the outside world. Often these were patients who had nowhere else to go. One patient in particular stood out. A young boy admitted in his late teens, described as uncontrollable in behaviour, spent his life in the asylum. From reading the notes, he is likely to have had an intellectual disability and his parents were simply unable to cope or receive any support to help care for him, resulting in incarceration. The numbers of diagnoses were limited in the late 19th century and many were simply diagnosed with ‘mania’ or ‘lunacy’. As a result, he spent his life living in...
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011316
      Issue No: Vol. 43, No. 4 (2017)
       
  • Editors note: shame, stigma and medicine
    • Authors: Schillace; B.
      Pages: 207 - 207
      Abstract: We are delighted to share this December issue of Medical Humanities, a special themed issue on shame, stigma and medicine. As the editors Barry Lyons of Trinity College Dublin and Luna Dolezal of the University of Exeter explain in their guest editorial, this project evolved from a conversation ‘about the politics of shame and humiliation within healthcare.’ I can think of no more appropriate and timely topic for the end of 2017. Shame and stigma, with their social, political and clinical impacts, ought to be critical foci for medical humanities; such topics remains especially important to the many health crises unfolding globally—and have particular significance to me, coming from the US context and its present problems of access. The issue seeks, through the cogent and fascinating work of interdisciplinary scholars, to elaborate on shame and stigma from both historical and contemporary perspectives, and considers social issues as well as clinical ones. This is...
      Keywords: Anaesthesia
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011395
      Issue No: Vol. 43, No. 4 (2017)
       
  • Shame, stigma and medicine
    • Authors: Lyons, B; Dolezal, L.
      Pages: 208 - 210
      Abstract: "As a young physician in the mid-80s, caring for people who had contracted HIV, I lost two of my patients to suicide at a time when the virus was doing very little harm to them. I have always thought of them as having been killed by a metaphor, by the burden of secrecy and shame associated with the disease".          Abraham Verghese1 When, in the late 1980s, the psychiatrist Donald Nathanson organised a symposium on the nature of shame, it turned out to be the first such event to deal with the subject in the history of psychiatry or psychoanalysis on either side of the Atlantic. It seems strange that such a ubiquitous emotion had excited so little academic interest to that point, but as Nathanson points out—shame makes us so uncomfortable that we will go to great lengths to avoid it.2 Yet, despite...
      Keywords: Open access, Medical humanities
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011392
      Issue No: Vol. 43, No. 4 (2017)
       
  • Shame and the vulnerable self in medical contexts: the compassionate
           solution
    • Authors: Gilbert; P.
      Pages: 211 - 217
      Abstract: Shame is a powerful experience that plays a vital role in a whole range of aspects of the clinical encounter. Shame experiences can have an impact on our psychological and physiological state and on how we experience ourselves, others and our relationships. The medical encounter is an obvious arena for shame because we are presenting (aspects of) our bodies and minds that can be seen as unattractive and undesirable, diseased, decayed and injured with the various excretions that typically might invite disgust. In contrast, experiences of compassion of acceptance, validation and kindness and can increase approach, openness and preparedness to engage with painful difficult scenarios. While shame is an experience that separates, segregates, marginalises and disengages people, caring and compassion facilitate integration, (re)connection and support. Given the potential opposite impacts of these different types of social experience, this paper will outline their evolutionary origins and compare and contrast them with particular reference to the medical context.
      Keywords: Medical education
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2016-011159
      Issue No: Vol. 43, No. 4 (2017)
       
  • A dirty little secret: stigma, shame and hepatitis C in the health setting
    • Authors: Northrop; J. M.
      Pages: 218 - 224
      Abstract: While recent medical innovation shows great promise in treating hepatitis C (HCV), it remains a condition associated with profound stigma. HCV is a bloodborne virus (BBV) most commonly transmitted in high-income countries by injecting drug use, and it is the stigmatising association between the two which is deeply problematic for those with HCV. A qualitative study undertaken in 2002 found that disclosure in health settings places those with HCV in positions of pronounced vulnerability. Disclosure is a primal scene, an interface, where the stigma of HCV, replete with connotations of disease and deviance, potentially transforms those affected into shamed subjects. Standard precautions protect health workers and minimise the transmission of contagion, measures which, in theory, also mitigate the requirement of those with BBVs to unnecessarily disclose their blood status. However, questions on pre-employment health checks, concerns that health treatments might adversely affect the liver and an ethical need to pre-emptively inform healthcare professionals undertaking exposure prone procedures are occasions when those with HCV confront the decision to disclose their blood status. This paper employs Goffman's model of actual and virtual social identities, along with Douglas' notion of dirt and pollution, to examine the dilemmas around disclosure those with HCV negotiate within the health setting. Discriminatory responses by healthcare professionals elucidate the stigmatising potential HCV carries. The subsequent reticence by those with HCV to disclose their blood status risks less than optimum healthcare. Recent studies indicate that stigma occurring in health settings remains a perennial concern for those with HCV.
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2016-011099
      Issue No: Vol. 43, No. 4 (2017)
       
  • Shame, stigma, HIV: philosophical reflections
    • Authors: Hutchinson, P; Dhairyawan, R.
      Pages: 225 - 230
      Abstract: It is a distinctive feature of HIV that its pathology cannot be adequately grasped separate from a number of psychosocial factors, and stigma is widely seen as the most prominent. We argue that it is equally important to have an adequate understanding of shame, as the emotional response to stigma. We have identified five ways shame might negatively impact upon attempts to combat and treat HIV, which emerge from the stigma HIV carries and STI-stigma in general. In this paper, we draw out four insights from philosophical work on emotions and shame which we propose will improve understanding of shame and stigma. We conclude by briefly discussing how these insights might shed light on the negative role shame can play for a person living with HIV engaging with, or being retained in, care. We conclude by proposing further study.
      Keywords: Open access
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2016-011179
      Issue No: Vol. 43, No. 4 (2017)
       
  • 'He would by no means risque his Reputation: patient and doctor shame in
           Daniel Turner's De Morbis Cutaneis (1714) and Syphilis (1717)
    • Authors: Cock; E.
      Pages: 231 - 237
      Abstract: This article offers a historical corollary to the examination of shame in medical practice by considering the negotiation of shame in the treatment of a stigmatised disease at a time in which surgeons themselves occupied a highly ambivalent social position. It will focus on case studies provided by Daniel Turner (1667–1741), prominent surgeon and later member of the College of Physicians, in his textbooks De Morbis Cutaneis. A Treatise of Diseases Incident to the Skin (1714) and Syphilis. A Practical Dissertation on the Venereal Disease (1717). Turner demonstrates an awareness of the precarious position of both the surgeon and the syphilitic, and devotes significant portions of his text to advising the trainee surgeon on how to manage patients' reticence over disclosure of symptoms, expectations for cure and impudence towards medical authority. In turn, the trainee must manage his own reputation as a moral and medical authority who can treat all distempers, yet without condoning or facilitating the shameful behaviours associated with a sexual disease. Furthermore, shaming plays a key role in enabling Turner to fashion an ideal patient whose successful cure will both respond to and build the surgeon's medical authority and that of the medical field in general.
      Keywords: Open access
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2016-011057
      Issue No: Vol. 43, No. 4 (2017)
       
  • Pain, objectivity and history: understanding pain stigma
    • Authors: Goldberg; D. S.
      Pages: 238 - 243
      Abstract: The primary claim of this paper is that understanding the stigma so commonly endured by chronic pain sufferers today in the USA and the UK is unlikely without proper appreciation of the history of pain. Ameliorating such stigma is an ethical imperative, and yet most approaches eschew even an attempt to trace connections between historical attitudes, practices and beliefs towards pain and the stigmatisation so many pain sufferers currently endure. The manuscript aims to help fill this gap by framing pain in the modern era in context of two crucial intellectual schemes that waxed in the 19th and 20th centuries: mechanical objectivity and somaticism. The analysis explains these frameworks and applies them to exploration of primary sources connected to contested pain conditions such as railway spine. By properly situating the historical roots of what it means to cite the ‘subjectivity’ of pain as a problem, the modern roots of stigmatising attitudes and practices towards chronic pain sufferers become much clearer. The manuscript concludes by suggesting that interventions expressly intended to target the root causes of such stigma are much more likely to be successful than approaches that proceed in ignorance of the historical forces shaping and driving pain stigma in the present.
      Keywords: Editor's choice
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2016-011133
      Issue No: Vol. 43, No. 4 (2017)
       
  • The medical reshaping of disabled bodies as a response to stigma and a
           route to normality
    • Authors: McLaughlin; J.
      Pages: 244 - 250
      Abstract: Disabled people are said to experience stigma because their embodied presence in the world does not fit with how others interact and use their bodies to be social participants. In response they can turn to medical procedures, such as surgery or physiotherapy, in order to reshape their bodies to more closely approximate norms of social interaction and embodiment. This paper explores how medicine plays a role in attempts to be recognised by others as normal and acceptable by minimising disability. It will do so via a focus on disabled young people, in order to explore how their emerging identities and aspirations for the future influence how they think about their bodies, what normality means and their participation in multiple activities that work on their bodies. The paper draws from an Economic and Social Research Council (ESRC) project that used a range of qualitative research methods with a group of disabled young people. The project explored ways in which participants actively worked on their bodies to be more normal and examined the disciplinary and agency dynamics involved in this work.
      Keywords: Open access
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2016-011065
      Issue No: Vol. 43, No. 4 (2017)
       
  • On shame and voice-hearing
    • Authors: Woods; A.
      Pages: 251 - 256
      Abstract: Hearing voices in the absence of another speaker—what psychiatry terms an auditory verbal hallucination—is often associated with a wide range of negative emotions. Mainstream clinical research addressing the emotional dimensions of voice-hearing has tended to treat these as self-evident, undifferentiated and so effectively interchangeable. But what happens when a richer, more nuanced understanding of specific emotions is brought to bear on the analysis of distressing voices' This article draws findings from the ‘What is it like to hear voices’ study conducted as part of the interdisciplinary Hearing the Voice project into conversation with philosopher Dan Zahavi's Self and Other: Exploring Subjectivity, Empathy and Shame to consider how a focus on shame can open up new questions about the experience of hearing voices. A higher-order emotion of social cognition, shame directs our attention to aspects of voice-hearing which are understudied and elusive, particularly as they concern the status of voices as other and the constitution and conceptualisation of the self.
      Keywords: Open access
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2016-011167
      Issue No: Vol. 43, No. 4 (2017)
       
  • Health-related shame: an affective determinant of health'
    • Authors: Dolezal, L; Lyons, B.
      Pages: 257 - 263
      Abstract: Despite shame being recognised as a powerful force in the clinical encounter, it is underacknowledged, under-researched and undertheorised in the contexts of health and medicine. In this paper we make two claims. The first is that emotional or affective states, in particular shame, can have a significant impact on health, illness and health-related behaviours. We outline four possible processes through which this might occur: (1) acute shame avoidance behaviour; (2) chronic shame health-related behaviours; (3) stigma and social status threat and (4) biological mechanisms. Second, we postulate that shame's influence is so insidious, pervasive and pernicious, and so critical to clinical and political discourse around health, that it is imperative that its vital role in health, health-related behaviours and illness be recognised and assimilated into medical, social and political consciousness and practice. In essence, we argue that its impact is sufficiently powerful for it to be considered an affective determinant of health, and provide three justifications for this. We conclude with a proposal for a research agenda that aims to extend the state of knowledge of health-related shame.
      Keywords: Open access
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011186
      Issue No: Vol. 43, No. 4 (2017)
       
  • Vulnerability, survival and shame in Nina Raines Tiger Country
    • Authors: Bowman; D.
      Pages: 264 - 268
      Abstract: Shame in healthcare remains relatively underexplored, yet it is commonplace and its impact is significant. This paper explores shame in healthcare using Nina Raine’s 2011 play Tiger Country. Three manifestations of shame are explored, namely (1) shame in relation to professional identity and survival in the clinical workplace; (2) shame and illness as experienced by both patients and doctors; and (3) the systemic and organisational influences on shame within healthcare systems. I suggest that the theatre is particularly well-placed to elucidate shame, and that Tiger Country demonstrates the prevalence and impact of shame on clinical work. Shame has a fundamental and overlooked relationship with damaging and well-documented phenomena in healthcare, including moral distress, ethical erosion, compassion fatigue, burnout, stress and ill health. Attention to shame is essential for those interested in medicine and healthcare and must, I propose, include the experiences and perceptions of those who provide care, as well as attending to those who receive care.
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011354
      Issue No: Vol. 43, No. 4 (2017)
       
  • Digital medical humanities: stage-to-screen lessons from a five year
           initiative
    • Authors: DAlessandro, P; Frager, G.
      Pages: 269 - 270
      Abstract: Translation of curriculum materials to digital formats has become increasingly common. Medical humanities, typically reliant on human interaction to generate emotional impact, represents an interesting means to study engagement with digitised content. While technology-enhanced learning may provide opportunities to integrate humanities into curricula, redesigning sessions for digital use can be resource intensive and ‘requires consideration of the affordances’ of different media.1 As previously reported in BMJ Medical Humanities, guidance for this process—beyond simply, ‘digitising existing content’—remains limited.1 We present a five year educational case study that outlines our successes and struggles with digitising a medical humanities session for undergraduate medical education. Our model uses, Ed’s Story: the Dragon Chronicles, a verbatim play based exclusively on the journal of a 16 year-old boy with terminal cancer, and 25 interviews conducted after his death with his family, friends and interdisciplinary healthcare team.2 We have described the play’s development and...
      Keywords: Paediatrics
      PubDate: 2017-12-01T02:20:26-08:00
      DOI: 10.1136/medhum-2017-011230
      Issue No: Vol. 43, No. 4 (2017)
       
 
 
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