Hektoen International

A Journal of Medical Humanities

Category: Literary Essays

  • Children treating children: Anne Shirley as clinician

    Kathryne DycusMadrid, Spain Childhood classics provide a range of illness narratives, reminding readers of dangers now preventable and even treatable, but also of the universal imperatives of understanding and accommodating the morbidity and mortality that can accompany childhood. Sickness in children’s literature, as in medicine, presents dramatically colorful dimensions of plot twist, character development, human…

  • Emily, Usher, and American Gothic perspectives on mortality

    Olga ReykhartLiam ButchartStony Brook, New York, United States In an editorial for Medical Humanities, Gillie Bolton notes that death is a common theme in literature and also in medicine. She writes, “Death, dying, and bereavement are dark threads running through all literature. Not only are they life’s sole certainties, along with birth; they are also…

  • The literary breakdown in Donna Tartt’s The Goldfinch

    Carol-Ann FarkasBoston, Massachusetts, United States I. Diagnostically speaking, the “nervous” or “mental” breakdown is not a thing. The term has never been formally used in psychology, which has long preferred specific, definable categorizations of symptoms and conditions: stress, fatigue, anxiety, depression, trauma.1 And yet the phenomenon persists in popular usage.1,2 Why? We like the “breakdown”…

  • Rilke: A poet’s death

    Nicolas Roberto RoblesBadajoz, Spain Rose, oh reiner widerspruch, lust,Niemandes schlaf zu sein under soviel lidern Rose, o pure contradiction, desire,to be no one’s sleep beneath so many lids. – Rainer Maria Rilke, epitaph On December 4, 1875, René Karl Wilhelm Johann Josef Maria Rilke (later changed to Rainer Maria Rilke) was born in Prague, the…

  • Ahab’s gift: Herman Melville’s Moby Dick and the meaning of pain

    Xi ChenRochester, New York, United States In the summer months before my first year of medical school, I unfurled the pages of Moby Dick. Immersed in the novel’s adventurous spirit and Shakespearean prose, I followed the narrator from the piers of Nantucket into the Atlantic and waded through Captain Ahab’s quest for the legendary white…

  • George Orwell and the Spanish Civil War: A brush with death

    James L. FranklinChicago, Illinois, United States Robert Capa’s “The Fallen Soldier” is the iconic photograph of the Spanish Civil War (1936–1939). The original title was “Loyalist Militiaman at the Moment of Death, Carro Muriano, September 5, 1936.” The photograph captures a Republican soldier at the very moment of his death. Dressed in civilian clothing, a…

  • Dr. Peabody, the ideal medical practitioner

    Rachel BrightKevin QosjaLiam ButchartStony Brook, New York, United States Art not only imitates nature, but completes its deficiencies.—Aristotle, Physics A common complaint about medical students, doctors, and healthcare providers is that the scientific and technological progress of the last few decades has led them to neglect meaningful interactions, leaving patients bereft of the human touch—with…

  • Professionalism in crisis: Dr. Winkel and The Third Man

    Paul DakinLondon, United Kingdom Times of crisis may highlight the best and worst characteristics of people. Many of us yearn to be heroes and yet what is revealed under pressure may fall short of our ideal. Doctors share this human frailty. Is medical training and professionalism enough to overcome personal weakness, allowing our behavior to…

  • Robert Louis Stevenson and hereditary hemorrhagic telangiectasia

    Sally MetzlerChicago, Illinois, USA Famed Scottish author Robert Louis Stevenson (1850–1894) traveled to Monterey, California, in 1879 and lived for three months on the second floor of a white adobe boarding house called the French Hotel. Located on 530 Houston Street, the edifice is now known as the Stevenson House and serves as a major…

  • Ladies in red: Medical and metaphorical reflections on La Traviata

    Milad MattaGregory RuteckiLyndhurst, Ohio, United States “. . . phthisic beauty[’s] . . . most famous operatic embodiment was Violetta Valery . . .This physical type became not only fashionable but sexy . . . When a society does not understand—and cannot control—a disease, ground seems to open up for mythologizing . . . it.”1…