Hektoen International

A Journal of Medical Humanities

Tag: Massachusetts

  • 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”…

  • The death of Zachary Taylor: The first presidential assassination or a bad bowl of cherries?

    Kevin R. LoughlinBoston, Massachusetts, United States Zachary Taylor was a true Southerner born into a prominent family of plantation owners in Orange County, Virginia, on November 24, 1784, During his childhood his family moved to Louisville, Kentucky. In 1808 he obtained a commission as a first lieutenant in the army. In 1810 he married Margaret…

  • The Schoolhouse Lab

    Edward McSweeganKingston, Rhode Island, United States “Black measles” was a common name for spotted fever, which regularly killed people in the western United States. Symptoms included a spotty rash on the extremities, fever, chills, headache, and photophobia. No one knew what caused it. The first recorded case in Montana’s Bitterroot Valley was in 1873.1 Twenty-three…

  • Heterozygous advantage: How one deadly disease prevents another

    Neal KrishnaBoston, Massachusetts, United States Of all the genetic disorders to which man is known to be a victim, there is no other that presents an assemblage of problems and challenges quite comparable to sickle cell anemia. Because of its ubiquity, chronicity, and resistance to treatment, sickle cell anemia remains a malady whose mitigation and…

  • What it’s about

    Wesley ChouBoston, Massachusetts At coffee-flecked boothsAnd down corridors, wendingA way through the staccato chatter,We guzzle down the details: Oh let me tell you,One fisherman to another,Of fingers turned tassel by a firecracker,Soiled plastic and muffled screams leakingOut a hermetic room that anImplacable observer lords over. We’re in on a dirty game,As if our lives have…

  • Wounding words

    Charlotte GrinbergCambridge, Massachusetts, USA In college, I majored in anthropology. I was interested in understanding the political, social, legal, and economic forces that influence behavior. As language is inherently related to consciousness and culture, its study was central to my learning. In my medical anthropology course, for example, we spent hours discussing the linguistic difference…

  • The anatomy of bibliotherapy: How fiction heals, part III

    Dustin Grinnell Boston, Massachusetts, United States A cure for loneliness In the video “What is Literature For?” produced by The School of Life, author Alain de Botton claims that books are a cure for loneliness. Since we cannot always say what we are really thinking in civilized conversations, literature often describes who we genuinely are more…

  • The anatomy of bibliotherapy: How fiction heals, part II

    Dustin Grinnell Boston, Massachusetts, United States The placebo effect When first exploring literature’s psychological effects on the reader, it is important to consider whether a book can have healing properties by acting as a placebo. In Persuasion and Healing, Jerome Frank discusses the importance of the connection between patient and healer. In his chapter on the…

  • The anatomy of bibliotherapy: How fiction heals, part I

    Dustin Grinnell Boston, Massachusetts, United States Words are, of course, the most powerful drug used by mankind.—Rudyard Kipling Literature is medicine for the soul In the 1980s, the mother of Northrop Frye, a Canadian literary scholar, was in the hospital, ill and delirious. Seeking to ease her suffering, her father gave her the twenty-five books of…

  • End-of-life care and contingent vs. non-contingent duties

    Ronald W. PiesBoston, Massachusetts, United States Introduction Mr. Joseph B, a 70-year-old widower and retired college professor, is hospitalized in the final stages of metastatic pancreatic carcinoma. His doctors estimate that he has “three or four weeks” to live. The patient is well aware of his prognosis, and, as he puts it, “I have come…