Hektoen International

A Journal of Medical Humanities

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  • Suicide: always a tragedy?

    JMS PearceHull, England The tragedy of suicide is well expressed in “The romantic suicide: Karoline von Günderrode” by Nicolás Roberto Robles.1 We all try hard to understand this act. Self-destructive urges are an ubiquitous but often ignored or suppressed aspect of all human life. But what makes a person take their own life is often…

  • Melville’s Bartleby: An absurd casualty

    Simon WeinPetach Tikvah, Israel Albert Camus (1913-1960) was a French writer and philosopher. He did not want to be pinned down as an existentialist or an absurdist, or indeed a nihilist. Nevertheless, he is well known for coining the expression ‘the absurd hero’. Camus used the Greek myth of Sisyphus to illustrate this idea. Sisyphus’s…

  • The romantic suicide: Karoline von Günderrode

    Nicolás Roberto RoblesBadajoz, Spain Suicide, often occurring as an impulsive gesture or from underlying depression, has long been an important cause of death among young people, as exemplified within recent memory by the wave of suicides that followed the death of Marilyn Monroe. Historically, in the preromantic period, it was precipitated by the suicide of…

  • Hippocrates, abortion, and cutting for stone

    John RaffenspergerFort Meyers, Florida, United States Physicians who take The Oath of Hippocrates swear not to perform abortions or operate for bladder stones: Similarly, I will not give to a woman a pessary to cause abortion. But I will keep pure and holy both in my life and art. I will not use the knife,…

  • A love-driven model of suicide prevention

    Kate BaggottSt. Catharines, Ontario, Canada The suicide barrier on the Bloor Street Viaduct in Toronto is called the Luminous Veil. The beauty of the title is that it is intentional and intelligent. Construction of the barrier started in 2003 after more than a decade of advocacy. It was installed just a few years after the…

  • What could have been

    Gordon SunDowney, California, United States Every year, there are 400 stories like these. The second-year medical student. The social butterfly of her 106 classmates, yet her bubbly personality masks the loneliness of living on one coast after spending the first twenty-five years of her life on the other coast. The isolation is amplified by the…

  • No laughing matter

    Shafiqah Samarasam Subang Jaya, Malaysia “You’re only given a little spark of madness. You mustn’t lose it.” These were the words of Robin Williams, the man whose own laughter was enough to make us laugh. In a world where tragedy occurs every day, his words helped us to understand the poignant meaning behind it. “Comedian”…

  • Death and new-doctor eyes

    Katrina GenuisVancouver, Canada With slim cuts to her wrists, she came into the emergency room and said she wanted to die. “This is clearly a cry for attention,” others said. “Send the new doctor to stitch her up.” I sat by her bed with a 30-gauge lidocaine-filled needle and 4.0 nylon sutures, and began unravelling…

  • “…One must imagine Sisyphus happy”

    Katerina DimaPreveza, Greece Ancient Greek mythology teems with stories of morality, despair, and the philosophy of the absurd. No story, however, had a greater impact on this young, impressionable medical student than the story of Sisyphus. Sisyphus was a popular and prominent figure of Ancient Greece, the successful king of the city of Corinth. As…

  • Suicide in medical school

    Trevor KleeCambridge, MA, United States Depression and suicide are difficult subjects to write about because they are unpleasant and have at least a faint tinge of moral failure. Moreover, the enormity of the feelings involved dwarfs the attempts to portray them in writing. Perhaps the best written description of suicidal ideation comes from David Foster…