Refusing to be silenced: Claiming chaos narrative

2021 ◽  
Vol 7 (1) ◽  
pp. 110-123
Author(s):  
Colleen Donnelly

Abstract In the Wounded Storyteller, Arthur Frank proposed three types of narrative told by people attempting to reclaim their voice and the body made alien by illness – restitution, quest, and chaos. Restitution narrative has dominated media; in it, the patient simply experiences the disease and is presented passively, and the medical community is presented as having agency. In quest narrative, the experiencer becomes their own hero; their suffering brings knowledge which is then shared with the audience who bears witness and is charged with learning the lesson the experience conveys. In quest narrative, while speakers have agency that they are often robbed of in the restitution narrative, they are saddled with the imperative to inspire others. This makes the narrator a hero, but we need to ask, where does the imperative come from that demands that the narrator become a hero and an example for others? If that imperative comes from the audience and market demands, we need to recognize how they are dictating the manner in which stories are told, determining which are selected by publishers and media venues to be disseminated. The third type, the chaos narrative, is rarely encountered by audiences because the chaos narrative is usually erased. This “anti-narrative” can only be lived and cannot be told. The individual living with chronic physical or mental illness or a disability, who cannot be stoic and turn their story into a quest narrative, is rendered mute. Since restitution narrative is also unavailable to these individuals, their stories are left unspoken or unwritten. Their stories have largely been controlled by external agents. Failure to meet normate expectations has meant rejection. How prescriptive norms arose that delegitimatized the authority of chaos narrative must be understood if authentic chaos narrative is to be spoken and written.

2021 ◽  
Author(s):  
Anastasia Kukhtenkova

The article focuses on ways of representing the psychological state of the hero in G.I. Gazdanov's story "The Third Life". The polyphonic leitmotif memory/recollection includes direct and summative ways of expressing the psychological state of the narrator. The replacement of these forms makes it possible to move from mental illness to access to a third life, explicated by intensities, extensities, comparisons, perceptual images. The prospective expectation of the appearance of ideas about the third life is associated with the mode of doubt, symptoms of mental illness, fantasy-dreams of artistic creativity The beginning of the third life is marked by the accentuation of the perceptual background (smells, synesthetic metaphor, visual comparisons). The symbolic title, decoded in comparisons, comes closer to the leitmotif of the two-worldness; the individual author's associate - the third life correlates with the search for G.I. Gazdanov's heroes of the lyrical world, sentimental trance, spiritual journey as the leitmotif complex of the writer's idiolexicon.


Parasitology ◽  
1939 ◽  
Vol 31 (1) ◽  
pp. 78-120 ◽  
Author(s):  
Madan Lal Bhatia

The paper deals with the biology, morphology and anatomy of seven species of syrphid larvae viz. Syrphus luniger Meig., S. balteatus De Greer, S. ribesii Linne, Catabomba pyrastri Linne, Sphaerophoria flavicauda Zett., Sph. scripta Linne, and Platychirus scutatus Meig.The habitat, mode of progression, aphidophagous habits and characteristic coloration are described for each species.It is shown that the larvae of all the above species, like larvae of other cyclorrhaphous Diptera, definitely pass through three stages separated by two moults. The mode of dehiscence of the puparium is described briefly.Each of the species, except Catabomba pyrastri, has three generations in the breeding season which lasts from May to October. Platychirus scutatus hibernates only in the larval stage, but the other species may be found in both the larval and pupal stages during the winter.The larvae of all the above species, except Syrphus balteatus, are commonly parasitized by ichneumonid larvae.The morphology of the egg, the three larval stages and the puparium of S. luniger is described in detail.The characters common to the third stage larvae of all the species dealt with are summarized and short descriptions of the third stage larvae and puparia of the individual species are given. The general appearance of the living larvae and details of the buccopharyngeal armature, spiracles and puparia of each of the species is represented in figures.In connexion with the pupae a number of new structures are described and it is suggested that some of them are concerned with the formation of the characteristic shape of the puparium and with the dehiscence of the puparium.Internal pupal spiracles are present in all the species dealt with, but external pupal spiracles are present only in Platychirus scutatus.The anatomy of P. scutatus is described and figured, an account being given of all the structures except the musculature of the body wall. Study of the anatomy affords evidence as to the carnivorous mode of life of the larvae and also indicates that the larvae have evolved from aquatic forms.The comparative morphology of the Syrphinae is discussed with respect to the relationship of the Syrphinae to other Aschiza and to the cyclorrhaphous Diptera.


With a view to the future investigation of the osteological developement of the human race, the author gives, in the present paper, the results of a great number of measurements, which he has very carefully made, of the dimensions of the different bones composing the adult human skeleton. The male bones examined were those in the collection of Dr. Monro 3 the female bones were furnished by Dr. Hamilton. The author was anxious to fix on some one dimen­sion in the skeleton which might be taken as the standard of all the measurements: and finding that no bone of the trunk or limbs pos­sessed the requisite characters for that purpose, he sought for it in the cranium; and the result of an extensive series of observations led him to adopt as the standard of measure the distance between the prolongations of the zygomatic ridges, immediately over the meatus auditorius externus, as being that dimension which was less liable to variation than any other of the human cranium. This line he deno­minates the auricular transverse ; and, adopting a scale of which the unit is the 14th part of this line, being generally about the third of an inch, he states at length, in multiples of this unit, the dimensions, in different directions, of almost every bone in the skeleton; noting more especially the differences that occur in those of the two sexes. Of these measurements, which are given in much detail, and in many instances arranged in a tabular form, it is impossible to give any abridgement. The conclusion he deduces from his inquiry is, that every bone in the body exhibits certain modifications, according to the sex of the individual.


1989 ◽  
Vol 34 (3) ◽  
pp. 249-254 ◽  
Author(s):  
Z.J. Lipowski

After a period marked by one-sided emphasis on psycho-dynamics and social issues, or what could be called “brainless” psychiatry on account of its relative neglect of cerebral processes, we are witnessing an opposite trend towards extreme biologism or “mindless” psychiatry. The pendulum has swung periodically from one to the other of these reductionists positions throughout the history of psychiatry. The author argues that neither brainless nor mindless psychiatry can do justice to the complexity of mental illness and to the treatment of patients. Psychiatry's distinguishing feature as a clinical discipline is its equal concern with subjective experience, or the mind, and with the body, including brain function, which together constitute a person, a psychiatrist's proper focus of inquiry and intervention. Moreover, a person, viewed as a mindbody complex, is in constant interaction with the environment. It follows that both study of mental illness and clinical practice need to take into account the psychological, the biological and the social aspects. These three aspects are not mutually reducible and are indispensable for the understanding and treatment of the individual patient. Such a comprehensive, biopsychosocial approach provides an antithesis to the reductionistic viewpoints and, in the writer's opinion, is both practically and theoretically most satisfying.


2020 ◽  
Author(s):  
◽  
Katelyn Harlin

When this dissertation first began to take shape, it was in response to a period of wide reading of African diaspora fiction--my comprehensive exam preparations-- wherein I began noticing the sheer number of suicides I was encountering. After some preliminary research, I was further struck by how little criticism confronted this literary trope in African diaspora texts. In the beginning, I assumed that this phenomenon was the manifestation of the contemporary focus on mental health and mental illness, which while largely a product of Western medicine, neoliberal discourses of self-reliance and Capitalist "self-care" branding, has certainly been circulating globally for a number of years now. Thus, I expected this dissertation to be a discussion of Africana writers' efforts to resist, revise, combine or consolidate these discourses with the cultural, political, and ontological concerns of Blackness, ultimately offering a new, more Africanized method of thinking through mental health and mental illness. In some ways, this proved true; in particular, I believe this is evident and legible through the Ogbanje and abiku fiction discussed in chapter four of this dissertation. However, over time this project outgrew that framework, and efforts to link Black literary suicides to the real world experiences of suicidality and mental illness became at best, specious, and at worst pathologizing. Thus, with mere months before my planned defense, I reconceived of what the work of this project actually is. The primary points that I hope this project makes are as follows: 1. Suicide is a foundational and constitutive trope of what we might call Anglophone African diaspora literatures. 2. Suicide in these texts is experienced on the level of community: by their nature, these suicides subordinate the individual's "right" to life to the collective's hopes for survival. 3. These representations of suicide reflect an Afrocentric, nonlinear conception of time and space. Often, suicides occur because of the belief that another simultaneous reality exists and is accessible through the death of the body. 4. Western, neoliberal tropes of the individual as improvable and perhaps even perfectible through introspection and work have throughout the 60-year scope of this project put pressure on the Afro-centric, collective literary meaning of suicides. 5. Contemporary African diasporic fiction is marked by its willingness to engage with 3 and 4 simultaneously, as ideas that are in tension, but not conflict, and which therefore do not require resolution. 6. Ultimately, African literature operating under what I term suicideality offers radical political potential because it constructs modes of collaboration and coalition across boundaries, especially boundaries between life and death/living and dead. Therefore, rather than significant emphasis on the sociological or medical discourses of suicide, this project will be focused on interrogating the imaginative act of suicide and its implications within African diaspora literature; particularly, I am interested in the ways the imaginative act of suicide articulates ontology, space-time, and the body. Therefore, I will draw from Black psychology as well as literary theory, political manifestos, Black Atlantic theories and Black feminist theories of assemblage. [DIACRITICS NEEDED]


Author(s):  
Roberto Baldoli ◽  
Claudio M. Radaelli

Abstract The COVID-19 pandemic witnessed extreme forms of biopolitics, as well as the urgency to reconsider our relationship with the planet. Although biopolitics draws attention to the technologies of domination by public authorities, we cast the concepts of bios and politics in the wider framework of nonviolence. In this framework, bios is the set of practices (praxis) of ordinary citizens. And politics is power created by harm reduction, or actions in daily life that testimony the desire not to harm others or the planet. We leverage nonviolence at three levels, scaling up from the individual to social behaviour and to the planet. The first level concerns nonviolence as self-sufferance and as praxis to claim back the sovereignty of the body. In the second level, nonviolence is collective mobilization – building social capital, self-governance, and solidarity. The third level provides the vision of a diverse ecological citizenship with a sustainable relationship between human beings and the planet.


2002 ◽  
Vol 7 (2) ◽  
pp. 1-4, 12 ◽  
Author(s):  
Christopher R. Brigham

Abstract To account for the effects of multiple impairments, evaluating physicians must provide a summary value that combines multiple impairments so the whole person impairment is equal to or less than the sum of all the individual impairment values. A common error is to add values that should be combined and typically results in an inflated rating. The Combined Values Chart in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, includes instructions that guide physicians about combining impairment ratings. For example, impairment values within a region generally are combined and converted to a whole person permanent impairment before combination with the results from other regions (exceptions include certain impairments of the spine and extremities). When they combine three or more values, physicians should select and combine the two lowest values; this value is combined with the third value to yield the total value. Upper extremity impairment ratings are combined based on the principle that a second and each succeeding impairment applies not to the whole unit (eg, whole finger) but only to the part that remains (eg, proximal phalanx). Physicians who combine lower extremity impairments usually use only one evaluation method, but, if more than one method is used, the physician should use the Combined Values Chart.


2001 ◽  
Vol 40 (01) ◽  
pp. 31-37 ◽  
Author(s):  
U. Wellner ◽  
E. Voth ◽  
H. Schicha ◽  
K. Weber

Summary Aim: The influence of physiological and pharmacological amounts of iodine on the uptake of radioiodine in the thyroid was examined in a 4-compartment model. This model allows equations to be derived describing the distribution of tracer iodine as a function of time. The aim of the study was to compare the predictions of the model with experimental data. Methods: Five euthyroid persons received stable iodine (200 μg, 10 mg). 1-123-uptake into the thyroid was measured with the Nal (Tl)-detector of a body counter under physiological conditions and after application of each dose of additional iodine. Actual measurements and predicted values were compared, taking into account the individual iodine supply as estimated from the thyroid uptake under physiological conditions and data from the literature. Results: Thyroid iodine uptake decreased from 80% under physiological conditions to 50% in individuals with very low iodine supply (15 μg/d) (n = 2). The uptake calculated from the model was 36%. Iodine uptake into the thyroid did not decrease in individuals with typical iodine supply, i.e. for Cologne 65-85 μg/d (n = 3). After application of 10 mg of stable iodine, uptake into the thyroid decreased in all individuals to about 5%, in accordance with the model calculations. Conclusion: Comparison of theoretical predictions with the measured values demonstrated that the model tested is well suited for describing the time course of iodine distribution and uptake within the body. It can now be used to study aspects of iodine metabolism relevant to the pharmacological administration of iodine which cannot be investigated experimentally in humans for ethical and technical reasons.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1477-1481
Author(s):  
Ishwari Gaikwad ◽  
Priyanka Shelotkar

The current world situation is both frightening and alarming due to the massive disruption caused by the Covid-19 pandemic. The next few days are censorious as we need to be very precautious in our daily regimen as well as dietary habits. Ayurveda offers knowledge about food based on certain reasoning. Indecent food custom is the chief cause for the rising development of health disorders in the current era. In classical texts of Ayurveda, the concept of diet explained well, ranging from their natural sources, properties and specific utility in pathological as well as physiological manner. In this work, the review of the relevant literature of Ahara (Diet) was carried out from Charak Samhita and other texts, newspapers, articles, web page related to the same.  Every human being is unique with respect to his Prakriti (Physical and mental temperament), Agni (Digestive capacity), Koshtha  (Nature of bowel) etc. For that reason, the specificity of the individual should be kept in mind. Ahara, when consumed in the appropriate amount at the right moment following all Niyamas (Guidelines) given in Ayurveda texts, gives immunity and keeps the body in a healthy state during pandemics such as Covid-19. Ultimately, this will help the human body to maintain its strength for life. This article reviews the concept of diet viz. combination of foods, their quantity and quality, methods of preparation and processing, which are to be followed during pandemics and are essential in maintenance and endorsement of health and preclusion of diseases.


2020 ◽  
Vol 5 (5) ◽  
pp. 386-393
Author(s):  
L. M. Gunina ◽  
◽  
Kazys Mylashyus ◽  
Voitenko V. L. ◽  
◽  
...  

Under high-intensity loads, the athlete's bodies take place a number of biochemical reactions and physiological processes that can lead to hyperbilirubinemia. The factors that can initiate the onset of this phenomenon include the syndrome of micro-damage muscle, violation of the integrity of erythrocyte membranes, decreased blood pH, malnutrition and increase oxygen demand of the body. Degree of expression of manifestations of physiological bilirubinemia depends on the level of adaptation of the athlete to the physical activities offered. Hyperbilirubinemia in athletes can be one of the components of the deterioration of the functional state, forming the symptoms of endogenous intoxication. The relevance of this problem in sport lies in the relatively low detection rate of hyperbilirubinemia due to the lack of regular screening studies. However, in drawing up a plan of nutritional- metabolic support for training and competitive activity and recovery measures, must not only the individual reaction of the athlete body to physical activity, but also the severity of shifts in the indicators of bilirubin metabolism and their ratio. The article describes the reasons for the increase in bilirubin levels, which can be caused by both the effect of physical activity and by the presence of pathological processes in athletes. The factors influencing the blood serum’s bilirubin content are also highlighted, which include the state of erythrocyte cell membranes and the rate of hemoglobin destruction, the functional state of the liver, the specifics of physical loads and the use of ergogenic pharmacological agents by athletes. Particular accent has been placed on the illumination of hereditary hyperbilirubinemias, which may have been detected at the stage of selection of athletes. The most common phenomenon is Gilbert's syndrome, which occurs in 2-5% of cases in the general population, is characterized in the clinic by a benign flow and is manifested by episodes of jaundice and an increase in total bilirubin content to moderate values due to indirect. The frequency of detection of hyperbilirubinemias in the population of athletes is 4.68%, among which Gilbert's disease accounts for almost half (48.7%). Conclusion. The work highlighted the pathogenesis and diagnostic algorithm of Gilbert's disease, and also emphasized that its drug prevention and correction in athletes to maintain functional and physical fitness should be carried out taking into account anti-doping rules, which requires upon diagnosis timely receipt of a therapeutic exclusion


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