scholarly journals ‘a grate contribyushun for sience’: Promise, threat, and the trauma of failure in Daniel Keyes’s Flowers for Algernon

Literator ◽  
2014 ◽  
Vol 35 (1) ◽  
Author(s):  
Tony Ullyatt

Using aspects of Arthur Frank’s The wounded storyteller: Body, illness, and ethics as its basis, this article explores promise, threat and the trauma of failure in Daniel Keyes’s Flowers for Algernon, and in so doing, offers two alternative metaphors for the curative journey. The first is the plateau or medical model which begins in health, declines into illness and subsequently seeks to restore health to the ill individual. The second, parabolic metaphor begins in illness, rises out of that state but, eventually, regresses into ill-health again. This metaphor is akin to the inverted U-curve. As the novel’s protagonist, Charlie Gordon is the first human to undergo experimental surgery to ameliorate his mental retardation by raising his intelligence to a level approximating normality at least. The experiment has been carried out successfully on laboratory mice, including one named Algernon. Charlie’s progress through the experiment and its consequences is charted through a series of progress reports he writes. The language of the reports themselves epitomises his progress whilst providing an account of what transpires in Algernon’s case. Promise, threat and the trauma of failure, characterised by the ascent, apogee and descent of the parabolic metaphor, provide a tripartite structure for the article.

Author(s):  
Line Buhl ◽  
David Muirhead

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.


2020 ◽  
pp. 1-5
Author(s):  
David Luterman

Purpose The purpose of this article is to present a client-centered model of counseling that integrates information and personal adjustment counseling. Research has indicated that audiologists are more comfortable with counseling that is information based than with personal adjustment counseling. The prevailing model of diagnosis appears to be the medical model in which, first, a case history is taken, then testing and, finally, counseling. This model lends itself to audiologist as expert and the counseling as a separate entity based on information and advice. Further research has indicated parents retain little of the information provided in the initial examination because of their heightened emotions. This article presents a client-centered model of diagnosis in which information is provided within an emotionally safe context, enabling the parents to express their feelings and have the ability to control the flow of information. The ultimate purpose of a client-centered model is to empower parents by making them active participants in the diagnostic process rather than passive recipients. Conclusion The client-centered model has wide implications for the diagnostic process as well as for the training of students.


Author(s):  
Yvette M. McCoy

Purpose Person-centered care shifts the focus of treatment away from the traditional medical model and moves toward personal choice and autonomy for people receiving health services. Older adults remain a priority for person-centered care because they are more likely to have complex care needs than younger individuals. Even more specifically, the assessment and treatment of swallowing disorders are often thought of in terms of setting-specific (i.e., acute care, skilled nursing, home health, etc.), but the management of dysphagia in older adults should be considered as a continuum of care from the intensive care unit to the outpatient multidisciplinary clinic. In order to establish a framework for the management of swallowing in older adults, clinicians must work collaboratively with a multidisciplinary team using current evidence to guide clinical practice. Private practitioners must think critically not only about the interplay between the components of the evidence-based practice treatment triad but also about the broader impact of dysphagia on caregivers and families. The physical health and quality of life of both the caregiver and the person receiving care are interdependent. Conclusion Effective treatment includes consideration of not only the patient but also others, as caregivers play an important role in the recovery process of the patient with swallowing disorders.


2001 ◽  
Vol 43 (11) ◽  
pp. 731 ◽  
Author(s):  
Shanti Thirumalai ◽  
Bassel Abou-Khalil ◽  
Toufic Fakhoury ◽  
Gautham Suresh

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