Detecting the Diagnosis: Parasitology, Crime Fiction, and the British Medical Gaze

In this chapter, Taylor-Pirie traces the cultural encounters between the parasitologist and the scientific detective in the medico-popular imagination, revealing how such meetings helped to embed the figure of the doctor-detective in public understandings of science. Parasitologists like Ronald Ross and David Bruce were routinely reported in newspapers using detective fiction’s most famous archetype: Sherlock Holmes, a frame of reference that blurred the boundaries between romance and reality. Recognising the continued cultural currency of Holmesian detection in clinical and diagnostic medicine, she re-immerses the ‘great detective’ and his creator, Arthur Conan Doyle, in the literary-historical contexts of the fin de siècle, demonstrating how material and rhetorical entanglements between criminality, tropical medicine, and empire constructed the microscopic world as new kind of colonial encounter.

Sea of bodies: a medical discourse of the refugee crisis in Tears of Salt: A Doctor’s Story

In the memoir Tears of Salt: A Doctor’s Story, Pietro Bartolo (2018) relates visceral descriptions of illness, injury and death endured by refugees on their journey of escape to the shores of Lampedusa in the Mediterranean. The medical gaze of the doctor/author further complicates the political and philosophical discourse of mass migration, foregrounding and calling into question the myriad ways in which the migrating human body is subjugated to forms of structural violence that render it ungrievable and inhuman. The migrating body, a production of and outcast from nation-states, is destined to make its way to news outlets where its suffering is gazed upon, sympathised with and later forgotten about. The surge of images revealing the realities of migrating bodies afflicted with pain, disease, trauma and sexual assault is illustrative of the asymmetric power of biopolitics at work, in which some bodies are, according to the formulations of Judith Butler and Giorgio Agamben, allowed to die or made killable. This paper will examine issues of illness, death and dying in relation to Bartolo’s accounts of refugees in order to observe what is gained and what is lost in applying a medical gaze to the ‘refugee crisis’. In addition to the memoir, we examine the scholarship of violence against the refugee body, the realities of ignoring their pain and how these exploited bodies are portrayed within a global narrative. This article reconfigures the detachment between the human as a socially constructed centre of subjectivity and the body in pain. The corporeality of illness and death that migrants face positions them in an abject position and distances them farther from the rhetoric of human rights. The ontological being of these individuals in medical discourse rarely goes beyond acknowledging that it is normal and expected for these bodies to be in pain. In what ways can we in the humanities gear the discussion towards the raw physicality of fragmentation, distortion and rejection of refugees and immigrants? What role can such a view play in building an ethic of lasting care for the dispossessed? Our research addresses these questions through our reading of the memoir.

‘The medical gaze’: Foucault, anthropology and contemporary psychiatry in Ireland

Michel Foucault developed the concept of ‘the medical gaze’, describing how doctors fit a patient’s story into a ‘biomedical paradigm, filtering out what is deemed as irrelevant material’ (Misselbrook, 2013). Doctors are perceived within this model to focus on selecting the biomedical elements of patients’ problems only, filtering out all other elements of a person’s life story, but this paper argues that in the subspecialty of psychiatry, this is not the case, and such a filter is not so easily applied.

Doctors into Agents : The Technologies of Medical Knowledge and Social Control in State Socialist Hungary

In this paper, I analyze different situations in which the doctor-patient relationship, the knowledge/information produced within this framework, and the practices of medical questioning came to the fore in the work of the state security services, one of the typical institutions of social observation and surveillance of the Hungarian socialist state. I examine work and recruitment dossiers opened from 1956 to the 1980s which document either physicians’ uses in state security observation of information which they gained about their patients during their professional (medical) activities in or in which the physician-patient relationship appears as a context of the physician’s recruitment. I discuss how physicians constructed the patient when the gaze of the state security forces was also arguably part of their medical gaze. I contend that medical knowledge and, more generally, information revealed in the professional (medical) context and used in the framework of network surveillance, taken out of their strict medical context, constituted a gray zone of power. On the one hand, this information was a useful tool with which the regime could exert some measure of effective social and political control beyond the borders of healthcare, while on the other hand, it could help physicians develop a certain degree of social resistance.

The Post-Human Lyric: Diffractive Vision and the Ethics of Mattering in Adam Dickinson’s Anatomic

The aim of my inquiry is to discuss Adam Dickinson’s revisionist approach to the lyric autobiography as shown in his most recent volume Anatomic (2018a). Informed by an eco-critical sensibility, the biotechnological gaze, and post-humanist notions of subjectivity, this highly experimental conceptual project reveals porous boundaries of the autobiographical self caught up in the entanglement of the mind and matter. Based on burden tests of the poet’s own bodily fluids, Anatomic offers a philosophical speculation on the nature of the human, asking us to go beyond anthropocentric positioning of the subject and to consider ethical alongside onto-epistemological implications of this new direction. The methodology employed in my analyses of Dickinson’s poems derives from the influential notions of agential realism, diffractive vision, and intra-action formulated by Karan Barad – a trained quantum physicist and feminist philosopher working in the field of science and technology. Barad’s theories fuel New Materialist paradigms of thought as they propose the inherent indeterminacy of matter as well as question the established views of identity and the social. The particular focus of my interrogations will be the relationship between diffractive perception and the medical gaze used by the Canadian conceptualist to see himself non-anthropologically and thus to destabilize the perimeters of the autobiographical self.

Patientens kropp

The Body of the Patient Emotions, power and reciprocity in the world of transplantation Markus Idvall Transplantation has been a part of human culture and imagination over centuries. In modern times, from the mid-20th century on, transplantation of solid organs and cells has become part of clinical practice. In this article, I focus on field studies with 1) individuals who have donated a kidney to a relative (living donors) and 2) individuals who have received a kidney from a deceased donor. Transplantation is problematized as a form of inter-corporality and a performative meeting between a recipient, a donor and medical intermediaries in the shape of doctors and nurses. By focusing on the body of the patient we learn about the aspects of emotions, power, and reciprocity in which the transplantation takes place. The empirical discussion starts with a phenomenological approach towards what it means to have a transplant. In the narrative of one of the interview subjects a specific landscape – a forest – appears as a symbol for the individual body’s transformation or even “rebirth”. The embodiment of the forest signifies both hope and an uncertain future for the individual. In a similar way, individuals who donate one of their kidneys to a relative, also incorporate the patient’s room in the hospital as being a space representing the pain which an individual living donor experiences when temporarily becoming a patient. In the second part of the article, a bio-political, power-related perspective is included in the analysis. The medical gaze that identifies donors and recipients is discussed in relation to how the human body and body-parts become a form of a national resource in the transplant context. Donor pools and waiting lists for transplants are in this respect tools for realizing a transplant industry on a national and global basis. At the end of the article, reciprocity is introduced as an analytical perspective. By distinguishing the transplant as a gift, emotions, power relations and the multifaceted body of the patient can be seen as inter-connected.