The Clinic & The Person

By: J. Russell Teagarden & Daniel Albrant
  • Summary

  • The Clinic and The Person is a podcast developed to summon or quicken the attention of health care professionals, their educators, researchers and others to the interests and plights of people with specific health problems aided through knowledge and perspectives the humanities provide. We are guided by how physician-writer Iona Heath sees the arts adding a view to biomedicine “that falls from a slightly different direction revealing subtly different detail” and how that view applies to particular health care situations. Our aim is to surface these views, and our desire is to present them in ways that encourage and enable health care professionals to fully engage, to consider all sources, not just biomedical, in their roles helping people with their particular health problems.

    “The Clinic” represents all that Biomedicine brings to bear on disease processes and treatment protocols, and “The Person,” represents all that people experience from health problems. Our episodes draw from works in the humanities—any genre—that relate directly to how people are affected by specific clinical events such as migraine headaches, epileptic seizures, and dementia, and by specific health care situations such as restricted access to care and gut-wrenching, life and death choices. We analyze and interpret featured works and provide thoughts on how they apply in patient care and support; health professions education; clinical and population research; health care policy; and social and cultural influences and reactions.

    © 2024 The Clinic & The Person
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Episodes
  • Illness as Exile in the Greek Tragedy Philoctetes with Paul Ranelli
    Aug 29 2024

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    Greek tragedies often concern identifiable and universal problems humans have confronted over the millennia. Among these problems are those illness and suffering create. In this episode we draw from Sophocles’ play, Philoctetes, and in particular, how it depicts illness as exile. With our guest, Professor Paul Ranelli, we first cover the characteristics of Greek tragedies that are applicable to illness and suffering (i.e., enduring relevance, catharsis, empathy). We then cover the play, Philoctetes, what it tells about illness as exile, and how it connects to more recent writings on the concept (e.g., Virginia Woolf and Susan Sontag). Lastly, Paul Ranelli talks about an initiative he was involved in with the University of Minnesota Department of Theater Arts and Dance, the Center for the Art of Medicine, the College of Pharmacy Center for Orphan Drug Research, and the playwright Kevin Kling. This collaboration developed and staged an adaptation of Philocteteshighlighting challenges rare diseases pose. Paul describes how it was conceived, developed, produced, and performed. He also talks about how patients, families, students, health care professionals, and others received it. Spoiler alert: they loved it and saw great value in the endeavor.


    Primary source

    Sophocles. Philoctetes; In The Complete Greek Tragedies, Sophocles II, translated by David Grene; Chicago: The University of Chicago Press, 1957.


    Secondary sources

    Virginia Woolf. On Being Ill; Ashfield, Ma: Paris Press, 2002.

    Susan Sontag. Illness as Metaphor; New York: Doubleday, 1990.

    Drew Leder. Illness as Exile: Sophocles’ Philoctetes; Literature and Medicine. 1990(1):1-11.

    Vassiliki Kampourelli. Historical empathy and medicine: Pathography and empathy in Sophocles’ Philoctetes. Medicine, Health Care and Philosophy. 2022:25:561–575.

    Cynda H Rushton, Bryan Doerries, Jeremy Greene, Gail Geller. Dramatic interventions in the tragedy of the COVID-19 pandemic. The Lancet. 2020 (Vol 396):305-306.


    Links

    Russell Teagarden’s blog piece on Philoctetes as prologue to current day issues involving illness as exile, pain, ethics, and moral injury.

    Video of Theater of War Productions dramatic reading of Philoctetes performed January 9, 2923.

    Video of the play RARE, the University of Minnesota adaptation of Philoctetes.

    Video of documentary on development of the play.


    Thanks to Dr. Paul Ranelli for his contributing is knowledge, expertise, and wit to this episode.

    Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

    Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

    Executive producer: Anne Bentley


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    50 mins
  • “No Escape from Reality:” Thomas Kuhn and the Reliability of Medical Knowledge
    Jul 30 2024

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    “Should we worry about the reliability of medical knowledge?” asks philosopher John Huss (University of Akron). We consider this question from the perspective of Thomas Kuhn’s classic, 1962 book, The Structure of Scientific Revolutions. Kuhn explains how science does not evolve incrementally, one step following another, but rather undergoes wholesale revolutions disconnected from all that came before. He called these revolutions, “paradigm shifts” (to his everlasting regret). While Kuhn draws mostly from astronomy to make his case, we draw from recent and past medical examples to show how his concept applies to medicine as well. We talk about how various groups dependent on reliable medical knowledge (e.g., patients, health care professionals, educators) can be affected by the possibility of major shifts in established approaches to health care at any time. There’s no escape from reality, as the song goes.

    Primary Source Citation

    Kuhn T. The Structure of Scientific Revolutions, 3rd ed, Chicago: The University of Chicago Press; 1996.

    Links

    Russell Teagarden’s related blog posts on According to the Arts:

    • Kuhn’s book, The Structure of Scientific Revolution
    • Michel Foucault’s book, The Birth of the Clinic

    Dr. Barry Marshall’s story of how he and Dr. Robin Warren engineered the change in peptic ulcer disease from acid based to infection based.

    The Clinic & The Person Episode 12 (September, 2023), featuring the paradigm shift from lobotomies and other forms of psychosurgery to psychopharmacology.

    Sir Brian May’s bio (guitarist for Queen and PhD-level astrophysicist).


    Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.


    Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

    Executive producer: Anne Bentley

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    45 mins
  • “I’m Filled with Desire”: Eros & Illness with David B. Morris
    Jun 22 2024

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    People can have certain desires stemming from their illnesses, for the arts, health, companionship, serenity, and meaning among other possibilities. The scholar, writer, and teacher David B. Morris considers these desires a form of eros that should be taken into account as a part of what people go through with their illnesses and what could potentially help them. We speak with David Morris about the relationship between eros and illness, and evaluate it using examples from art, literature, and theater. We muse about possible applications.

    Primary Source Citation

    Morris D. Eros and Illness. Cambridge MA; Harvard University Press, 2017


    Links

    Russell Teagarden’s relevant blog pieces:

    • David Morris’ book, Eros and Illness
    • Anatole Broyard’s book, Intoxicated by My Illness
    • The play, Farinelli and the King
    • Montaigne’s essays about his kidney stones


    Modigliani’s reclining nude series:

    • Reclining Nude, 1917
    • Reclining Nude (Nu Couché) 1917–1918
    • Reclining Nude (Le Grand Nu) 1919
    • Nude on a Blue Cushion 1917


    David Morris’ CV

    Thanks to David Morris for coming on this episode and providing his thinking on the role of eros in illness.


    Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

    Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

    Executive producer: Anne Bentley

    Show more Show less
    51 mins

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