by Neil Vickers, Reader in English Literature & Medical Humanities
Michael Balint is mentioned in medical humanities circles as a revered ancestor, much as one might talk about William Empson as a significant figure in the history of English literary criticism. Everyone knows they’re important but surprisingly few people read either writer today or even know why they should. (An important exception is Josie Billington’s superb Is Literature Healthy? – reviewed here – which devotes a chapter to Balint.)
Empson did theory before Theory, and Balint did narrative medicine before Narrative Medicine. Both men were at least as interesting as what came after them, and yet both have become unduly sepia-tinted with the passage of time. Part of the reason for this fading in Balint’s case has to do with the fact that his clinical examples are firmly rooted in the sociological reality of the 1940s and 50s. The world Balint describes is hidebound by class. As a psychoanalytically-minded medical humanist, I occasionally press a copy of Balint’s classic, The Doctor, the Patient and the Illness (1957) on MSc students, but always with the caveat about his antiquated case material. ‘Someone should update it,’ I whisper, as they saunter out of the room.
Reading Martino Sclavi’s The Finch in My Brain(Hodder & Stoughton, 2017)took longer than expected. I found myself slowing down, re-reading passages, trying to work out how the text relates to itself, to its images, and to the people in Sclavi’s life.
My copy of the text is now defaced by marginalia, doodled over in an inky green.
Page 308, for example, tells me to re-read p. 215. I turn that page, and p. 216 directs me to p. 268, and so on. My copy has gone a bit rhizome: an ecology of self-citation…
In early 2011, living in LA, Italian film producer Martino Sclavi was experiencing bad headaches. He thought it was the coffee, or the stresses of script-writing to deadline. In fact, it was a grade 4 glioblastoma – an extremely severe brain tumour. During a script-reading, Sclavi became increasingly delirious. Driven to a hospital by a friend, Sclavi recalls how his friend’s words ‘stopped having a meaning for me… just sound with no information. A rhythm with no shape’ (p. 43). This loss of ‘meaning’ but retention of ‘shape’ characterised not only Sclavi’s immediate crisis but presaged the direction his life would take.
by Farah Chowdhury, Master’s student in Medical Humanities, King’s College London
Rick Rylance’s Literature and the Public Good is a monograph in Oxford’s The Literary Agenda series, which seeks to investigate the state of literary studies in education and demonstrate the worth of studying literature within the wider world.
Rylance’s contribution is expansive, reaching far beyond the traditional parameters of what constitutes literature by situating the book alongside discussions of the value of art and music within society. While at first this might conflict with expectations drawn from the title, as the discussion continues, the subtle thematic links drawn across chapters are a testament not only to Rylance’s style, but also the vast amount of research conducted to produce this work.
by Neil Vickers, Reader in English Literature and Medical Humanities, Department of English
John Forrester, who died in 2015, was the most original historian of the human sciences of his generation. His great love was the history of psychoanalysis – he was for 10 years the editor of the journal History and Psychoanalysis – and he published no fewer than four major books in that field, including the classic Freud’s Women(which he wrote with his wife, Lisa Appignanesi).
Thinking in Cases is the first of two books to be published posthumously, the second being the monumental Freud in Cambridge (co-authored with Laura Cameron), due out later this year. It comprises six essays written over the last two decades on what he memorably termed ‘case-based reasoning’. Forrester, along with many historians of science, believed that case-based reasoning had embedded itself in a variety of disciplines, in ways that experts were often reluctant to acknowledge. It might be thought that in the era of evidence-based medicine, medical education no longer needs the case. Yet, as Forrester argues in his classic essay, ‘If P, Then What? Thinking in Cases’ (1996), novice practitioners learn their science by absorbing a handful of standard experiments from scientific textbooks. These case studies – for that is what they are – serve not only to make the underlying principles more memorable, they also provide something like a shared professional memory. Continue reading Book Review: Thinking in Cases→
From the Department of English at King's College London