Fabricating the Thanatopolitical Body in Rodrigo Rey Rosa’s Cárcel de Árboles

Guatemalan author Rodrigo Rey Rosa’s first novella, Cárcel de árboles (1991), tells the story of a secret politico-medical experiment conducted on prisoners who have been condemned to death by the State. The experiment takes place in a prison camp located in the tropical forest. In this article, I examine the portrayal of power and embodiment in Rey Rosa’s novella, placing the text in dialogue with thanatopolitical theory and outlining the ways it evokes the historical context of violence and economic transition in Guatemala. I commence by discussing the forms of power at work in the novella’s prison camp, before examining the significance of medical science to Rey Rosa’s depiction of embodiment. I then explore the complex aesthetic and ethical questions embedded in the relationship between language, textuality and the body in the novella. Finally, I discuss the post-human dimensions of the text that emerge in the relationship between the human bodies of the prisoners and the non-human terrain. Over the course of this analysis, I contend that Rey Rosa marshals the body to invoke the ways in which the category of the ‘human’ is formed, deconstructed and reconfigured in the face of the destructive power that operates in the modern techno-scientific epoch.     

山西省稷山县农村公共卫生事业述评(1949～1984年)——以太阳村(公社)为重点考察对象

山西省稷山县太阳村(公社)是集体化时代闻名全国的卫生红旗单位,其公共卫生工作及合作医疗制度建设成绩斐然,具有明显的典型意义和时代特征。不过,这种农村公共卫生事业是建立在计划经济体制和高度集中的政治体制以及较低医疗保障水平基础上的,并与历次政治运动关系密切。改革开放后,经济体制逐渐向市场经济过渡,稷山县公共卫生事业因难以适应新的社会经济体制而最终走向了衰落,但其经验和教训可为今后创新农村公共卫生事业、建立新型合作医疗体系提供有益的借鉴。     

‘It's for the best’: child movement in search of health in Njabini,Kenya

Previous studies produced on the movement of individuals with HIV/AIDS for the obtainment of medical services have rarely been conducted in the Global South and have neglected the experiences of child patients. This article presents a new type of travel for medical care, where HIV+ children in Kenya are being placed or choose to be placed in orphanages in order to obtain constant access to antiretroviral (ARV) therapy, proper nutrition, and education. Through participant observation and photo-elicitation interviews with children in orphanages and their immediate family members in the surrounding Njabini community, this study focused on documenting children's agency in influencing movement decisions to orphanages for better health outcomes. Photo-elicitation interviews in particular allowed for greater insight into children's lives, their motivations for moving to an orphanage, and as a tool to facilitate discussion. Qualitative methods utilized with family members similarly privileged their interpretations of how child movement out of the house would help achieve the ‘best’ possible future for their children, particularly those living with HIV. Study findings shed light on the active role played by children in decisions to move to orphanages, the visualization of these facilities as the best place to secure access to ARV therapy and ensure proper child health, and the interaction that continues to take place between children and their family members once they enter these spaces.     

元代医祀三皇考

“三皇”曾是古史辨派学者们研究的重点,尤其是顾颉刚先辈对此颇有考证,但对医祀三皇的研究并不多,只是在《三皇考》中提及过。医祀三皇是元朝独有的现象,是医学发展到一定程度和元朝维护统治的必然产物;但它悖逆民族融合的潮流,因而未被后世承袭。     

Two medieval ‘trepanations’ – therapy or swindle?

During the 1991–1992 excavation of the ruins of the medieval cathedral in Hamar, Norway, the broken skull of an elderly man was found, showing evidence of an incomplete trepanation. The ‘surgeon’ had obviously tried to penetrate the skull surface around bregma in an irregular circle of 23 × 21 mm. Upon investigation, the skull revealed a reactive‐pathological area of the internal surface of the occipital bone, which probably represents a respite after a meningeal disorder (a tumour or an infectious process), causing us to suggest that the trepanation was meant to cure the patient's increasing headache. However, as a second skull with similar marks was found in the same churchyard, another explanation seems possible. Because the brain tumour in the first case may have altered the patient's mental state, we may surmise that these incomplete operations were an attempt to remove from these patients' heads the ‘Stone of Madness’, which was then commonly considered to be the reason for psychiatric diagnoses as well as persistent headache, and often depicted in European art, most notably in the 16^th and 17^th centuries. The second skull, revealing an even more incomplete attempt, did not show any skeletal pathology at all. Copyright © 2007 John Wiley & Sons, Ltd.     

三江源地区医疗卫生事业可持续发展问题研究

大力发展三江源地区的医疗卫生事业,不断提高人民群众的健康水平,对于加快生态文明建设,推动环境保护,促进人与自然和谐相处,统筹经济社会全面协调可持续发展,着力改善民生,使该地区与全国同步实现全面建设小康社会目标,都具有十分重要的意义。本文在概要阐述三江源地区医疗卫生事业发展现状与特征以及政府公共卫生政策措施与效应的基础上,提出推动该地区医疗卫生事业可持续发展的若干公共政策建议。     

Masters of Healing: Cocaine and the Ideal of the Victorian Medical Man

This article offers a new perspective on the relationship between cocaine and medical practitioners in late nineteenth- and early twentieth-century Britain. Cocaine is often understood as one of a number of potentially addictive substances to which Victorian physicians and surgeons were regularly exposed, and tempted to indulge in. However, while cocaine has frequently been associated with discourses of addiction, this article proposes that it was also widely represented as a technological triumph, and that the drug was frequently used as a symbol for the scientific and moral virtues of the medical man. The argument draws on popular journalism, medical publications, and fiction to establish the cultural context of cocaine at the fin de siècle. In 1884, cocaine was revealed to be the first effective local anaesthetic, and this article traces the processes by which cocaine came to be regarded as the iconic achievement of nineteenth-century therapeutic science. This aura of innovative brilliance in turn communicated itself to the medical professionals who employed cocaine in their work, so that many patients and practitioners alike depicted cocaine as a most fitting emblem for the idealized selfhood of the modern medical man. This idea also informs portrayals of the drug in fiction, and I conclude with a detailed analysis of L. T. Meade’s 1895 short story, ‘The Red Bracelet’ (published in the Strand Magazine as part of Meade’s series, ‘Stories from the Diary of a Doctor’), as an example of the way in which cocaine functions as metaphor for the physician’s unassailable moral primacy and technical excellence.     

Saving the Girls: Medical Colonialism and the HPV Programme

ABSTRACT

Mass immunisation is a central aspiration of global health programmes, such as in the 2000 Millennium Development Goals (MDG), as a means of addressing the glaring inequalities in life expectancy that separate the Global North and South. A recent initiative, the Human Papillomaviruses (HPV) vaccine, is being rolled out in so-called developing countries to prevent a number of sexually transmitted diseases, including one of the rarer forms of cervical cancer. Despite its apparent good intentions, resistance to the vaccine has occurred, in developed as well as in developing countries, not least because it constitutes a largely gendered form of medical intervention which is promoted according to Western concepts of risk, biomedical knowledge and normative understandings of female sexual behaviour. As a major component of the MDG health strategy aimed at developing countries, the HPV vaccine initiative carries implicit tendencies towards ‘medical colonialism’ underpinned as it is by hegemonic scientific masculinity, in which gendered forms of structural violence are legitimised through the discursive affiliations of progress and global health. This paper will examine the intersecting themes of political economy, gendered structural violence and hegemonic medical masculinity underpinning HPV immunisation programmes within the context of development. It interrogates how masculine scientific narratives of disease prevention, which legitimises the state-endorsed (and increasingly mandated) pharmaceuticalised protection of young women as objects of patriarchal care and control, have become the new missionary voices, saving bodies rather than souls.