Conference Sessions on Thursday, Feb.27

 

SHOW ME:  Full Schedule   ONLY SHOW ME:   Wednesday Feb.26   |    Thursday Feb.27   |    Friday Feb.28

Theory and Wellness
Thursday, February 27, 2014 - 10:00am to 11:20am
Location: UA Student Union, Kiva Room | UA Campus, 1303 E. University Blvd.
Respondant: Susan Stryker, Ph.D. Presenter(s): Monica J. Casper, Ph.D., Lee Medovoi, Ph.D., Michael Gill, Ph.D.

Join us for the “Theory and Wellness” presentation which features University of Arizona faculty from multiple disciplines as they explore three theoretical approaches to health. Panelists will discuss topics such as “Bodies of Evidence” and “Politics of Environmental Health”, and “Unsettled Conceptions of Heart Health.” This panel addresses a critique on the current medical approach of placing patients into categories of identity (e.g., women, African American, the elderly), and how re-thinking this categorization can offer a new way of understanding how people become sick. Also, it will investigate environmental remediation and how this strategy has implications for both our health and environment. Lastly, end-of-life decisions will be examined and how they are complicated both practically and ethically by the use of implanted medical devices such as pacemakers and artificial hearts. 

• Bodies of Evidence: Locating the Missing Body in Health Disparities Research | Monica Casper

Health disparities research is a growth field, with interest from scholars in public health, sociology, psychology, anthropology, medicine, urban studies, and more. The work enables us to measure and track relationships between social inequality and health status, and resulting data can be useful for policymakers, clinicians, and health advocates. And yet, despite the locus of health and illness in the body, bodies and embodiment are seldom theorized—much less present—in health disparity studies. Too often, people are reduced to categories of identity (e.g., women, African American, the elderly, the poor), in ways that elide the complexities of embodiment and its varied structural locations. I explore the ways that bringing the body into health disparities research can reshape what we know about inequality and health. I suggest that embodying health disparities research offers a different interpretive angle on why and how people become sick and die. At the same time, and perhaps more radically, theorizing the body/embodiment within health disparities research has the potential to change how unequal lives and deaths are conceptualized and addressed.

• Remediation: Pharmikons and the Politics of Environmental Health | Lee Medovoi

This talk investigates the highly ambiguous phenomenon of environmental remediation, which has become a key corporate strategy for managing the implications of damage to both populations and environments. Using Jacques Derrida’s reading of the Pharmikon, as well as Richard Grusin and Jay Bolton’s media studies analysis of “remediation,” I suggest that, especially in the Global South, there is a toxifying as well as a curative thrust to promises of “environmental remediation” that deserves consideration in the field of ecocriticism. To elaborate on the significance of this analysis for contemporary literary studies, I discuss the representation of petro-violence and environmental damage in Halon Habila's novel Oil on Water.

• Unsettled Conceptions of Heart Health: Implanted Medical Devices and Treatment Decisions at the End of Life | Michael Gill

It is becoming increasingly common to treat heart disease by surgically implanting durable circulatory support devices, such as pacemakers, implantable cardioverter-defibrillators, left ventricular assist devices, and total artificial hearts. These devices have produced the obvious great benefit of prolonging the lives of patients. But they have also raised a new question about end-of-life care: if competent patients request that physicians participate in the deactivation of these devices, should physicians always comply? Several studies have revealed that patients and physicians have unsettled attitudes towards this question. This unsettledness contrasts with attitudes toward the cessation of other life-prolonging treatments. There is virtually no controversy nowadays about the legitimacy of physician participation in the discontinuation of artificial nutrition and hydration or the use of a ventilator, virtually no questioning of a competent patient’s right for physician care upon the termination of dialysis or chemotherapy. What explains the comparatively unsettled attitudes toward implanted circulatory devices? I explore this question and try to show that it arises because of changes new medical technologies have wrought on our conceptions of health and treatment.

Media and Health
Thursday, February 27, 2014 - 11:30am to 1:00pm
Location: UA Student Union, Kiva Room | UA Campus, 1303 E. University Blvd.
Respondant: Chris Cokinos, MFA Presenter(s): Teresa Polowy, Ph.D., Jennifer Stevens Aubrey, Ph.D., Scott Selisker, Ph.D., Rachel Hahn, MA Student, Department of Communication

Media and Health examines theories regarding the media and its role in health. The Lived Life explores the changing literary depictions of a multi-causational disease in Russian literature: alcoholism. This lecture will demonstrate how the literature on alcoholism is a focal point for growing concerns about issues such as gender roles and the increase in social and domestic violence in contemporary Russian culture. How the media can frame our body images is a question posed, detailing two theories regarding the media’s role in health: a framing and an objectification theory. Lastly, Sympathetic Pathologies critiques the ways in which scientific advances shape culture and the questions posed in the media. Bipolar Disorder and PTSD will examine how mental illness as an extreme state of consciousness is portrayed through the lens of Showtime’s popular television program Homeland (2011).

• The Lived Life: Russian Woman Writing Alcoholism | Teresa Polowy

I will explore changing literary depictions of alcoholism in Russian literature as a focal point for growing concerns about such issues as gender roles and relations and the increase in social and domestic violence in contemporary Russian culture. The 1980s (re)emergence of women’s literature in Russia was notable for its attention to women’s everyday lived experiences:  in this viable literary voice, taboo topics including the effects of alcoholism, acquired greater openness. In their frank treatment of this and other social themes, especially including the dynamics of interpersonal and familial relations, and in their refusal to not offer pat solutions to such complex issues, women writers in Russia contribute substantially to unmasking the violence of everyday life. The nature of my paper is interdisciplinary and predicated on the reciprocal interplay of literary, cultural, and social science insights; it takes as a fundamental starting point Jane Lilienfeld’s position that alcoholism is a “biopsychosocial illness” and a “multicausational disease” with a “physiological component.” (Reading Alcoholisms,1999:4). This paper will focus on stories by Russian women that acknowledge the problem of female alcoholism with the expectation that they will supplement the relative dearth of sociological and psychological data about heavy drinking by Russian women.

• Health Versus Appearance: A Content Analysis Investigating Frames of Health Advice in Women's Health Magazines | Jennifer Aubrey and Rachel Hahn

The goal of the present study was to investigate the framing of health advice in the articles of women’s health magazines. Specifically, we examined the extent to which health magazines advise women to adopt healthy behaviors in order to look good (appearance frame) versus in order to feel good (health frame).

A content analysis of five years of the six highest-circulating women’s health magazines revealed a higher frequency of health frames (32.6%) than appearance frames (24.8%) overall, but when beauty/health hybrid magazines (e.g., Shape and Self) were examined separately, appearance frames (32.8%) outnumbered health frames (26.5%). In addition, despite the magazines’ focus on health, the most frequent category of products advertised was for appearance-enhancing products (43.7%). Finally, appearance-framed articles were significantly more likely to visually depict women with a high degree of skin exposure (43.2%) than health-framed articles (17.4%), and appearance-framed articles were more likely to feature corresponding images that objectified women (34.8%) than health-framed articles (21.3%). We discuss the results in light of framing theory and objectification theory.

• Bipolar Disorder and PTSD: Sympathetic Pathologies in Showtime's Homeland | Scott Selisker

Approaching the medical humanities from the perspective of literary study, my research traces the ways in which scientific advances have shaped (and continue to shape) U.S. culture and the kinds of questions posed by literature and popular film and television.  In this talk, I will discuss how Showtime’s popular television program Homeland (2011–)—like a great many U.S. literary and cinematic works about terrorism since 2001—makes implicit comparisons between religious fanaticism and diagnosable mental illness. Homeland’s protagonist Carrie Mathison struggles with bipolar disorder that mirrors the irrational streak and post-traumatic stress disorder (PTSD) of the suspected terrorist Nicholas Brody. Departing radically from the anti-psychiatry literature that dates from the 1960s, Homeland and newer literary works on terrorism call on the expertise of psychiatry and other scientific disciplines to explain, and to help us to approach, the extreme states of consciousness that we associate with fundamentalist terrorism.  With reference to work by Ian Hacking, Priscilla Wald, and Susan Sontag, I suggest that Homeland employs bipolar disorder and PTSD as pathologies in order to encourage- rather than the pathologization of the terrorist’s unthinkable thoughts- a broader horizon of sympathy and understanding.

 
Historical Approaches to Health and Wellness
Thursday, February 27, 2014 - 2:00pm to 3:20pm
Location: UA Student Union, Kiva Room | UA Campus, 1303 E. University Blvd.
Respondant: Malcolm A. Compitello, Ph.D. Presenter(s): Albert Welter, Ph.D., Albrecht Classen, Ph.D., Fabian Alfie, Ph.D., Thomas Willard, Ph.D.

Join us for the “Historical Approaches to Health and Wellness” presentation which features UA faculty from a variety of Departments including Spanish and Portuguese, East Asian Studies, German Studies, French and Italian, and English. This session will detail some of the historical approaches to health and wellness. Beginning in Medieval Japan, “The Metaphysics of Tea” presented by Albert Welter, Ph.D., will explore the rationale for promoting tea drinking for spiritual and physical health. This talk will promote the idea that through tea drinking the notions of health and spirituality are intertwined. Albrecht Classen, Ph.D., will discuss “Medieval Mysticism” as it relates to current approaches used today in alternative medicine. “Poetry Argues with the Razor,” as presented by Fabian Alfie, Ph.D., bridges literary history and the history of medicine by elucidating on Burchiello’s poems from the thirteenth century. Lastly, Thomas Willard, Ph.D., will present “Medical Uses of Imagery” and will suggest why imagination proved so important in the history of medicine using writings from Parecelsus. 

• The Metaphysics of Tea: Health and Spirituality in Medieval Japan | Albert Welter

The Japanese monk Eisai (1141-1215) is renowned for introducing Zen Buddhism to Japan, but the legacy of his written works reveals multifaceted interests, notably the political and social (in addition to religious) dimensions of Zen institutional practice. One of his surviving works, theKissa yōjō-ki 喫茶養生記 (Treatise on Drinking Tea and Nourishing Life), is a monograph on the health benefits and spiritual advantages of drinking tea, a beverage that he introduced, like Zen, upon his return from China in 1187. My presentation explores the rationale Eisai employs for the promotion of tea drinking, combining Chinese metaphysics with esoteric Buddhist spirituality, which combined are believed to provide the conditions for sound physical health and spiritual wellbeing. At root, my exploration suggests that notions of health and spirituality are intertwined, and conditioned by the cultural horizon––the thought, beliefs, and world-view––of engaged participants.

• Mystical Visions and Spiritual Health: Medieval Mysticism as a Platform for the Exploration of Human Spirituality and Physical Health | Albrecht Classen

My paper will examine what medieval mystics had to say about their bodily experiences which often signaled a spiritual language. Illness was commonly identified as a reflection of the mystic’s unwillingness to share her experience with her audience, and physical suffering was regarded as an instrument to reach higher levels of spirituality. By the same token, for many mystics the maltreatment of the body or the suffering from physical illness served as a means for higher ends, freeing the soul from the bodily prison so that the encounter with the Godhead became possible. Some mystics deliberately tortured their own bodies to experience pain comparable to that suffered by Christ, and shedding blood was a sign of spiritual honor.  But all mystics reached a higher level of awareness through their visions and revelations. I will discuss the complex of physical illness and suffering in the context of mystical experiences and will attempt to draw meaningful connections to approaches pursued today in alternative medicine.

• Poetry Argues with the Razor: Burchiello (ca. 1404-1449), the Poet-Barber | Fabian Alfie

Domenico di Giovanni, nicknamed il Burchiello, occupies an unusual place in Italian literature.  The author of approximately 200 sonnets, he dominated Italian poetry in the early fifteenth century, and was put in the same category as Dante and Petrarch.  Yet Burchiello’s verse is not accessible; on the contrary, he excelled at nonsensical poetry, a motif that dominates the majority of his poems.  Other poems are satiric, deriding politicians, clerics, merchants, and individuals.  Interestingly, Burchiello was a barber, a medical practitioner that performed minor procedures such as applying enemas, lancing boils, preparing salves and setting fractures.  In my paper, I will discuss how Burchiello’s poetry at times reflects his experiences as a barber.  A number of poems deal with his life as a medical practitioner.  He writes about his illnesses in great detail, including a pair of distasteful sonnets about constipation and diarrhea.  He also writes numerous poems consisting of fictitious—nonsensical—prescriptions.  Astrology was also considered at the time to be a physical science with medical applications.  Intriguingly, Burchiello treats astrological themes in a number of poems, indicating his training in astrology as well.  My paper will bridge between literary history and the history of medicine, as both fields are necessary to make sense of Burchiello’s medical verse.

• Medical Uses of Imagery: Imagination and Health in Paracelsus (1493-1541) | Thomas Willard

There has been growing emphasis on the medical uses of imagery, and especially the related concepts of visualization and imagination. Images have always figured in traditional healing, whether by shamaans or curanderas, priests of Asclepius or the Tao. However, the role of imagination—the image-making power—in the medical arts has perhaps never been so fully explored as in the late thought of Paracelsus. This illustrated talk suggests why imagination proved so important to his thinking about the causes and treatments of disease and the prolongation of life. It also gives specifics from his writings on diseases of various sorts, physical, mental, and what would now be called psychosomatic.

Traditional Healing and Spirituality in the 21st Century
Thursday, February 27, 2014 - 3:30pm to 5:00pm
Location: UA Student Union, North Ballroom | UA Campus, 1303 E. University Blvd.
Respondant: Jennie Joe, Ph.D. Presenter(s): Patrisia Gonzales, Ph.D., Cheryl Ritenbaugh, Ph.D., MPH, Gila Silverman, MPH, Ph.D. Student, School of Anthropology, Emery R. Eaves, Ph.D. Student, School of Anthropology, Allison Hopkins, Ph.D.

Join us for the “Traditional Healing and Spirituality in the Twenty-First Century” panel which features University of Arizona experts from multiple departments such as American Indian Studies, Mexican American Studies, Family and Community Medicine, Anthropology and the Center of Excellence in Women’s Health.  Panelists will review traditional healing and spiritual practices implemented in the twenty-first century. Presenter Patrisia Gonzales, Ph.D., addresses the natural world and laws in Indigenous healing as primary relationships that create medicine. “Whole Person Outcomes beyond Pain Relief,” presented by Cheryl Ritenbaugh, Ph.D., MPH, Emery R. Eaves, and Allison Hopkins, Ph.D., examines a clinical trial on Traditional Chinese Medicine and the study outcomes that go beyond pain reduction. The final presentation by Gila Silverman, MPH, deals with ritual prayer among liberal American Jews, and explores how the power of prayer escapes clinical narratives and provides a feeling of connection to community, ancestors and traditions.

• "L.A.W.S.": The Four Elements as Primary Medicine in Indigenous Healing Systems—Land, Air, Water, Sun | Patrisia Conzales

Dr. Gonzales' presentation will address the natural world and natural laws in Indigenous healing ways as primary relationships that create medicine.

• Whole Person Outcomes Beyond Pain Relief: A Clinical Trial of Traditional Chinese Medicine (TCM) for Temporomandibular Disorders (TMD) | Cheryl Ritenbaugh, Emery Eaves, and Allison Hopkins

This presentation explores outcomes beyond pain reduction among participants in an NIH-funded trial of TCM for participants with TMD. The 20-visit TCM protocol included individualized acupuncture, herbs, tuina, and lifestyle recommendations. Participants reported on quantitative outcomes including changes in how pain was perceived, awareness, control, meaning, sleep, joyfulness, hope, and empowerment, and participated in qualitative interviews 4-5 times. We utilized a mixed methods data analytic approach, combining phenomenological with quantitative analysis. Many participants perceived non-pain outcomes to be most important, reporting changes in: sense of control over illness; perceptions of pain; ability to manage pain on their own; increased hope for the future; better ability to handle stress; not holding things in; and improved overall health and well-being. Many participants reported being able to move past feelings of being “stuck” or “blocked”, and used TCM descriptors to refer to such shifts in energy or sense of movement in life overall.

• "I'll say a Mi Sheberach for you": Ritual, prayer and healing among liberal American Jews | Gila Silverman

In recent years, the Jewish prayer for healing, the Mi Sheberach (literally, “the one who blessed”), has become one of the central elements of North American liberal (non-Orthodox) religious and ritual life. In addition to recitation in synagogues, prayers for healing are now chanted in hospital rooms, during support groups and meditation classes, and at dedicated healing services; multiple new Jewish prayers for healing have been created, building on the traditional formula and adapting it for caregivers, health care providers, those undergoing specific medical procedures, and those living with chronic conditions. Much research on prayer and healing has focused on determining prayer’s efficacy in producing particular biomedical outcomes. In this paper, I draw on ongoing ethnographic research among liberal Jews in the American Southwest, to argue instead that prayers for healing change the trajectory of the illness journey, for both the ill and their caregivers, in ways far more diverse than can be captured in standard clinical narratives. Among this secular-religious population, for whom the practice of Judaism coexists with the pursuit of biomedicine, prayer creates a feeling of connection to community, ancestors and traditions, as well as generating emotional transformation and spiritual transcendence.

Keynote Address | Place and Wellbeing:
The Science of the Mind-Body Connection and Beyond
Thursday, February 27, 2014 - 6:00pm
Location: UA Student Union, North Ballroom | UA Campus, 1303 E. University Blvd.
Preceded by Book Signing: 5pm - 6pm
Presenter(s): Esther Sternberg, M.D.

Can stress make you sick? Can belief help healing? Do the place and space around you affect your emotions and health? These are the questions that Dr. Sternberg explores in her books “Healing Spaces: The Science of Place and Well-being” and The Balance Within: The Science Connecting Health and Emotions. In her lecture, Dr. Sternberg will answer these questions and will address how the science of the mind-body connection explains these phenomena. She will take the mind-body connection beyond the skin, beyond the biopsychosocial model of health and discuss how the physical environment, through each of the senses, can affect emotions negatively or positively, by triggering the brain’s stress or relaxation responses. These in turn explain how place and space can either help healing or potentially harm health. Dr. Sternberg will review the many connections between the brain and the immune system, which underlie these effects. Understanding these concepts will help health and design professionals incorporate health and wellbeing outcomes in the design of the built environment, including offices, schools, healthcare facilities, homes, and the urban environment.

The lecture will assist individuals in structuring their personal environment to enhance wellbeing and prevent disease. It will address policy implications for the inclusion of health and wellbeing outcomes in setting standards for green building design, and will propose a new vision of health and wellbeing, in which health and design professionals partner in a new frontier of medicine: person and place-centered health and wellbeing, For more information, see www.ipw.arizona.edu