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Speaking with Frankenstein.

Jayne Lewis1, Johanna Shapiro2

  • 1Department of English, University of California, Irvine, 92697, USA. jelewis@uci.edu.

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This study uses Frankenstein to explore unspoken elements in physician-patient relationships. It reveals how acknowledging the unsaid improves narrative medicine and patient care.

Keywords:
Affect theoryGothic fictionMedical aestheticsMedical ethicsNarrative medicine

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Area of Science:

  • Medical Humanities
  • Clinical Communication
  • Literary Theory

Background:

  • Physician-patient interactions often involve unspoken ambivalence, disappointment, and failure.
  • Mary Shelley's Frankenstein offers a parable for understanding these hidden dynamics.
  • Contemporary clinical practice struggles with elements that are unsaid, invisible, or unknown.

Purpose of the Study:

  • To apply insights from Frankenstein to contemporary clinical interactions.
  • To explore the role of the unspoken in physician-patient relationships.
  • To develop a more complete model of narrative medicine.

Main Methods:

  • Experimental application of literary theory to clinical scenarios.
  • Analysis of four unacknowledged dynamics: life/death binary, aesthetics, negative affect, care-denial.
  • Conceptualizing "speaking with Frankenstein" as making space for the unspeakable.

Main Results:

  • Frankenstein serves as a parable, not just a cautionary tale.
  • Unspoken elements significantly shape physician-patient dynamics.
  • Acknowledging the unsaid enriches narrative medicine.

Conclusions:

  • A more complete narrative medicine model must accommodate what cannot be explicitly stated.
  • Imagination and approximation are crucial for understanding the unknown in clinical settings.
  • "Speaking with Frankenstein" facilitates deeper communication and care.