Hemorrhagic Stroke as Inspiration for Poetry: The Case of Alfred Tennyson, Arthur Henry Hallam, and In Memoriam A.H.H.

BACKGROUND: Neurology and literature have a complex interface; one of the facets is that of works inspired by grief on the passing of a beloved one due to a neurological disease. SUMMARY: In Memoriam A.H.H., written by Alfred Tennyson and published in 1850 in response to the untimely death of Arthur Henry Hallam, is one such elegy, which had a profound impact in Tennyson's body of work and on the history of Victorian poetry in general. In this review, the author delineates biographical notes of both men before analyzing the disease and death of Arthur Hallam due to hemorrhagic stroke. KEY MESSAGES: By evaluating Hallam's autopsy report and contemplating the different hypotheses on the etiology of his stroke, as well as how his death due to catastrophic neurological disease was memorialized in verse, neurologists may gain better insight on the interface between neurology and literature inspired by grief.

Beyond the Neurologist: Charles Foix as a Poet and a Playwright.

BACKGROUND: Charles Foix (1882-1927) may be mostly remembered today due to his contributions to vascular neurology and the syndromes that bear his name, such as the Foix-Alajouanine syndrome. However, he also developed a literary career and composed poetry and a vast collection of plays, often dealing with biblical themes or figures from Greek mythology. SUMMARY: His poetry was often inspired by his own experiences during the First World War, in which he was assigned to serve as a medical officer in Greece, becoming enamored with his surroundings and the classical lore. KEY MESSAGES: The authors explore Foix's poetry and drama and their relationship to his overall work as a neurologist, including his wartime experiences.

The Day Disparities Died.

For many, many years, the public health community has grappled with health disparities. Reducing and/or eliminating health disparities are well-established goals, and have become a fixture in the public health space. The focus on health disparity elimination has permeated policy, resources, institutions of higher learning, and research agendas, to name a few. As a Black female public health professional, I believe that we play a central role in moving the country from a place of disparity to equity. Not only are our professional experiences critical for advancing public health, but our lived experiences can also contribute to the transformation that we all seek. This piece, titled "The Day Disparities Died," reflects this belief. To view the original version of this poem, see the supplemental material section of this article online.

Medical education and creative writing: Poetry and how it can assist trainees in developing psychiatric formulation skills.

OBJECTIVE: To reflect on the importance of teaching formulation skills in psychiatry training and explore how creative writing, particularly writing poetry, can help achieve this goal. CONCLUSIONS: It is vital that formulation skills are embedded throughout psychiatry training. Formulations have an artistic element, and writing poetry can help foster a capacity for curiosity that can assist trainees in developing these skills.

Bearing witness poetically in a pandemic: documenting suffering and care in conditions of physical isolation and uncertainty.

The COVID-19 crisis is still affecting millions of people worldwide. However, government and mass media attention to the continuing loss of life, severe illness and prolonged effects of COVID-19 has subsided, rendering the suffering of those who have become ill or disabled, or who have lost loved ones to the disease, largely hidden from view. In this article, we employ autoethnographic poetic inquiry from the perspective of a mother/carer whose young adult daughter became critically ill and hospitalised after becoming infected while the mother herself was isolating at home due to her own COVID-19 diagnosis. The first author created a poem from notes she had made in a journal from telephone conversations and messages with the healthcare providers caring for her daughter. The second author responded to the poem, identifying the feelings and meanings it surfaced. Together, the authors draw on scholarship discussing concepts of uncertainty, liminality, moral distress, bearing witness and illness narratives to reflect on how autoethnographic poetic inquiry can document and make visible COVID-19-related suffering.

Creating comics, songs and poems to make sense of decolonising the curriculum: a collaborative autoethnography patchwork.

Decolonising the curriculum is a complex endeavour, with the potential to cause harm as well as benefit. People doing the work might find themselves questioning their personal and political identities and motives, it is common for people to get disillusioned. While surveys and toolkits are important to help us start the work, we are interested in finding out how decolonising practices can be sustained. We believe to practise meaningfully in this area we need to understand ourselves as practitioners, make sense of the work and have deep connections with colleagues and possibly our institutions.This research uses collaborative autoethnography; our personal experiences, reflected through the lenses of each other's point of view; to help us know ourselves and make sense of our practice. We also show how art, in the form of comics, poems and a song, can be used to deepen our research by adding meaning, connection and joy. We present this research as a patchwork text of writing, art and conversations. Our work is underpinned by theory, particularly drawing on Sara Ahmed and bell hooks. It is produced by the three of us to illuminate the process of decolonising a curriculum. We see this paper as part of our collective resistance: resistance to colonialism, to scientism and to inhumanity. We hope you will find resonances with your practice, and perhaps discover new ways to find meaning and connections.

Interaction between creation and appreciation: How linguistic art creation impacts the aesthetic evaluation of haiku poetry and ink paintings.

In the psychology of aesthetics, compared with appreciation, there are fewer studies on art creation. This study aims to examine the influence of art creation on appreciation using haiku poetry with reference to the Mirror Model-a process model combining creation and appreciation. Although the model has been primarily used to examine visual arts, we examine its applicability to linguistic arts. In addition, we use ink painting to examine whether a generalisation across artistic genres can occur. The 115 participants were divided into two conditions-creation and control. The former created haiku before and after appreciation, while the latter did not create any haiku. The results showed no improvement in evaluation through creation. Additionally, recognising the difficulty related to creation leads to aesthetic evaluation, and this relationship is mediated by awe. These results expand the existing information regarding the Mirror Model in terms of the different art genres.

"We are the future": Advant-aged women speak-out through spoken word poetry.

This study aims to investigate women between the ages of 50 and 70 who write and perform spoken word poetry, through which they wish to lead positive social change, by turning the culture of silence into open discourse. This period represents a new phase of life. These women are at an "in-between" phase of being no longer young but not yet old and are between life roles. This is a new age group that has not yet been studied. We argue that this stage of life requires a new term. The term chosen for this study is advant-age because it implies the advantages and opportunities that this period of life affords. Although this group of women is growing in relation to the general population, the ageism and sexism they experience are increasing, creating a gradual process of social exclusion and reduction in their agency. Spoken Word Poetry (SWP) is written on a page but performed live in front of an audience. It is a poetic piece that includes rhythm, rhyme, and sometimes humor, which help convey complex messages with finesse. The importance of the current research lies in revealing a new and unresearched social phenomenon that has been developing in Israel in recent years: Advant-aged women are discussing issues that society usually silences, using methods that traditionally have been associated with younger groups. Through SWP, advant-aged women are enabling the possibility of raising these issues for public discussion and creating an opportunity for social change.

Soft diamonds: poetic sentiment, poetic speech, and poetic specimen in the clinical hour.

Three links between poetry and psychoanalysis are highlighted in this paper. These refer to the presence, in the clinical hour, of (i) poetic sentiment, (ii) poetic speech, and (iii) poetic specimen. Each is elucidated in detail and with the help of socio-clinical vignettes. The aim of the paper is to demonstrate that, through the affirmative holding and partial unmasking of the instinctual-epistemic conflation in verse and free-association, both poetry and psychoanalysis seek to transform the private into shared, the hideous into elegant, and the unfathomable into accessible.

Psychoanalysis of the unspectacular.

From the perspective of a poet and first-year psychoanalytic training candidate, this paper develops Jeremy Safran's ideas about the dialectic between psychoanalysis and Buddhism by drawing an analogy between their processes and those of a poetry practice to define an alternative to pathological dissociation under capitalist systems of value. The paper details the writer's experience of working a day job in an office and the pathological dissociation which she subsequently attempts to overcome and critique through writing poetry. Various poems written at work are shared and analyzed as evidence. Drawing from Safran's edited volume, Psychoanalysis and Buddhism, the author then identifies aspects of Zen Buddhist meditation practice and the psychoanalytic process that focus on connecting with reality, however conflicted, as opposed to escaping it. This paper was written under the mentorship of the psychoanalyst and Zen teacher Barry Magid.

The Lawlessness of Loss: Poetry and Autoethnographic Writing as Therapy in Grief and Loss.

This study seeks to locate and evaluate 'poetry therapy' as a form of therapeutic method for use by practitioners of humanistic psychotherapy especially when used in responding to the traumas associated with grief and loss. Following an initial survey of the literature, the study will explore some examples of the use of poetry therapy for grief, with an especial qualitative focus upon the insights to be gained from first-hand autoethnographic accounts. The study undertakes a literature review which also includes some consideration of peer-reviewed autoethnographic explorations authored by theorists and practitioners of psychotherapy in order to identify what additional insights, if any, may be gained from accessing these personal accounts of process. In particular, the humanist perspective upon grief should be tempered with pragmatism so as to avoid regarding poetry as a reductive sentimentalising of trauma: encountering loss may be seen as experiencing subjection to a 'lawless' world. The study confirms the use of poetry therapy and autoethnographic writing has significant utility and potential, whilst recognising the challenges for empirical confirmation, the need for practitioners to be sensitive to the nuances of the source materials and the subtlety of appropriate application for different client perspectives and groups.

Automatic generation of creative text in Portuguese: an overview.

Creativity is an inherently human skill, and thus one of the goals of Artificial Intelligence. Specifically, linguistic computational creativity deals with the autonomous generation of linguistically-creative artefacts. Here, we present four types of text that can be tackled in this scope-poetry, humour, riddles, and headlines-and overview computational systems developed for their generation in Portuguese. Adopted approaches are described and illustrated with generated examples, and the key role of underlying computational linguistic resources is highlighted. The future of such systems is further discussed together with the exploration of neural approaches for text generation. While overviewing such systems, we hope to disseminate the area among the community of the computational processing of the Portuguese language.

Writing to Heal: The Arts as a Learning Methodology in Psychiatry.

This piece explores how poetry and prose can be used as an adjunct to medical education and patient care, especially in the field of psychiatry. It details the author's personal experience with spoken word poetry as a medium of communication about their own story and how this may be harnessed to tell the stories of patients as well. The piece touches on how mental health can be explored through creative writing and how this may be a useful tool for working with patients.

The missing voices in the conscientious objection debate: British service users' experiences of conscientious objection to abortion.

BACKGROUND: The fourth section of the 1967 Abortion Act states that individuals (including health care practitioners) do not have to participate in an abortion if they have a conscientious objection. A conscientious objection is a refusal to participate in abortion on the grounds of conscience. This may be informed by religious, moral, philosophical, ethical, or personal beliefs. Currently, there is very little investigation into the impact of conscientious objection on service users in Britain. The perspectives of service users are imperative in understanding the real-world consequences and potential impact of conscientious objection and should be considered when creating and reviewing policies and guidelines. This research provided a platform for women and those who can become pregnant to share their experiences and opinions at a time when these voices are largely excluded in the great tradition of Western political philosophy and law-making processes. METHOD: Five service users were interviewed using a narrative interview approach to uncover their abortion journeys and experiences of conscientious objection. FINDINGS: The findings were presented as found poems and uncovered that doctors are not always: informing service users that they have a conscientious objection to abortion, giving service users enough information to access abortion (indirect referral), treating them non-judgmentally, and providing medically correct information. Service users did not experience burdens such as long waiting times and were still able to access legal abortion. However, service users did experience negative emotional effects, as they were often left feeling scared, angry, and hopeless when they were not referred and/or were mistreated. CONCLUSIONS: Findings indicate that conscientious objection could work in practice. However, it is currently failing some individuals on an emotional level, as not all doctors are adhering to guidelines. Conscientious objection in Britain needs to be addressed, to ensure service users receive fair, impartial, non-judgmental care.

Her strength: Reflections on nurse home-visiting.

The Nurse-Family Partnership is a targeted parenting intervention designed to improve maternal and child health. In Canada it is delivered exclusively by public health nurses who provide complex care to adolescent girls and young women. A process evaluation was conducted to better understand the experiences of public health nurses delivering the Nurse-Family Partnership program in Canada. Although the traditional qualitative data analysis led to the creation of significant findings and clinical implications, it lacked the "heart" of public health nursing practice. Through a reflective process, and to present an evocative account of the multifaceted nursing care provided by the study participants, direct quotes were used to create a poetic display of nurses' experiences. Through the power of found poetry, the complexities of clients' lives, as well as the challenges and joys of home-visitation nursing, were illuminated.

He Looks Like My Father.

Social media has kept us connected in many ways but for Black adults, it can be a harrowing reminder of the treatment of Black bodies. This poem was crafted from focus group data on a study of the effects of vicarious racism on the mental health of Black adults in the wake of George Floyd's death in 2020. This poem uses elements of found poetry and incorporates texts from the narrative (re)telling of Black adults' emotional impact of seeing racially and police-involved killings of Black men. Participants expressed feelings of anger, powerlessness, and sadness and how watching these videos has led to avoidance behavior for the sake of coping. In this poem titled "He Looks like My Father," the participant shares a memory of the last video that they watched on social media in 2014 and why they continue to avoid this type of content. It's traumatizing. It is important to fully reflect on these stories as Black Americans struggle with staying informed and preserving their mental health while being inundated by a continuous feedback loop of Black death. The elements of this poem incorporate repetition and the bolded words are verbatim text from the participant transcript. I acknowledge that my positionality being a Black American woman, with a Black father, and having shared the embodied experience of witnessing Black death via social media influenced the meaning of this poem. As we continue to see a focus on naming racism as a public health threat, this form of vicarious racism is salient and should be explored as health professionals dig deeper into understanding the many ways racism permeates the lives of Black, is a daily stressor, and is a social determinant of mental health equity. These are the narratives from muted lips to unveil your eyes. To view the original version of this poem, see the supplemental material section of this article online.

"Do No Harm": Promoting Anti-Racist Policing in Pediatric Emergency Departments Through 20 Practice Change Considerations.

Children represent some of the most vulnerable and most valuable members of society. When acutely ill or injured, pediatric emergency departments (EDs) provide first line, specialized care for children and adolescents. Unique and unpredictable, the pediatric ED environment requires a wide range of health care professionals to care for children and their families and often includes hospital-employed security professionals and local law enforcement personnel to ensure safe and protective spaces paramount for optimal patient care. However, an active policing presence within environments designed to promote healing can paradoxically contribute to harm, particularly for Black and Brown patients. As health care systems pledge to dismantle structural racism and achieve health equity, efforts must include anti-racist reforms of threat management systems within clinical environments. We propose assessment and evaluation of current security and police encounters within pediatric EDs. We call for institution of policies that mitigate biases, address medical mistrust, distinguish clinical from criminal aggression, and minimize punitive contact with police. We outline a multitiered, patient-centered approach to disruptive and violent acts that prioritizes prevention, early intervention, and de-escalation strategies with a goal of reducing the perceived need for policing presence in pediatric EDs.

PRESENCE//Gifted: On Poetry, Antiracism, and Epistemic Violence in Health Promotion.

Through poetry, I offer a critical reflection on the racialized contexts, consequences, and (mis)representations of overlapping pandemics-COVID-19 and structural racism-crafted as counternarrative to public health's and medicine's ahistorical, apolitical, and racist proclivities in times of crises (e.g., plague, 1918 flu, HIV/AIDS, addiction, racialized police violence). I weave public health and medical concepts together with Black music, poetry, scholarship, and history to (re)frame/analyze interconnections between COVID-19 and structural racism-centering love, resistance, and solidarity to counter Black erasure within the public health knowledge canon. I contextualize the poem/use of poetry as praxis in public health antiracism discourse through a brief essay, drawing from critical, critical race, and Black feminist theory to position poetry as a space of health equity testimony, and a mode of antiracist praxis to reclaim/center the margin as site of knowing and resistance. Specifically, I discuss testimonial quieting, testimonial smothering, and testimonial incompetence as critical concepts for health promotion scholars, practitioners, and students to engage as germane to interrogating our present knowledge production norms in regards to epistemic violence and its implications for prospects of antiracist public health futures. In doing so, I suggest that poetry can play a critical role in challenging, opening up, and reimagining discourse of antiracism for advancing health equity knowledge and action.

I Want to Die Well.

Public health scholars, practitioners, organizations, and governmental agencies broadly declared that racism is a public health crisis in 2020. Their declarations highlight the need to address how racism destroys Black life and communities. This poem looks at the various ways Black people have died in the United States due to racism, and offers a comparison to wealthy white men whom often die peacefully, of old age, surrounded by money and generations of family. This poem is but a glimpse into the many ways Black life ends painfully at the hands of racist systems, policies, and people-an unfiltered reminder of the imperative of committing to antiracist praxis within health promotion research and practice. To view the original version of this poem, see the supplemental material section of this article online.

Color Coded Care.

The work of physicians and healthcare workers in taking care of our family and loved ones, saving lives, are a sacred task. Still, we recognize through data, that our healthcare systems are contrarily filled with inequities and medical bias that results in harm. Often, these inequities are felt among minoritized and marginalized groups, or in the case of "Color Coded Care," my mother, a retired nurse, ordained minister, wife, grandmother, and black woman. This original prose poetry piece highlights events that occurred during her 41 days of hospitalization in a neuro-intensive care unit in Florida. It is important to note that the content of this prose may trigger feelings of discomfort, particularly among providers who have taken the great Oath to give their patients the best care possible. However, it may also be a valuable and cathartic step toward repairing medical mistrust by bringing voice to experiences of healthcare related trauma. "Color Coded Care" is not an indictment, rather, it is a cry for the work that is being done to remove inequity and harmful medical bias from our healthcare systems. It is the hope for a more equitable tomorrow. "To view the original version of this poem, see the supplemental material section of this article online."