Enduring Questions Core Pilot: The Body in Sickness and Health Literature Core (ENGL 1702) and Social Science Core (SOCY 1702) courses Overview: Our bodies are central to how we perceive ourselves and the world around us. The physical changes we experience through growth, pregnancy, accident, illness, disability, and aging – the joy and suffering our bodies bring to us – deepen and complicate our understanding of what it means to be human. The morally and psychologically complex act of caring for others in the context of bodily vulnerability serves as an important foundation for human understandings of empathy, community, and social justice. These linked core courses emerge from the disciplines of Nursing and English to explore the psycho-social dimensions of illness and health, addressing the role of the body in shaping identity, social roles, ethical relationships, and the fundamental dynamics of human subjectivity. These paired classes will meet separately, but are connected by a shared set of questions about the human body and a shared set of learning goals, as well as several common texts. In addition to regular class meetings for each course, we will meet four times during the semester for evening reflection sessions (selected Thursdays from 6 – 8 pm). Enduring Questions: • • • • • What systems of meaning (physiological, psycho-social, cultural, economic, political, philosophical, and aesthetic) frame our understanding of the embodied experience? What is the relationship between the body and the mind (consciousness, subjectivity, the spirit, etc.)? How do we reconcile society’s formulation of our bodies with our own experience of embodiment? How do we live to our full human potential in the context of bodily changes, sickness, disability and aging? What is our responsibility to one another in the face of human vulnerabilities such as aging, illness, poverty, and disability? How do we develop and sustain empathy? What is our responsibility to care for—to care about—the vulnerable in our society? Shared Learning Goals: • Understand the central role of physical embodiment in the human experience; highlight the cultural and critical concerns that shape our understanding of the body. • Define the way in which different understandings of the relationship between the body and the mind (consciousness, subjectivity, the spirit, etc.) shape our perception of what the body is and how it operates. • Interrogate the assumptions behind different ways of framing or approaching the body, including literature and medicine, the social sciences and the humanities, the global and the local, the theoretical and the experiential. • Analyze the way that literary, cultural, and artistic texts portray embodied experiences, including illness, trauma, pregnancy, disability and aging. • Demonstrate the ability to examine individual assumptions, values, and experiences of embodiment; integrate this knowledge into a sense of one’s own way of living in the world and caring for others. BOSTON COLLEGE William F Connell School of Nursing Course Number: Course Title: Credits: Course Hours: Class Room: Co-requisites: Faculty: Office Hours: SOCY 1702.01 Fall 2015 The Body in Sickness and in Health 3 (F) M-W 3:00-4:15 pm, Th 6-8 pm Reflection Sections This course is a minimum of 45 hours Stokes 103S This course is taken with ENGL 1702.01 Jane Ashley, PhD RN 242 Maloney Hall ashley@bc.edu 617-869-5062 (cell) or 617-363-0338 (home) TBA Course Description This course explores the central role our bodies play in our perceptions of ourselves, our social roles, and our relationships with others. We will investigate the physiological, psychosocial and cultural impact of body changes in normal growth and development (including pregnancy and aging) as well as in illness, trauma and disability. Topics include eating disorders, pain, the lived experience of chronic illness, the effects of trauma and end of life issues. The ethical and emotional aspects of empathy and caregiving—both for ourselves and for others will be explored. We will pay particular attention to the perspectives of patients and caregivers (including nurses, family members, social workers and doctors) as well as the supporting research from nursing and other health disciplines. Course Objectives At the conclusion of this course, the student will: Discuss the concepts of health, illness, caring and empathy and give examples that demonstrate the complexity and interrelatedness of the concepts. Critique the various indicators of good health—for individuals and communities. Propose and defend alternative indicators of health and well-being. Discuss ways that the psychosocial-cultural dimensions of health and illness broaden and complicate a strictly physiological understanding of the body. Analyze the influence of various factors (environment, work conditions, social supports, economic status, educational status etc.) on the health of individuals and communities. Explain the importance of empathy and caregiving in a just and compassionate society. Write analytical essays that respond to critical dialogues about the body with careful logic, persuasive evidence and effective organization of ideas. Texts Chast, R. (2014). Can’t we talk about something more PLEASANT? New York: Bloomsbury. Nealon, M.J. (2011). Beautiful unbroken: One nurse’s life. Minnesota: Graywolf Press. Skloot, R. (2010). The immortal life of Henrietta Lacks. New York: Broadway Books. Articles/Essays All articles and essays are available on the SOCY 1702 Canvas site---click on Modules for weekly readings. Please print the readings and bring to class. Boo, K. (2006). Swamp nurse. New Yorker, February 6, 2006. Ehrenreich, B. (2008). Scrubbing in Maine. In C. Malacrida & J. Low (Eds.), Sociology of the Body (pp. 227-233). Ontario: Oxford University Press. Fink, S. (2009, August 25). The deadly choices at Memorial. New York Times. Gerschick, T. & Miller, A. (2008). Coming to terms: Masculinity and physical disability. In C. Malacrida & J. Low (Eds.), Sociology of the Body (pp. 246-251). Ontario: Oxford University Press. Gwande, A. (2014). Things fall apart. In A. Gwande. Being Mortal (pp. 25-54). New York: Metropolitan Books. Gwande, A. (2014). Dependence. In A. Gwande. Being Mortal (pp. 55-78). New York: Metropolitan Books. Gwande, A. (2014). Letting go. In A. Gwande. Being Mortal (pp. 149-190). New York: Metropolitan Books. Gwande, A. (2006). The score. New Yorker, October 9, 2006. Gwande, A. (1999). When doctors make mistakes. New Yorker, February 1, 1999. Haber, D. (2006). Life review: Implementation, theory, research and therapy. International Journal of Aging and Human Development, 63(2): 153-171. Kent, D. (2008). Somewhere a mockingbird. In C. Malacrida & J. Low (Eds.), Sociology of the Body (pp. 242-245). Ontario: Oxford University Press. Kolbert, E. (2015). The terrible teens. New Yorker, August 31, 2015. Martin, K. (2008). Becoming a gendered body: Practices in preschools. In C. Malacrida & J. Low (Eds.), Sociology of the Body (pp. 205-211). Ontario: Oxford University Press. O’Rourke, M. (2013). What’s wrong with me? New Yorker, August 26, 2013. O’Rourke, M. (2011). Story’s end. New Yorker, March 7, 2011. Richards, E. (2015). The evolution of physical activity promotion. American Journal of Nursing, 115, 50-54. Synnott, A. (2008). Body: Tomb, temple, machine and self. In C. Malacrida & J. Low (Eds.), Sociology of the Body (pp. 38-44). Ontario: Oxford University Press. Remen, R. (2015). Finding new eyes. Retrieved August 26, 2015, from http://www.rachelremen.com/finding-new-eyes/ Zitzelsberger, H. (2008). (In)visibility: Accounts of embodiment of women with physical disabilities and differences. In C. Malacrida & J. Low (Eds.), Sociology of the Body (pp. 252-256). Ontario: Oxford University Press. Website www.healthypeople.gov (Healthy People 2020) References Publication Manual of the American Psychological Association (6th ed.). (2009). Washington D.C.: American Psychological Association. Evaluation: the breakdown for the course grade is listed below. As a group, we will confer on the due dates for the assignments. Once the due dates have been set, you will be expected to complete your assignment on time. Details and guidelines for the course assignments can be found on the Canvas course site. Reflective Journals (multiple): 25% Life Review: 20% Presentation: 15% Attendance and Class Participation: 15% Take Home Final: 25% Course Policies/Information: This syllabus is a work in progress and minor changes during the semester are inevitable. Whenever possible, students will be given advance notice of any changes made to the syllabus. Attendance Class attendance and participation in class discussions are very important to me. If you are sick or have an unexpected emergency, please send me an email before class to explain your situation. Otherwise, I will see you in class! Readings for the Course & Class Participation Class participation is part of your course grade, but aside from that, your participation is essential to creating a lively, thought-provoking and meaningful class. I selected readings that raise a number of different ideas and provide various perspectives on the topics we’ll be discussing. Please read the directions “Preparing for class” on the Canvas course site. Accommodations If you are a student with a documented disability seeking reasonable accommodations in this course, please register with the appropriate BC Office. For those with learning disabilities, contact Kathy Duggan [kathleen.duggan@bc.edu], at The Connors Family Learning Center. For all other disabilities, contact Paulette Durrett (paulette.durrett@bc.edu). Appropriate documentation and advanced notice are required for accommodations. Academic Integrity and Citation of Sources Students are expected to produce original work for this class and to document appropriately when using outside source material. Each student is expected to read and follow the policy on academic integrity on the University website at: http://www.bc.edu/offices/stserv/academic/integrity.html For this course, we will use the Publication Manual of the American Psychological Association, 6th edition to format papers and cite sources. There is a power point presentation on the Canvas course site that gives examples of correct APA format. The APA Publication Manual is available in the library. Evening Reflection You are required to attend the 4 evening reflections for this course. This semester they are scheduled on Thursdays from 6 pm to 8 pm. Class Schedule & Readings for each class Week 1 Date Monday Aug. 31 Wednesday Sept. 2 Content Introductions What is Health? The “normal” body? Readings: Body: Tomb, Temple, Machine, Self & Terrible Teens 2 Monday Sept 7 Wednesday Sept 9 Labor Day Interviewing—Conducting a Life Review Readings: Haber: Life Review Implementation 3 Monday Sept 14 Body Changes: Indicators of Health and Well-being: Healthy People 2020 web site Body Changes: Pregnancy & Childbirth Readings: The Score Reflection: Simulation Childbirth Wednesday Sept 16 Thursday Sept 17 4 Monday Sept 21 Wednesday Sept 23 5 Monday Sept 28 Wednesday Sept 30 Healthy Baby Readings: Swamp Nurse Becoming a Gendered Body: Practices in Preschool Mind Body Connection: stress & mental health Readings: What’s Wrong with Me The Aging Body Readings: Things Fall Apart & Dependence & Can’t we talk about something more pleasant Aging Body Readings: Can’t we talk about something more pleasant, Things Fall Apart & Dependence 6 Monday Oct 5 Wednesday Oct 7 Thursday Oct 8 Empathy & Caregiving Readings: Beautiful Unbroken Story’s End Empathy & Caregiving Readings: Beautiful Unbroken Reflection: Life Review—Lessons Learned? 7 Monday Oct 12 Wednesday Oct 14 Columbus Day Empathy & Caregiving: Cancer Readings: Beautiful Unbroken Letting Go Narrative Matters 8 Monday Oct 19 HIV/AIDS & Ethics Readings: TBA Ethics Reading: The Deadly Choices at Memorial Wednesday Oct 21 9 Monday Oct 26 Wednesday Oct 28 Thursday Oct 29 10 Monday Nov 2 Wednesday Nov 4 11 Monday Nov 9 Wednesday Nov 11 12 Monday Nov 16 Culture & Poverty Readings: The Immortal Life of Henrietta Lacks Frontline Program: Dr. Hotspot Culture & Poverty Readings: The Immortal Life of Henrietta Lacks Trauma Readings: TBA Trauma---Boston Marathon Bombing Readings: TBA Thursday Nov 19 Disability Readings: Somewhere a Mockingbird and (In)visibility Disability Readings: Coming to Terms: Masculinity Reflection: Murder Ball Monday Nov 23 Student Presentations Wednesday Nov 18 13 Ethics/Culture Readings: When Doctors Make Mistakes Ethics/Culture Readings: The Immortal Life of Henrietta Lacks Reflection: Panel of Caregivers 14 15 Wednesday Nov 24 Thanksgiving Break Monday Nov 30 Wednesday Dec 2 Abusing Our Bodies Reading: Scrubbing in Maine Student Presentations Monday Dec 7 Wednesday Dec 9 Student Presentations The “normal” body? And Conclusions