Analyze

As a hobby, tabletop role-playing games have a dubious history of appropriation of non-western fantasy tropes as supplemental, and othered. Advanced Dungeons and Dragons' Oriental Adventures (1985), and Al- Qadim (1992) tokenized East Asian, and Middle-Eastern mythology, respectively. Since the onset of Dungeons and Dragons 5th Edition (2014), it's publisher, Wizards of the Coast, makes claims to progress in its depictions of BIPOC communities, by bringing in folks to talk about their own cultures, such as with Journeys through the Radiant Citadel (2022). More fundamentally however, the release of 5th edition and the hobbies resurgence coincided with the proliferation of crowdfunding platform Kickstarter, allowing new voices to populate the hobby space. Adventure games like the all indigenous Coyote and Crow allow for a non-colonial view of North America that presents indigeneity beyond traditionalist tropes, offering advanced technologies like Yutsu Lifts, Second Eyes, and Nisi. The horror game Old Gods of Appalachia offers a marginalized region the chance to celebrate their heritage, and reshape the narrative around Appalachia. The focus on local, and indigenous authorship may offer benefits beyond a sense of authentic representation. When utilized therapeutically, these games may work to address intergenerational trauma, and offer therapeutic insights specifically built to unmoor the legacies ascribed onto these groups by dominant and colonial powers. 

Thomas, Brian J. 2023. "Local Games for Local Trauma." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

Because this document is the first chapter of a book, there was no source list provided, therefor no conclusions could be drawn.

Didier Fassin is a French anthropologist and a sociologist in the school of science at the Institute for Advanced Study in Princeton, NJ. He has conducted fieldwork in Senegal, Ecuador, South Africa, and France. Fassan is also trained as a physician in internal medicine and holds a degree in public health. Some of his early research focused on medical anthropology, the AIDS epidemic, mortality disparities, and global health. 

The author, Didier Fassin, is a French anthropologist and sociologist with training in medicine and public health. He has worked in the field of medical anthropology for decades through research and field experience. He currently works as a professor of social science at the Institute for Advanced Study in Princeton. 

The article focuses on the adapting regulations for ill immigrants to remain in France in order to receive treatment unavailable in their countries. Through the changes in protocol over nearly a decade the author shows how the system changed from case by case process in which many immigrants were denied a residence permit while suffering from serious illnesses, to an organized protocol that aimed to provide an equal opportunity to applicants regardless of location and department.

The argument is supported through a combination of personal stories, historical changes in protocol, and analysis of the reasons why applicants resort to a medical argument for residence permits. The use of personal stories of applicants highlights the inconsistencies in the process largely due to compassionate bias on the part of officials reading the applications, as well as the resources available in different cities. As the protocols were changed the article shows that while some of the inconsistencies were resolved, the process of determining who can and cannot receive medical treatment necessitates personal judgment which inevitably affects the outcome.

• “Sometimes the foreigner, too, is no more than his body, but this body is no longer the same: useless to the political economy, it now finds its place in a new moral economy that values suffering over labor and compassion more than rights.”
• “The compassion protocol is thus a procedure of the last resort that derives from a form of sympathy evoked in the face of suffering. It demands the right to keep alive individuals who have nothing except their mere existence.”
• “the medical officers were caught between the duties mandated to them by the public institution that employed them and those their profession required them to respect”

The article provides statistics of approved applications based on the medical reason for the application and the department the application was processed at based on location, to show how different acceptance rates are. The article also provides many stories of applications, invoking an emotional response that allows the reader to sympathize with the personal challenge that faces medical officers and government officials making the discussions that may dramatically affect the health and wellbeing of individuals.

The article does not address emergency response, rather it dealt with public health and the government’s responsibility for the health of immigrants. A significant part of public health is the allocation and availability of resources, which differs based on country. The argument made is that the available medical resources in France should be used to assist those who do not have access in their countries. Unfortunately, there remains the responsibility to the citizens of France to provide access to any and all resources necessary for their health which necessitates denying treatment to some immigrants. The issues faced by the government and public health interests is how to balance those moral obligations, which is discussed in the article.

The article has not been referenced extensively, as it is focused on a very specific topic. However the ideas presented in the article, and by extension the ideas presented in the book have been included in other papers including some of the author's later works.