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Appalachia

Misria

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.

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ciera.williams
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The film looks at the struggles of the doctors in MSF while on missions in third-world countries. These issues stem from lack of supplies, quality of the facilities, and high patient influx. The doctors in the film are burning out quick, with way too many responsibilities to tkae care of. The setting is in Liberia and the Congo during a period of war. The film also examines the tensions developed between the doctors due to differences in style, knowledge, and culture. The clash of personalities and reasons for being in MSF also contribute to the tension. 

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ciera.williams
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The film largely plays on emotional appeals and drama. By documenting the interviews of the doctors, which often are about the other doctors, the viewers see just how hard it is to detach ones self from their work. There is a scene in which the doctors talk about how, despite all the issues they face in the medical setting, everything at the end of the day is about personal relationships. It even briefly touches on sex between the medical staff and how that contributes to the care given. Since the film is based on personal interviews, little to no scientific information is given about the disease and injuries seen; its all based on personal opinion. 

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ciera.williams
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The stakeholders in the film would be the doctors, the local health ministry, and the patients themselves. The doctors were the most focused on, and they were put into a lot of situations in which they were the sole decision makers. However, many times the decisions weren't life or death, but death or comfort. For instance, Davinder was in a situation where a child was inexplicably swelling all over his body. The doctors weren't well equipped for diagnosing his illness, and thus the child was doomed to worsen and die. A nurse informed him that the mother had taken the child and left, to which Davinder remarked that he couldn't blame them. He believed the comfort of the child in somewhere without his care was worth just as much as, if not more than, his care in the hospital. This was quite different than Kiara's opinion that they needed to stay in the hospital. She blamed it on a lack of confidence in medical ability, while he saw it as being human.

Following the time on the mission, the doctors all had to decide what was next. Dr. Brasher left MSF to practice medicine in Paris, while Dr. Gill went to Australia to become a pediatrician, with no plans of returning to MSF. Dr. Lapora was promoted to Emergency Coordinator, and established three more missions in other parts of the world. Dr. Krueger still works with MSF and has been on a number of other missions. All of the doctors continued medicine, but their experiences in Liberia dictated their plans on whether to continue this service.