Analyze

I've found myself returning to thinking about/around/within interstitial spaces of care, particularly within hospital settings, interested in how viral activity unsettles the ideas we have around space and boundaries, both biological and infrastructural. In COVID-19 pathology and response, the inbetween, the interstitial, become sites challenge and possibility. With COVID-19, we see an acknowledgment of once forgotten spaces quite obviously, with hospital atria and hallways being reconfigured into patient care spaces, makeshift morgues established in refrigerated trucks, and hospitals spilling out into neighboring streets and parks. More than ever, we see how hospitals are simultaneously bounded and unbounded--the most stable and unstable sites for care. Along this line of thought, what might thinking through hospitals as heterotopia of crisis and deviation afford?

Foucault outlines six principles for heterotopic spaces

The heterotopia is capable of juxtaposing in a single real place several spaces, several sites that are in themselves incompatible

Heterotopias are most often linked to slices in time—which is to say that they open onto what might be termed, for the sake of symmetry, heterochronies. The heterotopia begins to function at full capacity when men arrive at a sort of absolute break with their traditional time. This situation shows us that the cemetery is indeed a highly heterotopic place since, for the individual, the cemetery begins with this strange heterochrony, the loss of life, and with this quasi-eternity in which her permanent lot is dissolution and disappearance.

Heterotopias always presuppose a system of opening and closing that both isolates them and makes them penetrable. In general, the heterotopic site is not freely accessible like a public place. Either the entry is compulsory, as in the case of entering a barracks or a prison, or else the individual has to submit to rites and purifications.

I'm currently based in Troy, NY where I recently completed a PhD in Science and Technology Studies.  I'll soon be living in NYC to attend medical school. I can be reached at amorgan14[at]gmail[dot]com

I've long been interested in the disaster of routine medical care in the U.S. healthcare system. As far as COVID-19 is concerned, I'm particularly interested in how the long-term health impacts of intensive care are conceptualized and communicated (including Post Intensive Care Syndrome (PICS)) and the tensions between acute and chronic illness, broadly. 

How is the aftermath of COVID-19 crisis being imagined in different settings? How is this shaping beliefs, practices, and policies?

The narrative in this film is an emotional one, rather than a scientific one. For the most part, scientific knowledge is common, as the outbreak occurred recently. The only scientific information given was at the end where the statistics of how many deaths occurred in Liberia are given as well as the amount of people who contracted the disease. The primary appeal of this film is that it plays into people's emotions. The narrator is a student at the University of Wisconsin, who discusses his struggle with getting his family to the United States and out of the infected areas. Through graphic footage, as well as this story and narratives from people within the community, we are given an emotional framework with which to empathize. 

I found the most compelling part of the film a portion where an elderly man needing dialysis swears and screams at one of the doctors that he's sick and tired of having to wait for dialysis. He says how annoying it is to come to this hospital and expresses frustrations with having to get dialysis at this particular hospital. He is frustrated to such an extent that he even asks the doctor to remove the catheter and let him die, stating that eveyrone dies so he doesn't care anymore if it's sooner rather than later. He's tired of waiting.

According to ResearchGate, this article has been cited 28 times. 

1. amount of articles about violence against humanitarian workers on Google Scholar (found >100)
2. violence against MSF staff in Somalia
3. Number of attacks on aid workers (https://aidworkersecurity.org/incidents/report/summary)

Research into historical case studies provided Knowles with the information to produce the research article. The only modern situation investigated was 9/11. Previous disasaters in history provided a basis with which to form the arguments about past disaster investigations and how they relate to the current ongoing investigations. 

1. "One might be tempted to see this as a medically virtuous circle, ... but one has to be conscious that it institutes the body as the immigrant's site of ultimate truth."
2. "These represent two contrasting approaches to the doctor's civic responsibility. However contradictory, the differing positions nevertheless reveal, each in its own way, how these professionals situated their medical expert opinion in a political space where the deontological points of reference had becommed blurred."
3. "...the organic importance of the body, is, basically, nothing more than the importance of the body as organ, or in other words, first as labor power, and only then as a form of self-presentation."
4. "....era in which demand for foreign labor made immigration a social necessity seems now so remote, the immigrant's body was entirely legitimized through its function as an instrument of production, the performance of which was interrupted by illness or accident."

The argument is supported through various anecdotes and testimonials. The authors use quotes from various victims in order to highlight the ways in which they were affected by Katrina. Notably, Sally, a 56-year-old woman from St. Bernard Parish who was still living in a FEMA trailer 50 miles from her original residence 2 1/2 years after the storm was interviewed. She talks about the living conditions post-Katrina. She describes families being torn apart, the National Guard using unnecessary force, and dead bodies floating in the water. The authors also use statistics and facts in order to back up their point about the horrendous conditions the survivors were in post-Katrina. A psychological and anthropological analysis also helps strengthen their argument regarding chronic disaster syndrome.

1. "First, disasters threaten harm or death to a large group of people, regardless of the actual extent of lives lost (48). Second, they affect social processes, causing disruption of services and social networks and communal loss of resources (42, 50). Third, they involve secondary consequences, namely identifiable mental and physical health outcomes, among those affected"
2. "Having the capacity to continue functioning after a traumatic event is common and characteristic of normal coping and adaptation"

3. "The key functions of pre-disaster preparation efforts are to prevent or minimize exposure to potentially traumatic disaster-related events and reduce likelihood of additional post-disaster stressors, which are both associated with post-disaster mental disorders."