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Turning from the pulpit to the courtroom, Chapter 4 demonstrates the centrality of frenzy to what would later come to be termed the ‘insanity defence’. The English common law had its own framework for classifying mental illness, one which ran parallel to the medical nosologies explored in Chapter 1. This chapter explores the different categories of ‘madness’ recognizsed by early modern common lawyers – partial versus total, continual versus intermittent – and shows where frenzy fitted within this framework. It then turns to look at how these theories were mobilized in a specific legal context: coroners’ inquests into unexplained drownings. Where suicide was suspected, it argues, a story about frenzy – told right – offered an escape route for suspects and their families. Crucial, here, was the issue of culpability: frantic persons could not be held accountable for what they did while their wits were impaired. Without the capacity for consent, crime was impossible.
The book ends with a brief Postscript on not reading letters. It examines the correspondence between Keats’s friend and carer Joseph Severn and Keats’s friends back in London as the poet is dying in Rome in the winter of 1820–1. The correspondence records how, having effectively stopped writing poetry more than a year earlier, Keats is now no longer able to read, let alone write, even letters. The chapter argues that this epistolary stoppage has itself fed into the cultural reception of the life and work of a poet who has become admired, respected, and loved for his correspondence as much as for his poems.
Chapter 1 tracks frenzy’s trajectory as a medical diagnosis between 1500 and 1700. It offers an introduction to frenzy as it was understood by eight medical practitioners, four of whom came of age in a time of relative stability in English medicine (1560–1640) and four in a time of rapid change (1640–1700). It shows how, from the mid seventeenth century, the old humoral definition of frenzy was altered to fit new medical philosophies – chemical, mechanistic, and corpuscular – and new models of human physiology. Tracing the contours of the disease over two centuries, it highlights points of continuity as well as change. Throughout this period, it argues, theorists from diverse schools explained frenzy’s effects with reference both to the solid structures of the body and the fluids which flowed through them. This chapter argues that it was the devastating effects of brain disease which galvanized medical theorists to seek to explain disorders of the mind as disruptions of material ‘animal spirits’.
A wealth of primary sources documents Vasari’s meticulous planning for his posthumous commemoration, his death, and his heirs’ execution of his final wishes. This final chapter explores Vasari’s death and the fate of his earthly remains, as well as the unique place his high altar for the Pieve occupies within the tradition of funerary monuments and chapels made by and for early modern Italian artists and architects. As the largest and principal altar of one of Arezzo’s most prestigious churches and the site of Vasari’s burial, it is nothing less than the most personal work of his long and prolific artistic career. Its alienation in the nineteenth century from the church for which it was made and nearly all of the other works with which Vasari intended it to be seen, however, has long obscured its significance.
The last chapter brings the volume full circle as it looks into the ultimate confines of perception, across the limits of death. Contrasting with the Christian sacralization of the last breath, physiological research at the time revealed various stages in death, when vital organs fail one after the other, raising the troubling possibility of sensory remanence running through nervous fibres as the body gradually dies. These specters of sensations were invested by the Romantic imagination. This chapter investigates paradoxical imaginings of sensation after death in Keats’s Isabella; or, The Pot of Basil, Percy Shelley’s ‘The Sensitive-Plant’, and Mary Shelley’s Frankenstein, which registers the dawn of sensation in a creature composed of tissues taken from the charnel-house, learning to feel through dead flesh. Such sensory experiments offer imaginative answers to the paradoxical question: what do the dead see through closed eye, through empty orbits?
Overshadowed by other international journeys, Ginsberg’s six months traveling alone through South America in 1960 have been relatively neglected by biographers and critics. However, recent editions and new research enable a better understanding of the literary and political significance of his geographic and drug trips in the region. The long-delayed publication of his South American Journals in 2019 reveals how prescient Ginsberg was to see the visionary value of ayahuasca (aka yagé), the indigenous psychedelic, set against the policing of reality by a materialistic world. His journals also show the full extent of his spiritual crisis in South America and his difficulties in finding a poetic form to express his experiences. Although The Yage Letters has been neglected by Ginsberg scholars, the complex backstory of the book of South American trips he coauthored with William S. Burroughs reveals a much greater role in its creation.
In this chapter I argue that God’s love and goodness make it impossible for him either to intend the evil of human death or to delegate the authority to take a human life. This concludes my argument for the absolute norm against intending death.
This chapter looks at the poetic herbarium through the concept of vegetal ontology, addressing works by Elizabeth Barrett Browning, Christina Rossetti, and especially Emily Dickinson. The epistolary herbaria is a collaborative affair; “a flower in a letter,” like the tendencies of the plants themselves, seeded itself among various writers from across national frontiers. Not only were the form and the content of the messages vegetal but so also was the act of sending, disseminating the herbarium as so many seeds or spores, preceded by lovingly tending to, gathering and preserving flowers. In her work, Dickinson restages the elemental and cosmic clash of viriditas – “greenness,” or the self-refreshing power of finite existence that reaches its apotheosis in plants – and ariditas – “dryness,” or the scorching heat of sin understood in the extra-moral sense of everything that contravenes life and its renewal. Dickinson’s approach is at the same time allegorical and literal, plants providing her with a way of dealing with the inexorability of death. Analogous practices and preferences, like genres and authors, developed across nationalities, geographies, and time periods.
Drawing on fermentation materially and metaphorically, this article argues an earthly democracy must be understood not only through inclusion and participation but through multispecies myths and transformations. Engaging Earthborn Democracy alongside the transdisciplinary art constellation Fermenting Feminism, the article develops three central contributions: it reconceives the demos as materially composed through multispecies processes; it advances exit and transformation as democratic values alongside inclusion; and it articulates a democratic necropolitics that treats death not as political failure but as a generative condition of democratic life. By foregrounding fermentation’s intertwining of liveliness and decay, the article expands democratic imaginaries beyond life-centered and anthropocentric frameworks, offering a political vocabulary attuned to multispecies flourishing and dying well together.
The New Prometheans is divided into four sections. Section I, “The new political quadrilateral,” reviews the formation of a new quadrilateral in the United States: right-wing neoliberals, white evangelicals, Trumpian fascists, and rich tech bros. Each folds to some degree into the priorities and ethos of the others to form a larger resonance machine. It is also unstable. Section II, “Dreamscapes of the tech bros,” explores more closely the existential priorities, rage against death, crude understandings of intelligence, and economic patterns of insistence of the tech bros, focusing on quotations from figures such as Marc Andressen, Elon Musk, and Jeff Bezos. After advancing a preliminary critique, Section III, “Steps toward an alternative onto-cosmology,” presents alternative images of nonhuman modes of production, the porosity of knowledge, the element of creative responsiveness in thinking, the ubiquity of events, and the exploration of timescapes. These provide better ways to challenge and displace the shallow and cruel images of human mastery, smartness, computer brain uploads, time, and capitalist expansion. Critique is important but never enough. Finally, in Section IV, we look at how earthbound, entangled humanists can offer an alternative to the dreamscape of escape to Mars.
This chapter encompasses Neruda’s poetic production during his latest years, which has been divided into two sections: late and posthumous poems published in books. Neruda’s literary fame was cemented in his previous work, Veinte poemas de amor y una canción desesperada (Twenty Love Poems and a Song of Despair, 1924), Residencia en la tierra (Residence on Earth, 1933, 1935, 1947), Canto general (1950), and Odas elementales (Elemental Odes, 1954–57). In general, critics and general readers have overlooked Neruda’s late body of work, which reflected a post-millennial futurity. He announced this visionary approach in both Aún (Still Another Day, 1969) and Fin de mundo (World’s End, 1969), but the best summary of his take on futurity can be found in his posthumous 2000 (1974).
In 2009, numerous manuscripts, previously thought to be lost, were rediscovered in what was once Florence Price’s summer home. The rediscovery narrative that followed, especially in white mainstream media discourse in the United States, focused more on the rediscovery of Price herself, rather than on the rediscovery of her manuscripts. Not only did this distort Price’s meaning to a modern-day, mainstream audience; it also erased the scholarly and archival efforts of practitioners, which can be dated back to the era of Price’s activity. Black classical communities in the United States kept Price’s musical legacy alive through the twentieth century and into the twenty-first. This chapter therefore asks: How do we listen to Price today? The Price archives, the narratives of community embedded in her musical manuscripts, and the ensuing recovery work emerge as important factors in this new era of Price scholarship.
Holistic nursing care requires considering not only the physical and psychosocial but also the spiritual care needs of the patient.
Objectives
This study aimed to determine the relationship between nurses’ perceptions of the concept of spiritual care and their attitudes towards death and the care of dying patients.
Methods
The sample of this descriptive and correlational study consisted of 383 nurses. Data were collected using the Spirituality and Spiritual Care Rating Scale (SSCRS), the Spiritual Support Perception Scale (SSPS), the Frommelt Attitude Toward Care of the Dying Scale (FATCOD), and the Death Attitude Profile Scale (DAP-R). The predictive role of nurses’ perceptions of spiritual care on their attitudes toward caregiving for patients approaching death and dying was examined using path analysis. The results of the analysis were presented as descriptive statistics (mean ± SD), and frequency (percentage) distributions. The reliability of the scales and subscales was examined using the Cronbach’s alpha internal consistency coefficient.
Results
The path coefficient between the SSCRS and the DAP-R subscales of Fear of Death (β = 0.232; P = 0.025), Death Avoidance (β = 0.301; P = 0.007), Neutral Acceptance (β = 0.22; P = 0.01), Approach Acceptance (β = 0.444; P < 0.001), and Escape Acceptance (β = 0.659; P < 0.001) was statistically significant. The path coefficient between the FATCOD and the DAP-R subscales of Fear of Death (β = −0.032; P < 0.001), Death Avoidance (β = −0.038; P < 0.001), and Neutral Acceptance (β = 0.02; P < 0.001) was statistically significant.
Significance of Results
It was determined that there was a correlation between the nurses’ perceptions of the concept of spiritual care and their attitudes towards death and the care of dying patients. It can be suggested that the nurses exhibited a more positive attitude toward the care of dying patients as their understanding of spirituality, spiritual support, and spiritual care increased.
Post-traumatic stress disorder (PTSD) may shorten life expectancy, but evidence for Asian populations and cause-specific mortality remains limited. The aim of this study is to investigate the association between PTSD and mortality risk in an Asian population.
Methods
We used Taiwan’s National Health Insurance Research Database (2000–2022) to assemble a cohort of 28,777 individuals with incident PTSD and 115,108 age- and sex-matched unexposed individuals, plus a sibling cohort of 13,305 affected patients and 22,030 unaffected siblings. Cox models estimated adjusted hazard ratios (AHRs) for all-cause, unnatural-cause (suicide and accidents) and natural-cause mortality, with progressive adjustment for sociodemographic factors, comorbidity and familial confounding. Subgroup analyses addressed five psychiatric comorbidities, sex and age (youth, adulthood and older adults).
Results
Over a mean follow-up of 8 years, PTSD was associated with excess all-cause mortality (AHR = 1.32, 95% CI 1.24–1.41) driven by markedly increased unnatural deaths (AHR = 5.93, 5.13–6.85), especially suicide (AHR = 10.36, 8.41–12.76) and accidental deaths (AHR = 2.18, 1.67–2.86). Natural-cause mortality showed no consistent increase (AHR = 0.91, 0.85–0.98). In sibling analyses, excess risks persisted for all-cause (AHR = 2.48, 2.04–3.01), unnatural deaths (AHR = 4.76, 3.58–6.34) and suicide mortality (AHR = 7.90, 5.21–11.97), but not for accidents or natural causes. The risk patterns were similar across different psychiatric comorbidity strata and genders; suicide and unnatural-cause excess remained evident in all age groups.
Conclusions
PTSD was associated with elevated premature death risk in Taiwan, primarily through suicide and unnatural causes. Integrating targeted suicide-prevention into PTSD care pathways may be essential to reducing this avoidable mortality burden.
Explore the relationship between the severity of psychological distress symptoms and COVID-19-related bereavement, along with various sociodemographic factors and smoking/substance use behaviors during the COVID-19 pandemic.
Methods
This study used 962 Missouri residents’ (age: mean 44.8, SD 16.7, range 18-86 years; 67% [641] female) responses in the context of COVID-19 during 2022. Severity of psychological distress was measured using combined responses from PHQ-8 and GAD-7 scales and classified as moderate to severe using a cutoff score of ≥15 in PHQ-8 or ≥10 in GAD-7 scale. Predictors were bereavement (yes/no), current smoking (yes/no), and any substance use and polysubstance use (≥2). Logistic regressions adjusted for age, highest educational level, and employment status.
Results
Approximately 19% experienced loss due to COVID-19; 28% exhibited moderate to severe symptoms of psychological distress. Individuals who experienced COVID-19-related deaths were more likely to suffer from moderate to severe psychological distress symptoms (Adjusted Odds Ratios (AOR): 1.46; 95% CI:1.00, 2.12). Smoking (AOR:1.68; 95% CI: 1.20, 2.36) and polysubstance use (AOR: 2.44; 95% CI: 1.64, 3.65) also exhibited higher odds.
Conclusions
COVID-19 bereavement and smoking/substance use were linked to higher distress. Future research and strategies should integrate bereavement supports with substance-use screening/brief intervention in disaster mental-health services.
Explores various Jewish conceptions of an afterlife: immortality of the soul; resurrection; reincarnation; and the legacy concept—that immortality consists in one’s impact on the future. Working through a wide range of reasons for and against each position, the chapter notes the variety that exists in the kinds of reasons advanced. It then discusses whether an afterlife has value and why there is death.
This article considers the material practices of forging ‘Hindu’ spaces in colonial India, through an examination of a cremation charity’s movement against a mechanical crematorium in interwar Calcutta. Established around 1926, the mechanical crematorium was advertised by the municipality as a cost-effective alternative to traditional Hindu pyres, disposing of unclaimed corpses and dissected parts by employing stigmatized Dalit labour, in a region of the city marked for ‘offensive’ trades. However, by 1932, a cremation charity led by municipal councillors and Indian capitalists contested the existence of the crematorium, arguing that its technological process, labour practices, and location were an affront to Hindu sensibilities. This article examines the rise of the charity and the decline of the crematorium within the context of electoral politics, the politics of the location, and the broader impact on interwar labour crises and famines in Calcutta. By analysing the anti-crematorium movement, this article offers a colonial material history of the construction of the emotional resonance in ‘Hindu spaces’ in India, outlining how it emerged at the interstices of communal and caste boundaries.
This chapter explores Scotland’s relationship with utopia, arguing that this relationship is complicated by Scotland’s perceived peripheral, and potentially oppositional, identity within the United Kingdom. Twentieth-century Scottish fiction has often been reticent to engage with fully developed utopian paradigms, instead focusing on quotidian experience. However, utopian communities are also positioned as an opportunity to look beyond the nation to examine questions of individual and collective desire. The chapter focuses on three main strands of Scottish utopian fiction from the post-war to the present: the unusual emphasis on death and cyclical return in key utopian texts; utopian novels that explore communal life and homosociality; and queer works that employ storytelling as a utopian act. The texts discussed in this chapter reveal that in Scottish literature utopia is not located in some far-off future but, rather, operates within the continuity created by shared narratives of identity, community, and desire. Examining these themes, the chapter concludes that Scottish utopian fiction is more varied than previous accounts have noted.
Assisted dying debates overlook the powerful unconscious forces that shape end-of-life decision-making. These dynamics influence personal, clinical and societal judgements and may be contributing to the rapid international expansion of assisted dying practices. Strengthening safeguards requires acknowledging these forces and integrating structured psychological assessment, clinician support and reflective practice to reduce unconscious bias and enhance the reliability, transparency and ethical integrity of decisions.
Postvention describes the support offered after suicide bereavement to mitigate the risk of suicide in those affected by the loss. In this chapter we describe the international epidemiological evidence about the impact of suicide on relatives, friends, and other close contacts of the deceased. This includes an elevated risk of depression and suicide, and other adverse physical health and social outcomes. We describe the practice of postvention as it applies to recommended responses to suicide in clinical and community settings, and the evidence to support this. Whilst there is a lack of evidence to support the effectiveness of postvention in preventing suicide specifically, there is evidence that it improves the mental health and social outcomes likely to mediate suicide risk. Clinicians who encounter suicide-bereaved individuals should be aware of resources available to people affected by suicide loss, described here, including digital resources in the public domain.