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When the British band, The Who, released their double album, Tommy, in 1969, many of the songs in it became instant classics and served as anthems for the Baby Boomer generation ever since. The album was characterized as a “rock opera,” because when connected, the songs told the story of the “deaf, dumb, and blind kid,” Tommy. The storyline made possible subsequent musicals, first as a movie in 1975, and then as a Broadway play in 1993 and as a revival in 2024. Underlying the storyline in each of these genres are the psychiatric consequences of childhood trauma Tommy experiences. In this episode, we consider the psychiatric conditions Tommy exhibits through selected songs from the original Broadway production, and how they are used in education and training.

Joining us for this purpose is Dr. Anthony Tobia, who is the regional chair in the Department of Psychiatry at the Rutgers School of Medicine and is also the Service Chief of Psychiatry at Robert Wood Johnson Barnabas Health in New Brunswick, NJ. Dr. Tobia also holds a secondary appointment in the Division of General Internal Medicine there. His interests and scholarly work include the value and application of merging popular culture and psychiatry. The Who’s Tommy is among the many cultural works he has found helpful in depicting psychiatric problems for purposes of teaching health professions students and practitioners, and others in roles helping people with mental illness.

Links:

Original Broadway cast album of The Who’s Tommy, 1993

Background on The Who’s Tommy movie, 1975.

The video of Dr. Tobia’s psychiatry grand rounds on the Phantom of the Opera mentioned in the podcast.

Reddit 31 Knights of Halloween didactic at Rutgers during October.


Thanks to Benedict Teagarden, podcast music and culture director, for pointers on how the harmonization in See Me, Feel Me contributes to the meaning of the lyrics.

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

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Greek tragedies often concern identifiable and universal problems humans have confronted over the millennia. Among these problems are those illness and suffering create. In this episode we draw from Sophocles’ play, Philoctetes, and in particular, how it depicts illness as exile. With our guest, Professor Paul Ranelli, we first cover the characteristics of Greek tragedies that are applicable to illness and suffering (i.e., enduring relevance, catharsis, empathy). We then cover the play, Philoctetes, what it tells about illness as exile, and how it connects to more recent writings on the concept (e.g., Virginia Woolf and Susan Sontag). Lastly, Paul Ranelli talks about an initiative he was involved in with the University of Minnesota Department of Theater Arts and Dance, the Center for the Art of Medicine, the College of Pharmacy Center for Orphan Drug Research, and the playwright Kevin Kling. This collaboration developed and staged an adaptation of Philocteteshighlighting challenges rare diseases pose. Paul describes how it was conceived, developed, produced, and performed. He also talks about how patients, families, students, health care professionals, and others received it. Spoiler alert: they loved it and saw great value in the endeavor.


Primary source

Sophocles. Philoctetes; In The Complete Greek Tragedies, Sophocles II, translated by David Grene; Chicago: The University of Chicago Press, 1957.


Secondary sources

Virginia Woolf. On Being Ill; Ashfield, Ma: Paris Press, 2002.

Susan Sontag. Illness as Metaphor; New York: Doubleday, 1990.

Drew Leder. Illness as Exile: Sophocles’ Philoctetes; Literature and Medicine. 1990(1):1-11.

Vassiliki Kampourelli. Historical empathy and medicine: Pathography and empathy in Sophocles’ Philoctetes. Medicine, Health Care and Philosophy. 2022:25:561–575.

Cynda H Rushton, Bryan Doerries, Jeremy Greene, Gail Geller. Dramatic interventions in the tragedy of the COVID-19 pandemic. The Lancet. 2020 (Vol 396):305-306.


Links

Russell Teagarden’s blog piece on Philoctetes as prologue to current day issues involving illness as exile, pain, ethics, and moral injury.

Video of Theater of War Productions dramatic reading of Philoctetes performed January 9, 2923.

Video of the play RARE, the University of Minnesota adaptation of Philoctetes.

Video of documentary on development of the play.


Thanks to Dr. Paul Ranelli for his contributing is knowledge, expertise, and wit to this episode.

Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

Executive producer: Anne Bentley

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“Should we worry about the reliability of medical knowledge?” asks philosopher John Huss (University of Akron). We consider this question from the perspective of Thomas Kuhn’s classic, 1962 book, The Structure of Scientific Revolutions. Kuhn explains how science does not evolve incrementally, one step following another, but rather undergoes wholesale revolutions disconnected from all that came before. He called these revolutions, “paradigm shifts” (to his everlasting regret). While Kuhn draws mostly from astronomy to make his case, we draw from recent and past medical examples to show how his concept applies to medicine as well. We talk about how various groups dependent on reliable medical knowledge (e.g., patients, health care professionals, educators) can be affected by the possibility of major shifts in established approaches to health care at any time. There’s no escape from reality, as the song goes.

Primary Source Citation

Kuhn T. The Structure of Scientific Revolutions, 3rd ed, Chicago: The University of Chicago Press; 1996.

Links

Russell Teagarden’s related blog posts on According to the Arts:

• Kuhn’s book, The Structure of Scientific Revolution
• Michel Foucault’s book, The Birth of the Clinic

Dr. Barry Marshall’s story of how he and Dr. Robin Warren engineered the change in peptic ulcer disease from acid based to infection based.

The Clinic & The Person Episode 12 (September, 2023), featuring the paradigm shift from lobotomies and other forms of psychosurgery to psychopharmacology.

Sir Brian May’s bio (guitarist for Queen and PhD-level astrophysicist).


Please send us comments, recommendations, and questions to this text link, or email to: russell.teagarden@theclinicandtheperson.com.

Thanks for listening, and please subscribe to The Clinic & The Person wherever you get your podcasts, or visit our website.

Executive producer: Anne Bentley