Medicalized Masculinities: Tales of (In)Fertility, Sperm Donation, and Fatherhood

Employing an intersectional approach—drawing on cultural and new kinship studies, (medical) anthropology, gender and media studies—this article analyzes how the 2013 MTV series Generation Cryo as cultural text deals with medicalized masculinities and (in)fertilities. It asks in what ways masculinities and also fathers, fathering, and fatherhoods are (re)presented and negotiated in a story which has sperm donation by an anonymous donor and the donor siblings and/in their respective families at its center. In the show, essentially an (auto)biographical narrative, all families emphasize social parenthood over genetic inheritance, yet there are also deep-seated insecurities (re)triggered by the donor who is literally and metaphorically a present absence transforming into a potential family member, thus shaking family tectonics and challenging familial/familiar gender and family roles. Generation Cryo is a story about donor conceived children, but also about clinically infertile men and their social roles as fathers, their struggles to narrate and embody individual forms of masculinities in the face of cultural normative templates of hegemonic masculinities— complex practices constantly oscillating between genetic essentialism and social parenthood.Employing an intersectional approach—drawing on cultural and new kinship studies, (medical) anthropology, gender and media studies—this article analyzes how the 2013 MTV series Generation Cryo as cultural text deals with medicalized masculinities and (in)fertilities. It asks in what ways masculinities and also fathers, fathering, and fatherhoods are (re)presented and negotiated in a story which has sperm donation by an anonymous donor and the donor siblings and/in their respective families at its center. In the show, essentially an (auto)biographical narrative, all families emphasize social parenthood over genetic inheritance, yet there are also deep-seated insecurities (re)triggered by the donor who is literally and metaphorically a present absence transforming into a potential family member, thus shaking family tectonics and challenging familial/familiar gender and family roles. Generation Cryo is a story about donor conceived children, but also about clinically infertile men and their social roles as fathers, their struggles to narrate and embody individual forms of masculinities in the face of cultural normative templates of hegemonic masculinities— complex practices constantly oscillating between genetic essentialism and social parenthood

Adverse events in families with hypertrophic or dilated cardiomyopathy and mutations in the MYBPC3 gene

<p>Abstract</p> <p>Background</p> <p>Mutations in <it>MYBPC3 </it>encoding myosin binding protein C belong to the most frequent causes of hypertrophic cardiomyopathy (HCM) and may also lead to dilated cardiomyopathy (DCM). <it>MYBPC3 </it>mutations initially were considered to cause a benign form of HCM. The aim of this study was to examine the clinical outcome of patients and their relatives with 18 different <it>MYBPC3 </it>mutations.</p> <p>Methods</p> <p>87 patients with HCM and 71 patients with DCM were screened for <it>MYBPC3 </it>mutations by denaturing gradient gel electrophoresis and sequencing. Close relatives of mutation carriers were genotyped for the respective mutation. Relatives with mutation were then evaluated by echocardiography and magnetic resonance imaging. A detailed family history regarding adverse clinical events was recorded.</p> <p>Results</p> <p>In 16 HCM (18.4%) and two DCM (2.8%) index patients a mutation was detected. Seven mutations were novel. Mutation carriers exhibited no additional mutations in genes <it>MYH7</it>, <it>TNNT2</it>, <it>TNNI3</it>, <it>ACTC </it>and <it>TPM1</it>. Including relatives of twelve families, a total number of 42 mutation carriers was identified of which eleven (26.2%) had at least one adverse event. Considering the twelve families and six single patients with mutations, 45 individuals with cardiomyopathy and nine with borderline phenotype were identified. Among the 45 patients, 23 (51.1%) suffered from an adverse event. In eleven patients of seven families an unexplained sudden death was reported at the age between 13 and 67 years. Stroke or a transient ischemic attack occurred in six patients of five families. At least one adverse event occurred in eleven of twelve families.</p> <p>Conclusion</p> <p><it>MYBPC3 </it>mutations can be associated with cardiac events such as progressive heart failure, stroke and sudden death even at younger age. Therefore, patients with <it>MYBPC3 </it>mutations require thorough clinical risk assessment.</p

Medical performance and the ‘inaccessible’ experience of illness: An exploratory study

© 2016 Medical Humanities. All rights reserved. We report a survey of audience members’ responses (147 questionnaires collected at seven performances) and 10 in-depth interviews (five former patients and two family members, three medical practitioners) to bloodlines, a medical performance exploring the experience of haematopoietic stem-cell transplant as treatment for acute leukaemia. Performances took place in 2014 and 2015. The article argues that performances that are created through interdisciplinary collaboration can convey otherwise ‘inaccessible’ illness experiences in ways that audience members with personal experience recognise as familiar, and find emotionally affecting. In particular such performances are adept at interweaving ‘objectivist’ (objective, medical) and ‘subjectivist’ (subjective, emotional) perspectives of the illness experience, and indeed, at challenging such distinctions. We suggest that reflecting familiar yet hard-to-articulate experiences may be beneficial for the ongoing emotional recovery of people who have survived serious disease, particularly in relation to the isolation that they experience during and as a consequence of their treatment

Transcription profiling of HCN-channel isotypes throughout mouse cardiac development

Hyperpolarization-activated ion channels, encoded by four mammalian genes (HCN1-4), contribute in an important way to the cardiac pacemaker current If. Here, we describe the transcription profiles of the four HCN genes, the NRSF, KCNE2 and Kir2.1 genes from embryonic stage E9.5 dpc to postnatal day 120 in the mouse. Embryonic atrium and ventricle revealed abundant HCN4 transcription but other HCN transcripts were almost absent. Towards birth, HCN4 was downregulated in the atrium and almost vanished from the ventricle. After birth, however, HCN isotype transcription changed remarkably, showing increased levels of HCN1, HCN2 and HCN4 in the atrium and of HCN2 and HCN4 in the ventricle. HCN3 showed highest transcription at early embryonic stages and was hardly detectable thereafter. At postnatal day 10, HCN4 was highest in the sinoatrial node, being twofold higher than HCN1 and fivefold higher than HCN2. In the atrium, HCN4 was similar to HCN1 and sevenfold higher than HCN2. In the ventricle, in contrast, HCN2 was sixfold higher than HCN4, while HCN1 was absent. Subsequently all HCN isotype transcripts declined to lower adult levels, while ratios of HCN isotypes remained stable. In conclusion, substantial changes of HCN isotype transcription throughout cardiac development suggest that a regulated pattern of HCN isotypes is required to establish and ensure a stable heart rhythm. Furthermore, constantly low HCN transcription in adult myocardium may be required to prevent atrial and ventricular arrhythmogenesis

"India is our twins’ motherland:" transnational cross-racial gestational surrogacy and the maternal body in "IP memoirs"

Memoirs by women (from the Global North) who have employed a gestational host (from the Global South) to become mothers are situated in a force field of intersecting discourses about gender, race and class. The article sheds light on the characteristic dynamics of this special sub-genre of ‘mommy lit’ (Hewett), labelled ‘IP memoirs,’ with a special emphasis on memoirs featuring transnational cross-racial gestational surrogacy arrangements in India. These texts do not only present narratives of painful infertility experiences, autopathographic self-blame, and scriptotherapeutic quests towards happiness, i.e. (a) child(ren), but also speak back to knotty issues such as potential exploitation, commodification, colonisation and disenfranchisement, as well as genetic essentialism in the context of systemic inequities

“A good deal about California does not, on its own preferred terms, add up”: Joan Didion between Dawning Apocalypse and Retrogressive Utopia

Joan Didion’s depiction of the American West and California is colored by an idiosyncratic sensitivity to her surroundings, intertwined with a sentimental-retrogressive image of the nature, history, character, and meaning of the West as a cultural topos. Her New Journalism-like observations of California are always closely linked to her own self and psyche, are seismographs of her own confusions, of moments of disorientation, insecurity, and loss. Didion is therefore one of those exceptional writers, who, in her fictionalized reportages, comments on American reality, ideas, and her own predicament. Identity and landscape fuse into an auto-psychoanalysis, which at the same time reveals a great deal about the American condition, its constantly strained relationship between rhetoric or auto-mythology and lived reality. This article draws primarily on Slouching Towards Bethlehem (1968) and Where I Was From (2003), but also on After Henry (1992) and The White Album (1979), to illustrate these points