Clinical necropoetics
Medical and ethics writing of death and transplantation
in Transplantation Gothic
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This chapter explores affective and epistemological challenges posed by the novel diagnostic entities of ‘whole brain death’, ‘brain stem death’ and ‘controlled circulatory death’ as they developed within transfer milieux in the UK and US. Life support technology enabled cyborg hybridities of machine and flesh, and I draw on Annemarie Mol’s concept of diagnosis as assemblage and Giorgio Agamben’s concept of ‘bare life’ to analyse how writing in medicine and ethics manages the ambiguities of the new deaths. I coin the term ‘clinical necropoetics’ to convey how Gothic imagery, intertextualities and narrative strategies are marshalled to variously express uncertainty or unease or, by contrast, to manage doubt and normalise. Gothic facilitates contradictory meanings, communicating troubling affects and conceptual ambiguity, or eliding these very things. Gothic representations may ‘give a voice to the silenced dead’, in the words of Sarah Webster Goodwin and Elisabeth Bronfen, imbuing a dead body with social meaning. At the same time, Gothic can be part of a process of silencing the dead, reducing the dangerous superfluity of meanings that such bodies may bear.

Transplantation Gothic

Tissue transfer in literature, film, and medicine

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