Cicely Saunders and Total Pain
Joe Wood
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Contemporary Cultural Studies in Illness, Health and Medicine
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Published 31 October 2026
Explores contemporary depictions of less-than-adequate mothers to show how caring does not rest on empathy but on other-centredness
Examining contemporary depictions of less-than-adequate mothers, Michelle Chiang reveals how care relations are fundamentally othering experiences, even between a mother and a child. Employing maternal theory and phenomenological philosophy as lenses to analyse the selected novels, Chiang offers an account of the imaginative labour that goes into caring for an other who is not entirely knowable. She argues that carers must imaginatively labour to confront the limits of their knowledge in care relations. When carers fail to exercise a dynamic imagination to confront the limits of their knowledge, they risk losing sight of the cared-for as an individual inhabiting time orientations and contextual spaces that might differ from theirs. In doing so, care may collapse into a search for certainty and control, which almost always entails the violence of coercion.
Chiang’s study is a sophisticated and important intervention in care ethics and medical humanities, harnessing literary aesthetics in a new way. The case it makes for dynamic imagination as a key component of care is compelling, and the way it reconceives the idea of ‘mothering’ no less distinctive or persuasive. A book that will challenge and engage.
Acknowledgements
Series Editor's Preface
Mothering Care and the Imagination: An Introduction
1. J. M. Coetzee’s Slow Man and the Imaginative Labour of Mothering Care
2. 'It’s not my fault': Responsibility to the Other in Toni Morrison’s God Help the Child
3. Norms, Expectations and the Limit of Other-Centred Care in Han Kang’s The Vegetarian
4. Kazuo Ishiguro’s Klara and the Sun and the Centrality of Critical Reflexivity in Mothering Care
Conclusion: Mothering Care for the Future
References
Index
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