The Covid‐19 crisis has accelerated a trend toward burnout in health care workers, making starkly clear that burnout is especially likely when providing health care is not only stressful and sad but emotionally alienating; in such situations, there is no mental space for clinicians to experience authentic clinical empathy. Engaged curiosity toward each patient is a source of meaning and connection for health care providers, and it protects against sympathetic distress and burnout. In a prolonged crisis like Covid‐19, clinicians provide (...) care out of a sense of duty, especially the duty of nonabandonment. We argue that when duty alone is relied on too heavily, with fear and frustration continually suppressed, the risk of burnout is dramatically increased. Even before Covid‐19, clinicians often worked under dehumanizing and unjust conditions, and rates of burnout were 50 percent for physicians and 33 percent for nurses. The Covid‐19 intensification of burnout can serve as a wake‐up call that the structure of health care needs to be improved if we are to prevent the loss of a whole generation of empathic clinicians. (shrink)

Curanderismo is an Indigenous healing tradition in Chicane communities and throughout Mexico. Using such a lens, this paper analyzes the metaphysical nature of trauma as a splitting (susto) of the self and community. First, this paper explores the Indigenous philosophical principles that form the metaphysics of curanderismo. Second, three reactions to susto will be explored including what Gloria Anzaldua calls the Coyolxauhqui imperative, a re-membering of a split self towards healing. Through the second aim, the third aim of this paper (...) is to lay out a road map of the Coyolxauhqui imperative in hopes that it will save more communities from total annihilation. That road involves integrating traumatic memory and history into a sense of self/community, weaving new relationships, and orienting a new self with a decolonized spirit. (shrink)

A man and a woman at the same time, borne by the desire for freedom – free, against all psychoanalytic dogmas, to move between two world. She invokes her chicana identity, created in the history of resistance of the Indian woman ; she asserts her mestiza culture – white, Mexican and Indian at the same time, a culture developed according to a feminist plan. Chicanas live in between several world, and tell their story in their own words : a first-person (...) narrative, narrative as theory. (shrink)