Compassion, Necessity, and the Pharmakon of the Health Humanities


  • Graham McCaffrey University of Calgary, Faculty of Nursing



Health humanities, compassion, empathy


Health humanities is an emergent interdisciplinary field drawing on existing traditions of using resources from the arts and humanities in the education of health professionals. Cultivation of compassion is often cited, though not without some debate, as a fit goal for the health humanities. In this paper, I undertake a critical reappraisal of the presumed link between health humanities and compassion. Firstly, I propose a model of the health humanities that takes up Derrida’s figure of the pharmakon, as polyvalent medicine or poison (among other meanings). Unlike Derrida, however, I treat the pharmakon as a substance, even when referring to arts and humanities. I then offer examples of negative effects of the pharmakon that both attest to its potency and unsettle comfortable assumptions that it is necessarily benign. Finally, I take up themes from Simone Weil’s reading of the Iliad to propose that necessity may be a useful alternative, or addition, to the ways we think about the goals of the health humanities 

Author Biography

Graham McCaffrey, University of Calgary, Faculty of Nursing



Armstrong, K. (2011). Twelve steps to a compassionate life. New York, NY: Anchor.

Auden, W.H. (2016). In memory of W.B. Yeats. Retrieved from

Barnhart, R. (Ed.). (2006). Chambers dictionary of etymology. New York, NY: Chambers.

BBC. (2014). Profile: Radovan Karadzic. Retrieved from

Bradshaw, A. (2009). Measuring nursing care and compassion: The McDonaldised nurse? Journal of Medical Ethics, 35, 465-468. doi:10.1136/jme.2008.028530

Cole, T.R., Carlin, N.S., & Carson, R.A. (2015). Medical humanities: An introduction. New York, NY: Cambridge University Press.

Crawford, P., Brown, B., Baker, C., Tischler, V., & Abrams, B. (2015). Health humanities. Basinstoke, UK: Palgrave Macmillan.

Damasio, A. (2012). Self comes to mind: Constructing the conscious brain. New York, NY: Vintage.

Derrida, J. (1981). Dissemination (Trans. B. Johnson). Chicago, IL: University of Chicago Press.

Dylan, B. (1979). Slow train. Bob Dylan official website. Retrieved from

Faust, H.S. (2009). Kindness, not compassion, in healthcare. Cambridge Quarterly of Healthcare Ethics, 18(3), 287-299. DOI: 10.1017/S0963180109090458

Francis, R. (2013). Report of the Mid-Staffordshire NHS Foundation Trust public inquiry. Retrieved from

Gadamer, H.G. (1960/2004). Truth and method. New York, NY: Continuum.

Genova, L. (2009). Still Alice. New York, NY: Gallery Books.

Guardian. (2016). What is meldonium and why did Maria Sharapova take it? Retrieved from

Haykel, B., & Creswell, R. (2015). Battle lines: Want to understand the jihadis? Read their poetry. The New Yorker, June 8, 2015, retrieved from

International Criminal Tribunal for the Former Yugoslavia [ICTY]. (2016). Statement of the Office of the Prosecutor on the Conviction of Radovan Karadži?. Retrieved from

Jones, T., Wear, D., & Friedman, L.D. (2014). The why, the what, and the how of the medical/health humanities. In T. Jones, D. Wear, & L.D. Friedman (Eds.), Health humanities reader (pp. 1-6). New Brunswick, NJ: Rutgers University Press.

Kearney, R. (2011). What is diacritical hermeneutics? Journal of Applied Hermeneutics, Article 1, 1-14.

Krznaric, R. (2015). Empathy: Why it matters, and how to get it. New York, NY: Perigree.

McCaffrey, G., & McConnell, S. (2015). Compassion: A critical review of peer-reviewed nursing literature. Journal of Clinical Nursing, 24(19-20), 3006-3015. doi: 10.1111/jocn.12924

Neumann, K. (2000). Shifting memories: The Nazi past in the new Germany. Ann Arbor, MI: The University of Michigan Press.

Steiner, G. (1989). Real presences. London, UK: Faber.

Surdukowski, J. (2005). Is poetry a war crime? Reckoning for Radovan Karadzic the poet-warrior. Michigan Journal of International Law, 26, 673-699.

Un, K. (2008). What? 108 Zen poems. Berkeley, CA: Parallax.

Vera, M. (2012). The 10 rights of drug administration. Retrieved from

Weil, S. (2002). Gravity and grace. Florence, KY : Routledge.

Weil, S. (2005). Simone Weil: An anthology. (S. Miles, ed.). London, UK: Penguin.

Yeats, W.B. (1982). Collected poems. London, UK: MacMillan.