The Transitivity of Shame: Richard Selzer's "Imelda"

In the world of medicine, shame's potential is ever-present and attempts to keep it at bay may only induce it all the more intensely. In this short story by the often-anthologized physician-writer Richard Selzer, the narrator witnesses a surgery to repair a young girl's cleft palate that leads to her untimely death. Later, the narrator realizes that the surgeon performed reconstructive surgery on the girl's corpse. Arguably, the surgeon has attempted not only to repair the girl's face, but to preserve his own social face from shame as well. And while the narrator may want to absolve the surgeon from such a dubious act, in doing so he reveals his own shameful complicity. Selzer's short story thus demonstrates how shame is transitive, an affect that crosses borders and saturates all those who come into its contact.

Authors

Publication Details

Journal
Literature and medicine
Published
2025-03-01
DOI
https://doi.org/10.1353/lm.2025.a975547
Citations
1
Primary Topic
Empathy and Medical Education
Type
article
Field-Weighted Citation Impact
1.47
Controls
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article

The Transitivity of Shame: Richard Selzer's "Imelda"

Douglas Dowland
1 citations
Literature and medicine
Empathy and Medical Education
1.47
article

The Transitivity of Shame: Richard Selzer's "Imelda"

Douglas Dowland
article en
1 citations

Abstract

In the world of medicine, shame's potential is ever-present and attempts to keep it at bay may only induce it all the more intensely. In this short story by the often-anthologized physician-writer Richard Selzer, the narrator witnesses a surgery to repair a young girl's cleft palate that leads to her untimely death. Later, the narrator realizes that the surgeon performed reconstructive surgery on the girl's corpse. Arguably, the surgeon has attempted not only to repair the girl's face, but to preserve his own social face from shame as well. And while the narrator may want to absolve the surgeon from such a dubious act, in doing so he reveals his own shameful complicity. Selzer's short story thus demonstrates how shame is transitive, an affect that crosses borders and saturates all those who come into its contact.

Literature and medicineVol. 43(1)
Openalex Percentile: Top 13%
Empathy and Medical Education
1.47
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