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  • I'm currently a student in the joint MD/PhD program in anthropology at the University of Pennsylvania. I found my research by accident; actually, perhaps it’s more accurate to say that the work found me. I started working with refugees and asylum seekers at a critical moment when Black Lives Matter and the Syrian refugee crisis dominated the news. I bega... moreedit
  • Deborah Thomas, PhD, John Jackson, PhD, Adriana Petryna, PhD, Ramah McKay, PhDedit
Many efforts to design introductory “cultural competence” courses for medical students rely on an information delivery (competence) paradigm, which can exoticize patients while obscuring social context, medical culture, and power... more
Many efforts to design introductory “cultural competence” courses for medical students rely on an information delivery (competence) paradigm, which can exoticize patients while obscuring social context, medical culture, and power structures. Other approaches foster a general open-minded orientation, which can remain nebulous without clear grounding principles. Medical educators are increasingly recognizing the limitations of both approaches and calling for strategies that reenvision cultural competence training. Successfully realizing such alternative strategies requires the development of comprehensive models that specify and integrate theoretical frameworks, content, and teaching principles.

In this article, the authors present one such model: Introduction to Medicine and Society (IMS), a required cultural competence course launched in 2013 for first-year medical students at the Perelman School of Medicine at the University of Pennsylvania. Building on critical pedagogy, IMS is centered on a novel specification of “critical consciousness” in clinical practice as an orientation to understanding and pragmatic action in three relational domains: internal, interpersonal, and structural. Instead of transmitting discrete “facts” about patient “types,” IMS content provokes students to engage with complex questions bridging the three domains. Learning takes place in a small-group space specifically designed to spur transformation toward critical consciousness. After discussing the three key components of the course design and describing a representative session, the authors discuss the IMS model’s implications, reception by students and faculty, and potential for expansion. Their early experience suggests the IMS model successfully engages students and prepares future physicians to critically examine experiences, manage interpersonal dynamics, and structurally contextualize patient encounters.
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The rat pheochromocytoma PC12 cell line is a widely used system to study neuronal differentiation for which sustained activation of the extracellular signaling related kinase (ERK) pathway is required. Here, we investigate the function of... more
The rat pheochromocytoma PC12 cell line is a widely used system to study neuronal differentiation for which sustained activation of the extracellular signaling related kinase (ERK) pathway is required. Here, we investigate the function of MK-STYX [MAPK (mitogen-activated protein kinase) phosphoserine/threonine/tyrosine-binding protein] in neuronal differentiation. MK-STYX is a member of the MAPK phosphatase (MKP) family, which is generally responsible for dephosphorylating the ERKs. However, MK-STYX lacks catalytic activity due to the absence of the nucleophilic cysteine in the active site signature motif HC(X5)R that is essential for phosphatase activity. Despite being catalytically inactive, MK-STYX has been shown to play a role in important cellular pathways, including stress responses. Here we show that PC12 cells endogenously express MK-STYX. In addition, MK-STYX, but not its catalytically active mutant, induced neurite-like outgrowths in PC12 cells. Furthermore, MK-STYX dramatically increased the number of cells with neurite extensions in response to nerve growth factor (NGF), whereas the catalytically active mutant did not. MK-STYX continued to induce neurites in the presence of a MEK (MAP kinase kinase) inhibitor suggesting that MK-STYX does not act through the Ras-ERK/MAPK pathway but is involved in another pathway whose inactivation leads to neuronal differentiation. RhoA activity assays indicated that MK-STYX induced extensions through the Rho signaling pathway. MK-STYX decreased RhoA activation, whereas RhoA activation increased when MK-STYX was down-regulated. Furthermore, MK-STYX affected downstream players of RhoA such as the actin binding protein cofilin. The presence of MK-STYX decreased the phosphorylation of cofilin in non NGF stimulated cells, but increased its phosphorylation in NGF stimulated cells, whereas knocking down MK-STYX caused an opposite effect. Taken together our data suggest that MK-STYX may be a regulator of RhoA signaling, and implicate this pseudophosphatase as a regulator of neuronal differentiation.
    In early September of 2015, Black American citizen Kyle Lydell Canty crossed the US border into British Columbia, Canada. While he told border agents that he intended to make a short trip to take pictures, his true intent was quite... more
    In early September of 2015, Black American citizen Kyle Lydell Canty crossed the US border into British Columbia, Canada. While he told border agents that he intended to make a short trip to take pictures, his true intent was quite different. On September 23, he filed for asylum in Vancouver, armed with 18 pieces of evidence that, in his words, represent the United States' history of racial discrimination and state-sanctioned violence against Blacks from a “human rights perspective”. In a recent Huffington Post article, he stated: "We were brought to America as slaves, and the country hasn’t changed its ways at all since then…. If you’re black in the US you will always have to go through persecution and discrimination at some point in your life." As he reported to the Immigration Review Board, his fear for his life because of his blackness constitutes a “well-founded fear” according to international law, and thus he is applying for asylum, a claim that is notable because it is exceedingly rare for Americans to be granted asylum elsewhere. Canty’s declaration rejects the notion of human rights violations as phenomena that occur ‘elsewhere,’ placing them squarely on American soil. In January 2016, the Immigration Review Board denied Canty’s application, based on the idea that Canty, while having credible fear, could not prove that the levels of harassment he faced rose to the level of persecution.
In this paper, I suggest that Kyle Canty’s case is representative of an increasingly common linkage made between American Blackness and refugee status. This comparison – mobilized as a political statement – brings to mind questions about what counts as an event, issues of violence both exceptional and ordinary, the role of comparison in politics and critique, and dreams of the otherwise and their linkage to political recognition. Drawing upon these themes, I ask what kinds of openings the case of Canty affords. What kind of action was his border crossing and subsequent public declaration? And what does thinking this case - and the connection between blackness and refuge more generally - afford us theoretically and politically? Ultimately, I suggest that Canty’s border crossing forces the unthinkable because it requires that we consider Black American suffering to be exceptional - to be unacceptable - even given that Black suffering typically “figures in the domain of the mundane” and thus “refuses the idiom of exception”. 

Presented at the New School for Social Research Graduate Conference on the Theme "Refuge"
The idea that we could possibly go somewhere that exists only in our imaginations - that is, “nowhere” - is the classic definition of utopia. Call me utopian, but I inherited my mother’s belief that the map to a new world is in the... more
The idea that we could possibly go somewhere that exists only in our imaginations - that is, “nowhere” - is the classic definition of utopia. Call me utopian, but I inherited my mother’s belief that the map to a new world is in the imagination, in what we see in our third eyes rather than in the desolation that surrounds us.
- Robin D.G. Kelley, Freedom Dreams

What does it look like for us to dream? In Freedom Dreams, his expansive history of the Black radical tradition, Kelley writes of the “cognitive maps of the future” that allow us to imagine the world not only as it is, but as it could be: what he calls “the world not yet born” (10). Following Kelley, along with Ruha Benjamin and Alondra Nelson, I utilize the imagination as a critical tool we have for configuring alternative worlds and conjuring solutions to those problems which threaten to make our world uninhabitable. In doing so, I draw from speculative narratives, both fictional and real, that utilize movement as a way of highlighting both social inequalities and alternative possibilities. In particular, I read narratives that might be called postcolonial, Afrofuturist, or cyberfeminist, stories that employ speculation as a mode that interrogates histories of scientific racism and imperialism, contests structural inequalities, and pushes back against the relegation of racialized, colonized Others to a static, immobile past. In this paper, I draw from recent novels The Windup Girl, The Girl in the Road, and The Underground Railroad, as well as present-day migratory narratives and legal cases, to build the notion of refuge as a conceptual tool for thinking the Anthropocene. In other words, I ask: how does an attention to refuge and its inequalities illuminate our social world and help us build those to come?  For social scientists and humanists invested in the world-as-it-is, how can we utilize speculative narratives as a way to sharpen our attention to the ways that individuals, through their own imaginings of home, belonging, and refuge, re-articulate the bounds of citizenship and belonging and construct their own sense of freedom?  How might thinking refuge as a keyword for the Anthropocene bring us to a clearer understanding of those strivings to survive which have been referred to as “freedom dreams,” (Kelley 2002), “renegade dreams” (Ralph 2014), “endurance,” and “the will to be otherwise” (Povinelli 2012, 2011)? In thinking refuge, then, I call attention to an ordinary politics “rooted in desire” (Kelly 2002, 6): the desire for home, for belonging, and for safety and wellbeing that a space of refuge would allow.
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