@article {Bowmanmedhum-2017-011354, author = {Deborah Bowman}, title = {Vulnerability, survival and shame in Nina Raine{\textquoteright}s Tiger Country}, elocation-id = {medhum-2017-011354}, year = {2017}, doi = {10.1136/medhum-2017-011354}, publisher = {Institute of Medical Ethics}, abstract = {Shame in healthcare remains relatively underexplored, yet it is commonplace and its impact is significant. This paper explores shame in healthcare using Nina Raine{\textquoteright}s 2011 play Tiger Country. Three manifestations of shame are explored, namely (1) shame in relation to professional identity and survival in the clinical workplace; (2) shame and illness as experienced by both patients and doctors; and (3) the systemic and organisational influences on shame within healthcare systems. I suggest that the theatre is particularly well-placed to elucidate shame, and that Tiger Country demonstrates the prevalence and impact of shame on clinical work. Shame has a fundamental and overlooked relationship with damaging and well-documented phenomena in healthcare, including moral distress, ethical erosion, compassion fatigue, burnout, stress and ill health. Attention to shame is essential for those interested in medicine and healthcare and must, I propose, include the experiences and perceptions of those who provide care, as well as attending to those who receive care.}, issn = {1468-215X}, URL = {https://mh.bmj.com/content/early/2017/10/27/medhum-2017-011354}, eprint = {https://mh.bmj.com/content/early/2017/10/27/medhum-2017-011354.full.pdf}, journal = {Medical Humanities} }