{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T12:14:09Z","timestamp":1771589649239,"version":"3.50.1"},"reference-count":60,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Med Humanities"],"accepted":{"date-parts":[[2025,8,6]]},"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    This article offers a critical literary analysis of\n                    <jats:italic>The Brothers Karamazov<\/jats:italic>\n                    through the lens of literary humanism, focusing on dimensions of social suffering and caregiver burden in end-of-life contexts. These themes are examined through the story of Captain Snegiryov and his family, key figures in Dostoevsky\u2019s narrative. By analysing the captain\u2019s experience as a caregiver for his gravely ill son in the context of extreme poverty, this study highlights four central aspects: (1) social suffering within the framework of total pain, (2) the caregiver burden, (3) neglect by healthcare systems and institutions and (4) the role of compassionate communities in alleviating suffering. The portrayal of the captain\u2019s struggles resonates with contemporary issues in palliative care and social justice, illustrating how economic and structural vulnerabilities exacerbate caregiver burden and reinforce systemic inequalities. This article argues that literature provides valuable insights into the caregiving experience, revealing ethical dilemmas, emotional challenges and the urgent need for expanded support systems. By bridging literary analysis and palliative care discourse, this study underscores the critical need for interdisciplinary approaches to address caregiver distress and emphasises the role of community engagement in alleviating social suffering.\n                  <\/jats:p>","DOI":"10.1136\/medhum-2025-013334","type":"journal-article","created":{"date-parts":[[2025,8,25]],"date-time":"2025-08-25T01:30:29Z","timestamp":1756085429000},"page":"20-27","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Social suffering and caregiver burden in\n                    <i>The Brothers Karamazov<\/i>\n                    : the story of Captain Snegiryov"],"prefix":"10.1136","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9793-7905","authenticated-orcid":false,"given":"Ana Cl\u00e1udia Mesquita","family":"Garcia","sequence":"first","affiliation":[{"name":"Universidade Federal de Alfenas, Alfenas, MG, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,8,24]]},"reference":[{"issue":"9","key":"2026022003401374000_52.1.20.1","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1177\/10499091211056323","article-title":"\u201cCaregiver Challenges Seen From the Perspective of Certified Home Hospice Medical Directors\u201d","volume":"39","author":"Agarwal","year":"2022","journal-title":"American Journal of Hospice and Palliative Medicine"},{"key":"2026022003401374000_52.1.20.2","unstructured":"Arendt H . 1963. 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