{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T18:27:22Z","timestamp":1786732042960,"version":"build-2736575974"},"reference-count":41,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Med Humanities"],"accepted":{"date-parts":[[2026,7,28]]},"abstract":"<jats:p>\n                    Steve Haines\u2019 and Sophie Standing\u2019s Really Strange comics (\n                    <jats:italic>Pain is Really Strange<\/jats:italic>\n                    (2015),\n                    <jats:italic>Trauma is Really Strange<\/jats:italic>\n                    (2015) and\n                    <jats:italic>Anxiety is Really Strange<\/jats:italic>\n                    (2018)) blend graphical narrative with medical science to tackle phenomena often deemed \u2018invisible\u2019 or medically perplexing. Using a visual medical humanities lens, the article situates the Really Strange series in the context of graphical medicine and explores how visual and narrative strategies can both democratise medical knowledge and inadvertently reinforce certain \u2018regimes of proof\u2019. A core focus is the credibility problem surrounding chronic pain, psychological trauma and anxiety, subjective experiences frequently met with doubt because they evade direct visual proof. The comics confront this problem through a visual politics of credibility, borrowing imagery and conventions from scientific discourse to substantiate knowledge and validate personal experience. It is written for medical humanities and graphical medicine scholars, clinical educators and practitioners interested in communication, psychoeducation and the ethical problem of credibility in relation to pain, trauma and anxiety. Its purpose is to show how comics can help readers understand, discuss and teach invisible forms of suffering that are often difficult to verify through conventional biomedical means. The article also proposes graphical medicine literacy as an extension of visual literacy: the ability to read comics not only as accessible illustrations but as layered medicovisual texts that shape how illness, evidence, testimony and care are understood.\n                  <\/jats:p>","DOI":"10.1136\/medhum-2026-014022","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:11Z","timestamp":1786728611000},"page":"medhum-2026-014022","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Seeing pain, trauma and anxiety: the visual politics of credibility in the Really Strange series"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9801-0826","authenticated-orcid":false,"given":"Ajeesh","family":"A K","sequence":"first","affiliation":[{"name":"Department of English, SR University, Warangal, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"2026081410300566000_medhum-2026-014022v1.1","unstructured":"Haines S , Standing S . 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New York: Oxford University Press, 1985."},{"key":"2026081410300566000_medhum-2026-014022v1.7","unstructured":"Foucault M . The Birth of the Clinic: An Archaeology of Medical Perception. New York: Pantheon Books, 1973."},{"key":"2026081410300566000_medhum-2026-014022v1.8","doi-asserted-by":"crossref","unstructured":"Fricker M . Epistemic Injustice: Power and the Ethics of Knowing. Oxford: Oxford University Press, 2007.","DOI":"10.1093\/acprof:oso\/9780198237907.001.0001"},{"key":"2026081410300566000_medhum-2026-014022v1.9","doi-asserted-by":"crossref","DOI":"10.1155\/2018\/6358624","article-title":"\u201cBrave Men\u201d and \u201cEmotional Women\u201d: A Theory-Guided Literature Review on Gender Bias in Health Care and Gendered Norms towards Patients with Chronic Pain","volume":"2018","author":"Samulowitz","year":"2018","journal-title":"Pain Res Manag"},{"key":"2026081410300566000_medhum-2026-014022v1.10","unstructured":"American Psychiatric Association . 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