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As a young researcher disillusioned by the academic rat race, I’m a vocal proponent of shattering echo chambers and paving untraditional publications pathways whilst concurrently grappling with the ‘but how?’ question.

After visiting the creative communications triumph ‘Beyond the Body: a portrait of autopsy’, I had to know more about the people and process that brought this uncomfortable topic and the art of public research communication to life.

Halina Suwalowska is a DPhil student, researching the perceptions of autopsy. Together with artist Anna Suwalowska, she has succeeded at the seemingly impossible: her research presented not as a series of papers, but as an exhibition that makes the visceral visual and the visual visceral. To explore the ‘but how?’ I sat down with the dynamic duo and started my (incessant) questioning at what felt the most appropriate place for any researcher to initiate her inquiry: the research question.

Nothing teaches us more about life than death, about health than disease. Autopsy is considered the gold standard method to assign cause of death and provides valuable information about disease. Why have you undertaken an autopsy of autopsy? What can we learn from your findings?

Halina: My PhD project analyses global perspectives on the developments of Minimally Invasive Autopsy (MIA), paying particular attention to the ethical issues around the new uncertainties, beyond data, introduced by MIA and its speculative future. MIA involves using hollow needles to sample a number of organs without having to open the deceased body – as a possibly more acceptable and less invasive alternative to autopsy in low- and middle-income settings. The exhibition was inspired by some of my findings about the views of relatives and communities on post-mortem procedures.

Anna: Autopsy is an act of revealing the unseen, opening a secret in the body. At the same time, it opens thinking about crossing boundaries between physical and sacred. For the artist it is a very deep source of inspiration on many different levels. In our Western culture we tend to forget about different ways of perceiving and understanding death. There are many beliefs and rituals across different cultures that provide a starting point for discussions about death.

Our society is famously tight-lipped about death and autopsy. What role does art have to play in opening up the conversation? 

Halina: Autopsy usually happens behind closed doors in the basements of hospitals or in other remote places not easily accessible to the public. You may say there is a secrecy or darkness associated with it. Apart from healthcare professionals such as pathologists or mortuary technicians, few people have witnessed the autopsy procedure, and not many know what actually happens in the process. I think that having an art exhibition about autopsy brings the topic from behind those closed doors and opens a conversation about it from a completely different angle beyond watching a quirky crime series or reading crime reports on the news.  

Anna: I like to create images that convey different narratives – a visual transmission of thoughts – images that create a space for interpretation and imagination and can be easily engaged with and interpreted by all viewers. I have approached this project from the perspective of shedding light on what is perceived in our society as darkness. I think that the visual world and imaginative thinking has huge power. It allows us to discuss difficult subjects and share new ideas, which ultimately facilitates understanding.

 The exhibition artwork itself is a contrast to medical research and scientific perspective on the meaning of autopsy. It’s a journey of metaphors. For example, a heart is a metaphor for life. For me, the heart is almost a magical organ that both cultivates emotions and maybe even hosts the human soul.

The exhibition is bright and beautiful. Were you surprised to see the findings from your research interpreted and communicated by the artist in this way?

Halina: I was surprised to some extent. We discussed with Anna from the outset that the artwork should not be too graphic, as we didn’t want to make the visitors feel uncomfortable or upset. To the contrary, we wanted to surprise the visitors and provoke the question ‘Is there life in death?’. I didn’t expect the paintings would be so beautiful with so many details that are so subtle yet so clear. The paintings present the body in a way one is not prone to think of it.

Your research inquiry informed and inspired the art/artist. Did the art/artist, in turn, inform and inspire your research? 

Halina: Definitely. Working with the artist and seeing the process of creating this exhibition made me realise the importance of stories and narratives when communicating my research. I had to take a step back or rather many steps back and stop thinking about the specifics of ‘the findings’ and instead think about the symbols and visuals and the personal stories recorded in my interviews. It was challenging to keep the balance between the story being ‘universal’ and accessible for everyone, and at the same time give enough details so it felt personal.

The views of relatives and involvement of family are reoccurring themes in your research. It seems rather fitting that you undertook this project with your sister, Anna. What were some of the joys and challenges of working together and did you learn more about each other’s (or your family’s) views on the subject?

Halina: Anna thinks in images and metaphors, I was concerned with the words and presenting the content of my research. It took us a bit of time to balance those two streams.

This is the first time we’ve worked with each other in a professional capacity. I’m very lucky to have such a creative and innovative collaborator who happens to be my sister. She had my full trust and creative freedom, which I think is the key element of a good collaborative project. We were supportive of each other, but the feedback was sometimes brutally honest because we’re sisters.

Anna lived in Taiwan a few years ago while working on her art fellowship and her projects touched on medicine/art/psychology. For my DPhil project, I conducted many fascinating interviews with people involved in different capacities in post-mortem procedures in Asia and Africa. I also witnessed post-mortem procedures in the UK, South Africa, and Nepal and shadowed Verbal Autopsy interviews in rural KwaZulu Natal province. Those experiences were the beginning of our discussions about the meaning of autopsy, meaning of organs/body, afterlife and others. Those discussions are still in progress; we are now wondering how to develop our project further.

One exhibition attendee remarked, “This makes me feel uneasy – in a good way!” What experience have you tried to create or facilitate for ‘Beyond the Body’ attendees?

Halina: We wanted to create a powerful and exciting exhibition combining art and science to discuss the complex ethical questions surrounding autopsy in a way that’s accessible to everyone who would enter the gallery. It was a very challenging project, one that had to address two key challenges: how does one present ethical dilemmas visually?; and how can we present ethical dilemmas in conducting autopsy procedures without being too literal or too morbid? Anna has done great work here and I am very pleased with the outcome.

 Anna: An interdisciplinary project allows for the presentation of academic study through new lenses – a new imaginative perspective. The art does not need to explain, it should raise questions to provoke a discussion. For me, that is the core of any public engagement project.

I left the exhibition with more questions than I arrived with: does data privacy and ownership exist beyond the grave?; how can we balance respect for individual beliefs with collective public health knowledge gains?; can we refer to procedures as ‘gold standard’ if they are contextually inappropriate? Salient among all this uncertainty was one confirmatory experience: this is what accessible and effective creative communications looks and feels like. Huge congratulations to both Anna and Halina and thank you for brining this uncomfortable and important conversation to life.

The exhibition is supported by the Wellcome Centre for Ethics and Humanities and is free to view at the Jam Factory on Hollybush Row from 15 October until 24 November. For those wanting to continue the conversation, the Jam Factory is hosting ‘Death at teatime’ on November 23rd – an opportunity to engage in wider conversations around death and dying in the UK and overseas.

Jessica Renzella (interviewer) is a DPhil student researching public health policy making in Sri Lanka.