I am Ana Irene Castiglione, an Argentinian hospital teacher and editor. My work as a hospital teacher involves ensuring the right to education for children and adolescents hospitalised at Ricardo Gutiérrez Hospital in the City of Buenos Aires. There, we teachers visit our students daily in their hospital rooms, or we invite them to attend in-person classes at the school (located inside the hospital) when they are able to move around and leave their rooms. The work is usually one‑on‑one, “at the bedside,” or in small groups in a workshop format. Our students may be hospitalized for many reasons such as oncological diseases, mental health crises, scheduled surgeries, chronic illnesses—in short, anything that can put a person’s health at risk. Through the following three experiences that I share from my journal, I show how literature is always a great ally for building bridges of tenderness in this context.
1. Bruno’s game
Bruno, la oveja sin suerte (2009) [Bruno, the unlucky sheep] has become something of a “workhorse” and a “door of welcome” to the hospital’s school. A while ago, I began to think about crossing literature and play; during the pandemic, I had a great experience creating a board game with mischievous characters from stories of yesterday and today. So why not try it with Bruno?
Victor, S. (2009). Bruno, la oveja sin suerte (Kunas, Spanish Translation) Océano Travesía. (Original title published in 2008 as Michel, le mouton qui n’avait pas de chance).

Briana has been hospitalized for two weeks. She has recently been told she will need to stay longer, which makes her angry and bored. We have already been playing different card and board games. She is in first grade, and she really enjoys it. I want to cheer up her days, so I invite her to read Bruno, la oveja sin suerte and to move the character onto another level. We are going to create a board for Bruno, and along the squares, he will encounter his good or bad luck. Together we think up “good” cards and “bad” cards: “Bad luck, Bruno! The butcher takes you away”, “You find raspberries. They give you energy, and you go to square 10.” I tell her I’m going to invite other “neighbors” from the Unit to come up and make cards so the project is collaborative. Briana jumps for joy; she loves school.

Imanol laughs a lot during the reading. He doesn’t speak, but he laughs and is amused. When I suggest that he write cards for the game, he doesn’t hesitate. He comes up with very interesting ideas, and little by little his shyness toward me begins to disappear. I leave him a board so that he can place the numbers and some materials in case he wants to continue making cards. The next day, he receives me with two little sheep on stands he took from another game. He is very pleased with the surprise he has prepared for me. The game is ready to take home tomorrow, when he is discharged.
2. Reading with Azul
I find Azul in a tiny room that, nevertheless, has space for two beds and two armchairs. The person looking after her is her uncle, her mother’s brother; her mother is no longer alive. Azul is a preteen and has a tracheostomy. When I walk in, and she sees me, I sense that she is somewhat intrigued and expectant; her eyes tell me so, as they open wide at my presence.
I begin to talk with her; I tell her that I am a teacher at the hospital school and that I really want to share a book with her, El paseo de Nina (2004) [Nina’s Walk], by Isabelle Carrier. I think that standing in front of Azul and hiding behind the book is not going to work, so I move closer to her and settle as best I can into the armchair next to her bed so that our eyes are at the same height in front of the book. We accompany Nina the elephant on her walk, and I notice that Azul makes an effort to catch each object we come across with her right hand (button, feather, balloon, star). Her movements are somewhat slow and imprecise. Positioning myself as a kind of bodily scaffold, I take her hand so that she can follow the airplane’s trail with her finger.
I do not hear Azul’s voice, the confirming phrase, but the brightness in her eyes tells me that this brief encounter moved her as much as it did me: the word conmover (“to move emotionally”) comes from the Latin commovēre, composed of the prefix com- (“with”, “in company with”) and the verb movēre. We have moved together; we have taken a walk, we have gone away and come back.
Inside the book by Carrier, I. (2004). El paseo de Nina. Edelvives.
In this encounter, I begin to sense something that will be repeated on other occasions. Variations in the use of the voice (volume, rhythm, tone), facial gestures, hands as an instrument of narration, sensitive listening to the surroundings and the moment—these will be the key pieces I will bring into play in each reading.
3. Reading Anthony Browne
I usually take Browne’s books to the rooms when I am in the mood to unsettle and sow questions.
***

We read Piggybook (Browne, 1991) with Briana. I begin reading aloud; then Bri starts joining in and even rushes to read certain fragments before I do. When we finish, she turns the pages back, reviews some scenes and says to me, “Now I’ll read it.” She does not yet read with full fluency, and she goes through the pages with part of the original text and other phrases, she narrates what she observes and interprets in the images, such as the following: “…And a shadow appeared, and they said to themselves: ‘Who is that shadow, if we are here?’”
Cover and inside of picturebook by Browne, A. (1991). El libro de los cerdos (C. Esteva, trad.). Fondo de Cultura Económica. (Original title published in 1986 as Piggybook).
***

I had read some “scary” books with Vicente, with characters like Dracula and other monsters. He told me he had been having some bad dreams. He has been hospitalized for almost a month with his mother. Today I decided to read Into the Forest (2004) by Anthony Browne. He follows my reading very attentively and hurries me along a bit when I pause to point out a detail or to ask him a question. Only when, toward the end, the image of the mother with her open arms appears does the tension disappear from his face, and he affirms, relieved and smiling: “I really liked this one (book) !”
Cover and inside of picturebook by Browne, A. (2004). En el bosque (J. I. Dehesa, trad.). Fondo de Cultura Económica. (Original title published in 2004 as Into the Forest).
***

Ámbar is twelve years old and an avid, sharp reader. I often feel that nothing really surprises or fully engages her. Her face always looks the same, impassive and unperturbed. She does not know Changes (Browne, 1993)… She reads the images carefully, and the story seems to confuse her a bit. She does not seem very convinced, or perhaps, I sense, she feels defeated by this unpredictable text that throws her off balance. I cannot help but feel a bit glad when her face shows a new expression, a growing displeasure, and toward the end of the book, she concludes: “How ominous!”
Cover and inside of picturebook by Browne, A. (1993). Cambios (C. Esteva, trad.). Fondo de Cultura Económica. (Original title published in 1990 as Changes).
By way of conclusion
The three entries I have shared are part of my reading mediation journal as a hospital teacher. In this journal, I have compiled several experiences with child and teenage readers, ranging from the variety of books we have read together to the different modes of reading mediation established according to the medical circumstances that bring us together in a hospital. Mediation, then, is not only reading a book aloud; it is being a bodily scaffold between readers, books, and the hospital room we inhabit at that precise moment.
In this situation of vulnerability—with machines, doctors, medication, physical and psychic pain, and diagnoses that are often hard to hear—children and adolescents often cannot find a space of intimacy that protects them and from which they can unfold their emotions and their potential. In these circumstances, the reading of picturebooks has been an ally in building that private, safe, and comforting space for my readers*.
* All children’s and teenagers’ names mentioned in this entry are pseudonyms.
Ana Irene studied Publishing at the University of Buenos Aires; Teacher Training at Escuela Normal Superior No. 7; the Specialization in Children’s and Young Adult Literature at the National University of San Martín (UNSAM); the Postgraduate Degree in Artistic Resources and Mediations for Teaching at the National University of the Arts (UNA); and the Diploma in Coordination of Narrative Medicine Workshops at the Argentine Society of Narrative Medicine (SAMEN). She has also studied sociology, illustration, and ceramics. She has volunteered on the “Literature and Otherness” committee of ALIJA (the Argentine Association of Children’s and Young Adult Literature), with which they received the 2025 IBBY‑Yamada award. She has also volunteered at the Natalí Flexer Foundation, which supports children with cancer.













