Organism,normativity, plasticity: Canguilhem,Kant, Malabou

Some of Catherine Malabou’s recent work has developed her conception of plasticity (originally deployed in a reading of Hegelian Aufhebung) in relation to neuroscience. This development clarifies and advances her attempt to bring contemporary theory into dialogue with the natural sciences, while indirectly indicating her engagement with the French tradition in philosophy of science and philosophy of medicine, especially the work of Georges Canguilhem. I argue that we can see her development of plasticity as an answer to some specific shortcomings in Canguilhem’s conception of organic or biological normativity as advanced in The Normal and the Pathological. Such a view of plasticity shows its potential to provide the basis for a powerful critical engagement with contemporary conceptions of selfhood, self-transformation, subjectivation, and the general theory of norms.     

Gray Matters: A Deployed Physician’s Perspective on Combat Medicine in Iraq

A female physician who was serving as a first-year medicine resident in Manhattan in September 2001 writes this paper. It details her experience of signing up for military service as a result of the September 11th attack on the United States. She lays out the surroundings, atmosphere, and reactions of those around her during the attack and details her own personal motivations for joining the military, her need to take control and help those in need heal while also trying to heal herself. Grateful, yet haunted by her experience, she provides an intimate glimpse into her time serving as a combat physician at a trauma hospital in Balad, Iraq during the 2007 military surge. A trained geriatrician and palliative care physician she recounts the stories of several patients that have forever shaped her life and explores the contradictions and ethical challenges she faced while caring for them ultimately struggling with the uncertainty of whether what she was truly doing was good for those she served or herself.     

Caught in a Lie: The Rise and Fall of a Respectable Deviant

ABSTRACT

In this study, we draw on the concept of respectable deviance to understand the journey into deviance – from her rise as an alternative health expert through to her public disgrace – of Belle Gibson, a young Australian blogger, app publisher, and alternative medicine advocate who falsely claimed to have cured cancer without reverting to science-based medicine. Through the rigorous analysis of a series of media and documentary sources where Ms Gibson provided autobiographical accounts of her life experience, the argument is presented that the promotion of one’s self as a health expert and subsequently being outed as a fraudster encourages techniques of neutralization and particular presentations of self to respond and manage negative labeling and the stigma attached.     

Biography as an Art Form: The Story of Helen Flanders Dunbar,M.D., Ph.D., B.D., and Med. Sci. D

Helen Flanders Dunbar (1902–1959) was a physician, medieval and Renaissance scholar, theologian, and founder of the American Psychosomatic Society and its journal Psychosomatic Medicine. Her contributions are not currently well known but deserve recognition from all those involved or interested in the dialogue between medicine and spirituality. This essay explores Dunbar’s personal history and professional achievements. It focuses particular attention on a feminist perspective regarding her life and work. It will conclude with a discussion of how biography, as an art form, transforms both author and audience. This essay was originally presented as the Second Annual J.R. Williams Memorial Lecture on Spirituality and Medicine at the Tulane School of Medicine in fall 2013.     

Beneficence,Interests, and Wellbeing in Medicine: What It Means to Provide Benefit to Patients

Abstract

Beneficence is a foundational ethical principle in medicine. To provide benefit to a patient is to promote and protect the patient’s wellbeing, to promote the patient’s interests. But there are different conceptions of wellbeing, emphasizing different values. These conceptions of wellbeing are contrary to one another and give rise to dissimilar ideas of what it means to benefit a patient. This makes the concept of beneficence ambiguous: is a benefit related to the patient’s goals and wishes, or is it a matter of objective criteria that constitute wellbeing? This paper suggests a unified conception of wellbeing for use in medicine to determine what counts as a benefit. Two components of wellbeing are identified: (1) objective functioning/health and (2) the patient’s view of her own good. The paper explores how to apply, balance, and weigh these components in clinical situations to determine what counts as a benefit to a patient.     

Helen Flanders Dunbar,John Dewey,and clinical pragmatism: reflections on method in psychosomatic medicine and bioethics

This article outlines the method utilized by physicians and major figures in the founding of Clinical Pastoral Education, Helen Flanders Dunbar, in her work of 1943, Psychosomatic Diagnosis, and relates it to the currently evolving approach in bioethics known as clinical pragmatism. It assesses Dewey's influence on both Dunbar in psychosomatic medicine and clinical pragmatism in bioethics, and illustrates the breadth of influence of the school of philosophical thought known as pragmatism with which Dewey's name and those of William James and Charles Sanders Pierce are most often identified.     

Perceptions of Postdrinking Female Sexuality: Effects of Gender,Beverage Choice,and Drink Payment1

To examine the postulate that the drinking woman is viewed differently than her nondrinking counterpart, two experiments were conducted. In Study 1, 174 subjects completed an alcohol expectancy questionnaire that was modified to assess expected alcohol effects on another person: young man or young woman. The woman was perceived as being more sexual after drinking than was the man. These perceptions were also influenced by expected alcohol dosage, subjects' gender, and drinking experience. In Study 2, 176 subjects read a vignette depicting a woman having drinks with a man. To manipulate the stimulus woman's consumption and the drink payment arrangement, 8 versions of the vignette were employed: The woman was described as drinking cola or alcohol (beer, wine or whiskey) and as paying for her own drinks or allowing the man to “pick up the tab”. Subjects rated the drinking woman as significantly more aggressive, impaired, sexually available, and as significantly more likely to engage in foreplay and intercourse. Perceptions of her sexual disinhibition and likelihood of sex play were significantly enhanced if the man bought the drinks. Compared to their own perceptions of her, subjects estimated that her date would see her as significantly more disinhibited and socially skilled and as less impaired. The alcohol-drinking woman was also seen as less attractive than her cola-drinking counterpart. Practical implications regarding stereotypes about cross-gender drinking situations and theoretical implications regarding alcohol expectancy research are discussed.     

Object loss, renewed mourning, and psychic change in Jane Austen's Persuasion

Austen's extraordinary realism in depicting the dynamic internal processes which follow on the heroine's loss in Persuasion becomes clear in the light of a psychoanalytic understanding of mourning. Persuasion dramatizes the effects of a mother's death in adolescence as these come into play at the time of the heroine's separation from her fiancée and her later mourning. The thesis of this paper is that, despite falling in love with the brilliant hero, an unfinished mourning and an unconscious identification with her dead mother helped to persuade the heroine Anne Elliot to break her engagement, to create a 'final parting' as her mother had done to her in dying. The heroine's internal monologues show that she has projected some of the darker feelings of mourning, her anger and resentment, on to the hero and that she reopens a complex mourning process, partly through the displacement of affect, showing how traumatic effects of loss can be worked through in deferred action, effecting positive psychic change.     

The Diremption of Love: Gillian Rose on Agency,Mortality, and Hegelian Feminism

Gillian Rose (1947–1995) was an influential though idiosyncratic British philosopher whose work helped introduce the Frankfurt School's critical theory and renew interest in Hegel, Kierkegaard, and Jewish thought in Anglo‐American philosophy. After years of relative oblivion, her life and thought have recently received new attention in philosophy, sociology, and theology. However, her work's critical Hegelian contribution to feminist philosophy still remains unexplored. This article seeks to reassess the place and the meaning of feminism and gender identity in Rose's work by addressing both her philosophical writings and her personal memoir, written in the months preceding her untimely death. It argues that although Rose's overall work was not developed in a feminist context, her philosophy, and in particular her ethical‐political notion of diremption, is valuable for developing a critical feminist philosophy that overcomes the binaries of law and morality, inclusion and exclusion, power and powerlessness—and focuses on the meaning of love as negotiating, rather than mediating, these oppositions.     

Activity,Passivity, and Normative Avowal

The idea that agents can be active with respect to some of their actions, and passive with respect to others, is a widely held assumption within moral philosophy. But exactly how to characterize these notions is controversial. I argue that an agent is active just in case (A) her action is one whose motive she can truly avow as reason‐giving, or (B) her action is one whose motive she can disavow, provided her disavowal effects appropriate modifications in her future motives. This view maintains a link between activity, reason‐responsiveness, and answerability, while avoiding commitments to an implausible theory of motivation.     

Dance,Knowledge, and Power

Susanne K. Langer contributed an exhaustive account of aesthetics, Feeling and Form, in which she articulated her schema of the virtual and wove together the aesthetic elements of music, visual arts, dance, and literature/theater. This analysis of her work centers on two key concepts within her philosophy: the virtual as the aesthetic effect of the work and the perception of the work through intuition. In this paper, I re-read Langers philosophy through a perspective built on intersections between phenomenology, pragmatism, and post-structuralist theory in order to reveal the relevance of her work to current understandings of how the dancing body produces and conveys meaning. I endeavor to show how her work provides a practical, conceptual system for understanding dance as an a-linguistic form of meaning-making, bodily experience, and knowledge.     

(My) spirituality in medical education

During these times of the situated, contingent text, it is not unusual for an author to disclose her biases and other sources of potential partiality as a researcher or theorist. That is, an author often discloses her race, class origins, or sexual orientation at the onset, announcing particularities that enable readers to adjust their reading to the subjectivities inherent to knowledge production. One glaring omission to these announcements, especially in medicine, has to do with the spiritual domain. This essay, written as a personal narrative, provides one example of how one's spirituality is connected to what and how one chooses to teach, even in the medical academy. Acknowledging those beliefs and considering how our spirituality (along with our other subjectivities that are known to us) may influence our work is an important process in developing a more reflective practice.     

Nonverbal Behaviors and Perceptions of Sexual Intentions: Effects of Sexual Connotativeness,Verbal response,and Rape Outcome

Through the exchange of nonverbal and verbal behaviors, a man and a woman on a date negotiate situated identities. However, a woman's nonverbal and verbal behaviors may reflect an identity discrepant from the one she intended to project, leading to miscommunication between men and women regarding the woman's desire for sexual activity. In Experiment 1, subjects read scenarios in which a woman, Mary, engaged in behaviors that were low, moderate, or high in the degree to which they connotated a desire for sex. In addition, they learned that Mary responded to her date's sexual advances either by saying "no," or by slapping him, or they received no information regarding Mary's verbal response. Subjects were also informed that Mary's date either did or did not force her to have sexual intercourse. Subjects perceived Mary more sexually as her behaviors increased in sexual connotation. In addition, they perceived that Mary desired sex more when no information about her verbal response was provided than when she resisted her date's sexual advances. Subjects also rated the woman more negatively when her nonverbal behaviors were incongruent with her responses to her dale's sexual advances. Contrary to previous research, little evidence of victim derogation was obtained. Results from Experiment 2 showed that men and women agreed in their perceptions of a woman whose behaviors connoted a high interest in sex, but that men perceived behaviors low in sexual connotation ore sexually than women. Implications of the data for understanding sexual miscommunication between men and women as well as reactions to rape victims are examined.     

Professional beliefs related to the practice of pediatric medicine and school psychology

This article proposes that pediatric medicine and school psychology are complementary fields. Five professional beliefs are reviewed: (a) the importance of classification, (b) a preference for evidence-based interventions, (c) an endorsement of advocacy in public policy, (d) the importance of working with the whole child including his/her parents, and (e) an assertion of team leadership. Each belief is discussed as a core value of pediatric medicine and considered for points of connection with school psychology. Some of these beliefs are widely shared by school psychologists, others are rejected because of historical and situational factors, and all warrant consideration in light of school psychology's continuing evolution.     

Education With Mind,Heart, and Soul: An Interview With Mary Finn Maples

Dr. Mary Finn Maples is a historic figure in the counseling field. She has been president of the American Counseling Association and president of the Association for Spiritual, Ethical, and Religious Values in Counseling (ASERVIC). She was one of ASERVIC's earliest members, dating back to when it was known as the National Catholic Guidance Conference. Dr. Maples has had an extensive career, and this article highlights some areas of her career, particularly pertaining to her time and commitment to ASERVIC and religious or spiritual issues in counseling. This interview focuses on her career, philosophy, and dedication to the field.     

Moral Competence, Moral Blame, and Protest

I argue that wrongdoers may be open to moral blame even if they lacked the capacity to respond to the moral considerations that counted against their behavior. My initial argument turns on the suggestion that even an agent who cannot respond to specific moral considerations may still guide her behavior by her judgments about reasons. I argue that this explanation of a wrongdoer’s behavior can qualify her for blame even if her capacity for moral understanding is impaired. A second argument is based on the observation that even when a blameworthy wrongdoer could have responded to moral considerations, this is often not relevant to her blameworthiness. Finally, I argue against the view that because blame communicates moral demands, only agents who can be reached by such communication are properly blamed. I contend that a person victimized by a wrongdoer with an impaired capacity for moral understanding may protest her victimization in a way that counts as a form of moral blame even though it does not primarily express a moral demand or attempt to initiate moral dialogue.     

Beauvoir,Hegel, War

The importance of Hegel to the philosophy of Simone de Beauvoir, both to her early philosophical texts and to The Second Sex, is usually discussed in terms of the master‐slave dialectic and a Koj$eGve‐influenced reading, which some see her as sharing with Sartre, others persuasively describe as divergent from and corrective to Sartre's. Altman shows that Hegel's influence on Beauvoir's work is also wider, both in terms of what she takes on board and what she works through and rejects, and that her reading of Hegel is crucially inflected by two additional circumstances that Sartre did not entirely share: the experience of her first serious study of Hegel as a noncombatant in Paris during the German occupation and her earlier direct exposure to an eccentric, idealist reading of Hegel as developed by the group Philosophies in connection with surrealism and the artistic avant‐garde. Altman also explores the afterlife of Hegel's influence on Beauvoir on second‐wave feminism in the United States and Europe, and suggests continuing relevance to feminist theory today.     

Ontological Phenomenology: The Philosophical Project of Hedwig Conrad-Martius

The special importance of the system of Hedwig Conrad-Martius lies in that she takes up the ideas of her teacher Husserl and pursues them on an independent path of phenomenology carefully anchored in the history of philosophy. This above all made possible the philosophical grasping of the then revolutionary findings in the modern natural sciences, especially in physics and medicine. The question concerning the border between the natural sciences and philosophy is today still debated with just as much urgency—indeed, ethically with even more urgency—as it was in her time. By virtue of this alone, her ideas can be of great help to us. The natural scientific progress made since her time does not, however, present a barrier; rather it corresponds to the spirit of phenomenology: not to produce results with rigid intellectual frameworks, but to make available a tool with which the world in its diversity—and thus also for its modern, ever-changing issues—can be disclosed ever anew. The essay will consist of an overview of the life of Hedwig Conrad-Martius, an introduction to the essential ideas of her work: her concept of essence and her formulation of phenomenological ideation [Wesensschau], a brief sketch of her epistemology and an exposition of her ontological conception of “real ontology” [Realontologie].

Sexual Experience: Foucault,Phenomenology, and Feminist Theory

This paper explicates Foucault's conception of experience and defends it as an important theoretical resource for feminist theory. It analyzes Linda Alcoff's devastating critique of Foucault's account of sexuality and her reasons for advocating phenomenology as a more viable alternative. I agree with her that a philosophically sophisticated understanding of experience must remain central for feminist theory, but I demonstrate that her critique of Foucault is based on a mistaken view of his philosophical position as well as on a problematic understanding of phenomenology.     

Playing dead: an unconscious fantasy, bodily focused defenses, and their roots in infancy

A patient's unconscious fantasy of being her mother's dead baby emerged during the course of a long analysis, and was understood as her expression and explanation, constructed and elaborated throughout her development, of a fundamental and formative early infant state and experience. This patient's identification with a baby who had died before she was born was connected to her major complaint, a pervasive feeling that she could not act with intention, and to her obsessive ruminations, compulsive actions, and masochistic attacks on her body. The bodily based aspects and focus of these defenses were autistic-like, self-directed activities that can be understood as having their roots in what was experienced as catastrophic loss in the earliest weeks and months of life. Infant research, particularly on contingency detection, is especially useful in clarifying the ways in which these defenses may form, and in reconstructing and tracing the trajectories and intricate transformations of body ego, self- and other representations, and defenses from their earliest beginnings to their current manifestations in patients' fantasies and symptoms.