Asthma,Power, and the Therapeutic Conversation

Previous research has indicated that family therapy may be of use when a child has chronic, uncontrolled asthma. The significant power relations were considered to be those between the child and the parents. In this article, I examine the wider contextual relations that the family encounters when asthma is a problem, and suggest that these relations are unable to be understood without more thoroughly theorizing power. Because of power relations, the meanings of therapeutic encounters for families and health care professionals may not be consensual. The effect may be to hamper adequate asthma management. I suggest that when Foucault's work is examined alongside that of Hoffman, and Anderson and Goolishian, then the processes that distort these understandings are more readily understood. These ideas are illustrated with examples from a rsearch project.     

The rainbow bridge: an approach to family systems via Howards End

Bateson's ideas of artistic expression, the continuity of Art and Science and the nature of Mind are used as cues for the exploration of Howards End, E. M. Forster's novel of family life. Illustrations of systemic concepts are given from the text. Particular relevance is suggested for the use of literary examples in family therapy training and in the development of family systems theory.     

Tales of the Absent Father: Applying the “Story” Metaphor in Family Therapy

Father-absent families often function with a lively father-presence conveyed by stories the family members share. The metaphor of “story” proposed by social constructionist and narrative approaches to therapy helps us to conceptualize the role these family stories play. The story metaphor draws attention to four issues: the rendition of what is said and unsaid about the father; the connections among past, present, and future ideas about father and family; the reciprocal influences of expression and experience, seen in the family's stories and interactions; and the impact on the family and the therapeutic process of dominant narratives about father-absence. Exploration of these issues demonstrates how client and therapist stories about the absent father mediate the impact of father-absence on the family.     

Reply to Reynolds

Abstract

How should we read Foucault's claims, in his late work, for the relevance of ‘aesthetic criteria’ to politics? What is Foucault's implicit understanding of the nature of aesthetics and the autonomy of the aesthetic sphere? Would an ethics which gave a place to the aesthetic legitimize a politics of manipulation, brutality and aggression ‐ in short, a ‘fascist’ politics ‐ as some of Foucault's critics argue? In this paper, I examine key accounts of the fascist ‘aestheticization of politics’ ‐ from Walter Benjamin's classic essay, ‘The Work of Art in the Age of Mechanical Reproduction’ (1936), to Philippe Lacoue‐Labarthe's work on the relation between Heidegger's philosophy and the fascist theme of politics as the plastic art of the state. Through a discussion of Foucault's late work, the paper demonstrates the connection between Foucault's turn to ancient Greek ethical practices and his call for a contemporary renewal of the idea of ethics as an art of living. The aim of the paper is to show in what ways the ethico‐political position which is presented in Foucault's late work, far from contributing to a fascist politics, in fact provides ways of thinking about the relationship between the aesthetic and the political which avoid both mindless radicalism and totalitarian narcissism. In doing so, the key question is, ‘What's aesthetic about Foucault's “aesthetics of existence"?’     

Emotions as ecosystemic adaptations

Despite Gregory Bateson's interest in emotion and culture, the potential for understanding emotion systemically and culturally was lost very early in the mainstream development of family therapy, partly as a reaction to the dominant psychiatric‐psychoanalytic paradigm of North America at the time. In those pioneering years, to take emotion seriously was to risk appearing stuck in a one‐person psychology. In an interesting paradox, it is relational psychoanalysts and parent–infant researchers such as Beatrice Beebe and Frank Lachmann who have recently turned to systems theory to give a fuller account of emotions and emotional regulation in self and relationships. The author draws on their ideas together with the work of Peter Fonagy, Patricia Crittenden, Jessica Benjamin, Britt Krause and others to sketch briefly an ecosystemic theory of emotional expression. This sketch is used to give contextual meaning to two contrasting clinical topics in relation to anger: self‐harm and conduct ‘disorder’.     

Governmentality, Critical Scholarship, and the Medical Humanities

Foucault's work has had a profound impact on the medical humanities over the last decade or so. However, most work to date has focused on Foucault's earlier writings rather than his later contributions on the self and governmentality. This article assesses the significance of the concept of governmentality for critical scholarship in the medical humanities, particularly in creating ethical awareness in the field of health care. It examines the context for Foucault's later work, and contributions arising from scholarship building on this work. The governmentality literature, it is argued, raises novel questions about the ways we have come to think about health care in late modern societies. However, there are some limitations with this body of work which have not been fully acknowledged by scholars. The article discusses some of these limitations and offers some suggestions for a fruitful way forward.     

“I am NN”: A Reconstruction of Anscombe's “The First Person”

This paper develops a way of understanding G. E. M. Anscombe's essay “The First Person” at the heart of which are the following two ideas: first, that the point of her essay is to show that it is not possible for anyone to understand what they express with “I” as an Art des Gegebenseins—a way of thinking of an object that constitutes identifying knowledge of which object is being thought of; and second, that the argument through which her essay seeks to show this is itself first personal in character. Understanding Anscombe's essay in this light has the merit of showing much of what it says to be correct. But it sets us the task of saying what it is that we understand ourselves to express with “I” if not an Art des Gegebenseins, and in particular what it is that we understand ourselves to express with sentences with “I” as subject that might seem to express identity judgments, such as “I am NN”, and “I am this body”.     

Foucault and Familial Power

This paper provides an overview of Michel Foucault's continually changing observations on familial power, as well as the feminist‐Foucauldian literature on the family. It suggests that these accounts offer fragments of a genealogy of the family that undermine any all‐encompassing or transhistorical account of the institution. Approaching the family genealogically, rather than seeking a single model of power that can explain it, shows that far from this institution being a quasi‐natural formation or a bedrock of unassailable values, it is in fact a continually contested fiction that masks its own histories of becoming.     

Ibsen's Nora and the Confucian Critique of the “Unencumbered Self”

Criticisms of the liberal‐individualist idea of the “unencumbered self” are not just a staple of communitarian thought. Some modern Confucian thinkers are now seeking to develop an ethically particular understanding of social roles in the family that is sensitive to gender‐justice issues, and that provides an alternative to liberal‐individualist conceptions of the “unencumbered self” in relation to family roles. The character of Nora in Henrik Ibsen's A Doll's House seemingly exemplifies such conceptions of the unencumbered self in her rejection of her housewife role for a more authentic selfhood. Drawing upon the capabilities approach to justice, and positive early Japanese bluestockings’ responses to Ibsen's play, I argue that Nora's character is better understood as exemplifying an ethically compelling disencumbered self in potentially cross‐cultural circumstances: a self criticizing and rejecting social roles that are found to be unjust according to universal, as opposed to particularist, “Confucian” ethical standards.     

Foucault's neoliberal ideology

Foucault's analysis of neoliberalism in The Birth of Biopolitics has had a considerable influence on the way that it is currently regarded. Nevertheless, his analysis is beset by numerous metatheoretical and methodological problems, which cause him to badly frame the phenomenon empirically. One expression of these problems is Foucault's willingness to accept at face value the way that neoliberalism's leading theorists portray it. Yet, over the past 40 years, what neoliberal theorists have said about neoliberalism has sharply deviated from its actual practices, which suggests that neoliberalism is an ideology, but because Foucault rejects the concept of ideology, his framework cannot entertain this possibility. Those who critique neoliberalism on the basis of his analysis, even when in opposition to Foucault's own inclinations, generally start from his uncritical assumptions and therefore often undercut the very purposes for which they put him to use. One such example is Wendy Brown, whose own influential Undoing the Demos demonstrates this inclination.     

Gatekeepers and the “Chomskian revolution”

The widely believed folk history of the confrontation between an established neo-Bloomfieldian generation and the revolutionary advances of transformational grammarians bears little relation to the open access to publication that Noam Chomsky encountered in the 1950s. Although a rhetoric of revolutionary conflict appeared, it cannot be attributed to attempts by the established generation to suppress new ideas, as in Thomas Kuhn's morphology of scientific revolutions. The central neo-Bloomfieldian gatekeeper, Bernard Bloch, fostered the diffusion of Chomsky's ideas and promoted the careers of Chomsky and Robert Lees. Other prominent neo-Bloomfieldians, regarding Chomsky as continuing the work of his teacher Zellig Harris, were sympathetic to his ideas and ready to concede his advances in syntactic theory. Nonetheless, Chomsky and his followers adopted an aggressive stance, denying the value of preceding work in structuralist linguistics. Although the case is anomalous for Kuhn's theory, it fits a sociological theory of scientific revolutions.     

Disciplinary Relations/Sexual Relations: Feminist and Foucauldian Reflections on Professor–Student Sex

Drawing on Michel Foucault's writings as well as the writings of feminist scholars bell hooks and Jane Gallop, this paper examines faculty–student sexual relations and the discourses and policies that surround them. It argues that the dominant discourses on professor–student sex and the policies that follow from them misunderstand the form of power that is at work within pedagogical institutions, and it examines some of the consequences that result from this misunderstanding. In Foucault's terms, we tend to theorize faculty–student relations using a model of sovereign power in which people have or lack power and in which power operates in a static, stable, and exclusively top‐down manner. We should, however, recognize the ways in which individuals in pedagogical institutions are situated within disciplinary and thus dynamic, reciprocal, and complex networks of power, as well as the ways in which the pedagogical relation may be a technique of the self and not only of domination. If we reconsider these relations in terms of Foucault's accounts of discipline and technologies of the self, we can recognize that prohibitions on faculty—student sexual relations within institutions such as the university are productive rather than repressive of desire, and that such relations can be opportunities for development and not only for abuse. Moreover, this paper suggests that the dominant discourses on professor—student relations today contribute to a construction of professors as dangerous and students as vulnerable, which denies the agency of (mostly female) students and obscures the multiplicity of forms of sexual abuse that occur within the university context.     

Anarchic Bodies: Foucault and the Feminist Question of Experience

The article shows that Michel Foucault's account of the sexual body is not a naive return to a prediscursive body, nor does it amount to discourse reductionism and to the exclusion of experience, as some feminists have argued. Instead, Foucault's idea of bodies and pleasures as a possibility of the counterattack against normalizing power presupposes an experiential understanding of the body. The experiential body can become a locus of resistance because it is the possibility of an unpredictable event.     

Power,Subjectivity, and Agency: Between Arendt and Foucault

The author argues for bringing the work of Michel Foucault and Hannah Arendt into dialogue with respect to the links between power, subjectivity, and agency.Although one might assume that Foucault and Arendt come from such radically different philosophical starting points that such a dialogue would be impossible, the author argues that there is actually a good deal of common ground to be found between these two thinkers. Moreover, the author suggests that Foucault's and Arendt's divergent views about the role that power plays in the constitution of subjectivity and agency should be seen as complementary rather than opposed.     

An Immodest Proposal: Foucault,Hysterization, and the “Second Rape”

This article places Foucault's 1977 suggestions regarding the reform of French rape law in the context of ongoing feminist debates as to whether rape should be considered a sex crime or a species of assault. When viewed as a disciplinary matrix with both physical and discursive effects, rape and the rape trial clearly contribute to the “hysterization” of women by cultivating complainants' confessions in order to demonstrate their supposed lack of self-knowledge.     

Complicating Power in High-Tech Reproduction: Narratives of Anonymous Paid Egg Donors

This paper is informed by my own participant observation and uses my own ethnography which included conducting in-depth interviews with anonymous paid egg donors and observing a listserv for women considering, pursuing, or having completed egg donation, to illustrate the way that power operates at this particular site of the reproductive center in postmodernity. After outlining who the consumers and providers of eggs are, I will use Foucault's concepts of biopower, disciplinary power, and normativity to describe how anonymous paid egg donation plays a socially useful role in reproducing privilege and in preserving the myth of the nuclear family. Drawing on feminist theorizing to problematize altruism, I will show how the construction of the altruist narrative feeds the preservation of that myth by giving egg donors appropriately feminine motivations. Finally, I will focus on one particular site of resistance on the part of egg donors—controlling their self-presentation, tweaking the pool of eggs—to underscore the simultaneity of control of and control by egg donors.     

Truth and the ‘Politics of Ourselves’

The authors take up Amy Allen's suggestion that while Foucault's work may be able to support a certain type of self‐critique and self‐development, it does not permit the kind of interpersonal relations that are necessary for the development of intersubjective meaning in struggles against imposed identities. The authors contend that for Foucault, relations of ‘truth’ play an important constitutive role in subjectivities, and that understanding the ‘politics of ourselves’ in the context of this truth shows not only an openness to meaningful interpersonal relations, but also that these relations are capable of generating the conceptual and normative resources necessary for resisting socially imposed subjectivities. The authors present such an account of intersubjective relations based on Foucault's discussion of parrhesia, and develop a model of collaborative political action that addresses the criticisms raised.     

Madness strikes back

This commentary is concerned with the involvement of mental health service users in research. It will argue that research carried out by service users is one way of giving voice to a previously silenced group—the mad. It is one way in which ‘Madness Strikes Back’. The main theoretical model to be used is that of the early Foucault. I will not be concerned with what has become known as ‘Foucauldian discourse analysis’ since nowhere in Foucault's writing is there reference to conversation or talk. I will, however, be concerned with power as mental health service users are amongst the most disempowered of groups in all societies. I will also be concerned with Foucault's claim that, since the Enlightenment, madness has been positioned as the antithesis of reason, as ‘unreason’. This distinction can be argued to persist in the field of research. Copyright © 2008 John Wiley & Sons, Ltd.