During the late 20thcentury numerical rating scales became central to the diagnosis of dementia and helped transform attitudes about its causes and prevalence. Concentrating largely on the development and use of the Blessed Dementia Scale, I argue that rating scales served professional ends during the 1960s and 1970s. They helped old age psychiatrists establish jurisdiction over conditions such as dementia and present their field as a vital component of the welfare state, where they argued that ‘reliable modes of diagnosis’ were (...) vital to the allocation of resources. I show how these arguments appealed to politicians, funding bodies and patient groups, who agreed that dementia was a distinct disease and claimed research on its causes and prevention should be designated ‘top priority’. But I also show that worries about the replacement of clinical acumen with technical and depersonalized methods, which could conceivably be applied by anyone, led psychiatrists to stress that rating scales had their limits and could be used only by trained experts. (shrink)

I try to understand the ordeal of solitude by beginning with Marc Augé’s usage on transitional sites as a provocation, which leads us to rethink solitude as a condition of subjectivity and its various inflections, most conventionally as loneliness and, in sociology, as fragmentation, anonymity, alienation, privatization and the various opinions that link it to the deprivation of separation that longs for connection, or, more fundamentally in Simmel, as the ontological view of the tragedy of human limitation. Instead of restricting (...) us to sites, Augé’s provocation suggests that if solitude is one of a family of such usages related to the experience of being alone or apart in such a space, we might then examine ways in which it is oriented to as a condition that can vary according to extremes, say, in the way Arendt and others have contrasted the pain of loneliness with the creativity of solitude. In linking solitude to transitional sites, Augé suggests that there is something about the experience of the in-between, whether of time or space, that illuminates solitude and that makes any relationship to it a potential ordeal. I test the notion by asking how the ordeal pertains to language itself and the intermediacy of a human subject in linguistic space. (shrink)

This article compares science and the novel as different rhetorical strategies for representing relationships to the limits of knowledge and what seems unknown. I draw on Kenneth Burke's figure of “equipment for living” to revive the question of the value of knowledge and art for life, identifying the comparison between science and the humanities itself as a social phenomenon and focusing on the uses and rhetorical value of such disciplines and of literature for life in a period ruled by concerns (...) for so-called applied knowledge and dreams of its transfer and dissemination. In this way, I try to escape from a notion of rhetoric limited solely to social interaction and the mutual persuasiveness of selves in order to develop, by linking rhetoric to subjectivity, a rhetorical approach to the consciousness of a subject conceived as relating to the limits of what can be known. (shrink)