The idea has recently taken root that evolutionary theory and social constructivism are less antagonistic than most theorists thought, and we have even seen attempts at integrating constructivist and evolutionary approaches to human thought and behaviour. We argue in this article that although the projected integration is possible, indeed valuable, the existing attempts have tended to be vague or overly simplistic about the claims of social constructivist. We proceed by examining how to give more precision and substance to the research (...) programme of evolutionary social constructivism, a task we accomplish by focusing on the specific selection pressures that may have shaped the psychological and cultural mechanisms that give rise to social constructions. The benefit of such an integration for social constructivism is to have a solid foundation in the natural sciences. For evolutionists, evolutionary social constructivism offers a wider assortment of methods with which to study the interplay between culture and human nature. (shrink)

John Paley has rightly observed that, while spirituality is widely discussed in the nursing literature, the discussions are uncritical and unproblematic. In an effort ‘to reconfigure the spirituality‐in‐nursing debate, and to position it where it belongs: in the literature on health psychology and social psychology, and not in a disciplinary cul‐de‐sac labelled “unfathomable mystery” ’, Paley has proposed an alternative, reductionist approach to spirituality. In this paper, I identify two critiques developed by Paley: one political, the other ‘logical’. Paley's political (...) critique claims the concept of ‘spirituality’ has been appropriated by nursing theorists as part of an attempt to accrue professional power and jurisdiction over occupational territory. I suggest that Paley's analysis masks his own exclusivist, secularizing jurisdictional claim made at the expense of spirituality. Paley's so‐called ‘logical’ critique is motivated by an intention to ‘determine what the “spirituality” terrain looks like from the naturalistic point of view’. However, noting a number of inconsistencies, I challenge his ‘logical move’ as a naïve attack on a straw man. In place of Paley's reductionism, I propose my own alternative alternative and argue (after Foucault) that ‘spirituality’ is a discourse, a non‐reductionist attempt, in a post‐religious society, to speak about the human condition open to the unknown. I conclude with a definition and a description of empirically congruent spirituality. (shrink)

This article discusses some of the most recent developments in US mental health services that follow on the heels of the for-profit hospital scandal that was brought to public attention less than a decade ago. As individuals and as a profession, nurses have a responsibility to uncover, openly discuss and condemn malfeasance when it occurs, yet there has been a collective silence about these developments. The authors explore the reasons for this and make recommendations for regaining nursing’s moral voice and (...) integrity. (shrink)

The following text is an introduction to Ed Cohen’s book A Body Worth Defending: Immunity, Biopolitics and the Apotheosis of the Modern Body. Author investigates the way in which immunology influences the perception of both the human body, and political entities, demonstrating that contemporary conceptualizations of these phenomena exist in a double bind. The historical framework Cohen applies allows for tracing the history of the metaphor of immunity in politics and medicine.

The analysis undertaken in this paper explores the significance of a central finding from a recent field study of home care case management practice: a notable feature of case management work is the preparation of an orderly, ordered space where care may be offered. However, out of their encounters with an almost endless variety of situations, out of people's diverse narratives of need, case managers seem able to pick out only limited range of recognized needs to which to respond and (...) demonstrate a series of responses themselves equally limited. Though this observation suggests a kind of efficiency that is currently highly valued within healthcare systems, it also underlines the system's inability to engage difference and variability in a meaningful way. This inability or limitation in effectively engaging difference is conceptualized here as, in some sense, a problem, and the nature of this problem is explored through the rhetorical process of problem setting. The central question becomes how might we develop and deploy an orderly and coherent system of care without essentializing people's experiences, without treating these experiences reductively, without, in a Foucaultian frame of reference, allowing what can be understood as similarity or resemblance among clients and situations to be folded back into sameness? As we encounter complexity, variability and difference in practice, how should we treat it? (shrink)

The aim of this discussion paper is to explore factors and contexts that influence how nurses might conceptualise and assign personhood for people with altered consciousness, cognition and behaviours. While a biomedical framing is founded upon a dichotomy between the body and self, such that the body can be subjected to a medical and objectifying gaze, relational theories of self, multiculturalism and technological advances for life‐sustaining interventions present new dilemmas which necessitate discussion about what constitutes personhood. The concept of personhood (...) is dynamic and evolving: where historical constructs of rationality, agency, autonomy and a conscious mind once formed the basis for personhood, these ideas have been challenged to encompass embodied, relational, social and cultural paradigms of selfhood. Themes in this discussion include: the right to personhood, mind–body dualism versus the embodied self; personhood as consciousness, rationality and narratives of self; social relational contexts of personhood and cultural contexts of personhood. Patricia Benner's and Christine Tanner's clinical judgement model is then applied to consider the implications for nursing care that seeks to reflexively incorporate personhood. Nurse clinicians are able to move between conceptions of personhood and act to support the body, as well as presumed autonomy and relational, social and cultural personhood. In doing so, they use analytical, intuitive and narrative reasoning which prioritises autonomous constructions of self. They also incorporate relational and social contexts of the person receiving care within the possibilities of technological advances and constraints of contextual resources. (shrink)

In his later lectures, Foucault analyzes confession as a key exercise of the Christian pastoral power. The pastoral power’s creation of a lifelong obligation to speak the truth of oneself is a ‘prelude’ to modern practices of government, and a key facet of modernity. There has been some confusion regarding the scope of Foucault’s study. Is it medieval Christian confessional practices or Christian obedience itself that is his theme? In this article, I revisit all of the later lectures touching on (...) confession and avowal in order to clarify Foucault’s ambivalence about Christian proto-governmentality. Foucault exposes two regimes of truth, belief and confession, and offer a practice-based, confession-centred history of the pre-modern self. Connecting his lectures to his method of anarchaeology clarifies how the force of truth (the ‘you have to’) is, for Foucault, a fundamental if ambivalent historical-cultural problem of government. (shrink)

Often a physician’s first introduction to a patient is not a physical encounter but a review of their chart. A glaring “violence risk” flag in an Electronic Medical Record (EMR) is often noticeable...

The call for a biosemiotic perspective within medical semiotics has been steadily increasing over the late twentieth and early twenty-first centuries. In _Food and Medicine: A Biosemiotic Perspective_, Yogi Hale Hendlin, Johnathan Hope, and the nine contributions in their edited volume boldly seek to bridge the segregation between nature and culture in the medical sciences as well as in the medical humanities. To a large extent, they achieve this aim by explicating the sign relations _in_ food and medicine, the sign (...) relations _of_ medical theory and practice, and the sign relations _between_ the biology in medicine and medicine of society. Taking up a semio-historical approach, I contextualize two select contributions from Hendlin and Hope’s _Food and Medicine_ with the medical semiotics of the Hippocratic tradition. By comparing the biological semiotics from the contributions to the medical semiotics from the Corpus, I critically explicate the ways in which biosemiotics moves this subdiscipline forward and why the perspective is significant not only for the health of humans, but also for the health of other animals, and indeed for the health of the planet that we all inhabit together. On these grounds, I propose a turn from medical semiotics to _health semiotics_. This program for semiotics would encompass not only food and medicine, but also lifestyle and wellbeing, as well as the subjective, qualitative perspectivism that makes biosemiotics frontier research, thereby constituting a biosemioethics and promoting a semiotic fitness. (shrink)

Opponents of the provision of therapeutic, healthy limb amputation in Body Integrity Identity Disorder cases argue that such surgeries stand in contrast to the goal of medical practice – that of health restoration and maintenance. This paper refutes such a conclusion via an appeal to the nuanced and reflective model of health proposed by Georges Canguilhem. The paper examines the conceptual entanglement of the statistically common with the normatively desirable, arguing that a healthy body can take multiple forms, including that (...) of an amputee, provided that such a form enables the continuing ability to initiate new norms of existence. It concludes that the practice of healthy limb amputation in cases of Body Integrity Identity Disorder is not only compatible with the goal of medicine but is potentially the only method of achieving this goal in the face of a complex and often mischaracterized disorder. (shrink)

Foucault and Sellars are representatives of conflicting philosophical traditions: whereas Foucault famously insisted that “power is everywhere,” Sellars proposed the well-known scientia mensura dictum. The tension between the two perspectives seems to be so strong that each of them ends up reducing the other to an epiphenomenal illusion. In this article, I shall attempt to show that the works of Sellars and Foucault are not necessarily irreconcilable. The common ground for this dialogue is what I shall define as a historico-practical (...) conception of science. I will build this concept by tracing a connection between the Foucauldian notion of “conditions of possibility” of science and Sellars’s thesis about the “indispensability” of the manifest image. Finally, I will argue that this conception of science problematizes the clash between the scientific and manifest images of the world, paving the way for a different relationship between naturalism and critical theory. (shrink)

Georg Simmel has long been appreciated as a major theorist of the arts in society, as well as of aesthetic phenomena in general in social life. Yet Simmel’s essays in the area have remained dispersed for many years across the disparate parts of his corpus and have not been easy to survey in their full thematic cohesion and interconnection. This symposium article reflects on Austin Harrington’s comprehensive anthology of these writings in English, published in 2020, which assembles virtually all the (...) relevant titles – many of them appearing in English for the first time. Among the central topics of discussion are Simmel’s fluid style of theorizing, his thinking about representation, reality and modernity in art, his relationships to philosophers and artistic personalities, and his legacy for the present. (shrink)

When Gilles Deleuze, in his book on Michel Foucault, asks, ‘who would think of looking for life among the archives?’, he uncovers something particular to Foucault's philosophy, but also to his own: a commitment to the question of what it means to think, and think politically. Although Foucault and Deleuze, who first met in 1952, immediately felt fondness for each other, a growing animosity had settled into the friendship by the end of the 1970s – a rift deepened by theoretical (...) differences. Notwithstanding these difficulties, Foucault and Deleuze shared a love for Nietzsche, as well as a curious fascination with Kant. Kant's influence, which was met with more opposition, is precisely the tension I tease out in this article, showing how Foucault critiques Kant's a priori through his own concept of the historical a priori, along with regularity and resistance, while Deleuze and Guattari, if more obliquely, critique Kant's a priori by further developing Foucault's notion of the historical a priori through their own method of pragmatics, particularly in three chapters of A Thousand Plateaus, namely ‘The Geology of Morals’, ‘Postulates of Linguistics’ and ‘On Several Regimes of Signs’. What I am interested in, then, is Deleuze and Guattari's treatment of redundancy, a concept mentioned seventy times in A Thousand Plateaus. Although not one of their main or most developed concepts, redundancy is a thread that can be traced back to Deleuze's first book, Empiricism and Subjectivity. Moreover, their more developed concepts, for example the diagram, the abstract machine, becoming, micro-politics and the ritornello, as well as their political philosophy, are grounded in their understanding of redundancy, which moves their philosophy beyond mapping out the conditions of possibility and demonstrating that the historical a priori emerges as a contingent function of its own expression to the genesis of thought. (shrink)

The clinical encounter begins with presentation of an illness experience; but throughout that encounter, something else is constructed from it – a symptom. The symptom is a particular interpretation of that experience, useful for certain purposes in particular contexts. The hermeneutics of medicine – the study of the interpretation of human experience in medical terms – has largely taken the process of symptom-construction to be transparent, focussing instead on how constellations of symptoms are interpreted as representative of particular conditions. This (...) paper examines the hermeneutical activity of symptom-construction more closely. I propose a fourfold account of the clinical function of symptoms: as theoretical entities; as tools for communication; as guides to palliative intervention; and as candidates for medical explanation or intervention. I also highlight roles they might play in illness experience. I use this framework to discuss four potential failures of symptom-interpretation: failure of symptom-type and symptom-token recognition; loss of the complete picture of illness experience through overwhelming emphasis on its symptomatic interpretation; and intersubjective feedback effects of symptom description altering the ill person’s own perceptions of their phenomenal experience. I conclude with some suggestions of potential remedies for failures in the process of symptom-construction. (shrink)

There has been increased interest in what the philosophical subdiscipline of phenomenology can contribute to medical humanities due to its dual emphases on practicality and its attempt to understand the experience of others, thus positioning it as a potentially helpful conceptual toolkit to guide clinical care. Using various figures from the phenomenological tradition, most prominently Martin Heidegger and Martin Buber, the authors illuminate relevant philosophical concepts, employ them in various examples, and provide three principles revolving around empathy, communication, and listening (...) to patients’ individual values to guide medical professionals who practice the art of medicine in cancer care settings. (shrink)

In this chapter, the focus is on robotics development and its ethical implications, especially on some particular applications or interaction principles. In recent years, such developments have happened very quickly, based on the advances achieved in the last few decades in industrial robotics. The technological developments in manufacturing, with the implementation of Industry 4.0 strategies in most industrialized countries, and the dissemination of production strategies into services and health sectors, enabled robotics to develop in a variety of new directions. Policy (...) making and ethical awareness addressed these issues using socio-economic knowledge and also in an effort to solve some of the application problems raised in a range of different circumstances and sectoral environments. (shrink)

Existing accounts of Foucault’s archaeological methodology have not (a) contextualized the concept properly within the intellectual field of its emergence and (b) explained why it is called ‘archaeology’ and not simply ‘history’. Foucault contributed to the field of ‘history of systems of thought’ in France around 1960 by broadening its scope from the study of scientific and philosophical systems into systems of ‘knowledge’ in a wider sense. For Foucault, the term ‘archaeology’ provided a response to new methodological questions arising from (...) this initiative. Archaeological methodology had already been developed into a distinct comparative approach for the study of linguistic and cultural systems, notably by Dumézil. Foucault redevised archaeological methodology for the post-Hegelian tradition of studying ‘problems’ prevalent in the history of systems of thought. The article thus furnishes the groundwork for a ‘sociological archaeology’ or ‘problem analysis’ that is not particularly dependent on Foucault as a social theorist of power. (shrink)

This paper explores the impact that developments in the field of neuroprosthetics will have on the ethical viability of healthy limb amputation, specifically in cases of Body Integrity Identity Dis...

Mobile health applications (‘health apps’) that promise the user to help her with some aspect of her health are very popular: for-profit apps such as MyFitnessPal, Fitbit, or Headspace have tens of millions of users each. For-profit health apps are designed and run as optimization systems. One would expect that these health apps aim to optimize the health of the user, but in reality they aim to optimize user engagement and, in effect, conversion. This is problematic, I argue, because digital (...) health environments that aim to optimize user engagement risk being manipulative. To develop this argument, I first provide a brief analysis of the underlying business models and the resulting designs of the digital environments provided by popular for-profit health apps. In a second step, I present a concept of manipulation that can help analyze digital environments such as health apps. In the last part of the article, I use my concept of manipulation to analyze the manipulative potential of for-profit health apps. Although for-profit health can certainly empower their users, the conditions for empowerment also largely overlap with the conditions for manipulation. As a result, we should be cautious when embracing the empowerment discourse surrounding health apps. An additional aim of this article is to contribute to the rapidly growing literature on digital choice architectures and the ethics of influencing behavior through such choice architectures. I take health apps to be a paradigmatic example of digital choice architectures that give rise to ethical questions, so my analysis of the manipulative potential of health apps can also inform the larger literature on digital choice architectures. (shrink)

Cluster headache is a notoriously painful and dramatic disorder. Unlike other pain disorders, which tend to affect women, cluster headache is thought to predominantly affect men. Drawing on ethnography, interviews with headache researchers, and an analysis of the medical literature, this article describes how this epidemiological “fact”—which recent research suggests may be overstated—has become the central clue used by researchers who study cluster headache, fundamentally shaping how they identify and talk about the disorder. Cluster headache presents an extreme case of (...) medicalized masculinity, magnifying the processes of gendering and bringing into relief features of the world whose routine operation we might otherwise overlook. (shrink)

I suggest that virtue ethics can learn from Foucault’s critical observations on biopolitics and governmentality, which identify how a good cannot be disassociated from power and freedom. I chart a way through which virtue ethics internalizes this critical point. I argue that this helps address concerns that both virtue ethics and the critical scholarship inspired by Foucault otherwise ignore. I apply virtue ethics to the contexts of refugee arrival, asylum procedure, and immigrant integration in Western Europe; I then see how (...) Foucault’s critical thought provides a counterpoint to virtue ethics; I finally analyze how incorporating that critique allows virtue ethics to make sense of both the context and the stakes involved. (shrink)

The article examines the patient-doctor relationship, relying on Michel Foucault’s concept of the clinical gaze. We argue that during the last decades, a profound transformation of the social nature of medicine took place, one that Foucault’s understanding of the clinical gaze cannot adequately account for. First, the article offers an elaboration of the three-node network of clinical gaze, the clinic, and nosology to explain the positioning of the doctor and the patient within the specific social ontology generated by the rise (...) of medicine. We then discuss intensive but irresolute developments brought by technological advancements, especially the X-ray tube. Finally, we argue that in the contemporary clinic, equipped with a plethora of sophisticated devices, the position of the doctor endured the most radical transformation in comparison with Foucault’s proponent of the clinical gaze at the dawn of modern medicine. (shrink)

The case history in the colonial context was a hybrid form, caught between bureaucratic pressures toward racialization, aggregation, and generalization, on the one hand, and the individualistic bias of the genre, on the other. This tension posed a problem for colonial rulers. In their drive to harvest neat, ideologically reliable knowledge about the minds of colonial subjects, officials and researchers in the 20th-century British Empire read case histories in selective ways, pared them down to simplistic fables, and ultimately bypassed them (...) whenever they could. In other words, although they worked mightily to bend the case history to their purposes, they never fully succeeded. The authority granted to personal testimony and the capaciousness of the detail in case histories always contained a subversive potential. As a result, the politics of the colonial case history were underdetermined, overflowing the categories and resisting the generalizations that colonial rulers sought to impose. (shrink)

Insights into the nondual relationship of organism and environment and their processual nature have resulted in numerous efforts at understanding human behavior and motivation from a holistic and contextual perspective. Meadian social theory, cultural historical activity theory (CHAT), ecological psychology, and some interpretations of complexity theory persist in relating human activity to the wider and more scientifically valid view that a process metaphysics suggests. I would like to articulate a concept from ecological psychology – that of the affordance, and relate (...) it to aspects of phenomenology and neuroscience such that interpretations of the self, cognition, and the brain are understood as similar to interpretations of molar behaviors exhibited in social processes. Experience with meditation as a method of joining normal reflective consciousness with ‘awareness’ is described and suggested as a useful tool in coming to better understand the nondual nature of the body. (shrink)

The ethical issues introduced by excessive uses of ubiquitous information technology at work have received little attention, from either practitioners or ethics scholars. This article suggests the concept of technological ill-being and explores the ethical issues arising from such ill-being, according to the individual and collective responsibilities associated with their negative effects. This article turns to the philosopher Michel Foucault and proposes a renewed approach of the relationship among IT, ethics, and responsibility, based on the concepts of practical rationality, awareness, (...) and self-engagement. This article reports a case study of an international automotive company actively engaged in both corporate social responsibility and ubiquitous IT deployment. Technological ill-being is an expression of the tension between an individual’s social attributes and aspirations when using modern IT and a system of norms, rules, and values imposing constraints on him or her. We identify the reasons for the lack of consideration of technological ill-being in CSR through identification of the inclusion–exclusion principle. The resulting critical, comprehensive approach to corporate responsibilities and IT uses incorporates the ethical implications of the latter, highlights the practical rationality of their relationship, and demands both individual and collective responses, through a call for collective ethical awareness and self-engagement. The findings prompt a Foucauldian ethics of IT use in organizations, which emerges in a mutually constitutive relationship between the self, as a moral subject of own actions, and broader organizational principles, in which CSR appears as a techne. (shrink)

Mental health care providers increasingly confront challenges posed by the introduction of new neurotechnology into the clinic, but little is known about the impact of such capabilities on practice patterns and relationships with patients. To address this important gap, we sought providers’ perspectives on the potential clinical translation of functional neuroimaging for prediction and diagnosis of mental illness. We conducted 32 semi-structured telephone interviews with mental health care providers representing psychiatry, psychology, family medicine, and allied mental health. Our results suggest (...) that mental health providers have begun to re-conceptualize mental illness with a neuroscience gaze. They report an epistemic commitment to the value of a brain scan to provide a meaningful explanation of mental illness for their clients. If functional neuroimaging continues along its projected trajectory to translation, providers will ultimately have to negotiate its role in mental health. Their perspectives, therefore, enrich bioethical discourse surrounding neurotechnology and inform the translational pathway. (shrink)

This article pays close attention to Michel Foucault's theory that political regimes are enlightened through courageous free speech. A Foucaultian enlightenment occurs not when philosophical reason completely replaces superstition and enthusiasm in the public sphere, but instead when the parrhesiast partially organizes competing claims to know and to speak the truth. While much of the recent scholarly literature on Foucault’s later lectures emphasizes the political importance of the parrhesiast, less attention has been paid to the overlap and/or incompatibility between parrhesia (...) and the other modes of truth-telling. Below, I explain Foucault’s analysis of the basic modes of philosophical truth-telling: prophesy, philosophy, teaching, and parrhesia. I provide examples of speakers working within these modes in the ancient and modern world. I explain the overlap and tension between these modes, and I analyze Foucault’s partial organization of them through the image of the parrhesiast. I briefly compare Foucault’s position to the agonistic democratic theory of Chantal Mouffe and distinguish Foucault’s view from consensus-based views of public reason. Finally, I provide practical and theoretical examples of parrhesiastic activity in the contemporary world. (shrink)

This article explores Foucault’s two different notions of power: one where the subject is constituted by power–knowledge relations and another that emphasizes how power is a central feature of human action. By drawing out these two conceptualizations of power, Foucault’s work contributes three critical points to the formation of medicalized subjectivities: the issue of medicalization needs to be discussed both in terms of both specific practices and holistically ; we need to think how we as human beings are “disciplined” and (...) “subjectivated” through medicalization, as discourses, practices, and institutions are all crystallizations of power relations; and we need to reflect on how we can “resist” this process of subjectification, since “power comes from below” and patients shape themselves through “technologies of the self.” Ultimately, Foucault’s work does not merely assist us in refining our analysis; rather, it is essential for conceptualizing medicalization in contemporary society. (shrink)

Key ideas in the work of Michel Foucault are explored and applied to the organized pursuit of knowledge in higher education. His association of power and knowledge accounts for deeply rooted practices in higher education that would need to be mediated or overcome for there to be a revolution in inquiry to occur, such as the one advanced by Nicholas Maxwell. Foucault’s concepts of disciplinary power and bio-power, and how they act to manage the behavior of free citizens, are described. (...) These concepts are then applied to free inquiry, to show how the activity of individual inquirers is managed and how critical inquiry is controlled. The management of inquiry involving four norms, two of them intrinsic to inquiry and the other two extrinsic, is explained. The potential of Foucault’s concept of discursive formations is introduced as a means of reconceiving inquiry to overcome these impediments to a revolution in inquiry. (shrink)

Inquiry into the history of practices in the manner of Foucault's philosophical genealogy requires that we distinguish between practical action, on the one hand, and mere behavior, on the other. The need for this distinction may help explicate an aspect of Foucault's philosophical genealogy that might otherwise appear misplaced, namely his attention to rationalities and its attendant conceptual material. This article shows how a genealogical attention to practice goes hand in hand with an attention to the role of the conceptual (...) within our practices. This is done by first drawing on considerations furnished by a Wittgensteinean branch in analytic philosophy recently developed by Robert Brandom. With an account of conceptual normativity and reflexivity in hand, the article turns second to a crucial site of conceptual self-transformation by drawing on work from a particular Foucauldian lineage developed in the work of Arnold Davidson. Davidson's work helps us understand the crucial status of concepts of persons for any historical inquiry into practices. (shrink)

The neurocentric worldview that identifies the essence of the human being with the material brain has become a central paradigm in current academic discourse. Israeli researchers also seek to understand educational principles and processes via neuroscientific models. On this background, the article uncovers the central role that visual brain images play in the learning-disabilities field in Israel. It examines the place brain images have in the professional imagination of didactic-diagnosticians as well as their influence on the diagnosticians' clinical attitudes. It (...) relies on two theoretical fields: sociology and anthropology of the body and sociology of neuromedical knowledge. The research consists of three methodologies: ethnographic observations, in-depth interviews, and rhetorical analysis of visual and verbal texts. It uncovers the various rhetorical and ideological functions of brain images in the field. It also charts the repertoire of rhetorical devices which are utilized to strengthen the neuroreducionist messages contained in the images. (shrink)

Medicalization appears to be an issue that is both ubiquitous and unquestionably problematic as it seems to signal at once a social and existential threat. This perception of medicalization, however, is nothing new. Since the first main writings in the 1960s and 1970s, it has consistently been used to describe inappropriate or abusive instances of medical authority. Yet, while this standard approach claims that medicalization is a growing problem, it assumes that there is simply one “medical model” and that the (...) expanding realm of “the medical” can be more or less clearly delineated. Moreover, while intended to establish the reality of this growing threat, this research often requires making arbitrary or unjustified distinctions between different practices. To better clarify the concept of medicalization, I will focus more on capturing the variety of medical practices than on the sociological aspects of medical discourse. In doing so, I will explore the distinction between medicalization and pathologization, a distinction that is often overlooked and that brings with it many conceptual and practical implications. After defining these terms, I will use some examples to show that while pathologizing is closely tied to medicalizing, both can occur independently. I will then further develop this distinction in terms of the different individual and social effects of these practices. (shrink)

This paper explains the discipline of somaesthetics, which emerges from pragmatism's concern with enhancing embodied experience and reconstructing the aesthetic in ways that make it more central to key philosophical concerns of knowledge, ethics, and politics. I then examine Beauvoir's complex treatment of the body in The Second Sex, assessing both her arguments that could support the pragmatic approach of somaes-thetics but also those that challenge its bodily focus as a danger for feminism.

The purpose of this article is to provide a critical examination of two aspects of culture and biomedicine that have helped to shape the meaning and practice of genetic testing for breast cancer. These are: (1) the cultural construction of fear of breast cancer, which has been fuelled in part by (2) the predominance of a ‘risk’ paradigm in contemporary biomedicine. The increasing elaboration and delineation of risk factors and risk numbers are in part intended to help women to contend (...) with their fear of breast cancer. However, because there is no known cure or foolproof prevention for breast cancer, risk designations bring with them recommendations for vigilant surveillance strategies and screening guidelines. We argue that these in effect exacerbate women’s fears of breast cancer itself. The volatile combination of discourses of fear, risk and surveillance have significant ethical and social consequences for women’s lives and well-being. Genetic testing decisions are made within this context; if nurses understand this context they can play an important role in helping women to cope with the anxiety and fear of breast cancer risk. (shrink)

Discussing the workings of technology in care as aesthetic rather than as ethical or epistemological interventions focusses on how technologies engage in and change relations between those involved. Such an aesthetic study opens up a repertoire to address values that are abundant in care, but are as yet hardly theorized. Kamphof studies the problem that sensor technology reveals things about the elderly patients without the patients being aware of this. I suggest improvement of these relations may be considered in aesthetic (...) terms, for instance by developing the affective quality of people’s technological relationships. (shrink)

This article is intended to revive, through a critical reinterpretation, the bio-psychosocial model of George Engel. Engel’s first description in 1977, was very broad, encompassing too many aspects of medicine. In his later work, he focused his model as an epistemology for clinical medicine. However, what medicine mostly retained were minor aspects of the 1977 article, namely a multi-factorial approach to the etiology of diseases and a call to complement biomedicine with a psychosocial concern in order to re-humanize medicine. We (...) suggest that, properly understood as a clinical epistemology, Engel’s model retains its transformative potential for contemporary medicine.Our discussion begins with a.. (shrink)

The idea of finding Foucault first looks at the many influences on Foucault, including his Nietzschean acclamations. It examines Foucault’s critical history of thought, his work on the orders of discourse with his emphasis on being a pluralist: the problem he says that he has set himself is that of the individualization of discourses. Finally, it addresses his work on the culture of the self which became a philosophical and historical question for Foucault later in his life as he investigated (...) the historical form of relations between subjectivity and truth in Western philosophy since Antiquity and how philosophy as an activity taught about the care of the self. The conclusion suggests some ways that students might approach his work as they proceed in finding Foucault and their own selves. (shrink)

Foucauldian discourse analysis (FDA) is a methodology that is well suited to inquiring into nursing knowledge and its organization. It is a critical analytic approach derived from Foucault's histories of science, madness, medicine, incarceration and sexuality, all of which serve to exteriorize or make visible the ‘positive unconscious of knowledge’ penetrating bodies and minds. Foucauldian discourse analysis (FDA) holds the potential to reveal who we are today as nurses and as a profession of nursing by facilitating our ability to identify (...) and trace the effects of the discourses that determine the conditions of possibility for nursing practice that are continuously shaping and (re)shaping the knowledge of nursing and the profession of nursing as we know it. In making visible the chain of knowledge that orders the spaces nurses occupy, no less than their subjectivities, FDA is a powerful methodology for inquiring into nursing knowledge based on its provocation of deep critical reflection on the normalizing power of discourse. (shrink)

This article argues that the notion of the archive is of some value for those interested in the history of the human sciences. Above all, the archive is a means of generating ethical and epistemological credibility. The article goes on to suggest that there are three aspects to modern archival reason: a principle of publicity whereby archival information is made available to some or other kind of public; a principle of singularity according to which archival reason focuses upon questions of (...) detail; and a principle of mundanity, whereby the privileged focus of archival reason is said to be the commonplace dimension of everyday life. (shrink)

In The Use of Pleasure, Michel Foucault suggests that it is possible to read Walter Benjamin’s writings on Baudelaire as a contribution to a genealogy of ethics. This article experiments with reading Benjamin in this way. It shows that a distinctive analysis of each of the four elements of Foucauldian ethics (ethical substance, mode of subjectivation, ethical practice and telos) can be found in Benjamin’s work on Baudelaire and the Paris arcades. Specifically, the article makes the case for reading Benjamin (...) in terms of his valuable contribution to understandings of the role played by art in modern forms of ‘parrhesia’, or courageous truth-telling. However, whereas Foucault’s notion of ‘arts of living’ focuses on challenging actual relations of power, Benjamin’s focuses on activating potential forms of power. In this way, Benjamin’s ethical framework tests the limits of Foucault’s conceptualization of the government of self and others. (shrink)

The ArgumentThe vine lousePhylloxera vastatrixbecame a “pest” as it was transferred from North America and from France to Germany during the 1870s. Embodying the “invading alien,” it assumed a cultural position that increasingly gained importance in Imperial Germany. In this process, the minute insect, living invisibly underground, was made visible and became constitutive of the scientific-technological object, “pest,” pertaining to a scientific discipline, modern economic entomology. The “pest” phylloxera emerged by being made visible in a way that enabled control measures (...) against it. Thus, visibility functioned as a prerequisite for control measures. I differentiate between social visibility and physical visibility, as well as between social control and physical control of the “introduced pest.” The object phylloxera emerged at the intersection of techniques of social control such as surveillance, techniques of physical control such as disinfection, and representational practices of the sciences such as mathematics and graphics. The space of its visibility was not the vineyard as property of a vintner but the vineyard as national territory, where German (viti-) culture was defended against foreign infiltration and destruction. Many vintners had alternate visions of the grapevine disease, they resented the invasion and destruction of their vineyards by government officers, and thus they did not participate in the social and epistemic constitution of the “pest.” By 1914, the “introduced pest” had not yet become an effective “machinery.” However, the “pest” as an object of scientific knowledge emerged together with economic entomology. The field became organized as a discipline in Germany in 1913, forty years after the phylloxera had first aroused the minds of some worried Wilhelmians, and, together with its nationalistic images, the field of “pest” control became organized towards a redefinition of German society and its perceived dangers. (shrink)

A generation ago scientific ideas floated free in the air, as historians gazed up at them in wonder and admiration. From time to time, historians agreed, the ideas that made up the body of scientific truth became incarnate: they were embedded into the fleshly forms of human culture and attached to particular times and places. How this incarnation occurred was a great mystery. How could spirit be made flesh? How did the transcendent and the timeless enter the forms of the (...) mundane and the contingent? Platonist and providentialist perspectives offered ways of speaking about the mystery, but, in general, it remained unresolved at the core of orthodox idealist historiography.1. (shrink)