ObjectiveA sickness history from General Practice will be unfolded with regard to its implicit lived meanings. This experiential matrix will be analyzed with regard to its medico-theoretical aspects.MethodThe analysis is grounded in a phenomenology of the body. The patient Katherine Kaplan lends a particular portrait to the dynamics that are enacted in the interface between socially silenced domestic violence and the theoretical assumptions of human health as these inform the clinical practice of health care.ResultsBy applying an understanding of sickness that (...) transcends the mind-body split, a concealed and complex logic emerges. This logic is embedded in a nexus of the impact of childhood abuse experience and the medical disinterest in subjective experiences and their impact on selfhood and health. Its core is twofold: the violation of embodiment resulting from intra-familial abuse and existential threat, and the embodiment of violation resulting from social rules and the theoretically blinded medical gaze.ConclusionA considerable medical investment, apparently conducted in a correct and consistent manner as to diagnostic and therapeutic measures, results in the complete incapacitation of a young physician. (shrink)

RÉSUMÉ: L’observation de populations spécifiques d’agents épistémiques révèle que la présomption d’identité au sein de communautés épistémiques peut mener à certaines omissions cognitives. Les victimes de violence sexuelle en sont un bon exemple. Cette étude de cas offre selon nous une nouvelle perspective sur le débat entre les internalistes et les externalistes en épistémologie en proposant une nouvelle perspective sur les dimensions psychologiques complexes dans la formation des croyances et sur leur implication dans une épistémologie qui nécessite que les raisons (...) soient accessibles à la première personne. (shrink)

The article considers some aspects of the problem of both individual and collective identity in the context of the development of different kinds of warfare in modern western society. The elucidation of these relations requires an unexpected application of aesthetic ideas; in particular the notion of the sublime. It is argued that the experience of combat is one possible ‘real’ form of the sublime. It is further suggested, paradoxically, that sublime combat cannot actually be experienced; it is an ‘inexperience’. The (...) historical significance of modern western war literature, thus, is just that it fills the ‘gap’ left by the destructive inexperience of combat and it allows those who endured it, as well as those who did not, to construct a ‘memory’ of the events themselves. (shrink)

This article examines an enigma at the heart of Freud's work on trauma: the surprising emergence, from within the theory of the death drive, of the drive to life, a form of survival that both witnesses and turns away from the trauma in which it originates. I analyse in particular the striking juxtaposition, in Freud's founding work Beyond the Pleasure Principle, of his two primary examples of trauma: the repetitive nightmares of battle suffered by the soldiers of World War I, (...) and the game of the child, faced with the loss of its mother, who plays fort and da with his spool. My own understanding of Freud's insight did not emerge, however, simply through a reading of his text but began, in fact, in my encounter with a real child in Atlanta, a child whose best friend was murdered in the street and who is interviewed by the friend's mother. I thus read together the language of the nightmare and the language of the child in Freud's text, and then attempt to understand how Freud's text and the language of the real child shed light upon each other. (shrink)

Based on therapeutic meetings with individuals who have experienced sexual violence and abuse, the challenge is how do we help these couples to establish sexual relationships on their own terms, without interference of defence or coping strategies they have used to protect themselves against the overwhelming experiences of violence or abuse in the past? This article will focus on therapeutic work with such couples and how to interact with them and support their efforts to establish satisfying sexual relationships, based on (...) sexological experience as well as experience from work with traumatisation. The basis for our treatment is a modified version of William Masters and Virginia Johnson’s approach. The technique of sensate focus is central, modified by trauma theory, including the understanding of dissociation, and the need to integrate memories from different levels: somatic, emotional, and cognitive. The traumatised client needs special attention to the experiences of predictability and safety and respect due to their history of being transgressed against. The therapists must be aware of the issue of dissociation; different dissociated inner parts can play different roles in the interaction between client and therapist. While couples therapy is a necessary frame for this therapy, the therapist often needs to work with issues unique to each individual. Each partner must be able to identify their own responses and their own sexual needs and preferences. It may therefore be valuable to have a co-therapist. The central goal is for the clients to identify responses to stimulation as a here and now experience in a setting that feels safe and welcome. (shrink)

At the focal point of contemporary biopolitical knowledge and power is human life in its contingent, evolutionary and emergent properties: the living as adaptive and affective beings, characterized in particular by their capacity to experience stress and fear that works together with vital survival mechanisms. This article addresses new techniques of psychiatric power and therapeutic epistemologies that have emerged in present-day military-scientific as well as media technological assemblages to define and capture the human in its psychobiological states of emergency. Specifically, (...) the focus of this article is on one special kind of screen medium, called Virtual Iraq, a virtual reality device designed to treat post-traumatic stress disorder among war veterans. The article analyses Virtual Iraq as an example of new forms and strategies for the management of affectivity and memory that have been developed in conjunction with contemporary neuroscientific discourses on the evolutionary origins of emotional life and its neurobiological functionality among humans qua species. Furthermore, it discusses Virtual Iraq as an example of the biopolitical work of contemporary screen media in which the reality of images starts to concern the organism’s internal functioning instead of being anthropological or communicative, tapping into the brain’s capacity of self-organization as well as contributing to the production and maintenance of psychological immunity. (shrink)