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  • madness
    2025/01/11


    Wouter Kusters

    A Philosophy of Madness: The Experience of Psychotic Thinking

    MIT Press: https://mitpress.mit.edu/9780262044288/a-philosophy-of-madness/

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    44 分
  • Corrigan Mental Health Center in Fall River, MA.
    2024/12/14
    The IPU at Corrigan Mental Health Center. This is a psychiatric IPU in Fall River, MA. It's a DMH facility. Best parts: 1) there are some excellent staff members (excellent both for patients and for co-workers), (e.g., OT Kyle, providers Max and Allison, nurses Christian and Jill, tech Sean, Social Worker Nicole). 2) As a public-sector, unionized shop, the staff can be their authentic selves. For those who don't like their jobs, they can express that openly. They are not pressured to dissimulate. 3) for patients, if you are looking for a place to stay a while, (i.e., if you are okay with being detained longer than the usual 72 hours), and if you are young and hence able to access the outdoors space, it may be a good place. If you are a patient of one of the Corrigan doctors (like Mayer, then an advantage of having Mayer as a doctor is that he is able to use this unit as an IPU for his regular outpatient clients. He can keep them there in an emergency and thus provide a respite for the patient and their family, a chance to return to stabilization) Worst parts: (a) Approximately half of the patients do not have actual access to the outside. The staff will tell you they provide four outdoor opportunities per day. But for practical purposes, many of the patients cannot--orwould not be reasonably expected to--access the outdoors as provided by Corrigan. (To go outside requires negotiating a steep set of stairs [it can be possible to take elevators but the elevators are difficult to operate, the techs don't make them readily available, and even when the techs are asked to take someone down in the elevator, they may choose not to. ). In addition, accessing the outside can only be done in a large group. Many of the patients are anxious in groups and would love to access the outside if they were able to do so individually, but prefer not to go down in the crowded group, long-stair, way with chains and locks, and authentically depressed staff). (b) Taxpayers lose big time. This is an extremely cost inefficient IPU. It is staffed 24/7/365, (including always an on-call provider apparently), and the staffing levels are such that, during the day shift alone, there are more staff than patients!!! At one time, Corrigan IPU had 40 patients. The folklore is that a patient there hung themself and, as a result, the beds were dropped all the way to 16. But there are more than 16 staff working the day shift alone (not even counting the evening shift or nighttime shift). During the daytime, there are 5 nurses (a charge nurse, another unit nurse, a med nurse, and two nurses in an administrative role (not on unit). 2 occupational therapists 2 providers 4 techs and 3 social workers That is for 16 beds, and often a bed or two is empty, so let's say 15 patients on average. In addition, there are other staff who are not full time (or who work full time, but divide their time across the IPU and other operations): a pharmacist, a nutritionist (she may be full time), a peer advocate, a human rights officer, and more layers of admin. In addition, Corrigan tends to keep people longer than other inpatient units--- much longer (e.g., instead of 72 hours, one stays for months or even, for two patients, 2 years and counting). Because of this, there are more court proceedings compared to units which churn more on a 72 hour cycle. Few if any patients bring their own counsel. So whenever there is a hearing, the taxpayers are paying for the DMH attorney, the Corrigan Staff, the patient's attorney, and the judge or magistrate. (c) Danielle Keogh, LICSW is a reckless individual. You would think that social workers would be people who will talk directly to anyone they have issues with. SW Keogh was incapable of doing this and, instead, recklessly tries to railroad subordinates by going behind their back and trying to squeeze them. You would think that she, as a social worker, would be patient-centered. In fact, she claims the patients at Corrigan are not well enough for a patient-centered approach. Her priority appears to be her career and her title / her status. (How, one might ask did she get promoted to her current position after only a few years on the job? Pretty privilege? Who was making the hiring decision? Why do they like working with her?) Her focus is entirely on appearances and, in particular, looking good to bureaucrats. Her direction to her subordinates is to lie on MIS because her main priority is to do well in audits. That is, she wants to do well when she is evaluated from above. Her going behind subordinates' back and trying to clamp them down is the sign of someone who thinks that social work is about being a tool in a hierarchy. You would think that she, as a social worker, might view social work as a place to create change and fight social injustice. But in reality, she deals with personnel matters unprofessionally--as a matter for gossip. Her ...
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    45 分
  • disavowal
    2024/12/11

    Alenka Zupančič

    Disavowal

    This book argues that the psychoanalytic concept of disavowal best renders the structure underlying our contemporary social response to traumatic and disturbing events, from climate change to unsettling tectonic shifts in our social tissue. Unlike denialism and negation, disavowal functions by fully acknowledging what we disavow. Zupancic contends that disavowal, which sustains some belief by means of ardently proclaiming the knowledge of the opposite, is becoming a predominant feature of our social and political life. She also shows how the libidinal economy of disavowal is a key element of capitalist economy.

    The concept of fetishistic disavowal already exposes the objectified side of the mechanism of the disavowal, which follows the general formula: I know well, but all the same, the object-fetish allows me to disregard this knowledge. Zupancic adds another twist by showing how, in the prevailing structure of disavowal today, the mere act of declaring that we know becomes itself an object-fetish by which we intercept the reality of that very knowledge. This perverse deployment of knowledge deprives it of any reality.

    This structure of disavowal can be found not only in the more extreme and dramatic cases of conspiracy theories and re-emerging magical thinking, but even more so in the supposedly sober continuation of business as usual, combined with the call to adapt to the new reality. To disrupt this social embedding of disavowal, it is not enough to change the way we think: things need to change, and hence the way they think for us

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    51 分
  • psychosis
    2024/11/28

    Stijn Vanheule

    Why Psychosis Is Not So Crazy

    A Road Map to Hope and Recovery for Families and Caregivers

    An expert’s guide to humanizing psychosis through communication offers key insights for family and friends to support loved ones during mental health crises.

    Are we all a little crazy? Roughly 15 percent of the population will have a psychotic experience, in which they lose contact with reality. Yet we often struggle to understand and talk about psychosis. Interactions between people build on the stories they tell each other—stories about the past, about who they are or what they want. In psychosis we can no longer rely on these stories, this shared language. So how should we communicate with someone experiencing reality in a radically different way than we are?

    Drawing on his work in psychoanalysis, Stijn Vanheule seeks to answer this question, which carries significant implications for mental health as a whole. With a combination of theory from Freud to Lacan, present-day research, and compelling examples from his own patients and well-known figures such as director David Lynch and artist Yayoi Kusama, he explores psychosis in an engaging way that can benefit those suffering from it as well as the people who care for and interact with them.

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    47 分
  • turkeys
    2024/11/10

    Peter Singer

    Consider the turkey

    Why this holiday season is a great time to rethink the traditional turkey feast.

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    45 分
  • anxiety, wonder
    2024/10/11

    Maria Balaska

    Anxiety and wonder

    On being human

    Description
    At times, we find ourselves unexpectedly immersed in a mood that lacks any clear object or identifiable cause. These uncanny moments tend to be hastily dismissed as inconsequential, left without explanation. Maria Balaska examines two such cases: wonder and anxiety – what it means to prepare for them, what life may look like after experiencing them, and what insights we can take from those experiences.

    For Kierkegaard anxiety is a door to freedom, for Heidegger wonder is a distress that opens us to the truth of Being, and for Wittgenstein wonder and anxiety are deeply connected to the ethical. Drawing on themes from these thinkers and bringing them into dialogue, Balaska argues that in our encounters with nothing we encounter the very potential of our existence. Most importantly, we confront what is most inconspicuous and fundamental about the human condition and what makes it possible to encounter anything at all: our distinct capacity for making sense of things.

    Table of Contents
    Preface
    Acknowledgments
    Abbreviations

    Introduction

    1. What Makes Us Anxious?

    2. Anxiety and the Origin of Human Existence

    3. Wonder and the Origin of Philosophy

    4. The Paradox of Anxiety and Wonder

    5. After Anxiety and Wonder

    Notes
    Bibliography

    Editorial Reviews
    Review
    “In this astute analysis of anxiety and wonder, Maria Balaska argues that understanding ourselves requires more than natural causal explanations and resists psychopathological approaches to overpowering experiences. With Kierkegaard, Heidegger, Wittgenstein, and Lacan, she insightfully elucidates the deeply human desires to feel at home in the world and find meaning in it-and the possibility of their fulfilment.” ―Kate Kirkpatrick, Regent's Park College, University of Oxford, UK

    “Maria Balaska presents the best treatment to date of wonder and anxiety in Kierkegaard and Heidegger. Focused on the objectlessness of both experiences – what Kierkegaard calls the ambiguous power of spirit and Heidegger terms “the nothing” – the book draws as well on Freud, Lacan, Plato, and Wittgenstein to argue that living authentically means embracing the liberating power of one's mortal open-endedness. Capacious, insightful, and written in lucid prose, Prof. Balaska's text will enrich both lay and professional readers.'” ―Thomas Sheehan, Professor Emeritus of Religious Studies, German Studies and Philosophy, Stanford University, USA

    “Maria Balaska facilitates a conversation between Heidegger, Kierkegaard, Lacan and Wittgenstein that presents philosophy as embodying an anxious wonder at our capacity to make sense of things. She thereby deepens our understanding of all four thinkers, and illuminates not only the distinctive nature of philosophy, but its ineliminable role in the perennial human task of making sense of ourselves and our place in the universe.” ―Stephen Mulhall, Professor of Philosophy, University of Oxford, UK

    “This is an excellent book … A must-read for specialists interested in how continental philosophy can contribute to the thriving discourse on the experience and place of anxiety and wonder in our lives.” ―Philosophical Investigations

    About the Author
    Maria Balaska is a Research Fellow at Åbo Akademi University, Finland, and a Visiting Research Fellow at the University of Hertfordshire, UK. She is the author of Wittgenstein and Lacan at the Limit: Meaning, and Astonishment (2019) and editor of Cora Diamond on Ethics (2020).

    Publisher ‏ : ‎ Bloomsbury Academic (May 2, 2024)
    Language ‏ : ‎ English
    Paperback ‏ : ‎ 168 pages
    ISBN-10 ‏ : ‎ 1350302937
    ISBN-13 ‏ : ‎ 978-1350302938

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    49 分
  • liberalism
    2024/10/11

    Deirdre Nansen McCloskey

    Liberalism

    By revealed preference, Prof. McCloskey is our favorite scholar to talk with. This is our third conversation with her. Today, we discuss two working papers on liberalism.

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    51 分
  • human/animal
    2024/05/20

    Sharon Patricia Holland

    an other

    In an other, Sharon Patricia Holland offers a new theorization of the human animal/divide by shifting focus from distinction toward relation in ways that acknowledge that humans are also animals. Holland centers ethical commitments over ontological concerns to spotlight those moments when Black people ethically relate with animals. Drawing on writers and thinkers ranging from Hortense Spillers, Sara Ahmed, Toni Morrison, and C. E. Morgan to Jane Bennett, Jacques Derrida, and Donna Haraway, Holland decenters the human in Black feminist thought to interrogate blackness, insurgence, flesh, and femaleness. She examines MOVE’s incarnation as an animal liberation group; uses sovereignty in Morrison’s A Mercy to understand blackness, indigeneity, and the animal; analyzes Charles Burnett’s films as commentaries on the place of animals in Black life; and shows how equestrian novels address Black and animal life in ways that rehearse the practices of the slavocracy. By focusing on doing rather than being, Holland demonstrates that Black life is not solely likened to animal life; it is relational and world-forming with animal lives.

    “With her characteristic brilliance and speculative flair, Sharon Patricia Holland breaks new ground in an other, a book that will prove to be her most philosophical and speculative text yet. Holland pulls at the ways that blackness as ontology and epistemology undoes and ethically remakes the bio/zoopolitical distinction between animals and humans. She remakes the very ideas that underline life itself as a human project that both denies and relies on animality: love, death, knowing, being, and ultimately revolution as it happens on the scale of the ordinary and the everyday. An essential volume.” — Kyla Wazana Tompkins, author of Racial Indigestion: Eating Bodies in the Nineteenth Century

    “Sharon Patricia Holland’s an other is a beautiful, expansive, rich, and genius gift to a world that could not have anticipated it. Her work at the level of the animal and cohabitation and about relationality and comportment is assuredly a necessary and brilliant offering. Holland’s enormous intervention cannot be overstated. Black studies will not be the same after this book.” — Sarah Jane Cervenak, author of Black Gathering: Art, Ecology, Ungiven Life

    Sharon Patricia Holland is Townsend Ludington Distinguished Professor of American Studies at the University of North Carolina at Chapel Hill, and author of The Erotic Life of Racism and Raising the Dead: Readings of Death and (Black) Subjectivity, both also published by Duke University Press

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    45 分