Book Review: ‘Constructing Pain: Historical, Psychological and Critical Perspectives.’

R. Kugelmann, Constructing Pain: Historical, Psychological and Critical Perspectives, London: Routledge, 2017, £34.099 pbk, 158pp, ISBN: 9781138841222

by Lottie Wittingham

In this thorough review, Robert Kugelmann charts how ideas around the polymorphous concept of pain have come about via the influence of academic personalities, and their experiences in the spheres of psychology and medicine. Drawing on the theories of figures such as Benjamin Ward Richardson[ref]Richardson, B.W., 1897, Vita Medica: Chapters of medical life and work, New York: Longman, Green & Sons[/ref], Henry Rutgers Marshall [ref]Marshall, H.M., 1889, ‘The classification of pleasure and pain,’ Mind, 14, 511-536[/ref] and well-known philosophers such as Descartes and Bentham, part 1 of the book describes the dualistic concept of pain and the perceived distinction between ‘real’ and imagined pain. Beginning with the development of anaesthesia and the influence of this on the anatomical image of the body as opposed to the ‘felt’ body, the introductory chapter describes the heralding of the abolition of pain, and the consequence of this on people’s opinions on pain and its utility or otherwise. Is pain a useful signal to signify a physical ailment within the body? If so, where does chronic pain fit into this model? It is posited that the pointlessness of chronic pain perhaps accentuates how much it hurts. The ‘medical gaze’ describes pain as an indicator of bodily dysfunction and this challenges the legitimacy of chronic pain which has no ostensible ‘function’.

The theory of pain as a direct sensation felt by specific pain nerves is contrasted with the theory of pain and pleasure as direct antitheses to one another. The view of pain as a ‘deficit of energy’ is dissected and dismissed as inconsistent with physiology. Similarly, pain as the opposite of pleasure is not a convincing hypothesis, as not all pain is displeasing, and disagreeableness is not equivalent to the experience of pain. This section of the book is somewhat hard to follow, but the systematic dissection of historical concepts of pain is a useful way to challenge our contemporary conceptions of pain and its treatment. This was an insightful read for someone working in a medical field, as it made me question the way I perceive pain and how this may be different to the way in which my patients perceive it. However I wouldn’t suggest that the book on the whole was particularly accessible for clinicians, as it is written in sometimes quite technical language, often from psychological research, and hence is not particularly applicable to routine clinical practice. Indeed, it is a shame that the book is not more accessible to those who are not academics in the field, as a broader concept of historical views of pain (such as that of Joanna Bourke[ref]Bourke, J., 2014, The Story of Pain: From Prayer to Painkillers, Oxford: OUP[/ref]) could be a useful tool for those involved in the care of patients with chronic pain conditions. Nonetheless, as an academic text for historians and scholars of the human sciences, the text is thorough and comprehensive and it is likely to be much more appropriate for this audience.

Three challenges to the so-called ‘Cartesian dualism’ theory of pain, which distinguishes ‘real’ organic pain and ‘imaginary’ nonorganic pain, are elucidated in Chapter 3. The most persuasive and widely accepted of these is the gate control theory, in which the organic and psychological aspects of pain experience are integrated in the felt sensation of pain. This theory is consistent with the physiological findings of specific nociceptive neurons (i.e. nerves specifically for sensing pain) and also explains the observation that a felt response to a painful stimulus varies according to the situation and to psychological variables. Behavioural and psychosomatic approaches to pain are also put forward as potential challenges to dualism, although these are less convincing and, in fact, the gate control theory is the one currently taught in medical school and so is perhaps more pervasive at least in the medical sphere.

The second part of the book claims to ‘temporarily suspend belief in the anatomical image of the body’ by taking a phenomenological approach, i.e. an attempt to derive general principles and conclusions from the subjective experiences of individuals. While this is interesting as an insight into personal experiences of pain, I was left unconvinced of it as a method to verify the broader claims. Narratives are naturally a good resource to learn about subjective experiences. From an analytical and scientific perspective, the book could benefit from reference to a wider sample of narratives, including those from literature and throughout history: the limited number of samples quoted here is perhaps of restricted value, in the sense of drawing reliable conclusions. That said, the experiences which are quoted and dissected are a valuable addition to the scholarly research which forms the bulk of the book, making these observations personal and pertinent, and adding texture and depth to the discussion. The scope of the book is incredibly wide-ranging and the inclusion of personal narratives puts the whole spectrum of theories mentioned into context.

The second part of the book touches on a wide variety of topics including, but not limited to: chronic pain; pain management programmes; moral pain; and pain as attunement, as a threshold, as punishment or as a sign. Enlightening comments are made about the political and economic elements of the pain experience which are not immediately obvious to an outsider. However, I found the writing sometime nebulous and complex, which was frustrating as it detracted from the insightful points being made. In the final chapter, Kugelmann discusses moral pain, and draws upon a wealth of research to make astute parallels and distinctions between physical pain and moral pain in the form of guilt, melancholia, existential distress and a kind of weltschmerz. Reference is made to ‘feelings that the patient interpreted as the moral pain of guilt’, recalling the unfounded guilt often felt in clinical depression. This chapter may benefit from further reference and comparison to psychiatry, both historical and current – which may also function to make the findings and discussion more applicable to clinical practice.

The parts of the book which fascinated me most were the attempts to extract what our concepts of pain are, and the discussion of how our experience of them may say something about human nature. Pain itself is an incredibly slippery concept to attempt to define, and the account of our attempts to do so throughout history is revealing. The book considerably deepens understanding of the concept of pain and all its vagaries.

Lottie Whittingham is a final year medical student at Imperial College London with a degree in Neuroscience and Mental Health. She is an aspiring medical historian and her research is primarily in the history of psychiatry and gender. She blogs at https://medicalmuseumblog.wordpress.com/

Book Review: ‘The life and times of Franz Alexander. From Budapest to California.’

Ilonka Venier Alexander: The life and times of Franz Alexander. From Budapest to California. London: Karnac, £22.99 pbk, 2015, xxxii + 154 pp. ISBN:  9781782202509

by Csaba Pléh

Written by the granddaughter of the famous Hungarian-born and educated psychoanalyst (Franz) Ferenc Alexander, Ilonka Venier Alexander’s book is a peculiar work on the life and work of her grandfather in several regards. The peculiarity of the book is shown in two ways. Regarding its central figure, Franz Alexander, the reader sees a constant shifting of perspective between the personal/familiar and the professional perspective, the latter mainly dealing with the history of American psychoanalysis. On the other hand, sometimes we have to deal not with Franz Alexander, but with the grandchild, the vicissitudes of the divorce of her parents, and the central role of the grandfather.

This is not necessarily intended to be a criticism. The book is an excellent resource and a fascinating read. But the constant shifts of perspective make for a hard time for the reader. As a history of a professional psychoanalyst, the monograph is certainly timely. Alexander has been unduly forgotten. The editor of Karnac’s ‘History of Psychoanalysis’ series, Brett Klahr, points out in the preface that Franz Alexander is an important figure in the history of psychoanalysis; Alexander’s proposal for short therapy was a provocative intervention. Even more provocative was his glittering life in California. The author argues that Franz Alexander’s copious honoraria – which allowed for this luxurious standard of life – made many of his colleagues jealous. At the same time, the fact that Alexander continued his practice for over a decade in Hollywood had an important role in psychoanalysis becoming part of American everyday life, thought and pop culture.

The first third of the book is a family chronicle. It presents the Alexander clan with family trees, family photos, and gossip. Franz Alexander’s Father, Bernat (Bernhard) Alexander (1850–1927) – whom the writer spells as Bernard – was a very influential philosopher in turn of the century Budapest. He launched an important series of translations of modern philosophy, from Kant and Leibniz, to Schopenhauer and Hartmann; he was was a central literary and theater critic, and led an intellectual salon.[ref]Gábor, É. (1986). Alexander Bernát. Budapest: Akadémiai In Hungarian[/ref] The book provides a rich and detailed account of life in the New York Palace, a new art nouveau building full of rich bourgeois homes, which was the home of the Alexander family, and at the same time a center for coffeehouse life and journalism. The book also provides a detailed picture of all the in-laws, including the mathematical genius Alfréd ‘Buba’ Rényi (1921-1970), who had a large role in modern probability and information theory.[ref]Rényi, A. (1970).  Probability Theory. New York: American Elsevier[/ref] The presentation is personal and it is full of moving moments. There was a similar account from the same family written by Franz Alexander when he was approximately the same age as the present author is now.[ref]Alexander, F. (1960). The Western mind in transition: An eyewitness story. New York: Random House[/ref] This latter account was rather more interesting when discussing social details, and regarding the birth of psychoanalysis as well.  In the book of Ilonka Venier Alexander, there is too much assumed intimacy, and the reader sometimes has a hard time deciphering whether the author is speaking about the philosopher, Bernat, or his son, Franz. It is nonetheless a rich resource for future historians of ideas and family network researchers.

The section dealing with the history of psychoanalysis has two especially interesting moments. The first is the detailed account of the life of Franz Alexander as a military soldier. The second relates to Ilonka Venier Alexander, the author of the present book. For her, the reconstruction of the assimilated Jewish way of life of the Alexander family in Budapest was a striking novelty. This status had its own ghosts, even in America. Ilonka Venier Alexander, the granddaughter, was initially ignorant of her Jewish background, and she gradually realized this only during family gatherings. The book is full of wondering about this past that is repressed in the interpretation of the author.  However, from the perspective of turn of century Budapest, these moments show the importance of assimilation and secularization at the time, and later, the role of the Franz Alexander’s Italian artist wife in his life. Indeed, Ilonka Venier Alexander herself notes the complexities of these factors: ‘in marrying an Italian Catholic woman of noble heritage, Alexander had certainly “married up” and thus, unwittingly, began his own metamorphosis into something other than an Eastern European Jew. Her aristocratic ancestry, as well as his denial of his Jewish heritage, no doubt allowed them to ultimately move about Chicago’s high society with ease’ (p. 28).

The book has around one hundred pages on the psychoanalytic career of Franz Alexander. The account of the Berlin training years of Franz Alexander is well documented. The saga of the Chicago decades is fascinating. The reader learns not merely about the external history of the work of Alexander, his successes in criminal psychology[ref]Alexander, F. and Staub, H. (1956). The Criminal, the Judge and the Public. Glencoe, IL: Free Press[ref] and psychosomatic medicine,[ref]Alexander, F.G. (1950). Psychosomatic medicine. New York: Norton[/ref] but we also learn about his professional tensions, and debates over short therapy, as well as over the issue of psychoanalysis becoming part of residential training of psychiatrists. In his granddaughter’s account we learn much about an all-round scholar and clinician, who, as his book on the history of psychiatry also showed, was not an either/or thinker regarding relations between body, brain, and the mind.[ref]Alexander,F. G. and Selesnick, S. T. (1966): The history of psychiatry. New York: Harper[/ref] We also learn about a caring European-style pater familias. We learn with the eyes of the respectful granddaughter about a family style that always combined love and commitment with decisiveness. Franz Alexander did not hesitate to intervene into the life of his child and of the youngster navigating through the troubled water of divorced parents.

Overall, the book has two special points of interest: it is a good source for the reconstruction of the role of Franz Alexander in psychoanalysis. At the same time it is a rich starting point for those who are interested in the details of the family socialization  of talented Central European Jews in early and mid 20th Century.

Csaba Pléh is a cognitive psychologist with a strong interest in the history of psychology. Recently he has been a visiting professor at the Dept of Cognitive Science, Central European University, Budapest. Many of his papers are accessible at his website: plehcsaba.eu 

 

Sexology, historiography, citation, embodiment: a review and (frank) exchange

Heike Bauer (ed.), Sexology and Translation: Cultural and Scientific Encounters Across the Modern World. Philadelphia: Temple UP, 2015, $34.95 pbk, 284 pages, ISBN: 978-1-43991-249-2

by Ivan Crozier, with responses from Heike Bauer

Editor’s note: we are very happy to here present Ivan Crozier’s review of ‘Sexology and Translation.’ The review is followed by a response from  the editor of that volume, Heike Bauer; then a response to the response; and then a response to the response to the response. We are grateful to both scholars for this lively and interesting exchange, which foregrounds crucial issues about historiography and field-making, which are central to work on sexology, but that span the human sciences much more widely too.

Sexology was a trans-European, transatlantic discipline, with important sexological works appearing in Italian, French, English and especially German before Havelock Ellis’s synthesis of the field in his Studies in the Psychology of Sex (1897-1928). As suggested by their footnotes, most of the main players read each other’s languages. They also read widely outside of the field, and rearticulated non-sexological views of sex from other fields, such as history, literature, law and anthropology. Understanding how they read and used the works of other sexologists and those of other sexperts who were not in the same field is a significant way to map out the intellectual history of one of the most important disciplines that framed many attitudes towards sexuality in the twentieth century. How authors in other fields interpreted and disseminated these sexological discourses is a useful way of assessing the impact that sexologists had.  These are not the same problem, but they both require an understanding of how knowledge is generated within a field.

It is obvious to students of sexological texts that translation is a key issue for understanding the field – both the translation of texts between languages and cultures, but particularly the translation of concepts and evidence between fields. This book attends to both types, but with varying degrees of success. Attending to translation is a potentially fruitful way for understanding topics such as how the field of sexology formed, whose work was considered significant, what effects these works had, where concepts were developed, etc. To do so, a theoretical framework is needed that can explain how the field developed in specific contexts; how it related to other fields in the human sciences, the law, literature and the arts; and how it produced specific sexological objects of inquiry and developed sexological concepts that appear similar to but are not identical to other conceptualisations of sex. Translation is a part of the key for understanding this process, but the archaeological insights into the history of sexology that derive from Michel Foucault and the historical epistemologists who have followed him are still necessary if we are to understand how sexology functioned as a field. Not all of the chapters collected in this volume together satisfy this requirement equally.

This book gathers twelve chapters that addressed both the translation between languages/cultures and between fields. On the whole, the problem of language and context translation is done significantly better.  Drawing on contemporary translation studies, many of the chapters explain how sexological works were turned into texts in other languages, attending to the differences in cultural context, and exploring the political issues that framed these translation efforts. An exemplary such chapter was Brian James Baer on Russia, but other fascinating essays addressed the translation of European sexological discourses into Hebrew, Arabic, Chinese, and Japanese. Cultural contexts also changed, with pieces following the influence of sexological texts as far as Peru, Palestine, Egypt and the Far East. And the translation of specific words over a longue durée timescale is seen in Peter Cryle’s scholarly attention to the concept of frigidity from ancient Latin and Greek into nineteenth-century German and French medicine before the psychoanalysts turned away from medical expertise to explain a lack of desire. Liat Kozma‘s chapter on the Middle East also explores the translation of professional texts into practical lay sexual advice, not as a history from below, as those following Roy Porter have emphasized, but as sexual advice by doctors trying to shape the sexual politics of their context by importing some European sexological concepts. In these ways this book adds importantly to our understanding of the spread of sexology outside of the much more commonly studied European texts.

Translation between fields is where many more scholars had more trouble, and it is with this problem that a solid introduction that conceptualised what was at stake when concepts are rearticulated between fields would have helped (the rather busy one-page editorial interjections between the three sections of the book didn’t offer this, either).  “Literary sexology”, a term used by the editor elsewhere to describe how sexological knowledge made its way into literary texts, shows some of the problems with treating the objects (sex) within the different fields as equivalent, and forgets the fact that they are produced differently (relying on different practices, different styles of reasoning, different forms of evidence). Reading the surfaces of texts elides knowledges with very different epistemological values, which is not to say that some fields are more important, only that they produce different things and rely on different networks of power. We see this all of the time in the primary sources when sexologists qualify their uses of non-sexological texts, but many scholars have trouble with these differences.

Rather than arguing that sexology is bigger than the field actually was, so as to include literary and other texts where sex is addressed in that earnest late-nineteenth century way, it is better to understand some manifestations of sexological knowledge as formed by the rearticulation of sexual knowledge into and out of the field of sexology. A text purporting to be factually engaging with sex is not necessarily sexological. Proceeding along these lines depends on the kind of historiographical framework being used, but with decades of historical epistemological engagement with these issues since Michel Foucault, Arnold Davidson and others, there is no excuse to mash texts together looking for, in Foucault’s terms, points of equivalence.’ Different strategic choices are made when a historian accentuates either discontinuity or continuity.

Failure to conceptualise the field was also a problem in Jana Funke and Kate Fisher’s chapter that argued for the inclusion of Edward Carpenter’s contributions within the sexological field, which I have argued against because of the difference in style of reasoning (his is much more literary/historical, and romantic not psychopathological), the differences in evidence used (he did not include case histories, but appeared as one in Ellis’ Sexual Inversion), and the fact that – despite interesting archival evidence that Albert Moll corresponded with him – most sexological texts after his publication did not refer to his work in any significant way (unlike that of Ellis, Moll, Krafft-Ebing, etc.).  He remained an outsider, conceptually, which is not to undervalue his contributions – but rather to see them for what they were: ground-breaking homosexual rights activism rather than sexology. Carpenter does not need to be made into a sexologist to be important. If the field of sexology had been conceptualized more thoroughly, this kind of archival slavery could be avoided.

There is no need to end on a critical note. Katie Sutton’s consistently-strong work shows that a more sophisticated approach to sexological knowledge and its vicissitudes outside the field is possible. She maps effectively how transgendered people interacted with sexological categories, and shows how these interactions were rearticulated in non-sexological fields, such as in novels, films and magazine columns with a transgendered theme from the Weimar Republic. This was the strongest essay in the collection. Overall, this book will not satisfy those with a need for rigorous conceptual analysis as much as those who require specific engagement with translation of sexology into other cultural contexts.

 

Heike Bauer’s response to the review:

Following in the vein of influential scholars such as Gillian Beer, who in the early 1980s pointed out that nineteenth-century science and literature shared a common language, recent research on sexology by Veronika Fuechtner, Anna Katharina Schaffner and Robert Deam Tobin, among others, has shown that the science of sex was a porous field. The main point of Crozier’s critique – that sexology should be located within an idealized, tightly bound domain of science proper, and most definitely not in the literary realm – is both historically inaccurate and critically outdated. Sexology was constituted from the contributions of medical professionals, legal and social scientists, anthropologists, social reformers as well as authors, literary critics and all kinds of cultural commentators who individually and collectively turned their attention to questions of sex. As sexual bodies and behaviours came under scrutiny in the clinic and courtroom, literary and cultural commentators explored the vagaries of desire and the implications of gender norms. Sexual debates as we known them today emerged on the intersections between these different fields rather than just within a distinct, clearly disciplined sexual science. In the collection I therefore use the term ‘sexology’, alongside sexual science, in line with other critics to give a name to the discursive force that gathered momentum around the sustained attention paid to questions of sex in different contexts and countries from around the 1880s to the 1930s. The deliberately loose definition not only captures the historical permeability of the field of sexual research. It also drives a key aim of the collection: to examine the coeval emergence of similar sexual debates in different parts of Europe, Asia, South America and the Middle East.

By policing the boundaries of European sexology, Crozier simply looks for evidence of an assumed one-way traffic of sexological ideas from the West into other parts of the world. He attacks Kate Fisher and Jana Funke’s essay, which argues that the English sexual science around 1900 was ‘a cross-disciplinary field that did not erect exclusionary credentials around its practice’ for including the poet and reformer Edward Carpenter in a discussion of sexual science. At the same time Crozier praises the essays that explore the translations of European sexology into other contexts, including Japan. Yet Michiko Suzuki’s chapter, which examines the reception of Carpenter in Japanese feminist circles, explicitly reads Carpenter’s work as a contribution to sexological and broader sexual debates both in Europe and Japan. For Crozier, then, Carpenter only counts as a sexologist when he can be figured as the harbinger of European knowledge into the East.

Jack Halberstam has pointed out that the problem with disciplinary correctness is that it all too often ‘confirms what is already known according to approved methods of knowing’ (2011: 186). Ivan Crozier’s review of Sexology and Translation shows how methodological rigidity and the guarding of disciplinary boundaries obscures the insights gained from interdisciplinary and multidisciplinary research. Insisting on a narrowly defined approach to sexology, his claims support the critically outdated yet perniciously resilient view that modern debates about sexuality originate in Western science from where they were transmitted into a sexually undisciplined Orient. Rather than engaging with the insights and findings presented, the review merely demonstrates how gendered and racialized assumptions about the production of knowledge shape readings of research that pushes against them.

 

Crozier, responding to Bauer:

It appears that many specialists in literary studies have trouble with the idea that discursive fields have boundaries.  Apart from Michel Foucault describing how to approach such fields in his Archaeology of Knowledge, the disciplines of History and Philosophy of Science and Science Studies have developed this well-established concept in historical and sociological terms (especially since Gieryn, 1983), but occasionally when someone studying literature looks at a scientific field, they seem to see a porous mess of texts that anything can seep into and out of like a poorly-squeezed sponge (possibly because literature is a porous field in different ways to the sciences?). By looking at scientific discourses in this way, these cultural approaches remove the discourses from the social contexts in which they were produced. Perhaps they are so over-whelmed by the shared common language which Gillian Beer taught them to see that they do not realise that the concepts, styles of reasoning, uses of data, statuses of the authors, and other social-epistemic factors are not shared between fields? There is, as we have known since Gaston Bachelard, an epistemological rupture, which means that sexology and other disciplines (such as the law) construct sex differently. The original authors of these texts were aware of these different fields, probably because so many of them spent a long time in medical school learning how to look at the world in a particular way; likewise the historians of science who discuss their work. But apparently Heike Bauer has trouble with the idea that we should look at sexological texts as belonging to a specific field if we are to understand their production – not everything can be crammed into this field, and other texts will need to be positioned in their respective discursive fields.  So a line needs to be drawn: those who believe that the human sciences have a status deriving from specific practices; and those who think that there is no demarcation between scientific and non-scientific forms of knowledge… tl;dr: I’m a splitter, she’s a lumper.

Bauer makes a grand statement about sexology being a ‘porous field,’ but what does she mean by this?  Without simply relying on a metaphor that some things (she doesn’t specify in her response, but we might assume she means concepts, words, politics, what else?) somehow seep in and out of the leaky vessel of sexology, it is important for the historian of ideas to understand the social processes by which this happens (no one is denying that it happens; but some of us want to know how). It is through a process of rearticulation, as anyone versed in post-foucaultien historical epistemology knows. And as such, these discourses are not found ‘within an idealized, tightly bound domain of science proper,’ as Bauer incorrectly supposes I think, but rather in a sui generis scientific field that emerged in specific ways, relates to other (scientific and non-scientific) discursive fields through particular socially-acceptable mechanisms, and produces knowledge for this specific field. Sure, these discourses are not bound forever to remain in the field, and occasionally novelists, lawyers and others pick up on these discourses and turn them into something else for their own ends, just as sexologists can draw on these other fields – but without a solid understanding of what is happening in the production of discourses within the human sciences, the work that follows can be pretty flakey.  There is nothing new here – following Michel Foucault, Arnold Davidson, Ian Hacking, and the Edinburgh School in the Sociology of Scientific Knowledge, I have been saying versions of this for almost 20 years, as Bauer knows from my work that she cites in her book. None of us think that there is a unified field of ‘science proper,’ just different competing fields. Framing the translation between these fields is what could have made Bauer’s book interesting, as some of the chapters show, but which eludes her introduction.

In her response, Bauer relies on Jack Halberstam to suggest that I am enrolling gendered and racialized assumptions because she imagines that I am talking about ‘modern debates about sexuality originat[ing] in Western science’ and oozing out across the world, but I am not.  I am simply saying that discourses produced within fields of the human sciences have specific rules of construction that make them different to literary texts, and to fail to look at these texts in their original social context is to miss a lot of important detail.  To put it another way, there is no literary sexology – there is sexology that rearticulates ideas presented in literary and other non-scientific sources when speaking to other members of the same field, for example when Havelock Ellis writes about Baron von Sacher-Masoch’s Venus in Furs when discussing masochism, enrolling it as evidence (rearticulating it to make it sexological). When people outside this field use these sexological ideas, they are no longer doing sexology, which is fine.  To try to make everything a form of sexology just because it speaks about sex is to give the science an inflated status. I think we can do better than this.

Ultimately, I thought Sexology in Translation was an average book whose editor was unable to introduce a historiography properly equipped to deal with the construction of sexological knowledge, which is a shame as it was surely her most pressing task so that she could help her readers understand the translation of objects and concepts between fields.  Some of the better contributions do this (especially Katie Sutton’s), as do other historians of sexology, but many of Bauer’s contributors are happy to wallow around in the common language of sex.  All writing about sex is not sexological, and when it is, it follows a ‘grammar’ specific to that discursive field.  That doesn’t mean that other (literary) writing can’t speak about sex; it just means that these literary sources are not found among the human sciences.

 

Bauer’s response to Crozier, and the final word:

That Crozier wants this collection to be a different book – one that engages specifically with the methodologies and concerns of his own research – is clear, not least because he mistitles it Sexology in Translation. But this book takes a different approach. It examines the coeval emergence of sexology in different parts of the world in terms of a dynamic exchange between distinct discourses and disciplines. Understanding disciplinary porosity in this context is not a denial of the discrete practices, conventions and genealogies that forged a modern sexual science. Instead it focuses on the intersections as well as the differences between discursive fields to gain deeper insights into how modern ideas about sex were formed, disciplined and transmitted, and to what effect.  Such an approach does not dismiss the significance of social context. On the contrary, the essays in the collection show that attention to social context is fundamental to understanding whose existence was on the line in sexological discourse formation.

In many ways talking about sexology in the nineteenth-century is anachronistic. While according to current scholarship the term was first used in English in 1867 in relation to social philosophy, the profession of ‘sexologist’ only took shape in the West in the way in which it is still practiced today when the centres of sexual research shifted from Europe to North America after World War II. Many of the people we today associate with the emergence of European sexology – such as the psychiatrist Richard von Krafft-Ebing, author of the influential medico-forensic study Psychopathia Sexualis – did not self-identify as ‘sexologists’ even as they staked out a specialism in sexual matters. The work of some male non-scientists such as the literary critic John Addington Symonds was readily accepted as, and widely cited by, the emerging sexological literature. The contributions of women in contrast was often overlooked or dismissed. Edith Ellis, for instance, a feminist reformer who was married to Havelock Ellis, entered sexological literature as a case study (she was in a relationship with another woman) rather than being cited for her radical critique of the institutionalisation of ‘love’. Framing these developments solely in terms of epistemic ruptures, competition between different fields and definitional struggles over what should count as sexology proper not only reduces the complexity of this history. It also fails to consider whose contributions were obscured or excluded in the scientification of sex.

Sara Ahmed has pointed out that citation practices are ‘a way of reproducing the world around certain bodies.’ Crozier’s alignment with an all white male line-up of influential thinkers in the history and philosophy of science illustrates this point. Rather than engaging with the most recent scholarship on the histories of sexuality and sexology, he turns backward. As he says, ‘there is nothing new’ in his critique.

Heike Bauer is a Senior Lecturer in English and Gender Studies at Birkbeck College, University of London.

Ivan Crozier is currently an historian of psychiatry at Sydney University.

 

Book Review Essay: ‘Psyche on The Skin’ and ‘A History of Self-Harm in Britain’

Sarah Chaney, Psyche on the Skin, Reaktion Books, London, 2017, £20.00, 320pp. ISBN 9781780237503;

Chris Millard, A History of Self-Harm in Britain: a genealogy of cutting and overdosing, Palgrave, London, 2015, £15.99 and available open access. ISBN  9781137547736.

by Ivan Crozier

People have always changed their bodies in permanent ways – whether with tattoos, scars, tongue splits, brands, piercings, genital modifications (from religious circumcision to self-bifurcation), or through cosmetic surgery. These changes give the body a particular meaning that is entirely dependent on the social context. Sometimes, scarification is done to show belonging to a particular ethnic group (a Mossi man from Burkina Faso was traditionally initiated with specific facial scars made with a hot knife), while other scars might be consensually produced as a part of a heavy sadomasochistic scene, and yet others – as these two books show – might be the result of a distressed teenager engaging in a self-harming practice which increasingly became viewed as a ‘cry for help’ within psychiatric discourses, and which necessitated the intervention of mental health professionals. These acts of body modification only take on their meanings within certain social groups. In some cases, self-injury is framed as resulting from a disturbed mind. Psychiatry is the dominant current way of understanding deliberate self-inflicted injuries in the west, but this was not always the framework, and, as these two books show, there is much to suggest that psychiatric power is being resisted in current corporeal practices.

The abhorrence that has framed self-injuring is partly tied up in ideas about pain as a wholly negative experience, with those willing to engage in it consciously believed to be mentally disturbed and requiring psychiatric attention. This is the main reason that sadomasochistic practices come under the scrutiny of psychiatrists. Another important framework for considering self-harm is the social and legal status granted to suicide. Self-harm was developed as a category within psychiatry, firstly believed to be ‘failed suicide,’ and then ‘para-suicide,’ before becoming a different category altogether (Non-Suicidal Self-Injury, as it is in the  of fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM-5), where it made its first appearance as a self-contained condition in 2013). The links between the legal and medical status of self-harm created the conditions whereby psychiatry could develop a theoretical apparatus for constructing a new category, although other social factors also shaped the way psychiatrists’ thought about self-harm. For example, self harm was increasingly gendered as feminine. This was because it was seen to be the result of domestic distress, where sometimes women hurt themselves to guilt their partners into not leaving them. This gendered conception of self-harm is still seen today, with American psychiatric research showing that adolescent females are the most typical group to cut themselves. What acts of self-injury mean depends very much on how they are understood by the different psychiatric discourses that have attended to them, as well as by the people who commit them.

Sarah Chaney and Chris Millard, in their respective volumes, ally themselves to a view of psychiatric knowledge that derives from historical epistemology. They both use Ian Hacking’s concept of ‘making up people’ to develop the ways that psychiatry produces specific objects of knowledge which are then transported to society through the expansion of psychiatric power – via psychiatric social workers, structures like the National Health Service (NHS) in the UK, and education programmes. The increased prevalence of the self-harmer is in part produced by the sustained and expanding psychiatric attention. By adopting this historical-epistemological standpoint, both books show that self-harm is ‘transient’ in Hacking’s sense; that it is not a stable category, but one which changes over the course of the history of psychiatry: the teenage girls who cut themselves, and discuss what this means to them, on the internet today are not the same as the women in the 1960s who poisoned themselves so their boyfriends wouldn’t leave, even though psychiatry has placed them both in the category of self-harm. How Chaney and Millard develop this analytic framework is not identical, but rather illustrates two different modes of medical historiography: (1) a macro, longue durée approach with an engaging narrative that bears some of the hallmarks of Roy Porter’s influence (Chaney); (2) an extremely detailed micro-history of the development of the concepts of self-harm within the context of British psychiatry, but with close attention to the sites where new psychiatric practices developed (such as the Edinburgh Royal Infirmary and the Institute of Psychiatry in London) and which owes much more to the historical Sociology of Scientific Knowledge as applied to medical practices (Millard). Both books problematize psychiatric knowledge, and seek explanations for the shape that it took by looking at the social and conceptual frameworks in which this knowledge was developed, with the resulting works being very different, yet complimentary.

Sarah Chaney’s fantastically illustrated Psyche on the Skin is written for a popular audience and anyone with a personal or professional interest in the subject will be well-rewarded by her book. Chaney uses history to refute the idea that self-inflicted injuries have a universal meaning by showing a variety of episodes where individuals hurt themselves, but were not considered to be episodes of self-harm in a modern psychiatric sense. She discusses practices such as blood-letting, where cutting the self was considered to yield positive results, and castration, which some believed to be beneficial (in particular members of the Skoptsy sect in Russia). Such practices have existed since the ancient world, without any speculation about the individual’s mental health. Chaney’s main focus, and her best research, is on the Victorian period. Using hospital records from Bethlem, as well as a thorough examination of existing medical literature, Chaney shows that self-mutilation was relatively common among the mentally ill in the Victorian period (with 11% of the Bethlem patient population hurting themselves between 1880-1900, employing methods such as burning, biting, plucking, cutting, castration and ocular enucleation). In these instances, self-harming was considered to exemplify the ‘morbid instinct’ that characterised insanity in this period. Self-harm was not a psychiatric object in itself, but was a manifestation of insanity. Self-mutilation, like suicide, was considered an unnatural practice by Victorian psychiatrists (or alienists, as they were typically known in this period) because it was not perceived to benefit the patient. Sexual self-mutilation was addressed as a part of the increased attention to sexuality seen in Victorian and Edwardian medicine.  Practices such as masturbation were seen as self-harming, because of the assumed deleterious effects, and a number of the patients whose records Chaney examined spoke of wishing to be castrated in order to prevent this vice (interestingly, some others wished for castration as a form of gender reassignment).

Other instances of self-harm were associated with hysteria, including the practice of piercing oneself with sewing needles (by 1897 there were enough cases of this practice reported in the medical literature for the women who regularly pierced themselves to be given the name of ‘needle girls’). Particular traits, such as deceit, came to be associated with self-harm, because efforts were made to conceal self-injury and the motivations behind it – and this association apparently remains today. Sometimes the reported self-harm practices were of a sexual nature, such as the insertion of hairpins into the urethra – which, although considered to be a form of self-mutilation by physicians at the time, may have been the result of poorly executed urethral masturbation (urethral sounding).  Chaney’s survey of the literature on self-harm attends to the psychoanalytic writing on the topic, including a long discussion of Karl Menninger’s Man Against Himself (1938) She also discusses the changes in later psychiatric theories of self-harm, from re-writing it as a practice associated with Borderline Personality Disorder and Post-Traumatic Stress Disorder, to an analysis of Armando Favazza’s Bodies Under Seige (1987). The latter utilised cultural-psychiatric approaches to looking at self-harm relativistically, and suggested that – contrary to much preceding psychiatry – self-harm was often an attempt at self-healing, by taking control of the body in a deliberate way, focusing, and submitting to the pain and then the relaxed feelings that followed such activity. Pain is typically considered negative in the Western imagination, but there are many instances where submitting to pain can bring positive results.

Chaney does not limit her work to psychiatric discourses alone, but provides a welcome analysis of some literary and other artistic depictions of self-harm, giving non-psychiatric voices a legitimate place in her study. Finally, and very importantly, Chaney examines the role played by the popular press and especially the internet in the culture of self-harm – both as a place where information about self-harm could circulate, both from ‘official’ health-care sources, and in patient-led ‘survivor group’ discussions. These non-psychiatric sources are an important part of the ‘making up’ of self-harm. Chaney’s work is both broad and rich and is written in an engaging way that will make this book a valuable resource for anyone trying to understand self-harm practices outside of the narrow confines of psychiatric discourses.

Chris Millard’s A History of Self-Harm in Britain is exhaustive in its genealogical approach to the concepts of self-harm in Britain, and as such is an exemplary case study in the sociological reconstruction of psychiatric knowledge. Most importantly, although he relies heavily on published British medical sources and theses (and it appears that he did not miss a single work), Millard does not fail to examine the practices that allowed for the development of these concepts. He shows how self-harm first emerged as a psychiatric problem by looking at how ‘failed suicide’ attempts (through traumatic injury as well as self-poisoning) in the 1910s and 1920s led to the injured person being taken to voluntary hospitals and workhouse infirmaries, in order to deal with the self-inflicted harm; after the 1930 Mental Treatment Act, which saw mental health becoming more integrated into general medical practices, these ‘failed suicides’ were able to be assessed more readily by psychiatrists. This situation was further stimulated by changes in the law regarding suicide (it was decriminalised in the UK in 1961), which Millard shows led to the integration of therapeutic regimes, joining the somatic approach of casualty departments to acute psychiatric care for the damaged person. The NHS further expanded the remit of psychiatry (especially via psychiatric social workers) into the homes of self-harmers, where a detailed picture began to emerge about the kinds of people who hurt themselves and their motivations for so doing. These practices of observation, which Millard examines in particular detail by assessing the role of the Observation Ward at Edinburgh, led to a psychiatric intervention into what had been a problem within physical medicine (the ‘failed suicide’ became a psychiatric category that could be followed home once their health returned for further investigation). Psychiatric explanations began to be offered to explain why the person had done such violence to themselves. A complex picture emerged whereby self-harm (especially overdosing) was considered to be a cry for help rather than a genuine attempt to end a life. By focusing on the changing practices within psychiatric care, Millard offers a compelling explanation for the development of this new psychiatric category, rather than just following its emergence through the pages of the Journal of Mental Science. Although in Britain the main focus for this argument was on self-poisoning (which makes up the largest number of hospitalizations for self-harm), increasingly under the influence of American psychiatry, it is self-cutting that has come to embody the exemplar of the contemporary self-harmer.

Millard is at his most remarkable in his conclusion, where he expands his argument in brilliant fashion to discuss the movement of self-harm from a communicative indication of internal suffering to an individualised, neurological issue by mapping these changes in psychiatry onto the ideological changes that followed the demise of social ideals to an embrace of neoliberal ideologies. He writes:

‘This political shift broadly coincides and intimately corresponds to the much more individualistic reading of self-damage, based on emotional self-regulation.  Indeed, neo-liberalism’s stress on individual actor’s radical freedom to make choices for their own benefit fits well with a model of self-harm that emphasises the individualistic, private feelings of tension, and the regulation of these through cutting. The coincidence of neo-liberal political ascendency from the early 1980s in the United States and United Kingdom, and the displacement of the social setting from understandings of self-damage are not chance occurrences.’ (205)

Self-harm is one of many examples where psychiatric care has moved to emphasise individuals, who can be put on medication regimes, rather than the more communal view of mental health and community therapy that flourished between the 1950s and 1970s.

Sometimes the detail in both books could have been significantly lessened.  To pick two examples, Chaney’s discussion of Freud’s Wolfman, and Millard’s 6 page exegesis of Samuel Waldenberg’s MPhil thesis on wrist-cutting, could have both have been much shorter without losing any significance to the respective books; this is probably an artefact of the two books having been converted out of PhDs. Furthermore given the foucaultien framework that was developed by Ian Hacking and which has influenced these two authors, it was a little surprising that more was not said about resistance. Sarah Chaney does end her book by looking at the ways that some self-harmers have responded to their condition, by taking back their lives from the medical practices in which they were framed as self-harming, through the production of literary, artistic and even historical works. On the other hand, Millard’s book gives little sense that any of the sufferers were anything other than passive actors in a complex medical system – which sits a little uncomfortably with his critique of neo-liberalism, which may even encourage such radical self-determination. It would have been very interesting to think even more broadly about the ways that self-harmers actively resist these medical discourses – as can be seen, for example, on the kinds of internet discussion forums on self-harm (as examined by Helena Mattingley’s 2009 Edinburgh University MSc thesis on self-harm). The making up of people is – as Hacking realised – not simply a top-down process. Individuals sometimes respond directly to these psychiatric regimes, and have otherwise developed their own strategies to cope with their struggles.  Often, taking control of their own body –by cutting it, or via some of the many other bodily practices that are increasingly prevalent, such as tattooing, sadomasochism, or other extreme bodily practices – is often seen to give a sense of asserted autonomy in a world where people increasingly are regulated. Placing the self-harmers in relation to these other bodily practices would help break them out of the psychiatric framework in which they have been confined.  The body can be a site for resistance, as well as a frame for the deployment of power.

I strongly recommend these two books for anyone interested in the topic of self-harm. They show two faces of the history of psychiatry as it is currently emerging from the University of London, and should be widely read.

Ivan Crozier is an Associate Professor and ARC Future Fellow in the History Department, of The University of Sydney, Australia

 

On the unexamined presence of psychotherapeutics- an interview with Sarah Marks

We were delighted in April 2017 to publish a special issue of History of the Humans Sciences, ‘Psychotherapy in Historical Perspective,’ edited by Sarah Marks, currently based at Birkbeck, University of London, as part of the Wellcome Trust-funded Hidden Persuaders project. HHS Web editor, Des Fitzgerald, spoke to Sarah about the special issue – and about how we might (re-)think the history of the psychotherapeutic complex today. 

Des Fitzgerald (DF): Sarah, thanks for taking the time for this interview. Why a history of psychotherapy, now, in 2017?

Sarah Marks (SM): The history of psychotherapy does seem to be having something of a moment right now. There’s recently been the Other Psychotherapies conference at Glasgow, the Transcultural Histories of Psychotherapy conferences at UCL, special issues of this journal, and forthcoming issues of History of Psychology and The European Journal of Psychotherapy and Counselling. So I’m happy to say that this seems to representative of a blossoming field.

The seed for this issue came about a few years back, though. As a graduate student I was very surprised at how fractional the literature seemed to be by comparison with work on, say, psychiatric diagnostics and the ‘Diagnostic and Statistic Manual of Mental Disorder,’ psychopharmaceuticals, or asylums and institutions. I thought there must be others out there working on it, and there were. It’s probably particularly relevant that I came to it initially from trying to figure out how Cognitive Behaviour Therapy become such a significant force in the UK. I don’t especially privilege ‘histories of the present’ as an approach, but I think psychotherapies as interventions – and psychotherapeutic knowledge in broader terms – do have something of an unexamined presence in contemporary society and policy, in various forms. I note that there is currently a growing critique, or even backlash against this in Britain, including from therapists themselves.  So taking a historical approach now makes good sense – it reminds us that these are by no means timeless, value-free techniques, about which there is a clear consensus. And it also helps us to excavate their intellectual foundations, which aren’t always that transparent.

But beyond the ethical or political motivations for historicizing psychotherapy, there’s a fascinating variety of stories to be unearthed. Even just in this special issue, there are vastly different models of mind, debates about cultural or moral decline, questions of identity or normality and pathology, ideas about cure or the nature of human relationships, resistance movements, and the political spectrum across left and right, to name but a few. And that’s just from looking at predominantly West European and North American examples.

 

DF: For many I think, a Venn diagram showing intersections between the history of psychotherapy and the history of psychoanalysis will more or less form a circle. But I get a strong sense that this special issue wants to prise these two apart somewhat. Is that right? And why, if so?

SM: Yes, you’re right about that. I’m not of the opinion that the history of psychoanalysis has reached its end point, as some have begun to argue. I’m working myself on its legacies in the Soviet sphere during the Cold War at the moment. There still is much to be done there. But it really has overshadowed other approaches in the literature quite drastically.

This could be because psychoanalysis has been very a productive interpretive strategy in the arts and humanities: we’re all familiar with it, and it has been very successful at captivating audiences outside of its clinical setting. It would be hard to say that about, say, behaviourism, or Gestalt. So it’s understandable that we have more histories of it. But its popularity in these spheres, and as an actual clinical movement in the 20th century, has led to a sort of Whiggish dominance of this one particularly successful approach. This has been at the expense of lots of other therapeutics or frameworks, which also had a real impact in their time, but that have now – for multiple, usually contingent reasons – been forgotten. A number of the contributions to the special issue uncover such stories: from late Victorian psychotherapeutics, to some quite peculiar Viennese competitors to Freud, or ways of understanding art therapy and psychosis.

The striking thing, though, is that from the mid-century up to the present, psychoanalysis has had some extremely militant challengers to the throne, which have, in some cases, exceeded it in terms of institutional power. Behavioural and cognitive approaches are the obvious candidates here, especially in the way they have mobilized trials and ‘evidence base’ for their cause. But there are others: Rogerian counselling has been ubiquitous at particular moments, and, increasingly, Mindfulness-based approaches. And there is an excellent emerging literature coming through that is beginning to address some of these gaps: the work of Rachael Rosner on Aaron Beck, and Matthew Drage’s forthcoming PhD on the history of Mindfulness in particular. But the fact that the ‘non-psychoanalytic circle in the Venn diagram’, as you elegantly put it, has had very little historical interrogation thus far, has quite significant implications given the status they’ve acquired.

I would be curious to think more about the nature of the overlap of the two circles. Is there a degree to which we can say that most modern psychotherapies are indebted to psychoanalysis in some sense, in terms of how we have come to structure an interpersonal therapeutic relationship? How have some of the norms of analytic training, or its ethical framework, been kept up by other approaches, which have otherwise emphatically broken away from psychoanalysis? And how have other traditions been formed in explicit opposition to, or in dialogue with Freudian thought? Perhaps we should actually draw out your suggested Venn diagram on a blackboard and see where it leads…

 

DF: There is of course a well-known view – coming especially from scholars in the wake of Georges Canguilhem and Michel Foucault –that the history of ‘psy’ science tends towards recurrence: that to (as Nikolas Rose puts it) work ‘within the true’, as a psychotherapeutic practitioner, is also to work with a history of the truthfulness of one’s own practices, and vice versa. Do you agree with this view? And where does it leave the historian?

SM: There is something to it. I mention in the introduction to the special issue the question of therapeutic traditions, and Laurence Spurling’s comment that the texts of the founders can come to play an almost Talmudic role in particular professional communities, which can at times lead to a sort of conservatism, or I suppose a ‘recurrence’, to use your quotation. There certainly are dogmatic ‘believers’ out there in the therapy world, for whom the history of the profession is mainly useful for the purposes of legitimising their ways of seeing, which are wholeheartedly assumed to be true. But that’s not a universal stereotype at all.

Working at Birkbeck, I’m currently surrounded by clinicians, many of them psychoanalytic (see this short video, for example). I do observe with curiosity the way they sometimes read or teach historical texts as sources for contemporary practical inspiration. But, at the same time, they also step outside and approach these ‘truths’ as culturally or historically situated, and examine them from a position of critical distance. This isn’t exclusive to the academy either: from interviewing full-time therapists in cognitive traditions, too, I’ve often seen this reflexive tension at play. But, from the historian’s perspective, the problem here is that we’re talking about practitioners in the way they behave and present themselves outside of the consulting room. What actually goes on when they work as clinicians is still mostly a black box to me – and that’s the case for those I am able to talk to, as well as those historical actors that I can only trace via their textual or archival paper trail. This has huge implications for what it means to write about the history of psychotherapy: mostly we’re just reconstructing the edges, without ever actually getting at the therapeutic interaction itself.

So I’m not sure I can fully agree with Rose, that we can say they are ‘working within the true’. One could infer from the evidence that this is probably what is going on, sure. But I often wonder whether it could be the norm that there are slippages around such ‘truths’ in practice, (perhaps especially in a health service where policy dictates that clinicians deliver a particular brand of therapy, which they themselves might be critical of). Therapists might integrate different approaches that contain conflicting truth claims, or they could respond to a situation in a manner which might be guided by more banal or common-sense assumptions, or personal values, that have nothing at all to do with their professed psychological worldview. Or they might tailor a ‘therapeutic alliance’ around the belief system of the client, and work in such a way that necessitates the suspension of their own truths. There could be ways to research this question, to test the theory out a bit better. But as it stands, the historian, as usual, can only tell a partial story.

 

DF: One of the things that especially strikes me about the special issue – you gesture at this in the introduction – is that the patient or service-user is much more present, as an experiencing subject, than we are perhaps used to in histories of psychology and psychotherapy. How should we think about his shift in the literature (if indeed it marks a shift)?

SM: I’d say the recipient of therapy as an experiencing subject isn’t by any means as present as it should be. Patrick Kirkham’s article in the special issue really does place the service-user (or in his particular example of autistic self advocates and their objections towards Applied Behaviour Analysis, the service-resister) at the centre. And it’s interesting to note that Patrick came at this topic not from an interest in the history of therapeutics, but somewhat tangentially, from conducting his dissertation research on neurodiversity and the autism rights movement.

Despite the fact that the service-user-as-subject is the very point of most therapies, they are usually only implicit subjects in historical writing on psychotherapy. I’m as guilty of reiterating this in my own writing as anyone else, I admit. It’s something that really struck me when I was writing the introduction, looking over what literature existed. It is incredibly problematic, that we have this looming blank space with regard to the experience of the recipient of the treatment, who is often only seen refracted through the gaze of the therapist.

It’s obviously not difficult to account for this imbalance: there are many more archives and published primary sources from practitioners than there are from patients. It’s a classic problem in the history of medicine, but I think historians of other medical fields – even psychiatry – have been doing a better job of addressing it. So I think it’s a shift in the literature that definitely should happen, and which I will look to follow through in my own work. There are some good sources of inspiration in neighbouring fields in terms of more contemporary, ethnographically orientated research. Ilina Singh’s work on children’s understandings of their ADHD diagnosis springs immediately to mind, or Juliet Foster’s monograph, Journeys Through Mental Illness.

On the other hand, there certainly is a theorized, or perhaps imagined, service-user that has cropped up in the work of sociologists, philosophers and historians. I’m thinking here of Nikolas Rose again and his autonomous, liberal ‘self’ who governs themself through psychological technologies. Equally, Ian Hacking’s patient who becomes therapeutically labelled with, and then reinterprets themselves through, a ‘human kind’ such as multiple personality disorder. Or Sonu Shamdasani’s individual who might opt in or out of an ‘optional ontology’ offered to them by psychotherapy, or who may well present to a therapist having already defined themselves in such terms in the first place.

All of these seem to capture something about the psychotherapeutic subject, and intuitively I’d say they are productive concepts to think with. But the interesting question would be to see whether, or how, they hold true in actual service-user experience, and how subjects do – or indeed do not – act in these terms. What might be the nuances of the individual case, or the particular variant of psychotherapy? How might these differ across time period or culture, or down to the level of the particular kind of institution, clinic, or private practice? Or even by the mode of delivery of self-help intervention, which can be many and varied these days? I’d love to see more work on these questions.

 

DF: The special issue is composed of many (I mean this term, as I guess you do, in its most positive sense) emerging authors in the field – was this a deliberate decision as an editor? And why, if so?

To be honest, it’s because a high proportion of the people doing good work on this topic are at an early career stage, and they were the ones who came my way, by various means. So it feels as though the history of psychotherapy itself is something of an emergent field, even though there have been some really key publications from senior scholars in previous years, as I mention in the introduction. It wasn’t necessarily a deliberate editorial choice from the outset. But there is something to what you have noticed, as this isn’t the only edited volume I’ve been involved with which specifically foregrounds early career researchers. There probably is an implicit ethic there, in terms of wanting to open up space for newer authors, because there is a lot of inspiring new work out there. I have often thought this at recent conferences, that it bodes well for the future of the field.

In other editorial work I’ve done, I’ve also sought to encourage authors from non-anglophone academic backgrounds to publish. I think we can be incredibly North American and West European focused in our field. This doesn’t by any means reflect the quality of research that is being done by scholars elsewhere – it’s just that the latter doesn’t always make it into English-language publications.

 

DF: You yourself are (if I may use a deeply problematic term) an ‘early career’ scholar working in the history of mental health. I’m wondering, if it doesn’t make you groan too much –what advice would have for others entering the field (I’m think e.g. of those who have recently entered graduate study)?

SM: It’s interesting that you’re so apologetic about the use of ‘early career’. A number of colleagues, probably myself included, have found it quite a helpful designation: it can create a sort of solidarity amongst the precariously employed, and it at least implies that you might be en route to having a career! I’ve been part of a writing group within my department, made up of early career historians, which has been enormously galvanising, both creatively and in terms of pooling advice and information, and mutual support. So I’d advise those entering the field to get organised with those around you, within your own institutions and across the field more broadly. There’s a lot on offer already to help enable this, for postgraduates especially: conferences organised by the British Society for the History of Science, the Society for the Social History of Medicine, the Institute of Historical Research’s ‘History Lab’ etc.

I think another key thing is to start becoming an active member of the research community earlier rather than later. Don’t be shy about submitting work to journals (such as History of the Human Sciences!) once you have a good argument to make, and a strong research base to support it. Peer review can be gruelling, but it does help you shape your work for the better, and responding to that kind of critique is good preparation for the viva, not to mention job interviews. Put in for conferences, or organise your own conference if there’s a theme or question that you think really needs to be talked about more. That’s how this special issue originally came about, from putting out a call for conference papers during my PhD at University College London.

I’m often heartened by how supportive academics in this particular field can be towards fledgling researchers actually, in terms of advice and encouragement, from across different institutions. So I’d say it’s a very good community to be part of.

Psychotherapy in Historical Perspective is available now at the HHS website.

Sarah Marks is a postdoctoral researcher at Birkbeck, University of London working on the history of the psy-disciplines during the Cold War and after, with the Wellcome Trust funded Hidden Persuaders project . She is co-editor (with Mat Savelli) of Psychiatry in Communist Europe

Des Fitzgerald is social media and web editor of History of the Human Sciences, and a lecture in sociology at Cardiff University.

Book Review: ‘Before Boas: The Genesis of Ethnography and Ethnology in the German Enlightenment.’

Han F. Vermeulen, Before Boas: The Genesis of Ethnography and Ethnology in the German Enlightenment. Lincoln: University of Nebraska Press, 2015, $75.00. xxiii + 718 pages, ISBN: 978-0-8032-5542-5

by

Hilary Howes

The central argument of Han F. Vermeulen’s Before Boas, which checks in at an impressive – indeed, somewhat daunting – 718 pages, is presented with admirable conciseness at the very beginning of the first chapter.  Both ethnography, ‘conceived as a program for describing peoples and nations in Russian Asia and carried out by German-speaking explorers and historians’, and ethnology, developed by ‘historians in European academic centers dealing with a comprehensive and critical study of peoples’, ‘originated in the work of eighteenth-century German or German-speaking scholars associated with the Russian Academy of Sciences, the University of Göttingen, and the Imperial Library in Vienna’ (pp.1-2).  The formation of these studies, Vermeulen adds, ‘took place in three stages: (1) as Völker-Beschreibung or ethnography in the work of the German historian and Siberia explorer Gerhard Friedrich Müller during the first half of the eighteenth century, (2) as Völkerkunde and ethnologia in the work of the German or German-speaking historians August Ludwig Schlözer, Johann Christoph Gatterer, and Adam František Kollár during the second half of the eighteenth century, and (3) as ethnography or ethnology by scholars in other centers of learning in Europe and the United States during the final decades of the eighteenth and the beginning of the nineteenth century’ (pp.1-2).  Building particularly on existing research by Hans Fischer and Justin Stagl into the importance of Göttingen as a locus of early ethnographic work, Vermeulen pushes the earliest uses of the German terms Völkerkunde, Ethnographie, ethnographisch, and Ethnograph back by several years, and the concept, as Völker-Beschreibung (description of peoples), by several decades.  In the process, he also raises several significant overarching points, including the interconnectedness of seventeenth- and eighteenth-century science in Western Europe and in Russia; the need to distinguish between ‘colonial anthropology’ and ‘anthropology developed in colonial contexts’; and the emergence of the ethnological sciences as part of global history (dealing with peoples and nations, defined primarily by their languages), rather than as part of anthropology (dealing with human varieties or ‘races’, defined primarily by their physical features).

Before Boas is divided into eight substantial chapters.  Chapter One, ‘History and Theory of Anthropology and Ethnology: Introduction’, and Chapter Eight, ‘Epilogue: Reception of the German Ethnographic Tradition’, usefully contextualise the real ‘meat’ of this study, namely Vermeulen’s exhaustive examination of little-known primary sources.  I particularly enjoyed Chapter Two, ‘Theory and Practice: G.W. Leibniz and the Advancement of Science in Russia’; Chapter Three, ‘Enlightenment and Pietism: D.G. Messerschmidt and the Early Exploration of Siberia’; and Chapter Four, ‘Ethnography and Empire: G.F. Müller and the Description of Siberian Peoples’.  As their titles suggest, these three interlinked chapters examine, respectively, Gottfried Wilhelm Leibniz’s (1646-1716) development of a strict methodology in what would now be called comparative or historical linguistics; the itinerary, methods, and results of Daniel Gottlieb Messerschmidt (1685-1735), ‘the first scientifically trained explorer of Siberia’ and the first to ‘systematically conduct ethnographic research’ there (115); and the inauguration of ‘ethnography as a descriptive study of peoples’ by the historian Gerhard Friedrich Müller (1705-1783).  In all three cases, Vermeulen points out, the general neglect by historians of these individuals’ contributions to the development of ethnography can largely be attributed to the ‘lack of published works’ (p.131).  An accurate assessment of Müller’s ethnographic work, for example, has only become possible with the very recent publication (in 2003, 2009, and 2010) of German and Russian editions of two of his manuscripts.

In addition to examining the published and unpublished writings of these three individuals – their correspondence, memoirs, reports, manuscripts, and maps – Vermeulen pays careful attention to their education and training, employment, contacts, and scholarly networks.  This approach emphatically underscores the remarkable mobility of seventeenth- and eighteenth-century savants, as well as the resulting interconnectedness of Western European and Russian science.  Vermeulen’s in-depth discussions of particular individuals and specific expeditions add valuable detail and nuance to existing scholarly work on Tsar Peter the Great’s ‘Petrine reforms’; the lower-level interactions he traces help flesh out contacts between figures at the top of the food chain.  For example, the establishment of an academy of sciences in Russia, which resulted in a significant influx of foreign scholars, is not described simply as a result of Leibniz’s meetings and correspondence with Tsar Peter the Great; rather, Vermeulen presents it as a multi-player process facilitated in large part by the Scottish head of the Apothecary Chancellery in Moscow, Robert Areskine (Erskine), and the Tsar’s main science adviser, Yakov Vilimovich Brius (Jacob Daniel Bruce).

In contrast to Chapters Two, Three, and Four, which blend seamlessly into one another, Chapter Five, ‘Anthropology and the Orient: C. Niebuhr and the Danish-German Arabia Expedition’, seemed to me to sit rather awkwardly within the structure of the book as a whole. Vermeulen introduces it by explaining that its ‘apparent lack of a colonial context … will give us occasion to further comment on the relation between ethnography and empire’, and that its ‘contributions to ethnological discourse were much less pronounced than Müller’s Siberian venture’, this being ‘a contrast that requires elucidation’ (p.218).  Perhaps it does, but 48 pages of elucidation struck me as excessive, particularly since Vermeulen’s main conclusion is essentially negative: the ‘new, “ethnic” principle’ introduced by German-speaking scholars in the Russian Empire, their ‘classification of “peoples” according to their languages’, was ‘not found in Niebuhr’s work’ (p.266).  As for Vermeulen’s insistence on the distinction ‘between “colonial anthropology” and “anthropology developed in colonial contexts”’ (p.28), I felt that this point, although undeniably important, was adequately made in Chapter Four.

Chapter Six, ‘From the Field to the Study: A.L. Schlözer and the Invention of Ethnology’, picks up where Chapter Four left off.  Having traced the concept of ethnography, in the form Völker-Beschreibung, to Müller’s research in Siberia (1740), Vermeulen concedes that the historian August Ludwig Schlözer (1735-1809) was ‘probably the man who invented the term Völkerkunde’ (270).  More importantly, Schlözer ‘was the first to initiate an “ethnographic method” into the study of history”; he employed the concepts Völkerkunde, Ethnographie, ethnographisch, and Ethnograph ‘in strategic passages that were central to his argument’, and ‘held a key position in the international network of scholars first applying the ethnos terms to designate a study of peoples’ (pp.270-271).  While I share James Urry’s (2016: 1) concern that the search for ‘points of origin for ideas and concepts … too often resembles that for the Holy Grail’, I could not help but be impressed by Vermeulen’s meticulously compiled table tracing the history of ‘Ethnological discourse in Asia, Europe, and the United States, 1710-1815’, from Leibniz’s historia etymologica in 1711-12 to B.G. Niebuhr’s Völker- und Länderkunde in 1815 (354-355).  A further valuable aspect of Chapter Six is the attention Vermeulen pays to the proliferation, in the final decades of the eighteenth century, of journals with Völkerkunde in their titles.  These were, in a sense, the first ethnological journals, but the phenomenon has largely been neglected by modern scholars.

Chapter Seven, ‘Anthropology in the German Enlightenment: Plural Approaches to Human Diversity’, offers an overview of anthropological studies in the German Enlightenment.  From a survey of major publications with the word ‘anthropology’ (or its French, German, Italian, and Latin equivalents) in their titles, Vermeulen concludes that anthropology was in fact a ‘polyvalent’ term, used not only for physical and biological approaches but for medical, theological, and philosophical ones (p.393).  He adds that anthropology ‘up until the eighteenth century … was very different from ethnology’; while the former ‘focused on human beings as individuals or as members of the human species’, the latter ‘dealt with particular kinds of human groupings, that is, peoples and nations’ (p.393).  This chapter, unlike the previous ones, is a summary rather than an in-depth study, and doubtless some historians of racial thought will feel that certain aspects or individuals should have been dealt with in more detail.  However, Vermeulen’s focus is on anthropology as an alternative approach to human diversity, and his main point – that ‘anthropology and ethnology developed in separate domains of learning’, and that ‘the distinction between civil (political) history and natural history remained very much alive in the eighteenth century’ (pp.392-393), despite various attempts to relate them – is an important one.

It is scarcely possible, in a book of this scope, to avoid a few minor errors and omissions.  For instance, Vermeulen states that the remains of the ‘main ship, commanded by [Jean-François de Galaup de] La Pérouse’ during his 1785-88 expedition to the Pacific, ‘have never been retrieved’ (p.343).  In fact the wreck of the Boussole was located by Reece Discombe at Vanikoro, Solomon Islands, in the 1960s, while the final resting place of its companion ship, the Astrolabe, has been known since at least the 1950s (Coleman, 1987; Tryon, 2008).  Investigations conducted in 1986 and 1990 by the Maritime Archaeological Section of the Queensland Museum recovered substantial amounts of material from both wrecks (Stanbury and Green, 2004).  Nor is Vermeulen correct to describe it as ‘a mystery why Blumenbach labelled [his] fifth [human] variety “Malayan”’ (p.373); as Bronwen Douglas has pointed out, in the third (1795) edition of his De Generis Humani Varietate Nativa, Blumenbach explicitly justified his use of the name ‘Malay’ ‘on the linguistic grounds that this “variety of men” mostly spoke Malay’ (Douglas, 2008: 107).

These, of course, are mere quibbles.  I was rather more startled to find, in so thoroughly researched a monograph as Vermeulen’s, a passing reference to Gavin Menzies’ widely critiqued (if not debunked) 1421: The Year China Discovered the World (see Goodman, 2006; Henige, 2008; Melleuish et al., 2009; Rivers, 2004).  Any of the numerous credible studies outlined by Finlay (2004) could more effectively have been used to support Vermeulen’s essentially uncontroversial claim that ‘the Chinese sea voyages of Zheng He’, like ‘the Russian conquest of Siberia during the sixteenth and seventeenth centuries’, have ‘rarely been included in the canon of Western exploration’ (p.87).

Vermeulen’s close reading and careful analysis of little-known primary sources far outweigh these few flaws.  Before Boas is a substantial piece of scholarly work on a topic of ongoing interest.  It valuably complements the existing bodies of work dealing, on the one hand, with German-language contributions to the development of physical anthropology, and, on the other, with the history of British and American ethnology.  Historians of science, scholars of Enlightenment thought, and those interested in the peoples of Siberia are the obvious target audience, but I believe Before Boas also has much to offer to anthropologists, ethnologists, geographers, and historians, each of whom will learn a great deal about the history of their own discipline.

Hilary Howes is a Postdoctoral Fellow in the School of Archaeology and Anthropology at The Australian National University, working on Professor Matthew Spriggs’ Laureate Fellowship project ‘The Collective Biography of Archaeology in the Pacific: A Hidden History’ (CBAP).  Her current research, which addresses the German-speaking tradition within Pacific archaeology and ethnology, builds on her PhD dissertation, published in 2013 as The Race Question in Oceania: A.B. Meyer and Otto Finsch between metropolitan theory and field experience, 1865-1914.  Following various stints as a research assistant, tutor, co-lecturer, guest lecturer, and associate course co-ordinator, she was employed most recently as Executive Assistant to the Ambassador at the Australian Embassy in Berlin, where her responsibilities included facilitating the repatriation of Australian Indigenous ancestral remains from German collecting institutions.

 

References

Coleman, R. (1987) ‘Missing: Explorer’s Disappearance Creates a 200-year-old Puzzle’, Australian Geographic 8: 86-99.

Douglas, B. (2008) ‘“Novus Orbis Australis”: Oceania in the Science of Race, 1750-1850’, in B. Douglas and C. Ballard (eds) Foreign Bodies: Oceania and the Science of Race 1750-1940. Canberra, ACT: ANU E Press, pp. 99-155.

Goodman, D.S.G. (2006) ‘Mao and the Da Vinci Code: Conspiracy, Narrative and History’, The Pacific Review 19(3): 359-384.

Finlay, R. (2004) ‘How Not to (Re)Write World History: Gavin Menzies and the Chinese Discovery of  America’, Journal of World History 15(2): 229-242.

Henige, D. (2008) ‘The Alchemy of Turning Fiction into Truth’, Journal of Scholarly Publishing 39(4): 354-372.

Melleuish, G., Sheiko, K. and Brown, S. (2009) ‘Pseudo History/Weird History: Nationalism and the Internet’, History Compass 7(6): 1484-1495.

Rivers, P.J. (2004) 1421 Voyages: Fact and Fantasy. Ipoh: Perak Academy.

Stanbury, M. and Green, J. (eds) (2004) Lapérouse and the Loss of the Astrolabe and the Boussole (1788): Reports of the 1986 and 1990 Investigations of the Two Shipwrecks of the French              Explorer at Vanikoro, Solomon Islands. Fremantle, W.A.: Australasian Institute for Maritime   Archaeology.

Tryon, D. (2008) ‘Vale Reece Discombe (1919-2007)’, Pambu: Pacific Manuscripts Bureau Newsletter 24: 10-11.

Urry, J. (2016) ‘Book Review: Before Boas: The Genesis of Ethnography and Ethnology in the German Enlightenment’, TAJA: The Australian Journal of Anthropology 0 (Early View): 1-2, accessed 2     December 2016, accessible @: http://onlinelibrary.wiley.com/doi/10.1111/taja.12217/full

 

 

Book Review: ‘History Within: The Science, Culture, and Politics of Bones, Organisms, and Molecules’

Marianne Sommer, History Within: The Science, Culture, and Politics of Bones, Organisms, and Molecules, London and Chicago, University of Chicago Press, 2016, 544 pages, cloth $50.00 ISBN 9780226347325.

by Chris Renwick

UNESCO – the United Nations Educational, Scientific, and Cultural Organisation – is probably best known to the public for the “world heritage site” status it has awarded to buildings, structures, and places including the Acropolis, the Galapagos Islands, and the Taj Mahal since it was founded in 1945. Given this role as a guardian of the globe’s heritage, it might surprise some people that UNESCO’s first director – and the man who insisted it include science as well as education and culture in its remit – was Julian Huxley (1887-1975). Grandson of “Darwin’s Bulldog”, Thomas Henry Huxley, Julian was a distinguished biologist in his own right and a public intellectual who had written numerous best-sellers, including Evolution: The Modern Synthesis (1942), been Secretary of the Zoological Society of London, and even won an Oscar for his documentary film, The Private Life of Gannets (1934). Julian Huxley’s connection with UNESCO made perfect sense. A campaigner for what he called “evolutionary” or “scientific” humanism, he believed there was no good reason to exclude the stuff of which we are made from our concept of heritage.

Huxley’s vision is one of the three overlapping evolutionary programmes – the others belonging to the American paleontologist Henry Fairfield Osborn (1857-1935) and the Italian geneticist Luigi Luca Cavalli-Sforza (b. 1922) – that Marianne Sommer has weaved into the compelling History Within. Charting almost 100 years across 15 deeply researched and packed chapters, Sommer tells a story about the efforts to come to terms with the biological, social, and cultural meaning of evolution during the twentieth century. Focusing on an evolving understanding of heritage, through which thinkers fused biology, society, and culture whilst avoiding reductionism, History Within documents a complex intergenerational project to provide us with a scientifically-informed account of what it is to be human. In so doing, Sommer takes us from the early twentieth-century world of what historians have called “mainline” eugenics, in which categories like race had essentialist properties, to the triumph of diversity, in both politics and biology, 70 years later.

Central to Sommer’s argument about those developments is the idea that they were both made possible by and a direct consequence of networks that included not only scientific and political ideas but also technology and modes of communication. Whilst Huxley went so far as resigning his university chair to devote more time to communicating his ideas to a wider public, Osborn worked as both a professor of biology at Columbia University and a curator at the American Museum of Natural History. Cavalli-Sforza, a former student of the British population geneticist R. A. Fisher, integrated his work at Stanford with the latest advances in computing, helping to lay foundations for both the Human Genome Diversity Project and the National Geographic-funded Genographic Project. Immersing ourselves in each of these thinkers’ worlds takes us from an effort to illustrate and encourage people to engage with human evolution through dioramas at the American Museum of Natural History to electronic maps showing the migration of genes across the globe. At each stage, new research techniques made it possible to look deeper into ourselves and increased the amount of information that accounts of human history could include. But they also furnished people like Osborn, Huxley and Cavalli-Sforza with new ways of thinking about humans and opened up new possibilities for people to engage with them.

As Sommer shows, these developments, which have created businesses that will decode genomes for a fee and the idea that heritage can be identified with our genetic makeup, have always existed within a complex and precarious set of political and cultural relationships. Indeed, History Within is most thought-provoking and insightful when it comes to the twentieth-century struggle to fashion a biology that worked productively with left and liberal politics. When allied with his science, Osborn’s somewhat unforgiving eugenics generated a story about humanity that was hierarchical and excluded races and groups. Huxley, however, saw eugenics as having more to do with equality of opportunity – an idea that provided the foundation for his later and more famous work on the UN Statements on Race, which declared race a social, not biological, category. Yet in a post-war world where Huxley’s once-progressive beliefs about eugenics suddenly sounded old-fashioned, Cavalli-Sforza transformed apparently empty biological categories into positive political statements. Genetic geography, with arrows and maps showing the global movement of people, told us about that a common humanity that stretched deep into the past and could be discovered within us.

As Sommer argues, though, problems have persisted, even with this apparent resolution to the challenge set by mid-twentieth-century biosocial progressives. One is the tendency to treat some communities as living fossils – reminders of some geographic and cultural staging post on the way to our own current state. Given that the science involves choices about which groups to sample, stories about genetic and cultural development map historical change in complex and politically fraught ways; for example, by making some people and places part of others’ pasts. At the same time, however, the constant pursuit of diversity in the biosocial sphere threatens to overload us with information, making it difficult to support a story about human heritage that is as coherent as it was when Cavalli-Sforza first started work – a scenario that will be familiar to anyone engaged with the politics of “big data”. Indeed, there is another order of questions that History Within alludes to, namely what all these developments in understanding our past might mean for our future. In the decades after the Second World War, when he was forced to drop eugenics as a frontline concern, Huxley wrote about something he called “transhumanism” – how our knowledge of biological and psychological science might be used to overcome our physical limitations. Diversity was an important part of this project because Huxley had come to believe that, given it was essential for evolutionary progress, society’s role was to compensate for its costs, such as disability. This was a very different answer, of course, to the one offered by earlier mainline eugenicists, who believed in the purity of races. In this respect, progressive social and political ideals have been integral to biology and our understanding of the human during the past 70 years. But with private companies becoming significant actors in the development and communication of these ideas, there are profoundly important questions about the ownership of human heritage, not to mention inequalities in participating in it and accessing any of its future benefits. Sommer offers us a profoundly important historical frame for thinking about this problem, not to mention the others that will emerge in future.

Chris Renwick is senior lecturer in modern history at the University of York and an editor of History of the Human Sciences. He works on the relationship between biology, social science, and politics, and is the author of British Sociology’s Lost Biological Roots: A History of Futures Past (Palgrave Macmillan, 2012).

 

The Holofernes Complex: a new edition of Michel Leiris’ ‘Manhood’

L’Âge d’homme preceded by L’Afrique fantôme, by Michel Leiris. Paris: Gallimard, 2014. Edited by Denis Hollier, in collaboration with Francis Marmande and Catherine Maubon, Series: Bibliothèque de la Pléiade, n°600. 1456 pages, 38 ill., ISBN: 9782070114559.

by Emmanuel Delille

A new edition of L’Âge d’homme (available in English as Manhood)[ref]Leiris, M. (1992) Manhood: A Journey from Childhood into the Fierce Order of Virility, translated by Richard Howard. Chicago: University of Chicago Press.[/ref] by Michel Leiris (1901-1990), overseen by Denis Hollier, was published by the Bibliothèque de la Pléiade at the end of 2014. It constitutes the second volume of Leiris’ selected works, the first volume being La Règle du jeu[ref] Leiris, M. (2003) La Règle du jeu, ed. Denis Hollier, in collaboration with Nathalie Barberger, Jean Jamin, Catherine Maubon, Pierre Vilar, and Louis Yvert. Paris: Gallimard.[/ref]. The edition presents selected autobiographical texts in addition to L’Âge d’homme, including L’Afrique fantôme. (The latter is often translated into English as Ghostly Africa, but will be soon published for the first time as Phantom Africa in a new translation by Brent Hayes Edwards).[ref]Available in English in February 2017: Leiris, M. (2016) Phantom Africa, trans. Brent Hayes Edwards. Chicago: University of Chicago Press.[/ref] L’Afrique fantôme is an essay that is simultaneously controversial and foundational for French ethnology. Hollier’s editorial decision highlights Leiris’ contribution to the genre that we call autofiction, wherein autobiographical materials are rewritten using the techniques of fiction writing – in contrast to the raw journals kept by Leiris between 1922 and 1989. Hollier has proposed the general title L’âge d’homme fantôme[ref]Hollier, D. (2014a) ‘Préface’, in Michel Leiris, L’Âge d’homme précédé de L’Afrique fantôme, ed. Denis Hollier in collaboration with Francis Marmande and Catherine Maubon. Paris: Gallimard, XI.[/ref] to identify this corpus; following Edwards’ new translation of Phantom Africa, an English version of this title could be Phantom Manhood [ref]I am very grateful to Professor Brent Hayes Edwards (Columbia University), who answered my questions about his new translation and suggested Phantom Manhood as a general title in English.[/ref]

The volume is imposing; for this reason, my analysis focuses solely on L’Âge d’homme, the best-known of Leiris’ books among the general public (L’Afrique fantôme is the object of another review article, in the Japanese academic journal Zinbun).[ref]Delille, E. (2017) ‘Michel Leiris, L’Âge d’homme, précédé de L’Afrique fantôme. Édition de Denis Hollier, avec la collaboration de Francis Marmande et Catherine Maubon, (Paris, Gallimard, Collection: Bibliothèque de la Pléiade, n°600, 2014, 1456 pages, ill.)’, Zinbun: Memoirs of the Research Institute for Humanistic Studies, Kyoto University, 47: in press. [/ref] From my perspective, it is not, for all that, his masterpiece; however, this narrative has benefited from its long availability as a mass-market paperback, unlike L’Afrique fantôme. Of Leiris’ books, it is also the one closest to the genre of confessional literature: it reveals the author’s sexual obsessions, the pathological shame he felt, and how he turned to the psychoanalytic interpretation of myths to narrate his experience.

Hollier soberly recounts the book’s context: after a period of anguish and impotence, Leiris began psychoanalysis in 1929 with Adrien Borel (1886-1966), one of the first French psychoanalysts, on the advice of his friend Georges Bataille (1897-1962). He then joined the Dakar-Djibouti Ethnographic Mission (1931-1933) and published a long travel narrative, L’Afrique fantôme (1934). L’Âge d’homme soon followed (1935), although it only really began to take shape after a second series of psychoanalytic treatments (1933-34).

While Leiris was at the very beginning of his scientific career in the 1930s, it is obvious that he drew on two disciplinary genres in order to breathe new life into confessional writing: psychoanalytic and ethnographic narratives. Indeed, as in L’Afrique fantôme, Leiris began with the principle that writing in the subjective mode increases the value of the testimony contained in the book and brings it closer to the truth. Eight chapters tell the story of his childhood and adolescence until the age of reason: marriage, the publication of his first works, and the beginning of a scientific career. Parental figures, his brothers and sister, and his first romantic relationships haunt the narrative, even though the figure of the beloved brother is not as well developed as in The Rules of the Game (La Règle du jeu). Nevertheless, the text is not structured as a family drama in the strict sense; instead, the plot is organized around a painting by Cranach that represents two biblical figures: Judith and Lucretia (Cranach, 16th century). Leiris saw in this diptych a kind of crystallization of his obsessions: two women who personify the two faces, desired and terrifying, of his fantasy. At one and the same time, woman is the object of man’s imperious desire (rape of Lucretia) and triumphant against her rapist (Judith decapitating Holofernes). The influence of psychoanalysis allowed him to identify his fascination with Cranach’s diptych with the concept of the castration complex, which Leiris believed explained his anxieties: “By psychoanalysis, I hoped to free myself from this chimerical fear of punishment, a chimera reinforced by the absurd power of Christian morality – which one must never flatter oneself that one has altogether escaped.”[ref]Leiris, M. (1992) Manhood: A Journey from Childhood into the Fierce Order of Virility, translated by Richard Howard. Chicago: University of Chicago Press, 138. See also: Leiris, M. (2014) L’Âge d’homme précédé de L’Afrique fantôme, ed. Denis Hollier in collaboration with Francis Marmande and Catherine Maubon. Paris: Gallimard, 889-890.[/ref] In Freudian psychoanalysis, the castration complex designates the anxiety that results from the Oedipus complex, which is to say the love children have for their mother, as it is checked by paternal power. This infantile fear represents a certain renunciation of the maternal object, but also an irreversible loss: it thus constitutes an existential anguish, which makes it susceptible to displacement onto substitute objects.

Yet one of the most interesting aspects of this new edition is precisely that it draws attention to the biblical personage with whom Leiris identifies: Holofernes. Indeed, in his foreword, Hollier justly stresses the disappearance of Judith and Lucretia in the conclusion of L’Âge d’homme; they are replaced by masculine figures, suggestive of homosexuality, that are designed to be more harmonious with the psychoanalytic theme of castration.[ref]Hollier, D. (2014b) ‘Notice: David et Goliath ou la castration’, in Michel Leiris, L’Âge d’homme précédé de L’Afrique fantôme, ed. Denis Hollier in collaboration with Francis Marmande and Catherine Maubon. Paris: Gallimard, 1227.[/ref] He also reproduces some of Leiris’ corrected proofs, one of which is soberly entitled Psychanalyse (Psychoanalysis, December 1930).[ref]Leiris, M. (2014) L’Âge d’homme précédé de L’Afrique fantôme, ed. Denis Hollier in collaboration with Francis Marmande and Catherine Maubon. Paris: Gallimard, 31.[/ref] which Leiris had originally intended to insert before a dream narrative.

From a historical point of view, we know that the interpretation of symbols played an important role in the beginnings of psychoanalysis, particularly in the first half of the 20th century. This practice first appeared as a technique for interpreting dreams, with the goal of filling out the material obtained in the patient’s free associations while recounting a dream. For the therapist, it helped both to overcome mental blocks and to explain Oedipal fantasies to the patient. But psychoanalysts soon extended this practice to interpreting symbols in myths, religions, and literary texts; Freud himself based his analysis of infantile sexuality on Greek mythology and published an essay on the biblical figure of Moses.

Hollier also presents a previously unpublished letter written by Leiris to his wife, dated May 30th, 1932. It explains that Borel’s virtue lay in his having understood that Leiris wanted to play the role of a mythological character: he would stage himself in the form of a new Holofernes[ref]Hollier, D. (2014b) ‘Notice : David et Goliath ou la castration’, in Michel Leiris, L’Âge d’homme précédé de L’Afrique fantôme, ed. Denis Hollier in collaboration with Francis Marmande and Catherine Maubon. Paris: Gallimard, 1229.[/ref], in an autobiographical narrative where confession would have a cathartic function. Finally, Hollier observes that castration is also an explicit theme of two texts, contemporary with Leiris’ writings, that were published in 1930 in the journal Documents; this journal was edited by Bataille and lists Borel as one of its contributors.

These materials make a convincing argument that Leiris identified himself with a mythological character. It is unfortunate, however, that the editors chose not to present more context about the appropriation of psychoanalysis by writers of this generation, and that they even forgot to list Borel in their index. This oversight is all the more curious because the very interesting appendices of this new edition contain a Note remise au docteur Borel (Note delivered to Doctor Borel, 1929)[ref]Leiris, M. (2014) L’Âge d’homme précédé de L’Afrique fantôme, ed. Denis Hollier in collaboration with Francis Marmande and Catherine Maubon. Paris: Gallimard, 912.[/ref], followed by Projets de mémoires (Ideas for Memoirs, 1930)[ref]Ibid., 913-915.[/ref], extracted from Leiris’ journal and contemporaneous with his psychoanalysis – a corpus of texts which should have been compared with those written by other former surrealists who undertook psychoanalysis with Borel.

And yet evidence indicating that these texts represent collective practices is not lacking, and editors might have remembered that in the Bible, Judith’s victims include not only Holofernes, but his army as well! Because in addition to Leiris and Bataille, we must also take into account Jacques Baron, Raymond Queneau, Colette Peignot (pseudonym: Laure), and Boris Souvarine, all of whom were in therapy with Borel. Moreover, Borel was not only a confidant of but also an intermediary between the members of this group, as their correspondence demonstrates. For example, in 1934, Baron revealed to Leiris that he too had taken the initiative of asking for help: “I’m not joking, but I’m heading to Privas to visit Doctor Borel! Tell no one about this idiocy, but I’m dreaming: I have all of hell in my head.”[ref]The original French text: “Je ne rigole pas, mais je pars pour Privas rendre visite au Docteur Adrien Borel. Ne souffle mot à personne d’une telle idiotie mais je rêve: j’ai tout l’enfer dans la tête.” Leiris, M. & Baron, J. (2013) Correspondance 1925-1973. Nantes: Joseph K., 149. The English translation here, by Marie Satya McDonough, is literal, because Baron’s expressions are not clear in French. We know that he suffered from depression after the War, but we must be wary of retrospective diagnoses. See also: Delille, E. (2016) ‘Michel Leiris & Jacques Baron, Correspondance. Édition établie, annotée et préfacée par Patrice Allain & Gabriel Parnet (Nantes, éditions Joseph K., 2013, 192 pages)’, Zinbun: Memoirs of the Research Institute for Humanistic Studies, Kyoto University, 46: 213-215.[/ref] That same year, Leiris wrote to Bataille: “If you see Borel after receiving this letter, give him my regards and tell him that I am trying hard to be good.”[ref]Bataille, G. & Leiris, M. (2008) Correspondence, trans. Liz Heron. Chicago: University of Chicago Press/Seagull Books, 105.[/ref] Similarly, in 1943 he wrote him about the posthumous publication of a text by Peignot: “Did you receive the Histoire d’une petite fille? All the copies planned have now been distributed, except Borel’s (but I expect to go and see him within a very few days).”[ref]Ibid., 160.[/ref] We thereby see how in the 1930s, psychoanalysis was a collective practice, much like automatic writing, introduced in The Magnetic Fields (Les Champs magnétiques) in 1920.[ref]Available in English as The Magnetic Fields: Breton A. & Soupault P. (1985) The Magnetic Fields, translated and introduced by David Gascoyne. London: Atlas Press.[/ref]

This intellectual social scene, enthusiastic about psychoanalysis, also had an impact on academic psychology. For example, after the suicide of the eccentric writer Raymond Roussel (1877-1933), Leiris was tasked with editing How I Wrote Certain of My Books[ref]Roussel, R. (2005) How I Wrote Certain of My Books, edited by Trevor Winkfield and introduced by John Ashbery. Boston: Exact Change.[/ref] (Comment j’ai écrit certains de mes livres, 1935), a posthumous autobiographical essay. The project led him to contact the psychologist Pierre Janet, a professor at the Collège de France and Roussel’s psychotherapist, in order to reconstruct his illustrious patient’s last days. Bataille would repeat the gesture in consulting Borel with regard to the posthumous edition of Peignot – and that is not all: in 1937, Leiris would join Bataille in founding a Société de Psychologie Collective, with Borel and Janet! This Society’s goal was to study the psychological factors in social facts. While it may be argued that this information is well-known, unfortunately the existing historiography on the crossed histories of psychoanalysis, psychology, and early 20th century avant-gardes reveals that the collaborations between the literary world and academic psychology are relatively unknown. I am thinking in particular of Alexandra Bacopoulos-Viau’s research,[ref]Bacopoulos-Viau, A. (2012) ‘Automatism, Surrealism and the Making of French Psychopathology: The Case of Pierre Janet’, History of Psychiatry 23(3): 259-276.[/ref] which is well documented but too focused on Breton, and where Leiris is literally forgotten. Beyond Borel and Janet, Leiris would consult other psychotherapists after the war, including Julián de Ajuriaguerra (1911-1993), who would later become, like Janet, professor at the Collège de France. To sum up, it would have been interesting to establish the similarities and the differences between L’Âge d’homme and the accounts, diaries, and fictions that Leiris’ contemporaries left on the practice of psychoanalysis.

Emmanuel Delille is a historian of medicine and health, currently Visiting Scholar at the Max Planck Institute for the History of Science. He is an Associate Researcher at the Centre d’Archives en Philosophie, Histoire et Édition des Sciences (CAPHÉS, École Normale Supérieure, Paris) and at the Centre Marc Bloch (CMB, Humboldt University, Berlin). One of his major interests is the history of psychiatry: intellectual networks and comparative history between France, Germany, and North America – particularly Canada. Other research projects include the history of the French psychiatric hospital Bonneval (Eure-et-Loir) and the history of the French scholarly society “L’Évolution Psychiatrique” (created in 1924). His work in intellectual history focuses on epistolary material, above all, letters between scientists involved in scholarly networks.

Thinking in Cases – a call for submissions to History of the Human Sciences.

As part of our celebration of the work of the incomparable John Forrester, History of the Human Sciences (HHS) is hosting a review symposium around John’s final work: Thinking in Cases (Polity: 2017). The first essay in this collection ‘If p, then what? Thinking in cases’ was originally published in HHS back in 1996: (http://journals.sagepub.com/doi/abs/10.1177/095269519600900301)

As part of our efforts to showcase the work of new and emerging scholars, HHS invites expressions of interest from all early career researchers (a flexible definition) whose work bears in some way upon the work John started with ‘Thinking in Cases’. We welcome anyone who would like to contribute to such a dialogue with John’s work, and with each other.

If interested, please send a short expression of interest (max 200 words) to the email address below, outlining your strengths as candidate for inclusion in such a review symposium. Depending upon response, we anticipate final contributions of c.3,000 words.

Deadlines:

 – Expressions of Interest: Monday 13th March, 2017.

 – Submission of Contributions: 31st October, 2017.

 – Publication in HHS: 2018.

If you have questions, please email Chris Millard: c[dot]millard[at]Sheffield[dot]ac[dot]uk

We look forward to hearing from you,

Felicity Callard (Editor-in-Chief) & Chris Millard (Reviews Editor)

What is philosophy of medicine good for?

An Interview with Cornelius Borck on his recently published book, Introduction to Philosophy of Medicine (in German: Medizinphilosophie. Zur Einführung, 2016. Junius: Hamburg)

by

Lara Keuck

Philosophy of medicine is booming. In the past decade or so, several special issues, textbooks and anthologies have been published that promise to chart the field. One of the most recent additions to this body of literature is The Routledge Companion to Philosophy of Medicine, edited by Miriam Solomon, Jeremy Simon and Harold Kincaid. While the editors strive to include a broad array of perspectives, their ‘predominant thread is the philosophy of medicine treated as part of the Anglophone philosophy of science tradition’ (p.2).

Earlier last year, Cornelius Borck, Professor of History of Medicine and Science Studies at the University of Lübeck in Germany, published a quite different book. Introduction to Philosophy of Medicine (in German: Medizinphilosophie. Zur Einführung) advocates a closer affiliation of philosophy of medicine with history, anthropology, and social studies of medicine, as well as with the phenomenological tradition in philosophy, moving it away from the predominant thread of analytic (and Anglophone) philosophy of science.

As more and more fields of life become medicalized, and indeed often seem to be inevitably medical, Borck urges his readers to stand back, and to look at the ‘functioning logics’’ (Funktionslogik) of evidence-based medicine, biomedicine, or palliative medicine from a critical distance. He puts the distinction between experiencing an illness and having a disease up front, and makes a strong argument that philosophy of medicine ought not be reduced to serving medicine in clarifying biomedical concepts of disease. Rather, philosophers of medicine should think about health and illness as phenomena of human life, for which medicine provides but one ‘pattern of interpretation’ (Deutungsmuster).

Borck exemplifies past and present approaches of medical reasoning. He opposes pre-modern doctors’ attempts of accompanying people through their illness to current trends of overly focusing on intervening medically into human conditions. Borck is not hesitant to make normative judgements, but they are carefully weighed, and they neither lend themselves to a general cultural pessimism nor to a naïve belief in technological progress. Drawing on a broad array of historical studies, the book rather wants to sensitize its readers to, first, an understanding of how medicine became the authority in providing, or at least searching for, scientific explanations for disorders of biological functioning; and, second, a critical engagement with this authority: birth, illness, pain, and dying became medical problems and to-be-solved ‘puzzles’ (Rätsel) of biomedicine. But are these really ‘problems’ that can, and should, be solved? Philosophy of medicine, in Borck’s reading, ought to be informed about medical developments, while propagating a philosophy of health and illness of its own that does not uncritically follow current medical trends. How does this interplay between closeness and distance work? And could this programmatic vision for philosophy of medicine work as an agenda for medical humanities?  I put these questions directly to Cornelius Borck, during a conversation that took place in Berlin and Lübeck, over December 2016

Lara Keuck (LK): I read your book as an invitation to think about what medicine is good for. You distance yourself from other approaches to philosophy of medicine that seem to be united by the basic assumption that medicine (if practiced well and based on solid scientific grounds) is good per se. You identify these approaches with Anglophone philosophy of science and the German tradition of theory of medicine. Do you think that these traditions are in principle ill-suited to address the questions that you raise?

Cornelius Borck (CB): I very much like your description of my book as ‘an invitation to think about what medicine is good for. There can be no question that medicine deals very effectively with many different medical problems and that access to affordable medical treatment is a high common good. As a specialized branch of philosophy of science, philosophy of medicine can thus zoom in on the ways in which biomedicine structures and organizes its practice, how it generates knowledge and orders it to explanatory theories, how its concepts articulate with decision strategies, how access to treatment is regulated and costs and benefits are distributed, etc. Unlike most other sciences, however, medicine does not start with an open search for knowledge; it cannot start from scratch, so to speak, as it deals with human suffering and illness. Illness and suffering precede any science; they call for medical intervention, which in turn shapes and formats states of illness into medical problems. Philosophy of medicine as the reasoning about the fundamental problems medicine is concerned with, should not start with an analysis of the problems as defined in medical practice but open its analysis to the formatting of these problems by medicine. Illness and suffering obviously go far beyond the boundaries of medicine, and medical practice addresses them explicitly and in scientific ways. Philosophy of medicine should hence also comprise a reflection about how it addresses health and illness.

LK: A couple of years ago, you co-edited a book called Maß und Eigensinn (‘Rule and Obstinacy’) that presented historical studies on medical sciences inspired by the work of the French epistemologist Georges Canguilhem. Your new book ends with the statement that philosophy of medicine can help society to articulate its obstinacy (Eigensinn) vis-à-vis medicine. Obstinacy captures only part of the meaning of ‘Eigensinn.’ In German, the term can also be applied to a person who shows integrity and self-coherence in her stubbornness. What does the concept mean to you?

CB: Well spotted! You are probably right in pointing this out as an idiosyncrasy of mine. Here, however, I had in mind what I regard the biopolitical relevance of philosophy of medicine: because biomedicine is so deeply entrenched in the current understanding of life and health, it defines almost every health related issue as a biomedical problem and assigns its interventions as the only salient solutions. Biomedicine’s descriptions of life-and-health-related problems tend to be taken as imperative and peremptory, without asking whether they serve a meaningful understanding of life and health – which obviously transgresses the limits of medical definitions in most instances. In his famous treatise on The Normal and the Pathological, Canguilhem determined the living as that form of being which not only follows rules and norms but establishes them in the first place – because of its obstinacy. Without such an obstinacy and autonomy life would simply not exist. This was the core idea of the book he finished in 1943, the same time he was an active member of the Resistance – and I think this is still an important message.

LK: While your book urges for more critical distance within philosophy of medicine, it is also filled with much details about recent developments, for instance in evidence-based medicine and palliative medicine. Could you elaborate a bit on how this interplay between closeness and distance to your subject of inquiry works? Do you regard this as a general methodology for philosophy of medicine?

CB: Many thanks for this zooming-in as it provides me the opportunity to state clearly that I do not conceive of philosophy of medicine as the search for a completely different form of medicine or as a credo for alternative and holistic medicine. On the contrary, I want to open philosophy of medicine and bring in the ‘critical distance’ you mention for discussing how well it serves in addressing the needs of particular patients. Evidence-based medicine (EBM) is the currently dominating framework of biomedicine and there is probably hardly a better way of doing medicine than ‘the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients,’ as David Sackett and his colleagues defined EBM. However, patients suffer from many different diseases with particular conditions and under very specific circumstances. The available evidence from clinical trials and other studies certainly offers important information, but for systematic, epistemological and pragmatic reasons this cannot cover every condition. A proper analysis of the details of EBM thus brings in critical distance as it reveals, for example, how EBM turns complex clinical conditions into discernible, treatable disease states and measurable treatment effects. Intended as the most accurate picture of the problems biomedicine has to deal with, EBM exerts a tendency to mistake the composite of EBM units for the world of medicine. And on another, more political and health-systems level, EBM introduced new forms of governance and regulation that increased transparency by linking medical services to cost effectiveness. Transparency is an important issue for democratic governance, but instead of opening new arenas for political debates on the health system, the decision-making often gets delegated to the anonymous power of statistical data.

Palliative care is an important topic for my analysis for two very different reasons: as a form of medical practice in the absence of curative treatment, it offers to explore how biomedicine deals with its own failure – and here I see a highly problematic medicalization of terminal care and dying, following on from the medicalization of birth. At the same time, palliative care operates in situations when medicine is cut off from its routines of effectiveness and hence allows us to study forms of practice adapted to individual needs. Where medicine gets disconnected from the imperatives of the perfect cure, a plurality of practices surface, which generate forms of significance and meaning which got lost with biomedicine’s effectiveness. In the absence of effective curative treatment, palliative care provides a window onto some of the other dimensions involved in medical practice that EBM and biomedicine have pushed to the side. At stake here is an ontology of disease conditions and states of illness according to a tinkering logic of care rather then the epistemology of biomedicine. Here, I see a special potential for phenomenology and the phenomenological analysis of states of illness.

LK: You extensively draw on anthropological, sociological and historical work in your book. Why did you decide to flag it as an introduction to philosophy of medicine?  You make clear that you are critical about the term ‘medical humanities.’ Yet, your book seems to me a prime example of both the fruitfulness of cross-talk between the meta-disciplines studying medicine and the importance of educating medical students (and society at large) to not only think about what is technically possible, but also about the limits of medical interventionism.

CB: I have already explained why philosophy of medicine should be more than the branch of philosophy of science specializing in medicine. As such a fundamental questioning, philosophy of medicine must build on the insights from science studies, anthropology and historical epistemology. If my book also serves as an introduction to medical humanities properly understood, I have no problems with that. In their present form however, ‘medical humanities’ often functions as a term describing an array of attempts to adapt biomedicine to the needs of patients without questioning the way biomedicine defines their problems. A good medical education must include some form of medical humanities and it should also offer some philosophical reflection on how biomedicine operates as a scientific practice – and in addition, philosophy of medicine should be the ‘cross-talk between the meta-disciplines studying medicine,’ as you just described it. Biomedicine has generated a wealth of possible and effective interventions. The problem with the technically possible is less the risks and costs involved, but the inherent tendency to foreclose a proper discussion about benefit. The limitations of medical interventionism transpire not along the limits of the technically possible but along their unlimited extension.

LK: Recently, Mark Zuckerberg, the founder of Facebook, and his wife, Priscilla Chan, advertised that they wanted to spend 100 billion dollars in biomedical (and bioinformatic) research, announcing the aim to eradicate all diseases by the end of this century. Your book reveals puzzle-solving to be the ‘working mode’ (Arbeitsmodus) of biomedicine and you argue that this is an ‘unattainable phantasm’ (uneinholbares Phantasma). You oppose philosophy of medicine to this reductionist understanding. Do you see a role for philosophers of medicine in publicly raising their voices in light of such news?

CB: The aim to treat more diseases and to treat them more effectively is very laudable. But it must be added that, on a global scale, the most pressing health problems are already now treatable and effectively manageable. Clean water, healthy food and good hygiene are still the most important factors determining health and disease epidemiologically.  Any initiative to eradicate disease by fostering biomedical research and bioinformatics is hence a very Western and elitist program. But that is another problem and not your question. Living without disease is an old dream, the hope for a new paradise. My suspicion about the Zuckerberg and Chan vision is that to eradicate all diseases does not lead to utopia but to an inhuman dystopia of perfected life, mistaking the ‘absence of disease’ with proper health – to echo the famous definition by the WHO. Alas, my scepticism regarding the Zuckerberg and Chan initiative does not rely on the assumption that diseases are necessary requirements for a meaningful life; it revolves around the understanding that frailty and failure are part and parcel of life itself – and not only of its defective forms. Strictly speaking, life can only be perfected by bringing it to its end. Philosophy of medicine can and should explain why the aim to eradicate disease is good but the underlying vision mistaken; and by the way, the Companion to Philosophy of Medicine you mentioned in the beginning is a nice example of how also the Anglophone branches of philosophy of medicine open up to this.

LK: Imagine Zuckerberg and Chan, inspired by the Human Genome Project, decided to reserve 1 % of this 100 billion dollar programme for the medical humanities. What should be done?

CB: They should, indeed, decide so, but for the form of cross-talk you mentioned! Since the Humane Genome Project we have ELSI, the study of the ethical, legal and social issues of biomedical research. This is more than a mere ‘nice to have,’ because it is important to explore these issues together with the scientific projects. But as it is implemented today, ELSI research follows rather the scientific agenda than interacting with it, and hence, discussion has started about how ELSI research can be better integrated in and connected with on-going biomedical research. In a similar way, medical humanities should be conceived not only as a training program but as a research area, interconnected with biomedical research. A substantial proportion of the 1 billion dollars should be hence allotted to patient groups and for citizen science projects, for articulating, fostering and incorporating their views, needs and values into the biomedical research agenda. And I would apply to Zuckerberg and Chan for funding an interdisciplinary PhD program in philosophy of medicine, offering philosophical reflection in combination with social studies and an immersion in clinical and lab-based research. Instead of specializing philosophers in a subfield, the program would train a new generation of cross-talkers with a thorough understanding of the articulation of research, needs and problems of the many actors in the health system. Their expertise and mediation will be required.

Lara Keuck specializes in history and philosophy of biomedical knowledge. She leads a junior research group on “Learning from Alzheimer’s disease. A history of biomedical models of mental illness”. The group is based at the Department of History at Humboldt University in Berlin, Germany, and is funded through ETH Zurich’s “Society in Science – The Branco Weiss Fellowship”. Together with Geert Keil and Rico Hauswald she has just published an edited volume on Vagueness in Psychiatry (Oxford University Press, 2017).

Cornelius Borck studied medicine and philosophy and is director of the Institute of History of Medicine and Science Studies of the University of Lübeck, Germany. Before coming to Lübeck, he held a Canada Research Chair in Philosophy and Language of Medicine at McGill University in Montreal. Beyond philosophy of medicine, he works on the history of brain research between media technology and neurophilosophy and on  the epistemology of experimentation in art and science.

Medizinphilosophie. Zur Einführung is out now from Junius Verlag.