In the period 1800–1870, French physicians approached psychic illness (Philippe Pinel’s “neurosis”) within competing “cerebralist” and “visceralist” frameworks. Cerebralism, which dominated the specialty of mental medicine, sought the origins of psychic illness in lesions of the brain and central nervous system. “Visceralism,” upheld by generalists, clung to the view of the ancients that psychic disorder was seated in the abdominal viscera. The distinction enjoyed credibility thanks to widespread acceptance of Xavier Bichat’s “two lives” doctrine, which demarcated functions of the central (...) and the “vegetative” nervous systems. Once the “two lives” conception was undercut after midcentury, cerebralists sought to draw disturbances of appetite, digestion, and eating within the domain of the central nervous system. This essay suggests that historical study of “hysterical anorexia” and related disease entities that displaced “neuroses of the stomach” has overemphasized sociocultural determinants to the neglect of the internal dynamics of biomedical science. (shrink)

Neuroses are secondary mental illnesses, it being their purpose to contain psychoses.

What we call "neurosis" is psychosis about specific facts, but not about the logical instruments used to judge relations between facts. What we call "psychosis" is psychosis about both facts and the aforementioned logical instruments.

Este artigo discute as implicações do segundo dualismo pulsional freudiano para a economia narcísica e o conceito de trauma, fenômenos que despontam no corpo teórico da segunda tópica psíquica. Discute-se o modelo econômico da dor física e sua retomada em Além do princípio do prazer, como um marco renovado para a teoria do trauma e sua relação com a fixação em formas de sofrimento psíquico e de adoecimento. Conclui-se que um desenvolvimento teórico sobre a dor e sua relação com o (...) masoquismo erógeno e moral são contribuições para elucidar o retorno de formações narcísicas sobre o Eu. (shrink)

Philosophers have often thought that concepts such as ”knowledge” and ”truth” are appropriate objects for theoretical investigation. In a discussion which ranges widely over recent analytical philosophy and radical theory, Philosophy and Its Epistemic Neuroses takes issue with this assumption, arguing that such theoreticism is not the solution but the source of traditional problems in epistemology (How can we have knowledge of the world around us? How can we have knowledge of other minds and cultures? How can we have (...) knowledge of ourselves?) and in the philosophy of language (How can we know what our words refer to?).The author draws on Wittgenstein and recent neo-pragmatists (Putnam, Rorty, Davidson, Williams) to argue that analytical philosophy and radical theory alike stand in an ambivalent relationship with skepticism, which issues forth in varieties of ”epistemic neuroses” - manifested most clearly in the cases of metaphysical realism, relativism and causal theories of reference. Each of these projects is defined in terms possibilities that conflict with its own chances of cognitive success. Hymers explains not only the mainstream analytical philosophy of such figures as Devitt, Quine and Burge, but also structuralism (Althusser, Lacan), feminist theory (Seller, MacKinnon, Lugones) and critical theory (Marcuse), in an attempt to outline a therapeutic alternative to philosophical theoreticism. (shrink)

Drawing inspiration from Wittgenstein’s dictum that “[t]he philosopher’s treatment of a question is like the treatment of an illness”, a number of prominent contemporary philosophers have stopped trying to refute skepticism and have instead sought to cure us of it. A similar passion for Wittgensteinian therapy animates Michael Hymers’ ambitious Philosophy and its Epistemic Neuroses. The book falls into three parts: the first aspires to debunk skepticism; the second dissects relativism; and the third is devoted to the topic of (...) self-knowledge. (shrink)

I outline the main arguments of my book, Philosophy and Its Epistemic Neuroses (Westview, 2000), in which I defend an anti-theoretical approach to traditional problems in epistemology, metaphysics and the philosophy of language, focusing especially on external-world scepticism, the indeterminacy of reference, relativism and first-person authority, contending that these problems arise from embracing philosophical commitments that are not quite contradictory, but which suffer from what I describe as "epistemic neuroses"--an acceptance of methodological commitments that make these problems look (...) like problems at the same time as they render them insoluble. I contend that such epistemic neuroses plague both the analytical and continental traditions in philosophy alike. (shrink)

Philosophers continue to locate themselves on a landscape in which scepticism is a prominent feature. By treating sceptical scenarios, from evil demons to brains-in-vats, as "real possibilities" that would, if actual, suffice to "explain our experience as of a world beyond our senses", we can locate the strong independence of the world from knowledge characteristic of metaphysical realism. But, by taking scepticism this seriously, realists deprive themselves of any justification for other theses they nonetheless continue to advocate. In order to (...) advance beyond scepticism, metaphysical realists must then treat sceptical scenarios as mere logical possibilities, but by doing so they jettison the strong independence of the world that characterizes their own form of realism. This "concurrent need to admit and deny a thesis, especially a sceptical one", is the "neurosis" or "epistemic dissociative disorder" of Michael Hymers's title. Hymers makes a persuasive case for regarding this simple story as the right diagnosis for a succession of ills afflicting self-described metaphysical realists. On his telling of the tale, the mind-independence of the world needed for metaphysical realism requires taking scepticism seriously; but accompanying positive theses require that the same seriousness be dampened. (shrink)

Levin follows the development of Freud's ideas up to Three Essays on the Theory of Sexuality, claiming that "his writings through 1905 can easily be recognized as containing virtually all the fundamental elements of his system." The interpretation has two complementary emphases: "that his early theoretical models were much more closely tied to current medical and psychological literature than has previously been acknowledged, and that, contrary to presently accepted views, Freud, from his first studies of the neuroses, consistently eschewed (...) speculations concerning possible organic explanations for these diseases". (shrink)

This paper aims to integrate insights from psychoanalytic theory into business ethics research on the sources of ethical failures within organizations. We particularly draw from the analysis of sources and outcomes of neurotic processes that are part of human development, as described by the psychoanalyst Karen Horney and more recently by Manfred Kets de Vries; we interpret their insights from a stakeholder theory perspective. Business ethics research seems to have overlooked how “neurotic management styles” could be the antecedents of unethical (...) behavior within organizations. After showing the connection between five managerial neuroses and the corresponding potential ethical failures within organizations that have been already identified within business ethics research, we suggest three organizational strategies to counteract these failures. First, we argue that managers should pay greater attention at the complexity of human motivation, avoiding the simplistic view of compliance‐based approaches. Second, we discuss the importance of developing a conversation around values within organizations, enabling healthy individual growth and limiting the emergence of neurotic processes. Finally, we discuss the role of the business ethicist in facilitating such a process, suggesting a parallel between the role of the business ethicist and that of the psychoanalytic therapist. (shrink)

This book critically examines Freud's own detailed arguments for his major explanatory and therapeutic principles, the current neorevisionist versions of psychoanalysis, and the hermeneuticists' reconstruction of Freud's theory and therapy as an alternative to what they claim was a “scientistic” misconstrual of the psychoanalytic enterprise. The clinical case for Freud's cornerstone theory of repression – the claim that psychic conflict plays a causal role in producing neuroses, dreams, and bungled actions – turns out to be ill-founded for two main (...) reasons: Even if clinical data were valid, the method of free association has failed to support the psychoanalytic theory of unconscious motivation; Clinical data tend in any case to be artifacts of the analyst's self-fulfilling expectations, thus losing much of their evidential value. The hypothesis that psychoanalytic treatment is in reality a placebo poses a serious challenge to the assumption that insight is a key causal factor when therapy is successful. This challenge has yet to be met by psychoanalysts. Similar conclusions undermine the neorevisionist versions of psychoanalysis. The most influential hermeneuticists, on the other hand, are shown to have imposed an alien philosophy on psychoanalysis, partly through their reliance on gross misconceptions of the natural sciences. Karl Popper's criticism of the Freudian corpus as empirically untestable has misjudged its evidential weaknesses, which are more subtle. If there exists empirical evidence for the principal psychoanalytic doctrines, it cannot be obtained without well-designed extraclinical studies of a kind that have for the most part yet to be attempted. (shrink)

In the 20th century, the boundaries of psychosis emerged as an area in which psychiatric judgement faced numerous and profound uncertainties. Between obvious neuroses and personality and reactive disorders on the one hand, and unquestionable psychoses on the other, psychiatrists faced a world of suspected cases of schizophrenia, doubtful personality disorder diagnoses or probable cases of psychosis constituting a garden of equivocal clinical presentations in which both individual psychiatrists and the discipline as a whole were confronted with the limits (...) of their knowledge. This article examines how psychiatrists from two German university clinics managed the multiple uncertainties involved in diagnosing cases of early psychosis between 1950 and 1980. Based on the analysis of a sample of records, we propose a pragmatic interpretation of the ways in which these uncertainties were recorded by psychiatrists. How were uncertainties and doubts expressed in the records and managed by clinicians? What means were used to dispel doubt? What were the consequences for patients of these diagnostic uncertainties? The article defines an uncertainty diagnosis as a diagnosis expressed with reservations by its author and recorded as such in a medical file. Depending on the nature of the uncertainty, the types of evidence used by the professionals and how this evidence was dealt with, we have identified three types of uncertainty diagnoses: suspicion, plausibility and probability diagnoses. The article then reflects on the role of the patients themselves in shaping these uncertain situations. (shrink)

Histories of psychoanalysis largely respect the boundaries drawn by the psychoanalytic profession, suggesting that the development of psychoanalytic theories and techniques has been the exclusive remit of professionally trained analysts. In this article, I offer an historical example that poses a challenge to this orthodoxy. Based on extensive archival material, I show how British psychiatric social workers, a little-studied group of specialist mental hygiene workers, advanced key organisational, observational, and theoretical insights that shaped mid-century British psychoanalysis. In their daily work (...) compiling patient histories, conducting home visits, and interviewing the parents of ‘maladjusted’ children, psychiatric social workers were uniquely positioned to expose the importance of family relationships in the development of childhood neuroses. As this article details, their analytic attention to these dynamics not only influenced, but fundamentally constituted the innovative research on maternal-child relationships and family therapy pioneered by eminent psychoanalyst John Bowlby. In addition, psychiatric social workers produced and published independent psychoanalytic research, and fiercely debated the limitations of analytic concepts such as transference. In presenting the relationship between British psychiatric social work and psychoanalysis, this article suggests a new way of telling the history of both. (shrink)

In 1886, as Nietzsche's thought becomes more explicitly oriented toward the project of a revaluation of all values, he reframes BT and three middle period books with prefaces. Four out of the five prefaces show Nietzsche noticeably occupied with the theme of health, which serves in each of those four as a lens orienting the reader toward his earlier work. In his "Attempt at Self-Criticism," for instance, Nietzsche suggests that the principal contribution of BT lies in the idea of the (...) Dionysian, which carries the promise that there might exist "neuroses of health".1 The preface to GS finds Nietzsche looking for a "philosophical physician" who might "pursue the problem of the total... (shrink)

Chaosophy is an introduction to Félix Guattari's groundbreaking theories of "schizo-analysis": a process meant to replace Freudian interpretation with a more pragmatic, experimental, and collective approach rooted in reality. Unlike Freud, who utilized neuroses as his working model, Guattari adopted the model of schizophrenia--which he believed to be an extreme mental state induced by the capitalist system itself, and one that enforces neurosis as a way of maintaining normality. Guattari's post-Marxist vision of capitalism provides a new definition not only (...) of mental illness, but also of the micropolitical means for its subversion. Chaosophy includes such provocative pieces as "Everybody Wants to Be a Fascist," a group of texts on Guattari's collaborative work with Gilles Deleuze, and "How Martians Make Love," a roundtable discussion with Guattari, Lotringer, Catherine Clément, and Serge Leclaire from 1972. This new, expanded edition features a new introduction by François Dosse and a range of additional essays, including "Franco Basaglia: Guerrilla Psychiatrist," "The Transference," "Semiological Subjection, Semiotic Enslavement," "The Place of the Signifier in the Institution," and "Three Billion Perverts on the Stand.". (shrink)

When we speak of philosophy and therapy, or of philosophy as therapy, the usual intent is to suggest that ‘philosophizing’ is or should be a way to clarify the mind or purify the soul. While there may be little point in arguing with psychoses or deeply-embedded neuroses our more ordinary misjudgements, biases and obsessions may be alleviated, at least, by trying to ‘see things clearly and to see them whole’, by carefully identifying premises and seeing what they – rationally (...) – support, and by seeking to eliminate the residual influence of premises that we have long since, rationally, dismissed. I don't intend to argue with this account – though of course it may be as well to remember that ‘philosophizing’ may have more dangerous effects. It is not obvious that philosophical argument will always help us ‘see things straight’, and the Athenian democracy was not altogether wrong to think that some of Socrates' followers or pupils learnt quite the wrong things from him. (shrink)

O tema do fragmento e do que é fragmentário perpassa a obra de Freud: pedaços de memórias, vestígios do passado, retalhos de textos são alguns dos elementos que figuram em sua prática empírica e em seu afazer teórico. Não somente o passado reaparece, no presente, por meio de fragmentos, mas também a verdade ou o significado (de um sonho, de um sintoma) pode emergir, na atividade interpretativa e terapêutica, em estado fragmentário. Neste texto, buscamos compreender o papel do fragmento dentro (...) da teoria freudiana; para tanto, focamos nossa atenção no caso do Homem dos Lobos, no qual os fragmentos marcam presença de forma maciça. Nota-se que eles atuam em três dimensões distintas e complementares: a) no próprio conteúdo da neurose analisada; b) no decorrer do tratamento analítico, ou melhor, no método freudiano; c) na redação do caso clínico, isto é, na passagem do tratamento para o campo das palavras escritas. Estudando as relações entre esses três campos, vê-se emergir uma _ética do fragmento _freudiana, na qual nós, enquanto leitores, estamos sempre implicados. (shrink)

O presente artigo visa discutir a ausência de vergonha na melancolia e a satisfação dos pacientes em comunicar o desprezo por si mesmo, tal como descritos por Freud em 1917. Para tanto, segue a argumentação do ensaio Luto e Melancolia e indica os aportes conceituais necessários para a apresentação da melancolia como uma neurose narcísica, distinta da vivência de luto. Considerando que a vergonha é um afeto que se coloca na fronteira entre psíquico e social, busca refletir sobre as implicações (...) clínicas de sua ausência na melancolia. (shrink)

Freud’s metapsychology has been interpreted in a number of different ways. Some scholars see him committed to classical scientism, others to genuine hermeneutics. Many Freud philologists suggest that he moved from an early scientism to hermeneutic methods in his later writings, and some think he misunderstood his own angle, thinking himself to be a natural scientist, but actually practising hermeneutics. The article first looks at Freud’s model of the soul and his remarks about psychoanalytic explanations and concludes that there is (...) overwhelming evidence for the contention that he conceived of psychoanalytic explanations in terms of causal explanations and that his metapsychology is, all things considered, scientistic. However, it seems that Freud did not clearly distinguish between causal and rational explanations. The article emphasizes that he could have found this distinction in the writings of Max Weber. In the last two sections, the article turns to a meticulous analysis of two vignettes describing Freud’s own treatment of two cases that he takes to be fine examples of the technique used in psychoanalytic treatment. It turns out that Freud himself looks at these cases and their treatment, throughout, in terms of rationality and irrationality. In particular, he seems to distinguish between an “external” irrationality and an “internal” rationality of neurotic diseases. He also seems to point to functions of neuroses representing certain solutions for mental disturbances. Thus, there is much evidence for assuming that in his psychoanalytic technique, Freud relied on genuine hermeneutic and functional methods; and therefore, Freud’s official metapsychology seems to be methodologically inconsistent with his analytic technique. (shrink)

This text explores the problem of transcendental stupidity in Sigmund Freud, Gilles Deleuze and Jacques Derrida’s works, seeking to combine it with (1) the paradoxical figure of Oedipus (the original complex) in psychoanalytical and philosophical tradition and (2) the symptomatic situation of some important animals (wolf and dog, symbols of wild and domestic life [i.e.: Freud’s Wolfs, Freud’s Chow-Chows]) in analyses and therapies. The case of the Man of the Wolves (der Wolfmann), the case of Mr. Sergei K. Pankejeff described (...) in Aus der Geschichte einer infantilen Neurose, a fundamental dream in contemporary culture history, would be the point of departure. (shrink)