In my dissertation, I critically examine the relationship between health, development, and the unconscious conditions of our symbolic use of objects of value. If we look at the average biomedical and cognitive-behavioral models of health, for instance, we find a guiding assumption about therapeutic causality, namely, that health and illness are produced through knowable, mechanically efficient causes, through what a Kantian might call empirical causes. Critiquing this assumption, my thesis is that while we are right to understand health and illness as empirically produced, our knowledge would be greater, more scientific, and capable of producing wiser and more social forms of health if we expanded our notion of causality to include the influence of primitively wishful, or what I call placeboic, mechanisms. Human health and illness are not just cultural phenomena steeped in various lines of history but, much more deeply, they are rooted in, and so conditioned by, our relatively unexplored prehistories. Philosophy should therefore become more archaeological, I suggest, in our task of understanding and bettering society. One of the basic lessons I draw from these insights is that, despite appearances, social and individual health and illness are largely indexes of the development of culture. They are marks of regression and progression in tension. To defend these points, I develop three interrelated tactics. First, I look to psychoanalysis, especially to Freuds examination of the fort/da game in children and to D.W. Winnicotts theory of the transitional object, to show how human development pivots on what might be called the preverbal differentiation of subject and object in and as symbolized objects of value (e.g., a pacifier, then a teddy bear, etc). Objects of value defend against illness to the degree that value sustains the bi-directional (im)permeability of self and world. Second, I trace the psychoanalytic account of the relation between health and development to its scientific heritage in Kants critical aesthetics of valuation and in Marxs theory of fetishized values. Third, I ask larger questions about the relation between individual and socio-historical development. Does individual development recapitulate socio-historical development, and vice versa? I suggest that they do and that they do so through the necessary disavowal of archaic but persistent wishes and forces.
| Identifer | oai:union.ndltd.org:VANDERBILT/oai:VANDERBILTETD:etd-12092009-213151 |
| Date | 16 December 2009 |
| Creators | Zeman, Scott |
| Contributors | Dr. Volney Gay, Dr. Idit Dobbs-Weinstein, Dr. Gregg Horowitz, Dr. John Lachs |
| Publisher | VANDERBILT |
| Source Sets | Vanderbilt University Theses |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.vanderbilt.edu/available/etd-12092009-213151/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Vanderbilt University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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