In this article the aurhtor explores the intimate connection between the concepts of ‘health’ and ‘normality’ in the fields of medicine and mental health by discerning Foucauldian themes in Peter Shaffer’s critically acclaimed drama Equus. Shaffer’s scrutiny of the mental health field pinpoints the same issue as Foucault does in his many works on medicine and psychiatry, namely, that operating behind any concept of ‘health’ in these fields is nothing other than the notion of ‘normality.’ By looking not only to (...) the acumen of Foucault’s research and critique, but also to the depiction of Foucauldian themes in Shaffer’s compelling dramatic work, this article is able to explore the implications of the relation between ‘health’ and ‘normality’ in concrete, human terms. In Equus, the effects of psychiatric discourse are written all over the face of a disturbed, young teenager, a fact which reminds us that the human beings subjected to the mental health care profession are all too real, precariously delicate, suffering individuals. (shrink)

During the mid 1980s, the renowned American documentary filmmaker Fred Wiseman produced a four-part series of films that sought to record the operations of institutions in Talladega, Alabama, devoted to the care and training of people with disabilities. These films—designated as the Multi-handicapped Series—have received much less attention than Wiseman's earlier work, as if films about disability mark a drastic departure from his previous award-winning productions, such as Titicut Follies (1965) and Hospital (1970). The Multi-handicapped Series takes up general categories (...) of disabled populations as discrete documentary topics, Deaf (1986), Blind (1986), Multi-handicapped (1986) and Adjustment & Work (1986) as opposed to a specific location as in his earlier films. As a result, the latter series of films identify social and interpersonal structures developed in the name of specific conditions. Like Foucault's research on disciplinary tactics, Wiseman's films seek out many of the segregated social spaces typically occupied by persons classified as deviant: prisons, hospitals, charity networks, sheltered workshops, resident facilities, and vocational training structures. The Multi-handicapped Series focuses on the activities of professions and practitioners in education, administration, and therapy, as well as the institutional roles designed for bodies marked as disabled. Unlike its 19th century predecessor classification, feebleminded, the latter twentieth century U.S. policy answer has been waged as a matter of dividing disabilities into a binary structure of orthopedic or cognitive categories. Such a development has left many crossover bodies in a diagnostic no-body's-land. To analyze the history of these developments, this essay recognizes the formation of today's disability category as an effect of new regimes of power; a form of domination based upon the application of particularized diagnostic pathologies that provide the basis for cordoning off bodies which fail to fit neatly within the cognitive/orthopedic binary. As documents of the social spaces that are occupied by disabled people, Wiseman's films offer a rare contemplation of institutional practices and their application to populations viewed as nonnormative. (shrink)

Direct-to-consumer pharmaceutical advertising is pervasive in the United States. Beyond its effect on consumer behavior, DTCPA changes the relationship between individuals and physicians. The author provides a brief history of pharmaceutical advertising in the United States. The author then analyzes the current commonly used marketing techniques of pharmaceutical companies and argues that pharmaceutical companies are “irrational authorities” in Erich Fromm’s sense of the term since they seek to exploit persons. Using concepts from various philosophers from the Continental tradition, with a (...) particular emphasis on the work of Michel Foucault, the author analyzes the power relations involved in DTCPA and ultimately argues that DTCPA subtly undermines the contemporary paradigm of patient autonomy while simultaneously depending upon it by treating health consumers as “dividuals,” that is, as porous entities to be manipulated. (shrink)

I argue that the lived experience of disabled people should be validated instead of a facile categorization. Thus far, a disabled sensibility is reduced to a categorical interpretation. Through my examination of a theoretical performance I illustrate how a disabled/able persona negates a disabled sensibility and allows an audience to experience the exotic disabled without examining their own `ableism'. Sobchack's and Clark's examinations demonstrate how both the techno-body and the cyberbody continue to devalue a disabled embodiment and sensibility. In the (...) final section of the article I explore how Deleuze's concept of `difference in itself' can free disabled people from the concepts of identity, hierarchy, representation and categorization that have been employed to devalue their embodiment and sensibility. Moreover, I believe that Deleuze's alternative theory of `difference in itself' can validate a disabled embodiment and sensibility. (shrink)

On the basis of extensive research on the relationship between physical activity, exercise and health, as well as strong support from policymakers and practitioners, the “Exercise is Medicine” initiative has become something of a linchpin in the agenda for modern healthcare reform and reflects a broader acceptance that the philosophy of health politics must shift from social engineering to performativity. However, in spite of the avowed commitment to encouraging individuals to take on a more reflexive relation to their health, it (...) remains unclear as to whether an initiative such as this is, unambiguously, a good thing. In this paper, a number of cautionary remarks are made with respect to “Exercise is Medicine” in principle as well as in practice. Firstly, it is argued that equating exercise with medicine is to equate it with a definition of and relation to the body to which it is not entirely akin. And secondly, it is argued that any proposed alignment of the fitness and healthcare industries needs further critical examination, a realigning of interests, and a thorough reconsideration of their suitability of fit. (shrink)

Our understanding of body–world relations is caught in a curious contradiction. On one side, it is well established that many concepts that describe interaction with the outer world – ‘plasticity’ or ‘metabolism’- or external influences on the body - ‘environment’ or ‘milieu’ – appeared with the rise of modern science. On the other side, although premodern science lacked a unifying term for it, an anxious attentiveness to the power of ‘environmental factors’ in shaping physical and moral traits held sway in (...) nearly all medical systems before and alongside modern Europe. In this article, I build on a new historiography on the policing of bodies and environments in medieval times and at the urban scale to problematize Foucault’s claim about biopolitics as a modern phenomenon born in the European eighteenth-century. I look in particular at the collective usage of ancient medicine and manipulation of the milieu based on humoralist notions of corporeal permeability (Hippocrates, Galen, Ibn Sīnā) in the Islamicate and Latin Christendom between the 12th and the 15th century. This longer history has implications also for a richer genealogy of contemporary tropes of plasticity, permeability and environmental determinism beyond usual genealogies that take as a starting point the making of the modern body and EuroAmerican biomedicine. (shrink)

Despite the promise to save every life, the COVID-19 pandemic has exposed social and racial inequalities, precarious living conditions, and engendered an exponential increase in overdose deaths. Although some lives are considered sacred, others are deliberately sacrificed. This article draws on the theoretical work of Foucault and scholars who further developed his concept of biopolitics. While biopolitics aims to ameliorate the health of populations, Foucault never systematically accounted for the unequal value of lives. In the name of saving the biological (...) lives of people who use drugs (PWUD) during the pandemic, the harm reduction movement has emphasized the need for safe supply, decriminalization, and housing; governments have started implementing these measures, which were previously rejected as utopian and unrealistic. Paradoxically, the use of drugs itself, and therefore the increased risk of death from overdose or other medical sequelae, is the only way PWUD can achieve enough visibility to be recognized as a life worth saving. The humanitarian rationale of harm reduction concerns itself with the biological life and stipulates social and political rights in the name of its sacredness. This is what anthropologist Fassin and others called biolegitimacy—the recognition of life reduced to its physiological, biological essence. (shrink)

The emergence of topics such as reprogenetics and genetic testing for hereditary diseases attests to the continued salience of Foucault's analyses of biopolitics. His various discussions pose at least two problems for contemporary appropriation of the work. First, it is unclear what the "life" on which biopolitics operates actually refers to.1 Second, it is unclear how biopolitics relates to the economy, either in the classical form of the family/household (oikos) or in the current form of neoliberalism.2 In what follows, I (...) argue, first, that modern biopolitics is marked less by the entry of biological life into the polis than by a new consideration of the form of life proper to humans. This is because Foucault's .. (shrink)

: Contemporary global health crises that involve mothers necessarily invoke the varied cultural problematics of maternal embodiment. Examining breastfeeding in light of current concerns about maternal contagion and contamination, with special attention to HIV and environmental toxins, allows us to consider how ambivalence toward maternal embodiment affects the ways we address these health crises within which mothers figure so significantly.

The focus of this article is the life and work of the French thinker Michel de Certeau, here presented as a philosopher of special interest for nursing. Although in some countries he is relatively unknown, international authors from scientific disciplines regard his texts as a fundamental source in the opening of new intellectual perspectives on current global problems. Some nurses have also considered his ideas as a useful aid for reflecting on their professional activities, and their most important research is (...) cited. Over these pages, we also examine how Certeau's work can enrich nursing philosophy in regard to three specific issues: resistance practices in nursing in the face of pressure from health institutions; the social configuration of nursing knowledge; and the importance of the body in current nursing practice. (shrink)

Foucault's analysis of biopolitics has been appraised by Didier Fassin as successfully recognizing an essential trait of contemporary society: the attribution of an absolute value to abstract life and the emergence of political governmentalities managing life. Yet, claims Fassin, Foucault overlooked the need for paying close analytical attention to the everyday detail of lives differentially rendered worth living. Giving a focus to anthropologist Veena Das's work on sexual violence, this paper considers the surprising use by a number of contemporary post-Foucauldian (...) theorists of the resources made available by philosopher Stanley Cavell's reading of Wittgenstein as an alternative for the analysis of everyday violence. Having discussed a further tenor of criticism of Foucault – suggestions that the articulation of biopolitics and its forms of indirect murder as a general phenomenon fail to describe the prior or framing conditions under which certain human lives are more vulnerable than others to becoming disposable life – the paper reconstructs a new lexicon of terms devised by Das which would be more adequate to such analysis. In fact, the paper argues that Foucault is just as available for such reconfiguration as other theorists to whom Das responds differently. (shrink)

Differing accounts are conventionally given of the origins of medical sociology and its parent discipline of sociology. These distinct ‘histories’ are justified on the basis that the sociological founders were uninterested in medicine, mortality and disease. This article challenges these ‘constructions’ of the past, proposing the theorization of health not as a ‘late development of sociology’ but an integral part of its formation. Drawing on a selection of key sociological texts, it is argued that evidence of the founders’ sustained interest (...) in the infirmities of the individual, of mortality, and in medicine, have been expunged from the historical record through processes of ‘canonization’ and ‘medicalization’. (shrink)

Investigating maternity tourism to the United States from Russia through the lens of technological mediation, this study foregrounds the geopolitical patterns of human reproduction that shape, and are shaped by, individual choices of maternal healthcare in a neoliberal healthcare market. Following the history of a highly popular Russian-language forum, I demonstrate how this online community gets imbricated into communicative biocapitalism – a neoliberal logic that commodifies the voice of an online user, turning networked publics into markets for medical services. Adding (...) to the literature on data colonialism, I explore a case in which data-driven algorithms effectively alter geographical distribution of reproductive bodies, outsourcing the production of new generations of neoliberal subjects through regimes of technological mediation. (shrink)

In this essay we take stock of the shortcomings, successes, and promises of ‘biopolitics' to understand and frame global health crises such as COVID-19. We claim that rather than thinking in terms of a special relationship between Western modernity and biopolitics, it is better to look at a longer and more global histories of populations’ politics of life and health to situate present and future responses to ecological crises. Normatively, we argue for an affirmative biopolitics, that at once de-securitizes our (...) approach to our biosocial condition and expands the politics of the human estate to other molar and molecular dimensions. (shrink)

During the late-eighteenth to late-nineteenth centuries, practices of duelling and prize fighting were criminalized in Britain, while boxing remained legal. Through a genealogical method, this paper locates discourses, primarily law, medicine, policing and science, to trace these mechanisms of criminalization and legalization. Focusing on the jurisdictions of the United Kingdom and the United States, I argue that the legalization of boxing did not simply emerge as a part of a ‘civilizing process’. Rather, I explain these processes of criminalization and legalization (...) in the context of biopolitical rationalities of governance. In contrast to its contemporaries, boxing was rationalized as a scientific ‘sport’ that fitted with wider biopolitical visions of public health and well-being: allegedly it did not breed violence or threaten the public peace but was instead practised by skilled technicians. However, the biopolitical management of human life within rational and scientific form comes at a price: life’s ontological need for expression, and the drive to experience and witness boxing’s corporeal excesses remains a ghostly presence threatening to undo the sweet ‘science’. (shrink)

This thesis is about the contemporary challenges facing herbal medicine. Specifically it concerns the difficulties faced by Australian herbalists in their attempts to maintain authority over the knowledge base of their craft and a connection with traditional understandings of the uses of plant medicines, while at the same time engaging with biomedicine and the broader Australian healthcare system. It contributes to the study of the nascent field of qualitative studies in contemporary western herbal medicine by making three main arguments. Firstly, (...) Australian herbal medicine is characterised by its origins as a European colonial practice and its history of professional marginalisation during most of the 20th century. Secondly herbal practitioners have been unable to capitalise significantly on a surge of public popularity in the closing years of the 20th century which brought with it the interest of industry, the scrutiny of regulators and the renewed attention of biomedicine. Herbalists continue to struggle for recognition in the face of these more powerful interests. Thirdly it is argued that herbalists are attempting to gain legitimacy and acceptance as a healthcare profession through a process of underpinning their knowledge base with science, which is replacing their traditional philosophical basis. This has the effect of weakening the ability of herbalists to maintain their identity as an independent profession and makes its knowledge base vulnerable to appropriation by other healthcare professions. Gross’ model of the cultural location of traditions in contemporary societies is used to clarify the situation of herbalists and to identify problems consequent to the political choices they have made or which have been forced upon them. Gross suggests that traditions which place themselves close to power have difficulty in maintaining their own character and integrity, but that other cultural locations are also problematic and limit full participation in society. vi It is argued that there are compelling reasons to move beyond Gross’ analysis and to find ways to strengthen the independence of the herbal profession. Given the financial problems facing the current healthcare system in Australia and the looming ecological challenges, radical changes to the current system are required. The central concepts of herbal practice, in particular vitalism and holism, lead to approaches to healthcare which are potentially both costeffective and ecologically sustainable. A robust and independent profession of western herbalists, with their philosophy articulated and restored, could provide a valuable and sustainable contribution to Australian healthcare. (shrink)