Research on the use of propranolol as a pharmacological memory dampening treatment for post-traumatic stress disorder is continuing and justifies a second look at the legal and ethical issues raised in the past. We summarize the general ethical and legal issues raised in the literature so far, and we select two for in-depth reconsideration. We address the concern that a traumatized witness may be less effective in a prosecution emerging from the traumatic event after memory dampening treatment. We analyze this (...) issue in relation to sexual assault, where the suggestion that corroborating evidence may remedy any memory defects is less likely to be helpful. We also consider the clinical ethical question about a physician's obligation to discuss potential legal consequences of memory dampening treatment. We conclude that this latter question reflects a general problem related to novel medical treatments where the broader socio-legal consequences may be poorly understood, and suggest that issues of this sort could usefully be addressed through the promulgation of practice guidelines. (shrink)

Post-traumatic stress disorder is a “young” disorder formally recognized in the early 1980s, although the symptoms have been noted for centuries particularly in relation to military conflicts. PTSD may develop after a serious traumatic experience that induces feelings of intense fear, helplessness or horror. It is currently characterized by three key classes of symptoms which must cause clinically significant distress or impairment of functioning: persistent and distressing re-experiencing of the trauma; persistent avoidance of stimuli associated with the trauma and numbing (...) of general responsiveness; and persistent symptoms of hyper-arousal. One of the possible symptoms within the second class is difficulty in remembering an important aspect of the traumatic event.PTSD is not an uncommon condition, with an estimated lifetime prevalence of about 7-9% based on studies conducted in the United States and Canada, with women at higher risk than men. While not everyone who experiences a significant trauma will go on to develop PTSD, about a third will do so. Sexual assault, along with other forms of assaultive violence, pose a comparatively high risk of PTSD. (shrink)

This article advances a critical phenomenology of the meaning of aging embodiment. Its broad aim is to profoundly challenge an idealized view of aging as foremost and fundamentally a natural or normative procession of “ready-made” stages pre-set “in” time (i.e., infancy, childhood, adolescence, adulthood, and “old age”) or pre-given units of time that unfurl along a timeline (i.e., chronological age), from past to present to future. Combining, defending, and adapting resources from Merleau-Ponty’s Phenomenology of Perception with a reading of the (...) concept of institution (Stiftung) via the phenomenon of puberty in Institution and Passivity: Course Notes from the Collège de France (1954-1955) as well as insights from critical gerontology, I argue that the phenomenon of aging embodiment demands to be understood in terms of transitions, that is, as an intensive reorientation in relationality, sociality, and the style in which one has a past rather than as changes along a timeline. (shrink)