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Placebos of Development: A Critique of Modern Health Objectivity in Kant, Marx, and Psychoanalysis

dc.creatorZeman, Scott
dc.date.accessioned2020-08-23T16:17:52Z
dc.date.available2009-12-16
dc.date.issued2009-12-16
dc.identifier.urihttps://etd.library.vanderbilt.edu/etd-12092009-213151
dc.identifier.urihttp://hdl.handle.net/1803/15228
dc.description.abstractIn 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 Freud’s examination of the fort/da game in children and to D.W. Winnicott’s 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 Kant’s critical aesthetics of valuation and in Marx’s 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.
dc.format.mimetypeapplication/pdf
dc.subjectsubreption
dc.subjectmagic
dc.subjecttheory of history
dc.subjectWinnicott
dc.subjectsymbolism
dc.subjecthuman development
dc.subjecttrauma studies
dc.subjectglyphics
dc.subjectCapital
dc.subjectCritique of Judgment
dc.subjectbeauty
dc.subjectcommodity
dc.subjectfetishism
dc.subjectmoney
dc.subjectaesthetics
dc.subjectnocebo
dc.subjectFreud
dc.subjectmourning
dc.subjectvalue
dc.titlePlacebos of Development: A Critique of Modern Health Objectivity in Kant, Marx, and Psychoanalysis
dc.typedissertation
dc.contributor.committeeMemberDr. Volney Gay
dc.contributor.committeeMemberDr. Idit Dobbs-Weinstein
dc.contributor.committeeMemberDr. Gregg Horowitz
dc.type.materialtext
thesis.degree.namePHD
thesis.degree.leveldissertation
thesis.degree.disciplinePhilosophy
thesis.degree.grantorVanderbilt University
local.embargo.terms2009-12-16
local.embargo.lift2009-12-16
dc.contributor.committeeChairDr. John Lachs


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