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Person-centred health care and pain
Published in Stephen Buetow, Rethinking Pain in Person-Centred Health Care, 2020
The aporia is an elusive, mysterious and captivating space arising from the lack of a common language between the person in pain and those with whom they seek to share aspects of their pain experience.80 Managing this aporia within intersubjective space requires the clinician and patient to negotiate the meaning of pain that is always at least partly hidden, and its management. This negotiation is especially important when no physical cause of the pain is identified, and the consequent aporia adds to the relational difficulty that each person faces in becoming everything they can and want to be for themselves and each other. However, whilst an ethos of integration and unity is conducive to joint flourishing, interdisciplinary pain programme participation does not depend on patient-clinician agreement on patient problems.81
Hunting home, chasing health
Published in Susan Bradley Smith, Janette Turner, Jill Gordon, Friday Forever, 2018
Susan Bradley Smith, Janette Turner, Jill Gordon
So much of my writing contradicts itself. I begin writing a love poem, only to find myself divorced by the end of it. Then making my husband breakfast in bed. He still likes my coffee, and me, I think, even though I write horrid poems about us. Is poetry trustworthy? Aporia is a Greek word that once meant a kind of puzzle, but when philosophers use it, it means something more akin to a paradox. Or, more, an impasse. Derrida was fond of discussing aporias, as his fans well know. He wrote a lot about how aporias and their paradoxes affect our notions of mourning, of giving, of hospitality. And of forgiving. Aporias have a logic to them, but not necessarily solutions. Derrida suggests, for example, that gifts are never really gifts, as they demand in their giving a reciprocation, even if it is only a humble thank you. And on hospitality - how can that be genuine when to be a host means to be a master, means to control your guests and if control is relinquished then so too is mastery, and if that is abandoned then you lose your home and can’t be hospitable in the first place? On forgiveness, genuine forgiveness involves the impossible; that is, that we forgive the ‘unforgivable’.
A reflection on Socrates
Published in John Skelton, Role Play and Clinical Communication, 2018
The methodology itself typically works as follows. Socrates asks a major question, about some abstract term, and then explores the answer he is given with further questions. This kind of often friendly but always pointed cross-examination is known as elenchus. The result is that, as we shall see below, an impasse is reached. The original answer to the question is found to lead to a contradiction, a puzzle, a dead end. This is known as an aporia. The point of an aporia to Socrates is that when it is recognised, it can spur someone on to greater efforts, so that the lazy and unsustainable ideas held at the outset of the conversation are replaced by better or more sophisticated ideas.
“There is LGBTQ Life Beyond the Big City”: Discourses, Representations and Experiences in Two Medium-Sized Spanish Cities
Published in Journal of Homosexuality, 2022
Olga Jubany, Jose Antonio Langarita Adiego, Jordi Mas Grau
“Experience” is a word of Latin origin (experientia) that refers both, to the fact of having known, witnessed or lived something, and the knowledge acquired throughout life through relationships and social practices. Abuse of the concept can blur its limits and reduce its potentials of analysis. In this work when we refer to experience, beyond the widely discussed psychological explanations (Lambie & Marcel, 2002), we do so from the plural (experiences) sense, recognizing the endless meanings and representations that permeate social events. In this sense, experiences can be contradictory, liberating and oppressive at the same time, and although they refer to the individual, they are not reduced to the subject or their practices, but are determined by social and cultural patterns in a specific context. Experience is the embodied intersection between individual, society and culture. A status that makes it evident that the separation between mental, social and cultural is neither clear nor possible. Thus, experience is the starting point for the constitution of discourses, representations and practices of subjects. Therefore, an in-depth analysis of experiences that pretends to be categorical will inevitably lead the researcher to an aporia, the aporia of experience. However, if we take experiences as situated narratives to analyze the circumstances of the subjects, it will allow us to understand who does what, why, where, how and when. In this paper, we do not seek to construct categories, but rather to describe circumstances that help us to understand the relationships between gender, sexuality and space.
Psychological preconditions for flourishing through ultrabilitation: a descriptive framework
Published in Disability and Rehabilitation, 2020
Conditions conducive to flow include socialization, self-efficacy [60], and even a willingness of persons to “surrender” their will and reconnect with their “wild side” [61]. When persons who are disabled surrender to ecstatic experience, they may rise like phenixes from the ashes of disability; and surmount the aporia or irresolvable internal contradiction of achieving ablement in disablement. Discourses of sex and disability exemplify this possibility since persons who are disabled “are as likely to be sexually active as their non-disabled peers” [62], among whom “complete surrender” requires “orgastic potency” [63]. However, any ecstatic union transcends the ordinary self [64]. The sense that “everything is one” connects persons to humanity and nature [65]. Without a reduced self-focus, they escape temporarily from self-conscious rumination, avoid self-defeating effort (the Taoist principle of wei-wu-wei) and transiently heal negative emotions “bottom up through the body” [66].
Transgender, Hysteria, and the Other Sexual Difference: An Ettingerian Approach
Published in Studies in Gender and Sexuality, 2019
Hysterics, regardless of trans* status, are epistemologically engaged with the aporia of sexual difference and attempt to inscribe it through their symptomatology. This is a feminine solution because it is a Real solution involving bodily jouissance. What the Ettingerian notion of the matrixial offers to Carlson’s theorization is that there is not only a feminine solution within the terms offered up by Lacan (in the phallic stratum), but there is an Other (Feminine) sexual difference entirely. The OSD (in the matrixial substratum) allows for a more extensive elaboration and theorization of the Feminine than Lacan’s original focus on the feminine position. The OSD gives us a way to understand and apprehend elements of being that exist without symbols authenticated by the phallic premise. Although not working within an Ettingerian frame, both Gherovici and Carlson observe that hysterics and trans* people refuse the primacy of the phallus as the guarantor of sexual difference, thereby underwriting two sexes with one (phallic) signifier.