Ground zero: Ontology, recognition, and the elusiveness of care in American eating disorders treatment.

Abstract:

:This paper reflects upon questions of ontological contingency when the stark, visceral reality of a person's relentless self-destruction unfolds within institutional mechanisms that systematically withhold certain kinds of care. I consider these issues through the lens of "manipulation" as it is elaborated within an American eating disorders treatment center, where the notion of manipulation does particular kinds of affective and pragmatic work. Specifically, it serves to render clients as, paradoxically, both hyper-agentic and "agentically challenged" in ways that legitimate the withholding of their recognition as full subjects and therefore deserving of care. I propose that the ontological perspectives of the treatment center are ill-equipped for accounting for such dynamics and, in fact, carry certain risks when employed in the consideration of psychiatric conditions where they can even become coopted in unintended ways. This carries special importance when working with people whose ontological status is, in a very real (and not just theoretical) sense, teetering on the brink of the void.

journal_name

Transcult Psychiatry

journal_title

Transcultural psychiatry

authors

Lester RJ

doi

10.1177/1363461516674874

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

516-533

issue

4

eissn

1363-4615

issn

1461-7471

pii

1363461516674874

journal_volume

55

pub_type

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