Is It Me or My Brain? Depression and Neuroscientific Facts
by Joseph Dumit
[Dumit, Joseph. 2003. “Is It Me or My Brain? Depression and Neuroscientific Facts.” Journal of Medical Humanities 24 (1–2): 35–47.]
- Wittgenstein says that there are certain points about which we no longer ask for an explanation or a test of its truth, and explanations come to an end:
- “Giving grounds, however justifying the evidence, comes to an end; —but the end is not certain propositions’ striking us immediately as true, i.e. it is not a kind of seeing on our part; it is our acting” (On Certainty, p. 204) (39).
- We might call the set of acts that concerns our brains and our bodies deriving from received-facts of science and medicine the objective-self”
- The objective- self consists of our taken-for-granted notions, theories, and tendencies regarding human bodies, brains, and kinds considered as objective, referential, extrinsic, and objects of science and medicine. That we “know”we have a brain and that the brain is necessary for our self is one aspect of our objective-self” (39).
- “Furthermore, objective-selves are not finished but incomplete and in process. With received-facts we fashion and refashion our objective-selves.
- Thus it is we come to know our bodies as endangered by poisons like saccharine, our brains as having a “reading circuit,” and humans as being either mentally ill or sane or borderline.
- I call this “objective-self fashioning” to highlight our own activity in encountering “received-facts.”
- I emphasize “received-facts” rather than just “facts”to highlight the activity of translation that has taken place in order for the results of a scientific or medical project to reach us.
- Each of these movements of facts from one media to another is also necessarily a transformation of the fact. Science studies scholars Bruno Latour and Michel Callon call this process “translation,” a term connoting both movement and change in meaning. We all know that a fact established in a lab is not known immediately by everyone, everywhere. It must travel through specific channels” (39).
- “Each of the aspects of our objective-selves has this personal history (of coming-to-know via received-facts) and also a social history. (39-40)
- “Some human kinds that we are starting to take for granted, e.g., depressives, require attending to broader social and institutional forces in order to understand how it is that we look to the brain for an answer” (40).
- “These social histories enable and constrain science at every level of fact conception, experimentation, publication, and dissemination and reception, but this does not imply that science is culture. Science produces facts in spite of and because of these constraints—laboriously, continuously, and creatively” (40).
- “And we fashion our objective-selves with the fruit of this labor in the form of received-facts in our own continuous and often creative manner, no matter how skeptical we are. This way of living with and through scientific facts is our form of life” (40).
- Examining sufferers of mental illness pints Dumit to a type of selfhood he wants to “a pharmaceutical self whose scale is one of days and weeks.
- Contrary to a Heideggerian phenomenology in which one is passively thrown into moods, here one’s abnormal neurochemistry actively throws one into depression or mania. Sometimes one can respond to this by taking drugs that, days or weeks later, throw you into yet a third state—not normal, but better.”
- This pharmaceutical Self brings forth “three critical aspects of objective-self fashioning for our purposes.”
- First, there is a tremendous flexibility and openness of explanation of the objective-self”
- Even in the face of specific received-facts about ourselves such as brain images, there is room for negotiation and redefinition. Sociologists and anthropologists of psychology have called this the “pandemonium” of folk psychology. But they also note that even as we can play with mind and brain, motivation and behavior, we also ultimately must satisfy local common sense” (44).
- “The second aspect … is the need for a nuanced, complex cultural, historical and institutional as well as scientific or biomedical understanding of context.
- Objective-self fashioning is an ongoing process of social accounting to oneself and others in particular situations in which received-facts function as particularly powerful resources because they bear the objective authority of science” (44).
- “The third critical aspect of objective-self fashioning is the fundamental connection between the brain as objective-self and one’s own personal identity.
- When genes are invoked as the cause of one’s objective-self and aspects of one’s personality they can become synecdoche for one’s identity. If one has a gene for depression, one can fear becoming depressed.”
- “We can note here that brain images further confuse the part with the whole—even though brain images only show a slice of the brain, they show the slice as representing the whole brain, which in turn is the person” (44).
- “Individual sufferers are trying to both understand their illness and live with it. These are activities that are not necessarily compatible. Using the notion of the pharmaceutical self, I would suggest that they have entered into a relationship with their brain that is negotiated and social” (46).
objective-self—our taken-for-granted notions, theories, and tendencies regarding human bodies, brains, and kinds considered as objective, referential, extrinsic, and objects of science and medicine (39)
objective-self fashioning—”an ongoing process of social accounting to oneself and others in particular situations in which received-facts function as particularly powerful resources because they bear the objective authority of science” (44)
identification— borrowed from psychology and semiotics, “we can characterize our relationship to culture as identification.In Kenneth Burke’s definition, identification includes the “ways in which we spontaneously, intuitively, even unconsciously persuade ourselves” (Burke, 1966, p. 301)” (36)
This article considers the roles played by brain images (e.g., from PET scans) in mass media as experienced by people suffering from mental illness, and as used by scientists and activist groups in demonstrating a biological basis for mental illness. Examining the rhetorical presentation of images in magazines and books, the article describes the persuasive power that brain images have in altering the understanding people have of their own body—their “objective self.” Analyzing first-person accounts of encounters with brain images, it argues that people come to understand themselves as having neurotransmitter imbalances that are the cause of their illnesses via received facts and images of the brain, but that this understand- ing is incomplete and in tension with the sense that they are their brain. The article concludes by querying the emergence of a “pharmaceutical self,” in which one experiences one’s brain as if on drugs, as a new form of objective self-fashioning.”
Continue reading Dumit – Is It Me or My Brain?
Persuasions of the Witch’s Craft: Ritual Magic in Contemporary England
by Tanya Luhrmann
[Luhrmann, Tanya M. 1991. Persuasions of the Witch’s Craft: Ritual Magic in Contemporary England. Cambridge, MA: Harvard University Press.]
- based on 4 years of participant observation among magicians (Wiccan, Pagan, various occult groups) in London in the 1980s
- “This study looks at ordinary middle-class English people who become immersed in a netherworld of magic and ritual, and asks a classic anthropological question: why do they practise magic when, according to observers, the magic doesn’t work?” (4).
- “Magicians are ordinary, well-educated, usually middle-class people. They are not psychotically deluded, and they are not driven to practise by socioeconomic desperation. By some process, when they get involved with magic—whatever the reasons that sparked their interest—they learn to find it eminently sensible. They learn to accept its core concept: that mind affects matter, and that in special circumstances, like ritual, the trained imagination can alter thephysical world” (7).
- “The real issue is not that magicians become comfortable practising an irrational activity, but that when someone becomes a specialist, he finds his practice progressively more persuasive through the very process of interpreting and making sense of his involvement; this changing understanding may become progressively more opaque to outsiders” (7-8).
- Magical ideas begin to seem normal in the process of becoming a magician: in this way, the involvement is more similar to becoming a certain sort of specialist than to producing a new theory” (312).
- “How can a magician take his ideas seriously? Part of the answer is that the very process of learning to be a magician elicits systematic changes in the way that the magician interprets events. Interpretation depends upon a complex set of assumptions, biases, conceptual frames, knowledge, heuristics and attributive tendencies—intellectual habits in paying attention, in organizing what one notices, and in remembering it” (115).
- “There seem to be three outstanding changes in intellectual habits.
- The magician learns what events count as evidence that the ritual has worked, and begins to find new patterns in sets of events, to see connections where previously he has only seen coincidence.
- Then, he acquires the knowledge shared by fellow practitioners—their common knowledge—which gives a depth and complexity to his practice, and allows him to discriminate between events in new ways, armed with these new categories and distinctions.
- Finally, he begins to use a battery of new assumptions—some of them explicitly formulated, others implicit in the conversation—which alter the types of remarks he takes for granted and does not question. The cumulative effect is as if the magician acquires new spectacles.” (115 numeric points added).
- “I would argue that the rift between magician and non-practitioner is carved out by the very process of becoming a specialist in a particular kind of activity. Becoming a specialist often makes an activity seem sensible. The specialist learns a new way of paying attention to, making sense of and commenting upon her world” (115-16).
- Becoming this type of specialist is important, “But as, if not more, important are the unsystematic experiences which, although they may have little to do with intellectual analysis, make the magician want to justify the practice, and which motivate him in the end to rationalize his commitment. These are the experiences which create bias” (176).
- “Certain aspects of magical practice turn it into an engagement which many practitioners find compelling. They find the rituals deeply moving, the pre-ritual ‘homework’ engrossing, they dream with the images of magic’s potent symbols” (177).
- There are four “distinctive categories of experiential response” to ritual magic practice. (All pg. 179).
- meditation and visualization—”the two techniques which magicians always learn upon becoming involved in practice. These are remarkable techniques: they change the practitioner’s phenomenological experience in relatively well-understood ways, and magicians are notably affected by their use.”
- magician’s language—”the linguistic style with which magicians describe their rituals and meditations. This style evokes a significant imaginative involvement with the ritual’s narrative and gives the magician concrete experience of the abstract terms of magical theory, like ‘contact’ or ‘power’. At the same time, the magician is told that no understanding of magical theory is complete or accurate: she can have confidence that the term refers to something, but she need not state unequivocally what it is.”
- ritual—There are three specific strategies a magician goes through to plan a ritual
- He is concerned to create a separate space and time,
- to exploit mind-altering techniques like chanting,
- and to alter the personality of the ritualist.
- All these techniques take their central task to be setting ritual apart as something different, to be experienced almost as if it involved a different reality superimposed on the everyday.
- symbolism—”The use of symbolism is the most important element of the magician’s magical engagement. Symbolism plays many roles, and evokes many responses, and probably bears most responsibility for magic’s excitement. Magicians invent a mythopoeic history, talk about intimate feelings in symbolic terms, therapeutically reorganize their lives with symbolic ‘archetypes’. They also create a secrecy-shrouded mystery religion and talk of the ‘esoteric knowledge’ which their rites provide.”
- “Throughout all this, the implication should be clear: magic is far more than a theory, and the pleasures of these other aspects—difficult to verbalize, difficult to forget—wed the magician more strongly than any intellectual analysis to a commitment to the validity of his practice” (179).
- So… “Systematic changes in the style of intellectual interpretation make the ideas seem more believable; the satisfactions of involvement make the desire to justify the involvement even greater. Nevertheless, despite magic’s growing appeal, at some point in their practice – for some, throughout their practice – magicians confront scepticism, other people’s or their own” (270).
- “magicians do not produce an elaborate philosophy which would describe all their beliefs, actions and desires as consistent, and substantively rational—oriented towards a genuinely desirable goal in the most effective manner possible. Instead, they justify the inconsistency with a range of arguments and make efforts to separate magic off and make efforts to separate magic off from the mundane by ritual and metaphor. Through practice, theory and styles of arguments, magicians insulate their magic from hostile criticism, real or imagined, and they acquire reasons to explain this separation … People rationalize rather than acting rationally, and strive for local consistency with a patchwork job of post hoc rationalization” (273).
- “people tend to conceptualize themselves as unitary selves, coherent and all-of-a-piece. In order to understand their actions as part of that self, directed towards an end suitable to that self, they talk about ‘beliefs’ and ‘attitudes’ and ‘desires’, proposition-like assertions which explain why someone performs an action. If you see an aborigine eating grubs, you assume that he believes that the grub is nourishing, delicious, or imbued with sacral power” (307).
- “In order to function effectively, humans—these interpreters of culture—must act as if humans do not act randomly, but in a way they can learn to anticipate and to which they can learn to respond. This involves attributing to them a set of proposition-like assertions about the state of the world – he is carrying an umbrella, he must believe that it will rain this afternoon – which they maintain over time” (307).
“the ethnography presented on modern magic and the persuasiveness which the practice obtains elicits three observations about belief. Let me summarize” (309).
- “First, it is optimistic to think that people have an ordered set of beliefs abouta particular endeavour which forms a consistent set with other beliefs which together describe the totality of thought and action. People are much fuzzier, and more complex, than that. The ethnographer can legitimately identify something like a belief when someone argues for a proposition, at least during the period when they are doing the arguing. But magicians argue in different ways at different times; some of them claim to believe one thing when practising magic, and another thing when not practising magic; others seem to be firmly committed to their practice, and produce arguments about relativism which do not seem entirely plausible in the face of their behaviour. “
- “Second, it is hubris—and bad ethnography—to assume that people act first and foremost because they are motivated by belief. The material on modern magic suggests particularly dearly that people often argue for a belief as a means to legitimize, and even to understand—to rationalize—the practice in which they have been involved … If someone goes to church as a regular part of his life, he is likely to argue for a belief in God. If he feels deeply spiritual when praying to God, he is more likely to be persuaded that God exists, for the religious framework provides a way to interpret that unusual feeling.”
- Third, magicians have beliefs; it is not true that becoming a magician simply involves learning to speak a new ‘language’ … That is more than a bow towards relativism: the assertion claims that apparently strange beliefs say nothing startling, but simply express conventional beliefs in new and surprisingways. Or, the assertion can be that in becoming a shaman, a Scientologist, a believer in something, someone is simply acquiring new terms to describe new experiences” (309).
interpretive drift—slow, often unacknowledged shift in someone’s manner of interpreting events as they become involved with a particular activity. As the newcomer begins to practice, he becomes progressively more skilled at seeing new patterns in events, seeing new sorts of events as significant, paying attention to new patterns … there seems to be a slow, mutual evolution of interpretation and experience, rationalized in a manner which allows the practitioner to practise. The striking feature, I found, was how ad hoc, how seemingly unmotivated, this transformation became. Magicians did not deliberately change the way they thought about the world”
cognitive dissonance—In the fifties, Leon Festinger (and others) developed a sociological theory of ‘cognitive dissonance’ to understand intellectual discomfort. Its most famous application concerned an American flying saucer cult which predicted that the world would end on 21 December. On 22 December—after the prophetic failure—the adherents began to proselytize, for the first time, claiming that the world had been miraculously redeemed. Festinger interpreted this as an attempt to reconcile their considerable commitment to their belief with the embarrassing evidence of its falsity by creating social support for a somewhat transformed version of it” (271).
Continue reading Luhrmann—Persuasions of the Witch’s Craft
Leviathan and the Air-Pump: Hobbes, Boyle, and the Experimental Life
by Steven Shapin & Simon Schaffer
[Shapin, Steven, and Simon Schaffer. 1985. Leviathan and the Air-Pump: Hobbes, Boyle, and the Experimental Life. Princeton, N.J: Princeton University Press.]
- To interrogate questions like “Why is it that we do experiments to determine “matters of fact?” S&S look to the controversy surrounding the first laboratory experiments=Robert Boyle’s air-pump experiment (and Hobbes’s critiques of them)
- by approaching the topic like a “stranger”—even though we have come to see controlled experiments as creators of scientific fact, S&S ask what someone at the time would think of the controversy, avoiding presentism
- Very basically:
- Boyle wants to “see the house of natural philosophy in order by remedying its divisions and by withdrawing it from contentious links with civic philosophy” (21). In other words, our society is jacked-up, but we can make it so that science (natural philosophy) is not so jacked-up. How? Controlled laboratory experiments!
- Hobbes disagreed, saying that “order was only to be ensured by erecting a demonstrative philosophy that allowed no boundaries between the natural, the human, and the social, and which allowed for no dissent within it” (21). In other words, what is true is true in all aspects and you can’t just carve one facet of that truth out.
- In other other words: “Robert Boyle maintained that proper natural philosophical knowledge should be generated through experiment and that the foundations of such knowledge were to be constituted by experimentally produced matters of fact. Thomas Hobbes disagreed. In Hobbes’s view Boyle’s procedures could never yield the degree of certainty requisite in any enterprise worthy of being called philosophical” (22).
- Boyle (S&S argue) used three technologies in his experiments
- material technology—the air-pump itself and its use in experimentation
- literary technology—descriptions of the apparatus, the experiments, and the laboratory space as well as the findings of the experiments published and disseminated to the public at large
- social technology—the idea of “witnessing” (see below).
witnessing – three ways to multiply it
- make it public—use a laboratory
- “The space where these machines worked—the nascent laboratory—was to be a public space, but a restricted public space, as critics like Hobbes were soon to point out. The phenomena were not on show anywhere at all. The laboratory was, therefore, a disciplined space, where experimental, discursive, and social practices were collectively controlled by competent members” (39).
- make it replicable—so others can witness it by doing the same thing elsewhere
- This was more of a theoretical aim than a realistic one. The cost pf air-pumps, their rarity, and their different designs made direct replication almost impossible.
- Not to mention the fact that Boyles’s air-pump leaked—something that Hobbes talked about. A lot.
- “virtual witnessing”—write it down in detail, and readers will witness it in their imagination
- This could possibly reach and infinite number of witnesses, but it depends completely on the reader trusting the account, which feeds back into Hobbes’s critique of the laboratory: the people involved had to be beyond reproach, so only members of exclusive social and professional circles (The Royal Society) could contribute. They got to actually witness, so countless others could virtually witness.
- “first, the witnessing experience had to be made accessible; second, witnesses had to be reliable and their testimony had to be creditable. The first condition worked to open up experimental space, while the second acted to restrict entry” (336).
Conclusion—scientific “matters of fact” are actually political creations
- “There are three senses in which we want to say that the history of science occupies the same terrain as the history of politics. First, scientific practitioners have created, selected, and maintained a polity within which they operate and make their intellectual product; second, the intellectual product made within that polity has become an element in political activity in the state; third, there is a conditional relationship between the nature of the polity occupied by scientific intellectuals and the nature of the wider polity” (332).
- By the end S&S have shown “(1) that the solution to the problem of knowledge is political; it is predicated upon laying down rules and conventions of relations between men in the intellectual polity; (2) that the knowledge thus produced and authenticated becomes an element in political action in the wider polity; it is impossible that we should come to under stand the nature of political action in the state without referring to the products of the intellectual polity; (3) that the contest among alternative forms of life and their characteristic forms of intellectual product depends upon the political success of the various candidates in insinuating themselves into the activities of other institutions and other interest groups. He who has the most, and the most powerful, allies wins” (342).
Or more briefly said:
- “As we come to recognize the conventional and artifactual status of our forms of knowing, we put ourselves in a position to realize that it is ourselves and not reality that is responsible for what we know. Knowledge, as much as the state, is the product of human actions” (344).
- Even Boyle—who championed scientific experimentation and the ideals of natural fact divorced from all societal influence—could only prove his point through the use of social structures and media dissemination, erasing any pretense of nature’s ability to stand alone.
- “Hobbes was right” (344).
Leviathan and the Air-Pump examines the conflicts over the value and propriety of experimental methods between two major seventeenth-century thinkers: Thomas Hobbes, author of the political treatise Leviathan and vehement critic of systematic experimentation in natural philosophy, and Robert Boyle, mechanical philosopher and owner of the newly invented air-pump. The issues at stake in their disputes ranged from the physical integrity of the air-pump to the intellectual integrity of the knowledge it might yield. Both Boyle and Hobbes were looking for ways of establishing knowledge that did not decay into ad hominem attacks and political division. Boyle proposed the experiment as cure. He argued that facts should be manufactured by machines like the air-pump so that gentlemen could witness the experiments and produce knowledge that everyone agreed on. Hobbes, by contrast, looked for natural law and viewed experiments as the artificial, unreliable products of an exclusive guild. The new approaches taken in Leviathan and the Air-Pump have been enormously influential on historical studies of science. Shapin and Schaffer found a moment of scientific revolution and showed how key scientific givens—facts, interpretations, experiment, truth—were fundamental to a new political order. Shapin and Schaffer were also innovative in their ethnographic approach. Attempting to understand the work habits, rituals, and social structures of a remote, unfamiliar group, they argued that politics were tied up in what scientists did, rather than what they said. Steven Shapin and Simon Schaffer use the confrontation between Hobbes and Boyle as a way of understanding what was at stake in the early history of scientific experimentation. They describe the protagonists’ divergent views of natural knowledge, and situate the Hobbes-Boyle disputes within contemporary debates over the role of intellectuals in public life and the problems of social order and assent in Restoration England. In a new introduction, the authors describe how science and its social context were understood when this book was first published, and how the study of the history of science has changed since then.
Continue reading Shapin & Schaffer—Leviathan and the Air-Pump
The Idea of a Social Science
by Peter Winch
[Winch, Peter. 1970. “The Idea of a Social Science.” In Rationality, edited by Bryan Wilson, 1–17. Key Concepts in the Social Sciences. London: Basil Blackwell.]
The book as a whole represents an intervention into the ‘reasons and causes’ argument—the basic premise being that
- there are rules that regulate human activities. These rules “rest on a social context of common activity”
- In physical science, you are studying objects, these rules define how the scientists deal with the objects of study and how scientists relate to each other when involved in the study
- scientists understand these rules because they are developed through the process of doing science as scientists (regularities)
- In the social sciences, however, the object of study is not an object, but instead another layer of complex rules regulating human activity, which leads to the problem:
- Social scientists understand the rules of the social sciences—the rules that govern interactions with each other and the study but how can they claim to understand the rules regulating the subjects of their study?
- So, when we talk of “reasons,” we can really only talk about the rules that inform intention toward a particular act
- “A regularity or uniformity is the constant recurrence of the same kind of event on the same kind of occasion; hence statements of uniformities presuppose judgements of identity. But this takes us right back to the argument according to which criteria of identity are necessarily relative to some rule: with the corollary that two events which count as qualitatively similar from the point of view of one rule would count as different from the point of view of another” (1).
- “Even if it is legitimate to speak of one’s understanding of a mode of social activity as consisting in a knowledge of regularities, the nature of this knowledge must be very different from the nature of knowledge of physical regularities” (4).
- “In the course of this argument I have linked the assertion that social relations are internal with the assertion that men’s mutual interaction ‘embodies ideas’, suggesting that social interaction can more profitably be compared to the exchange of ideas in a conversation than to the interaction of forces in a physical system” (12).
- “So, even where it would be unnatural to say that a given kind of social relation expresses any ideas of a discursive nature, still it is closer to that general category than it is to that of the interaction of physical forces” (12).
Questionable: “a historian or sociologist of religion must himself have some religious feeling if he is to make sense of the religious movement he is studying and understand considerations which govern the lives of their participants” (4). Continue reading Winch—The Idea of a Social Science