Thursday, August 25, 2011

The Gaze

"The sovereign power of the empirical gaze."  Or so says Foucault.  One of the kinds of 'evidence' from practice is the list I posted last, that there are a plethora of diseases, syndromes, and otherwise unpleasant conditions named after doctors (MDs and PhDs) and few 'cures' so named.  Some procedures, but nothing like the pantheon of eponymous disease.  Foucault's proposition, that clinical medicine emerged from the transition from metaphor to mapping (my short-hand) would suggest exactly that, the definition of the condition, the generalization of the gaze within the discipline of clinical medicine, would yield the highest accolade, a 'naming,' like the discoverer of a new celestial object.   The 'fact' therein is that the object is just that, objective.  But, the crux of the matter for Foucault, clinical medicine and most of us cats, is that there is a subjective experience of that 'objective' disease that will, in all cases, differ from the object.  I know, that is too dense and ineffective a sentence, even if I believe accurate.  So, for the celestial example, it is as if all observers (nee, clinicians) had a different view of the object, so essentially the 'celestial body' became an ensemble of all views, a composite object of observations, e.i. non-objective.  That is compounded in the clinic in that every 'disease' is literally personified, as if a meteor had a consciousness that both observed its own condition and that of those who observed it, in a kind of post-modern recursion (as much as I hate that). Every human affliction is a unique experience with a completely non-linear trajectory.  But the clinic is not capable of enveloping that uniqueness, as it is simply the expression of an 'empirical gaze.'  Fairly clear why our admonishments and initiatives in health care cannot be effective.  But the nature of the 'gaze' precludes the mirror.

Wednesday, August 24, 2011

By anyother name...

Why are diseases named for doctors, but aside from the Heimlich maneuver, not too many cures or treatments?

From wikipedia:


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