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"Downing, Lisa"
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Geriatric Psychiatry Review: Differential Diagnosis and Treatment of the 3 D’s - Delirium, Dementia, and Depression
The three D’s of Geriatric Psychiatry—delirium, dementia, and depression—represent some of the most common and challenging diagnoses for older adults. Delirium is often difficult to diagnose and treatment is sometimes controversial with the use of antipsychotic medications, but it is common in a variety of patient care settings and remains an independent risk factor for morbidity and mortality in older adults. Dementia may affect a significant number of older adults and is associated with delirium, depression, frailty, and failure to thrive. Treatment of dementia is challenging and while medication interventions are common, environmental and problem solving therapies may have some of the greatest benefits. Finally, depression increases with age and is more likely to present with somatic complaints or insomnia and is more likely to be reported to a primary care physician than any other healthcare provider by older adults. Depression carries an increased risk for suicide in older adults and proven therapies should be initiated immediately. These three syndromes have great overlap, can exist simultaneously in the same patient, and often confer increased risk for each other. The primary care provider will undoubtedly benefit from a solid foundation in the identification, classification, and treatment of these common problems of older adulthood.
Journal Article
Perversion
Perversion-its ubiquity in infantile life and its persistence in the psychical and sexual lives of some adults-was a central element of Freud's lifelong work. The problem of perversion has since been revisited by many psychoanalytic schools with the result that Freud's original view of perversion has been replaced by numerous-often contradictory-perspectives on its aetiology, development and treatment. The concept of perversion has also been significant for the disciplines of cultural studies and gender and queer theory, which have explored the creative and dissident powers of 'perversion', while expressing a suspicion of its operation as a pathological category.
This bi-partite collection offers a series of perspectives on perversion by a range of psychoanalytic practitioners and theorists (edited by Dany Nobus), and a selection of papers by scholars who work with, or critique, psychoanalytic theories of perversion (edited by Lisa Downing). It stages a serious dialogue between psychoanalysis and its commentators on the controversial issue of non-normative sexuality.
eBook
Heteronormativity and Repronormativity in Sexological “Perversion Theory” and the DSM-5’s “Paraphilic Disorder” Diagnoses
The move from “paraphilias” to “paraphilic disorders,” where only the latter constitute mental disorders, has been hailed as a major change to the conception of non-normative sexualities in
DSM
-
5
. However, this is a claim that has been criticized by numerous activists and doctors working for removal of
all
diagnoses of so-called sexual disorders from the APA’s manual. This article, written from a critical humanities, queer theory-inflected perspective, examines the historical and ideological grounds underlying the inclusion of the newly branded “paraphilic disorders” in
DSM
-
5
. It argues that the diagnosis does nothing to overturn the conservative and utilitarian view of sexuality as genitally oriented and for reproduction that has colored sexological and psychiatric history. It suggests that despite homosexuality no longer being classed as a disorder, an implicit heteronormativity continues to define psychiatric perceptions of sexuality. In sum, this article proposes that (1) the production of the field of psychiatric knowledge concerning “perversion”/“sexual deviation”/“paraphilia”/“paraphilic disorder” is more ideological than properly scientific; (2) the “normophilic” bias of the
DSM
is a bias in favor of heteronormativity and reproduction; and (3) some sexual practices are valued above others, regardless of claims that the presence of a paraphilic practice itself is no longer a criterion for a diagnosis of mental disorder.
Journal Article
The Cambridge Introduction to Michel Foucault
French philosopher and historian Michel Foucault is essential reading for students in departments of literature, history, sociology and cultural studies. His work on the institutions of mental health and medicine, the history of systems of knowledge, literature and literary theory, criminality and the prison system, and sexuality, has had a profound and enduring impact across the humanities and social sciences. This introductory book, written for students, offers in-depth critical and contextual perspectives on all of Foucault's major published works. It provides ways in to understanding Foucault's key concepts of subjectivity, discourse, and power and explains the problems of translation encountered in reading Foucault in English. The book also explores the critical reception of Foucault's works and acquaints the reader with the afterlives of some of his theories, particularly his influence on feminist and queer studies. This book offers the ideal introduction to a famously complex, controversial and important thinker.
eBook
Antisocial Feminism? Shulamith Firestone, Monique Wittig and Proto-Queer Theory
Recent iterations of feminist theory and activism, especially intersectional, ‘third-wave’ feminism, have cast much second-wave feminism as politically unacceptable in failing to centre the experiences of less privileged subjects than the often white, often middle-class names with which the second wave is usually associated. While bearing those critiques in mind, this article argues that some second-wave writers, exemplified by Shulamith Firestone and Monique Wittig, may still offer valuable feminist perspectives if viewed through the anti-normative lens of queer theory. Queer resists the reification of identity categories. It focuses on resistance to hegemonic norms, rather than on group identity. By viewing Wittig's and Firestone's critique of the institutions of the family, reproduction, maternity, and work as proto-queer — and specifically proto-antisocial queer — it argues for a feminism that refuses to shore up identity, that rejects groupthink, and that articulates meaningfully the crucial place of the individual in the collective project of feminism.
Journal Article
Murder in the Feminine: Marie Lafarge and the Sexualization of the Nineteenth-Century Criminal Woman
Downing examines a series of European nineteenth-century discourses-medical, literary, and popular-about the female murderer in France in particular and in Europe more generally and traces their persistence in present-day thinking.
Journal Article
Film and Ethics
Film & Ethics considers a range of films and texts of film criticism alongside disparate philosophical discourses of ethics by Levinas, Derrida, Foucault, Lacanian psychoanalysts and postmodern theorists.
Introduction Section 1: Representation and Spectatorship Section 1 Introduction 1. 'Tracking Shots are a Question of Morality': Ethics, Aesthetics, Documentary 2. Testing Positive: Gender, Sexuality, Representation 3. The South looks back: Ethics, Race, Cultural Identity 4. Ethics, Spectatorship and the Spectacle of Suffering 5. Pornography and the Ethics of Censorship Section 2: Theory, Ethics, Film Section 2 Introduction 6. Blinding Visions: Levinas, Ethics, Faciality 7. Deconstructive Ethics: Derrida, Dryer, Responsibility 8. Foucault in Focus: Ethics, Surveillance, Soma 9. The Cinematic Ethics of Psychoanalysis: Futurity, Death Drive, Desire 10. What if we are Post-Ethical? Postmodernism's Ethics and Aesthetics
Lisa Downing is Professor of French Discourses of Sexuality at the University of Exeter. Her publications include Patrice Leconte (2004), From Perversion to Purity: The Stardom of Catherine Deneuve , ed. with Sue Harris (2007), and The Cambridge Introduction to Michel Foucault (2008).
Libby Saxton is Lecturer in French and Film Studies at Queen Mary, University of London. She is author of Haunted Images: Film, Ethics, Testimony and the Holocaust (2008) and co-editor of Seeing Things: Vision, Perception and Interpretation in French Studies (2002).
eBook
