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Contexts of Suffering New Heidegger Research SeriesEditors: GregoryFried,ProfessorofPhilosophy,BostonCollege,USA RichardPolt,ProfessorofPhilosophy,XavierUniversity,USA TheNewHeideggerResearchseriespromotesinformedandcriticaldialoguethatbreaks newphilosophicalgroundbytakingintoaccountthefullrangeofHeidegger’sthought,as wellastheenduringquestionsraisedbyhiswork. TitlesintheSeries AfterHeidegger? EditedbyGregoryFriedandRichardPolt Correspondence1949–1975 MartinHeidegger,ErnstJünger,translatedbyTimothyQuinn ExistentialMedicine EditedbyKevinAho HeideggerandJewishThought EditedbyMichaBrumlikandEladLapidot HeideggerandtheEnvironment CaseyRentmeester HeideggerandtheGlobalAge EditedbyAntonioCerellaandLouizaOdysseos HeideggerBecomingPhenomenological:PreferringDiltheytoHusserl,1916–1925 RobertC.Schaff HeideggerinRussiaandEasternEurope EditedbyJeffLove Heidegger’sGods:AnEcofeministPerspective SusanneClaxton MakingSenseofHeidegger ThomasSheehan Proto-PhenomenologyandtheNatureofLanguage LawrenceJ.Hatab HeideggerintheIslamicateWorld EditedbyKataMoser,UrsGöskenandJoshMichaelHayes TimeandTrauma:ThinkingThroughHeideggerintheThirties RichardPolt ContextsofSuffering:AHeideggerianApproachtoPsychopathology KevinAho Contexts of Suffering A Heideggerian Approach to Psychopathology Kevin Aho London•NewYork PublishedbyRowman&LittlefieldInternational,Ltd. 6TinworthStreet,LondonSE115AL www.rowmaninternational.com Rowman&LittlefieldInternational,Ltd.isanaffiliateof Rowman&Littlefield 4501ForbesBoulevard,Suite200,Lanham,Maryland20706,USA WithadditionalofficesinBoulder,NewYork,Toronto(Canada),andLondon(UK) www.rowman.com Copyright©2019byKevinAho Allrightsreserved.Nopartofthisbookmaybereproducedinanyformorbyany electronicormechanicalmeans,includinginformationstorageandretrievalsystems, withoutwrittenpermissionfromthepublisher,exceptbyareviewerwhomayquote passagesinareview. BritishLibraryCataloguinginPublicationInformation AcataloguerecordforthisbookisavailablefromtheBritishLibrary ISBN:HB978-1-78661-187-1 ISBN:PB978-1-78661-188-8 LibraryofCongressCataloging-in-PublicationDataAvailable ISBN:978-1-78661-187-1(cloth:alk.paper) ISBN:978-1-78661-188-8(pbk:alk.paper) ISBN:978-1-78661-189-5(electronic) TMThepaperusedinthispublicationmeetstheminimumrequirementsofAmerican NationalStandardforInformationSciencesPermanenceofPaperforPrintedLibrary Materials,ANSI/NISOZ39.48-1992. Contents Acknowledgments vii Abbreviations:WorksbyHeidegger ix Introduction:HeideggerandPsychiatry xi PartOne:PhenomenologicalPsychopathology 1 MedicalizingMentalHealth:AHeideggerianAlternative 3 2 Depression:DisruptionsofBody,Mood,andSelf 23 3 Anxiety:TemporalDisruptionsandtheCollapseofMeaning 37 4 MentalIllness,OntologicalDeath,andPossibilitiesforHealing 49 PartTwo:HermeneuticPsychiatry 5 SituatingMentalIllness:OntheValueofHermeneuticPsychiatry 65 6 SituatingShyness:ExtrovertPrivilegeandAmericanSelfhood 77 7 SituatingStress:NeurastheniaandMedicallyUnexplained Syndromes 91 8 SituatingRage:Alienation,Individualism,andAmerican Authenticity 105 Afterword 119 References 131 Index 139 v Acknowledgments This project could not have been completed without the support from my colleagues at Florida Gulf Coast University, including Mo Al-Hakim, Caro- lyn Culbertson, Julia Frank, Bob Gregerson, Miles Hentrup, Joanne Muller, Rebecca Totaro, and Glenn Whitehouse. I am especially thankful to my parents,JimandMargaretAho,andmy teacherCharles Guignon,whoread, edited, and commented on the manuscript in its various stages of develop- ment. I am indebted to Frankie Mace, Rebecca Anastasi, and the rest of the excellenteditorialstaffatRowmanandLittlefieldInternational,andtoRich- ard Polt and Greg Fried, series editors of the New Heidegger Research Se- ries, for supporting this project. I would also like to express my gratitude to the following publishers for permission to reprint portions of the following articlesandchapters. “Affectivity and Its Disorders,” Oxford Handbook of Phenomenological Psychopathology, G. Stanghellini, M. Broome, P. Fusar-Poli, A. Ra- ballo, R. Rosfort, and A. Fernandez (eds.). Oxford University Press. doi.10.1093/oxfordhb/9780198803157.013.51,2018. “Depression and Embodiment: Phenomenological Reflections on Motil- ity, Affectivity, and Transcendence,” Medicine, Healthcare, and Phi- losophy,vol.16(4),pp.55–63,2014. “A Hermeneutics of the Body and Place in Health and Illness,” Place, Space, and Hermeneutics, B. Janz (ed.). Dordrecht: Springer, pp. 115–126,2017. “Guignon on Self-Surrender and Homelessness in Dostoevsky and Hei- degger,” Horizons of Authenticity in Existentialism, Phenomenology, andMoralPsychology,M.AltmanandH.Pedersen(eds.).Dordrecht: Springer,pp.63–74,2014. vii viii Acknowledgments “Heidegger, Ontological Death, and the Healing Professions,” Medicine, Healthcare,andPhilosophy,vol.19(1),pp.751–759,2016. “Medicalized Psychiatry and the Talking Cure: A Hermeneutic Interven- tion,”withCharlesGuignon,HumanStudies:AJournalofPhilosophy andtheSocialSciences,vol.34(3),pp.293–308,2011. “MedicalizingMentalHealth:APhenomenologicalAlternative,”Journal ofMedicalHumanities,vol.29(4),pp.243–259,2008. “The Psychopathology of American Shyness: A Hermeneutic Reading,” Journal for the Theory of Social Behavior, vol. 40(4), pp. 190–206, 2010. “Temporal Experience in Anxiety: Embodiment, Selfhood, and the Col- lapse of Meaning,” Phenomenology and the Cognitive Sciences, doi.org/10.1007/s11097-018-9559-x,2018. “Neurasthenia Revisited: On Medically Unexplained Syndromes and the Value of Hermeneutic Medicine,” Journal of Applied Hermeneutics, doi.org/10.11575/jah.v0i0.53334.g40666,2018. “Notes from a Heart Attack: A Phenomenology of an Altered Body,” Phenomenology of a Broken Body, E. Dahl, C. Falke. and E. Erikson (eds.).London:Routledge,pp.188–201,2018. For fruitful conversations and writings that have helped to sharpen many of the ideas in this book, I am thankful to Havi Carel, Anthony Fernandez, Kirsten Jacobson, Drew Leder, Mo Mandic, MaryCatherine McDonald, Ni- colePiemonte,MatthewRatcliffe,PhilSinaikin,JennySlatman,RobertSto- lorow,FredrikSveneaus,DylanTrigg,andKristinZeiler.Iamalsoindebted to the faculty and students at the Institute for the Medical Humanities at the UniversityofTexasMedicalBranch, whereI spentasabbatical as avisiting scholar in the fall of 2014, and to Suzanne Dickerson and Roxanne Vander- mause for inviting me to share my research at the Institute for Hermeneutic Phenomenology at the University of Buffalo’s College of Nursing in the summersof2018and2019. Finally, I have an inexpressible debt of gratitude to my partner, Jane Kayser, whose support, tenderness, and love have been unwavering. This bookisdedicatedtoher. Abbreviations Works by Heidegger “GA”indicatesthevolumeoftheGesamtausgabe(CollectedWorks).Frank- furtamMain:VittorioKlostermann.Whereavailable,thelecture/publication date follows the German title. Unless otherwise indicated, all references are fromtheEnglishtranslationandpagination. BP DieGrundproblemederPhänomenologie.1927.(GA24).The BasicProblemsofPhenomenology.TranslatedbyAlbert Hofstadter.Bloomington:IndianaUniversityPress,1982. BT SeinundZeit.1927.(GA2).BeingandTime.TranslatedbyJohn MacquarrieandEdwardRobinson.NewYork:HarperandRow, 1978.Germanpagination. CP BeiträgezurPhilosophie(VomEreignis).1936–1938.(GA65). ContributionstoPhilosophy(FromEnowning).Translatedby ParvisEmadandKennethMaly.Bloomington:Indiana UniversityPress,1999. CT DerBegriffderZeit.1924.(GA64).TheConceptofTime. TranslatedbyWilliamMcNeill.Oxford:Blackwell,1992. EG “DerSatzvomGrund.”1928.(GA9).“OntheEssenceof Ground.”InPathmarks.TranslatedbyWilliamMcNeill. Cambridge:CambridgeUniversityPress,1998 FCM DieGrundbegriffederMetaphysik:Welt,Endlichkeit, Einsamkeit.1929–1930.(GA29/30).FundamentalConceptsof Metaphysics:World,Finitude,Solitude.TranslatedbyWilliam ix

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