The Epistemological Stance of Psychoanalysis: Revisiting the Kantian Legacy.

Psychoanalysis, as conceived by Freud, originates from an epistemological position that is often at odds with related disciplines such as psychology and psychiatry. We argue that psychoanalysis is wedded to a Kantian epistemology that is rigorously committed to modesty. The aim of the article is to illustrate how Freud's thinking was embedded within a Kantian epistemology. Even if he was not explicit, a prevailing Kantian philosophical discussion influenced Freud. Hence, the article shall not argue for Freud as working with Kant as a philosopher, but more narrowly address his epistemological stance as influenced by Kant. Drawing on recent philosophical work, we clarify the difference between a Kantian transcendental idealism and the more modern critical realism, and show why the former is best suited for the psychoanalytic enterprise. This leads to a discussion of how we may understand transcendental idealism as a crucial if tacit premise in modern object-relations theory. We touch upon the implicit epistemological position in Klein and Winnicott, and the more explicit one advanced by Bion. Finally, we explore the psychoanalytic attitude towards the possibility of knowledge.

Medicine's perception of reality - a split picture: critical reflections on apparent anomalies within the biomedical theory of science.

Escalating costs, increasing multi-morbidity, medically unexplained health problems, complex risk, poly-pharmacy and antibiotic resistance can be regarded as artefacts of the traditional knowledge production in Western medicine, arising from its particular worldview. Our paper presents a historically grounded critical analysis of this view. The materialistic shift of Enlightenment philosophy, separating subjectivity from bodily matter, became normative for modern medicine and yielded astonishing results. The traditional dichotomies of mind/body and subjective/objective are, however, incompatible with modern biological theory. Medical knowledge ignores central tenets of human existence, notably the physiological impact of subjective experience, relationships, history and sociocultural contexts. Biomedicine will not succeed in resolving today's poorly understood health problems by doing 'more of the same'. We must acknowledge that health, sickness and bodily functioning are interwoven with human meaning-production, fundamentally personal and biographical. This implies that the biomedical framework, although having engendered 'success stories' like the era of antibiotics, needs to be radically revised.

The medically unexplained revisited.

Medicine is facing wide-ranging challenges concerning the so-called medically unexplained disorders. The epidemiology is confusing, different medical specialties claim ownership of their unexplained territory and the unexplained conditions are themselves promoted through a highly complicated and sophisticated use of language. Confronting the outcome, i.e. numerous medical acronyms, we reflect upon principles of systematizing, contextual and social considerations and ways of thinking about these phenomena. Finally we address what we consider to be crucial dimensions concerning the landscape of unexplained "matters"; fatigued being, pain-full being and dys-ordered being, all expressive momentums of an aesthetic of resistance.