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BRENT DEAN ROBBINS
The Medicalized
Body and Anesthetic
Culture
The Cadaver, the Memorial Body, and the Recovery
of Lived Experience
Brent Dean Robbins
Department of Psychology
Point Park University
Pittsburgh, PA, USA
This book has been a long journey of over two decades of scholarship,
completed over a career as a graduate student in clinical psychology at
Duquesne University, and two tenure-track professorships at Daemen
College and Point Park University.
I am grateful to my mentors, Michael Sipiora and Eva-Maria Simms,
who introduced me to metabletic phenomenology through the work of
Robert Romanyshyn and J. H. van den Berg. At Daemen College, my
research on medical students would not have been possible without the
help of Ashley Tomaka, Gary Styn, Joel Patterson, and Cara Innus. At
Point Park University, my scholarship has been deeply enriched through
hours of conversation with my friend and colleague, Robert McInerney.
Seminal scholarship by others has been formative for my investiga-
tions, including Carolyn Merchant’s work on Enlightenment views of
women and nature, Martha Nussbaum’s taxonomy of forms of objec-
tification, Michael Allen Gillespie’s examination of the impact of nomi-
nalism on modern and postmodern thought, Nick Haslam’s theoretical
model of dehumanization, Katherine Park’s historical scholarship on the
history of cadaver dissection, Mary Watkins and Helene Shulman’s schol-
arship on liberation psychology, Ernest Becker’s existential theory,
and the many psychologists who have contributed to the empirical
investigation of terror management theory, including among them Jeff
Greenberg, Sheldon Solomon, Tom Pyszczynski, Jamie Goldenberg, and
my former student from Allegheny College, Matt Motyl. Continental
philosophers have also been deeply formative for my thinking,
vii
viii Acknowledgements
warm my heart always. Thanks to Kelli (and many family members) for
taking good care of him (and me) in the twilight of his days.
Above all, I thank God, who like a patient father, puts up with my
protests in the face of human suffering and mortality, and gives me the
courage and faith, in the midst of it all, to hope and to love.
Contents
xi
xii Contents
Index 321
List of Figures
xiii
CHAPTER 1
Pixar has long been known for their state-of-the-art animated films, from
Toy Story to Finding Nemo. More recently, a beautiful, heart-warming
film, Coco, has introduced an international audience to an annual
Mexican ritual to honor the dead, Dias de Muertos, or the Day of the
Dead. In the movie, a prepubescent boy, named Miguel Rivera, discov-
ers his great-great grandfather played a guitar that resembled that of
the famous pop singer, Ernesto de la Cruz. In his quest to discover the
man’s true identity, he is thrust into the netherworld of the dead, where
he undergoes a great adventure to retrieve his long-lost and forgotten
ancestor.
The fictional narrative of the film introduces the audience to the
practices and rituals that are familiar to the Mexican people. Altars to
deceased relatives honor the dead with photographs, decorations that
include Mexican marigolds, intimate possessions and ofrendas, offer-
ings of favorite food and beverages of the deceased (Brandes, 2009).
The Mexican people celebrate the holiday between October 31 and
November 2, the period of time established by the Roman Catholic tra-
dition for the celebration of All Hallows’ Eve, or Halloween, All Saints’
Day, and All Souls’ Day, designated for remembrance of saints and loved
ones who have passed away.
In watching the film, I was reminded of similar rituals the world over,
most commonly found in indigenous cultures, and especially common in
South America, which honor the dead in a variety of ritual celebrations
similar to the Mexican tradition. For example, I recalled the Haitian
A Theological Context
Ernest Becker’s existential theory posits that an ideal society will provide
for its members an adequate symbolic action system to propel a cultural
hero-project. In his assessment, modern society’s crisis of meaning leaves
us vulnerable to death anxiety and neurosis. Consistent with Becker’s
evaluation of modern society’s shortcomings, Chapter 11 provides
an assessment of how modern culture in the West erupts from out of
a religious crisis. This crisis provided the background against which the
mechanistic and objectifying view of the body and nature appear as dom-
inant themes. In the Middle Ages, Trinitarian theology and Christology
informed a relational conception of the cosmos, in which the body was
experienced as sacred, infused with supernatural grace through the incar-
nation, and intrinsically harmonious with nature. The nominalist revolt
14 B. D. Robbins
Anesthetic Culture
By use of the historical phenomenological method of metabletics,
Chapter 13 traces the cultural habit of anesthetic consciousness to the
attitude of detached concern instituted through subculture of modern
1 THE MEDICALIZED BODY AND ANESTHETIC CULTURE 15
anatomical medicine and medical practice. This cultural habit and its ten-
dencies toward mechanistic objectification nature, the body, and others
are seen through as a template for the objectivist metaphysics and episte-
mology of detached objectivity. This detached objectivity, in turn, forms
the basis of mastery through prediction and control in modern culture.
The metabletic analysis highlights two periods of history that illustrate
how a confluence of influences in medicine, art, theology, and the new
science gave birth to a cultural habit of anesthetic consciousness. An
examination of the figure of Paolo dal Pozzo Toscanelli reveals his cen-
tral role as a cultural agent, whose influence contributed to the nomi-
nalist revolution, the revival of Neoplatonism in the Renaissance, the
development of linear perspective technique in art, the new anatomy of
Vesalius, the new physics of Galileo, and the launch of colonialism at the
Council of Florence, which contributed to Christopher Columbus’ dis-
covery of the New World. A focus on America in the 1830s reveals how
the anesthetic culture of the Enlightenment casted a shadow that cul-
minated in the invention of medical anesthesia, the genocide of Native
Americans, the emergence of the Temperance Movement, and the birth
of consumerism beginning with the first department story, A. J. Stewart
and Company. These historical developments are analyzed to reveal their
implicit connection as expressions of a new Gnosticism which functions
anesthetically to escape experience through psychic numbing.
References
Arguinzoni, O. (2016). Bolivia’s Fiesta de la Ñatitas. Americas Quarterly, 19(4), 8.
Aries, P. (1975). Western attitudes toward death: From the Middle Ages to the pres-
ent (6th ed.). Baltimore, MD: John Hopkins University Press.
Brandes, S. (2009). Skulls to the living, bread to the dead: The Day of the Dead in
Mexico and beyond. Malder, MA: Blackwell.
Brooks, J. (2017). Why are there so many dead people in Colma? And so
few in San Francisco. KQED News. Online: https://ww2.kqed.org/
news/2017/10/26/why-are-so-many-dead-people-in-colma-and-so-few-in-
san-francisco/.
Brown-Rice, K. (2013). Examining the theory of historical trauma among Native
Americans. The Professional Counselor, 3(3), 117–130.
DeSpelder, L. A., & Strickland, A. L. (1992). The last dance: Encountering death
and dying (3rd ed.). Mountain View, CA: Mayfield Publishers Inc.
1 THE MEDICALIZED BODY AND ANESTHETIC CULTURE 17