Nursing Theories Quotes

The idea that boys want to sleep with their mothers strikes most men as the silliest thing they have ever heard. Obviously, it did not seem so to Freud, who wrote that as a boy he once had an erotic reaction to watching his mother dressing. But Freud had a wet-nurse, and may not have experienced the early intimacy that would have tipped off his perceptual system that Mrs. Freud was his mother. The Westermarck theory has out-Freuded Freud.

Beside Mama, in my own folding chair, with my feet sticking out in front of me, I thought about my own innards. Just a few months before I'd had no idea whether my reproductive equipment worked. There was no evidence. But that week I had become a full-fledged bleeder and was still absorbed by this first change in myself that I had ever noticed. The click and buzz of my synapses kept making the same connection. If you can change, you can also end. Death had always been a theory to me. Now I knew. The terror hurt good and I nursed it and played it like a loose tooth.

I have a theory that as human beings get older, chemicals are released into the brain to prepare us for the end. Sort of like how the nurse lubes your ass up before the anus-cam. It makes the whole thing a lot easier to swallow. Easier, not enjoyable.

She has four sons,” Nurse Purvis leads me on, “all with a London post code, but they never visit. You’d think old age was a criminal offense, not a destination we’re all heading to.” I consider airing my theory that our culture’s coping strategy towards death is to bury it under consumerism and Sansara, that the Riverside Villas of the world are screens that enable this self-deception, and that the elderly are guilty: guilty of proving to us that our willful myopia about death is exactly that.

It was Freud's ambition to discover the cause of hysteria, the archetypal female neurosis of his time. In his early investigations, he gained the trust and confidence of many women, who revealed their troubles to him.Time after time, Freud's patients, women from prosperous, conventional families, unburdened painful memories of childhood sexual encounters with men they had trusted: family friends, relatives, and fathers. Freud initially believed his patients and recognized the significance of their confessions. In 1896, with the publication of two works, The Aetiology of Hysteria and Studies on Hysteria, he announced that he had solved the mystery of the female neurosis. At the origin of every case of hysteria, Freud asserted, was a childhood sexual trauma. But Freud was never comfortable with this discovery, because of what it implied about the behavior of respectable family men. If his patients' reports were true, incest was not a rare abuse, confined to the poor and the mentally defective, but was endemic to the patriarchal family. Recognizing the implicit challenge to patriarchal values, Freud refused to identify fathers publicly as sexual aggressors. Though in his private correspondence he cited "seduction by the father" as the "essential point" in hysteria, he was never able to bring himself to make this statement in public. Scrupulously honest and courageous in other respects, Freud falsified his incest cases. In The Aetiology of Hysteria, Freud implausibly identified governessss, nurses, maids, and children of both sexes as the offenders. In Studies in Hysteria, he managed to name an uncle as the seducer in two cases. Many years later, Freud acknowledged that the "uncles" who had molested Rosaslia and Katharina were in fact their fathers. Though he had shown little reluctance to shock prudish sensibilities in other matters, Freud claimed that "discretion" had led him to suppress this essential information. Even though Freud had gone to such lengths to avoid publicly inculpating fathers, he remained so distressed by his seduction theory that within a year he repudiated it entirely. He concluded that his patients' numerous reports of sexual abuse were untrue. This conclusion was based not on any new evidence from patients, but rather on Freud's own growing unwillingness to believe that licentious behavior on the part of fathers could be so widespread. His correspondence of the period revealed that he was particularly troubled by awareness of his own incestuous wishes toward his daughter, and by suspicions of his father, who had died recently. p9-10

To confine soldiers to purely military functions while urgent and vital tasks have to be done, and nobody else is available to undertake them, would be senseless. The soldier must then be prepared to become a propagandist, a social worker, a civil engineer, a schoolteacher, a nurse, a boy scout. But only for as long as he cannot be replaced, for it is better to entrust civilian tasks to civilians.

Descartes' Meditations; doubt rise and results in clear and distinct ideas. all in the mind and all innate. Spinoza bakes the best cake, love God intellectually. Oh! God, he should have stuck to polishing glasses or gotten married. Then dear Philosopher we what mettle your are of. Soren Kierkgaard is the king of leer; life is a disease unto death, he proclaimed till death claimed him early. And Nietzche? following Schopenhauer's Superman- was nursed by his sister despite crying foul of the female race and died a wreck man. All theory no practice. Sartre was better , loyal to Simon De...Both lay next to each other in Paris, witout marrying.

In the Carolinas they say "hill people" are different from "flatlands people," and as a native Kentuckian with more mountain than flatlands blood, I'm inclined to agree. This was one of the theories I'd been nursing all the way from San Francisco. Unlike Porterville or Hollister, Bass Lake was a mountain community ... and if the old Appalachian pattern held, the people would be much slower to anger or panic, but absolutely without reason or mercy once the fat was in the fire. Like the Angels, they would tend to fall back in an emergency on their own native sense of justice -- which bears only a primitive resemblance to anything written in law books. I thought the mountain types would be far more tolerant of the Angels' noisy showboating, but -- compared to their flatlands cousins -- much quicker to retaliate in kind at the first evidence of physical insult or abuse.

Traffic was in confusion for several days. For red to mean "stop' was considered impossibly counterrevolutionary. It should of course mean "go." And traffic should not keep to the right, as was the practice, it should be on the left. For a few days we ordered the traffic policemen aside and controlled the traffic ourselves. I was stationed at a street corner telling cyclists to ride on the left. In Chengdu there were not many cars or traffic lights, but at the few big crossroads there was chaos. In the end, the old rules reasserted themselves, owing to Zhou Enlai, who managed to convince the Peking Red Guard leaders. But the youngsters found justifications for this: I was told by a Red Guard in my school that in Britain traffic kept to the left, so ours had to keep to the right to show our anti-imperialist spirit. She did not mention America. As a child I had always shied away from collective activity. Now, at fourteen, I felt even more averse to it. I suppressed this dread because of the constant sense of guilt I had come to feel, through my education, when I was out of step with Mao. I kept telling myself that I must train my thoughts according to the new revolutionary theories and practices. If there was anything I did not understand, I must reform myself and adapt. However, I found myself trying very hard to avoid militant acts such as stopping passersby and cutting their long hair, or narrow trouser legs, or skirts, or breaking their semi-high-heeled shoes. These things had now become signs of bourgeois decadence, according to the Peking Red Guards. My own hair came to the critical attention of my schoolmates. I had to have it cut to the level of my earlobes. Secretly, though much ashamed of myself for being so "petty bourgeois," I shed tears over losing my long plaits. As a young child, my nurse had a way of doing my hair which made it stand up on top of my head like a willow branch. She called it "fireworks shooting up to the sky." Until the early 1960s I wore my hair in two coils, with rings of little silk flowers wound around them. In the mornings, while I hurried through my breakfast, my grandmother or our maid would be doing my hair with loving hands. Of all the colors for the silk flowers, my favorite was pink.

The government can create money. So, what’s the point of taxes? Why does the government need to take my money in taxes?18 I told the folks at Planet Money that MMT recognizes at least four important reasons for taxation.19 We’ve already touched on the first. Taxes enable governments to provision themselves without the use of explicit force. If the British government stopped requiring its people to settle their tax obligations using British pounds, it would rather quickly undermine its provisioning powers. Fewer people would need to earn pounds, and the government would have a harder time finding teachers, nurses, and so on who were willing to work and produce things in exchange for its currency.

It’s not easy to feel good about yourself when you are constantly being told you’re rubbish and/or part of the problem. That’s often the situation for people working in the public sector, whether these be nurses, civil servants or teachers. The static metrics used to measure the contribution of the public sector, and the influence of Public Choice theory on making governments more ‘efficient’, has convinced many civil-sector workers they are second-best. It’s enough to depress any bureaucrat and induce him or her to get up, leave and join the private sector, where there is often more money to be made. So public actors are forced to emulate private ones, with their almost exclusive interest in projects with fast paybacks. After all, price determines value. You, the civil servant, won’t dare to propose that your agency could take charge, bring a helpful long-term perspective to a problem, consider all sides of an issue (not just profitability), spend the necessary funds (borrow if required) and – whisper it softly – add public value. You leave the big ideas to the private sector which you are told to simply ‘facilitate’ and enable. And when Apple or whichever private company makes billions of dollars for shareholders and many millions for top executives, you probably won’t think that these gains actually come largely from leveraging the work done by others – whether these be government agencies, not-for-profit institutions, or achievements fought for by civil society organizations including trade unions that have been critical for fighting for workers’ training programmes.

Second, use attribution to create a beat of…nothing. A bland, empty moment like the silence between notes in music. The theory is that readers don’t subvocalize “he said.” They visually leap over it, landing harder on the dialogue that follows. For example: “Nurse,” he said, “hurry and get me a fresh pancreas.

Two years later he married Eleanore Schwindt, who, like his first wife, was a nurse. Unlike Tilly, who was Jewish, Elly was Catholic. Although this may have been mere coincidence, it was characteristic of Viktor Frankl to accept individuals regardless of their religious beliefs or secular convictions. His deep commitment to the uniqueness and dignity of each individual was illustrated by his admiration for Freud and Adler even though he disagreed with their philosophical and psychological theories. He also valued his personal relationships with philosophers as radically different as Martin Heidegger, a reformed Nazi sympathizer, Karl Jaspers, an advocate of collective guilt, and Gabriel Marcel, a Catholic philosopher and writer.

There was nothing in her immediate ancestry to account for her. There was no explaining her except by the theory that some fierce spark of endeavor, lit by a forgotten pioneer ancestor, had lived on in the contented stuff of succeeding generations until the wind of a new age whipped it into a flame that was called Marianne Le Patourel. . . . Or by the theory propounded by the peasant nurse of her babyhood, who had vowed she was a changeling.

But, as Haraway reminds us, there is no untouched, ‘wild’ nature to which we can ever return: ‘there is no garden and never has been’…Nevertheless, in their concern with nature and nonhuman ‘earth others,’ many ecofeminists such as Plumwood or queer ecofeminists such as Catriona Sandilands share Haraway’s desire to disrupt the nature/culture dualism…Haraway is thus in accord with much ecofeminist theory when she argues that ‘we must find another relationship to nature beside reification and possession…Neither mother, nurse, nor slave, nature is not matrix, resource, or tool for the reproduction of man.

[Adrienne Rich] was one of the only major intellectuals since Freud to assert that homosexuality was anything other than a problem. She is also notable for describing a continuum, like Kinesey's, of lesbian love - a continuum that begins with the intimacy of a mother nursing her daughter and ends with a nurturing, egalitarian love relationship between two women. While this theory eventually contributed to the stifling stereotype that lesbians only cuddle and nuzzle in bed, supporting each other and drinking chamomile tea, Rich was savvy to link same-sex love - so taboo, so unnatural - with a role for women seen as unassailable: being a mother.

...Obduracy can be overcome by determination. More insidious, and far harder to destroy, was women's internalizing of the notion that they were somehow inferior to men, a complementary species designed (in W.R. Greg's words) to 'complet[e], sweeten, and embellish the existence of others'. [Women] still chose to become nurses rather than doctors, secretaries rather than bosses: to be ill-paid facilitators for people no more talented nor, in many cases, better educated than themselves, but who simply happened to be men. The notion that they might be their bosses' equals penetrated only very slowly; the possibility that they might even be their superiors, though accepted in theory, has perhaps still not wholly sunk in.

When a communicable disease threatens a population, you immunize certain vectors first—usually babies and old people, as they are most susceptible to infection. Then nurses and doctors, teachers and bus drivers, as they are most likely to spread a contagion through wide social interaction, even if they do not succumb to the disease themselves. The same type of strategy could help you change culture. To make a population more resilient to extremism, for example, you would first identify which people are susceptible to weaponized messaging, determine the traits that make them vulnerable to the contagion narrative, and then target them with an inoculating counter-narrative in an effort to change their behaviour. In theory, of course, the same strategy could be used in reverse to foster extremism.

Christianity has been the means of reducing more languages to writing than have all other factors combined. It has created more schools, more theories of education, and more systems than has any other one force. More than any other power in history it has impelled men to fight suffering, whether that suffering has come from disease, war or natural disasters. It has built thousands of hospitals, inspired the emergence of the nursing and medical professions, and furthered movement for public health and the relief and prevention of famine. Although explorations and conquests which were in part its outgrowth led to the enslavement of Africans for the plantations of the Americas, men and women whose consciences were awakened by Christianity and whose wills it nerved brought about the abolition of slavery (in England and America). Men and women similarly moved and sustained wrote into the laws of Spain and Portugal provisions to alleviate the ruthless exploitation of the Indians of the New World. Wars have often been waged in the name of Christianity. They have attained their most colossal dimensions through weapons and large–scale organization initiated in (nominal) Christendom. Yet from no other source have there come as many and as strong movements to eliminate or regulate war and to ease the suffering brought by war. From its first centuries, the Christian faith has caused many of its adherents to be uneasy about war. It has led minorities to refuse to have any part in it. It has impelled others to seek to limit war by defining what, in their judgment, from the Christian standpoint is a "just war." In the turbulent Middle Ages of Europe it gave rise to the Truce of God and the Peace of God. In a later era it was the main impulse in the formulation of international law. But for it, the League of Nations and the United Nations would not have been. By its name and symbol, the most extensive organization ever created for the relief of the suffering caused by war, the Red Cross, bears witness to its Christian origin. The list might go on indefinitely. It includes many another humanitarian projects and movements, ideals in government, the reform of prisons and the emergence of criminology, great art and architecture, and outstanding literature.

Yet the homogeneity of contemporary humanity is most apparent when it comes to our view of the natural world and of the human body. If you fell sick a thousand years ago, it mattered a great deal where you lived. In Europe, the resident priest would probably tell you that you had made God angry and that in order to regain your health you should donate something to the church, make a pilgrimage to a sacred site, and pray fervently for God’s forgiveness. Alternatively, the village witch might explain that a demon had possessed you and that she could cast it out using song, dance, and the blood of a black cockerel. In the Middle East, doctors brought up on classical traditions might explain that your four bodily humors were out of balance and that you should harmonize them with a proper diet and foul-smelling potions. In India, Ayurvedic experts would offer their own theories concerning the balance between the three bodily elements known as doshas and recommend a treatment of herbs, massages, and yoga postures. Chinese physicians, Siberian shamans, African witch doctors, Amerindian medicine men—every empire, kingdom, and tribe had its own traditions and experts, each espousing different views about the human body and the nature of sickness, and each offering their own cornucopia of rituals, concoctions, and cures. Some of them worked surprisingly well, whereas others were little short of a death sentence. The only thing that united European, Chinese, African, and American medical practices was that everywhere at least a third of all children died before reaching adulthood, and average life expectancy was far below fifty.14 Today, if you happen to be sick, it makes much less difference where you live. In Toronto, Tokyo, Tehran, or Tel Aviv, you will be taken to similar-looking hospitals, where you will meet doctors in white coats who learned the same scientific theories in the same medical colleges. They will follow identical protocols and use identical tests to reach very similar diagnoses. They will then dispense the same medicines produced by the same international drug companies. There are still some minor cultural differences, but Canadian, Japanese, Iranian, and Israeli physicians hold much the same views about the human body and human diseases. After the Islamic State captured Raqqa and Mosul, it did not tear down the local hospitals. Rather, it launched an appeal to Muslim doctors and nurses throughout the world to volunteer their services there.15 Presumably even Islamist doctors and nurses believe that the body is made of cells, that diseases are caused by pathogens, and that antibiotics kill bacteria.

The sudden gnawing of the craving pisses me off. The doctors all but guaranteed that I'd be rid of my chemical dependencies in this new body. They were as gleeful as doctors get about an untested theory, a mix of earnestness and lustful salivation over the idea of it. A body that has never tasted nicotine, never had a sip of Scotch. And yet, the memory of that long-suffered impulse has me patting the pockets of the scrubs I cajoled from a cute nurse, looking for cigarettes I don't have.

Change is still resented on the Plains, so much so much so that many small-town people cling to the dangerous notion that while the world outside may change drastically, their town does not... ... when myth dictates that the town has not really changed, ways of adapting to new social and economic conditions are rejected: not vigorously, but with a strangely resolute inertia... Combatting inertia in a town such as Lemmon can seem like raising the dead. It is painful to watch intelligent business people who are dedicated to the welfare of the town spend most of their energy combatting those more set in their ways. Community spirit can still work wonders here - people raised over $500,000 in the hard times of the late 1980s to keep the Lemmon nursing home open... By the time a town is 75 or 100 years old, it may be filled with those who have come to idealize their isolation. Often these are people who never left at all, or fled back to the safety of the town after a try at college a few hundred miles from home, or returned after college regarding the values of the broader, more pluralistic world they had encountered as something to protect themselves and their families from... More than ever, I've come to see conspiracy theories as the refuge of those who have lost their natural curiosity to cope with change.

Like not a few other Americans, I imagine, I found myself in the evenings nursing a bowl of ice cream in front of the British TV sensation Downton Abbey, fantasizing that I had married a wealthy aristocrat who commanded a vast estate,

At the second hospital he was intubated to save him from suffocation. That is, a flexible tube was inserted deep into his mouth, past his glottis, and down his windpipe into his lungs, to help with breathing. This event represents another important clue toward explaining how SARS spread so effectively through hospitals around the world. Intubation is a simple procedure, at least in theory, but it can be difficult to execute amid the gag reflexes, sputters, and expectorations of the patient. The task was especially hard with Zhou, a portly man, sedated and feverish, and though his disease hadn’t yet been identified, the attending doctors and nurses seem to have had some sense of the danger to which they were being exposed. They knew by then that this atypical pneumonia, this whatever, was more transmissible and more lethal than pneumonias of the common sort. “Each time they began to insert the tube,” according to an account by Thomas Abraham, a veteran foreign correspondent based in Hong Kong, there was “an eruption” of bloody mucus. Abraham continues: It splashed on to the floor, the equipment and the faces and gowns of the medical staff. They knew the mucous [sic] was highly infectious, and in the normal course of things, they would have cleaned themselves up as quickly as possible. But with a critically ill patient kicking and heaving around, a tube half-inserted into his windpipe and mucous and blood spurting out, there was no way any of them could leave. At that hospital, twenty-three doctors and nurses became infected from Zhou, plus eighteen other patients and their relatives. Nineteen members of his own family also got sick. Zhou himself would eventually become known among medical staff in Guangzhou as the Poison King. He survived the illness, though many people who caught it from him—directly, or indirectly down a long chain of contacts—did not.

Mendel died in 1884, not long after the church-state imbroglio; his nurse found him stiff and upright on his sofa, his heart and kidneys having failed. We know this because Mendel feared being buried alive and had demanded a precautionary autopsy. But in one sense, Mendel’s fretting over a premature burial proved prophetic. Just eleven scientists cited his now-classic paper on inheritance in the thirty-five years after his death. And those that did (mostly agricultural scientists) saw his experiments as mildly interesting lessons for breeding peas, not universal statements on heredity. Scientists had indeed buried Mendel’s theories too soon.

In the 1920’s, Canadian nurse Rene Caisse developed a natural concoction of herbs called Essiac. She claimed it could cure cancer and garnered many testimonials from satisfied patients said to be cancer-free

New state decrees included provisions that the dead be unceremoniously disinfected, packed into double body bags, and hastily buried—normally in unmarked graves—by officially appointed gravediggers wearing protective equipment. This new regulation prevented family members and friends from honoring loved ones, and it negated religious observance. The discovery of a body by a search team thus furnished ample potential for physical confrontations, just as a similar decree had led to clashes in plague-stricken Bombay in 1897–1898. This tense atmosphere was inflamed by multiple conspiracy theories. One Canadian reporter wrote that people “tell me stories about witchcraft, Ebola witch guns, crazy nurses injecting neighbours with Ebola and government conspiracies.”29 Untori, or plague spreaders, were said to be at work, as in the days of the Black Death described by Alessandro Manzoni. Some regarded health-care workers as cannibals or harvesters of body parts for the black market in human organs. The state, rumor also held, had embarked on a secret plot to eliminate the poor. Ebola perhaps was not a disease but a mysterious and lethal chemical. Alternatively, the ongoing land grab was deemed to have found ingenious new methods. Perhaps whites were orchestrating a plan to kill African blacks, or mine owners had discovered a deep seam of ore nearby and wanted to clear the surrounding area.

There were dozens of theories about what it was, that dome. Every scientist in the world, it seemed, had made a pilgrimage to the site. Tests had been conducted, measurements taken. They had tried drilling through it. Under it. Had flown over it. Had dug beneath it. Had approached it by submarine. Nothing worked. Every species of doomsayer from Luddite to End Times nut had had his say. It was a judgment. On America’s technological obsession, on America’s moral failure. This. That. Something else. Then the twins had popped out. Just like that. First Emma. Then, a few minutes later, Anna. Alive and well at the exact moment of their fifteenth birthday. They told tales of life inside the bowl. What they called the FAYZ. Connie Temple’s heart had swelled with pride for what she had learned of her son, Sam. And crashed into despair with tales of her other son, her unacknowledged child, Caine. Then, nothing. No other kids arrived for a while. Black despair settled over the families as they realized that it would be only these two. Months passed. Many lost faith. How could kids survive alone? But then, the Prophetess had reached into their dreams. One night Connie Temple had a lurid, incredible dream. She’d never had such a detailed dream. It was terrifying. The power of it took her breath away. There was a girl in that dream. This girl spoke to her in the dream. It’s a dream, the girl said. Yes, just a dream, Connie had answered. Not just a dream. Never say “just” a dream, the girl had corrected. A dream is a window to another reality. Who are you? Connie had asked. My name is Orsay. I know your son. Connie had been about to say, Which one? But some instinct stopped her. The girl did not look dangerous. She looked hungry. Do you have a message for Sam? the girl asked. Yes, Connie said. Tell him to let them go. Let them go. Let them go off into the red sunset.

Architect-poet Buckminster Fuller sums it all up in one, fine, unforgettable paradox: “Everything we see,” he says, “is inside our own heads. ” That is, we do not see with our eyes, but with our brain-plus-eyes working as a unit. Thus, if a person has been blind and has his sight restored by an operation, he will not see what we see. He will see a whirling chaos, and it will probably frighten him; it is only gradually, over a period of months, that he will learn, through coaching by his doctors and nurses, to see what we see. We will not regale the reader with the neurological theories that attempt to explain why an LSD trip sets the experimenter into this same whirling chaos. Needless to say, we also hear with brain-plus-ears, taste with brain-plus-tongue and, in general, know everything only through its registration inside our heads on what William S. Burroughs calls “the soft machinery” of our brain tissue.

Page 7: (H)e (Darwin) supposed that man, before he even emerged from apedom, was already a social being, living in small scattered communities. Evolution in his eyes was carried out mainly as a struggle between communities - team against team, tribe against tribe. Inside each team or tribe, the 'ethical cosmos' [the dual code of Amity and Enmity] was at work, forging and strengthening the social bonds which made the members of such a team a co-operative whole. … Thus, in the early stages of human evolution we find competition and co-operation as constituent elements of the evolutionary process … Co-operation and unity give strength to a team or tribe; but why did neighboring tribes refuse so stubbornly to amalgamate? If united, they would have got rid of competition and struggle. Why do human tribes instinctively repel every thought of amalgamation, and prize above all things independence, the control of their destiny, their sovereignty? Here we have to look beneath the surface of things and formulate a theory to explain tribal behavior. How does a tribe fulfill an evolutionary purpose? A tribe is a 'corporate body,' which Nature has entrusted with an assortment of human seed or genes, the assortment differing in some degree from that entrusted to every other tribe. If the genes are to work out their evolutionary effects, then it is necessary that the tribe or corporation should maintain its integrity through an infinity of generations. If a tribe loses its integrity by a slackening of social bonds, or by disintegration of the parental instincts, or by lack of courage or of skill to defend itself from the aggression of neighboring tribes, or by free interbreeding with neighbors and thus scattering its genes, then that tribe as an evolutionary venture has come to an untimely end. For evolutionary purposes it has proved a failure. Page 25: Tribalism was Nature's method in bringing about the evolution of man. I have already explained what a tribe really is - a corporation of human beings entrusted with a certain capital of genes. The business of such a corporation is to nurse and develop its stock of genes - to bring them to an evolutionary fruition. To reach such an end a tribal corporation had to comply with two conditions: (1) it had to endure for a long age; (2) it had to remain intact and separate from all neighboring and competing tribes. Human nature was fashioned or evolved just to secure these two conditions - continuity through time and separation in space. Hence the duality of man's nature - the good, social, or virtuous traits serving intratribal economy; the evil, vicious, or antisocial qualities serving the intertribal economy and the policy of keeping its genes apart. Human nature is the basal part of the machinery used for the evolution of man. When you know the history of our basal mentality - one fitted for tribal life - do you wonder at the disorder and turmoil which now afflict the detribalized part of the world?

It is commonly supposed that Russians have been endowed by Nature with a peculiar linguistic talent. Their own language, it is said, is so difficult that they have no difficulty in acquiring others. This common belief requires, as it seems to me, some explanation. That highly educated Russians are better linguists than the educated classes of Western Europe there can be no possible doubt, for they almost always speak French, and often English and German also. The question, however, is whether this is the result of a psychological peculiarity, or of other causes. Now, without venturing to deny the existence of a natural faculty, I should say that the other causes have at least exercised a powerful influence. Any Russian who wishes to be regarded as civilise must possess at least one foreign language; and, as a consequence of this, the children of the upper classes are always taught at least French in their infancy. Many households comprise a German nurse, a French tutor, and an English governess; and the children thus become accustomed from their earliest years to the use of these three languages. Besides this, Russian is phonetically very rich and contains nearly all the sounds which are to be found in West-European tongues. Perhaps on the whole it would be well to apply here the Darwinian theory, and suppose that the Russian Noblesse, having been obliged for several generations to acquire foreign languages, have gradually developed a hereditary polyglot talent.

Residents and interns are the grunts of the medical profession, tasked, simply, with getting everything done. The practical side of the clinical buck stops with them (even if the ultimate clinical and legal responsibility rests with the attendings), and the house staff do whatever it takes to get everything done. With their scut lists in hand, their coat pockets doubling as supply cabinets, they are the embodiment of the pragmatic. While many still retain their interest in the theories and mechanisms of disease, the overriding modus operandi is utilitarian, because unlike the electricians, housekeepers, therapists, technicians, orderlies, dietitians, even the nurses and senior doctors, their job description has no bounds.

Dart initially echoed Darwin’s theory that bipedalism freed the hands of early hominins to make and use hunting tools, which in turn selected for big brains, hence better hunting abilities. Then, in a famous 1953 paper, clearly influenced by his war experiences, Dart proposed that the first humans were not just hunters but also murderous predators.18 Dart’s words are so astonishing, you have to read them: The loathsome cruelty of mankind to man forms one of his inescapable characteristics and differentiative features; and it is explicable only in terms of his carnivorous, and cannibalistic origin. The blood-bespattered, slaughter-gutted archives of human history from the earliest Egyptian and Sumerian records to the most recent atrocities of the Second World War accord with early universal cannibalism, with animal and human sacrificial practices of their substitutes in formalized religions and with the world-wide scalping, head-hunting, body-mutilating and necrophilic practices of mankind in proclaiming this common bloodlust differentiator, this predaceous habit, this mark of Cain that separates man dietetically from his anthropoidal relatives and allies him rather with the deadliest of Carnivora. Dart’s killer-ape hypothesis, as it came to be known, was popularized by the journalist Robert Ardrey in a best-selling book, African Genesis, that found a ready audience in a generation disillusioned by two world wars, the Cold War, the Korean and Vietnam Wars, political assassinations, and widespread political unrest.19 The killer-ape hypothesis left an indelible stamp on popular culture including movies like Planet of the Apes, 2001: A Space Odyssey, and A Clockwork Orange. But the Rousseauians weren’t dead yet. Reanalyses of bones in the limestone pits from which fossils like the Taung Baby came showed they were killed by leopards, not early humans.20 Further studies revealed these early hominins were mostly vegetarians. And as a reaction to decades of bellicosity, many scientists in the 1970s embraced evidence for humans’ nicer side, especially gathering, food sharing, and women’s roles. The most widely discussed and audacious hypothesis, proposed by Owen Lovejoy, was that the first hominins were selected to become bipeds to be more cooperative and less aggressive.21 According to Lovejoy, early hominin females favored males who were better at walking upright and thus better able to carry food with which to provision them. To entice these tottering males to keep coming back with food, females encouraged exclusive long-term monogamous relationships by concealing their menstrual cycles and having permanently large breasts (female chimps advertise when they ovulate with eye-catching swellings, and their breasts shrink when they are not nursing). Put crudely, females selected for cooperative males by exchanging sex for food. If so, then selection against reactive aggression and frequent fighting is as old as the hominin lineage.22

Normalcy?” I ask, louder than is probably necessary, surprising myself with the unusual amount of animated expression in my voice. “A regular human being? Jesus, what the fuck is there in that? What does that even mean? Credit card debt, a mortgage, a nagging spouse and bratty kids and a minivan and a fucking family pet? A nine-to-five job that you hate, and that’ll kill you before you ever see your fabled 401k? Cocktail parties and parent-teacher conferences and suburban cul-de-sacs? Monogamous sex, and the obligatory midlife crisis? Potpourri? Wall fixtures? Christmas cards? A welcome mat and a mailbox with your name stenciled on it in fancy lettering? Shitty diapers and foreign nannies and Goodnight Moon? Cramming your face with potato chips while watching primetime television? Antidepressants and crash diets, Coach purses and Italian sunglasses? Boxed wine and light beer and mentholated cigarettes? Pediatrician visits and orthodontist bills and college funds? Book clubs, PTA meetings, labor unions, special interest groups, yoga class, the fucking neighborhood watch? Dinner table gossip and conspiracy theories? How about old age, menopause, saggy tits, and rocking chairs on the porch? Or better yet, leukemia, dementia, emphysema, adult Depends, feeding tubes, oxygen tanks, false teeth, cirrhosis, kidney failure, heart disease, osteoporosis, and dying days spent having your ass wiped by STNAs in a stuffy nursing home reeking of death and disinfectant? Is that the kind of normalcy you lust for so much? All of that—is that worth the title of regular human being? Is it, Helen? Is it?

Over the next couple of years, Cole and the rest of psychiatry settled on a trial design for testing psychotropic drugs. Psychiatrists and nurses would use “rating scales” to measure numerically the characteristic symptoms of the disease that was to be studied. Did a drug for schizophrenia reduce the patient’s “anxiety”? His or her “grandiosity”? “Hostility”? “Suspiciousness”? “Unusual thought content”? “Uncooperativeness”? The severity of all of those symptoms would be measured on a numerical scale and a total “symptom” score tabulated, and a drug would be deemed effective if it reduced the total score significantly more than a placebo did within a six-week period. At least in theory, psychiatry now had a way to conduct trials of psychiatric drugs that would produce an “objective” result. Yet the adoption of this assessment put psychiatry on a very particular path: The field would now see short-term reduction of symptoms as evidence of a drug’s efficacy. Much as a physician in internal medicine would prescribe an antibiotic for a bacterial infection, a psychiatrist would prescribe a pill that knocked down a “target symptom” of a “discrete disease.” The six-week “clinical trial” would prove that this was the right thing to do. However, this tool wouldn’t provide any insight into how patients were faring over the long term. Were they able to work? Were they enjoying life? Did they have friends? Were they getting married? None of those questions would be answered. This was the moment that magic-bullet medicine shaped psychiatry’s future. The use of the clinical trial would cause psychiatrists to see their therapies through a very particular prism, and even at the 1956 conference, New York State Psychiatric Institute researcher Joseph Zubin warned that when it came to evaluating a therapy for a psychiatric disorder, a six-week study induced a kind of scientific myopia. “It would be foolhardy to claim a definite advantage for a specified therapy without a two- to five-year follow-up,” he said. “A two-year follow-up would seem to be the very minimum for the long-term effects.

There are three key aspects of Bourdieu’s theory that are relevant to white fragility: field, habitus, and capital. Field is the specific social context the person is in—a party, the workplace, or a school. If we take a school as an example, there is the macro field of school as a whole, and within the school are micro fields—the teacher’s lounge, the staff room, the classroom, the playground, the principal’s office, the nurses’ office, the janitor’s supply room, and so on. Capital is the social value people hold in a particular field; how they perceive themselves and are perceived by others in terms of their power or status. For example, compare the capital of a teacher and a student, a teacher and a principal, a middle-class student and a student on free or reduced lunch, an English language learner and a native English speaker, a popular girl and an unpopular one, a custodian and a receptionist, a kindergarten teacher and a sixth-grade teacher, and so on. Capital can shift with the field, for example, when the custodian comes “upstairs” to speak to the receptionist—the custodian in work clothes and the receptionist in business attire—the office worker has more capital than does the maintenance person. But when the receptionist goes “down” to the supply room, which the custodian controls, to request more whiteboard markers, those power lines shift; this is the domain of the custodian, who can fulfill the request quickly or can make the transaction difficult. Notice how race, class, and gender will also be at play in negotiations of power. The custodian is most likely to be male, and the receptionist female; the custodian more likely a person of color and the receptionist more likely white. These complex and intersecting layers of capital are being negotiated automatically.

There is, however, a completely satisfactory way of avoiding the paradoxes without betraying our science. The desires and attitudes which help us find this way and show us what direction to take are these: 1. Wherever there is any hope of salvage, we will carefully investigate fruitful definitions and deductive methods. We will nurse them, strengthen them, and make them useful. No one shall drive us out of the paradise which Cantor has created for us. 2. We must establish throughout mathematics the same certitude for our deductions as exists in ordinary elementary number theory, which no one doubts and where contradictions and paradoxes arise only through our own carelessness.