This paper presents a spatial imagining of compulsivity. Deconstructing its medicalised conceptualisation and its rendition through the diagnostic system, the paper offers a performative analysis of compulsive body-world formation. It does so by introducing compulsivity as urging the performance of acts that are unwanted, purposeless, and meaningless, and that nevertheless enlace the corporeal with and through the extracorporeal on unchosen terms. This analysis of compulsions not only develops the dimension of urgency to nonrepresentational theory in cultural geography. It also develops the critical 2 performative understanding of medicalised phenomena in disability and health geography by considering compulsivity as a more-than-human condition. Indeed, reporting on interviews, participant observations, and mobile eye-tracking sessions with 15 people diagnosed with Tourette syndrome, compulsions seem to emerge from particularly volatile compositions of bodies, objects and spaces.The paper then conceives of compulsivity as articulating the material sensibilities emerging with the body's unfolding situation, and propels it beyond the diagnosable in a broader humanity engaging in material interactions that are felt, rather than known. In addition to a geography of compulsivity, a geographical rendering and ontological centring of compulsions creates a compulsive geography. Ultimately, it situates geographical analysis as crucial to understanding this medicalised performance and as potentially generative of therapeutic outcomes.
and Capriotti, Matthew R (2022) A call for caution: 'stop that' sentiments threaten tic research, healthcare and advocacy. Brain, 145 (4). e18-e20.
In recent years, both within and beyond academic and clinical spheres, medical and health humanities have become increasingly influential. Drawing from interdisciplinary fields in the humanities, social sciences, and the arts, medical and health humanities present unique lenses for considering nuanced spaces and lived experiences of health and health care; they also help challenge traditional ways that medicine and health care are understood and practiced. This collection brings together practitioners and theorists working broadly in medical health humanities, asking them both to consider their work as temporally and spatially located and to position their practices in conversation with a growing uptake of humanities methods and methodologies in other disciplines. The work of nine contributors uses these themes as a starting point for thinking about the future of medical health humanities in new and potentially even more productive ways.
The most common clinical research question regarding Tourette syndrome focuses on tic reduction, which follows from classical ‘lack of inhibition’ models. Rooted in views about brain deficits, this model suggests that with higher severity and frequency, tics are necessarily disruptive and should therefore be inhibited. However, emerging calls from people with lived experience of Tourette syndrome suggest that this is too narrow a definition. This narrative literature review analyses issues with brain deficit views and qualitative research on tic context and feelings of compulsion. The results suggest the need for a more positive and encompassing theoretical and ethical position on Tourette's. The article puts forward an enactive analytical approach of ‘letting be’, that is, approaching a phenomenon without forcing preconceived reference structures onto it. We suggest using the identity‐first term ‘Tourettic’. Prioritizing the perspective of the ‘Tourettic patient’, it urges attentiveness to the everyday issues diagnosed people encounter and how these are embedded in further life. This approach highlights the strong relationship between the Tourettic persons' felt impairment, their adoption of an outsider's perspective, and feeling under constant scrutiny. It suggests that this felt impairment of tics can be reduced by creating a physical and social environment in which the person is ‘let be’ but not ‘let go of’.
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