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Refracting Affects: Affect, Psychotherapy, and Spirit Dis-Possession

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Abstract

The notion of affect has generated much confusion in anthropology given its focus on that which seems to escape our language. The evanescent features of affects have irritated many anthropologists who consider affect theory as an empirically weak or esoteric hermeneutics. In this article, I respond to these critiques by developing an anthropology of therapy that foregrounds the role of affects. My intent is to explore the possible contribution of affect theory to medical and psychological anthropology. I draw from my ethnography on couple’s therapy in Argentina to suggest that we cannot understand therapeutic efficacy if we focus only on language and discourse. I ask what it means to regard affects as late modern spirits and take psychotherapy as a modern ritual of “affect dispossession.” I propose to ask how affects, like spirits, can haunt our present rendering our lives barely livable. Focusing on a session of therapy in Buenos Aires, I describe how a therapist channels the spirit of impasse that colonizes the lives of her patients. Developing an enchanted hermeneutics, I engage with Eve Sedgwick’s call for an other-than-paranoid social theory by engaging the imagination as an important organ of perception in the medical anthropology of affects.

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Notes

  1. For a genealogy of the psychological disciplines in the Western sphere see Rose (1998, 1999), see also Hacking (1995). On the role of narrative in therapeutic contexts see Carr (2010), Mattingly (1998), Mattingly and Garro (2000). A growing literature has been addressing the role of the “psychological self” beyond the West. See, for instance, recent works on the Chinese “psycho-boom” (Hyde 2017; Hsuan-Ying 2015; Zhang 2018).

  2. See Massumi (1995). As Brian Massumi writes introducing the work of Gilles Deleuze and Felix Guattari, Spinoza’s affectus [affect] is an “ability to affect and be affected. It is a prepersonal intensity corresponding to the passage from one experiential state of the body to another.” Whereas affectio [affection] “is such state considered as an encounter between the affected body and a second, affecting body” (1987:xvi).

  3. For a clear exploration of affect theory see Melissa Gregg and Gregory Seigworth’s excellent introduction to their reader (2010).

  4. The impersonality of affect forces me to oscillate between affect in the singular and affects in its plural form. In this essay I am using the notion of the “impersonal” in close dialogue with the recent works of Stefania Pandolfo (2018) and Setrag Manoukian (2017).

  5. Eve Sedgwick, following Melanie Klein (2002), contrasts the paranoid position with the “reparative position” (2003). Reparation involves the attempt to restore or reconnect with objects that have been lost or damaged through the bridging work of affects of hope and concern.

  6. I am currently developing the notion of the here-else as a spatio-temporal “unit” of analysis. See “Presencing the Here-else: Affective mediation, Theopolitics, and Therapeutic Dispositifs” American Anthropological Association, 2018, San José, CA.

  7. As wonderfully suggested by anonymous Reviewer #2, my intent is to trouble “the classic tendency to re-interpret the ‘spirits’ of anthropological Others through social scientific frames (which implicitly inherit modern 'disenchanted' theories of the psyche in spite of explicit critiques).”

  8. I am also thinking with Elizabeth Povinelli’s use of “late liberal” understood as the governance of difference and markets that has developed as a response to neoliberal socio-economic crises (2016).

  9. In my work I describe the ontological affinities between the visual apparatus and romantic love (Collu 2016). On the “observation of participation” see Barbara Tedlock (1991).

  10. The WHO estimated in 2005 that there were 154 psychologists – including psychoanalysts – for every 100,000 inhabitants, making Argentina the country with the most psychologists per capita in the world (in Marsilli-Vargas 2016:136). See also Brotherton (2016), and Romero (2012).

  11. The psy-idiom has been considered an Argentinean “secular theodicy” addressing individual malaise together with political and economic crisis (Visacovsky 2009:60). See Mariano Plotkin and Sergio Visacovsky (2008) for a critical reading (cf. Bleichmar 2007). Marsilli-Vargas defines the psychoanalytically inflected structure of attention in Buenos Aires as a listening genre inhabiting ordinary hermeneutics (2014).

  12. The systemic model of psychotherapy was developed in the “cybernetic era” of post-war America, in the context of widespread epistemological interest in self-regulating systems of information. Bateson’s application of cybernetics to communication theories greatly contributed to this approach throughout the 1950s and 1960s in Palo Alto, California (Bateson 2000; Watzlawick, Bavelas and Jackson 2011).

  13. Following the therapists’ request, under no circumstance I entered in direct contact with the patients in therapy during the course of their treatment.

  14. This might sound like a banality in the post-post “writing culture moment.” However, the flourishing “elective affinity” between medical anthropology and the positivist genres of data production in public/global/mental health might call for a reiteration of this point.

  15. All names and major details have been changed. Simona and Enrique agreed to be observed. I changed the names of the psychotherapists to further protect their privacy. I provide my translation from Spanish to English of the therapy sessions and of the interviews. To keep a sense of the translation, I am leaving in italics a few Spanish words. The italics do not indicate code switching.

  16. On the role this visual model played in the development of the “family form” the U.S. see Deborah Weinstein (2013). See also Collu (n.d.) for an analysis of “visual dispositifs” and the therapeutic role of screens in this setting. Surveillance studies have troubled the panoptic model of vision, showing how the heterogeneous orientations of gazes render impossible a unidirectional visual control. Following the intensification of surveilling strategies after 9/11 (Lyon 2003), these literatures explore the proliferation of “surveillant assemblages” as forms of power that cannot be attributed to one single “Orwellian Big Brother” (Ericson and Haggerty 2006). Recent studies consider how visual or non-visual monitoring technologies for medical patients entangle everyday surveillance with forms of care delivery allowing (rather than thwarting) individual agency, self-development, and home care (Dubbeld 2006). Through ethnographic accounts of therapeutic, clinical, and home nursing spaces, these works show how “caring practices include technology” (Mol, Moser and Pols 2010:14) and thus challenge the idea that surveilling technologies cannot deliver forms of care.

  17. See further on cruel optimism and the romantic couple as a cluster of promises.

  18. I am thinking with Arlie Russell Hochschild about avoidance of coming back home to avoid “more work” in a reversal between home and work (1997).

  19. I am here referring to Bateson’s definition of the elementary unit of information as a “difference which makes a difference” (2000:459). See also Eduardo Kohn (2013: 100) on difference and semiotic ecologies. Thinking with Gilles Deleuze, “intensity is difference” within an affective milieu (1994:223).

  20. I refer here to Martin Heidegger’s notion of “being-in-the-world” as grounded on a fundamentally ec-static body, a body that is outside of itself, thrown into the world and always already occupied by it (2008). “Availability” plays a central role in my understanding of the relation between affects and dispositifs (2018). The idiom of availability is a gift from a series of pleasurably baroque conversations with my mentor Lawrence Cohen (see Cohen 2007).

  21. I am making a direct reference to Anne Fadiman’s book title (1998).

  22. Similarly, Brennan proposed to understand Christian demons as circulating through (olfactory) affects (2004).

  23. I am here thinking about Crapanzano’s suggestion that “spirits are concepts” (1977).

  24. See further on Ellenberger (1970) and Pandolfo (2018).

  25. For the sake of the argument, I am addressing an ideal–typical notion of the modern “self” as a bounded and “unique” entity (see Geertz in Rose 1998: 5). The psy-disciplines and medicine have been “integral to the secular project of making invisible the religious affects and sensibilities of the modern political/biological individual” thus shaping a bounded self (Whitmarsh and Roberts 2016: 207). However, this “secular” self bears the traces of an ongoing relationship with multiple religious traditions (see Asad 2003, Mahmood 2005, Taylor 2007). I am here drawing from conversations with Ian Whitmarsh and his recent call for a “non-secular” medical anthropology which addresses a repressed religious kernel of modern medicine, psychology, and contemporary regimes of the self.

  26. The term Thanatos itself was not introduced by Freud himself but by post-Freudian psychoanalysis. See Pandolfo (2018: 91) on identification and affects. Bringing in dialogue the Islamic tradition with psychoanalysis, Stefania Pandolfo’s recent work activates the capacity of psychoanalysis to address forms of spirit possession within and beyond the Western tradition (ibid).

  27. I understand this type of ghostly presence as a virtual screen that filters our lived experience of the present (2016).

  28. On the affect of depression and its relationship with the Christian capital sin of “acedia” see Cvetkovitch (2012).

  29. Of course, Simona and Enrique, who come together as a couple – an imaginary unit – have different angles of arrival and departure from their shared affect.

  30. On Hermes and anthropology see Crapanzano (1992).For an anthropologically informed “critical hermeneutics” see the recent work of Jarrett Zigon (2019) who proposes a political anthropology of potentiality and worldbuilding. 

  31. Exploring healing rituals across cultural settings, historian of psychoanalysis Henri Ellenberger has suggested that we should consider a continuity between shamanic rituals of dispossession, hypnotic magnetism, and the development of psychoanalysis (1970). Freud, in Ellenberger’s reading, is to be considered the heir of shamanistic rituals addressing the “maladies of the soul.”

  32. For an anthropology of the Argentinean crisis see D’Avella (2014), Muir (2015, 2016), and Visacovsky (2010). For an account of the economic collapse from a financial perspective see Blustein (2006).

  33. The Argentinean “middle class” is an ambiguous and “residual” category (Adamovsky, Visacovsky, and Vargas 2014:115) as the majority of the Argentinean population recognizes itself as being part of it. Tied to nationalistic origin stories, the Argentinean middle class catalyzes a moral imaginary of white and modern migrants of European descent who “built” the country (see Visacovsky and Garguin 2009). The “middle class” emerged in the public discourse as the main protagonist of the 2001-2002 crisis (Visacovsky 2014:224). On one side actively engaged in the cacerolazos (spontaneous street protests), on the other called out for its neoliberal practices of consumption that metonymically represented the “sins” of the nation (Fava and Zenobi 2014).

  34. On families surviving through the economic “storm” see Cooper (2014). On affective labor see Hochschild (2012).

  35. In the systemic model of therapy, the leading therapist usually takes one break during the session to debrief with the observing team.

  36. See Ahmed on the couple form and its regimes of “straight” availability (2006).

  37. On the parallel between psychotherapy and exorcism see also the work of Thomas Csordas (2017). In a sense, the exorcist “naming” of spirits can be paralleled to our understanding of “diagnosis” in the widest sense. Medical Anthropology often engaged with “diagnosis” in its capacity to be therapeutically effective in itself. See, for example, the work of Byron Good (1994). However, I wonder if the affective “discernment of spirits” I am referring to should be distinguished farther from a diagnostic gesture.

  38. Elsewhere I explore the ethnographic method as based on a temporal “genre of presence” (n.d.).

  39. On affects, trance, and healing rituals I am thinking with Borch-Jacobsen’s notion of “mimetic efficacy” (1993).

  40. Favret-Saada also suggested that an anthropology of therapy should consider dewitching rituals as different in degree but not in kind in respect to contemporary psychotherapy (2015).

  41. On ritual healing see the recent work of Laurence Kirmayer who develops a general theory of ritual healing through the exploration of the “placebo response” (2016).

  42. See also Ahmed (2010: 36).

  43. I am thinking about a conversation I had with Gregory Delaplace on the relationship between ghosts, apparitions, and dispositifs (see Delaplace 2013, 2018). I am deeply in debt to many inspiring conversations with Eduardo Kohn on cosmic diplomacy, “good” and “bad” spirits, and eco-philosophical thoughts about the other-than human.

  44. See Mazzarella (2009).

  45. In her first book about sorcellerie in the Bocage, Favret-Saada implied that you can write about affects only when you are “getting caught” and becoming an ethnographic medium (1981). Works on religious experience and spirit possession provide new perspectives on mediating mediums in relation to the production of immanence/presence. See Birgit Meyer on the paradoxes of immediacy (2011) and Rosalind Morris on dis-embodied mediums (2002, 2014). Thinking about mediums and affects, Steven Shaviro writes that media are “machines for generating affects” (2010:3, original emphasis). I am also thinking about the work of Peter Skafish, who foregrounds the concept-work of channeling mediums (2016). I am currently working on an essay on the relation between affects and dispositifs (see Collu 2018).

  46. Karen Barad has examined the epistemological and ontological breaks between reflection, refraction, and diffraction in her anthropological quantum physics (2007).

  47. Similarly, in her queer phenomenology Ahmed writes about “perversion points” that articulate a bending of “straight lines” (2006).

  48. I am thinking here, for example, about the “madness of the gods” amidst the Thonga as described by Luc de Heusch (1985), where the possessed are liberated from the evil spirit mimetically embodying the spirit itself. The spirit becomes present because it is channeled through the affective body of the possessed (Borch-Jacobsen 1993). See also the classic work by Alfred Mètraux on Voodoo rituals (1994).

  49. As different theories of trauma in anthropology have suggested, traumatic events are tied to a past that goes well beyond the life of a singular individual. The affective forces abreacted in the present can be impersonal, intergenerational, and trans-subjective (Kwon 2008; Pandolfo 2018).

  50. See Freud’s text on transference (2001) and his classic case study on Dora, which explores complex case of transference (1995).

  51. On the imagination as a site of knowledge production and the mundo imaginalis as a faculty of the soul see Stefania Pandolfo’s recent work (2018). Giorgio Agamben writes about the “destruction of experience” after medieval times and the progressive separation of the imagination from experience (2007).

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Acknowledgments

I am thankful to the therapists and patients who generously allowed me to participate in their professional and personal lives. Micol has been an amazing source of affective inspiration together with the therapists I call here Almibar, Wanda, and Clara. Thank you. The conceptual gifts of Lawrence Cohen, Ian Whitmarsh, Stefania Pandolfo, and Yanina Gori are always already present in this article. Bruno Reinhardt, Dylan Fagan, Cheryl Smith, Mila Djordjevic, Gabriel Coren, Jarret Zigon, Silvia Tidney, Jason Throop, Cristiana Giordano, Vanessa McCuaig, Cristina Yepez, Amélie Ward, Emad Mortazavi, Vincent Laliberté, and Robert Desjarlais, provided important comments to different versions of this manuscript. Emily Ng has been fundamental. Haley Baird reframed my imagination about the work of therapy, love, and spirits.

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The author has received the International Fieldwork Grant from the Institute of International Studies, UC Berkeley, to undertake the fieldwork research this article is based on (2013). The author states that there is no conflict of interest influencing the article’s content.

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Collu, S. Refracting Affects: Affect, Psychotherapy, and Spirit Dis-Possession. Cult Med Psychiatry 43, 290–314 (2019). https://doi.org/10.1007/s11013-018-9616-5

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