The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder

As far back as we know, there have been individuals incapacitated by memories that have filled them with sadness and remorse, fright and horror, or a sense of irreparable loss. Only recently, however, have people tormented with such recollections been diagnosed as suffering from "post-traumatic stress disorder." Here Allan Young traces this malady, particularly as it is suffered by Vietnam veterans, to its beginnings in the emergence of ideas about the unconscious mind and to earlier manifestations of traumatic memory like shell shock or traumatic hysteria. In Young's view, PTSD is not a timeless or universal phenomenon newly discovered. Rather, it is a "harmony of illusions," a cultural product gradually put together by the practices, technologies, and narratives with which it is diagnosed, studied, and treated and by the various interests, institutions, and moral arguments mobilizing these efforts.


This book is part history and part ethnography, and it includes a detailed account of everyday life in the treatment of Vietnam veterans with PTSD. To illustrate his points, Young presents a number of fascinating transcripts of the group therapy and diagnostic sessions that he observed firsthand over a period of two years. Through his comments and the transcripts themselves, the reader becomes familiar with the individual hospital personnel and clients and their struggle to make sense of life after a tragic war. One observes that everyone on the unit is heavily invested in the PTSD diagnosis: boundaries between therapist and patient are as unclear as were the distinctions between victim and victimizer in the jungles of Southeast Asia.

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The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder

As far back as we know, there have been individuals incapacitated by memories that have filled them with sadness and remorse, fright and horror, or a sense of irreparable loss. Only recently, however, have people tormented with such recollections been diagnosed as suffering from "post-traumatic stress disorder." Here Allan Young traces this malady, particularly as it is suffered by Vietnam veterans, to its beginnings in the emergence of ideas about the unconscious mind and to earlier manifestations of traumatic memory like shell shock or traumatic hysteria. In Young's view, PTSD is not a timeless or universal phenomenon newly discovered. Rather, it is a "harmony of illusions," a cultural product gradually put together by the practices, technologies, and narratives with which it is diagnosed, studied, and treated and by the various interests, institutions, and moral arguments mobilizing these efforts.


This book is part history and part ethnography, and it includes a detailed account of everyday life in the treatment of Vietnam veterans with PTSD. To illustrate his points, Young presents a number of fascinating transcripts of the group therapy and diagnostic sessions that he observed firsthand over a period of two years. Through his comments and the transcripts themselves, the reader becomes familiar with the individual hospital personnel and clients and their struggle to make sense of life after a tragic war. One observes that everyone on the unit is heavily invested in the PTSD diagnosis: boundaries between therapist and patient are as unclear as were the distinctions between victim and victimizer in the jungles of Southeast Asia.

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The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder

The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder

by Allan Young
The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder

The Harmony of Illusions: Inventing Post-Traumatic Stress Disorder

by Allan Young

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Overview

As far back as we know, there have been individuals incapacitated by memories that have filled them with sadness and remorse, fright and horror, or a sense of irreparable loss. Only recently, however, have people tormented with such recollections been diagnosed as suffering from "post-traumatic stress disorder." Here Allan Young traces this malady, particularly as it is suffered by Vietnam veterans, to its beginnings in the emergence of ideas about the unconscious mind and to earlier manifestations of traumatic memory like shell shock or traumatic hysteria. In Young's view, PTSD is not a timeless or universal phenomenon newly discovered. Rather, it is a "harmony of illusions," a cultural product gradually put together by the practices, technologies, and narratives with which it is diagnosed, studied, and treated and by the various interests, institutions, and moral arguments mobilizing these efforts.


This book is part history and part ethnography, and it includes a detailed account of everyday life in the treatment of Vietnam veterans with PTSD. To illustrate his points, Young presents a number of fascinating transcripts of the group therapy and diagnostic sessions that he observed firsthand over a period of two years. Through his comments and the transcripts themselves, the reader becomes familiar with the individual hospital personnel and clients and their struggle to make sense of life after a tragic war. One observes that everyone on the unit is heavily invested in the PTSD diagnosis: boundaries between therapist and patient are as unclear as were the distinctions between victim and victimizer in the jungles of Southeast Asia.


Product Details

ISBN-13: 9781400821938
Publisher: Princeton University Press
Publication date: 10/27/1997
Sold by: Barnes & Noble
Format: eBook
Pages: 328
File size: 2 MB

About the Author

Allan Young is Professor of Anthropology at McGill University, in the Departments of Social Studies of Medicine, Anthropology, and Psychiatry.

Table of Contents

Acknowledgments
Introduction 3
Pt. I The Origins of Traumatic Memory
1 Making Traumatic Memory 13
2 World War I 43
Pt. II The Transformation of Traumatic Memory
3 The DSM-III Revolution 89
4 The Architecture of Traumatic Time 118
Pt. III Post-Traumatic Stress Disorder in Practice
5 The Technology of Diagnosis 145
6 Everyday Life in a Psychiatric Unit 176
7 Talking about PTSD 224
8 The Biology of Traumatic Memory 264
Conclusion 287
Notes 291
Works Cited 299
Index 321


What People are Saying About This

Ian Hacking

Young offers a brilliant acount of how post-traumatic stress disorder came into being. His detailed analysis of sessions with Vietnam Vetrens at Vetrens Administration hospitals is one of the finest pieces of up-to-date medical anthropology in existence.
Ian Hacking, Institute for the History and Philosophy of Science and Technology, University of Toronto

From the Publisher

"Young offers a brilliant acount of how post-traumatic stress disorder came into being. His detailed analysis of sessions with Vietnam Vetrens at Vetrens Administration hospitals is one of the finest pieces of up-to-date medical anthropology in existence."—Ian Hacking, Institute for the History and Philosophy of Science and Technology, University of Toronto

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