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To hear—to say: the mediating presence of the healing witness

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Abstract

Illness and trauma challenge self-narratives. Traumatized individuals, unable to speak about their experiences, suffer in isolation. In this paper, I explore Kristeva’s theories of the speaking subject and signification, with its symbolic and semiotic modalities, to understand how a person comes to speak the unspeakable. In discussing the origin of the speaking subject, Kristeva employs Plato’s chora (related to choreo, “to make room for”). The chora reflects the mother’s preparation of the child’s entry into language and forms an interior darkroom, the reservoir of lived experience, from which self-narratives issue. Unable to speak of their suffering, traumatized individuals need someone to help them make room for a time of remembrance, someone who is a willing and capable listener. I call such a person a healing witness. Through the mediating presence of the healing witness, fragmented memories of trauma are recreated and incorporated into self-narratives that are sharable with others. Unfortunately, opportunities for witnessing are vanishing. In the last section, I examine the failure of modern media and communication technologies to bear (“hold,” “carry,” “transport”) acts of witnessing. I argue that they perturb the semiotic. According to Kristeva, meaning arises from the dialectical tension between the semiotic (drives and affects) and the symbolic (logic and rules) and is threatened by arid discourse, psychosomatic illnesses, and outbreaks of violence when the semiotic is not represented. Unless we open technology to the imaginary, we risk losing the capacity to bear witness to one another and to create narratives and connections that are meaningful.

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Notes

  1. In general, the term survivor will be used in this paper to refer to anyone dealing with any type of trauma, including illness, even in some cases where another word, such as patient, might be more appropriate. The word survivor draws attention to the strength and courage exhibited by those who struggle with the challenges posed by traumatization.

  2. Although people vary in their capacities to handle life crises and repair and rebuild self-narratives, the rebuilding that follows trauma, as demonstrated, for instance, in the life and work of Frankl (1959), can be constructive and empowering.

  3. Moreover, some traumas, such as the death of a same-sex partner or of a developmentally delayed child, are "disenfranchised" (Daka 2002), reminding us that narratives are not always accepted but are often contested (Nadeau 1997).

  4. Ulanov is referencing Jackson’s (1992) observation that many of the Psalms express a "yearning for a listener who cares" and that "their place over many centuries make it clear that listening has been viewed by many as having the potential to ease a person's distress and suffering" (p. 1624).

  5. The difference is that in the holding presence of the healing witness the amplification of the semiotic is safeguarded. Kristeva (1986) tells us that whereas in poetry the semiotic is discharged (catharsis), in analysis it is also named. Writing about trauma can be especially hazardous if not contained, as attested by the number of authors (Améry, Bettelheim, Borowski, Celan, Kofman, Levi, etc.), who, having survived the Holocaust, whether in the camps or in hiding, and having found the courage to write about their ordeals, nonetheless, have committed suicide. "If one talks about trauma without being truly heard or truly listened to," Laub (1992a) warns, "the telling itself might be lived as a return of the trauma—a re-experiencing of the event itself" (p. 67). For a sensitive discussion of this topic from a Kristevian perspective in the life and work of Hofman, see Edwin (2002).

  6. Janet was three years younger than Freud, but it appears that many of his ideas predate those of Freud. On several occasions, Janet complained that Freud had taken his ideas and renamed them without attribution (Ellenberger 1970). Whereas Janet (1919/1925) spoke of the subconscious (a term he coined), Freud referred to the unconscious. The same is true, Janet claimed, regarding his notion of psychological analysis, which Freud renamed psychoanalysis, and his description of narrowing the field of consciousness, was called repression in Freud's work (Ellenberger 1970). Ellenberger adds to the list "Janet's ‘function of reality' which was transposed into psychoanalysis under the name ‘reality principle,'" and "‘automatic talking’” which was changed to “Freud’s method of free association" (p. 539). The most striking similarity in Ellenberger's opinion "is that between [Freud's] psychoanalytic transference and Janet's systematic use of those varieties of rapport between therapist and patient that he called ‘somnambulic influence’ and ‘need for direction’ " (p. 539). Freud did acknowledged using Janet's "subconscious fixed ideas" and its cure via, what Freud and Breuer called, "catharsis" (Ellenberger 1970).

  7. To illustrate the importance of this point, Janet (1919/1925) uses the analogy of a sentinel who watches over a camp. Upon encountering the enemy, the sentinel must either fight or flee. In either case, if he survives, he must make it back to the captain so that he can report his experience to him using words. He cannot reenact what actually took place. The experience must be organized into a "recital of the event to others and to ourselves, and this recital [must be put] in its place as one of the chapters in our personal history" (p. 57). This chapter can then be retold in ways that take into account many variables, including the social contexts of the teller's own life (as soldier, father, and friend) and that of his listeners (as captain, child, and friend).

  8. Van der Hart et al. (2006) remark that inclusion of Janet's work in their text on trauma and its treatment, entitled The Haunted Self, "is not a romantic flight into history" (p. 132) but substantive.

  9. Howell (2005) says the following regarding Janet's theory of trauma, "the key premise of his theory on trauma and dissociation is that when people are terrified or overwhelmed by extreme emotion, they are unable to assimilate the experience into already existing mental frameworks, and are therefore unable to link the experience with the rest of personal history. Overwhelming terror or overwhelming ‘vehement emotion' interrupts the coherence of experience; as a result, the synthesizing functions of the psyche fail. This is still the key premise of trauma theory today" (p. 52).

  10. Erdelyi (1994) defines Janetian dissociation as an "insufficiency of binding energy, caused by hereditary factors, life stresses, or traumas, or an interaction among them, [that] results in the splitting off of personality clusters from the ego, the core personality. The split-off clusters or fragments constitute minipersonalities or, if they cohere, an alternate personality" (p. 9).

  11. Van der Hart et al. (2006), for instance, note that in Western societies, "there is much outrage expressed that abuse happens, but there is little treatment accessible to survivors, even though we know that childhood abuse often has devastating and life-long consequences. Our society seems to have a depersonalize awareness in which people can feel comfortable in being aware enough to acknowledge a problem, but not to the degree that they demand that difficult and complex social and interpersonal changes be made. Thus on both individual and social levels there if often virtually no support for survivors to realize their devastating experiences" (p. 153).

  12. Kristeva's theory of language is based on a Freudian model of language with "its emphasis on the presence of the body at all levels of rationalization" (Gambaudo 2007, p. 18). According to Keltner (2011), "For Kristeva, Freudian psychoanalysis is the only theoretical discourse that takes as its task an analysis of the threshold of the speaking being" (p. 28). In Kristeva's (1974/1984) estimation, philosophies of language "are nothing more than the thoughts of archivists, archaeologists, and necrophiliacs" (p. 13). Missing is the body and a consideration of how desires and drives are put into language. To illustrate the difference, consider Gellner's (1968) rather disparaging description of ordinary language philosophy (espoused, for example, by Austin, Wittgenstein, and Searle): "… the world is just what it seems (and as it seems to an unimaginative man about mid-morning), therefore, naturally language is but a set of activities in it. What else could it be? … language is found, on examination, to be but a set of tools for mundane … purposes …" (p. 23). Language is not a tool for Kristeva, nor is it a subject that can be studied independently from the speaking subject, as Chromsky's treatment of language suggests (Kristeva 1980). Rather, Kristeva's theory of language, encompassing as it does both the mundane and the imaginative (as it might flow from the pen of a poet late at night, to extend Gellner's analogy to Kristeva), is concerned with language as a process that issues directly from the body and its drives (the unconscious) and how these are linked to the symbol and produce the subject.

  13. Or Lacan's Imaginary. Although Kristeva's treatment of the symbolic resonates with Lacan's order of the symbolic, her notion of the semiotic was influenced more by Husserl’s philosophy than Lacan's orders of the real and the imaginary (Keltner 2011). For Lacan, the Symbolic refers to the social order and the law that legislates relations with others and the self. The real is material and inaccessible to language. The imaginary, which is pre-symbolic, yet structured by the symbolic, is related to the child's formation of the ego and its (mis)identification with caretakers (seeing himself as autonomous and whole when in fact he is dependent and fragmented). For Lacan and Freud, the child's union with the mother (imaginary order) is cut by the law and the threat of castration (the symbolic). In other words, he enters the symbolic order by separating from the mother. Kristeva's semiotic, although sharing some features of both the real and the imaginary, differs significantly. As Keltner explains, "[The semiotic] is excessive to language (like the real) and yet structured by it (like the imaginary). However, the semiotic is not characterized as inaccessible or as (completely) unsymbolizable" (Keltner 2011, p. 24). For a discussion on Husserl's influence on Kristeva's conception of the semiotic, see Keltner (2011).

  14. The semiotic expressions of the infant presupposes, according to Kristeva, "that the possibility of language exists either as a genetic program that allows the child to speak one day, so that the echolalias are stages before this possibility of speech, or as a social environment—the child is already in an environment where the parent speaks, his desire to speak already exists in the discourse of the parents, and so the echolalias appear in this environment. In short, there is an already there of language" (Guberman 1996, p. 21).

  15. The mirror stage, as Lechte and Margaroni (2004) note, is "the main paradigm for Lacan's split subject … in the course of which the human infant learns to recognize itself in its mirror image. Through its identification with the image … the infant is able to separate itself from its confusing experience of fragmentation and to bring its disparate body parts into a whole. If the Lacanian subject is split this is because, as Lacan emphasized, it can see itself where (based on experience it knows) it is not. The Lacanian subject, then, speaks (will learn how to speak) across a gap, the gap between ‘here' (the body-in-parts) and ‘there' (the illusionary whole)… By contrast, Kristeva's subject is split because semiotic motility erupts from within its speaking position, destabilizing and rendering it inhospitable to any ‘One'" (p. 26).

  16. This is what Freud calls the degree zero of identity, the primary identification (Kristeva 1994/1996). Gambaudo (2007) notes that whether speaking is genetically programmed or not, the ability to speak requires a societal impetus. She refers to famous cases of human beings raised by animals where the speaking function was not activated early on in the child's development (see, for instance, Malson 1972) and to the account of baby Tanya who learned to behave like a dog (barking, crawling, lapping) because her mother's primary attachment was to the family dog (Hamilton 1993). According to Gambaudo, Tonya followed a normal path of development. What was abnormal was her mother's desire for a canine relationship. She surmises that it doesn't matter what form the maternal interest takes, as long as it is not centered exclusively on the child, he will "develop some form of identity" (p. 117). This is what makes, for Kristeva (1997), the good-enough mother good, namely, what is not given in giving enough: "maybe the good-enough mother is the mother who has something else to love besides her child; it could be her work, her husband, her lovers, etc. She has to have another meaning in her life" (p. 334).

  17. That is to say a subjectivity constituted in the transformational process of the movement of communication from the body with its unconscious desires and drives to the symbol that represents it (Gambaudo 2007).

  18. Lechte (2004) claims that "nobody really consumes images: communication never really takes place" (p. 124).

  19. Kristeva writes, for example, "You are overwhelmed with images. They carry you away, they replace you, you are dreaming. The rapture of hallucination originates in the absence of boundaries between pleasure and reality, between truth and falsehood. The spectacle is life as a dream—we all want this. Do this ‘you' and this ‘we' exist? Your expression is standardized, your discourse becomes normalized. For that matter do you really have a discourse of your own? … before you can speak about your states of the soul, you drown them in the world of mass media" (Kristeva 1993/1995, p. 8).

  20. Kristeva (1997/2002) writes, "I can hear you asking: don't we inhabit a veritable paradise of fantasy today thanks to images in the media? Aren't we saturated with fantasies, stimulated to produce them and to become imaginary creators in turn? … We are inundated with images, some of which resonate with our fantasies and appease us but which, for lack of interpretive words, do not liberate us. Moreover, the stereotypy of those images deprives us of the possibility of creating our own imagery, our own imaginary scenarios [italics added]" (p. 67). She goes on to present the case of one of her patients, she calls Didier, whose ‘operative’ fantasies typify him rather than testify to an interiority. Although he was able to make works of art, they had no meaning, no connection for him as an artist.

  21. Boyne (1999) tells us that "Late modernity has encouraged us to simulate and stimulate our selves and shop for our identities in cults, through films and at chain fashion stores. As identities are constructed statement by statement, performance by performance, we are made and confronted by cut and paste, with citations impeccably and publically correct, and with discursive reaffirmations of sources providing guarantees of presence" (p. 212).

  22. Kristeva says that "In our reality of crisis, many believe they can ‘get out of it’ by subscribing to an ‘identity', preferably the most fundamentalist, the one that replaces individual questions with solutions for the mass, the clan. ‘I do not know who I am, but I belong with them'" (Kristeva 1996, translated Gambaudo 2007, p. 22). Our desire to be has thus been displaced by the desire to belong and "to adhere to a group, to an ideology, to a sect" (Pollock 1998, p. 8).

  23. Debord's (1967/1994) theory of the society of spectacle has assumed increasing importance in Kristeva's later work. Lechte (2004) remarks that "There are few works published since 1993 … where Kristeva does not make some reference to the society of the spectacle" (p. 117).

  24. As Oliver (1997) notes, "We live in a no-fault society in which crime has become a media-friendly spectacle, and government and social institutions normalize rather than prohibit" (p. 410). In The Sense and Non-sense of Revolt, Kristeva (1996/2000) asks, "if prohibition is obsolete, if values are losing steam, if power is elusive, if the spectacle unfolds relentlessly, if pornography is accepted and diffused everywhere, who can rebel? Against whom, against what?" (p. 28).

  25. In Time and Sense, Kristeva (1994/1996) describes how sublimation occurs when fantasies are articulated and the problems that arise when the analysand lacks the narrative capacity to tell his fantasies: "… sublimation takes place when the fantasy is put into words. If the analysand is not ever so slightly like a narrator, he is silenced. He occasionally causes gripping or commonplace signs to emanate from the nameless border of his unconscious, but he never tells his story [the narrative of subjectivity]. The analyst yields to this scenario by becoming bored or by playfully offering his own fantasies to the anaylsand. In other words, if transference and countertransference fail to make the analysand a narrator, the analysis breaks down and dies" (p. 327).

  26. Although in the Western world Holocaust denial has been countered by Holocaust museums and memorials (as well as laws against Holocaust denial, as in France), there are many examples of the denial of suffering in contemporary society. Denov (2004), for example, speaks of a culture of denial regarding the issue of female sex offending, and men in psychiatric units in the US and UK are rarely asked questions about past histories of sexual abuse, despite evidence supporting its prevalence in this population (Lab and More 2005). Moreover, the extent of child abuse and the validity of childhood memories (the creation of false memories, for instance) continues to generate much debate (Bjorklund 2009).

  27. As can telling a physician, as Charon (2006) points out, about the intimate details of one's bodily functions and personal habits.

  28. Fear, shame. and blame are emotions that also overwhelm those who are ill, and, according to Charon (2006), "erect the most unbreachable divides between doctors and patients" (p. 30).

  29. As Balint (1972) stressed decades later, "if you ask questions, you get answersand hardly anything else" (p. 133); the job of the doctor, therefore, is to "learn to listen" (p. 121).

  30. Jackson (1992) has pointed out that much has been written on the therapeutic effects of talking, in both medicine and psychology. "For all the emphasis on the patient's talking, though," Jackson observes, "it is consistently clear that the physician's role was also crucial and that his listening was a critical feature of that role" (p. 1625). Jackson insists that in the "talking cure," "the healer as listener is at the heart of the matter" and that "The term ‘the listening cure' would be just as relevant" (p. 1629).

  31. A study conducted in 1984 in the US found that the average time from the start of the consultation before the first interruption of the patient by the physician was 18 seconds (Beckman and Frankel 1984). Currently, in the US, insurance companies require that the consultation time be a minimum of fifteen minutes. In France, the average consultation time is twenty minutes, and it is seven minutes in the UK (Hope 2011).

  32. These new patients described by Shorter are strikingly similar to the new patients Kristeva describes. Having lost opportunities and the ability to imaginatively express the stories of their own subjectivities, these patients find themselves disconnected from their emotions and their bodies. As Kristeva (1993/1995) was quoted in the introduction as saying," … the psychic life of modern individuals wavers between somantic symptoms (getting sick and going to the hospital) and the visual depiction of their desires (daydreaming in front of the TV)" (p. 8). Her observations on the couch are supported somewhat by research reported by Pennebaker (1993) and others (for example, Spiegel 1992). These studies show that low levels of emotional expressiveness lead to a decrease in immunization function and an increase in physical illness.

  33. Although religion is mentioned on several occasions in this paper, I have preferred to focus on secular opportunities of reconnecting the semiotic and symbolic. Aside from religious leaders functioning as healing witnesses, prayer to a personal God expresses, according to Fleischmann (1989), a yearning and need for "a God of listening" (p. 8).

  34. Shorter (1991) defines psychosomatic illness as "any illness in which physical symptoms, produced by the actions of the unconscious mind, are defined by the individual as evidence of organic disease and for which medical help is sought" (p. x). Mental illness, trauma, and the stress engendered by life events are not the only factors determining the incidence and nature of psychosomatic illness. Psychosomatic symptoms are influenced and shaped as well by culture, gender, class, race, and age (Shorter 1994). It should also be noted that I am not suggesting here that all illness is psychosomatic, but I do agree with Rudnytsky (2008) that "even a physical illness will be given unconscious meanings by the person who suffers from it, and the metaphors one fashions are likely to affect the outcome of the psyche-soma's efforts at self-healing" (p. 5).

  35. Ferenczi (1919/1980) describes the analyst, in this regard, as an obstetrician "who has to conduct himself as passively as possible, to content himself with the post of onlooker at a natural proceeding, but who must be at hand in the critical moment with the forceps in order to complete the act of parturation that is not progressing spontaneously" (pp. 182–183).

  36. Doctors and psychoanalysts are vulnerable to vicarious traumatization (McCann and Pearlman 1990). According to Pearlman and Saakvitne (1995), vicarious traumatization "refers to alterations in the therapist's identity and usual ways of understanding and experiencing herself and her world" (p. xvi) as a consequence of her work with trauma survivors.

  37. Laub (1992a) describes a number of listening defenses aside from outrage and fear: paralysis, withdrawal and numbness, awe, "obsession with fact finding," and hyperemotionality, where "the testifier is simply flooded, drowned and lost in the listener's defensive affectivity" (p. 73).

  38. Inevitably, some of these reactions will escape the vigilance of the healing witness and be observed by the teller, no matter how hard the listener attempts to constrain them. For many people, trauma and illness magnify another's demeanor, making visible the most fleeting hints of inattention, betrayal, revulsion, and abandonment. In the following passage, Pearlman and Saakvitne (1995) describe how these reactions can sometimes be used to benefit the survivor:

    Picture this scenario. Your survivor client is describing a particularly horrific experience of childhood abuse. You know it is coming and brace yourself to listen, yet after a few minutes you realize you are staring out the window behind him feeling numb and inattentive … As you notice your inner departure from the relationship, you can acknowledge your feelings—perhaps dread, revulsion, anger—in response to the trauma material, and your wish not to hear or know it. This inner process will allow you to reenter your body and the room. What if your client has noticed and says that you “spaced out” at a critical moment, and he is hurt and feels abandoned? You can acknowledge that you indeed spaced out, and that you are back … The client will feel heard and acknowledged by the straightforward acknowledgment that you were not fully present, and his feelings of horror may be validated by your need to distance from the material (p. 17).

  39. Harben's story extols light: art is light, music streams from the light of heavenly bodies, light is everywhere and darkness comes only at the end. Evil has disappeared because there is nowhere for it to hide. But the mouth gives the story away. It is abandoned as the site of speech not so much because it is unbecoming for perfect communication to issue from a bodily part as base as the mouth, erogenous orifice of eating and drinking, but because this story reflects an unconscious desire to return to the serenity of the womb, the time in one's life when needs were met instantaneously without having to express them or perform the labor of using one's mouth to secure them—to ask for and to receive by sucking—that is, the time before jaw muscles were called into action. Harden's story is not a vision of the future so much as it is the mourning of a lost past, a lost illusion of wholeness—the time before desire. Nonetheless, it is interesting that love immortal at the end of the story is juxtaposed to a fleeting hint of death and a desire for meaning. The fact death's proximity impinges on the father and the purpose of life concerns the son, if only for a moment, indicates that not all shadows have been eradicated. Even in this world, there are thoughts obscured by the light that, though they may not be heard, they are whispering.

  40. Kristeva, following Lacan (1977, pp. 55–56), sees a trajectory that leads to transcendence—but it is one that breaks out into the world. Moreover, it is a transcendence rooted in listening, specifically, listening to those in need of connecting the symbolic to the semiotic: "Freud has provided us with a preliminary method for achieving this sort of listening, but we still need to elaborate our approach. Our empathy and familiarity with the malady of the soul will enable us to transcend the psyche—forever" (Kristeva 1993/1995, p. 29).

  41. A hint of interpretive capacity in the sense that the destination, in Weaver's modification, seems capable of extracting additional meaning from the semantic noise that the source inadvertently injects. The inclusion of a semantic receiver is a recognition that semantic capacity varies significantly among people. Perhaps this is why Weaver considers semantic noise potentially enhancing. However, this potential seems to go against the purpose of the semantic receiver. In mapping semantic content to the semantic capacity of some known audience, a capacity predetermined statistically, it is quite possible that any additional meanings introduced by semantic noise would be rendered null. Moreover, it is not clear whether Weaver is considering this mapping in terms of the range (what is possible for the audience), the lowest common denominator, the average, or the norm of a given audience.

  42. Moreover, the intense feelings of animosity and hatred that naturally arise towards perpetrators, and the desire for revenge, may lead some survivors to feel that they are no different from the perpetrators: many survivors end up directing this anger against themselves (Summit 1983; van der Kolk 1996).

  43. In Intimate Revolt, Kristeva (1997/2002) explains more fully how the act of naming takes place within analysis:

    The act of naming implies abandoning the pleasure and pain of carnal identification, of carnal texture, in order to dissociate thing-presentation and word-presentations. Interpretation fixes word-presentations in their arbitrary autonomy as signs distinct from perception-sensations. It even turns them into fetishes, leads the patient to play with these words-signs-fetishes, and gives them back to him, like a mother to her child, as playthings, first of all. From his flesh, which we have shared with our own, we make word-presentations. But in placing, repeating, and punctuating these words, we give them the consistency of reified symbols; we bring them closer to thing-presentations, like writers who repeat, love, and arrange their texts … Thus, starting with sensorial fixations, analysis works out sensorial games and then words—but word pleasures, word-fetishes. To describe this naming in which the therapist engages, we could say that it is the art of producing transitional objects, starting with the flesh of sign (pp. 61–62).

  44. "From Socrates-Plato to St. Augustine, Western thought affirms that the truth of (the form of) Being preceding human existence can be attained by a movement of retrospection: ‘se quaerere,' ‘quaesto mihi factus sum.’ This common destiny of truth, memory, and speech has, after Augustine, found its affirmation in the interior experience that—from prayer to Georges Bataille—never ceases to reveal the scandalous effects of what I mean precisely by a ‘re-volt'" (Kristeva 1998b, p. 31). Kristeva (2005/2010) also repeats this mantra in Hatred and Forgiveness, where, it is interesting to note, it is associated with the tripartite practices of listening, writing, and reading (see pp. 277–278).

  45. That film is a simulation is borne out, in my opinion, by the fact that it is used to induce and test for motion sickness, see for instance Cowings et al. (1986) and Parker (1971). I am unaware of any report where narrative induced in the reader any form of motion sickness.

  46. Benjamin also presents another interesting expression of depersonalization in film from the perspective of the actor by quoting Pirandello's descriptions of what it feels like for the actor to perform before the "mechanical contrivance" of a camera:

    The film actor feels as if in exile—exiled not only from the stage but also from himself. With a vague sense of discomfort he feels inexplicable emptiness: his body loses its corporeality, it evaporates, it is deprived of reality, life, voice, and the noises caused by his moving about, in order to be changed into a mute image [in silent pictures], flickering an instant on screen, then vanishing into silence … The projector will play with his shadow before the public, and he himself must be content to play before the camera (quoted on p. 229).

  47. As defined in Webster's Third New International Dictionary as "a product of artificial character due to extraneous agency" (Gove 1986, p. 124). I introduced this idea in (Brahnam 2009).

  48. This is what makes videotaped court testimonies problematic. Vertical camera angle, for instance, has been shown to influence impressions of the subject’s credibility (Tiemens 1970). As Balabanian (1981) succinctly puts it, "High shots produce pygmies. Low shots yield monoliths of the Citizen Kane type" (p. 27). In situations where credibility is crucial, such as in videotaped interrogations, direct manipulation of camera angle can have devastating consequences (see, for instance, Lassiter 2002; Locke 2009; Hemsley and Doob 1976). Even changes in the vertical position of the viewing screen have been observed to influence receiver perceptions of the subjects credibility (Huang et al. 2002).

  49. The camera must move, as Hartman (2002) says, if it is "to satisfy more naturally the viewer's eye" (p. 74). As we interact with people, our heads and bodies move subtly and continuously, varying our field of vision. We expect something similar from the camera as well. A camera that remains stationary produces a feeling of staring. This effect was powerfully put into play in the French film Irreversible (Noé 2002), where the camera held steady for a full nine minutes while a rape took place, thereby placing the audience in the uncomfortable position of cold-hearted accomplice.

  50. There are exceptional films that push the limits. Take, for instance, the director Lanzmann, who attempted "to reincarnate" the Jewish tragedy in Shoah, his monumental documentary of the Holocaust (Bernstein 1985). The film, which took him over ten years to make, is created entirely from the testimonies of present day witnesses. No historical documents or film footage was used. In Lanzmann's opinion, "using only images of the present, evokes the past with far more force than any historical document" (Bernstein 1985). Lanzmann's patience permeates the nine hour film with its slow camera work and willingness to let the witnesses tell their stories in the pace most comfortable for them. The film strains the powers of audience endurance, especially contemporary audiences, and, in so doing, has the potential of stretching the viewer's capacity to listen and to open up to the suffering of others. Here is an excerpt from VideoMan's (2009) comment about Shoah, published on Amazon.com, that reveals the tension that was generated in him by the film:

    The subject matter is very critical for all of us to hear and understand. The editing was very poor in the sense that I lost interest in awaiting responses. I will watch all of the rest of it, but hope I get used to the slowness of the dialog … I am disappointed as I wanted to learn and for others to learn and "take in" subject matter that I felt was so very important and necessary for the world to know. Maybe it's just my impatience and others can learn and not be distracted as I have been. I am not ADD just the kind of person that needs emotions and words to coincide in a timely manner. The film is very good from what I've seen so far and I guess I have to realize the author is not a Spielberg.

  51. These are the expressions Ellis uses when discussing witnessing in the context of audio–video media.

  52. The 160 character limit is arbitrary. One day in 1985, Friedhelm Hillebrand sat down at his typewriter and typed a few pages of random sentences. He discovered that none counted more than 160 characters. "This was perfectly sufficient," Hillebrand recalled thinking later, "perfectly sufficient" (Milian 2009). As he was chairman of the non-voice services committee within the Global System for Mobile communications, or GSM, the group that defines the standards for the global mobile marketplace, he was able to push his 160 character limit. Hillebrand remembers wondering with a friend whether that was enough space to communicate most thoughts. He is reported to have said, "My friend said this was impossible for the mass market. I was more optimistic." Twitter capped the length of tweets to 140 characters to reserve 20 characters for the user's address. Facebook and other messaging systems have found it to be "perfectly sufficient" as well, since most people restrict their communications, as Lanier (2010) points out, to telling others what they are doing.

  53. Turkle comments that "Here we see self-policing to the point of trying to achieve a precorrected self" (p. 258).

  54. For a review of the literature on the impact of the computer screen in the consultation room, see Shachak and Reis (2009).

References

  • Alvarez WC (1943) Nervousness, indigestion, and pain. Paul. B. Hoeber, New York

    Google Scholar 

  • Angus LE, McLeod J (2004) Toward an integrative framework for understanding the role of narrative in the psychotherapy process. In: Angus LE, McLeod J (eds) The handbook of narrative and psychotherapy: practice, theory and research. Sage, Oaks, pp 367–374

    Google Scholar 

  • APA (2000) Dsm-iv-tr. American Psychiatric Association, Washington

    Google Scholar 

  • Ardrey R (1974) Non-communication: a natural history of human misunderstanding. Communication 1(2):153–168

    Google Scholar 

  • Baeger DR, McAdams DP (1999) Life story coherence and its relation to psychological well-being. Narrat Inquir 9:69–96

    Article  Google Scholar 

  • Baer U (2005) Spectral evidence: the photography of trauma. The MIT Press, Cambridge

    Google Scholar 

  • Balabanian DM (1981) Medium vs tedium: video depositions come of age. Litigation 7:25–30

    Google Scholar 

  • Baldwin MW (2005) Interpersonal cognition. Guilford Press, New York

    Google Scholar 

  • Balint M (1972) The doctor, his patient and the illness. International University Press, New York

    Google Scholar 

  • Barthes R (1981) Camera lucinda: reflections on photography (trans: Howard R). Farrar, Straus, and Giroux, New York

  • Bartlett FC (1932) Remembering: a study in experimental and social psychology. Cambridge University Press, London

    Google Scholar 

  • Baudrillard J (1981/1994) Simulacra and simulation (trans: Glaser SF). The University of Michigan Press, Ann Arbor

  • Beardsworth S (2004) Julia kristeva: psychoanalysis and modernity. State University of New York Press, Albany

    Google Scholar 

  • Beckman H, Frankel R (1984) The effect of physician behavior on the collection of data. Ann Intern Med 101:692–696

    Google Scholar 

  • Benaveniste E (1939/1971) Problems of general linguistics (trans: Gables C). University of Miami Press, FL

  • Benjamin W (1968) The work of art in the age of mechanical reproduction. In: Illuminations. Schocken Books, New York, pp 217–254

  • Bernstein R (1985) Shoah: an epic film about the greatest evil of modern times. New York Times Review, New York

    Google Scholar 

  • Beverly RE, Young TJ (1978) The effect of mediated camera angle on receiver evaluations of source credibility, dominance, attraction and homophily. Paper presented at the Annual Meeting of the International Communication Association, Chicago

  • Bjorklund DF (ed) (2009) False-memory creation in children and adults: theory, research, and implication. Lawrence Erlbaum Associates, Mahwah

    Google Scholar 

  • Boyne R (1999) Citation and subjectivity: towards a return of the embodied will. Body & Soc 5:209–225

    Article  Google Scholar 

  • Brahnam S (2009) Building character for artificial conversational agents: ethos, ethics, believability, and credibility. PsychNology J 7(1):9–47

    Google Scholar 

  • Bromberg PM (2004) Standing in the spaces: the multiplicity of self and the psychoanalytic relationship. In: Hermans HJM, Dimaggio G (eds) The dialogical self in psychotherapy. Guilford Press, New York, pp 138–151

    Chapter  Google Scholar 

  • Bromberg PM (2006) Awakening the dreamer: clinical journeys. The analytic Press, Mahwah

    Google Scholar 

  • Bruner J (2004a) The narrative creation of self. In: Angus LE, McLeod J (eds) The handbook of narrative and psychotherapy: practice, theory, and research. Sage, Oaks, pp 2–14

    Chapter  Google Scholar 

  • Bruner J (2004b) The narrative construction of reality. In: Beilin H, Pufall PB (eds) Piaget’s theory: prospects and possibilities. Lawrence Erlbaum Associates, Hillsdale, pp 229–248

    Google Scholar 

  • Butler LD, Palesh O (2004) Spellbound: dissociation in the movies. J Trauma Dissociation 5(2):61–87

    Article  Google Scholar 

  • Calvin WH (1990) The cerebral symphony. Bantam, New York

    Google Scholar 

  • Castagnera JO, Lanza J (2010) Social networking and faculty discipline: a Pennsylvania case points toward confrontational times, requiring collective bargaining attention. J Collect Bargaining Acad 2:1–16

    Google Scholar 

  • Cathell D (1922) Book on the physician himself. Crowning Edition, Philadelphia

    Google Scholar 

  • Charon R (2006) Narrative medicine: honoring the stories of illness. Oxford University Press, New York

    Google Scholar 

  • Charon R (2008) Where does narrative medicine come from? Drives, diseases, attention, and the body. In: Rudnytsky PL, Charon R (eds) Psychoanalysis and narrative medicine. State University of New York Press, Albany, pp 23–36

    Google Scholar 

  • Charon R, Montello M (2002) Introduction. Memory and anticipation: the practice of narrative ethics. In: Charon R, Montello M (eds) Stories matter: the role of narrative medicine. Routledge, New York, pp x–xiii

    Google Scholar 

  • Cooper J, Maxwell N (eds) (1995) Narcissistic wounds: clinical perspectives. Jason Aronson, London

    Google Scholar 

  • Cowings PS, Suter S, Toscano WB, Kamiya J, Naifeh K (1986) General autonomic component of motion sickness. Psychosphysiol 23(5):542–551

    Article  Google Scholar 

  • Daka K (ed) (2002) Disenfranchised grief. Research Press, Champaign

    Google Scholar 

  • Dakof GA, Taylor SE (1990) Victims’ perceptions of social support: what is helpful from whom. J Pers Soc Psychol 58:80–89

    Article  Google Scholar 

  • Debord G (1967/1994) Society of the spectacle (trans: Nicholson-Smith D). Zone Books, New York

  • Denov MS (2004) Perspectives on female sex offending: a culture of denial. Ashgate Publishing Limited, Hampshire

    Google Scholar 

  • Dickinson E (1890/1997) Poem 670. In: Johnson TH (ed) The complete poems of Emily Dickinson. Little, Brown and Company, Boston, p 333

  • Dimaggio G, Semerari A (2004) Disorganized narratives: the psychological condition and its treatment. In: Angus LE, McLeod J (eds) The handbook of narrative and psychotherapy: practice, theory, and research. Sage, Thousands Oaks, pp 159–174

    Google Scholar 

  • Edelman GM (1987) Neural darwinism: the theory of neuronal group selection. Basic Books, New York

    Google Scholar 

  • Edwin S (2002) “Impossible” professions: Sarah kofman, witnessing and the social depth of trauma. In: Oliver K, Edwin S (eds) Between the psyche and the social. Rowman & Littlefield, Lanham, pp 123–148

    Google Scholar 

  • Ellenberger HF (1970) The discovery of the unconscious: the history and evolution of dynamic psychiatry. Basic Books, New York

    Google Scholar 

  • Ellis J (2000) Seeing things: television in the age of uncertainty. I. B. Tauris, London

    Google Scholar 

  • Erdelyi ME (1994) Dissociation, defense, and the unconscious. In: Spiegel D (ed) Dissociation: culture, mind, and body. American Psychiatric Press, Washington, pp 3–20

    Google Scholar 

  • Erikson K (1995) Notes on trauma and community. In: Caruth C (ed) Trauma: explorations in memory. Johns Hopkins University Press, Baltimore, pp 183–199

    Google Scholar 

  • Featherstone M, Burrows R (1995) Cultures of technological embodiment: an introduction. In: Featherstone M, Burrows R (eds) Cyberspace/cyberbodies/cyberpunk: cultures of technological embodiment. Sage, London, pp 1–19

    Google Scholar 

  • Ferenczi S (1919/1980) On the technique of psychoanalysis. In: Rickman J (ed) Further contributions to the technique of psychoanalysis. Brunner/Mazel, New York, pp 177–189

  • Fleischmann PR (1989) The healing zone: religious issues in psychotherapy. Paragon House, New York

    Google Scholar 

  • Frankl VE (1959) Man’s search for meaning. Washington Square Press, New York

    Google Scholar 

  • Freud S (1895/1955) The standard edition of the complete psychological works of sigmund freud, vol 2. Hogarth, London

  • Freud S (1907) Zur psychopathologie des alltagslebens: (über vergessen, versprechen, vergreifen, aberglaube und irrtum). Verlag Von S Karger, Berlin

  • Freud S (1926/1959) The standard edition of the complete psychological works of sigmund freud, vol 18. Hogarth, London

  • Gambaudo S (2007) Kristeva, psychoanalysis and culture: subjectivity in crises. Ashgate Publishing Company, Burlington

    Google Scholar 

  • Gampel Y (2000) Reflections on the prevalence of the uncanny in social violence. In: Robben ACGM, Suárez-Orozco MM (eds) Cultures under siege: collective violence and trauma. Cambridge University Press, Cambridge, pp 48–69

    Google Scholar 

  • Gellner E (1968) Words and things. Penguin, Harmondsworth

    Google Scholar 

  • Gonçalves ÓF, Korman Y, Angus L (2000) Constructing psychopathology from a cognitive narrative perspective. In: Neimeyer RA, Raskin JD (eds) Constructions of disorder: meaning-making frameworks for psychotherapy. American Psychological Association, Washington

    Google Scholar 

  • Gove PB (ed) (1986) Webster’s new international dictionary of the English language unabridged. Merriam-Webster, Springfield

    Google Scholar 

  • Graessner S, Gurris N, Pross C (eds) (1996) At the side of torture survivors: Treating a terrible assault on human dignity (trans: Riemer JM). John Hopkins University Press, Baltimore and London

  • Greenberg HR (1975) The movies of your mind. Saturday Review Press, New York

    Google Scholar 

  • Groopman J (2007) How doctors think. Houghton Mifflin Company, Boston

    Google Scholar 

  • Guberman RM (ed) (1996) Julia kristeva interviews. Columbia University Press, New York

    Google Scholar 

  • Hamilton V (1993) Narcissus and oedipus: the children of psychoanalysis. Karnac, London

    Google Scholar 

  • Haraway D (1997) Modest_witness@second_ millennium.Femaleman_ meets_ oncomouse: Feminism and technoscience. Routledge, New York and London

  • Harben W (1892) In the year ten thousand. RevolutionSF Fiction

  • Hartman G (2002) Scars of the spirit: the struggle against inauthenticity. Palgrave Macmillan, New York

    Google Scholar 

  • Hemsley GD, Doob AN (1976) The effect of looking behavior on perceptions of a communicator’s credibility. J Appl Soc Psychol 8(2):136–142

    Article  Google Scholar 

  • Herman JL (1992) Trauma and recovery. Basic Books, New York

    Google Scholar 

  • Hope J (2011) Doctors want patient time doubled. Mail Online, Tuesday, January 25, 2011

  • Houston WR (1936) Art of treatment. The Macmillan Company, New York

    Google Scholar 

  • Howell EF (2005) The dissociative mind. Routledge, New York

    Google Scholar 

  • Huang W, Olson JS, Olson GM (2002) Camera angle affects dominance in video-mediated communication. Paper presented at the conference on human factors in computing systems, Minneapolis, MN

  • Huffer L (1998) Maternal, pasts, feminist futures: nostalgia, ethics, and the question of difference. Stanford University Press, Stanford

    Google Scholar 

  • Jackson SW (1992) The listening healer in the history of psychological healing. Am J Psychiatry 149:1623–1632

    Google Scholar 

  • Jager E (2000) The book of the heart. The University of Chicago Press, Chicago

    Google Scholar 

  • Janet P (1898/1990) Névroses et idées fixes. Société Pierre Janet, Paris

  • Janet P (1903) Les obsessions et la psychasthénie. Felix Alcan, Paris

    Google Scholar 

  • Janet P (1907) The major symptoms of hysteria. Macmillan, London

    Book  Google Scholar 

  • Janet P (1909) Les nervöses. Flammarion, Paris

    Google Scholar 

  • Janet P (1919-25/1984) Les médications psychologiques. Société Pierre Janet, Paris

  • Janet P (1919/1925) Psychological healing. Société Pierre Janet, Paris

  • Janet P (1928) L’evolution de la mémoire et de la notion du temps. A. Chahine, Paris

    Google Scholar 

  • Janet P (1935) Réalization et interprétation. Ann Medico-Psychol 93:329–366

    Google Scholar 

  • Janoff-Bulman R (1985) The aftermath of victimization: rebuilding shattered assumptions. In: Figley CR (ed) Trauma and its wake. Brunner/Mazel, New York, pp 15–35

    Google Scholar 

  • Joseph S (1999) Social support and mental health following trauma. In: Yule W (ed) Post-traumatic stress disorders: concepts and therapy. Wiley, Chichester, pp 71–79

    Google Scholar 

  • Kauffman J (2002a) Introduction. In: Kauffman J (ed) Loss of the assumptive world: a theory of traumatic loss. Routledge, New York, pp 1–12

    Google Scholar 

  • Kauffman J (2002b) Safety and the assumptive world: a theory of traumatic loss. In: Kauffman J (ed) Loss of the assumptive world: a theory of traumatic loss. Routledge, New York, pp 205–211

    Google Scholar 

  • Kauffman J (2010) On the primacy of shame. In: Kauffman J (ed) The shame of death, grief, and trauma. Routledge, New York, pp 3–22

    Google Scholar 

  • Keltner SK (2011) Kristeva: thresholds. Polity Press, Malden

    Google Scholar 

  • Knowles ES, Sibicky ME (1990) Continuity and diversity in the stream of selves: metaphorical resolutions of William James's one-in-many-selves paradox. Pers Social Psychol Bull 16:676–687

    Google Scholar 

  • Kracauer S, Levin TY (1993) Photography. Crit Inq 19(3):421–436

    Article  Google Scholar 

  • Kristeva J (1974/1980) The novel as polylogue. In: Roudiez L (ed) Desire in language. Columbia University Press, New York

  • Kristeva J (1974/1984) Revolution in poetic language (trans: Waller M). Columbia University Press, New York

  • Kristeva J (1980) Desire in language: A semiotic approach to literature and art (trans: Gora T, Jardine A, Roudiez LS). Columbia University Press, New York

  • Kristeva J (1980/1982) Powers of horror: An essay on abjection. Columbia University Press, New York

  • Kristeva J (1981/1989) Language, the unknown: an initiation into linguistics (trans: Menke A). Columbia University Press, New York

  • Kristeva J (1983/1987) Tales of love (trans: Roudiez LS). Columbia University Press, New York

  • Kristeva J (1985/1987) In the beginning was love: psychoanalysis and faith. Columbia University Press, New York

  • Kristeva J (1986) Psychoanalysis and the polis. In: Moi T (ed) The kristeva reader. Columbia University Press, New York

    Google Scholar 

  • Kristeva J (1987/1989) Black sun: depression and melancholia (trans: Roudiez LS). Columbia University Press, New York

  • Kristeva J (1993) Proust and the sense of time (trans: Bann S). Columbia University Press, New York

  • Kristeva J (1993/1995) New maladies of the soul (trans: Guberman R). Columbia University Press, New York

  • Kristeva J (1994/1996) Time and sense: proust and the experience of literature (trans: Guberman R). Columbia University Press, New York

  • Kristeva J (1996) Julia kristeva: Si vous n’en étiez pas, quel serait votre désir? L’Humanité 12

  • Kristeva J (1996/2000) The sense and non-sense of revolt: the powers and limits of psychoanalysis (trans: Herman J). Columbia University Press, New York

  • Kristeva J (1997/2002) Intimate revolt: the powers and limits of psychoanalysis (trans: Herman J). Columbia University Press, New York

  • Kristeva J (1998a) L’avenir d’une révolte. Calmann-Levy, Paris

    Google Scholar 

  • Kristeva J (1998b) The revolt of mallarmé. In: Cohn RG, Gillespie GEP (eds) Mallarmé in the twentieth century. Fairleigh Dickinson University Press, New York, pp 31–52

    Google Scholar 

  • Kristeva J (1999/2001) Hannah arendt (trans: Guberman R). Columbia University Press, New York

  • Kristeva J (2005/2010) Hatred and forgiveness (trans: Herman J). Columbia University Press, New York

  • Lab DD, More E (2005) Prevalence and denial of sexual abuse in a male psychiatric inpatient population. J Trauma Stress 18(4):323–330

    Article  Google Scholar 

  • Lacan J (1977) Ecrits: a selection (trans: Sheridan A). Norton, New York

  • Landsman IS (2002) Crises of meaning in trauma and loss. In: Kauffman J (ed) Loss of the assumptive world: a theory of traumatic loss. Routledge, New York, pp 13–30

    Google Scholar 

  • Lanier J (2010) You are not a gadget: a manifesto. Alfred A. Knoff, New York

    Google Scholar 

  • Lassiter GD (2002) Videotaped interrogations and confessions: a simple change in camera perspective alter verdict in simulated trials. J Appl Psychol 87(5):858–866

    Article  Google Scholar 

  • Laub D (1992a) Bearing witness, or the vicissitudes of listening. In: Felman S, Laub D (eds) Testimony: crises of witnessing in literature, psychoanalysis, and history. Routledge, New York, pp 57–74

    Google Scholar 

  • Laub D (1992b) The event without a witness: truth, testimony and survival. In: Felman S, Laub D (eds) Testimony: crises of witnessing in literature, psychoanalysis, and history. Routledge, New York, pp 75–92

    Google Scholar 

  • Lechte J, Margaroni M (2004) Julia kristeva: live theory. Continuum, London

    Google Scholar 

  • Lepore MJ (1982) Death of the clinician: Requiem or reveille?. Charles C. Thomas, Springfield

    Google Scholar 

  • Lerner MJ (1980) The belief in a just world. Plenum, New York

    Google Scholar 

  • Levine PA (2010) In an unspoken voice: how the body releases trauma and restores goodness. North Atlantic Books, Berkeley, CA

    Google Scholar 

  • Leys R (2000) Trauma: a genealogy. University of Chicago Press, Chicago

    Google Scholar 

  • Locke J (2009) Staging the virtual courtroom: an argument for standardizing camera angles in Canadian criminal courts. Masks Online J Law Theatre 1:36–58

    Google Scholar 

  • Madden K (2010) 12 examples of people getting fired over facebook. Career Builder

  • Malson L (1972) Wolf children and the problem of human nature. Monthly Review Press, New York

    Google Scholar 

  • Mandler JM (1979) Categorical and schematic organization of memory. In: Puff CR (ed) Memory organization and structure. Academic, New York

    Google Scholar 

  • Margaroni M (2005) “The lost foundation”: Kristeva’s semiotic chora and its ambiguous legacy. Hypatia 20(1):78–98

    Google Scholar 

  • McAdams D (2004) Narrative identity and narrative therapy. In: Angus LE, McLeod J (eds) The handbook of narrative and psychotherapy: practice, theory, and research. Sage, Thousands Oaks, pp 159–174

    Google Scholar 

  • McAfee N (2004) Julia kristeva. Routledge, New York

    Google Scholar 

  • McCain TA, Wakshlag JJ (1974) The effect of camera angle and image size on source credibility and interpersonal attraction. Paper presented at the annual meeting of the international communication association, New Orleans, LA

  • McCann IJ, Pearlman LA (1990) Vacarious traumatization: a contextual model for understanding the effects of trauma on helpers. J Trauma Stress 3(1):131–149

    Article  Google Scholar 

  • McLuhan M (1964) Understanding media: the extensions of man. McGraw Hill, New York

    Google Scholar 

  • Milian M (2009) Questions of characters: How was 140 hatched as texting’s upper limit? Not-so-scientific testing. Los Angeles Times, Monday, May 18, 2009

  • Nadeau J (1997) Families making sense of death. Sage, Newbury Park

    Google Scholar 

  • Neimeyer RA (2000) Narrative disruptions in the construction of the self. In: Neimeyer RA, Raskin J (eds) Construction of disorder: meaning making frameworks for psychotherapy. American Psychological Association, Washington, pp 207–241

    Chapter  Google Scholar 

  • Neimeyer RA (2004) Fostering posttraumatic growth: a narrative contribution. Psychol Inq 15:53–59

    Google Scholar 

  • Neisser U (1967) Cognitive psychology. Prentice-Hall, Englewood Cliffs

    Google Scholar 

  • Nevejan C (2007) Presence and the design of trust. Ph.D. Dissertation, University of Amsterdam, Amsterdam

  • Nevejan C (2009) Witnessed presence and the yutpa framework. PsychNology J 7(1):59–76

    Google Scholar 

  • Noé G (2002) Irreversible. Lions Gate Home Entertainment, France

  • Noyes R, Kletti R (1977) Depersonalization in response to life-threatening danger. Compr Psychiatry 18:375–384

    Article  Google Scholar 

  • Nussbaum MC (1990) Love’s knowledge: essays on philosophy and literature. Oxford University Press, Oxford

    Google Scholar 

  • Oliver K (1993) Reading kristeva: unraveling the double bind. Indiana University Press, Bloomington

    Google Scholar 

  • Oliver K (ed) (1997) The portable kristeva. Columbia University Press, New York

    Google Scholar 

  • Oliver K (2001) Witnessing: Beyond recognition. University of Minnesota Press, Minneapolis

    Google Scholar 

  • Oliver K (2002) Psychic space and social melancholy. In: Oliver K, Edwin S (eds) Between the psyche and the social. Rowman & Littlefield, Lanham, pp 49–66

    Google Scholar 

  • Owens A (1970) Financial success story: the internists. Med Econ 22:156–163

    Google Scholar 

  • Parker DM (1971) A psychophysical test for motion sickness susceptibility. J Gen Psychol 85:87–92

    Article  Google Scholar 

  • Parkes CM (1971) Psycho-social transitions: a field for study. Soc Sci Med 5:101–115

    Article  Google Scholar 

  • Pearlman LA, Saakvitne KW (1995) Trauma and the therapist. W. W. Norton & Company, New York

    Google Scholar 

  • Pennebaker JW (1993) Putting stress in words: health, linguistic, and therapeutic implications. Behav Res Ther 31:539–548

    Article  Google Scholar 

  • Picard M (1931) The human face. Cassell and Company, London

    Google Scholar 

  • Pinchevski A (2005) By way of interruption: Levinas and the ethics of communication. Duquesne University Press, Pittsburg

    Google Scholar 

  • Pollock G (1998) Dialogue with julia kristeva. Parallax 4(3):5–16

    Article  Google Scholar 

  • Postman N (1982) The disappearance of childhood. Vintage Books, New York

    Google Scholar 

  • Putnam FW (1989) Pierre janet and modern views of dissociation. J Trauma Stress 2(4):413–429

    Article  MathSciNet  Google Scholar 

  • Putnam FW (1997) Dissociation in children and adolescents. Guilford Press, New York

    Google Scholar 

  • Rauch S, van der Kolk BA, Fisler R, Orr SP, Alpert NM, Savage CR, Fischman AJ, Jenike MA, Pitman RK (1994) Pet imagery: positron emission scans of traumatic imagery in ptsd patients. Paper presented at the annual meeting of the international society for traumatic stress studies, Chicago, IL

  • Reeves B, Nass CI (1996) The media equation: how people treat computers, television, and new media like real people and places. Cambridge University Press, Stanford

    Google Scholar 

  • Restuccia FL (2009) Kristeva’s intimate revolt and the thought specular: Encountering the (mulholland) drive. In: Oliver K, Keltner SK (eds) Psychoanalysis, aesthetics, and politics in the work of kristeva. State University of New York Press, Albany, pp 65–78

    Google Scholar 

  • Robinson GC (1939) The patient as a person: the study of the social aspects of illness. The Commonwealth Fund, New York

    Google Scholar 

  • Rolland J-C (2009) Unconscious memory from a twin perspective: subjective time and the mental sphere. In: Fiorini LG, Canestri J (eds) The experience of time: psychoanalytic perspectives. Karnac Books, Ltd., London

    Google Scholar 

  • Ross BM (1991) Remembering the personal past: descriptions of autobiographical memory. Oxford University Press, London

    Google Scholar 

  • Rudnytsky PL (2008) Introduction. In: Rudnytsky PL, Charon R (eds) Psychoanalysis and narrative medicine. State University of New York Press, Albany, pp 1–20

    Google Scholar 

  • Russel RL, Wandrei ML (1996) Narrative and the process of psychotherapy: theoretical foundations and empirical support. In: Rosen H, Kuehlwein K (eds) Constructing realities: meaning making perspectives for psychotherapists. Jossey-Bass, San Francisco, pp 307–336

    Google Scholar 

  • Sarbin TR (2005) If these walls could talk: places as stages for human drama. J Constr Psychol 18:203–214

    Article  Google Scholar 

  • Schacter D (1987) Implicit memory: history and current status. J Exp Psychol Learn Mem Cogn 13:501–518

    Article  Google Scholar 

  • Schiffman L (2007) Employers use facebook information when hiring. North by Northwestern News November 12

  • Shachak A, Reis S (2009) The impact of electronic medical records on patient–doctor communication during consultation: a narrative literature review. J Eval Clin Pract 15(4):641–649

    Article  Google Scholar 

  • Shannon CE (1948) A mathematical theory of communication. Bell Syst Tech J 27:379–423

    MathSciNet  MATH  Google Scholar 

  • Shannon CE, Weaver W (1949) The mathematical theory of communication. University of Illinois Press, Urbanna

    MATH  Google Scholar 

  • Shorter E (1985) Bedside manners: the troubled history of doctors and patients. Simon and Schuster, New York

    Google Scholar 

  • Shorter E (1991) From paralysis to fatigue: a history of psychosomatic illness in the modern era. The Free Press, New York

    Google Scholar 

  • Shorter E (1994) From the mind into the body: the cultural origins of psychosomatic symptoms. The Free Press, New York

    Google Scholar 

  • Siegert K (1999) Relays: literature as an epoch of the postal system (trans: Repp K). Stanford University Press, Stanford

  • Slochower JA (1996) Holding and psychoanalysis: a relational perspective. The Analytic Press, Hillsdale

    Google Scholar 

  • Smith A-M (1998) Julia kristeva: speaking the unspeakable. Pluto Press, Sterling

    Google Scholar 

  • Smith HF (2009) The past is present, isn’t it? In: Fiorini LG, Canestri J (eds) The experience of time: psychoanalytic perspectives. Karnac Books, Ltd, London, pp xv–xxii

    Google Scholar 

  • Spence D (1983) Narrative persuasion. Psychoanal Contemp Thought 6(3):457–481

    Google Scholar 

  • Spiegel D (1992) Effects on psychosocial support on patients with metastatic breast cancer. J Psychosoc Oncol 10:113–120

    Article  Google Scholar 

  • Steele K, van der Hart O (2009) Treating dissociation. In: Courtois CA, Ford JD, BAvd Kolk (eds) Treating complex traumatic stress disorders: an evidence-based quide. The Guilford Press, New York, pp 145–165

    Google Scholar 

  • Steele E, van der Hart O, Nijenhuis E (2005) Phase-oriented treatment of structural dissociation in complex traumatization: overcoming trauma-related phobias. J Trauma Dissociation 2(4):79–116

    Article  Google Scholar 

  • Summit RC (1983) The child sexual abuse accommodation syndrome. Child Abuse Negl 7:177–192

    Article  Google Scholar 

  • Thomas VC (1923) The successful physician. W. B. Saunders Company, Philadelphia

    Google Scholar 

  • Tiemens RK (1970) Some relationships of camera angle to communicator credibility. Journal of Broadcasting 14(4):483–489

    Google Scholar 

  • Turkle S (2011) Alone together: why we expect more from technology and less from each other. Basic Books, New York

    Google Scholar 

  • Ulanov A (2001) Attacked by poison ivy: a psychological understanding. Nicholas Hays, York Beach

    Google Scholar 

  • van der Hart O, Nijenhuis ERS, Steele K (2006) The haunted self. W. W. Norton & Company, New York

    Google Scholar 

  • van der Kolk BA (1996) The complexity of adaptation to trauma: self-regulation, stimulus discrimination, and characteroligical development. In: Vand der Kolk BA, McFarlane AC, Weisaeth L (eds) Traumatic stress: the effects of overwhelming experience on mind, body, society. Gillford Press, New York, pp 182–205

    Google Scholar 

  • van der Kolk BA, Fisler R (1995) Dissociation and the fragmentary nature of traumatic memories: overview and exploratory study. J Trauma Stress 8:505–525

    Article  Google Scholar 

  • van der Kolk BA, van der Hart O (1995) The intrusive past: the flexibility of memory and the engraving of trauma. In: Caruth C (ed) Trauma: explorations in memory. The John Hopkins University Press, Baltimore, pp 158–182

    Google Scholar 

  • van der Kolk BA, Herron N, Hostetler A (1994) The history of trauma in psychiatry. Psychiatr Clin N Am 17(3):583–600

    Google Scholar 

  • van der Kolk BA (1989) The compulsion to repeat the trauma: re-enactment, revictimization, and masochism. Psychiatr Clin N Am 12(2):389–411

    Google Scholar 

  • VideoMan (2009) Great documentary … Poor editing. Amazon.com. http://www.amazon.com/review/R184VGUJ4LLBPF/ref=cm_cr_pr_viewpnt#R184VGUJ4LLBPF. Accessed July 27, 2010

  • Walster E (1966) Assignment of responsibility for an accident. J Pers Soc Psychol 3:73–79

    Article  Google Scholar 

  • Weaver W (1964) Recent contributions to the mathematical theory of communication. In: Shannon CE, Weaver W (eds) The mathematical theory of communication. University of Illinois Press, Urbana, pp 1–28

    Google Scholar 

  • Wedding D, Boyd M (1999) Movies and mental illness: using films to understand psychopathology. McGraw-Hall, Boston

    Google Scholar 

  • Wedding D, Boyd M, Niemiec RM (2005) Movies and mental illness: using films to understand psychopathology. Hogrefe & Huber, Gottingen

    Google Scholar 

  • Weinberg RB (1995) Communion. Ann Intern Med 123:804–805

  • Whitby L (1953) The challenge to medical education in the second half of the 20th century. J Med Educ 28:26–33

    Google Scholar 

  • Wolf S, Almy T, Flynn JT, Kern F (1952) Instruction in medical history taking. J Med Educ 27(4):244–252

    Google Scholar 

  • Woods DD, Hollnagel E (2005) Joint cognitive systems: foundations of cognitive systems engineering. Taylor & Francis, Boca Raton

    Google Scholar 

  • Woolf V (1932/1984) The virginia woolf reader: An anthology of her best short stories, essays, fiction, and nonfiction. Harcourt, Inc., Orlando, FL

  • Young JZ (1987) Philosophy and the brain. Oxford University Press, Oxford

    Google Scholar 

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Acknowledgments

Special thanks to Marianthe Karanikas for introducing me to narrative medicine and for her discussions and assistance in the early stages of drafting the first few sections of this paper.

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Correspondence to Sheryl Brahnam.

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Brahnam, S. To hear—to say: the mediating presence of the healing witness. AI & Soc 27, 53–90 (2012). https://doi.org/10.1007/s00146-011-0327-5

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