The Libidinal Economy Of Healthcare

Conference, Audio, Video or Powerpoint Presentation

Title: The libidinal economy of healthcare
Year: 2015
Authors: Dr Simon Western

This paper explores how the libidinal economy (the relationship between affects, desire and their identifications) shapes, limits and organizes healthcare delivery. The paper reveals two ideological phases which have determined how healthcare is organized in the NHS. These ideologies are bound together around point-de-capiton’s (Lacan’s term for a quilting points that bind the symbolic together). The first ideology that dominated the NHS is bound together by the binary, Caring-Dependency, which whilst delivering advances also created the serious problems that occur when autonomy is limited and power is concentrated in top-down omnipotent forms leaving patients and staff silent and impotent. The second ideological phase is bound together by binary Market-Efficiency, which harnesses the ideas of modernity, the market and managerialism to create a clean, modern and efficient healthcare service. Sadly the ideology has de-humanising implications, and its inability to address holistic and complex healthcare issues, and to re-think the idea-of-healthcare itself.
The paper deconstructs these ideologies, identifying the affective investments and attachments that produce the libidinal economies that are a product of, and sustain the ideology. It concludes by identifying a new point-de-capiton binary; Mutual-Networked care, that binds together a new libidinal economy based on re-thinking healthcare and removing the ‘factory-hospital’ idea of healthcare, that dominates contemporary thinking today.

Keywords: Lacan, Healthcare, NHS, libidinal economy, affect
Language: English

Date: 06/12/2015
Location: Rome,Italy
Name of Event/Conference: ISPSO 2015 Annual Symposium
Sponsoring Organization: ISPSO

Submitted by:
Ross Hazeldine
e-support (ISPSO)
Corresponding author: Simon Western

Literature Download:

By downloading the file you agree to comply with the Terms of Use / Guidelines of the ISPSO Library and the copyright/authority information for this Literature (above).

If there is no filename in a link below then a download has not been provided.
Members-only Downloads are via the members-only zone of the website.

External website Download

Local Download

File nameFile typeSize
The Libidinal Economy of healthcare.pdfPDF document97.67 kBInfo

Members-only Download

Unless otherwise stated, the content of this page is licensed under Creative Commons Attribution-ShareAlike 3.0 License