Are we looking for authenticity when trying to understand being-with? Are nurses using Heidegger to attain a deeper understanding of what they do yearning for, and trying to let happen, authenticity in the being-with of nurse-patient relationship? Pragmatically speaking, Heideggerian phenomenology, in its very quest for authenticity, can contribute to the quality of patient care, hence leading to better health outcomes.
Is care (Sorge), as the temporal structure of being (Sein), meaningful only when being tied in with authenticity, when openness towards being in Dasein is not obscured or obstructed, thus avoiding the ossifying concretion of Dasein as an object merely ready-to-hand without an authentic caring-for (Fürsorge)? These are all real challenges encountered in the situation – “situation” in the Heideggerian sense – of nursing care, noted in nurses’ own reflective practice and in patient (consumer) feedback.
Nature, as physis, is self-arising; it is not produced by anyone, let alone human beings. Physis is not poiesis. In this fundamental aspect, Heidegger’s understanding of the nature of nature is more akin to the Chinese description of nature as ziran, which literally means “self-arising”. Hence through Heidegger, a hermeneutic bridge is built between physis and ziran, between ancient Greek thought and ancient Chinese thought, while ziran remains in usage in modern Chinese to mean “nature”.
To have time for someone is to bring him or her into the sphere of one’s own existence, i.e., the being-in-the-world of one’s Dasein. The result is the formation of a Mitdasein between one and the person that one has time for. How is that time opens up an entry into one’s space? Does this show a primordial relation between time and space, what Heidegger elaborates as time-space (Zeit-Raum) in his secret writings from the 1930s, Contributions to Philosophy (not published until 1989, which is 13 years after his death)?
In contrast, not to have time for someone is to exclude him or her from the being-in-the-world of one’s Dasein – in order to prevent the formation of a Mitdasein with that person.
The classical Chinese concept of tianxia – under heaven – implies dominion of the Chinese imperial order (the emperor as tianzi, the “son of heaven”) and cultural sphere. In this ethnocentric view of the world, those people who live outside the Chinese dominion are considered “barbarians”.
Clearly tianxia is too narrow a concept to describe the whole world, even if is meant to convey the sense of the whole of the “civilised” world. Yet in Chinese culture, another common concept also has an expansive spatial meaning without the cultural and political constrictions of tianxia, namely sihai – the “four seas”.
How is it that aesthetic appeal on the existential level, in the form of drama, can work with so many people that it transcends gender, cultural and geographical boundaries? To quote American actor and singer Mandy Patinkin, “If [the artists] hit a nerve of universal simplicity, in all of us, in all different countries, that’s the magic moment” (Idato, 2018).
“The magic moment”: we are reminded of Heidegger’s attuned understanding of the temporality of time as Augenblick, the moment – when there is aletheia, the laying bare of the truth of being in full unconcealment.
Michael Idato, Homeland star Mandy Patinkin’s journey from fictional chaos to refugee advocacy, Sydney Morning Herald, 9 February 2018 (http://www.smh.com.au/entertainment/tv-and-radio/homeland-star-mandy-patinkins-journey-from-fictional-chaos-to-refugee-advocacy-20180206-h0uzwy.html).
Self, or the phenomenon of ipseity, constitutes our consciousness, such that consciousness is in fact understood and experienced as self-consciousness. (Mysticism has a more expansive understanding of consciousness, however, which transcends the determination of historical time.)
It is commonly understood that when one’s experience of self is seriously problematised, mental illness occurs.
This is based on a non-mystical understanding of self, not only by society but by the mental health consumers or patients themselves.
The overall construct of mental illness is based upon an exoteric, not esoteric, interpretation and understanding of consciousness. (Esotericism is built on mystical insights.) This construct is a form of hermeneutics stalled in the phenomenon of what Heidegger calls the “everyday”, which determines a form of Dasein known as das Man – the everyday people.
Mental illness is a profound experience of coming up against a wall built unquestioningly by the everyday people in their everyday activity.
In one aspect, the occurrence of mental illness signifies the oppressive power of das Man in how ipseity is to be experienced and understood. Hence the abyss which opens up in normality, feared and rejected by society as “madness”, actually provides an opening for a deeper experience and understanding of ipseity.
When there is clarity in ipseity, mental illness disappears.
In a recent published study in neuroscience (Mehl et al, 2017) which has its central ideas popularised in the media (Moss, 2017), it throws up some very interesting philosophical questions for the hermeneutically attuned. Via the methodology of so-called conserved transcriptional response to adversity (CTRA), it is shown that we can deceive both ourselves and others in our spoken words when we are in adverse social conditions, such as chronic stress, making self-reporting quite unreliable as a methodology. Instead of self-reporting, what the researcher looks for are genetic expressions which in some cases bypass consciousness or self-awareness and state the true state the body of the person under investigation, such as post-traumatic stress. In the study cited, genetic expressions are apparently innocuous everyday words which are used repeatedly by the person, such as “so”, “really” and “very” (Moss, 2017). On the surface, CTRA appears to pose a serious challenge to philosophical hermeneutics, because when two people are supposedly engaged in an existentially revealing dialogue, the Dasein of the self-deceiver or deliberate deceiver becomes opaque and even concealed, making it difficult for the Gadamer’s model of fusion of horizons (leading to mutual understanding and growth) to do its beneficent work. Or should the hermeneutician not give up hope in interpretative horizoning and instead go looking for these genetic expressions like what neuroscience investigators do, but use them in a more holistic way which remains true to the ontological integrity of Dasein? And yet, in the search for and capturing of these linguistic biomarkers as natural language of the affect unmediated by self-consciousness, is there any danger that hermeneutics will be compromised by scientistic unreflection? Or can social genomics, which Mehl et al subscribe to, benefit from the traditional adherence to personhood in philosophical hermeneutics? Is not the sense that one is no longer a complete person the leading cause for mental breakdown for someone caught up in adverse social conditions? Is not the reduction of a person to a random, uncontrollable series of genetic expressions the very picture of madness that a therapist wants to free a distressed patient from?
Matthias R Mehl, Charles L Raison, Thaddeus W W Pace, Jesusa M G Arevalo & Steve W Cole, Natural language indicators of differential gene regulation in the human immune system. Proceedings of the National Academy of Sciences of the United States of America, 114, 2017. doi:10.1073/pnas.1707373114.
Rachel Moss, Saying these words a lot could be a sign you’re stressed, Huffington Post, 10 November 2017. http://www.huffingtonpost.co.uk/entry/saying-these-words-a-lot-could-be-a-sign-that-youre-stressed_uk_5a0570fae4b0e37d2f36e4a8.