Download Against Adaptation: Lacan's 'Subversion of the Subject' (The by Philippe Van Haute PDF

By Philippe Van Haute

Philippe Van Haute choices up the problem of explaining to us, line through line, the main tricky and interesting textual content of Lacan's Ecrits: "the subversion of the topic and the dialectic of hope within the Freudian unconscious." All that's required is to open Ecrits to p. 292 and stick to the lucid and pedagogical guideline supplied via Van Haute. He leaves no stone unturned. not just does Van Haute clarify why Lacan alludes to philosophers akin to Plato, Hegel, Spinoza, and Kierkegaard, yet he bargains us a superior schooling in linguistic idea and doesn't hesitate to exploit his personal scientific situations to explain additional any imprecise passage of "the subversion of the subject." He additionally strikes with striking mastery among all of Lacan's texts and offers coherence to Lacan's usually eleptic advancements.

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R Single negative result is inconclusive. ➣ Persistent: 3–7% of infants r Risk related to maternal viral load (>106 genomic equiv/mL has greater risk of vertical transmission) r Risk increased 4–5× w/ concomitant maternal HIV infection r Dx: persistently positive HCV-RNA or persistently positive anti-HCV IgG > age 18 mo ■ Does not cause spontaneous abortions, congenital anomalies, or IUGR ■ Other transmission: blood products (risk 1:1 million transfused units) Signs in newborn/fetus ■ None tests ■ Nonspecific: none ■ Specific ➣ Positive anti-HCV IgG due to passive transplacental transmis- ➣ sion; proportion of infants ultimately NOT infected w/ positive anti-HCV IgG: r 94–98% at age 3 mo r 69–82% at age 6 mo r 32–47% at age 9 mo r 6–18% at age 12 mo r 0–4% at age 15 mo r 0–1% at age 18 mo HCV-RNA may/may not be positive in newborn period.

LORENZ, MD ■ Intrauterine (probably 3rd trimester, 25–40%) or intrapartum (60– 75%) infection; also may be transmitted postpartum via breastfeeding infection ➣ Risk factors for fetal/neonatal infection r Maternal p24 antigenemia r Maternal CD4 counts <400 cells/mm3 r High maternal HIV RNA level r Maternal IV drug abuse r Maternal hepatitis C co-infection r Symptomatic (CDC class IV) mother r Rupture of membranes >4 h r Birth wt <2,500 g r Prematurity ➣ Transmission rates (in absence of breastfeeding) r 16–25% w/o prophylaxis; ∼ doubled by breastfeeding r 10% w/ neonatal prophylaxis alone r 10% w/ intrapartum & neonatal r <2% w/ antepartum, intrapartum, & neonatal prophylaxis history & physical Neonatal and fetal effects ■ Spontaneous abortion ■ Prematurity (19%) Signs ■ None in newborn/fetus tests ■ Nonspecific – tests for other STDs ■ Specific 37 38 Human Immunodeficiency Virus ➣ No role for serologic testing in infancy ➣ HIV DNA PCR; of infants who acquire HIV vertically: r 20–30% will be positive w/in 48 h of birth (implies in utero transmission); DNA PCR should NOT be performed on cord blood r 95% will be positive by 1 mo r 100% will be positive by 6 mo Note: 2 or more negative HIV DNA PCRs, the first at >= 1 mo, the last at >= 4 mo, excludes vertical transmission in the nonbreastfed infant.

Hypertelorism, severe epicanthus) reported in heavy users ■ Behavioral abnormalities ➣ Tremulousness, exaggerated & prolonged startles (spontaneous & in response to stimulation) may persist >1 mo. g. g. liquid chromatography/mass spectroscopy) recommended ■ Maternal ➣ Urine or stool; 70% excreted within 72 hr; w/heavy use, half-life as long as 10 days; window of detection is 1–30 days Marijuana Methamphetamine Abuse, Maternal ➣ Skilled maternal interview & maternal urine/stool toxicology increase detection over either alone.

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