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By Yolande Lucire

Explains how and why clinical signs jointly referred to as repetitive pressure damage (RSI) or cumulative trauma illness (CTD) grew to become so frequent through the overdue Nineteen Eighties. writer and forensic psychiatrist Dr Yolanda Lucire makes a robust case that RSI and cumulative trauma disrders are neither accidents nor as a result of repetitive trauma.

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Additional info for Constructing Rsi: Belief and Desire

Sample text

He pointed out that, while such explanations might be accurate, they were unlikely to be. In the case of RSI, the newly defined hysterical belief was that occupational tasks had the capacity to cause injuries. By offering relief from the hazard in the form of a compensated sick role, doctors could offer their patients safety from the newly defined hazards. The physician, by adopting the belief, was able to provide the wishfulfilling belief. In this way, doctors promoted the gimmick, the positive element with the power to reverse the negative outcome.

Each war, since and before, has had its own distinct neurosis, and each has reflected the prevailing threats of its time. In the 1960s, the standard British textbook, by Mayer-Gross, Slater and Roth, contained the following evidence of the profession’s confusion: In British psychiatry, it is common to call those states hysterical in which some motivation for symptoms can be discovered. The distinction of those states from malingering then becomes one of theoretical difficulty and needs the postulation of an ‘unconscious’ in which in the hysteric motivation remains submerged, or 34 • CONSTRUCTING RSI of some other hypothetical mechanism.

Hysteria disappeared, perhaps again into the consulting rooms of those who treated diseases of the uterus, of bones and joints, only to reappear on an unparalleled scale during World War I. Each war, since and before, has had its own distinct neurosis, and each has reflected the prevailing threats of its time. In the 1960s, the standard British textbook, by Mayer-Gross, Slater and Roth, contained the following evidence of the profession’s confusion: In British psychiatry, it is common to call those states hysterical in which some motivation for symptoms can be discovered.

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