Cultura

Post-Truth and False Self in Philosophy-Psychoanalysis Dynamics

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Simona Trifu
Department of Neurosciences; Carol Davila University of Medicine and Pharmacy; Bucharest, Romania
Amelia Damiana Trifu
Department of General Medicine; Carol Davila University of Medicine and Pharmacy; Bucharest, Romania

Abstract

This article explores the psychoanalytic, philosophical, and socio-political dimensions of the post-truth era, highlighting how inauthenticity, hypocrisy, and relational alienation shape individual and collective life. Drawing from Freud, Winnicott, Lacan, Žižek, Baudrillard, and contemporary analyses of culture and politics, it examines how truth becomes destabilized in favor of appearances, simulations, and subjective constructions. The digital sphere amplifies this transformation, producing curated identities, emotional commodification, and the spread of “alternative facts.” These dynamics foster loneliness, mistrust, and the erosion of authentic dialogue, even as society appears increasingly interconnected. Psychoanalysis provides a lens to understand these processes, showing how prohibitions on knowing the self, shame, and secrecy intensify alienation and hinder emotional growth. In this context, relationships are often used to deny relationships, violence takes subtle yet pervasive forms, and collective belonging is reshaped through ideological or technological control. By 2025, these patterns have crystallized into a lived social reality where post-truth permeates politics, culture, and personal identity. Yet, within this condition lies potential for renewal: cultivating critical thinking, emotional literacy, and relational ethics may transform fragmentation into resilience. Ultimately, the challenge for contemporary societies is to navigate between truth and simulacrum while sustaining spaces of authentic recognition and connection.

Keywords : Post-Truth Society; Psychoanalysis and Authenticity; Digital Inauthenticity; Emotional Politics; Simulacra and Hyperreality; Relational Ethics in Modern Society.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty