The ecological imagination

This paper offers a psychoanalytic exploration of meaning within the concept of ecology. From a starting point in the experience of primal anxiety, originating in the work of Freud, Jung and Klein, links are made to cultural themes through a developing comparison of case studies in literature, mythology, the public sphere and clinical practice. It is argued that the application of psychoanalytic ideas to environmental concern has validity. The idea emerges that individual and public attitudes to our environment might be open to positive change through an appreciation of the concept of early anxiety, currently available to us in work of the imagination.     

The neurological dynamics of the imagination

This article examines the imagination by way of various studies in cognitive science. It opens by examining the neural correlates of bodily metaphors. It assumes a basic knowledge of metaphor studies, or the primary finding that has emerged from this field: that large swathes of human conceptualization are structured by bodily relations. I examine the neural correlates of metaphor, concentrating on the relation between the sensory motor cortices and linguistic conceptualization. This discussion, however, leaves many questions unanswered. If it is the case that the sensory motor cortices are appropriated in language acquisition, how does this process occur at the neural level? What neural preconditions exist such that this appropriation is possible? It is with these questions in mind that I will turn my attention to studies of neural plasticity, degeneracy and the mirror neuron activation. Whereas some scholarship in philosophy and cognitive neuroscience has aimed to identify the neurological correlates of consciousness, examining plasticity, degeneracy and activation shifts the discussion away from a study of correlates toward an exploration of the neurological dynamics of thought. This shift seems appropriate if we are to examine the processes of the “imagination.”     

The therapeutic community in the local community: Social networks between therapeutic community and supported housing

In this paper, the authors present a model for therapeutic community programmes for those with severe and enduring mental ill health, based on social networks. These programmes have given birth to a range of therapeutic community which are, in fact, an innovative form of group psychotherapy. These new model do not depend on communal living. Some are groupings of apartments, others day units. Work schemes also feature here. And yet, as the authors outline, various components need to be present if these are to be considered genuine therapeutic communities and not just supported housing schemes. Additionally, a certain kind of training and clinical supervision is needed for the staff.     

Self-criticism and the therapeutic relationship

The relationship between self-criticism and the therapeutic alliance was examined in 169 clients attending counselling in a community clinic. Self-criticism was associated with lower client ratings of the working alliance, suggesting that clients with higher self-criticism had greater difficulties establishing and maintaining a therapeutic alliance. These findings extend previous studies on the working alliance and self-criticism from highly controlled clinical studies to a more ecologically valid community mental health setting. Regression analyses were conducted to examine the mediating effect of additional factors on the relationship between self-criticism and the working alliance. Sensitivity to a perceived subordinate role in therapy did not impact the working alliance, although a general resistance to subordination was related to self-criticism. Implications for counselling self-critical clients are discussed.     

The imagination and psychological healing

As one of the internal senses or inward wits, the imagination was long thought to play a crucial role in the age-old struggle between the rational and the irrational, and it was conceived of as a faculty that might be damaged in some forms of psychopathology. During the Renaissance it emerged as a force or factor with a considerable potential for causing harm in the form of disease and for doing good in the form of curing disease. Its place in psychological healing has been significant for much of the time since then, including a lively attention to it in the work of Carl Jung and in the guided imagery techniques of recent decades.     

The imagination model of implicit bias

Philosophical Studies - We can understand implicit bias as a person’s disposition to evaluate members of a social group in a less (or more) favorable light than members of another social...     

John Rickman, Wilfred Ruprecht Bion, and the origins of the therapeutic community

The history of psychiatric therapeutic communities is complex and obscure. Nevertheless, one can make a reasonable case for saying that the first true therapeutic community was created at Northfield Military Hospital, Birmingham, England, in 1945. That community had its origins in the thought and practice of two British psychoanalysts, John Rickman and Wilfred Ruprecht Bion. Accordingly, in the present article their careers and the social and intellectual influences bearing on them are discussed. The article then continues by describing Rickman's work as a military psychiatrist, Bion's prototype of a therapeutic community, and the therapeutic community that was eventually created at Northfield. It is hoped that the article will provide some of the groundwork for an adequate history of the therapeutic community.     

The effect of the leader-therapist's style on the therapeutic community's large group

Summary The behaviors of 23 leader-therapists, conducting the Community Meetings of various Therapeutic Communities for psychiatric patients were observed and scored. Observations were focused on the behaviors themselves, the values suggested by them, the ways in which the values were transmitted and characteristics of leadership styles. The results show that leadership behaviors, styles and the values they reflect are very much dependent on the ward and its atmosphere. In the way in which the values are transmitted, however, leaders maintained their own personal habits even when working on different wards. The authors conclude that ward-atmosphere and leadership personality are determining the leaders' behavior in therapeutic community ward meetings more than their theoretical orientation and therapy experience.This article was based on a paper presented at the World Congress of Social Psychiatry, Athens, Greece, 7975.Currently, Dr. Mérei is retired.     

The implementation of contextual therapy in the therapeutic community for substance abusers: a case study

Family therapy takes a special position in the therapeutic community for substance abusers (TC). In the early therapeutic communities, the family of origin was not considered as important for the substance abuser's recovery process, and was even labelled as part of the problem. It was only in the 1970s that the TC acknowledged the significance of family involvement in treatment. Nowadays, the contextual vision of Ivan-Boszormenyi-Nagy seems to have a strong impact on family counselling activities in Belgian TCs.
In this article, the integration of contextual thinking in the TC is discussed. By means of a case study, it is shown that there are some clear parallels between the treatment evolutions in family counselling and the peer group community. The central position of trust both in contextual therapy and the TC treatment model is an important common ground for stimulating integration. Some obstacles that can disrupt this integration process are discussed.     

The power of the imagination to affect peripersonal space representations

It is known that visual processing is altered for objects near the hands as well as for objects near the imagined position of the hands, indicating that the imagination can be used to remap peri-hand space. Little is known, however, about the physical conditions that allow for this remapping. In the present study, participants in one experiment performed visual searches through displays that were beyond reach while imagining that their hands were near the display. This imagined impossible posture slowed visual search rates, showing that imagination effectively remapped peri-hand space to be near the display. In another experiment, participants searched displays they were holding, but sometimes imagined their hands to be far away. This produced faster search rates, revealing a remapping of peri-hand space away from the monitor. The results provide new insights into the mechanisms involved in the representation of peri-hand space and about the power of imagined actions to influence body representations.     

The future of psychotherapeutic environments: Learning from experience at a Swedish therapeutic community

Ten years' experience in a Swedish therapeutic community outside the organisation and culture of the psychiatric services is summarised with reference to a longitudinal prospective study. This therapeutic environment proved to be better suited to patients' needs, and the organisation and setting were more in accord with the treatment philosophy than at other units with which it was compared. It was possible to identify different phases in the history of the therapeutic community and the development of patients. The patient group as a whole have shown improvement in psychiatric terms, as well as with regard to psychosocial interpersonal and emotional functioning. The more lasting personality traits have not, however, altered. Difficulties in the work, and obstacles to change, appeared to derive from: the therapists' tendency to disregard problems in the relationship; not enough work focused on separation and negative, hostile feelings. Termination of treatment was a strain which the patients found difficult to manage. The period subsequent to the stay at the therapeutic community was decisive for the long-term outcome. Today, it is necessary to amend our concepts of a decisive and complete cure.     

The democratic therapeutic and training communities of the Open Psychotherapy Centre: A multifactorial communal approach

This paper describes the structure, function and effectiveness of a multifactorial communal approach which is applied in the therapy department and the four training institutes of the Open Psychotherapy Centre in Athens. The therapeutic philosophy of this approach is based on the principles of group analysis, therapeutic community and emprosopon psychotherapy which are applied in combination with each other.     

Taming the runabout imagination ticket

The ‘puzzle of imaginative use’ (Kind and Kung in Knowledge through imagination, Oxford University Press, Oxford, 2016) asks: given that imagination is arbitrary escape from reality, how can it have any epistemic value? In particular, imagination seems to be logically anarchic, like a runabout inference ticket: one who imagines A may also imagine whatever B pops to one’s mind by free mental association. This paper argues that at least a certain kind of imaginative exercise—reality-oriented mental simulation—is not logically anarchic. Showing this is part of the task of solving the puzzle. Six plausible features of imagination, so understood, are listed. Then a formal semantics is provided, whose patterns of logical validity and invalidity model the six features.

     

Metaphysics and the philosophical imagination

Methods and goals in philosophy are discussed by first describing an ideal, and then looking at how the ideal might be approached. David Lewis??s work in metaphysics is critically examined and compared to analogous work by Mackie and Carnap. Some large-scale philosophical systematic work, especially in metaphysics, is best treated as model-building, in a sense of that term that draws on the philosophy of science. Models are constructed in a way that involves deliberate simplification, or other imaginative modification of reality, in order to make relationships visible or problems tractable.     

Psychiatric treatment of the homeless in a group-based therapeutic community: a preliminary field investigation

This preliminary study investigated the effectiveness of a group-based therapeutic community for the homeless. Thirty-seven individuals residing at a homeless shelter participating in a therapeutic community were assessed across time on several variables: psychiatric symptoms, social functioning, and substance abuse. Significant initial improvements in overall distress, psychiatric symptoms, and substance abuse were found. Improvements in social functioning were exhibited in the therapeutic community participants after six months.     

Supervision and imagination

Abstract :  This paper explores the role of imagination for the supervisor and examines the differences between the supervisor's use of creative and defensive imagination. It is suggested that reverie and imagining play a central role in supervision but that these need to be harnessed in the service of the reality principle. It is argued that the Jungian emphasis on the ego-self relationship provides a context for this process. A clinical example of work with a supervisee is described in which hidden aspects of a strong erotic transference/countertransference were revealed in the supervisor's imagining and became available for reflection.     

Ritual and spontaneity in healthcare and in the organisation of therapeutic communities

The author, following constructivist psychoanalysis, observes a dialectic at work in the therapeutic community between knowledge and authority of the analyst and his/her spontaneity on the one hand, and between the formal and informal roles that therapists adopt in a therapeutic community on the other hand. The key to successful therapy, he suggests, lies in maintaining this dialectic. He then goes on to discuss the function of staff teams in therapeutic communities and the importance of taking into account the patients’ unconscious representations of the team. He stresses the need for leadership in therapeutic communities and in engaging with moral issues and not just clinical ones.