The factor ‘fulfillment model’ and the concept of multivariate personality type

This paper presents a theory of personality integration as a process of fulfillment within the context of a multifactor-system dynamics theory of individuality theory provides an inventory of the invariant factors in six systems: style, value, cognition, affect, sensory and motor. Individual uniqueness exists in the form of different profiles on some 200 dimensions. Similar profiles constitute a relatively small number of personality types characterized by tendencies toward both perfection and actualization. The theory hypothesizes two major types—assimilators and accommodators. Assimilators tend to process information via the individual's high profile dimensions, whereas accomodators tend to process information via both high and low profile dimensions. In general, assimilators process information more efficiently than accommdators, but they are also less flexible and more encapsulated than accomodators in their ability to adapt to the demands of a broad range of situations. The paper includes an analysis of why the concept of type is necessary for a viable theory of personality and how the multivariate concept of personality overcomes the failures of previous conceptualizations.     

‘I hope that I get old before I die’: ageing and the concept of disease

Ageing is often deemed bad for people and something that ought to be eliminated. An important aspect of this normative aspect of ageing is whether ageing, i.e., senescence, is a disease. In this essay, I defend a theory of disease that concludes that ageing is not a disease, based on an account of natural function. I also criticize other arguments that lead to the same conclusion. It is important to be clear about valid reasons in this debate, since the failure of bad analyses is exploited by proponents of the view that ageing is indeed a disease. Finally, I argue that there could be other reasons for attempting to eradicate senescence, which have to do with an evaluative assessment of ageing in relation to the good life. I touch on some reasons why ageing might be good for people and conclude that we cannot justify generalized statements in this regard.     

An existential-phenomenological perspective on the concept of ‘resistance’ in counselling and psychotherapy

The various phenomena that are categrised under the label of ‘Resistance’ are of central concern to most models of counselling and psychotherapy. The manner in which resistance is conceptualised has vital implications for therapists approach to the therapeutic relationship. The theory of resistance in classical Psychoanalysis and Cognitive Behavioural Therapy (and particularly Rational Emotive Behaviour Therapy) is examined and then compared to the radical reinterpretation possible in an Existential-Phenomenoogical perspective which promotes the rejection of the role of ‘therapist as expert change agent’.     

‘Mr K’ – A successful case of analytic oriented therapy documented empirically: the role of the therapeutic relationship and reflexive self-awareness

A successful case of analytic treatment over the course of 250 sessions is described from different perspectives, including considerations from the two-year follow-up. The therapeutic alliance and the patient’s experiencing were evaluated. Pre-treatment diagnosis was validated via diagnostic interview. Symptoms and interpersonal problems were assessed at intervals. Data were analysed using two different time-series analyses. Aspects of agency with regard to mentalizing capacity were assessed with the Metacognitive Assessment Scale. We obtained the following main results: (1) Symptoms and interpersonal problems improved continuously until the end of treatment. Symptom severity fell to below the clinical cut-off. This successful outcome remained stable at the two-year follow-up. (2) The therapeutic relationship improved during the therapeutic process. (3) The patient’s capability for reflexive self-awareness, operationalized as experiencing, decreased. (4) The metacognitive mastery of the patient increased. The following conclusions were made after combining the empirical data with the clinical observations: (1) Mr K improved clinically in terms of symptoms, self-regulation and interpersonal problems as a result of his gaining affect control. (2) The patient’s experiencing does not capture a positive outcome in all cases. (3) Aspects of agency (i.e. metacognitive mastery) deserve further attention in psychoanalytic treatments.     

First-person thought and the use of ‘I’

The traditional account (TA) of first-person thought draws conclusions about this type of thinking from claims made about the first-person pronoun. In this paper I raise a worry for the traditional account. Certain uses of ‘I’ conflict with its conception of the linguistic data. I argue that once the data is analysed correctly, the traditional approach to first-person thought cannot be maintained.     

Against cognitive artifacts: extended cognition and the problem of defining ‘artifact’

In this paper I examine the notion of ‘artifact’ and related notions (namely, ‘cognitive artifact’) in the dominant version of extended cognition theory (ECT) grounded on extended functionalism. Although the term is ubiquitous in the literature, it is far from clear what ECT means by it. How are artifacts conceptualized in ECT? Is ‘artifact’ a meaningful and useful category for ECT? If the answer to the previous question is negative, should we worry? Is it important for ECT to have a coherent theory of artifacts? And what are the demands and constraints that ECT imposes on this theory? I distinguish between two aspects of ECT, one narrow, aligned with extended functionalism (EF); and one broad or pluralistic, in which EF is combined with other theoretical resources in the context of diverse research programs. I begin by determining the problems in conceptualizing artifacts from EF. Then I address the question of why a concept of artifact may be relevant to ECT. Next, I examine the efforts of Richard Heersmink to combine ECT with dominant theories of artifacts in the philosophy of technology (ECT in its broad aspect). I argue that both approaches fail to yield a meaningful notion of artifact, let alone one of ‘cognitive’ artifact. Finally, I argue that narrow ECT places rather strong constraints on a theory of artifacts, since it locates the specificity of ‘artifact’ in material aspects of realization that are, by definition, outside its theoretical purview. I examine, then discard, the possibility that a materialist and objectivist theory of artifacts may be of help. And finally I briefly explore some ways in which a broad, pluralistic ECT may address some of these shortcomings.     

Materials used to support cognitive behavioural therapy for depression: a survey of therapists’ clinical practice and views

ABSTRACT

Use of supporting materials in cognitive behavioural therapy (CBT) is widely advocated, and homework increases effectiveness. The study aimed to identify materials most frequently used by CBT therapists to support CBT for depression, and those perceived clinically most effective. Questionnaires were sent to 3665 accredited CBT therapists asking about their use of resources commonly described in CBT manuals, and their views on effectiveness. Of 3665 approached by post/email, 994 (27%) responded. Another 33 completed the questionnaire via the study website. 818/1027 (80%) of respondents were accredited practitioners who deliver one-to-one therapy. Symptom measures, lists of problems/goals, activity schedules, behavioural activation diaries/plans, and case formulation worksheets were used “frequently” or “very frequently” by over 85% of respondents. Sleep diaries and computerised CBT were used least. Most resources were used within and between sessions. Activity schedules, behavioural activation diaries/plans, case formulation worksheets, thought records, and resources to support the identification of conditional beliefs were regarded as most effective. Symptom measures, sleep diaries, and computerised/online materials were considered only moderately effective. Therapists use a wide range of materials to support individual CBT. For delivering CBT, technology-enabled approaches should incorporate a range of materials to enable therapists to tailor treatment effectively.     

An Ethic of Refusal: Simone Weil and the Choice of the Lesser ‘Lesser Evil’

In “On the Abolition of All Political Parties,” Simone Weil poses the hypothetical predicament of a person who is intent on solving highly complex mathematical problems but is flogged every time the answer he arrives at is an even number. The person will oscillate between his genuine desire for the truth and the painful cries of his body. “[I]nevitably,” Weil writes, “he will make many mistakes—even if he happens to be very intelligent, very brave and deeply attached to the truth.” She then asks: “What should he do?” Weil’s answer may surprise many readers, even though she claims it is “simple.” If possible, “he must run away” from those who wield the whip. It would have been best, she avers, had he avoided these associations in the first place. Elsewhere in her writings, Weil openly endorses the argument for the lesser evil, justifying active, potentially violent, resistance instead of a pacifist ethic of refusal. This essay analyses the tension between Weil’s ethic of “running away” and her acceptance of the lesser evil.     

Identification with the aggressor and the ‘normal traumas’: clinical implications

Ferenczi's (1933) surprisingly unknown concept of identification with the aggressor – an abuse victim's ‘eliminating’ her own subjectivity and ‘becoming’ precisely what an attacker needs her to be – has radical implications for our understanding of analytic technique. Its very frequent occurrence also forces us to broaden our understanding of what constitutes trauma. Ferenczi saw the experience of ‘traumatic aloneness’ or ‘emotional abandonment’ as the key element of trauma, since this is what enforces the traumatic responses of dissociation and identification with the aggressor. Identification with the aggressor operates in the analytic relationship in both patient and analyst. This has various consequences, including the structuring of the relationship through unconscious collusions – mutually coordinated, defensive identifications designed to help both participants feel secure. This view of the analytic relationship has clinical implications in at least four areas: the understanding of the patient's free associations, which may reflect the patient's compliance with the analyst's wishes rather than the contents of the patient's own unconscious; the need for some kind of mutuality of analysis; the traumatizing potential of the analyst's authority; and the tendency of some patients to take blame and responsibility reflexively, as a way of protecting the analyst.     

Ethics and Technology ‘in the Making’: An Essay on the Challenge of Nanoethics

After reviewing portions of the 21st Century Nanotechnology Research and Development Act that call for examination of societal and ethical issues, this essay seeks to understand how nanoethics can play a role in nanotechnology development. What can and should nanoethics aim to achieve? The focus of the essay is on the challenges of examining ethical issues with regard to a technology that is still emerging, still ‘in the making.’ The literature of science and technology studies (STS) is used to understand the nanotechnology endeavor in a way that makes room for influence by nanoethics. The analysis emphasizes: the contingency of technology and the many actors involved in its development; a conception of technology as sociotechnical systems; and, the values infused (in a variety of ways) in technology. Nanoethicists can be among the many actors who shape the meaning and materiality of an emerging technology. Nevertheless, there are dangers that nanoethicists should try to avoid. The possibility of being co-opted from working along side nanotechnology engineers and scientists is one danger that is inseparable from trying to influence. Related but somewhat different is the danger of not asking about the worthiness of the nanotechnology enterprise as a social investment in the future.     

Overcoming the Problems of ‘Difference’ in Education: Empathy as ‘Intercorporeality’

In this paper I am concerned with the notion of empathy and its capacity for overcoming the problem of difference in social life. The concept of empathy has a long history in the Western philosophic tradition but has become discursively submerged in recent times. I am particularly interested in what philosophies of the body may contribute to our understanding of empathy. Psychoanalytic feminism provides some insights. However I identify Merleau-Ponty's conception of body-subject and the intersubjective encounter as offering a potentially more fruitful account of empathy.     

Iraqi refugee men’s experiences of psychotherapy: clinical implications and the proposal of a pluralistic model

The psychotherapy experiences of a sample of Iraqi refugee men, in later stages of exile, were explored with the aim of shedding some light on how this client group can experience therapy. Ten adult male Iraqi refugees – who had lived in Sweden for at least five years and had been psychotherapy clients at some point during that time – were recruited for this study. Using individual semi-structured interviews (in Arabic), three main areas were explored with each participant: (1) reasons for seeking psychotherapy; (2) perceptions of the psychotherapy professional; and (3) experiences of the psychotherapy process and outcome. The interviews were then translated into English, transcribed, and then analysed using Interpretative Phenomenological Analysis (IPA). Most participants/clients described exile-related stressors as their main reason for seeking psychotherapy, but some described distress due to a combination of pre-migration trauma and post-migration stress. They also found some aspects of therapy to be positive (mainly verbalising ones thoughts and feelings, and feeling less marginalised) and some negative (mainly experiencing racist or culturally insensitive treatment by therapists, and experiencing a lack of competence and transparency in therapists). The findings were explored in terms of clinical implications and a pluralistic model was proposed to address the identified needs.     

‘I feel better when…’: An analysis of the memory-experience gap for peoples’ estimates of the relationship between health behaviours and experiences

Objective: People often overestimate how strongly behaviours and experiences are related. This memory-experience gap might have important implications for health care settings, which often require people to estimate associations, such as “my mood is better when I exercise”. This study examines how subjective correlation estimates between health behaviours and experiences relate to calculated correlations from online reports and whether subjective estimates are associated with engagement in actual health behaviour.

Design: Seven-month online study on physical activity, sleep, affect and stress, with 61 online assessments.

Main Outcome Measures: University students (N = 168) retrospectively estimated correlations between physical activity, sleep, positive affect and stress over the seven-month study period.

Results: Correlations between experiences and behaviours (online data) were small (r = ?.12–.14), estimated correlations moderate (r = ?.35–.24). Correspondence between calculated and estimated correlations was low. Importantly, estimated correlations of physical activity with stress, positive affect and sleep were associated with actual engagement in physical activity.

Conclusion: Estimation accuracy of relations between health behaviours and experiences is low. However, association estimates could be an important predictor of actual health behaviours. This study identifies and quantifies estimation inaccuracies in health behaviours and points towards potential systematic biases in health settings, which might seriously impair intervention efficacy.     

On Trygve Braatøy’s concept of analytic love. An assumption on the actuality of one of the pioneers in Norwegian psychoanalysis

Is analysis still a cure of love? And is the analyst’s love and warm feelings for his patient a prerequisite for doing psychoanalysis? Trygve Braatøy addresses these complex matters in his book from 1954. The concept of love and its relation to sexuality is discussed, and how to understand love in the analytic setting. His points of view are compared with Freud’s and those of some second-generation analysts, his Norwegian colleagues and contemporary analysts, as well as modern writers. Braatøy defines himself as a true Freudian, but his clinical theory regarding love and countertransference has strong resemblances to Rank and Ferenczi and his followers, both in Europe and USA. Braatøy sums up that the therapist’s capacity to love and have a surplus of warmth ought to be the most prominent factor when selecting candidates for psychoanalytic training. Braatøy is a modern writer, with his ideas founded on clinical experience and intuition.     

Aesthetic principles and cognitive emotion appraisals: How much of the beauty lies in the eye of the beholder?

Although the aesthetic properties of a product have often been linked to consumers’ emotional responses, theory and empirical evidence are yet to fully explain how and why aesthetic properties of a product evoke an emotional response. Drawing on an eclectic literature, we propose hypotheses connecting aesthetic principles with the subconscious cognitive appraisals associated with emotions. Specifically, we empirically test the relationships between the aesthetic principle of harmony and cognitive appraisals (attentional activity and pleasantness), while exploring the moderating role of typicality. Our results suggest that harmony and typicality interact to affect appraisals of pleasantness and attentional activity. Specifically, consumers tend to prefer designs that balance the levels of attentional resources needed and pleasantness in visually evaluating the design. This work advances the growing literature in product design and aesthetics by providing an understanding of the mechanisms through which aesthetic principles might prompt emotional responses in consumers.