Selecting a patient or initiating a psychoanalytic process?

The defences provoked in the analyst by the anxieties associated with the difficult tasks of ‘assessment’ and ‘selection’ for psychoanalysis can result in a tendency to think in terms of ‘hurdles to be cleared’ by potential psychoanalytic patients, rather than ‘opening the gates’. This can result in a diminution of the analyst's capacity to enlist and sustain a psychoanalytic stance. Only within a psychoanalytic frame can a meaningful psychoanalytic process unfold, at all stages of a potential patient's movement from their first contact through to, possibly, entering into an analysis. The author illustrates the value of this thinking by describing the work of the London Clinic of Psychoanalysis where there has been a shift of emphasis in psychoanalytic consultation towards working with individuals on their potential to initiate a psychoanalytic process, and away from the sole aim of ‘selection of a suitable patient’. In this paper, the author notes that when institutional culture and practice supports psychoanalytic identity, this makes it more possible to recognize and articulate the anxieties provoked by the ‘emotional storm’ inevitable in psychoanalytic consultation, and the draw towards unhelpful enactment that may otherwise obscure the initiation of a psychoanalytic process that may or may not result in analytic treatment. Illustrative case material from the Clinic is presented.     

Is Kant a Moral Constructivist or a Moral Realist?

Abstract: The dominant interpretation of Kant as a moral constructivist has recently come under sustained philosophical attack by those defending a moral realist reading of Kant. In light of this, should we read Kant as endorsing moral constructivism or moral realism? In answering this question we encounter disagreement in regard to two key independence claims. First, the independence of the value of persons from the moral law (an independence that is rejected) and second, the independence of the content and authority of the moral law from actual acts of willing on behalf of those bound by that law (an independence that is upheld). The resulting position, which is called not ‘all the way down’ constructivism, is attributed to Kant.     

A Richer or a Poorer Naturalism?

Willem Drees endorses not only minimal naturalism, understood as the rejection of supernatural interruptions of the world's normal causal processes, but also maximal naturalism, with its reductionistic materialism. Besides arguing that this reductionistic naturalism provides the best framework for interpreting science, he believes that it is compatible with religion (albeit of a minimalist sort). The "richer" naturalism advocated by Whiteheadians is, accordingly, unnecessary. Drees's position, however, cannot do justice to a number of "hard-core commonsense notions," which we inevitably presuppose in practice and thereby in science as well as religion. His naturalism is too poor, in particular, to account for subjectivity, freedom, and mathematical, religious, and moral experience.     

A note: Is it a catch or a fumble?

Following Whiting' (1986) comments on Fischman and Schneider (1985) and Smyth and Marriott (1982), this note addresses the questions of expertise in catching, the effects of sight of the hand on timing and positioning, and the difficulties of comparing performance in different experiments on catching.     

Is a multiple self healthy or pathological?

In a sample of 144 undergraduate students, scores on Sackeim and Gur's measure of self-deception were associated with neuroticism scores (r = .50) on the Big Five Inventory, while scores on Altrocchi's measure of having a plural self were associated with neuroticism and openness scores (rs = .35 and .18, respectively). A multiple self, therefore, appears to have positive and negative features.     

Superaddressee or Who Will Succeed a Mentor?

This philosophical essay is inspired by a four-year pedagogical relationship that continues in its altered form today. The main focus of this piece is the transformation of a mentor as an immediate addressee into mentor as a superaddressee, an influential third listener who oversees observable dialogues. I explore the mutual responsibilities of a student and a mentor in order to uncover the elements in the pedagogical chemistry responsible for the transformation of an addressee into a superaddressee. Confirmation (a perfect form of understanding) of a student’s intellectual and moral uniqueness, incarnation of a particular value deemed desirable by a student, and education of a student into the dialogic ways of being on his or her own are the necessary ingredients of the process of becoming a superaddressee. Initially a mentor engages in the pedagogy of understanding whose ideal outcome is confirmation of a student’s intellectual and moral makeup. After the dialogue is over, a mentor often moves into the domain of inner speech from where he or she continues to offer perfect understanding, especially in the absence of such understanding from an immediate addressee. Two types of superaddressees are identified and their relationship with the invoking consciousness is explored. I conclude that becoming a superaddressee is the most generous pedagogical contribution to a student’s future: a mentor thus makes his or her voice available to a student’s inner dialogue, often without receiving anything in return. Mikhail Bakhtin is highly influential in my writing. “Superaddressee” or “a third listener” is one of his coinages. The term is treated in “The Problem of the Text” as part of the collection “Speech genres and other late essays” (1986), alluded to in Voloshinov’s (1976) “Discourse in Life and Discourse in Art” and expanded upon in Frank Farmer’s (2001) “Saying and Silence.”     

Calculate or wait: Is man an eager or a lazy intuitive statistician?

Research on people's ability to act as intuitive statisticians has mainly focused on the accuracy of estimates of central tendency and variability. In this paper, we investigate two hypothesised cognitive processes by which people make judgements of distribution shape. The first claims that people spontaneously induce abstract representations of distribution properties from experience, including about distribution shape. The second process claims that people construct beliefs about distribution properties post hoc by retrieval from long-term memory of small samples from the distribution, implying format dependence with accuracy that differs depending on judgement format. Results from two experiments confirm the predicted format dependence, suggesting that people are often constrained by the post hoc assessment of distribution properties by sampling from long-term memory. The results, however, also suggest that, although post hoc sampling from memory seems to be the default process, under certain predictable circumstances people do induce abstract representations of distribution shape.     

Akiva Yosef Schlesinger—a forerunner of Zionism or a forerunner of ultra-orthodoxy

Rabbi Akiva Yosef Schlesinger (Pressburg 1838—Jerusalem 1922) is considered by some scholars to be a forerunner of ultra-Orthodoxy, but by others as a forerunner of Zionism. This article unravels this enigmatic personality, demonstrating that he was indeed a forerunner of ultra-Orthodoxy who was motivated by a complete rejection of modernity and promoted religious positions that were more radical than those of the Hatam Sofer. Those who associate Schlesinger with Zionism are misled by the fact that he encountered fierce opposition from his Hungarian colleagues and from the “Yishuv hayashan” in Jerusalem, advocated the use of the Hebrew language and promoted a “settlement” programme in Palestine. The article suggests that Schlesinger's programme was in reality designed to create a sacred utopian society, and was motivated by his desire to isolate the traditional Jewish community from modernity, rather than by a nationalist ideology. Furthermore, the opposition of the Jerusalem rabbis to Schlesinger's ideas was based largely on his unusual religious positions and his suggestion that the youth should be engaged in work. In analysing Schlesinger's legacy, the article also clarifies the distinctions between ultra-Orthodoxy and Zionism, as well as some common elements that they share.     

(Co-)Constructing a theory of mind: From language or through language?

Synthese - There is a large body of empirical work that has investigated the relationship between parents’ child-directed speech and their children’s Theory of Mind development. That...     

Sexuality and attachment: a passionate relationship or a marriage of convenience?

The ubiquitous and persistent bodily urges of sexuality and their vicissitudes are explored in this paper, focusing on the complex relationship between libidinal desire and the attachment system, especially the latter's affect-regulating function. This complicated interrelationship is highlighted with clinical vignettes. Implications for transference and countertransference are explored in the discussion of affect regulation and its possible sexual entwining. Clinical data is presented to highlight the plasticity of sexuality. Sexuality's protean nature allows for a reassessment of the case of Little Hans, with emphasis on the unique interconnections between sexuality and the vital need for an attachment relationship. Stressing such interconnections raises important questions about the traditional concept of psychosexual stages.     

Spreading activation or spooky action at a distance?

How do preexisting connections among a word's associates facilitate its cued recall and recognition? A spreading-activation model assumes activation spreads to, among, and from a studied word's associates, and that its return is what strengthens its representation. An activation-at-a-distance model assumes strengthening is produced by the synchronous activation of the word's associates. The spread model predicts that connections among the studied word's associates will have a greater effect on memory when more of its associates return activation. The distance model predicts that total connections are important, not their direction. The results of cued recall experiments supported the distance model in showing that that connections among the associates facilitated recall regardless of the number of returning connections.     

Rehabilitation Counseling: A Profession or a Trade?

The problem of the shortage of counselors is examined and the various possible solutions considered. A solution that appears to be developing in many state rehabilitation agencies is the employment of college graduates with no preparation in counseling. These employees are designated as counselors, counselor aides, or counselor trainees, and given in-service training. Such persons, it appears, will eventually be considered counselors without any further educational preparation. It is questioned whether they are, in fact, counselors, but if they are able to perform all the functions of those designated as counselors (excluding professional counseling), then counseling is not a profession, but a trade, for which adequate preparation can be obtained through on-the-job training.     

Anvil or Onion? Determinism as a Layered Concept

Kellert (In the Wake of Chars, University of Chicago press, Chicago, 1993) has argued that Laplacean determinism in classical physics is actually a layered concept, where various properties or layers composing this form of determinism can be peeled away. Here, I argue that a layered conception of determinism is inappropriate and that we should think in terms of different deterministic models applicable to different kinds of systems. The upshot of this analysis is that the notion of state is more closely tied to the kind of system being investigated than is usually considered in discussions of determinism. So when investigating determinism corresponding changes to the appropriate notion of state – and, perhaps, the state space itself – also need to be considered.     

Informed consent and patient's rights documents: a right, a rite, or a rewrite?

Both research participants and patients are presumably offered protection from harm through the processes of informed consent and patient's rights. However, both documents are often written at unacceptably high "college" reading levels, making them incomprehensible to the "average" reader who may be reading at a junior-high reading level. Readability researchers are often unfamiliar with important details of readability software, leading to consistent underestimates of document readability. Most informed consent and patient's rights documents are writtin in a one-size-fits-all style and fail to take into account important differences based on cognitive development. Several strategies are described to improve the quality and effectiveness of these materials.