Fuzzy Fault Lines: Selves in Multiple Personality Disorder

Abstract

This paper outlines a multidimensional conception of Multiple Personality Disorder (MPD) that differs from the ‘orthodox’ conception in terms of the content of its commitment to the reality of the self. Unlike the orthodox conception it recognizes that selves are fuzzy entities. By appreciating the possibility that selves are fuzzy entities, it is possible to rebut a form of fictionalism about the self which appeals to clinical data from MPD. Realism about self can be preserved in the face of multiple personalities.     

Alternative religion kids: spiritual and cultural identity among children and youth involved with new religious movements

ABSTRACT

The term ‘new religious movement’ (NRM) has come to replace the more provocative term ‘cult,’ however this shift of scholarly language has not resulted in a softening of public perception towards those in religious groups perceived as ‘weird’. This perception leaves a distinct mark on the identities of children raised in these communities.Children from alternative and controversial religions comprise a unique subculture.. The experience of growing up in a new religious movement has an important impact on a young person’s cultural and spiritual identity. Drawing on and expanding Useem and Downie’s model of ‘third culture kids’ (TCKs) the model of ‘alternative religion kids’ (ARKs) is developed. It is proposed that ARKs are a subculture in their own right and share a sense of belonging and identity based on their experience of being religious ‘others’. ARKs may be able to connect through a powerful, shared experience not paralleled with other peers.     

Sense of community among Muslims in the Brazil–Paraguay border: narratives of belonging and generational differences

ABSTRACT

The so-called ‘Triple Frontier’—the border between Paraguay, Brazil, and Argentina—is the ‘host society’ of an important Muslim community, composed mainly of Lebanese immigrants and their descendants born in Brazil and Paraguay. In less than two decades, Shi’i and Sunni Arab Muslims created mosques, religious centres, a cemetery, and three schools. Mosques, schools, and religious centres are spaces for the production of a sense of community. The institutional discourse of these entities emphasises the connection between religion and community origin, considering Islam as part of ‘Arab culture’. Taking generational differences into account, this article aims to analyse the narratives of plural identity expressed in the meanings attributed to the immigrants’ self-identification as Muslims. Based on fieldwork in the South American border area, this work aims to shed light on the way in which immigrants and their descendants reinterpret their religious belonging, informed by the new experience of living in multi-religious societies.     

Stigmatised Identity and Service Usage in Disadvantaged Communities: Residents', Community Workers' and Service Providers' Perspectives

The impact of community stigmatisation upon service usage has been largely overlooked from a social identity perspective. Specifically, the social identity‐mediated mechanisms by which stigmatisation hinders service use remain unspecified. The present study examines how service providers, community workers and residents recount their experience of the stigmatisation of local community identity and how this shapes residents' uptake of welfare, education and community support services. Twenty individual and group interviews with 10 residents, 16 community workers and six statutory service providers in economically disadvantaged communities in Limerick, Ireland, were thematically analysed. Analysis indicates that statutory service providers endorsed negative stereotypes of disadvantaged areas as separate and anti‐social. The awareness of this perceived division and the experience of ‘stigma consciousness’ was reported by residents and community workers to undermine trust, leading to under‐utilisation of community and government services. We argue that stigmatisation acts as a ‘social curse’ by undermining shared identity between service users and providers and so turning a potentially cooperative intragroup relationship into a fraught intergroup one. We suggest that tackling stigma in order to foster a sense of shared identity is important in creating positive and cooperative service interactions for both service users and providers. Copyright © 2014 John Wiley & Sons, Ltd.     

The Influence of Service Era: Comparing Personality Assessment Inventory (PAI) Scale Scores Within a Posttraumatic Stress Disorder Treatment Clinic (PCT)

Research is mixed on the role of service era in symptom endorsement among Veterans, with differences emerging depending on the instrument evaluated. This study compares Personality Assessment Inventory (PAI) scale scores of VA test-takers who served during the Vietnam, Desert Storm, or Post-9/11 service eras. The sample was collected at a VA Posttraumatic Stress Disorder Clinical Team. Associations between gender and combat exposure were also examined as covariates. Results suggest that Veterans’ self-report on the PAI is influenced by service era, even after accounting for gender and combat exposure during deployment. The largest differences were between Vietnam or Post-9/11 Veterans and those from the Gulf War era. Symptom differences typically varied across scales commonly associated with symptoms of trauma exposure/posttraumatic stress disorder. Implications for the clinical use of, and research with, the PAI and other broadband personality assessments within the VA healthcare system and trauma treatment settings are discussed.

     

Hybrid Identities and Just Being Yourself

Abstract

This paper points out a tension between Agustín Rayo’s criteria for singulartermhood and his explicit views on the status of Hybrid Identities, that is, identity statements that use singular terms from two different Systems of Representation, such as ‘7=Julius Caesar’ or more suggestively ‘I am b’ where ‘b’ is a singular term referring to my brain. It argues that non-trivial Hybrid Identities are common and important in philosophy and elsewhere, and it suggests a friendly alternative that involves treating Hybrid Identities on the model of Rayo’s ‘Just Is’ statements. The last section of the paper points out that even this friendly alternative has counterintuitive consequences when combined with the metaphysical conventionalism that Rayo finds attractive, when it comes to questions of personal identity over time.     

Gender/ed identities: an overview of our current work as child psychotherapists in the Gender Identity Development Service

Abstract

This paper is adapted from a presentation first given at the 2017 Association of Child Psychotherapists (ACP) Conference. We hope to give a feel of our work as psychoanalytic child psychotherapists working in a Tier 4 national assessment service for gender variant children and connect with our colleagues working therapeutically with these families in Child and Adolescent Mental Health Services (CAMHS) and other settings. Gender variance does not have a single cause, or straightforward developmental pathway; rather it is a complex interplay of multiple factors, akin to sexuality in the diverse manifestations and ‘tributaries’ taken. This paper is given as a plea for complexity, to counter the current intense focus on gender identity and the consequent reductionism this can lead to. To this end, three case studies from the clinic, taken from Under Five, Latency and Adolescent phases of development, are explored. The complexity of the cases is then discussed, followed by parallel issues of development, divergence and difference. These three ‘average’ cases from the Gender Identity Development Services (GIDS) serve to demonstrate the need for child psychotherapy as part of multi-disciplinary thinking about gender variance and how attention must be maintained to each unique story and process of identity development; as well as our clinical task to establish and encourage depressive functioning and secondary processes where possible.     

Quitting smoking: The importance of non-smoker identity in predicting smoking behaviour and responses to a smoking ban

Objective: We examined how ‘smoker’ and ‘non-smoker’ self- and group-identities and socio-economic status (SES) may predict smoking behaviour and responses to antismoking measures (i.e. the Dutch smoking ban in hospitality venues). We validated a measure of responses to the smoking ban.

Design: Longitudinal online survey study with one-year follow-up (N = 623 at T1 in 2011; N = 188 at T2 in 2012) among daily smokers.

Main outcome measures: Intention to quit, quit attempts and ‘rejecting’, ‘victimizing’, ‘socially conscious smoking’ and ‘active quitting’ responses to the smoking ban.

Results: Non-smoker identities are more important than smoker identities in predicting intention to quit, quit attempts and responses to the smoking ban, even when controlling for other important predictors such as nicotine dependence. Smokers with stronger non-smoker identities had stronger intentions to quit, were more likely to attempt to quit between measurements, and showed less negative and more positive responses to the smoking ban. The association between non-smoker self-identity and intention to quit was stronger among smokers with lower than higher SES.

Conclusion: Antismoking measures might be more effective if they would focus also on the identity of smokers, and help smokers to increase identification with non-smoking and non-smokers.     

Personal identity: moving beyond essence

Education’s ancient and profoundly important pursuit to ‘know thyself’, is often realised through engaging with the question ‘who am I?’ In order to the identify who in this search, it is argued in this paper that personal identity should be understood to be embedded in the purposes one has for one’s life through how one relates, and is therefore spiritual. This spiritual quality of personal identity is therefore existential in character – not essential.

However, often when children respond to this question ‘who am I?’, they rely upon socially constructed categories and labels such as religious, feminine, cool, punk and the like. The application of such labelling assumes that meaningfulness lies in their essence; that is, they identify what is. This can become most problematic when individuals accept and apply such essentialist labelling to themselves, because such a process can only answer ‘what am I?’ and not the educationally more important question of ‘who am I?’ This paper therefore challenges the inadequacy of such an approach and offers a conceptualisation of personal identity which is spiritually embedded in a purpose for one’s life.     

The use of metaphors in understanding atypical gender identity development and its psychosocial impact

Abstract

Over the years I have found a number of metaphors which have helped me to deal with particular dynamics in therapeutic work or with group and institutional conflicts involving the Gender Identity Development Service at the Tavistock Centre. This nationwide service, which is for young people with atypical gender identity development and their families, was established in 1989. In this paper I describe some of these metaphors in relation to the particular problems or conflicts which had stimulated their appearance in my mind. The emergence of these metaphors links the vicissitudes of atypical gender identity development to issues regarding symbolisation or symbolic thinking. Metaphors such as ‘working at the edge’ or ‘navigating between Scylla and Charybdis’ allow the professional to hold on to multiple perspectives and to maintain a certain degree of ambiguity in situations in which the interpersonal dynamics can be experienced as rigid and deterministic. The emergence of metaphors can then be perceived by the professional with a sense of relief and freedom of thinking. In this paper, metaphors are linked to: the model of care developed; the therapeutic stance; and the aims, risks and pressures experienced by the professional in this area of work. The association between gender dysphoria in some young people and autistic spectrum features is explored. The paper emphasises the importance of responding flexibly to individual differences and of recognising complexity.     

Islam offline—living ‘The message’ behind the screens

This article is an ethnographic account of the Social Section of Arabic language Islam Online. It focuses on what Krüger has called the ‘hidden knowledge’ of religious websites. Drawing on longitudinal fieldwork in the Islam Online offices in Cairo, Egypt, this article brings forth and analyzes rich data about Islam Online employees’ work practices and meaning-making activities. Drawing on an organizational ethnographic approach, this article highlights new aspects of this influential Islamic website. More specifically, the author employs Linde’s concept of an ‘institutional narrative’ to conceptualize and analyze the strong institutional identity and corporate values that are in play in everyday work practices. Focusing on key tropes such as ‘the message’, ‘professional’, ‘pluralistic’, and ‘pioneers’, the article demonstrates how Islam Online’s Islamist institutional narrative includes a creation story and set of organizational values that play out in the execution of work tasks. Moreover, the author argues that the objective of the emic concept of “the message” is to contribute to both self- and societal-reform in the Arab world, and that Islam Online’s own work environment represents a micro-cosmos of this ideal.     

Reminiscing together: joint experiences,epistemic groups,and sense of self

In this essay, I consider a kind of social group that I call ‘epistemic’. It is constituted by its members’ possession of perceptually grounded common knowledge, which endows them with a particular kind of epistemic authority. This authority, I argue, is invoked in the activity of ‘joint reminiscing’—of remembering together a past jointly experienced event. Joint reminiscing, in turn, plays an important role in the constitution of social and personal identity. The notion of an epistemic group, then, is a concept that helps explain an important aspect of a subject’s understanding of who she is.

     

The Identity Consolidation Inventory (ICI): Development and Application of a Questionnaire for Assessing the Structuralization of Individual Identity

This paper describes the author's effort to develop a self-rating scale to measure the consolidation of identity in a given individual. It describes the construction of the 35-item Identity Consolidation Inventory (ICI) and, as an appendix to the paper, includes the final version of this questionnaire. The scale's reliability and validity are demonstrated via its administration to 238 normal controls, 80 individuals with Borderline Personality Disorder and 13 subjects with Dissociative Identity Disorder (“multiple personality”). The clinical and research usefulness of ICI lies in the realm of discerning the syndrome of identity diffusion that underlies all severe personality disorders.     

Creating a Pindh: Place-Making within a Sikh Diasporic Community in Malaya

This paper examines a diaspora group's claiming and contesting of physical space and actively engaging in host country multiracial spaces, I co-opted the Pindh, a Sikh concept incorporating relationships with the landscape and social structure, re-defining its original meaning to encompass this unique consolidation of identity, home and belonging. Addressing the use and meaning of space and the transformation of Peraktown, the geographical location, I explore this transformation to a place of meaning through the practices of everyday life within the Sikh community. It describes the concepts of spatial relationships and their impact on the construction and solidification of the Peraktown Sikh community in contrast to their inherited connection to the land and inherent romantic nostalgia for Punjab, as they recreated the meanings it contained and inscribed these on the physical map of the town. In the four spaces addressed, the home, the Gurdwara, the school and the gendered work spaces, I demonstrate the ways that space altered, through claiming, adoption and subversion. The lens of the Pindh offers a uniquely Sikh way to view and analyse the constitution of common identity and a place to belong. The Peraktown Sikhs extend the discourse of diaspora beyond postcolonial and Western modes of thought of being ‘other’ yet simultaneously belonging ‘here', ‘back there’ and to multiple places of home.     

Attention,People of Earth! Aristotelian Ethics and the Problem of Exclusion

Abstract

Growth in human happiness seems to do in part with insights gained through attentive emotional engagement with fictional characters and their identities. For this reason it is important to pay attention to the critique that founding ethics on what we cannot but affirm of ourselves, our identity (rationality and sociability, in Nussbaum’s reading of Aristotle), amounts to a moral elitism, excluding those who fail to meet these marks of human identity. This objection throws light on the importance of the shift towards thematizing ‘subjectivity’ in modern and contemporary philosophy. Ethics takes place at the level of the deliberating subject, intending the good. The foundational element is grasped through moral commitment and not at all ‘neutrally’, in a disengaged attitude alien to human aspirations – something disturbingly overlooked in much normative ethics today. The criteria picked out as essential to our humanity are clarifications of this commitment, and involve an attitude of inclusivity. In our own non-classical philosophical framework this needs spelling out, in a manner not made clear in Nussbaum’s ‘self-validating’ arguments, in terms of the exigencies of self-enactment and personal identity. This also answers critics who would disallow the conflation of identity and judgments of value.     

‘Adolescent fantasies and the horror-film genre‘: The freud museum 1995 spring conference

Abstract

As I walked towards home across Waterloo Bridge, having left this conference in its apt setting of the National Film Theatre, I realized I had attended the day from two points of interest: firstly, from my professional position of working in a university counselling service where I encounter adolescents and their ‘phantasies’ regularly. Only the other day a young student I had been seeing started the session by telling me she had seen the film Interview with the Vampire the night before, had been sick at the end, and then casually ‘threw up’ to me that she did not think she would need to go on seeing me.     

Enlivening thinking and speech in search of spiritual identity: the role of ‘speech formation’ in Steiner’s Waldorf education

ABSTRACT

The purpose of this paper is to clarify Steiner’s understanding of thinking and the way it influences the use of language in the classroom of 6–18 years old, and through that, to discuss how it eventually serves to capture one’s spiritual identity. First, the paper introduces Steiner’s notion of thinking, and then offers a general picture of what ‘speech formation’ is, and how it is actually used in a classroom. Secondly, the paper reviews Steiner’s view on child development and examines his understanding of embodied thinking in accordance with will, feeling and ‘I’ consciousness. Finally, it considers the role of ‘speech formation’ in relation to the development of thinking and speech, and to the genius of language which comes to work in the ‘space’ created through dialogue. (129 words)     

Polger on the Illusion of Contingent Identity

Abstract

Thomas Polger has argued in favour of the mind–brain type‐identity theory, the view that mental states or processes are type‐identical to states of the central nervous system. Acknowledging that the type‐materialist must respond to Kripke’s modal anti‐materialist argument, Polger insists that Kripke’s argument rests on dubious assumptions concerning the identity conditions of brain states. In brief, Polger claims that one knows that x and y are non‐identical when one knows the identity conditions for both x and y. Replace x and y with ‘brain states’ and ‘sensations’ and it follows that one can know that brain states and sensations are non‐identical only if one knows the identity conditions for brain states. But according to Polger, we do not know the identity conditions for brain states. Hence, we should not be so confident that brain states and sensations are non‐identical after all. But Polger’s account is terribly flawed. Ironically, if Polger’s scepticism is warranted, then Polger himself has no good reasons to be a type‐materialist. But more importantly, Polger’s scepticism regarding the identity conditions of brain states is deeply defective. We do, I submit, understand the identity conditions of brain states. In the end, I submit, Kripke is safe from Polger.     

Thematic moment analysis: A didactic application of a procedure for phenomenological analysis of narrative data

Abstract

Following in the theoretical and methodological roots of the ‘Duquesne school,’ this work presents a procedure for the phenomenological analysis of narrative data. After describing its ‘approach,’ this work lays out the procedure for ‘thematic moment analysis’ using the work of Giorgi as a point of reference. Idiographic results of single datum of being afraid are presented along with the steps through which this ‘idiographic thematic narrative’ was developed. Procedures for arriving at ‘comparative analysis’ of more than one piece of data are presented and distinguished from claims of generality sought by works drawing on larger data pools. Finally, this work discusses issues of internal and external validity both specifically in regards to the ‘thematic moments’ procedure and in terms of phenomenological research in general.     

Voices from the Front Lines: An Analysis of Physicians’ Reflective Narratives about Flaws with the ‘System’

Physicians often express frustration with the ‘system’ in which they work. Over time, this frustration may put them at risk of burnout and disengagement, which may impact patient care. In this study, we aimed to understand the nature of the system flaws that physicians identified in their published narratives and to explore their self-representation as agents of change. We reviewed all reflective narratives published in four medical journals (NEJM, JAMA, CMAJ, Annals IM) between January 2015 and December 2017 (n?=?282). By consensus, we identified those that addressed system flaws (n?=?87). Using content and narrative analysis, we analyzed the types of flaws and the physicians’ orientation to the flawed system. We identified seven recurring system flaws—five related to medical culture: failures of communication, erosive impact of the hidden curriculum, inadequate health advocacy, frenzied pace of work, and experience of stigma. Less frequently, physicians’ narratives also exposed limited and disparate healthcare resources and restrictive institutional practices as impeding patient-centered care. Physicians expressed agency to create change foremost when writing about flaws related to medical culture. While physicians are challenged by system flaws, they strive to practice in ways that do not succumb to them. We saw tension between the elements outside the physician’s control and those within it. This tension becomes a source of distress when the compromises that emerge from system flaws move physicians away from the values that define their professional identity.