The lived experience of disability

In this paper I reflect upon my personal experience of chronic progressive multiple sclerosis in order to provide a phenomenological account of the human experience of disability. In particular, I argue that the phenomenological notion of lived body provides important insights into the profound disruptions of space and time that are an integral element of changed physical capacities such as loss of mobility. In addition, phenomenology discloses the emotional dimension of physical disorder. The lived body disruption engendered by loss of mobility includes a change in the character of surrounding space, an alteration in one's taken-for-granted awareness of (and interaction with) objects, the disruption of corporeal identity, a disturbance in one's relations with others, and a change in the character of temporal experience. The loss of upright posture is of particular significance since it not only concretely diminishes autonomy but affects the way one is treated by others. Such a change in posture is, therefore, particularly disruptive in the social world of everyday life. An understanding of the lived body disruption engendered by disability has important applications for the clinical context in devising effective therapies, as well as for the social arena in determining how best to resolve the various challenges posed by chronic disabling disorders.I should like to thank Frances Chaput Waksler for her helpful comments on my work.     

The body of the other: intercorporeality and the phenomenology of agoraphobia

How is our experience of the world affected by our experience of others? Such is the question I will be exploring in this paper. I will do so via the agoraphobic condition. In agoraphobia, we are rewarded with an enriched glimpse into the intersubjective formation of the world, and in particular to our embodied experience of that social space. I will be making two key claims. First, intersubjectivity is essentially an issue of intercorporeality, a point I shall explore with recourse to Merleau-Ponty’s account of the prepersonal body. The implication of this claim is that evading or withdrawing from the other remains structurally impossible so long as we remain bodily subjects. Second, the necessary relation with others defines our thematic and affective experience of the world. Far from a formal connection with others, the corporeal basis of intersubjectivity means that our lived experience of the world is mediated via our bodily relations with others. In this way, intercorporeality reveals the body as being dynamically receptive to social interactions with others. Each of these claims is demonstrated via a phenomenological analysis of the agoraphobe’s interaction with others. From this analysis, I conclude that our experience of the world is affected by our experience of others precisely because we are in a bodily relation with others. Such a relation is not causally linked, as though first there were a body, then a world, and then a subject that provided a thematic and affective context to that experience. Instead, body, other, and world are each intertwined in a single unity and cannot be considered apart.     

Empathy: A Social Cognitive Neuroscience Approach

There has been recent widespread interest in the neural underpinnings of the experience of empathy. In this review, we take a social cognitive neuroscience approach to understanding the existing literature on the neuroscience of empathy. A growing body of work suggests that we come to understand and share in the experiences of others by commonly recruiting the same neural structures both during our own experience and while observing others undergoing the same experience. This literature supports a simulation theory of empathy, which proposes that we understand the thoughts and feelings of others by using our own mind as a model. In contrast, theory of mind research suggests that medial prefrontal regions are critical for understanding the minds of others. In this review, we offer ideas about how to integrate these two perspectives, point out unresolved issues in the literature, and suggest avenues for future research.     

The experience of ‘healing stories’ in the life narrative: A grounded theory

‘healing stories' are part of an emergent narrative literature in psychology and counselling. This research explored the subjective experience of ‘healing stories’ within the context of individual's life narratives. A grounded theory (Strauss and Corbin, 1990) method of analysis was used to generate and analyse six participant's life narratives. Analysis of these accounts revealed three categories. The first is the context of struggle that preceded the healing process. participants told of struggle in their relationships with others as well as turmoil in their experience of themselves. The second category, the healing process reflected the participants' growing awareness of life's existential givens (Yalom, 1980). This represented a personal exploration that opened lparticipants to a ‘healing story’ that offered them an insight into choices and possibilities for liberation. The third category illustrated that in the ongoing struggle the ‘healing story’ has continued to provide inspiration in the participants' lived experience as an ‘evoked companion’ (Stern, 1985). This research posited a core dynamic whereby participants' experience of their ‘healing story’ provided not only an initial inspiration that was healing but also, in their ongoing struggle, the ‘healing story’ continued to inspire their lived experience.     

身体的意义：生成论视域下的情绪理论

生成论的情绪学说从“意义建构”的视角看待情绪的动力作用, 主张情绪与认知相互交织, 与有机体适应环境的身体活动密切联系。情绪是身体的情绪, 身体是情绪体验中的身体。身体在情绪体验中扮演着构成性角色。根据这一观点, 情绪是一种积极的行动倾向, 是在理解环境意义基础上的具身行动。情绪并非发生于有机体头颅内, 而是产生于大脑、身体和环境的互动与耦合之中。由于认知与情绪在生成论的视域下统一在有机体意义建构的活动之中, 因而认知的4E属性也必然反映到情绪上, 使得情绪和情感也具有了具身、嵌入、延展和生成特征。情绪的生成理论为了解情绪, 进而理解意识的本质提供了一个新视角。     

The missing pieces in the scientific study of bodily awareness

Research on bodily awareness has focused on body illusions with an aim to explore the possible dissociation of our bodily awareness from our own body. It has provided insights into how our sensory modalities shape our sense of embodiment, and it has raised important questions regarding the malleability of our sense of ownership over our own body. The issue, however, is that this research fails to consider an important distinction in how we experience our body. There are indeed two ways in which we can be aware of our body: via observational awareness, which involves attending to the body as an object, and via non-observational awareness, where the body is given as the subject of experience and does not involve attention. The research to date has focused on the former—observational bodily awareness—and has left the latter—non-observational bodily awareness—in the dark. This is detrimental to ever formulating a complete account of how we are aware of our body. It is understandable, however, because of the inherent problem in studying non-observational bodily awareness: how would you instruct subjects to report on their unattended bodily awareness? In view to resolving this problem, I propose here a working hypothesis on the basis of research on interoception and the rubber hand illusion, and on the effect of meditation on awareness and attention. This working hypothesis can show us a way to begin studying non-observational bodily awareness, and finally build a complete theory of bodily awareness.     

隐喻的具身性与文化性

自从Lakoff和Johnson在《Philosophy in the Flesh —The Embodied Mind and Its Challenge to Western Thought》一书中将认知科学划分为第一代认知科学与第二代认知科学以来,隐喻成为了心理学家、语言学家和哲学家研究的热点领域之一。隐喻的构造基于我们的具身体验,基于我们的文化背景。隐喻的具身性与文化性是相互融合、不可分割的。     

In and out of consciousness: Sustained electrophysiological activity reflects individual differences in perceptual awareness

Although significant advances in our understanding of the cognitive and neural processes involved in conscious awareness have occurred in recent years, the precise mechanisms that support consciousness remain elusive. Examining the neural correlates associated with the moment a stimulus enters or exits conscious awareness is one way to potentially identify the neural mechanisms that give rise to consciousness. In the present study, we recorded neural activity using electroencephalography (EEG) while participants observed a bilateral shape-from-motion (SFM) display. While the display is in motion, the observer perceives an object that is immediately segregated from a noisy background. After the motion stops, the observer's experience of the object remains momentarily in awareness, before it eventually fades out of consciousness back into the noisy background. Consistent with subjective reports of perceptual experience, we observed a prominent sustained posterior contralateral negativity known as the contralateral delay activity (CDA). This activity was sustained only in conditions associated with sustained awareness. Interestingly, the amplitude of the CDA was correlated with individual differences in visual awareness, suggesting that this activity plays a significant role in the maintenance of objects in consciousness. The CDA is typically associated with visual short-term memory (VSTM), suggesting that conscious visual awareness may be mediated by the same neural and cognitive mechanisms that support VSTM. Our results demonstrate that the CDA may reflect the contents of conscious awareness, and therefore can provide a measure to track when information moves in and out of consciousness.     

Early reflections on becoming a therapist: Development of reflective practice in clinical training programmes in an Australian context

The development of competent counsellors, psychotherapists and psychologists depends upon not only the clinical competencies, but also the development of the person as the psychotherapist. This qualitative study investigated the experiences of twenty provisional psychologists enrolled in a university‐based clinical psychology training programme. Participants were requested to write reflective essays describing their experiences in relation to their first year of training. Utilising an interpretative phenomenological approach methodology, three superordinate themes were identified: beginning awareness and internalisation of the role of the therapist, therapy as an inter‐subjective experience, and personal transformation. Themes encompassed a range of key areas identified by trainee therapists as central to their development as reflective practitioners. Findings from this study may contribute to the small but growing literature base explicating the early lived experience of being a therapist working from an integrative framework. The findings contribute to our knowledge of the critical elements involved in fostering the theoretical, practical and reflective processes involved in becoming a competent therapist.     

Construing in Action: Experiencing Embodiment

Construing anticipation as an embodied process implies including experience and action within personal construct theorization and application. This has led many authors to read somatic disorders in psychological terms and to consider psychotherapy as an experiential process. This article exemplifies a possible transposition of personal construct psychology in action through experimenting with ways of construing. Some simple body movement experiences are presented as means for exploring our personal anticipations in relation to others. This may represent a starting point for the elaboration of our personal theories and practices.     

Attention to action and awareness of other minds

We have only limited awareness of the system by which we control our actions and this limited awareness does not seem to be concerned with the control of action. Awareness of choosing one action rather than another comes after the choice has been made, while awareness of initiating an action occurs before the movement has begun. These temporal differences bind together in consciousness the intention to act and the consequences of the action. This creates our sense of agency. Activity in the anterior cingulate cortex and medial prefrontal cortex is associated with awareness of our own actions and also occurs when we think about the actions of others. I propose that the mechanism underlying awareness of how our own intentions lead to actions can also be used to represent the intentions that underlie the actions of others. This common system enables us to communicate mental states and thereby share our experiences.     

Reading the Lives of Others: Biography as Political Thought in Hannah Arendt and Simone de Beauvoir

In this essay, I focus on two biographical works by Hannah Arendt and Simone de Beauvoir that I read as political texts: Rahel Varnhagen: The Life of a Jewess (Arendt 1957 ) and “Must We Burn Sade?” (Beauvoir 2012 ). Reading Arendt's Varnhagen and Beauvoir's “Sade” side by side illuminates their shared preoccupation with lived experience and their common political premises: the antagonism between freedom and sovereignty, and the centrality of action and constructive relations with others. My argument is that these texts constitute an original style of political thinking, which I call politico‐biographical hermeneutics, or reading the life of others as exercises in political theory. Politico‐biographical hermeneutics, as I take it, is not a systematic methodology, but an approach to interpreting sociopolitical forces as they come to bear and are embodied and inscribed in the lived experiences, struggles, and works of representative or exemplary individuals. This approach identifies the political lessons of lived experience and supports one of the central claims of feminist philosophy, namely, that the personal and the political are not antithetical, but relational.     

Disowning one's seen real body during an out-of-body illusion

Under normal circumstances, we experience that our center of awareness is located behind our eyes and inside our own body. To learn more about the perceptual processes that underlie this tight coupling between the spatial dimensions of our consciously perceived self and our physical body, we conducted a series of experiments using an 'out-of-body illusion'. In this illusion, the conscious sense of self is displaced in the testing room by experimental manipulation of the congruency of visual and tactile information and a change in the visual perspective. We demonstrate that when healthy individuals experience that they are located in a different place from their real body, they disown this body and no longer perceive it as part of themselves. Our findings are important because they reveal a relationship between the representation of self-location in the local environment and the multisensory representation of one's own body.     

Being the agent: memory for action events

Whoever paid the bill at the restaurant last night, will clearly remember doing it. Independently from the type of action, it is a common experience that being the agent provides a special strength to our memories. Even if it is generally agreed that personal memories (episodic memory) rely on separate neural substrates with respect to general knowledge (semantic memory), little is known on the nature of the link between memory and the sense of agency. In the present paper, we review results from two experiments investigating the effects of agency on both explicit and implicit memory traces. Performance of normal subjects is compared to that of schizophrenic patients in order to explore the role of awareness of action on memory. It is proposed that reliable first-person information is necessary to create a stable and coherent motor memory trace.     

‘The bereaved therapist speaks’. An interpretative phenomenological analysis of humanistic therapists' experiences of a significant personal bereavement and its impact upon their therapeutic practice: An exploratory study

Aim: The aim of the research was to explore the under‐researched area of therapists' personal bereavement and its impact upon their therapeutic practice. Method: Data were collected via semi‐structured interviews with four humanistic therapists and were analysed using Interpretative Phenomenological Analysis (IPA). Findings: Four master and eight subordinate themes emerged from the rich data collected that exemplified both convergence with and divergence from the small body of extant literature on therapist bereavement and current thinking in thanatology. The findings suggest that bereavement is a unique experience that can affect the individual's personal and social identity and worldview. It can also be a transformative experience resulting in personal growth and a renewed sense of self and agency. In terms of professional practice, the findings suggest that the lived experience of the grieving process, mediated by supportive supervision, enabled participants to experience deeper levels of empathy and connectedness within their therapeutic relationships. Conclusion and implications: Bereavement is an experience that can profoundly impact upon therapists' personal identity and assumptive world. Such an experience can have an equally profound impact upon their therapeutic practice. There are therefore implications for students, trainers, therapists and supervisors particularly in terms of self‐care and the use of the ‘self’ in therapy. Further research needs to be undertaken in order to explore in greater depth the intersection between personal bereavement and therapists' evolving personal and professional identity development.     

A World of Systems: The Role of Systemic Patterns of Experience in the Therapeutic Process

This article underscores and expands on a contextualist, complexity theory perspective in conceptualizing the organization of personal, subjective experience and the therapeutic process. It emphasizes that one's personal, lived experience originates and continues to evolve from within a relational matrix, with affect as its primary currency, and reevaluates what, exactly, is being analyzed and potentially transformed in the clinical setting. An extension of intersubjective systems theory, this article focuses on two complementary themes: the concept of the interpenetration of multiple worlds of experience and the idea of systemically derived organizing principles. These ideas enhance our understanding of the positive transformation of subjective experience and expand our perspectives about therapeutic change in psychoanalysis.     

On how a child's awareness of thinking informs explanations of thought insertion

Theories of thought insertion have tended to favour either the content of the putatively alien thought or some peculiarity within the experience itself as a means of explaining why the subject differentiates one thought from another in terms of personal ownership. There are even accounts that try to incorporate both of these characteristics. What all of these explanations share is the view that it is unexceptional for us to experience thought as our own. The aim of this paper is to consider the means by which this awareness of the myness of thought occurs. Why is it that I, as the subject of thought, typically experience a thought as mine? Using research which investigates the development of a child's awareness of the act of thinking, I will evaluate leading explanations of thought insertion. It is my contention that by understanding the means by which the awareness of one's ownership of thought develops, we can better assess explanations of thought insertion; and whilst, at present, no theory is fully able to explain the condition, the incorporation of developmental research suggest that we should favour one in particular.     

My body as an object: self-distance and social experience

In phenomenology the body is often referred to as the lived body which makes the world familiar to me. In this paper, however, I discuss bodily self-consciousness in terms of self-distance. Self-distance is the suggestion that bodily self-consciousness consist in a reflective stance where you conceive of your body as a physical thing, an object in the world as well as the subject of bodily experiences. I argue that we are bodily self-conscious because we experience our own body in more than one way and that these ways are not derivative of one another or hierarchically ordered. This latter claim conflicts with certain phenomenological readings of how the body is experienced, one of which I will refer to and discuss as the Familiarity Objection to my idea of self-distance. I end the paper with a discussion of why we need the conception of experienced objectification that is entailed in the notion of self-distance to account for both pathological and non-pathological bodily self-experiences. The notion of self-distance improves our understanding of how the body plays a central role in psychosis for the experience of distorted inter-subjective relations.     

Personal identity and the otherness of one’s own body

Locke claims that a person’s identity over time consists in the unity of consciousness, not in the sameness of the body. Similarly, the phenomenological approach refuses to see the criteria of identity as residing in some externally observable bodily features. Nevertheless, it does not accept the idea that personal identity has to consist either in consciousness or in the body. We are self-aware as bodily beings. After providing a brief reassessment of Locke and the post-Lockean discussion, the article draws on phenomenological arguments that show the body as lived, that is, lived as one’s own body, but also possibly as “other” or “strange.” Against what has been claimed in recent writing, especially in literature on Merleau-Ponty, the author argues that the “mineness” of the body and its “alterity” are not two mutually exclusive features. In the final part of the article, the author suggests that the becoming strange of one’s own body may legitimately be considered as a prominent experience of what it means to be a person.