Subjective reality, objective reality, modes of relatedness, and therapeutic action

This paper describes a dialectic believed to be at the heart of therapeutic interaction within a relational model. The dialectic consists of the interrelationship of two modes: the dyadic and the triadic. In the dyadic mode, the analyst responds with aspects of his or her self that singularly reflect the patient's subjectivity. This mode of attunement is uniquely suited to bringing the patient's experience into a place where it can then be seen and known. In the triadic mode, realities are recognized that are important to, but still outside of, the subjectivity of the patient. The analyst invites the patient to see him- or herself not only from inside his or her own space, but also from a point outside, through the perspective of others. The analyst is charged with asymmetric but not exclusive responsibility for negotiating and sustaining a fluid and flexible relationship between these modes. Optimally, this occurs through spontaneous and authentic engagement informed by intuition, empathy, and clinical judgment. However, when this dialectic loses its robust and kinetic quality (as frequently occurs in approaches ranging from the classical to the postmodern), an impermeable dyad is formed by extruding potentially triangulating aspects of reality (and subjectivity). This can result in curiosity and the openness of uncertainty being replaced by closed-mindedness and proclamation.     

Humanizing education: Subjective and objective aspects

I propose that there are four standards to be met if a given educational enterprise is to be considered humane: (1) the practice to be mastered must be socially justified; (2) the disciplines pursued to master the practice must be appropriate to the practice; (3) the practice must be owned by the learner; and (4) this ownership must itself meet certain ethical requirements. The paper emphasizes the problem of ownership. It argues for a view of ownership that is communitarian. This view sees ownership as a function of identification or membership. People become committed to certain educational ends in virtue of the fact that they see themselves as members of a group and the ends as the ends of the group. It is central to this view that ownership of ends does not require full understanding or rational appraisal of such ends. I argue that a rational appraisal of ends is difficult when a novice seeks to appraise the ends of some practice both because the ends of the practice are internal to it in a way that makes grasping such ends difficult prior to mastery of the practice and because initiation into the practice will change the individual's standards of appraisal.     

Exploring the hardship of ease: Subjective and objective effort in the ease-of-processing paradigm

Numerous studies examined the role of processing effort in judgments using the “ease-of-processing” paradigm in which participants generate or retrieve few or many issue-relevant thoughts. Because earlier studies only assessed the subjective effort, it is unclear if this paradigm also mobilizes objective effort, and how such effort relates to subjective effort. These questions were addressed in two experiments modeled on standard tasks from the processing effort literature: “ease of argument generation” (Study 1) and “ease of retrieval” (Study 2). In both experiments we simultaneously measured subjective effort (via self-report) and objective effort (via cardiovascular reactivity). The results showed that processing ease manipulations (generation or retrieval of few vs. many exemplars) influence not only subjective effort, but also objective effort, as reflected especially by increases of systolic blood pressure in the many exemplars condition. However, only subjective effort was related to judgment. In the discussion, we consider the role of various forms of effort and other relevant variables in “processing ease” effects.     

Subjective social status, objective socioeconomic status, and cardiovascular risk in women.

OBJECTIVE: Subjective perceptions of personal social status may relate to health beyond the effects of objective socioeconomic status (SES). The authors examined the relationship between subjective social status (SSS) and psychosocial, behavioral, and physical cardiovascular risk factors in middle-aged women. DESIGN: Ninety-two women (90.2% White) completed ladder-based, pictorial self-report measures of SSS relative to others in their community and in the United States. Psychosocial measures of depression, anxiety, pessimism, stress, and social support and behavioral risk factors of fruit and vegetable consumption, leisure physical activity, and body-mass index were obtained. In addition, women underwent measurement of clinic blood pressure and assessment of daytime ambulatory systolic and diastolic blood pressure (SBP; DBP) over 2 consecutive days. RESULTS: Community SSS was significantly inversely related to anxiety, pessimism, stress, and daytime ambulatory DBP after controlling for objective SES and U.S. SSS. Women with lower U.S. SSS showed less healthy dietary and exercise behaviors and, contrary to predictions, lower clinic and ambulatory DBP. CONCLUSION: This study provides additional evidence that perceptions of one's position in the social hierarchy could have important health implications beyond the impact of objective SES. Further, the cardiovascular risk implications of perceived community versus U.S. social status appear to be distinct.     

Subjective cognitive complaint in healthy older adults: Identification of major domains and relation to objective performance

This study analyzed complaints across a range of memory domains in middle-aged and older adults, as well as assessed their relationship with objective cognitive performance and personal characteristics. A total of 115 community-dwelling, healthy adults between the ages of 45 and 87 completed the Self-Evaluation Questionnaire (QAM) and were tested with a comprehensive neuropsychological battery. A principal component analysis identified seven dimensions of complaint. Difficulty inhibiting internal and external sources of interference when learning or remembering something was the main area of complaint and it was correlated with word-list recall and Digit Symbol. We identified complaints related to a set of memory failures that appear to be more detrimental to autonomy and safety. These were correlated with a measure of functional autonomy and might, therefore, indicate more severe difficulties. Overall, this study provides indications regarding the main domains of memory complaints and identifies which complaints are most reflective of objective cognitive problems.     

Social Contact,Academic Satisfaction,COVID-19 Knowledge,and Subjective Well-being Among Students at Turkish Universities: a Nine-University Sample

Adverse effects of COVID-19 are seen not only on the physical health of infected individuals but also on their subjective well-being. Sudden changes in social lives, lockdowns, and shifts towards online education have had a negative impact on many people, especially university students. As part of an international study, the current study focused on the well-being of students at Turkish universities in relation to social contact, academic satisfaction, and COVID-19 knowledge. A total of 7363 students from nine universities (86.6% from state universities, 71.04% female, and 73.52% at bachelor’s level) participated in an online survey. Results revealed that females had lower levels of subjective well-being and academic satisfaction. According to a mediation model in the study, the relationship between social contact and well-being was mediated by academic satisfaction and COVID-19 knowledge. Our findings can guide future researchers, mental health professionals, universities, and policymakers to understand and improve subjective well-being of university students.

     

Subjective and objective measures of quality of life have different predictors for people with schizophrenia

This study investigated the relationship between subjective and objective quality of life and assessed predictors in people with schizophrenia. The study population consisted of 99 stabilized outpatients with schizophrenia (DSM-IV) who had been regularly receiving outpatient treatment at the Department of Psychiatry, The Tokushima University Hospital. Subjective and objective quality of life were estimated using the Schizophrenia Quality of Life Scale and the Quality of Life Scale, respectively. Psychiatric symptoms were also measured with the Brief Psychiatric Rating Scale and the Calgary Depression Scale for Schizophrenia. Scores on the Schizophrenia Quality of Life Scale Motivation and Energy scales significantly correlated with the Quality of Life Scale total scores -.40 (p <.001), and with the scores on Interpersonal Relations subscale -.42 (p <.001), Instrumental Role subscale -.28 (p = .005), Intrapsychic Foundations subscale -.39 (p<.001), and Common Objects and Activities subscale -.25 (p =.014). The Schizophrenia Quality of Life Scale Psychosocial scale significantly correlated with only the Quality of Life Scale total score -.20 (p =.05), and there was no significant correlation between the scores on the Schizophrenia Quality of Life Scale Symptoms and Side-effects scales and the Quality of Life Scale. Stepwise regression analyses showed that the Calgary Depression Scale for Schizophrenia score was the most important predictor of each scale of the Schizophrenia Quality of Life Scale, and the Brief Psychiatric Rating Scale Negative Symptoms score was the most important predictor of the Quality of Life Scale total score and each subscale. These results suggest that subjective and objective quality of life have different predictors and should be considered as separate and complementary outcome variables.     

Orientalism, representation and religion: the reality behind the myth

Said's Orientalism has been called an ‘epoch-making’ and ‘paradigm constitutive’ book. While it undoubtedly caused a stir on its appearance and proved an important influence upon post-colonial studies and other developments in literary and cultural theory, a careful re-reading of it reveals a deeply flawed work that offers a confused analysis of human representations and realities, a highly selective and partial engagement with Western and Middle Eastern history and scholarship, and a particularly unhelpful approach to religion. The argument offered here is that Said's claims about ‘Orientalism’ are actually incoherent, veering between Foucauldian social constructionism and references to trans-cultural human realities; that the theoretical approaches to religion are inconsistent and highly selective; that the account of human agency is entirely inadequate; and that, although Said condemns entire generations of Orientalist scholars as racist, imperialist and ethnocentric, he is insufficiently reflective about his own scholarly position and the implications of its inconsistencies. Although Orientalism has been hailed as a book that ‘breathed insurgency’, it actually offers a vision of human beings as remarkably powerless in the face of arbitrary and abstract discourses that define their lives as oppressors or oppressed. Said sought to demonstrate that the reality behind the myth of scholarly impartiality was a racist and ethnocentric exercise of control and authority over the Orient, but the reality behind the myth of Orientalism is a theoretically flawed work offering a reductive account of religion and an impoverished view of human beings.     

Sense of reality,reality testing and reality processing in borderline patients1

Although borderline patients are suitable for it, they often undergo repeated testing of phantasies against objective reality without success. A reason for these partial failures is that subjects have not been able to build a solid sense of reality and have found many diffi culties for processing reality demands and possibilities. The author puts forward some thoughts on this question, such as the importance of working through the depressive position and the Oedipus complex in the process of building up a solid sense of reality. A sense of reality also favours continuous reality processing. When reality processing becomes as continuous as life itself, the repetition of individual reality tests becomes less frequent and necessary, and more satisfying. The author also presents some recommendations for the psychoanalytic treatment of such patients, stressing the importance and the diffi culties of the introduction of the borderline patient into the triangular situation because primitive defences‐such as disavowal and denial‐are mobilized.