Psychosomatic medicine and the philosophy of life

Basing ourselves on the writings of Hans Jonas, we offer to psychosomatic medicine a philosophy of life that surmounts the mind-body dualism which has plagued Western thought since the origins of modern science in seventeenth century Europe. Any present-day account of reality must draw upon everything we know about the living and the non-living. Since we are living beings ourselves, we know what it means to be alive from our own first-hand experience. Therefore, our philosophy of life, in addition to starting with what empirical science tells us about inorganic and organic reality, must also begin from our own direct experience of life in ourselves and in others; it can then show how the two meet in the living being. Since life is ultimately one reality, our theory must reintegrate psyche with soma such that no component of the whole is short-changed, neither the objective nor the subjective. In this essay, we lay out the foundational components of such a theory by clarifying the defining features of living beings as polarities. We describe three such polarities:

Finding a Way Back Home: A Spirituality of Exile after Hurricane Katrina

Three years ago breath took the form of Hurricane Katrina and passed through our bodies and our lives, leaving us forever changed. We all breathed her, but for those of us living on the Gulf Coast our encounter with Katrina was more intimate, our breathing more conscious, our memory more charged, our lives forever changed. My story takes me from the winds of Hurricane Katrina blasting through the Gulf Coast, through the tube of a machine that helped keep my son’s lung expanded, through the Sinai dessert and the valley of the dry bones, through the in-between spaces of grounded groundlessness, to the forests and rivers of the Berskhire Mountains, where I have relocated and started my life over. My spiritual journey “home” is a dynamic story of Earth, wind, fire, water, flesh, and Spirit.     

Nondoxastic Perceptual Evidence

How does a particular experience evidence a particular perceptual belief for us? As Alvin Plantinga (Warrant and Proper Function, Oxford University Press, 1993, p. 98) puts it, “[W]hat makes it the case that a particular way of being appeared to—being appeared to greenly, say—is evidence for the proposition that 1 see something green?” Promising, but unsuccessful, answers cite a reliable connection between our having the experience and the belief's being true, our having good reason to believe in such a connection, the proper functioning of our faculties, and objective epistemic norms. A superior view, developed here, is that our experience of being appeared to greenly evidences for us that something is green because we have learned to identify green objects by experiences of that sort. Our learning to do so amounts to our adopting an epistemic norm directing us to form that belief on the basis of that experience.     

Surviving the Zombie Apocalypse: Trauma and Transformation in AMC’s The Walking Dead

ABSTRACT

The experience of massive psychic trauma has been all too common in human history, uprooting us from the safety of our homes and thrusting us into strange and dangerous environments. The combination of uncertainty and stress bears down on us emotionally, putting the integrity of self-experience at risk. The psychological disorders resulting from trauma (such as posttraumatic stress disorder, depression, and moral injury) can be disruptive, painful, and refractory. Among the many ways in which modern culture has reflected on these experiences, narrative media—such as novels, film, and television—have frequently dramatized the experience and aftermath of trauma. In this article I discuss the AMC television series The Walking Dead, which depicts the ongoing struggle of a group of survivors of a zombie apocalypse. The psychological and interpersonal impact of coping with the demands of a postapocalyptic world is the primary focus of the narrative of The Walking Dead. I examine of the series’ sustained depiction of trauma. I stress the central role of uncertainty, the disruption of our assumptive worlds, and the loss of trust in the foundations of our lives.     

Knowing,interconnecting, and fulfilling the four faces and the source of our being

This essay is part of a work in progress concerned with trying to discover, explain and evaluate the most crucial choices of our life and how to free ourselves to make fundamentally better choices. Our theoretical analysis focuses on the practice of the core drama of life, the archetypal drama of transformation. Why is that our core drama? Because by moving through its three Acts again and again, we free our capacity to participate with the deepest source of our being and with our neighbors in creating fundamentally new and better solutions to concrete problems. The living underlying pattern of this drama is always the same; its concrete experience, always different. It is also the core drama of life because we have only four fundamentally different choices for organizing a way of life in the service of which we live the stories of our lives, a way of life which provides us with ultimate meaning and purpose in life. And three of these four ways of life are only fragments of the core drama of transformation.     

Thoughts from a Safe Harbor: Commentary on The Problem of Thinking by Yvette Esprey

Yvette Esprey’s claim that race has the capacity to disrupt thinking in the analytic situation accords with my own experience. In this discussion I take up the question as to why ruptures that occur around race may have a special capacity to disrupt and disable analytic thinking. I look in detail at Esprey’s instructive clinical experience as it gives us a template, something to fall back on, in those moments when anxiety overwhelms us around a racial disruption. Such a template can settle us until we can restore a sense of self that is both raced and analytically focused on the rupture at hand with all its personal and social/historical resonances.     

Bosnia—Requiem for the Vanishing Human

Taking a position informed by postcolonial thought, it is argued that Jung's concept of individuation, with its emphasis on separateness and the withdrawal of projections, is essentially modern and Western. Any group of people is regarded by Jung only as a regressive threat to the individuation process. Jung's European colonialism is evident in his trips to Africa and his response to the dreams that he had there. It is argued that traces of this colonialism remain evident as a colonialism of the psyche to the extent that opposites such as light/dark, white/black, civilized/primitive, conscious/unconscious remain as the organizing principles in our theory of psyche. The author's experience of growing up in apartheid South Africa is discussed, together with an account of a dream of a traditional Xhosa woman and another Xhosa woman's life. Thereafter, Senghor's concept of negritude is used to describe an individuating consciousness that might be closer to our shared human experience than is found in Jung's writings. Individuation is then discussed in terms of the Zulu concept of Ubuntu. Ubuntu is based on the recognition that we become persons through other persons who treat us as persons, and that the community can be imagined as facilitating our individuation. It is suggested that Ubuntu might describe our experience of growth within the Jungian community.     

Grief as a Transcendent Function and Teacher of Spiritual Growth

Death is an inevitable phase of life, so is grief. This paper attempts to pinpoint the enormous potential of grief in advancing our spiritual growth. Jung states that when encountering a crisis such as loss, the unconscious often breaks through to help us with new adjustments, whereby a transcendent function takes place (Jung, 1971). Instead of becoming an emotional trauma, grief can transcend our everyday experiences and awaken us to our spiritual essence.     

Yes,But Are They Happy? Effects of Trait Self‐Control on Affective Well‐Being and Life Satisfaction

Does trait self‐control (TSC) predict affective well‐being and life satisfaction—positively, negatively, or not? We conducted three studies (Study 1: N = 414, 64% female, M_age = 35.0 years; Study 2: N = 208, 66% female, M_age = 25.24 years; Study 3: N = 234, 61% female, M_age = 34.53 years). The key predictor was TSC, with affective well‐being and life satisfaction ratings as key outcomes. Potential explanatory constructs including goal conflict, goal balancing, and emotional distress also were investigated. TSC is positively related to affective well‐being and life satisfaction, and managing goal conflict is a key as to why. All studies, moreover, showed that the effect of TSC on life satisfaction is at least partially mediated by affect. Study 1's correlational study established the effect. Study 2's experience sampling approach demonstrated that compared to those low in TSC, those high in TSC experience higher levels of momentary affect even as they experience desire, an effect partially mediated through experiencing lower conflict and emotional distress. Study 3 found evidence for the proposed mechanism—that TSC may boost well‐being by helping people avoid frequent conflict and balance vice‐virtue conflicts by favoring virtues. Self‐control positively contributes to happiness through avoiding and dealing with motivational conflict.     

Six Studies of Out-of-Body Experiences

Because of confusion between science and scientism, many people react negatively to the idea of scientific investigation of near-death experiences (NDEs), but genuine science can contribute a great deal to understanding NDEs and helping experiencers integrate their experiences with everyday life. After noting how scientific investigation of certain parapsychological phenomena has established a wider world view that must take NDEs seriously, I review six studies of a basic component of the NDE, the out-of-body experience (OBE). Three of these studies found distinctive physiological correlates of OBEs in the two talented persons investigated, and one found strong evidence for veridical, paranormal perception of the OBE location. The studies using hypnosis to try to produce OBEs demonstrated the complexity of a simple model that a person's mind is actually at an out-of-body location versus merely hallucinating being out, and require us to look at how even our perception of being in our bodies is actually a complex simulation, a biopsychological virtual reality.     

GENETIC ENGINEERING AND THE SACRED

Abstract. Genetic engineering of life forms could well have a profound effect upon our sense of the sacred. Integrating the experience of the sacred as George Bataille does, we can characterize it as a phenomenological encounter with prelinguistic, noncategoreal experience. This view of the sacred is similar to Friedrich Nietzsche's Dionysian experience or Rudolf Otto's mysterium tremendum and diminishes one's sense of self. It seems similar to the eighteenth‐century aesthetic categorization of “the sublime.” Despite the dominant rational approach to religiosity in the United States, intimations of this experience persist in popular culture. What possible relationship does genetic engineering have to this allegedly inevitable and profound experience? If certain modifications of life occur, they are likely to create such an experience of the sacred in us. In principle, we can now resurrect the mammoth or even create beings designed to directly potentiate our experience of the numinous such as satyrs or centaurs. The creation of such beings could become an art form associated with awaking the sacred, in turn appropriated by religion, as art has always been. Such experimentation, though morally questionable, is probably inevitable.     

Self psychology and projective identification—whither shall they meet? a reply to the editors (1995)

The concept of projective identification continues to be viewed as alien, even dangerous, by self psychologists. Six aspects of self‐psychology/intersubjectivity theory are explored in an attempt to understand the presumed incompatibility of self psychology and projective identification: 1) the empathic vantage point; 2) the focus on subjective reality; 3) the emphasis on the analyst's personal contribution; 4) the focus on selfobject experience; 5) the disruption—restoration process; and 6) the defining of transference and countertransference as “organizing activity.”; The self‐psychological/intersubjective concepts that come closest to describing the phenomenon of projective identification—that is, empathic immersion, affect resonance, and reciprocal mutual influence—fail to capture at least three of its essential elements 1) the patient's persistent, unconscious intent to communicate certain unformulated aspects of self through the other; 2) the analyst's sense of being “taken over”; by the patient's experience; and 3) the intensely visceral quality of the analyst's experience. It is argued that self psychology ignores this important form of patient communication to its own detriment and that the concept of projective identification needs to be reformulated in terms that are more experience near to self psychologists. It is suggested that there exists a normal, developmental need, a selfobject need, to communicate intolerable, unsymbolized affective experience through the other's experience—a need that remains more pervasive and intense in some of us than in others—and that the longed‐for selfobject response is to have one's communication received, contained, and given back in such a way that one knows the other has “gotten”; it from the inside out.     

Protecting Play: It’s a Matter of Life and Death

ABSTRACT

Play is a critical activity, as important to healthy life as sleep, water, and nutrition. Research shows that play promotes cognitive and socioemotional development, and that learning, problem-solving, self-regulation and pro-social skills all stem from playing. Yet play is valued less and less in our culture, with children as young as preschool age being placed in organized activities based on an understanding of enrichment that’s limited to academic achievement and performance. As families and as a society we are failing to provide a “good-enough facilitating environment” for our children to grow, to live, as we take time and space to play away from children and adolescents. Why are we doing this? I speculate that we are a culture who is preoccupied with guaranteeing safety and success because of our anxiety and denial of four fundamental and interrelated experiences: failure, loss, aggression, and death. With the use of clinical material, I illustrate how, in our attempt to guarantee safety and success, we have become unable to safely risk engaging (i.e., play) with, and fully experience, these vulnerabilities, and are in fact creating an unsafe psychic environment for our children, and how play can help us redress this emotional impoverishment.     

Reclaiming Lost Loves: Transcending Unrequited Desires. Discussion of Davies’ “Oedipal Complexity”

In this discussion I address the multidimensionality embedded within the oedipal phase of development and contend that the elaboration and working through of unrequited oedipal longing within the transference–countertransference matrix is one of the most profound gifts of an analysis. The child’s confrontation with thwarted desire (generationally) for either parent is central to the development of the mind, the personality, and one’s erotic life. I also argue that the experience of oedipal exclusion becomes not solely a response to a generational boundary but to a gender boundary discouraging same-sex love. I speak for retaining a conceptualization of an oedipal complex without losing any of the complexity of individual experience. In describing our oedipal lineages for erotic life as resting upon an interwoven layering of maternal and paternal oedipal desires, my aim is to continue a project to rehabilitate the oedipal concept from heteronormative presumptions and from being (mis)understood in a reductive manner that alienates rather than engages.     

On psychic elements in a case of autistoid perversion

The paper explores the formation of psychic elements from an epistemological point of view, drawing on the work of Bion to examine a clinical case of autistoid perversion. Distinguishing the qualification of psychic elements from the realization of pre‐conceptions, the paper argues that psychical elements are constituted through a mutually shared experience of presence, and so they should be understood in a paradoxical way – through being‐O and transformations into K. These ideas are explored via a clinical case concerning a patient with an autistoid–perverse organization. The patient had been denied any bodily contact with her parents during her first year of life due to an infection; in later life she exhibited an autistoid coprophilic perversion. During the course of her treatment, as it became possible to break down the autistoid organization, the nameless contents surfaced in a mutually shared experience of presence. The analyst was able to hold on to their meaning, which was unavailable to the patient. The absent analyst, however, turned into the mother who ‘put the child down’ and was experienced by the patient as a suicidal threat. In being‐O, the analyst was able to endure the paradox of being the one who ‘put her down’ in order not to put her down; the paradox of being‐O functioned as a container for the destructive objectal dimension of the state of ‘being put down’.     

Moral Imagination, Disability and Embodiment

abstract    In this paper we question the basis on which judgements are made about the 'quality' of the lives of people whose embodied experience is anomalous, specifically in cases of impairments. In moral and political philosophy it is often assumed that, suitably informed, we can overcome epistemic gaps through the exercise of moral imagination: 'putting ourselves in the place of others', we can share their points of view. Drawing on phenomenology and theories of embodied cognition, and on empirical studies, we suggest that there are barriers to imagining oneself differently situated, or imagining being another person, arising in part from the way imagination is constrained by embodied experience. We argue that the role of imagination in moral engagement with others is to expand the scope of our sympathies rather than to enable us to put ourselves in the other's place. We argue for explicit acknowledgement that our assessments of others' QOL are likely to be shaped by the specifics of our own embodiment, and by the assumptions we make as a consequence about what is necessary for a good quality of life.     

NATURE, REALITY, AND THE SACRED: A MEDITATION IN SCIENCE AND RELIGION

Abstract. Many scientists now recognize the participation of the knower in the known. Not many admit, however, that scientists rely upon intuitions about reality commonly attributed to philosophy and religion: that sensory experience relates us to an order in nature congruent with our minds and of value congruent with our fulfilled being. Nature has disclosed itself to scientists—albeit fragmentarily—as power, life, order, and unity or meaning. In science these remain limit questions, raised but unanswered. In the unity of these qualities, assumed by science, the sacred begins to appear. Addressing the limit questions, not only of scientific but of human experience, is the province of philosophy and religion.     

The Experience of Agency: Feelings, Judgments, and Responsibility

ABSTRACT— The experience of agency refers to the experience of being in control both of one's own actions and, through them, of events in the external world. Recent experimental studies have investigated how people recognise a particular event as being caused by their own action or by that of another person. These studies suggest that people match sensory inputs to a prediction based on the action they are performing. Other studies have contrasted voluntary actions to physically similar but passive body movements. These studies suggest that voluntary action triggers wide-ranging changes in the spatial and temporal experience not only of one's own body but also of external events. Prediction and monitoring of the consequences of one's own motor commands produces characteristic experiences that form our normal, everyday feeling of being in control of our life. We conclude by discussing the implications of recent psychological work for our notions of responsibility for action.