Mental Health and Mental Disorder: A Sociological Approach,edited by Arnold M. Rose

This paper presents a model of group analysis based on Aristotle's causal notions. Aristotle's concept of man as a social animal provides a philosophical rationale for an interpersonal treatment forum. His causal theory supplies an encompassing atheoretical model for examining, understanding, and changing “things which have in themselves the source of their changing or staying unchanged.”

Attention to the four causal foci is suggested as the basis for a full-ranging group analysis. Material cause examines: “what” makes a thing what it is. Efficient cause investigates “how” various behaviors and emotions are set in motion. Final cause searches out “where” behavior is aimed. Formal cause traces “why” behaviors take particular forms.

It is suggested that a “cause for pause,” in the ongoing group process, is the emergence of a powerful and specifiable trend, whether a transference, poignant interaction, or groupwide conflict. The “pause to cause” is examined in detail, as each causal foci is elaborated. A sequential analysis moving from “what > how > where > why” is suggested at three levels of possible intervention: individual, interpersonal, and group as a whole. In conclusion, the timing, advantages, and restrictions of such a causal approach are considered.     

Theology as Conversational Event: Karl Barth, the Ending of "Dialogue" and the Beginning of "Conversation"

This essay deals with a commonly voiced concern with Barth's theology as expressed in the form that his theology illegitimately secures itself from critique, polices its narrow location assiduously and only lets in a few carefully vetted others when convinced that they can be useful. In contrast, through exploring John Milbank's distinction between dialogue and conversation it becomes possible to critique James Barr's and Clark Pinnock's understandings of “conversation” in a way that serves to hear Barth, and what it entails for theology to be “conversational”, significantly differently. Indeed, it will be maintained that “conversation” is an appropriate metaphor to apply to what Barth was doing with his theology.     

Perceived Peer Norms,Casual Sex,and AIDS Risk Prevention1

To facilitate more effective AIDS education with heterosexual college students, an etiological study of AIDS risk behavior was conducted on a sample of 1,035 students at a large western university. In this study, “AIDS risk behavior” refers to participation in casual sex, failure to use condoms, and resistance to changing casual sex activity. Knowledge regarding AIDS had no significant correlation with AIDS-risk behavior. However, “perceived peer norms” (termed Peer Norm in this study) was a major predictor variable in AIDS risk behavior. Peer Norm was defined as perceived AIDS-risk attitudes and the behavior of one's peers. These findings contrast some what with those of Emmons et al.'s (1986) study of homosexual men. This difference may be due to the focus in the present study upon heterosexual university students as subjects. For this group, our results suggest that programs targeting the peer group in AIDS prevention education are especially needed. These might include peer-based AIDS education, emotion-oriented discussion sessions, encounters with “Peers-with-AIDS” models, and role-playing of assertive responses.     

Maternal representations: A clinical and subjective phenomenological view

The relationship — as represented — is proving to be of growing value in our thinking about clinical problems such as “intergenerational transfer.” It is also an extremely positive influence in our thinking about how the interpersonal world is remembered, abstracted, and lived. Yet, the nature of a “represented relationship” remains unclear. This paper is an attempt to clarify some of the problems and areas for needed study regarding this concept. The mother's representation of her infant and of the people in her own life who have played “maternal roles” will be taken as the model. First, we will explore the richness and complexity of these representations and conclude that, for clinical purposes, different models are used to simplify this richness and render it therapeutically useful. Three models will be discussed. The first is the disfortion model which measures the distance between the mother's subjective experience of her interaction or relationship with another and some objective, observable “reality.” The model of overdeter-mining themes is a second model, largely the inspiration of psychoanalysis but inclusive of Bowlby's theory of attachment. Here psychobiological and/or psychodynamic themes organize the clinical material. Finally, a coherence model is discussed. Here the motive is goodness of the narrative construction rather than the historical “truth.” A second issue discussed is the capacity to represent dyads vs. triads and actual vs. second-hand narrated relationships. These issues are crucial for notions not only about the nature of such representations but also their limitations in understanding family interactions and relationships, i.e., where many members are concerned. A third issue concerns the nature of the subjective experience for a mother when a representation of her infant or herself in relation to the infant is “activated.” There exists here an unknown typology of experience. Finally, we will discuss what all of the above have to contribute to our further understanding of the nature of represented relationships.     

Infants with colic: A study of maternal stress and anxiety

The purpose of this article is to broaden our understanding of colic and to explore the effects of infant colic both on the mother's stress level and on her anxiety about separation from her infant. A “colic” group of 20 mother-infant dyads was compared with a second, control “noncolic” group of equal size. Significant group differences in the amount of time the infants cried, fussed, and were in a quiet/awake state were found. Although no difference in maternal trait anxiety was found, mothers in the colic group reported higher levels of stress associated with their infants' crying behavior. This stress was inversely related to the amount of time the infants slept during a 24-hour period. Mothers in the colic group also expressed significantly greater anxiety about separating from their infants for short periods of time; but the lack of freedom was significantly less of a problem for them than it was for mothers in the noncolic group. We conclude that mothers of difficult infants are more anxious about being separated from their infants, but do not appear to feel “trapped” by their extra maternal duties.     

Influence and development: Two basic paradigms of education

The article discusses two basic paradigms of western educational theory, namely the concept of “influence” and the concept of “development”. Two historical contextes are analyzed, John Locke's theory of human learning and Jean-Jacques Rousseau's theory of natural development. Both theories are rejected in favour of a position beyond “influence” and “development”. This position of a theory of education (Erziehung) is marked with the term “moral communication”.     

Phenomenology,behaviorism and psychotherapy

Abstract

t “Everything begins with subjective states,” is the basic position of Phenomenology, and only through subjectivity imate reality be reached. Behaviorism, on the contrary, sees “mind” as part of the material world—the and behavior as determining man's essence (man is what he does). “Change,” which is the goal of every therapy, is attend by altering behavior which leads to changes in attitudes. The best way to alter beliefs is by controlling the behavioral cognition itself.     

Vocation for planetary citizenship: Lutheran liberal arts education in the Anthropocene

The focus question of this article is, “In what ways should Lutheran higher education's teaching on vocation be revised to include the fact that we are living in a natural world massively impacted by human behavior, the Anthropocene Era?” This can be broken down into two more explicit questions: “What is the role of liberal arts education in such a changed context?” and “What resources in the Lutheran tradition can contribute to preparing students to become effective sustainability leaders?” The thesis of this article is that Lutheran liberal arts education, to foster planetary citizenship, must move students from an anthropocentric to an ecocentric understanding of vocation, preparing them to become leaders for a sustainable, interfaith society. This change can be accomplished by reaffirming the value of the liberal arts to foster sustainability education and retrieving Luther's understanding of creation to elicit wonder and appreciation of the natural world.     

Adult perceptions of the infant as a function of gender labeling and observer gender

Four hundred sixty four adults rated a videotape of the activities of a 22-month-old infant whose gender was labeled differently with different subject groups. One group was told that the infant was male, a second group was told that the infant was female, and a third group was told that the infant was hermaphrodite, i.e., appeared to have the genitals of both sexes. Some subjects rated each activity as being either masculine or feminine (forced-choice method) while other subjects rated each activity with a neutral choice also available (free-choice method). The data indicate that, for both methodological groups, labeling the infant “male” resulted in significantly more activities being rated masculine than feminine, whereas the converse was true when the infant was labeled “female.” A label of “hermaphrodite” resulted in an approximately equal ratio of activities being rated as masculine and as feminine. There were no significant interaction (Gender Label × Observer Gender) for the forced-choice group, but for the free-choice group, significant interaction between child's gender label and observer's gender was found.     

Infants of “depressed” mothers interact better with their nondepressed fathers

To determine whether infants of “depressed” mothers interact better with their nondepressed fathers, twenty-six 3- to 6-month-old infants were videotaped during face-to-face interactions with their parents. The “depressed” mother group consisted of twelve 3- to 6-month-old infants and their “depressed” mothers and nondepressed fathers. The control group was composed of 14 nondepressed mothers and nondepressed fathers and their 3- to 6-month-old infants. In the “depressed” mother group, the nondepressed fathers received better interaction ratings than the “depressed” mothers. In turn, the infants received better interaction ratings when they interacted with their nondepressed fathers than with their “depressed” mothers. In contrast, nondepressed fathers and mothers and their infants in the control group did not differ on any of their interaction ratings. These findings suggest that infants' difficult interaction behaviors noted during interactions with their “depressed” mothers may not extend to their nondepressed fathers. The data are discussed with respect to the notion that nondepressed fathers may “buffer” the effects of maternal depression on infant interaction behavior.     

Phallic Integration and Male Identity Development

The analytic setting as well as the analyst's initial communications unavoidably exert influence that may be perceived by the patient as a sexually tinged intrusion, which evokes questions about what the analyst wants. Together with the asymmetry of the analytic relationship, these phenomena uncannily bring to life a repressed relationship between infant and adult in which analogous stimuli constitute enigmas for the child. The theoretical understanding of Jean Laplanche of such enigmatic transference in terms of “primal seduction” is reviewed and clinical material is provided to illustrate Laplanche's ideas. The discussion addresses “recentralized” and “decentralized” aspects of sexuality. Primal seduction is discussed as including not only intrusion, but also qualities of stimulation and trust.     

Could a middle level be the most fundamental?

Debates over what is fundamental assume that what is most fundamental must be either a “top” level (roughly, the biggest or highest-level thing), or a “bottom” level (roughly, the smallest or lowest-level things). Here I sketch an alternative to top-ism and bottom-ism, the view that a middle level could be the most fundamental, and argue for its plausibility. I then suggest that this view satisfies the desiderata of asymmetry, irreflexivity, transitivity, and well-foundedness of fundamentality, that the view has explanatory power on par with that of top-ism and bottom-ism, and that it has a unique connection to the Principle of Sufficient Reason.

     

Max Ernst,Sedona

Walking through the guarded gate of CERN. a center for peaceful atomic research near Geneva, Switzerland, one finds oneself in what seems to be a typical industrial park Upon coming to thefirst corner, one has a sense of the surreal tofind pleasant signs marking it as the intersection of Einstein and W. Pauli streets. Ambling along a bit further, one comes to a quiet, treeshaded building housing the office of theoretical physicist, John Stewart Bell, whose work on “nonlocality” is regarded by some as fermenting yet another conceptual revolution in our world view. With an almost shy Irish brogue from his native Dublin, however, Bell modestly disavows any such significance to what is called “Bell's Inequality” in the literature of quantum physics.

In this interview, our editor queried Bell on the relevance of his work for Jung's view of synchronicity as a non- causal factor in human affairs. Bell cautions that everything he says here is only his “opinion of the mystery and muddle of it all.”     

Moving into tummy time,together: Touch and transitions aid parent confidence and infant development

“Back to sleep” messages can reduce prone practice for infants, with potential for motor delay and cranial deformation. Despite recommendations for “tummy time,” young infants fuss in prone, and parents report uncertainty about how to help infants tolerate prone positioning. We hypothesized that a Child'Space Method lesson, teaching proprioceptive touch and transitions to prone, would facilitate prone tolerance, parent behavioral support, and parent self-efficacy. This randomized study recruited parents (N = 37) of 2- to 5-month-old infants. On two visits, parents answered questions about infant behavior and parent experience, and played with their infant. Lesson group parents had the lesson following the first free play. One week later, lesson parents reported that infants tolerated more prone time and that parents showed more supportive behaviors in bringing infant to prone, as compared to waiting parents. Lesson parents’ efficacy, and infant behavior during play, trended in the hypothesized direction. The study demonstrated how a lesson in preparatory touch, and gradual transitions, promoted infant prone tolerance and also parent support of rolling, side-lying, and prone positioning. The lesson could be incorporated in parent education and early pediatric visits, helping infants and parents negotiate the prone challenge and setting the stage for further parent support of infant development.     

Inscrutability and its Discontents

That reference is inscrutable is demonstrated, it is argued, not only by W. V. Quine's arguments but by Peter Unger's “Problem of the Many.” Applied to our own language, this is a paradoxical result, since nothing could be more obvious to speakers of English than that, when they use the word “rabbit,” they are talking about rabbits. The solution to this paradox is to take a disquotational view of reference for one's own language, so that “When I use ‘rabbit,’ I refer to rabbits” is made true by the meaning of the word “refer.” The reference relation is extended to other languages by translation. The explanation for this peculiarly egocentric conception of semantics—questions of others’ meanings are settled by asking what I mean by words of my language—is to be found in our practice of predicting and explaining other people's behavior by empathetic identification. I understand other people's behavior by asking what I would do in their place.     

Beyond the purely cognitive: Belief systems,social cognitions,and metacognitions as driving forces in intellectual performance

This study explores the way that belief systems, interactions with social or experimental environments, and skills at the “control” level in decision-making shape people's behavior as they solve problems. It is argued that problem-solvers' beliefs (not necessarily consciously held) about what is useful in mathematics may determine the set of “cognitive resources” at their disposal as they do mathematics. Such beliefs may, for example, render inaccessible to them large bodies of information that are stored in long-term memory and that are easily retrieved in other circumstances. In other cases, individuals' reactions to an experimental setting (fear of failure, or the desire to “look mathematical” while being videotaped) may induce behavior that is almost pathological—and at the same time, so consistent that it can be modeled. In general, such “environmental” factors establish the context within which individuals access and utilize the information potentially at their disposal. Protocols illustrating these points are presented and discussed. A model based on an axiomatization of students' beliefs about plane geometry is outlined, and is shown to correspond closely to their problem-solving performance. A framework is offered for analyzing problem-solving performance at three qualitatively different levels: access to cognitive resources stored in LTM, executive or control decision-making, and belief systems.     

SECOND NATURE AND SPIRIT: HEGEL ON THE ROLE OF HABIT IN THE APPEARANCE OF PERCEPTUAL CONSCIOUSNESS

Hegel's discussion of the concept of “habit” appears at a crucial point in his Encyclopedia system, namely, in the transition from the topic of “nature” to the topic of “spirit” (Geist): it is through habit that the subject both distinguishes itself from its various sensory states as an absolute unity (the I) and, at the same time, preserves those sensory states as the content of sensory consciousness. By calling habit a “second nature,” Hegel highlights the fact that incipient spirit retains a “moment” of the natural that marks a limitation compared to “pure thought” but that also makes perceptual consciousness possible. This makes Hegel's account analogous in important respects to John McDowell's “naturalism of second nature.” But Hegel's account of habit can be seen as a version of a Kantian synthesis of the productive imagination—and hence presupposes a given material that can become one's own by means of habit. This does not mean that Hegel falls into the Myth of the Given, but it does suggest that an appropriate account of second nature might be committed to something McDowell wants to deny: that nonconceptual states of consciousness play a role (even if not a justificatory role) in perception.     

THE CONFESSING ANIMAL IN FOUCAULT AND WITTGENSTEIN

In The History of Sexuality, Foucault maintains that “Western man has become a confessing animal” (1990, 59), thus implying that “man” was not always such a creature. On a related point, Wittgenstein suggests that “man is a ceremonial animal” (1996, 67); here the suggestion is that human beings are, by their very nature, ritualistically inclined. In this paper I examine this crucial difference in emphasis, first by reconstructing Foucault's “genealogy” of confession, and subsequently by exploring relevant facets of Wittgenstein's later thinking. While there are significant correlations between Foucault and Wittgenstein, an important disparity emerges in relation to the question of the “natural.” By critically analyzing this, I show how Wittgenstein's minimal naturalism provides an important corrective to Foucault's more extravagant claims. By implication, we see why any radical relativist, historicist, and/or constructivist position becomes untenable on Wittgensteinian grounds, even though Wittgenstein himself is often read as promoting such views.     

Operants Were Never "Emitted," Feeling Is Doing, And Learning Takes Only One Trial: A Review Of B. F. Skinner's Recent Issues In The Analysis Of Behavior

This final collection of Skinner's papers was intended for the professional, although other readers will find much of interest. The first five chapters are devoted to what Skinner called “theoretical issues” and include clear presentations of his positions on “feelings” and on the “self” as an apparent agent of volition. Skinner skillfully discusses thinking, the origins of cognitive-mediational theories, and a favorite topic: the similarity of processes occurring in the histories of species and of individuals. The next four chapters cover what he called “professional issues,” including the often-misunderstood philosophy known as radical behaviorism as well as the operant aspects of behavior therapy and attempts to influence educational practices. He seemed disappointed in the lack of acceptance of programmed learning methods and pessimistic about the possibility of improving education practices. This pessimism was evident in the final section, “personal issues,” in which he expressed doubt that the powerful and self-serving forces of government, business, and religion will ever permit the changes that could be wrought by the application of behavior analysis to the great problems of society. Two other chapters in the last section will be useful to historians who are curious about the influence of logical positivism on Skinner's thinking (apparently there was not much influence) and to sophisticated readers who are interested in Skinner's retrospective consideration of his work.