Doing Therapy in a Foreign Land: When the Therapist Is “Not From Here”

The psychotherapy field has been paying closer attention to how therapists’ characteristics, history, and styles affect therapeutic encounters and contribute to successful therapy outcomes. Therapists have been encouraged to increase self-awareness of their own socio-cultural dimensions to optimally connect with clients. However, the experience of therapists’ own immigration has received little attention. This article highlights the experience of immigration as important for understanding the self of the therapist, describing core experiences related to immigration for immigrant therapists in the United States. This article additionally describes how these experiences can affect immigrant therapists’ clinical encounters. Finally, recommendations are provided for immigrant therapists, clinical supervisors, and training programs.     

Family Therapy in India: A New Profession in an Ancient Land?

This paper examines the need for family therapy in India and its evolution as an integrated academic discipline and widespread form of clinical practice. Included is a discussion of the numerous factors placing Indian families at risk today, both common and more serious child, marital, and family difficulties, the current status of mental health services and minimal emphasis on family-based treatment, and the potential benefits of family therapy to such a radically diverse and rapidly changing society. Targets of and settings for family therapy training are highlighted, and a brief outline of a training-the-trainer approach is provided.     

The Symbolical and Mystical Meanings in ‘cAbdullah of the Sea and cAbdullah of the Land’ (The Arabian Nights)

This article argues that the tale (#163, Nights 940–46)) from The Arabian Nights, entitled ‘^cAbdullah of the Sea and ^cAbdullah of the Land’ encapsulates highly spiritual and symbolical meanings that appear different on land and on sea. It is divided in three parts. The first tackles the view of a simple and clear Islam represented by a fisherman named ^cAbdullah. Part two deals with a more hermetic Islam embodied by a merman who bears the same name. Part three analyses the complex symbols encoded in the three even numbers, namely, two, four, and 40. The tale as a whole illustrates the difference between exoteric Islam (the Land), characterized by simplicity and clarity, and Sufi Islam, distinctive for its depth and its mystery (the Sea).     

The Shadar–host economy: new perspectives on the travels of emissaries from the Holy Land

“Shadars” were rabbinic emissaries from Ottoman Palestine who raised funds in the diaspora. While Israeli historians studied the Shadar for his status as a representative of the Palestinian yishuv, this study focuses on the reciprocal relationship between the Shadar and his host community. Focusing on Hayyim Yoseph David Azulay, the preeminent Shadar, I portray this relationship as an economy, in which two sides give and receive “goods.” The primary gift is the funds for the Holy Land, but we shall see that the Shadar and his hosts exchanged material, social, intellectual and spiritual goods.     

Is logic in the mind or in the world?

The paper presents an outline of a unified answer to five questions concerning logic: (1) Is logic in the mind or in the world? (2) Does logic need a foundation? What is the main obstacle to a foundation for logic? Can it be overcome? (3) How does logic work? What does logical form represent? Are logical constants referential? (4) Is there a criterion of logicality? (5) What is the relation between logic and mathematics?     

Keeping the “Human in the Loop” in the Age of Artificial Intelligence

Science and Engineering Ethics - The benefits of Artificial Intelligence (AI) in medicine are unquestionable and it is unlikely that the pace of its development will slow down. From better...     

The Jerusalem of Jesus: space and Pentecostal-evangelical branding in Orlando’s Holy Land Experience and Eureka Spring’s Holy Land Tour

Jerusalem, Israel, holds a special place as a holy pilgrimage destination for devotees of Christianity and other religions, although travel to the holy sites of Jerusalem is costly and can be difficult for many. For evangelical Protestants (and especially Pentecostals), the significance of Jerusalem – as the place where Christ the Messiah lived and accomplished his works – can be mobilised and channelled (decentralised) by creating sites which participate in the spiritual ‘power’ of Jesus Christ. Spiritual ‘power’ in this sense is not dependent on recorded miracles or canonisation by a central religious authority, but in the creation of spaces which through various strategies effectively evoke for their Protestant consumers the ‘authenticity’ of Jesus’ Jerusalem, and thus the ‘power’ and ‘reality’ of Christ. This paper examines the spatial strategies and branding of two such sites, the Holy Land Experience (Orland, Florida) and the Holy Land Tour (Eureka Springs, Arkansas).     

Digital lives in psychotherapy: ‘the other in the room’

Within the broader area of digital risk, there has been concern over the phenomena of ‘cyber suicide’, a completed or attempted suicide influenced by the internet. We propose a theoretical explanation of the ‘ambivalent self’ in people who go online searching for suicide, by introducing the concept of an inner split between the ‘suicidal part’ (SP) and ‘non-suicidal part’ (NSP) within the personality structure of the individual which struggle for domination of the inner life and external relationships and decisions of the suicidal person. This is grounded in psychoanalytic theory and draws upon a broader conceptualisation of the psyche of the self as split between rival parts, and differing states of mind, competing for control of the vulnerable individual and their capacity to tolerate and manage emotional pain and reality. The recognition and awareness of an inner split between the SP and NSP of the person who goes online, and how this influences virtual relationships, as well as external relationships, such as in psychotherapy, is an important understanding for contemporary psychotherapy and risk management in the digital age.     

Where in the brain is the self?

Localizing the self in the brain has been the goal of consciousness research for centuries. Recently, there has been an increase in attention to the localization of the self. Here we present data from patients suffering from a loss of self in an attempt to understand the neural correlates of consciousness. Focusing on delusional misidentification syndrome (DMS), we find that frontal regions, as well as the right hemisphere appear to play a significant role in DMS and DMS related disorders. These data are placed in the context of neuroimaging findings.     

Is the Rorschach Welcome in the Courtroom?

A survey of 7,934. recent federal and state court cases in which psychologists presented Rorschach testimony revealed only 6 in which the appropriateness of the Rorschach was challenged and just one in which the testimony was not admitted into evidence. There is accordingly good reason to believe that, despite occasionally voiced concerns to the contrary, the Rorschach is welcome in the courtroom.     

Is the Rorschach welcome in the courtroom?

A survey of 7,934. recent federal and state court cases in which psychologists presented Rorschach testimony revealed only 6 in which the appropriateness of the Rorschach was challenged and just one in which the testimony was not admitted into evidence. There is accordingly good reason to believe that, despite occasionally voiced concerns to the contrary, the Rorschach is welcome in the courtroom.     

Autonomy in the medical profession in the United Kingdom – an historical perspective

This paper reviews the concept of professional autonomy from anhistorical perspective. It became formalised in the United Kingdom onlyafter a long struggle throughout most of the nineteenth century. In itspure form professional autonomy implies unlimited powers to undertakemedical investigations and to prescribe treatment, irrespective of cost.Doctors alone should determine the quality of care and the levels ofremuneration to which they should be entitled. In the second half of thetwentieth century a steady erosion of professional autonomy occurred inthe United Kingdom. The level of remuneration has been restricted formost doctors for nearly fifty years, whilst the costs of health carehave steadily reduced the doctor's ability to provide unrestricted carewithin the health care system. Reorganisation of the National HealthService in 1983 and 1991 has substantially eroded professional autonomy,to the point where research developments, clinical judgement and ethicalstandards are all now being placed at risk.     

Order in the house?

Abstract

The notion that human life at Creation had been set into a series of ordered relationships was central for the Lutheran reformers’ understanding of Church, home, and state. Expositors developed this imaginative theological construct primarily out of the narrative of the Creation and Fall, and they used it as a framework for understanding the obligations of humankind in relation to the Creator, as well as for homes and societies rightly ordered. The Christian home, however, did double duty, serving as an archetype not only of life rightly ordered (law) but also of the love and freedom given by Christ in union with the Church (gospel). Lutheran expositors struggled to balance these two, especially when they derived the coercive authority of the state from parental, or paternal power. Could the institution of marriage simultaneously provide the foundation for state authority, and image the love between Christ and the Church?     

Speaking in stone — On the meaning of architecture in the Middle Ages

Architecture has often served a variety of purposes in addition to that of mere functionality. Different categories of meanings can be distinguished. In this essay some aspects of political meaning in medieval architecture will be discussed. The architecture of churches commissioned for instance by bishops, archbishops, provosts or other high-ranking clerical patrons was often used to express views about the status and position of both patron and institution. Rivalling patrons could copy those parts of each other's churches that were considered essential and characteristic. Buildings were thus often symbols, not only of the Church and of Heavenly Jerusalem, but also of an idealized history and an aspired status and position.