Ernst Cassirer as cultural scientist

The article investigates Cassirer’s developing interest in the cultural sciences to display how his Philosophy of Symbolic Forms constitutes a philosophy of culture. The core concept in such a philosophy of culture is the symbolic formation that both possesses a structured-structuring dimension and appears as an historical process in which culture shows itself as a temporal creation. The philosophy of culture displays ‘life in meaning’, that is reality as it exhibits human reality manifested in and through the medium of linguistic, artistic, religious, scientific “and so on” action and behaviour. This reality, therefore, is mediation between culture and nature through human spirit. Cassirer’s philosophy of culture connects back to Kant’s transcendental idealism by emphasizing that any concept of reality establishes itself through a modalization of reality, e.g. that reality constitutes itself in the mode of interpretation. This makes the basis for Cassirer’s characteristic understanding of hermeneutics where cultural development is regarded as drama.     

Relational‐Cultural Theory and Reality Therapy: A Culturally Responsive Integrative Framework

The authors propose an integration of relational‐cultural theory and reality therapy. The authors contend that the traditional assumptions of reality therapy are consistent with the relational aspects of relational‐cultural theory and together provide a culturally responsive approach for diverse clients. The authors also include an overview of the 2 theories as well as highlight the convergences and divergences. In addition, the authors present a case illustration depicting the integration method in practice.     

Reading Cultural Studies of Medicine

This article introduces cultural studies of medicine to medical humanities readers. Rather than offer extended definitions of cultural studies of medicine or provide a detailed history of the domain, I have organized this introduction around a close reading and review of three recently published texts in the field. These three texts, dealing respectively with “cyborg” technology, AIDS, and the medical “management” of sexual identity problems, represent excellent examples of the opportunities and possibilities of applying cultural studies approaches to medical topics. After working through these texts (and the semiotic “theories” which animate them), I devote my conclusion to a broader consideration of the role of cultural studies of medicine for both medical practice and medical humanities scholarship.     

Medical student dreams about medical school: The unconscious developmental process of becoming a physician

This paper is a report on a collection of almost four hundred dreams of medical students and postgraduate trainees with the manifest content about medical training. It is a unique dream collection from a defined population that experiences a developmental sequence of observable, reality events. The reality events appear in the manifest content of the dreams along with their symbolic alterations. The dreams are used as a psychodynamic database. The data may illustrate which reality experiences seem psychologically formative, their emotional developmental sequences and their specific emotional content. This is a pilot project exploring whether dream material collected from a discrete task group might give information about a group's emotional adaptation. The dreams seem to show an unconscious developmental process in response to medical training and becoming a physician that unfolds in overlapping stages as trainees learn to master skills and tolerate care-giving responsibility for human life. A progressive, unconscious hero-healer fantasy seems to form. It becomes elaborated in masochistic and then sadistic fantasies. These fantasies are evoked by, and used as a defense against, inevitable but painful anxieties of emotional adaptation to medical education experiences.     

Touching God in his Image

The essay defends praying with images (icons) against those who claim this type of prayer is objectionable. The hermeneutical defence consists of three arguments. (a) First I observe that people relate to ordinary photos in ways that cannot be explained in terms of the image's sign‐value (or similitude) alone. (b) Second, I develop an account of praying with images as a form of symbolic practice. (c) Finally, in order to bolster my account, I compare icons with a particular class of symbolic objects, viz. relics. The general idea I put forward is that icons have to be understood as expressions of the reality they represent, and not simply as accurate or inaccurate visual representations of that reality. Icons are not created by human hands; instead, the hand of the painter is the instrumental cause of God's self‐expression, via the painter, on the canvas.     

Living under threat: Mutual threat perception drives anti‐Muslim and anti‐Western hostility in the age of terrorism

This research demonstrates a common psychology of outgroup hostility driven by perceived intergroup threat among three groups and seven cultural contexts: non‐Muslim Westerners, Muslims in Western societies, and Muslims in the Middle East. In Study 1, symbolic, but not realistic and terroristic threats, predicted non‐Muslim Norwegians' intentions to join anti‐Islamic movements. In Study 2, symbolic and realistic, but not terroristic threat, predicted non‐Muslim Americans' willingness to persecute Muslims. In Studies 3 and 4, symbolic threat predicted support and behavioral intentions against the West among Swedish and Turkish Muslims. Finally, in Study 5, a comparison demonstrated that symbolic and realistic threats had the same effects on violent intentions among non‐Muslim and Muslim Danes, and Muslims in Afghanistan. Meta‐analysis showed that symbolic threat was most strongly associated with intergroup hostility. Across studies, participants with high religious group identification experienced higher levels of threat. Implications for intergroup research and prejudice reduction are discussed.     

The identity of Brexit: A cultural psychology analysis

In this paper, we propose a culturalist interpretation of the outcome of the Brexit referendum. This interpretation is grounded on the analysis of the U.K.'s cultural milieu, which is part of a more general study of the cultural milieus of several European countries. Specific to the United Kingdom, our analysis is based on a questionnaire carried out on a representative sample of U.K. respondents stratified by sociodemographic variables and geographic region (NUTS1). Responses to the questionnaire were subjected to multidimensional analysis—a combination of multiple correspondence analysis and cluster analysis. Findings about the multicountry analysis show how cultural milieus are characterized by five basic, embodied, affect‐laden, generalized worldviews (defined as “Symbolic Universes”). Four out of five symbolic universes consist of a way of interpreting reality by a specific anchorage (i.e., the ethical norm, the institutional order, the emotional experience interpersonal bond, and the belongingness). One symbolic universe can be viewed as the anomic reaction to the failure of those anchorages. Focusing on Brexit, by means of a discriminant analysis, it is showed how the incidence of the symbolic universes (and of the underpinning basic dimensions of meaning within the 12 U.K. macroregions') enables to identify differentially the macroregions with high proportion of “leave” at the Brexit referendum against those with low proportion. More specifically, the high “leave” macroregion are characterized by higher relevance of cultural forms anchored on local identity/belongingness. Findings are discussed within the wider aims of the project and its implications for a cultural psychology informed policymaking.     

Report on the conference on 'Men, Women, and Medicine: A New View of the Biology of Sex/Gender Differences and Aging' held in Berlin, 24–26th February 2006

The first world wide symposium on the topic of gender-specific medicine provided the latest research on differences in sex and/or gender in medicine and medical care. The presentations ranged beyond the topic of reproduction to encompass the entire human organism. This report critically reviews three issues that emerged during the Conference: gender mainstreaming, the concept of sex/gender differences and the issue of men's health. It suggests that the interdisciplinary concept of gender-specific medicine has to be mirrored by the integration of social and cultural studies into medical research and practice.     

Children's expectations about training the approximate number system

Humans possess a developmentally precocious and evolutionarily ancient approximate number system (ANS) whose sensitivity correlates with uniquely human symbolic arithmetic skills. Recent studies suggest that ANS training improves symbolic arithmetic, but such studies may engender performance expectations in their participants that in turn produce the improvement. Here, we assessed 6‐ to 8‐year‐old children's expectations about the effects of numerical and non‐numerical magnitude training, as well as states of satiety and restfulness, in the context of a study linking children's ANS practice to their improved symbolic arithmetic. We found that children did not expect gains in symbolic arithmetic after exercising the ANS, although they did expect gains in ANS acuity after training on any magnitude task. Moreover, children expected gains in symbolic arithmetic after a good night's sleep and their favourite breakfast. Thus, children's improved symbolic arithmetic after ANS training cannot be explained by their expectations about that training.     

Out of nothingness: rhythm and the making of words

Abstract: This contribution describes some aspects of the work with a four‐year‐old autistic child who was treated for many years with four times weekly sessions of psychotherapy. The fluctuations between the symbolic and non‐symbolic use of external objects are described, as well as the ever changing quality of the child's object relations. The rhythmical element in the analysand‐analyst interplay is of great importance: the construction of the temporal shapes (Alvarez) and the modulation of presence and absence are relevant as regards the progressive capacity to name aspects of external reality and subjective experience. From a theoretical point of view, the contributions of both the post‐Jungian, including Michael Fordham, and the post‐Kleinian traditions are outlined. The notions of pre‐conception (Bion) and of archetype (Jung) are immensely helpful in working with autistic children as they actually help the analyst in assuming that some proto‐trace of representational potential is always present in the individual.     

Virtual reality and the psyche. Some psychoanalytic approaches to media addiction

This paper explores the ramifications of excessive use of media on personality development, the development of symbolic and thinking functions and on psychic reality. In doing so, the questions of whether there are specific media objects possessing an intrinsic symbolic quality, and which attachments in the inner world of a child/adolescent can be mobilized or destroyed are discussed. By selecting specific material, computer gamers use their game to activate the field of a personal psychic reality. Hereby, they attempt some kind of self‐healing. However, after leaving the game, conflicts and traumata re‐enacted but unresolved in the game disappear from their temporary representation without generating any resonance in the gamer's psychic experience. Consequently, although states of mind and affects are activated in the computer game, their processing and integration fail; the game results in a compulsive repetition. The construction and consolidation of retrievable maturation and structural development, the representation of the unrepresentable, succeed in the context of the triangulating analytic relationship, initially through a jointly performed symbolic and narrative re‐experience or the recreation of the game. Theoretical considerations are illustrated by means of clinical vignettes.     

?Symbolisierung�� als intersubjektive und intrapsychische Dynamik

Igor A. Caruso (1914?C1981), one of the founders of the International Federation of Psychoanalytic Societies (IFPS) in 1962, began to discuss questions of the interplay of biological, social and evolutional realities and intrapsychic development in the early 1950s with the early Vienna Circle of Depth Psychology. Caruso understood that the specific human ability to transcend the overdetermined biological constitution into a development of consciousness, care and self-awareness is basic for the need and lifelong activity of intersubjective relationship. Sexual and survival drives as the biological basis contain their own transformation as cultural potency within the subject-object relationship. Each act of relationship to things and living objects creates a new reality which is a meaningful symbol for both parts of the relationship in their own individual reality. This new, third, reality gains full effectiveness for both actors as ??symbolic realism?? and initiates the ongoing development. In this understanding psychic development is a process of changing interactive creation and effectiveness, following biological drive dynamics as well as its inherent future transformations by attachment. Symbolization is therefore the main intrapsychic and intersubjective activity of development of object-awareness and self-awareness. Caruso emphasized the meaning of symbol and symbolization as an act of relationship to and within the world and consequently understood psychoanalytical theories as well as a changing symbolization of relationship.     

Archetypes as symbolic forms

In Jung's psychology, archetypes are biologically inherited supra-individual predispositions of the collective unconscious, and in this paper this controversial theory of archetypes is evaluated in the context of Ernst Cassirer's philosophy of symbolic forms. The main thesis of the author is that with the help of the Cassirerian approach, archetypes can be understood as culturally determined functionary forms organizing and structuring certain aspects of man's cultural activity, namely those predominantly non-cognitive (for example, emotional, numinous, pathological) mental aspects of human life, which remain more or less unarticulated due to their non-discursive nature. The revision the author is proposing revolves around the notion that the archetypal theory can be removed from the rather unfruitful discourse on the genetic inheritance of archetypes. When archetypes are seen as symbolic forms, Jung's theory is in a position to make a potentially valuable contribution to hermeneutical and cultural studies, as archetypes function in this new context as active constituents of human experiences, which give these experiences a non-discursive, symbolic form. Thereby, archetypes can become accessible to historical and cultural analyses, and hermeneutical inquiry into the manifold symbolism of mental (including unconscious) phenomena can be enriched.     

‘Meet Me Halfway’ : Socio‐cultural Adaptation and Perceived Contact Willingness of Host Nationals as Predictors of Immigrants' Threat Perceptions

This three‐wave study investigated the interplay between perceived socio‐cultural adaptation and perceived willingness of the majority group to engage in contact, when predicting realistic and symbolic threats perceived by ethnic migrants from Russia to Finland. To sum up our key findings, the less immigrants perceived difficulties in socio‐cultural adaptation soon after migration, the more positive were their later perceptions of the majority group members' contact willingness. Majority's perceived contact willingness was associated with lower levels of perceived realistic threats, and perceived contact willingness and perceived socio‐cultural adaptation were both associated with lower levels of perceived symbolic threats. As regards practical implications of our findings for culturally diverse communities, equal efforts should be made to help newcomers' socio‐cultural adaptation and to support their positive intergroup interactions with majority group members. That way, the beneficial impact of both of these factors on immigrant integration could be maximized. Copyright © 2015 John Wiley & Sons, Ltd.     

Bio-X: Removing Bodily Contingency in Regenerative Medicine

This paper addresses the social, cultural, and ethical dynamics of research in regenerative medicine. The author turns to both science fiction and recent developments in regenerative medicine for clues about the future of the body and medical practice, suggesting that regenerative medicine uses the body as its own resource for the purposes of preserving life, and that by attempting to remove the body from the limitations of both mortality and contingency, regenerative medicine fundamentally alters the meaning of “human.”     

Rediscovering the ritual technology of the placebo effect in analytical psychology

Technology, viewed more generally, is a collection of skills and methods that are used to accomplish an objective of some kind. Modernity has produced many kinds of ever‐expanding new technologies, but it is also evident that technologies can be lost or fall out of use. A cross‐cultural survey of ritual reveals a rather startling observation: that while developed nations often exceed other cultures in terms of material technology, they often pale by comparison in their use of ritual technology. In this essay we will see how ritual is a powerful sort of technology that developed nations have mostly allowed to drift out of regular, vigorous use, despite its numerous psychological and biological effects. This tendency has left one of the rituals we still have – psychotherapy itself – to be bereft of some of the typical tools for concretizing the symbolic in recurrent patterns around the world. Jung himself could be accused of being somewhat anti‐ritual himself, enmeshed as he was in the post‐Protestant, post‐Enlightenment cultural environment that defines the West in many ways 1 . But these under‐utilized elements of ritual technology may be a natural fit for Jungian therapy due to its use of symbols.     

Cultural context in medical ethics: lessons from Japan

This paper examines two topics in Japanese medical ethics: non-disclosure of medical information by Japanese physicians, and the history of human rights abuses by Japanese physicians during World War II. These contrasting issues show how culture shapes our view of ethically appropriate behavior in medicine. An understanding of cultural context reveals that certain practices, such as withholding diagnostic information from patients, may represent ethical behavior in that context. In contrast, nonconsensual human experimentation designed to harm the patient is inherently unethical irrespective of cultural context. Attempts to define moral consensus in bioethics, and to distinguish between acceptable and unacceptable variation across different cultural contexts, remain central challenges in articulating international, culturally sensitive norms in medical ethics.     

Food for thought: a study of food consumption in postmodern US culture

• The objective of this research is to examine the symbolic meanings of contemporary food consumption and provide an in‐depth understanding of related practices. Specifically, we view food as a prominent cultural category representative of postmodernism and approach our study using a postmodern perspective. The paper provides an insight into how US consumers relate to food and highlights the symbolic dimension of food in a culture that is often depicted as highly individualistic. Offering a theoretical framework rooted in an ethnographic account of food consumption we uncover its postmodern complexities that take into account social, cultural, and contextual dimensions. Food is discussed in the context of relationships, desire, and a globalized commodity.

Copyright © 2007 John Wiley & Sons, Ltd.     

Four Butterflies: End of Life Stories of Transition and Transformation

In this article, the author discusses her experiences as an Artist In Residence in the Department of Palliative Care and Rehabilitation Medicine at the University of Texas M. D. Anderson Cancer Center. Emphasis is placed on the ways in which end of life images and narratives often unfold in the fragile yet powerful space where conceptions of aesthetics and spirituality intersect with critical issues in the medical humanities. Drawing on four vivid case studies, the author examines the ways in which end of life narratives shed valuable light on conceptions of the subtlety of human embodiment; issues of violation, sorrow, and forgiveness; the mystical dimensions of traditional cultural beliefs; and the capacity for perceiving the natural world as a living symbol of grace. In so doing, she explores how the themes of transition and transformation become invested with meaningful existential and symbolic dimensions in artworks that give voice and presence to some of the most vulnerable, and often invisible, members of our society—people at the end of life.     

Bridging Science and Religion: How Health‐Care Workers as Storytellers Construct Spiritual Meanings

Contrary to the notion that medical science has supplanted religious understandings of human suffering, recent research suggests that health‐care workers like nurses can still portray their confrontations with illness and death in spiritual terms through storytelling. However, scholars have yet to systematically analyze the rhetorical devices used to construct spiritual meanings. Drawing on a symbolic interactionist perspective, we theorize that front‐line health professionals can deploy various rhetorical devices to infuse their workplace interactions with a spiritual significance. We also propose novel fuzzy set analysis techniques for determining which configurations of devices are most important in developing spiritual meanings. This approach was illustrated by examining 173 stories elicited from nurses at a nonsectarian, teaching hospital about encounters at work that significantly impacted their understanding of spirituality. Consistent with our expectations, the way in which nurses tell stories about their experiences not only shapes whether they attach spiritual significance to them, but whether they perceive spirituality and medicine to be compatible. We discuss the implications of our findings for future research on lived religion, conflicting identities, and institutional boundaries.