Intersubjectivity as Co-phenomenology: From the Holism of Meaning to the Being-in-the-world-with-others

I outline in this paper a pragmatical approach to meaning. Meaning is defined as a phenomenologically experienced construal. As such, it is a dynamic object whose first evidence comes from the first person rather than the third one. At the same time, the approach assumes that meaning is not an individual creation, but rather an intersubjective one. Origins of meaning are also to be founded not ‘in the head’ of a cognitive system or subject, but in the intersubjective space contingently formed between a subject (S), an other (O) and a common object (R), which they talk about. Approaching this minimal communicative situation therefore requires realizing that the phenomenological dimension is always implied in any intersubjective encounter. The observed synchronized co-feeling among subjects, upon which language comprehension takes place, I call ‘co-phenomenology’. When analyzed in this way, intersubjectivity shows at the same time its social, phenomenological and biological dimensions.

Simultaneous Group and Insulin Therapy

Abstract

The concept of focus can provide a meaningful bridge between theory and practice. The authors’ aim in this paper is to demonstrate that for theory to be clinically useful, it should provide a sense of focus and organization for clinical work. They illustrate how their particular use of a self–psychological/intersubjective model leads to an emphasis on what they refer to as “sustained empathic focus.” The authors’ choice of concepts leads them consistently to stress the patient’s subjective experience and emerging vulnerability.     

“Openness and progress with communication and confidence have all gone hand in hand”: Reflections on the experience of transitioning between concealment and openness among adults who stutter

PurposeThe purpose of this study was to gain a deeper understanding of the experience of people who stutter as they navigate through the growth process from concealment to openness.MethodTwelve adults who stutter who are active in self-help/support groups for stuttering described their experiences of concealment and openness in a semi-structured interview. Purposeful selection was utilized to recruit participants who could comment thoughtfully on previous concealing, but became more open about their stuttering. A phenomenological approach was utilized to gain a deeper understanding of how people who stutter experience the transition from concealment to openness regarding their stuttering and identity. Thematic analysis contributed to identification of themes and subthemes describing participants’ experiences.ResultsParticipants described precursors to concealment that led to hiding and avoidance, which grew in strength until they reached a turning point. They then changed how they related to their stuttering by changing their behaviors and perceptions of stuttering, which led to increased openness about their identity. This process of continued adaptation to stuttering was ongoing and non-linear, but suggested general trends from concealment to more openness over time. Level of openness was impacted by situational context and individual differences.ConclusionsThe findings extend our understanding of how people who stutter navigate transitions from concealment to openness. This deeper understanding could be helpful in explaining the complexities involved in managing the identity of a person who stutters, and the process of adapting to living with stuttering over time.     

Profils de routinisation différents chez les personnes âgées : entre adaptation et vulnérabilité

IntroductionThe purpose of the present investigation is to study the routinisation process in elderly persons according to physical, functional, psychological and cognitive resources.MethodsA person-centered approach revealed six profiles of resources in 235 elderly French participants from the 13-year follow-up of PAQUID cohort study.ResultsDifferent functioning profiles were highlighted and were significantly associated with different degrees and functions of routinisation. For the most routinised persons, the routinisation was associated with adaptive functioning. Instead for the less routinised persons, the routinisation was defined as a vulnerability marker. It seems also that this adaptive strategy was less used in persons with dementia.DiscussionThe adaptive attitudes, in particular the routinisation, would be less effective at higher levels of vulnerability.     

The ‘theory theory’ of mind and the aims of Sellars’ original myth of Jones

Recent proponents of the ??theory theory?? of mind often trace its roots back to Wilfrid Sellars?? famous ??myth of Jones?? in his 1956 article, ??Empiricism and the Philosophy of Mind??. Sellars developed an account of the intersubjective basis of our knowledge of the inner mental states of both self and others, an account which included the claim that such knowledge is in some sense theoretical knowledge. This paper examines the nature of this claim in Sellars?? original account and its relationship to more recent debates concerning ??theory of mind??, in particular the theory theory. A close look reveals that Sellars?? original view embodied several distinctions that would enable more recent theory theorists to accommodate certain phenomenological objections that have been raised against that outlook. At the heart of the philosophical issue is an overlooked complexity involved in Sellars?? account of the ??theory/observation?? distinction, involving a conception of the distinction that is both independently plausible and a key to the issue in dispute.     

Poetics in the Clinical Encounter

Amidst a mounting impasse, a patient’s startling slip of the tongue opens this analyst to a crucial awareness of her affective experience so that she can begin to reenter her patient’s. The analyst’s openness to her own vulnerability serves to free both participants from collapse into a doer–done-to complementarity. The enactive communication expands the depth of their connection and dis-connection in the moment. Just as a poem says metaphorically what cannot be said in ordinary prose, the slip jolts both participants into more imaginative intersubjective ground that transcends a sense of time and potentiates clinical momentum.     

A Latent Structure Analysis of Cognitive Vulnerability to Depression in Adolescence

Whether cognitive vulnerability to depression exists along a continuum of severity or as a qualitatively discrete phenomenological entity has direct bearing on theoretical formulations of risk for depression and clinical risk assessment. This question is of particular relevance to adolescence, given that cognitive vulnerability appears to coalesce and rates of depression begin to rise markedly during this period of development. Although a dimensional view is often assumed, it is necessary to submit this assumption to direct empirical evaluation. Taxometric analysis is a family of statistical techniques developed directly to test such assumptions. The present study applied taxometric methods to address this question in a community sample of early adolescents (n = 485), drawing on three indices of cognitive vulnerability to depression (i.e., negative inferential style, ruminative response style, self-referent information processing). The results of three taxometric analyses (i.e., mean above minus below a cut [MAMBAC], maximum eigenvalue [MAXEIG], and latent mode [L-Mode]) were consistent in unambiguously supporting a dimensional conceptualization of this construct. The latent structure of the tested indices of cognitive vulnerability to depression in adolescence appears to exist along a continuum of severity rather than as a discrete clinical entity.     

Human/nature: Toward a critical ecology

Abstract

Gadamer's notion of statements, distinguished from the otherwise speculative nature of language, is explored with regard to its implications for reflexivity in qualitative research. After reviewing the importance of ‘speculative’ language for phenomenological research, this paper discusses the problem that statements pose for phenomenological methods. The methodological challenges faced in trying to facilitate experiential accounts rather than statements are examined, with particular attention to the central role of the researcher‐participant conversation. The methodological implications of a conversational approach to phenomenological research are then presented, and this approach is discussed in terms of reflexivity.     

Better Identity Politics

Suchet's paper is an inspiring demonstration of the power of openness and vulnerability. It offers a clinically daring and theoretically far-reaching account of the transformation that can sometimes occur in the psychoanalytic relationship. My commentary focuses on two of the paper's major threads: the interplay of subjective experience, intersubjective space, and collective forces, and the ethical dimension of the psychoanalytic project. From the outset, the meeting between Ara and Suchet is not only a meeting of bodies and minds, but also a meeting of collective histories and politics. Suchet finds, and in her account powerfully demonstrates, that addressing her patient's trouble requires an exploration of how collective traumas and political narratives infuse the possibilities of intersubjective exchange and subjective meaning. In my commentary I trace and elaborate on the trajectory of this analytic process, contemplating the ways in which identities and identifications involve both familial and social attachments. I attempt to highlight Suchet's contribution to our understanding of how what happens, and is made meaningful, in the register of collective identification and experience, forms the very substance of subjective and intersubjective life, and should be therefore formulated as an intrinsic aspect of the analytic endeavour. Turning to Suchet's engagement with the philosophy of Emmanuel Levinas, I consider her drive to reach beyond the traditional boundaries of psychoanalytic discourse. Following the same drive, I add some ideas developed by Theodor Adorno, as means of illustrating the trouble and the potential for reconciliation inherent in the experience and politics of identity.     

On the motivations for Merleau-Ponty’s ontological research

This paper attempts to clarify Merleau-Ponty’s later work by tracing a hitherto overlooked set of concerns that were of key consequence for the formulation of his ontological research. I argue that his ontology can be understood as a response to a set of problems originating in reflections on the intersubjective use of language in dialogue, undertaken in the early 1950s. His study of dialogue disclosed a structure of meaning-formation and pointed towards a theory of truth (both recurring ontological topics) that post-Phenomenology premises could not account for. A study of dialogue shows that speakers’ positions are interchangeable, that speaking subjects are active and passive in varying degrees, and that the intentional roles of subjects and objects are liable to shift or ‘transgress’ themselves. These observations anticipate the concepts of ‘reversibility’ and ‘narcissism’, his later view of activity and passivity, and his later view of intentionality, and sharpened the need to adopt an intersubjective focus in ontological research.     

The Sequential Production of Social Acts in Conversation

With reference to Mead, Peirce, speech act theory, conversation analysis, and Luhmann's phenomenological grounded version of systems theory, the paper tries to reconstruct actions as products of communication. A triadic sequence is identified as the elementary unit for the intersubjective constitution of an act. This unit combines three achievements: (a) the constitution of meaning by sequential attribution, (b) the intersubjective coordination of attributed meanings, and (c) the reproduction of rules, guiding the process of constitution and coordination of attributed meanings. Then, using the tools of systems theory and applying them to empirical results of ethnomethodology and conversation analysis, it is shown how the rule scheme is integrated in a triadic sequence, functioning on three different levels of communication. Finally, a specific form of repair after next turn is discussed, relating it to the function of preserving the structure of conversational types. The analysis of such conversational types opens a possible realm of cooperation between conversation analysis and Luhmann's version of systems theory.     

Intersubjectivity Theory and the Dilemma of Intersubjective Motivation

This paper explores the topic of intersubjective motivation, understood as the process of being motivated by the subjectivity of other subjects. The author outlines a general conception of intersubjective motivation, arguing for the importance of that conception in advancing the relational project within psychoanalysis. The author reviews a handful of relational and intersubjective approaches, identifying and evaluating strategies that might be employed to explain the phenomenon of intersubjective motivation. Using Jessica Benjamin's theory of intersubjectivity as a starting point, the author proposes an original model of the intrapsychic conditions for intersubjective motivation identified as the intersubjective relational configuration. The clinical implications of these ideas are traced out, and an argument is made for the development of a comprehensive psychoanalytic theory of motivation, one that includes intrapsychic as well as intersubjective elements.     

Exploitation in Older Adults: Personal Competence Correlates of Social Vulnerability

ABSTRACT

Clinical assessment of older people at heightened risk of financial exploitation (also termed social vulnerability) is a difficult task. There are a number of previously untested domains of personal competence which could influence social vulnerability in later life. In this study, intellectual, cognitive, and social-cognitive functioning was assessed in a combined sample of dementia patients (n = 31) and neurologically healthy individuals (n = 68) aged 50 years or over. Informants provided assessments of participants' social functioning, personality, and social vulnerability. In the combined sample, multiple regression analyses revealed significant relationships between each personal competence domain and (lower) social vulnerability, apart from personality which was non-significant. General cognitive functioning and, in particular, executive functioning showed significant overlap with social vulnerability after controlling for memory and age. Social measures were also important correlates of vulnerability, indicating that both neurocognitive and social cognitive deficits may contribute to financial exploitation in later life.     

Truth and the ‘Politics of Ourselves’

The authors take up Amy Allen's suggestion that while Foucault's work may be able to support a certain type of self‐critique and self‐development, it does not permit the kind of interpersonal relations that are necessary for the development of intersubjective meaning in struggles against imposed identities. The authors contend that for Foucault, relations of ‘truth’ play an important constitutive role in subjectivities, and that understanding the ‘politics of ourselves’ in the context of this truth shows not only an openness to meaningful interpersonal relations, but also that these relations are capable of generating the conceptual and normative resources necessary for resisting socially imposed subjectivities. The authors present such an account of intersubjective relations based on Foucault's discussion of parrhesia, and develop a model of collaborative political action that addresses the criticisms raised.     

Corporal punishment in the public schools

Abstract

A phenomenological approach to psychopathology is illustrated through an inquiry into the meanings of agoraphobia. A classical and a contemporary phenomenological comprehension are presented. Utilizing the thought of Erwin Straus, the classical approach articulates the problem in terms of lived body and spatiality. the contemporary version suggests the necessity of combining existential and psychoanalytic understandings to be faithful to the phenomenon as disclosed in clinical praxis. General implications for a contemporary phenomenological psychopathology are discussed.     

“Transitional subjects”: Therapeutic persons being curative

Abstract

The concept of therapeutic persons as “transitional subjects” has been denoted and described primarily by Benedetti. When the intersubjective dimension of providing patients with self-object experiences is supplemented by a very specific personal commitment on the part of the therapist, the constitution of a transitional subject can take place. Transitional subjects can be envisioned as “eu-constructions” or eu-constructive personal transactions, which facilitate patients to enter new territories of experience. Clinical examples are cited where these piloting phenomena emerge. Transitional subjects are based on therapeutic self-object experiences, go a step further, and try to enable novel movements, for example in the area of the capacity to mourn. New psychic possibilities assist efforts to integrate disparate psychic parts and to develop new choices. Various options to comprehend the phenomena of transitional subjects are presented.     

The intersubjectivity of spiritual experience in the art practice of people with histories of mental distress: a phenomenological study

The therapeutic outcomes gained through engaging with the art making process are well documented. Somewhat less probed are the auxiliary and sometimes enigmatic experiences of art making that impact on the sense of mental wellbeing; experiences which, by their nature, can be difficult to capture. This paper discusses such experiences, described by a group of art makers with histories of mental illness, as being spiritual in nature. A phenomenological approach using Interpretative Phenomenological Analysis (IPA) methodology was used, with Heideggerian concepts of ‘Dasein’ (There-being) and ‘Mitsein’ (With-being) informing an interpretation of the intersubjective. Such experiences were felt to be profound, and were often claimed to be accessible exclusively through an art practice that was sustained over a number of years of regular activity. The paper concludes by pointing out the difficulty in capturing evidence of sustained, non-clinical strategies for wellbeing such as those developed as an inherent part of the experiences reported here, due to their nuanced nature and the reluctance with which they may be narrated.     

Witnessing stories: Definitional Ceremonies in Narrative Therapy with adults who stutter

BackgroundNarrative therapy (White & Epston, 1990) was developed as an approach to counselling, as a response to the power relations that influence people's lives. Its use with people who stutter has been documented. A basic tenet of narrative therapy is that the dominant problem-saturated narrative is challenged by externalizing the problem, in due course facilitating development of an alternative narrative. Within this process, the definitional ceremony involving outsider witnesses is a key procedure used to influence change.AimsThis paper describes definitional ceremonies, and their application within a narrative approach to therapy for stuttering. The analysis of a specific definitional ceremony is presented, leading to an exploration of identity as a public and social achievement.MethodsA definitional ceremony involving a woman who stutters and family members was recorded and analysed using two methods: interpretative phenomenological analysis and Heideggerian hermeneutic phenomenological analysis. Details of the clinical application of definitional ceremonies with this client are described.Results and conclusionsResults from both methods of analysis were found to be similar. Notable results include the fact that the stuttering per se was not presented as the problem; rather, the impact of stuttering, especially the experience of bullying, was a dominant theme. This paper shows how definitional ceremonies can open opportunities for clients to present themselves in a preferred way, forming the basis for a new story and revised identity. Emerging themes can be identified for reflection and discussion with the client for therapeutic benefit.Educational objectives: (1) to describe and explain to readers the process of narrative therapy, with special attention to the use of definitional ceremonies; (2) to provide detail regarding the clinical processes involved with a specific definitional ceremony with one client; (3) to have the reader appreciate the specific importance of involving outsider witnesses in the therapy process; (4) to discuss the outcomes of the use of this particular definitional ceremony.     

Supporting the spiritual needs of people with dementia in residential aged care

ABSTRACT

Objective: To describe how an Australian age care provider, BaptistCare NSW & ACT, has embraced the National Guidelines for Spiritual Care in Aged Care for people with dementia.

Method: A 12-month study was conducted in 19 Baptistcare residential homes, including 14 dementia units. Data were obtained from selected items of the Person-Centred Environment and Care Assessment Tool using interviews, observation, and document review.

Results: The person-centred approach was instituted in adhering to the Guidelines for people with dementia. Conclusion: The person-centred approach assists in actioning the Guidelines for people with dementia.