Trust and the Healing Encounter: An Examination of an Unorthodox Healing Performance

Just why a patient should trust a particular healer isa question that has not been adequately explored inthe literature on healing. This ethnographiccase-report examines the healing performance of achiropractor and proposes that it contains fourintrinsic claims to trustworthiness: he claims to bea qualified and sincere healer who is inpossession of knowledge and techniques that derivetheir power from their truth content and whichempower him to make beneficial changes in thepatient. Taking each claim in turn I described thenature of the claim, how it might be adequatelyvalidated, ways in which his healing performance mightvalidate it and how he might be assisted by thepatient, and how their actual validation may bedistorted by the healer and patient. It is suggestedthat while unusual in many regards, this unorthodoxhealing performance may be a foil by which toexamine other more orthodox healing performances.     

The difficulty of understanding a borderline patient

SUMMARY

For much of the time during my work with Mr A, a borderline patient whom I saw for twice-weekly psychotherapy over a period of one year. I had difficulty understanding and communicating with him. I felt despairing and impotent and that therapy was not progressing at all. A few weeks prior to termination a shift occurred and I realised that there had been some improvement in Mr A's functioning. Although I was aware that behind the polite façade was an angry, disturbed man, I felt that he was a little more in touch with reality than he had been at the beginning of the treatment.

In this paper I will focus on the factors that contributed to my difficulty in understanding and communicating with Mr A. I will also attempt to account for his apparent improvement.     

the scientific association of the lake of constance psychiatrists 1919-1932 psychoanalytic contributions to the treatment of psychoses

Abstract

From 1919 until 1932, psychiatrists from the mental hospitals near Lake Constance and from the Bellevue-Sanatorium in Kreuzlingen/Switzedand organized regular scientific meetings, where well-known representatives of all the relevant psychiatric and psychotherapeutic schools and important phenomen-ologicai philosophers came together. Getting in touch with psychoanalytical and social psychiatric trends led to a quite lively and fruitful exchange in theory and practice. Through the Reichenau psychiatrist Alfred Schwenninger, Ludwig Binswanger got to know personally the phenomenologic philosophers Alexander Pfander and Edmund Husserl, who also held lectures at meetings there. Hans Wolfgang Maier from the Burghölzli in Zurich and his colleagues from Herisau and Munsterlingen concentrated on the mainly social psychiatric and forensic work diey did. Quite a few of the lectures were published in the TZeitschrift für die gesamte Neurologie und Psychiatrie The paper concentrates on contributions related to psychoanalysis. The Reichenau director Karl Wilmanns showed a sceptical sympathy for psychoanalysis even when applied to schizophrenia. Ludwig Binswanger treated psychotic patients psychoanalytically and tried to combine psychoanalysis, clinical psychiatry and philosophy. Especially phenomenology was for him a fundament of psychopathology. The paper reports in detail some of his contributions at the scientific discussions, theoretical issues as well as issues of a psychoanalytic practice.     

Did Rorty’s Pragmatism Have Foundations?

Abstract

There is an overt tension between Rorty’s pragmatist critique of philosophy and his apparent epistemological and metaphysical commitments, which it is instructive to examine in order to assess not only Rorty’s overall position, but also renewed contemporary interest in pragmatism and its metaphilosophical implications. After showing why Rorty’s attempts to limit the scope of his critique failed to resolve this tension, I try reading him as a constructive metaphysician who was attempting to balance a causal account of the language / world relation with panrelationism. However, Rorty intended these commitments to be interpreted in light of his pragmatism about vocabularies, and relied upon a ‘social standpoint strategy’ to render his overall position consistent. I conclude that to the extent that this strategy succeeds, it removes almost all of the argumentative force from Rorty’s pragmatism.     

Daniel Stern: Microanalysis and the Empirical Infant Research Foundations

ABSTRACT

Daniel Stern changed the face of psychoanalysis, as well as that of infant research. He was a brilliant, innovative, and playful thinker. Psychoanalysis particularly values his contributions on the relevance of infant research to adult clinical practice and theory, for which he is best known. But this work has its foundation in his early empirical infant research, which is less well known. I believe that a better appreciation of the original empirical basis of his work using microanalysis will deepen our appreciation of his later thinking.

In this article I return to the beginning of his work, using frame-by-frame microanalysis of film and, particularly, his first paper published in 1971. I sketch out some of the important findings and ideas emerging from this paper that continued to influence his thinking throughout his career. This research was conducted in the 1970s, the period in which I worked with him directly.     

The Don D. Jackson Memorial Conference

On the 29th of January, 1968 Don De Avila Jackson died at the age of 48. His death was both expected and unexpected. For some time rumors of his ill health had been circulating among concerned colleagues; his incredible vitality and enduring youthfulness made the rumors seem incredible. One year after his death a Memorial Conference honoring him was held at the Conference Center in Asilomar, California. The Conference was sponsored by the Mental Research Institute and organized by Jay Haley, then the Editor of FAMILY PROCESS, with the collaboration of the MRI staff. It was attended by the Advisory Editors of this Journal, co-founded in 1961 by Jackson and Nathan W. Ackerman. The Conference lasted four days; there were only two prepared addresses which are printed here. Ackerman's Eulogy and Review opened the meeting; Bell's Prospectus closed it.     

Interpreting Thomas Kuhn as a Response-Dependence Theorist

Abstract

Thomas Kuhn is the most famous historian and philosopher of science of the last century. He is also among the most controversial. Since Kuhn’s death, his corpus has been interpreted, systematized, and defended. Here I add to this endeavor in a novel way by arguing that Kuhn can be interpreted as a global response-dependence theorist. He can be understood as connecting all concepts and terms in an a priori manner to responses of suitably situated subjects to objects in the world. Further, I claim, this interpretation is useful for three reasons. First, it allows us to systematize and defend Kuhn’s views. We can therefore better appreciate him as a thinker in his own right. Second, it deepens our understanding of both the uniqueness of Kuhn’s views and the continuity of those views with those of others. We can therefore better appreciate his place in history. And third, as I explain in the paper, my interpretation affords us the only example of an ethnocentric global response-dependence theory. We can therefore better appreciate the versatility of response-dependence itself.     

On memory

Abstract

Locke, in the seventeenth century, postulated (and rejected) an impossible language in which each individual thing, each stone, each bird and each branch, would have its own name; Funes once projected an analogous language, but discarded it because it seemed too general to him, too ambiguous. In fact, Funes remembered not only every leaf of every tree of every wood, but also every one of the times he had perceived or imagined it. He decided to reduce each of his past days to some seventy thousand memories, which would then he defined by means of ciphers. He was dissuaded from this by two considerations: his awareness that the task was interminable, his awareness that it was useless. He thought that by the hour of his death he would not even have finished classifying all the memories of his childhood. —Jorge Luis Borges, “'Funes the Memorious”     

An Eye for an Eye: A Petition Written by Michael Servetus in Prison

Abstract

This is an edition and full translation of a requeste (plea) written by Michael Servetus in prison. It forms part of the original Servetus trial documents in the Archives d'Etat in Geneva. In it Servetus says that he has been unjustly charged by Calvin, and gives two examples of this from a list of points made by Calvin at Servetus's trial. Servetus also blames Calvin for his arrest in Vienne (France) earlier that year. He says that matters of doctrine are not liable to a criminal charge and, as a minister of the gospel, it is wrong for Calvin to be prosecuting him. Servetus ends by saying that Calvin should be sentenced to death instead of him.     

THE ETHICS OF ECSTASY: Georges Bataille and Amy Hollywood on Mysticism,Morality, and Violence

Georges Bataille agrees with numerous Christian mystics that there is ethical and religious value in meditating upon, and having ecstatic episodes in response to, imagery of violent death. For Christians, the crucified Christ is the focus of contemplative efforts. Bataille employs photographic imagery of a more‐recent victim of torture and execution. In this essay, while engaging with Amy Hollywood's interpretation of Bataille in Sensible Ecstasy, I show that, unlike the Christian mystics who influence him, Bataille strives to divorce himself from any moral authority external to the ecstatic episode itself. I argue that in his attempt to remove external authority he abandons the only resources that could possibly protect his mystical contemplation from engendering sadistic attitudes.     

Moral Realism,Moral Disagreement,and Moral Psychology

Abstract

This paper considers John Doris, Stephen Stich, Alexandra Plakias, and colleagues’ recent attempts to utilize empirical studies of cross-cultural variation in moral judgment to support a version of the argument from disagreement against moral realism. Crucially, Doris et al. claim that the moral disagreements highlighted by these studies are not susceptible to the standard ‘diffusing’ explanations realists have developed in response to earlier versions of the argument. I argue that plausible hypotheses about the cognitive processes underlying ordinary moral judgment and the acquisition of moral norms, when combined with a popular philosophical account of moral inquiry—the method of reflective equilibrium—undercut the anti-realist force of the moral disagreements that Doris et al. describe. I also show that Stich's recent attempt to provide further theoretical support for Doris et al.'s case is unsuccessful.     

Receptivity,or Going on (Not) Being: Commentary on Paper by Robert Grossmark

“The treatment hinged on my being able to live with him in this ongoing non-existence and know it and tolerate it, and expect no more,” writes Dr. Robert Grossmark about himself and his patient, Kyle (pp. 637–638). This is a key sentence, outlining the core of the enlightening analytic work done. I comment on the linkage between living the ongoing nonexistence and going-on-(not)-being, then reflect about the distinction between what I call the “outward” technique, which is everything Grossmark describes about treating Kyle, and the “inward” technique, which is all that occurred within him, in an inner, hidden, powerful, unconscious dialogue with the patient, and which is only hinted at. In this context, with patients like Kyle, who bring to the analyst physical sensations and actions for dreaming, the analyst's corporeality, by which I mean his experience of his body and his capacity to connect it to emotion, thereby lending it meaning, has a critical importance. I bring, in a nutshell, references to several psychoanalytic writers about the subject of corporeality in analytic treatment and use a vignette from an analysis to demonstrate the point.     

Black holes: Some notes on time,symbolization, and perversion in the psychodynamics of addiction

Abstract

The existence of man is distinguished by its split state: man stands in the middle of life yet still has an awareness of his own death. He has to compensate whatever is missing in him naturally at the societal level, created as culture, and at the individual level through creativity. Rank investigated the human ‘creative drive’, the anthropological aspiration to express oneself in creative works, and to overcome the fear of death with its help. Freud admired poets and artists, whose achievements he could not psychoanalytically access, but he considered science superior to the harmless and naïve arts. There are two anthropological radicals: premature birth and the consciousness of death. Freud's massive fear of death made it difficult for him to acknowledge the problem of death appropriately. In Rank's concept, the development of human creativity contributes towards the fear of death being alleviated so that the knowledge of death can be integrated into life; creativity belongs to the fundamental opportunities of man that may enable him to find a way through neurosis. Failure is as much a part of life as is creativity: those who do not experience and accept life in its tragic dimension are denied creativity. Only a creative person who accepts his partial failure finds the strength to continue to be creative without his imperfect work leading to the ritual repetition of the same thing again and again, that is, getting stuck in recidivism.     

Clinical Commentary

Abstract

This paper is the narrative of a first-time father with a son born seven weeks early by Caesarean section. Against the anxiety and trauma of his infant's birth and his wife's illness, another inner darker drama is being relived. Michael shows all the wounds of a battered child. He asks two awesome questions - Will I be to my son as my father was to me? Will my son be to me as I was to my father? Fearful and at first unvoiced questions, the developing interviews gave them a voice. We respected Michael's sharing of the early and fearful days and nights when his infant first came home. We sometimes found it hard to empathize with his running away to hide in work, until we understood what he was hiding from. Most poignant was his struggle with his anger and hurt with his father and his desire to understand, ‘Why?’, so that he would not be like this to his son. We saw a sensitive revelation of life being born inside him anew, as he made contact with his real infant and his psychic infant within. Of particular interest was the therapeutic use of the research interview space and the interviewer.     

The Content of Emotional Thoughts

Abstract

In this paper I examine Peter Goldie's theory of emotional thoughts and feelings, offered in his recent book The Emotions and subsequent articles. Goldie argues that emotional thoughts cannot be assimilated to belief or judgment, together with some added-on phenomenological component, and on this point I agree with him. However, he also argues that emotionally-laden thoughts, thoughts had, as he puts it, ‘with feeling,’ in part differ from unemotional thoughts in their content. The thought ‘the gorilla is dangerous’ when thought with an emotional feeling of fear differs in its content from the thought ‘the gorilla is dangerous’ when thought without actually feeling fear. I argue that Goldie offers no good reason to think that the difference between emotional and unemotional thoughts is found in their contents. In fact, the analogies Goldie presents to help make his case actually suggest that the contribution feelings make to the distinctive role played by emotional thoughts consists solely in their influencing the way we think emotional thoughts. However, this position is consistent with Goldie's broader point: that theories which treat emotional feelings as phenomenological afterthoughts should be rejected.     

Labeling: A study of an “autistic” child

Abstract

In this issue we are able to present reports from two very different meetings which, nevertheless, have particular significance for the developing field of family therapy, particularly as it relates to theory and practice. The first is a report by Professors Jeanne L. Thomas and Cecil J. Simons of West Virginia University on the eighth biennial conference on Life-Span Developmental Psychology, held in May 1982, in Mor-gantown, West Virginia. This conference was one of a series sponsored by West Virginia University since 1970 dealing with theoretical and empirical issues in the study of life-span human development. This particular conference highlighted two themes involving the impact of specific historical context on family development as well as the influence of the family on the individual's own experience of these historical events. This kind of broad and in-depth exploration of the multiple factors involved in the historical as well as the personal context of an individual's development promises to provide exciting new opportunities for clinicians and teachers in our field.

The second report from James E. Durkin, Ph.D., of Lincoln University deals with a recent conference on Epistemology, Psychotherapy, and Psychopathology in Houston, September 1982, sponsored by the Houston Galveston Family Institute. Outstanding theoreticans and clinicans in the field of family therapy and systems theory were present, and their exciting discussions have been put into an interesting framework by Dr. Durkin, who has his own way of integrating these issues based on his long work in the application of general systems theory to the field of group psychotherapy. —I. A.     

Grant Me the Knowledge of What I Want Because All I Know Is That I Want: A Lacanian View of Hysteria

ABSTRACT

Freud’s work with hysterics led him to the discovery of the unconscious and the founding of psychoanalysis. The dream of the beautiful butcher’s wife, one of Freud’s patients, is examined following Lacan’s added insights that give full credit to his well known statement: “The unconscious is structured like a language.” Three basic identifications are presented by Lacanian analysis and I add a clinical vignette that exemplifies my work in the treatment of a couple.     

Introducing counselling in secondary schools: A case study with reference to frame issues

Abstract

I am a deputy headteacher in a comprehensive school. I believe that the widespread re-introduction of counselling into secondary schools offers possibilities for great benefit, both in terms of the personal well-being and emotional health of students, and also in terms of academic results and other educational indicators. It is my view that, currently, this may particularly be true for boys.

This paper is a double case study: first, of the failure of a student to cope with ordinary schooling because of his emotional difficulties; and, second, of the establishment of a counselling service which resulted from his permanent exclusion from the school.

I allude to some of the theoretical issues which meshed with the practical details of establishing the counselling service, and offer some tentative conclusions about the rationale for counselling in secondary schools and the kind of model which seems most likely to be beneficial.     

Birth,death and Ruth: an essay in memory of Emmanuel Chukwudi Eze

abstract

The birth of a particular individual is contingent even though the docRine of creation out of nothing teaches otherwise. Birth is an ontological invitation alerting the individual to inevitable death. In the intervening period along the path to death the individual is locked in the existential quest for Ruth. During his lifetime Emmanuel Chukwudi Eze, was engaged in the complex quest for Ruth. His engagement in the search of the Ruth of and about Africa elevated him to the status of one of the distinguished philosophers Africa has ever produced. This essay is in memory of Eze as an African philosopher, a philosopher engaged in the Ruth of and about post-colonial Africa.