The splitting between separate and symbiotic stätes of the self in the psychodynamic of schizophrenia

Abstract

We explore the problematic dynamics in the relationship between societal systems of care and the chronically excluded, with particular reference to severe personality disorder and the “difficult-to-reach” patient. The individual who “refuses” is often met with a violent response: yet his violence must be understood as related to an experience of being violently excluded. We reformulate personality disorder as a disturbance of “groupishness” and suggest, as a paradigm for the problem of refusal, the story of Diogenes the Cynic, who “holed himself up” in a barrel; and of his legendary encounter with Alexander the Great, who tried unsuccessfully to persuade him to “come in from the cold.” We suggest it may be as important to focus on Alexander's violence as on that of Diogenes, and we examine modes of violence deployed by society against the excluded outsider, with particular reference to the hostile attribution of intentionality to the personality disordered individual's acts of violence and self-harm. We conclude by considering both the merits of the democratic therapeutic community model as a response to severe personality disorder and the dangers, inherent in this model among others, in an unconscious identification with Diogenes in his barrel.     

Developing a Capacity for Bodily Concern: Antonio Damasio and the Psychoanalysis of Body–Mind Relationship

ABSTRACT

The author starts from the assumption that the body is the mind’s primary object. He explores the link between his clinical research about the Body–Mind relationship and neuroscience, by focusing particularly on the contribution by Antonio Damasio who has emphasized the importance of the bodily roots of mental functioning. In many patients nowadays, developing a capacity for “concern for one’s own body” is a stepping stone toward a genuine non-imitative mental functioning. This perspective contrasts with psychoanalytic orientations that give priority to recognition of the other and intersubjective dynamics.     

Multi(ple) cultural voices speaking “Outside the Sentence” of counselling and psychotherapy

This paper examines the notion that marginalized clients through their socio-cultural and geo-political histories are positioned “outside” the masculine cultural metaphors and conventional theoretical epistemologies of counselling, psychology and psychotherapy. In other words, these minoritized clients are “outside the sentence” of the texts and contexts of therapy. The discursive practice of therapeutic reconstitution and restoration produces a particular set of vocabularies and sentences that facilitate transformation and psychic equilibrium consistent with the process of individuation and self actualization. However, for marginalized groups, such as black and other visible minority, women, deaf, gay and lesbian clients the hegemonic masculine narratives of counselling psychology and psychotherapy only make it possible for these clients to be “outside the sentence”, not just grammatically and metaphorically of the therapeutic project, but in the external reality of how the practice is clinically governed. In other words, the social and cultural marginalization outside the clinic room is in a dialectical relationship with the therapy dyad. For the minoritized client being “outside the sentence” produces the effect of being “inside” another process, i.e., the history of subjugation, domination, diaspora, and displacement. This paper explores this issue and argues that the only way for counselling, psychology and psychotherapy to bring the diversity client “within the sentence” of therapy is to assign and re-inscribe the history, memory and pain of “the Other” voices to the “inside” of the therapeutic space, to interrupt and disrupt the hegemonic masculine narratives, thus transforming “non-sentences” into sentences and paragraphs, and eventually into essays of the discursive subject.     

Ambiguity and the dialogical self: In search for a dialogical psychology

Abstract

It is intuitively felt that ambiguity plays a crucial role in human beings' everyday life and in psychologists' theoretical and applied work. However, ambiguity remains essentially non-problematised in psychological science since its foundation. This article analyses positivist and social constructionist perspectives on ambiguity in the context of their epistemological and ontological fundamental assumptions. The relational thesis of social constructionism is further analysed and it is argued that it constitutes a “weak thesis” concerning the relational constitution of human beings. In the second part, a dialogical alternative is elaborated. In this perspective, ambiguity is placed in the context of relationship and both are brought to an ontological ground. Therefore, it is argued, ambiguity is a fundamental property of human experience and plays a fundamental role in the constitution of (inter)subjective processes. The impact of this thesis on dialogical perspective on self is elaborated.     

Therapeutic activities and the assimilation model: A preliminary exploratory study on the Insight stage

The assimilation model describes the process of change assuming that the self is enriched when there is a dialogue between nondominant voices or problematic experiences and the dominant voices. This dialogue is best seen in the Insight stage. The aim of this paper is to study the Insight stage during the assimilation process in relation to the main therapeutic activities performed by the therapist. All the Insights from the assimilation process of a patient, María, were analysed. In assimilation terms, María could be described through the nondominant voices of “dizziness,” “tiredness,” and “inability to cope with daily demands,” and through the dominant voices of “control,” “overcome and solve,” and “why something is happening.” María showed a successful assimilation of her problematic experiences. The therapeutic context was the Linguistic Therapy of Evaluation (LTE), a kind of cognitive therapy based on the theory of General Semantics. María was considered a good outcome case in the LTE sample. Results showed that there were some general therapeutic activities related to these Insights. A high percentage of activities pointed to one of the main issues of LTE: the development of an extensional orientation. At the same time, some of these activities were related to María’s voices. Results are discussed in relation to the relevance of the development of an extensional orientation for the assimilation process; how voices are recognized or challenged in therapy, and to the importance of considering relationship issues during the assimilation process.     

Metanoia

SUMMARY

The author draws on her experience working with individual men who are violent to their partners to think about the problem of international violence. A parallel is drawn between a man's feeling of “entitlement” to forcefully keep his partner “in line” and feelings of national entitlement to engage in violence to force one group's agenda on another. The differences between morals and taboos are discussed underscoring the community value of that which becomes socially and ethically “unthinkable.”     

Under what conditions do lay people and health professionals accept a breach of doctor-patient confidentiality regarding a patient with signs of terrorist radicalization?

IntroductionConfidentiality is crucial to the establishment of a strong patient-physician relationship. However, certain situations create a dilemma for the physician who is faced with the choice of either respecting medical confidentiality or protecting others from a serious risk of violence.ObjectiveThis study aimed to observe how lay people and health professionals assessed the acceptability of breaching confidentiality when a physician is confronted to a patient showing signs of terrorist radicalization.MethodA total of 228 participants (174 from the general population and 54 health professionals) judged the acceptability of 54 scenarios which were constructed through the orthogonal combination of 4 factors frequently mentioned in the literature: presence of a “Psychiatric disorder”; “Signs of radicalization”; “Projects of violence”; “Collegiality”. Variance and cluster analyses were performed on all the raw data.ResultsResults showed that all factors influenced the judgment of participants but that “Psychiatric disorders” had a weaker impact. Five clusters were identified: “Favorable if collegiality” (n = 23); “Favorable to breach confidentiality” (n = 77); “Unfavorable to breach confidentiality” (n = 26); “Sensitive to all factors” (n = 71); “Favorable if violence” (n = 31), respectively with mean ratings of 5.87, 8.42, 3.64, 6.30 and 7.16, on an acceptability scale of 0–10.ConclusionThe importance that the great majority of participants attribute to these factors indicates that they influence their judgments in this specific context.     

Women with Children in Violent Relationships

Summary

Custody issues for battered women means continuing involvement with a violent, abusive, intimidating partner. This article explores the continuing power and control dynamics of the domestic violence relationship after the woman with children leaves, and presents some preliminary findings. The custody of the children, visitation and financial arrangements often become the basis of terrorism as the man attempts to continue to control the woman's behavior with threats against the children. Fear of losing her children may force a woman to stay in a violent relationship, or return in spite of danger to her children and herself. On the other hand, the history of violence may make it difficult for the mother to cooperate with the court orders regarding joint custody or visitation even when safety appears not to be an issue. It is important for professionals working with children of violent families to understand the continuing effects of domestic violence after separation in order to provide assistance to children “caught in the middle” in custody disputes.     

Shut-Up and Listen: Implications and Possibilities of Albert Memmi’s Characteristics of Colonization Upon the “Natural World”

This paper begins by exploring the anti-colonial work of Tunisian scholar Albert Memmi in his classic book The Colonizer and the Colonized and determining whether the characteristics of colonization that he names can be successfully applied to the current relationship between modern humans and the “natural world”. After considering what we found to be the five key characteristics: manufacturing the colonial, alienation and unknowability, violence, psychological strategies (bad faith), and language, history, and metaphor we draw clear parallels, through selected examples, to the exploitative relationships enacted in many realms of the modern human/nature relationship. In so doing the paper posits that the beings that comprise the “natural world” are colonized. It then continues from that position to explore the possibility of cultivating practices of listening to the voices of these colonized others to inform anti-colonial ecopedagogy as allies. We employ the term “shut-up” as an anti-colonial gesture to remind ourselves as much as others of the importance of first listening to the colonized other before engaging in “post-colonial” theorizing about prospective relationships or liberatory solutions “for” them. Given the fast-paced and cacophonic urban life many humans increasingly inhabit, and the disciplined and reiterative practice(s) required to learn to listen to other voices, we suggest caution and care when importing postcolonial theory into “environmental” contexts and seek to instigate further discussion as to how we might enact solidarity with other beings as anti-colonial allies in education. To this end, we conclude the paper with some educational implications based on research at a place-based school and focus on the role history, language and metaphor play in manufacturing a colonial relationship, but also provide a potential means for changing relationships with the diverse beings with whom we share the planet.     

GREED AS VIOLENCE: Methodological Challenges in Interreligious Dialogue on the Ethics of the Global Financial Crisis

The current financial crisis is one rooted not in recent deregulation but in the breaking of ancient (religious) laws, and this crisis is one of many ethical problems today that have religious roots. The tone of this essay is informed by a document from the World Council of Churches, which affirms “greed as violence” and that Christians do not have all the answers to the problem of greed; therefore, Christians need to seek solutions with other religious communities. Furthermore, religious leaders, theologians, and ethicists, by their very station in life, are not able to effectively listen to the voices of the poor and marginalized people of the world. Self‐critically examining the mainstream traditions within Christianity for its allegiance to empires, the article calls for engaging the alternative, rather than the mainstream traditions within religions whose interpretations of Scripture have provided insights that are at variance with the mainstream. It calls those who engage in this work to be double‐headed: to examine others' beliefs from the perspective of the other—while continuing to be rooted in one's own center—and to recognize that the voices of those in poor or marginalized communities are inaccessible, unless those who are poor themselves become the mediators of dialogue.     

Normative roles,conceptual variance,and ardent realism about normativity

ABSTRACT

In Choosing Normative Concepts, Eklund considers a “variance thesis” about our most fundamental (and seemingly most “authoritative”) normative concepts. This thesis raises the threat of an alarming symmetry between different sets of normative concepts. If this symmetry holds, it would be incompatible with “ardent realism” about normativity. Eklund argues that the ardent realist should appeal to the idea of “referential normativity” in response to this challenge. I argue that, even if Eklund is right in his core arguments on this front, many other important challenges for ardent realism remain that also stem from the issues about possible variance in normative concepts that he considers. Following this, I introduce further issues about conceptual variance. These are issues that arise within the context of the framework that Eklund proposes the ardent realist use to confront the variance theses he considers. In particular, the issues concern what normative role as such is, as well as, relatedly, which roles associated with a concept (or predicate) get to count as part of its normative role. The upshot is that issues about conceptual variance in normative domains might be even more challenging for the ardent realist to deal with than Eklund argues.     

Innovative Approaches to Child Custody and Domestic Violence in New Zealand

Summary

In 1995, as part of a major review of domestic violence law, the New Zealand Parliament amended the legislation under which disputes about custody of and access to children are determined by the Court. Specifically, the amendment introduced a rebuttable presumption that a parent who had used violence against a child or against the other parent would not have custody of, or unsupervised access to the child unless the Court could be satisfied that the child would be safe during visitation arrangements. Three years after the implementation of this legislation, it is timely to reflect on the impact of this major domestic violence law reform initiative. Our findings indicate that there are indeed advances. Psychological violence is now clearly being considered when Courts are assessing the issue of children's safety. As well, the delineation of mandatory risk assessment factors has led many judges to see a continuum of power and control tactics as relevant in domestic violence related visitation proceedings; the previous emphasis on physical violence has given way to an analysis which more closely reflects accords with women's and children's realities of the abuse they are exposed to. Some of the old problems continue to exist despite the law changes. There are still recent cases where perpetrators of serious violence are awarded unsupervised access and where their violence continues to be construed as “out of character,” arising because of the perpetrator's “despair” about the breakdown of his relationship. These and other issues are discussed.     

Systematically identifying implicit theories in male and female intimate partner violence perpetrators

This review systematically examines the empirical literature to determine the support available for seven proposed Implicit Theories (ITs) held by heterosexual male and female perpetrators of intimate partner violence. Based on previous literature that has hypothesized and identified ITs in intimate partner violence (IPV) and other types of offenders, we suggest six potential ITs likely to be held by men and women: “Opposite sex is dangerous”, “Relationship entitlement”, “General entitlement”, “Normalization of relationship violence”, “Normalization of violence”, and “It's not my fault”. We suggest one extra IT held by male perpetrators: “I am the man”. Electronic databases were searched from 1980 onwards, using predetermined relevant key words, to identify IPV research that has examined factors associated with each of the proposed seven ITs. Support was found for the existence of all seven ITs, but it differed in terms of strength, mainly due to the dearth or poor quality of empirical research on specific areas, especially in female perpetrated IPV. Implications for treatment and future directions are discussed.     

What Is Left of the Active Externalism Debate?

Since the publication of Clark and Chalmers' Extended Mind paper, the central claims of that paper, viz. the thesis that cognitive processes and cognitive or mental states extend beyond the brain and body, have been vigorously debated within philosophy of mind and philosophy of cognitive science. Both defenders and detractors of these claims have since marshalled an impressive battery of arguments for and against “active externalism.” However, despite the amount of philosophical energy expended, this debate remains far from settled. We argue that this debate can be understood as answering two metaphysical questions. Yet prominent voices within the debate have assumed that there is a tight relationship between these two questions such that one question can be answered via the other. We defend an alternative ‘wide’ view, whereby mentality is understood as constituted by wide social and cultural factors. Our wide view entails that the two metaphysical questions are separate and should be kept distinct. This suggests that active externalism as understood by prominent voices within that debate requires dissolution, rather than solution. However, if the debate were instead understood as only focusing on the second of the two questions, then there could be a possible future for this debate.     

Sensuality and venality in Bangkok: The dynamics of cross‐cultural mapping of prostitution

The dynamics of cross‐cultural cognitive mapping is examined, from a Schuetzian perspective, on the example of the changing images formed by farangs (white foreigners) of Thai girls engaged in “open‐ended” tourist‐oriented prostitution, a vaguely‐defined, gray area lying between “full‐fledged prostitution” and “straight” sexuality. The newcomer farang, unable to grasp this culture‐specific category, initially tends to refuse to label the girls as “prostitutes,” but, with growing experience, tends to apply that label to them, without, however, thereby resetting the boundaries of his cognitive map. He thus fails to make the transition from strangeness to familiarity with the host culture, as conceived by Schuetz—since he continues to impose the crisp categorizations prevalent in his culture of origin, on a situation which is fuzzily conceived in different categories by the hosts. The case study exemplifies the difficulties of a cross‐cultural definition and identification of prostitution.     

Introduction to the Special Issue on Migration Problems in the US and Their Implications for Group Work

Abstract

In this introduction I provide an overview of this Special Issue on migration problems at the southwestern border of the United States. These problems are framed against the rising world-wide tide of anti-immigrant rhetoric and the ascendance of right-wing nationalist leaders. I maintain that, from a group dynamic perspective, we in the US are witnessing the emergence of an authoritarian fight group leader (Bion, 1961) who has capitalized on the systematic arousal and manipulation of our most primitive fears, and who encourages the use of developmentally regressive projective mechanisms that permit us to disown, externalize and deposit into the “other” all that is bad or destructive. A series of critical interrelated questions is posed for group therapists to consider in order to respond effectively to the challenges we face. I explain the context in which this volume took shape and offer a set of guidelines for how to address these problems. In addition, I review more recent developments regarding how our government is responding to this situation, and explore the linkages between the “immigration crisis”, racism, White nationalism and violence. I then describe the articles that comprise this Special Issue, acknowledging that these contributions depart from the more typically neutral and “objective” pieces published in a professional journal, and represent an amalgam of both professional and more personal statements that emanate from deeply held ethical principles and humanitarian concerns. I conclude by inviting our readers to share their reactions to this volume and to the concept that is advanced of the group therapist as a potential social change advocate.     

The dynamics of creation

A basic question in any great religion is, “What is the source of creation, how did order emerge from disorder, or how did we get here?” Among the myths proposed is the Genesis account of an original creation from a condition “without form and void” by a supernatural creator. Now the sciences reveal a more cogent explanation, a new myth of the process of self-creation in an evolutionary continuity of being. Instead of an external power of creation, my thesis is that a generalized concept of love as a generic power of attraction is the dynamics of creation.     

Temporal buffering and visual capacity: The time course of object formation underlies capacity limits in visual cognition

Capacity limits are a hallmark of visual cognition. The upper boundary of our ability to individuate and remember objects is well known but—despite its central role in visual information processing—not well understood. Here, we investigated the role of temporal limits in the perceptual processes of forming “object files.” Specifically, we examined the two fundamental mechanisms of object file formation—individuation and identification—by selectively interfering with visual processing by using forward and backward masking with variable stimulus onset asynchronies. While target detection was almost unaffected by these two types of masking, they showed distinct effects on the two different stages of object formation. Forward “integration” masking selectively impaired object individuation, whereas backward “interruption” masking only affected identification and the consolidation of information into visual working memory. We therefore conclude that the inherent temporal dynamics of visual information processing are an essential component in creating the capacity limits in object individuation and visual working memory.     

An Updated Feminist View of Intimate Partner Violence

In this article, we explore intimate partner violence (IPV) from an intersectional, feminist perspective. We describe how an updated feminist view guides us to a perspective on IPV that is more strongly grounded in an antioppressive, nonviolent, socially just feminist stance than a second‐wave gender‐essential feminist stance that suggests that patriarchy is the cause of IPV. At the time we began to work together it seemed that a researcher had to be identified as a “family violence” researcher or a “feminist” researcher of violence against women, and that it wasn't possible to be a feminist researcher who looked beyond patriarchy as the cause of IPV. We advocate critically thinking about essentialist practices in clinical work so that we can maintain an antioppressive, socially just, nonviolent approach to working with clients who experience IPV.