On the Differences Between Rush Rhees and Simone Weil

Rhees seems unaware that Simone Weil differed from him both in her conception of philosophy and of its relation to religion. She differed also in her view of the relation between religion and science. On her view, the aim of science is to find the laws which will allow us to apply deductive reasoning to nature. The necessities revealed had for her a religious significance. But this can be understood only given her view of the relation between God and the world. On her view, the creation of the world did not involve an extension of God's power. It involved a withdrawal of his power, so that there could be an existence independent of himself. God does not interfere in the details of the world but sustains it through a network of necessities. For this reason, these necessities can serve as a sign of God.     

Rejoinder to Wall

Edmund Wall's criticism of the author's earlier analysis of Hare's consequentialism and Kantian ethics claims that the author overlooked Hare's commitment to preference satisfaction as an “ultimate good.” This rejoinder points out that Hare never uses the phrase in question, nor any equivalent phrase or concept, in presenting his own arguments and refers only to the standard of “universalizability” as ultimate, in contexts that support the author's original argument. Hence Wall has only given us yet another example of how Hare's views can be misunderstood by philosophers who fail to attend to the details of Hare's approach.     

呼吸机依赖患者撤机失败原因及对策

机械通气是近年来抢救呼吸衰竭患者的重要生命支持手段,但使用呼吸机的时间超过2周可导致撤机困难。本文详细分析了诸如心理障碍、营养不良、心肺功能不全以及撤机方法不当等各种可导致困难撤机的原因,并针对各个原因提出相应的治疗及护理对策,从而降低临床上困难撤机的发生率。     

God's Triunity and Self-Determination: A Conversation with Karl Barth, Bruce McCormack and Paul Molnar

Abstract: A recent disagreement between Bruce McCormack and Paul Molnar highlights some of the issues involved in discussing the relationship between God's triunity and determination to be God‐with‐us. Can we say that God's determination to be with us is the basis of God's triunity? Must we identify the Son's being as eternally toward‐incarnation? How does God's freedom relate to God's eternal decision to be God‐with‐humanity? In this article I argue (contra McCormack) that God's triunity logically precedes God's determination to be with us, but (contra Molnar) that this logical precedence entails neither that the pre‐incarnate Son is utterly unknown to us nor that God retains some freedom to be God‐without‐humanity.     

About Starr and Aron's Women on the Couch: Commentary on a Paper by Karen E. Starr and Lewis Aron

Karen E. Starr and Lewis Aron's new study of primary sources shows that the idea of the importance of sexuality at Freud's times was broadly promoted by the neurological and medical (hydrotherapeutic, electro-therapeutic, etc.) establishment. This fact opens important new perspectives in the study of an underlying substructure to psychoanalytic thinking (especially the economic discharge model). Many details in this paper make us rethink the factual history of psychoanalytic theory in a new light.     

The Last Time: Commentary on Paper by Stuart A. Pizer

Pizer presents poetic details of his patient's complex therapy and analysis. This commentary examines one moment in the treatment that may have violated the potential in potential space. The question is raised as to the impact of such a moment.     

‘Make sure you keep our house safe!’ Thematic analysis of a children's psychotherapy group

This paper describes a systematic thematic analysis of one particular latency-aged children's group and includes a discussion about potentially helpful outcomes measures. The impetus for our small, practice-based qualitative research project came from the two papers by Reid (1999) and Canham (2002) about children's psychotherapy groups, particularly Canham's (2002) paper, ‘Group and gang states of mind’. Canham and Reid used Bion's theories of group functioning as the basis of their technique with children's groups. We felt that it would be an interesting follow-on from Reid and Canham's findings to explore in some detail the specific therapeutic factors involved in a shift from paranoid–schizoid to depressive functioning in group therapy. We hoped that this might give us some helpful clinical indications as to the circumstances in which group rather than individual psychotherapy and parallel parent work should be considered as the treatment of choice. The paper concentrates exclusively on group work with latency-aged children, therefore referring mainly to the limited number of papers published about psychoanalytic group therapy with this age group.     

Social skills training: the generalisation problem—some further data

In a previous short report the author described a pilot investigation into the effectiveness or a Social Skills training group for chronic patients in a psychiatric day hospital. (Shepherd, 1977). The results were not encouraging and there is still a shortage of evidence from controlled trials concerning the effectiveness of social skills training with clinical populations (Hersen and Bellack, 1976). These authors also comment on the tendency to ignore the problem of how to generalise treatment gains from one setting to another and the failure to incorporate generalisation procedures into treatment programmes.Our own preliminary findings caused us to make a number of changes in procedure. These may be summarized as: (1) an increase in the duration and frequency of treatment sessions, (2) a much greater emphasis on setting targets, organising reinforcements, and even conducting complete sessions, in contexts other than the treatment group, and (3) a greater attempt to take account of individual differences and their influence on treatment outcome. In this connection it seemed important to acknowledge the role of cognitive factors in social problems (Nichols, 1974), and also the special learning difficulties of schizophrenic patients as highlighted by the recent research on their information-processing deficits (Hemsley, 1977). The details of these changes in technique and a fuller discussion of their theoretical rationale can be found in Shepherd (1978). The present paper reports the results of a second trial using these modified procedures.     

Philosophical Autobiography

An examination of the genre of philosophical autobiography sheds light on the role of personal judgment alongside objective rationality in philosophy. Building on Monk's conception of philosophical biography, philosophical autobiography can be seen as any autobiography that reveals some interplay between life and thought. It is argued that almost all autobiographies by philosophers are philosophical because the recounting of one's own life is almost invariably a form of extended speech act of self-revelation. When a philosopher is the autobiographer, this self-revelation illuminates the interplay between thought, life, and personality. Understanding how this works allows us to address three problems of biography raised by Honderich: how to give an account of something as large and complex as a human life; how a life-story is also a judgment; and how we can justify identifying one part of a causal circumstance as 'the cause'. There is also a new ethical problem raised about the autobiographer's right to make public details of a shared private life.     

Thinking Relationally About Forgiveness: Commentary on Paper by Stephen Wangh

This author examines the concept of forgiveness as a psychological construct. He argues that it is an error to conceive of the capacity to forgive in exclusively intrapsychic terms, pointing to the mutual influence of psychic and interpersonal experience in the struggle to forgive. He suggests that we can meaningfully consider the psychic challenges involved in any instance of forgiving only when we can fully understand the relational context in which the wrongdoing has taken place. The author then considers the concept of forgiveness when applied to hate crimes in general and Matthew Shepard's murder in particular, exploring some psychic alternatives to forgiveness that may be useful in thinking about the human struggle to resolve the mental anguish and desire for revenge that can threaten to undo us. He argues against an agenda-based approach to psychotherapeutic treatment that is biased toward encouraging forgiveness and seeing it as an indispensable component of psychological health. If forgiveness is to function as a viable psychological construct with real healing potential in human relationships, psychoanalysts must work to free it from its moralistic and religious moorings.     

Touch,enjoyment and health: In infancy

The paper explores Peter Lomas's influence on the author as a therapist, and in particular his idea that therapy is inescapably an ethical endeavour, however much we try to avoid this. Less persuasive, however, is Lomas's belief in therapy as a moral influence. The author sees it more as an ethical space (after Roger Poole) where people can feel free to explore, without judgement, the difficulties that have brought them there - despair, loss, inauthenticity, unfulfilled lives. The paper also explores R.D. Laing's idea of ‘fear of the soul’ which afflicts therapists (including those who do not hold much with ideas of technique) - despite our title - as well as many of those who come to see us. This fear is, it is argued, understandable as it takes us into uncharted waters, a minefield. In other words, therapy can be dangerous. The paper draws both on the author's work with individuals, and in the Philadelphia Association's community house, with which he has been involved for many years.     

On Visual Experience of Objects: Comments on John Campbell’s<Emphasis Type="Italic">Reference and Consciousness</Emphasis>

John Campbell argues that visual attention to objects is the means by which we can refer to objects, and that this is so because conscious visual attention enables us to retrieve information about a location. It is argued here that while Campbell is right to think that we visually attend to objects, he does not give us sufficient ground for thinking that consciousness is involved, and is wrong to assign an intermediary role to location. Campbell’s view on sortals is also queried, as is his espousal of the so-called Referential View of Experience.     

An enactivist account of abstract words: lessons from Merleau-Ponty

Enactivist accounts of language use generally treat concrete words in terms of motor intentionality systems and affordances for action. There is less consensus, though, regarding how abstract words are to be understood in enactivist terms. I draw on Merleau-Ponty’s later philosophy to argue, against the representationalist paradigm that has dominated the cognitive scientific and philosophical traditions, that language is fundamentally a mode of participation in our world. In particular, language orients us within our milieus in a manner that extends into the depth of the idea-endowed world (where “ideas” are construed in a specifically Merleau-Pontian sense). This conceptualization of language allows us to see that abstract words orient us bodily just as surely as concrete words do, albeit in a manner that is more diffuse across the entirety of given situations, as I will show with an example of abstract language use in Don DeLillo’s novel Underworld. These insights are applied to some of the recent enactivist discourse to suggest some ways in which representationalism maintains a latent presence in this discourse. I conclude by pointing to developments in conceptual metaphor theory that can enrich our sense of how abstract language is involved in embodied understanding.     

Mastering the Art of Chain Analysis in Dialectical Behavior Therapy

Behavioral chain analyses, which are common in behavioral and cognitive-behavioral treatments more broadly, are the primary assessment tool in Dialectical Behavior Therapy (DBT). As such, they are conducted in nearly every DBT session. Despite their importance in the treatment, very little has been written about the “how-tos” of chain analyses in DBT or how to improve therapist skill in this area. This article describes the rationale and proposed functions of chain analyses, provides details about the various components of the chain analysis, and includes common problems that arise in conducting chain analyses. A case example of a detailed chain analysis is provided.     

Wittgenstein and the groundlessness of our believing

In his final notebooks, published as On Certainty, Wittgenstein offers a distinctive conception of the nature of reasons. Central to this conception is the idea that at the heart of our rational practices are essentially arational commitments. This proposal marks a powerful challenge to the standard picture of the structure of reasons. In particular, it has been thought that this account might offer us a resolution of the traditional scepticism/anti-scepticism debate. It is argued, however, that some standard ways of filling out the details of this proposal ultimately lead to an epistemology which is highly problematic. The goal here is to present a more compelling version of Wittgenstein??s account of the structure of reasons which can evade these difficulties.     

Conceptualizing Attachment Trauma: Exploring Emotional Vulnerabilities among Disaster Affected Children of Gujarat

This study compares attachment trauma and psychological adjustment of child survivors of an earthquake and social violence in Gujarat (n = 127). In particular it explores attachment style/s associated with the two disaster traumas and tries to explicate, what these tell us about the particular vagaries of trauma. Results show larger number of insecurely attached children in the disaster trauma sample and the dismissing attachment style dominates particularly in the earthquake sample whereas in the riots sample one can see a presence of what can be termed as a ‘mixed attachment’ style-vacillation between dismissing and preoccupied states of mind. The implications of these findings for a conceptualization of attachment trauma are discussed in details.     

Recounting the same events again and again: children's consistency across multiple interviews

Children (2–13 years at time of injury) were interviewed four times about an injury that required hospital Emergency Room treatment, namely at 1 week, 6 months, 1 year, and 2 years. The consistency of children's reports was assessed and all children gave mostly the same information at each interview, although consistency was higher for older children and for injury rather than hospital details. Furthermore, details recalled at every interview were virtually always accurate while details that were sometimes omitted were a little less likely to be accurate. New information that was introduced after 6 months was more likely to be accurate than inaccurate but new information introduced at 1 or 2 years post‐injury was just as likely to be wrong as right (except for 12–13‐year‐olds). Implications for forensic situations are discussed. Copyright © 2001 John Wiley & Sons, Ltd.     

Reflective Equilibrium as an Ameliorative Framework for Feminist Epistemology

As Helen Longino's overview of Hypatia's engagement with feminist epistemology suggests, the last twenty‐five years’ contributions to this field reveal a strong focus on the topic of knowledge. In her short outline, Longino questions this narrow focus on knowledge in epistemological inquiry. The main purpose of this article is to provide a framework for systematically taking up the questions raised by Longino, one that prevents us from running the risk of becoming unreflectively involved in sexist, racist, or otherwise problematic inquiry. I argue that a specific form of the method of Reflective Equilibrium, as it is widely discussed in moral epistemology, logic, and theories of rationality, enables us to cope with the problems of traditional epistemology, which feminist theorizers such as Sally Haslanger have pointed to. With the account of Reflective Equilibrium I am offering—drawing in many respects on the model provided by Catherine Z. Elgin—we have an ameliorative method that allows us to rethink epistemological values, goals, and standards in a systematic way, and that largely avoids implicit and explicit biases in epistemology.