MAKING ROOM FOR MADNESS IN MENTAL HEALTH: THE IMPORTANCE OF ANALYTICALLY‐INFORMED SUPERVISION OF NURSES AND OTHER MENTAL HEALTH PROFESSIONALS

In this paper, I discuss the importance of psychoanalytically informed supervision and training of nurses and other professionals in mental health settings. Using examples from supervision groups I will illustrate how a psychoanalytic approach to mental health can complement other ways of thinking about practice and management. Psychoanalysis provides a framework for understanding the relationship between the internal world of the patients, the therapeutic relationship and the social system. I will also argue that this understanding helps to develop and maintain therapeutic factors while reducing the risk of damaging behaviour and beliefs.     

THE CONCEPT OF ‘PSYCHOLOGICAL SAFETY’ – A PSYCHOANALYTICALLY‐INFORMED CONTRIBUTION TOWARDS ‘SAFE,SOUND & SUPPORTIVE’ MENTAL HEALTH SERVICES

It is not controversial to say that we live in an era of unprecedented preoccupation with the notion of ‘risk’ in our public mental health services, not to mention other areas of public life. Notions of ‘risk’ and ‘safety’ have long been at the heart of current government policy on mental health as epitomized by the guidance document entitled Modernising Mental Health Services: Safe, Sound & Supportive (Department of Health [DoH] 1998 Department of Health. 1998. Modernising Mental Health Services: Safe, Sound and Supportive, London: Department of Health.  [Google Scholar]). This is partly a consequence of the continuing switch of emphasis by both major political parties over the last 20 years or more away from hospital or in‐patient care and towards community‐based services. This is not the place, however, to focus on the political context. However, in clinical terms what really is the difference between a ‘safe’ or ‘secure’ mental health service and an ‘unsafe’ or ‘insecure’ one? The more I have been invited to think about this question, the more complex and unfamiliar the territory has revealed itself to be.     

TELEOLOGY IN BIOLOGY: WHO COULD ASK FOR ANYTHING MORE?

Abstract. Teleological thinking permeates biology and is useful in pondering unanswered biological questions. Such thinking differs from the usual sense of teleology in that “purpose” in biology carries no imputation of causation. A few examples are given. The teleological system of biology is every bit as elegant a construct of the human mind as any other teleological system and in no way precludes spirituality. I argue that it provides a firmer foundation for moral guidance than supernatural systems.     

DOES FATHERS' PRENATAL MENTAL HEALTH BEAR A RELATIONSHIP TO PARENTING STRESS AT 6 MONTHS?

This study aimed to explore fathers’ mental health and retrospectively reported adverse childhood experiences during pregnancy, as well as various pathways predicting self‐reported stress at 6 months’ postpartum as assessed by the Parenting Stress Index (PSI; R.R. Abidin, 1990 ). A total of 835 fathers contributed data to the study. Data collection comprised five time points during pregnancy and one at 6 months’ postpartum. The main analyses were performed using linear regression and path analyses. First, linear regression analyses showed that paternal anxiety symptoms during pregnancy predicted stress scores in the PSI child domain at 6 months (coefficient = 0.36). Second, path analyses showed that depressive symptoms during pregnancy predicted parenting stress in the child domain, mediated by spousal disharmony at 6 months’ postpartum (coefficient = 0.77). Third, adverse childhood experiences scores predicted parenting stress in the child domain by two different pathways: one mediated by anxiety symptoms in pregnancy (coefficient = 0.29) and the other by depressive symptoms in pregnancy and experienced spousal disharmony at 6 months’ postpartum (coefficient = 0.77). The findings suggest that fathers’ symptoms of anxiety and depression during pregnancy as well as adverse childhood experiences predict paternal stress and a negative perception of their children's behavior at 6 months’ postpartum.     

PATERNAL FUNCTION AND THIRDNESS IN PSYCHOANALYSIS AND LEGEND: HAS THE FUTURE BEEN FORETOLD?

This paper examines the Akedah, the biblical narrative of the Binding of Isaac, and suggests that this story may be interpreted as inaugurating paternal function and thirdness. It marks the passage from the narcissistic father to the symbolic, dead father, and the institution of the Law that forbids all killings, opening up the succession of the generations. The author suggests that time is an essential element in establishing thirdness, creating a link between the here and now and the there and then in the après coup of the psychoanalytic process. The author also briefly reviews the psychoanalytic literature on thirdness and indicates this paper's contribution to it.     

‘Mutual Obligation’ and ‘New Deal’: Illegitimate and Unjustified?

It is now commonplace for governments in Western countries to require the unemployed to work in exchange for their unemployment benefits. In this article I raise some serious doubts about the most promising and philosophically interesting defence of this argument, which relies on the ‘principle of reciprocity’. I argue that it is seriously unclear whether the obligations imposed on welfare claimants by ‘workfare’ schemes are legitimate and justified according to the principle of reciprocity. I do this by reconstructing the arguments for the obligations of the unemployed put forward in both the United Kingdom and Australia.     

THE ROLE OF AN IMMIGRANT MOTHER IN HER ADOLESCENT’S IDENTITY FORMATION: “WHO AM I?”

Immigration is a complex bio-psycho-social process and the immigrant mother has a truly complex task in lending her ego strength to her adolescent offspring. The normal adolescence’s decathexis of the love object and the consequent search for a new object may not happen smoothly for those adolescents whose mothers are immigrants. The immigration experience may cause the immigrant mother, who lost her motherland, deeper disturbance in self-identity as well as disequilibrium in her psychic structure, which in turn impacts adversely her adolescent’s development. The adolescent’s inadequate early experience with an immigrant mother may result in a deeper disturbance in his separation-individuation process as well as his identification process. An immigrant mother who has not mourned adequately, with a different sociocultural background has to go through a far more complex development of motherhood. The case of an adolescent boy, Jason, demonstrates the impact of immigrant motherhood on his ego development.     

Does ‘Ought’ Still Imply ‘Can’?

According to ??ought?? implies ??can?? (OIC), your obligation can never be to do what you cannot do. In a recent attack on OIC, Graham has argued that intuitions about justified intervention can help us determine whether the agent whose actions we use force to prevent would have acted permissibly or not. These intuitions, he suggests, cause trouble for the idea that you can be obligated to refrain from doing what you can refrain from doing. I offer a defense of OIC and explain how non-consequentialists can accommodate his intuitions about his cases     

When does ‘Can’ imply ‘Ought’?

ABSTRACT

The Assistance Principle is common currency to a wide range of moral theories. Roughly, this principle states: if you can fulfil important interests, at not too high a cost, then you have a moral duty to do so. I argue that, in determining whether the ‘not too high a cost’ clause of this principle is met, we must consider three distinct costs: ‘agent-relative costs’, ‘recipient-relative costs’ and ‘ideal-relative costs’.     

ATTRIBUTIONS FOR THE POORLY PERFORMING BLACKJACK DEALER: IN THE CARDS OR INABILITY?

This study examined the effects of task and supervisory experience on causal attributions and recommendations for corrective action following poor performance. One hundred twenty subjects employed in a casino reviewed an evaluation form describing the poor performance of a blackjack dealer in the casino. Subjects included first-and second-level supervisors with task and supervisory experience, dealers with task experience only, and employees with neither task nor supervisory experience. Subjects were told that the dealer being evaluated had 2, 6, or 12 months of task experience. Results indicate that task and supervisory experience did affect attributions to specific causal factors; however, the effects were not consistently in the predicted direction. Specifically, supervisors viewed lack of effort and poor supervision as more important and task difficulty as less important causes of poor performance than did dealers. Subjects without task experience viewed poor work conditions and task difficulty as stronger causes of poor performance than did dealers. Task experience of the ratee interacted with rater task experience such that dealers and controls differed in their attributions for employees with 12 months' experience but did not differ if the ratee had 2 or 6 months' experience. Causal attributions for an employee's poor performance were related to subsequent corrective recommendations.     

THE ANALYSIS OF BEHAVIOR WHAT'S IN IT FOR US?

When we publish behavioral research, we are not allowed to communicate the thrill, the poetry, or the exhilaration that are outcomes of the discovery process. Yet, these are among our most potent reinforcers. Explicit recognition of the emotional accompaniments to research could help attract students into the experimental analysis of behavior.     

“‘WE' AND ‘THEY'”: WHY MUST WE ENGAGE IN CROSS-CULTURAL CONVERSATION?

This article contains the principal ideas that I presented in four different sessions at the IRAS 2022 conference, on the theme “‘We' and ‘They’: Cross-Cultural Conversation on Identity.” Focusing on the central topic, the article begins with (i) the contents of my opening lecture; followed by (ii) a broad outline of the concerns discussed in my book, Cross-Cultural Conversation: A New Way of Learning, intertwined with glimpses of the intellectual journey that led me to CCC, delivered in the Book-discussion session; (iii) a summary of the main ideas about the importance of meeting of religions today, which formed the background for the CCC Panel discussion on religion, where I was in conversation with spokespersons of five world religions; and (iv) my comments on how science–religion dialogue can help promote a sense for human solidarity by combining knowledge with wisdom, in the concluding session.     

‘HOW MANY OF US REMEMBER 1984?’: NARRATING MASCULINITY AND MILITANCY IN THE KHALISTANI RAP BRICOLAGE

For some Sikh rappers and their audiences, the utopian concept of Khalistan serves as an ideological grid, in which specific masculine and militant logics become meaningful and acceptable. In diasporic settings, such as in the UK, memories of ancestral cultures serve as mythical resources for constructing coherent narratives vis-à-vis metaphorical discourses of contemporary youth cultures. This article investigates the ways in which such narratives are constructed, and how historical remembering is explicitly and tacitly made relevant. An analysis of the lyrics of one song by a London-based hip-hop group will help to inform such perspectives on the negotiation of culture in diasporic settings, and will further deconstruct essentialist notions of ‘culture’ and ‘identity’.