CREATORS AND CREATURES: THE CREATION ACCOUNT IN GENESIS AND THE IDEA OF THE ARTIFICIAL HUMANOID

Science fiction, this article argues, provides an imaginative domain which can offer a unique understanding of the interaction between science and religion. Such an interaction is particularly present in the idea of the artificial humanoid as brought to life in Mary Shelley's Frankenstein and the recent television series Westworld. Both revolve around the theme of a moral relation between scientist creator and humanoid creature in accord with a norm that first took shape in the biblical account of God's creation of the first human beings. At the same time, these works of fiction cast light on the contrast between the biblical account and the Mesopotamian myths of creation. In the manner of Frankenstein and Westworld, science fiction can integrate the perspective of science with that of the biblical tradition.     

Mary Shelley's Frankenstein: what made the Monster monstrous?

This paper discusses the genesis of the famous story of Frankenstein which arose from a dream experienced by Mary Shelley whilst on a holiday shared with her husband Percy Shelley, Lord Byron, Dr Polidori and her step sister Claire Clairmont. The novel relates how the creature created by Victor Frankenstein horrifies him, is rejected by him and called a monster. The monster's ensuing despair and subsequent murderousness is eloquently described. The whole book is clearly connected to Mary Shelley's experience as an infant whose mother died after giving birth to her and her subsequent loss, as a mother, of her own new born infant. It is suggested that the novel imaginatively describes what it is to have been primarily rejected as an infant and to feel regarded as a monster.     

The Restitution of Primary Identification Psychoanalysis

The paper discusses different well-known imagined monsters. Starting with the fairy tale and the films on The Beauty and the Beast (La Belle et la Bête), hidden meanings from several psychodynamically valid perspectives are proposed with the aim of finding out what makes this story so popular and everlasting. Projected demons or impulses in Maurice Sendak's Where the Wild Things Are are discussed as well as Mary Shelley’s Frankenstein and his monster who are presented and connected to facts in this author’s life. In the summary links to psychoanalytic thinking are proposed.     

Combining Patient Utility with Health Status Assessment to Improve Medical Decision Making

Physicians often use health status assessment tools to evaluate a patient's condition, then apply established guidelines to determine the most medically effective treatment. Yet additional criteria, such as the appropriateness of the treatment given the particular patient's preferences and attitude toward risk, are also highly relevant to quality care. While such preferences could be addressed via patient utility functions, their use in actual practice is somewhat limited because elicitation is often considered too burdensome for patients, unreliable, or redundant given other measures. For a small group of real patients who have suffered a stroke, we measure both traditional health status and patient utility for the current state to determine whether limited, focused utility assessment is a practical means of obtaining additional and relevant patient information. We find that utility assessment is perceived as reasonable and useful by patients, even when quite ill, and that utilities and health status are not redundant. In fact, investigating apparent inconsistencies between patient utility and observed health status can alert the physician to patient concerns and criteria not captured by more traditional measures. We propose an approach to medical decision making that uses both measures to improve patient–physician communication.     

In memoriam: Remembering Rollo May: An interview with Irvin Yalom

We note first of all that the full title of Mary Shelley's book is Frankenstein or The Modern Prometheus. If we take this title as a cryptic introduction to its subject matter, we come to understand the novel as exploring the consequences of an Enlightenment project that sought to replace the classical Greek Prometheus, who was the founder of Greek religion, with a modern surrogate representing modern industrial techno-science. The ancient Greek Prometheus had sought to liberate his people by separating mortals from immortals and thereafter reuniting them by means of a festive, religious ritual. By contrast, the modern pseudo-Prometheus promised to liberate humanity by effacing the division between heaven and earth and by seeking to make the natural scientific universe the ultimate object of all cultural activity. Modern human science, including academic and scientific psychology, should be counted among the offspring of this modern and progressive Prometheus. Mary Shelley's masterpiece describes the dangers inherent in blindly following this modern techno-scientific Prometheus, thereby indirectly evoking the possibility of building a different psychology and human science that remains in close alliance with the antique Prometheus.     

THE ANALYST'S APPROACH AND THE PATIENT'S PSYCHIC GROWTH

Psychoanalysis, which shares many functions with other therapies, is built upon its unique concern for the unconscious forces active behind a patient's symptoms and difficulties. What defines psychoanalysis is the analyst's approach as a disciplined engagement in the service of exploring those forces and their roots, an approach that is the product of curiosity working in the service of the other. As a result of the analyst's actualizing this approach, the patient comes to benefit not only from whatever specific declarative interpretations and insights have been explicitly opened, but also, importantly, from observing and taking in the unspoken underlying psychoanalytic mental processes. In this light, the patient's significant capacities for empathy, a subject often neglected, are also discussed. ¹      

Perpetuating the Father Christmas Story: a justifiable lie?

Most adults allow and even encourage young children to believe in Father Christmas as a real person. Although adults are usually engaged in open and rational communications with children they appear to be willing to deceive them and they often have to elaborate the story further to maintain such a reality. In the present paper, adult behaviours in perpetuating the Father Christmas story and the value, or not, of children being exposed to this story during their early years have been discussed in the light of the existing literature and the preliminary findings of the writers' own study.

In general, the discussion has shown that there appears to be a complexity of issues surrounding the Father Christmas story and many variables need to be considered before one would argue for or against the perpetuation of the story. Such variables include commercialization, traditional cultural conformity, the place of the story in diverse societies, possible adverse effects on children from being deceived, the development of children's imaginative potential, and children's access to alternative value systems and spirituality. Commercial pressures and traditional conformity may be factors for adults maintaining the story, but a further study of the unspoken and perhaps unexamined or unconscious beliefs that adults may hold about positive effects of the Father Christmas story may justify the perpetuation of the story.     

Investigating the Meaning of Patient Ownership: An Exploratory Study of a Commonly Used Phrase within an Internal Medicine Department

Learning to assume responsibility or "ownership" for patient care is an important aspect of learning what it means to be a physician. To date, most of the research on patient ownership has focused on residents' understanding of what it means to own patients. This exploratory study explored third- and fourth-year students', residents, and attending physicians' understanding of the phrase "taking ownership of a patient." Data included participant observations and interviews that expanded over a five month period. Interviews were transcribed and analyzed using psychological ownership as an analytical lens and latent content analysis as a method. Third-year students primarily understood the phrase to mean communicating with patients and their immediate team. Fourth-year students indicated it was an expectation to contribute to the management of patient care. Residents and faculty thought patient ownership included an emotional investment in patients. The phrase taking ownership of patients is understood differently depending on where participants are in their development, even though it is assumed there is a shared understanding across team members. Given the variability in understanding, educators should have explicit discussions with learners about commonly used concepts to help them develop sophisticated understandings and monitor their own development.

     

Coming to Terms With Invisible Disability—Beyond Empathic Resonance: Commentary on Paper by Lauren Levine

For the clinician as for any parent, having a child with cognitive disabilities heightens one's sense of vulnerability and insufficiency. One is confronted with unbearably intractable limits, which generates doubt about one's therapeutic potential. The ability to empathize with a parent's distress is crucial, but only the starting point in treating a patient whose child is disabled. What may be most constructive is the dialectic between the analyst's relative detachment (involving compassion but also a willingness to dredge up disavowed negative feeling) and the parent's attached dismay. Lacanian and existentialist theories remind us that, whether normal or handicapped, we are all existentially in a state of lack. This perspective provides a useful touchstone for analyzing the experience of disability in one's own life and that of one's patients.

In further response to Lauren Levine's paper, it is argued that it is tricky to prove (beyond showing that a training analysis promotes maturation in the broadest sense) that a given aspect of an analyst's own personal analysis resulted in the capacity to heal a particular patient. The point can be made most persuasively when the actual analytic exchange, messy and circuitous as it may be, is offered in great detail.     

THE TEXTURE OF TRAUMATIC ATTACHMENT: PRESENCE AND GHOSTLY ABSENCE IN TRANSGENERATIONAL TRANSMISSION

Work on the transgenerational transmission of trauma refers to unspoken stories across generations, but the actual mode of transmission has remained somewhat mysterious. Utilizing examples from her own life, the author illustrates how attachment patterns are a primary mode of transmission of trauma. When trauma revisits a person transgenerationally through dysregulated and disrupted attachment patterns, it is within the child's empathic attunement and search for a parental bond that the mode of transmission can be found. This will become the texture of traumatic attachment: how it feels to this child to feel connected to the parent.     

The Life of Spirit: The Self and Sanctification in Søren Kierkegaard's The Sickness unto Death

Danish theologian and philosopher Søren Kierkegaard is often overlooked as an author in the Christian spiritual tradition. This paper answers Christopher Barnett's call to investigate themes of Christian spirituality in Kierkegaard's writing. In this paper, I argue that we can construct of vision of sanctification from Kierkegaard's The Sickness unto Death. While Kierkegaard does not directly deal with themes of sanctification in The Sickness unto Death, Kierkegaard's pseudonym Anti-Climacus does demonstrate the ‘spiritless’ life of despair. The ‘spiritless’ life, as Anti-Climacus defines it, is a life that is not truly a ‘self’. Anti-Climacus systematically demonstrates four categories of despair, and all people not living in faith, whether they realise it or not, fit into one of these categories of ‘spiritless’ existence. I argue that by constructing the opposites of Kierkegaard's categories of despair I demonstrate that a ‘spirit-filled’ life exemplifies a vibrant Christian life of sanctification.     

Mozart Among the Theologians

The essay compares and contrasts the philosophical, theological, and aesthetic approaches to Mozart in the writings of Søren Kierkegaard's aesthete A (Either/Or, I), Karl Barth (primarily Wolfgang Amadeus Mozart), and Hans Küng (Mozart: Traces of Transcendence). Whereas Kierkegaard's A outlines a non‐religious ‘daemonic Mozart’, Barth and Küng depict two contrasting theological understandings of Mozart's music. Barth's Mozart reflects a Reformed aesthetic, with Mozart as a ‘parable’ of gospel, whereas Küng's Mozart reflects a Roman Catholic ‘sacramental’ vision of music and religious faith. The essay explores how these different visions of Mozart are shaped by both their theological and aesthetic commitments.     

A Systems Approach to Perception and Action

ABSTRACT

On the 50th anniversary of its publication, we look back on some of the intellectual contributions of Gibson's (1966) The Senses Considered as Perceptual Systems. This work is often seen as contributing a new perspective to our understanding of the 5 senses. In this paper, we explore another intellectual contribution: Gibson's treatment of perception–action as an irreducible, functional system. We review select examples of systems thinking from the physical, animal, and human social domains. Our suggestion is that a systems-level approach to social interactions would have been a natural extension of Gibson's ideas.     

The Otherness of Children as a Hint of an Outside: Michel Foucault,Richard Yates and Karl Barth on Suburban Life

Abstract

The essay shows how the ordinary life of children might save suburbia from itself. Disenchanted with contemporary existence, temptations of ideality tend to both vilify and verify suburban life as banal, yet to the extent that suburban life means life with children, profound possibilities subsist in that strange world. The argument unfolds in three parts. Beginning with Michel Foucault, the author shows how power courses through every form of life, colonizing depth such that desire reveals power's most fundamental expression. Secondly, Richard Yates's Revolutionary Road exemplifies power's machinations as Yates compassionately portrays the tragedy of belittling ordinary life. Finally, the author turns to Karl Barth in order to resituate Foucault's account of immanence within a larger horizon where children might be embraced as the aleatory play of difference of God's peace and patience.     

Zhuangzi's notion of transcendental life

In the post-metaphysical climate of the modern Western academy, Chinese thought is often seen as a happy pragmatism free from transcendental pretense. The article shows, on the contrary, that the early Daoist thinker Zhuangzi had not only one but at least two distinct notions of transcendence. The focus is on Zhuangzi's notion of transcendental life, or the life of Heaven as opposed to the life of man. Based on the explication of Zhuangzi's notion of transcendental life, the article provides a new understanding of Zhuangzi's crucial notion of ‘wandering’ (you). Finally it is argued that Zhuangzi's thought does not, as it is often thought, fall into naturalism.     

Toward a Reconstruction of Medical Morality

At the center of medical morality is the healing relationship. It is defined by three phenomena: the fact of illness, the act of profession, and the act of medicine. The first puts the patient in a vulnerable and dependent position; it results in an unequal relationship. The second implies a promise to help. The third involves those actions that will lead to a medically competent healing decision. But it must also be good for the patient in the fullest possible sense. The physician cannot fully heal without giving the patient an understanding of alternatives such that he or she can freely arrive—together with the physician—at a decision in keeping with his or her personal morality and values. In today's pluralistic society, universal agreement on moral issues between physicians and patients is no longer possible. Nevertheless, a reconstruction of professional ethics based on a new appreciation of what makes for a true healing relationship between patient and physician is both possible and necessary.     

Personality,Luck Beliefs,and (Non-?) Problem Lottery Gambling

This study offers both the first systematic investigation of the relationship between the five-factor personality model and general (ostensibly non-problem) lottery gambling, and the first application of Thompson and Prendergast’s (2013) bidimensional model of luck beliefs to gambling behavior. Cross-sectional analyses (N = 844) indicate the bidimensional model of luck beliefs significantly accounts for variance in lottery gambling that is discrete from and greater than that of the five-factor personality model. Moreover, the broad pattern of relationships we find between presumably harmless state-sponsored lottery gambling and both personality and luck beliefs tend to parallel those found in studies of problem gambling, suggesting implications for quality of life and public policy in relation to lottery gambling.

     

Sexual quality of life in patients undergoing coronary artery bypass graft surgery

Objectives: Despite improvements in many domains of functioning, sexual quality of life often remains impaired following coronary artery bypass graft (CABG) surgery. This study examined associations among sexual quality of life, fear of sexual activity and receiving information from providers about sexual activity in CABG patients.

Methods: Participants completed a survey assessing sexual activity, mental health and physical health at baseline (3–5-day post-surgery; n?=?60) and 2-month post-surgery (n?=?42).

Results: Sexual quality of life showed moderate difficulties at baseline and did not improve by follow-up (p values ≥0.09). At follow-up, greater patient fear was associated with lower sexual quality of life in some domains; receiving information was related to lower fear (p values ≤0.03) and greater sexual satisfaction and interest (p values ≤0.04). Suggestive of mediation, there was a significant indirect effect of information on patient fear and of patient fear on sexual interest (p?=?0.05).

Conclusions: Though data were cross-sectional, findings suggest that fears of sexual activity may play a role in lowering CABG patients’ motivation for sexual activity and that receiving information from a medical provider may assist in hastening sexual rehabilitation. Prospective and intervention studies are needed to support findings.