Dire straits: the divisive legacy of the 1898 Cambridge anthropological expedition.

Bartlett's claim that the Cambridge anthropological expedition of 1898 to the Torres Strait "put a social and ethnological stamp upon Cambridge psychology" does not bear close examination. Rivers pursued his interests in both anthropology and psychology but came to regard them as largely independent pursuits. Myers, through the influence of Rivers, came to identify himself primarily as a psychologist. McDougall was very quickly marginalized. There were two occasions when the promise of the Torres Strait began to be fulfilled: first, the reunion of Rivers, Myers, McDougall, and Seligman, all medically trained, at Maghull Hospital to help in the treatment of shell-shocked soldiers; second, Bartlett's attempt, early in his career, to establish a sociocultural psychology. However, the remarkable "academy" at Maghull was disbanded at the end of the war, and Bartlett, in his attempt to promote the "upstart subject" of psychology at Cambridge, increasingly came to distance his department from social and ethnological concerns. There is a neglected legacy of the Torres Strait expedition, the curious belief that the methods of experimental psychology, and indeed psychophysics, could (somehow) be foundational to the human sciences. This legacy has served both to suggest that psychology must have something to do with anthropology, while perpetually deferring any actual integration between the two disciplines.     

Gregory Bateson's lost world: the anthropology of Haddon and Rivers continued and deflected.

Gregory Bateson was one of the last and most distinguished products of the school of anthropology that Haddon and Rivers created in Cambridge after the Torres Strait Expedition. Beginning his career shortly after Rivers' death, Bateson used the interwar years to create a theoretical approach that continued and deflected that of Haddon and Rivers. His major ethnography from this period, Naven, evidenced his complex academic positioning between the legacy of Rivers and the new paradigm emerging around Malinowski and Radcliffe-Brown. After the Second World War, Bateson's intellectual project emerged as even closer to Rivers' in both psychological and evolutionary dimensions.     

W H R Rivers (1864-1922): the founder of research in cross-cultural perception.

This paper presents a brief review of Rivers's contribution to psychology, especially to his cross-cultural studies of the basic perceptual processes of vision, and examines the lasting influence of his findings. It reports briefly on the scientific milieu in which Rivers carried out his work and traces the growth of his interest in the psychology of perception from the early days of his medical work to his appointment as a foundation lecturer of two English universities, London and Cambridge. It is argued that Rivers's contribution has been undervalued by psychologists.     

The "wider view": André Helleger's passionate, integrating intellect and the creation of bioethics

This article provides an account of how André Hellegers, founder and first Director of the Kennedy Institute of Ethics at Georgetown University, laid medicine open to bioethics. Helleger's approach to bioethics, as to morality generally and also to medicine and biomedical science, involved taking the "wider view" -- a value-filled vision that integrated and gave meaning to what otherwise was disparate, precarious, and conflicting. This article shows how Helleger's wider view of bioethics was shaped by events in his own life, his resultant sense of the precariousness of life and health, his commitment to religious inclusiveness, his research in fetal medicine, his clinical experience in obstetrics, his role in the struggle to change the teaching of the Roman Catholic Church on fertility control, and his developing concepts of health and disease. Hellegers was committed to and worked toward bioethics as a self-consciously interdisciplinary field in which the contributing disciplines adapt to each other -- rather than sustain themselves as autonomous disciplines -- to create a dynamic and complex intellectual, clinical, and social activity.     

骨科疾病诊治中的临床思维

医学哲学是对医学科学成就总的概括,并以此为基础探讨生命活动和病程的一般规律,研究医学科学的思维方式,直至疾病预防、诊断治疗。同时研究辩证规律和范畴在医学科学中的表现,从而指导骨科医师解决在骨科疾病诊治中遇到的诸多问题,并有助于形成正确的临床思维。结合临床工作体会,探讨医学哲学在骨科疾病诊治临床思维中的应用。     

Ivan Pavlov on communist dogmatism and the autonomy of science in the Soviet Union in the early 1920s. 1923.

On 25 September, 1923, two days before his 74th birthday, Ivan Petrovich Pavlov stood before a class of medical students assembled in the auditorium of his Alma Mater, the Military Medical Academy in Leningrad. Pavlov, the recipient of the Nobel prize in medicine in 1904 for his work in physiology, was about to address his first class of the new academic year, and, as was his custom, he had prepared his first lecture on a general theme. This was an especially significant address, however, for in it Pavlov reviewed the impressions he had gathered during his travels in Western Europe and the United States in the summer of 1923, and he criticised the prevailing ideology of Soviet communism by attacking the ideas of Nikolai Ivanovich Bukharin, then the leading expositor of Bolshevik Marxism. An English translation of the lecture is printed below.     

The usefulness of economic analyses for policy support in health care

In the Netherlands economic analysis of medical technologies is increasingly recognized and used as an instrument for policy-making on different policy-levels in health care. This is mainly due to the introduction of a specific kind of medical technology assessment research, the so-called “investigative medicine.” In this type of health-care research the consequences (medical and quality of life) and the costs of a certain medical technology are usually simultaneously evaluated. Two characteristics of investigative medicine are discussed in the paper: the principle that research grants in this field are assigned to grant holders at University Hospitals and that the evaluation is often executed by means of economic analyses such as costeffectiveness analysis. He was engaged in forecasting research, manpower research and is currently involved in evaluative economic research in the field of health care. At the moment his main research activities concentrate on (computer) support of organizational change.     

Psychology and a helpful form of medical practice

The present article is provided to acquaint psychologists with the view of osteopathic medicine as proposed in the Educational Goals of Osteopathic Medicine published by Irvin M. Korr and his group at the Texas College of Osteopathic Medicine at Fort Worth, Texas. The present article is meant to suggest a connection between the over-all objectives of the advanced form of medicine and the practice of clinical psychology by listing them. Aims are in essence similar.     

Narrative unity and clinical judgment

Alasdair MacIntyre's recent thinking both about the concept of a practice and the existence of narrative unity in human life raises important questions about how we should view clinical medicine today. Is it possible for clinical medicine to pursue patient well-being in a society (allegedly) afflicted with what he calls ‘modernity’? Here it is argued that MacIntyre's pessimistic view of the individual in contemporary society makes his call for patient autonomy in the clinical setting pointless. Finally, recent work in gerontology is cited to make three points: first, MacIntyre's pessimism about us is too extreme; second, the concept of a ‘fictionalized’ personal history is closer to reality than either MacIntyre's notion of narrative unity or the ideas of his imagined opponent (Sartre); and finally, we should not expect clinical medicine to produce patient well-being, when this is understood narratively.     

Grounding medical ethics in philosophy of medicine: problematic and potential

After considering two of Pellegrino’s papers that address the relation between philosophy of medicine and medical ethics, I identify several overarching problems in his account that revolve around his self-described essentialism and the lack of a systematic attempt to relate clinical medicine to biomedicine and public health. I address these from the critical realist position of Bernard Lonergan, who grounds both metaphysics and ethics on the normative structure of human inquiry and seeks to understand historical development, such as we are witnessing in health science and health care, in terms of the dynamic structure of the human good. I conclude that Lonergan’s generalized empirical method and hierarchical account of world order provide a potentially dynamic framework on which to build a more comprehensive philosophy of medicine than one whose foundations rest primarily on a phenomenology of the clinical encounter and the telos of medicine.

     

Herbert m. Lefcourt (1936-2011)

Presents an obituary for Herbert M. Lefcourt. In the summer of 1963, with a freshly minted PhD degree in his hands, Lefcourt moved to Waterloo, Ontario, Canada. Along with several other young faculty members from the United States, Herb had been recruited to help establish a new PhD program in clinical psychology at the University of Waterloo. Over the ensuing years, it became recognized as one of the leading clinical programs in North America. Ever an optimist with a zest for life, Herb focused on the positive side of human nature in his research interests. While others studied stress and distress, Herb was more interested in the personality traits of people who are particularly resilient, able to withstand adversity without succumbing to illness and depression. Later in his career, his interests turned to the study of the sense of humor, again conceptualized as a personality variable with important implications for mental and physical health. Herb retired from the university in 1996 and was awarded the honorific of Distinguished Professor Emeritus. He had a very enjoyable retirement, pursuing his many interests, which included international travel, hiking, woodworking, literature, film, and classical music, and enjoying his summer cottage on Manitoulin Island in Lake Huron. He is remembered as an energetic teacher who, in addition to having an eclectic command of the theory and research, drew on his vast knowledge of literature, film, and current events to make his lectures interesting, informative, and thought-provoking. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

What is a clinical ethicist?

A distinction is made between the function of ethics in clinical medicine, which is to guide the clinician in his/her practice, and the role of the ethicist. It suggests that ethicists can help by clarifying values expressed in various clinical behaviours. The author proposes that certain ethical positions, such as patient advocacy, have compromised the privacy of the doctor-patient relationship and created a potential for ethical leverage through financial-legal consequences they did not intend or foresee.     

W. I. Thomas and social reform: His work and writings

W. I. Thomas was a major figure in the founding of sociology, especially symbolic interactionism. His concern with and commitment to social reform, however, is rarely recognized. This neglected aspect of his thought and activities is crucial for the interpretation and assessment of his writings and status in the profession. Examination of this facet of his work also illuminates some of the important contributions made by women to the development of his thought and career.     

Jung's Lament

This article has two premises. First, that depth psychology is more an art than a science, and second, that expanding imagination is the primary method of therapy. Both Jung and Freud considered themselves scientists, yet both had ambivalent relationships with artists and writers. Freud was given the Goethe award for literature and never the Nobel Prize for medicine, whereas Jung was confronted by both his anima and Herbert Read concerning his devaluation of his own artistic direction as well as of modern art generally. I am proposing through the article's fictional style, that in this age of evidenced-based medicine, we, as therapists, have much more to learn from writers and their fictional stories than from the abstract fantasies of science. I believe we have made an error in our field by turning so completely to developmental theories and object-relation theorists for our method. Jung hinted as early as 1916, in his paper “The Transcendent Function,” that there was a way of engaging the soul directly and allowing its voice and character to emerge. I am proposing that if we truly believe that the psyche is autonomous, then all therapy should be an encounter with “the other.” If this were the case, then active imagination could be developed as a wider and more inclusive method.

Everywhere I go I find a poet has been there before me.

―Sigmund Freud     

Animal experimentation: The legacy of Claude Bernard

Claude Bernard, the father of scientific physiology, believed that if medicine was to become truly scientific, it would have to be based on rigorous and controlled animal experiments. Bernard instituted a paradigm which has shaped physiological practice for most of the twentieth century. In this paper we examine how Bernard's commitment to hypothetico‐de‐ductivism and determinism led to (a) his rejection of the theory of evolution; (b) his minimalization of the role of clinical medicine and epidemiological studies; and (c) his conclusion that experiments on non‐human animals were, “entirely conclusive for the toxicology and hygiene of man”. We examine some negative consequences of Bernardianism for twentieth century medicine, and argue that physiology's continued adherence to Bernardianism has caused it to diverge from the other biological sciences which have become increasingly infused with evolutionary theory.     

John m. Neale (1943-2011)

Presents an obituary for John M. Neale. Neale died in Hilton Head, South Carolina, on November 19, 2011, after a long illness. He was born on August 31, 1943, in Toronto, Canada. He received his bachelor's degree from the University of Toronto in 1965, where his interest in psychology had been sparked by an introductory course taught by George Mandler. After working at a residential treatment center for emotionally disturbed children, he decided to pursue graduate training in clinical psychology and enrolled at Vanderbilt University. Rue Cromwell served as John's mentor and stimulated his interest in the investigation of perception and cognition in schizophrenia. His doctorate was awarded in 1969, after completion of his internship at the Langley Porter Neuropsychiatric Institute in San Francisco. John was hired in 1969 as an assistant professor in the new and exciting psychology department (founded in 1965) at the State University of New York at Stony Brook. That department remained his academic home for his entire career. Outside of his academic pursuits, John was an avid New York Giants fan, an extensive traveler, an excellent skier and tennis player, a music lover and jukebox collector, an outstanding cook, a terrific dancer, and a devoted dog owner. He continued to pursue these interests throughout his life, taking cooking classes, traveling to exotic locales with his wife Gail, and, when his health precluded more rigorous athletic pursuits, faithfully walking and playing with his dogs. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Community Context for Teaching

Summary

A Community Oriented Primary Care (COPC) methodology can assist Family Practice faculty in implementing clinical and teaching activities designed to address interpersonal violence against adult women. The traditional COPC steps are as follows: (1) define the practice population; (2) assess a specific health problem; (3) develop and implement a strategy to address the issue; and (4) evaluate the impact of the intervention. At Ramsey Family Medicine we've developed a conceptual tool we call “the wheel” of community medicine which depicts the five arenas where resident physicians can work to end domestic violence: in the exam room; within the clinic; as part of a network of providers; within the larger community; and, as a part of a state or national initiative. We've also developed an operational tool called “the matrix” of community medicine which outlines specific COPC activities in each of the aforementioned arenas. We've arranged the matrix to apply to clinical practice and resident education activities regarding abuse intervention and prevention at Ramsey. This approach stresses partnerships with community organizations with expertise and commitment to ending domestic violence.