Psychiatry,psychoanalysis and sociology in the work of H.S. Sullivan

Abstract

Conci, M. Psychiatry, Psychoanalysis and Sociology in the Work of H.S. Sullivan. Int Forum Psychoanal 1997;6: 127–135. Stockholm, ISSN 0803-706X.

The author tries to illuminate H.S. Sullivan's complex professional identity. With E. Fromm he shared a basic humanistic orientation, and also the project of creating an interdisciplinary new science of man. This is the perspective he inherited from W.A. White, who tried to make psychoanalysis a major ingredient of psychiatry and social science. Sullivan's pioneer work with schizophrenic patients changed the prognosis of these patients, represented the basis of his interpersonal theory of psychiatry and of his collaboration with Chicago social science. Not only is the epistemological sophistication of his definition of psychiatrywhich includes the biological, intra- psychic, cultural and social dimensions-very relevant today, but so is the work he conducted, through the Washington School of Psychiatry (1936) and the journal Psychiatry (1938), with the aim of creating what he called a “psychiatry of peoples”, leading to world peace and greater social justice. In his view, psychoanalysis was more than a profession: it was a fundamental instrument of personal, cultural and social change.     

Intersubjectivity in Wittgenstein and Freud: Other Minds and the Foundations of Psychiatry

Intersubjectivity, the cooperation of two or more minds, is basic to human behavior, yet eludes the grasp of psychiatry. This paper traces the dilemma to the “problem of other minds” assumed with the epistemologies of modern science. It presents the solution of Wittgenstein's later philosophy, known for his treatment of other minds in terms of “human agreement in language.” Unlike recent studies of “Wittgenstein's psychology,” this one reviews the Philosophical Investigations' “private language argument,” the crux of his mature views on mind. It reads that argument as recording his shift from the modern egocentric paradigm of mind to an intersubjective one. The paper contrasts the merits of Wittgenstein's reduction of subject and object to grammar with the problems of Freud's metapsychological reduction. It shows how Wittgenstein's intersubjective method avoids the excesses of behaviorism and phenomenology, offering a specifically human way to adapt mechanistic and interpretive means to the communicative ends of psychiatry.     

‘Who Were the Experts?’ The Science of Love vs. Women's Knowledge of Love During the Spanish Dictatorship

During the most oppressive decades of National-Catholicism imposed by the Franco regime, scientific and medical expertise and knowledge were used to promote a particular form of heterosexual love that supported patriarchal normativity and notions of femininity. This ‘science of love’ represents two dispositifs of feminization that circulated through a range of scientific and medical knowledges (e.g. eugenics, ethology, physiology, neurosciences and psychiatry). It not only supported the internal coherence of science and medicine, but also supported particular forms of knowledge within the cultural context of National-Catholicism. Although the science of love was inspired by particular notions of romantic love, it was also contested by the daily and practical experiences of women. Different women in Franco's Spain deployed marginalized and subaltern knowledges as they orchestrated an emotional knowledge that was more emancipatory and useful for everyday amorous preoccupations and well-being than the one in medical and psychiatric texts. Women's discussions of love represented a key site and source of knowledge, an authentic repository of imaginative ideas that are also useful for the present to challenge patriarchal norms.     

中文语境下的“心理”和“心理学”

“心”或“心理”等词语在汉语中有相当长的历史,对这些词语的理解反映了中国人关于“心理”的认识。中文的“心”往往不是指一种身体器官而是指人的思想、意念、情感、性情等,故“心理学”这三个汉字有极大的包容性。任何学科都摆脱不了社会文化的作用,中国心理学亦曾受到意识形态、科学主义和大众常识等方面的影响。近年中国学者对心理学自身的问题进行了反思。从某种意义上说,中国人对“心理”和“心理学”的理解或许有助于心理学的整合,并与其他国家的心理学一道发展出真正的人类心理学     

创造力的心理学研究进展与研究取向

人类对创造力的认识进程,离不开哲学、生理学、脑科学和心理学等学科所作的研究贡献．但在对创造力的众多学科研究中,没有比心理学所作的研究贡献更大的了。本文着力从生理心理学、心理测量学、认知心理学和社会心理学等心理学分支学科的角度,分别阐述了创造力的心理学研究进展。本文认为．对创造力的心理学研究要有更理性的研究取向．那就是．应进一步加强和促进创造力的纵向研究和应用研究,应大力提倡创造力的多学科、多视野协同研究。     

INTERNISTS OF THE MIND OR PHYSICIANS OF THE SOUL: DOES PSYCHIATRY NEED A PUBLIC PHILOSOPHY?

Although psychiatry is interested in what both body and mind contribute to behavior, it sometimes emphasizes one more than the other. Since the early 1980s, American psychiatry has shifted its interest from mind and psyche to body and brain. Neuroscience and psychopharmacology are increasingly at the core of psychiatry. Some experts claim that psychiatry is no longer interested in problems in living and positive goals such as mental health, happiness, and morality but rather has narrowed its focus to mental disorders addressed with psychotropic drugs. In view of this trend, psychiatry needs to confront two questions in social philosophy. If it is no longer directly concerned with health and happiness, how does it relate to these positive goals? And how does it relate as a medical institution to religious institutions, schools, and other organizations that directly promote health, happiness, morality, and the purposes of life? It is not enough for psychiatry to renounce its moral role; its practices still shape cultural values. Psychiatry should take more responsibility for developing a public philosophy that addresses these issues.     

Psychosynthesis of the brain and mind: Comments on a new intellectual framework in psychiatry and psychotherapy

Abstract

Eric R. Kandel, the Nobel Prize winner of 2000 in physiology and medicine, emphasises five scientific principles of which psychiatrists must be aware and which are presented and critically analysed in this article. Kandel states that professional requirements for future psychiatrists will impose a greater knowledge of the structure and functioning of the brain, and that the rationale for the unique domain that psychiatry occupies within academic medicine is the analysis and understanding of the interaction between the social and biological determinants of behaviour. The work of a psychotherapist is based both on scientific knowledge and, to a large extent, on an empathic understanding of the patient's history as well as his or her verbal and non-verbal expressions – as a consequence, the orientation of hermeneutic philosophy and semiotics should also be included in the intellectual framework. The aim of this paper is to update the channels of communication between modern neurobiology, psychoanalysis, semiotics and philosophy to the best advantage for their multidisciplinary, holistic cooperation.     

Herbert Blumer's critique of The Polish Peasant: A post mortem on the life history approach in sociology

Herbert Blumer's appraisal of William Thomas and Florian Znaniecki's Polish Peasant study and the panel discussion of Blumer's critique, sponsored by the Social Science Research Council in 1938, occasioned a discussion of the value of personal documents in social research which is indicative of the controversy surrounding their use in the interwar period. It is suggested that most sociologists writing in the 1930s were skeptical of the value of personal document research, because such research could not be conducted along the lines of experimental procedure in physical science. Personal document research was in decline by 1938. The critique and conference constituted a post mortem examination of this approach to social analysis.     

Sense and nonsense in the social psychiatry concept

The term social psychiatry was justified when coined as a name denoting a psychiatric sub-discipline in order to promote the development of this specific aspect of psychiatric research and practice which, at the time, ran counter to established theory. At present, however, social psychiatry is in danger of becoming isolated, of developing in the boundary regions of psychiatric practice, and thus failing to fulfil its actual role of permeating psychiatry as a whole. The term social psychiatry is regarded as an expression of this isolation and should be avoided.     

Translational contributions of the experimental analysis of behavior

It has been argued that to increase societal impact behavioral researchers must do more to address problems of obvious practical importance. The basic science wing of behavior analysis has been described as especially detached from this goal, but is it really necessary that basic science demonstrate social relevance? If so, why hasn''t this occurred more often, and what can be done to improve the status quo? To address these questions and to stimulate discussion about the future of basic behavior science, I describe two widely embraced arguments in favor of pure basic science (that which is undertaken without concern for practical applications); explain why a translational research agenda is likely to better recruit tangible support for basic science; propose that addressing practical problems does not require basic science to abandon its focus on fundamental principles; and identify some possible impediments to translational innovation that may need to be addressed for basic behavior science to increase its translational footprint.     

The faculty psychology of Thomas Reid

Contradictory versions of Reid's faculty psychology have been presented. A reexamination of Reid's writings suggests that the term, faculty, was used not as a classificatory device but rather to refer to innate, universal, and active mental powers. Being active, the faculties are one of the basic causes of observable psychological phenomena. The relation of the faculties to other mental powers is considered. A new listing and classification of such powers is compared with that presented in 1936 by H. D. Spoerl which has been used as the basis for much of the subsequent analysis of Reid's faculty psychology.     

Axiological Nihilism: Some theses

In this paper an attempt is made to provide an analysis of the meaning of the term function and related terms as they are used by R. K. Merton in the first chapter of his book Social Theory and Social Structure. Several problems are suggested which must be solved if statements about functions are to be considered scientifically adequate. Secondly the term functionalism is defined and several of Merton's functionalist explanations of social phenomena are stated and criticized.     

Japanese‐American confinement and scientific democracy: Colonialism,social engineering,and government administration

During World War II, the U.S. Indian Service conducted social science experiments regarding governance among Japanese Americans imprisoned at the Poston, Arizona, camp. Researchers used an array of techniques culled from anthropological culture and personality studies, psychiatry, psychology, medicine, and public opinion research to probe how the personality traits of the confined Japanese‐Americans and camp leaders affected the social interactions within each group and between them. The research drew on prior studies of Indian personality in the US Southwest, Mexico's Native policies, and indirect colonial rule. Researchers asked how democracy functioned in contexts marked by hierarchy and difference. Their goal was to guide future policies toward US “minorities“ and foreign races in post‐war occupied territories. We show how researchers deployed ideas about race, cultural, and difference across a variety of cases to create a universal, predictive social science, which they combined with a prewar romanticism and cultural relativism. These researchers made ethnic, racial, and cultural difference compatible with predictive laws of science based on notions of fundamental human similarities.     

Children's right to be hostile: Emotions and agency through psychodynamic lens

This paper explores children's hostility towards adult researchers and shows how individual acts of hostility might be linked to wider contexts in children's lives and to their relationships with others. Drawing on ethnographic research with children in Slovakia and psychodynamic theories of Alfred Adler and Anna Freud, the paper argues for hostility to be seen as a legitimate form of children's political agency and one which might require escape from adult logics and interpretations. It suggests that children's hostility towards the researcher should be seen as a right before it is considered a problem, and it should not on its own exclude children from participation in research. Tracing the emotional dynamics of research-participant encounters and their links to other social relationships, personal histories and emotional materials, the paper suggests that recognising children's agency as too elusive for adult interpretations might facilitate new forms of research participation, one which would not rest as heavily on the adult conceptions of childhood.     

Paradigms and possibilities

This paper is a excursus into a philosophy of science for deployment in the study of sport. It argues for the virtues of Thomas Kuhn's account of the philosophy of science, an argument conducted strategically by contrasting that account with one derived from views of Karl Popper. In particular, it stresses, first, that Kuhn's views have been widely misunderstood; second, that a rectified Kuhnianism can give due weight to truth in science, while recognising that social sciences differ in crucial ways from natural sciences. For, as Kuhn recognised, social sciences do not function in the paradigm-relative way characteristic of natural sciences. Yet there Kuhn's jargon, and especially misguided talk of ‘paradigms’, is almost ubiquitous.

These thoughts have relevance for three groups. First, as both sports scientists and exercise scientists come to grips with the claims to scientificity of their work, they will need increasingly to locate it within an epistemological framework provided by philosophy of science. So they must begin to take Kuhn's view seriously. Second, social scientists of sport – faced with the predominant scientism of colleagues in sport and exercise science – must also recognise alternatives to a postmodernist rejection of the concept of truth, where Kuhn's picture of natural science clarifies one such. Finally, philosophers writing on sport must not let antipathy to scientism close off the options they present or the terms in which they (we!) present them. And that may require debate among ourselves on abstract issues not immediately connected with sport.     

Psychotherapie und die Anerkennung des Fremden

The aim of the present paper is three-fold: it reveals the inherent limitations of the concept of disorder in psychopathology and psychotherapy. It argues that characteristics of the person such as individuality, subjectivity and identity, have to be considered in psychiatric and psychotherapeutic concepts. And it shows that psychotherapy is dependent on cultural, social and socio-economic factors that are neglected in many theories. The paper uses clinical and epistemological arguments. It arrives at the conclusion that the above mentioned limitations have a common ground. They could be overcome, if psychiatry and psychotherapy were self-reflective and self-critical in respect to the inherent limitations of theory and practice and if they integrated concepts of being different in their basic theories so that symptoms, persons and cultural or societal peculiarities could be recognised and acknowledged.—The paper has been written as a comment to D. Orlinsky's statements considering disorder-specific psychotherapies from the viewpoint of psychotherapy research.     

Psychiatry,language and freedom

For political reasons, the social control functions of psychiatry are not openly recognized as such but are disguised as benevolent medical treatment. The roots of this disguise may be traced to the political revolutions in which the rule of man was replaced by the rule of law. This transformation generated a conflict between the desire for freedom under law and the desire for a greater degree of social control than is provided by law. Involuntary mental hospitalization is the neurotic resolution of this conflict by society. The social control functions of psychiatry are disguised and justified by the medical model which describes the moral action of both psychiatrist and patient in the ostensibly value neutral language of science and medicine. The cost of this disguise is great. It negates individuals as moral agents and obscures the moral nature of the problems that psychiatrists seek to understand which, in turn, handicaps them in helping the persons they seek to assist. The task of the philosopher in this situation is honestly and critically to analyze and evaluate psychiatric language, psychiatric practices and the moral issues involved.