Why We Must Leave Our Organs to Others

Organ procurement presents several ethical concerns (from what constitutes acceptable criteria for death to issues involved in specifically designating to whom an organ can be given), but none is more central than the concern for what are appropriate means for acquiring organs. The following discussion attempts a different perspective on the issue of organ procurement by arguing that, rather than appealing to our charitable consciences or our pocketbooks, relinquishing our organs after death in this day and age is, in fact, obligatory for most people. Each of us is pressed by the growing demand for our organs should we die “rightly,” and that desperate need has risen to such a level that not to release our organs for transplantation would constitute a serious moral wrong.     

Introduction

SUMMARY

A brief discussion of balance in family systems and various forms of attachment between couples observed by Virginia Satir; “Six Ways of Making ‘Us.’” Illustrations are included.     

Reiteration: The ‘Imperative of the Word’ and Echoing the ‘Significative Terms’

Abstract

The act of reiteration is viewed as a therapeutic reply that is especially responsive in the face of what Lacan (1977) and Heidegger (1927/1962) respectively refer to as “empty speech” and “idle talk.” By hearing and selecting those key signifiers and phrasings that bear the client's story of distress, the act of reiteration allows us to focus and address the “subject who speaks” rather than the commonsense storyline itself. As an active and continuing punctuation of the client's direct discourse at the level of the word, the act of reiteration is only the first moment of a more complete narrative reply. But in keeping the therapist ever grounded in the client's direct expressions, it is this first moment of reiteration that leaves the therapist positioned to be responsive to the client's discourse of “rhetorical displacements,” of intimation and allusion, as these “echo” from “elsewhere.”     

How can a heterosexual man remove his body hair and retain his masculinity? Mapping stories of male body hair depilation

ABSTRACT

This study explores the gendered body hair removal norm and the meanings of male body hair by examining young people’s sense-making around male body hair removal. The novel technique of story completion was used to collect data from 102 psychology undergraduates. They were presented with a story “stem” featuring a young man (David) deciding to start body hair removal and asked to complete the stem. David was most often portrayed as a young heterosexual man who was excessively hairy, in the “wrong” places, was often subject to teasing and bullying, and was concerned about his diminished sexual capital. Hair removal did not always end “happily ever after” for David. While in some stories he “got the girl,” he was punished for his vanity and foolishness in others. These different endings arguably reflect currently ambivalent meanings around male body hair depilation. The production of a hairless, or less hairy, male body is both desirable and a potential threat to masculinity. The data spoke strongly to the power of social norms surrounding body hair practices and suggest that story completion provides a useful tool in interrogating the discourses that sustain these norms.     

Cur deus caro: Jesus and the Cosmos Story

Abstract

There seems to be a vast gulf between the grand-scale story of the world of creation, cosmic in scope and pitiless in its operations, and the small-scale story of Jesus as embodying divine empathy. The concept of deep incarnation offers a bridge by arguing that God's own Logos or Wisdom, when assuming the particular life story of Jesus, also conjoins the material conditions of God's world of creation at large (“all flesh”), shares the fate of all biological life forms (“grass and lilies”), and experiences the pains of all sentient creatures (“sparrows and foxes”). Incarnation is thus the story of God's reach into the very tissue of material and biological existence. In the embodied Logos, the “flesh” of Jesus Christ is co-extensive with his divinity. Otherwise, the incarnation would be skin deep, confined to a historical figure of the past, or merely an external appendix to divine life.     

When All Is Still Concealed: Are We Closer to Understanding the Mechanisms Underlying Evaluative Conditioning?

Fulcher and Hammerl's (2001) important exploration of the role of contingency awareness in evaluative conditioning (EC) raises a lot of issues for discussion: (1) what boundaries, if any, exist between EC and affective learning paradigms?; (2) if EC does occur without awareness does this mean it is nonpropositional learning?; (3) is EC driven by stimulus-response (S-R), rather than stimulus-stimulus (S-S), associations and if so should it then surprise us that contingency awareness is not important?; and (4) if S-R associations are at the heart of EC, should we automatically assume EC is part of a different learning mechanism to autonomic Pavlovian conditioning (Field, 2000a, 2000b)? This article, after a critical review of Fulcher and Hammerl's work, discusses these issues with reference to what can be realistically inferred about the mechanisms underlying EC.     

Editorial Introduction to the Special Issue: Using Story Completion Methods in Qualitative Research

ABSTRACT

What is story completion? How come I’ve never heard of it? Can it be useful for me as a qualitative researcher? A relatively unknown method for qualitative data collection, story completion has a long history of use in psychotherapy practice and (quantitative) developmental psychology research. We believe it has untapped, exciting potential as a qualitative technique in and beyond psychology, offering something quite different to many of the popular methods (e.g., interviews, focus groups). In this article, an introduction to an exciting Special Issue that discusses and demonstrates the potential of story completion, we provide a brief history of the development of story completion as a qualitative technique and an overview of design, sampling, and data analysis in story completion research. We finish by highlighting potential pitfalls of story completion, alongside a discussion of the possibilities it offers, and briefly introduce the empirical papers in the Special Issue.     

Young people’s perceptions of fat counsellors: “How can THAT help me?”

ABSTRACT

Being fat is widely recognised as a stigmatised identity which disproportionately impacts women, both personally and professionally. Women are numerically dominant as therapy practitioners, and we use this group to explore the ways a “fat counsellor” is imagined in the context of counselling. A qualitative story completion task, about a woman starting therapy, was presented to 203 British young people ages 15–24. Participants were 75% female, 88% white, 93% heterosexual, and 98% able-bodied. The story stem did not specify the sex of the counsellor, who was identified as fat; the vast majority of stories assumed the counsellor was female. Overall, fatness was perceived as negatively affecting therapy and the counsellor’s professional credibility because fatness was equated with a lack of psychological health, which rendered fat counsellors professionally “unfit.” This finding extends the literature on “weight bias” in professional settings and has implications for counsellors of all body sizes.     

The Value of Integration: Psychoanalytic Psychotherapy Meets Ego Psychology in a Psychotherapy Group for Children

ABSTRACT

Psychotherapy integration requires us to look beyond the confines of a particular theoretical or technical approach towards other perspectives. Integrative work with children, in particular, meets the socio-emotional needs of the child while simultaneously modeling behaviors and skills. This paper presents an explicitly integrative approach to child group psychotherapy: Relationships. Individuals. Skills. Engagement (RISE) Group. We begin with an in-depth discussion of the RISE group structure illustrated by clinical examples (the “what”) followed by a review of the theory and treatment modalities that inform the approach (the “why” and “how”). The RISE group is grounded in two theoretical perspectives (psychoanalytic principles and ego psychology) and draws upon clinical techniques from multiple treatment modalities (including cognitive behavior therapy, psychodynamic play therapy and dialectical behavior therapy). Combined, the merger of these perspectives results in a multilevel intervention that forges pathways to mastery and competence within the child. Finally, we discuss the value and limitations of integration as applied to group psychotherapy for children.     

Human Rights and the Defense of Liberal Democracy

In recent issues of the Journal of Religious Ethics (2006, 2007), David Little has defended the contemporary regime of international human rights against what he thinks of as the relativizing influences of the genealogical “just‐so” story told by Jeffrey Stout in his Democracy and Tradition (2004). I argue that Stout is correct about just‐so stories, and that Little does not go far enough in his reclamation of liberalism against Stout's “new traditionalists.” The main weaknesses of Little's approach are his insistence on the idea that human rights are to be thought of as natural rights, and that these in turn are to be thought of as self‐evident and self‐justifying. I argue that they are neither: they come to us via a Stoutian just‐so story, and that as part of a broader reclamation of liberalism, they can continue to serve as the basis for the kind of international liberal constitutionalism that Little advocates.     

The Expression of Femininity in the Male

SUMMARY

This article by Virginia Prince, writing as Virginia Bruce, was first published in The Journal of Sex Research, vol. 3, no. 2, 1967, pp. 129–139. Prince distinguishes sex from gender. Sex is the biological division we share with other animals. Gender-the division of masculine and feminine-is a human invention. Socialisation entails children being pushed into one or other gender direction and the suppression of characteristics of the “opposite” gender. Transvestism is the expression in males of suppressed femininity. The “true transvestite” is a “FemmePersonator” who “personates,” that is, makes a real person out of and brings to life his feminine self. Questionnaire data is used to reject ideas that true transvestism is a sexual deviation, and true transvestites are psychiatrically disturbed.     

Myth,Memory, and Meaning: Understanding and Treating Adolescents Experiencing Forced Migration

ABSTRACT

Refugee adolescents present a unique challenge to treatment. In their desire to be part of their new country, they often split off the formative years of their development. This includes both the person that they were in the past, their relations with peers and what made them “cool,” along with the officially documented political story that brought them asylum. This can lead them to feel disconnected and disoriented, but also as though their world is in fact built on lies.

They often come to treatment following enactments that make them appear tough, hardened and hard to reach, and which continue in the consulting room. When they are met with an official “trauma” narrative that explains their experience in political and psycho-educational terms they often find the experience alienating. They need to connect the world that they left, the world that live in now, and their own private experiences of love and hate in order to form an integrated identity.

This discussion explores aspects of the refugee narrative of psychoanalysis to help to illuminate the tasks necessary to co-create a meaningful narrative with refugee adolescent patients. It suggests ways to connect to the refugee experience and hear the young patients as they move between the political and the personal, the official and the familial, to understand themselves and return to the developmental task of creating an adult identity.     

Competing for Reality

In this article, we will apply aspects of Rychlak's philosophy of science to some of the most important issues in psychology today (issues of brain versus behavior, genetic destiny, the nature of scientific investigation, ecopsychology, and artificial intelligence). In our discussion of these issues, we attempt to show the ways that an appreciation of Rychlak's views can help conceptualize the bases of the disagreements in the field as well as explain why so many psychologists tend to “talk past” as opposed to “talk to” one another. We believe that a greater appreciation of Rychlak's major theses could allow psychologists to respect the work of others instead of trying to assert politically their favorite truth claims.     

Forms of Our Life: Wittgenstein and the Later Heidegger

The paper argues that an internal debate within Wittgensteinian philosophy leads to issues associated rather with the later philosophy of Martin Heidegger. Rush Rhees's identification of the limitations of the notion of a “language game” to illuminate the relation between language and reality leads to his discussion of what is involved in the “reality” of language: “anything that is said has sense‐if living has sense, not otherwise.” But what is it for living to have sense? Peter Winch provides an interpretation and application of Rhees's argument in his discussion of the “reality” of Zande witchcraft and magic in “Understanding a Primitive Society”. There he argues that such sense is provided by a language game concerned with the ineradicable contingency of human life, such as (he claims) Zande witchcraft to be. I argue, however, that Winch's account fails to answer the question why Zande witchcraft can find no application within our lives. I suggest that answering this requires us to raise the question of why Zande witchcraft “fits” with their other practices but cannot with ours, a question of “sense” which cannot be answered by reference to another language game. I use Joseph Epes Brown's account of Native American cultures (in Epes Brown 2001) as an exemplification of a form of coherence that constitutes what we may call a “world”. I then discuss what is involved in this, relating this coherence to a relation to the temporal, which provides an internal connection between the senses of the “real” embodied in the different linguistic practices of these cultures. I relate this to the later Heidegger's account of the “History of Being”, of the historical worlds of Western culture and increasingly of the planet. I conclude with an indication of concerns and issues this approach raises, ones characteristic of “Continental” rather than Wittgensteinian philosophy.     

A critical commentary on follow-up studies and “desistance” theories about transgender and gender-nonconforming children

ABSTRACT

Background: It has been widely suggested that over 80% of transgender children will come to identify as cisgender (i.e., desist) as they mature, with the assumption that for this 80%, the trans identity was a temporary “phase.” This statistic is used as the scientific rationale for discouraging social transition for pre-pubertal children. This article is a critical commentary on the limitations of this research and a caution against using these studies to develop care recommendations for gender-nonconforming children.

Methods: A critical review methodology is employed to systematically interpret four frequently-cited studies that sought to document identity outcomes for gender-nonconforming children (often referred to as “desistance” research).

Results: Methodological, theoretical, ethical, and interpretive concerns regarding four “desistance” studies are presented. The authors clarify the historical and clinical contexts within which these studies were conducted to deconstruct assumptions in interpretations of the results. The discussion makes distinctions between the specific evidence provided by these studies versus the assumptions that have shaped recommendations for care. The affirmative model is presented as a way to move away from the question of, “How should children's gender identities develop over time?” toward a more useful question: “How should children best be supported as their gender identity develops?”

Conclusion: The tethering of childhood gender diversity to the framework of “desistance” or “persistence” has stifled advancements in our understanding of children's gender in all its complexity. These follow-up studies fall short in helping us understand what children need. As work begins on the 8th version of the Standards of Care by the World Professional Association for Transgender Health, we call for a more inclusive conceptual framework that takes children's voices seriously. Listening to children's experiences will enable a more comprehensive understanding of the needs of gender-nonconforming children and provide guidance to scientific and lay communities.     

Experiential Learning

SUMMARY

The following article is about three things: my impressions of Virginia Satir's work, my personal experience of her, and the profound connection between the work of Virginia Satir and Dr. Eugene T. Gendlin's Focusing work.

My attraction to both of these great teachers is not surprising. They both share a type of wisdom which in metaphysics is often described as “intelligence lovingly applied.”

In this article I hope to convey what I see as an organic and compatible overlap between Satir and Gendlin which will hopefully be useful to the readers of this publication.     

A home of her own: (Writing) a family story of separation and second chances

Abstract

On March 16, 1996, the author interviewed her mother, Beth Tillmann, about Beth's parents' divorce and her life as a foster child. From detailed notes taken during this phone conversation and from family stories told to the author throughout tier life, the author constructed a narrative titled “A Home of Her Own” Its structure and tone mimic the way her mother speaks about the dissolution of her family of origin and her attachments to and separations from those who tried to lielp her rebuild a sense of home. After the story is a discussion of what narrative representations of loss offer the writer, the subject, and the reader.     

The Cornered Object of Psychoanalysis: Las Meninas, Jacques Lacan and Henry James

Long recognised as a painting ‘about’ painting, Velázquez’s Las Meninas comes to Lacan’s aid as he explicates the object a in Seminar XIII, The Object of Psychoanalysis (1965–1966). The famous seventeenth century painting provides Lacan with a visual mapping of the ‘ghost story’ he discovers in the Cartesian cogito, insofar as it depicts the unravelling of the Cartesian representational project at the moment of its founding gesture. This article traces Lacan’s argument as he turns to art, linear perspective and topology to model how the object a persistently eludes the grasp of scientific knowledge. Following a discussion of distance-point perspective in Renaissance Italy and the role this innovation played in enabling distorted depictions of objects in space, I propose Henry James’s ghost story, “The Jolly Corner,” as the sequel to Lacan’s reading of Las Meninas. In James’s tale, we obtain a narrative account of what the figures in Velasquez’s painting might ‘see’ as they return our gaze towards us.     

Normative roles,conceptual variance,and ardent realism about normativity

ABSTRACT

In Choosing Normative Concepts, Eklund considers a “variance thesis” about our most fundamental (and seemingly most “authoritative”) normative concepts. This thesis raises the threat of an alarming symmetry between different sets of normative concepts. If this symmetry holds, it would be incompatible with “ardent realism” about normativity. Eklund argues that the ardent realist should appeal to the idea of “referential normativity” in response to this challenge. I argue that, even if Eklund is right in his core arguments on this front, many other important challenges for ardent realism remain that also stem from the issues about possible variance in normative concepts that he considers. Following this, I introduce further issues about conceptual variance. These are issues that arise within the context of the framework that Eklund proposes the ardent realist use to confront the variance theses he considers. In particular, the issues concern what normative role as such is, as well as, relatedly, which roles associated with a concept (or predicate) get to count as part of its normative role. The upshot is that issues about conceptual variance in normative domains might be even more challenging for the ardent realist to deal with than Eklund argues.