“They Danced Around in My Head and I Learned Them”: Children's Developing Conceptions of Learning

Two studies examined how 3–6-year-olds understand the process of learning. In study 1 examined how children spontaneously talk about learning via a CHILDES language analysis. Talk about the learning process increased between the ages of 3–5. Talk specifically about learning in terms of desire decreased during this period. This suggests the possibility that desire is important to children's initial understanding of learning, and children develop an understanding that various mental states including desire, attention, and intention, play a role in the learning process. In Study 2, we presented 4- and 6-year-olds with a set of stories designed to test their understanding of the role of these mental states. In both their judgments about whether someone learns and their justifications of their responses, younger children relied more on the character's desires whereas older children were more likely to integrate desire, attention, and intention together. These data suggest that children's understanding of the process of learning is developing during the early elementary school years.     

SUICIDE: A PATIENT’S WISH TO KILL OFF “BAD” INTROJECTS AND THUS ACHIEVE REBIRTH*

Benedict came for treatment because he experienced severe self-deprecating feelings that tortured him. He felt commanded—by what he characterized as internal demons—to kill himself. When he did not do so, he felt humiliated for having been a coward. Simultaneously, he reckoned that if he died his demons would be killed off, but that he would arise brand new. Because Benedict had already “killed off” several earlier therapists, he needed someone who could feel his pain, but would neither die from his emotional storms, nor give up on him. With considerable mutual work, he began to identify with my dogged determination to both survive his fierce attacks and to locate the source of the introjected demons that viciously attacked him (and others). When his emotionally-driven storms finally ebbed, he combined forces with me and began the ordeal of overcoming his fears and relinquishing his delusional system.     

“We Didn’t Know”: Silence and Silencing in Organizations

This article examines the dynamic processes within organizations that contribute to systemic silence and silencing and the “we didn’t know” defense, particularly for those groups in which secrecy replaces transparency to the detriment of the organization and its members. The events of the past more than 10 years within the American Psychological Association (APA) surrounding the role of psychologists in interrogation of detainees, including advising on and monitoring interrogations that have been construed as torture, will serve as a case example of the systemic forces that may contribute to leading an organization away from its principal mission. I explore how what was done was turned into its opposite. That is: “We are protecting psychologists by providing them with ethical guidelines in detention centers with detainees” became the explanatory rubric for a position that violated the association’s stated mission and exposed the organization and individual members to public shame. In addition, I explore how self-silencing becomes a way of adapting to a culture that censures dissent.     

Distance Learning: Empathy and Culture in Junot Diaz’s “Wildwood”

This essay discusses critical approaches to culture, difference, and empathy in health care education through a reading of Junot Diaz’s “Wildwood” chapter from the 2007 novel The Brief Wondrous Life of Oscar Wao. I begin with an analysis of the way that Diaz’s narrative invites readers to imagine and explore the experiences of others with subtlety and complexity. My reading of “Wildwood” illuminates its double-edged injunction to try to imagine another’s perspective while recognizing the limits to—or even the impossibility of—that exercise. I draw on post-colonial theory and feminist science studies to illuminate a text that is created and interpreted in a post-colonial context—the Dominican diaspora in the United States. The essay offers a model of historical and critical analysis that health care educators can use to frame the concept of empathy in the classroom and the clinic.     

“You’ve Got to Be Carefully Taught”: How Apartheid Was Lived and Learned on a South African Farm

After apartheid ended, many White South Africans asked themselves, over and over, “Who was I during apartheid?” and “How did I learn to live in that way?” This article is an attempt to address those questions. In the first part, a personal example is used to illustrate a life lived during the heyday of apartheid. There was a great silence between the races about race. In the second part, I discuss that life and the nature of embeddedness from a relational, hermeneutic perspective with a self psychological flavor. My doctoral dissertation, titled Race, Place and Self (Philips, 2007), was an attempt to examine the nature and influences over the years of different countries and contexts, and disentangle myself from the particular racialized beginnings that were uniquely mine. This article is one part of that journey.     

“It’s Worth It in the End”: Veterans’ Experiences in Prolonged Exposure and Cognitive Processing Therapy

Despite the efficacy of evidence-based psychotherapies (EBP) for posttraumatic stress disorder (PTSD) and efforts to disseminate them, only 6–13% of veterans seeking care through the Veterans Affairs health care system receive these treatments. EBPs such as prolonged exposure (PE) and cognitive processing therapy (CPT) are exposure-based treatments. Provider and patient fears regarding the tolerability of exposure-based treatments likely impede their delivery and completion. The present study utilized qualitative interviews with 23 veterans who completed at least eight sessions of either PE or CPT to elicit firsthand accounts of veterans’ experiences in these EBPs. Results suggest that while a minority of veterans reported initial symptom worsening, the majority of veterans reported positive experiences and felt that, despite being stressful, these EBPs were “worth it.” Most veterans discussed thoughts of discontinuing treatment prematurely, but stated that adherence was encouraged by their commitment to finishing, desperation for relief, therapist/group support, and family support. Veterans believed exposure made an important contribution to symptom improvement, as did greater self-understanding and changing negative or unhelpful beliefs. These findings indicate veteran satisfaction with PE and CPT, and may assist providers to develop strategies to increase adherence and treatment completion.     

“Uterus Loquitur”: Trauma and the Human Organism in Ferenczi’s “Physiology of Pleasure”

The paper reconstructs Ferenczi’s unique and largely neglected physiology of pleasure. It highlights the prominent place of the libido in Ferenczi’s writings, the transition from the physiology of use to the physiology of pleasure and the role of trauma in Ferenczi’s work with a special emphasis on the beauty and plasticity of the body, the relations between its organs as well as the adaptive potential, the Orphic powers, and the natural vigor of the human organism. Ferenczi’s theoretical assumptions and his powerful images of the human organism are examined in the light of Goethe’s, Schopenhauer’s, and Nietzsche’s philosophies.     

“It is Sometimes Soul-Destroying”: Doctors’ Reflections on Unemployment and Health in Thatcher’s Britain

Journal of Medical Humanities - Through an analysis of two sets of writing in the British Medical Journal from the 1980s, this article explores relationships between unemployment and health....     

“A Father’s Touch:” Negotiating Masculinity and Sexual Subjectivity in Child Care

This essay explores changing attitudes towards male caregivers in postwar America to understand conceptions of prepubescent gender and sexuality. While the 1950s have been viewed as a period of rigid gender conventions, the demands of a baby boom generation allowed men unexpected roles as caregivers. In the 1960s and 1970s, challenges to the status quo along with fears of female-headed households encouraged men to move into the field of child care, but this was particularly short lived. Political backlash and a failing economy turned male daycare workers into suspects, revealing the ambiguity that so often distorts children’s interactions with men.

Making global news: “Freedom of speech” and “Muslim rage” in U.S. journalism

The American press began to take notice of the Danish cartoons after they began to circulate outside of Europe. The press primarily framed the events as a single problem of global interaction: an issue of ‘freedom of speech’ opposed to ‘religious sensitivity.’ Much of the coverage permitted, within limits, a plurality of voices. Drawing on a case study of stories about the ‘cartoon controversy’ in the Boston Globe, I argue that U.S. journalism is organized by a logic of objectivity that seeks to produce a ‘perspectiveless perspective on all perspectives’ (Bourdieu, On television. New York: The New Press, 1998), showing voices on ‘both sides,’ simultaneously masked and contributed to the press’s reifying a series of events into a single global ‘event,’ one that reflected a clash of Western and Islamic values.

Inside the Revolution: Power,Sex, and Technique in Freud’s “‘Wild’ Analysis”

This essay situates Freud’s “‘Wild’ Analysis” in its local and global histories, even while reading it for what it can tell us about psychoanalysis now. Even as it is taken on its own terms, this essay serves also as a means to consider psychoanalysis as host to crucial tensions, its ideas and their relation to technique, its traffic in power, and sexuality and the primal crime. Using a clinical vignette, the essay argues the heterogeneity and multiplicity inherent to psychoanalysis are a gift to later generations, even if they made trouble for Freud. In celebration and critique, it examines, in effect, where Freud was and where psychoanalysis is now.     

Leibniz and Clarke in Conflict: The Role of “Force” and the Nature of God’s Providence

The intellectual background of the concept of force in the dispute between Leibniz and Clarke has not received enough scholarly attention. Vailati’s monograph, which is the most important study of the Leibniz-Clarke correspondence, focuses on a non-theological dimension in terms of the concept of force in this debate. Based on this perspective, Vailati’s conclusion is that Clarke’s understanding of force was totally different from that of Newton. However, the historical context shows that this is not the case. Clarke’s concept of motive force bore a strong resemblance to that of Newton, according to which force was an active principle that had been endowed upon matter at the beginning of God’s creation. Furthermore, the close link between force, matter and God’s providence had a long tradition of debate between Cartesian and Gassendian philosophers since early modern times. The different concepts of force dividing Cartesian and Gassendian philosophers were actually related to, and conditioned by, their underlying fundamental theological differences. The concept of force in the Leibniz-Clarke controversy, accordingly, could be regarded as along the lines of the earlier disputes between Cartesian and Gassendian philosophers.     

“She doesn’t let age define her”1: Sexuality and motherhood in recent “middle-aged chick flicks”

This article explores Hollywood’s recent representation of older women as having a relatively more open and fluid sexuality than they were portrayed as having in earlier decades. While seemingly offering a liberatory vision of older women as sexual beings, there is nevertheless a subtext in many of these films that this newfound sexuality is disturbing to the stability of the nuclear family. The analysis also focuses on the “super-text” of how the actresses who portray these older women, such as Susan Sarandon and Diane Keaton, are themselves constructed in the popular press as being mutually sexy and “women of a certain age.” In this way, these popular cultural representations are trying to tap into the growing demographic of aging female bady boomers, both celebrating and marketing to this group as sexually embodied beings.     

Public and Private Meaning in Hume: Comments on Ted Morris’ “Meaningfulness without Metaphysics: Another Look at Hume’s Meaning-Empiricism”

This paper raises questions concerning Ted Morris’ interpretation of Hume’s notion of meaning and investigates the private and public aspects of Hume’s notion of meaning.

“Nothing was lost sailing-wise and lots is gained on a personal level”: Practitioners’ behaviors and athletes’ perceptions of working in online environments

ObjectivesThe purpose of this study was to explore the perceptions of expert practitioners and their British sailing team athletes concerning effective, athlete-centered online delivery during a period of COVID-19 restrictions between March and June 2020. In particular, we explored how psychosocial behaviors of practitioners and inherent attributes of online environments influenced the overall wellbeing of the athletes.MethodsUsing appreciative inquiry (AI), which adopts a social constructionist viewpoint, we interviewed nine expert practitioners, which included technical and strength and conditioning coaches, physiologists, and physiotherapists, and 18 elite athletes.ResultsOur results highlight that when delivering sessions online, practitioners expressed psychosocial behaviors that helped build effective relationships, with expression of care and empathy developing closeness, active participation exhibiting commitment, and psychosocial behaviors such as promoting a holistic mindset supporting an athlete-centered approach. Key to these positive outcomes was the connection that practitioners developed with their athletes in these online sessions. Our results suggest that the online environment provide opportunities for practitioners and athletes to reveal part of their personalities and identities that go beyond focusing on performance due to the change in the contextual setting (i.e., restrictions called for a ‘people first’ approach).ConclusionThe findings offer a novel contribution to the literature in highlighting how online environments provide the opportunity to deliver athlete-centered sessions.     

Poetry for the Uninitiated: Dannie Abse’s “X-Ray” in an Undergraduate Medicine and Literature Class

I recently taught an upper-division Honors class in Medicine and Literature with students ranging from a pre-physician’s assistant student and nursing student to English, French, History, and Technical Writing majors. The common thread connecting these students initially was their self-described fear of and helplessness with poetry. However, as the semester drew to a close, their class discussion and journals revealed not only increased comfort with poetry but also a preference for it. The information and insight they got from poetry, they said, were the reason they took a medical humanities course in the first place and commented that the poetry we read provoked more substantial “medicine and literature” discussions than prose. Poetry provides a good starting place to analyze complex human relationships, and the focus on language and form levels the intellectual playing field: students are all unfamiliar with how to do it and are learning a new skill together. This could be accomplished, of course, with a literary short story, but for the diverse population of students in this class, the brevity of poetry made it all the more appealing.     

Overcoming Functional Fixedness in Naming Traditions: A Commentary on Pilcher’s Names and “Doing Gender”

Because people’s names are central to everyday life, their role in the gender system is often overlooked. In the target article, Pilcher (2017) brings novel attention to the ways in which naming traditions allow individuals to enact gender in their lives. In this commentary, I expand on Pilcher’s argument that naming traditions merit more attention than they currently receive. Specifically, I begin by discussing links between forenaming and the gender binary. I then describe the ways in which the marital surname tradition reflects gendered power dynamics. In an effort to spur additional scholarly attention to naming traditions, I also delineate fruitful areas for future research. These future directions primarily focus on identifying why and how individuals “do gender differently” through their naming practices.