Women in families: feminist therapy and family systems*

Current family therapy has as its basis the concept of the family as a system. Systems theory has developed a set of explanations that are frequently functional in nature; they are often applied as though they assume that within a system a common goal is worked towards as in biological systems. For example, the concept of homeostasis is used in much the same way as Cannon (1929) used it to describe the mechanisms of stability within biological systems such as body temperature regulation. Here all the components of the system co-operate to maintain body temperature within certain limits. This functional assumption of a common aim amongst components of a system to achieve balance should be compared with a pluralist systems analysis which does not assume such commonality of goals. For example, a pluralist analysis could highlight the conflict inherent amongst different subsystems when one subsystem has more power than the other. At a theoretical level it can be seen that family systems theory has restricted itself to a limited set of assumptions about the explanatory concepts it uses. An analysis of women's psychology which has emerged through the developments of feminist therapy can enrich the theory and practice of family therapists.     

False-positive tangible outcomes of functional analyses

Functional analysis (FA) methodology is the most precise method for identifying variables that maintain problem behavior. Occasionally, however, results of an FA may be influenced by idiosyncratic sensitivity to aspects of the assessment conditions. For example, data from several studies suggest that inclusion of a tangible condition during an FA may be prone to a false-positive outcome, although the extent to which tangible reinforcement routinely produces such outcomes is unknown. We examined susceptibility to tangible reinforcement by determining whether a new response was acquired more readily when exposed to a tangible contingency relative to others commonly used in an FA (Study 1), and whether problem behavior known not to have a social function nevertheless emerged when exposed to tangible reinforcement (Study 2). Results indicated that inclusion of items in the tangible condition should be done with care and that selection should be based on those items typically found in the individual's environment.     

The use of the bared-teeth display during play fighting in Tonkean macaques (Macaca tonkeana): sometimes it is all about oneself

Play signals are viewed as important means by which animals inform each other that bites, strikes, and throws that occur during play fighting are indeed playful rather than serious. One such signal is the open mouth play face that is common in primates and many other mammals. Unfortunately, as most play fighting involves biting, it can be ambiguous as to whether any instance of opening the mouth is performed to communicate playful intent or is simply a preparation for biting. In this study, open mouths co-occurring with the bared-teeth display (teeth-baring) in Tonkean macaques were used to assess the context in which facial gestures only relevant for signaling (i.e., teeth-baring is not necessary for biting) are used during play. Two predictions arising from the hypothesis that play signals are used to facilitate playful contact were tested: that the open mouth with teeth-baring should (1) be most frequent preceding contact, and (2) that it should be performed most often when bites are directed at orientations that is visible to the recipient. The data only partially support these predictions. The open mouth with teeth-baring is also frequently used when a monkey withdraws from playful contact. Moreover, it is associated with bites to body targets, such as the rump, that offer little prospect for detection by the recipient; this supports the possibility that play signals may sometimes be emitted not to communicate with the partner but with the performer itself. Thus, play signals serve multiple functions during play fighting.     

A perception theory in mind–body medicine: guided imagery and mindful meditation as cross-modal adaptation

A new theory of mind–body interaction in healing is proposed based on considerations from the field of perception. It is suggested that the combined effect of visual imagery and mindful meditation on physical healing is simply another example of cross-modal adaptation in perception, much like adaptation to prism-displaced vision. It is argued that psychological interventions produce a conflict between the perceptual modalities of the immune system and vision (or touch), which leads to change in the immune system in order to realign the modalities. It is argued that mind–body interactions do not exist because of higher-order cognitive thoughts or beliefs influencing the body, but instead result from ordinary interactions between lower-level perceptual modalities that function to detect when sensory systems have made an error. The theory helps explain why certain illnesses may be more amenable to mind–body interaction, such as autoimmune conditions in which a sensory system (the immune system) has made an error. It also renders sensible erroneous changes, such as those brought about by “faith healers,” as conflicts between modalities that are resolved in favor of the wrong modality. The present view provides one of very few psychological theories of how guided imagery and mindfulness meditation bring about positive physical change. Also discussed are issues of self versus non-self, pain, cancer, body schema, attention, consciousness, and, importantly, developing the concept that the immune system is a rightful perceptual modality. Recognizing mind–body healing as perceptual cross-modal adaptation implies that a century of cross-modal perception research is applicable to the immune system.     

Professionalizing the Practice of Public Policy in the Prevention of Violence

The State of the Science Conference Statement on “Preventing Violence and Related Health-Risking Social Behaviors in Adolescents” accurately summarizes the state of knowledge regarding risk factors for violence and intervention efficacy. The Statement missed an opportunity, however, to move the field of prevention practice and policy forward by advocating for more systematic, central review of preventive interventions through a new federal regulatory body, such as an “FDA for Preventive Interventions.” This body would provide review of evidence-based programs and aid decision-making in funding. As a complement to this body, decision-makers also need guidelines in evidence-based practice in ambiguous circumstances, which characterize much of the reality of public policy. Therefore, this new regulatory body should be accompanied by guidelines for evidence-based practice in intervention and policy. Finally, in order to move forward both of these concepts, a National Academy of Sciences Panel should convene to deliberate how these concepts can be implemented.     

Unstable Embodiments: A Phenomenological Interpretation of Patient Satisfaction with Treatment Outcome

Many patients experience aspects of treatment and care as dehumanizing because the body is considered separate from the self and its life context. An attempt to transcend viewing persons in dualistic terms is posed by phenomenologists who focus not on "the body" as such but on what it means to be "embodied." In this paper, we review the relevance of the phenomenology of the body for health care and report the results of comparing Sally Gadow's phenomenological insights about body-self unity with a qualitative analysis of patients' accounts of satisfaction with the outcome of hand surgery. We illustrate the ways in which our findings were and were not congruent with Gadow's conceptualization of embodiment and highlight aspects that are ambiguous. We conclude that the body-self dialectical relationship should be recast as a body-self-society trialectic and discuss the implications of this new conceptualization for clinical practices.     

Agency and Human Rights

What grounds human rights? How do we determine that something is a human right? James Griffin has persuasively argued that the notion of agency should determine the content of human rights. However, Griffin's agency account faces the question of why agency should be the sole ground for human rights. For example, can Griffin's notion of agency by itself adequately explain such human rights as that against torture? Or, has Griffin offered a plausible explanation as to why one should not broaden the ground for human rights to include other elements of a good life such as freedom from great pain, understanding, deep personal relations, and so on? These concerns have been raised regarding Griffin's agency account, but in his new book, On Human Rights, Griffin has offered new arguments in support of his view that agency is the sole ground for human rights. In this paper, I examine these new arguments, and I argue that Griffin's arguments are ultimately unsuccessful.     

CURRENT DEVELOPMENTS IN ARTIFICIAL INTELLIGENCE AND EXPERT SYSTEMS

Abstract. The definition of an expert system as a knowledge-based source of advice and explanation pinpoints the critical problem which confronts the would-be builders of such systems. How is the required body of knowledge to be elicited from its human possessors in a form sufficiently complete for effective organization in computer memory? This article reviews recent advances in the art of automated knowledge-extraction from expert-supplied example decisions. Computer induction, as the new approach is called, promises both important parallels to the human capacity for concept formation and also commercial exploitability.     

从离身到具身:具身管理学的可能

传统管理学理论有着明显的"离身"倾向,使得"身体"成为组织管理的"暗箱"。具身理论为"具身"取向的管理学新发展提供了可能。组织(认知)神经学研究为具身管理学提供了神经生理依据,而具身领导、组织、决策等研究则标示着其兴起。在组织管理中,可以依据躯体信息、隐喻、情景行动等三方面线索探究具身性因素对组织管理的影响。具身管理学在理论假设与现实条件层面均存在一定的可能性,但短期内并不能取代"离身"取向的管理学而成为主流。     

Reappraising the Moral Nature of Emotions in Decision Making: The Case of Shame and Guilt

Emotions play a crucial role in moral behavior. The present paper does not contest this point but argues that qualifications of certain feelings such as shame and guilt as moral emotions should not exclusively be based on a proximal analysis of their function. A proximal analysis details how moral emotions produce moral behavior. Emotions are qualified as moral when they are elicited by concerns for others rather than the self and produce prosocial action tendencies. Although researchers have acknowledged that moral emotions may also have an ultimate function that details why it is in the individual interest that these moral effects occur, they have neglected to translate such ideas into testable hypotheses. Using guilt and shame as an example, we show how an analysis of ultimate functions accommodates recent findings, which contest the view that guilt is more moral than shame and provides new insights as to when and why moral emotions will produce moral effects.     

The Embodiment of Birth

This paper rejects dualism between mind and body toview the self as an embodied biological entity. Rather thanseeing the body operating by passive mechanisms as Descartesargues, it holds it actively moves in and even defines its world. Carrying this perspective to medicine presents an attempt toincorporate or work with internal processes of the body; it issensitive to how patients identify with their bodies. Thecurrent discussion over the extent to which women should try tohave natural childbirths provides a concrete example of thedifferences between mechanistic and embodied approaches tomedicine.     

Emotion expression in body action and posture

Emotion communication research strongly focuses on the face and voice as expressive modalities, leaving the rest of the body relatively understudied. Contrary to the early assumption that body movement only indicates emotional intensity, recent studies have shown that body movement and posture also conveys emotion specific information. However, a deeper understanding of the underlying mechanisms is hampered by a lack of production studies informed by a theoretical framework. In this research we adopted the Body Action and Posture (BAP) coding system to examine the types and patterns of body movement that are employed by 10 professional actors to portray a set of 12 emotions. We investigated to what extent these expression patterns support explicit or implicit predictions from basic emotion theory, bidimensional theory, and componential appraisal theory. The overall results showed partial support for the different theoretical approaches. They revealed that several patterns of body movement systematically occur in portrayals of specific emotions, allowing emotion differentiation. Although a few emotions were prototypically expressed by one particular pattern, most emotions were variably expressed by multiple patterns, many of which can be explained as reflecting functional components of emotion such as modes of appraisal and action readiness. It is concluded that further work in this largely underdeveloped area should be guided by an appropriate theoretical framework to allow a more systematic design of experiments and clear hypothesis testing. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Implications of the United States census 2000 in analyzing and reporting new findings of disparities in health

This paper argues that, when analyzing and reporting new findings of disparities in health, two areas from the recent U.S. Census of 2000 should be considered for those findings to be meaningful. The first is to avoid analyzing and reporting findings of disparity with an emphasis on the term "Hispanic" and instead to specify the particular Hispanic group from which such findings were collected, such as Mexican-American versus Cuban communities. The second point is that such findings should also take into consideration combination of two or more races. For example, reporting would allow for multiple groupings for respondents who consider themselves African American and White, or African American, Asian, and White.     

Using the Written Contract for Evaluating and Enhancing Practice Effectiveness

This paper proposes a new method for integrating clinical practice and evaluation-The Contract Evaluation Procedure (CEP). This innovation involves using the treatment contract as an evaluation tool whereby the client's presenting problem and goal are placed on a continuum. This procedure should not place any additional demands on most clinicians. Use of the CEP facilitates increased evaluation of practice as well as the effectiveness of practice itself. Issues of practice evaluation and contracting in general are discussed followed by an explication of the CEP. A case example using the CEP is provided and a discussion of how the CEP compares with other similar procedures follows.     

身体活动与学业成绩:来自具身认知的启示

具身认知理论认为身体、认知和环境是和谐的统一体。以该理论为基础的具身学习认为,身体不是学习过程的无关因素或障碍因素,身体是学习的主体,身体活动的参与在塑造学习者的思维、判断及记忆等心智活动中具有重要作用。当前已有一定数量的实证研究发现,身体活动能够显著提供语言习得、数学学习等学业成绩,提供学生在同伴中的社会地位。将来,可基于具身认知的角度,采用认知神经科学、心理学和教育学等跨学科合作的方式,进一步探讨具身学习影响学业成绩的因素及其机制。     

The unfolding argument: Why IIT and other causal structure theories cannot explain consciousness

How can we explain consciousness? This question has become a vibrant topic of neuroscience research in recent decades. A large body of empirical results has been accumulated, and many theories have been proposed. Certain theories suggest that consciousness should be explained in terms of brain functions, such as accessing information in a global workspace, applying higher order to lower order representations, or predictive coding. These functions could be realized by a variety of patterns of brain connectivity. Other theories, such as Information Integration Theory (IIT) and Recurrent Processing Theory (RPT), identify causal structure with consciousness. For example, according to these theories, feedforward systems are never conscious, and feedback systems always are. Here, using theorems from the theory of computation, we show that causal structure theories are either false or outside the realm of science.     

肌肉上瘾综合征:一种新型的心理障碍?

肌肉上瘾综合征是指个体对于缺乏大块肌肉的错误认知的先占观念,是近二十年来西方学者的研究热点之一。已有研究从肌肉上瘾的诊断和测量,与体象障碍等心理障碍和行为异常的关系,以及形成机制等方面进行了深入的研究。然而,目前关于其临床诊断、产生机制等方面还存在争议。肌肉上瘾综合征在我国,甚至是亚洲尚缺乏足够的关注度。肌肉上瘾综合征的诊断依据、病征的文化差异、共患疾病、形成机制等将成为今后研究的焦点问题。     

From Ego Psychology to Psychoanalysis in the Year 2000: One Analyst's Journey

Challenged by clinical findings and necessity, psychoanalysts proceed on a lifelong professional journey of exploring, deleting, adding, and integrating from various theoretical and technical paradigms. This article briefly depicts one analyst's journey from ego psychology in the early 1970s to the year 2000. The emphasis on retaining early valuable tenets and adding new theoretical and technical concepts. As an example, conflicts involving problems of the self and ego ideal, brought to the fore through work with patients having significant self-esteem, shame, and envy difficulties, are singled out. These conflicts are found in cases such as those with anorexia, body image disturbance, gender identity and negative gender message problems, and cases having early denigrating environments. Shame dynamics are addressed. The presenting pictures for problems involving shame are usually new compromise formations prompted by signal shame. A case is reported to depict the use of modern conflict theory in analyzing such problems.     

From posts to protection: Ethical considerations regarding forensic psychiatrists and a duty to warn based on social media

Increasing use of social media in forensic mental health evaluations will lead to new challenges that must be resolved by forensic practitioners and the legal system. One such dilemma is the discovery of information that would typically trigger a legal duty and professional ethics obligation for mental health professionals to breach doctor-patient confidentiality to promote public safety and prevent harm to vulnerable third parties. Although the law and professional organizations offer clear guidance for practitioners in the treatment role, there is currently no clarity from the law or instruction from professional organizations on what mental health professionals should do if they discover such information during a confidential forensic evaluation. For example, a forensic evaluator may find evidence on social media of an evaluee’s threats to seriously harm others, abuse of children and the elderly, or severely impaired driving. There are no clear guidelines for how a forensic psychiatrist should respond in these complicated situations. We review the legal concepts and historical evolution of confidentiality, privilege, and mandated reporter duties that forensic practitioners should consider in these legally ambiguous situations. Finally, we discuss ethics frameworks practitioners can implement to determine their most ethical course of action when faced with such dilemmas.     

Making the body (w)hole: A semiotic exploration of body modifications

Abstract

Cultural norms of attraction are dynamic and fluid, and are psychologically intertwined with acts of corporeal modification that use the body as signifier. These norms are expressed in various ways by individuals, but can be seen most plainly when they are worn on the body, such as with body piercing and tattooing. An intertextual understanding of how body modifications play a role in the integration of psyche and soma appears to motivate understanding of how individual choices are reflections of cultural mores. Psychodynamic and semiotic processes from case examples are provided to illustrate how individuals may move between affect and expressiveness as well as how reading the body as text can generate new understandings of an individual's decision to modify, thus allowing clinicians to better work with their modified clients.