Buddhist insight meditation (Vipassanā) and Jon Kabat-Zinn’s “Mindfulness-based Stress Reduction”: an example of dedifferentiation of religion and medicine?

For about 25 years, mindfulness meditation has attracted growing attention. Developed in the context of a traditional Asian religious tradition, mindfulness meditation originally served soteriological goals. In therapeutic settings, it has been claimed, it has become a secular ‘consciousness technology’. So far, studies have mainly been interested in clinical evidence for salutogenetic effects. Questions about if and how practices such as “Mindfulness-based Stress Reduction” (MBSR) are to be conceptualized as ‘religious’ still require further analysis. To provide a more fitting criteriology, we propose to distinguish between ‘salvific’ (‘liberating’) and ‘salvetive’ (‘healing’) settings of meditation, with the latter denoting a more ‘therapeutic’ outlook. It will be argued that MBSR bears elements of salvetive and salvific meditation. In the paradigm of a functional differentiation between ‘religion’ and ‘biomedicine’, MBSR’s presence in biomedical institutions seems to provide a counter-example, which will be discussed in the final section.     

A review of: “Feminism and psychotherapy: Reflections on contemporary theories and practices”

I. Bruna Seu and M. Colleen Heenan (eds) (1988) Feminism and Psychotherapy: Reflections on Contemporary Theories and Practices, London: Sage, $14.99 (pb)     

From “ghost in the machine” to “spiritual automaton”: Philosophical meditation in Wittgenstein, Cavell, and Levinas

This essay discusses Stanley Cavell’s remarkable interpretation of Emmanuel Levinas’s thought against the background of his own ongoing engagement with Wittgenstein, Austin, and the problem of other minds. This unlikely debate, the only extensive discussion of Levinas by Cavell in his long philosophical career sofar, focuses on their different reception of Descartes’s idea of the infinite. The essay proposes to read both thinkers against the background of Wittgenstein’s model of philosophical meditation and raises the question as to whether Cavell and Levinas do not indirectly shed light on the early modern motif of the spiritual automaton.     

A meditation on the nature of self‐healing and personality change in psychotherapy based on Gendlin's theory of experiencing

Abstract

From a humanistic point of view psychotherapy is a creative transformational process in which therapists assist clients’ intrinsic self‐healing tendencies. However the nature of the self‐healing process is poorly understood. I briefly consider two theories of self‐healing, Rogers’ self‐actualization theory and dialectical theory, but focus on Gendlin's theory of experiencing as providing a more complete explanation. I consider the fundamentally implicational nature of change and portray personal change as “paradigm evolution” rather than paradigm revolution. I conclude with an examination of the self‐healing process in therapies that provide minimal prosthetic assistance to the client: client‐centered therapy, eye movement desensitization and reprocessing, and focusing‐oriented therapy. I conclude that the self‐healing/self‐change process occurs when intellectual, “top‐down” cognitive and self‐critical activity is interrupted, and when clients adopt a receptive, listening attitude towards inner experience.     

Discussion of “time and timekeeping in psychoanalysis and psychotherapy”

The American Journal of Psychoanalysis -     

Researching the “therapeutic relationship” in psychoanalysis,counselling psychology and psychotherapy—a qualitative inquiry

This paper reports the methodology of a research project based on and including a review of almost 1000 texts and more than 20 years of learning and supervised practice as clinician and supervisor in the psychotherapeutic professions on the nature of the therapeutic relationship. Following a pilot study by five years, the findings were reported in a 165,000 word document which encompasses poetry, personal experience, many textual extracts of theory or therapeutic dialogue, other research reports, theoretical considerations, clinical reflections, syllabus constructions—a postmodernist assemblage which nonetheless attempts coherence, validity and reliability. The findings have also been tested in the field for example by: (a) providing the framework for at least one four-year psychotherapy training course from which the first students have recently graduated by external assessment and (b) an independent psychotherapy accreditation process by a case study submission. It is argued that clinical practice or supervision should be inseparable from research—Particularly qualitative research in psychology.     

Why using “consciousness” in psychotherapy? Insight,metacognition and self-consciousness

Since its early development, clinical psychology has questioned the impact of “consciousness” on the determination of human responsibility across psychiatric disorders. In recent years, specific clinical approaches have focused on “consciousness” work that could play a key role in psychotherapy. We focused our research on clinical psychology's consciousness-related concepts of insight, self-consciousness, and metacognition. Insight and metacognition, for example, have prompted increased interest in schizophrenia (SZ), bipolar disorder (BD), and, more recently, borderline personality disorder (BPD) treatments as representative of the latest advances in the cognitive and behavioral therapy field. Here we review cognitive, social, and clinical psychology research measuring “consciousness” in BPD, SZ, and BD, exploring the implications of different conceptualizations of consciousness-like concepts for treatment adherence, symptom evolution, and related aspects of psychotherapy. Our results show the overall relevance of using measures of clinical and cognitive insight, emphasizing the more central role of cognitive insight and metacognition in psychotherapy, as it appears that consciousness can remain useful if understood as a cognitive skill. The inclusion of a conceptualization of self-consciousness is important in order to address the social component of psychotherapy, as it does in biopsychosocial approaches. We discuss the implications of such results for global efficacy, for the relevance of the “consciousness” concept to clinical psychology, and for the potential need to keep operationalizing different conceptualizations of it in psychotherapy. We open the debate on the definition of consciousness to motivational aspects of change and to general considerations of both legal and ethical aspects.     

A review of: “Philosophy and psychotherapy”

E. Erwin (1997) Philosophy and Psychotherapy, London: Sage, pp. 192, $37.50 (hb), $12.95 (pb)     

Hating the Ahmadiyya: the place of “heretics” in contemporary Indonesian Muslim society

Religious diversity and pluralism is commonly understood within the context of the relation between various religious traditions, not within a single religious tradition. This limitation of the boundary of religious pluralism could overlook the fact that conflict within a single tradition can be bitterer and more disastrous than conflict with other religions. In the last decade, for instance, the Ahmadis in Indonesia have become victims of constant attacks. This article, therefore, intends to study the place of the Ahmadiyya in the context of religious pluralism in Indonesia by answering the following questions: Why was the treatment of the Ahmadis in recent years by Muslims more vitriolic than their treatment of non-Muslims? What is the nature and quality of life for people who have been excluded from a ‘normal’ religious identity in a time when religious attachment is a necessary fact for that society? Why did the attacks on the Ahmadiyya occur in the present regime, not during the past authoritarian one? This article argues that the charge of heresy issued by Muslim institutions put the Ahmadiyya in liminal status; they are in the zone of indistinction between Muslims and non-Muslims. This makes them vulnerable to persecution since they have been deprived of their rights as Muslims, while their rights as non-Muslims are still suspended. Non-Muslims, particularly ahl al-kitāb (People of the Book), have been accepted theologically in Muslim society, but there is no place of tolerance for heretics. The rise of intolerance in Indonesia parallels the rise of religious conservatism after the fall of Suharto in 1998.     

Michel Foucault and the “care of the self” approach to the Buddhist dharma

In line with a particular form of analysis as developed by Michel Foucault, this article proposes to elucidate a particular way of understanding Buddhist monastic culture as detailed in the rules concerning behaviour (the Vinaya), which may be called the “care of the self approach”. To develop this argument, the article first describes the nature of the Vinaya as a “training scheme” rather than a system of prohibitions or rules. Second, it examines the nature of confession or what is called “truth telling”. Third, it examines the nature of transgression of the Vinaya rules. Fourth, I examine the Vinaya and the role of ethics. Lastly, it is shown how these approaches to monastic Buddhism deal with the nature of the transformation of desire to construct what may be seen as a form of “ethical technology” or alternatively as a “transgressive technology”.     

A review of: “Implausible professions: Arguments for pluralism and autonomy in psychotherapy and counselling”

R. House and N. Totton (eds) (1997) Implausible Professions: Arguments for Pluralism and Autonomy in Psychotherapy and Counselling, Ross-on-Wye: PCCS Books, pp. 348, $14.00 (pb) (8% discount direct from publishers)     

Modernization and the Rise of Civil Society: The Role of the “Middling Grassroots” for Democratization in Korea

This paper attempts to explain why and how the middle class in Korea decisively joined the democratic movement in 1987 by drawing special attention to the role played by the middling grassroots (MG). MG was formed out of the common experience of student activism and contesting subcultures, which were widely dispersed over Korean university campuses during the 1980s. In addition, this paper examines the contrasting views on the Korean democratic transition by Bruce Cumings and Adam Przeworski. This substantive analysis attempts to show how such discord can be resolved by working out a mediating variable between action and social structure. It is suggested that the concept of MG is a good example of such a mediating variable.     

Marcel's “availability” in existential psychotherapy with couples and families

Gabriel Marcel was a French, Catholic, existential philosopher who first presented the concept of human availability as a central way of strengthening the self and facilitating the experience of human freedom. In this article Marcel's ideas about availability are described, reviewed, and examined for their implications for the practice of existential psychotherapy with couples and families.     

East–west,collectivist-individualist: A cross-cultural examination of temperament in toddlers from Chile,Poland, South Korea,and the U.S.*

The present study examined toddler temperament across Chilean, South Korean, Polish, and U.S. samples, providing an opportunity to examine both collectivist-individualist and East–West contrasts. The effect of culture on the three factor and 18 dimension scores provided by the Early Childhood Behavior Questionnaire were investigated. Results provide evidence of cross-cultural differences between the four samples. Chilean toddlers scored significantly higher than U.S., Polish, and South Korean children on the overall factor of Negative Affectivity, as well as higher than the Polish and South Korean samples on the Surgency factor. South Korean toddlers scored significantly higher on the factor of Effortful Control, and two related dimensions, than U.S., Polish, or Chilean samples. Results are discussed in terms of the apparent roles of individualism/collectivism and East–West distinctions in shaping temperament development.     

Integrating Job, Jesus’ Passion, and Buddhist Metta to Bring Meaning to the Suffering and Recovery from Breast Cancer

Coming face-to-face with death was a spiritual crisis. My family and I suffered individually and collectively during my treatment and recovery for locally advanced breast cancer. Like Job, I learned that it takes tremendous energy to ruminate about the causes of suffering and to protest innocence with little gains in wisdom. Wisdom came as I deeply experienced a passion narrative based on the life of Jesus with reference to the psychological benefits as extolled by Wilkes. The grueling experience of treatment for locally advanced breast cancer broke my body and forced me to experience Easter Saturday as I retreated to heal in the tomb. My physical and emotional healing of Easter Saturday included the Buddhist meditation of Metta and guided imagery that involved spiritual healing focussed on God, Jesus and the Holy Spirit. My reflection on the story of Job, passion journaling and Buddhist meditation enabled me to physically, emotionally, and spiritually heal, even in the midst of chaos.