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.     

INCREASING ONE ASPECT OF SELF‐DETERMINATION AMONG ADULTS WITH SEVERE MULTIPLE DISABILITIES IN SUPPORTED WORK

We attempted to increase one aspect of self‐determination among 3 supported workers with multiple disabilities. Following Baer's (1998) self‐determination conceptualization, the workers were exposed to two conditions that involved working more versus less independently based on availability of assistive devices. Next, their condition preferences were assessed and honored. All participants consistently chose the more independent condition. Results reflect how self‐determination may be enhanced by giving workers increased control over work situations.     

Simone Weil’s Passion Mysticism: The Paradox of Chronic Pain and the Transformation of the Cross

Simone Weil’s theology is deeply connected to her experiences with chronic pain. Pain is paradoxical in that it is an essentially private phenomenon yet it simultaneously demands to be shared with another. Weil’s life and thought exemplify both aspects of this paradox, demonstrating how her pain alienated her from her own body and from others, and how her thought found full expression as she attempted to share experiences with pain. Weil’s experience of pain was transformed in her passion mysticism, the deep connection she felt with the crucified Christ. In this connection, the most unbearable aspect of her pain, the threat, which it presented to her very self through annihilation, was absorbed into the cross and transformed by God’s love. While this did not necessarily diminish Weil’s pain, the meaning it had for her as a person was transformed through an encounter with Christ crucified, in which she experienced God’s suffering along with her.     

Evaluating sermons: The function of grades in teaching preaching

What are grades doing in a homiletics classroom? This article traces the function of grades through the broader history of the educational system in the United States and then makes suggestions for how grades can be used more effectively in teaching preaching. Beginning in the nineteenth century, teachers used grades to rank and motivate students, as well as communicate across institutions. With the more recent assessment movement, educators have conceptualized grading as the larger process of evaluating the success of learning objectives. The commission on accreditation for the Association of Theological Schools does not view grades as part of its assessment, but it evaluates theological schools on whether they achieve intended learning outcomes. Theological educators need to be able to evaluate whether their teaching fulfills their schools' mission and learning objectives. For homiletics, the author measures learning through pre‐ and post‐preaching feedback and incorporates professor‐ and student‐crafted rubrics.     

Feeling one's way in the world: Making a life

This paper argues for the psychoanalytic relevance of the works of James Gibson and Susanne Langer in explicating the early development of the human child and makes use of this combined formulation of development to think about psychoanalytic theory and practice. From the insights of James Gibson's ecological psychology we can appreciate the embodiment and embeddedness of the child's growing mind within both her physical and social environments. Making use of Susanne Langer's concept of feeling to redefine ecological psychology's perceptual counterpart to action allows us to understand the child's seamless transition into active participation in her culture, as she learns to project her animalian capacity to feel into intersubjectively defined forms of behavior and experience with others. The paper presents a lengthy exposition of Gibson's ecological psychology, before explaining Langer's thinking and launching into the combined insights of these scholars to explicate the nature of the child's mind as she feels her way in the world and makes a life for herself within it. This is the life she will be able to remake in the embeddedness of a psychoanalytic therapeutic relationship where she can learn to feel her way in the world in a new light.     

Resurgence and downshifts in alternative reinforcement rate

Resurgence refers to an increase in a previously suppressed target behavior with a relative worsening of conditions for a more recently reinforced alternative behavior. This experiment examined the relation between resurgence and the magnitude of a reduction in the rate of reinforcement for the alternative behavior. Groups of both male and female rats initially pressed a target lever for food on a variable-interval (VI) 30-s schedule. In a second phase, responding to the target lever was extinguished for all groups and pressing an alternative lever was reinforced on a VI 10-s schedule. Next, the rate of reinforcement for alternative behavior was reduced differentially across groups by arranging extinction, VI 80-s, VI 40-s, VI 20-s, or continued VI 10-s reinforcement. Target responding increased as an exponential function of the magnitude of the reduction in alternative reinforcement rates. With the exception that males appeared to show higher rates of target responding in baseline and higher rates of alternative responding in other phases, the overall pattern of responding across phases was not meaningfully different between sexes. The pattern of both target and alternative response rates across sessions and phases was well described quantitatively by the Resurgence as Choice in Context model.     

Enjoyment and Its Discontents: Ecclesiastes in Dialogue with Freud on the Stewardship of Joy

The book of Ecclesiastes has frequently been mischaracterized as a cynical or pessimistic work. Instead, this article recommends Ecclesiastes, following Eunny P. Lee, as contributing to pastoral theology through its embodied and pragmatic theology of enjoyment in which practices of joy revitalize the human spirit. However, there are some who are unable to experience satisfaction. The absence of reflection on this problem in Ecclesiastes scholarship is considered the starting point of pastoral theology, and is addressed by a turn to the frequently misunderstood passage in 7:16–18, bringing it into conversation with the topographical model of the human person developed by Freud. At the same time, the interpersonal aspects of enjoyment found in Ecclesiastes critique Freud by suggesting how the fragmented parts of self-experience can be held together in an interpersonal context.