Honoring the duallium: disability,environmental ethics,and the implicit religion of gardening

In recent years, the pilgrimage shrine of La Sainte-Baume has attracted an increasing number of non-Catholic pilgrims influenced by the ‘New Age’ and the Neopagan movement. These pilgrims consider Mary Magdalene as a sort of female counterpart of Jesus and the mountain of La Sainte-Baume, where according to a Christian legend she spent the last part of her life, as a ‘power place’ charged with ‘healing energy’. Based on 3 years of field work among Mary Magdalene pilgrims and drawing on Tanya Luhrmann's idea of ‘interpretive drift’ (1989), the essay describes the way in which these pilgrims gradually shift from their previous Christian background towards what they generally identify as ‘spirituality’. The pilgrims reconceptualise La Sainte-Baume and its saint, and make their own a shrine they feel was misappropriated and unjustly monopolised by the ‘Church’.     

Getting culture: a new path for Indonesia’s Islamist Justice and Prosperity party?

Partai Keadilan Sejahtera (PKS, The Justice and Prosperity Party) is the largest Islamist political party in Indonesia. It has roots in the religious and political and religious teachings of the Muslim Brotherhood and promotes what Oliver Roy calls "deculturized religion." The party can be understood as the political component of a larger social movement that seeks to transform Indonesian society and culture in ways that would establish Shari'ah as social, if not political, reality. It is also committed to the electoral process and to working inside the Indonesian political system in a more general sense. Until recently, the PKS has dismissed local modes of Muslim practice and much of Indonesian culture as "un-Islamic." The extent of the party's transformative agenda is unclear for three reasons: it shares the Muslim Brotherhood's gradualist approach, it is less than transparent about its goals, and it is divided into purist or "Justice" and pragmatic or "Prosperity" factions. The leadership of the Prosperity faction is currently ascendant and is attempting to reach beyond its Islamist base by sponsoring musical and dramatic performances it hopes will appeal to Muslims devoted to Javanese and other Indonesian cultural traditions. Ethnographic and web-based research indicate that these efforts are greeted with considerable suspicion.     

SEXUAL ATTACHMENTS: A THEORETICAL PSYCHOANALYTIC PERSPECTIVE ON INCEST

A psychoanalytic framework for understanding the incest‐spectrum group of disorders is outlined. Incest disorders are viewed as a group of perverse activities representing a dynamic solution to developmental conflict or, alternately, as compensatory enactments that serve the function of re‐regulating a defective or fragmenting self‐structure. While incest is typically thought of as behavioural in nature, it also involves particular psychodynamics that underpin the sexualized behavioural enactment. Incestuous activity employs sexualized, bodily engagements to restore self‐regulation or to regulate intense adverse affective states. This perspective emphasizes the need to understand the developmental and psychostructural features of the incest patient. Case material is provided to illuminate aspects of this understanding.     

THE ENCHANTED BEDSIDE

This paper is based on the authors' work offering psychological therapies to patients and their families in a specialist palliative care unit, pre‐ and post‐death. In addressing issues of family interaction around the bedside of the dying patient, the authors have noted a pattern of events that arise from strongly ambivalent relationships.

In particular, family adjustment to the declining health of the patient is acted out in a physical and emotional move around the bedside, with a ‘hierarchy of bereavement’ indicating the status of the relationship to the patient. Previously conflicted feelings towards the dying patient are replaced by an impermeable idealization, lasting throughout bereavement.

In trying to understand this process of idealization the authors have used an analytical frame, referring to Freud and Klein and their work on mourning. This leads on to an exploration of the implications for clinical practice within palliative care. An unshifting idealization can be problematic for many reasons. The reader is left with a discussion about how to work best with families whose initial protective defence can easily crystallize into a long‐term grief reaction.     

Can anybody hear me? Reacting to pressures from psychotic states of mind

In this paper material is presented from supervision groups run for nurses and other mental health professionals. The patients presented to the group all came from different mental health settings and suffered from psychotic states of mind. In this paper I will argue that the psychodynamic model can help nurses and other front‐line mental health professionals in their understanding of psychotic process. Nursing staff, in particular, are with their patients over long periods of time and see them in different settings. The psychodynamic model can be helpful in giving mental health professionals a language for describing their experiences of, and interaction with, their patients. The psychodynamic model can also provide a dynamic picture of the patient's problems over time. This type of assessment and thinking, which includes an understanding of the dynamic process involved in psychosis, can then stand alongside the medical model.     

‘Beyond forgetfulness’: How psychoanalytic ideas can help us to understand the experience of patients with dementia

We must cast ourselves forwards to a time when words must fail (Samuel Beckett, Happy days, 1961 Beckett, S. 1961. Happy days, London: Faber & Faber.  [Google Scholar]).

This paper approaches dementia and its care from a psychoanalytic perspective. It recognizes both the psychoanalytic literature on dementia and a biological understanding of neuro‐degenerative processes. Using neuro‐psychoanalysis to synthesize the two views, meeting points are found that may take the theoretical understanding of dementia processes a small step further, introducing the death instinct as one example. The mind and the brain are distinct entities which are also intimately related. A mind/brain model was proposed by Freud in his ‘project’ (1895). It pre‐dated his psychoanalytic work but was abandoned. None the less it runs as a rich vein throughout his work.

Although other causes exist there are two main types of dementia. Alzheimer's and vascular dementia have distinct differences and similarities in their respective clinical presentations. This paper explores the complex deterioration of brain and mind in both diseases and explains these in psychoanalytic terms. Developmental models of the mind are helpful, however dementia patients are adults, and are losing their minds in a non‐linear fashion. Dementia is not infant/child development in reverse order.

Three broad stages of dementia are proposed and psychoanalytic models of patient experience are suggested, as well as potentially offering ameliorating interventions. The first stage of dementia is dominated by anxiety and depression; also repression and denial and behavioural problems that may be akin to hysterical states. These seem to be amenable to analysis and psychoanalytically informed therapy. In the intermediate stages reality principle versus pleasure principle issues are patent, as are shame and humiliation (particularly around sexuality). Art and music therapies informed by psychoanalysis can be helpful as they depend less on words. In the final stages of extreme dependency, projective identification may be the most common method of communication. Understanding this phenomenon can assist sufferers and help carers to cope with unbearable states of mind. Some psychoanalytic ideas are already in use in some enlightened dementia services; there is room for more.     

Speed of Eating as a Determinant of the Bulimic Desire to Vomit

ABSTRACT

A single-case controlled study found that a bulimic's desire to vomit was virtually eliminated by slowed eating, but not by rapid eating. The present study attempted to determine whether this same relation was exhibited by a larger number (N = 6) of bulimics who were instructed to eat at a fast or a slow rate in a between-subjects reversal design. For all 6 participants, the urge to vomit was found to be greater during fast versus slow eating after comparable amounts of food intake. Clinically, these results suggest that eating slowly might be incorporated into treatment for bulimic vomiting.     

Positive Affective Priming: A Behavioral Technique to Facilitate Therapeutic Engagement by Families,Caregivers, and Teachers

Affective priming is a technique used in experimental psychology to investigate the organization of emotional schemata not fully available to conscious awareness. The presentation of stimuli (the prime) with strong positive emotional valence alters the accessibility of positive stimuli within the individual's emotionally encoded cognitive system. By altering the valence of internal stimuli, it offers a method for influencing families, caregivers, and teachers serving as mediators in child behavior therapy. The need for priming is greatest where adults involved in therapy as agents of child behavior change have such negative feelings toward the targeted client, or to the therapeutic context, that acceptance and engagement with therapy are compromised. Examples of how positive affective priming might be used clinically are provided.     

Dislocation dissociation in the intermetallic compound MoSi2

Abstract

The identity of dislocations which contribute to plastic deformation of polycrystalline MoSi₂ when compressed at 1400°C has been determined using transmission electron microscopy. It has been confirmed that dislocations with Burgers vectors lying parallel to ? 100 ? and ? 111 ? are activated in response to the applied stress. In addition, the deformation microstructure is characterized by the presence of networks containing dislocations with Burgers vectors parallel to ? 100], ? 110] and ? 111 ?. It has been shown that dislocations with Burgers vectors lying parallel to ? 111 ? are dissociated. A simple explanation has been developed to account for the occurrence of dissociation of particular dislocations, and on the basis of this model the dissociation is represented by

½? 111 ?→ ½? 111 ?+SISF+¼? 111 ?

where SISF stands for a superlattice intrinsic stacking fault. The SISF energy has been estimated from the separation of the partial dislocations to be about 261 mJ m^?2. Other observations of the dissociation of dislocations in MoSi₂ have been interpreted in terms of the model developed in the present work.