The ‘redefinition of death’ debate: Western concepts and western bioethics

Biomedicine is a global enterprise constructed upon the belief in the universality of scientific truths. However, despite huge scientific advances over recent decades it has not been able to formulate a specific and universal definition of death: In fact, in its attempt to redefine death, the concept of death appears to have become immersed in ever increasing vagueness and ambiguity. Even more worrisome is that bioethics, in the form of principlism, is also endeavouring to become a global enterprise by claiming neutrality. It appears that the discourse within both disciplines have similarly manipulated the boundaries of death to include the “dying”. This paper argues that the redefinition of death debate in biomedicine reveals a concept of personhood which is profoundly western in origin and which is in accordance to the concept adhered to within principlism. Biomedicine and bioethics do not appear to acknowledge the limitations of their own world view and hence lack an understanding of their applicability and appropriateness in diverse social and cultural contexts; a situation which adds credence to claims as to the hegemonic and imperialistic nature of all such global enterprises. Ms. Jones is an intensive care clinical nursing specialist. Dr. Kessel is a public health physician and medical ethicist.     

Single-gender group psychotherapy: A “women's group” for adolescent inpatients

This paper describes an attempt at forming and conducting a unique single-gender psychotherapy group with severely disturbed female adolescents on a long-term, psychotherapeutically oriented co-ed inpatient unit. The focus of this group was assisting the female patients in negotiating the tasks and conflicts specific to their gender and developmental stage. The therapeutic approach and the role of female coleaders are described, emphasizing particular modifications made to meet the needs of this group. Clinical examples are offered to high-light salient group themes of identity formation and separation and individuation. Finally, group therapeutic factors specifically enhanced by single gender membership are discussed and observations regarding the group/milieu interface are explored.     

Critique of “the dream in group therapy: A reappraisal of unconscious processes in groups” by Peter J. Schlachet,Ph.D.

This commentary is on an article published inGROUP,16(4), 1992.     

Early declarative memory for location

The abilities of 7.5-month-old infants to recall the location of hidden objects after delays averaging 90 seconds were investigated in three experiments. Various kinds of events were introduced during the delays in order to examine the stability of early location memory. Recall, as shown by reaching towards the correct location, was most clearly found when the infants were allowed either to remain seated facing the hiding locations (Expt 1) or were turned around and immediately re-seated (Expt 2) during the delays. In both experiments, the infants’ attention was diverted from the hiding places, but during all or most of the delay the infants were facing the locations. Recall was dampened when infants were removed from the immediate location of the hiding and engaged in other activities such as looking at a picture during the delay (Expt 3). Further analyses indicated an effect for age that coincides with other research on location memory: evidence for recall was more clearly found for the older, but not the younger, 7-month-olds.