Living with Death in Rehabilitation: A Phenomenological Account

This paper uses an ongoing ethnography of childhood rehabilitation to rethink the Heideggerian phenomenology of death. We argue that Heidegger’s threefold perishing/death/dying framework offers a fruitful way to chart how young people, their parents, and practitioners address mortality in the routine management of muscular dystrophies. Heidegger’s almost exclusive focus on being-towards-death as an individualizing existential structure, rather than the social life with and around death, is at odds with the clinical experience we explore in this paper. After looking to the basic structures of Heidegger’s philosophy of death, we point to recent work by Leder, Svenaeus, Aho, and Carel, bringing health and the spaces of healthcare into our purview. Turning to ethnographic data, we argue that a revised phenomenology of death gives a nuanced account of how health care practitioners address death, dying, and perishing, and outline some steps toward a more ontologically sensitive clinical space. These revisions are in line with recent work in disability studies, that see disability as more than a death sentence. We advocate adjusting phenomenological reflections on disability, to be framed as a way of life, rather than as a deficient or especially deadly mode of human existence.     

Mobilizing the Sense of “Fat”: A Phenomenological Materialist Approach

Human Studies - This paper aims to mobilize the way we think and write about fat bodies while drawing on Jean-Luc Nancy’s philosophy of the body. I introduce Nancy’s approach to the...     

Is It Possible to “Incorporate” a Scar? Revisiting a Basic Concept in Phenomenology

Although scars never disappear completely, in time most people will basically get used to them. In this paper I explore what it means to habituate to scars against the background of the phenomenological concept of incorporation. In phenomenology (Husserl, Merleau-Ponty) the body as Leib or corps vécu (lived body) functions as a transcendental condition for world disclosure. Because of this transcendental reasoning, phenomenology prioritizes a form of embodied subjectivity that is virtually dis-embodied. Endowing meaning to one’s world through getting engaged in actions and projects is most successful indeed when one’s body is “absent,” “transparent,” or, at least, if it is not in the center of one’s attention. This taken-for-granted nature can be disturbed by discomfort, disability, and disfigurement. Incorporation, so I explain, aims at maintaining or restoring the body’s taken-for-grantedness. My analysis of the case of a woman who successfully habituated to her mastectomy scar demonstrates, however, that habituation to a perceptible scar can only be understood partly in terms of incorporation. Next to a decrease of explicit attention for the scar and the discomfort it produces (i.e., incorporation), the scar should also stop being a sign that refers to something else than itself. This is only possible, I argue, by taking the body’s materiality seriously, rather than it being wiped out as a result of transcendental reasoning.     

You are not alone – adolescents’ experiences of participation in a structured skills training group for ADHD

Little is known about how adolescents with attention deficit/hyperactivity disorder (ADHD) experience participating in group therapy, an important factor to consider when developing treatment methods for this age group. This study aimed to explore how adolescents with ADHD experience participating in a structured skills training group program based on dialectical behavioral therapy. Semi-structured interviews were conducted with 20 adolescents (15–18 years of age) with ADHD after participating in a structured skills training group. The interviews were transcribed verbatim and qualitative content analysis were used to analyze the text. The participants emphasized the value of meeting other adolescents with ADHD and the opportunity to exchange experiences, strategies and tips. Participating in the group treatment made the adolescents realize that they were not alone, and feelings of togetherness and an increased acceptance of themselves were described. The participants associated the treatment with elevated knowledge and understanding, for example, about ADHD, their own functioning and helpful strategies. They also described emotional and behavioral changes, such as higher self-esteem, fewer inter-personal conflicts and improved concentration. Activating and experiential exercises were considered important elements of the treatment, and the participants expressed a need for a variation of exercises, as well as more time for practicing skills, discussions and breaks. The results indicate that the group format add an extra value to the treatment and that the use of an active approach throughout the treatment is of importance for this group of patients.     

Girls and women: challenges for careers guidance practice

This article reviews the position of women in the UK labour market and the increasing complexity of their employment patterns. It criticises current career theory for girls and women and examines enhancers and inhibitors of women's career development. Finally, some promising developments in theory-building for girls and women are briefly discussed, together with some implications for practice.     

Prenatal Diagnosis for Inherited Deafness—What is the Potential Demand?

Genetic testing for inherited deafness is now available within some genetics centres. This study used a structured questionnaire to assess the potential uptake of prenatal diagnosis (PND) for inherited deafness, and document the opinions of deaf and hearing individuals toward PND and termination of pregnancy (TOP) for hearing status. Participants were self-selected from the whole of the UK, of whom 644 were deaf, 143 were hard of hearing or deafened, and 527 were hearing individuals who had either a deaf parent or child. The results showed that 21% of deaf, 39% of hard of hearing and deafened, and 49% of hearing participants said they would consider PND for deafness. Six percent of deaf, 11% of hard of hearing and deafened, and 16% of hearing participants said they would consider a TOP if the fetus was found to be deaf. Two percent of deaf participants said they would prefer to have deaf children and would consider a TOP if the fetus was found to be hearing.     

Is Self‐enhancement Related to Modesty or to Individualism‐collectivism? A Test with Four Israeli Groups

The main assertion of this study was that degree of self-enhancement is determined by the modesty requirements prevailing in a culture rather than by its level of collectivism. Four Israeli subgroups (323 11th-grade students) were compared in a two-by-two design: type of living (kibbutz versus city) and level of religious observance (religious versus secular). The two kibbutz groups were found to be more collectivist than the urban groups, and the religious groups were found to be more modest than the secular groups. Results show that self-enhancement was related to level of religious observance and not to type of living. When modesty was statistically controlled for, the effect of level of religious observance was removed. It was also found that self-enhancement measures were predicted by modesty and not by collectivism facets. Thus, the data supported the study's main claim.     

Paediatric liaison research: problems at the clinical—research interface

The implications of the quest for scientific credibility in relation to clinically based paediatric liaison research are considered. Some of the problems arising from particular research strategies and their relationship to clinical issues are discussed. In particular, both recognition that ambivalence about research may occur in patients and their families, clinicians and researchers, and awareness that the research process may mirror the clinical process, may be helpful in facilitating both the continuation of research and increased cohesion in the multidisciplinary team.     

The Phenomenology of Near-Death Consciousness in Past-Life Regression Therapy: A Pilot Study

Although past-life regression therapy has not been shown to be the re-experiencing of a verifiable previous biological existence, therapists have noted similarities between the phenomenology of post-death awareness reported by regressed subjects and the phenomenology of near-death experiences (NDEs). This paper reports the results of a pilot study exploring those similarities as far as the therapeutic modality normally accommodates post-death phenomena. Similarities and differences between NDEs and post-death regression phenomena suggest new avenues of research.