On Failing to be Cartesian: Reconsidering the ‘Impurity’ of Descartes’s Meditation

Abstract

This paper begins from the observation that in the Meditations, Descartes never achieves the ‘pure’, thoroughly decontextualized kind of thinking he famously promoted. Some commentators have used this observation to promote pure inquiry more diligently and to criticize Descartes for failing to achieve it. Other commentators have simply called for greater historical fairness and urged that we renew our efforts to understand how Descartes’s inquiry actually does operate. This paper, although sympathetic with this second group of commentators, argues that in revisiting the tensions between what Descartes actually accomplished and what he said he was trying to accomplish, we should see a contemporary lesson, not just better historical understanding. It is argued that in spite of the strong presence in his writings of the imagery of the ‘Cartesian’ ideal of a perfectly presuppositionless philosophical standpoint, not only does Descartes himself never become a Cartesian, but his own practice provides perhaps the best evidence against the very possibility of the Cartesian ‘project of pure inquiry’ to which he aspired.     

Two controlled evaluations of multicomponent psychological treatment of irritable bowel syndrome.

We report two controlled comparisons of a previously validated multicomponent (relaxation, thermal biofeedback, and cognitive therapy) treatment for irritable bowel syndrome (IBS) to an ostensible attention-placebo control (pseudo-meditation and EEG alpha suppression biofeedback) and to a symptom-monitoring control. In Study 1 (n = 10 per condition) there were nonsignificant trends for the multicomponent treatment to be superior to the attention-placebo condition. In Study 2 (n = 30 per condition), we found no advantage for the multicomponent treatment over the attention-placebo condition. Subjects in both treatment conditions showed significant reductions in GI symptoms, as measured by daily symptom diaries, and significant reductions in trait anxiety and depression. The GI symptom reductions held up over a 6 month follow-up. Possible explanations for the results are explored.     

Perceived control

Permitting subjects to choose materials to be learned on a task enhances performance on that task. These results support the idea that choice increases the learner's perception of control, thereby enhancing motivation and performance. The purpose of the present experiments was to determine whether choosing responses to be learned on a paired-associate task would also benefit performance on a reaction-time task. Half of the subjects selected their responses to be learned on a paired-associate task while the remaining subjects were assigned responses. In one experiment, subjects then performed both the PA and RT tasks simultaneously, while in the second experiment the RT task was performed following the choice/force procedure. Providing the learner with the opportunity to choose produced a generalized increase in motivation, which resulted in significantly faster responding on the nonchosen RT task. Also discussed are the limitations of the effects of perceived control.     

Prediction of outcome from cognitive-behavioral treatment of irritable bowel syndrome

The presence of a diagnosable Axis I psychiatric disorder predicted significantly (P < 0.001) lower likelihood of significant improvement among 90 irritable bowel syndrome patients given cognitive and behavioral treatments to help the disorder. Other psychological tests, including the MMPI, BDI, STAI, as well as demographic variables, failed to yield significant prediction.     

Group affective learning in training for psychotherapy and psychoanalysis

This paper describes The Group Affective Model, a method for teaching psychoanalytic concepts and their clinical application, using multi‐channel teaching, process and review in group settings, and learning from experience in an open systems learning community for psychoanalysts and psychotherapists. This innovation arose in response to criticism of existing methods in psychoanalytic education that have subordinated the primary educational task to that of the training analysis. Noticing this split between education and training analysis, between cognition and affect, and between concepts of individual and group unconscious processes, we developed the Group Affective Model for teaching and learning psychoanalysis and psychotherapy in an open psychological space in which students and faculty experience individual and group processes of digestion, assimilation, and review, which demonstrate the concepts in action and make them available for internalization selectively. We discuss our philosophy and our educational stance. We describe our institution and our participants. We give examples of teaching situations that we have studied to provide some insight about assimilation and internalization of the concepts and clinical approaches being taught. We discuss the transferability of the Group Affective Model to other teaching settings and psychoanalytic training institutions and propose it as the fourth pillar of psychoanalytic training, next to analytic treatment, clinical supervision, and didactic seminars.     

Case study: Analysis of a traumatized hemophiliac boy

The author presents a case study of a hemophiliac boy in four‐times‐a‐week analysis from the age of four to six and a half years. An extensive narrative of various phases of the analysis including the termination provides the reader access to the material for discussion of therapeutic action. Her analytic technique is based on a developmental point of view and illustrates the use of limits, play, and interpretation based on countertransference. She understands the boy's symptoms of preferring to be a girl, asking to cut his penis off, and wishing to die as defenses against the fear of castration, which in his case is aggravated by the actual threat of repeated medical interventions, and by the underlying fear of a lack of body composition. An unusual feature of the case is the illustration of the symptom, the analysis, and the recovery of the male self, captured in a complex collage that was made over the course of the relatively short analysis.