Violence,research, and non-identity in the psychiatric clinic

Violence in psychiatric clinics has been a consistent problem since the birth of modern psychiatry. In this paper, I examine current efforts to understand and reduce both violence and coercive responses to violence in psychiatry, arguing that these efforts are destined to fall short. By and large, scholarship on psychiatric violence reduction has focused on identifying discrete factors that are statistically associated with violence, such as patient demographics and clinical qualities, in an effort to quantify risk and predict violent acts before they happen. Using the work of Horkheimer and Adorno, I characterize the theoretical orientation of such efforts as identity thinking. I then argue that these approaches lead to epistemic imperceptiveness and a subtle form of conceptual restraint on patients. I suggest a reorientation in psychiatric research, away from identity thinking and toward a more productive and just approach to the problem of violence in psychiatric clinics.     

Narrative,Self-Realization,and the Shape of a Life

Velleman, MacIntyre, and others have argued for the compositional view that lives can be other than equally good for the person who lives them even though they contain all and only the same moments, and that this is explained by their narrative structure. I argue instead for explanation by self-realization, partly by interpreting Siegfried Sassoon’s exemplary life-narrative. I decide between the two explanations by distinguishing the various features of the radial concept of narrative, and showing, for each, either that self-realization is just as good an account, or that we should prefer the self-realization account, of the composition it is supposed to explain. I conclude that, if the shape of a life matters, it matters because some shapes are self-realizations, not because they are narratives.     

The joy of Desire: Understanding Levinas’s Desire of the Other as gift

In this paper, I argue that if we understand Levinas’s Desire of the Other as gift, we can understand it as joyful—that is, as celebratory. After presenting Levinas’s conception of Desire, I consider his claim, found in Otherwise than Being, that the self is a hostage to the Other, and I contend that, paradoxical as it may seem, being a hostage to the Other is actually liberating. Then, drawing on insights Richard Kearney offers in Reimagining the Sacred, I argue for understanding Desire as a gift that is the condition of possibility for joy. If I offer hospitality to the Other, I thereby accept the gift that makes joy possible, and this joy is not egoistic but is the proper response to the gift. Finally, I ask whether Desire can be joyful in practice, given that the pure gift is an originary condition and never a historical one, and I conclude that imperfect joy remains possible. Moreover, this imperfect joy is better than any solitary enjoyment I might experience in the total absence of the Other.     

Words that reveal: Jean-Yves Lacoste and the experience of God

Much of the contemporary discussion of religion seems to do away with the very possibility of revelation. In this article, I use Lacoste’s phenomenology of la parole to rethink a theology of revelation in terms of God’s personal self-giving in experience. After examining Lacoste’s views of the relationship between philosophy and theology, his liturgical reduction and what this means for an understanding of experience and knowledge, and his thought of la parole more broadly, I give critical consideration to how he thinks the possibility of God’s address to humanity. Lacoste maintains that God’s presence in experience may be known through affection, and, indeed, that the word may so move us that we are able to recognise that presence. He uses the notion of self-evidence rather than the usual phenomenological category of evidence to evince the reasonableness of this response. I argue that while Lacoste accords due deference to a traditional understanding of revelation as the repetition or unfolding of a word addressed to us in the past, his thought also allows us to think revelation as a contemporary event, the hermeneutics of which allow us to know God in ways that are new.     

The Confounding Role of Basic Needs Satisfaction Between Self-Determined Motivation and Well-Being

In this study three different theories grounded on Self-determination macro-theory (Basic Psychological Needs Theory, Organismic Integration Theory, and Hierarchical Model of Intrinsic and Extrinsic Motivation) were combined into a single structural model to evaluate its goodness-of-fit to empirical data. It consisted on a model where basic psychological needs satisfaction was associated directly to well-being, and indirectly through the mediation of self-determined motivation. Since in this model the satisfaction of basic psychological needs would predict positively both self-determined motivation and well-being, basic psychological needs is considered to function as a confounding variable. The participants of the study consisted of 673 Spanish secondary education students (334 girls and 339 boys) with a mean age of 14.0 years (SD = 1.4). The model was confirmed partially. Direct associations between basic psychological needs satisfaction and psychological consequences were found and in the expected directionality. On the contrary, indirect associations between basic psychological needs satisfaction and psychological consequences were found, but generally with the opposite expected directionality. The sign of these indirect associations depended on whether components involved on the associations (basic psychological needs satisfaction, self-determined motivation and psychological consequences) were measured at the same or at different levels. Finally, the results found evidence of the confounding role of basic psychological needs between self-determined motivation and psychological consequences. Implications of these results for Basic Psychological Needs Theory, Organismic Integration Theory, and Hierarchical Model of Intrinsic and Extrinsic Motivation are discussed.     

Postpartum Food Traditions of Bhutanese Refugee Women: a Qualitative Study

Bhutanese refugees represent one of Canada’s most recent immigrant populations, and little is known about their dietary traditions and habits. The purpose of this study was to improve the wellbeing and health of re-settled refugee Bhutanese women by understanding how culturally informed postpartum food choices are practiced post-migration. As part of a larger community-based participatory research project, semi-structured interviews were conducted with 12 Bhutanese refugee women. The traditional dietary choices that Bhutanese women revealed to be important in the postpartum period were organized into five themes: (1) “foods consumed as part of a regular healthy diet,” (2) “foods to regain strength and heal the body,” (3) “foods to ward off back and joint pain,” (4) “foods to promote lactation,” (5) “foods avoided due to negative effects.” Traditional foods and culturally situated beliefs in the postpartum period play a significant role in the lives of Bhutanese women. Healthcare workers in countries of re-settlement should work with the traditional health and nutritional beliefs of women in this community in order to provide optimal dietary and health recommendations.     

Asylum Seekers in Europe: Issues and Solutions

The recent exceptional migratory surge has put huge pressure on many countries of the developed world. The Member States of the European Union are still striving to find a sustainable solution to the ongoing massive asylum crisis, with hundreds of thousands of people fleeing from wars, authoritarian regimes, and poverty in the Middle East and North Africa. Really, the recent asylum crisis is essentially a policy asylum crisis, which places under pressure a limited number of Member States. The research provides a diagnosis of what went wrong, by highlighting the weakness of mechanisms for implementing the principle of solidarity and fair sharing of responsibility. To overcome some drawbacks of the European asylum system, the research suggests a novel and constructive solution, which could promote common values and interests in a viable way. Due to its geographic location and expertise, Italy could play a central role in supporting the EU asylum system, by facilitating substantial cooperation and policy integration.     

Canadian Arab Youth at the Border: Cultural Dissociation,Fear Management,and Disciplining Practices in Securitized Spaces

In this paper, we explore what Canadian Arab youth do to navigate border and travel transit sites. Arab youth are the focus for this study because they are a neglected demographic of research in ethnic studies, compared to the more copious studies on Canadian Arabs. Our research empirically investigates the struggles that this youth demographic faces, and the efforts they undertake to manage their marginalization. Some of these efforts involve practices of cultural dissociation, fear management, and self-disciplining through behavioral self-surveillance. Drawing upon an existing body of research that recognizes the highly fraught and securitized nature of air travel and border transfer, particularly for Arab/Muslim populations, we use the findings from focus groups conducted in Kitchener-Waterloo to theoretically situate some of the real struggles of Canadian Arab youth. As prominent racialized and securitized identities in the War on Terror (WoT), Arab youth are often forced, or feel that they are forced to perform their Canadian-ness to substantiate their innocence, and in some cases, this requires minimalization, or even erasure of part of who they are.     

Ocular signatures of proactive versus reactive cognitive control in young adults

During the execution of a cognitive task, the brain maintains contextual information to guide behavior and achieve desired goals. The AX-Continuous Performance Task is used to study proactive versus reactive cognitive control. Young adults tend to behave proactively in standard testing conditions. However, it remains unclear how interindividual variability (e.g., in cognitive and motivational factors) may drive people into more reactive or proactive control under the same task demands. We investigated the use of control strategies in a large population of healthy young adults. We computed the proactive behavioral index and consequently divided participants into proactive, reactive, and intermediate groups. We found that reactive participants were generally slower, presented lower context sensitivity, and larger response variability. Pupillary changes and blink rate index cognitive effort allocation. We measured, concomitantly to the task, the pupil size and frequency of blinks associated with the cue maintenance and response intervals. During the cue period, nonfrequent, nontarget cues led to increased pupil dilation and number of blinks in all participants. During the response interval, we found more errors and increased pupil dilation to the probe when all participants had to overcome a response bias generated by the frequent cue. Only reactive participants showed larger response-related pupil when they had to overcome a response bias related to the frequent probe. Contrary to expectations, groups did not differ in ocular measures in the cue period. In conclusion, interindividual differences in cognitive control between healthy adults can be mapped onto different patterns of effort allocation indexed by the pupil.     

Enhancing theory of mind in behavioural variant frontotemporal dementia with transcranial direct current stimulation

Behavioural variant frontotemporal dementia (bvFTD) is a form of frontotemporal degeneration characterized by early changes in personality, emotional blunting, and/or loss of empathy. Recent research has highlighted that these features may be at least partially explained by impairments in the theory of mind (ToM; i.e., the ability to understand and predict other people’s behaviour by attributing independent mental states to them). The aim of this randomized, double-blind, placebo-controlled study was to test the hypothesis that transcranial direct current stimulation (tDCS) over the medial frontal cortex (MFC) selectively enhances communicative intention processing, a specific ToM ability. Using a single-session online design, we administered a ToM task that measures the ability to represent other people’s private and communicative intentions during active or sham tDCS to 16 bvFTD patients. To assess the impact of dementia on performance on the ToM task, we included 16 age-matched healthy volunteers who were asked to perform the entire experimental ToM task. BvFTD is characterized by an impairment in the comprehension of both communicative and private intentions relative to a healthy control group and by a disproportional impairment in communicative intention compared with private intention processing. Significant and selective accuracy improvement in the comprehension of communicative intentions after active stimulation was observed in patients with bvFTD. This is the first study that analyses ToM ability in patients with bvFTD using tDCS stimulation. Our findings could potentially contribute to the development of an effective, noninvasive brain stimulation treatment of ToM impairments in patients with bvFTD.