Playing for time: A psychotherapist's experience of counselling young people

This article describes the experience of a psychotherapist working for several years with adolescents and young adults at a centre offering weekly psychoanalytic psychotherapy. It describes some of the pressures placed on the therapist by young people engaging in considerable degrees of acting out and the difficulties in holding on to a sense of valuable work in the face of different attacks.     

Toward a Reconstruction of Medical Morality

At the center of medical morality is the healing relationship. It is defined by three phenomena: the fact of illness, the act of profession, and the act of medicine. The first puts the patient in a vulnerable and dependent position; it results in an unequal relationship. The second implies a promise to help. The third involves those actions that will lead to a medically competent healing decision. But it must also be good for the patient in the fullest possible sense. The physician cannot fully heal without giving the patient an understanding of alternatives such that he or she can freely arrive—together with the physician—at a decision in keeping with his or her personal morality and values. In today's pluralistic society, universal agreement on moral issues between physicians and patients is no longer possible. Nevertheless, a reconstruction of professional ethics based on a new appreciation of what makes for a true healing relationship between patient and physician is both possible and necessary.     

Sea for the landlocked: a sustainable development goal?

Outside Europe landlocked states are poor: 16 are extremely poor and another 16 very poor. The Sustainable Development Goals (SDGs) recognise their lack of sea-access as a major cause of their reduced chances of escaping poverty and reaching the stated goals. This paper proposes including corridors to the sea and other forms of sea-access among the SDGs. It also discusses objections to doing so that appeal to the rejection of global egalitarian arguments, to the possibility of compensating those countries for their disadvantage rather than removing it, and to the territorial rights of the coastal countries. The paper concludes that none of these objections to the corridors, and a fortiori to the less ambitious remedies of the Almaty and Vienna Programmes, withstands scrutiny.     

PEIRCEAN APPROACHES TO EMERGENT SYSTEMS IN COGNITIVE SCIENCE AND RELIGION

Cognitive science and religion provides perspectives on human cognition and spirituality. Emergent systems theory captures the subatomic, physical, biological, psychological, cultural, and transcendent relationships that constitute the human person. C. S. Peirce's metaphysical categories and existential graphs enrich traditional cognitive science modeling tools to capture emergent phenomena. From this richer perspective, one can reinterpret the traditional doctrine of soul as form of the body in terms of information as the constellation of constitutive relationships that enables real possibility.     

A case of subcortical dementia due to sarcoidosis of the hypothalamus and fornices

A patient with sarcoidosis involving predominantly the hypothalamus and fornices was evaluated for dementia. He showed a relative sparing of fund of knowledge and orientation. Memory skills, particularly short-term memory, were severely impaired. Behavioral changes included apathy and a lack of spontaneity. Insight was relatively preserved. The pattern of his deficits showed some similarities to the pattern reported in patients with Huntington's disease and was different from that described in Alzheimer's disease. The dementia caused by subcortical pathology may differ in important respects from that caused by diffuse cortical dysfunction.     

Getting it Right

In addition to noting significant differences of interpretation between me and Kristopher Norris on understanding classic just war thought and judging its importance, this Comment flags errors of fact and faulty logic in the Norris essay.     

Motivation to manage among women: Studies of college students

Studies were conducted with samples of students from four different universities to determine if male-female differences in motivation to manage existed. Although differences were not found among students majoring in the field of education, females in business administration and the liberal arts did prove to have lower managerial motivation scores than the comparable male samples. These findings are discussed in terms of their relationships to sex discrimination, prospective managerial talent shortages and the vocational guidance of female college students.