Theory and the Organic Bioethicist

This article argues for the importance of theoreticalreflections that originate from patients' experiences.Traditionally academic philosophers have linked their ability totheorize about the moral basis of medical practice to their roleas outside observer. The author contends that recently a new typeof reflection has come from within particular patientpopulations. Drawing upon a distinction created by AntonioGramsci, it is argued that one can distinguish the theorygenerated by traditional bioethicists, who are academicallytrained, from that of ``organic' bioethicists, who identifythemselves with a particular patient community. Thecharacteristics of this new type of bioethicist that are exploredin this article include a close association of memoir andphilosophy, an interrelationship of theory and praxis, and anintimate connection between the individual and a particularpatient community.     

国外父母-孩子自传叙事研究现状及展望

父母-孩子自传叙事是指父母与孩子共同对过去发生的生活事件进行回忆和交流, 是实现自传记忆社会功能的一种重要形式。父母-孩子自传叙事的社会功能有教育和指导孩子、保持亲子亲密性等作用。在父母-孩子自传叙事的风格、结构和内容三个层面, 父母-孩子自传叙事对儿童认知发展、社会情感发展、自传记忆表征等方面有重要影响; 另外, 父母-孩子自传叙事中还存在有性别和社会、文化差异。未来的研究应注意线索词材料的类型以及与儿童心理理论发展、社会层次、纵向研究设计的结合。     

CONSIDERING STANLEY HAUERWAS

After introducing the five articles that comprise this focus issue, I consider Hauerwas's claim that he is a theologian without a position. The claim has merit, I hold, since Hauerwas writes in response to what he reads, which is his way of learning it better. Moreover, he writes socially, characteristically soliciting help from his friends. As such, he purposefully makes himself accountable to those he addresses. In his later years this accountability has extended especially to the Church and to the Bible, which helps explain why Hauerwas cares so deeply about his sermons, which he takes to be his most important work.     

HAUERWAS AMONG THE VIRTUES

Despite the fact that Stanley Hauerwas has not taken up many of the topics normally associated with virtue ethics, has explicitly distanced himself from the enterprise known as “virtue ethics,” and throughout his career has preferred other categories of analysis, ranging from character and agency to practices and liturgy, it is nevertheless clear that his work has had a deep and transformative impact on the recovery of virtue within Christian ethics, and that this impact has largely to do with the ways in which his thought resists normalization. This essay traces the evolution of Hauerwas's reflections on virtue and the virtues over the course of his career, with special attention to how this has been bound up with an increasingly emphatic theological particularism that has remained ambivalent between what I term “comprehensive” versus “exclusive” particularism. I argue that it is important to distinguish between these, and suggest that grasping the destructive tendencies of “exclusive” particularism should cement our commitment to shouldering the responsibilities associated with comprehensive particularism.     

Ecosystemic consultation in the kibbutz: social process and narrative in two cases of community “epidemic”

This paper emphasizes working with the social component of the biopsychosocial model. A dual approach for renarrating dysfunctional community narratives and for changing the social process is described. This approach was applied to two cases of epidemics allegedly cased by mysterious environmental agents that occured on kibbutzim. The collective adoption of irrational beliefs is analyzed by using concepts from sociology and crowd psychology. The suggestive effects of the emotional contagion and of the preoccupation with a persistent belief are examined by applying the concept of monoideism. The epidemics were resolved by working in collaboration with the community. The intervention programs mobilized inner resources by helping the kibbutzim to adopt a more unified approach to their presenting problems, and by challenged them to face previously avoided more fundamental dilemmas.     

The Sense of Agency and the Search for a Narrative in Acute Psychosis

The search for a narrative in acute psychosis exists but the result of this search can be insufficient because the stories available do not sufficiently capture the pre-narrative quality of personal experience, and hence the sense of agency may be diminished. The context of reflexivity is lost when a subjugating story blocks an individual off from making a choice from among a multiplicity of stories. Psychosis can also be an escape in order to maintain a sense of agency. When the patient has trouble in creating meaning through narrative action, the aim of therapy and treatment is to open a channel through which the pre-narrative quality of life can become narrated, to create a multiplicity of stories, and so offer the possibility of choice in the construction of a narrative identity.     

On the Right Track: Client Experience of Narrative Therapy

This article presents an ethnographic research on eight families' experience of narrative therapy and discusses six major themes found in the interviews including externalizing conversation, developing the alternate story, personal agency, reflecting/consulting teams, building a wider audience, and the helpful and unhelpful aspects of the therapy. The findings and the notation that families found the therapy to be very effective are also included.