Analyse narrative du récit de la maladie : intérêts méthodologiques et réflexion sur la prise en charge thérapeutique des patients en oncologie

The narrative approach is an emerging disciplinary field, which considers the narrative to be a therapeutic, a methodological and an object of study in its own right. The objective of our contribution is twofold: (a) to present the context of emergence of the narrative approach and the notion of narrative in the field of psychology, and (b) to question the theoretical-methodological relevance of this approach in order to explore the expression of social knowledge with regard to the lived experience of cancer. After presenting some methods of collection and analysis of the narrative, we will suggest an application of this approach by analyzing narrative interviews of people with cancer. We will build on the results obtained to develop a reflection on the applied perspectives of the narrative approach, particularly with regard to the psychological therapy of cancer patients.     

The explicit and implicit dance in psychoanalytic change

How the implicit/non-declarative and explicit/declarative cognitive domains interact is centrally important in the consideration of effecting change within the psychoanalytic arena. Stern et al. (1998) declare that long-lasting change occurs in the domain of implicit relational knowledge. In the view of this author, the implicit and explicit domains are intricately intertwined in an interactive dance within a psychoanalytic process. The author views that a spirit of inquiry (Lichtenberg, Lachmann & Fosshage 2002) serves as the foundation of the psychoanalytic process. Analyst and patient strive to explore, understand and communicate and, thereby, create a 'spirit' of interaction that contributes, through gradual incremental learning, to new implicit relational knowledge. This spirit, as part of the implicit relational interaction, is a cornerstone of the analytic relationship. The 'inquiry' more directly brings explicit/declarative processing to the foreground in the joint attempt to explore and understand. The spirit of inquiry in the psychoanalytic arena highlights both the autobiographical scenarios of the explicit memory system and the mental models of the implicit memory system as each contributes to a sense of self, other, and self with other. This process facilitates the extrication and suspension of the old models, so that new models based on current relational experience can be gradually integrated into both memory systems for lasting change.     

Book Reviews

Books reviewed: Joshua I. Miller, Democratic Temperament: The Legacy of William James Ellen Kappy Suckiel, Heaven's Champion: William James's Philosophy of Religion Ruth Anna Putnam (ed), The Cambridge Companion to William James David L. Hall and Roger T. Ames, Democracy of the Dead: Dewey, Confucious, and the Hope for Democracy in China Dale Jacquette, Wittgenstein's Thought in Transition Michael T. Chiselin, Metaphysics and the Origin of Species Richard Swinburne, Is There a God? Evert van der Zweerde, Soviet Historiography of Philosophy Rem B. Edwards (ed), Ethics of Psychiatry: Insanity, Rational Autonomy, and Mental Health Care Jennifer Radden, Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality     

Maladaptive repetition and career construction

The role of repeated maladaptive relationship patterns established early in life has been widely studied with the goal of understanding the various factors and processes that contribute to and occur during development and psychological adaptation. The effects of maladaptive patterns have also been studied with regard to the goal of guiding interventions. The present article is intended to highlight the contribution of Career Construction Theory (CCT) for the integration of the concept of maladaptive repetition into the theory and practice of career counseling. It begins with a constructivist conceptualization of maladaptive repetition and proceeds to situate this concept within the contexts of both CCT and the constructivist conception of career indecision. The article then presents a case study, discusses difficulties that arise during career decision-making, and analyzes the maladaptive cycle rupture considering the client's perspective about her transformation.     

Age differences in understanding precedent-setting decisions and authorities' responses to violations of deontic rules

Oral narrative skills are assumed to develop through parent-child interactive routines. One such routine is shared reading. A causal link between shared reading and narrative knowledge, however, has not been clearly established. The current research tested whether an 8-week shared reading intervention enhanced the fictional narrative skills of children entering formal education. Dialogic reading, a shared reading activity that involves elaborative questioning techniques, was used to engage children in oral interaction during reading and to emphasize elements of story knowledge. Participants were 40 English-speaking 5- and 6-year-olds who were assigned to either the dialogic reading group or an alternative treatment group. Analysis of covariance results found that the dialogic reading children’s posttest narratives were significantly better on structure and context measures than those for the alternative treatment children, but results differed for produced or retold narratives. The dialogic reading children also showed expressive vocabulary gains. Overall, this study concretely determined that aspects of fictional narrative construction knowledge can be learned from interactive book reading.     

Higher-order factors of the Big Five predict exploration and threat in life stories

Research has not previously examined whether higher-order traits of the Big Five are related to characteristics of life story narratives. The current study explored possible links between the broad dispositions of Stability (comprising the shared aspects of Agreeableness, Conscientiousness, and Emotional Stability) and Plasticity (comprising the shared aspects of Extraversion and Openness) with narrative accounts of threat and exploration in the life-stories of 128 adults. Stability was inversely related to construals of threat in narratives, and Plasticity was positively related to exploration in narratives after controlling for the suppressor effects of demographic variables. These findings add to the research linking higher-order factors of the Big-Five to important domains as well as research linking dispositional traits to narrative identity.     

Portrayal of personality in Victorian novels reflects modern research findings but amplifies the significance of agreeableness

All literature embodies an implicit theory of personality and human nature (Hogan, 1976). The research described here investigates the implicit personality theory embedded in the behavior of 435 characters in 143 canonical Victorian novels. Characters were rated on the Web by 519 scholars and students of 19th-century British literature. Ratings included the characters’ goals, success in achieving goals, mate preferences and strategies, and personality according to the Five Factor Model. Results suggest that novels by Victorian authors largely reflect personality and human nature as understood by modern personality psychology, but Victorian authors amplify the significance of agreeableness and thus, whether intentionally or not, encourage cooperative impulses in readers.     

Aging and the segmentation of narrative film

The perception of event structure in continuous activity is important for everyday comprehension. Although the segmentation of experience into events is a normal concomitant of perceptual processing, previous research has shown age differences in the ability to perceive structure in naturalistic activity, such as a movie of someone washing a car. However, past research has also shown that older adults have a preserved ability to comprehend events in narrative text, which suggests that narrative may improve the event processing of older adults. This study tested whether there are age differences in event segmentation at the intersection of continuous activity and narrative: narrative film. Younger and older adults watched and segmented a narrative film, The Red Balloon, into coarse and fine events. Changes in situational features, such as changes in characters, goals, and objects predicted segmentation. Analyses revealed little age-difference in segmentation behavior. This suggests the possibility that narrative structure supports event understanding for older adults.     

Why global justice matters

Why does global justice as a philosophical inquiry matter? We know that the world is plainly unjust in many ways and we know that something ought to be done about this without, it seems, the need of a theory of global justice. Accordingly, philosophical inquiry into global justice comes across to some as an intellectual luxury that seems disconnected from the real world. I want to suggest, however, that philosophical inquiry into global justice is necessary if we want to address the problems of humanity. First, in some cases, a theory of global justice is needed for identifying what counts as legitimate problems of justice. Second, even in obvious cases of injustices, such as the fact of preventable extreme poverty to which we know we have an obligation to respond, we cannot know the content and the limits of these obligations and who the primary bearers of these obligations are without some theoretical guidance. However, I acknowledge that philosophical inquiry on global justice risks becoming a philosophical parlor game if it loses sight of the real-world problems that motivate the inquiry in the first place. If global justice is to provide the tools for addressing the problems of humanity, it must remain a problems-driven enterprise.