Alternative death rituals in Switzerland: building a community of shared emotions and practices

New alternative death rituals are gaining significance in Switzerland, like in other contemporary Western societies. This article discusses how celebrants who are independent of any religious community shape alternative funerals and why such rituals may be able to function as a coping resource for a certain kind of participants. I argue that these rituals, co-produced by celebrants and the bereaved and including actively involved participants, can be seen as a re-conquest of ritual agency for lay people. By encouraging physical and mental contact with the deceased, the celebrants try to enable emotional arousal and create a temporary community of shared experiences and emotions and of the living and the dead. Elements of an individually crafted spirituality and a kind of nature religion represent both separation and continuing bonds between the living and the dead. As a consequence, such funerals serve as a resource in the face of death by integrating a singular death with the wider context.     

Fears of death and fears of dying in the counter-transference

It is commonplace for people to say they are not afraid of death but they are afraid of dying. I discuss unconscious aspects of fears of dying and fears of death which are revealed in counter-transference experiences in therapy with people suffering from terminal illnesses and with older people. Studying the counter-transference shows that fears of dying, which usually refer to lingering and disabling illnesses, unconsciously are linked with fears of dependency and the apprehension that if one becomes dependent then no-one will want to look after you. This apprehension is often a residue of failures in the early dependency relationship which can be re-enacted in adult life through projective identification when therapists and carers may be induced to abandon the caring role. Despite the ubiquitous denial, fears of death surface in the counter-transference, often obliquely but always with a particular terror for the survival of the self. This unconscious terror confirms Freud’s insight about the denial of death that what is unthinkable is the annihilation of the self. I conclude with a discussion about the importance of setting an ending date in therapy with those who are old or terminally ill.     

Containment lost: the challenge to child psychotherapists posed by modern CAMHS

The paper is an examination of some emotional challenges facing child psychotherapists working in modern CAMHS following the introduction of the NHS internal market for commissioning and providing services. Its introduction has brought the loss of organisational containment for all CAMHS clinicians. The meaninglessness in work reported by clinicians is a clue to this loss. This loss is especially difficult for child psychotherapists because of their particular investment in the apprehension of meaning in symptoms and other presentations by patients. The paper proposes that meaninglessness is itself a clue to the ascendancy of what Freud called the death instinct, and that this is inherent within the internal market model. Because service design and delivery is predicated upon it, the internal market model structurally determines that clinicians are bound to senior management in a way that leaves child psychotherapists open to professional life-threatening dynamics associated with the death instinct. The ?K (Bion) world of CAMHS is thus deathly, leaving child psychotherapists vulnerable to self-destruction. We have lost a workplace in which our approach flourished conferring on us the identity of a discipline structurally favoured, because of the help we provided through this approach to patient and clinic work. This loss of identity brings the dangers of containment lost. This situation leaves child psychotherapists emotionally vulnerable and is akin to Satan’s loss in Milton’s Paradise Lost.     

Counter‐intuitive moral judgement following traumatic brain injury

Several neurological patient populations, including traumatic brain injury (TBI), appear to produce an abnormally ‘utilitarian’ pattern of judgements to moral dilemmas; they tend to make judgements that maximize the welfare of the majority, rather than deontological judgements based on the following of moral rules (e.g., do not harm others). However, this patient research has always used extreme dilemmas with highly valued moral rules (e.g., do not kill). Data from healthy participants, however, suggest that when a wider range of dilemmas are employed, involving less valued moral rules (e.g., do not lie), moral judgements demonstrate sensitivity to the psychological intuitiveness of the judgements, rather than their deontological or utilitarian content (Kahane et al., Social Cognitive and Affective Neuroscience, 7, 2011, 393). We sought the moral judgements of 30 TBI participants and 30 controls on moral dilemmas where content (utilitarian/deontological) and intuition (intuitive/counter‐intuitive) were measured concurrently. Overall TBI participants made utilitarian judgements in equal proportions to controls; disproportionately favouring utilitarian judgements only when they were counter‐intuitive, and deontological judgements only when they were counter‐intuitive. These results speak against the view that TBI causes a specific utilitarian bias, suggesting instead that moral intuition is broadly disrupted following TBI.     

Repetition priming reveals hemispheric differences in compound word processing

The left (LH) and right (RH) hemispheres are thought to implement different mechanisms for visual word recognition; the LH’s parallel encoding strategy is more efficient than the RH’s serial, letter-by-letter analysis. Here we examine differences in hemispheric language processing strategy by investigating repetition priming of compound words (e.g. buttercup) and their constituents (e.g. butter, cup). Eighty-eight right-handed participants (29 M, 59 F) completed a lexical decision experiment in which centrally-presented compounds primed related (whole compound, first constituent, second constituent) and unrelated targets presented laterally to the left or right visual field; participants made button-press word/nonword decisions. Consistent with the LH parallel/RH serial distinction, repetition priming prompted an RH advantage for first constituents, whereas the LH performed equally efficiently in response to both first and second constituents. These data thus highlight differences in the hemispheres’ language processing strategies, offering new evidence supporting a relative parallel/serial distinction in LH/RH visual word recognition.     

Does Traumatic Brain Injury Attenuate the Exposure Therapy Process?

Research indicates that exposure therapy is efficacious for combat-related posttraumatic stress disorder (PTSD) comorbid with traumatic brain injury (TBI) as is shown by reduced PTSD treatment outcome scores. What is unknown, however, is whether the process of fear extinction is attenuated in veterans with TBI history. Increased PTSD symptomatology and possible cognitive deficits associated with TBI sequelae may indicate additional or longer exposure sessions to achieve habituation and extinction comparable to individuals without TBI history. As such, a more extensive course of treatment may be necessary to achieve comparable PTSD treatment outcome scores for individuals with TBI history. Using a sample of veterans with combat-related PTSD, some of whom were comorbid for TBI, this study compared process variables considered relevant to successful treatment outcome in exposure therapy. Individuals with and without TBI demonstrated similar rates of fear activation, length and number of exposure sessions, within-session habituation, between-session habituation, and extinction rate; results remained consistent when controlling for differential PTSD symptomatology. Furthermore, results indicated that self-perception of executive dysfunction did not impact the exposure process. Results suggest that individuals with PTSD and TBI history engage successfully and no differently in the exposure therapy process as compared to individuals with PTSD alone. Findings further support exposure therapy as a first-line treatment for combat-related PTSD regardless of TBI history.     

死亡心理:外部防御还是内在成长?

对西方主要的死亡心理研究进行了回顾和比较分析,不同的死亡心理研究在研究传统、研究对象和研究方法方面存在差异。但是根据研究的侧重点,可以总结出死亡心理的核心内涵:外部防御和内在成长。对死亡的抽象认知产生死亡焦虑,死亡焦虑产生死亡恐惧、自我保护、外在价值导向等外部防御反应;对死亡的具体认知产生死亡反省,死亡反省产生死亡接受、亲社会动机和行为、内在价值导向等内在成长反应。作者以死亡心理的两类反应为框架,综述了近5年来新的研究证据,并对该领域当前研究的局限和未来研究方向进行了分析。     

“集体主义—个体主义”的差异:来自基因、大脑的证据

文章以"集体主义—个体主义"这一基本文化差异维度为基础,围绕文化、基因和大脑之间的关系,介绍了国内外最新研究进展。研究显示当人类执行各种文化任务时,那些为人类生存提供有力帮助的基因会被选择和保留下来;在自我表征,注意和知觉,决策、情绪和意向推断等心理状态或过程上的"集体主义—个体主义"文化差异都可追溯到脑功能的差异。研究者先后提出社会脑假设、文化—基因协同进化论、神经—文化交互作用模型等理论来解释基因、文化与大脑交互作用的现象。文章分析了当前研究中存在的问题,并对未来的研究进行了展望。