Physician-assisted suicide reconsidered: dying as a Christian in a post-Christian age.

The traditional Christian focus concerning dying is on repentance, not dignity. The goal of a traditional Christian death is not a pleasing, final chapter to life, but union with God: holiness. The pursuit of holiness requires putting on Christ and accepting His cross. In contrast, post-traditional Christian and secular concerns with self-determination, control, dignity, and self-esteem make physician-assisted suicide and voluntary active euthanasia plausible moral choices. Such is not the case within the context of the traditional Christian experience of God, which throughout its 2000 years has sternly condemned suicide and assisted suicide. The wrongness of such actions cannot adequately be appreciated outside the experience of that Christian life. Traditional Christian appreciations of death involve an epistemology and metaphysics of values in discordance with those of secular morality. This difference in the appreciation of the meaning of dying and death, as well as in the appreciation of the moral significance of suicide, discloses a new battle in the culture wars separating traditional Christian morality from that of the surrounding society.     

In the last analysis: archetypal themes in the analysis of an elderly patient with early disintegrative trauma

Aspects of the analysis of an elderly patient with early disintegrative experiences are described: separation anxiety, an internalized attack upon vitality, and the fear of dependency were prominent features of the transference/countertransference relationship, while the search for meaning as death drew nearer continued to be the central theme. The patient's many dreams reveal a wealth of images whose complex interlinkings provided evidence of a heightened and energized individuation process aiming at the integrity of personality.     

Anxiety after remembering stressful academic versus brush with death events: The moderating roles of future time perspective and personal intimacy

This study examines: (i) whether recalling stressful autobiographical events results in anxiety, (ii) the relation of memory qualities to anxiety, and (iii) the relation of future time perspective and personal intimacy to experiencing anxiety. Participants (N = 120) completed Future Time Perspective, Personal Intimacy and State Anxiety scales. They were randomly assigned to recall a brush with death, a stressful academic deadline, or a no-stress control. Memory qualities (vividness and significance) were assessed. As expected, recalling stressful events resulted in anxiety with more personally significant events related to higher anxiety. Having a more open-ended future time perspective related to lower anxiety after recalling a stressful academic deadline, whereas greater personal intimacy predicted lower anxiety after recalling a brush with death. Findings are discussed in terms of factors that may serve to moderate the link between stressful memories and the experience of anxiety.     

The effects of mortality salience on escalation of commitment

Based on propositions derived from terror management theory (TMT), the current study proposes that people who are reminded of their mortality exhibit a higher degree of self-justification behavior to maintain their self-esteem. For this reason, they could be expected to stick with their previous decisions and invest an increasing amount of resources in those decisions, despite the fact that negative feedback has clearly indicated that they might be on a course toward failure (i.e., "escalation of commitment"). Our experiment showed that people who were reminded of their mortality were more likely to escalate their level of commitment by maintaining their current course of action. Two imaginary scenarios were tested. One of the scenarios involved deciding whether to send additional troops into the battlefield when previous attempts had failed; the other involved deciding whether to continue developing an anti-radar fighter plane when the enemy had already developed a device to detect it. The results supported our hypothesis that mortality salience increases the tendency to escalate one's level of commitment.     

基于驱动与控制相互作用的成瘾冲动性结构与机制

物质成瘾者具有明显的冲动性特征, 表现为难以戒断的成瘾物质使用。这种行为的产生除了抑制控制的问题外, 源于多个维度的驱动力也是重要的原因。低弱的抑制力无法抵挡驱力的作用, 出现不平衡状态, 形成难以控制的渴求下的强迫性用药或习惯性用药行为倾向。驱动力来源于多方面, 奖赏效应, 通过条件作用形成的S-R式相关线索反应以及感觉寻求等人格特质; 控制成分则包括了反应抑制与无法延迟满足的执行控制功能。     

On ‘the fear of death’ as the primary anxiety: How and why Klein differs from Freud

It is well known that Melanie Klein held the view that ‘fear of death’ is the primary source of anxiety and that her position is explicitly opposed to that of Sigmund Freud, who maintained that that fear cannot in any way or form be a source of anxiety. In a previous article on Freud's Inhibitions, Symptoms and Anxiety (Blass, 2013), the author argued that, counter to what is commonly portrayed in the literature, Freud's considerations for rejecting the fear of death as a source of anxiety were based on relational and experiential factors that are usually associated with Kleinian psychoanalysis. In light of this affinity of Freud with Klein a question arises as to the actual source of their differences in this context. The present paper offers an answer to this question. The author first presents some of her earlier findings on what led Freud to reject the fear of death as a source of anxiety and then turns to investigate Klein's considerations for accepting it. This takes us beyond her explicit statements on this matter and sheds new light on the relationship of her views regarding death and anxiety and those of Freud. In turn this deepens the understanding of the relationship of Freud and Klein's conceptualizations of the psyche and its internal object relations, pointing to both surprising common ground and foundational differences.     

儒释道与改善癌症患者临终关怀的关系

随着中国肿瘤患病率的不断上升,社会对临终关怀的需求也逐渐增大。由于我国基本国情、文化背景和价值观念与西方不同,援引自西方基督教的临终关怀理念与实践方法在中国的发展出现了许多问题。本文旨在从中国传统的儒释道文化中汲取智慧和经验,针对当前的问题,从死亡教育的开展、医护人员的培训、临终关怀机构的发展与社会支持等方面,提出相应的完善策略,促进我国临终关怀的本土化、体系化、制度化与社会化,希望为构建具有中国特色的临终关怀体系提供新的思路。     

‘Martyrs as really as St Stephen was a martyr’? Commemorating the British dead of the First World War

Taking its cue from a phrase in a wartime sermon by the Bishop of London, Arthur Winnington-Ingram, this article examines the tensions between Christian and more secular approaches to the commemoration of the military casualties of the First World War. An initial overview of perceptions of sacrifice, martyrdom and Christian militarism in the early twentieth century is followed by discussion, in turn, of local war memorials, of the early policies of the Imperial (now Commonwealth) War Graves Commission, and of the arrangements for the dedication of the Cenotaph and the interment of the ‘Unknown Warrior’ in Westminster Abbey on Armistice Day 1920. At the local and institutional level a wide spectrum of approaches between the overtly Christian and the robustly secular were adopted, but national memorialisation required compromise and consensus. Hence it was agreed that the war cemeteries should include both a Cross of Sacrifice and Stone of Remembrance, and that there should be uniform headstones engraved with a cross or other religious symbol. Similarly the primarily (but not exclusively) secular ceremonial at the Cenotaph was seamlessly linked to the Christian funeral service for the Unknown in the Abbey. At the same time non-Christian faiths were accorded significant recognition. While other belligerent powers faced similar issues, and in some respects adopted similar solutions, in Britain there was nevertheless a distinctive and particularly pronounced blending of the Christian and the national which has had an abiding legacy.     

Sibling rivalry at work; from family to groups

Sibling relationships are ambivalent. They are full of love and hate, and therefore, our most basic wish cannot simply be to get rid of our siblings. Many of the conflicts we find ourselves in, either with friends or within institutions, may need a complex and subtle understanding of sibling dynamics. The famous Controversial Discussions that nearly destroyed the Institute of Psychoanalysis in the early forties could be partly attributed to the unacknowledged and unconscious dynamics of the sibling transferences that swirled around Melanie Klein, Anna Freud and Freud. One of the tasks of therapists is to explore how we all must live within a society, with our contemporaries. This difficulty involves observing that sometimes in therapy we are part of the nursery quarrel itself, rather than superior. And so in adult sibling conflict within an institution, there may be a need for an outside moderator, like a parent, to sort out the quarrel; for when sibling passions are revived at work or in the consulting room, they can knock one sideways with the unmeditated quality of the encounter.     

Conductismo y etología: Una introducción a la polémica entre Herrnstein y Skinner

RESUMEN

En este trabajo no se pretende encontrar solución a la polémica entre la perspectiva conductista de Skinner y la etológica de Herrnstein acerca de la utilidad de inferir estados motivacionales y el uso explicativo que puede hacerse de ellos, sino más bien exponer los problemas que se plantea el autor a raíz de dicha polémica. Para ello analiza las aportaciones en la orientación conductista y la biológica, enfrentadas al pretender alcanzar, cada una por su lado, la totalidad de las conductas. El artículo finaliza destacando que la complementariedad de los enfoques de ambas disciplinas exige una traducción y no una mera recepción de las posiciones del “enemigo”.