Intersectionality in Clinical Medicine: The Need for a Conceptual Framework

Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. We begin with a brief discussion of intersectionality and how it might be useful in a clinical context. We then discuss two clinical scenarios that highlight how we think considering intersectionality could lead to more successful patient–clinician interactions. Finally, we extrapolate general strategies for applying intersectionality to the clinical context before considering objections and replies.     

Biblical mothers as images of the Church

Among the many images and symbols of the Church which the church Fathers used, biblical mothers had an important role. Some of these images, such as Mary as an image of the Church, became widespread and have influenced later Christian theology and iconography. In this article, both the development and different applications of these images will be explored. How and to what purpose these images were used in the Early Church will also be studied. Among the topics dealt with by using these images were the origin, age, character and purpose of the Church, as well as its relation to several ‘others’ (the Jews, the schismatics and the heretics). In modern ecclesiological discussions, especially of Eve and Mary as images of the Church, the role of the Church in salvation, as well as the communal interpretation of biblical mothers, are relevant.     

Gender-stereotyped preferences in childhood and early adolescence: A comparison of cross-sectional and longitudinal data

Children are exposed to a gender-specific environment on an everyday basis through media, books, school supplies and especially toys. Children’s movies and television programs were found to portray protagonists’ occupational and private roles in a very traditional, gender-stereotypical way. The present two studies aimed to investigate gender-specific preferences in childhood and early adolescence. Cross-sectional data (study 1) were compared to longitudinal one (study 2) as we specifically aimed to investigate changes in gender preferences over time. A person-oriented approach, namely Configural Frequency Analysis was applied, to categorically analyze the relationship and development of gender-stereotyped preferences throughout childhood and early adolescence. Consistent with former studies, study 1 showed that gender-stereotypical preferences increased by age, for boys to a higher extent than for girls. By the age of twelve, these preferences had decreased supporting the theory of Kohlberg that children’s gender-stereotypic preferences continuously grow until around six years of age to finally lower thereafter. Gender-specific preferences generally became much more flexible over time.     

Emotional Attachment and Its Limits: Mengzi,Gaozi and the Guodian Discussions

Mengzi maintained that both benevolence (ren 仁) and rightness (yi義) are naturally-given in human nature. This view has occupied a dominant place in Confucian intellectual history. In Mencius 6A, Mengzi’s interlocutor, Gaozi, contests this view, arguing that rightness is determined by (doing what is fitting, in line with) external circumstances. I discuss here some passages from the excavated Guodian texts, which lend weight to Gaozi’s view. The texts reveal nuanced considerations of relational proximity and its limits, setting up requirements for moral action in scenarios where relational ties do not play a motivational role. I set out yi’s complexity in these discussions, highlighting its implications for (i) the nei-wai debate; (ii) the notion of yi as “rightness,” or doing the right thing; and (iii) how we can understand the connection between virtue and right action in these early Confucian debates. This material from the excavated texts not only provides new perspectives on a longstanding investigation of human nature and morality, it also challenges prevailing views on Warring States Confucian intellectual history.     

Presenting concerns of emerging adults seeking treatment at an early intervention outpatient mood and anxiety program

This study examined presenting concerns and characteristics of emerging adults (EAs) seeking treatment at an early intervention program for mood and anxiety disorders to better understand presenting concerns when treatment is needed. During an intake assessment conducted by a social worker or clinical psychologist, participants (N = 548; 62% female, 38% male) reported their top three current life concerns, which were analyzed qualitatively using thematic analysis. Participants completed a battery of questionnaires assessing demographic information, symptomatology, and daily functioning. Females presented with significantly higher levels of anxiety, and both females and younger individuals (age 16–18) presented with significantly higher levels of depression compared to males and older individuals (age 19–26), respectively. The two most commonly reported presenting concerns were problems in interpersonal relationships and academics, and females were more likely to report academic concerns than males. The majority of participants reported seeking help for a wide range of problems commonly faced by EAs (83.7%), and participants rarely expressed concerns about particular symptoms of mood and/or anxiety disorders (16.3%). EAs and those supporting EAs may benefit from learning when psychosocial concerns are indicative of mental health challenges warranting professional attention.     

Dialoguing Height Psychology into a life of interconnectedness: Response to commentaries by Hwang,Bhawuk, King & Hodgetts,Kashima, and Xie,Su, & Zhong

Liu (Asian Journal of Social Psychology, 000, 000) attempts to articulate an epistemology for the aspirational practice of Height Psychology as a human science informed by Kantian epistemology in dialogue with other philosophies, especially Confucianism and Taoism. Height Psychology is a framework or metatheory for the practice of teaching, research, and service rooted in Kantian epistemology, in dialogue with other philosophies. It provides a holistic philosophy for social scientists responding to wicked problems unfolding over long periods of time. In responding to commentaries, I suggest a corollary to Shweder's (Asian Journal of Social Psychology, 3, p. 207) ‘One mind, many mentalities’: ‘Many indigenous psychologies, interconnected by one epistemology’. Height Psychology is about holding to an invisible moral centre. The practical postulates are foundational to the moral and ethical practices of human societies: they are for doing, their value is ontological. Human agency, proscribed by natural science epistemologies takes centre stage in Height Psychology by facilitating social scientists to act reflexively from multiple positions (from basic to action research) to benefit society. Height Psychology is dedicated to articulating and actioning the moral and ethical basis of a human science that can assist present and future generations of social scientists to meet the grave situational futures facing us in different parts of the world.     

Gathering a few thoughts on ‘Neo‐Confucian epistemology and Chinese philosophy’

In Neo‐Confucian Epistemology and Chinese Philosophy: Practical Postulates for Actioning Psychology as a Human Science, Professor Liu offers a critique of the Cartesian underpinnings of psychology as a natural science. Drawing on Chinese cultural postulates, Professor Liu offers a vision for a global psychology more orientated towards the morally centered person and which developed a culturally‐informed ethics. This commentary explores the implications of this rethinking of psychology for indigenous and applied social psychologies in Aotearoa/New Zealand.     

Enhancing the Behavioral and Mental Health Services Within School-Based Contexts

ABSTRACT

Recent health care reform provides many new opportunities to expand mental health and behavioral support to students in schools and school–community partnerships. Through newly available funding sources, as well as expanded legislative initiatives, school psychologists can advocate for and become leaders in delivering universal programming, tiered mental health supports, and formalized collaborative efforts with community agencies. The authors highlight the application of tiered levels of services, with current practice samples, designed to address students' mental and behavioral health. Implications for practice are discussed.     

Skiing and its Discontents: Assessing the Turist Experience from a Psychoanalytical,a Neuroscientific and a Sport Philosophical Perspective

Abstract

This article addresses the question whether skiing as a nature sport enables practitioners to develop a rapport with nature, or rather estranges and insulates them from their mountainous ambiance. To address this question, I analyse a recent skiing movie (Turist, 2014) from a psychoanalytical perspective (skiing as a quest for self-knowledge and as therapy) and from a neuro-scientific perspective (ski resorts as laboratory settings for testing physical and psychic responses to a variety of cues). I conclude that Jean-Paul Sartre’s classical but egocentric account of his skiing experiences disavows the technicity involved in contemporary skiing as a sportive practice for the affluent masses, which actually represents an urbanisation of the sublime, symptomatic for the current era (the anthropocene).