Family systems psychiatry in an acute in‐patient setting: the implementation and sustainability 5 years after its introduction

From 2003 to 2008 a multicentre research project, systems therapy methods in acute psychiatry (SYMPA), attempted to establish structured in‐patient treatment based on systemic interventions in German non‐university psychiatric hospitals. Utilising multi‐professional family systems training for team members in six in‐patient wards, its main goal was to improve the involvement of familial and non‐familial important others. This follow‐up study explores the sustainability of family systems psychiatry by evaluating the frequency of the utilisation of four core systemic interventions; elements of a systemic organizational culture in psychiatry; and institutional barriers to this new approach. The degree of implementation was high to moderate, depending on the intervention. More intense communication developed among staff of different professions and the status of nursing staff improved. Organizational barriers to implementation included the ambiguous role of junior doctors in teams, continuously understaffed wards and frequent over‐occupancy.     

A BIOSEMIOTIC APPROACH TO THE QUESTION OF MEANING

A sign is something that refers to something else. Signs, whether of natural or cultural origin, act by provoking a receptive system, human or nonhuman, to form an interpretant (a movement or a brain activity) that somehow relates the system to this “something else.” Semiotics sees meaning as connected to the formation of interpretants. In a biosemiotic understanding living systems are basically engaged in semiotic interactions, that is, interpretative processes, and organic evolution exhibits an inherent tendency toward an increase in semiotic freedom. Mammals generally are equipped with more semiotic freedom than are their reptilian ancestor species, and fishes are more semiotically sophisticated than are invertebrates. The evolutionary trend toward the production of life forms with an increasing interpretative capacity or semiotic freedom implies that the production of meaning has become an essential survival parameter in later stages of evolution.     

TRACING DISTINCTIVE HUMAN MORAL EMOTIONS? THE CONTRIBUTION OF A THEOLOGY OF GRATITUDE

Darwin thought that the moral sense was among the most challenging aspects of human life to account for through evolutionary explanations. This article seeks to probe the question about human uniqueness primarily from a theological perspective by focusing in depth on one distinctive moral sentiment, gratitude, particularly in the thought of Thomas Aquinas. It uses that example as a case study about how to consider the validity of arguments for human uniqueness within the broader compass of the cultural evolution of sociality and morality within the human sciences, including evolutionary anthropology. Further questions about the evolution of religion surface in this discussion since gratitude, from a theological perspective, necessarily includes gratitude to God as a fundamental aspect of religious faith and practice.