Theory and the Organic Bioethicist

This article argues for the importance of theoreticalreflections that originate from patients' experiences.Traditionally academic philosophers have linked their ability totheorize about the moral basis of medical practice to their roleas outside observer. The author contends that recently a new typeof reflection has come from within particular patientpopulations. Drawing upon a distinction created by AntonioGramsci, it is argued that one can distinguish the theorygenerated by traditional bioethicists, who are academicallytrained, from that of ``organic' bioethicists, who identifythemselves with a particular patient community. Thecharacteristics of this new type of bioethicist that are exploredin this article include a close association of memoir andphilosophy, an interrelationship of theory and praxis, and anintimate connection between the individual and a particularpatient community.     

RELIGION IN AN AGE OF SCIENCE; METAPHYSICS IN AN ERA OF HISTORY

Abstract. Ian Barbour's Religion in an Age of Science is a welcome systematic, theoretical overview of the relations between science and religion, culminating his long career with a balanced and insightful appraisal. The hallmarks of his synthesis are critical realism, holism, and process thought. Barbour makes even more investment in process philosophy and theology than in his previous works. This invites further inquiry about the adequacy of a highly general process metaphysics in dealing with our particular, deeply historical world; also further inquiry about the adequacy of its panexperientialism and incrementalism.     

Ecosystemic consultation in the kibbutz: social process and narrative in two cases of community “epidemic”

This paper emphasizes working with the social component of the biopsychosocial model. A dual approach for renarrating dysfunctional community narratives and for changing the social process is described. This approach was applied to two cases of epidemics allegedly cased by mysterious environmental agents that occured on kibbutzim. The collective adoption of irrational beliefs is analyzed by using concepts from sociology and crowd psychology. The suggestive effects of the emotional contagion and of the preoccupation with a persistent belief are examined by applying the concept of monoideism. The epidemics were resolved by working in collaboration with the community. The intervention programs mobilized inner resources by helping the kibbutzim to adopt a more unified approach to their presenting problems, and by challenged them to face previously avoided more fundamental dilemmas.     

The Sense of Agency and the Search for a Narrative in Acute Psychosis

The search for a narrative in acute psychosis exists but the result of this search can be insufficient because the stories available do not sufficiently capture the pre-narrative quality of personal experience, and hence the sense of agency may be diminished. The context of reflexivity is lost when a subjugating story blocks an individual off from making a choice from among a multiplicity of stories. Psychosis can also be an escape in order to maintain a sense of agency. When the patient has trouble in creating meaning through narrative action, the aim of therapy and treatment is to open a channel through which the pre-narrative quality of life can become narrated, to create a multiplicity of stories, and so offer the possibility of choice in the construction of a narrative identity.     

On the Right Track: Client Experience of Narrative Therapy

This article presents an ethnographic research on eight families' experience of narrative therapy and discusses six major themes found in the interviews including externalizing conversation, developing the alternate story, personal agency, reflecting/consulting teams, building a wider audience, and the helpful and unhelpful aspects of the therapy. The findings and the notation that families found the therapy to be very effective are also included.     

Writing life narratives through art practice

This article shares some of my doctoral experiences in a practice-based PhD research in arts developed at the Chelsea College of Arts, University of the Arts London. It locates art practice within the academic research realm and contributes to researchers working on autobiographical studies and practice-based research methods. By offering an overview on my research topic focusing on the relationship between language and place in the life of Brazilian women living in London, I reflect on the relevance of “not-knowing” as a fruitful space for researching autobiographical and situated life narratives through art practice. The article concludes that qualitative methods are relevant for building passages from the individual to the collective sphere of an art practice developed within geographical displacement and in the context of academic research.     

Liberating narratives and the play of unforbidden pleasures: In brief dynamic therapy

Drawing upon the work of Adam Phillips and Ronald Britton the author highlights the intimidating and fear-inducing nature of the super-ego and the role of the therapist in supporting the judgements of the ego and liberating it from the domination of the super-ego. He goes on to explore the proposition that moral principles do not need to be oppressive in nature and that they can emanate from objects that are more akin to sexual or aesthetic objects. These themes are linked to Woodmansey’s conceptualistion of the punitive and humiliating super-ego, and the origin of the super-ego as an internalisation of an external conflict is outlined. The role of identifying a Cyclical Maladaptive Pattern as a focus and its contribution in identifying the super-ego and how it manifests in the client’s narrative are explored, as well as the crucial contribution of a playful stance on the part of therapist in subverting and undermining the intimidating strictures of the super-ego.     

Narrative (Re)Righting: Recovering and Rebuilding a Life Rocked by Trauma

In this paper, I write about and through my recent brush with death to narrate myself out of fear and desperation and into hope and acceptance. Storytelling helps me sort through the rubble and make sense of my life repeatedly rocked by trauma. Narrative reframing takes me a step further, empowering me to rebuild and reinvent my life through the stories I choose to tell as I move forward. Through this work, I am reminded rebuilding is temporary, continual, and precarious; and not only possible, but important and necessary.     

精神科住院患者团体心理治疗准备性会谈与治疗后访谈初探

精神科住院患者团体心理治疗较门诊患者团体心理治疗存在临床情境的特殊性,本研究探索将准备性会谈与治疗后访谈纳入治疗计划,治疗前向患者普及住院治疗、心理治疗的知识,澄清团体心理治疗的形式、目标、内容,了解患者对团体心理治疗的疑问、期望,允许患者做出是否参加治疗的决定,并在治疗后的访谈中强化疗效因子。