Uses of guilt in the treatment of dehumanization

It is likely that under the impact of impending Nazism, aggression theory in late Freud, as presented in Civilization and its Discontents (1930), left the entirety of guilt to self‐punishment, thus retracting his view that love functions in the superego as remorse and restitution. This change however, essentially withdraws provision for treating victims of abuse, violence and terror. This paper proposes a paradigm shift that reframes Freud's late instinct theory into a theory of dehumanization by recovering reparative and relational components of guilt. This reframe has major implications for the position taken with regard to the role of witnessing and the moral imperative in recovery from dehumanizing experience, which orthodox psychoanalytic theory has essentially bypassed. It is propose that victim treatment, as case examples illustrate, reformulates guilt as drawing on the life instincts to revivify victims’ humanity through analytic witnessing and acknowledgment. Indeed, unless breaches of humanity are confronted by a witness, the life instincts stay merely rhetorical, if not contradictory, by leaving the death instincts to grow unseen and, thus, unopposed. A two‐fold formulation of guilt may better address and redress disorders of dehumanization, whereby ‘death guilt’ (under the sway of aggression) signifies the orthodox, irrevocable guilt of self‐reproach for the bad we may have done, and ‘life guilt’ (under the sway of a moral imperative) the redeemable guilt for the good we have still to do.     

The so‐called death drive,an indispensable force for any subjective life

The psychoanalytic movement has difficulty in overcoming the malaise bequeathed by what Freud wanted to call the ‘death drive’. This term remains doubly problematic: first because the indispensable antagonist of Eros‐binding cannot be reduced to a particular drive; and secondly because this Anteros plays a vital role in subjectivization. The Freudian idea of the ‘death drive’ has in addition the drawback of confusing dissociative thrust (unbinding) with the aggressive component of libidinal cathexis. Now it is precisely the lack of articulation between them that leads to deconstructing it. For it is constantly observed that in the psychic register aggression is much more fixing than unbinding. The essential role of Anteros/unbinding in the process of subjectivization can be illustrated through several key operations in subjective development: sublimatory activity and its renunciation of pleasure‐discharge, the work of mourning opposed to melancholic fixation, the intricating‐unbinding parental function, and finally the psychoanalytic treatment and its work of analysis. This means we should cease to anathematize the dynamic component of unbinding as ‘of death’ and seek to explain the concept of subjectivization better.     

Missing what was true: Problems of seeing and knowing in Henry James's The wings of the dove

The author examines a central theme in this late novel by Henry James in relation to current psychoanalytic ideas that link the Oedipus complex with the child's developing perception of reality (both psychic and external), specifi cally through the experience of seeing and being seen. Britton visualises the oedipal triangle as a psychic structure through which the child may achieve recognition not only of its parents' sexual relationship, from which it is excluded, but also of itself being observed by one parent while the child is with the other. Thus, it both observes and is observed. The differing perspectives achieved‐of subjectivity and objectivity‐ promote the perception of objective reality, as the world of relationships grows and becomes more complex. James captures with great subtlety and penetration the experience of three characters living out a symbolic oedipal relationship in which the truth is evaded or perverted. A young couple in love exploit the situation of a dying heiress whose vulnerability is intensifi ed by her reluctance to acknowledge the truth about their relationship. At the same time, she shrinks from the gaze of others and consigns herself to isolation and ultimate despair. The author presents three signifi cant scenes in which seeing and being seen are central to the development. In each, the dying woman is forced to face, if momentarily, her exclusion from the sexual relationship. Increasingly this connects with her approaching death‐but also with the anguished recognition that the couple have cruelly befriended her only to betray her. It is suggested that James's late style and novelistic technique require the reader to tolerate confusion and uncertainty. As the perspective shifts from one protagonist to another, we ourselves are in danger of ‘missing what is true’ in this characteristic Jamesian scenario, where relationships are gradually perverted by manipulation, evasion and lies. In psychoanalytic theory, this would represent a failure to work through the oedipal situation, where the struggle of the child to face reality is met by a parental relationship that is too weak or too perverse to contain the pain and confl ict.     

The four antinomies of the death instinct1

Matte Blanco examines four paradoxical positions that arise out of Freud's writings on the death instinct. He notes that death is not a content known to the unconscious. Furthermore, the absence of time and space in the unconscious means that the conditions necessary for any process such as instinct are similarly absent. Matte Blanco demonstrates the way in which the antinomies that he explores can be explained in terms of the logics that obtain in the unconscious, and he suggests that the concept of the death instinct is one of the most profound expressions of the relationship between the modes that underlie conscious and unconscious logic.     

细胞死亡方式的新理念

起初人们认为不同细胞死亡方式之间潜在的细胞调节是不同的,然而,近来的研究显示细胞死亡的潜在机制较复杂,在一定情况下,不同细胞死亡方式之间相互联系甚至相互转化。对几种细胞死亡方式之间的区别和联系进行了回顾,有助于评价关键的细胞死亡途径,发现新的治疗干预措施。     

Terror management among Taiwanese: Worldview defence or resigning to fate?

Terror management theory (TMT) proposes that people who are reminded of their mortality should be motivated to defend their cultural worldview. Studies 1 and 2 examined whether the TMT worldview defence‐buffering effect found in Western cultures could be generalized to Asians in Taiwan. No such effect was found in the present studies. This non‐significant result was robust when either a stronger distraction task was used (study 1) or when a subliminal manipulation of mortality salience was utilized (study 2). A meta‐analysis, including 24 TMT experiments in East Asia, was also conducted (study 3). The average effect size (d = 0.11, r = 0.055) of worldview defence among these experiments was not significantly different from zero. Study 4 found that mortality salience manipulation also did not change Taiwanese participants' view of reincarnation; however, it did make them more inclined to resign to fate, suggesting that they might be using this symbolic means to defend their anxiety of death. The issue of the generality of TMT to Asians was discussed.     

To Die or Not to Die: Zhuangzi’s Three Immortalities

While it is known that the problem of death is a central topic animating the author/s of the Inner Chapters of the Zhuangzi, leading Chinese and Western interpretations of this Chinese classic have usually focused much more on other themes and aspects. Even more problematic in the author’s view is the fact that the Zhuangzi has been closely associated with one death philosophy, the set of concepts, arguments and figures present in chapter 6. This study puts death back at the very center of the Zhuangzian philosophical project yet insisting at the same time on the difficulties of defending one philosophy of death since different passages introduce new concepts, imagery, nuances and perspectives. The Zhuangzi’s focus on death is being situated within a discussion of the “immortality” ideal––accepting a total death (“to die”) or find refuge in immortality ideals (“not to die”). Different passages from the Inner Chapters are being presented as proposing three distinct immortality projects or strategies––personal, social and cosmic––to address the problem of death. E. Becker’s reflections on the challenge of mortality and the psychological need of a “beyond” in order to cope with the consciousness of death provide the basic theoretical framework underlying the discussion of the Zhuangzi in this essay.     

浅谈临终医疗的双重效应原则

双重效应原则常用于临终患者的治疗中,应用药物为患者解除痛苦,但可能导致患者严重不良反应甚至死亡,这在伦理上是可以接受的。但目前仍存在着较大争议,特别是如何认定医师的主观意图。     

ISLAM AND BIOETHICS

Muslim theologians, jurists, and healthcare workers have been addressing the challenges of modern biotechnology for years. Major textbooks on religion and bioethics cover Islam in one or two articles, offering only a general introduction to these important discussions. The five articles in this issue of the Journal of Religious Ethics, originating from a conference at Pennsylvania State University, are unusual in the specificity of their topics—brain death, feeding tubes, sex selection, spiritual counseling, and organ transplantation—and in their engagement with complex discussions in the Muslim and non‐Muslim worlds. In this essay, I introduce the five articles and consider two larger implications: the changing definition of the human person in light of biotechnological advances and the continuing importance of religious traditions, especially Islam, in legitimizing ethical responses to these advances.     

化疗导致卵巢功能损害防护研究的进展

卵巢功能损害和早衰是女性恶性肿瘤患者进行化疗后常见的一个重要远期并发症,尤其对于育龄期和幼龄期的患者,化疗所造成卵巢功能的损害而引起的早绝经和不孕会严重影响她们的自尊和生活质量,本文从认识论的观点,阐述对化疗造成卵巢功能损害进行防护的有关研究进展。