The Group Home Workplace and the Work of Know-How

This paper is concerned with the everyday practice of authority and knowledge in a group home for adults with intellectual disability. Based on fieldwork, the group home is understood as a workplace, which provides a model of organizational participation as a dilemma of freedom rather than a problem of power. Three kinds of work are observed in the everyday know-how of counselors and residents. First, Michael Lipskys concept of street-level bureaucracy is used to understand the inherently indeterminate and conflictual nature of counselor work. Second, the competent participation of residents is also organized as work, often explicitly, as the work they must do to become more independent. The group home is therefore understood as a setting of governmentality because it reflects the indirect practice of authority characteristic of contemporary liberal societies. Finally, the ethnomethodological insight about the accomplished character of local order is the basis for the observation of everyday life itself as a third kind of work.     

Jung's mediatory science as a psychology beyond objectivism

In this paper, the author argues that Jung's non-objectivist--yet scientific--epistemology and his empirical/hermeneatic methods of inquiry situate him within a psychological tradition that, in many respects, began with William James and, today, is finding expression in the work of many non-Jungian cognitive scientists. In an effort to encourage dialogue between Jungians and scholars within related intellectual traditions, the author presents evidence from the corpus of Jung's work that demonstrates that, like William James, Jung intentionally rejected the absolutist claims of objectivism and the opposite position on 'anything goes' relativism, emotivism, or subjectivism. Instead, Jung forged a path that led to the meta-psychological position similar to internal realism (Putnam 1981) or experientialism (Lakoff 1987) and to a theoretical psychology that gave a central place both to unconscious cognitive structure and to imagination. This he labelled a 'mediatory science'. The psychological theories developed within this mediatory science framework represent an early articulation of key constructs that are currently used by a number of cognitive scientists seeking to understand how we make sense of experience.     

Where Does I Stand? Reflections on Home and Identity Ensnared in a Cultural Narrative

In this paper the author explores a cultural narrative that she suggests rests on the concepts of the Feminine and Masculine as such, employing both as though they contain an agreed set of universal givens. These givens are extrapolated from an androcentric perspective on female and male bodies, in particular their biological functions regarding reproduction. The metaphors of the baby-in-womb, mother’s preoccupation with child and heteronormative sexual relations are the primary cyphers for the narrative. She suggests that remaining unconscious of this narrative, such that it is taken as a universal given, can hamper a person’s relation to themselves, the world and others. The author names two concepts, Home and Identity: Home being an hospitable and accommodating space with Identity denoting the one who inhabits the space. In the narrative these two are unhelpfully categorized as belonging to the Feminine and the Masculine respectively. For ease of understanding the author uses a capital letter to designate an abstract idea, and lower case when referring to the concrete or particular. Clinical examples are given throughout the paper to illustrate how acknowledgement and awareness of this narrative might free the analyst or therapist to think more broadly around issues pertaining to space and identity.     

Pilot test of a measure to assess clients’ perceptions of their home visitors

Home visiting services for caregivers of infants and young children have been found to be an effective method for promoting child development. Unfortunately, such services suffer from high rates of attrition, suggesting the need to identify factors related to client retention in services. Research has indicated that the client-provider relationship is an important predictor of client retention in home visiting services; however, measures to assess this relationship are limited. This study reports on a pilot test of the Client Perceptions of Home Visitors Questionnaire, developed to assess home visiting clients’ perceptions of their relationship with their home visitor. The measure was completed by 39 diverse home visiting clients during pregnancy in a midwestern town in the United States. The scale was found to have good internal consistency. Validity analyses found that the scale was positively associated with client satisfaction with services and perceived provider cultural sensitivity. The scale was also positively associated with retention in services at an 8-month follow-up. Additional research should examine the measure's psychometrics with larger samples.     

INTUITING THE TRUTH OF WHAT'S HAPPENING: ON BION'S “NOTES ON MEMORY AND DESIRE”

Bion's “Notes on Memory and Desire” (1967a) is an impossible paper that this article's author has struggled with for decades. He views the paper, only two and a half pages in length, as a landmark contribution. Despite its title—and its infamous dictates to resist the impulse to remember past sessions and desire for “results”—the paper is not, most importantly, about memory and desire. It proposes a new analytic methodology that supplants awareness from its central role in the analytic process and, in its place, instates the analyst's (largely unconscious) work of intuiting the (unconscious) psychic reality of the present moment by becoming at one with it. This article's clinical examples, provided from the author's own work, illustrate something of his ways of talking with his patients.     

Milieu therapy for neglected children: Treatment in a caring relationship

The central thesis of this paper is that treatment of neglected children can better take place in a caring relationship than in psychotherapy or analysis. In order to create the basis for this idea, Part 1 introduces a milieu therapy for neglected children, developed by the author. In Part 2 of the article, it is proposed that treatment in a caring relationship is in line with the child's dependence on a caring person. It is also argued that the traditional distinction between problems in the child's environment and internal psychological difficulties seems imprecise. Instead, it is proposed that a problem has both an external and an internal aspect. This supports the idea that it may be possible to solve problems that are traditionally considered internal through environmental strategies, for example milieu therapy. The article is hypothesis-generating and builds upon clinical experience inspired by works of, among others, Erikson, Bowlby, Winnicott, and Fonagy and collaborators. Part 1 of the article is the first presentation in English of the main points of the author's books on milieu therapy. The ideas in Part 2 are published here for the first time.     

Social Contexts and Building Social Capital for Collective Action: Three Case Studies of Volunteers in the Context of HIV and AIDS in South Africa

Social capital is increasingly conceptualised in academic and policy literature as a panacea for a range of health and development issues, particularly in the context of HIV. In this paper, we conceptualise social capital as an umbrella concept capturing processes including networks, norms, trust and relationships that open up opportunities for participation and collective action that allow communities to address issues of common concern. We specifically outline social capital as comprising three distinct forms: bonding, bridging and linking social capital. Rather than presenting original data, we draw on three well‐documented and previously published case studies of health volunteers in South Africa. We explore how social contexts shape the possibility for the emergence and sustainability of social capital. We identify three cross‐cutting contextual factors that are critical barriers to the emergence of social capital: poverty, stigma and the weakness of external organisations' abilities to support small groups. Our three case studies suggest that the assumption that social capital can be generated from the ground upwards is not reasonable. Rather, there needs to be a greater focus on how those charged with supporting small groups—non‐governmental organisations, bureaucracies and development agencies—can work to enable social capital to emerge. Copyright © 2014 John Wiley & Sons, Ltd.     

Metapsychology or metapsychologies? Some comments on Paul Denis's paper ‘The drive revisited: mastery and satisfaction’

In this commentary on Paul Denis's paper ‘The drive revisited: mastery and satisfaction’, the author defends the idea of a plurality of metapsychologies that must be contrasted with and distinguished from each other while avoiding incompatible translations between models. In this connection he presents various theoretical approaches to aggression and the death drive, and demonstrates the differences between the drive model and the model underlying the theory of internalized object relations. The author holds that the concept of the internal object differs from Freud's notion of the representation (Vorstellung). He also considers that the imago as defined by Paul Denis in fact corresponds to the concept of the internal object. Lastly, he addresses the complex issue of listening to archaic forms of psychic functioning and their non‐discursive presentation within the analytic process, which affects the transference‐countertransference link.     

Flux and permanence of risk perceptions: Tourists' perception of the relative and absolute risk for various destinations

The present investigation is a cross‐sectional, multi‐national, quantitative, and quasi‐experimental comparison of tourists’ risk perceptions regarding different destinations throughout the past decade. Over 10,000 tourists to Norway from 89 different countries filled in a questionnaire rating the perceived risk for various destinations. Data were collected during 2004, 2010, 2011, 2012, 2013 and 2015 and allow for a comparison of perceived risk across time, place and nationality. Results show that while absolute risk judgments for different destinations fluctuate somewhat over the years, relative risk judgments remain constant. Findings also reveal a “home‐is‐safer‐then‐abroad‐bias” with tourists consistently perceiving their home country among the safest destinations. The current investigation is rare because it looks at more than one destination at a time. Insights gained from the present findings diverge from what would have been concluded from employing case studies, that is, looking at one destination at a time.     

Hamlet: plea for a measure of normality

The author first considers issues in psychoanalytic interpretations of literary characters, especially the question of treating the character as fiction (the aesthetic illusion) or as a real person. The position he adopts is to interpret Hamlet as a potential person, created by Shakespeare and an expression of Shakespeare’s actual – and intuitive – view of man.

With a synopsis of the tragedy and the context of its creation as background, the author then reflects on questions concerning the play. How does Shakespeare present the characters? Is Hamlet’s madness pretended or real? Which conflicts does he handle in the course of the play? Has Oedipal dynamics a role as motivational factor in his mind?

Hamlet is irrational, impulsive, emotional, inhibited, brooding, suspicious, revengeful, condemning and much more. But, in the view of the author, he is all this in a human, ‘normal’ way. There is nothing convincingly pathological or constricted in his character. ‘Un-normal’ is his intelligence and his wit. Hamlet – an intelligent, reflected, resourceful prince in late Renaissance – who has wrestle with a madhouse of political intrigues, family murders and deceitful friends.

Hamlet in Shakespeare’s text – a fairly normal person in quite a mad world.