Principles of cultural psychology and the Hindu avatar tradition: A study of Mother Meera through personal narratives

Using principles from cultural psychology, we describe and analyse the senior author's experience of dissonance while visiting Mother Meera, a contemporary Hindu avatara, in order to receive her darshan, the blessing derived from the gaze of a self-realised person. Feelings of love and acceptance were contrasted with the disturbing feelings evinced by the exclusion of emotionally disturbed and physically handicapped individuals. Using the principle of intentional persons and intentional worlds co-constructing each other, socio-organic and role-centred conceptions of personhood found in South Asia are contrasted with separative and individual rights-based conceptions of individuals in North Atlantic cultures. Other theoretical formulations from cultural psychology including those concerning narrative are employed in order to illustrate the felt intensity of dissonance between the experiences of love and that of exclusion.     

Not my will but thine be done: Church versus magic in contemporary Russia

In contemporary Russia, the Orthodox Church has started to assume its traditional but long‐lost role as a guardian of morality and a source of coherent ontological foundations. At the same time, magic and alternative healing have become pervasive and conspicuously public phenomena, thriving on the new institutions of the market and the free media. The article examines the nature of ideological offensive deployed by the Russian Church against magic and healing. It suggests that the controversy between Church and magic reflects conflicting ontologies of self and incompatible constructions of agency inherent in these respective cultural fields. It argues that magic and healing are built on the Western models of agency as empowerment of an autonomous individualistic self, and explores contrasting models of agency offered by the Orthodox Christianity. In the light of this argument, seemingly premodern practices of healing and magic appear as phenomena deeply embedded in globalised modernity.     

The Application of Self Psychology to Therapeutic Camps

Abstract

Camp programs provide children and adolescents with vital opportunities to grow and are recognized as effective social work interventions. Children and adolescents with learning disabilities (LD) are at risk to experience psychosocial difficulties, which may result in difficulty attending regular camps. Self psychology can increase our understanding of these children's camp experiences, because of its focus on the individual's subjectivity and interactions throughout the lifespan and in therapeutic relationships. This paper extends the application of self psychology to therapeutic summer camps with children who have learning disabilities, illustrated through examples. The paper concludes with practice principles.     

Reasonable People,Double Jeopardy,and Justice

The equipoise requirement in clinical research demands that, if patients are to be randomly assigned to one of two interventions in a clinical trial, there must be genuine doubt about which is better. This reflects the traditional view that physicians must never knowingly compromise the care of their patients, even for the sake of future patients. Equipoise has proven to be deeply problematic, especially in the Third World. Some recent critics have argued against equipoise on the grounds that clinical research is fundamentally distinct from clinical care, and thus should be governed by different norms. I argue against this “difference position,” and instead take issue with the traditional, exclusively patient-centered account of physicians' obligations that equipoise presupposes. In place of this traditional view, I propose a Kantian test for the reasonable partiality that physicians should show their patients, focusing on its application in clinical research and medical education.     

Rethinking Professional Ethics in the Cost-Sharing Era

Changes in healthcare financing increasingly rely upon patient cost-sharing to control escalating healthcare expenditures. These changes raise new challenges for physicians that are different from those that arose either under managed care or traditional indemnity insurance. Historically, there have been two distinct bases for arguing that physicians should not consider costs in their clinical decisions—an “aspirational ethic” that exhorts physicians to treat all patients the same regardless of their ability to pay, and an “agency ethic” that calls on physicians to be trustworthy advisors to their patients. In the setting of greater patient cost-sharing, physicians' aspiration and agency roles increasingly conflict. Satisfactorily navigating the new terrain of consumer-driven healthcare requires physicians to consider these two roles and how they can best be reconciled so as to maximize quality of care while respecting the heterogeneity of patients' financial resources and willingness to pay.     

Intimacy and Autonomy

No abstract available for this article.     

Undercurrents

SUMMARY

In a story-telling mode, with a personal and intimate flavor, this article takes a look at one approach to the treatment of an extramarital affair. With roots in Bowen theory, and an attention to the underlying dynamics of the emotional system, the treatment is further enriched by an improvisational approach which acknowledges the self of therapist.     

Social Skills Training in Two Subtypes of Psychiatric Inpatients with Generalized Social Phobia

The aim of this study was to investigate the differential effectiveness of broad-spectrum group social skills training (SST) in two subtypes of psychiatric inpatients with a DSM-IV diagnosis of generalized social phobia (GSP). SST participants were assigned to two GSP subtypes on the basis of their level of performance in social situations, i.e., a “reticent” subtype ( n = 28) and a “non-reticent” subtype (n = 28). As hypothesized, it was revealed that the benefit of SST did not differ in the two subtypes. These findings support the effectiveness and feasibility of comprehensive SST for patients with two subtypes of generalized social phobia.     

The Warpy Thoughts Scale: a New 20‐Item Instrument to Measure Dysfunctional Attitudes

Cognitive theories of psychopathology propose that specific negative cognitive schema held by individuals can increase their likelihood of experiencing depressive episodes. While it has been argued that such dysfunctional attitudes are state measures that occur primarily during periods of depression, a range of research has supported the view that holding dysfunctional attitudes is ongoing, persisting prior to and following depressive episodes. To date, the need for a parsimonious measure of dysfunctional attitudes has not been well addressed. Using data provided by 4545 participants in a free on‐line cognitive behavioural therapy program, MoodGYM, we have developed the Warpy Thoughts Scale (WTS), a 20‐item instrument measuring dysfunctional attitudes. This scale provides 3 first order factors (Relationships, Achievements and Entitlements) and a higher order factor, Warpy Thoughts, from which a Warpy Thoughts score can be obtained. Confirmatory factor analyses on this model indicated that it provides robust results for men and women and for individuals in a wide range of ages. WTS scores were moderately correlated with levels of depressive and anxiety symptoms (0.39 and 0.40, respectively) and explained up to one‐fifth of the variance of these mental health measures. Further validation of the WTS against other measures of dysfunctional thoughts is required.     

The Effects of Social Anxiety and State Anxiety on Visual Attention: Testing the Vigilance–Avoidance Hypothesis

A growing theoretical and research literature suggests that trait and state social anxiety can predict attentional patterns in the presence of emotional stimuli. The current study adds to this literature by examining the effects of state anxiety on visual attention and testing the vigilance–avoidance hypothesis, using a method of continuous visual attentional assessment. Participants were 91 undergraduate college students with high or low trait fear of negative evaluation (FNE), a core aspect of social anxiety, who were randomly assigned to either a high or low state anxiety condition. Participants engaged in a free view task in which pairs of emotional facial stimuli were presented and eye movements were continuously monitored. Overall, participants with high FNE avoided angry stimuli and participants with high state anxiety attended to positive stimuli. Participants with high state anxiety and high FNE were avoidant of angry faces, whereas participants with low state and low FNE exhibited a bias toward angry faces. The study provided partial support for the vigilance–avoidance hypothesis. The findings add to the mixed results in the literature that suggest that both positive and negative emotional stimuli may be important in understanding the complex attention patterns associated with social anxiety. Clinical implications and suggestions for future research are discussed.