Some Thoughts on Supervision

Quite often we have the experience that adolescents do not accept an offer of treatment, in spite of the fact that they feel miserable. Or, that they do start in treatment and then change their minds and break off contact. The author reflects about factors and conditions contributing to these analytic failures. He discusses elements of analytic method, setting, neutral position, analytic relationship, and how the frames are put under pressure in work with adolescents. He thereafter presents some vignettes and examples of analytic work, where intuitive interventions and interpretations appear against a background of ordinary psychoanalytic method. For the analyst, these interventions can feel unexpected, incidental, like ideas out of the blue. On second thoughts, we may sometimes be able to trace and understand how these intuitions are based on non-conscious processes, like counter-transference feelings, an understanding of the patient still unclear and unarticulated for the analyst or perhaps a last desperate attempt to reach the patient and get in contact at a decisive or critical moment. Finally, the author reflects on the double face of psychoanalysis: both a contemplated, carefully described and systematic method and a craft with elements of intuition, creativity and, sometimes, inspiration.     

Religions and States. A New Typology and a Plea for Non-Constitutional Pluralism

Political philosophy has difficulties to cope with the complexity and variety of state-religions relations. Strict separationism is still the preferred option amongst liberals, deliberative and republican democrats, socialist and feminists. In this article, I develop a complex typology based on comparative history and sociology of religions. I summarize my reasons why institutional pluralist models like plural establishment or non-constitutional pluralism are attractive not only for religious minorities but for religiously deeply diverse societies in general. Most attention is paid defending associative democracy, the most flexible and open variety of institutional pluralism, against realist objections that group representation is incompatible with liberal democracy, that it leads to stigmatization and bureaucratization, that it strengthens undemocratic leaders, that it leads to an ossification of the status quo, and, most importantly, that it is inherently divisive undermining social cohesion and political unity. In my refutation of these objections I try to show that it helps to integrate minority religions into liberal democratic policies compatible with reasonable pluralism and to prevent religious and political fundamentalism.     

Some remarks on Scheiblechner's treatment of isop models

Scheiblechner (1995) proposes a probabilistic axiomatization of measurement called ISOP (isotonic ordinal probabilistic models) that replaces Rasch's (1980) specific objectivity assumptions with two interesting ordinal assumptions. Special cases of Scheiblechner's model include standard unidimensional factor analysis models in which the loadings are held constant, and the Rasch model for binary item responses. Closely related are the doubly-monotone item response models of Mokken (1971; see also Mokken & Lewis, 1982; Sijtsma, 1988; Molenaar, 1991; Sijtsma & Junker, 1996; and Sijtsma & Hemker, in press). More generally, strictly unidimensional latent variable models have been considered in some detail by Holland and Rosenbaum (1986), Ellis and van den Wollenberg (1993), and Junker (1990, 1993). The purpose of this note is to provide connections with current research in foundations and nonparametric latent variable and item response modeling that are missing from Scheiblechner's (1995) paper, and to point out important related work by Hemker, Sijtsma, Molenaar, & Junker (1996, 1997), Ellis and Junker (in press) and Junker and Ellis (1997). We also discuss counterexamples to three major theorems in the paper. By carrying out these three tasks, we hope to provide researchers interested in the foundations of measurement and item response modeling the opportunity to give the ISOP approach the careful attention it deserves. This research was supported by the National Science Foundation, Grant DMS-94.04438. I thank the Editor and three anonymous referees for careful readings that improved the completeness of this note.     

论医院伦理委员会在患方决策中的作用

法律的灵魂在于自由、正义之理念,而理念的圆满依靠制度不断的创新与完善。本文旨在创新性地将医院伦理委员会引入患方之决策,使其作为医患之间、医法之间的中间性机构发挥严格审核、代理、咨询等作用,以期达到更好地保护患者、医方和社会之利益;维护人类生存安全与伦理安全;倡导先进人文理念的目的。