The Cocreation of Crazy Patchworks: Becoming Rhizomatic in Systemic Therapy

In the field of systemic therapy, there has been much discussion recently about the narrative self. This concept refers to the idea that the self is narratively constructed in and through the stories which someone tells about him/herself. The story is thereby not only viewed as a metaphor for selfhood: Selfhood is not compared to a story, it is a story. But what kind of story are we talking about here? If the self is a story, what does that story look like? These questions are explored in this article. Starting from the possibilities and limitations of traditional and postmodern visions on the self as a story, an alternative vision is illustrated. By considering the self as a rhizomatic story, we not only create a useful view of the way narrative selfhood is constructed within a therapy context, but we also stimulate therapists to coconstruct—together with their clients—patchworks of self‐stories. By using story fragments of our own practice, we illustrate the rhizomatic thinking and its possibilities in therapy.     

Sense of identity in advanced Alzheimer’s dementia: A cognitive dissociation between sameness and selfhood?

We looked at whether sense of identity persists in patients with Alzheimer’s disease (AD) and if its profile remains the same between two examinations. A specifically designed protocol was administered to 16 AD patients in the mild to severe stages of dementia and to 16 matched healthy controls, both living in the same institution. We showed that sense of identity was broadly preserved in AD patients. The patterns of their responses were similar to those of controls, and remained consistent over a two-week period. However, some qualitative characteristics of sense of identity in AD patients differed significantly from those of controls, suggesting that AD patients may not be able to update their self-knowledge, probably because of their episodic memory deficit. These results are discussed in the light of both current models of the self and philosophical concepts such as sameness and selfhood.     

The Protean Therapist

SUMMARY

The subject of the following article is the protean journey therapists make as they adapt to changing situations and challenges in their own lives and the ultimate impact it has on their clinical work with patients. I have used the example of my own life, in which certain critical events have transformed me from a person with a rather ordinary perspective to someone who has come to appreciate the fragile nature of life with its rich tapestry of complicated ties and patterns. I have tried to demonstrate that significant events in my life and my personal development over the past thirty years have furthered my appreciation and treatment of my patients. I have also come to recognize that my patients' particular journeys, on which I have accompanied them, have similarly contributed to and enriched my life in myriad ways.     

Modeling self on others: An import theory of subjectivity and selfhood

This paper outlines an Import Theory of subjectivity and selfhood. Import theory claims that subjectivity is initially perceived as a key feature of other minds before it then becomes imported from other minds to own minds whereby it lays the ground for mental selfhood. Import theory builds on perception-production matching, which in turn draws on both representational mechanisms and social practices. Representational mechanisms rely on common coding of perception and production. Social practices rely on action mirroring in dyadic interactions. The interplay between mechanisms and practices gives rise to model self on others. Individuals become intentional agents in virtue of perceiving others mirroring themselves. The outline of the theory is preceded by an introductory section that locates import theory in the broader context of competing approaches, and it is followed by a concluding section that assesses import theory in terms of empirical evidence and explanatory power.