In these seven letters, practising psychiatrist Vincenzo Di Nicola offers wisdom to a young therapist from 25 years of experience conducting relational therapy. Ranging from what to read and how to begin therapy, the letters cover therapeutic temperaments and technique, how to create a relational dialogue, the myths of individual psychology and the need for relational psychology, the evolution of therapy in the past century and when therapy is over-all the while looking forward to the relational practices of the coming (...) community. This book complements Di Nicola's model of working with families presented in A Stranger in the Family: Culture, Families, and Therapy (New York and London: W.W. Norton). -/- Awarded the prestigious Prix Camille-Laurin of the Association des médecins psychiatres du Québec - the Camille Laurin Prize of the Quebec Psychiatric Association. -/- From the Foreword: -/- "It's a beautiful idea, this project of turning to young people... The relational dialogue offers an important new direction of study to discover the deep basis of the therapeutic alliance, in order to understand the still too-little known phenomenon of 'change'... This is what you have brought together in your book: the search for the whole regarding the person and, at the same time, the network of primary affective relationships that we call the family and of social relationships ..." --from the Foreword by Maurizio Andolfi, M.D. Director of the Academy of Family Psychotherapy Professor of Psychology, University of Rome -/- Advance Review: -/- "Di Nicola is a true master of constructive inquiry, synthesis, and brilliant creativity. Memorable aphorisms leap from every page of this very wise, thoughtful, and beautifully written book in which the healing process of discovering and making meaning to help reorder the lives of troubled persons is clarified. I highly recommend this book for all who are or would be therapists!" --Armando Favazza, M.D., M.P.H. Emeritus Professor of Psychiatry University of Missouri-Columbia Author of Bodies Under Siege. (shrink)

Over the last decade, personalized medicine has become a buzz word, which covers a broad spectrum of meanings and generates many different opinions. The purpose of this article is to achieve a better understanding of the reasons why personalized medicine gives rise to such conflicting opinions. We show that a major issue of personalized medicine is the gap existing between its claims and its reality. We then present and analyze different possible reasons for this gap. We propose an hypothesis inspired (...) by the Windelband’s distinction between nomothetic and idiographic methodology. We argue that the fuzzy situation of personalized medicine results from a mix between idiographic claims and nomothetic methodological procedures. Hence we suggest that the current quandary about personalized medicine cannot be solved without getting involved in a discussion about the complex epistemological and methodological status of medicine. To conclude, we show that the Gadamer’s view of medicine as a dialogical process can be fruitfully used and reveals that personalization is not a theoretical task, but a practical one, which takes place within the clinical encounter. (shrink)

It is often claimed that there is an explanatory divide between an expressivist account of normative discourse and a realist conception of normativity: more precisely, that expressivism and realism offer conflicting explanations of (i) the metaphysical structure of the normative realm, (ii) the connection between normative judgment and motivation, (iii) our normative beliefs and any convergence thereof, or (iv) the content of normative thoughts and claims. In this paper I argue that there need be no such explanatory conflict. Given a (...) minimalist approach to the relevant metaphysical and semantic notions, expressivism is compatible with any explanation that would be acceptable as a general criterion for realism. (shrink)

Cet article se donne pour objectif de réfléchir à ce que la crise mondiale du Covid-19 a révélé de nos manières d’habiter les lieux où nous vivons, et parmi celles-ci, la pratique de la danse. La démarche adoptée ici est celle d’un dialogue entre trois courants philosophiques spécifiques : la phénoménologie, le pragmatisme et l’écoféminisme, au sujet de leur conception de l’expérience somatique, à la fois vécue, complexe et ordinaire. Nous cherchons ici les lignes communes à ces trois mouvements philosophiques, (...) dans le but d’esquisser une compréhensions nouvelle du corps, et par extension, une nouvelle approche de la danse par temps de crise pandémique. (shrink)

We all could have had better lives, yet often do not wish that our lives had gone differently, especially when we contemplate alternatives that vastly diverge from our actual life course. What, if anything, accounts for such conservative retrospective attitudes? I argue that the right answer involves the significance of our personal attachments and our biographical identity. I also examine other options, such as the absence of self-to-self connections across possible worlds and a general conservatism about value.

The commons is a concept increasingly used with the promise of creating new collective wealth. In the aftermath of the economic and financial crises, finance and money have been criticized and redesigned to serve the collective interest. In this article, we analyze three types of complementary currency systems: community currencies, inter-enterprise currencies, and cryptocurrencies. We investigate whether these systems can be considered as commons. To address this question, we use two main theoretical frameworks that are usually separate: the “new commons” (...) in organization studies and the “common good” in business ethics. Our findings show that these monetary systems and organizations may be considered as commons under the “common good” framework since they promote the common interest by creating new communities. Nevertheless, according to the “new commons” framework, only systems relying on collective action and self-management can be said to form commons. This allows us to suggest two new categories of commons: the “social commons,” which fit into both the “new commons” and the “common good” frameworks, and the “commercial commons,” which fit the “common good” but not the “new commons” framework. This research advances a new conceptualization of the commons and of the ethical implications of CCs. (shrink)

Review of Ronald Dworkin, Religion without God , (Harvard University Press, 2013), 180 pages.

Gothic literature—a genre brimming with madness, supernaturalism, and psychological terror—offers innumerable case studies potentially representing how psychiatric patients perceive their treatment from healthcare professionals. Charlotte Perkins Gilman’s famous 1892 short story “The Yellow Wallpaper” offers a poignant example of this through its fictional narrator, a diarist many interpret to be suffering from postpartum depression. The fiction here does not stray far from reality: Gilman orchestrated her diarist’s experience to mirror her own, as both real author and fictional character suffocated from (...) a melancholy only made worse by their physicians’ insistence on following the “Rest Cure.” While this instruction to cease all work and activity was a prevalent depression treatment at the time, Gilman, through “The Yellow Wallpaper,” reveals how the intervention ultimately harmed more than helped because it overlooked her—and, by extension, her fictional diarist’s— unique needs and identities. Today, while the ineffective Rest Cure no longer exists, applying observations from “The Yellow Wallpaper” to clinical research calls attention to underrepresentation in treatment development, a costly problem that could be mitigated by mindful incorporation of intersectionality theory into study designs. (shrink)

How can we distinguish between quasi-realist expressivism and normative realism? The most promising answer to this question is the “explanation” explanation proposed by Dreier (2004), Simpson (2018), and others: the two views might agree in their claims about truth and objectivity, or even in their attributions of semantic content to normative sentences, but they disagree about how to explain normative meaning. Realists explain meaning by invoking normative facts and properties, or representational relations between normative language and the world, the thought (...) goes, while expressivists appeal instead to desire-like mental states in their explanations of meaning. However, I argue that, if we adopt a deflationary approach to representation and other related notions, there need be no such explanatory divide between expressivism and anything recognizable as a plausible notion of normative realism. Any alleged explanatory criterion for realism will either be incompatible with deflationism, or it will fail to capture some standard versions of normative realism. I conclude that, in a deflationary framework, expressivism is compatible with genuine realism. (shrink)

How can we rationally make peace with our past moral failings, while committing to avoid similar mistakes in the future? Is it because we cannot do anything about the past, while the future is still open? Or is it that regret for our past mistakes is psychologically harmful, and we need to forgive ourselves in order to be able to move on? Or is it because moral mistakes enable our moral growth? I argue that these and other answers do not (...) properly resolve the problem of temporal asymmetry in our attitudes toward moral imperfection, and I defend an alternative response, centered on our personal attachments and our biographical identity. (shrink)

Dancers and dance philosophers report on experiences of a certain form of sense making and bodily thinking through the dancing body. Yet, discussions on expertise and consciousness are often framed within canonical philosophical world-views that make it difficult to fully recognize, verbalize, and value the full variety of embodied and affective facets of subjectivity. Using qualitative interviews with five professional dancers and choreographers, I make an attempt to disclose the characteristics of what I consider to be a largely overseen state (...) of consciousness: embodied reflection. Dancers are familiar with this attentive bodily presence, which constitutes their work mode and heightens their abilities as experts. Detailed descriptions of their daily work at the theatre help us grasp the qualities and understand the enigmas of the absorbed state of bodily thinking. Husserl’s theories on reflection and Merleau-Ponty’s work on motoricity support our understanding of the structures behind embodied reflection. I believe it is a common human resource, and that whether we are experts or not, we all have the ability to reflect non-conceptually through bodily and/or affective activity. (shrink)

Suppose that there are objective normative facts and our beliefs about such facts are by-and-large true. How did this come to happen? This is the reliability challenge to normative realism. As has been recently noted, the challenge also applies to expressivist “quasi-realism”. I argue that expressivism is useful in the face of this challenge, in a way that has not been yet properly articulated. In dealing with epistemological issues, quasi-realists typically invoke the desire-like nature of normative judgments. However, this is (...) not enough to prevent the reliability challenge from arising, given that quasi-realists also hold that normative judgments are truth-apt beliefs. To defuse this challenge, we need to isolate a deeper sense in which normative thought is not representational. I propose that we rely on the negative functional thesis of expressivism: normative thought does not have the function of tracking normative facts, or any other kind of facts. This thesis supports an argument to the effect that it is misguided to expect an explanation of our access to normative facts akin to the explanations available in regions of thought that have a tracking function. We should be content with explanations of our reliability that take for granted certain connections between our psychology and the normative truths. (shrink)

It has been argued that there is something morally objectionable about moral realism: for instance, according to realism, we are justified in believing that genocide is wrong only if a certain moral fact obtains, but it is objectionable to hold our moral commitments hostage to metaphysics in this way. In this paper, I argue that no version of this moral argument against realism is likely to succeed. More precisely, minimal realism―the kind of realism on which realist theses are understood as (...) internal to moral discourse―is immune to this challenge, contrary to what some proponents of the moral argument have suggested, while robust non-naturalist realists might have good answers to all versions of the argument as well, at least if they adopt a certain stance on how to form metaphysical beliefs in the moral domain. (shrink)

Cet article propose une lecture de Sur le duel (1827). Le texte se présente comme l’examen de la forme grammaticale duelle à travers les différentes langues. Il s’agit donc de faire œuvre de linguistique comparée sous des traits propres à Humboldt, c’est-à-dire en alliant l’attention à l’empiricité singulière des langues et la réflexion générale sur le caractère fondateur du langage pour la pensée. Or, à cet égard, le duel acquiert un statut spécifique : il n’est plus seulement une catégorie grammaticale (...) dont il faut étudier les caractéristiques et la place au sein des différentes langues mais devient un concept essentiel qui rend raison du statut transcendantal du langage pour le développement de l’esprit humain. Ainsi, Sur le duel est le lieu de la fusion entre linguistique et anthropologie se jouant dans la figure d’une humanité n’existant pleinement que par le dialogue et d’un sujet originellement pluriel. (shrink)

A revival of the dialogue between phenomenology and psychiatry currently takes place in the best international journals of psychiatry. In this article, we analyse this revival and the role given to phenomenology in this context. Although this dialogue seems at first sight interesting, we show that it is problematic. It leads indeed to use phenomenology in a special way, transforming it into a discipline dealing with empirical facts, so that what is called “phenomenology” has finally nothing to do with phenomenology. (...) This so-called phenomenology tallies however with what we have always called semiology. We try to explain the reasons why phenomenology is misused in that way. In our view, this transformation of phenomenology into an empirical and objectifying discipline is explained by the role attributed to phenomenology by contemporary authors, which is to solve the problems raised by the Diagnostic and Statistical Manual of Mental Disorders. (shrink)

La question de la religion - de son essence, de sa fonction, de son origine - a été centrale dans la sociologie et l'anthropologie classiques. Pour la tirer des impasses et de la stagnation où elle est reléguée de nos jours, Camille Tarot propose ici un bilan critique des œuvres des meilleurs comparatistes, à travers leurs théories si contradictoires de la religion. Huit auteurs principaux sont soumis à examen : Emile Durkheim, Marcel Mauss, Mircéa Eliade, Georges Dumézil, Claude Lévi-Strauss, (...) René Girard, Pierre Bourdieu et Marcel Gauchet. L'important en la matière est d'abord d'esquiver les faux irénismes comme les querelles stériles ou haineuses, pour confronter les doctrines en profondeur et systématiquement. Ensuite, de déceler l'impensé et les refoulements que produit chaque cadre théorique, pour proposer le modèle ou l'idéal-type de la religion qui paraît le mieux fondé. Au fil de cet examen, il apparaît que l'essence du fait religieux est à rechercher à l'intersection du symbolique et du sacré, à comprendre à partir des fondations d'Emile Durkheim et de Marcel Mauss, complétées par les apports de René Girard. La possible fécondité du modèle qui se dégage ainsi s'atteste par sa capacité à relire les sources et à renouveler en profondeur les vieux problèmes des fonctions de la religion, qui n'avaient guère avancé depuis Emile Durkheim. (shrink)

The past 10 years have seen considerable developments in the use of narrative in medicine, primarily through the emergence of the so-called narrative medicine. In this article, I question narrative medicine’s self-understanding and contend that one of the most prominent issues is its lack of a clear epistemological framework. Drawing from Gadamer’s work on hermeneutics, I first show that narrative medicine is deeply linked with the hermeneutical field of knowledge. Then I try to identify which claims can be legitimately expected (...) from narrative medicine, and which ones cannot be. I scrutinize in particular whether narrative medicine can legitimately grasp the patient’s lived experience of his or her illness. In the last section of this article, I begin to explore the potential usefulness of this epistemological clarification. This analysis allows for a further understanding of what is really at stake with narrative medicine, and thus to identify when it may be convenient, and when it may not. Furthermore, this clarification opens up promising new possibilities of dialogue with critics of the field. I conclude that narrative medicine finds its proper place as a possible tool available to mediate dialogue, which is at the heart of the clinical encounter in medical practice. (shrink)

The following scenario seems possible: a community uses concepts that play the same role in guiding actions and shaping social life as our normative concepts, and yet refer to something else. As Eklund argues, this apparent possibility poses a problem for any normative realist who aspires to vindicate the thought that reality itself favors our ways of valuing and acting. How can realists make good on this idea, given that anything they might say in support of the privileged status of (...) our normative concepts can be mirrored by the imagined community? E.g., the realist might claim that using our concepts is what we ought to do if we are to describe normative facts correctly, but members of the other community can claim the same about their concepts, using their own concept of ought. A promising approach to this challenge is to try to rule out the possibility of alternative normative concepts, by arguing that any concepts that have the same normative role must share a reference as well. In this paper I argue that normative quasi-naturalism, a view that combines expressivism about normative discourse with a naturalist metaphysics of normativity, supports referential normativity and solves the problem of alternative normative concepts. (shrink)

This article brings together epistemological and political philosophy approaches and investment of the dialectic of knowledge, values, and skills, by situating the whole in an uncertain world. We propose to look at the place that environmental issues have in the most recent French public education policies and in particular in the teaching programs that have been developed for the compulsory education period. We present the main themes and potential implications of Mill's philosophical work. We discuss what could be a new (...) approach to the question of the meaning of school knowledge in a democracy. We try to briefly synthesize, on the one hand, what, according to us, distances the current programs from the horizon of such a re-examination; and on the other, what, within them, seems to open up a certain number of possibilities that are worth exploring in this domain. (shrink)

The authors examine the nursing practice of disposing unaltered controlled substances into public water systems as an issue for nurses concerned with the environmental harm it can cause. A summary of the history of controlled substance management reveals inconsistencies in the interpretation of current regulations that have led to disposal policies that vary by institution, according to a benchmarking survey of regional hospitals. Much attention has been given to the phenomenon of conscientious objection in the context of patient care that (...) conflicts with a nurse’s moral integrity. Nurses who are compelled to dispose narcotics down drains may also face this struggle. The authors submit that this disposal method is based on a type of double effect logic where preventing diversion is viewed as a good effect of flushing unused controlled substances that outweighs any harm it may cause, though there is little evidence to support this conclusion. Consequently, the topic deserves further study so that nurse managers and administrators can support and offer alternatives to nurses who object to flushing drugs down the drain. (shrink)

In this paper, I support a hybrid view regarding the metaphysics of worlds. I endorse Lewisian Modal Realism for possible worlds (LMR). My aim is to come up with a hybrid account of impossible worlds that provides all the plenitude of impossibilities for all fine-grained intentional contents. I raise several challenges for such a plenitudinous hybrid theory. My version of hybrid modal realism builds impossible worlds as set-theoretic constructions out of genuine individuals and sets of them, that is, as set-theoretic (...) constructions from parts and sets of parts of genuine Lewisian worlds. _Structured worlds_ are defined as sets of tuples: structured entities built out of Lewisian ‘raw material’. These structured worlds are ersatz worlds, some of which are impossible. I claim that propositions must be sets of worlds rather than members of sets. Once the construction is in place, I evaluate the proposal and show that my hybrid account is able to supply a plenitude of impossibilities and thus giving the resources to make all the hyperintensional distinctions we are looking for, whilst remaining Lewisian-conservative. (shrink)

Le mouvement laïque du Moyen Age nous est apparu, en gros, comme un phénomène chrétien, parce qu'inhérent à la structure même du christianisme médiéval. Georges de Lagarde le définit comme la revendication par les princes chrétiens d'attributions exercées par les autorités ecclésiastiques, tant dans l'ordre spirituel que dans l'ordre temporel. Il reflète un état social caractéristique du Moyen Age chrétien. D'une part, en effet, les nations chrétiennes appartiennent à une même et unique chrétienté où la distinction entre le citoyen et (...) le chrétien n'a de conséquences pratiques que pour d'infimes minorités juives ou hérétiques vivant en marge de la communauté. D'autre part, l'autorité civile se présente plus volontiers comme une participation à la plénitude de puissance du pape, au temporel comme spirituel, que comme une institution de droit naturel. (shrink)

Building on their important findings in The Source of the River, the authors now probe even more deeply into minority underachievement at the college level. Taming the River examines the academic and social dynamics of different ethnic groups during the first two years of college. Focusing on racial differences in academic performance, the book identifies the causes of students' divergent grades and levels of personal satisfaction with their institutions. Using survey data collected from twenty-eight selective colleges and universities, Taming the (...) River considers all facets of student life, including who students date, what fields they major in, which sports they play, and how they perceive their own social and economic backgrounds. The book explores how black and Latino students experience pressures stemming from campus racial climate and "stereotype threat"--when students underperform because of anxieties tied to existing negative stereotypes. Describing the relationship between grade performance and stereotype threat, the book shows how this link is reinforced by institutional practices of affirmative action. The authors also indicate that when certain variables are controlled, minority students earn the same grades, express the same college satisfaction, and remain in school at the same rates as white students. A powerful look at how educational policies unfold in America's universities, Taming the River sheds light on the social and racial factors influencing student success. (shrink)

L'ambition de ce livre est de fournir à la philosophie de Péguy l'"appareil" capable de manifester le plus fidèlement possible le "profond ordre intérieur" qui tient ensemble la multitude de textes qui a jailli génialement de sa plume. Loin de pointer les contradiction d'un homme, il s'agit alors de suivre la continuité et la cohérence d'un chemin, par-delà toutes les ruptures apparentes, qui se déroule selon un drame chrétien : L'état d'innocence, d'abord, la pureté de son combat socialiste et une (...) jeunesse saisie par l'événement de l'Affaire Dreyfus et tenue par la venue imminente de la cité harmonieuse ; la chute, ensuite, avec l'histoire de la décomposition du dreyfusisme et l'enfer du monde moderne ; le salut, enfin, avec le retour de la foi catholique et les nouvelles ressources que lui prodigue la vertu d'espérance. (shrink)

My objective here is to give an account of self-deprecating humor—examining what works, what doesn't, and why—and to reflect on the significance of the audience response. More specifically, I will be focusing not only on the purpose or intention behind self-deprecating jokes, but considering how their consequences might render them successful or unsuccessful. For example, under what circumstances does self-deprecation tend to put listeners at ease, and when is this type of humor more likely to put people off? I will (...) also consider the ways in which self-deprecating jokes are similar to gallows humor, and the extent to which context counts. The target or "butt" of these jokes, in cases of self-deprecation as well as gallows humor, will be explored; as will whether or not the audience bears some responsibility or has a role to play in the ultimate success or failure of a joke. For instance, is the audience role a completely receptive and passive one? Is the joker/jokee relationship one which confers no responsibility on the listener whatsoever? Or, do listeners have an obligation to respond with appreciative laughter to mere attempts at humor, especially the self-deprecating sort, by accepting such levity in the spirit in which it is intended? Does this mean that being a good sport—responding generously or appreciatively when a well-intentioned joke fails to land—would be a habit worth cultivating? If so and courtesy laughter or a playful appreciation of self-deprecating humor is something that can be cultivated, what specifically would that entail? In sum, although I cannot fully or definitively answer each and every one of these questions, I do hope to provide some provisional responses. To better situate the nature of self-deprecation, I will not only provide a brief description of the gallows genre, I will also explore two traditional theories of humor. Those that are particularly relevant, to both gallows and self-deprecating humor are Freud's relief theory and the incongruity view. In addition, I will identify what I believe to be the three essential ingredients of successful self-deprecation and, finally, will conclude with the argument that audiences or listeners do have an important role to play. And, moreover, that generous, appreciative laughter can and should be cultivated—even though this is something that will largely depend on one's personal history and habits, dispositional character and cultural background. (shrink)

This essay explores both the appeal and the difficulties of Derrida’s “democratic Romanticism.” Derrida’s broader philosophical project seeks to make explicit the paradoxes or aporias that are embedded in practical experience. In unveiling these aporias, Derrida pleads, particularly in his later writings, for a transformation of democracy and religion so as to make them hospitable to difference. However, I will argue that Derrida’s reduction of the great variety of moral-political and religious situations to one aporetic logic runs into conceptual problems (...) and risks undoing the moral tissue that makes hospitality possible in the first place. (shrink)

Cet article soutient que Ben. 1, 3-4, une célèbre polémique à l’encontre de l’étymologie chrysippéenne, ne devrait pas être lue comme un rejet « en bloc » d’une étymologie philosophique, mais seulement comme un ensemble de conditions restrictives imposées à celle-ci. Cette interprétation nous permet de considérer les nombreuses étymologies du corpus sénéquien, dont une douzaine sont ici réunies et commentées, comme des réflexions philosophiquement intéressantes sur le langage. L’article se concentre sur la manière dont Sénèque utilise l’étymologie comme une (...) stratégie de traduction (baptisée ancrage étymologique) ayant pour but de rendre acceptables pour le lecteur romain, les aspects les plus contre intuitifs et paradoxaux de la philosophie stoïcienne, domestiquant ainsi la doctrine du Portique. Cette stratégie est comparée à l’approche très semblable de Cicéron dans Tusc. 3, 7-11. (shrink)

Que la vie, comme question, ait fini par occuper une place aussi privilégiée au sein de la philosophie française doit d’abord surprendre, s’il faut cumuler les attaques répétées qu’on a portées contre elle, voire les interdits qui ont toujours pesé sur elle. Tout se passe curieusement comme si à l’endroit où son interrogation était la plus menacée, toujours suspecte d’invoquer une signification vague et trompeuse, la notion de vie avait trouvé de quoi se renforcer, en se nourrissant et en se...

Quoi que nous nous efforcions de penser, nous continuons d'appartenir à notre siècle par Les croyances les plus communes et, quand cela a lieu, par le fait tout aussi commun de ne plus croire - ou de ne pas donner notre confiance au monde. Nos pères se sont tant méfiés, ou ils ont été à ce point cyniques, que cette foi, entendue dans son sens large, semble nous être aujourd'hui interdite. À nous qui avons hérité de cette perte sans l'avoir (...) consommée, ne restent que les débris d'une tradition devenue muette. Or la foi est vitale, et pas seulement la croyance religieuse. Mais dans une époque désorientée, nous ne pourrons peut-être sauver que le désir de croire : rien ne nous dit que nous retrouverons la croyance. Le paradoxe veut que cette impuissance annonce un temps de dangereuse crédulité. Il nous faut donc tout réapprendre. C'est à cette tâche que la philosophie doit s'atteler en prenant le contrepied de son éternelle tendance : en se mettant en quête de croire aussi résolument qu'elle avait cherché à savoir. La traversée du nihilisme est à ce prix."--Page 4 of cover. (shrink)