The psychoanalytic notions of identification and projection fit with Darwinian theory in explaining human group conflict and relating it to emotional conflict in individuals.

This paper argues that psychoanalysis enables us to see mental disorder as rooted in emotional conflicts, particularly concerning aggression, to which our species has a natural liability. These can be traced in development, and seem rooted in both parent-offspring conflict and in-group cooperation for out-group conflict. In light of this we may hope that work in psychoanalysis and neuroscience will converge in indicating the most likely paths to a better neurobiological understanding of mental (...) disorder. (shrink)

Our research brings to light features of the social world that impact moral judgments and how they do so. The moral vignette data presented were collected in rural and urban Croatian communities that were involved to varying degrees in the Croatian Homeland War. We argue that rapid shifts in moral accommodations during periods of violent social strife can be explained by considering the role that coordination and social agents' ability to reconfigure their social network (i.e., relational mobility) play in moral (...) reasoning. Social agents coordinate on (moral) norms, a general attitude which broadly facilitates cooperation, and makes possible the collective enforcement of compliance. During social strife interested parties recalibrate their determination of others' moral standing and recast their established moral circle, in accordance with their new or prevailing social investments. To that extent, social coordination—and its particular promoters, inhibitors, and determinants—effects significant changes in individuals' ranking of moral priorities. Results indicate that rural participants evaluate the harmful actions of third parties more harshly than urban participants. Coordination mediates that relationship between social environment and moral judgment. Coordination also matters more for the moral evaluation of the harmful actions of moral scenarios involving characters belonging to different social units than for scenarios involving characters belonging to the same group. Participants high in relational mobility—that ability to recompose one's social network—moralize similarly wrongdoings perpetrated by both in- and out-group members. Those low in relational mobility differentiate when an out-group member causes the harm. Additionally, perceptions of third-party guilt are also affected by specifics of the social environment. Overall, we find that social coordination and relational mobility affect moral reasoning more so than ethnic commitment. (shrink)

This paper considers clinical psychoanalysis together with developmental psychology (particularly attachment theory), evolution, and neuroscience in the context a Bayesian account of confirmation and disconfrimation. -/- In it I argue that these converging sources of support indicate that the combination of relatively low predictive power and broad explanatory scope that characterise the theories of both Freud and Darwin suggest that Freud's theory, like Darwin's, may strike deeply into natural phenomena. -/- The same argument, however, suggests (...) that conclusive confirmation for Freudian hypotheses, as in the case of Darwin's, will come from outside the original domain of explanation sketched out by Freud. As in Darwin's case conclusive confirmation came from understanding the physical mechanisms or reproduction, in Freud's case it will come from understanding the neural mechanisms that realise the phenomena described in psychoanalysis. (shrink)

Perhaps the best way to understand Harold Bloom's enigmatic theory of "poetic misprision" is to avoid the immanent critique altogether. It is best described, rather , as a synthesis. Bloom seems to have taken Aristotle's mimesis and linked it to Freud's concept of sublimation,1 with particular emphasis on the role that sublimation plays in "the family romance." Even if one were to hedge a bit and take into account the fact that neo-Freudian re-evaluations of orthodox psychoanalysis have succeeded (...) in extracting the purely sexual component out of the psychodynamics of sublimation, one is still left with the notion of sublimation as anxiety producing. Thus it is that, according to Bloom, the modern poet, in particular, sublimates his imitation of a strong precursor poet. Since the emphasis today is on desexualizing libido, Freud's original sexual vocabulary seems to have survived for its metaphorical value alone; the "unconscious fear of castration," for example, is simply a metaphor for "the poet's fear of ceasing to be a poet," a man's fear of ceasing to be a man. No matter how much we "modernize" Freud, the fact will always remain that the psychoanalytic context is the context of psychopathology: "a variety of the uncanny." · 1. See Sigmund Freud, Three Contributions to the Theory of Sex, in The Basic Writings of Sigmund Freud, ed. and trans. A. A. Brill , pp. 625-26. David D. Cooper is an associate in the department of English at the University of California, Santa Barbara. Using the critical paradigm developed in the present essay, he has written a book on Thomas Merton's poetry. See also: "Poetry, Revisionism, Repression" by Harold Boom in Vol. 2, No. 2; "Formalism, Savagery, and Care; or, The Function of Criticism Once Again" by Jerome J. McGann in Vol. 2, No. 3. (shrink)

Volume 22 of _The Annual of Psychoanalysis_ begins with the provocative reflections of Jane Flax and Robert Michels on the current status and future prospects of psychoanalysis a century after Freud. Flax believes that analysis will not survive in the postmodern West if analysts cling to the medical model and the notion of analysis as a clinical science; Michels believes analysis will be revivified in the next century by reorganizing its training institutes within universities. A section on " (...) class='Hi'>Psychoanalysis and the Visual Arts" includes John Gedo's probing examination of the inner world of Paul Gauguin and William Meissner's reflections on Vincent van Gogh as artist. Johann Michael Rotmann's examination of the transferential meanings of third-party payment within Germany's health insurance system is a timely consideration of issues that are increasingly salient for American analysts and therapists. A rich harvest of theoretical and clinical papers rounds out this volume of _The Annual_. In "A Time of Questioning," Leon Wurmser responds to the inner and outer challenges before analysis in a closely reasoned defense of the applicability of classical analytic technique to severely disturbed patients. Michael Hoit examines the noninterpretive, interactive aspects of the analytic relationship, arguing that the analyst's noninterpretive activities are intrinsic to treatment and must be incorporated into the theory of therapeutic action. In "Fables as Psychoanalytic Metaphors," Elaine Caruth describes some psychoanalytic metaphors contained within the lessons of the Aesopian fables, proposing that the fables address interpersonal and group conflicts that often involve moral issues. Wilma Bucci offers her "multiple code theory" as a new model of emotion and mind, based on current theory and research in cognitive science, that can account for clinical concepts and provide coherent framework for empirical research. And Ralph Roughton uses the case history of Laura to underscore the central role of repetition and interaction in the analytic process. Volume 22 will not disappoint readers of this distinguished continuing series. Like its predecessors, it is a thoroughly assembled collection responsive to the conceptual, clinical, and institutional challenges now before the field. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Nietzsche contra GirardAgonistic Steps for Mimetic StudiesNidesh Lawtoo (bio)It has gradually become clear to me what every great philosophy has hitherto been: a confession on the part of its author and a kind of involuntary and unconscious memoir.—Friedrich Nietzsche, Beyond Good and EvilFriedrich Nietzsche's exemplary position in the history of philosophy owes as much to the untimely content of his thought as to the heterogeneous forms he used to (...) express it. It is thus no accident that both his philosophical logic (logos) and the formal affect (pathos) that animate his writings are now a source of inspiration for mimetic studies as well—a transdisciplinary field that goes beyond antiquarian approaches to mimesis in order to develop a new theory of imitation that accounts for the becoming other of homo mimeticus in the present and future.1If I opt for an agonistic title, then, it is not to set up a violent and rivalrous opposition of false polarities between mimetic theory and mimetic studies—for the debts and genealogical continuities between Girard and Nietzsche [End Page 145] are numerous, profound, and do not conform to the pathological dynamic of mimetic rivalry. Rather, I opt for this Nietzschean title to alert the reader in advance to the following methodological point: What appears, at first sight, as a straightforward antagonistic opposition might reveal, at a closer genealogic look, mirroring continuities and overturnings of perspectives. The goal is to go beyond rivalrous principles constitutive of violent pathologies to propose a new theory on the logic or logos of mimetic pathos. This also means that the "contra" in my title should be read with a genealogical understanding of what agonistic confrontations actually entail: namely, a complex double movement with and against worthy predecessors that, as I have shown elsewhere, are already constitutive of Nietzsche's mimetic "patho(-)logies," and that I now group under the rubric of "mimetic agonism."2 Whether Nietzsche and Girard have the same understanding of agonism, or not quite, is what these further steps for mimetic studies now aim to find out.If the transdisciplinary field of mimetic studies emerges in the twenty-first century, its genealogy looks back to the foundations of philosophy and reaches, via Nietzsche and other modernist writers of mimesis, into the present. As an introductory gesture, let me first step back to the past century to recall why one of mimetic studies' major precursors, such as Nietzsche, continues to be read and reread today from different perspectives. Considered one of the "masters of suspicion" along with Marx, Freud, and, we should add, Darwin, Nietzsche is mostly known for overturning Western metaphysics, proclaiming the death of God, reevaluating the value of morality, undermining faith in rationality, and affirming an immanent world of becoming in constant tension, conflict, and transformation. Given his perspectival, often conflicted, and seemingly contradictory approach, it is not surprising that the name of Nietzsche has been associated with strikingly different and equally conflicting philosophical traditions: from existentialism to hermeneutics, materialism to psychoanalysis, structuralism to poststructuralism, modernism to postmodernism, critical theory to feminism, deconstruction to queer theory, and new materialism to environmental philosophy to posthumanism, among other emerging perspectives. Despite the disagreements he generates, or perhaps because of them, Nietzsche's perspectival thought powerfully informs, and continues to transform, some of the most heterogeneous philosophical traditions of the twentieth and twenty-first centuries.Still, as the epigraph whereby we started suggests, Nietzsche was not only a philosopher; he was also one of the most formidable critics of philosophy—and in a characteristic overturning of perspectives, he often turned this critique into an attempt at self-critique. Nietzsche's philosophical diagnostics, in fact, [End Page 146] tend to be double-faced insofar as he is equally implicated in the phenomena he dissects—and this applies to his definition of philosophy as well. There is, in fact, a formal, confessional element at play in Nietzsche's famous account of philosophy as "confession [Selbstbekenntnis]" (BGE 6;47).3 The phrase performs what it describes, generating mirroring effects that run, like an undercurrent, throughout Nietzsche's entire oeuvre, giving it an experiential, autobiographical, and experimental tone that informs mimetic studies as well... (shrink)

Drawing on an idea proposed by Darwin, it has recently been hypothesised that violent intergroup conflict might have played a substantial role in the evolution of human cooperativeness and altruism. The central notion of this argument, dubbed ‘parochial altruism’, is that the two genetic or cultural traits, aggressiveness against out-groups and cooperativeness towards the in-group, including self-sacrificial altruistic behaviour, might have coevolved in humans. This review assesses the explanatory power of current theories of ‘parochial altruism’. After a (...) brief synopsis of the existing literature, two pitfalls in the interpretation of the most widely used models are discussed: potential direct benefits and high relatedness between group members implicitly induced by assumptions about conflict structure and frequency. Then, a number of simplifying assumptions made in the construction of these models are pointed out which currently limit their explanatory power. Next, relevant empirical evidence from several disciplines which could guide future theoretical extensions is reviewed. Finally, selected alternative accounts of evolutionary links between intergroup conflict and intragroup cooperation are briefly discussed which could be integrated with parochial altruism in the future. (shrink)

Darwin's and Freud's theories cohere in explaining human group conflict.

Darwin's and Freud's theories cohere in explaining human group conflict.

Psychoanalysis has had a profound impact on popular morals, for Freud's discoveries have made us aware that unconscious motivations may subvert moral conduct and that moral judgments may be rationalizations of self-interest or expressions of hostility. Freud has, in fact, been called a founder of the "hermeneutics of suspicion" that pervades modern attitudes toward morality. In this book, however, a psychoanalyst who is also a professor of ethics asserts that we do not accurately understand Freud on (...) the various psychological issues relevant to morality and the ethical implications that can be drawn from his views. Ernest Wallwork offers a bold reinterpretation of Freudian theory, showing the ways in which it points toward the possibility of genuine moral behavior. Wallwork provides close textual analyses of Freud's works from a new philosophical perspective, considering such central Freudian doctrines as psychic determinism, the pleasure principle, narcissism, object-love, and defense mechanisms. He demonstrates that, contrary to widespread belief, Freud's views on determinism allow for moral responsibility, his understanding of the pleasure principle and narcissism allows for acting out of concern of others, and his critique of the cultural superego is grounded in an ethic informed by ego rationality. Focusing throughout on Freud's seminal understanding of the self-in-conflict, Wallwork finds and ethical theory suggested by Freud's work that is naturalistic and grounded in a concept of human flourishing and regard for others and concerned with the common good, special relations, and individual rights. (shrink)

In this book, Robert Caper provides the reader with an introduction to psychoanalysis focusing explicitly on whether psychoanalysis is part of the sciences, and if not, where it belongs. Many psychoanalysts, beginning with Freud, have considered their discipline a science. In this book, Caper examines this claim and investigates the relationship of theory to observation in both philosophy and the experimental sciences and explores how these observations differ from those made in psychoanalytic interpretation. _Building Out into the (...) Dark_ also explores topics including: the origins of psychoanalysis in the art of medicine the therapeutic effect of psychoanalysis the archaic superego psychoanalysis with the individual and groups what makes psychoanalytic work unique. _Building Out into the Dark_ offers a thoughtful consideration of the nature of psychoanalytic knowledge and how it is gained. The book's accessible and concise style makes it a useful introductory resource for students studying psychoanalysis, for psychotherapists who are curious about the distinction between psychoanalysis and other forms of therapy as well as those interested in placing psychoanalysis in the context of current cultural and intellectual developments. (shrink)

_Sigmund Freud and His Impact on the Modern World_, volume 29 of The Annual of Psychoanalysis, is a comprehensive reassessment of the influence of Sigmund Freud. Intended as an unofficial companion volume to the Library of Congress's exhibit, "Sigmund Freud: Conflict and Culture," it ponders Freud's influence in the context of contemporary scientific, psychotherapeutic, and academic landscapes. Beginning with James Anderson's biographical remarks, which are geared specifically to the objects on display in the Library (...) of Congress exhibit, and Roy Grinker Jr.'s more personal view of Freud, the volume branches out in various directions in an effort to comprehend the multidimensional and multidisciplinary richness of Freud's contribution. In section II, we find authoritative summaries of Freud's scientific contributions, of his continuing impact as a thinker, of his notion of symbolization in the context of recent neuroscientific findings, and of his status as a "cultural subversive". In section III, contributors hone in on more specific aspects of Freud's legacy, such as an experimental method to review how Freud's idea of childhood sexuality has fared and a look at the women who became analysts in the United States. In the concluding section of the volume, contributors turn to Freud's influence in various humanistic disciplines: literature, drama, religious studies, the human sciences, the visual arts, and cinema. With this scholarly yet highly accessible compilation, the Chicago Institute provides another service to its own community and to the wider reading public. Sure to enhance the experience of all those attending "Sigmund Freud: Conflict and Culture," _Sigmund Freud and His Impact on the Modern World_ will appeal to anyone desirous of an up-to-date overview of the man whose work shaped the psychological sensibility of the century just past and promises to reverberate throughout the century just born. (shrink)

Humans are one of the most cooperative and altruistic species on the planet. At the same time, humans have a long history of violent and deadly intergroup conflicts, i.e. wars. Recently, contemporary evolutionary theorists have revived Charles Darwin’s idea that human in-group altruism and out-group hostility might have co-evolved. Groups with more cooperatively aggressive men, they suggest, were more likely to prevail in the frequent lethal quarrels of human pre-history, and these men, therefore, more likely to have (...) passed on their genes. After a short introduction to evolutionary perspectives on war heroism, we describe selected characteristics of 988 modern war heroes, the US-American Medal of Honor recipients of WWI, WWII, the Korean and the Vietnam War, and discuss whether an evolutionary perspective can help us understand why these men risked their lives ‘beyond the call of duty’. (shrink)

hope of obtaining a comprehensive and coherent understand ing of the human condition, we must somehow weave together the biological, sociological, and psychological components of human nature and experience. And this cannot be done indeed, it is difficult to even make sense of an attempt to do it-without first settling our accounts with Darwin, Marx, and Freud. The legacy of these three thinkers continues to haunt us in other ways as well. Whatever their substantive philosophical differences in other (...) respects, Darwin, Marx, and Freud shared a common, overriding intellectual orientation: they taught us to see human things in historical, developmental terms. Phil osophically, questions of being were displaced in their works by questions of becoming. Methodologically, genesis replaced teleological and essentialist considerations in the explanatory logic of their theories. Darwin, Marx, and Freud were, above all, theorists of conflict, dynamism, and change. They em phasized the fragility of order, and their abiding concern was always to discover and to explicate the myriad ways in which order grows out of disorder. For these reasons their theories constantly confront and challenge the cardinal tenet of our modern secular faith: the notion of progress. To be sure, their emphasis on conflict and the flux of change within the flow of time was not unprecedented; its origins in Western thought can be traced back at least as far as Heraclitus. (shrink)

Fundamental problems of environmental sustainability, including climate change and fisheries management, require collective action on a scale that transcends the political and cultural boundaries of the nation-state. Rational, self-interested neoclassical economic theories of human behavior predict tragedy in the absence of third party enforcement of agreements and practical difficulties that prevent privatization. Evolutionary biology offers a theory of cooperation, but more often than not in a context of discrimination against other groups. That is, in-group boundaries are necessarily defined (...) by those excluded as members of out-groups. However, in some settings human’s exhibit behavior that is inconsistent with both rational economic and group driven cooperation of evolutionary biological theory. This paper reports the results of a non-cooperative game-theoretic exercise that models a tragedy of the commons problem in which groups of players may advance their own positions only at the expense of other groups. Students enrolled from multiple universities and assigned to different multi-university identity groups participated in experiments that repeatedly resulted in cooperative outcomes despite intergroup conflicts and expressions of group identity. We offer three possible explanations: students were cooperative because they were in an academic setting; students may have viewed their instructors as the out-group; or the emergence of a small number of influential, ethical leaders is sufficient to ensure cooperation amongst the larger groups. From our data and analysis, we draw out lessons that may help to inform approaches for institutional design and policy negotiations, particularly in climate change management. (shrink)

We live in a liberal, pluralistic, largely secular society where, in theory, there is fundamental protection for freedom of conscience generally and freedom of religion in particular. There is, however, both in statute and common law, increasing pressure on religious believers and conscientious objectors (outside wartime) to act in ways that violate their sincere, deeply held beliefs. This is particularly so in health care, where conscientious objection is coming under extreme pressure. I argue that freedom of religion and conscience need (...) to be put on a sounder footing both legislatively and by the courts, particularly in health care. I examine a number of important legal cases in the UK and US, where freedom of religion and conscience have come into conflict with government mandates or equality and anti-discrimination law. In these and other cases we find one of two results: either the conscientious objector loses out against competing rights, or the conscientious objector succeeds, but due to what I consider unsound judicial reasoning. In particular, cases involving cooperation in what the objector considers morally impermissible according to their beliefs have been wrongly understood by some American courts. I argue that a reasonable theory of cooperation incorporated into judicial thinking would enable more acceptable results that gave sufficient protection to conscientious objectors without risking a judicial backlash against objectors who wanted to take their freedoms too far. -/- I also venture into broader, more controversial waters concerning what I call freedom of dissociation – the fundamental right to withdraw from associating with people, groups, and activities. It is no more than the converse of freedom of association, which all free societies recognise as a basic right. How far should freedom of dissociation go? What might society be like if freedom of dissociation were given more protection in law than it currently has? It would certainly give freedom of religion and conscience a substantial foundation, but it could also lead to discriminatory behaviour to which many people would object. I explore some of these issues, before going back to the narrower area of freedom of conscience and religion in health care, making some proposals about how the law could strengthen these basic pillars of a liberal, free society. (shrink)

Freud's collection of antiquities - his "old and dirty gods"- stood as silent witnesses to the early analysts' paradoxical fascination and hostility toward religion. Pamela Cooper-White argues that antisemitism, reaching back centuries before the Holocaust, and the acute perspective from the margins that it engendered among the first analysts, stands at the very origins of psychoanalytic theory and practice. The core insight of psychoanalytic thought - that there is always more beneath the surface appearances of reality, and that this (...) "more" is among other things affective, memory-laden and psychological- cannot fail to have had something to do with the experiences of the first Jewish analysts in their position of marginality and oppression in Habsburg-Catholic Vienna of the 20th century. The book concludes with some parallels between the decades leading to the Holocaust and the current political situation in the U.S. and Europe, and their implications for psychoanalytic practice today. (shrink)

We focus on the implications of De Dreu and Gross's findings for the evolutionary perspective on out-group aggression and in-group cooperation. Although their experimental protocols are potentially useful in determining the origins of out-group aggression in humans, they so far provide inconclusive evidence only. We suggest ways of furthering our understanding of the connection between parochial cooperation and intergroup conflict.

This book critically examines Freud's own detailed arguments for his major explanatory and therapeutic principles, the current neorevisionist versions of psychoanalysis, and the hermeneuticists' reconstruction of Freud's theory and therapy as an alternative to what they claim was a “scientistic” misconstrual of the psychoanalytic enterprise. The clinical case for Freud's cornerstone theory of repression – the claim that psychic conflict plays a causal role in producing neuroses, dreams, and bungled actions – turns out to be (...) ill-founded for two main reasons: Even if clinical data were valid, the method of free association has failed to support the psychoanalytic theory of unconscious motivation; Clinical data tend in any case to be artifacts of the analyst's self-fulfilling expectations, thus losing much of their evidential value. The hypothesis that psychoanalytic treatment is in reality a placebo poses a serious challenge to the assumption that insight is a key causal factor when therapy is successful. This challenge has yet to be met by psychoanalysts. Similar conclusions undermine the neorevisionist versions of psychoanalysis. The most influential hermeneuticists, on the other hand, are shown to have imposed an alien philosophy on psychoanalysis, partly through their reliance on gross misconceptions of the natural sciences. Karl Popper's criticism of the Freudian corpus as empirically untestable has misjudged its evidential weaknesses, which are more subtle. If there exists empirical evidence for the principal psychoanalytic doctrines, it cannot be obtained without well-designed extraclinical studies of a kind that have for the most part yet to be attempted. (shrink)

We argue that general social psychological mechanisms can account for prosocial behavior and cooperative norms without the need for punishing Big Gods. Moreover, prosocial religions often do not prevent conflict within their religious groups. Hence, we doubt whether Big Gods and prosocial religions are more effective than alternative identities in enhancing high-level cooperation.

In lieu of an abstract, here is a brief excerpt of the content:How Policies and Practices in Medical Settings Impact Communication Access with Deaf Patients and CaregiversKelley Cooper, Maggie Russell, Debra Chaiken, Michael W. Mazzaroppi, and Gretchen RomanIntroductionWe are a group of Deaf community members, sign language interpreters, organizational leaders, and academic partners. We have a collective point of view about how policies and practices in medical settings impact communication access with Deaf patients and caregivers. Here, we account multiple (...) stories from our respective experiences in an effort to improve healthcare institutions' awareness of the recommended modalities when communicating with Deaf patients accessing care. Our stories clarify any misunderstandings about communication with Deaf patients who expressively use spoken language and receptively use sign language. We convey that it is imperative to use visual language when explaining discharge paperwork and emphasize that it is critical for a Deaf caregiver to be fully aware of the plan of care when offering support to their loved one. We illustrate the importance of honoring the requests for in-person sign language interpreting versus video remote interpreting (VRI) as well as requests for Deaf-Hearing sign language interpreter teams. Deaf interpreters bring formative cultural, linguistic, and life experiences and work in partnership with a hearing interpreter to provide a more nuanced communication exchange across a wide range of visual languages.Maggie Russell: Anecdote 1The hospital recidivism rate for a Deaf Nepali male patient continues to increase. As the Interpreter Referral Service Director, I am aware of this patient because he receives care management services from our organization. He has several life-threatening conditions, attends dialysis, is on multiple medications, and is frequently in and out of the local hospital. The hospital considers him as someone who identifies as an oral Deaf person, as he has severe to profound hearing loss with little or no residual hearing and visually receives signed language but expressively uses spoken language. Three interpreters, a spoken Nepalese interpreter, a Deaf Nepali Sign Language (NSL) interpreter, and a hearing American Sign Language (ASL) interpreter, working together as a team are recommended for effective communication with this patient and the medical team of providers. However, interpreting services at the hospital provide only one interpreter, a spoken Nepalese interpreter, which [End Page E3] does not satisfy the necessary accommodations for access. A plethora of prescriptions were added to his regimen to counter the condition that caused a recent inpatient stay. The patient's wife is his primary caregiver. She communicates receptively and expressively using NSL. A Deaf NSL and hearing ASL interpreter team creates effective communication with his wife and the medical team of providers. Since she is expected to follow the doctor's recommendations as explained in the discharge instructions, she also requires accommodations for communication access. Neither the patient nor his wife received a formal education, and they do not read or write English or the language of their country of origin. Therefore, information in English or Nepalese conveyed in the printed discharge paperwork is inaccessible. The new medications were not incorporated into his already established monthly "pill pack," and the couple was unable to read the information on the pill bottles that were delivered to their home. Subsequently, incorrect use of the newly prescribed medications significantly delayed the patient's course of recovery. This couple also had minimal exposure to medical information and medical processes prior to living in the United States; the medical services in the refugee camps in Nepal were typically non-existent. Utilizing a hearing ASL interpreter alone does not constitute barrier-free access for either of these individuals. Interpreting medical documents in a visual format is so critical for providing access, but it doesn't necessarily guarantee comprehension because of their limited health literacy. In addition to employing the recommended interpreting team, using teach-back methods during an encounter is a good way for medical providers to ensure the patient and caregiver's understanding of the plan of care.Maggie Russell: Anecdote 2As the Interpreter Referral Service Director at our organization, I served as the hearing interpreter on a Deaf-Hearing ASL interpreter team at a follow-up gastrointestinal appointment from a gall bladder biopsy for a Deaf male patient, along with his Deaf... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:Psychoanalysis and Buddhism: An Unfolding DialogueDavid R. LoyPsychoanalysis and Buddhism: An Unfolding Dialogue. Edited by Jeremy D. Safran. Boston: Wisdom Publications, 2003, Pp. xvii + 443.In the burgeoning literature on Buddhism and psychoanalysis/psychotherapy, Psychoanalysis and Buddhism: An Unfolding Dialogue stands out. True to its subtitle, the format is designed to encourage genuine dialogue. Following an excellent introduction by the editor, Jeremy D. Safran, all of (...) its nine chapters are by experienced therapists who are also committed to Buddhist practice; several of them are teachers within their respective traditions. Each chapter is followed by the commentary of an established psychoanalyst (many of them associated with the journal Psychoanalytic Dialogues), and after that there is a reply by the original chapter author. The conversations are given plenty of space to develop; several chapters are over fifty pages long. In most cases the commentators rise to the occasion, with sympathetic but trenchant interrogations. The result is a fascinating discussion that raises the interaction between Buddhism and psychology to a higher level of intensity and insight.Safran's introduction looks at the different cultural contexts of psychoanalysis and Buddhism. He focuses on their own internal tensions, especially a shared one between agnosticism and faith. Recent psychoanalysis has shifted from a rationalistic, ego-oriented approach toward a relational and constructivist understanding of [End Page 363] the multiple self, a perspective more open to various narratives. "It has become clear that psychoanalysis is not a science in the same sense that physics or chemistry are, but rather a secular form of spirituality. In some ways it functions to fill the void once filled by religion" (p. 2). This shift to a therapy of faith and commitment highlights a similar tension within Buddhism, for example between the rationalist approach of Nāgārjuna's Karikas and the devotionalism of Pure Land Buddhism. In contrast to the classical Freudian emphasis on the reality principle controlling the pleasure principle and the Mādhyamikas' radical deconstruction of all narratives, letting go of the need to understand and control can lead to awe and reverence in the face of life's mystery. The advantage of a comparison between psychoanalysis and Buddhism is that each can help the other avoid crystallizing into an orthodoxy that tends to lose its liberative power.Several of the contributors refer to Freud's recommendation that the analyst keep an "evenly-suspended attention," and they emphasize how their Buddhist practice helps them to do this. In chapter 4, "An Analyst's Surrender," Sara Weber describes a difficult case study that began to flourish when there was "a shift in the nature of holding." Instead of trying to "fix" the patient, she surrendered herself to deeper, lesser-known areas of her patient's being and her own. She refers to Lacan: although we need others as mirrors, there is always an element of illusion in any organized meaning we frame for ourselves. The solution is to employ models loosely, allowing one's therapeutic techniques as well as one's clients to be in flux. She concludes by emphasizing that the analyst's role as "holder" of the patient "is insufficient unless we see it as a special case of that more profound faith in being that is temporarily embodied in ourselves" (p. 189). In chapter 3, "The Dissolving of Dissolving Itself," Robert Langan offers a personal and phenomenological meditation that plays with multiple perspectives as a way to reflect on the "in-between," the openness that both Buddhism and psychoanalysis at their best encourage: keeping room in the analytic process for paradox and contradiction, for gaps and emptiness.In chapter 6, Barry Magrid eloquently defends the need for analytic work as well as Buddhist practice. "Too often, it seems that both students and teachers have mastered their pain but succumbed to their impulses, experienced a oneness with all beings but remained in conflict with their families, discovered the emptiness of the self but continued to abuse their authority, found peace on their cushions but not in their lives" (p. 257). Yet we should not conclude that Buddhism and analysis are concerned with different aspects of our lives. "Like psychoanalysis, Zen practice is a... (shrink)

The field, as Steven Cooper describes it, is comprised of the inextricably related worlds of internalized object relations and interpersonal interaction. Furthermore, the analytic dyad is neither static nor smooth sailing. Eventually, the rigorous work of psychoanalysis will offer a fraught opportunity to work through the most disturbing elements of a patient's inner life as expressed and experienced by the analyst - indeed, a disturbance in the field. How best to proceed when such tricky yet altogether common therapeutic situations (...) arise, and what aspects of transference/countertransference should be explored in the service of continued, productive analysis? These are two of the questions that Steven Cooper explores in this far-ranging collection of essays on potentially thorny areas of the craft. His essays try to locate some of the most ineffable types of situations for the analyst to take up with patients, such as the underlying grandiosity of self-criticism; the problems of too much congruence between what patients fantasize about and analysts wish to provide; and the importance of analyzing hostile and aggressive aspects of erotic transference. He also tries to turn inside-out the complexity of hostile transference and countertransference phenomena to find out more about what our patients are looking for and repudiating. Finally, Cooper raises questions about some of our conventional definitions of what constitutes the psychoanalytic process. Provocatively, he takes up the analyst's countertransference to the psychoanalytic method itself, including his responsibility and sources of gratification in the work. It is at once a deeply clinical book and one that takes a post-tribal approach to psychoanalytic theory - relational, contemporary Kleinian, and contemporary Freudian analysts alike will find much to think about and debate here. (shrink)

We review the evolutionary theory relevant to the question of human cooperation and compare the results to other theoretical perspectives. Then, we summarize some of our work distilling a compound explanation that we believe gives a plausible account of human cooperation and selfishness. This account leans heavily on group selection on cultural variation but also includes lower-level forces driven by both microscale cooperation and purely selfish motives. We propose that innate aspects of human social psychology coevolved (...) with group-selected cultural institutions to produce just the kinds of social and moral faculties originally proposed by Darwin. We call this the “tribal social instincts” hypothesis. The account is systemic in the sense that human social systems are functionally differentiated, conflicted, and diverse. A successful explanation of human cooperation has to account for these complexities. For example, a tribal-scale cultural group selection process alone cannot account for human patterns of cooperation because, on one hand, much conflict exists within tribes and, on the other, people have proven able to organize cooperation on a much larger scale than tribes. We include multilevel selection and gene–culture coevolution effects to account for some of these complexities and discuss empirical tests of the resulting hypotheses. In particular, we argue that strong support for the tribal social instincts hypothesis comes from the structure of modern social institutions. These institutions have conspicuous “work-arounds” that shed light on the underlying instincts. (shrink)

In this article I develop a big picture of the evolution of human cooperation, and contrast it to an alternative based on group selection. The crucial claim is that hominin history has seen two major transitions in cooperation, and hence poses two deep puzzles about the origins and stability of cooperation. The first is the transition from great ape social lives to the lives of Pleistocene cooperative foragers; the second is the stability of the social contract (...) through the early Holocene transition to complex hierarchical societies. The first of these transitions is driven, at least initially, by individual advantage: cooperation paid off for individual foragers, initially through mutualist interaction, then through reciprocation. This argument leads to a reanalysis of the role of violence and the nature of the freeriding threat to cooperation. But the conditions that select for cooperative individuals in the Pleistocene were eroded in the Pleistocene–Holocene transition. So we need an alternative account of the survival, and indeed the expansion, of cooperation in the Holocene. Group selection driven by intercommunal conflict really may well be central to this second transition. (shrink)

Evolutionary theory relevant to the question of human cooperation is reviewed and compared to other theoretical perspectives. A compound explanation is distilled as a plausible account of human cooperation and selfishness. This account leans heavily on group selection on cultural variation but also includes lower-level forces driven by both micro-scale cooperation and purely selfish motives. It is proposed that innate aspects of human social psychology coevolved with group-selected cultural institutions to produce just the kinds of (...) social and moral faculties originally proposed by Darwin. This is termed the “tribal social instincts” hypothesis. The account is systemic in the sense that human social systems are functionally differentiated, conflicted, and diverse. A successful explanation of human cooperation has to account for these complexities. For example, a tribal-scale cultural group selection process alone cannot account for human patterns of cooperation because, on one hand, much conflict exists within tribes and, on the other, people have proven able to organize cooperation on a much larger scale than tribes. Multilevel selection and gene-culture coevolution effects are included to account for some of these complexities and empirical tests of the resulting hypotheses are discussed. In particular, it is argued that strong support for the tribal social instincts hypothesis comes from the structure of modern social institutions. These institutions have conspicuous “work-arounds” that shed light on the underlying instincts. (shrink)

This essay synthesizes the place of biological evolutionism in the early history of psychoanalysis, and shows the implicit significance of German Darwinism in Sigmund Freud’s whole psychoanalytical works. In particular, Freud, together with Sándor Ferenczi (1873–1933), applied to mental disorders hypotheses inspired by August Pauly’s (1850–1914) psychological Lamarckism and Ernst Heckel (1834–1919) theory of recapitulation. Both of these theories rested upon the principle of inheritance of acquired characteristics, and were disproved by biological discoveries during the interwar period. (...) However, despite these scientific progresses, Freud never gave up his idea of inherited unconscious memories, and we try here to sketch out what would have cost him a renunciation to such outdated biological principles. Notwithstanding, Sigmund Freud was the first to elaborate on evolutionary causes of mental syndromes, which makes of him the forerunner of current neo-Darwinian psychopathology, with few continuators to date within the psychoanalytic field. Nowadays, the extended neo-Darwinian synthesis and affective neuroscience may pave the way for a rational Darwinian approach to human mental disorders, which would take into account the whole neurological and psychological evolution of species, and be centered on emotions and their vicissitudes. (shrink)

To further the debate on the ethical dimension of transformational leadership from a virtue ethics perspective, this study focused on leaders’ in-group orientation as well as their in-group versus out-group orientation in situations of conflict between organizational interests and broader ethical values. More precisely, the current study captured leaders’ organizational identification as well as their willingness to engage in unethical pro-organizational behavior and tested the relations between these attitudes and follower-perceived TFL behavior. In total, the leadership (...) behaviors of 112 middle- and top-level managers were evaluated by 900 direct-reports. Results showed leaders’ organizational identification to be positively related to TFL. However, we found no relation between leaders’ willingness to engage in unethical pro-organizational behavior and TFL. Implications regarding the ethical dimension of TFL are discussed. (shrink)

This book examines the contentious relationship between psychoanalysis and anthropology as it has played out in disputes surrounding the Oedipus complex. Here, Eric Smadja explores the complicated historical and epistemological conditions leading up to the emergence of the conflict between the two disciplines. He considers the origins of each science, the "creation" of the Oedipus complex, and the place, role and influence of Freud's key and controversial work Totem and Taboo, both in the history of psychoanalysis (...) and as it connects with anthropology internationally. Focusing on such key figures as Bronislaw Malinowski, Ernest Jones, Franz Boas, Georges Devereux, Emile Durkheim, Claude Levi-Strauss and Jacques Lacan, Smadja charts the course of the debate as it unfolded during the twentieth century and tracks its contemporary status of the debate, with a focus on figures in both France and the United States. Discussing the divergences and convergences between the two fields, he compares and contrasts their historical, epistemological and methodological features and reflects on the new "acculturative" disciplines emerging from their interaction. The book concludes with a look at what the conflictual history of these two human sciences can tell us about the history of ideas and their processes and modes of communication. Exploring a dispute which reaches back to the very beginnings of psychoanalysis and anthropology, The Oedipus Complex will appeal to psychoanalysts in practice and in training, psychotherapists and academics and students of psychoanalytic studies, anthropology and the history of ideas. (shrink)

We bear witness to a sweeping social movement for change—fostered and driven by a powerful group of Black nurses and nursing students determined to call out and dismantle anti‐Black racism and discrimination within the profession of nursing. The Black Nurses Task Force, launched by the Registered Nurses' Association of Ontario (RNAO) in July 2020, is building momentum for long‐standing change in the profession by critically examining the racist and discriminatory history of nursing, listening to and learning from the lived (...) experiences of the Black nursing community, and shaping concrete, actionable steps to confront anti‐Black racism and discrimination in academic settings, workplaces, and nursing organizations. The Black Nurses Task Force and the RNAO are standing up and speaking out in acknowledgment of the magnitude of anti‐Black racism and discrimination that exist in our profession, health system, justice system, and economic system. This social movement is demonstrating, in actions, how individuals and a collective act as change agents to drive meaningful and widespread change for our present and future Black nurses. We also acknowledge the Black nurses who have gone before us. (shrink)

It is a surprising fact that moral philosophers have rarely examined the distinction between what I shall call ‘positive’ or ‘social’ morality on the one hand and ‘autonomous’ or ‘individual’ morality on the other. Accordingly, conceptual and moral issues of the greatest importance have been neglected. The distinction is, I take it, recognised by Hegel, when he contrasts Sittlichkeit with Moralität . However, the rival sides who give a conceptual or a moral preference to one concept over the other rarely (...) come to grips with one another, and the deep conflicts between them are concealed instead of being brought out into the open. Only in Burke's diatribe against Rousseau, Bradley's critique of Sidgwick , Hobhouse's crusade against Bosanquet , Prichard's attack on Green , Hart's criticism of Hare , and above all in Oakeshott's onslaught on Rationalism do we get a glimpse of one of the main issues of moral philosophy and of morality. For just as we have two concepts, so we have two moral conceptual schemes, each of which gives a central place to one concept at the expense of the other. Those who suppose that morality is or ought to be wholly or mainly a social concept may recommend submission to a tradition. Those, on the other hand, who suppose morality to be primarily an individual or independent concept will recommend independent decisions. I want in this paper, firstly, to explain the differences between the two concepts, secondly, to show that neither of them is conceptually illegitimate or degenerate, and lastly, to determine what place, if any, each ought to have in a rational morality. (shrink)

This paper explores conservative Christian demands that religious-based objections to providing services to lesbians and gay men should be accommodated by employers and public bodies. Focusing on a series of court judgments, alongside commentators’ critical accounts, the paper explores the dominant interpretation of the conflict as one involving two groups with deeply held, competing interests, and suggests this interpretation can be understood through a social property framework. The paper explores how religious beliefs and sexual orientation are attachments whose power (...) has been unsettled by equality law. But entangled with this property is another—that held in workers’ labour and public bodies’ resources. Arguing against the drive to balance competing interests, the paper uses social property to illuminate the agonistic character of the stakes. At the same time, it questions property as a normative framework for sexual orientation and religious beliefs. (shrink)

Do UK community pharmacists encounter the high drama dilemmas of the medical ethics literature or is a 'morality of the mundane' more appropriate? This paper presents the findings of a qualitative study that asked a sample of UK pharmacists to describe their ethical issues and to establish whether these were ethical dilemmas as understood philosophically or ethical problems of a more legal or emotional nature. It emerged that although many pharmacists referred to 'dilemmas', these were often problems involving a (...) class='Hi'>conflict between an ethical value and a legal or procedural issue and often arose in the routine minutiae of dispensing prescriptions and selling medicines. Such ethical problems remained of concern for pharmacists and the commercial environment, corporate pharmacy ownership and pharmacists' subordination to doctors, all precipitated ethical problems. Law and ethics appeared to be understood synonymously but this may reflect a modernity that increasingly brackets out ethical experiences by encouraging reliance upon law and procedure. (shrink)

This book investigates the relationship between liberal democracies and ontology, that is, philosophical claims about the constitution of agents and the social world. Many philosophers argue that ontology needs to be avoided in political and legal philosophy. In fact, political liberalism, a highly influential paradigm founded by the philosopher John Rawls, makes the avoidance of ontology a core ambition of its 'political, non-metaphysical' programme. In contrast to political liberalism, this book argues that attending to ontological disputes is essential to political (...) and legal philosophy. Illuminating, criticising and developing ontological arguments does not only enhance our understanding of justice, but also highlights key features of democratic citizenship. The argument is built up by bringing together three traditions of thought that have so far not been confronted with one another: political liberalism, the work of Michel Foucault, and the psychoanalytic theories of Sigmund Freud and Donald Winnicott. The book also investigates more concrete implications of ontological disputes by drawing on several case studies: a Dutch political-legal debate about greeting rituals; an American conflict about the legalisation of religious freedom; and the struggles for resilience of two American social movement groups. (shrink)

The essays in this collection honor Professor Ellis Sandoz, Hermann Moyse Jr. Distinguished Professor of Political Science, Louisiana State University, and founding director of the Eric Voegelin Institute for American Renaissance Studies, an institute located at Louisiana State University and devoted to research and publication in the fields of political philosophy, constitutional law, and Voegelin studies. Without the tireless leadership—both academic and economic—of Ellis Sandoz, who was one of Eric Voegelin’s early students and his first American doctoral candidate at the (...) University of Munich, the thirty-four volumes of _The Collected Works of Eric Voegelin _would never have neared completion within only twenty years of Voegelin’s death. The authors of the essays, some of the most respected scholars in the field of political philosophy, hail from Austria, Canada, the Czech Republic, Germany, Ireland, and the United States. They have known Sandoz in a variety of ways: as former students, as beneficiaries of his work on constitutionalism, as fellow participants in the publication of _The Collected Works of Eric Voegelin_, as philosophical colleagues, as participating members of the Eric Voegelin Society, and finally as friends. The essays, each written especially for this volume, are grouped into the disciplines of philosophy, literature, and politics and range widely across these subjects, exploring writers as diverse as Xenophon, Natsume Soseki, Freud, and George Santayana and topics ranging from the leadership style of François Mitterrand and the Velvet Revolution to the nature of the Law and of the Political. _Philosophy, Literature, and Politics _is a fitting tribute to a man whose life’s work has been formed by commitment to the philosophical enterprise and by a conviction in Eric Voegelin’s contribution to that enterprise. The seventeen essays in this collection will be of particular interest to scholars of politics, comparative government, Japanese studies, political philosophy, and literary criticism. (shrink)

Refinements in Darwin’s theory of the origin of a moral sense create a framework equipped to organize and integrate contemporary theory and research on morality. Morality originated in deferential, cooperative, and altruistic ‘‘social instincts,’’ or decision-making strategies, that enabled early humans to maximize their gains from social living and resolve their conflicts of interest in adaptive ways. Moral judgments, moral norms, and conscience originated from strategic interactions among members of groups who experienced confluences and conflicts of interest. Moral argumentation (...) buttressed by moral reasoning is equipped to generate universal and impartial moral standards. Moral beliefs and standards are products of automatic and controlled information-processing and decision making mechanisms. To understand how people make moral decisions, we must understand how early evolved mechanisms in the old brain and recently evolved mechanisms in the new brain are activated and how they interact. Understanding what a sense of morality is for helps us understand what it is. (shrink)

Ender's tortured conscience is an illustration of the moral importance of following principles of just war theory—the “unspoken rules of manly warfare”—and their apparent tension with the demands of war and survival. This chapter talks about the ethics of conflict in Ender's various games—his battles and wars. It asks, was justice served in the Third Invasion and destruction of the bugger worlds, the event that came to be called the xenocide. Ender's life is actually a testimony to the just (...) war axiom that all people desire peace. In the tradition of just war theory, there are five principles that lay out the requirements of jus ad bellum, or how to go to war in an ethical way. They include just cause, legitimate authority, right intention, probability of success, and last resort. Ender's strategy is always to use devastating force to incapacitate the enemy. (shrink)

This manuscript reports on a landmark symposium on the ethical, legal and technical challenges of xenotransplantation in the UK. King’s College London, with endorsement from the British Transplantation Society (BTS), and the European Society of Organ Transplantation (ESOT), brought together a group of experts in xenotransplantation science, ethics and law to discuss the ethical, regulatory and technical challenges surrounding translating xenotransplantation into the clinical setting. The symposium was the first of its kind in the UK for 20 years. This (...) paper summarises the content of the expert lectures showcasing the progress which has been made in xenotransplantation including—the history of xenotransplantation, advances in gene edited animals and progress towards clinical xenotransplantation. We then set out the ethical and legal issues still to be resolved. Finally, we report the themes of the roundtable discussion highlighting areas of consensus and controversy. While the detail of the legal discussion was directed towards the UK, the principles and summary reported here are intended to be applicable to any jurisdiction seeking to implement clinical xenotransplantation. (shrink)

Freud seems to have been torn between a literary and a scientific model for his enterprises. On the one hand he stresses the scientific nature of his researches to an extent which makes the suspicious reader wonder whether he protests too much. On the other hand it is well known that he regarded many writers, though predominantly Shakespeare, as anticipating his findings on the unconscious. In one famous passage in the Introductory Lectures on Psycho-analysis he places his discovery of (...) the unconscious on a par with the discoveries of Darwin and Copernicus in their effect upon man's picture of himself. He is justified, of course, and if we add Marx to this triumvirate we add a figure even closer to Freud in claiming a scientific status for his work, a scientific status which is, to the uncommitted, dubious. Theodore Mischel argues that Freud increasingly construes neurotic behaviour upon the model of ordinary intentional behaviour and, though he continued to show interest in the view that the unconscious impulses which are repressed are physiological in nature, this ideal of a reduction of the psychological to the physiological became a less active ingredient in his published work as his collaboration with Fliess receded into the past. So although he may have paid lip service to some form of psycho-physical identity, believing that mental phenomena are ultimately no more or less than physical happenings in the neurones of the brain, in mature Freud this seems to have been an idly spinning wheel. Roy Schafer has recently pointed out that many of Freud's followers use the concepts of natural science , whilst simultaneously retaining traces of anthropomorphism in their metapsychology. For instance Heinz Hartmann emphasizes the concept of a ‘higher organizing function’ which resists formulation in the mechanistic metapsychology he favours. Similar difficulties obtrude in the work of Waelder and Kohut. The significance of these conflicts leads Schafer to frame basic Freudian insights in terms of the theory of action, stressing the manner in which an action may be described in differing ways and thus allowing us to present the fact that a patient's behaviour may both tell and not tell us of his deepest anxieties. Yet curiously Schafer denies that freedom plays any part in his account whereas we would have expected a concept so central to agency to have an equally central role in any recasting of psycho-analysis in terms of the theory of action. (shrink)

Phenomena like meat sharing in hunter-gatherers, self-sacrifice in intergroup conflicts, and voluntary contribution to public goods provision in laboratory experiments have led to the development of numerous theories on the evolution of altruistic in-group beneficial behavior in humans. Many of these theories abstract away from the effects of kinship on the incentives for public goods provision, though. Here, it is investigated analytically how genetic relatedness changes the incentive structure of that paradigmatic game which is conventionally used to model and (...) experimentally investigate collective action problems: the linear public goods game. Using recent anthropological data sets on relatedness in 61 contemporary hunter-gatherer and horticulturalist societies the relevant parameters of this model are then estimated. It turns out that the kinship patterns observed in these societies substantially reduce the negative effect of increasing group size on incentives for public goods provision. It is suggested, therefore, that renewed attention should be given to inclusive fitness theory in the context of public goods provision also in sizable groups, because its explanatory power with respect to this central problem in the evolution of human cooperativeness and altruism might have been substantially underrated. (shrink)

Although humans qualify as one of the most cooperative animal species, the scale of violent intergroup conflict among them is unparalleled. Explanations of the underlying motivation to participate in an intergroup conflict, however, remain unsatisfactory. While previous research shows that intergroup conflict increases ‘in-group love’, it fails to identify robust triggers of ‘out-group hate’. Here, we present a controlled laboratory experiment, which demonstrates that ‘out-group hate’ can be provoked systematically. We find direct and causal (...) evidence that the intention to protect the in-group is not only a crucial motivator of ‘out-group hate’ in defensive reactions, but also promotes preemptive offensive actions against out-group threat. Hence, the strength of ‘out-group hate’ depends on whether the own group is perceived to be on the offensive or the defensive side of the conflict. This finding improves our understanding of the escalation of intergroup conflicts and may have important implications for their prevention, as we find in our experiment that removing out-group threat substantially reduces intergroup aggression, leading to full peace. (shrink)

How did psychoanalysis attain its prominent cultural position? How did it eclipse rival psychologies and psychotherapies, such that it became natural to bracket Freud with Copernicus and Darwin? Why did Freud 'triumph' to such a degree that we hardly remember his rivals? This book reconstructs the early controversies around psychoanalysis and shows that rather than demonstrating its superiority, Freud and his followers rescripted history. This legend-making was not an incidental addition to psychoanalytic theory but (...) formed its core. Letting the primary material speak for itself, this history demonstrates the extraordinary apparatus by which this would-be science of psychoanalysis installed itself in contemporary societies. Beyond psychoanalysis, it opens up the history of the constitution of the modern psychological sciences and psychotherapies, how they furnished the ideas which we have of ourselves and how these became solidified into indisputable 'facts'. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Commentary on “Non-Cartesian Frameworks”James Phillips (bio)Whither psychoanalytic theory and practice? This is the question raised by Louis Berger as he confronts psychoanalysis’s response to the collapse of Cartesianism that has shaken the foundations of other humanist disciplines (as well as the natural sciences) and has finally caught up with Freud’s heirs. Anyone wanting evidence of this shakeup in psychoanalysis need only consult the final 1994 issue (...) of the International Journal of Psycho-Analysis. For the seventy-fifth anniversary edition of the journal, the editors organized a symposium on “The Conceptualization and Communication of Clinical Facts in Psychoanalysis.” In his foreword to the 300-page issue, the editor, David Tuckett (1994, 865–70), evokes the theoretical pluralism that has beset the field and asserts what is the presupposition of all the articles that follow: There are no theory-free facts, and the challenge now is to deal with this reality.I think I can assume, however, that for Berger these papers would mostly fall into his category of “not going far enough.” He invokes a Cartesian representationalism, critiqued variously by Heidegger, Wittgenstein, and Castoriadis, that continues to infect even such discussions of fact and theory in psychoanalysis as those in the landmark volume of the International Journal. Thus, though that volume may represent the official announcement of the death of positivism in psychoanalysis, it stops short of announcing the profession’s entry into the postmodern era. Indeed, it should be noted that in much contemporary discussion, an awareness of the issues of theoretical pluralism and fact/theory dilemmas rests quite comfortably with the most blatant examples of representational thinking. The object-relations tradition, for instance, remains such a dominant force that most of us would have a hard time giving up our talk of internal objects and internal representations.Berger’s presentation of the three critics of representational thought is clear and enlightening. The inclusion of Castoriadis is important because he, unlike Heidegger and Wittgenstein, is a clinician. Berger’s application of this critique of representation to psychoanalysis, and specifically to the question of the theory/practice relationship, is also developed in a meaningful way. (For a development of the critique of representational thinking that emphasizes the role of Locke in expanding the Cartesian tradition, see Nasser 1994.) Since I am in agreement with the thrust of Berger’ s presentation and have little to add to it, I will focus my comments on one area that I think does warrant further discussion—the relations between the postmodern and other postempiricist or postpositivist traditions. Although some writers (e.g., Leary 1994; Silverman 1994) tend to group movements such as postmodernism, hermeneutics, [End Page 187] and social constructionism together, Berger’s argument singles out postmodernism as the only truly nonrepresentational postempiricist movement.Of the other non-Cartesian traditions, Berger says that “their tacit retention of representationalism (including its concomitant, the theory/practice dichotomy) demonstrates their failure to identify, adequately understand, or avoid key Cartesian difficulties and limitations. They fail to appreciate the effects which accompany enframing.” He adds later: “I have been making my point with examples drawn mostly from the American Middle School, but I submit that any analytic position that invokes models or analogous logical formalisms—e.g., hermeneutic, self-psychological, constructionist, action linguistic—is subject to the identical criticisms.” I wish to take up the case of hermeneutics and question whether its differentiation from postmodernism does indeed revolve around the issue of representational thought. Sorting this issue out will bear on the final conclusions of Berger’s paper. It is true, as Berger points out, that hermeneutic discussion in psychoanalysis often involves a comparison of (representationally articulated) models; but that is not the whole story regarding hermeneutics. Remember, after all, that Heidegger—directly in Being and Time (1962, 62), and indirectly through his profound influence on Gadamer—was a pivotal figure in the development of hermeneutics. Heidegger considered his analysis of man’s precognitive enmeshment in the world to be a “hermeneutic of Dasein.” For his part, Gadamer’s analysis of man’s relations to others and to the world concludes in a relationship that is mediated through a language that is fully dialectical and... (shrink)

Despite an extensive amount of research studying the influence of significant others on an individual's ethical behavior, researchers have not examined this variable in the context of organizational group boundaries. This study tests actual and perceptual sharing and variation in ethical reasoning and moral intent within and across functional groups in an organization. Integrating theory on ethical behavior, group dynamics, and culture, it is proposed that organizational structure affects cognitive structure. Departmental boundaries create stronger social ties within the (...) group as well as intergroup biases between the groups. Thus individuals will be more likely to share in ethical reasoning and moral intent with members of their own functional group (in-group) than with members of other functional groups (out-group). Additionally, they will perceive that they are more likely to share in ethical reasoning and moral intent with in-group members than with out-group members. Responding to two versions of two ethical scenarios, respondents contrasted their own ethical behavior to their expected ethical behavior of in-group and out-group members. Empirical results confirmed the hypotheses. Organizational group boundaries create actual as well as perceptual sharing and variation in ethical reasoning and moral intent. Furthermore, when comparing perceptual sharing to actual sharing, results show that individuals understate their sharing of ethical reasoning and moral intent with out-group members and overstate their sharing with in-group members. As organizational boundaries can create actual and perceived differences between groups that could lead to inter-group conflict, suggestions for management focus on removing or blurring inter-group boundaries. (shrink)

Religious associations sometimes seek to provide services and goods to the public using religious values that discriminate on grounds otherwise prohibited by law and public values. 'Group pluralists' support these efforts by highlighting the importance of shielding group authority from state overreach and protecting a robust associational life within democratic contexts. By contrast, 'liberal statists' insist on the state's final authority over societal groups and the need to protect individuals from arbitrary group power. This paper defends a (...) third approach to group authority called relational pluralism. Relational pluralism is skeptical that the state can resolve group conflicts fully and fairly and recognizes that too much state interference in group life weakens democratic relations. At the same time, it recognizes that groups can rarely act independently of other groups, including the regulatory state. Instead, groups rely on being empowered by other groups and often also by the state to carry out their projects. Group authority is nearly always 'relational' in that it depends on the cooperation of other groups. The paper sketches out a relational pluralist approach to understanding group authority and explains its democratic virtues. It shows how the approach can illuminate otherwise underappreciated features of conflicts about authority. (shrink)

Freud and the Politics of Psychoanalysis is a sympathetic critique of Freud's work, tracing its political content and context from his early writings on hysteria to his late essays on civilization and religion. Brunner's central claim is that politics is a pervasive and essential component of all of Freud's discourse, since Freud viewed both the psyche and society primarily as constellations of power and domination. Brunner shows that when read politically, Freud's discourse can be (...) seen to unite mechanics and meaning into a plausible, fruitful and internally consistent theory of the mind, therapy, family and society. Part one deals with the medical and political background of Freud's work. It explains how Freud postulated mental principles that were the same for all races and nations. The second part is concerned with the logic and language of Freud's theory of the mind. Brunner also details how Freud introduced dynamics of dominance and subjugation into the very core of the psyche. Part three addresses dynamics of power in the clinical setting, which Freud forged out of a curious blend of authoritarian and liberal elements. Brunner focuses on how this setting creates an arena for verbal politics. He also examines various social factors that influenced the therapeutic practice of psychoanalysis, such as class, gender and education. Part four explores Freud's analysis of the family and large-scale social institutions. Though Brunner is critical of the authoritarian bias in Freud's social theory, he suggests that it provides a useful vocabulary to unmask hidden psychological aspects of domination and subjection. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Kennedy Institute of Ethics Journal 15.2 (2005) 199-210 [Access article in PDF] Conflict-of-Interest Policy at the National Institutes of Health: The Pendulum Swings Wildly* Evan G. DeRenzo **This article addresses the National Institutes of Health (NIH) employee conflict-of-interest (COI) policy that went into effect February 2005. It is not, however, merely an account of another poorly crafted government policy that cries out for revision. Instead, it is (...) also a story about one of our nation's most important and prestigious institutions and its struggles to navigate the crosscurrents of scientific aspirations, power politics, public ambivalence toward capitalist economics in the biosciences, and the media's inclination to exaggerate problems and under report complicated facts. It is also a tale of greed, politics, purgatory, and redemption. The dramatic and abrupt change in the NIH COI policy demonstrates the difficulty of balancing the production of cutting-edge science with the demands for transparency resulting from work performed in the public interest on the public tab. It is an unhappy chapter in the life of a government agency that is also a national treasure. And, one hopes, it will be an example of how harmful and ill-conceived law can be revised and amended to advance national health and well-being. What is the New NIH COI Policy? The new NIH COI employee policy, more accurately referred to as the Interim Final Rule (Federal Register 2005), is a sweeping set of prohibitions on activities and holdings to reduce the possibility that NIH employees will have any actual [End Page 199] or apparent conflicts of interest. For the most part, the prohibitions are applied across-the-board—i.e., without distinction to employee category or function. The new policy includes prohibitions on outside activities, stock holdings, and awards. It prohibits all NIH employees from engaging in any compensated or uncompensated employment, including consulting, serving on advisory or other such boards, and compensated teaching, speaking, writing, or editing with certain kinds of entities. The first class of such entities is referred to as substantially affected organizations, defined as biotechnology, pharmaceutical, medical device companies, and others with similar interests. But these are not the only entities included in the prohibitions. Other organizations from which NIH employees now are cut off are hospitals, clinics, and other health care institutions; health, science, or health research-related professional associations and consumer and advocacy groups. Included also are educational institutions and not-for-profit independent research institutes that are, or were, recent NIH funding applicants, grantees, contractors, or cooperative research and development agreement (CRADA) partners. The only exemptions appear to be for health care institutions at which NIH employees provide clinical care and some forms of writing—e.g., an NIH physician who moonlights at her/his local hospital's emergency room or submits a manuscript to a peer-reviewed journal that receives only unrestricted funding from a prohibited entity. Prohibited and/or restricted holdings include stock in biotechnology, pharmaceutical, and medical device companies and others in research, development, or manufacture of medical devices, equipment, preparations, treatments, or products. The prohibitions apply to senior NIH employees; restrictions in the amount of such holdings apply to all remaining employees. Both apply to the spouses and minor children of NIH employees. If an NIH employee wins an award, the monetary allowance in most cases is limited to $200. In sum, the scope of this policy is vast, too vast to be reasonable. Too many employees are restricted in too many ways. Where appropriate restrictions have been placed on senior NIH employees, even these constructive aspects of the policy are overshadowed by the unfairness and destructiveness of other aspects. This policy far exceeds anything that could be considered sound. Fortunately, the policy has a built-in assessment process to begin at the end of the policy's first year of implementation. One can only hope that a fair and open evaluation will be conducted, the results of which surely must result in major revisions to what is now bad regulation. Why the Policy... (shrink)

Psychoanalysis was introduced to Greece in 1915 by the progressive educator Manolis Triantafyllidis and was further elaborated by Marie Bonaparte, Freud’s friend and member of the Greek royal family, and her psychoanalytic group in the aftermath of the Second World War. However, the accumulated traumas of the Nazi occupation (1941–1944), the Greek Civil War (1946–1949), the post-Civil-War tension between the Left and the Right, the military junta (1967–1974) and the social and political conditions of post-war Greece led (...) this project and all attempts to establish psychoanalysis in Greece, to failure and dissolution. The restoration of democracy in 1974 and the rapid social changes it brought was a turning point in the history of Greek psychoanalysis: numerous psychoanalysts, who had trained abroad and returned after the fall of the dictatorship, were hired in the newly established Greek National Health Service (NHS), and contributed to the reform of Greek psychiatry by offering the option of psychoanalytic psychotherapy to the non-privileged. This article draws on a range of unexplored primary sources and oral history interview material, in order to provide the first systematic historical account in the English language of the complex relationship between psychoanalysis and Greek society, and the contribution of psychoanalytic psychotherapy to the creation of the Greek welfare state. In so doing, it not only attempts to fill a lacuna in the history of contemporary Greece, but also contributes to the broader historiography of psychotherapy and of Europe. (shrink)