Psychiatry and Psychotherapy

There are numerous studies suggesting a substantial link between psychotic hallucinatory states and some forms of disordered imaginings. We have to figure out (1) what characteristic makes imagining, not other mental states, prone to induce hallucination, and (2) what underlies the (phenomenological/conceptual) transition from imagining X to the hallucinatory experience of X? In this paper, I will try to provide answers to these questions, in order to shed light on the nature of the so-called “misidentified” or “disordered” imaginative experience. To (...) achieve this, I emphasize the phenomenological aspects of hallucination and imagination. (shrink)

Shaili Jain's The Unspeakable Mind (2019) is an impressive examination of the stress experienced by a veteran community that too often is handled with a sense of clinical sterility that borders on inhumanity, or a that of pandering condescension. However, what is striking about Jain's text is the lack of analysis of how trauma manifests in what Heidegger would refer to as average everydayness. This, to me, seems like a missed opportunity, especially as it pertains to trauma-based ethics since all (...) too frequently manifestations of trauma do not occur as they are portrayed to in popular culture, but in the day-to-day and moment-to-moment living of those who deal with trauma. In this article I interrogate average everyday manifestations and ideal manifestations of trauma using a comparative lens. My hope is that by focusing my analysis on my process of engagement with traumatic experiences I can help develop new discussions about trauma that will illuminate more nuanced methodologies of healing for others effected by post-traumatic stress. (shrink)

A história da psicologia, tal como aparece em algumas obras (E.G. Boring 1950; M. Reuchlin 1957; P. Fraisse e J. Piaget 1963) ou em capítulos introdutórios de alguns manuais (M. Reuchlin 1977), reflete uma adesão — raramente discutida — a uma concepção internalista. Segundo essa concepção, a psicologia seria animada por uma dinâmica própria, um processo evolutivo totalmente endógeno, e seria independente de fatores externos tais como os domínios religiosos, sociopolíticos e econômicos. Além do mais, os partidários dessa história aceitam (...) ver a psicologia influenciada por disciplinas situadas em suas fronteiras, como a biologia, a fisiologia e, em menor medida, a física. Esses domínios fronteiriços geralmente dizem respeito a objetos psicológicos habitualmente qualificados de inferiores, como reflexos, sensações e percepções, em oposição à linguagem e ao pensamento, qualificados como processos superiores. Esses mesmos domínios fronteiriços engendraram por sua vez subdomínios relativamente autônomos, tais como a psicofísica ou a psicofisiologia. Correlativamente a essa concepção internalista, o desenvolvimento científico é apresentado como um caminho ao estado de psicologia positiva, tal como A. Comte a definiu em 1837 na 45a lição do Curso de Filosofia Positiva. A caminhada até a positividade foi indicada pelo próprio A. Comte: estudo da anátomo-fisiologia do sistema nervoso (a frenologia de Gall lhe parece a esse respeito uma contribuição decisiva), estudos comparados, análise de casos patológicos, estudo dos comportamentos animais e do desenvolvimento individual. Considerando a evolução da psicologia nos últimos cem anos, seríamos tentados a sustentar que ela realizou o projeto positivista. Psicologia diferencial, psicopatologia, etologia animal e psicologia da criança são vários domínios que concorrem para essa realização. Entretanto, esses domínios estão longe de parecerem homogêneos quanto aos métodos empregados e os modelos epistemológicos aos quais se referem. Um exame atento dessas dimensões metodológicas e epistemológicas mostra que se avança, sobretudo, em ordem dispersa. (shrink)

This chapter explores the idea that the need to establish common knowledge is one feature that makes social cognition stand apart in important ways from cognition in general. We develop this idea on the background of the claim that social cognition is nothing but a type of causal inference. We focus on autism as our test-case, and propose that a specific type of problem with common knowledge processing is implicated in challenges to social cognition in autism spectrum disorder (ASD). This (...) problem has to do with the individual’s assessment of the reliability of messages that are passed between people as common knowledge emerges. The proposal is developed on the background of our own empirical studies and outlines different ways common knowledge might be comprised. We discuss what these issues may tell us about ASD, about the relation between social and non-social cognition, about social objects, and about the dynamics of social networks. (shrink)

Several authors have recently argued that psychotherapy, as it is commonly practiced, is deceptive and undermines patients’ ability to give informed consent to treatment. This ‘deception’ claim is based on the findings that some, and possibly most, of the ameliorative effects in psychotherapeutic interventions are mediated by therapeutic common factors shared by successful treatments, rather than because of theory-specific techniques. These findings have led to claims that psychotherapy is, at least partly, likely a placebo, and that practitioners of psychotherapy have (...) a duty to ‘go open’ to patients about the role of common factors in therapy ; to not ‘go open’ is supposed to unjustly restrict patients’ autonomy. This paper makes two related arguments against the ‘go open’ claim. While therapies ought to provide patients with sufficient information to make informed treatment decisions, informed consent does not require that practitioners ‘go open’ about therapeutic common factors in psychotherapy, and clarity about the mechanisms of change in psychotherapy shows us that the common-factors findings are consistent with, rather than undermining of, the truth of many theory-specific forms of psychotherapy; psychotherapy, as it is commonly practiced, is not deceptive and is not a placebo. The call to ‘go open’ should be resisted and may have serious detrimental effects on patients via the dissemination of a false view about how therapy works. (shrink)

Recent research has begun to investigate sensory processing in relation to nonclinical variation in traits associated with the autism spectrum disorders (ASD). We propose that existing accounts of autistic perception can be augmented by considering a role for individual differences in top-down expectations for the precision of sensory input, related to the processing of state-dependent levels of uncertainty. We therefore examined ASD-like traits in relation to the rubber-hand illusion: an experimental paradigm that typically elicits crossmodal integration of visual, tactile, and (...) proprioceptive information in an unusual illusory context. Individuals with higher ASD-like traits showed reduced effects of the rubber-hand illusion on perceived arm position and reach-to-grasp movements, compared to individuals with lower ASD-like traits. These differences occurred despite both groups reporting the typical subjective experience of the illusion concerning visuotactile integration and ownership for the rubber hand. Together these results suggest that the integration of proprioceptive information with cues for arm position derived from the illusory context differs between individuals partly in relation to traits associated with ASD. We suggest that the observed differences in sensory integration can be best explained in terms of differing expectations regarding the precision of sensory estimates in contexts that suggest uncertainty. (shrink)

ABSTRACT BEER, P. A. C. The matter of truth in knowledge production about psychic suffering: considerations from Ian Hacking and Jacques Lacan. 2020. 250p. Thesis (PhD) – Instituto de Psicologia, Universidade de São Paulo, São Paulo, 2020. The thesis aims to reaffirm the importance of the debate around the matter of truth in relation to the production of knowledge concerning psychic suffering. Its point of departure is the understanding that the matter of truth contains two main appearances: as employed to (...) legitimize produced knowledge while establishing normative patterns, and as presenting itself in a critical form as a disruptive element to established knowledge. As such, it is a discussion that embraces both an affirmation of knowledge’s necessary character and of its variability. It will be argued in the above sense that the term “truth” must be taken as an inclusive and reciprocal gathering of epistemological, ontological, ethical and political elements. Ian Hacking’s historicized understanding of science enables such a consideration of contingent bases to scientific practice, while still producing necessary knowledge. It thus becomes is possible to establish a field in which normative understandings about scientific praxis might be criticized without it resulting in any kind of refusal or disqualification of the relevant, produced knowledge. Hacking’s proposition of a “historical ontology” and of a “dynamic nominalism” also represents an important contribution to the accumulation of knowledge production about psychic suffering debate, by affirming the ontological effects of knowledge. The way as truth is mobilized within Lacanian psychoanalysis flows from that standpoint, seen as focused on three main elements: truth’s autonomy towards the subject, (truth speaks), the opposing and temporary character of a positivized truth facing established knowledge ,(truth as critique), and the negative dimension of truth which relates to the inexhaustibility of this dialectical process of negations, (truth as radical difference). It is argued that it is possible to sustain a particular reasoning style, (in Hacking’s terms), for psychoanalysis, which is based on radical negativity. It is further argued, that the above rationalities in question work with a historicized understanding of knowledge that does not have any external (nor internal) criteria to warrant its truth. However, psychoanalysis takes negativity — arguably the base of knowledge’s variability and of truth’s disruptive character — beyond Hacking’s philosophy of science, and can thus offer even wider possibilities of thinking about the causality of psychic suffering. Even if with different intensities, both approaches signal the necessity of ethical and political implication in knowledge’s production and employment. Once there is no epistemological warranty to knowledge, its production value reverts to social agreements and ethical positioning. There is, therefore, the necessity of considering power relations. Finally, it is argued that the radical negativity sustained from psychoanalysis locates the political as an actually necessary field, inescapable by the very fact that it is not possible to crystalize any form of truth which is not the affirmation of radical difference. It is maintained then that introducing the matter of truth has as horizon the production of a kind of knowledge about psychic suffering which puts into question, at all time, its epistemological, ontological, ethical and political assumptions. (shrink)

Raine (2019) reviewed previous research on the neural correlates of antisocial, violent, and psychopathic behavior based on previous studies of neuroscience of morality. The author identified neural circuitries associated with the aforementioned types of antisocial behaviors. However, in the review, Raine acknowledged a limitation in his arguments, the lack of evidence supporting the presence of the neural circuitries. In this correspondence, I intend to show that some of his concerns, particularly those about the insula and cingulate cortex, can be addressed (...) with additional evidence from recent neuroimaging research. In addition, I will propose that the additional evidence can also provide some insights about how to design future neuroimaging studies to examine the functionality of the striatum in the circuitries. (shrink)

Being a parent advocate of the rights of children with autism, I have witnessed how the Vietnamese news media perpetuate misrepresentation, misinformation and disinformation about autism. As the first media study of its kind in Vietnam, this thesis set out to describe, interpret and explain the issue of misrepresentation, misinformation and disinformation about autism in the Vietnamese online news media between 2006 and 2016.

Personas altamente sensibles is an easily read book with a scientific description of what a HighSensitive Person (HSP) is. This book, based on previous psychological research, seeks to alert the scientific community of how high sensitivity has been confused with introversion, inhibition, and neuroticism. The truth is that previous works, on which this book is based, have allowed HSP to better understand themselves. Some of the main features of these people are deep information processing, high sensitivity, high frequency with which (...) they are overstimulated, and great ability to capture details and subtleties. (shrink)

Personas altamente sensibles is an easily read book with a scientific description of what a High Sensitive Person (HSP) is. This book, based on previous psychological research, seeks to alert the scientific community of how high sensitivity has been confused with introversion, inhibition, and neuroticism. The truth is that previous works, on which this book is based, have allowed HSP to better understand themselves. Some of the main features of these people are deep information processing, high sensitivity, high frequency with (...) which they are overstimulated and great ability to capture details and subtleties. (shrink)

Resilience. The Science of mastering life's greatest challenges es el título del libro que conjuntamente escribieron los profesores Steven Southwick y Dennis Charney. En esta obra los autores exponen qué es la resiliencia, pero sobre todo se concentran en desarrollar diez factores fundamentales para ser resilientes ante situaciones traumáticas que cualquier persona puede experimentar en su vida como lo es la pérdida de un ser querido, el secuestro, la enfermedad, la pérdida del trabajo o incluso el descalabro económico. De manera (...) muy organizada y sistemática, los autores logran profundizar en cada uno de esos diez factores, manteniendo siempre un sólido hilo conductor y exponiendo ejemplos que ayudan a clarificar conceptos y a hacer más amena y llevadera la lectura del libro. (shrink)

The evolutionary advantage of psychological phenomena can be gleaned by comparing them with physical traits that have proven adaptive in other organisms. The present article provides a novel evolutionary explanation of suicide in humans by comparing it with aposematism in insects. Aposematic insects are brightly colored, making them conspicuous to predators. However, such insects are equipped with toxins that cause a noxious reaction when eaten. Thus, the death of a few insects conditions predators to avoid other insects of similar coloration. (...) Analogously, human suicides may increase the credibility of future suicide threats and attempts from others, conveying an evolutionary advantage to the phenotypic expression of suicidal behavior in low-fitness contexts. (shrink)

The paper contains the results of a theoretical analysis of the works devoted to the problem of interpersonal relations, mediated by the specifics of ethnic composition and organizational changes. The results of a semi-structured interview of 300 employees of mono and multi-ethnic work collectives of commercial and industrial enterprises of the Penza region are presented, during which their attitude to restructuring changes in the organization was studied.

Abuso sexual en la infancia es el libro escrito por María Beatriz Müller con el objetivo de dar una explicación del éxito judicial que ha tenido a lo largo de los años el Síndrome de Alienación Parental (SAP), propuesto por el médico Richard Gardner en la década de los 80. A lo largo de la lectura del presente libro se verá cómo la postulación de este supuesto síndrome (SAP) en ámbitos médicos, psicológicos y judiciales, así como otras propuestas carentes de (...) evidencia científica, han generado un contexto claramente perverso en la prevención del abuso sexual, donde “todo se vuelve patas para arriba, no se cree en la palabra de y en los síntomas de los niños y las niñas, las madres protectoras son consideradas instigadoras y promotoras de mentiras, el abuso sexual queda invisibilizado, las víctimas se convierten en victimarios y el depredador en el “pobre padre que no puede ver a sus hijos”” (p. 10). Con este aterrador panorama de la situación actual de muchos países en relación con la prevención del abuso sexual de niños, niñas y adolescentes, la licenciada Müller realiza una exposición muy bien documentada y de fluida lectura sobre los distintos mitos, construcciones e injusticias alrededor de este tema. (shrink)

Tutores de Resiliencia es el título del libro escrito por Gema Puig Esteve y JoséLuis Rubio Raval, publicado en el 2015 por la editorial Gedisa en Barcelona,España. De manera novedosa el libro, dividido en dos, expresa en la primera parte,de manera novelada, a través de un lenguaje vivencial, emotivo y directo, la realidadentorno al tutor de resiliencia; en la segunda parte, nos da elementos teóricosconcretos que permiten profundizar en los fundamentos de la resiliencia, loscontextos en los que se desarrolla y (...) las características de los tutores de resiliencia.Podríamos resumir la temática del libro de manera poética con unas palabras deEspinosa (Citado en Rubio y Puig, 2015): “Cada año de mi vida he buscado doce perlas. Doce personas que noconociera, pero que se me aparecieran y marcaran mi mundo de tal maneraque mi yo virara (...) Con el tiempo algunas perlas pasan a ser diamantes(...) un diamante, para que me entiendas, es una de esas personas que sehace tan básica y tan importante en tu vida que parece creada únicamentepara ti” (p. 49). (shrink)

The human person is an open book which should first be read by oneself in order to later be read by others. Throughout history we have seen many spoken and written narratives in different parts of the world, that along with having a historical value contribute to self-knowledge looking up ones life reflected in that who narrates its own life; within many others, we could point out the narratives of spiritual experiences, such as the Confessions of St. Augustine. This kind (...) of narrative work helps to come to the surface certain elements of oneself life that have been accumulated in the unconscious. For this reason, in the present we put emphasis on the value of the narrative work and in particular of spiritual experiences which we propose that helps to be aware of one’s own reality. We present the results of some online interviews from a religious movement which helps to clarify the influence of spiritual narratives in the awareness of one’s own life and a closer approach to God. -/- La persona humana es un libro abierto que en primer lugar debe ser leído por sí misma para luego ser leído por los demás. A lo largo de la historia se han visto numerosas narraciones orales y escritas en distintas partes del mundo que, además de tener un valor histórico, contribuyen al autoconocimiento viendo muchas veces reflejada la propia vida en la de quien la narra; entre muchas otras podríamos destacar las narraciones de experiencias espirituales, como las Confesiones de San Agustín. Este tipo de narraciones ayudan a aflorar algunos elementos de la propia vida que han quedado en el inconsciente. Por esta razón, en el presente trabajo se resalta el valor de la narración y en particular de la narración de experiencias espirituales para lograr una toma de conciencia de la propia realidad. Se presentan resultados de una encuesta realizada a jóvenes de un movimiento religioso que ayudan a esclarecer cómo la narración de las experiencias espirituales influye en la toma de conciencia de la propia vida y de su acercamiento a Dios. (shrink)

Uncovering Spiritual Narratives es el título del libro escrito por Suzanne M. Coyle, publicado en el 2014 por la editorial Fortress Press, Minneapolis, Minnesota, Estados Unidos de América. El libro tiene un propósito de divulgación teórico-práctica del estudio de la terapia narrativa haciendo énfasis en las narrativas espirituales. La autora tiene un propósito didáctico al presentar algunos parámetros importantes para el desarrollo de la metodología de develamiento de las narrativas espirituales, dando pautas muy concretas en varios momentos a lo largo (...) de todo el libro y particularmente al final de cada capítulo. Suzzanne Coyle, en un lenguaje accesible, demuestra cómo las historias espirituales crean significados y posibilidades que llevan a una acción liberadora. (shrink)

Psychotherapy is effective. Since the 1970’s, meta-analyses, and meta-analyses of meta-analyses, have consistently shown a significant effect size for psychotherapeutic interventions when compared to no treatment or placebo treatments. This effectiveness is normally taken as a sign of the scientific legitimization of clinical psychotherapy. A significant problem, however, is that most psychotherapies appear to be equally effective. This poses a problem for specific psychotherapies: they may work, but likely not for the reasons that ground their theoretical explanations for their effectiveness. (...) A prominent explanation for the findings of common efficacy in psychotherapy is to postulate that all successful therapies work by altering maladaptive meanings and providing patients with new, more adaptive meanings. This paper argues that the ‘meaning view’ of psychological change is likely mistaken; psychological problems are not normally problems of meaning nor are they directly ameliorated by changes in meaning. This paper then outlines a skill-based explanation for the findings of the common efficacy of psychotherapy. (shrink)

This study is done in order to find the factor of depression among the college student in Malaysia. Depression among the college student are increasing as it come from many factor. This study used behavioural theory as the foundations theories for the model development. The study involved 406 respondents, selected through google form responses involving all the university students around Malaysia. A structured questionnaire was used for data collection. All variables were measured through scales previously used by other researchers. In (...) behavioural theory, state that depression people precisely those who do not know how to cope with the fact that they are no longer receiving positive reinforcement like they before. Results shows the data analysis described that respondents having a financial problem where did not what how to differentiate between wants and need with the overall mean (M=2.51) and students always spend their money on uncertain things. (shrink)

Understanding sexual abuse es un libro que sorprenderá al lector por varias razones. En primer lugar, es un testimonio de la vida real del autor como víctima de abuso sexual en su niñez por una de las personas más cercanas a su familia. En segundo lugar, no es el típico libro sensacionalista que busca llamar la atención ni generar lástima ni victimizarse ni buscar fondos para alguna ONG de prevención de abuso sexual; más bien, el autor, con mucha apertura interior, (...) humildad, valentía, así como con un elevado profesionalismo, describe lo profundo que pueden ser las heridas de este tipo de abuso y lo crudo e injusto que es este crimen. En tercer lugar, la manera como el autor se aproxima al tratamiento de un trauma como el abuso sexual, permite que el lector se identifique plenamente con el autor, si ha sido abusado sexualmente, o si no, que aun así pueda tomar muchos elementos para sanar traumas de su propia vida, a pesar de no tratarse de abuso sexual, y sobre cómo acompañar a otras personas que han sufrido este tipo de abuso; he aquí la riqueza de este libro. (shrink)

Though this volume is a bit dated, there are few recent popular books dealing specifically with the psychology of murder and it’s a quick overview available for a few dollars, so still well worth the effort. It makes no attempt to be comprehensive and is somewhat superficial in places, with the reader expected to fill in the blanks from his many other books and the vast literature on violence. For an update see e.g., Buss, The Handbook of Evolutionary Psychology 2nd (...) ed. V1 (2016) p 265, 266, 270–282, 388–389, 545–546, 547, 566 and Buss, Evolutionary Psychology 5th ed. (2015) p 26, 96–97,223, 293-4, 300, 309–312, 410 and Shackelford and Hansen, The Evolution of Violence (2014). He has been among the top evolutionary psychologists for several decades and covers a wide range of behavior in his works, but here he concentrates almost entirely on the psychological mechanisms that cause individual people to murder and their possible evolutionary function in the EEA (Environment of Evolutionary Adaptation—i.e., the plains of Africa during the last million years or so). -/- Buss starts by noting that as with other behaviors, ‘alternative’ explanations such as psychopathology, jealousy, social environment, group pressures, drugs and alcohol etc. do not really explain, since the question still remains as to why these produce homicidal impulses, i.e., they are the proximate causes and not the ultimate evolutionary (genetic) ones. As always, it inevitably boils down to inclusive fitness (kin selection), and so to the struggle for access to mates and resources, which is the ultimate explanation for all behavior in all organisms. Sociological data (and common sense) make it clear that younger poorer males are the most likely to kill. He presents his own and others homicide data from industrialized nations, and tribal cultures, conspecific killing in animals, archeology, FBI data and his own research into normal people's homicidal fantasies. Much archeological evidence continues to accumulate of murders, including that of whole groups, or of groups minus young females, in prehistoric times. -/- After surveying Buss’s comments, I present a very brief summary of intentional psychology (the logical structure of rationality), which is covered extensively in my many other articles and books. -/- Those with a lot of time who want a detailed history of homicidal violence from an evolutionary perspective may consult Steven Pinker’s ‘The Better Angels of Our Nature Why Violence Has Declined’(2012), and my review of it, easily available on the net and in two of my recent books. Briefly, Pinker notes that murder has decreased steadily and dramatically by a factor of about 30 since our days as foragers. So, even though guns now make it extremely easy for anyone to kill, homicide is much less common. Pinker thinks this is due to various social mechanisms that bring out our ‘better angels’, but I think it’s due mainly to the temporary abundance of resources from the merciless rape of our planet, coupled with increased police presence, with communication and surveillance and legal systems that make it far more likely to be punished. This becomes clear every time there is even a brief and local absence of the police. -/- Those wishing a comprehensive up to date framework for human behavior from the modern two systems view may consult my book ‘The Logical Structure of Philosophy, Psychology, Mind and Language in Ludwig Wittgenstein and John Searle’ 2nd ed (2019). Those interested in more of my writings may see ‘Talking Monkeys--Philosophy, Psychology, Science, Religion and Politics on a Doomed Planet--Articles and Reviews 2006-2019 3rd ed (2019), The Logical Structure of Human Behavior (2019), and Suicidal Utopian Delusions in the 21st Century 4th ed (2019) . (shrink)

Discussions of psychiatric nosology focus on a few popular examples of disorders, and on the validity of diagnostic criteria. Looking at Anorexia Nervosa, an example rarely mentioned in this literature, reveals a new problem: the DSM has a strict taxonomic structure, which assumes that disorders can only be located on one branch. This taxonomic assumption fails to fit the domain of psychopathology, resulting in obfuscation of cross-category connections. Poor outcomes for treatment of Anorexia may be due to it being pigeonholed (...) as an Eating Disorder, when a disturbance of body perception may be a more central symptom than food restriction. This paper explores the possibility of restructuring the DSM taxonomy to allow for a pluralist classification of disorders. This change could improve treatment and research without requiring any changes to diagnostic criteria. (shrink)

This essay revisits the topic of how we should measure the things that matter, at a time when we continue to mismeasure our lives, as we hold fast to outworn myths of usefulness, popularity, and the desire to influence others. /// Three central, unquestioned presumptions have come to govern much of contemporary society, education, and the professions. They are: the high value placed on usefulness, on the passion to achieve popularity, and on the desire to influence others. In this essay, (...) the psychologist-philosopher author makes the case against these presumptions, presumptions which lead to exclusionary commitments that stand in the way of human cultural development. (shrink)

The article analyzes methodological and practical approaches of psychological counseling for adult clients. General psychological problems of this age group are generalized; the concept of restoration of balance between the image of the world and the image of the “I” of clients as the main internal mechanism of mental equilibrium is substantiated; the aspects of professional training of a psychologist to advisory practice with adults are considered. -/- The urgent problem of psychological counseling for adult clients is to help them (...) to solve such problems as negative behaviors, disadaptation, loss of the meaning of life, addictive behavior, depression, etc. Psychological help should be carried out in the direction of qualitative transformations of the image of the world and the image of “I”, which envisage the expansion of knowledge about the world, its positive emotional experience, the realism of ideological beliefs. The general trend in the development of the worldview is the lack of realism in the image of the world, which affects the formation of a false system of values, the development of distorted moral ideas, and as a consequence, problems of health, self-realization, professional adaptation, and behavior deviations. -/- The purpose of the article is to substantiate the methodology and methods of psychological counseling for clients of the adult age group. Specialization of practical activity of a psychologist with this age category requires special knowledge, skills, and skills from a specialist that qualitatively differ from the provision of psychological services to other age groups (children, adolescents, etc.). The success of solving the psychological problems of clients entirely depends on the introduction of the correct, in other words, “more objective”, realistic methodology of counseling. The task of the article is to describe specific aspects of advisory psychological counseling for adults. -/- Summarizing the issue of adult counseling, we note that this type of activity requires from a psychologist to continuously improve the theoretical knowledge and practical skills, as well as to rethink the life experience. The presence of only one of the components of this activity provokes unprofessionality – it often manifests as the behavior in the style of a teacher, a teacher of higher education, in which there is a somewhat superficial, authoritarian attitude to students. Consequently, effective counseling for adult clients is stimulated by professional introspection and qualification in order to avoid professional deviation. Therefore, it is advisable for a psychologist to gain experience with clients (patients) of the adult age group to practice in a counseling center under the guidance of a specialist, and if this is a medical institution – a doctor or therapist. (shrink)

In the last few decades, the literature on moral responsibility has been increasingly populated by scientific studies. Studies in neuroscience and psychology, in particular, have been claimed to be relevant for discussions about moral responsibility in a number of ways. And at the same time, there is not yet a systematic understanding of the sort of questions a science of moral responsibility is supposed to answer. This paper is an attempt to move toward such an understanding. I discuss three models (...) for framing scientific questions relevant to an investigation of moral responsibility. The favored model—the Enhancement model—proposes that a science of moral responsibility has two descriptive tasks. First, science can describe the causes and effects of the many sorts of responses that constitute the human practices of moral responsibility, such as praise, blame, and punishment. And, second, science can describe how modifications aiming at the improvement of such practices can be achieved. Relatively to the other models to be considered, the Enhancement model is broader in scope and less tied to the traditional philosophical agenda on moral responsibility. (shrink)

This research investigated therapist's experiences of how working outdoors in nature impacts on the therapeutic relationship. Although outdoor therapy has emerged as a significant practice (McLeod, 2013; Mind, 2013), very little research had been done on what impact it might have on the therapeutic relationship. Given the importance of the therapeutic relationship (Norcross, 2011), this was identified as an area worth investigating.

The article describes a comparative analysis of research on the approaches and peculiarities of the implementation of supervision and intervision in the professional activity of teachers abroad and in Ukraine. The concept of supervision and intervision in the work of teachers in the secondary school is revealed. The use of supervision and interference in the professional activity of teachers makes it possible to effectively prevent their emotional and professional burnout. It is noted that in Ukraine, for the first time, a (...) program of psychosocial support, which includes regular supervision for teachers and school psychologists, was developed and implemented by specialists of the National University of Kyiv-Mohyla Academy with the support of UNICEF in the eastern regions of the country where the military conflict has been taking place. However, among the teachers around the country, this practice is not used because there is no system for the preparation of supervisors; most teachers are not familiar with this concept at all. Intervision in schools abroad is quite developed, it is carried out systematically, it is aimed at creating a special and safe space for professional support, exchange of experience, and information, and it prevents emotional and professional degradation. In Ukrainian schools, the intervision between colleagues is partial. Therefore, this form of work needs support and development from the school administration. Examples of the plan of work during intervision among the teachers on the basis of foreign experience are given and recommendations on conducting intervision in pedagogical collectives are offered. (shrink)

The Catholic Church is a field hospital with medics that help to spiritually heal those who recognize that they are in need of healing and who are willing to accept the cure being offered. Many of these medics seek intimacy, closeness, and compassion with those in need, which they are unable to obtain simply by creating and executing pastoral activities. For this reason, we emphasize the work of spiritual medics as a key element for a missionary Church; We can use (...) the work of Saint John Climacus to help describe the principal characteristics of this missionary Church. His contributions are of great relevance for us today because they are grounded in the living out of the virtues that all Christians are called to live, with the goal to give personalized attention. -/- La Iglesia católica es un hospital de campaña con médicos que ayudan a sanar espiritualmente a quienes reconociéndose enfermos aceptan la cura ofrecida.Muchos de estos piden cercanía, proximidad y compasión, realidades que no se logran ofrecer simplemente impulsando la realización de actividades pastorales. Poresta razón, destacamos la labor del médico espiritual como pieza clave para unaIglesia en salida; describimos sus principales características apoyándonos en la obra de San Juan Clímaco. Sus aportes son de gran actualidad porque se apoyan en la vivencia de las virtudes con el fin de brindar una atención personalizada. (shrink)

Summarizing the historical background and characteristics of the present, it should be noted that they are significantly different from the characteristics of the world where past generations lived, which undoubtedly poses new challenges for the human ability to withstand the growing pressure of stress factors. The article considers the problems of psychological resilience and fragility in terms of Existential-analytical psychotherapy of V. Frankl and A. Langle, analyzes the historical context of the present-day Ukraine, external and internal characteristics of the modern (...) world, identifies the role of personality in overcoming negative stress influences, proposes a therapeutic model of optimization of psychological resilience in the context of four fundamental existential motivations. The analysis of recent research indicates that the most important resource of psychological resilience lies on the personal level. Using the Existential-Analytical concept of personality structure (Dr. A. Leangle), the article analyzes the preconditions of the emergence of a threat to loss of integrity in each of the four fundamental existential dimensions. On the other hand, stability is ensured by the full realization of being in the following existential dimensions: relations with the world, which requires space, protection, and support; a relationship with life, a deep feeling that life is good; interconnection with oneself, awareness and respect for their own authenticity and uniqueness, which requires honest and attentive attitudes, recognition of their own values; relationships with the meaning -- awareness of the value and potential of one’s own live, the search for the ways to realize its meaningful integrity. (shrink)

Suicide is a major public health issue in many industrialized countries. It is one of the top ten causes of death and older age is a significant risk factor for suicide. For example, in Japan older adults (age ≥ 65) shared about 18.5% of total population but account for 24% of all suicide, in Taiwan, older adults representing 12.4% of the total population and account for 28.9% of suicide death. Dementia is a broad term for a progressive deterioration in memory (...) ability and dementia patients ran higher risk for suicide. (shrink)

The article regards the age peculiarities of the development of personality’s self-consciousness in youth. -/- The conducted theoretical analysis and empirical research contribute to the definition of the following features of the formation of personality self-consciousness in youth: -/- – strengthening the integrative tendency in this process, which leads to an increase in the level of cognitive complexity, differentiation, integrity, and hierarchy of the “Self-image”, as well as the emergence of a holistic, integrated “I”; -/- – the ability of self-awareness (...) as the highest form of self-knowledge, due to the higher level of development of intelligence and the individuals thinking; -/- – increase of the level of awareness of the personality of their own experiences, self-attitude, and selfesteem, which contributes to the growth of interest in his/her “I”; -/- – actualization of the process of development of personal and social self-identity (self-determination) of youth; -/- – intensification of formation of the system of value orientations as a psychological basis for the development of personality’s self-consciousness; -/- – an ability to make informed decisions in various spheres of life (social, professional, personal, etc.), which is the evidence of becoming a socially mature person; -/- – psychological mechanisms for the development of the youth’s self-consciousness is self-reflection, identification, and separation; -/- – a pivotal object of self-reflection is the relationship with significant others and their own life position; the object of identification presents socially valuable qualities of others, which promotes the assimilation of social norms; due to separation of the acquired norms of behavior, value orientations and motives become individualized. -/- The identified features are important for the psychological and pedagogical theory and practice. (shrink)

The article considers the problem of the system model of family counseling, in particular, the analysis of the family as a social system, as a complex of elements and their properties, which are in dynamic connections and relationships. The analysis of the theory of systems and the description of the principles of family counseling is carried out. Particular attention is paid to highlighting the main provisions of the individual (“adlerian”) psychology in counseling the family. -/- Currently among specialists there is (...) a high interest in the provision of psychological assistance to a family in crisis. This is largely due to the fact that over the past decades, the institution of the family in this country is experiencing an increase in destructive tendencies. This is evidenced by an increase in the number of appeals to school psychologists, psychological counseling, psychological services and centers from both the individual members of the family and families in general. -/- The psychological help to the family is positioned as a relatively new field of practice for a psychologist. The practice of counseling, including family, is largely determined by the theoretical skills of the counselor, primarily as (s)he understands the personality, determination of behavior, the source of family problems, and the possibility of change. Today, practitioners prefer the integrative method, which is a system approach. -/- The purpose of this article is to analyze the theory of systems as the basis of family counseling. The system model of family counseling is considered to be one of the youngest and most widespread models that received their recognition at the end of the twentieth century. (shrink)

The monograph’s twofold purpose is to recognize epistemological intelligence as a distinguishable variety of human intelligence, one that is especially important to philosophers, and to understand the challenges posed by the psychological profile of philosophers that can impede the development and cultivation of the skills associated with epistemological intelligence.

Lying is one of the characteristic features of psychopathy, and has been recognized in clinical and diagnostic descriptions of the disorder, yet individuals with psychopathic traits have been found to have reduced neural activity in many of the brain regions that are important for lying. In this study, we examine brain activity in sixteen individuals with varying degrees of psychopathic traits during a task in which they are instructed to falsify information or tell the truth about autobiographical and non-autobiographical facts, (...) some of which was related to criminal behavior. We found that psychopathic traits were primarily associated with increased activity in the anterior cingulate, various regions of the prefrontal cortex, insula, angular gyrus, and the inferior parietal lobe when participants falsified information of any type. Associations tended to be stronger when participants falsified information about criminal behaviors. Although this study was conducted in a small sample of individuals and the task used has limited ecological validity, these findings support a growing body of literature suggesting that in some contexts, individuals with higher levels of psychopathic traits may demonstrate heightened levels of brain activity. (shrink)

Palliative care seeks to offer holistic care in order to provide a better quality of life for the sick, particularly when they are nearing the end of their existence. Delving into the spiritual dimension of the human person is attractive, since it offers answers to the meaning of life. It has been found that spiritual care brings great benefits to patients. That is why in this paper we wish to delve into the importance of the spiritual dimension in palliative care; (...) we highlight the act of listening as a key piece of spiritual care, which shows that the doctors’ burnout is the main obstacle to enhance listening as a suitable provision that is both comforting and healing. -/- Los cuidados paliativos buscan ofrecer una atención holística para brindar una mejor calidad de vida a los enfermos, especialmente cuando se aproximan al fin de su existencia. Profundizar en la dimensión espiritual de la persona humana resulta atractivo puesto que ofrece respuestas al sentido de la vida. Se ha constatado que la atención espiritual aporta grandes beneficios para el paciente. Es por eso que en este trabajo hemos querido profundizar en la importancia de la dimensión espiritual en los cuidados paliativos; se destaca la actitud de la escucha como pieza clave de dicha atención espiritual, lo que evidencia que el burnout de los médicos es el principal obstáculo para potenciar la escucha como una adecuada disposición que resulte consoladora y sanadora. (shrink)

In “Qualia in a Contemporary Neurobiological Perspective”, Korf tackles the perennial issue of qualia in the philosophy of mind. His discussion is partly a response to Chalmers’ hard problem, which, as evidenced by other recent discussions in Dialogues, remains fresh after nearly two decades. Korf highlights the importance of regarding each brain as a particular shaped by unique contingencies and suggests how neurobiological research might proceed in light of this. However, I argue that his discussion does not address what is (...) at the core of Chalmers’ hard problem, and so fails to bridge the gap between neurobiological processes and qualia. (shrink)

Ovaj je zbornik nastao kao rezultat istraživanja provedenog unutar istoimenoga znanstveno-istraživačkoga projekta na kojemu su urednici istovremeno bili i glavni istraživači, a ostali autori članovi istraživačke skupine. Kao svjedoci različitih vrsta otklona od prevladavajućeg, uobičajenoga, normalnoga, pozitivnog ili ponašanja koje se karakterizira kao asocijalno, zapitali smo se – što postojeće čini normom, treba li odstupanje od norme nužno smatrati devijacijom i kakvi su poželjni društveni odgovori na odstupanja od normi. Često se smatra ispravnim upravo ono što je prevladavajuće, a ono (...) što predstavlja otklon označava se kao devijacija u negativnome značenju onoga što nije ispravno, nije posve ispravno, ili čak onoga što treba sankcionirati. Naš je početni stav bio da ono što prevladava ne smije biti neupitna norma, kao što ni ono što je otklon nije po automatizmu devijacija. Međutim, ne smatramo ni da prevladavajuću normu, samom tom činjenicom što je prevladavajuća, nužno treba kritizirati te da je svaki otklon po sebi poželjan. Cilj našeg istraživanja bio je istražiti različite oblike deficita i devijacijau u domeni formiranja vjerovanja individualnih, grupnih, kolektivnih i institucijskih epistemičkih aktera (socijalna epistemologija) i u domeni društvenog i institucijskoga djelovanja (filozofija politike i filozofija psihijatrije). Nastavno na to, pokušali smo identificirati vrijednosti postojećih normi, koliko odgovaraju poželjnim vrijednostima te koji su poželjni društveni odgovori na otklone od normi. (shrink)

The current rise of neurodevelopmental disorders poses a critical need to detect risk early in order to rapidly intervene. One of the tools pediatricians use to track development is the standard growth chart. The growth charts are somewhat limited in predicting possible neurodevelopmental issues. They rely on linear models and assumptions of normality for physical growth data – obscuring key statistical information about possible neurodevelopmental risk in growth data that actually has accelerated, non-linear rates-of-change and variability encompassing skewed distributions. Here, (...) we use new analytics to profile growth data from 36 newborn babies that were tracked longitudinally for 5 months. By switching to incremental (velocity-based) growth charts and combining these dynamic changes with underlying fluctuations in motor performance – as the transition from spontaneous random noise to a systematic signal – we demonstrate a method to detect very early stunting in the development of voluntary neuromotor control and to flag risk of neurodevelopmental derail. (shrink)

The official birth of hysterical anorexia is attributed to the French alienist Ernest Charles Lasègue (1816-1883). Starting from his 1873 article, anorexia as a ‘new’ psychopathological picture is subjected to extensive clinical and theoreticalstudy. This paper is not an analysis about the process through which anorexia was formalized as specific psychiatric condition. Rather, it focuses on another important issue: the possibility that the ‘same’ disorder may have different meaning depending on the historical period considered. Furthermore, it is asserted that the (...) study of every pathological form is conditioned by social, individual and cultural conditions. For example, in the same year the English Sir William Gull publishes a paper about “anorexia nervosa” which is described in a different way depending on the different perspective. Lasègue’s description is a way of seeing a kind of sufferance, that is he ‘sees’ this pathology through the hysterical paradigm. Starting from these considerations, this article discusses the construct of ‘hysterical anorexia’ trying to understand why, in late nineteenth century France, hysteria and anorexia were viewed as two aspects of the same specific disorder. Finally, it is discussed why anorexia gradually emerged as an independent mental disorder just after the death of Charcot (1893). (shrink)

Negotiation is often treated as an attempt to reconcile conflicting interests. Instead, I define negotiation as an attempt to produce a convergence of will. Based on a distinction initially made by Rawls (1955), I draw attention away from summary rules that are introduced during negotiation, including win-win interest prescriptions, and put the emphasis on the practice rules that are validated by the final agreement. The term convergence of will refers to the co-adoption of practice rules that define the interaction that (...) is the subject of negotiation. It essentially refers to the negotiating parties establishing the normative or “ought” standards of the interaction they are negotiating about. Moving from the subjective view of Kant to the intersubjective view of Habermas, I offer an approach that examines how agreement validates the “ought” requirements of that interaction, going beyond underlying interests. (shrink)

In this study, we examine the philosophical bases of one of the leading clinical psychological methods of therapy for anxiety, anger, and depression, Cognitive Behavioral Therapy (CBT). We trace this method back to its philosophical roots in the Stoic, Buddhist, Taoist, and Existentialist philosophical traditions. We start by discussing the tenets of CBT, and then we expand on the philosophical traditions that ground this approach. Given that CBT has had a clinically measured positive effect on the psychological well-being of individuals, (...) it becomes important to study the philosophical foundations on which this therapy is based. (shrink)

The science of psychology is believed to consist of objective and meaningful knowledge about a realm of our own direct experiencing with which we are all intimate and familiar, yet about which we also feel we have very little understanding, and no real insight, and so feel inclined to submit to psychology as if it were revelatory and definitive. Society’s default attitude to psychology is one of deferential, if occasionally grudging, respect. The quasi-medical arm of psychology – psychotherapy - is (...) accorded a similar authority even when it appears to employ questionable methods and dubious reasoning. Yet our submissive, compliant attitude to these disciplines is deeply counterproductive to any serious quest for authentic metaphysical knowledge and self-fulfilment, because it effectively neutralises sceptical enquiry and intellectual self-reliance, both of which are essential precursors to, and indispensable features of, any meaningful commitment to metaphysical gnosis. And if one is to achieve clarity of thought and observational accuracy, it is especially important to approach one’s psychological capacities directly – without intermediary - in an independent and self-reliant spirit, free of the misguided and inappropriate interventions of psychology and psychotherapy, however well intended they might be. One should never allow one’s judgement to be distorted by specious theories formulated by people who can never know more about you than you can know about yourself. (shrink)

Psychological approaches to treating mental illness or improving psychological wellbeing are invariably based on the explicit or implicit understanding that there is an intrinsically existing ‘self’ or ‘I’ entity. In other words, regardless of whether a cognitive-behavioural, psychodynamic, or humanistic psychotherapy treatment model is employed, these approaches are ultimately concerned with changing how the ‘I’ relates to its thoughts, feelings, and beliefs, and/or to its physical, social, and spiritual environment. Although each of these psychotherapeutic modalities have been shown to have (...) utility for improving psychological health, there are inevitably limitations to their effectiveness and there will always be those individuals for whom they are incompatible. Given such limitations, research continuously attempts to identify and empirically validate more effective, acceptable and/or diverse treatment approaches. One such approach gaining momentum is the use of techniques that derive from Buddhist contemplative practice. Although mindfulness is arguably the most popular and empirically researched example, there is also growing interest into the psychotherapeutic applications of Buddhism’s ‘non-self’ ontological standpoint (in which ontology is basically the philosophical study of the nature or essence of being, existence, or reality). (shrink)

This case study deals with failure to ejaculate intravaginally during sexual intercourse. The causative factors were thought to be unconscious in nature. The patient showed significant improvement after only one session, when these unconscious factors were interpreted to and accepted by the patient. We discuss briefly the application of psychodynamic theory in sex therapy and possible implementations in training settings.

This paper tests the predictions of an epistemological model that considered the DSM psychiatric classification (in the neopositivist and neo-Kraepelinian shape introduced by the DSM-III) as a scientific paradigm in crisis. As predicted, the DSM-5 did not include revolutionary proposals in its basic structure. In particular, the possibility of a dimensional revolution has not occurred and early proposals of etiopathogenic diagnoses were not implemented due to lack of specific knowledge in that field. However, conceiving the DSM-5 as a bridge between (...) the present phenomenally based operational diagnostic criteria and the neuro-cognitively based RDoC criteria introduces an internal tension into the system. It is expected that a liberalization of the research criteria will occur, the DSM operational criteria being only one possible way to select research subjects. (shrink)

A narrative review of the major evidence concerning the relationship between emotional regulation and depression was conducted. The literature demonstrates a mediating role of emotional regulation in the development of depression and physical illness. Literature suggests in fact that the employment of adaptive emotional regulation strategies (e.g., reappraisal) causes a reduction of stress-elicited emotions leading to physical disorders. Conversely, dysfunctional emotional regulation strategies and, in particular, rumination and emotion suppression appear to be influential in the pathogenesis of depression and physiological (...) disease. More specifically, the evidence suggests that depression and rumination affect both cognitive (e.g., impaired ability to process negative information) and neurobiological mechanisms (e.g., hypothalamic pituitary adrenal axis overactivation and higher rates of cortisol production). Understanding the factors that govern the variety of health outcomes that different people experience following exposure to stress has important implications for the development of effective emotion-regulation interventional approaches (e.g., mindfulness-based therapy, emotion-focused therapy, and emotion regulation therapy). (shrink)

In this paper, I examine recent phenomenological research on both depressive and manic episodes, with the intention of showing how phenomenologically oriented studies can help us overcome the apparently paradoxical nature of mixed states. First, I argue that some of the symptoms included in the diagnostic criteria for depressive and manic episodes in the DSM-5 are not actually essential features of these episodes. Second, I reconsider the category of major depressive disorder (MDD) from the perspective of phenomenological psychopathology, arguing that (...) severe depressive episodes should not be characterized by any particular moods (such as sadness, hopelessness, or guilt), and should instead be characterized by a diminished capacity for finding ourselves situated in and attuned to the world at all. In other words, the affective dimension of depression should be characterized as a change in the way we have moods, not as a change from one kind of mood to another. Third, I turn to mania, arguing that manic episodes, taken as the opposite of depressive episodes, should be characterized not by any particular moods (such as euphoria, grandiosity, or even irritability), but should instead be characterized by an enhanced or heightened capacity for finding ourselves situated in and attuned to the world. In other words, the affective dimension of mania, like the affective dimension of depression, should be understood as a change in the way we have moods, not as a change from one kind of mood to another. Fourth, I return to the phenomenon of mixed states and argue that the affective dimension of depression and mania, when conceived along the phenomenological lines I set forth in the previous sections, dissolves the paradox of mixed states by showing that the essential characteristics of depression and mania cannot and do not coincide. Many cases of mixed states are diagnosed because moods that we take to be essential features of either depression or mania arise within the context of what is considered to be the opposite kind of episode (e.g. dysphoria, typically associated with depression, often arises in what is otherwise considered a manic state). However, if we conceive of the affective dimension of depression as a decrease in the degree to which one is situated in and attune to the world through moods, and the affective dimension of mania as an increase in the degree to which one is situated in and attuned to the world through moods, then the particular mood one finds oneself in is simply irrelevant to the diagnosis of either depression or mania. As a result, the manifestation of any particular moods in what otherwise seems to be a pure manic or depressive episode does not constitute a mixed state. (shrink)