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 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 both allow for the discovery of new modes of thinking-about trauma as well as illuminate more nuanced methodologies of healing for those effected by post-traumatic stress in future research. (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)

In this opinion piece we propose the investigation of psychedelic-assisted psychotherapy for the treatment of body dysmorphic disorder (BDD). BDD is a psychiatric disorder characterised by appearance-based preoccupations and accompanying compulsions. While safe and effective treatments for BDD exist, non-response and relapse rates remain high. Therefore, there is a need to investigate promising new treatment options for this highly debilitating condition. Preliminary evidence suggests safety, feasibility, and potential efficacy of psychedelic treatments in disorders that share similar psychopathological mechanisms with BDD. (...) Drawing on this evidence, as well as on relevant qualitative reports and theoretical proposals, we argue that it would be worthwhile to conduct a phase 2a study aimed at assessing the safety and feasibility of psychedelic-assisted psychotherapy in BDD. We also offer some suggestions for how future research ought to proceed. (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)

The extreme incidence and prevalence of rage-driven aggression and destructiveness in the United States is without parallel in any other industrialized country in the world. During 2022 alone, there were 647 mass shootings in the U.S. (in each, at least four victims were killed). Unfortunately these many killings comprise only one form of widespread rage in America. This paper seeks to answer why this is happening.

In this study, screening positive for probable depression was common among undergraduate students at the University of the Witwatersrand, Johannesburg, South Africa and associated with sociodemographic and selected behavioral factors. These findings call for strengthening the awareness and use of counselling services among undergraduate students.

Conclusion: The present results support adequate psychometric properties in terms of factorial validity, reliability, convergent validity, and measurement invariance for the PHQ-4 in young adults in Hong Kong. The PHQ-4 demonstrated a substantial mediating role in the relationship between meaning in life and SI in the distress group. These findings support clinical relevance for using the PHQ-4 as a brief and valid measure of psychological distress in the Chinese context.

Notes prises par Jacques Lagrange lors du cours d'anthropologie donné par Michel Foucault en 1954-1955 à l'École Normale Supérieure.

From our perspective, we believe that it is necessary to abandon the idea that all those who suffer from SI or SA are mentally ill, which causes them to be stigmatized and subjected to psychiatric treatment, when what they need is a different vision of life as well as adaptive strategies to employ a new philosophy. Public policies should consider implementing programs that reinforce cognitive flexibility in addition to character strengths.

This paper represents counseling approaches which can be interconnected to benefit a client’s overall mental condition with special interest on psychoanalysis and existential therapy. First, I explain the specific features of both techniques and how they can be used. Next, I describe how I as a counselor could benefit from these methods by doing self-reflection on my personal life. In the last two sections, I point out some characteristics of challenges a counselor could face by treating clients. Continuing, I will (...) also describe a mock trial case which involves a client who receives treatment for alcohol abuse and relationship issues. (shrink)

Patients with serious illnesses or injuries may decide to quit their medical treatment if they think paying the fees will put their families into destitution. Without treatment, it is likely that fatal outcomes will soon follow. We call this phenomenon “near-suicide”. This study attempted to explore this phenomenon by examining how the seriousness of the patient’s illness or injury and the subjective evaluation of the patient’s and family’s financial situation after paying treatment fees affect the final decision on the treatment (...) process. Bayesian Mindsponge Framework (BMF) analytics were employed to analyze a dataset of 1042 Vietnamese patients. We found that the more serious the illnesses or injuries of patients were, the more likely they were to choose to quit treatment if they perceived that paying the treatment fees heavily affected their families’ financial status. Particularly, only one in four patients with the most serious health issues who thought that continuing the treatment would push themselves and their families into destitution would decide to continue the treatment. Considering the information-filtering mechanism using subjective cost–benefit judgments, these patients likely chose the financial well-being and future of their family members over their individual suffering and inevitable death. Our study also demonstrates that mindsponge-based reasoning and BMF analytics can be effective in designing and processing health data for studying extreme psychosocial phenomena. Moreover, we suggest that policymakers implement and adjust their policies (e.g., health insurance) following scientific evidence to mitigate patients’ likelihood of making “near-suicide” decisions and improve social equality in the healthcare system. (shrink)

Formal thought disorder (FTD) is a clinical mental condition that is typically diagnosable by the speech productions of patients. However, this has been a vexing condition for the clinical community, as it is not at all easy to determine what “formal” means in the plethora of symptoms exhibited. We present a logic-based model for the syntax–semantics interface in semantic networking that can not only explain, but also diagnose, FTD. Our model is based on description logic (DL), which is well known (...) for its adequacy to model terminological knowledge. More specifically, we show how faulty logical form as defined in DL-based Conception Language (CL) impacts the semantic content of linguistic productions that are characteristic of FTD. We accordingly call this the dyssyntax model. (shrink)

El concepto de trastorno mental permite justificar intervenciones médicas, psicológicas y judiciales. Además, facilita a la/el consultante acceder a tratamientos mediante reembolsos o programas de salud pública, y por otro lado, podría conllevar estereotipos sociales. No obstante, el significado de dicho concepto no ha dejado de suscitar debate. En el presente artículo argumentaré que los trastornos de personalidad, tal como son definidos en el DSM-5, no cumplen con los criterios de patología de las propuestas principales (i.e. teoría bio-estadística de la (...) salud, disfunción dañina, o entidad patológica) debido a tres razones independientes: (i) no se han propuesto dis/funciones a la base de cada trastorno y, dado el estado del arte de la psicología evolucionista, es poco probable que se pueda llevar a cabo ese programa en el futuro; (ii) el concepto de daño (distrés, perjuicio) aplicable a los trastornos de personalidad es constitutivamente social (aunque no exclusivamente social), por lo que resulta más adecuado hablar de grados de discapacidad que de trastornos del individuo; y (iii) que la ausencia de condiciones patognomónicas para cada trastorno, junto a la elevada comorbilidad y multimorbilidad entre trastornos de personalidad, horada la validez de la nosología actual y de los diagnósticos diferenciales. Propondré como solución la eliminación de los trastornos de personalidad de la nosología psiquiátrica. Eliminar los trastornos de personalidad no equivale a desconocer el sufrimiento de las personas diagnosticadas, ni a ignorar que dicho sufrimiento precede a, –y no acaba con la disolución de– la etiqueta diagnóstica. Por ello, se propondrá una reconceptualización de dicho sufrimiento en términos de discapacidad, entendida desde el modelo social, y que no presupone patología. (shrink)

The paper presents a method for interpreting religious texts for use in psychotherapy. In particular, the paper takes the example of the pivotal character Arjuna in Bhagavad-Gita as having low frustration tolerance and uses the collective philosophy of the Bhagavad-Gita and Bhagavata-Purana through six steps of Logic-Based Therapy to overcome it. Although the paper uses Hindu religious texts, the treatment of these texts will speak to anyone interested in the possibility of integrating religious texts into psychotherapy.

Objectives: The growing rate of retraction of scientific publications has attracted much attention within the academic community, but there is little knowledge about the nature of such retractions in schizophrenia-related research. This study aimed to analyze the characteristics of retractions of schizophrenia-related publications.

In this critical notice, I review and critique ‘Psychiatric Casualties’ (2021) by Mark C. Russell and Charles Figley. In so doing, I analyze a natural experiment from WWII, which has previously only been misinterpreted. The natural experiment leads me to conclude that predisposition results in some individuals being far more likely than others to develop war stress disorders such as PTSD. This point puts me in disagreement with Russell and Figley, though I endorse the general message of their book: that (...) the military has failed in its responsibility to properly care for psychiatric casualties, and that there are steps which could be taken to improve the situation. (shrink)

In my presentation I argue for the utility of a philosophical counseling method, called logic-based therapy (LBT), in the treatment of addicted populations. In the context of addiction treatment LBT could be also classified as a philosophical psychotherapy. Philosophical psychotherapy can be understood as an umbrella term for interventions designed to treat mental health disorders, with theoretical foundations that are philosophical. Philosophical psychotherapy would be distinct from philosophical counseling, as the latter does not directly treat mental health disorders. I suggest (...) that LBT has utility beyond philosophical counseling and is a viable intervention in the treatment of certain mental health disorders, like substance use disorders. I provide a brief overview of LBT and then discuss a LBT case study with a client suffering diagnosed with a substance use disorder. In the case study the client was advised to apply the moral philosophy of Friedrich Nietzsche as an uplifting philosophical framework to counteract his unproductive worldview and fallacious thinking. Considering that there is an ostensibly low efficacy rate for the treatment of addiction, articulating the value of philosophical psychotherapies in the context of addiction treatment can assist in the development of novel philosophically-based addiction treatment and recovery-oriented programs––thus expanding the treatment and recovery options available for those seeking recovery from addiction. (shrink)

The Sufi tradition remains one of the most mysterious and least understood systems of self-realization. This book demystifies the practice of the sohbet—an ad hoc discourse—as the central instructional tool in the globally influential Naqshbandi-Haqqani Order. -/- It approaches the practice using categories of improvised music to establish a framework for analyzation. Its ritualized formal structure, illustrated via selected talks of Shaykh Nazim Adil al-Haqqani, discloses the underlying—and assumingly primary—function to provoke prolonged states of raised awareness in listeners and condition (...) their sympathetic nervous system. -/- In an extensive discussion based on several years of field research in Cyprus, the book relates this intention to similar practices in other traditional knowledge systems by proposing psychophysical interpretations based on psychology, biochemistry, neuroscience, or quantum physics. It will appeal to scholars and students of Sufism, Islamic studies, and comparative religion, as well as those interested in performance studies and improvised music, interpersonal communication, and education. (shrink)

Contemporary research offers a more compelling account on the complex emotion of envy than the traditional view of envy as simply something bad. This essay explains how Logic-Based Therapy can use this account to coach individuals struggling with negative species of envy. Given that jealousy and envy are often equated, the essay differentiates the two; explains the conditions that make the four species of envy possible; identifies cardinal fallacies associated with negative species of envy; proposes counteractive virtues, and describes ways (...) to help people struggling with negative species of envy acquire these virtues. (shrink)

This study investigated changes in the prevalence of depression, stress, and suicidal attempts during the COVID-19 pandemic. The ≥19-year-old population in the Korea National Health and Nutrition Examination Survey in 2019 and 2020 was included. The histories of depression, stress, and suicidal attempts were compared between the 2019 and 2020 cohorts using multiple logistic regression analysis with complex sampling. The prevalence of depression was not significantly different between the 2019 and 2020 groups (4.1% vs. 4.5%, p = 0.326). The prevalence (...) of stress and suicide attempts was also not significantly different between groups (all p > 0.05). The rates of depression, stress, and suicide attempts were not associated with the 2020 group compared to the 2019 group (all p > 0.05). The 19- to 39-year-old group in the 2020 group indicated a higher rate of depression (diagnosed by physicians) than the 19- to 39-year-old group in the 2019 group (adjusted odds ratio = 1.58, 95% confidence intervals = 1.00–2.50, p = 0.049). The risks of depression, stress, and suicidal attempts were not related to the COVID-19 pandemic in Korean adults. A young adult population demonstrated an increased risk of depression associated with the COVID-19 pandemic. (shrink)

COVID-19 not only directly devastated people’s health but also disrupted normal lifestyles and increased the risk of mental health issues. Kim SY, et al. (2022) explored the mental problems further in the Journal of Personalized Medicine.

O presente trabalho pretende estabelecer algumas precisões históricas e conceituas em torno da formação da história arqueológica de Michel Foucault, tendo como foco um livro póstumo e recém lançado, intitulado La Question Anthropologique (2022). Esse livro trata de um curso sobre “antropologia” ministrado por Foucault entre 1952 (ou 1951) e 1955, em Lille e na ENS. As precisões históricas e conceituais tratadas aqui são em torno dos seguintes contextos: primeiramente, analisa-se a escassa literatura de comentário anterior ao lançamento do livro (...) em 2022; depois, parte-se ao horizonte de leituras de Foucault na época, especialmente ocorridos em torno da figura de Nietzsche. Essas leituras ocorrem em diversas frentes, tais como as figuras de Heidegger e Jaspers, a importância da história das ciências, a interlocução com Althusser e Jacques Martin em torno de Marx e a questão da loucura e da psicanálise. -/- The present work aims to establish some historical and conceptual clarifications surrounding the formation of Michel Foucault’s archaeological history, considering a recently published posthumous book entitled La Question Anthropologique (2022). This book thematizes a course on “anthropology” given by Foucault between 1952 (or 1951) and 1955, in Lille and at the École Normale Supérieure. The historical and conceptual analysis concerns the following subjects: firstly, the text analyzes the scarce secondary literature published before the book’s launch in 2022; secondly, the article focuses some readings made by Foucault in those years, especially surrounding the figure of Nietzsche. These readings occur on several fronts, such as: the influence of Heidegger and Jaspers, the role of the history of sciences, the dialogue with Althusser and Jacques Martin on Marx and the themes of madness and psychoanalysis. (shrink)

La búsqueda de un pluralismo integrativo en filosofía de la ciencia presenta ecos fructíferos en discusiones contemporáneas de la filosofía de la psiquiatría, sobre todo en torno a la necesidad de un pluralismo que supere un reduccionismo neurobiológico y un eclecticismo biopsicosocial. Los trabajos de la filósofa Sandra Mitchell constituirán un punto de partida para visualizar la necesidad de un paradigma pluralista, al mismo tiempo que permitirán exponer la tesis de que es necesario un modelo que permita una integración real (...) entre las diversas dimensiones relevantes en psiquiatría para así no caer implícitamente nuevamente en un pluralismo reduccionista. En esta línea, se analizarán críticamente las perspectivas que han surgido en psiquiatría a la hora de lograr un pluralismo integrativo. Finalmente se revisará el modelo enactivo en ciencia cognitiva y su aplicación en psiquiatría como un posible alternativa en búsqueda de una integración en psiquiatría que permita un pluralismo integrativo a nivel ontológico, permitiendo un camino medio entre una psiquiatría neurocéntrica y una ecléctica relativista. (shrink)

En el presente artículo realizamos un análisis del estatus ontológico de la noción de psicopatología que se deriva de cuatro aproximaciones metodológicas a su estudio, a saber: aproximación psiquiátrica, fenomenológico-existencial, constructivista-histórica y antipsiquiátrica. Por medio de una metodología de revisión bibliográfica sistematizada y siguiendo el marco de trabajo metaframework ReSiste-CHS (Revisiones Sistematizadas en Ciencias Humanas y Sociales), sostendremos que dicha noción presenta divergencias en al menos tres puntos: (i) la relevancia de la sintomatología como característica, (ii) la existencia o inexistencia (...) del sufrimiento psíquico y (iii) la relevancia de los factores sociales en su configuración. En el apartado introductorio abordaremos las consideraciones históricas generales relacionadas con el estudio de los trastornos mentales. En el segundo apartado nos referiremos a la metodología empleada para la realización del artículo. En el tercer apartado expondremos los rasgos fundamentales de las cuatro metodologías de estudio mencionadas anteriormente, dividiendo la descripción en los siguientes puntos: orientación, etiología, clasificación, diagnóstico y tratamiento. En el cuarto apartado contrastaremos los conceptos de psicopatología que pueden ser extraídos de ellas. A modo de conclusión, propondremos una sistematización de las condiciones mínimas que debe cumplir una noción de psicopatología que sea fructífera desde un punto de vista teórico y práctico. Estas condiciones incluyen un posicionamiento crítico ante los extremos reduccionista y relativista, la consideración del sufrimiento psíquico como rasgo constitutivo y núcleo fundamental de este género de experiencia, así como una dimensión ética relacionada con su abordaje. Por último, mostraremos algunas limitaciones y futuras directrices que se derivan del trabajo realizado. (shrink)

This article, addressed to Yoga Therapists, sorts out the historical roots of our idea of Yoga, elucidates the colonial interference and distortion of Yoga, and shows that trauma and therapy are the primary focus of Yoga. However, unlike most philosophies of therapy, Yoga's solution is primarily moral philosophical---Yoga itself being a basic ethical theory, in addition to Virtue Theory, Consequentialism and Deontology. This article goes some way to elucidating that it is quite ironic (and absurd) that many feel the need (...) to bring being “trauma-informed” into the title of Yoga education. That’s like the vacuous “chai tea” moniker (“chai” being the Hindi word for tea). Decolonizing our understanding of Yoga involves retrieving the original theory as the primary explanation of the topic, which allows us to understand how various activities, called "yoga," can be ways of practicing the moral philosophy of Yoga. The idea that "yoga" means many things and projects relies upon a contra logical methodology of interpretation which violates constraints of basic reasoning. Putting aside interpretation for explication is part of critical thinking but also our own self therapy. (Originally published in Yoga Therapy Today, a publication of the International Association of Yoga Therapists. Shared with permission.). (shrink)

As COVID-19 spread, clinicians warned of mental illness epidemics within the coronavirus pandemic. Funding for digital mental health is surging and researchers are calling for widespread adoption to address the mental health sequalae of COVID-19. -/- We consider whether these technologies improve mental health outcomes and whether they exacerbate existing health inequalities laid bare by the pandemic. We argue the evidence for efficacy is weak and the likelihood of increasing inequalities is high. -/- First, we review recent trends in digital (...) mental health. Next, we turn to the clinical literature to show that many technologies proposed as a response to COVID-19 are unlikely to improve outcomes. Then, we argue that even evidence-based technologies run the risk of increasing health disparities. We conclude by suggesting that policymakers should not allocate limited resources to the development of many digital mental health tools and should focus instead on evidence-based solutions to address mental health inequalities. (shrink)

Suicide among college students is a major public health problem. Research has confirmed that negative focused disposition had a significant effect on suicidal ideation. This study aims to evaluate somatic anxiety, general distress and depression as mediators of the relationship between negative focused disposition and suicidal ideation.

As past studies of the association between parent-child relationship and problematic internet use show mixed results and are influenced by many factors, this meta-analysis of 75 primary Chinese and English language studies from 1990 to 2021 with 110,601 participants (aged 6−25 years) explored (a) the overall association between parent-child relationship and problematic internet use, and (b) whether the association is affected by their types, country, measures, objects of the parent-child relationship, gender, age, year and publication types. We used funnel plots, (...) Classic fail-safe N and Egger's test to test for publication bias and for moderation with the homogeneity tests. The results showed a negative association between quality of parent-child relationship and problematic internet use (r = −0.18, 95% CI = [−0.20, −0.15]). The moderation analysis found that compared with internet addiction tendency, the association between social media addiction and parent-child relationship was stronger. (shrink)

How we ought to diagnose, categorise and respond to spectrum disabilities such as autism and Attention Deficit/Hyperactivity Disorder (ADHD) is a topic of lively debate. The heterogeneity associated with ADHD and autism is described as falling on various continua of behavioural, neural, and genetic difference. These continua are varyingly described either as extending into the general population, or as being continua within a given disorder demarcation. Moreover, the interrelationships of these continua are likewise often vague and subject to diverse interpretations. (...) -/- In this paper, I explore geneticists' and self-advocates’ perspectives concerning autism and ADHD as continua. These diagnoses are overwhelmingly analysed as falling on a continuum or continua of underlying traits, which supports the notion of “the neurodiversity spectrum”, i.e., a broader swath of human neural and behavioural diversity on which some concentrations of different functioning are diagnosed. I offer a taxonomy of conceptions of the genetic, phenotypic, and endophenotypic dimensionality within and beyond these diagnostic categories, and suggest that the spectrum of neurodiversity is characteristically endophenotypic. (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)

This paper presents some annotations on mental health, from the point of view of implicit notions of madness. To this end, we propose a distinction between the medical, phenomenological existential and socio-critical models. We focus in the latter two in order to achieve a critical approach about the subject, dominated by the medical perspective. According to Foucault's earliest works, this article begins by evaluating criteria of normality in terms of the historical genesis of madness concept. Then, we describe the medical (...) model based on the distinction between illness and symptom. Later, we focus on the phenomenological-existential model to describe the ontological fragility in Laing, i.e. the original core of the self and the world experienced by the schizophrenic person. Finally, we add some considerations related to the social origin of schizophrenia, as stated in the Cooper's and Foucault's perspectives. (shrink)

The paper presents data collected using measures of personality, Islamic religiosity, psychological well-being, unethical behavior, and dark triad traits. The sample consists 277 Bruneian Malay Muslim university students. The participants were sampled at a public university in Brunei. Through cooperation with faculty members, a link to the online questionnaire was posted on the learning management system platform. The targeted population was informed they were invited to participate voluntarily, and all information would be confidential. Completed questionnaires were submitted by 171 females (...) and 106 males. The age ranged between 18 and 30 years old (M = 19.62, SD = 1.65). This data article presented the demographic characteristics of participants, followed by descriptive statistics of the measures concerning primarily personality and Islamic religiosity, followed by brief measures of psychological nature specifically psychological well-being, unethical behavior, and dark triad traits. Reliability and correlation details of measures were also provided. The comprehensive data, as detailed out in this paper, has various potential for further research and analyses by researchers who are interested in the measures and data presented. (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)

I demonstrate that analogies, both explicit and implicit, between Wittgenstein’s discussion of rituals, aesthetics, and psychoanalysis (and, indeed, his own philosophical methodology) suggest that he entertained the idea that Freud’s psychoanalytic project, when understood correctly—that is, as a descriptive project rather than an explanatory-hypothetical one—provides a “surveyable representation” (übersichtliche Darstellung) of certain psychological facts (as opposed to psychological concepts). The consequences of this account are that it offers an explanation of Wittgenstein’s admiration for and self-perceived affinity to Freud, as well (...) as of his apparent “know-nothing approach” to empirical psychology. (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.

This dissertation is an investigation into how scientific values may influence the kinds of theories which are investigated, and in turn which theories become ‘mainstream’. I have focussed on psychedelic therapy as a family of theories, and I identified three main reasons as to why psychedelic therapy is somewhat incompatible with the current psychiatric paradigm: (1) the inability to conduct double-blind trials, (2) The inability to isolate one explanatory variable, and (3) The mystical and spiritual dimensions of the mechanisms of (...) action of psychedelic drugs. Because double-blind randomised controlled trials, isolating one explanatory variable, and neurobiological- style explanations of mechanisms of action are seen as an integral part of good psychiatric research, this means that psychedelic therapy is inherently disadvantaged as a research avenue in the current paradigm. These three things also arguably embody scientific values proposed by Kuhn (1977), such as accuracy, simplicity, and consistency. Helen Longino (1995) argues that Kuhn’s values do not simply increase the likelihood of a theory being true, but in some instances serve to perpetuate discriminatory ideologies. She proposes her own list of values as a route to a more equitable science, and by extension, a more equitable society. Interestingly, psychedelic therapy as a theory embodies many, if not all of the values proposed by Longino. This led me to my conclusion that if the psychiatric paradigm were more feminist according to Longino’s criteria, then psychedelic therapy would be considered a “better” theory. It would therefore be easier to conduct research in this area, and psychedelic therapy would have a better chance at becoming a mainstream treatment. (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)

Most of the time, when sexual abuse is discussed or studied, only the victims and perpetrators are mentioned. However, little is said about third parties, those who covered up the abuse or did not say anything when they saw something suspicious, or who were simply negligent and did not comply with their task of monitoring vulnerable people so that they were not abused. On the other hand, it is not usual to talk about secondary victims, which are the families, members (...) of the parishes, religious communities, educational institutions, clubs, or sports teams where victims were part. Although the biggest wound is suffered by the victim of abuse, secondary victims can be seriously injured, psychologically, spiritually, and/or in trust towards other people or towards the institution where the abuse occurred. Definitely, secondary victims of sexual abuse are also survivors of the abuse. Thus, this book comprehensively addresses the psycho-spiritual healing of survivors of sexual abuse. Luis Alfonso Zamorano includes third parties and secondary victims who may also need psycho-spiritual healing. The author provides a thorough look at what is sexual abuse of children and adolescents, with a particular focus on the situation of the Catholic Church. (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.

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)

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)

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)

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)