Transoral laser microsurgery applies to the piecemeal removal of malignant tumours of the upper aerodigestive tract using the CO2 laser under the operating microscope. This method of surgery is being increasingly popularised as a single modality treatment of choice in early laryngeal cancers (T1 and T2) and occasionally in the more advanced forms of the disease (T3 and T4), predomi- nantly within the supraglottis. Thomas Kuhn, the American physicist turned philosopher and historian of science, coined the phrase ‘paradigm shift’ in (...) his groundbreaking book The Structure of Scientific Revolutions. He argued that the arrival of the new and often incompatible idea forms the core of a new paradigm, the birth of an entirely new way of thinking. This article discusses whether Steiner and col- leagues truly brought about a paradigm shift in oncological surgery. By rejecting the principle of en block resection and by replacing it with the belief that not only is it oncologically safe to cut through the substance of the tumour but in doing so one can actually achieve better results, Steiner was able to truly revolutionise the man- agement of laryngeal cancer. Even though within this article the repercussions of his insight are limited to the upper aerodigestive tract oncological surgery, his willingness to question other peoples’ dogma makes his contribution truly a genuine paradigm shift. (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.

Many eco-pagans explain their intimate relationship with aspects of the natural environment in terms of spirits of place. Such relationships emerge from a situated embodied knowing that enables eco-pagans to think with place; the ambiguity of that phrase is productive. While this process consists in both using a place as a tool to think with and thinking together with a place, it simultaneously defies dualist reduction. These examples of situated embodied knowing challenge conventional dualist notions and we are led to (...) a relational notion of personhood where the self emerges from a matrix of bodymind and place. Because theorising embodied knowing in eco-paganism pushes us beyond ontological dualism, it demands an embodied epistemology and a model of embodied cognition. Philosopher and psychologist Gendlin provides the former, while my enactive process model answers for the second. The enactive process model synthesises Gendlin's process philosophy with the work of Varela and colleagues, who understand cognition as ‘embodied action’, a process they call ‘enactive’. Eco-pagan practice can awaken us from the dualistic dream that we are separate from the ‘wisdom of the body’ and thus models a strategy for re-embodiment. (shrink)

Although embodied knowing is fundamental to our experience, no previous study has detailed its role in a specific spiritual group. This thesis offers a new model of embodied situated cognition, and develops an embodied hermeneutics which uses Focusing in phenomenological research. I apply these tools to the first detailed ethnography of Eco-Paganism to reveal powerful processes of connection which have considerable significance for religious studies and ecopsychology. -/- Chapters 2 and 3 survey the literature on Eco-Paganism and embodied cognition. Chapter (...) 4 uses the latter to synthesise a model of embodied situated cognition which I call the 'enactive process model', because it draws primarily on enactivism (inter alia, Varela et al., 1991), and Gendlin's process philosophy (Gendlin, 1997). Current research shows that key aspects of cognition are situated and embodied (inter alia, Varela et al., 1991), such that we often think with place (inter alia, Preston, 2003). This raises epistemological questions which I address in a discussion of embodied philosophy in Chapter 5. I then explain my embodied hermeneutics methodology, and the practical application of the Focusing Interview technique, in Chapter 6. My fieldwork autoethnography, Chapter 7, provides an intuitive, felt understanding of life on a road protest site, and is followed by ethnographies of urban and protest site Eco-Paganism in Chapters 8 and 9. Chapter 10 discusses six processes which create a sense of connection to the organic environment, which include the felt sense (Gendlin, 1981) and the wilderness effect (Greenway, 1995). -/- I conclude that a type of wilderness effect can catalyze the emergence of a complex 'nature based' spirituality amongst site Eco-Pagans, while a less intense form affects urban Eco-Pagans. Eco-Pagans sometimes use these processes of connection to think with a place. The processes of connection and thinking with place are fundamental to embodied situated knowing in Eco-Paganism, and help explain many of its distinctive aspects. By demonstrating the importance of embodied situated knowing in Eco-Paganism, I highlight the potential for further research into processes of connection and the impact of different physical spaces on religious practice in general. (shrink)