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Family therapy workshops in the United States: potential abuses in the production of therapy in an advanced capitalist society.

A market for family therapy workshops has mushroomed in recent years. Treatment of families by therapists conducting such workshops, however, can be dispassionate and dehumanizing. Using the distinction between curing and healing, I do not question the curative potential of family therapy, but I question whether this kind of doctor/patient interaction promotes healing. Also, by demonstrating how the systems model tends to objectify patients and alienate therapists from those they treat, this paper challenges claims that family therapy recognizes the social nature of illness. The dehumanizing treatment cannot be attributed solely to the therapists, but requires further interpretation by analyzing the biases of the therapy model, the commodified context of the workshops, and epistemological issues arising from the application of general systems theory to a social model of treatment. Family systems therapy shares epistemological features with biomedicine, and like the biomedical model, alienates therapists from patients. This alienation, ironically, can be even greater when the family systems model is used than in biomedical treatment. Finally, I suggest that family therapy workshops have grown in popularity because the mechanistic features of the treatment model, drawn largely from cybernetics, promote the production and reproduction of a form of therapy compatible with the emphasis on 'functional health' favored in an advanced capitalist society.

Cybernetics↗

Neurobiological approach to computing devices.

According to the old metaphor of classical cybernetics the brain can be considered as a computer. Newer theoretical endeavours reverse the question and ask: what could neurobiology offer to engineers of near-future generation computer systems? Three not completely disjoint abstract functions of the nervous system, namely pattern formation, pattern recognition and action, can be treated in a unified conceptual framework. Storage and retrieval mechanisms of information are connected to fault-tolerant, adaptive parallel structures. "Learning" and "plastic behaviour" are interpreted in terms of the theory of non-linear dynamic systems. As neural development and plasticity can be approached by deterministic models superimposed by random influence, noise might also have a positive role to play during the operation of technical computing devices. Molecular computation is discussed in relation to eventual hardware realization of "neurobiology-based" computers.

Cybernetics↗

A dynamical model of the meaning of information.

The main challenge for information science is to naturalize the semantic content of information. This can only be achieved in the context of a naturalized teleology (by 'teleology' is meant the coherence and the coordination of the physical forces which constitute the living state). Neither semiotics nor cybernetics are capable of performing this task, but non-equilibrium thermodynamics and non-linear dynamics may be. A physical theory of the meaning of information is sketched, first by identifying biofunctions with generalized non-linear oscillators and their associated phase-space attractors, and then by postulating the existence, within all such oscillators, of a component capable of coordinating low-energy interactions with the correct environmental conditions supporting the dynamical stability of the oscillator. The meaning of information is thus interpreted as the prediction of successful functional action.

Cybernetics↗

Drugs or drums: what relieves postoperative pain?

The cybernetic model of analgesia is a simple servo-loop: altered sensory input--complaints--medication--temporary restoration of acceptable processing of the sensory input--return of altered sensations. Under ordinary clinical circumstances the functioning of this mechanism is masked by "noise" generated by the interaction of several persons who provide the medication and time factors prolonging the interval between the onset of complaints and the action of the medication. Demand analgesia (DA) has been designed to provide prompt pain relief under the patient's direct control. The technique turned out to be useful also for the investigation of acute pain's course. The present protocol was designed to study the precision with which patients respond to minute changes in the level of a narcotic (hydromorphone) at the target site: this was achieved by varying in a double-blind fashion the amount of narcotic delivered in response to triggering the apparatus and noting how the patient adapts the dosing interval in response to the imposed changes. Thirty-four patients were studied following extensive surgery. Observation times ranged from 16 to 75 h (median 45 h) during which 89 dose changes were initiated. While the majority of subjects adapted successfully to up to 4-fold variations in drug delivery, a sizeable minority (7/34) triggered the apparatus in response to some clue other than the amount of drug received. These non-drug responders seem to correspond to the "placebo reactors" of other therapeutic settings. Our calculations allowed the estimation of how large was the contribution of drug action and non-drug action to the overall therapeutic effect. In the drug-responsive group, the mean contribution of drug action was 78%, while among the non-drug responders this amounted to only 40%. The difference between these two figures is statistically significant (P less than 0.02), at the same time it also reveals important contributions of non-drug factors in drug responders and vice versa. Whether a subject behaves as a placebo reactor or not might depend on the circumstances rather than on innate mechanisms.

Analgesia↗

An information coding system that seems to be independent of noise and variability.

We have discovered and describe herein a cybernetic coding principle that appears to operate independently of variability. The coding is in the time domain, stated in terms of the relative duration of successive intervals between discrete events (pulses, action potentials, etc.). A variety of high-order relations can be described, quantified, and evaluated statistically.

Animals↗

Comparison of Caplan's irreversible thermodynamic theory of muscle contraction with chemical data.

Recently Caplan (1) applied the concepts of irreversible thermodynamics and cybernetics to contracting muscle and derived Hill's force-velocity relation. Wilkie and Woledge (2) then compared Caplan's theory to chemical rates inferred from heat data and concluded that the theory was not consistent with the data. Caplan defended his theory in later papers (3, 4) but without any direct experimental verifications. As Wilkie and Woledge (2) point out, the rate of phosphorylcreatine (PC) breakdown during steady states of shortening has not been observed because of technical difficulties. In this paper it is shown that the rate equations may be directly integrated with time to obtain relations among actual quantities instead of rates. The validity of this integration is based on experimental evidence which indicates that certain combinations of the transport coefficients are constant with muscle length. These equations are then directly compared to experimental data of Cain, Infante, and Davies (5) with the following conclusions: (a) The measured variations of DeltaPC for isotonic contractions are almost exactly as predicted by Caplan's theory. (b) The value of the chemical rate ratio, nu(m)/nu(o), obtained from these data was 3.53 which is close to the value of 3 suggested by Caplan (3). (c) The maximum value of the chemical affinity for PC splitting was found to be 10.6 k cal/mole which is as expected from in vitro measurements (2). Because of the excellent agreement between theory and experiment, we conclude that Caplan's theory definitely warrants further investigation.

Animals↗

The semiotics of control and modeling relations in complex systems.

We provide a conceptual analysis of ideas and principles from the systems theory discourse which underlie Pattee's semantic or semiotic closure, which is itself foundational for a school of theoretical biology derived from systems theory and cybernetics, and is now being related to biological semiotics and explicated in the relational biological school of Rashevsky and Rosen. Atomic control systems and models are described as the canonical forms of semiotic organization, sharing measurement relations, but differing topologically in that control systems are circularly and models linearly related to their environments. Computation in control systems is introduced, motivating hierarchical decomposition, hybrid modeling and control systems, and anticipatory or model-based control. The semiotic relations in complex control systems are described in terms of relational constraints, and rules and laws are distinguished as contingent and necessary functional entailments, respectively. Finally, selection as a meta-level of constraint is introduced as the necessary condition for semantic relations in control systems and models.

Biophysical Phenomena↗

Cybersemiotics: a transdisciplinary framework for information studies.

This paper summarizes recent attempts by this author to create a transdisciplinary, non-Cartesian and non-reductionistic framework for information studies in natural, social, and technological systems. To confront, in a scientific way, the problems of modern information technology where phenomenological man is dealing with socially constructed texts in algorithmically based digital bit-machines we need a theoretical framework spanning from physics over biology and technological design to phenomenological and social production of signification and meaning. I am working with such pragmatic theories as second order cybernetics (coupled with autopolesis theory), Lakoffs biologically oriented cognitive semantics, Peirce's triadic semiotics, and Wittgenstein's pragmatic language game theory. A coherent synthesis of these theories is what the cybersemiotic framework attempts to accomplish.

Cybernetics↗

Joint attention and early social communication: implications for research on intervention with autism.

Highly structured, intensive early intervention may lead to significant developmental gains for many children with autism. However, a clear understanding of early intervention effects may currently be hampered by a lack of precision in outcome measurement. To improve the precision and sensitivity of outcome assessment it may be useful to integrate research on the nature of the social disturbance of autism with research on early intervention. In this regard, it may be that measures of nonverbal social communication skills are especially important in the study of preschool intervention programs. This is because these measures appear to tap into a cardinal component of the early social disturbance of autism, and because these measures have been directly related to neurological, cognitive, and affective processes that may play a role in autism. The research and theory that support the potential utility of these types of measures for early intervention research are reviewed. Examples are provided to illustrate how these types of measures may assist in addressing current issues and hypotheses about early intervention with autism including the "recovery hypothesis," the "pivotal skill hypothesis," and the relative effectiveness of discrete trial versus incidental learning approaches to early intervention. A cybernetic model of autism is also briefly described in an effort to better understand one potential component of early psychoeducational treatment effects with children with autism.

Age Factors↗

Towards systemic theories in biological psychiatry.

Although still rather controversial, empirical data on the neurobiology of schizophrenia have reached a degree of complexity that makes it hard to obtain a coherent picture of the malfunctions of the brain in schizophrenia. Theoretical neuropsychiatry should therefore use the tools of theoretical sciences like cybernetics, informatics, computational neuroscience or systems science. The methodology of systems science permits the modeling of complex dynamic nonlinear systems. Such procedures might help us to understand brain functions and the disorders and actions of psychiatric drugs better.

Antipsychotic Agents↗

Ecosystemic epistemology: an alternative paradigm for diagnosis.

An alternative paradigm for diagnosis based on cybernetics, ecology, and systems theory is proposed. This paradigm, termed "ecosystemic epistemology," suggests that diagnosis focus on knowing problematic situations in an ecological and systemic way. Theoretical statements concerning this approach are delineated with specific references to major family therapists. This discussion provides a foundation for an ecosystemic epistemology for diagnosis that addresses the following issues: (a) the meaning of system; (b) the symptom's presence in the system; (c) the therapist's presence in the system; (d) the ecological relationship system that emerges in diagnosis; and (e) the relation between ecosystemic epistemology and the process of diagnosis. In effect, this paper attempts to formally describe the underlying epistemology inherent in the work of therapists who approach diagnosis in an ecological and systemic way.

Cultural Characteristics↗

Ecosystemic epistemology: critical implications for the aesthetics and pragmatics of family therapy.

This paper proposes that family therapy be responsive to both aesthetic and pragmatic considerations. Ecosystemic epistemology, a framework of ideas based on cybernetics, ecology, and systems theory, is suggested as a way of encompassing these different perspectives. Several critical ideas, often ignored by an overemphasis on pragmatics, involve: (a) the function of language in the relation between epistemology and clinical practice; (b) healthy and pathological family ecologies; (c) art and technique in therapy; and (d) the issue of manipulation.

Art↗

Constructing realities: an art of lenses.

In this essay I attempt to map the dimensions of my own move away from a cybernetic-biologic analogy for "family-systems" therapy. Central to this shift has been social construction theory augmented by two other lenses: a second-order view, and a sensitivity to gender. These conceptual tools have helped me to distance myself from my previous therapeutic stance and to envision a very different model, one that is less strategic and instrumental, and more collaborative and unconcealed.

Cognition↗

Further thoughts on second-order family therapy--this time it's personal.

A series of articles has recently appeared in which implications of second-order cybernetics for the practice of family therapy have been discussed. In this article, we attempt to advance the discussion by addressing ideas that we think have not been adequately emphasized thus far. Specifically proposed are ideas about conditions that might facilitate the emergence of consciously pragmatic strategy informed by the kind of systemic wisdom that delicately balances natural systems without the benefit of human planning. It is argued that a shift in the personal habits of knowing and acting that typically organize individual human experience is required. After attempting to specify what this shift might involve, implications of these ideas for the practice of family therapy and for human action in general are discussed.

Adaptation, Psychological↗

From universe to multiverses--and back again.

A number of concepts and ideas from constructivist and second-order cybernetic family therapy literature are presented and their implications for therapy are examined. I was inspired by and, in this article, refer to videotapes of consultations and therapy sessions shown at an international conference on constructivism and family therapy in Sulitjelma, Norway, June 1988, and to written material from the Tromsø group (Tom Andersen and Anna M. Flåm), the Milan team (Luigi Boscolo and Gianfranco Cecchin), and the Galveston team (Harlene Anderson and Harold Goolishian). The article also represents an attempt to use constructivist concepts and ideas in a reflection on the author's own professional development as a psychologist and family therapist.

Cybernetics↗

Cesar: cervical smear analyser and reader. A new approach to evaluating cells in cytological preparations.

Cesar presents an automated multiparameter approach to pattern recognition in the rapid detection of malignant cells from cervical and other cancers. Cells are cybernetically classified. They are collected into a container into which a nuclear stain may be incorporated and laid as a track on 35 mm. film using a disposable mapping pen device. The film track (Cytotrack) may be scanned using conventional optics and provision may be made for electronic sensing devices measuring a number of parameters, some of which are not normally used in conventional microscopy.

Cervix Uteri↗

Contributions of the communication sciences to physiology.

This paper reviews the impact on physiology of the revolutions in the communication sciences and technology that have occurred in the last 35 years. Particular attention is given to the significance of the cybernetic suggestions of Norbert Wiener--specifically, the ideas of negative feedback, of the computer as a brain metaphor, and of signal-and-noise considerations in information processing. It is argued that the first two of these have not in fact made much lasting contribution to physiology beyond providing loose analogies. On the other hand, the ready availability of a wide variety of electronic measuring and signal-processing devices from communication technology has clearly had a substantial impact. And it is proposed that the kind of models and concepts that are necessary for the characterization of the nervous system as an information-processing device play now, and will continue to play in the future, a major role in physiology.

Communication↗

Recurrent course of primary affective disorders: explanation by the theory of biorhythms.

The authors present the classification of biorhythms from the cybernetic aspects. They utilize this approach in describing and explaining the clinical course of periodic diseases in general, and of primary affective disorders in particular. In more complex organisms there exists a great number of single subsystems and their interactions, and therefore more possibilities arise for the development of natural biorhythms. If the number of single subsystems is 'n', the number of possible interactions may reach the maximum value of 'n!'. In more simple organisms the pseudobiorhythms may develop. This study focuses on the relationship of proper biorhythms to the recurrent course of illness, especially to that of primary affective disorders (PAD). Based on Fourier's decomposition of the periodical course into single ones, the authors hypothetically explain the peculiarity of the periodic course of PAD. In addition to sine form courses, the recurrences may originate from superimpositions of courses which originate from nonlinearity of single subsystems and are not harmonic. In real biosystems, such courses are undoubtedly more frequent than purely harmonic courses. This observation does not contradict the applied mathematical model, because each of these nonharmonic periodical courses may be decomposed into the harmonic ones. The proposed hypothesis presents an alternative or a supplementary model to the prevailing hypothesis which explains the course of PAD by the desynchronization of circadian rhythms controlled by special biooscillators.

Affect↗