Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “EXISTENTIALISM”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,153 records · Page 64Linked to original sources

Buried but not dead: resuscitating psychoanalysis in the twenty-first century.

This paper argues that psychoanalysis is not dead, but in the process of being revived in a more cogent and less erroneous form so it may thrive in the twentieth century. The weak adaptive position is seen as the key error in mainstream psychoanalytic theory. Erroneous concepts, like the primacy of inner fantasies and memories in emotional life and the role of so-called transferences in psychotherapy, have been derived from this base. Affording current psychoanalytic thinking a strong adaptive position that sees coping with environmental impingements as the primary task of the human emotion-processing mind sets straight many existing misconceptions. Revising psychoanalysis in light of a strong adaptive position brings it into line with the theory of evolution, the basic theory of biology. It also clarifies the nature of dreams and leads to the creation of a quantitative, mathematically based, formal science of psychoanalysis replete with laws and regularities. Also explored is the neglect of the emotion-processing mind and efforts to overshadow mental concepts with ideas about the brain from neuroscience. The dangers of this loss of mind are reviewed. The paper concludes with a discussion of the role played by existential death anxiety in the perpetuation of the errors rife in classical psychoanalytic thinking. Lessening our use of denial mechanisms in response to death anxieties is a key requisite for advancing psychodynamic theories in the next one hundred years.

Humans↗

Cancer and the experience of meaning: a group psychotherapy program for people with cancer.

Cancer illness affects people in many ways, physical, financial, and existential. In this paper, we describe a proposed group intervention for individuals with advanced disease who want help finding a sense of meaning at this critical juncture in their lives. This intervention has a brief, semi-structured format, and is informed by the work of Viktor Frankl, empirical findings in the area of meaning and trauma, and the empirical findings of other group interventions for cancer patients. Individual sessions focus on different aspects of meaning, including responsibility to others, creativity, transcendence, and ascertaining one's values and priorities. Having goals on which to focus and feeling like part of a larger whole are critically important to the ability to find meaning and cope with terminal illness. Such goals may be generated by a number of sources, including connectedness with others, or a sense of the temporal continuity of one's own life despite the disruption posed by severe illness. Didactic discussions and experiential exercises help to facilitate exploration of these various elements in group members' lives. The finite structure of the intervention may also highlight these issues, as people who are faced with similar issues work together in a limited time frame in order to accomplish the goals they set out for themselves.

Attitude to Health↗

Healing madness and despair through meeting.

An existential perspective on human suffering suggests that the psychoanalytic view of the unconscious poses a difficult dilemma in regard to self-examination: On the one hand, not to pursue introspection may leave one as a person driven by untoward instinctual urges; on the other hand, to vigorously self-reflect, may result in inexorable despair in regard to the limitations and finitude of mortal existence. The author contends that the reason for the dilemma is rooted in Western psychology--a perspective that regards the human being as an encapsulated consciousness, set separately and competitively apart from other objects in the cosmos. This orientation is shown to pose difficulties in treating madness and despair. By the use of clinical material, the author shows how Martin Buber's notion of authentic dialogue can be useful in efforts to bridge the separation between the sufferer and the healer.

Humans↗

Building collaborative relationships with families of the mentally ill.

Studies of the expressed emotion construct have demonstrated that educational programs aimed at helping families deal with a mentally ill member can reduce patient relapse rates and improve family coping. The authors describe a clinical approach to family psychoeducation focused on building collaborative relationships with mental health professionals. The approach is based on the assumption that family education will benefit the patient, but any implication that the family is to blame for the patient's illness is studiously avoided. Five tasks that must be addressed in beginning work with families of the mentally ill are discussed. They are ensuring that the family has a chance to be heard, imparting information, helping the family deal with the feelings engendered by the patient's illness, identifying the family's coping patterns, and helping the family face the ethical and existential conflict between their own needs and those of the patient.

Adaptation, Psychological↗

Dimensions of meaning in the occupations of daily life.

BACKGROUND: According to the existential philosophers, meaning, purpose and choice are necessary for quality of life. Qualitative researchers exploring the perspectives of people who have experienced health crises have also identified the need for meaning, purpose and choice following life disruptions. Although espousing the importance of meaning in occupation, occupational therapy theory has been primarily preoccupied with purposeful occupations and thus appears inadequate to address issues of meaning within people's lives. PURPOSE: This paper proposes that the fundamental orientation of occupational therapy should be the contributions that occupation makes to meaning in people's lives, furthering the suggestion that occupation might be viewed as comprising dimensions of meaning: doing, being, belonging and becoming. Drawing upon perspectives and research from philosophers, social scientists and occupational therapists, this paper will argue for a renewed understanding of occupation in terms of dimensions of meaning rather than as divisible activities of self-care, productivity and leisure. PRACTICE IMPLICATIONS: Focusing on meaningful, rather than purposeful occupations more closely aligns the profession with its espoused aspiration to enable the enhancement of quality of life.

Disease↗

Perspectives from tomorrow's therapists.

This paper investigates the need for Occupational Therapy to establish a philosophy of its own. Two of the Eleanor CLarke Slagle Lectures, Reilly's of 1961 and Yerxa's of 1966, are examined as being representative of the philosophies of pragmatism and existentialism, respectively. Their philosophical approaches are compared in terms of their relevance to Occupational Therapy. A base is proposed from which a new philosophy could be generated, and a personal philosophy and opinion is stated from a student's point of view.

Canada↗

Community rehabilitation service for patients with severe psychotic disorders: the Slovene experience.

BACKGROUND: Rehabilitation can be carried out at various sites. METHOD: Two groups of patients with severe mental disorders were compared: those included in community rehabilitation service and those only attending an outpatient clinic regarding their clinical status, social functioning, standard of living and quality of life. RESULTS: We found no significant global differences in group characteristics, social functioning and clinical status, but we did prove the lower social status of the group included in the rehabilitation service and their satisfaction with the services they use. CONCLUSIONS: The community rehabilitation services in Slovenia are coping with existential social needs of their users but this study failed to demonstrate their success in improving health or social functioning.

Adaptation, Psychological↗

Life events and depression in transit populations.

Undesirable recent life events in the period of three months preceding primary depressive illness were studied in two Arabian Gulf countries: Qatar (235 patients) and Kuwait (164 patients). Transit population patients, who come to these countries from employment, differ from native patients in the significant predominance of work as a source of recent life events. The difference is discussed in relation to the existential committments and attitudes to work among native and transient populations. Intergenerational conflict as an undesirable recent life event is prevalent among family recent life events in native patients where rapid sociocultural changes are associated with conflict of traditional and modern value systems.

Adult↗

Survivor guilt in cancer patients: a pastoral perspective.

Defines survivor guilt and relates it to cancer patients' issues of meaning-making, feelings of responsibility, and need for restitution. Notes the spiritual dimension of survivor guilt and indicates ways in which pastoral caregivers might serve as both learners and as spiritual guides in meeting these existential factors implicit in survivor guilt phenomena.

Guilt↗

A crosslinguistic study of postposing in discourse.

In this paper we examine constraints on the use of seven sentence-types permitting the non-canonical appearance of the logical subject in post-verbal position: inversion in English and in Farsi, presentational and existential there-sentences in English, presentational ci-sentences and subject inversion in Italian, and es+subject postposing in Yiddish. We show that these sentence-types share a common discourse constraint: each requires the NP in non-canonical (i.e. postposed) position to represent information that is unfamiliar in some sense. The discourse function of postposing is contrasted with that of another sentence-type involving post-verbal subjects: right-dislocation in English. Unlike postposed NPs, the marked NP of English right-dislocation represents information that is familiar within the discourse: concomitantly, a pronoun coreferential with the marked constituent appears in this constituent's canonical position. We argue, then, that the function of postposing is to place subjects representing unfamiliar information in sentence-final position. On this analysis the functional difference between these sentence-types and English right-dislocation can be straightforwardly accounted for. Given that the marked NP of right-dislocation is coreferential with an intrasentential pronoun, we would expect this NP to represent a discourse-old entity, as do anaphoric pronouns in general. Thus, it is not accidental that right-dislocation does not serve to keep unfamiliar information out of subject position; the presence of the pronoun rules out such a function.

Humans↗

Method and ethics in advancing jury research.

In this article the contemporary problems of the jury and jury research are considered. This is timely, in view of the current Home Office Consultation Paper on the future of, and alternatives to, the jury in serious fraud trials, to which the author has submitted representations on its jury aspects. The research position is dominated by the prohibitions in the Contempt of Court Act 1981. The types of indirect research on jury deliberation which have been achieved within this stricture are outlined. In the USA, direct research of the jury is possible but, for historical reasons, it has been in television documentaries that direct observation of the deliberation process has been achieved. The first issue is discussed and the problems of inauthenticity, 'the observer effect', and of existential invalidity in 'mock' or 'shadow' juries are noted. Finally, the kinds of issues that could be addressed if licensed jury deliberation research was legalized, are proposed. It is also suggested that there are methods available to transcend the problems associated with American direct research.

Confidentiality↗

[A theoretical application of Parse's "Man-Living-Health" theory: to understand lithium treatment].

This article presents the theoretical application of Parse's Man-Living-Health theory. The main objective is to offer an interpretation of and to clarify the theory's main principles, themes and concepts in the Swedish language. A hypothetical, and often occurring situation in psychiatric nursing practice has been chosen as an example of how the themes--meaning, rythmicity and co-transcendence could conceivably be applied as a guide for nursing action. It is well known that the patient with the diagnosis, manic depressive disorder, often finds Lithium treatment meaningless. The use of Parse theory may guide the nurse in helping the patient to express his values and beliefs in order to enhance quality of life. One of the emphases and perspectives of the theory is that the patient is the expert in knowing his own needs. The nurse should not impose her own values or make choices for the patient. In order to apply Parse theory, presupposes an understanding of the basic concepts in existentialism and phenomenology as well as a shared psychiatric ideology in the practical setting.

Bipolar Disorder↗

Self-affirmation and mortality salience: affirming values reduces worldview defense and death-thought accessibility.

To the extent that cultural worldviews provide meaning in the face of existential concerns, specifically the inevitability of death, affirming a valued aspect of one's worldview should render reminders of death less threatening. The authors report two studies in support of this view. In Study 1, mortality salience led to derogation of a worldview violator unless participants had first affirmed an important value. In Study 2, self-affirmation before a reminder of death was associated with reduced accessibility of death-related thoughts a short while thereafter. The authors propose that actively affirming one's worldview alters reactions to reminders of mortality by reducing the accessibility of death-related thoughts, not by boosting self-esteem. These studies attest to the flexible nature of psychological self-defense and to the central role of cultural worldviews in managing death-related concerns.

Attitude to Death↗

Dying to be thin: the effects of mortality salience and body mass index on restricted eating among women.

Following terror management theory, the authors suggest women's striving to attain a thin physique is fueled in part by existential concerns. In three studies, women restricted consumption of a nutritious but fattening food in response to reminders of mortality (mortality salience; MS). When conducted in private (Study 1), this effect was found among women but not men; when replicated in a group setting in which social comparison was likely (Studies 2 and 3), only women who were relatively less successful attaining the thin ideal (i.e., high body mass index; BMI) restricted eating after MS. In Study 3, MS caused high BMI women to perceive themselves as more discrepant from their ideal thinness; this perceived failure mediated the effects of MS and BMI on eating behavior. Findings are discussed from a self-regulatory framework, which considered in the context of pressures for women to be thin, can shed light on health risk behavior.

Adult↗

Mortality salience, martyrdom, and military might: the great satan versus the axis of evil.

Study 1 investigated the effect of mortality salience on support for martyrdom attacks among Iranian college students. Participants were randomly assigned to answer questions about either their own death or an aversive topic unrelated to death and then evaluated materials from fellow students who either supported or opposed martyrdom attacks against the United States. Whereas control participants preferred the student who opposed martyrdom, participants reminded of death preferred the student who supported martyrdom and indicated they were more likely to consider such activities themselves. Study 2 investigated the effect of mortality salience on American college students' support for extreme military interventions by American forces that could kill thousands of civilians. Mortality salience increased support for such measures among politically conservative but not politically liberal students. The roles of existential fear, cultural worldviews, and construing one's nation as pursing a heroic battle against evil in advocacy of violence were discussed.

Adult↗

Ambivalence toward the body: death, neuroticism, and the flight from physical sensation.

Based on terror management theory, the authors suggest that ambivalent reactions to the human body are partially rooted in the association of the physical body with inescapable death and that individuals high in neuroticism are particularly vulnerable to such difficulties. Three experiments demonstrated that priming thoughts about one's death leads individuals high in neuroticism to flee from physical sensations, including pleasurable ones. In response to mortality salience, highly neurotic individuals spent less time submerging their arm in ice-cold water and using an electric foot massager but did not avoid stimulation in nontactile modalities (i.e., listening to music). The discussion highlights the role of existentially motivated self-repression in inhibitions surrounding the body.

Attitude↗

Spouses' experiences in heart transplantation.

In this phenomenological study, in-depth interviews were used to obtain a description of spouses' experiences in heart transplantation. Thematic analysis of the transcripts revealed four major, interrelated themes: death-life, vigilance, change, and gift. The experience was contextualized by the existential grounds of time and other people. Findings suggested that the changes inherent in the transplant experience have not been fully described in previous studies. The theme of death-life was dominant and pervasive in all interviews. As the threat of their husbands' deaths became less prominent, wives reported difficulty letting go of their vigilance. Although the most outstanding gift was that of the donor organ, spouses also gratefully remembered the donor and donor family. Time was not perceived as a boundary separating periods of the transplant experience; all aspects of time seemed to be woven seamlessly from the past through the present and into the future. Spouses were adamant that health care personnel should recognize them as coparticipants in the critical life event of cardiac transplantation.

Adult↗