Death and science: the existential underpinnings of belief in intelligent design and discomfort with evolution.

PubMed

Tracy, Jessica L; Hart, Joshua; Martens, Jason P

2011-03-30

The present research examined the psychological motives underlying widespread support for intelligent design theory (IDT), a purportedly scientific theory that lacks any scientific evidence; and antagonism toward evolutionary theory (ET), a theory supported by a large body of scientific evidence. We tested whether these attitudes are influenced by IDT's provision of an explanation of life's origins that better addresses existential concerns than ET. In four studies, existential threat (induced via reminders of participants' own mortality) increased acceptance of IDT and/or rejection of ET, regardless of participants' religion, religiosity, educational background, or preexisting attitude toward evolution. Effects were reversed by teaching participants that naturalism can be a source of existential meaning (Study 4), and among natural-science students for whom ET may already provide existential meaning (Study 5). These reversals suggest that the effect of heightened mortality awareness on attitudes toward ET and IDT is due to a desire to find greater meaning and purpose in science when existential threats are activated.

Death and Science: The Existential Underpinnings of Belief in Intelligent Design and Discomfort with Evolution

PubMed Central

Tracy, Jessica L.; Hart, Joshua; Martens, Jason P.

2011-01-01

The present research examined the psychological motives underlying widespread support for intelligent design theory (IDT), a purportedly scientific theory that lacks any scientific evidence; and antagonism toward evolutionary theory (ET), a theory supported by a large body of scientific evidence. We tested whether these attitudes are influenced by IDT's provision of an explanation of life's origins that better addresses existential concerns than ET. In four studies, existential threat (induced via reminders of participants' own mortality) increased acceptance of IDT and/or rejection of ET, regardless of participants' religion, religiosity, educational background, or preexisting attitude toward evolution. Effects were reversed by teaching participants that naturalism can be a source of existential meaning (Study 4), and among natural-science students for whom ET may already provide existential meaning (Study 5). These reversals suggest that the effect of heightened mortality awareness on attitudes toward ET and IDT is due to a desire to find greater meaning and purpose in science when existential threats are activated. PMID:21479169

Dialoguing with Dreams in Existential Art Therapy

ERIC Educational Resources Information Center

Moon, Bruce L.

2007-01-01

This article presents a theoretical and methodological framework for interactive dialogue and analysis of dream images in existential art therapy. In this phenomenological-existential approach, the client and art therapist are regarded as equal partners with respect to sharing in the process of creation and discovery of meaning (Frankl, 1955,…

Tell Me Why? Existential Concerns of School Shooters

ERIC Educational Resources Information Center

Pfeifer, Birgit; Ganzevoort, Ruard

2017-01-01

One of the few recurring characteristics in school shooters' stories is their expression of existential concerns. Many discuss their hatred of the world and existential loneliness in their manifestos, suicide letters, or social media updates. These expressions--called leaking--are made during the planning period preceding their deed. They are not…

The Practices of Existential Psychotherapists: Development and Application of an Observational Grid

ERIC Educational Resources Information Center

Correia, Edgar A.; Sartóris, Vítor; Fernandes, Tiago; Cooper, Mick; Berdondini, Lucia; Sousa, Daniel; Pires, Branca Sá; da Fonseca, João

2018-01-01

Within the major therapeutic paradigms, observational instruments have been developed to assess orientation-specific interventions or processes. However, to date, no such instrument exists to assess existential practices. Recent research indicates the key practices of existential therapists, and forms an empirical basis on which to develop an…

A Validation Study of the Existential Anxiety Scale.

ERIC Educational Resources Information Center

Hullett, Michael A.

Logotherapy is a meaning-centered psychotherapy which focuses on both the meaning of human existence and the personal search for meaning. If the will to search for meaning is frustrated, "existential frustration" may result. This study validates the Existential Anxiety Scale (EAS) developed by Good and Good (1974). Basic principles of…

Existential concerns about death: a qualitative study of dying patients in a Danish hospice.

PubMed

Moestrup, Lene; Hansen, Helle Ploug

2015-06-01

Research suggests that addressing dying patients' existential concerns can improve their quality of life. We aimed to illuminate dying patients' existential concerns about the impending death through a descriptive analysis of semistructured interviews with 17 patients in Danish hospices. The main findings demonstrated how the patients faced the imminent death without being anxious of death but sorrowful about leaving life. Some patients expressed that they avoided thinking about death. They wished to focus on positive aspects in their daily life. We argue that the patients' existential concerns could not be fully captured by Yalom's existential psychology or by Kübler-Ross's theory about death stages. Patients' complex concerns could be more fully explained taking an outset in Heidegger's phenomenological thinking. © The Author(s) 2014.

The power of consoling presence - hospice nurses’ lived experience with spiritual and existential care for the dying

PubMed Central

2014-01-01

Background Being with dying people is an integral part of nursing, yet many nurses feel unprepared to accompany people through the process of dying, reporting a lack of skills in psychosocial and spiritual care, resulting in high levels of moral distress, grief and burnout. The aim of this study is to describe the meaning of hospice nurses’ lived experience with alleviating dying patients’ spiritual and existential suffering. Methods This is a qualitative study. Hospice nurses were interviewed individually and asked to narrate about their experiences with giving spiritual and existential care to terminally ill hospice patients. Data analysis was conducted using phenomenological hermeneutical method. Results The key spiritual and existential care themes identified, were sensing existential and spiritual distress, tuning inn and opening up, sensing the atmosphere in the room, being moved and touched, and consoling through silence, conversation and religious consolation. Conclusions Consoling existential and spiritual distress is a deeply personal and relational practice. Nurses have a potential to alleviate existential and spiritual suffering through consoling presence. By connecting deeply with patients and their families, nurses have the possibility to affirm the patients’ strength and facilitate their courage to live a meaningful life and die a dignified death. PMID:25214816

Feelings of Existential Fulfilment and Burnout among Secondary School Teachers

ERIC Educational Resources Information Center

Loonstra, Bert; Brouwers, Andre; Tomic, Welko

2009-01-01

Teacher burnout is recognized as a serious problem. In research it has been related to many person-specific variables; one of these, the variable of existential fulfilment, has received very little attention thus far. The present study focuses on the relationship between existential fulfilment and burnout among secondary school teachers in the…

The Adequacy of Cognitive Psychology's Explanation of Consciousness from an Existential View.

ERIC Educational Resources Information Center

Slife, Brent D.; Barnard, Suzanne

Cognitive psychology has been considered to be at the vortex of a revolution in psychology. Schools of humanism and existentialism were originally needed as reactions to the narrowness of behaviorism. The "reactions" in psychology continue to be relevant and needed, particularly existential psychology. The qualities of consiousness in…

Existentialism and Humanism: Humanity--Know Thyself!

ERIC Educational Resources Information Center

Tubbs, Nigel

2013-01-01

At times, an individual in modernity can feel dehumanised by work, by administration, by technology, and by political power. This experience of being dehumanised can take the individual to an existential awareness of the priority of existence over essence. But what does this existential experience mean? Are there ways in which this experience can…

Health-related Quality of Life and Existential Concerns Among Patients with End-stage Renal Disease

PubMed Central

Bele, Samir; Bodhare, Trupti N; Mudgalkar, Nikhil; Saraf, Abhay; Valsangkar, Sameer

2012-01-01

Background: Health-Related Quality Of Life (HRQOL) among patients with End-Stage Renal Disease (ESRD) is significantly impacted by virtue of varied disease or treatment-related factors, and its evaluation along with existential concerns is required for providing comprehensive care to the patient. Aim: The aim of this study was to describe the various dimensions of HRQOL and existential concerns and to examine the relationship between the two among patients with ESRD. Materials and Methods: A cross-sectional descriptive study was conducted among 54 patients with ESRD undergoing maintenance hemodialysis in a teaching hospital. A semi-structured questionnaire was used to assess socio-demographic characteristics and existential concerns of the respondents. The HRQOL was evaluated using a standardized scale of Kidney Disease Quality of Life-Short Form (KDQOL-SF™) questionnaire. Data were presented as frequencies, mean ± Standard Deviation (SD) for baseline characteristics and scores. Pearson correlation was used to study the association between various domains of quality of life and existential concerns. Results: Among HRQOL, the worst results obtained were in the domain of burden of kidney disease (33.45 ± 13.53), work status (49.07 ± 24.75), quality of social interaction (62.22 ±11.80), general health (43.06 ± 13.01), and physical functioning (47.50 ± 18.88). Disrupted personal integrity (12.80 ± 2.81) and loss of continuity (5.37 ± 1.17) were most bothersome existential concerns. A co-relational model behaves distinctly eliciting weak to strong association among various domains of HRQOL and existential concerns. Conclusion: Patients with ESRD reported impaired HRQOL in most of the domains. Existential concerns are distinguished as important dimensions of HRQOL. Association between HRQOL and existential concerns showed that these dimensions are distinct, and there is a need for assessing and attending these entities through a multidisciplinary approach to alleviate the suffering and achieving a sense of overall wellbeing among patients. PMID:23093825

Health-related Quality of Life and Existential Concerns Among Patients with End-stage Renal Disease.

PubMed

Bele, Samir; Bodhare, Trupti N; Mudgalkar, Nikhil; Saraf, Abhay; Valsangkar, Sameer

2012-05-01

Health-Related Quality Of Life (HRQOL) among patients with End-Stage Renal Disease (ESRD) is significantly impacted by virtue of varied disease or treatment-related factors, and its evaluation along with existential concerns is required for providing comprehensive care to the patient. The aim of this study was to describe the various dimensions of HRQOL and existential concerns and to examine the relationship between the two among patients with ESRD. A cross-sectional descriptive study was conducted among 54 patients with ESRD undergoing maintenance hemodialysis in a teaching hospital. A semi-structured questionnaire was used to assess socio-demographic characteristics and existential concerns of the respondents. The HRQOL was evaluated using a standardized scale of Kidney Disease Quality of Life-Short Form (KDQOL-SF™) questionnaire. Data were presented as frequencies, mean ± Standard Deviation (SD) for baseline characteristics and scores. Pearson correlation was used to study the association between various domains of quality of life and existential concerns. Among HRQOL, the worst results obtained were in the domain of burden of kidney disease (33.45 ± 13.53), work status (49.07 ± 24.75), quality of social interaction (62.22 ±11.80), general health (43.06 ± 13.01), and physical functioning (47.50 ± 18.88). Disrupted personal integrity (12.80 ± 2.81) and loss of continuity (5.37 ± 1.17) were most bothersome existential concerns. A co-relational model behaves distinctly eliciting weak to strong association among various domains of HRQOL and existential concerns. Patients with ESRD reported impaired HRQOL in most of the domains. Existential concerns are distinguished as important dimensions of HRQOL. Association between HRQOL and existential concerns showed that these dimensions are distinct, and there is a need for assessing and attending these entities through a multidisciplinary approach to alleviate the suffering and achieving a sense of overall wellbeing among patients.

A mobile hospice nurse teaching team's experience: training care workers in spiritual and existential care for the dying - a qualitative study.

PubMed

Tornøe, Kirsten; Danbolt, Lars Johan; Kvigne, Kari; Sørlie, Venke

2015-09-18

Nursing home and home care nursing staff must increasingly deal with palliative care challenges, due to cost cutting in specialized health care. Research indicates that a significant number of dying patients long for adequate spiritual and existential care. Several studies show that this is often a source of anxiety for care workers. Teaching care workers to alleviate dying patients' spiritual and existential suffering is therefore important. The aim of this study is to illuminate a pioneering Norwegian mobile hospice nurse teaching team's experience with teaching and training care workers in spiritual and existential care for the dying in nursing homes and home care settings. The team of expert hospice nurses participated in a focus group interview. Data were analyzed using a phenomenological hermeneutical method. The mobile teaching team taught care workers to identify spiritual and existential suffering, initiate existential and spiritual conversations and convey consolation through active presencing and silence. The team members transferred their personal spiritual and existential care knowledge through situated "bedside teaching" and reflective dialogues. "The mobile teaching team perceived that the care workers benefitted from the situated teaching because they observed that care workers became more courageous in addressing dying patients' spiritual and existential suffering. Educational research supports these results. Studies show that efficient workplace teaching schemes allowexpert practitioners to teach staff to integrate several different knowledge forms and skills, applying a holisticknowledge approach. One of the features of workplace learning is that expert nurses are able to guide novices through the complexities of practice. Situated learning is therefore central for becoming proficient. Situated bedside teaching provided by expert mobile hospice nurses may be an efficient way to develop care workers' courage and competency to provide spiritual and existential end-of-life-care. Further research is recommended on the use of mobile expert nurse teaching teams to improve nursing competency in the primary health care sector.

Wars and suicides in Israel, 1948-2006.

PubMed

Oron Ostre, Israel

2012-05-01

This paper reports the characteristics of suicides which occurred during the existential and the non-existential wars in Israel. It provides a first approximation of whether the suicide patterns in each war are consistent with the findings of Morselli and Durkheim, and whether their theoretical interpretations can serve as a preliminary guideline to explaining the Israeli case, which is characterized by short periods of war, social integration during some of the non-existential wars, and a sharp rise in post-war male suicide rates following all of the existential wars. Implications for further studies on the subject in Israel and elsewhere are discussed.

Psychometric Evaluation of the Chinese Version of the Existential Anxiety Questionnaire in a Sample of Chinese Adolescents Living in Hong Kong

ERIC Educational Resources Information Center

To, Siu-ming; Chan, Wallace Chi-ho

2016-01-01

Background: While Western academia has increasingly recognized the importance of studying existential anxiety among adolescents, psychometrically valid and reliable tools for measuring this construct remain unavailable in Chinese societies. Objective: This research investigated the empirical viability of the construct of existential anxiety in…

An Existentialist in Iqaluit: Existentialism and Reflexivity Informing Pedagogy in the Canadian North

ERIC Educational Resources Information Center

Yue, Anthony R.

2011-01-01

Reflecting on the personal experience of teaching human resource management in the Canadian Arctic, the author explores the utility of an existentialist approach to pedagogy. The author outlines select aspects of existentialism that are pertinent to the teaching and discusses the implications of using reflexive existential thought as guidance in a…

Existential Attitudes and Eastern European Adolescents' Problem and Health Behaviors: Highlighting the Role of the Search for Meaning in Life

ERIC Educational Resources Information Center

Brassai, Laszlo; Piko, Bettina F.; Steger, Michael F.

2012-01-01

Although the role of existential attitudes in adolescent health-related behavior has received increased attention recently, historically it has been underinvestigated in the field. The present study focuses on existential attitudes related to meaning in life and hopelessness. Relations of presence of meaning, search for meaning, and hopelessness…

Wars and Suicides in Israel, 1948–2006

PubMed Central

Oron (Ostre), Israel

2012-01-01

This paper reports the characteristics of suicides which occurred during the existential and the non-existential wars in Israel. It provides a first approximation of whether the suicide patterns in each war are consistent with the findings of Morselli and Durkheim, and whether their theoretical interpretations can serve as a preliminary guideline to explaining the Israeli case, which is characterized by short periods of war, social integration during some of the non-existential wars, and a sharp rise in post-war male suicide rates following all of the existential wars. Implications for further studies on the subject in Israel and elsewhere are discussed. PMID:22754482

Making dialogue with an existential voice in transition from military to civilian life

PubMed Central

Grimell, Jan

2017-01-01

Dialogical Self Theory has contributed to the endeavors to map and grid self-identity work in transition from military to civilian life throughout an empirical and longitudinal research project which focuses on existential dimensions. This article is based on a case study from this project and centers upon Sergeant Jonas, who, upon his return from deployment in Afghanistan, struggled with his transition as a new existential position was vocalized throughout the following annual interviews. This voice narrated feelings of meaninglessness, emptiness, and of having been deceived. In turn, this existential voice required an answer to a question which apparently had no answer. The meaning-making eventually evolved into an acceptance which enabled Jonas to proceed with his life. Dialogical processes between positions are important in order to go on with life amid existential concerns in the aftermath of military service since dialogicality of the self opens up a complex of dynamics of meaning-making processes, negotiations, and transformations. Based on the findings, it is suggested that the Personal Position Repertoire could potentially be strengthened by the addition of an internal existential position to its standard repertoire, at least when working with military personnel and/or veterans. PMID:29249868

Strategic Studies Quarterly. Volume 5, Number 4, Winter 2011

DTIC Science & Technology

2011-12-01

attack, and its destructive capacity intrinsically poses existential threats to nation- states (not to mention their populations). This is not true...nuclear technology. Unlike nuclear, cyber does not pose an existential threat. As Martin Libicki points out, destruction or disconnection of cyber...the Cuban missile crisis, existential deterrence worked, and a few Soviet bombs created deterrence despite an over- whelming American superiority in

Military Nurses’ Experience in Disaster Response

DTIC Science & Technology

2010-06-23

their lives. A phenomenological approach grounded in the existential phenomenological works of Merleau-Ponty guided the study. Using purposive...Known” versus “Unknown,” “Structured” versus “Chaos,” “Prepared” versus “Making Do,” “Strength” versus “Emotionality,” and “ Existential Growth...responses had on their lives. A phenomenological approach grounded in the existential phenomenological works of Merleau-Ponty guided the study. Using

East Europe Report, Political, Sociological and Military Affairs, No. 2198

DTIC Science & Technology

1983-09-14

theoreticians, but also in wider circles of intellectual recipients. The credit for it goes to French existentialism in the postwar period. It is interesting...against the backgrond of the philosophy which these authors professed ( existentialism ), or the psychological domination of their interests (Fromm). As...intensity in contemporary society, these phenomena have become the favorite philosophical domain (appearing mostly in literary form) of existential thought

“And Yet It Was a Blessing”: The Case for Existential Maturity

PubMed Central

Reddy, Neha; Hauser, Joshua; Sonnenfeld, Sarah B.

2017-01-01

Abstract We are interested in the kind of well-being that can occur as a person approaches death; we call it “existential maturity.” We describe a conceptual model of this state that we felt was realized in an individual case, illustrating the state by describing the case. Our goal is to articulate a generalizable, working model of existential maturity in concepts and terms taken from fundamentals of psychodynamic theory. We hope that a recognizable case and a model-based way of thinking about what was going on can both help guide care that fosters existential maturity and stimulate more theoretical modeling of the state. PMID:28128674

Existential challenges experienced by lymphoma survivors: Results from the 2010 LIVESTRONG Survey

PubMed Central

Posluszny, Donna M.; Dew, Mary Amanda; Beckjord, Ellen; Bovbjerg, Dana H.; Schmidt, John E.; Low, Carissa A.; Lowery, Amy; Nutt, Stephanie A.; Arvey, Sarah R.; Rechis, Ruth

2015-01-01

We sought to examine the existential challenges that cancer survivors may experience as they strive to make meaning, regain their self-identity, cope with fear of recurrence, and experience feelings of grief and guilt. Lymphoma survivors (n=429) completed the 2010 LIVESTRONG survey and provided responses about meaning, cancer worry, security, identity, grief, guilt, and perceived functional impairment due to these concerns. Most survivors (73−86%) endorsed existential concerns, with 30−39% reporting related perceived functional impairment. Concerns were associated with being female, younger, unmarried, and having undergone stem cell transplantation. Lymphoma survivors experience existential challenges that impact their life even years after diagnosis. PMID:25845834

Prerequisite for Strategic Planning: A Concept of the National Interest.

DTIC Science & Technology

1984-12-01

nature of the American national character 11 conventional wisdom of political science that holds that, although there is no existential public interest... existential harmony of interests within the community which * possesses sufficient objectivity to yield concrete public policies which ought to be...ideas, which are mere airy nothings without mass or energy, the mere shadows of the existential world of substance and of force, of habits and desires, of

Relieving existential suffering through palliative sedation: discussion of an uneasy practice.

PubMed

Bruce, Anne; Boston, Patricia

2011-12-01

This article presents a discussion of the use of palliative sedation in response to intractable (not responsive to treatment) existential suffering. Patients suffering from a terminal illness are often faced with severe symptoms at the end of life. Although palliative sedation is sometimes used when no other options are effective in relieving unbearable pain or suffering, its use in response to intractable existential suffering in terminal illness remains controversial. A literature search was conducted for published articles addressing the use of palliative sedation between 1996 and 2009 using established databases. Palliative sedation remains an uneasy practice. The debates have centred on ethical issues surrounding decisions to use sedation and on separating the intent of palliative sedation (relief of intolerable symptoms) from the intent of euthanasia (hastening death). There is lack of consensus in defining existential suffering. Consequently, there is limited understanding of how decisions are being made when using palliative sedation to treat intractable existential suffering. Given the confusion and uncertainty about ethical and clinical justifications for palliative sedation in treating existential suffering, we argue that a better understanding of the controversies and decision-making process is needed. Greater understanding is required to prevent palliative sedation from becoming a substitute for intensive treatment of this kind of suffering. © 2011 Blackwell Publishing Ltd.

Development of an existential support training program for healthcare professionals.

PubMed

Henoch, Ingela; Strang, Susann; Browall, Maria; Danielson, Ella; Melin-Johansson, Christina

2015-12-01

Our aim was to describe the developmental process of a training program for nurses to communicate existential issues with severely ill patients. The Medical Research Council (MRC) framework for the development and evaluation of complex interventions was used to develop a training program for nurses to communicate about existential issues with their patients. The steps in the framework were employed to describe the development of the training intervention, and the development, feasibility and piloting, evaluation, and implementation phases. The development and feasibility phases are described in the Methods section. The evaluation and implementation phases are described in the Results section. In the evaluation phase, the effectiveness of the intervention was shown as nurses' confidence in communication increased after training. The understanding of the change process was considered to be that the nurses could describe their way of communicating in terms of prerequisites, process, and content. Some efforts have been made to implement the training intervention, but these require further elaboration. Existential and spiritual issues are very important to severely ill patients, and healthcare professionals need to be attentive to such questions. It is important that professionals be properly prepared when patients need this communication. An evidence-based training intervention could provide such preparation. Healthcare staff were able to identify situations where existential issues were apparent, and they reported that their confidence in communication about existential issues increased after attending a short-term training program that included reflection. In order to design a program that should be permanently implemented, more knowledge is needed of patients' perceptions of the quality of the healthcare staff's existential support.

Experiences and explanations of mental ill health in a group of devout Christians from the ethnic majority population in secular Sweden: a qualitative study

PubMed Central

Lilja, Aina; DeMarinis, Valerie; Lehti, Arja; Forssén, Annika

2016-01-01

Objective To explore existential meaning-making in an ethnic-majority subgroup with mental ill health and to increase knowledge about the importance of gaining access to such information in mental healthcare. Design Qualitative study using in-depth interviews and systematic text condensation analysis. Participants 17 devote Christians with an ethnic-Swedish background, 12 women and 5 men, 30–73 years old, from different congregations across Sweden, having sought medical care for mental ill health of any kind. Setting The secular Swedish society. Results A living, although asymmetric, relationship with God often was seen as the most important relationship, giving hope and support when ill, but creating feelings of abandonment and fear if perceived as threatened. Symptoms were interpreted through an existential framework influenced by their view of God. A perceived judging God increased feelings of guilt, sinfulness and shame. A perceived merciful God soothed symptoms and promoted recovery. Existential consequences, such as being unable to pray or participate in congregational rituals, caused feelings of ‘spiritual homelessness’. Participants gave biopsychosocial explanations of their mental ill health, consonant with and sometimes painfully conflicting with existential explanations, such as being attacked by demons. Three different patterns of interaction among biopsychosocial and existential dimensions in their explanatory systems of illness causation were identified: (a) comprehensive thinking and consensus; (b) division and parallel functions and (c) division and competitive functions. Conclusions Prevailing medical models for understanding mental ill health do not include the individual's existential experiences, which are important for identifying risk and protective factors as well as possible resources for recovery. The various expressions of existential meaning-making identified in this devout religious subgroup illustrate that existential information cannot be generalised, even within a small, seemingly homogenous group. The three identified patterns of interactions formed a typology that may be of use in clinical settings. PMID:27797991

The multistream self: biophysical, mental, social, and existential.

PubMed

Deshmukh, Vinod D

2008-03-25

Self is difficult to define because of its multiple, constitutive streams of functional existence. A more comprehensive and expanded definition of self is proposed. The standard bio-psycho-social model of psyche is expanded to biophysical-mental-social and existential self. The total human experience is better understood and explained by adding the existential component. Existential refers to lived human experience, which is firmly rooted in reality. Existential living is the capacity to live fully in the present, and respond freely and flexibly to new experience without fear. Four common fears of isolation, insecurity, insignificance, and death can be overcome by developing a lifestyle of whole-hearted engagement in the present reality, creative problem solving, self-actualization, and altruism. Such integrative living creates a sense of presence with self-awareness, understanding, and existential well-being. Well-being is defined as a life of happiness, contentment, low distress, and good health with positive outlook. Self is a complex, integrative process of living organisms. It organizes, coordinates, and integrates energy-information within and around itself, spontaneously, unconsciously, and consciously. Self-process is understood in terms of synergetics, coordination dynamics, and energy-information-directed self-organization. It is dynamic, composite, ever renewing, and enduring. It can be convergent or divergent, and can function as the source or target of its own behavior-mentation. The experience of self is continuously generated by spontaneous activation of neural networks in the cerebral neocortex by the brainstem-diencephalic arousal system. The multiple constitutive behavioral-mental streams develop concurrently into a unique experience of self, specific for a person at his/her developmental stage. The chronological neuro-behavioral-mental development of self is described in detail from embryonic stage to old age. Self can be behaviorally-mentally oriented and realized in three complimentary modes of being: egocentric, allocentric, and ecosystemic or existential. The existential mode is both immanent and transcendent, and can be self-actualized, resulting in a healthy, creative, conflict-free, and meaningful life.

Existential vulnerability: toward a psychopathology of limit situations.

PubMed

Fuchs, Thomas

2013-01-01

Jaspers' concept of limit situations seems particularly appropriate not only to elucidate outstanding existential situations in general, but also basic preconditions for the occurrence of mental disorders. For this purpose, the concept is first explained in Jaspers' sense and then related to an 'existential vulnerability' of mentally ill persons that makes them experience even inconspicuous events as distressing limit situations. In such situations, an otherwise hidden fundamental condition of existence becomes manifest for them, e.g. the fragility of one's own body, the inevitability of freedom, or the finiteness of life. This fundamental condition is found unbearable and, as a reaction, gives rise to mental illness. This concept of existential vulnerability is illustrated by some psychopathological examples. © 2013 S. Karger AG, Basel.

Existential and Phenomenological Influences in Educational Philosophy.

ERIC Educational Resources Information Center

Vandenberg, Donald

1979-01-01

Existentialism, methodology, phenomenology, and hermeneutics are defined as they apply to philosophy of education. A chronological presentation of the literature outlines the contributions of each. (JMF)

Getting Out or Remaining in the Cage of Inauthentic Self: The Meaning of Existential Challenges in Patients' with Cancer

PubMed Central

Khoshnood, Zohreh; Iranmanesh, Sedigheh; Rayyani, Masoud; Dehghan, Mahlegha

2018-01-01

Context: Cancer as a life-threatening disease develops a range of existential challenges in persons. These challenges cause the patients to encounter some existential questions and tensions. This study method focuses on a person's experience about them. Aims: The aim of this study is to illuminate the meaning of existential challenges in patients with cancer in Iran. Subjects and Methods: A hermeneutic phenomenological approach, influenced by the philosophy of Ricoeur, was used to analyze the experiences of 10 Iranian patients with cancer. Data analysis was based on three stages of simple and fast understanding, structural analysis, and comprehensive understanding. Results: The present study showed that existential challenges in patients with cancer can be considered as getting out or remaining in the cage of inauthentic self. This theme consists of two subthemes “Being exposed to the light of awareness that revealed the cage of inauthentic self” and “The tension between getting out of the cage or remaining.” First, being exposed to the light of awareness revealed the cage of inauthentic self which subjectively refers to the emergence of existential questions, the past, the fear of future, and the collapse of physical body identity. Second, the tension between getting out of the cage or still staying which is characterized by anger, denial, sense of loneliness, and depression. Conclusions: According to the results of this qualitative study, it is possible to form discussion groups with peers or have self-reflective practice teaching groups to reflect patients' questions and existential challenges. In this way, participants can express themselves, share their experiences, challenges, learn, and find the answers. PMID:29736113

Neighborhood Disorder, Spiritual Well-Being, and Parenting Stress in African American Women

PubMed Central

Lamis, Dorian A.; Wilson, Christina K.; Tarantino, Nicholas; Lansford, Jennifer E.; Kaslow, Nadine J.

2014-01-01

Using a culturally-informed risk-protective framework, the purpose of this study was to examine spiritual well-being (existential, religious) as a moderator (protective factor) in the relation between neighborhood disorder (risk factor) and parenting stress in among a high risk sample of low-socioeconomic status (SES), African American women (N = 144). These women, who were primary caregivers of children aged between 8 and 12 reported on disorder in their existential and religious well-being, neighborhoods, and three types of parenting stress. Women who perceived more disorder in their neighborhood had more parenting stress, and women who reported more existential and religious well-being had less parenting stress. Existential (characterized by a sense of purpose in life), but not religious (characterized by a sense of life in relationship with God) well-being, moderated the relation between neighborhood disorder and all types of parenting stress such that women with medium or high levels of existential well-being had low levels of parenting stress at low levels of neighborhood disorder, but higher levels of parenting stress at higher levels of neighborhood disorder. No moderation effects were found at low levels of existential well-being. Results are framed in a context that emphasizes their relevance to incorporating family interventions that bolster culturally relevant resilience factors, such as spirituality, pertinent to low-SES African American families. PMID:24707802

The role of spirituality in the psychological adjustment to cancer: a test of the transactional model of stress and coping.

PubMed

Laubmeier, Kimberly K; Zakowski, Sandra G; Bair, John P

2004-01-01

Recent studies in the oncology literature have shown that spirituality, defined as the combination of existential and religious well-being (RWB), is related to both emotional well-being and quality of life. Indeed, spirituality may be particularly important in coping with the potential life threat of the disease. Based on Frankl's (1963) existential theory, in this study, we examined whether the relations between spirituality and emotional well-being are moderated by degree of perceived life threat (PLT). In addition, in this study, we examined the relative importance of religious versus existential well-being in relation to psychological adjustment. Patients diagnosed with various types of cancer (N = 95) completed questionnaires assessing spirituality, PLT, quality of life, and distress. Contrary to theoretical predictions, spirituality was associated with less distress and better quality of life regardless of PLT. Interestingly, existential but not RWB accounted for a major portion of the variance in these outcomes. Taken together, these findings suggest that spirituality, particularly the existential component, may be associated with reduced symptoms of distress in cancer patients regardless of life threat.

Fear of self-annihilation and existential uncertainty as predictors of worldview defense: Comparing terror management and uncertainty theories.

PubMed

Rubin, Mark

2018-01-01

Terror management theory (TMT) proposes that thoughts of death trigger a concern about self-annihilation that motivates the defense of cultural worldviews. In contrast, uncertainty theorists propose that thoughts of death trigger feelings of uncertainty that motivate worldview defense. University students (N = 414) completed measures of the chronic fear of self-annihilation and existential uncertainty as well as the need for closure. They then evaluated either a meaning threat stimulus or a control stimulus. Consistent with TMT, participants with a high fear of self-annihilation and a high need for closure showed the greatest dislike of the meaning threat stimulus, even after controlling for their existential uncertainty. Contrary to the uncertainty perspective, fear of existential uncertainty showed no significant effects.

Existential and spiritual needs in mental health care: an ethical and holistic perspective.

PubMed

Koslander, Tiburtius; da Silva, António Barbosa; Roxberg, Asa

2009-03-01

This study illuminates how existential needs and spiritual needs are connected with health care ethics and individuals' mental health and well-being. The term existential needs is defined as the necessity of experiencing life as meaningful, whereas the term spiritual needs is defined as the need of deliverance from despair, guilt and/or sin, and of pastoral care. It discusses whether or not patients' needs are holistically addressed in Western health care systems that neglect patients' existential and spiritual needs, because of their biomedical view of Man which recognizes only patients' physical needs. It excludes a holistic health care which considers all needs, expressed by patients in treatment of mental illness. Addressing all needs is important for patients' improvement and recovery. For some patients, this is the only way to regain their mental health and well-being.

The existential experience of everyday life with systemic lupus erythematosus.

PubMed

Larsen, Janni Lisander; Hall, Elisabeth O C; Jacobsen, Søren; Birkelund, Regner

2018-05-01

To explore from the perspective of women the nature of basic existential conditions while living with systemic lupus erythematosus. Systemic lupus erythematosus has an unpredictable disease course and is documented to cause an existential rearrangement of life. The significance of changes in existential conditions and related experiences are unclear in the context of nursing and women with systemic lupus erythematosus. A qualitative design guided by Van Manen's hermeneutic-phenomenological methodology. Individual in-depth interviews with 15 women diagnosed with systemic lupus erythematosus and of various ages, disease durations and severities were undertaken from September 2013 - October 2015. Data were analysed following van Manen's phenomenological approach and using drawing as an interpretive tool. The main existential experience was interpreted as a person "moving with the waves of systemic lupus erythematosus" constituted by the themes "oscillating between presence and absence of systemic lupus erythematosus," "recognizing space and bodily possibilities and limitations" and "being enriched through relationships and activities." When systemic lupus erythematosus was flaring, well-being was threatened and a laborious time to escape the feeling of a setback-in-life persisted long after the disease was medically under control. Daily life with systemic lupus erythematosus is conditioned by a prominent need to be in existential motion, related to the absence and presence of systemic lupus erythematosus. The experience of a setback-in-life by illness might challenge well-being and indicates that periods of disease flares or disturbing symptoms are critical time points to provide support. © 2018 John Wiley & Sons Ltd.

Beyond Nature and Culture: Fromm's Existentialism.

PubMed

Carveth, Donald L

2017-08-01

Though commonly seen as a member of the so-called "culturistic" school of psychoanalysis that rejected Freudian drive theory and embraced an "oversocialized" conception of human nature, Fromm's qualified essentialism and neo-Marxist existentialism significantly transcend both biological and social determinism (although he succumbs to the latter in regard to his theory of the Oedipus complex). His existential Freudo-Marxism contributes to the integration of psychoanalysis and social science. In place of the authoritarian superego and the pseudo-objective stance of the classical Freudians, Fromm offers conscientious, egalitarian, personalistic, and humane values.

[Suicide -- an essay trying to reveal the theme].

PubMed

Sampaio, M A; Boemer, M R

2000-12-01

This essay proposes to reveal facets of the suicide through the discourse of different authors treating this theme as well as through contacts that I was able to have in my nursing training, through my academic trajectory. This trajectory includes an incursion by phenomenological ideas, mainly by the ideas of Heidegger and his existential analysis of the man as being-there. In this way, the understanding of a person who decides to finalize his/her existence, can be, by the existential analysis perspective, a way to reconstruct and redimension his/her existential perspectives.

[Perceptions of family members of patients with cancer on musical encounters during the antineoplastic treatment].

PubMed

da Silva, Vladimir Araujo; Marcon, Sonia Silva; Sales, Catarina Aparecida

2014-01-01

Current research is a qualitative phenomenological analysis, structured on Heidegger's existential analysis, whose aim was the perception of cancer patients' relatives who live with subjects with cancer and with anticancer treatment, about the musical encounters. Five subjects living at the clinic run by the Maringá Female Network against Cancer participated at eight musical encounters during January and February 2011. The meeting mediated by the music can provide the relatives with a moment of existential introspection which lead them to a transcendental experience in coping with their existential condition. It inspired the expression of subjectivity and the revealing of their existential / spiritual needs. Within the context of cancer palliative care, the encounters may broaden the integration and humanization possibilities of nursing care to the family, providing comfort, reflection and motivation in the wake of emergent adversities within the clinic's temporal term.

Associations of prognostic awareness/acceptance with psychological distress, existential suffering, and quality of life in terminally ill cancer patients' last year of life.

PubMed

Tang, Siew Tzuh; Chang, Wen-Cheng; Chen, Jen-Shi; Chou, Wen-Chi; Hsieh, Chia-Hsun; Chen, Chen H

2016-04-01

Whether prognostic awareness benefits terminally ill cancer patients' psychological-existential well-being and quality of life (QOL) is unclear because of lack of well-controlled longitudinal studies. This study longitudinally evaluated the associations of accurate prognostic awareness and prognostic acceptance with psychological distress, existential suffering, and QOL while comprehensively controlling for confounders in Taiwanese terminally ill cancer patients' last year of life. A convenience sample of 325 cancer patients was followed until death. Psychological distress and existential suffering were assessed by severe anxiety and depressive symptoms and high self-perceived sense of burden to others, respectively. Dichotomized and continuous (QOL) outcome variables were evaluated by multivariate logistic and linear regression modeling with the generalized estimating equation, respectively. Accurate prognostic awareness was not associated with the likelihood of severe anxiety or depressive symptoms but significantly increased the likelihood of high self-perceived sense of burden to others and was associated with poorer QOL in participants' last year of life. Participants who knew and highly accepted their prognosis were significantly less likely to experience severe anxiety symptoms than those who were unaware of or knew their prognosis but had difficulty accepting it. Knowing one's poor prognosis and confronting one's impending death without full acceptance and adequate professional psycho-spiritual support may harm more than benefit terminally ill cancer patients' psychological state, existential well-being, and QOL. These findings highlight the importance of tailoring psycho-spiritual support to cancer patients' psychological and existential needs when prognostic information is disclosed. Copyright © 2015 John Wiley & Sons, Ltd.

Hope in action—facing cardiac death: A qualitative study of patients with life-threatening disease

PubMed Central

Schaufel, Margrethe Aase; Nordrehaug, Jan Erik; Malterud, Kirsti

2011-01-01

Coping with existential challenges is important when struck by serious disease, but apart from cancer and palliative care little is known about how patients deal with such issues and maintain hope. To explore how patients with life-threatening heart disease experience hope when coping with mortality and other existential challenges, we conducted a qualitative study with semi-structured interviews. We made a purposive sample of 11 participants (26–88 years) who had experienced life-threatening disease: eight participants with serious heart disease, two with cancer, and one with severe chronic obstructive pulmonary disease. Analysis was by systematic text condensation. The findings showed that hope could enhance coping and diminish existential distress when patients were confronted with mortality and other existential challenges. Hope was observed as three types of dynamic work: to shift perception of mortality from overwhelming horror toward suppression or peaceful acceptance, to foster reconciliation instead of uncertainty when adapting to the new phase of life, and to establish go-ahead spirit instead of resignation as their identity. Meaning of life could, hence, be sustained in spite of serious threats to the persons' future, everyday life, and self-conception. The work of hoping could be supported or disturbed by relationships with family, friends, and health care professionals. Hope can be regarded as an active, dynamic state of existential coping among patients with life-threatening disease. Physicians may support this coping and thereby provide personal growth and alleviation of existential distress by skillfully identifying, acknowledging, and participating in the work of hoping performed by the patient. PMID:21423599

Hope in action-facing cardiac death: A qualitative study of patients with life-threatening disease.

PubMed

Schaufel, Margrethe Aase; Nordrehaug, Jan Erik; Malterud, Kirsti

2011-03-18

Coping with existential challenges is important when struck by serious disease, but apart from cancer and palliative care little is known about how patients deal with such issues and maintain hope. To explore how patients with life-threatening heart disease experience hope when coping with mortality and other existential challenges, we conducted a qualitative study with semi-structured interviews. We made a purposive sample of 11 participants (26-88 years) who had experienced life-threatening disease: eight participants with serious heart disease, two with cancer, and one with severe chronic obstructive pulmonary disease. Analysis was by systematic text condensation. The findings showed that hope could enhance coping and diminish existential distress when patients were confronted with mortality and other existential challenges. Hope was observed as three types of dynamic work: to shift perception of mortality from overwhelming horror toward suppression or peaceful acceptance, to foster reconciliation instead of uncertainty when adapting to the new phase of life, and to establish go-ahead spirit instead of resignation as their identity. Meaning of life could, hence, be sustained in spite of serious threats to the persons' future, everyday life, and self-conception. The work of hoping could be supported or disturbed by relationships with family, friends, and health care professionals. Hope can be regarded as an active, dynamic state of existential coping among patients with life-threatening disease. Physicians may support this coping and thereby provide personal growth and alleviation of existential distress by skillfully identifying, acknowledging, and participating in the work of hoping performed by the patient.

Greene's Dialectics of Freedom and Dewey's Naturalistic Existential Metaphysics.

ERIC Educational Resources Information Center

Garrison, James W.

1990-01-01

This article attempts to develop the Deweyan naturalistic existential metaphysics which underlies Maxine Greene's diverse dialectics. Also included are reflections on the implications of the dialectic of freedom and Dewey's metaphysics for education and the arts. (IAH)

Existential Assessment

ERIC Educational Resources Information Center

Dana, Richard H.; Leech, Shirley

1974-01-01

Present psychological assessment stems from a philosophy of science that values objectivity but fails to comprehend the existence of the person being evaluated. A humanistic-existential model shifts the focus from omnipotence to encounter and encourages client responsibility. Some pertinent assessment issues are formulated and specific instruments…

Mediators of the childhood emotional abuse-hopelessness association in African American women.

PubMed

Lamis, Dorian A; Wilson, Christina K; Shahane, Amit A; Kaslow, Nadine J

2014-08-01

Although there is an association between experiencing childhood emotional abuse and feeling hopeless as an adult, it is critical to understand the factors that may be protective in this relationship. The goal of this study was to determine if two protective factors, namely spiritual well-being, including both religious and existential well-being, and positive self-esteem, served to mediate the association between childhood emotional abuse and adult hopelessness. The sample for this investigation was low-income African American women suicide attempters who were abused by a partner in the prior year (N=121). A path analysis revealed that in this sample, the childhood emotional abuse-hopelessness link was mediated by existential well-being and positive self-esteem, as well as by the two-mediator path of emotional abuse on existential well-being on self-esteem on hopelessness. Results suggested that existential well-being may be a more salient protective factor for hopelessness than religious well-being among abused, suicidal African American women who experienced childhood emotional abuse. Findings highlight the value of culturally relevant strategies for enhancing existential well-being and self-esteem in this at-risk population to reduce their vulnerability to feelings of hopelessness. Copyright © 2013 Elsevier Ltd. All rights reserved.

Shared decision-making as an existential journey: Aiming for restored autonomous capacity.

PubMed

Gulbrandsen, Pål; Clayman, Marla L; Beach, Mary Catherine; Han, Paul K; Boss, Emily F; Ofstad, Eirik H; Elwyn, Glyn

2016-09-01

We describe the different ways in which illness represents an existential problem, and its implications for shared decision-making. We explore core concepts of shared decision-making in medical encounters (uncertainty, vulnerability, dependency, autonomy, power, trust, responsibility) to interpret and explain existing results and propose a broader understanding of shared-decision making for future studies. Existential aspects of being are physical, social, psychological, and spiritual. Uncertainty and vulnerability caused by illness expose these aspects and may lead to dependency on the provider, which underscores that autonomy is not just an individual status, but also a varying capacity, relational of nature. In shared decision-making, power and trust are important factors that may increase as well as decrease the patient's dependency, particularly as information overload may increase uncertainty. The fundamental uncertainty, state of vulnerability, and lack of power of the ill patient, imbue shared decision-making with a deeper existential significance and call for greater attention to the emotional and relational dimensions of care. Hence, we propose that the aim of shared decision-making should be restoration of the patient's autonomous capacity. In doing shared decision-making, care is needed to encompass existential aspects; informing and exploring preferences is not enough. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Existential challenges in young people living with a cancer diagnosis.

PubMed

Odh, Ida; Löfving, Martina; Klaeson, Kicki

2016-10-01

In Sweden, approximately 500 people between the ages of 15 and 39 are diagnosed with cancer each year. When someone is diagnosed with a life-threatening disease, existential issues are easily triggered. Young adults are in a developmental phase of life and are exposed to an extra amount of pressure. The Internet and social media are a daily part of the life of young adults and the use of blogs is common. The aim of this study was to elucidate the theoretical framework of Yalom and his four 'givens' expressed in blogs written by young adults living with various cancer diagnoses in Sweden. This study used a qualitative method in which written stories from six public blogs were analysed using qualitative content analysis. The findings offer valuable in-depth knowledge about the existential issues in this population. The results can be described as a journey with several existential challenges and with death as an impending threat. The bloggers' awareness of their mortality was described as creating a sense of loss and existential loneliness. This study shows that young adults are empowered by the writing of blogs and that blogs can play an important part in increasing wellbeing and a sense of coherence within this population. Copyright © 2016 Elsevier Ltd. All rights reserved.

Experimentation in Institutions: Ethics, Creativity, and Existential Competence

ERIC Educational Resources Information Center

O'Donnell, Aislinn

2018-01-01

The existential, experiential, ethical, pathic and pre-pathic dimensions of education are essential for the creative composition of subjectivities in institutional spaces, yet educational research and policy tend increasingly to privilege technical discourses and prescriptive approaches both when evaluating "what is effective in…

Adult Attachment Style, Hardiness, and Mood

DTIC Science & Technology

2014-04-01

Maddi, S. R. (2004). Hardiness: An operationalization of existential cour- age. Journal of Humanistic Psychology, 44, 279–298. doi: 10.1177...hardiness is based heavily on existential the- ory (Bartone, Barry, & Armstrong, 2009). Existentialists hold to the belief that humans search for meaning

Clinical Holistic Medicine: The Case Story of Anna. II. Patient Diary as a Tool in Treatment

PubMed Central

Ventegodt, Sören; Clausen, Birgitte; Merrick, Joav

2006-01-01

In spite of extreme childhood sexual and violent abuse, a 22-year-old young woman, Anna, healed during holistic existential therapy. New and highly confrontational therapeutic tools were developed and used to help this patient (like acceptance through touch and acupressure through the vagina). Her vulva and introitus were scarred from repeated brutal rape, as was the interior of her mouth. During therapy, these scars were gently contacted and the negative emotional contents released. The healing was in accordance with the advanced holistic medical toolbox that uses (1) love, (2) trust, (3) holding, and (4) helping the patient to process and integrate old traumas.The case story clearly revealed the philosophical adjustments that Anna made during treatment in response to the severe childhood abuse. These adjustments are demonstrated by her diary, where sentences contain both the feelings and thoughts of the painful present (the gestalt) at the time of the abuse, thus containing the essence of the traumas, making the repression of the painful emotions possible through the change in the patients philosophical perspective. Anna's case gives a unique insight into the process of traumatization (pathogenesis) and the process of healing (salutogenesis). At the end of the healing, Anna reconnected her existence to the outer world in a deep existential, suicidal crisis and faced her choice of life or death. She decided to live and, in this process, assumed existential responsibility, which made her able to step out of her mental disease. The advanced holistic toolbox seems to help patients heal even from the worst childhood abuse. In spite of the depth of the existential crisis, holistic existential therapy seems to support existential responsibility well and thus safe for the patients. PMID:17370000

Longing for existential recognition: a qualitative study of everyday concerns for people with somatoform disorders.

PubMed

Lind, Annemette Bondo; Risoer, Mette Bech; Nielsen, Klaus; Delmar, Charlotte; Christensen, Morten Bondo; Lomborg, Kirsten

2014-02-01

Patients with somatoform disorders could be vulnerable to stressors and have difficulties coping with stress. The aim was to explore what the patients experience as stressful and how they resolve stress in everyday life. A cross-sectional retrospective design using 24 semi-structured individual life history interviews. Data-analysis was based on grounded theory. A major concern in patients was a longing for existential recognition. This influenced the patients' self-confidence, stress appraisals, symptom perceptions, and coping attitudes. Generally, patients had difficulties with self-confidence and self-recognition of bodily sensations, feelings, vulnerability, and needs, which negatively framed their attempts to obtain recognition in social interactions. Experiences of recognition appeared in three different modalities: 1) "existential misrecognition" covered the experience of being met with distrust and disrespect, 2) "uncertain existential recognition" covered experiences of unclear communication and a perception of not being totally recognized, and 3) "successful existential recognition" covered experiences of total respect and understanding. "Misrecognition" and "uncertain recognition" related to decreased self-confidence, avoidant coping behaviours, increased stress, and symptom appraisal; whereas "successful recognition" related to higher self-confidence, active coping behaviours, decreased stress, and symptom appraisal. Different modalities of existential recognition influenced self-identity and social identity affecting patients' daily stress and symptom appraisals, self-confidence, self-recognition, and coping attitudes. Clinically it seems crucial to improve the patients' ability to communicate concerns, feelings, and needs in social interactions. Better communicative skills and more active coping could reduce the harm the patients experienced by not being recognized and increase the healing potential of successful recognition. Copyright © 2013 Elsevier Inc. All rights reserved.

A Primer of Existentialism.

ERIC Educational Resources Information Center

Bigelow, Gordon E.

1961-01-01

Although no set of principles can apply uniformly to all existentialists, certain basic characteristics of existentialism are central to both the nonreligious writers like Sartre and Camus and the theistic existentialists like Kierkegaard, Maritain, Marcel, Tillich, Berdyaev, and Buber. These characteristics are (1) an insistence that human life…

The Existential Dimensions of Afro-American Literature.

ERIC Educational Resources Information Center

Evans, Elliott

The existential implications in Bontemps'"Black Thunder," Richard Wright's "Native Son," and Ellison's "Invisible Man" are explored in this paper. Each of these novels exhibits a concern about man structuring his existence through the choices he makes in an absurd world. Gabriel, the protagonist of "Black…

Testing the predictions of the existential constructivist theory of suicide in a college student sample.

PubMed

Lockman, Jennifer D; Servaty-Seib, Heather L

2018-04-01

There is a lack of empirically supported theories explaining suicidal ideation and few theories describe how suicidal ideation can be prevented in the context of normative human development. Rogers (2001) proposed an existential constructivist theory of suicide (ECTS) wherein existential distress and the inability to reconstruct meaning from adverse life events contribute to suicidal ideation. The ECTS includes a distinct focus on meaning reconstruction from adverse life events, which is congruent with existing research on college students and developmental frameworks used by counseling psychologists. Thus, in the present study, we tested the predictions of the ECTS in a college student sample. We collected data online from 195 college students (i.e., ages 18-25) attending a large, Midwestern university and analyzed the data using structural equation modeling. Findings provided partial support for the original ECTS. Post hoc analyses of an alternate ECTS model indicated that existential distress mediated the negative association between meaning reconstruction and suicidal ideation. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

A prospective study of existential issues in therapeutic horticulture for clinical depression.

PubMed

Gonzalez, Marianne Thorsen; Hartig, Terry; Patil, Grete Grindal; Martinsen, Egil Wilhelm; Kirkevold, Marit

2011-01-01

Two studies with single-group design (Study 1 N = 18, Study 2 N = 28) addressed whether horticultural activities ameliorate depression severity and existential issues. Measures were obtained before and after a 12-week therapeutic horticulture program and at 3-month follow-up. In both studies, depression severity declined significantly during the intervention and remained low at the follow-up. In both studies the existential outcomes did not change significantly; however, the change that did occur during the intervention correlated (rho > .43) with change in depression severity. Participants' open-ended accounts described the therapeutic horticulture experience as meaningful and influential for their view of life.

Walking the line. Palliative sedation for existential distress: still a controversial issue?

PubMed

Schur, Sophie; Radbruch, Lukas; Masel, Eva K; Weixler, Dietmar; Watzke, Herbert H

2015-12-01

Adequate symptom relief is a central aspect of medical care of all patients especially in those with an incurable disease. However, as an illness progresses and the end of life approaches, physical or psychoexistential symptoms may remain uncontrollable requiring palliative sedation. Although palliative sedation has become an increasingly implemented practice in the care of terminally ill patients, sedation in the management of refractory psychological symptoms and existential distress is still a controversial issue and much debated. This case report presents a patient who received palliative sedation for the treatment of existential distress and discusses considerations that may arise from such a therapeutic approach.

Using Existential-Humanistic Approaches in Counseling Adolescents with Inappropriate Sexual Behaviors

ERIC Educational Resources Information Center

Parrish, Mark S.; Stanard, Rebecca P.; Cobia, Debra C.

2008-01-01

Adolescent sexual acting out behaviors frequently occur in the context of comorbid issues, such as depression, trauma, behavioral disorders, and developmental deficits, thus rendering any single treatment modality less effective. Augmenting traditional treatment with an existential-humanistic (E-H) perspective enables counselors to more…

Existentialism and Feminism.

ERIC Educational Resources Information Center

Hiatt, Mary P.

Because the term feminism linguistically narrows the essence of woman's existence when it is used consistently to describe female writing that deals with individual freedom and considered choices, it is essential to distinguish between feminism and existentialism. While feminism is primarily concerned with women in the context of a dominant male…

Existential/Phenomenology as a Philosophical Base for a Feminist Psychology.

ERIC Educational Resources Information Center

Boukydis, Kathleen McGuire

Concepts of existential/phenomenology philosophy more closely reflect women's experience of the world and provide a better base for a feminist science of psychology. Womens' experience includes basic cooperation, nurturance, empathy, and egalitarian morality. Logical positivist psychology discriminates against women by excluding inner experiencing…

Moral Dilemmas and Existential Issues Encountered Both in Psychotherapy and Philosophical Counseling Practices.

PubMed

Popescu, Beatrice A

2015-08-01

This paper stems from clinical observations and empirical data collected in the therapy room over six years. It investigates the relationship between psychotherapy and philosophical counseling, proposing an integrative model of counseling. During cognitive behavior therapy sessions with clients who turn to therapy in order to solve their clinical issues, the author noticed that behind most of the invalidating symptoms classified by the DSM-5 as depression, anxiety, hypochondriac and phobic complaints, usually lies a lack of existential meaning or existential scope and clients are also tormented by moral dilemmas. Following the anamnestic interview and the psychological evaluation, rarely the depression or anxiety diagnosed on Axis I is purely just a sum of invalidating symptoms, which may disappear if treated symptomatically. When applying the Sentence Completion Test, an 80 items test of psychodynamic origin and high-face validity, most of the clients report an entire plethora of conscious or unconscious motivations, distorted cognitions or irrational thinking but also grave existential themes such as scope or meaning of life, professional identity, fear of death, solitude and loneliness, freedom of choice and liberty. Same issues are approached in the philosophical counseling practice, but no systematic research has been done yet in the field. Future research and investigation is needed in order to assess the importance of moral dilemmas and existential issues in both practices.

Moral Dilemmas and Existential Issues Encountered Both in Psychotherapy and Philosophical Counseling Practices

PubMed Central

Popescu, Beatrice A.

2015-01-01

This paper stems from clinical observations and empirical data collected in the therapy room over six years. It investigates the relationship between psychotherapy and philosophical counseling, proposing an integrative model of counseling. During cognitive behavior therapy sessions with clients who turn to therapy in order to solve their clinical issues, the author noticed that behind most of the invalidating symptoms classified by the DSM-5 as depression, anxiety, hypochondriac and phobic complaints, usually lies a lack of existential meaning or existential scope and clients are also tormented by moral dilemmas. Following the anamnestic interview and the psychological evaluation, rarely the depression or anxiety diagnosed on Axis I is purely just a sum of invalidating symptoms, which may disappear if treated symptomatically. When applying the Sentence Completion Test, an 80 items test of psychodynamic origin and high-face validity, most of the clients report an entire plethora of conscious or unconscious motivations, distorted cognitions or irrational thinking but also grave existential themes such as scope or meaning of life, professional identity, fear of death, solitude and loneliness, freedom of choice and liberty. Same issues are approached in the philosophical counseling practice, but no systematic research has been done yet in the field. Future research and investigation is needed in order to assess the importance of moral dilemmas and existential issues in both practices. PMID:27247674

Existential Orientation: On the Phenomenology of Values, Attitudes, and Worldviews in Schizophrenia (Ancillary Article to EAWE Domain 6).

PubMed

Pienkos, Elizabeth; Sass, Louis

2017-01-01

Since the appearance of schizophrenia as a distinct diagnosis, various researchers and clinicians, particularly those in the phenomenological and existential tradition, have noted the unique contribution of attitudinal and characterological factors to the illness. There has been a notable lack of attention paid to these features in most recent research on the disorder; still, understanding the values, attitudes, and worldviews - what might be termed the "existential orientation" - of persons with schizophrenia may be essential for comprehending the illness and developing effective approaches to treatment. Domain 6, Existential orientation, of the Examination of Anomalous World Experience (EAWE) includes descriptions related to unusual worldviews and values that may be especially common in schizophrenia. The current paper provides a summary of classic and contemporary phenomenological literature on values and existential orientation in schizophrenia, with the goal of providing a context for and further explanation of the items in EAWE Domain 6. These characterizations generally suggest that persons with schizophrenia may more likely value being faithful to idiosyncratic, often eccentric ways of thinking and acting, questioning or rejecting conventions and common sense, refusing or avoiding relationships and intimacy with others, and living according to intellectual and idealistic rules (in contrast to a more immediate or spontaneous approach to life). Possible factors contributing to the development of these values are also discussed. © 2017 S. Karger AG, Basel.

Using Cinema and Literature to Explore Existentialism

ERIC Educational Resources Information Center

Whipple, Jennifer; Tucker, Catherine

2012-01-01

This article describes how the book "When Nietzsche Wept: A Novel of Obsession" and the movie "Eternal Sunshine of the Spotless Mind" can be used to help counseling graduate students understand existential theory and its application to clients. Yalom's Four Givens of Existence, which consists of freedom and responsibility, meaninglessness,…

Dating Violence: Counseling Adolescent Females from an Existential Perspective

ERIC Educational Resources Information Center

Klem, John; Owens, Andrea; Ross, Angela; Edwards, Lawanda; Cobia, Debra C.

2009-01-01

The authors present an existential framework for conceptualizing and intervening with adolescent females who are in violent relationships. Interventions involve addressing the adolescent female's anxiety associated with I. D. Yalom's (1980) constructs of meaning, death, isolation, and freedom. The goal of therapy is to assist the abused adolescent…

Working through Children's Developmental and Existential Stress in Picture Books.

ERIC Educational Resources Information Center

Schwarcz, Joseph H.

The aesthetic quality and psychological subtlety of contemporary picture books give genuine expression to a child's conscious and unconscious thoughts and emotions. Increasingly, themes of existential and developmental stress are appearing in picture books. Typical reactions aroused by such stress factors--and also by themes treated in picture…

Violence Survivors with Posttraumatic Stress Disorder: Treatment by Integrating Existential and Narrative Therapies

ERIC Educational Resources Information Center

Day, Kristen W.

2009-01-01

In this article, the author proposes an integration of existential and narrative therapies with current evidence-supported approaches to treating the aforementioned population. First, she briefly defines interpersonal violence, then provides a history and review of the diagnostic criteria for Posttraumatic Stress Disorder (PTSD), which frequently…

Changing Pre-Service Teachers' Purposes of Education through Existential Crises

ERIC Educational Resources Information Center

Webster, R. Scott

2004-01-01

This article considers changing the purposes of education held by pre-service teachers. It argues that purposes of education are inextricably linked to life meanings and purposes. Employing an existential perspective, mainly through Kierkegaard, Nietzsche, Heidegger, Sartre and Morris, the fundamental beliefs that one has regarding the meaning and…

Existential Thoughts in Fanon's Post-Colonialism Discourse

ERIC Educational Resources Information Center

Yeh, Chuan-Rong

2013-01-01

Frantz Fanon, a pioneer of post-colonial theory, attempted to seek some unbeknown possibilities through a Sartrean existentialism thought toward ethnic liberation and the fighting against imperialism. This article tries to enter Fanon's short life that was full of humanism and existentialist thought and to explore the hidden theoretical context…

Existential Threat or Dissociative Response? Examining Defensive Avoidance of Point-of-Care Testing Devices Through a Terror Management Theory Framework.

PubMed

Dunne, Simon; Gallagher, Pamela; Matthews, Anne

2015-01-01

Using a terror management theory framework, this study investigated if providing mortality reminders or self-esteem threats would lead participants to exhibit avoidant responses toward a point-of-care testing device for cardiovascular disease risk and if the nature of the device served to diminish the existential threat of cardiovascular disease. One hundred and twelve participants aged 40-55 years completed an experimental questionnaire. Findings indicated that participants were not existentially threatened by established terror management methodologies, potentially because of cross-cultural variability toward such methodologies. Highly positive appraisals of the device also suggest that similar technologies may beneficially affect the uptake of screening behaviors.

Kierkegaard, Seduction, and Existential Education

ERIC Educational Resources Information Center

Saeverot, Herner

2011-01-01

This article aims at making a case for the role of seduction in existential education, that is, education that focuses on the pupil's life choices. First, the article attempts to show that the relationship between the teacher and the pupil can be understood as a form of seduction. Secondly, the article examines how such a relationship functions in…

Entheogens and Existential Intelligence: The Use of Plant Teachers as Cognitive Tools

ERIC Educational Resources Information Center

Tupper, Kenneth W.

2002-01-01

In light of recent specific liberalizations in drug laws in some countries, I have investigated the potential of entheogens (i.e., psychoactive plants used as spiritual sacraments) as tools to facilitate existential intelligence. "Plant teachers" from the Americas such as ayahuasca, psilocybin mushrooms, and peyote, and the Indo-Aryan…

A Descriptive Enquiry into Subject-Verb Concord in English Existential Constructions

ERIC Educational Resources Information Center

Tsuchida, Takehiro

2011-01-01

Subject-verb concord in English existential constructions is often viewed as problematic from both prescriptive and descriptive approaches to grammar and causes considerable confusion among teachers and learners of English as a second language (ESL). This paper aims to disentangle debates over the curious usage of the "there" + plural noun phrase…

Freedom to Connect: Insight Into the Existential Dimension of Transformative Learning in a Graduate Seminar

ERIC Educational Resources Information Center

Sohn, Brian K.; Plaas, Kristina; Franklin, Karen; Dellard, Tiffany; Murphy, Brenda; Greenberg, Katherine H.; Greenberg, Neil B.; Pollio, Howard R.; Thomas, Sandra P.

2016-01-01

Previous analyses of transformational learning (TL) focused on rational or nonrational processes such as critical reflection on an uncomfortable personal situation or emotional learning. In this phenomenological study, researchers examined existential dimensions of TL. Individual interviews were analyzed to identify the lived experiences of eight…

Dimensions of religiousness and spirituality as predictors of well-being in advanced chronic heart failure patients.

PubMed

Park, Crystal L; Lim, Haikel; Newlon, Max; Suresh, D P; Bliss, Deborah E

2014-04-01

We examined relationships between seven dimensions of religion/spirituality (RS) (forgiveness, daily spiritual experiences, belief in afterlife, religious identity, religious support, public practices, and positive RS coping) and three dimensions of well-being (physical, mental, and existential) in a sample of 111 patients with advanced chronic heart failure. Participants completed questionnaires at baseline and 3 months later. Results showed that fairly high levels of RS were reported on all seven dimensions. Furthermore, RS dimensions were differentially related to well-being. No aspect of RS was related to physical well-being, and only a few aspects were related to mental well-being. Forgiveness was related to less subsequent depression, while belief in afterlife was related to poorer mental health. All aspects of RS were related to at least one aspect of existential well-being. In particularly, daily spiritual experiences were linked with higher existential well-being and predicted less subsequent spiritual strain. These results are consistent with the view that in advanced disease, RS may not affect physical well-being but may have potent influences on other aspects of well-being, particularly existential aspects.

Spirituality and use of complementary therapies for cure in advanced cancer.

PubMed

Trinkaus, Mateya; Burman, Debika; Barmala, Niusha; Rodin, Gary; Jones, Jennifer; Lo, Christopher; Zimmermann, Camilla

2011-07-01

Complementary and alternative medicine (CAM) is frequently used by patients with advanced cancer, for a variety of reasons. We examined the use of CAM in this population, and associations of use for potential cure with spiritual faith and existential well-being. Patients with advanced cancer on a palliative care unit completed a measure of spiritual well-being (existential well-being and faith), and a survey assessing complementary therapy use and reasons for such use. Information was also gathered on demographic data, previous cancer treatment, performance status, and symptom distress. Regression analyses assessed the association between the spirituality domains of existential well-being and faith, and the use of CAM for cure. Of 123 participants, 85% had used CAM, 42% with curative intent. More than 95% would consider future use of CAM, 48% for potential cure. Previous use for cure predicted current interest in using CAM for cure (p<0.0001). Spiritual faith was associated with previous (p<0.02) and interest in future use for cure (p<0.0001). Poor existential well-being was associated with interest in future use of CAM for cure (p=0.04). Interest in considering CAM for cure was relatively high in this group of inpatients on a palliative care unit, and was associated with increased spiritual faith and decreased existential well-being. Understanding factors associated with seeking CAM for cure may help health-care professionals to support and educate patients with advanced cancer. Copyright © 2010 John Wiley & Sons, Ltd.

Blame and guilt - a mixed methods study of obstetricians' and midwives' experiences and existential considerations after involvement in traumatic childbirth.

PubMed

Schrøder, Katja; Jørgensen, Jan S; Lamont, Ronald F; Hvidt, Niels C

2016-07-01

When complications arise in the delivery room, midwives and obstetricians operate at the interface of life and death, and in rare cases the infant or the mother suffers severe and possibly fatal injuries related to the birth. This descriptive study investigated the numbers and proportions of obstetricians and midwives involved in such traumatic childbirth and explored their experiences with guilt, blame, shame and existential concerns. A mixed methods study comprising a national survey of Danish obstetricians and midwives and a qualitative interview study with selected survey participants. The response rate was 59% (1237/2098), of which 85% stated that they had been involved in a traumatic childbirth. We formed five categories during the comparative mixed methods analysis: the patient, clinical peers, official complaints, guilt, and existential considerations. Although blame from patients, peers or official authorities was feared (and sometimes experienced), the inner struggles with guilt and existential considerations were dominant. Feelings of guilt were reported by 36-49%, and 50% agreed that the traumatic childbirth had made them think more about the meaning of life. Sixty-five percent felt that they had become a better midwife or doctor due to the traumatic incident. The results of this large, exploratory study suggest that obstetricians and midwives struggle with issues of blame, guilt and existential concerns in the aftermath of a traumatic childbirth. © 2016 Nordic Federation of Societies of Obstetrics and Gynecology.

Prayer and meditation among Danish first time mothers-a questionnaire study.

PubMed

Prinds, Christina; Hvidtjørn, Dorte; Skytthe, Axel; Mogensen, Ole; Hvidt, Niels Christian

2016-01-19

Mothers' existential dimensions in the transition to motherhood have not been described thoroughly. They might experience disruption and new perspectives in existential ways and this may especially be the case in preterm birth. The aim of this study was twofold. First we investigated the existential dimension of motherhood transition in a secularized context, through practices of prayer and meditation. Second we described the relationship between time of birth (term/preterm) and the prayer/meditation practices of the mothers. Data were gathered from a nationwide questionnaire survey among first time mothers conducted during the summer 2011. All Danish women who gave birth before the 32(nd) pregnancy week (n = 255), and double the number of mothers who gave birth at full term (n = 658) in 2010 were included (total n = 913). The questionnaire consisted of 46 overall items categorized in seven sections, which independently cover important aspects of existential meaning-making related to becoming a mother. The respondent rate was 57% (n = 517). Moments of praying or meditation 6-18 months post partum were reported by 65%, and mothers who responded affirmatively, practiced prayer (n = 286) more than meditation (n = 89), p < 0,001. We did not observe differences in affirmative responses to prayer or meditation between mothers of full term or preterm born children, not even after controlling for perinatal or post partum loss, mode of birth, age, status of cohabiting or education. In this explorative study we found specific practices of existential meaning-making through prayer and/or meditation among first time mothers, living in a very secularized context. Yet we know only little about character or importance of these practices among mothers, and hardly anything about existential meaning-making among new fathers. Hence the implications of meaning-making practices related to other dimensions of health are difficult to address in a qualified way in care for new mothers and families.

The Sartre-Heidegger Controversy on Humanism and the Concept of Man in Education

ERIC Educational Resources Information Center

Kakkori, Leena; Huttunen, Rauno

2012-01-01

Jean-Paul Sartre claims in his 1945 lecture "Existentialism is a Humanism" that there are two kinds of existentialism: that of Christians like Karl Jaspers, and atheistic like Martin Heidegger. Sartre's "spiritual master" Heidegger had no problem with Sartre defining him as an atheist, but he had serious problems with Sartre's…

The Existential Concern of the Humanities R. S. Peters' Justification of Liberal Education

ERIC Educational Resources Information Center

Cuypers, Stefaan E.

2018-01-01

Richard Stanley Peters was one of the founding fathers of analytic philosophy of education in the twentieth century. After reviewing Peters' disentanglement of the ambiguities of liberal education, I reconstruct his view on the status and the existential foundations of the humanities. What emerges from my reconstruction is an original…

Modernity in Two Great American Writers' Vision: Ernest Miller Hemingway and Scott Fitzgerald

ERIC Educational Resources Information Center

Keshmiri, Fahimeh; Darzikola, Shahla Sorkhabi

2016-01-01

Scott Fitzgerald and Ernest Hemingway, American memorable novelists have had philosophic ideas about modernity. In fact their idea about existential interests of American, and the effects of American system on society, is mirrored in their creative works. All through his early works, Fitzgerald echoes the existential center of his era. Obviously,…

If Sisyphus Went to High School: An Existential Approach to Learning.

ERIC Educational Resources Information Center

Conrad, Kendon J.

Viewing the myth of Sisyphus as a metaphor for the vast numbers of high school students and teachers who go through daily school rituals unable to discover personal meaning in their work, this report applies the existential philosophy of Albert Camus and other existentialists to the methodology of Teaching and learning English in high schools. The…

Content Analysis of Suicide Notes as a Test of the Motivational Component of the Existential-Constructivist Model of Suicide

ERIC Educational Resources Information Center

Rogers, James R.; Bromley, Jamie L.; McNally, Christopher J.; Lester, David

2007-01-01

A sample of 40 suicide notes were analyzed for motivational content in relation to an existential-constructivist theory of suicide. Results generally supported the 4 theoretical categories of somatic, relational, spiritual, and psychological motivations, with 39 notes having content that could be classified according to the aforementioned…

Defensive or Existential Religious Orientations and Mortality Salience Hypothesis: Using Conservatism as a Dependent Measure

ERIC Educational Resources Information Center

Koca-Atabey, Mujde; Oner-Ozkan, Bengi

2011-01-01

The study examined the relationship between the defensive versus existential religious orientation and mortality salience hypothesis in a country where the predominant type of religion is Islam. It was predicted that the mortality reactions of participants would not differ in accordance with their religious orientations within a Muslim sample. The…

"If you cannot tolerate that risk, you should never become a physician": a qualitative study about existential experiences among physicians.

PubMed

Aase, M; Nordrehaug, J E; Malterud, K

2008-11-01

Physicians are exposed to matters of existential character at work, but little is known about the personal impact of such issues. To explore how physicians experience and cope with existential aspects of their clinical work and how such experiences affect their professional identities, a qualitative study using individual semistructured interviews has analysed accounts of their experiences related to coping with such challenges. Analysis was by systematic text condensation. The purposeful sample comprised 10 physicians (including three women), aged 33-66 years, residents or specialists in cardiology or cardiothoracic surgery, working in a university hospital with 24-hour emergency service and one general practitioner. Participants described a process by which they were able to develop a capacity for coping with the existential challenges at work. After episodes perceived as shocking or horrible earlier in their career, they at present said that they could deal with death and mostly keep it at a distance. Vulnerability was closely linked to professional responsibility and identity, perceived as a burden to be handled. These demands were balanced by an experience of meaning related to their job, connected to making a difference in their patients' lives. Belonging to a community of their fellows was a presupposition for coping with the loneliness and powerlessness related to their vulnerable professional position. Physicians' vulnerability facing life and death has been underestimated. Belonging to caring communities may assist growth and coping on exposure to existential aspects of clinical work and developing a professional identity.

Radicalization: An Overview and Annotated Bibliography of Open-Source Literature

DTIC Science & Technology

2006-12-15

particularly with liberal, democratic, and humanistic Muslims Phares points to Jihadism as the main root cause of terrorism and suggests that defending...An Overview and Annotated Bibliography of Open-Source Literature 155 of ambiguity), epistemic and existential needs theory (need for closure...This book presents Terror Management Theory, which addresses behavioral and psychological responses to terrorist events. An existential

Childhood Maltreatment and PTSD: Spiritual Well-Being and Intimate Partner Violence as Mediators

PubMed Central

Zhang, Huaiyu; Pittman, Delishia M.; Lamis, Dorian A.; Fischer, Nicole L.; Schwenke, Tomina J.; Carr, Erika R.; Shah, Sanjay; Kaslow, Nadine J.

2016-01-01

Childhood maltreatment places individuals, including African American women who are undereducated and economically disadvantaged, at risk for developing posttraumatic stress disorder (PTSD) symptoms. Participants were 192 African American women with a history in the prior year of both a suicide attempt and intimate partner violence (IPV) exposure. They were recruited from a public hospital that provides medical and mental health treatment to mostly low-income patients. A simple mediator model was used to examine if (1) existential well-being (sense of purpose) and/or religious well-being (relationship with God) mediated the link between childhood maltreatment and adult PTSD symptoms. Sequential multiple mediator models determined if physical and nonphysical IPV enhanced our understanding of the mediational association among the aforementioned variables. Findings suggest that existential well-being mediated the association between childhood maltreatment and adult PTSD symptoms in a simple mediator model, and existential well-being and recent nonphysical IPV served as sequential multiple mediators of this link. However, religious well-being and physical IPV were not significant mediators. Findings underscore the importance of enhancing existential well-being in the treatment of suicidal African American women with a history of childhood maltreatment and IPV. PMID:26989343

Religion and reality: the three doubts of Hillel.

PubMed

Nicholis, W; Kent, I

1975-01-01

The authors present an existential approach to the understanding of reality through an analysis of doubt. Doubt is understood as a healthy questioning of what others take for real, a search for that which will stand up to all criticism. Doubt begins in childhood, when one questions the authenticity of his parent's relationship to him. This doubt evokes anger, which normally leads to rebellion against or identification with the parents. Neither choice leads to personal authenticity or reality. Only the discovery of the true Self can heal this pain. There is a third choice possible, however, which takes account of another aspect of doubt, the one who doubts. When I doubt, I know that I don't know. Doubt then leads to the existential question, Who am I? This doubt is really faith, leading to Self-discovery. On the basis of this analysis, we re-open the old question of religion and reality. In predominantly religious cultures, the existential question, Who am I? has given rise to practical philosophies such as Yoga and Zen, together with their Western counterparts, the mysticisms associated with Judaism, Christianity and Islam. The same analysis of existential doubt as a path to the Self is to be found in Hillel's three questions.

An Existential Perspective on Death Anxiety, Retirement, and Related Research Problems.

PubMed

Osborne, John W

2017-06-01

Aspects of existentialism relevant to existence and death anxiety (DA) are discussed. Included are the "thrownness" of existence, being-with-others, the motivational influence of inevitable death, the search for meaning, making the most of existence by taking responsibility for one's own life, and coping with existential isolation. The attempted separation of DA from object anxiety is a significant difficulty. The correlations among age, gender, and DA are variable. Personality and role-oriented problems in the transition to retirement are discussed along with Erikson's notion of "generativity" as an expression of the energy and purpose of mid-life. Furthermore, methodological and linguistic problems in DA research are considered. The article suggests qualitative methodologies as an interpersonal means of exploring DA within the contexts of psychotherapy and counselling.

Existential isolation and I-sharing: Interpersonal and intergroup implications.

PubMed

Pinel, Elizabeth C

2018-01-11

I-sharing, or believing one has the same in-the-moment experience as another person, constitutes a specific way in which people may share reality. I-sharing research underscores its significance for interpersonal and intergroup outcomes. I-sharing fosters liking for people who differ from us in objective and sometimes important ways, and counteracts robust tendencies to favor ingroup members and dehumanize outgroup members. Research and theory indicate that existential isolation-feeling alone in one's experience-explains the potency of I-sharing, insofar as people with high levels of existential isolation are especially drawn to those with whom they have reason to believe they I-share. Recent findings are reviewed, followed by a discussion of the clinical implications of the work. Copyright © 2018 Elsevier Ltd. All rights reserved.

Holistic medicine IV: principles of existential holistic group therapy and the holistic process of healing in a group setting.

PubMed

Ventegodt, Søren; Andersen, Niels Jørgen; Merrick, Joav

2003-12-23

In existential holistic group therapy, the whole person heals in accordance with the holistic process theory and the life mission theory. Existential group psychotherapy addresses the emotional aspect of the human mind related to death, freedom, isolation, and meaninglessness, while existential holistic group therapy addresses the state of the person"s wholeness. This includes the body, the person's philosophy of life, and often also love, purpose of life, and the spiritual dimension, to the same extent as it addresses the emotional psyche and sexuality, and it is thus much broader than traditional psychotherapy. Where existential psychotherapy is rather depressing concerning the fundamental human condition, existential holistic therapy conceives life to be basically good. The fundamentals in existential holistic therapy are that everybody has the potential for healing themselves to become loving, joyful, sexually attractive, strong, and gifted, which is a message that most patients welcome. While the patient is suffering and fighting to get through life, the most important job for the holistic therapist is to keep a positive perspective of life. In accordance with these fundamentals, many participants in holistic group therapy will have positive emotional experiences, often of an unknown intensity, and these experiences appear to transform their lives within only a few days or weeks of therapy. An important idea of the course is Bohm's concept of "holo-movement" in the group, resulting from intense coherence between the group members. When the group comes together, the individual will be linked to the totality and the great movement forward towards love, consciousness, and happiness will happen collectively--if it happens at all. This gives the individual the feeling that everything that happens is right, important, and valuable for all the participants at the same time. Native Americans and other premodern people refer to this experience as "the spiritual design". This design is actually an underlying regulation that appears when people, through their feelings and engagement for each other, tie the group together and engage their complex emotional intelligence. Practically, this means that all participants are sunk in the same information matrix, so that everybody learns from each other. Everything that happens in the perception of each trainee has immediate and developing relevance for him. Spontaneous healing happens far more effectively in a group setting, where all the participants stand together and support each other, than it does in the clinic, where the therapist is alone with the patient. A 5-day course in personal development can be compatible to a half year of holistic individual therapy.

International Military Practice Amidst Ethical Heterogeneity

DTIC Science & Technology

2013-12-13

existential faith, PMEE 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF ABSTRACT 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON...essential to have the trust of the participants, to ensure humanistic and scientific ethical obligations, and to protect and treat people with dignity...philosophy of life and how we may embrace the world becoming. Existential faith, therefore, “is a creed or philosophy with a distinctive sensibility

Al Qaeda as a Charismatic Phenomenon

DTIC Science & Technology

2009-06-01

loses meaning. In short, they are situations of existential threat in a society.40 36 As cited in...accessed March 21, 2009). 58 their countries face an existential crisis due to the threat of the crusaders led by the U.S. and Israel on their...Change the World: Social Entrepreneurs and the Power of New Ideas. 83 an ideological challenge best confronted by drawing on Islam’s humanist and

How do Australian palliative care nurses address existential and spiritual concerns? Facilitators, barriers and strategies.

PubMed

Keall, Robyn; Clayton, Josephine M; Butow, Phyllis

2014-11-01

To investigate the facilitators, barriers and strategies that Australian palliative care nurses identify in providing existential and spiritual care for patients with life-limiting illnesses. Palliative care aims to be holistic, incorporating all domains of personhood, but spiritual/existential domain issues are often undertreated. Lack of time and skills and concerns for what you may uncover hamper care provision. A qualitative study through semistructured interviews. We interviewed 20 palliative care nurses from a cross section of area of work, place of work, years of experience, spiritual beliefs and importance of those beliefs within their lives. Questions focused on their current practices of existential and spiritual care, identification of facilitators of, barriers to and strategies for provision of that care. Their responses were transcribed and subjected to thematic analysis. The nurses' interviews yielded several themes including development of the nurse-patient relationship (14/20 nurses), good communication skills and examples of questions they use to 'create openings' to facilitate care. Barriers were identified as follows: lack of time (11/20 nurses), skills, privacy and fear of what you may uncover, unresolved symptoms and differences in culture or belief. Novel to our study, the nurses offered strategies that included the following: undertaking further education in this area, being self-aware and ensuring the setting is conducive to in-depth conversations and interactions and documentation and/or interdisciplinary sharing for continuity of care. Palliative care nurses are well placed to provide existential and spiritual care to patients with the primary facilitator being the nurse-patient relationship, the primary barrier being lack of time and the primary strategy being undertaking further education in this area. These findings could be used for nurse-support programmes, undergraduate or graduate studies or communication workshop for nurses.

Training intervention for health care staff in the provision of existential support to patients with cancer: a randomized, controlled study.

PubMed

Henoch, Ingela; Danielson, Ella; Strang, Susann; Browall, Maria; Melin-Johansson, Christina

2013-12-01

When a patient receives a cancer diagnosis, existential issues become more compelling. Throughout the illness trajectory, patients with cancer are cared for in oncology wards, by home care teams or in hospices. Nurses working with these patients are sometimes aware of the patients' existential needs but do not feel confident when discussing these issues. To determine the effects of a training intervention, where the focus is on existential issues and nurses' perceived confidence in communication and their attitude toward caring for dying patients. This was a randomized, controlled trial with a training intervention comprising theoretical training in existential issues combined with individual and group reflection. In total, 102 nurses in oncology and hospice wards and in palliative home care teams were randomized to a training or non-training group. Primary outcomes, confidence in communication, and attitude toward the care of dying patients were measured at baseline, immediately after the training, and five to six months later. Confidence in communication improved significantly in the training group from baseline (before the training) to both the first and second follow-up, that is, immediately after the training and five months later. The attitude toward caring for the dying did not improve in the training group. This study shows that short-term training with reflection improves the confidence of health care staff when communicating, which is important for health care managers with limited resources. Further studies are needed to explore how patients experience the communication skills of health care staff after such training. Copyright © 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

Spiritual well-being and mental health outcomes in adolescents with or without inflammatory bowel disease.

PubMed

Cotton, Sian; Kudel, Ian; Roberts, Yvonne Humenay; Pallerla, Harini; Tsevat, Joel; Succop, Paul; Yi, Michael S

2009-05-01

The purpose of this study was threefold: 1) to describe spiritual well-being (existential and religious well-being) in adolescents with inflammatory bowel disease (IBD) versus healthy peers; 2) to examine associations of spiritual well-being with mental health outcomes (emotional functioning and depressive symptoms); and 3) to assess the differential impact of existential versus religious well-being on mental health. A total of 155 adolescents aged 11-19 years from a children's hospital and a university hospital filled out questionnaires including the Spiritual Well-Being Scale, the Children's Depression Inventory-Short Form, and the Pediatric Quality of Life Inventory. Covariates in multivariable models included demographics, disease status, and interactions. Participants' mean (SD) age was 15.1 (2.0) years; 80 (52%) were male; and 121 (78%) were of white ethnicity. Levels of existential and religious well-being were similar between adolescents with IBD and healthy peers. In multivariable analyses, existential well-being was associated with mental health (partial R(2) change = .08-.11, p < .01) above and beyond other characteristics (total R(2) = .23, p < .01). Presence of disease moderated both the relationship between existential well-being and emotional functioning and that between religious well-being and depressive symptoms: that is, the relationships were stronger in adolescents with IBD as compared with healthy peers. Religious well-being was only marginally significantly associated with mental health after controlling for other factors. Although both healthy adolescents and those with IBD had high levels of spiritual well-being, having IBD moderated the relationship between spiritual well-being and mental health. Meaning/purpose was related to mental health more than was connectedness to the sacred.

Existential analysis and psychoanalysis: specific differences and personal relationship between Ludwig Binswanger and Sigmund Freud.

PubMed

Bühler, Karl-Ernst

2004-01-01

The concise curriculum vitae of the founder of existential analysis is followed by an exact comparison of the polarity (homo natura versus homo cultura) between Binswanger and Freud. Then the five stages in the development of (Existential Daseinsanalysis Analysis) are described: the stage of learning, of practice, of criticism, of the alternative to psychoanalysis, and of reconciliation. The criticism is aimed especially at Freud's naturalism and at the concept of drive. These concepts are opposed by ontoanalytic doctrines derived from Heidegger's ontoanalysis. The differences are further exemplified by the comparison of the existentialanalytical and the psychoanalytical view of the unconscious. A presentation of the treatment of a "hysterical phobia," which is first explained in psychoanalytic terms and later in existentialanalytic terminology (mainly concerning the world-projects) makes the difference between the two schools of thought explicit.

Using the Existential Criterion for Assessing the Personality of Overprotective and Overly Demanding Parents in the Families of Patients Who Have Sought Psychological Counseling for Parent-Child Problems

ERIC Educational Resources Information Center

Kapustin, S. A.

2016-01-01

The article presents the results of applying the existential criterion of normal and abnormal personalities for assessing the personality of overprotective and overly demanding parents in 176 families of patients who have sought psychological counseling. It is shown that the position of overprotective parents is one-sided in relation to the…

Experience of Military Nurse Practitioners During Their First Year of Practice

DTIC Science & Technology

2000-05-01

challenges, preceptor stories, patients and practice, and looking toward the future. The data was related to Van Manen s four existential themes...existential theme categories as outlined by Van Manen (1990). The theme categories, theme clusters, and metathemes were reviewed by the researcher s...themes) in terms of which of these lived experiences can be described and interpreted constitute the immense complexity of the lifeworld ( Van Manen

Locatives and Existentials in L2 Spanish: The Acquisition of the Semantic Contrasts among "Ser", "Estar" and "Haber"

ERIC Educational Resources Information Center

Perpiñán, Silvia

2014-01-01

This study analyses the expression of locative and existential predicates elicited through an oral production task in the speech of two groups of learners of Spanish as a second language (L2) (first language English, n = 18; first language Moroccan Arabic, n = 14), and a native control group (n = 18). A total of 25,000 words were analysed, with…

Destined to Die but Not to Wage War: How Existential Threat Can Contribute to Escalation or De-Escalation of Violent Intergroup Conflict

ERIC Educational Resources Information Center

Jonas, Eva; Fritsche, Immo

2013-01-01

War means threat to people's lives. Research derived from terror management theory (TMT) illustrates that the awareness of death leads people to defend cultural ingroups and their worldviews to attain a sense of symbolic immortality and thereby buffer existential anxiety. This can result in hostile effects of mortality salience (MS), such as…

East Europe Report

DTIC Science & Technology

1986-12-02

communist is an existential choice and investment, which does not mean joining the "party" for private gain or mere political sub- sistence in it...have the greatest existential interest in them, whose living conditions are such that they must long for them but only If they join forces with all...Naturally, the role of the intelligentsia, and not only the " humanist intelli- gentsia but all of the. intelligentsia that combines knowledge and

Existentialism as a theoretical basis for counselling in psychiatric nursing.

PubMed

Burnard, P

1989-06-01

Counselling is increasingly described in the literature as an important part of the psychiatric nurse's role. Often, the type of counselling described in that literature is of the client-centered type developed by Carl Rogers. This report outlines the philsophical position known as existentialism and offers suggestions as to how that philosophy may be used to develop a more vigorous and more egalitarian approach to counselling in nursing.

Feeling and Time: The Phenomenology of Mood Disorders, Depressive Realism, and Existential Psychotherapy

PubMed Central

Ghaemi, S. Nassir

2007-01-01

Phenomenological research suggests that pure manic and depressive states are less common than mixtures of the two and that the two poles of mood are characterized by opposite ways of experiencing time. In mania, the subjective experience of time is sped up and in depression it is slowed down, perhaps reflecting differences in circadian pathophysiology. The two classic mood states are also quite different in their effect on subjective awareness: manic patients lack insight into their excitation, while depressed patients are quite insightful into their unhappiness. Consequently, insight plays a major role in overdiagnosis of unipolar depression and misdiagnosis of bipolar disorder. The phenomenology of depression also is relevant to types of psychotherapies used to treat it. The depressive realism (DR) model, in contrast to the cognitive distortion model, appears to better apply to many persons with mild to moderate depressive syndromes. I suggest that existential psychotherapy is the necessary corollary of the DR model in those cases. Further, some depressive morbidities may in fact prove, after phenomenological study, to involve other mental states instead of depression. The chronic subsyndromal depression that is often the long-term consequence of treated bipolar disorder may in fact represent existential despair, rather than depression proper, again suggesting intervention with existential psychotherapeutic methods. PMID:17122410

Tilting at Windmills: Colonialism, Communism, and the Limits of Coercion

DTIC Science & Technology

2014-06-01

existential threat to Jewry at the hands of Hitler, the Nazis, and their sympathizers had generated an elemental desire for recognition. If such...Strategic Context- Framing the Problem The existential threat to the United States, in the form of possible nuclear war with the Soviet Union...South East Asia. In Indochina’s case, the realpolitik consideration of “Europe first” would take precedence over more liberal, humanist policies on the

JPRS Report East Europe

DTIC Science & Technology

1990-09-10

be preceded by a return of Europe to our country, a return of European humanistic thought that can eliminate the Asian influences. Over these 40...necessary, I will "fight" in order to change this situation. This problem involves the working conditions and existential concerns not only of 1,500...economist, Endowment for Social Analysis/ Social Theories: "Problems of Social Property in the GDR"] [Text] The GDR’s existential crisis is proof

[The triad configuration, humanist-existential-personal: a theoretical and methodological approach to psychiatric and mental health nursing].

PubMed

Vietta, E P

1995-01-01

The author establishes a research line based on a theoretical-methodological referential for the qualitative investigation of psychiatric nursing and mental health. Aspects of humanist and existential philosophies and personalism were evaluated integrating them in a unique perspective. In order to maintain the scientific method of research in this referential the categorization process which will be adopted in this kind of investigation was explained.

East Europe Report: Political, Sociological and Military Affairs, No. 2193

DTIC Science & Technology

1983-09-06

want to become "good" people, perform humanistic deeds, be useful, not senselessly vegetate. Values such as a sense of duty, a sense of honor, but...produc- tion, primarily in the production of vegetables, conservation of pastures, preservation of livestock, and broadly interpreted social- existential ...by three fourths of the respondents to have self-government active in social- existential matters (an explanation to this might be, the lack of trade

[Validity of the existentialist approach in psychiatry].

PubMed

Dramisino, Hugo

2013-01-01

One essential premise of this revision work is to raise the impossibility of psychiatric action without a solid psychotherapeutic attitude. And before this position is the existentialist approach as an interesting possibility to consolidate the psychiatric clinic; a clinic which should not lose sight of the old Socratic ideal of applying philosophy to understand daily life and not be trapped in the modest role of prescribing drugs according to the "cartography" of diagnostic manuals. Existentialist psychotherapeutic trends add the spiritual instance to the traditional approach of the bio-psycho-social framework that tries to account for the human condition. In this work, another framework is proposed: bio-psycho-social (de-programmed)-mortal. On this existentialist conception, two essential aspects of philosophy and psychiatric clinic are emphasized: freedom and death. Finally, a type of classification that delimits two existential psychotherapeutic postures is proposed: one which is identified as existential dynamic psychotherapy, and another one, as existential psychoanalytic psychotherapy.

Astronomy and Existentialism in Albert Camus' ``The Adulterous Woman''

NASA Astrophysics Data System (ADS)

Garwood, D.

2013-04-01

Camus' short story “An Adulterous Woman” from his collection Exile and the Kingdom narrates the experience of Janine, wife of a French Algerian cloth-trader, who accompanies her husband on a business trip to the Saharan interior at mid-20th century. The desert landscape and its weather play an integral role in the plot. Blending realism and fantasy that borders on science fiction, the narrator characterizes the sky as an animate cosmological energy whose virility is masked by sunlight during the day. Released after sundown and portrayed as a liberator at the climax of the story, the shaman-like night sky descends upon Janine as a shower of stars that leaves her with an existential sense of self. This paper explores themes of astronomy and existentialism that Camus develops through Janine's “adultery” with a cosmological force, supplemented by visual imagery related to the aesthetic and scientific cultural contexts of the story and Camus' era.

Concerns about losing control when breaking bad news to terminally ill patients with cancer: physicians' perspective.

PubMed

Friedrichsen, Maria; Milberg, Anna

2006-06-01

To study and explore problems perceived by physicians when breaking bad news to advanced cancer patients about discontinuing or not offering tumor-specific treatment due to incurable cancer. A qualitative phenomenographic interview study. The county of Ostergötland in Sweden. Thirty physicians with different demographic characteristics. According to the physicians' answers breaking bad news was perceived as involving a risk of losing control in different ways, regarding emotions, oneself, confidence, professionalism and patient trust. Four different main categories described as problems were identified; perceptions focusing on existential thoughts, relationships, knowledge, and perceptions related to time and environmental disturbances. Physicians perceived that breaking bad news to dying patients with cancer involved a risk of losing control. Existential thoughts and a lack of knowledge contribute to this risk. Theoretical education in existentiality/spirituality and clinical practice in a palliative context may help maintaining control.

Toward an horizon in design ethics.

PubMed

d'Anjou, Philippe

2010-06-01

This paper suggests that design ethics can be enriched by considering ethics beyond the traditional approaches of deontology, teleology, and virtue ethics. Design practice and design ethics literature tend to frame ethics in design according to these approaches. The paper argues that a fundamental and concrete ethical understanding of design ethics can also be found in Sartrean Existentialism, a philosophy centered on the individual and his/her absolute freedom. Through the analysis of four core concepts of Sartrean Existentialism that define a specific ethics, the paper illustrates why such philosophical approach is relevant to design ethics. The paper also shows how Sartrean Existentialism and its ethics apply to critical issues of professional practice in design such as professional engagement and design decision-making. The paper finally argues that Sartre's philosophy and ethics is a perspective that offers the designer in design practice a solid ground to engage his/her ethical dilemma.

Beyond Simple Planning: Existential Dimensions of Conversations With Patients at Risk of Dying From Heart Failure.

PubMed

Schulz, Valerie Marie; Crombeen, Allison M; Marshall, Denise; Shadd, Joshua; LaDonna, Kori A; Lingard, Lorelei

2017-11-01

Despite the recent promotion of communication guides to improve decision making with patients nearing the end of their lives, these conversations remain challenging. Deeper and more comprehensive understanding of communication barriers that undermine discussions and decisions with patients at risk of dying from heart failure (HF) is vital for informing communication in health care. To explore experiences and perspectives of patients with advanced HF, their caregivers, and providers, regarding conversations for patients at risk of dying from HF. Following Research Ethics Board approval, index patients with advanced HF (New York Heart Association III or IV) and consenting patient-identified care team members were interviewed. A team sampling unit was formed when the patient plus at least two additional team members participated in interviews. Team members included health professionals (e.g., cardiologist, family physician, HF nurse practitioner, social worker, and specialists, such as respirologist, nephrologist, palliative care physician), family caregivers (e.g., daughter, spouse, roommate, close friend), and community members (e.g., minister, neighbor, regular taxi driver). Our data set included 209 individual interviews clustered into 50 team sampling units at five sites from three Canadian provinces. Key informants, identified as practicing experts in the field, reviewed our initial findings with attention to relevance to practice as a form of triangulation. Iterative data collection and analysis followed constructivist grounded theory procedures with sensitizing concepts drawn from complexity theory. To ensure confidentiality, all participants were given a pseudonym. Participants' reports of their perceptions and experiences of conversations related to death and dying suggested two main dimensions of such conversations: instrumental and existential. Instrumental dimensions included how these conversations were planned and operationalized as well as the triggers and barriers to these discussions. Existential dimensions of these conversations included evasive maneuvers, powerful emotions, and the phenomenon of death without dying. Existential dimensions appeared to have a basis in issues of mortality and could strongly influence conversations related to death and dying. Conversations for patients at risk of dying from HF have both instrumental and existential dimensions, in which routines and relationships are inseparable. Our current focus on the instrumental aspects of these conversations is necessary but insufficient. The existential dimensions of conversations related to death are profound and may explain why these conversations have struggled to achieve their desired effect. To improve this communication, we need to also attend to existential dimensions, particularly in terms of their impact on the occurrence of these conversations, the nature of relationships and responses within these conversations, and the fluidity of meaning within these conversations. Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

The Life Mission Theory VII. Theory of Existential (Antonovsky) Coherence: A Theory of Quality of Life, Health, and Ability for Use in Holistic Medicine

PubMed Central

Ventegodt, Søren; Flensborg-Madsen, Trine; Andersen, Niels Jørgen; Merrick, Joav

2005-01-01

A theoretical framework of existential coherence is presented, explaining how health, quality of life (QOL), and the ability to function were originally created and developed to rehabilitate human life from an existential perspective. The theory is inspired by the work of Aaron Antonovsky and explains our surprising recent empirical findings—that QOL, health, and ability primarily are determined by our consciousness. The theory is a matrix of nine key elements in five layers: (1) coherence; (2) purpose and talent; (3) consciousness, love, and physicality/sexuality; (4) light and joy; and (5) QOL/meaning of life. The layer above causes the layer below, with the layer of QOL again feeding the fundamental layer of coherence. The model holds the person responsible for his or her own degree of reality, happiness, and being present. The model implies that when a person takes responsibility in all nine “dimensions” of life, he or she can improve and develop health, the ability to function, all aspects of QOL, and the meaning of life. The theory of existential coherence integrates a wide range of QOL theories from Jung and Maslow to Frankl and Wilber. It is a nine-ray theory in accordance with Gurjieff's enneagram and the old Indian chakra system. It can be used in the holistic medical clinic and in existential coaching. Love is in the center of the model and rehabilitation of love in its broadest sense is, accordingly, the essence of holistic medicine. To know yourself, your purpose of life (life mission) and talents, and taking these into full use and becoming coherent with life inside and reality outside is what human life is essentially about. The new model has been developed to integrate the existing knowledge in the complex field of holistic medicine. Its strength is that it empowers the holistic physician to treat the patient with even severe diseases and can also be used for existential rehabilitation, holistic psychiatry, and sexology. Its major weakness is that it turns holistic medicine more into an art than into a science because the physician must master intent, which is a poorly understood dimension of existence. PMID:15915291

[The hospital as space and as territory].

PubMed

Stiefel, Friedrich; Marion-Veyron, Régis; Englebert, Jérôme

2018-02-07

Space is lived individually and collectively and can become a source of existential affectation, especially when the lived experience is modified by disease. The fact that the hospital is also a place of territorialisation can potentiate this affectation, with at times surprising consequences. We aim - based on a reflection about the relationship patients and clinicians establish with the territory of the hospital- to identify some psychological and existential issues at stake with regard to space as a social construction.

Translations on Eastern Europe, Political, Sociological, and Military Affairs, Number 1568

DTIC Science & Technology

1978-07-25

to be found much deeper and it has little to do with common sense. It is derived from their existential amalgamation into the system, their economic...resolutions. They are bound to their state quite existentially and should they refuse, they could lose the only thing left to the adapted man—the private...for> : this purpose. Wherever the balance of forces permits, naked violence is used. In many countries of Latin America, Asia, and Africe, the

The Relationship of Spiritual Well-Being and Involvement with Depression and Perceived Stress in Korean Nursing Students

PubMed Central

Lee, Younkyung

2014-01-01

This study was conducted to identify the relationship among spiritual well-being, depression and perceived stress. Participants were 518 nursing students located in K province, Korea. Design: Exploratory design was used for this study. Data were collected and analyzed by t-test, ANOVA, Pearson correlation coefficients. The results were as follows; 1) Participants’ mean scores were Spiritual Well-Being 76.03 (15.74), Religious Well-Being 32.8 (15.74), Existential Well-Being 43.23 (8.12), depression 9.10 (7.06), and level of stress 15.47 (5.49). 2) Spiritual Well-Being, Existential Well-Being, and Religious Well-Being were significantly different with the number of attendance to religious ceremony, the degree of subjective satisfaction regard to major and idea for future employment. 3) Negative correlations existed between Spiritual Well-Being and participants’ perceived stress, and depression. 4) Particularly, Existential Well-Being has more inverse correlation with depression and stress than Religious Well-Being. This investigation highlighted Existential Well-Being as an important factor with lower levels of depression and perceived stress. According to these result, Spiritual Well-Being promotion program is needed to develop as a positive concept to adjust college life and spiritual well-being is required to take care of patients as potential power for nursing students in their future. PMID:24999141

Courteous but not curious: how doctors' politeness masks their existential neglect. A qualitative study of video-recorded patient consultations.

PubMed

Agledahl, Kari Milch; Gulbrandsen, Pål; Førde, Reidun; Wifstad, Åge

2011-11-01

To study how doctors care for their patients, both medically and as fellow humans, through observing their conduct in patient-doctor encounters. Qualitative study in which 101 videotaped consultations were observed and analysed using a Grounded Theory approach, generating explanatory categories through a hermeneutical analysis of the taped consultations. A 500-bed general teaching hospital in Norway. 71 doctors working in clinical non-psychiatric departments and their patients. The doctors were concerned about their patients' health and how their medical knowledge could be of service. This medical focus often over-rode other important aspects of the consultations, especially existential elements. The doctors actively directed the focus away from their patients' existential concerns onto medical facts and rarely addressed the personal aspects of a patient's condition, treating them in a biomechanical manner. At the same time, however, the doctors attended to their patients with courteousness, displaying a polite and friendly attitude and emphasising the relationship between them. The study suggests that the main failing of patient-doctor encounters is not a lack of courteous manners, but the moral offence patients experience when existential concerns are ignored. Improving doctors' social and communication skills cannot resolve this moral problem, which appears to be intrinsically bound to modern medical practice. Acknowledging this moral offence would, however, be the first step towards minimising the effects thereof.

French Swiss physicians' attitude toward palliative sedation: Influence of prognosis and type of suffering.

PubMed

Beauverd, M; Bernard, M; Currat, T; Ducret, S; Foley, R A; Borasio, G D; Blondeau, D; Dumont, S

2014-10-01

Palliative sedation is a last resort medical act aimed at relieving intolerable suffering induced by intractable symptoms in patients at the end-of-life. This act is generally accepted as being medically indicated under certain circumstances. A controversy remains in the literature as to its ethical validity. There is a certain vagueness in the literature regarding the legitimacy of palliative sedation in cases of non-physical refractory symptoms, especially "existential suffering." This pilot study aims to measure the influence of two independent variables (short/long prognosis and physical/existential suffering) on the physicians' attitudes toward palliative sedation (dependent variable). We used a 2 × 2 experimental design as described by Blondeau et al. Four clinical vignettes were developed (vignette 1: short prognosis/existential suffering; vignette 2: long prognosis/existential suffering; vignette 3: short prognosis/physical suffering; vignette 4: long prognosis/physical suffering). Each vignette presented a terminally ill patient with a summary description of his physical and psychological condition, medication, and family situation. The respondents' attitude towards sedation was assessed with a six-point Likert scale. A total of 240 vignettes were sent to selected Swiss physicians. 74 vignettes were completed (36%). The means scores for attitudes were 2.62 ± 2.06 (v1), 1.88 ± 1.54 (v2), 4.54 ± 1.67 (v3), and 4.75 ± 1.71 (v4). General linear model analyses indicated that only the type of suffering had a significant impact on the attitude towards sedation (F = 33.92, df = 1, p = 0.000). Significance of the results: The French Swiss physicians' attitude toward palliative sedation is more favorable in case of physical suffering than in existential suffering. These results are in line with those found in the study of Blondeau et al. with Canadian physicians and will be discussed in light of the arguments given by physicians to explain their decisions.

ModelPlex: Verified Runtime Validation of Verified Cyber-Physical System Models

DTIC Science & Technology

2014-07-01

nondeterministic choice (〈∪〉), deterministic assignment (〈:=〉) and logical con- nectives (∧ r etc.) replace current facts with simpler ones or branch...By sequent proof rule ∃ r , this existentially quantified variable is instantiated with an arbitrary term θ, which is often a new logical variable...that is implicitly existentially quantified [27]. Weakening (Wr) removes facts that are no longer necessary. (〈∗〉) ∃X〈x :=X〉φ 〈x := ∗〉φ 1 (∃ r ) Γ ` φ(θ

Living through a volcanic eruption: Understanding the experience of survivors as a phenomenological existential phenomenon.

PubMed

Warsini, Sri; Mills, Jane; West, Caryn; Usher, Kim

2016-06-01

Mount Merapi in Indonesia is the most active volcano in the world with its 4-6-year eruption cycle. The mountain and surrounding areas are populated by hundreds of thousands of people who live near the volcano despite the danger posed to their wellbeing. The aim of this study was to explore the lived experience of people who survived the most recent eruption of Mount Merapi, which took place in 2010. Investigators conducted interviews with 20 participants to generate textual data that were coded and themed. Three themes linked to the phenomenological existential experience (temporality and relationality) of living through a volcanic eruption emerged from the data. These themes were: connectivity, disconnection and reconnection. Results indicate that the close relationship individuals have with Mount Merapi and others in their neighbourhood outweighs the risk of living in the shadow of an active volcano. This is the first study to analyze the phenomenological existential elements of living through a volcanic eruption. © 2016 Australian College of Mental Health Nurses Inc.

A person-centred approach in medicine to reduce the psychosocial and existential burden of chronic and life-threatening medical illness.

PubMed

Grassi, Luigi; Mezzich, Juan E; Nanni, Maria Giulia; Riba, Michelle B; Sabato, Silvana; Caruso, Rosangela

2017-10-01

The psychiatric, psychosocial, and existential/spiritual pain determined by chronic medical disorders, especially if in advanced stages, have been repeatedly underlined. The right to approach patients as persons, rather than symptoms of organs to be repaired, has also been reported, from Paul Tournier to Karl Jaspers, in opposition and contrast with the technically-enhanced evidence-based domain of sciences that have reduced the patients to 'objects' and weakened the physician's identity deprived of its ethical value of meeting, listening, and treating subjects. The paper will discuss the main psychosocial and existential burden related to chronic and advanced medical illnesses, and the diagnostic and therapeutic implications for a dignity preserving care within a person-centred approach in medicine, examined in terms of care of the person (of the person's whole health), for the person (for the fulfilment of the person's health aspirations), by the person (with physicians extending themselves as total human beings), and with the person (working respectfully with the medically ill person).

Destined to die but not to wage war: how existential threat can contribute to escalation or de-escalation of violent intergroup conflict.

PubMed

Jonas, Eva; Fritsche, Immo

2013-10-01

War means threat to people's lives. Research derived from terror management theory (TMT) illustrates that the awareness of death leads people to defend cultural ingroups and their worldviews to attain a sense of symbolic immortality and thereby buffer existential anxiety. This can result in hostile effects of mortality salience (MS), such as derogation of outgroup members, prejudice, stereotyping, aggression, and racism, which, in turn, can lead to the escalation of violent intergroup conflict and, thus, the escalation of war. Yet, escalation of destructive conflict following MS is not automatic. Instead, research on TMT suggests that MS does not necessarily result in conflict and intolerance but can also foster positive tendencies, such as intergroup fairness or approval of pacifism, depending on how existential threat is perceived, whether the need for symbolic self-transcendence is satisfied, which social norms are salient, and how social situations are interpreted. In the present article, we review current TMT research with the aim of reconciling the seemingly contradictory findings of hostile and peaceful reactions to reminders of death. We present a terror management model of escalation and de-escalation of violent intergroup conflicts, which takes into account the interaction between threat salience and features of the social situation. We also discuss possible intervention strategies to override detrimental consequences of existential threat and argue that war is not the inevitable consequence of threat. PsycINFO Database Record (c) 2013 APA, all rights reserved

Reflecting on one's own death: The existential questions that nurses face during end-of-life care.

PubMed

Karlsson, Margareta; Kasén, Anne; Wärnå-Furu, Carola

2017-04-01

When registered nurses care for patients at the end of life, they are often confronted with different issues related to suffering, dying, and death whether working in hospital or community care. Serious existential questions that challenge nurses' identities as human beings can arise as a result of these situations. The aim of our study was to describe and gain a deeper understanding of nurses' existential questions when caring for dying patients. Focus-group interviews with registered nurses who shared similar experiences and backgrounds about experiences in end-of-life care were employed to gain a deeper understanding about this sensitive subject. Focus-group interviews were performed in hospice care, in community care, and in a palliative care unit in western Sweden. A qualitative hermeneutic approach was employed to interpret the data. Nurses' existential questions balanced between responsibility and guilt in relation to their patients, between fear and courage in relation to being professional caregivers and fellow human beings, and between hope and despair in relation to the other's and their own death. Nurses in end-of-life care experience various emotions from patients related to things physical, spatial, and temporal. When nurses encounter these emotions as expressing a patient's suffering, they lead to challenges of balancing between different feelings in relation to patients, as both professional caregivers and fellow human beings. Nurses can experience growth both professionally and as human beings when caring for patients at the end of life.

Existential struggle and self-reported needs of patients in rehabilitation.

PubMed

Sigurgeirsdottir, Jonina; Halldorsdottir, Sigridur

2008-02-01

This paper is a report of a study to increase understanding of patients' experience of rehabilitation and their self-reported needs in that context. Nurses need to be able to recognize patient needs to plan effective and individualized care. Needs-led nursing care is emphasized in the nursing literature, but few studies in rehabilitation have explored needs from the patient's perspective. The sample of this phenomenological study was purposively selected and the data consisted of 16 in-depth interviews with 12 people aged between 26 and 85 years. The data were collected in 2005. The findings showed that being a patient in rehabilitation involves existential struggling, as the reason behind patients' rehabilitation, accident or illness usually leads to trying to cope with existential changes while needing to adapt to new characteristics of life and self. This makes patients vulnerable and their self-reported needs include individualized caring and emotional support from family, peers and staff. Participants also reported a need for a sense of security in a stable and homelike environment, with assistance, help and presence. Finally, they reported needing goal-oriented and progressive care in which realistic and achievable goals were established. Individualized patient education enhanced their independence and empowered them towards a new and progressive lifestyle. A new emphasis is needed in rehabilitation nursing, involving assessment of existential well-being of patients by means of skilful interpersonal relationship based on individualized caring and emotional support and recognition of each patient's own hierarchy of needs.

Virtuous aging and existential vulnerability.

PubMed

Laceulle, Hanne

2017-12-01

In its efforts to overcome problematic views that associate aging with inevitable decline, contemporary gerontology shows a tendency to focus predominantly on age-related vulnerabilities that science may try to remedy and control. However, gerontology should also offer languages to address vulnerabilities that cannot be remedied because they intrinsically belong to the human condition. After all, these are increasingly radically encountered in later life and should therefore be reflected upon in the study of aging. Humanistic gerontology seems to be the most promising field to look for languages capable of contemplating such existential vulnerabilities. The potential contribution of philosophy in this field remains underdeveloped so far, however. This article therefore aims to introduce insights from the philosophical tradition to (humanistic) gerontology. More specifically, it focuses on the tradition of virtue ethics, arguing that virtue is a particularly relevant notion to explore in dealing with existential vulnerability in later life. The notion of virtue is clarified by discussing a selection of philosophical perspectives on this topic, by Aristotle, MacIntyre and Swanton. Next a brief overview will be given of some of the ways the notion of virtue has found its way into gerontological discourse so far. The article ends with an analysis of the merits of virtue-ethical discourse for the study of aging and later life, and pleads for more inclusion of philosophical ideas such as virtue in gerontology, as these can enrich our conceptual frameworks and help us relate to deep existential questions regarding the experience of aging. Copyright © 2017 Elsevier Inc. All rights reserved.

Clinical Holistic Medicine: Holistic Treatment of Mental Disorders

PubMed Central

Ventegodt, Søren; Andersen, Niels Jørgen; Neikrug, Shimshon; Kandel, Isack; Merrick, Joav

2005-01-01

We believe that holistic medicine can be used for patient's with mental health disorders. With holistic psychiatry, it is possible to help the mentally ill patient to heal existentially. As in holistic medicine, the methods are love or intense care, winning the trust of the patient, getting permission to give support and holding, and daring to be fully at the patient's service. Our clinical experiences have led us to believe that mental health patient's can heal if only you can make him or her feel the existential pain at its full depth, understand what the message of the suffering is, and let go of all the negative attitudes and beliefs connected with the disease. Many mentally ill young people would benefit from a few hours of existential holistic processing in order to confront the core existential pains. To help the mentally ill patient, you must understand the level of responsibility and help process the old traumas that made the patient escape responsibility for his or her own life and destiny. To guide the work, we have developed a responsibility scale going from (1) free perception over (2) emotional pain to (3) psychic death (denial of life purpose) further down to (4) escape and (5) denial to (6) destruction of own perception and (7) hallucination further down to (8) coma, suicide, and unconsciousness. This scale seems to be a valuable tool to understand the state of consciousness and the nature of the process of healing that the patient must go through. PMID:15915297

Courteous but not curious: how doctors' politeness masks their existential neglect. A qualitative study of video-recorded patient consultations

PubMed Central

Gulbrandsen, Pål; Førde, Reidun; Wifstad, Åge

2011-01-01

Objective To study how doctors care for their patients, both medically and as fellow humans, through observing their conduct in patient–doctor encounters. Design Qualitative study in which 101 videotaped consultations were observed and analysed using a Grounded Theory approach, generating explanatory categories through a hermeneutical analysis of the taped consultations. Setting A 500-bed general teaching hospital in Norway. Participants 71 doctors working in clinical non-psychiatric departments and their patients. Results The doctors were concerned about their patients' health and how their medical knowledge could be of service. This medical focus often over-rode other important aspects of the consultations, especially existential elements. The doctors actively directed the focus away from their patients' existential concerns onto medical facts and rarely addressed the personal aspects of a patient's condition, treating them in a biomechanical manner. At the same time, however, the doctors attended to their patients with courteousness, displaying a polite and friendly attitude and emphasising the relationship between them. Conclusions The study suggests that the main failing of patient–doctor encounters is not a lack of courteous manners, but the moral offence patients experience when existential concerns are ignored. Improving doctors' social and communication skills cannot resolve this moral problem, which appears to be intrinsically bound to modern medical practice. Acknowledging this moral offence would, however, be the first step towards minimising the effects thereof. PMID:21610269

Physical, social, psychological and existential trajectories of loss and adaptation towards the end of life for older people living with frailty: a serial interview study.

PubMed

Lloyd, Anna; Kendall, Marilyn; Starr, John M; Murray, Scott A

2016-10-20

The experiences of people with cancer and organ disease have been described across different dimensions of need as they approach death. Such information is lacking for frail older people approaching death, but could highlight how a palliative approach might be relevant for this population. Cognitively intact, community dwelling adults considered to be moderately or severely frail were recruited from a medical day hospital. Those recruited nominated an informal carer and case-linked professional. Qualitative in-depth serial interviews with older people and their informal carers were conducted over an 18 month period, and single interviews with case-linked healthcare professionals. Interviews were recorded, transcribed and narrative analytical techniques were used to compile case studies. Thirty-four participants (13 patients, 13 informal carers and 8 healthcare professionals) completed 40 individual, 14 joint and 8 professional interviews. Five patients died during the study. The analysis highlighted a dynamic balance between losses and adaptations. Three typical patterns of multi-dimensional change emerged. 1) Maintenance of psychological and existential well-being with a gradual social decline mirroring the physical deterioration. 2) a gradual reduction in both psychological and existential well-being. 3) a marked downturn in social, psychological and existential well-being before death. Frail older people sustained their well-being through maintaining a sense-of-self, garnering support from carers and community structures, and focusing on living from day to day. Their well-being lessened when they lost their sense-of-self, feeling alienated from the world, and confused over the cause of their circumstances. Death remained distant and 'undiagnosed'. Social and community frameworks were essential for supporting their well-being. Multidimensional end-of-life trajectories for frail older people differed from those with other conditions. Alleviating psychological, social and existential distress should be a priority of care as frail older people reach the end of life. The current palliative care model is problematic for this group. Care should address future concerns and not necessarily involve a focus on death or place of death.

[The relationship between career decision-making self efficacy and anxiety].

PubMed

Yao, Chen; Cai, Yun; Liu, Jia; Shan, Dan; Zhou, Xia

2012-03-01

The purpose of the paper is to examine the relationship among Career Decision-Making Self Efficacy, existential anxiety and anxiety in the sample of college students during the professional choice. Data on The Revised Career Decision-Making Self-Efficacy-Shot Form, Existential Anxiety Scale (EAS), SCL-90 and self-identity status were collected and analyzed on a sample of 500 college students. 201 rural students' career decision making self-efficacy scores were as follows: self-appraisal (12.58 ± 3.48), occupational information (12.07 ± 3.05), goal selection (12.48 ± 3.51), planning (12.17 ± 3.10), problem solving (9.75 ± 2.38), all scores were lower than urban students, the difference was statistically significant (P < 0.01). Rural Students' anxiety dimension score were as follows: death and the fate of anxiety (14.75 ± 2.56), the meaningless and empty anxiety (19.32 ± 2.88), condemnation and guilt anxiety (13.72 ± 2.38), alienation and loneliness anxiety (16.82 ± 2.51), all scores are higher than urban students, the difference was statistically significant (P < 0.01). There is negative correlation between Anxiety and career decision making self-efficacy. There is a significant positive correlation between anxiety and existential anxiety. There exists a significant negative correlation among factors of student and career decision making self-efficacy and anxiety. Meaningless and emptiness anxiety on career decision making self-efficacy are significant predictors. There is negative correlation among existential anxiety, occupational information and anxiety during the professional choice.

Examining Temptation to Drink from an Existential Perspective: Associations among Temptation, Purpose in Life, and Drinking Outcomes

PubMed Central

Roos, Corey R.; Kirouac, Megan; Pearson, Matthew R.; Fink, Brandi C.; Witkiewitz, Katie

2015-01-01

Temptation to drink, defined as the degree to which one feels compelled to drink in the presence of internal or external alcohol-related cues, has been shown to predict alcohol treatment outcomes among individuals with alcohol use disorders (AUDs). Research examining temptation to drink from an existential perspective is lacking and little is known about how existential issues such as purpose in life (PIL) relate to temptation to drink, which is surprising given the role of existential issues in many treatments and mutual help approaches for AUDs. The current study examined the longitudinal associations among temptation to drink, PIL, and drinking outcomes using data from Project MATCH (N = 1726). Parallel process latent growth curve analyses indicated that PIL and temptation to drink were significantly associated across time, such that higher initial levels of PIL and increases in PIL over time were associated with lower initial levels of temptation to drink and decreases in temptation to drink over time. Higher initial levels of temptation to drink, lower initial levels of PIL, increases in temptation to drink, and decreases in PIL were significantly associated with greater intensity and frequency of drinking and greater drinking-related consequences at the 15-month follow-up. Accordingly, temptation to drink and PIL may be important constructs for clinicians to consider throughout the course of treatment. Future studies should examine if and how various kinds of treatments for AUDs are associated with increases in PIL, and whether these increases are related to decreased temptation to drink and reduced drinking. PMID:25730630

Clinical Holistic Medicine: Mental Disorders in a Holistic Perspective

PubMed Central

Ventegodt, Søren; Andersen, Niels Jørgen; Neikrug, Shimshon; Kandel, Isack; Merrick, Joav

2005-01-01

From a holistic perspective, psychiatric diseases are caused by the patients unwillingness to assume responsibility for his life, existence, and personal relations. The loss of responsibility arises from the repression of the fundamental existential dimensions of the patients. Repression of love and purpose causes depersonalization (i.e., a lack of responsibility for being yourself and for the contact with others, loss of direction and purpose in life). Repression of strength in mind and emotions leads to derealization (the breakdown of the reality testing, often with mental delusions and hallucinations). The repression of joy and gender leads to devitalization (emotional emptiness, loss of joy, personal energy, sexuality, and pleasure in life).The losses of existential dimensions are invariably connected to traumas with life-denying decisions. Healing the wounds of the soul by holding and processing will lead to the recovery of the person's character, purpose of life, and existential responsibility. It can be very difficult to help a psychotic patient. The physician must first love his patient unconditionally and then fully understand the patient in order to meet and support the patient to initiate the holistic process of healing. It takes motivation and willingness to suffer on behalf of the patients in order to heal, as the existential and emotional pain of the traumas resulting in insanity is often overwhelming. We believe that most psychiatric diseases can be alleviated or cured by the loving and caring physician who masters the holistic toolbox. Further research is needed to document the effect of holistic medicine in psychiatry. PMID:15962198

Exploring the existential function of religion: the effect of religious fundamentalism and mortality salience on faith-based medical refusals.

PubMed

Vess, Matthew; Arndt, Jamie; Cox, Cathy R; Routledge, Clay; Goldenberg, Jamie L

2009-08-01

Decisions to rely on religious faith over medical treatment for health conditions represent an important but understudied phenomenon. In an effort to understand some of the psychological underpinnings of such decisions, the present research builds from terror management theory to examine whether reminders of death motivate individuals strongly invested in a religious worldview (i.e., fundamentalists) to rely on religious beliefs when making medical decisions. The results showed that heightened concerns about mortality led those high in religious fundamentalism to express greater endorsement of prayer as a medical substitute (Study 1) and to perceive prayer as a more effective medical treatment (Study 2). Similarly, high fundamentalists were more supportive of religiously motivated medical refusals (Study 3) and reported an increased willingness to rely on faith alone for medical treatment (Study 4) following reminders of death. Finally, affirmations of the legitimacy of divine intervention in health contexts functioned to solidify a sense of existential meaning among fundamentalists who were reminded of personal mortality (Study 5). The existential importance of religious faith and the health-relevant implications of these findings are discussed.

Essential qualities of children’s favorite places

NASA Astrophysics Data System (ADS)

Prakoso, S.

2018-03-01

This paper builds on an existential-phenomenology framework to better understand the essential qualities of children’s favorite places. Based on grounded theory, this study focused on the everyday life experiences of 25 children (14 girls and 11 boys), aged 9–12 years and living in Jakarta, whose housing environments reflected various spatial qualities. The results showed that all children reported having one or more favorite places. Despite differences in type, scale, form, and location of children’s favorite places, each existential place was a supportive urban space conceived, perceived, and lived through the meaning and symbolic use given to it by a child. The essential qualities of children’s favorite places were accessibility, a location within route from home to other destinations (such as a friend’s house or school), and a space providing a sense of comfort, security, and social affiliation, as well as experiences that were restorative, personal, sensory, and materialistic. This study may have implications for the design of urban places that foster the formation of children’s favorite spaces by taking into account these essential qualities of children’s lived-existential spaces.

Spiritual Considerations.

PubMed

Puchalski, Christina M; King, Stephen D W; Ferrell, Betty R

2018-06-01

Spiritual issues play a prominent role for patients with cancer. Studies have demonstrated a positive connection between a patient's spirituality and health outcomes, including quality of life, depression and anxiety, hopefulness, and the ability to cope with illness. Spiritual or existential distress is prominent in patients with cancer. Models are described that identify ways for clinicians to identify or diagnose spiritual or existential distress, and to attend to that distress. It is critical that all clinicians assess for spiritual distress as part of a routine distress assessment, identify appropriate treatment strategies, and work closely with trained spiritual care professionals. Copyright © 2018 Elsevier Inc. All rights reserved.

Taming the monsters of tomorrow

NASA Astrophysics Data System (ADS)

Kupferschmidt, Kai

2018-01-01

In Mary Shelley's novel, the scientist Victor Frankenstein fears that creating a female companion to his unhappy monster could lead to a "race of devils" that could drive humanity extinct. Today, some scientists worry about scientific advances in the real world that could kill all of humanity, or at least end civilization as we know it. Some two dozen researchers at three academic centers are studying these "existential risks"—including labmade viruses, armies of nanobots, and artificial intelligence—and what can be done about them. But critics say their scenarios are far-fetched and distract from real existential dangers, including climate change and nuclear war.

Bearing witness: an existential position in caring.

PubMed

Arman, Maria

2007-12-01

A basic assumption for the study is that perceiving a person's deepest needs and desires to be on hand for another person, and their attempt to do so, have, in an ontological sense, the power to bear witness of goodness and eternity. The study was based on a theoretical basis of a caring science view of suffering, as well as the ethics of the philosopher Lévinas. The aim was to explore and clinically validate nuances of witnessing as a caring act.A Socratic dialogue was performed and an interpretive (hermeneutic) method was employed in this study. The Socratic dialogue with four nurses in palliative care focused on and analysed one clinical example of witnessing in palliative care. As basis for the findings are the participating nurses jointly formulated assumptions on the subject: To be a witness you have to be with the patient and refer back to him or her what you have seen; but also to act in accordance with what you have perceived. In the moment you witness, a window is opened onto the unknown; you become vulnerable as a caregiver and require courage. Being a witness encompasses existential and spiritual aspects; being a fellow human being, having a heart to heart relationship is a wilful act on the part of the nurse. Our theoretical discussion focuses on the language of the body, courage as a bridge to an existential encounter and the alleviation of patients' suffering through caregivers' witnessing. A conclusive aspect is that being a witness may bring a new understanding of life in the face of death and suffering. The existential position of being a witness requires the caregiver to be courageous because of its transformative prospect, but may utterly enrich both parties' inner life of shared meaning.

Unintended consequences of existential quantifications in biomedical ontologies

PubMed Central

2011-01-01

Background The Open Biomedical Ontologies (OBO) Foundry is a collection of freely available ontologically structured controlled vocabularies in the biomedical domain. Most of them are disseminated via both the OBO Flatfile Format and the semantic web format Web Ontology Language (OWL), which draws upon formal logic. Based on the interpretations underlying OWL description logics (OWL-DL) semantics, we scrutinize the OWL-DL releases of OBO ontologies to assess whether their logical axioms correspond to the meaning intended by their authors. Results We analyzed ontologies and ontology cross products available via the OBO Foundry site http://www.obofoundry.org for existential restrictions (someValuesFrom), from which we examined a random sample of 2,836 clauses. According to a rating done by four experts, 23% of all existential restrictions in OBO Foundry candidate ontologies are suspicious (Cohens' κ = 0.78). We found a smaller proportion of existential restrictions in OBO Foundry cross products are suspicious, but in this case an accurate quantitative judgment is not possible due to a low inter-rater agreement (κ = 0.07). We identified several typical modeling problems, for which satisfactory ontology design patterns based on OWL-DL were proposed. We further describe several usability issues with OBO ontologies, including the lack of ontological commitment for several common terms, and the proliferation of domain-specific relations. Conclusions The current OWL releases of OBO Foundry (and Foundry candidate) ontologies contain numerous assertions which do not properly describe the underlying biological reality, or are ambiguous and difficult to interpret. The solution is a better anchoring in upper ontologies and a restriction to relatively few, well defined relation types with given domain and range constraints. PMID:22115278

Palliative Sedation for Existential Suffering: A Systematic Review of Argument-Based Ethics Literature.

PubMed

Rodrigues, Paulo; Crokaert, Jasper; Gastmans, Chris

2018-06-01

Although unanimity exists on using palliative sedation (PS) for controlling refractory physical suffering in end-of-life situations, using it for controlling refractory existential suffering (PS-ES) is controversial. Complicating the debate is that definitions and terminology for existential suffering are unclear, ambiguous, and imprecise, leading to a lack of consensus for clinical practice. To systematically identify, describe, analyze, and discuss ethical arguments and concepts underpinning the argument-based bioethics literature on PS-ES. We conducted a systematic search of the argument-based bioethics literature in PubMed, CINAHL, Embase ® , The Philosopher's Index, PsycINFO ® , PsycARTICLES ® , Scopus, ScienceDirect, Web of Science, Pascal-Francis, and Cairn. We included articles published in peer-reviewed journals till December 31, 2016, written in English or French, which focused on ethical arguments related to PS-ES. We used Peer Review of Electronic Search Strategies protocol, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and The Qualitative Analysis Guide of Leuven for data extraction and synthesis of themes. We identified 18 articles that met the inclusion criteria. Our analysis revealed mind-body dualism, existential suffering, refractoriness, terminal condition, and imminent death as relevant concepts in the ethical debate on PS-ES. The ethical principles of double effect, proportionality, and the four principles of biomedical ethics were used in argumentations in the PS-ES debate. There is a clear need to better define the terminology used in discussions of PS-ES and to ground ethical arguments in a more effective way. Anthropological presuppositions such as mind-body dualism underpin the debate and need to be more clearly elucidated using an interdisciplinary approach. Copyright © 2018 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

Social, psychological and existential well-being in patients with glioma and their caregivers: a qualitative study

PubMed Central

Cavers, Debbie; Hacking, Belinda; Erridge, Sara E.; Kendall, Marilyn; Morris, Paul G.; Murray, Scott A.

2012-01-01

Background: Cerebral glioma has a devastating impact on cognitive, physical, social, psychological and spiritual well-being. We sought to understand the multidimensional experience of patients with this form of cancer as they progressed from receiving a diagnosis to the terminal phase of the disease. Methods: We recruited patients with a suspected brain tumour from a tertiary referral centre in the United Kingdom. We interviewed patients and their caregivers at key stages of the illness: before receiving a formal diagnosis, at the start of initial treatment, after initial treatment was completed and at six months’ follow-up; caregivers were also interviewed postbereavement. We interviewed the patients’ general practitioners once, after treatment had been completed. We transcribed the interviews and analyzed them thematically using the constant comparative method of a grounded theory approach. Results: We conducted in-depth interviews with 26 patients, 23 of their relatives and 19 general practitioners. We saw evidence of physical, social, psychological and existential distress even before a diagnosis was confirmed. Social decline followed a similar trajectory to that of physical decline, whereas psychological and existential distress were typically acute around diagnosis and again after initial treatment. Each patient’s individual course varied according to other factors including the availability of support and individual and family resources (e.g., personal resilience and emotional support). Interpretation: There are practical ways that clinicians can care for patients with glioma and their caregivers, starting from before a diagnosis is confirmed. Understanding the trajectories of physical, social, psychological and existential well-being for these patients allows health care professionals to predict their patients’ likely needs so they can provide appropriate support and sensitive and effective communication. PMID:22431898

Existential neuroscience: self-esteem moderates neuronal responses to mortality-related stimuli

PubMed Central

Jonas, Eva; Kronbichler, Martin

2014-01-01

According to terror management theory, self-esteem serves as a buffer against existential anxiety. This proposition is well supported empirically, but its neuronal underpinnings are poorly understood. Therefore, in the present neuroimaging study, our aim was to test how self-esteem affects our neural circuitry activation when death-related material is processed. Consistent with previous findings, the bilateral insula responded less to death-related stimuli relative to similarly unpleasant, but death-unrelated sentences, an effect that might reflect a decrease in the sense of oneself in the face of existential threat. In anterior parts of the insula, this ‘deactivation’ effect was more pronounced for high self-esteem individuals, suggesting that the insula might be of core importance to understanding the anxiety-buffering effect of self-esteem. In addition, low self-esteem participants responded with enhanced activation to death-related over unpleasant stimuli in bilateral ventrolateral prefrontal and medial orbitofrontal cortex, suggesting that regulating death-related thoughts might be more effortful to these individuals. Together, this suggests that the anxiety-buffering effect of self-esteem might be implemented in the brain in the form of both insula-dependent awareness mechanisms and prefrontal cortex-dependent regulation mechanisms. PMID:24222712

Mediators of a Culturally-Sensitive Intervention for Suicidal African American Women

PubMed Central

Zhang, Huaiyu; Neelarambam, Kiranmayi; Schwenke, Tomina J.; Rhodes, Miesha N.; Pittman, Delishia M.; Kaslow, Nadine J.

2013-01-01

This study explored intervention outcomes and mechanisms that could help explain why low-income, African American women with a history of intimate partner abuse and suicide attempt improve in response to a culturally-informed intervention, the Grady Nia Project. Specifically, the investigation examined whether or not the intervention had effects on the women and whether or not spiritual well-being and coping mediated the effects of the intervention on suicidal ideation and depressive symptoms. In this randomized controlled clinical trial, data from 89 women who completed both pre- and post-intervention assessments were analyzed. During the post-intervention follow-up, women in the active intervention group reported lower levels of suicidal ideation and depressive symptoms and higher levels of existential well-being and adaptive coping skills than those women randomized to the treatment as usual group. However, only existential well-being was found to mediate treatment effects on suicidal ideation and depressive symptoms. Religious well-being, as well as adaptive and maladaptive coping, did not serve a mediational function. These findings highlight the importance of designing and implementing culturally-sensitive and evidence-based strategies that enhance existential well-being in this population. PMID:23864403

How Search for Meaning Interacts with Complex Categories of Meaning in Life and Subjective Well-Being?

PubMed

Damásio, Bruno Figueiredo; Koller, Sílvia Helena

2015-03-03

This study sought to assess how the search for meaning interacts with crisis of meaning and with different categories of meaning in life (meaningfulness, crisis of meaning, existential indifference, and existential conflict). Furthermore, the moderation role of search for meaning between the relation of categories of meaning and subjective well-being (SWB) was also evaluated. Participants included 3,034 subjects (63.9% women) ranging in age from 18 to 91 (M = 33.90; SD = 15.01) years old from 22 Brazilian states. Zero-order correlations and a factorial MANOVA were implemented. Positive low correlations were found for search for meaning and crisis of meaning (r = .258; p < .001). Search for meaning presented a small-effect size moderation effect on the relation of the different categories of meaning with subjective happiness, F(6, 3008) = 2.698, p < .05; η2 = .004, but not for satisfaction with life, F(6, 3008) = .935, p = .47; η2 = .002. The differences on the levels of subjective happiness of those inserted in existential indifferent and conflicting categories differ depending on the levels of search for meaning. Further directions for future studies are proposed.

Existential risks: exploring a robust risk reduction strategy.

PubMed

Jebari, Karim

2015-06-01

A small but growing number of studies have aimed to understand, assess and reduce existential risks, or risks that threaten the continued existence of mankind. However, most attention has been focused on known and tangible risks. This paper proposes a heuristic for reducing the risk of black swan extinction events. These events are, as the name suggests, stochastic and unforeseen when they happen. Decision theory based on a fixed model of possible outcomes cannot properly deal with this kind of event. Neither can probabilistic risk analysis. This paper will argue that the approach that is referred to as engineering safety could be applied to reducing the risk from black swan extinction events. It will also propose a conceptual sketch of how such a strategy may be implemented: isolated, self-sufficient, and continuously manned underground refuges. Some characteristics of such refuges are also described, in particular the psychosocial aspects. Furthermore, it is argued that this implementation of the engineering safety strategy safety barriers would be effective and plausible and could reduce the risk of an extinction event in a wide range of possible (known and unknown) scenarios. Considering the staggering opportunity cost of an existential catastrophe, such strategies ought to be explored more vigorously.

Fear of a Black femme: The existential conundrum of embodying a Black femme identity while being a professor of Black, queer, and feminist studies.

PubMed

Story, Kaila Adia

2017-10-02

Although a Black femme identity has been defined and embodied by many as an identity with Black feminist roots and revolutionary potentials, Black femmes are still rendered hypervisible and invisible through racist and heteronormative politics. Similarly, embodying a Black femme identity as a professor in academia often engenders these same pretenses of hypervisibility and invisibility. This essay explores what this existential conundrum has been for me as both a Black femme and professor of Black queer and feminist studies, while illuminating the mix of forces within academia that have attempted to stifle my chosen sexual identity and gendered performance.

Modeling of industrial stream and resources of machine-building enterpriser complex of wood preparation

NASA Astrophysics Data System (ADS)

Sereda, T. G.; Kostarev, S. N.

2018-03-01

Theoretical bases of linkage of material streams of the machine-building enterprise and the automated system of decision-making are developed. The process of machine-building manufacture is submitted by the existential system. The equation of preservation of movement is based on calculation of volume of manufacture. The basis of resource variables includes capacities and operators of the equipment. Indignations such as a defect and failure are investigated in the existential basis. The equation of a stream of details on a manufacturing route is made. The received analytical expression expresses a condition of a stream of movement of details in view of influence of work of the equipment and traumatism of the personnel.

[Neurodynamic Bases of Imitation Learning and Episodic Memory].

PubMed

Tsukerman, V D

2016-01-01

In this review, three essentially important processes in development of cognitive behavior are considered: knowledge of a spatial environment by means of physical activity, coding and a call of an existential context of episodic memory and imitation learning based on the mirror neural mechanism. The data show that the parietal and frontal system of learning by imitation, allows the developing organism to seize skills of management and motive synergies in perisomatic space, to understand intentions and the purposes of observed actions of other individuals. At the same time a widely distributed parietal and frontal and entorhinal-hippocampal system mediates spatial knowledge and the solution of the navigation tasks important for creation of an existential context of episodic memory.

Existential Absence: The Lived Experience of Family Members During Their Older Loved One's Delirium.

PubMed

Day, Jenny; Higgins, Isabel

2015-12-01

When older people develop delirium, their demeanor changes; they often behave in ways that are out of character and seem to inhabit another world. Despite this, little is known about the experiences of family members who are with their older loved one at this time. This article reports a phenomenological study that involved in-depth interviews with 14 women whose older loved one had delirium. Analysis and interpretation of the data depict the women's experiences as "Changing family portraits: Sudden existential absence during delirium," capturing the way family members lose the taken-for-granted presence of their familiar older loved one and confront a stranger during delirium. © The Author(s) 2015.

“Just one animal among many?” Existential phenomenology, ethics, and stem cell research

PubMed Central

2010-01-01

Stem cell research and associated or derivative biotechnologies are proceeding at a pace that has left bioethics behind as a discipline that is more or less reactionary to their developments. Further, much of the available ethical deliberation remains determined by the conceptual framework of late modern metaphysics and the correlative ethical theories of utilitarianism and deontology. Lacking, to any meaningful extent, is a sustained engagement with ontological and epistemological critiques, such as with “postmodern” thinking like that of Heidegger’s existential phenomenology. Some basic “Heideggerian” conceptual strategies are reviewed here as a way of remedying this deficiency and adding to ethical deliberation about current stem cell research practices. PMID:20521117

Are cross-cultural comparisons of norms on death anxiety valid?

PubMed

Beshai, James A

2008-01-01

Cross-cultural comparisons of norms derived from research on Death Anxiety are valid as long as they provide existential validity. Existential validity is not empirically derived like construct validity. It is an understanding of being human unto death. It is the realization that death is imminent. It is the inner sense that provides a responder to death anxiety scales with a valid expression of his or her sense about the prospect of dying. It can be articulated in a life review by a disclosure of one's ontology. This article calls upon psychologists who develop death anxiety scales to disclose their presuppositions about death before administering a questionnaire. By disclosing his or her ontology a psychologist provides a means of disclosing his or her intentionality in responding to the items. This humanistic paradigm allows for an interactive participation between investigator and subject. Lester, Templer, and Abdel-Khalek (2006-2007) enriched psychology with significant empirical data on several correlates of death anxiety. But all scientists, especially psychologists, will always have alternative interpretations of the same empirical fact pattern. Empirical data is limited by the affirmation of the consequent limitation. A phenomenology of language and communication makes existential validity a necessary step for a broader understanding of the meaning of death anxiety.

The Relationships Between Spiritual Well-Being, Quality of Life, and Psychological Factors Before Radiotherapy for Prostate Cancer.

PubMed

Walker, Sara J; Chen, Yiyi; Paik, Kyungjeen; Mirly, Brandy; Thomas, Charles R; Hung, Arthur Y

2017-10-01

Given shifting trends of religious identities in the USA, better understanding the impact of patients' religious identities on health-related quality of life (QOL) may help tailor the use of psychological interventions. Men with prostate cancer (N = 43) completed measures of quality of life (QOL), spiritual well-being in two domains (i.e., Faith and Meaning/Peace), psychological state, and psychological trait before undergoing radiotherapy. We hypothesized that (1) higher existential Meaning/Peace would correlate with higher QOL and psychological trait protective factors (e.g., Agreeableness) and that (2) higher existential Meaning/Peace would correlate with lower depression, anxiety, and Neuroticism (i.e., a psychological trait risk factor). We did not anticipate similar relationships between religious Faith and QOL, depression, anxiety, or psychological traits and consider related analyses to be exploratory in nature. Meaning/Peace was indeed negatively associated with depression, anxiety, and Neuroticism. Meaning/Peace was positively correlated with Physical, Social, Functional, and Emotional well-being, as well as Extraversion. Religious Faith was positively associated with Functional well-being, but not the other state, trait, or QOL domains. In sum, prostate cancer patients' sense of existential Meaning/Peace prior to radiotherapy was associated with well-being in many domains, whereas religious Faith appeared less so.

Secular, Spiritual, and Religious Existential Concerns of Women with Ovarian Cancer during Final Diagnostics and Start of Treatment

PubMed Central

Seibaek, Lene; Hounsgaard, Lise

2013-01-01

Introduction. This paper deals with secular, spiritual, and religious existential concerns during severe illness. Materials and Methods. Qualitative research interviews were made before and after surgery with women who underwent final diagnostics, surgery, and chemotherapy for ovarian cancer. By applying a phenomenological-hermeneutic text interpretation methodology the findings were systematically identified, placed into meaning structures, interpreted, and critically discussed. Results. The analysis offered insight into the complexity of challenges and personal development over time in being a woman with ovarian cancer during her first treatment period. Although the women experienced their health to be seriously threatened, they also felt hope, will, and courage. The diagnostic procedures and treatment had comprehensive impact on their lives. However, hope and spirituality were important resources of comfort and meaning. Conclusion. Hope and courage to face life represent significant personal resources that are created not only in the interplay between body and mind but also between patients and their healthcare professionals. The women dealt with this in a dialectical manner, so that hope and despair could be present simultaneously. In this process secular, spiritual, and religious existential meaning orientations assisted the women in creating new narratives and obtain new orientations in life. PMID:24288565

Existential neuroscience: self-esteem moderates neuronal responses to mortality-related stimuli.

PubMed

Klackl, Johannes; Jonas, Eva; Kronbichler, Martin

2014-11-01

According to terror management theory, self-esteem serves as a buffer against existential anxiety. This proposition is well supported empirically, but its neuronal underpinnings are poorly understood. Therefore, in the present neuroimaging study, our aim was to test how self-esteem affects our neural circuitry activation when death-related material is processed. Consistent with previous findings, the bilateral insula responded less to death-related stimuli relative to similarly unpleasant, but death-unrelated sentences, an effect that might reflect a decrease in the sense of oneself in the face of existential threat. In anterior parts of the insula, this 'deactivation' effect was more pronounced for high self-esteem individuals, suggesting that the insula might be of core importance to understanding the anxiety-buffering effect of self-esteem. In addition, low self-esteem participants responded with enhanced activation to death-related over unpleasant stimuli in bilateral ventrolateral prefrontal and medial orbitofrontal cortex, suggesting that regulating death-related thoughts might be more effortful to these individuals. Together, this suggests that the anxiety-buffering effect of self-esteem might be implemented in the brain in the form of both insula-dependent awareness mechanisms and prefrontal cortex-dependent regulation mechanisms. © The Author (2013). Published by Oxford University Press. For Permissions, please email: journals.permissions@oup.com.

An Improved Arbitrated Quantum Scheme with Bell States

NASA Astrophysics Data System (ADS)

Zhang, Yingying; Zeng, Jiwen

2018-04-01

In 2014, Liu et al. (In. J. Thero. phys. 53(5); 1569-1579. 2014) proposed an arbitrated quantum signature scheme (Liu'14) with Bell states by utilizing a new quantum one-time pad algorithm. It claimed that it can resist the receiver's existential forgery attack and no party has chances to change the message and its signature without being discovered. Recently, Xu and Zou (In. J. Thero. phys. 55; 4142-4156. 2016) analyzed above scheme and demonstrated that it can't resist the signer's disavowal and the receiver's existential forgery. But, the authors didn't give a method to solve it. In this paper, we will give an improved arbitrated quantum signature scheme to make up the loopholes in Liu'14.

Art, science, and the existential focus of clinical medicine.

PubMed

Warsop, A

2002-12-01

The continuing debate over the status of medicine as an art or a science remains far from resolved. The aim of this paper is to clarify what is meant by the art of medicine. In the following interpretation I contrast two current perspectives of the medical art. I argue that the art of medicine is best understood in terms of the Aristotelian notion of techne. It consists of listening skills directed to the lived experience of the patient in such a way that knowledge (principally scientific knowledge) can be applied in a therapeutic way. This constitutes what I call medicine's existential focus. The art of medicine is prior to and independent of medical science which plays an important but subordinate role.

The renewal of humanism in psychoanalytic therapy.

PubMed

Stolorow, Robert D

2012-12-01

The renewal of humanistic values and practices in contemporary psychoanalytic therapy is exemplified vividly by the impact of Heidegger's existential philosophy on a psychoanalytic perspective called post-Cartesian psychoanalysis. This perspective is a phenomenological-contextualist one in which the focus of psychoanalytic inquiry is shifted from Cartesian isolated minds to ways of being-in-the-world, and from endogenously arising drive derivatives to relationally constituted emotional experiences. A phenomenological-contextualist approach is shown to be especially fruitful in the understanding of, and therapeutic approach to, emotional trauma. The establishment of a hospitable relational home in which traumatic emotional pain and excruciating existential vulnerability can find a context of human understanding in which they can be held is crucial for therapeutic transformation. (c) 2012 APA, all rights reserved.

Existential perspective in the thought of Carl Jung.

PubMed

Shelburne, W A

1983-03-01

It is argued that there is a significant existential perspective in the thought of Carl Jung. Similarities and differences with some of the views of Jean Paul Sartre are explored as a way of developing this perspective and to show how a philosophy of a man might be developed drawing from both sources. Jung is shown to be in disagreement with Sartre in defending an idea of a determinate human nature, describing the self in a developmental way, and in not claiming that human freedom is absolute or unconditioned. Nevertheless, the Jungian concept of individuation is similar to Sartre's ideal of authenticity, in that both focus on the goal of achieving meaningful existence through development of inner resources, creative exercise of freedom, and overcoming self-deception.

Viewing death on television increases the appeal of advertised products.

PubMed

Dar-Nimrod, Ilan

2012-01-01

References to death abound in many television programs accessible to most people. Terror Management Theory postulates that existential anxiety, which death reminders activate, may reinforce materialistic tendencies. The current article explores the effect of a death reminder in television shows on the desirability of advertised products. Consistent with Terror Management Theory's predictions, in two studies participants show greater desire for products, which were advertised immediately following clips from programs that featured a death scene, compared with programs that did not. Cognitive accessibility of death predicted the appeal difference while changes in affect or interest in the show did not. The findings are discussed in light on affective and existential theories which make opposite predictions. Implications and future directions are considered.

Viewing Death on Television Increases the Appeal of Advertised Products

PubMed Central

DAR-NIMROD, ILAN

2012-01-01

References to death abound in many television programs accessible to most people. Terror Management Theory (TMT) postulates that existential anxiety, which death reminders activate, may reinforce materialistic tendencies. The current paper explores the effect of a death reminder in television shows on the desirability of advertised products. Consistent with TMT's predictions, in two studies participants show greater desire for products, which were advertised immediately following clips from programs that featured a death scene, compared with programs that did not. Cognitive accessibility of death predicted the appeal difference while changes in affect or interest in the show did not. The findings are discussed in light on affective and existential theories which make opposite predictions. Implications and future directions are considered. PMID:22468421

Clinical Holistic Medicine: A Psychological Theory of Dependency to Improve Quality of Life

PubMed Central

Ventegodt, Søren; Morad, Mohammed; Kandel, Isack; Merrick, Joav

2004-01-01

In this paper, we suggest a psychological theory of dependency as an escape from feeling existential suffering and a poor quality of life. The ways in which human beings escape hidden existential pains are multiple. The wide range of dependency states seems to be the most common escape strategy used. If the patient can be guided into the hidden existential pain to feel, understand, and integrate it, we believe that dependency can be cured. The problem is that the patient must be highly motivated, sufficiently resourceful, and supported to want such a treatment that is inherently painful. Often, the family and surrounding world is suffering more than the dependent person himself, because the pattern of behavior the patient is dependent on makes him or her rather insensitive and unable to feel. If the patient is motivated, resourceful, and trusts his physician, recovery from even a severe state of dependency is not out of reach, if the holistic medical tools are applied wisely. The patient must find hidden resources to take action, then in therapy confront and feel old emotional pain, understand the source and inner logic of it, and finally learn to let go of negative attitudes and beliefs. In this way, the person can be healed and released of the emotional suffering and no longer be a slave to the dependency pattern. PMID:15349506

Trio of terror (pregnancy, menstruation, and breastfeeding): an existential function of literal self-objectification among women.

PubMed

Morris, Kasey Lynn; Goldenberg, Jamie L; Heflick, Nathan A

2014-07-01

Research and theorizing suggest that objectification entails perceiving a person not as a human being but, quite literally, as an object. However, the motive to regard the self as an object is not well understood. The current research tested the hypothesis that literal self-objectification can serve a terror management function. From this perspective, the female body poses a unique existential threat on account of its role in reproduction, and regarding the self as an object is posited to shield women from this threat because objects, in contrast to humans, are not mortal. Across 5 studies, 3 operationalizations of literal self-objectification were employed (a denial of essentially human traits to the self, overlap in the explicit assignment of traits to the self and objects, and implicit associations between self and objects using an implicit association test) in response to 3 aspects of women's bodies involved in reproduction (pregnancy, menstruation, and breastfeeding). In each study, priming mortality led women (but not men, included in Studies 1, 3, 4, and 5) to literally self-objectify in conditions where women's reproductive features were salient. In addition, literal self-objectification was found to mediate subsequent responsiveness to death-related stimuli (Study 4). Together, these findings are the first to demonstrate a direct link between mortality salience, women's role in reproduction, and their self-objectification, supporting an existential function of self-objectification in women.

The role of religious faith, spirituality and existential considerations among heart patients in a secular society: relation to depressive symptoms 6 months post acute coronary syndrome.

PubMed

Bekke-Hansen, Sidsel; Pedersen, Christina G; Thygesen, Kristian; Christensen, Søren; Waelde, Lynn C; Zachariae, Robert

2014-06-01

We explored the significance of religious faith/coping and spirituality and existential considerations reported during hospitalisation on depressive symptoms at 6-month follow-up and addressed patients' perceived influence of their faith among 97 consecutive acute coronary syndrome patients (72.2% male patients; mean age, 60.6 years) in a secular society. All faith variables were found unrelated to depressive symptoms. Having unambiguous religious or spiritual faith at follow-up was associated with a perceived positive influence of this faith on quality of life and the disease itself compared to patients with ambiguous faith. These findings underscore the importance of examining degrees of faith in secular settings. © The Author(s) 2013.

Grief Interrupted: The Experience of Loss Among Incarcerated Women

PubMed Central

Harner, Holly M.; Hentz, Patricia M.; Evangelista, Maria Carmela

2011-01-01

Incarcerated women face a number of stressors apart from the actual incarceration. Nearly half of all women in prison experience the death of a loved one during their incarceration. Our purpose for this study was to explore the experience of grief and loss among incarcerated women using a phenomenological method. Our study approach followed van Manen's method of phenomenology and Munhall's description of existential lifeworlds. Our analysis revealed four existential lifeworlds: temporality: frozen in time; spatiality: no place, no space to grieve; corporeality: buried emotions; and relationality: never alone, yet feeling so lonely. The findings generated from this study can help mental health providers as well as correctional professionals develop policies and programs that facilitate the grief process of incarcerated women within the confines of imprisonment. PMID:20581074

Mindful Sustainable Aging: Advancing a Comprehensive Approach to the Challenges and Opportunities of Old Age

PubMed Central

Nilsson, Håkan; Bülow, Pia H.; Kazemi, Ali

2015-01-01

The primary aim of this article is to present a new concept called mindful sustainable aging (MSA), which is informed by mindfulness practices that support the physical, the mental, and especially, the social and the existential dimensions of old life. The concept of MSA is discussed and compared with four influential psychosocial theories in the field of gerontology, i.e., activity theory, disengagement theory, successful aging theory and gerotranscendence theory. The article ends with reviewing research on how mindfulness practice can help to manage, diminish and/or improve a number of serious physical conditions that are common among older people. The potential of mindfulness when it comes to facilitating for older adults in their quest for spiritual and existential meaning is discussed extensively throughout the article. PMID:27247673

Mood and narrative entwinement: some implications for educational practice.

PubMed

Conroy, Sherrill A; Dobson, Stephen

2005-09-01

Moods are one way of existentially reading the authenticity of people and are entwined within any narrative. Attunement between narrative and its mood is crucial for understanding the implicit message of the narrator. Sometimes, a master narrative is interrupted by counternarratives, so that narrative recognition becomes problematic. People can disguise their existential state when narrating, but the mood discloses it nonetheless. The authors explore the relationship between mood and narrative, and how the two are connected with how a person acts authentically or inauthentically. They provide selected empirical examples of narratives from medical students to support their argument. The educational relevance of their discussion comprises the final section. Educators in any educational program must first reflect on, then make explicit the manner in which narrative and mood are used to communicate knowledge.

Does ‘existential unease’ predict adult multimorbidity? Analytical cohort study on embodiment based on the Norwegian HUNT population

PubMed Central

Tomasdottir, Margret Olafia; Sigurdsson, Johann Agust; Petursson, Halfdan; Ivar Lund Nilsen, Tom; Hetlevik, Irene; Getz, Linn

2016-01-01

Objectives Multimorbidity is prevalent, and knowledge regarding its aetiology is limited. The general pathogenic impact of adverse life experiences, comprising a wide-ranging typology, is well documented and coherent with the concept allostatic overload (the long-term impact of stress on human physiology) and the notion embodiment (the conversion of sociocultural and environmental influences into physiological characteristics). Less is known about the medical relevance of subtle distress or unease. The study aim was to prospectively explore the associations between existential unease (coined as a meta-term for the included items) and multimorbidity. Setting Our data are derived from an unselected Norwegian population, the Nord-Trøndelag Health Study, phases 2 (1995–1997) and 3 (2006–2008), with a mean of 11 years follow-up. Participants The analysis includes 20 365 individuals aged 20–59 years who participated in both phases and was classified without multimorbidity (with 0–1 disease) at baseline. Methods From HUNT2, we selected 11 items indicating ‘unease’ in the realms of self-esteem, well-being, sense of coherence and social relationships. Poisson regressions were used to generate relative risk (RR) of developing multimorbidity, according to the respondents' ease/unease profile. Results A total of 6277 (30.8%) participants developed multimorbidity. They were older, more likely to be women, smokers and with lower education. 10 of the 11 ‘unease’ items were significantly related to the development of multimorbidity. The items ‘poor self-rated health’ and ‘feeling dissatisfied with life’ exhibited the highest RR, 1.55 and 1.44, respectively (95% CI 1.44 to 1.66 and 1.21 to 1.71). The prevalence of multimorbidity increased with the number of ‘unease’ factors, from 26.7% for no factor to 49.2% for 6 or more. Conclusions In this prospective study, ‘existential unease’ was associated with the development of multimorbidity in a dose–response manner. The finding indicates that existential unease increases people's vulnerability to disease, concordant with current literature regarding increased allostatic load. PMID:27852715

Older persons' existential loneliness, as interpreted by their significant others - an interview study.

PubMed

Larsson, Helena; Rämgård, Margareta; Bolmsjö, Ingrid

2017-07-10

In order to better understand people in demanding medical situations, an awareness of existential concerns is important. Studies performed over the last twenty years conclude that when dying and death come closer, as in the case with older people who are stricken by infirmity and diseases, existential concerns will come to the fore. However, studies concerning experiences of existential loneliness (EL) are sparse and, in addition, there is no clear definition of EL. EL is described as a complex phenomenon and referred to as a condition of life, an experience, and a process of inner growth. Listening to someone who knows the older person well, as significant others often do, may be one way of learning more about EL. This study is part of a larger research project on EL, the LONE study, where EL is explored through interviews with frail older people, their significant others and health care professionals. The aim of this study was to explore frail older (>75) persons' EL, as interpreted by their significant others. The study is qualitative and based on eighteen narrative interviews with nineteen significant others of older persons. The data was analysed using Hsieh and Shannon's conventional content analysis. According to the interpretation of significant others, the older persons experience EL (1) when they are increasingly limited in body and space, (2) when they are in a process of disconnecting, and (3) when they are disconnected from the outside world. The result can be understood as if the frail older person is in a process of letting go of life. This process involves the body, in that the older person is increasingly limited in his/her physical abilities. The older person's long-term relationships are gradually lost, and finally the process entails the older person's increasingly withdrawing into him- or herself and turning off the outside world. The result of this study is consistent with previous research that has shown that EL is a complex phenomenon, but the implications of this research include a deepened understanding of EL. In addition, the study highlights the interpretations of significant others.

Designing Campus Environments

ERIC Educational Resources Information Center

Kaiser, Leland R.

1975-01-01

Outer space, inner space and existential space are discussed as they interact with consciousness to produce experiences that impede or facilitate growth. Speech presented at 57th Annual NASPA Conference, San Francisco, March 30, 1975. (Author)

How to work with dreams in psychodrama: developmental therapy from an existential-dialectical viewpoint.

PubMed

Verhofstadt-Denève, L M

1995-07-01

As Moreno has shown, the method of psychodrama can be effectively used to work on dreams. The first part of this article describes the theoretical framework. Special reference is made to a personality model based on self-reflection in relation to dialectic processes, existential questions, self-evaluations, and personality development. The theoretical introduction is followed by a description of the basic elements, techniques, and stages associated with classic psychodrama and psychodramatic dream work. After situating this approach in the wider context of dream analysis in the field of group therapy, the different stages of the working model are illustrated by means of a "dream session" conducted with an adolescent therapy group. Finally the session is analyzed from the perspective of a number of basic Morenian tenets and from the point of view of developmental therapy.

Spirituality in cancer care at the end of life.

PubMed

Ferrell, Betty; Otis-Green, Shirley; Economou, Denice

2013-01-01

There is a compelling need to integrate spirituality into the provision of quality palliative care by oncology professionals. Patients and families report the importance of spiritual, existential, and religious concerns throughout the cancer trajectory. Leading palliative care organizations have developed guidelines that define spiritual care and offer recommendations to guide the delivery of spiritual services. There is growing recognition that all team members require the skills to provide generalist spiritual support. Attention to person-centered, family-focused oncology care requires the development of a health care environment that is prepared to support the religious, spiritual, and cultural practices preferred by patients and their families. These existential concerns become especially critical at end of life and following the death for family survivors. Oncology professionals require education to prepare them to appropriately screen, assess, refer, and/or intervene for spiritual distress.

R.D. Laing and theology: the influence of Christian existentialism on "The Divided Self".

PubMed

Miller, Gavin

2009-04-01

The radical psychiatrist R.D. Laing's first book, "The Divided Self" (1960), is informed by the work of Christian thinkers on scriptural interpretation -- an intellectual genealogy apparent in Laing's comparison of Karl Jaspers's symptomatology with the theological tradition of "form criticism." Rudolf Bultmann's theology, which was being enthusiastically promoted in 1950s Scotland, is particularly influential upon Laing. It furnishes him with the notion that schizophrenic speech expresses existential truths as if they were statements about the physical and organic world. It also provides him with a model of the schizoid position as a form of modern-day Stoicism. Such theological recontextualization of "The Divided Self" illuminates continuities in Laing's own work, and also indicates his relationship to a wider British context, such as the work of the "clinical theologian" Frank Lake.

"It's Not Just Time Off": A Framework for Understanding Factors Promoting Recovery From Burnout Among Internal Medicine Residents.

PubMed

Abedini, Nauzley C; Stack, Shobha W; Goodman, Jessie L; Steinberg, Kenneth P

2018-02-01

Burnout rates for internal medicine residents are among the highest of all specialties, yet little is known about how residents recover from burnout. We identified factors promoting recovery from burnout and factors that assist with the subsequent avoidance of burnout among internal medicine residents. A purposive sample of postgraduate year 2 (PGY-2), PGY-3, and recent graduates who experienced and recovered from burnout during residency participated in semistructured, 60-minute interviews from June to August 2016. Using qualitative methods derived from grounded theory, saturation of themes occurred after 25 interviews. Coding was performed in an iterative fashion and consensus was reached on major themes. Coding revealed 2 different categories of resident burnout- circumstantial and existential -with differing recovery and avoidance methods. Circumstantial burnout stemmed from self-limited circumstances and environmental triggers. Recovery from, and subsequent avoidance of, circumstantial burnout arose from (1) resolving workplace challenges; (2) nurturing personal lives; and (3) taking time off. In contrast, existential burnout stemmed from a loss of meaning in medicine and an uncertain professional role. These themes were identified around recovery: (1) recognizing burnout and feeling validated; (2) connecting with patients and colleagues; (3) finding meaning in medicine; and (4) redefining a professional identity and role. Our study suggests that residents experience different types of burnout and have variable methods by which they recover from and avoid further burnout. Categorizing residents' burnout into circumstantial versus existential experiences may serve as a helpful framework for formulating interventions.

World, Time And Anxiety. Heidegger's Existential Analytic And Psychiatry.

PubMed

Brencio, Francesca

2014-01-01

Martin Heidegger was one of the most influential but also criticized philosophers of the XX century. With Being and Time 1927 he sets apart his existential analytic from psychology as well as from anthropology and from the other human sciences that deny the ontological foundation, overcoming the Cartesian dualism in search of the ontological unit of an articulated multiplicity, as human being is. Heidegger's Dasein Analytic defines the fundamental structures of human being such as being-in-the-world, a unitary structure that discloses the worldhood of the world; the modes of being (Seinsweisen), such as fear (Furcht) and anxiety (Angst); and the relationship between existence and time. In his existential analytic, anxiety is one of the fundamental moods (Grundbefindlichkeit) and it plays a pivotal role in the relationship of Dasein with time and world. The paper firstly focuses on the modes of being, underlining the importance of anxiety for the constitution of human being; secondly, it shows the relationship between anxiety and the world, and anxiety and time: rejecting both the Aristotelian description of time, as a sequence of moments that informs our common understanding of time, and the Augustine's mental account of inner time, Heidegger considers temporality under a transcendental point of view. Temporality is ek-static, it is a process through which human being comes toward and back to itself, letting itself encounter the world and the entities. The transcendental interpretation of time provided by Heidegger may give its important contribution to psychopathology.

Clinical Holistic Medicine: Holistic Rehabilitation

PubMed Central

Ventegodt, Søren; Gringols, Mark; Merrick, Joav

2005-01-01

Quality of life, health, and ability are often lost at the same time and most often in one decaying existential movement over 5 or 10 years. This “lost life” is mostly too slow to be felt as life threatening, but once awakened to reality, it provokes the deepest of fears in patients: the fear of death itself and destruction of our mere existence. The horrible experience of having “lost life”, often without even noticing how it happened, can be turned into a strong motivation for improvement. Personal development is about finding the life deeply hidden within in order to induce revitalization and rehabilitation. Rehabilitation is about philosophy of life with the integration of the repressed painful feelings and emotions from the past and the letting go of the associated negative beliefs and decisions. The holistic medical toolbox builds on existential theories (the quality of life theories, the life mission theory, the theory of character, the theory of talent, and the holistic process theory) and seems to have the power to rehabilitate the purpose of life, the character of the person, and fundamental existential dimensions of man: (1) love; (2) strength of mind, feelings, and body; and 3) joy, gender, and sexuality; allowing the person once again to express and realize his talents and full potential. The principles of rehabilitation are not very different from other healing, but the task is often more demanding for the holistic physician as the motivation and resources often are very low and the treatment can take many years. PMID:15962194

[Personality and somatic disorders].

PubMed

Darves-Bornoz, J-M

2018-06-08

In the title of this text, by somatic disorders we mean those physical illnesses clearly related to a non-psychiatric medical field, frequently termed psychosomatic illnesses and somatoform disorders. For forty years, a trend of thought has focused with pertinence on the psychological peculiarities in patients with severe somatic diseases. Moreover, causality was often supposed in the regularly mentioned association between personality features and somatoform disorders. However, the revival of the study of the earlier field of relationships between mind and body by Briquet, Charcot, Janet and Freud in his first period has led to the reassessment of the meaning of these observations. This reexamination is marked out by several assertions. Two of them work as preliminaries to argumentation: 1. existential wounds may produce long-lasting personality alterations; 2. existential wounds may produce somatoform disorders. These phenomena have been rediscovered over the last few years among assaulted subjects as well as war veterans in whom a frequent occurrence of somatizations has been, in addition, closely linked to the incidence of behavior or personality disorders. Two theses then emerge: 1. somatic diseases may produce long-lasting personality alterations; 2. until now no premorbid personality univocally predisposing to somatic diseases could be found. Indeed, during the 1980s a growing body of negative results coming from retrospective and prospective studies as well as anatomical comparisons have accumulated upon the potential role of certain personality factors in the incidence of somatic illnesses. This dialectic leads to the connection of two corollary assertions: 1. "pensée opératoire" and "alexithymia" in patients with somatic diseases may represent only an effect of the announcement or chronicity of the organic disease; 2. the old "dissociative hysteria" with somatic manifestations finds its substratum in existential wounds and not in pre-trauma personality. Indeed, on the one hand, recent publications do not allow the assertion to be confirmed that alexithymia and "pensée opératoire" predispose to somatizations. On the other hand, personality disorders in subjects with "dissociative hysteria" as well as their somatoform symptoms appear mainly as an effect of an existential wound and express in fact the Janetian concept of "a drop in Psychological Tension". Then, in spite of their differences, conversion and psychosomatic symptoms share the property of being a primitive response to existential wounds in which the subject cannot produce any appropriate psychic or behavioral response to his distress. Light is shed on these phenomena when put alongside the field of "fixed ideas" thought of by Pierre Janet as the recourse to archaic automatisms. Indeed, the experience which contradicts the vision of existence provokes an "unspeakable terror". It is mentally unrepresented or represented in too slight a way. In such cases, no previous personality prevails, but the resulting personality often appears modified, including when the breakdown of vision of the existence results from the diagnosis of an illness or its protracted course. Copyright © 2018 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

Psychotherapy for Suicidal Clients.

ERIC Educational Resources Information Center

Lester, David

1994-01-01

Reviews various systems of psychotherapy for suitability for suicidal clients. Discusses psychoanalysis, cognitive therapy, primal therapy, transactional analysis, Gestalt therapy, reality therapy, person-centered therapy, existential analysis, and Jungian analysis in light of available treatment options. Includes 36 citations. (Author/CRR)

Ofsted Inspection as Existential Threat

ERIC Educational Resources Information Center

Richards, Colin

2018-01-01

This article exposes the fear that is at the heart of the Ofsted inspection process. It presents a challenge to Ofsted's Chief Inspector, Amanda Spielman. She must tread carefully if she is to reform Ofsted and our broken accountability system.

Cohesion in Multinational Military Units

DTIC Science & Technology

2010-12-10

Assertiveness for Hofstede’s Masculinity dimension and added three dimensions: Humanistic , Performance, and Future Orientation. GLOBE researchers...values. It addresses the most profound existential issues of human life; e.g. freedom and inevitability, fear and faith, security and insecurity, right

Daily Report, Supplement, East Europe.

DTIC Science & Technology

1993-07-28

science, technological strategic research, and humanistic , regional, innovative research for the needs of the Federal Assembly and federal...histories (Swedish, Danish, Nor- wegian...), but through certain " existential " characteris- tics. For example, how time was determined, what the family

Scientific faith: Belief in science increases in the face of stress and existential anxiety.

PubMed

Farias, Miguel; Newheiser, Anna-Kaisa; Kahane, Guy; de Toledo, Zoe

2013-11-01

Growing evidence indicates that religious belief helps individuals to cope with stress and anxiety. But is this effect specific to supernatural beliefs, or is it a more general function of belief - including belief in science? We developed a measure of belief in science and conducted two experiments in which we manipulated stress and existential anxiety. In Experiment 1, we assessed rowers about to compete (high-stress condition) and rowers at a training session (low-stress condition). As predicted, rowers in the high-stress group reported greater belief in science. In Experiment 2, participants primed with mortality (vs. participants in a control condition) reported greater belief in science. In both experiments, belief in science was negatively correlated with religiosity. Thus, some secular individuals may use science as a form of "faith" that helps them to deal with stressful and anxiety-provoking situations.

Making space for the inner guide.

PubMed

Leijssen, Mia

2007-01-01

The therapeutic relationship is described as a curative factor in its own right as well as facilitative for other tasks. Experiential tasks that facilitate working on the intrapsychic, interpersonal, and existential domains are distinguished. Focusing is an intrapsychic task of paying attention to one's bodily felt experience. Clearing space helps clients finding a right distance for exploring their experience when they are too close or too distanced from their emotions. Interpersonal work takes the lead when maladaptive interactional patterns are hindering the relational life of the client. Metacommunicative feedback and interpersonal experiences in the therapeutic encounter act as an invitation to develop new ways of communicating. Existential processes are challenged when the client struggles with the givens of life. Finally, the "inner guide" found in accessing experiencing may involve an awareness of a transcendent dimension that leads one to spiritual growth. Vignettes from short term psychotherapy illustrate how this approach is established in practice.

Life politics, nature and the state: Giddens' sociological theory and The Politics of Climate Change.

PubMed

Thorpe, Charles; Jacobson, Brynna

2013-03-01

Anthony Giddens' The Politics of Climate Change represents a significant shift in the way in which he addresses ecological politics. In this book, he rejects the relevance of environmentalism and demarcates climate-change policy from life politics. Giddens addresses climate change in the technocratic mode of simple rather than reflexive modernization. However, Giddens' earlier sociological theory provides the basis for a more reflexive understanding of climate change. Climate change instantiates how, in high modernity, the existential contradiction of the human relationship with nature returns in new form, expressed in life politics and entangled with the structural contradictions of the capitalist state. The interlinking of existential and structural contradiction is manifested in the tension between life politics and the capitalist nation-state. This tension is key for understanding the failures so far of policy responses to climate change. © London School of Economics and Political Science 2013.

Filicide as a part of extended suicide: An experience of psychotherapy with the survivor.

PubMed

Manjula, M; Chandrashekar, C R

2014-04-01

The tragedy of maternal filicide and extended suicides has occurred throughout history. Maternal filicide-suicide perpetrators most often suffer from depression, suicidality, or psychosis. Interventions in such cases are not commonly reported in the psychiatric settings, and the components of psychotherapeutic approach and its efficacy are also not known. Here we present a long-term therapy carried out with a 36-year-old married lady, with the complaints of low mood, suicidal ideation, severe guilt feelings, and depressive cognitions. There was positive family history of depression, past history of dysthymia, suicidal attempt, and severe marital discord. Therapy was carried out for a period of 9 months with follow-up for 4 years and addressed existential issues and grief with the components of existential therapy, grief therapy, narratives, religious beliefs, and interpersonal acceptance. The case highlights the need for blending of multiple approaches to meet the challenges such cases can pose.

Women who doctor shop for prescription drugs.

PubMed

Worley, Julie; Thomas, Sandra P

2014-04-01

Doctor shopping is a term used to describe a form of diversion of prescription drugs when patients visit numerous prescribers to obtain controlled drugs for illicit use. Gender differences exist in regard to prescription drug abuse and methods of diversion. The purpose of this phenomenological study guided by the existential philosophy of Merleau-Ponty was to understand the lived experience of female doctor shoppers. Interviews were conducted with 14 women, which were recorded, transcribed, and analyzed. Included in the findings are figural aspects of the participants' experience of doctor shopping related to the existential grounds of world, time, body, and others. Four themes emerged from the data: (a) feeding the addiction, (b) networking with addicts, (c) playing the system, and (d) baiting the doctors. The findings suggest several measures that nurses can take to reduce the incidence of doctor shopping and to provide better care for female doctor shoppers.

Cancer Worry Among Urban Dominican: A Qualitative Study

PubMed Central

Sepulveda-Pacsi, Alsacia L.; Hiraldo, Grenny; Frederickson, Keville

2017-01-01

Background Two thirds of respondents of a recent survey, primarily self-identified urban immigrant Dominican females, indicated that cancer was the health problem they worried about the most. Purpose The purpose of this qualitative study was to gain a greater understanding of the cancer worry experienced by Dominican women. Design Giorgi’s descriptive existential phenomenological framework and methodology guided the study. Setting: Washington Heights/Inwood community, New York City, New York. Participants Thirty-eight urban Dominican immigrant women were included in the study. Method Data were gathered using focus group interviews. All interviews were digitally recorded, transcribed verbatim from Spanish to English. The transcripts were analyzed using Giorgi’s existential phenomenological data analysis process. Findings Four essences unfolded: Cancer as Destiny, Faith, Influential Relationships and Knowledge Acquisition. Conclusion New knowledge was generated on the contextual factors that influence cancer worry among a major Hispanic subgroup. Implications for nursing research and practice are described. PMID:27758840

Impact of Spirituality/Religiousness on Cyber Bullying and Victimization in University Students: Mediating Effect of Emotional Intelligence.

PubMed

Yadav, Mohit; Yadav, Rohit

2018-05-22

The aim of the study was to explore the relationship between spirituality/religiousness with cyber bullying and victimization amongst Indian University students and whether emotional intelligence mediates the relationship. Data were collected from 490 University students studying in undergraduate and postgraduate courses across India. IBM AMOS was used to find reliability and validity of instruments and PROCESS macro for IBM SPSS by Preacher and Hayes (Behav Res Methods 36(4): 717-731, 2004) was used for conducting mediation analyses. Both spiritual and existential well-being were found negatively related with cyber bullying and victimization. As far as mediation goes, the negative relationships between spiritual and existential well-being with that of cyber bullying and victimization were significantly mediated by Appraisal of Self-Emotions, Appraisal of Other's Emotions and Regulation and control of Emotions dimensions of emotional intelligence. Implication and future directions are also discussed.

Kinds of well-being: A conceptual framework that provides direction for caring

PubMed Central

Todres, Les

2011-01-01

This article offers a conceptual framework by which different kinds and levels of well-being can be named, and as such, provides a foundation for a resource-oriented approach in situations of illness and vulnerability (rather than a deficit-oriented approach). Building on a previous paper that articulated the philosophical foundations of an existential theory of well-being (“Dwelling-mobility”), we show here how the theory can be further developed towards practice-relevant concerns. We introduce 18 kinds of well-being that are intertwined and inter-related, and consider how each emphasis can lead to the formulation of resources that have the potential to give rise to well-being as a felt experience. By focusing on a much wider range of well-being possibilities, practitioners may find new directions for care that are not just literal but also at an existential level. PMID:22171222

[The diagnostic disclosure of dementia: an ethnographic exploration].

PubMed

van Wijngaarden, Els; Broekhuis, Gert; van Leussen, Carolien; Kamper, Ad; The, Anne-Mei

2017-09-01

Giving adequate diagnostic information is considered to be fundamental in dementia care. An important question is how the diagnostic disclosure in dementia actually takes place. The aim of this explorative ethnographic study was therefore to provide insight into the disclosure practice of medical specialists. For this study, 22 interviews performed by seven medical specialists were analyzed.The results of this study show that the observed doctors are direct and explicit in disclosing the diagnosis. Actual (medical) information about the diagnosis and the performed investigations is provided. The main areas for improvement are involving the patient in the conversation, align your language to the lifeworld of the patient and his/her significant other(s), avoiding the use of medical jargon, discussing the consequences of the diagnosis for daily life, and explicitly recognizing the emotional and existential challenges associated with the disclosure. In providing further information, doctors could discuss emotional and existential support more specifically.

The Pitfalls of Thesaurus Ontologization – the Case of the NCI Thesaurus

PubMed Central

Schulz, Stefan; Schober, Daniel; Tudose, Ilinca; Stenzhorn, Holger

2010-01-01

Thesauri that are “ontologized” into OWL-DL semantics are highly amenable to modeling errors resulting from falsely interpreting existential restrictions. We investigated the OWL-DL representation of the NCI Thesaurus (NCIT) in order to assess the correctness of existential restrictions. A random sample of 354 axioms using the someValuesFrom operator was taken. According to a rating performed by two domain experts, roughly half of these examples, and in consequence more than 76,000 axioms in the OWL-DL version, make incorrect assertions if interpreted according to description logics semantics. These axioms therefore constitute a huge source for unintended models, rendering most logic-based reasoning unreliable. After identifying typical error patterns we discuss some possible improvements. Our recommendation is to either amend the problematic axioms in the OWL-DL formalization or to consider some less strict representational format. PMID:21347074

Religious Coping is Associated with the Quality of Life of Patients with Advanced Cancer

PubMed Central

Tarakeshwar, Nalini; Vanderwerker, Lauren C.; Paulk, Elizabeth; Pearce, Michelle J.; Kasl, Stanislav V.; Prigerson, Holly G.

2008-01-01

Background For patients confronting a life-threatening illness such as advanced cancer, religious coping can be an important factor influencing their quality of life (QOL). Objective The study's main purpose was to examine the association between religious coping and QOL among 170 patients with advanced cancer. Both positive religious coping (e.g., benevolent religious appraisals) and negative religious coping (e.g., anger at God) and multiple dimensions of QOL (physical, physical symptom, psychological, existential, and support) were studied. Design Structured interviews were conducted with 170 patients recruited as part of an ongoing multi-institutional longitudinal evaluation of the prevalence of mental illness and patterns of mental health service utilization in advanced cancer patients and their primary informal caregivers. Measurements Patients completed measures of QOL (McGill QOL questionnaire), religious coping (Brief Measure of Religious Coping [RCOPE] and Multidimensional Measure of Religion/Spirituality), self-efficacy (General Self-Efficacy Scale), and sociodemographic variables. Results Linear regression analyses revealed that after controlling for sociodemographic variables, lifetime history of depression and self-efficacy, greater use of positive religious coping was associated with better overall QOL as well as higher scores on the existential and support QOL dimensions. Greater use of positive religious coping was also related to more physical symptoms. In contrast, greater use of negative religious coping was related to poorer overall QOL and lower scores on the existential and psychological QOL dimensions. Conclusions Findings show that religious coping plays an important role for the QOL of patients and the types of religious coping strategies used are related to better or poorer QOL. PMID:16752970

'You only have one chance to get it right': A qualitative study of relatives' experiences of caring at home for a family member with terminal cancer.

PubMed

Totman, Jonathan; Pistrang, Nancy; Smith, Susan; Hennessey, Susan; Martin, Jonathan

2015-06-01

Relatives looking after a terminally ill family member at home face numerous challenges. Studies into relatives' experiences of home caregiving have been criticised for their descriptive nature and lack of theoretical underpinnings. To explore the emotional challenges faced by home caregivers, and their experiences of healthcare professionals, from the perspective of existential psychology. A qualitative study using semi-structured interviews. Transcripts were analysed thematically using the Framework approach. The study took place within an inner-city London hospice. Participants (n = 15) were recently bereaved adult relatives of cancer patients who cared for their family member at home. Participants' experiences of being a caregiver and of professional support were highly varied. The analysis generated 15 themes which were organised into a framework based on Yalom's four 'existential conditions': responsibility (e.g. 'being the linchpin of care'; 'you only have one chance to get it right'), isolation (e.g. 'being on my own', 'being held in mind'), death (e.g. 'knowing but not knowing') and meaningfulness (e.g. 'giving something back', 'acceptance and gratitude'). Healthcare professionals were perceived as influential in both helping and hindering relatives in meeting the challenges they faced. Existential psychology provides a theoretical perspective from which to understand the psychological complexity of the emotional challenges home caregivers face and a framework which may usefully inform research and clinical practice. Professionals' attentiveness to caregivers' needs can have powerful effects in assuaging anxiety, reducing isolation and enabling relatives to connect with the meaningfulness of caregiving. © The Author(s) 2015.

A Taoist orientation and mental health in Kuwaiti and American students.

PubMed

Lester, David; Abdel-Khalek, Ahmed

2007-12-01

In two studies of American and Kuwait students, scores on a measure of having a Taoist orientation were associated with less psychopathology on measures of anxiety, death anxiety, existential anxiety, optimism-pessimism, suicidality, and obsessive-compulsiveness.

The Buber-Rogers Dialogue: Theory Confirmed in Experience

ERIC Educational Resources Information Center

Seckinger, Donald S.

1976-01-01

Considers a dialogue between Carl Rogers and Martin Buber and its use both in distinguishing the concept teaching from the concept therapy as a general case and specifically in differentiating existential psychotherapy from Buber's theory of instruction. (Author/RK)

Glorious Enchantments.

ERIC Educational Resources Information Center

Bowles, Steve

1994-01-01

Discusses the philosophical importance to adventure education of enchantment, ecstasy, and the mystical. Argues against a positivistic approach. Recommends the works of Eric Shipton and Bruno Bettelheim. Suggests that adventure education theorists must give thought to the existential and phenomenological aspects of the social worlds if adventure…

Ingenuity and National Security

DTIC Science & Technology

2013-06-01

is in an unfamiliar situation as the lone super power without a significant existential threat. China is a rising power and Russia aspires to...independence to the most powerful nation on the planet . The time period surrounding World War II demonstrated that governmental processes and

JPRS Report, East Europe.

DTIC Science & Technology

1990-09-27

members are almost without exception humanistic intellectuals, but we would nevertheless like to stay "down to earth". As a social club, we took the...distinguished figures (General Nedic, Mihailovic, and Djujic), and he completely separated that behavior from the Serbian existential context, from

JPRS Report, East Europe

DTIC Science & Technology

1990-10-30

the reform would stem from their existential economic and entrepreneurial interests, is lacking here. Also lacking is a corresponding political...there is no longer anywhere else in Europe such a countryside with all of its healthy and humanist traits and natural landscapes. This living

Some Mid-Life Ruminations on the Human Capacity to Transcend One's Acculturation.

ERIC Educational Resources Information Center

Rousseve, Ronald J.

1983-01-01

The dialectical capacity of human consciousness enables us to generate alternatives in opposition to previous conditioning. Transcending one's acculturation need not leave one searching for gurus. Authentic personal meaning may be attained from an existential reawakening. (RM)

Mental Health, Racism, and Sexism.

ERIC Educational Resources Information Center

Willie, Charles V., Ed.; And Others

This volume, successor to the 1973 volume "Racism and Mental Health," presents a range of perspectives on mental health, prejudice, and discrimination. Contributors are of multiracial, multiethnic, and gender-diverse backgrounds. They use their existential experiences to analyze pressing mental health and mental illness issues. Contributions…

From the Invisible Hand to the Invisible Handshake: Marketing Higher Education.

ERIC Educational Resources Information Center

Gibbs, Paul

2002-01-01

Business marketing principles do not meet the needs of higher education. An alternative, humanistic marketing philosophy, includes a reconceptualization of the marketing mix as temporality (learning as a temporal activity), existential trust, and learner self-confidence. (Contains 60 references.) (SK)

Using Gestalt Psychodrama Experiments in Rehabilitation Counseling

ERIC Educational Resources Information Center

Coven, A. B.

1977-01-01

Gestalt therapy is an existential helping approach that assumes human beings have the potential to choose their behavior and thus define their own meaning in life. Applying Gestalt theory, disabled persons can define the meaning of the disability to their total person. (Author)

Curriculum: From Theory to Practice

ERIC Educational Resources Information Center

Null, Wesley

2011-01-01

"Curriculum: From Theory to Practice" introduces readers to curriculum theory and how it relates to classroom practice. Wesley Null provides a unique organization of the curriculum field into five traditions: systematic, existential, radical, pragmatic, and deliberative. He discusses the philosophical foundations of curriculum as well as…

Post-Traumatic Stress Disorder and the Military: A Selected Bibliography

DTIC Science & Technology

2011-06-01

Addictions: Combining Cognitive Behavioral Therapy and Existential - Humanistic Therapy. University of the Rock- ies, 2010. 164pp. ProQuest Dissertations...Outcomes.University of Maryland, 2009. 218pp. ProQuest Dissertations Periodical Articles Kelly, Ursula. “Intimate Partner Violence , Physical Health

Surgical nurses' work-related stress when caring for severely ill and dying patients in cancer after participating in an educational intervention on existential issues.

PubMed

Udo, Camilla; Danielson, Ella; Henoch, Ingela; Melin-Johansson, Christina

2013-10-01

The aim of this study was to describe surgical nurses' perceived work-related stress in the care of severely ill and dying patients with cancer after participating in an educational intervention on existential issues. This article reports a mixed methods pilot study of an education programme consisting of lectures and supervised discussions conducted in 2009-2010 in three surgical wards in a county hospital in Sweden. The concurrent data collections consisted of repeated interviews with eleven nurses in an educational group, and questionnaires were distributed to 42 nurses on four occasions. Directly after the educational intervention, the nurses described working under high time pressure. They also described being hindered in caring because of discrepancies between their caring intentions and what was possible in the surgical care context. Six months later, the nurses described a change in decision making, and a shift in the caring to make it more in line with their own intentions and patients' needs rather than the organizational structure. They also reported decreased feelings of work-related stress, decreased stress associated with work-load and feeling less disappointed at work. Results indicate that it may be possible to influence nurses' work-related stress through an educational intervention. According to nurses' descriptions, reflecting on their ways of caring for severely ill and dying patients, many of whom had cancer, from an existential perspective, had contributed to enhanced independent decision making in caring. This in turn appears to have decreased their feelings of work-related stress and disappointment at work. Copyright © 2013 Elsevier Ltd. All rights reserved.

Why does Existential Threat Promote Intergroup Violence? Examining the Role of Retributive Justice and Cost-Benefit Utility Motivations.

PubMed

Hirschberger, Gilad; Pyszczynski, Tom; Ein-Dor, Tsachi

2015-01-01

The current research examined the role of retributive justice and cost-benefit utility motivations in the process through which mortality salience increases support for violent responses to intergroup conflict. Specifically, previous research has shown that mortality salience often encourages political violence, especially when perceptions of retributive justice are activated. The current research examined whether mortality salience directly activates a justice mindset over a cost-benefit utility mindset, and whether this justice mindset is associated with support for political violence. In Study 1 (N = 209), mortality salience was manipulated among Israeli participants who then read about a Hamas attack on Israel with either no casualties or many casualties, after which justice and utility motivations for retribution were assessed. Study 2 (N = 112), examined whether the link between death primes and support for an Israeli preemptive strike on Iran's nuclear facilities is mediated by justice or cost-benefit utility considerations. Results of both studies revealed that primes of death increased justice-related motivations, and these motives, rather than utility motives, were associated with support for violence. Findings suggest that existential concerns often fuel violent intergroup conflict because they increase desire for retributive justice, rather than increase belief that violence is an effective strategy. These findings expand our knowledge on the motivations for intergroup violence, and shed experimental light on real-life eruptions of violent conflict indicating that when existential concerns are salient, as they often are during violent conflict, the decision to engage in violence often disregards the utility of violence, and leads to the preference for violent solutions to political problems - even when these solutions make little practical sense.

Why does Existential Threat Promote Intergroup Violence? Examining the Role of Retributive Justice and Cost-Benefit Utility Motivations

PubMed Central

Hirschberger, Gilad; Pyszczynski, Tom; Ein-Dor, Tsachi

2015-01-01

The current research examined the role of retributive justice and cost-benefit utility motivations in the process through which mortality salience increases support for violent responses to intergroup conflict. Specifically, previous research has shown that mortality salience often encourages political violence, especially when perceptions of retributive justice are activated. The current research examined whether mortality salience directly activates a justice mindset over a cost-benefit utility mindset, and whether this justice mindset is associated with support for political violence. In Study 1 (N = 209), mortality salience was manipulated among Israeli participants who then read about a Hamas attack on Israel with either no casualties or many casualties, after which justice and utility motivations for retribution were assessed. Study 2 (N = 112), examined whether the link between death primes and support for an Israeli preemptive strike on Iran’s nuclear facilities is mediated by justice or cost-benefit utility considerations. Results of both studies revealed that primes of death increased justice-related motivations, and these motives, rather than utility motives, were associated with support for violence. Findings suggest that existential concerns often fuel violent intergroup conflict because they increase desire for retributive justice, rather than increase belief that violence is an effective strategy. These findings expand our knowledge on the motivations for intergroup violence, and shed experimental light on real-life eruptions of violent conflict indicating that when existential concerns are salient, as they often are during violent conflict, the decision to engage in violence often disregards the utility of violence, and leads to the preference for violent solutions to political problems – even when these solutions make little practical sense. PMID:26635671

An Exploration of the Differential Effects of Parents' Authoritarianism Dimensions on Pre-school Children's Epistemic, Existential, and Relational Needs.

PubMed

Guidetti, Margherita; Carraro, Luciana; Castelli, Luigi

2016-01-01

Research on adult populations has widely investigated the deep differences that characterize individuals who embrace either conservative or liberal views of the world. More recently, research has started to investigate these differences at very early stages of life. One major goal is to explore how parental political ideology may influence children's characteristics that are known to be associated to different ideological positions. In the present work, we further investigate the relations between parents' ideology and children cognitive processing strategies within the framework of political ideology as motivated social cognition (Jost et al., 2003) and the dual process model of political ideology (Duckitt et al., 2002). Specifically, epistemic (implicit attitudes toward order vs. chaos), existential (negativity and threat bias), and relational needs (conformity measure) were assessed in pre-school children ( N = 106; 4-6 years). For each child at least one parent completed both the Social Dominance Orientation (SDO) and the Right Wing Authoritarianism (RWA) measures. Interestingly, results indicated that mothers' and fathers' responses had unique associations with children's socio-cognitive motivations, and different findings emerged in relation to the two facets of parental authoritarianism, namely dominance (i.e., SDO) and submission (i.e., RWA). More specifically, children's existential needs appeared to be more related to mothers' RWA scores, whereas children's epistemic needs appeared to be more related to fathers' SDO. Finally, parents' RWA and SDO scores appeared to have opposite effects on children's relational needs: children's conformity increased at increasing levels of mothers' RWA and decreased at increasing levels of fathers' SDO. Overall, however, results were relatively weak and several links between the responses of parents and their children were not significant, suggesting caution in drawing strong conclusions about the impact of parents' ideology. Limitations and future developments will be discussed.

Suicide ideation in stomach cancer survivors and possible risk factors.

PubMed

Choi, Ye-Ni; Kim, Young-Ae; Yun, Young Ho; Kim, Sung; Bae, Jae-Moon; Kim, Young-Woo; Ryu, Keun Won; Lee, Jun Ho; Noh, Jae-Hyung; Sohn, Tae-Sung

2014-02-01

Although the suicide rate of cancer survivors is higher than that of the general population, few studies have examined the potential risk factors. We assessed suicide ideation (SI) and investigated its correlates among survivors of stomach cancer, which is one of the most prevalent cancers in Korea. We surveyed 378 stage I-III stomach cancer survivors who had been disease free for at least 1 year. The survey contained demographic questions and quality of life assessments from the European Organization for Research and Treatment of Cancer QLQ-C30 and its stomach cancer-specific module, the McGill Quality of Life Questionnaire, the Brief Fatigue Inventory, and one question from the Beck Depression Inventory. We found that 131/378 stomach cancer survivors (34.7 %) experienced SI. Univariate analyses showed that SI was significantly associated with income, comorbidity, smoking, and the following quality of life factors: general health status, emotional functioning, fatigue, nausea/vomiting, dyspnea, appetite loss, constipation, diarrhea, financial problems, eating restriction, anxiety, dry mouth, trouble belching, hair loss, body image, existential well-being, and social support. Multivariate logistic regression confirmed that SI was independently associated with diarrhea (adjusted odds ratio (aOR) 2.84; 95 % confidence interval (CI) 1.44-5.62), hair loss (aOR 2.77; 95 % CI 1.04-7.36), existential well-being (aOR 6.18; 95 % CI 2.91-13.1), and usual fatigue (aOR 2.29; 95 % CI 1.30-4.06). Our findings reveal a high prevalence of SI among stomach cancer survivors and identify health-related quality of life issues such as diarrhea, hair loss, existential well-being, and fatigue as important risk factors of SI.

Dealing with existential anxiety in exercise-based cardiac rehabilitation: a phenomenological-hermeneutic study of patients' lived experiences.

PubMed

Simonÿ, Charlotte P; Pedersen, Birthe D; Dreyer, Pia; Birkelund, Regner

2015-09-01

To investigate patients' lived experiences of exercise-based cardiac rehabilitation. Exercise-based cardiac rehabilitation is used to enable patients with cardiac problems to move forward to lead satisfying lives. However, knowledge of patients' concerns while they follow the current programmes is sparse. This study, which included nine men and two women with unstable angina pectoris and non-ST-elevation myocardial infarction, used a phenomenological-hermeneutic approach. The patients were followed by field observations during exercise-based cardiac rehabilitation. Focus group interviews were conducted at the programme end, and individual interviews were performed one to two months later. The interpretation comprised three methodological steps: naïve reading, structural analysis, and comprehensive interpretation and discussion. Although both physically and psychologically challenged, the patients were encouraged to maintain an active lifestyle. Three themes were identified: anxiety regarding exercise, whereby the patients are initially insecure about how to behave with their diseased hearts; encouragement from training together, whereby the patients support each other in exercising; and growing confidence in the heart, whereby the patients enjoy being physically active. In exercise-based cardiac rehabilitation, patients' insecurity with respect to their heart disease is revealed as an existential anxiety. Through peer support and a positive physical perception, the patients gain renewed self-efficacy, helping them to continue their lives in an active and satisfying way. Knowing that patients are confronted with an existential anxiety during exercise-based cardiac rehabilitation is important because it requires specific care. Recognising this anxiety also highlights how participating in the programme can be very demanding, which can help us understand aspects of adherence problems. Of greatest importance is that exercise-based cardiac rehabilitation enables patients to find a new foothold, which comprises enjoying being physically active. © 2015 John Wiley & Sons Ltd.

Characteristics of communication with older people in home care: A qualitative analysis of audio recordings of home care visits.

PubMed

Kristensen, Dorte V; Sundler, Annelie J; Eide, Hilde; Hafskjold, Linda; Ruud, Iren; Holmström, Inger K

2017-12-01

To describe the characteristics of communication practice in home care visits between older people (over 65 years old) and nurse assistants and to discuss the findings from a person-centered perspective. The older population is increasing worldwide, along with the need for healthcare services in the person's home. To achieve a high-quality care, person-centered communication is crucial. A descriptive design with a qualitative inductive approach was used. Fifteen audio recordings of naturally occurring conversations between 12 nurse assistants and 13 older people in Norway were analysed by qualitative content analysis. Four categories were revealed through analysis: (i) supporting older people's connection to everyday life; (ii) supporting older people's involvement in their own care; (iii) attention to older people's bodily and existential needs; and (iv) the impact of continuity and predictability on older people's well-being. The communication between the older people and the nurse assistants during home care visits was mainly task-oriented, but also related to the person. The older people were involved in the tasks to be carried out and humour was part of the communication. Greater attention was paid to bodily than existential needs. The communication was connected with the older people's everyday life in several ways. Time frames and interruptions concern the older people; hearing and speech impairments were a challenge to communication. To enhance person-centred communication, further studies are needed, especially intervention studies for healthcare professionals and students. Being responsive to older people's subjective experiences is important in meeting their needs in home care. Communication that addresses the need for trust and predictability is important for older people. Responding to existential needs require more attention. The home care setting has an impact on communication. © 2017 John Wiley & Sons Ltd.

Spiritual Well-Being and Suicidal Ideation among College Students

ERIC Educational Resources Information Center

Taliaferro, Lindsay A.; Rienzo, Barbara A.; Pigg, R. Morgan, Jr.; Miller, M. David; Dodd, Virginia J.

2009-01-01

Objective: This study explored whether specific dimensions of spiritual well-being (religious well-being and existential well-being) relate to reduced suicidal ideation, and whether associations persisted after controlling for religiosity and psychosocial variables associated with suicide. Participants: Participants were 457 college students who…

Death Anxiety as a Function of Aging Anxiety

ERIC Educational Resources Information Center

Benton, Jeremy P.; Christopher, Andrew N.; Walter, Mark I.

2007-01-01

To assess how different facets of aging anxiety contributed to the prediction of tangible and existential death anxiety, 167 Americans of various Christian denominations completed a battery of questionnaires. Multiple regression analyses, controlling for demographic variables and previously demonstrated predictors of death anxiety, revealed that…

Bloom's Idiosyncratic History of the University.

ERIC Educational Resources Information Center

Lawler, Peter Augustine

1989-01-01

Analyzes "The Idiosyncratic History of the University," a chapter in Allan Bloom's "The Closing of the American Mind". Focuses on Bloom's history of the university as explained through Socrates' philosophy. Concentrates on the role of philosophers in society past and present. Discusses the Enlightenment, Existentialism,…

On the Use of Poetry in Medical Education

ERIC Educational Resources Information Center

Wellbery, Caroline

2006-01-01

Poetry can be a powerful tool in teaching students and residents interpersonal and scientific aspects of clinical medicine. Advantages of using poetry include emotional intensity, succinct, portable formulations and communication of encompassing, "existential" truths. Limitations include learners' lack of familiarity with the medium of…

Measuring the Experience and Perception of Suffering

ERIC Educational Resources Information Center

Schulz, Richard; Monin, Joan K.; Czaja, Sara J.; Lingler, Jennifer H.; Beach, Scott R.; Martire, Lynn M.; Dodds, Angela; Hebert, Randy S.; Zdaniuk, Bozena; Cook, Thomas B.

2010-01-01

Purpose: Assess psychometric properties of scales developed to assess experience and perception of physical, psychological, and existential suffering in older individuals. Design and Methods: Scales were administered to 3 populations of older persons and/or their family caregivers: individuals with Alzheimer's disease (AD) and their family…

Fifty Strategies for Counseling Defiant, Aggressive Adolescents: Reaching, Accepting, and Relating.

ERIC Educational Resources Information Center

Hanna, Fred J.; Hanna, Constance A.; Keys, Susan G.

1999-01-01

Takes a transtheoretical approach using ideas from cognitive behavioral, existential, Gestalt, psychodynamic, and multicultural therapies to describe both new and established strategies for relationships building with defiant youth. Arranges strategies in three categories: reaching, accepting, and relating. Suggestions for counselors when working…

Explorations du lexique (Explorations in Lexicon). Publication B-208.

ERIC Educational Resources Information Center

Auger, Julie; Rose, Yvan

Essays on lexicon and vocabulary development, all in French, address these topics: bilingual lexicon in the context of translation; lexical and conceptual representation in bilinguals; pronouns in "existential" constructions in French and English; configurational functions within grammar; Gustaf Stern's diachronic semantic schema; the…

The Psychology of Curriculum Theorizing: A Conversation.

ERIC Educational Resources Information Center

Wankowski, Janek; Reid, William

1982-01-01

A conversation about the "psychology of curriculum theorizing" is presented. Janek Wankowski and William Reid discuss four types of curriculum theorists: systemic, radical, existential, and deliberative. Works representative of these types, by Mauritz Johnson, Michael Apple, William Pinar, and Joseph Schwab, are also discussed. (CJ)

Bringing the Biosphere Home.

ERIC Educational Resources Information Center

Thomashow, Mitchell

2002-01-01

Discusses an orientation to the local environment as the lens through which to detect global change. Discusses how students can relate to a structure that includes the intertemporal, interspatial, intergenerational, and interspecies realities of place leading to a comprehensive view of biology. Discusses the existential tensions intrinsic to…

The Rational-Emotive Approach: A Critique

ERIC Educational Resources Information Center

Morris, G. Barry

1976-01-01

The critique of Rational-Emotive Therapy aims criticism at Ellis' concept of irrationality, analysis of human behavior and therapeutic techniques. Ellis suggests that his critic's claims lack the support of experimental evidence. He further suggests that an "existential" bias pervades which differs from his own brand of…

Multicultural Humanistic Psychology: Empirical Investigations of Humanistic Concepts.

ERIC Educational Resources Information Center

Chaffins, Belinda J.; McConnell, Stephen C.

Multicultural psychology examines existential-humanistic concerns in reference to the unique world of the client. Some of these contextual variables include race, age, religion, gender, sexual orientation, ethnicity, sociocultural and sociopolitical influences, as well as the roles of power, privilege, and disadvantage. Diversity impacts…

Gauging U.S.-Indian Strategic Cooperation

DTIC Science & Technology

2007-03-01

Perkovich, arguing from what is unabashedly a Liberal- Humanist perspective, has concluded, deepened U.S.-Indian relations that have the effect of...lesson. This nuclear deal (rightly or wrongly) has been characterized as a means to resolve New Delhi’s existential problems with the United States

A Biopsychosocial Theory of Infertility.

ERIC Educational Resources Information Center

Gerrity, Deborah A.

2001-01-01

Briefly reviews the literature on infertility and its emotional, physical, existential, and relational effects on individuals, couples, and families. Life crisis and biopsychosocial theories are discussed as they apply to persons struggling with infertility issues. In addition, stage models derived from a biopsychosocial perspective are presented.…

Factor Structure of the Spiritual Well-Being Scale: Cross-Cultural Comparisons Between Jordanian Arab and Malaysian Muslim University Students in Jordan.

PubMed

Musa, Ahmad S

2016-03-01

This study reported the differences in factor structure of the Spiritual Well-Being Scale (SWBS) among Jordanian Arab and Malaysian Muslim participants and further examined its validity and reliability. A convenience sample of 553 Jordanian Arab and 183 Malaysian Malay Muslim university students was recruited from governmental universities in northern Jordan. The findings of this study revealed that this scale consists of two factors for the Jordanian Arab group, representing the "Religious Well-Being" and the "Existential Well-Being" subscales, and consists of three factors for the Malaysian group, representing the "Affiliation/Meaning and Purpose," "Positive Existential Well-Being/God Caring and Love," and "Alienation/Despair" subscales. In conclusion, the factor structure of the SWBS for both groups in this study was psychometrically sound with evidence of acceptable to good validity and reliability. Furthermore, this study supported the multidimensional nature of the SWBS and the earlier notion that ethnicity shapes responses to this scale. © The Author(s) 2014.

The relationship between spiritual intelligence and personality traits among Jordanian university students

PubMed Central

Mahasneh, Ahmad M; Shammout, Nizar A; Alkhazaleh, Ziad M; Al-Alwan, Ahmed F; Abu-Eita, Jawhara D

2015-01-01

This study was aimed at identifying the level of spiritual intelligence and its correlation with personality traits among a group of Jordanian undergraduate students. A purposive sample of 716 male and female students was chosen from different faculties at the Hashemite University. Two questionnaires on spiritual intelligence and personality traits were distributed to members of the sample during the academic year 2013–2014. Results illustrated a medium level of spiritual intelligence in students, and indicated a positive and statistically significant relationship between spiritual intelligence dimensions (critical existential thinking, personal meaning production, transcendental awareness, and conscious state expansion) and personality traits (neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness), but no significant correlation between personal meaning production and transcendental awareness dimensions and neuroticism personality traits. Finally, regression analysis results indicate that critical existential thinking is the first predictor dimension of spiritual intelligence in terms of neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness. In the light of the results of this study, many recommendations were written by the researchers. PMID:25834470

Existential Well-Being: Spirituality or Well-Being?

PubMed

Visser, Anja; Garssen, Bert; Vingerhoets, Ad Jjm

2017-03-01

Measures of spirituality often contain the dimension existential well-being (EWB). However, EWB has been found to overlap with emotional and psychological well-being. Using the Spiritual Attitude and Involvement List (SAIL), we have further investigated the overlap between aspects of spirituality and of well-being among patients with cancer, by determining a) the divergent validity of the subscales of the SAIL compared with a well-being questionnaire and b) the differences in their associations to changes in pain and fatigue, and the occurrence of negative life events. Our findings suggest that a sense of trust that one is able to cope with difficulties of life belongs to the realm of well-being, instead of spirituality. Other aspects, such as a sense of meaning in life, seem more similar to spirituality than to well-being. These results can bring researchers a step further toward constructing "pure" spirituality and well-being measures, which will allow them to investigate the (causal) relationship between these constructs.

Is hockey just a game? Contesting meanings of the ice hockey life projects through a career-threatening injury.

PubMed

Ronkainen, Noora J; Ryba, Tatiana V

2017-05-01

This study is situated within an existential-narrative theoretical framework to examine the impact of career-threatening injury on professional ice hockey players' well-being and career construction. Professional ice hockey culture is construed as a privileged space characterised by hegemonic masculinity, fierce competition as well as high-risk behaviours often resulting in sports injuries. In this paper, we analyse two players' life stories with a particular focus on injury as a boundary situation involving social and temporal breakdown and re-evaluation of meaning of sporting life projects. Emergent narratives surrounding existential themes of loss of meaning and loneliness in the face of injury were analysed in connection with players' search for authenticity and realignment with self-concept. Each player developed resistant narratives to the dominant ethos of professional sport in order to restore well-being and sense of self. The relational aspects of injury are highlighted in practical recommendations.

Euthanasia and physician-assisted suicide in dementia: A qualitative study of the views of former dementia carers.

PubMed

Tomlinson, Emily; Spector, Aimee; Nurock, Shirley; Stott, Joshua

2015-09-01

Despite media and academic interest on assisted dying in dementia, little is known of the views of those directly affected. This study explored the views of former carers on assisted dying in dementia. This was a qualitative study using thematic analysis. A total of 16 former carers of people with dementia were recruited through national dementia charities and participated in semi-structured interviews. While many supported the individual's right to die, the complexity of assisted dying in dementia was emphasized. Existential, physical, psychological and psychosocial aspects of suffering were identified as potential reasons to desire an assisted death. Most believed it would help to talk with a trained health professional if contemplating an assisted death. Health workers should be mindful of the holistic experience of dementia at the end of life. The psychological and existential aspects of suffering should be addressed, as well as relief of physical pain. Further research is required. © The Author(s) 2015.

Objectivity, abstraction, and the individual: the influence of Søren Kierkegaard on Paul Feyerabend.

PubMed

Kidd, Ian James

2011-03-01

This paper explores the influence of Søren Kierkegaard upon Paul Feyerabend by examining their common criticisms of totalising accounts of human nature. Both complained that philosophical and scientific theories of human nature which were methodologically committed to objectivity and abstraction failed to capture the richness of human experience. Kierkegaard and Feyerabend argued that philosophy and the science were threatening to become obstacles to human development by imposing abstract theories of human nature and reality which denied the complexities of both. In both cases, this took the form of asserting an 'existential' criterion for the assessment of philosophical and scientific theories. Kierkegaard also made remarks upon the inappropriateness of applying natural scientific methods to human beings which Feyerabend later expanded and developed in his criticisms of the inability of the 'scientific world-view' to accommodate the values necessary to a flourishing human life. I conclude by noting some differences between Kierkegaard and Feyerabend's positions and by affirming the value of existential criticisms of scientific knowledge.

Between moral infraction and existential crisis: Exploring physicians and nurses' attitudes to suicide and the suicidal patient in Ghana.

PubMed

Osafo, Joseph; Akotia, Charity S; Boakye, Kofi E; Dickson, Erica

2018-05-26

Negative attitudes of health professionals towards suicide may hamper their willingness and skills to work with attempt survivors. The purpose of this study was to explore the attitudes of physicians and nurses towards suicide and the suicidal patient. A semi-structured qualitative interview was conducted on Twenty five (25) health professionals: (15 physicians and 10 casualty nurses) from five hospitals in Accra, the capital of Ghana. Findings showed that while majority of physicians viewed suicide as an existential crisis, most of the nurses viewed it as a moral infraction. Three key attitudes towards suicide and the suicidal patient were observed: stable, dissonant and transitioned. The findings are discussed under three main themes: Contexts, Theorizing suicide, and Shades of attitudes. Nurses and Physicians are key gatekeepers in suicide prevention in Ghana. Training is however, needed to improve both attitudes (especially for nurses) and competence towards suicide prevention in the country. Copyright © 2018 Elsevier Ltd. All rights reserved.

Religiosity and Therapeutic Alliance among Youth Who Commit Sexual Crimes

ERIC Educational Resources Information Center

Yoder, Jamie; Bovard-Johns, Rian M.

2017-01-01

Background: Delinquency research argues that youth religion and spirituality are associated with desistence. The therapeutic alliance has been shown to be partially responsible for the influence of religiosity in therapeutic services. Asceticism within religious doctrine coupled with Social Bonding Theory, suggests perhaps existential and secular…

Theoretical Grounding: The "Missing Link" in Suicide Research.

ERIC Educational Resources Information Center

Rogers, James R.

2001-01-01

Discusses the strengths and limitations of the current pragmatic focus of research in suicidology and presents an argument for theoretical grounding as a precursor for continued advancement in this area. Presents an existential-constructivist framework of "meaning creation" as a theoretical heuristic for understanding suicide. Outlines general…

The Existentialist Counselor at Work.

ERIC Educational Resources Information Center

Bates, Marilyn; Johnson, C. D.

This paper presents the author's experience of Existentialism and its relationship to the counseling process. The basic concepts of the philosophy are presented, described in terms of personal experience, then translated into operational behavior, with the focus on the development of the Existentialist oriented public-school counseling center.…

Reconstructing Education: Toward a Pedagogy of Critical Humanism.

ERIC Educational Resources Information Center

Nemiroff, Greta Hofmann

This book is a valuable resource for those concerned with alternative approaches to education, and for such courses as educational theory or philosophy. Drawing on elements of progressive education, existentialism, feminist pedagogy, and values education, critical humanism combines the holistic-psychological concerns of humanistic education with…

Understanding Worldviews: Global and Postmodern Perspectives.

ERIC Educational Resources Information Center

Yang, Julia

World views were postulated in the 1960s as five value orientations which are universal human existential issues to which individuals from different cultural backgrounds may have different solutions. While the Kluchhohn and Strodtbeck framework has made a significant contribution towards measuring cultural differences, it has limitations for…

Stanton's "The Solitude of Self": A Rationale for Feminism.

ERIC Educational Resources Information Center

Campbell, Karlyn Kohrs

1980-01-01

Examines Elizabeth Cady Stanton's speech, "The Solitude of Self," as a philosophical statement of the principles underlying the nineteenth century struggle for woman's rights in the United States. Analyzes the lyric structure and tone of the speech and its tragic, existential rationale for feminism. (JMF)

Marathon Group: Facilitator of Personal Growth?

ERIC Educational Resources Information Center

Guinan, James F.; Foulds, Melvin L.

1970-01-01

This is a report of changes on scales of the Personal Orientation Inventory following a marathon experience. Pretest and posttest results indicated changes in scores of an experimental group on those scales: Inner Direction, Existentiality, Feeling Reactivity, Spontaneity, Self Acceptance, Acceptance of Aggression, Capacity for Intimate Contact.…

Liberationists, Clients, Activists: Queer Youth Organizing, 1966-2003

ERIC Educational Resources Information Center

Cohen, Stephan

2005-01-01

The evolution of queer youth programs from 1966 to 2003 has been influenced by sexual ideologies (essentialism, existential constructivism, critical theory, gay liberation, and queer theory) that shape how groups address membership, participants' roles, understandings of sexual identities, coming-out, and ways of contesting homophobia. Group types…

Readings on Deafness.

ERIC Educational Resources Information Center

Watson, Douglas, Ed.

Presented are 15 articles on the experience of deafness, deaf education, the improvement of the delivery of rehabilitation services, or the deaf community. The first section on important life experiences and thinking from an existential viewpoint consists of five articles with the following titles: "A Truly Silent Majority'', "Just Like Real…

How to Add Philosophy Dimensions in Your Basic International Business Course

ERIC Educational Resources Information Center

Thanopoulos, John

2010-01-01

This article aims to assist professors in introducing concepts of self, philosophy, religions, the universe, existential dilemmas, etc., in their basic international business classes. Using active learning and five-member student teams, a student organized and administered conference adds a very useful dimension of knowledge sacrificing only one…

Existential Being as Transformative Learning

ERIC Educational Resources Information Center

Walters, David A.

2008-01-01

In some ways, "a culture of the modern consulting room" may be seen as having been initiated by Freud and followers. Here, social hierarchy, unconscious motivation and the authority of analyst may all be seen as manifestations of professional practice. With the contributions of Heidegger, Kierkegaard, May, Adler, Rogers and others of the…

Spiritual Exchange in Pluralistic Contexts: Sharing Narratives across Worldview Differences

ERIC Educational Resources Information Center

Rockenbach, Alyssa Bryant; Bachenheimer, Aaron; Conley, Abigail Holland; Grays, Shaefny

2014-01-01

Grounded in narrative inquiry, this study explored the ways in which graduate and undergraduate students representing different worldview identities come together in dyads to share stories that reflect their existential and spiritual development. The study revealed two contrasting types of exchange: (1) deep, personal exchanges that involved a…

From Existence to Essence: A Conceptual Model for an Appalachian Studies Curriculum.

ERIC Educational Resources Information Center

Best, Billy F.

Comprised of 4 chapters, this dissertation explores the existential premise "existence precedes essence" as applicable to development of a conceptual model for an Appalachian studies curriculum. Entitled "Personal Considerations: Pedagogy of a Hillbilly", the 1st chapter details the conflicts between the Appalachian institution…

Existential and Phenomenological Foundations of Currere: Self-Report in Curriculum Inquiry.

ERIC Educational Resources Information Center

Grumet, Madeleine R.

Traditional models for curriculum theory describe human development as a sum of its parts, organized in a hierarchy leading to operational competencies. The reconceptualist Currere model, originated by William Penar, develops horizontally with energy and learning moving outward and inward rather than upward in a linear trajectory. Educational…

Ecological Metissage: Exploring the Third Space in Outdoor and Environmental Education

ERIC Educational Resources Information Center

Lowan, Greg

2011-01-01

Metis scholar Catherine Richardson introduced the concept of the "Third Space" as the existentially blended territory of a Metis mentality. She compared this to the "First Space" of the dominant Euro-Canadian society and the "Second Space" of colonially subjugated Aboriginal peoples. However, during a recent…

My Life as an Edventurer

ERIC Educational Resources Information Center

Wilkes, Sandy

2010-01-01

The author started her training in adventure education around 1986 when Mike Laurence introduced the concept to Brock University. At the time, she was employed by Niagara College working in its Futures Program. To her the theory behind adventure-based programs seemed a coalescence of her yen for sociology, psychology, existential philosophy and…

Liberal Education Reconsidered: Cultivating Humanity in the Knowledge Society

ERIC Educational Resources Information Center

Hong, Eunsook

2014-01-01

In the knowledge society, there is a conflict between "education for profit" and "education for humanity." Education for profit is needed for students' economic survival and success in the knowledge economy. Education for humanity is needed for their existential lives worthy of human beings. This paper deals with the…

Catholic Higher Education as Mission

ERIC Educational Resources Information Center

Lowery, Daniel

2012-01-01

This article uses the work of Anthony J. Gittins to reframe our understanding of Catholic higher education as mission. The broad adoption of this framework would require a common intellectual foundation, the possibility of which is dismissed by many. An accessible ontology is implied, however, in the existential analysis and theology of Karl…

Health Instruction Packages: Humanistic Nursing--Nurse/Patient Relations.

ERIC Educational Resources Information Center

Carpenter, Wanda L.; And Others

Text, illustrations, and exercises are utilized in this set of four learning modules to instruct nurses and nursing students in humanistic, non-technical aspects of patient care. The first module, "Introduction to Humanistic Nursing Practice Theory" by Wanda L. Carpenter, draws upon the theories of existentialism and phenomenology to…

The Relationship between Turkish Pre-Service ICT Teachers' Educational Philosophies and Occupational Anxieties

ERIC Educational Resources Information Center

Deryakulu, Deniz; Atal-Köysüren, Deniz

2018-01-01

This study examines Turkish pre-service Information and Communication Technologies teachers' educational philosophies and occupational anxieties. A total of 800 pre-service teachers participated in the study. Results showed that the predominant educational philosophies among the participants were the existentialism, progressivism,…

John Dewey on Philosophy and Childhood

ERIC Educational Resources Information Center

Gregory, Maughn; Granger, David

2012-01-01

John Dewey was not a philosopher of education in the now-traditional sense of a doctor of philosophy who examines educational ends, means, and controversies through the disciplinary lenses of epistemology, ethics, and political theory, or of agenda-driven schools such as existentialism, feminism, and critical theory. Rather, Dewey was both an…

Frames of Reference in African Proverbs on Disability.

ERIC Educational Resources Information Center

Devlieger, Patrick J.

1999-01-01

Fifty-five proverbs relating to disability were collected from sub-Saharan African countries and analyzed for larger frames of reference of personhood and cosmogony. Themes include warnings against laughing at a disabled person, personhood, existential insecurity, acceptance of what is, and the function and nature of disability. (DB)

Pessimism vs. Existentialism

ERIC Educational Resources Information Center

Solomon, Robert C.

2007-01-01

So opined Adam Cohen recently in the "International Herald Tribune", and so, too, according to a recent book by Joshua Foa Dienstag, a political scientist at the University of California at Los Angeles, "Pessimism: Philosophy, Ethic, Spirit "(Princeton University Press, 2006). In his defense of pessimism as an appropriate and realistic philosophy,…

Social Anxiety Experiences and Responses of University Students

ERIC Educational Resources Information Center

Akacan, Behiye; Secim, Gurcan

2015-01-01

The aim of this study is to examine the responses of university students in social anxiety situations in order to create a psychological counselling program with a structured group based on Cognitive Behavioural and Existential Approaches. These responses involve the behaviour and thoughts of the university students in situations where they…

Authenticity and Learning: Implications for Reference Librarianship and Information Literacy Instruction

ERIC Educational Resources Information Center

Klipfel, Kevin Michael

2015-01-01

This article articulates and defends a student-centered approach to reference and instructional librarianship defined by authentic engagement with students' interests. A review of the history of the construct of authenticity in philosophy, humanistic and existential psychology, and contemporary educational psychology is traced. Connections are…

Issues and Trends in Secondary Guidance and Counseling Programs

ERIC Educational Resources Information Center

Pietrofesa, John J.

1970-01-01

Utilization of counseling groups leads to (1) variety of approaches, (2) more directive counseling, (3) counselees with varied backgrounds, (4) growth of groups for interracial harmony. Changes in counselor role by use of: (1) paraprofessionals, (2) guidance workers, (3) cybernetics, (4) developmental approach in an existential framework. (EK)

The Globalisation of Fear and the Construction of the Intercultural Imagination

ERIC Educational Resources Information Center

Bash, Leslie

2014-01-01

Intercultural education concerns the destruction of boundaries between people and their replacement by what Jurgen Habermas has called communicative action. It is a difficult task that raises various forms of existential fear: consciousness of individual mortality, communal insecurity, collective anxiety and distrust. In order to confront this…

Kanasi: A Brief Grammar Sketch.

ERIC Educational Resources Information Center

Pappenhagen, Ronald W.

An outline of the grammar of Kanasi, a non-Austronesian language in the Indo-Pacific family of the Daga branch and spoken in Papua New Guinea, includes analysis of noun phrases (numerals and descriptive modifiers, genitive constructions, and adpositions); verbs (affixes; tense, aspect, and moods; and causation); predicate nominals; existential,…

Through the Dabrowski Lens: Philosophy, Faith, and the Personality Ideal

ERIC Educational Resources Information Center

Harper, Amanda J.; Clifford, Christine

2017-01-01

Kazimierz Dabrowski's (1902-1980) five-level theory of personality development, the Theory of Positive Disintegration, is one in which the experience of all emotions is essential for the process of individual growth toward the personality ideal. In this article, we introduce the phenomenological and existential influences on Dabrowski, including…

The Struggle for Existence: 1859 & Today

ERIC Educational Resources Information Center

Walsh, Joseph A.

2009-01-01

The theory that natural selection is the key to adaptive evolution, and the reasoning for his conclusions, were Darwin's contributions to science. However, only half of Americans accept the fact of evolution as true (Gallup, 2008). Walsh contends that there are three reasons that students today find life's existential struggle less apparent.…

Internationally Minded Schools as Cultural Artefacts: Implications for School Leadership

ERIC Educational Resources Information Center

Hill, Ian

2014-01-01

This article adopts a non-rational, existential, subjective approach to school leadership, on the assumption that rational models provide useful pointers on mechanics such as time management, coaching and staff evaluation, but are less appropriate for grasping the essence of leadership which resides in managing interpersonal relationships and the…

A Critique of Peter Jarvis's Conceptualisation of the Lifelong Learner in the Contemporary Cultural Context

ERIC Educational Resources Information Center

Bagnall, Richard G.

2017-01-01

This paper examines Peter Jarvis's conceptualisation of lifelong learners, who are seen as being the individual products of their learning engagements, constrained by their individual biological potentials. They are presented as seeking existentially authentic resolution to dialectically oppositional disjunctures between their individual…

Arming Commanders to Combat PTSD: A Time for Change - Attacking the Stressors Vice the Symptoms

DTIC Science & Technology

2009-01-01

using psychiatric, developmental, psychodynamic, family support, cognitive-behavioral, and existential - humanistic approaches either individually or in...relates to coping with the fiscal, and humanistic challenges that manifest within a nation at war, and those who experience the trauma of combat. The

Slowing Military Change

DTIC Science & Technology

2008-10-01

existential fear of one’s superpower rival. Nor was the Cold War the only arms race in history: naval rivalry in the late 19th and early 20th centuries...Military Review, July-August 2006; Norman Solomon, “The Bogus Blurring of Terrorism and Insurgency in Iraq,” The Humanist , Vol. 66, No. 2, March-April

Spiritual Dormancy: The Strategic Effect of the Depravation of God

DTIC Science & Technology

2013-03-01

board, in a broad existential sense. This philosophy flies in the face of our Army’s roots, our creed, and our values. We term this entire...devolving into spiritual dormancy? The humanistic stance of modern thinking places limitations on people’s endurance. It brings into question a sense of

The Divisive Threat of Immigration in Europe

DTIC Science & Technology

2012-12-01

Wilders established the Party for Freedom (PVV), in 2005 with a strong anti-immigration agenda. The party believes Judeo-Christian and humanist ...Allied administration of post-WWI Europe. Right-wing movements of the 60’s and 80’s were a response to an existential threat during the Cold War rather

The Jesuit Imaginary: Higher Education in a Secular Age

ERIC Educational Resources Information Center

Hendrickson, Daniel Scott

2012-01-01

The philosopher Charles Taylor argues in "A Secular Age" (2007) that people who live in secular cultures are losing the capacity to experience genuine "fullness." Described by Taylor as a philosophical-anthropological conception of human flourishing that corresponds with existential senses of meaning and purpose, fullness is…

Impact of Therapist Self-Disclosure.

ERIC Educational Resources Information Center

O'Hare, Christopher

The effects of first-session interviewer self-disclosures that differed in three levels of intimacy--low, medium and high--and three kinds of temporal focus--historical (past tense and external to the interview process), current (present tense and external to the interview process), and existential in which the interviewer disclosed immediate…

Humanistic-Cognitive Applications to Teaching and Learning: Theoretical-Philosophical Bases.

ERIC Educational Resources Information Center

Hamachek, Don E.

Humanistic psychology has emerged as a third force alternative to behaviorism and psychoanalysis. It offers a new orientation to psychology, one that incorporates basic existential ideas related to personal choice, freedom, and responsibility, and which also includes central phenomenological themes related to perceptions, personal meanings, and…

Agency, Values, and Well-Being: A Human Development Model

ERIC Educational Resources Information Center

Welzel, Christian; Inglehart, Ronald

2010-01-01

This paper argues that feelings of agency are linked to human well-being through a sequence of adaptive mechanisms that promote human development, once existential conditions become permissive. In the first part, we elaborate on the evolutionary logic of this model and outline why an evolutionary perspective is helpful to understand changes in…

"Darkness Overcomes You": Shaun Tan and Søren Kierkegaard

ERIC Educational Resources Information Center

Johansen, Martin Blok

2015-01-01

This article analyses Shaun Tan's picturebook "The Red Tree" using some of the central concepts of existentialism developed by the Danish philosopher Søren Kierkegaard. Kierkegaard argued that being a person entails a coming-to-be ["tilblivelse"], and for the person this coming-to-be manifests itself as a task. The task is to…

Fostering Conversational Leadership: A Response to Barnett's Call for an Ontological Turn

ERIC Educational Resources Information Center

Gunnlaugson, Olen

2012-01-01

This article examines Ronald Barnett's notion of an ontological turn in higher education as a language for framing the current existential demands and emerging learning needs of young adults. After presenting different interpretations of ontology, I make a case for how contemplative approaches can be applied to communication-based higher education…

Rationalising the Nature of "Graduateness" through Philosophical Accounts of Authenticity

ERIC Educational Resources Information Center

Kreber, Carolin

2014-01-01

In this essay, I undertake a philosophical investigation into the nature of "graduateness" based on two distinct ideas on the educational purposes of universities. One draws on European existentialism emphasising how human being is affected and deals with the various challenges of being in the world; the other is grounded in the North…

The Time Has Come to Create Meaning-Making Centers on College Campuses

ERIC Educational Resources Information Center

Nash, Robert J.; Jang, Jennifer J. J.

2013-01-01

Robert J. Nash and Jennifer J. J. Jang argue that students have a great need to find a "meaning to live for," à la Victor Frankl, and make a case for creating a space for students and educators to contextualize learning experiences dealing with the universal, existential questions of life.

Harassment Issues in Sport Organizations: Utilitarian, Justice, Kantian, and Existential Approaches to Moral Ontology

ERIC Educational Resources Information Center

Malloy, David Cruise; Zakus, Dwight H.

2004-01-01

The literature discussing harassment issues in sport primarily focuses on sexual harassment and abuse. Discussion of this topic is dominated by definitions of harassment in terms of the biological, psychological, cultural, and organizational rationale for its occurrence and a variety of educational methods to transmit the "facts" of this…

Teaching to the Test: Climate Change, Militarism, and the Pedagogy of Hopefulness

ERIC Educational Resources Information Center

Amster, Randall

2014-01-01

Climate change and militarism pose existential threats to human existence, and are linked through a number of related processes including access to resources, patterns of consumption, and the workings of the global economy. As nations increasingly militarize their domestic affairs and international postures alike, such patterns can feed back into…

Waiting Time: The De-Subjectification of Children in Danish Asylum Centres

ERIC Educational Resources Information Center

Vitus, Kathrine

2010-01-01

This article analyses the relationship between time and subjectification, focusing on the temporal structures created within Danish asylum centres and politics, and on children's experiences of and reactions to open-ended waiting. Such waiting leads to existential boredom which manifests in the children as restlessness, fatigue and despair. The…

Loss and Transcendence Life Themes.

ERIC Educational Resources Information Center

Weenolsen, Patricia

Psychologists have often observed an underlying pattern or theme in the accounts that individuals give of their lives. To test a humanistic-existential approach to human development, 48 women were interviewed with the Loss and Transcendence (L/T) Life History Form. The L/T Life Theme is expressed in two ways: the expanded version includes the…

Human-Centred Design Projects and Co-Design in/outside the Turkish Classroom: Responses and Challenges

ERIC Educational Resources Information Center

Emmanouil, Marina

2015-01-01

Perhaps more than any other professional group in modern history, designers have felt compelled to undertake the responsibility of addressing and engaging with societal problems in their practice. Initially, this liability involved concerns of form and production methods during the industrial revolution era, and developed into existential, ethical…

Critical Exchange: Avoiding Schooling Taboos--A Reply to Rasmussen

ERIC Educational Resources Information Center

Stern, Julian

2017-01-01

This paper is a reply to Mary L. Rasumussen's paper, "Critical Exchange: Religion and Schooling: What Should Their Relationship Be?" In this paper, Julian Stern makes three claims: (1) the need for a messy conversation; (2) the need to include "whole" people in schools; and (3) the need to consider existentially significant…

Exploring the Impact of Culture- and Language-Influenced Physics on Science Attitude Enhancement

ERIC Educational Resources Information Center

Morales, Marie Paz E.

2016-01-01

"Culture," a set of principles that trace and familiarize human beings within their existential realities, may provide an invisible lens through which reality could be discerned. Critically explored in this study is how culture- and language-sensitive curriculum materials in physics improve Pangasinan learners' attitude toward science.…

Kazakh Philosophy: From Abai to Shakarim

ERIC Educational Resources Information Center

Sydykov, Yerlan B.; Nysanbayev, Abdumalik N.; Kurmanbaev, Erbol A.

2016-01-01

The purpose of the study is to analyze the influence of Shakarim--a follower of Abai--on Kazakh philosophy, his worldview and opinion of existential issues. The specifics of the problem under consideration required taking a synthetic approach to the use of various methods in this research. A synthesis of dialectical, metaphysical, rational,…

Potential for Suicide and Aggression in Delinquents at Juvenile Court in a Southern City.

ERIC Educational Resources Information Center

Battile, Allen O.; And Others

1993-01-01

Questioned 263 Juvenile Court offenders about whether they wished to be dead, kill themselves, or kill others and about their existential experiences, thoughts, and feelings. Used stepwise multiple logistic regression to pinpoint experiences associated with high likelihood of verbalizing wish for destructive behavior. Found sexual abuse as risk…

Taking Account of Siblings--A View from Child Psychotherapy

ERIC Educational Resources Information Center

Rustin, Margaret

2007-01-01

This paper argues that siblinghood has had an important place in child psychotherapy thinking for many decades. Both psychoanalytic observation of young children and clinical experience have contributed to this. It discusses some reasons for the renewed interest in siblings in the wider psychoanalytic field and emphasises the existential threat to…

"Come and See": An Existential Approach to Received Wisdom

ERIC Educational Resources Information Center

Frendo, Anthony J.

2007-01-01

Experience and community have always played a central role in the construction of knowledge. It is upon reflecting on everyday life experiences, and sharing these experiences and reflections with one's community, that knowledge is filtered and transformed into wisdom. The same acts of reflection and sharing are part of human's capacity to…

Residents Learning from a Narrative Experience with Dying Patients: A Qualitative Study

ERIC Educational Resources Information Center

Tait, Glendon R.; Hodges, Brian D.

2013-01-01

For patients at the end of life, it is crucial to address the psychological, existential, and spiritual distress of patients. Medical education research suggests trainees feel unprepared to provide the whole person, humanistic care held as the ideal. This study used an empirically based narrative intervention, the dignity interview, as an…

Designing the Speech Communication Classroom: A Viable Alternative.

ERIC Educational Resources Information Center

Springhorn, Ron G.

This paper presents a structure for the speech communication classroom, based on a philosophically existential approach to education. The following suggestions are offered to those considering such an approach. There should be movable furniture, enabling students to move about and to turn toward one another so that they can be physically in…

The Farther Reaches of Gestalt Therapy: A Conversation with George Brown

ERIC Educational Resources Information Center

Carter, Betsie; Vargiu, Susan

1977-01-01

This interview evokes much of the essential spirit of Gestalt Therapy and some of its techniques. Gestalt is a method of growth for developing the potential of the healthy individual. It emphasizes acquiring awareness of the existential moment, integrating unconscious aspects of self, and taking responsibility for one's actions. (Author/BP)

Research of Organizational Culture: A Mythic History of A.T.& T.

ERIC Educational Resources Information Center

Kendall, Robert

Mythologies develop in corporations the same way they develop in tribes or nations and provide the driving force for building loyalty to and identification with the organization. The myth-building process involves a constituting experience or founding event, an existential interpretation of the event, the institutionalization of the event, and the…

The "Encounter" as an "Event of Truth" in Education: An Anthropological-Pedagogical Approach

ERIC Educational Resources Information Center

Pantazis, Vasileios E.

2012-01-01

In this essay, Vasileios Pantazis examines how two philosophers having different orientations acknowledge and study the phenomenon of the "encounter" ("Begegnung") and its fundamental importance to human life and education. On the one hand, Otto Friedrich Bollnow drew on existential philosophy and philosophical anthropology in his analysis of the…

Advising with Understanding: Considering Hermeneutic Theory in Academic Advising

ERIC Educational Resources Information Center

Champlin-Scharff, Sarah

2010-01-01

One might say that good advising requires understanding of those being advised. Yet, the way to achieve an accurate understanding of each advisee is unclear. An introduction to the field of hermeneutics, including an outline of Martin Heidegger's notion of human being and existential understanding, is presented to offer advisors a new opportunity…

Dead Letters and Blank Girls: Workplace Literacy through the Lens of Literature.

ERIC Educational Resources Information Center

Kazemek, Francis E.

1995-01-01

Melville's "Bartleby" and "The Paradise of Bachelors and The Tartarus of Maidens" provide insights into workplace literacy on the following issues: existential nature of literacy, empowerment versus compliance, class and gender exploitation, and the use of literacy as a tool to label, control, and delimit people and their…

Psychoandragogy: Applying Insights from the Depth Psychology of Carl Jung to Adult Learning.

ERIC Educational Resources Information Center

Rock, Michael E.

The issue of relationship is important personally and organizationally. Individuals find themselves, discover who they are, existentially and psychologically speaking, in the living of their relationships. The question is then what adult education experience is available--solid in theory and in practice--to teach the art and science of the…

Maleficent Reborn: Disney's Fairytale View of Gender Reaches Puberty

ERIC Educational Resources Information Center

Justice, Benjamin

2014-01-01

Fairy tales--indeed all tales--are told for a purpose. They are a form of social education, a form that some scholars argue is older than civilization itself. They imagine dilemmas and offer a range of permissible solutions, labeling socially acceptable and unacceptable behavior, demarcating good and evil, exploring existential questions, binding…

Exacerbated Vulnerability in Existential Changes: The Essence of Dealing with Reduced Working Capacity

ERIC Educational Resources Information Center

Steingrímsdóttir, Sigrún Hulda; Halldórsdóttir, Sigríður

2016-01-01

The purpose of this phenomenological study was to explore people's experience of reduced working capacity and their encounters with professionals in that life situation. We collected data through in-depth interviews with eight individuals. The main finding of the current research is how illness and accident impairing work capacity "exacerbate…

The varieties of depressive experience: diagnosing mood disorders.

PubMed

Ghaemi, S Nassir; Vöhringer, Paul A; Vergne, Derick E

2012-03-01

Biopsychosocial eclecticism has led, the authors believe, to a simplistic acceptance of a unitary view of MDD with little scientific solidity. The authors propose a return to careful psychopathology as the basis of all nosology, which has led to identifying four main types of depressive illness, and a method-based, existential approach to understanding depression.

Applications of Phenomenology in Transpersonal, Person-Centered, and Existential Counseling.

ERIC Educational Resources Information Center

Souza, Katherine Zimmer; Do, Vinh The

This article explains that the phenomenological approach in counseling began as a movement to counterbalance the influence of psychoanalysis in psychotherapy and counseling. Phenomenology is defined as the study of the world as we immediately experience it, pre-reflectively rather than as we conceptualize, categorize, or reflect on it. Through…

Naturalness as an Educational Value

ERIC Educational Resources Information Center

Frolund, Sune

2016-01-01

Existentialism and postmodernism have both abandoned the idea of a human nature. Also, the idea of naturalness as a value for education has been targeted as a blind for conservative ideology. There are, however, good reasons to re-establish a sound concept of human naturalness. First of all, the concept does not seem to have disappeared from…

Existential Grammar for Composition.

ERIC Educational Resources Information Center

Merchant, Frank

The teaching of grammar has been in sad decline since medieval times, when it included the whole skill of creating in language. Our textbook community has moved through a series of ineffective fashions, from those of Fries to post-Chomsky. All have presumed to replace prescriptive rules with realistic explanations. But all have fallen, like the…

A Culturally Consonant Tone: African American Teacher Theorizing on Character Education Policy

ERIC Educational Resources Information Center

Johnson, Chrystal S.

2008-01-01

In this article, I describe the influence race, historicity, and culture had on an African American social studies teacher's agency and negotiation of character education policy. Situated in a teacher personal theorizing framework, I use a three-dimensional narrative inquiry space (temporal, personal/existential, and place) to excavate this…

The Politics of Language. Lektos: Interdisciplinary Working Papers in Language Sciences, Vol. 3, No. 2.

ERIC Educational Resources Information Center

St. Clair, Robert N.

The areas of language planning and the language of oppression are discussed within the theoretical framework of existential sociolinguistics. This tradition is contrasted with the contemporary models of positivism with its assumptions about constancy and quantification. The proposed model brings in social history, intent, consciousness, and other…

Re-Searching and Re-Storying the Complex and Complicated Relationship of "Biophilia" and "Bibliophilia"

ERIC Educational Resources Information Center

Bai, Heesoon; Elza, Daniela; Kovacs, Peter; Romanycia, Serenna

2010-01-01

This article is a collaborative bricolage of poetry, autobiographical fragments, essay pieces, and images assembled together as a portrait of the authors' ongoing existential, psychological and epistemological struggles as educators and learners, parents and children. The article captures a reflective exploration and collective sharing of their…

Hermeneutics of Science and Multi-Gendered Science Education

ERIC Educational Resources Information Center

Ginev, Dimitri Jordan

2008-01-01

In this paper, I consider the relevance of the view of cognitive existentialism to a multi-gendered picture of science education. I am opposing both the search for a particular feminist standpoint epistemology and the reduction of philosophy of science to cultural studies of scientific practices as championed by supporters of postmodern political…

The Existential Learner

ERIC Educational Resources Information Center

McCoog, Ian J.

2010-01-01

We are all smart in different ways. Through the theory of multiple intelligences, Howard Gardner has been one of the leaders in cataloging HOW people are smart as opposed to how smart they ARE. The ability to see "the big picture" and make connections between similar and dissimilar concepts has been considered for inclusion in the multiple…

Demoralization and remoralization: a review of these constructs in the healthcare literature.

PubMed

Connor, Margaret J; Walton, Jo Ann

2011-03-01

Demoralization and remoralization: a review of these constructs in the healthcare literature Development of the constructs of demoralization and remoralization began in the psychiatric literature in the 1970s when a psychiatrist in the USA observed a pattern of characteristics in people referred to him for depression, which he believed, was not depression. These characteristics included hopelessness, helplessness, isolation, low self-esteem and despair. Such characteristics are often termed existential distress. Distinguishing between depression and the existential distress of demoralization is still central in the literature. This is important as successful responses to each condition differ. Research into these constructs has broadened and contributions now come from many different countries and multiple health disciplines, including nursing. This study presents a review and exploration of these constructs in the healthcare literature in an attempt to bring them to the attention of greater numbers of nurses. Facilitating remoralization requires time and sensitivity to people's personal narratives. Difficulty in achieving such a response in the present efficiency climate of many health institutions can lead to moral distress. © 2011 Blackwell Publishing Ltd.

Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy.

PubMed

Lee, Virginia; Robin Cohen, S; Edgar, Linda; Laizner, Andrea M; Gagnon, Anita J

2006-06-01

Existential issues often accompany a diagnosis of cancer and remain one aspect of psychosocial oncology care for which there is a need for focused, empirically tested interventions. This study examined the efficacy of a novel psychological intervention specifically designed to address existential issues through the use of meaning-making coping strategies on psychological adjustment to cancer. Eighty-two breast or colorectal cancer patients were randomly chosen to receive routine care (control group) or up to four sessions that explored the meaning of the emotional responses and cognitive appraisals of each individual's cancer experience within the context of past life events and future goals (experimental group). This paper reports the results from 74 patients who completed and returned pre- and post-test measures for self-esteem, optimism, and self-efficacy. After controlling for baseline scores, the experimental group participants demonstrated significantly higher levels of self-esteem, optimism, and self-efficacy compared to the control group. The results are discussed in light of the theoretical and clinical implications of meaning-making coping in the context of stress and illness.

Cultural implications of death and loss from AIDS among women in South Africa.

PubMed

Iwelunmor, Juliet; Airhihenbuwa, Collins O

2012-02-01

Over 1.8 million people have died of AIDS in South Africa, and it continues to be a death sentence for many women. The purpose of this study was to examine the broader context of death and loss from HIV/AIDS and to identify the cultural factors that influenced existing beliefs and attitudes. The participants included 110 women recruited from 3 communities in South Africa. Focus group methodology was used to explore their perceptions surrounding death and loss from HIV/AIDS. Using the PEN-3 cultural model, our findings revealed that there were positive perceptions related to how women cope and respond to death and loss from HIV/AIDS. Findings also revealed existential responses and negative perceptions that strongly influence how women make sense of increasing death and loss from HIV/AIDS. In the advent of rising death and loss from HIV/AIDS, particularly among women, interventions aimed at reducing negative perceptions while increasing positive and existential perceptions are needed. These interventions should be tailored to reflect the cultural factors associated with HIV/AIDS.

Some reflections on human needs, peace, transculturality and Igbo proverbs in the light of Emmanuel Edeh's African philosophy.

PubMed

Prstačić, Miroslav

2015-03-01

Within the framework of a transcultural, psychodynamic and holistic approach, Edeh's concept of Man as Mma-di (in Igbo language in Nigeria, mma-di = good that is, and mma-ndu = the beauty of Life) is presented as the nucleus of his philosophical articulation from an African metaphysical-anthropological perspective. In this context, some reflections are shown on the following topics: human creativity and peace... of mind, body and soul, as existential values and entity in bioethics; aspects of Edeh's philosophy and his work on the peace in the world; transculturality and Igbo proverbs shaped in form of Japanese Haiku poetry. These reflections emphasize the importance of induced aesthetic mental state in the subject, which derives from biological impulses but from archetypal and symbolic value of the object and continuously enter into a metaphysical experience as a form of life energy and human existential need. In this context, we discover also Edeh's philosophy as a new stimulus for further reflections and research on human life potentials, creativity, peace and Man's cosmic responsibility.

Anatomy of regret: a developmental view of the depressive position and a critical turn toward love and creativity in the transforming schizoid personality.

PubMed

Kavaler-Adler, Susan

2004-03-01

This article deals with critical psychic transformation in a schizoid personality disorder that evolves in an object relations psychoanalysis in which "developmental mourning" plays a central role. Within a mourning process that allows for the grieving of loss related to arrested separation-individuation development, the analysand confronts the existential grief of regret that had always unconsciously haunted her. The unconscious guilt related to the existential grief of regret had caused much dissociation of self-experience and affect states. The analysand acknowledges her own part in the destruction of primal and current relationships after the traumatic impact of her early life is understood. This allows her to repair current relationships, both within her internal and external worlds so that she can open to capacities for love and creativity. The analysand's courage to consciously grapple with her regret (loss and guilt combined) allows her to relinquish self-sabotaging character defenses such as contempt and emotional withdrawl. Consequently, a second marriage is salvaged and enriched, and the analysand's relationship with her two children is dramatically improved.

General Conversion for Obtaining Strongly Existentially Unforgeable Signatures

NASA Astrophysics Data System (ADS)

Teranishi, Isamu; Oyama, Takuro; Ogata, Wakaha

We say that a signature scheme is strongly existentially unforgeable (SEU) if no adversary, given message/signature pairs adaptively, can generate a signature on a new message or a new signature on a previously signed message. We propose a general and efficient conversion in the standard model that transforms a secure signature scheme to SEU signature scheme. In order to construct that conversion, we use a chameleon commitment scheme. Here a chameleon commitment scheme is a variant of commitment scheme such that one can change the committed value after publishing the commitment if one knows the secret key. We define the chosen message security notion for the chameleon commitment scheme, and show that the signature scheme transformed by our proposed conversion satisfies the SEU property if the chameleon commitment scheme is chosen message secure. By modifying the proposed conversion, we also give a general and efficient conversion in the random oracle model, that transforms a secure signature scheme into a SEU signature scheme. This second conversion also uses a chameleon commitment scheme but only requires the key only attack security for it.

How to justify avoidance of communications related to death anxiety in the health care system.

PubMed

Sariyar, Murat

2015-08-01

It might seem obvious that dealing with death anxiety in the health care system is desirable. Hence, there are either voices that demand more research on how this openness can be fostered or those who consider this topic unworthy of further investigations because of its triviality. The idea behind both deficient perspectives is that the health care system as a communication system can assume the position of a second-order observer who can account for his deficits. However, in terms of Luhmannian systems theory, external perturbations cannot force a functional system to reflect and change the structure of his communications in a certain way. The health care system as a communication system cannot do more than integrating the topic of death anxiety in terms of its functional perpetuation. For example, in hospitals, neither health care staff nor external counselors are able to address existential issues without being affected by functional and structural requirements of the hospital. We present an outline for the justification of the avoidance of death-anxiety related talk in the health care system by reference to systems theory and existential philosophy.

Impact of cutaneous disease on the self-concept: an existential-phenomenological study of men and women with psoriasis.

PubMed

Watson, Tracy; de Bruin, Gideon P

2007-08-01

The aim of this article is to focus on the meaning-making experience of men and women who suffer from psoriasis and the impact on the various dimensions of the self-concept. The methodology employed relied on existential phenomenology so as to create the rich descriptions of the lived experiences of this group. Descriptions were elicited from the formulation of an open-ended question. It was discovered that (a) the self-concept is pivotal in the experience of what it means to live with psoriasis, (b) the attitude of doctors towards their patients impacts the sufferer's emotional well-being, and (c) trait self-esteem appears to be related to psychological recovery. The results of this study revealed many important areas for future research and suggest that having a healthy self-concept prior to developing psoriasis is pivotal in accounting for why some people recover remarkably well psychologically and others do not. The findings have important implications for all within the health care profession in helping to effect positive change in their future endeavors with persons suffering from cutaneous disease.

Communication and abnormal behaviour.

PubMed

Crown, S

1979-01-01

In this paper the similarities between normal and abnormal behaviour are emphasized and selected aspects of communication, normal and aberrant, between persons are explored. Communication in a social system may be verbal or non-verbal: one person's actions cause a response in another person. This response may be cognitive, behavioural or physiological. Communication may be approached through the individual, the social situation or social interaction. Psychoanalysis approaches the individual in terms of the coded communications of psychoneurotic symptoms or psychotic behaviour; the humanist-existential approach is concerned more with emotional expression. Both approaches emphasize the development of individual identity. The interaction between persons and their social background is stressed. Relevant are sociological concepts such as illness behaviour, stigma, labelling, institutionalization and compliance. Two approaches to social interactions are considered: the gamesplaying metaphor, e.g. back pain as a psychosocial manipulation--the 'pain game'; and the 'spiral of reciprocal perspectives' which emphasizes the interactional complexities of social perceptions. Communicatory aspects of psychological treatments are noted: learning a particular metaphor such as 'resolution' of the problem (psychotherapy), learning more 'rewarding' behaviour (learning theory) or learning authenticity or self-actualization (humanist-existential).

A novel methodology for the objective ascertainment of psychic and existential damage.

PubMed

Ferrara, Santo Davide; Ananian, Viviana; Baccino, Eric; Boscolo-Berto, Rafael; Domenici, Ranieri; Hernàndez-Cueto, Claudio; Mendelson, George; Norelli, Gian Aristide; Ranavaya, Mohammed; Terranova, Claudio; Vieira, Duarte Nuno; Viel, Guido; Villanueva, Enrique; Zoia, Riccardo; Sartori, Giuseppe

2016-09-01

Personal injury is a legal term for a physical or psychic injury suffered by the plaintiff under civil and/or tort law. With reference to non-pecuniary damages, the evidence itself of physical and/or psychic injury is not sufficient for damage compensation. The process of ascertaining impairments and/or disabilities which pertain to the "personal sphere" of the individual, such as pain and suffering, loss of amenity, and/or psycho-existential damage, poses particular difficulties in relation to the obtainment of scientific evidence. The "immateriality" and the subjective connotation of the personal sphere are, in themselves, critical issues. The clinical data obtained from the neuropsychological ascertainment find their essential prerequisite in the active participation of the examinee who, in legally relevant contexts (criminal law, civil law, insurance), may be "affected" by personal interests. The present manuscript presents a novel interdisciplinary methodology, experimented on a series of judicial and extra-judicial cases, aimed at the attainment of objectivity and accuracy eligible in relation to the judicial settlement of cases and other matters involving the ascertainment of peculiar aspects of non-pecuniary damage.

An Exploration of the Differential Effects of Parents' Authoritarianism Dimensions on Pre-school Children's Epistemic, Existential, and Relational Needs

PubMed Central

Guidetti, Margherita; Carraro, Luciana; Castelli, Luigi

2017-01-01

Research on adult populations has widely investigated the deep differences that characterize individuals who embrace either conservative or liberal views of the world. More recently, research has started to investigate these differences at very early stages of life. One major goal is to explore how parental political ideology may influence children's characteristics that are known to be associated to different ideological positions. In the present work, we further investigate the relations between parents' ideology and children cognitive processing strategies within the framework of political ideology as motivated social cognition (Jost et al., 2003) and the dual process model of political ideology (Duckitt et al., 2002). Specifically, epistemic (implicit attitudes toward order vs. chaos), existential (negativity and threat bias), and relational needs (conformity measure) were assessed in pre-school children (N = 106; 4–6 years). For each child at least one parent completed both the Social Dominance Orientation (SDO) and the Right Wing Authoritarianism (RWA) measures. Interestingly, results indicated that mothers' and fathers' responses had unique associations with children's socio-cognitive motivations, and different findings emerged in relation to the two facets of parental authoritarianism, namely dominance (i.e., SDO) and submission (i.e., RWA). More specifically, children's existential needs appeared to be more related to mothers' RWA scores, whereas children's epistemic needs appeared to be more related to fathers' SDO. Finally, parents' RWA and SDO scores appeared to have opposite effects on children's relational needs: children's conformity increased at increasing levels of mothers' RWA and decreased at increasing levels of fathers' SDO. Overall, however, results were relatively weak and several links between the responses of parents and their children were not significant, suggesting caution in drawing strong conclusions about the impact of parents' ideology. Limitations and future developments will be discussed. PMID:28119661

Anagogy of autonomy.

PubMed

Boyd, A L

2000-07-01

The philosophical and ethical concept of autonomy is herein examined, ex post facto, using an existential lens to examine the process of a personal friend's dying. Anagogy, defined as interpretation of a word, passage, or text that finds beyond the literal, allegorical, and moral senses a fourth and ultimate spiritual or mystical sense, is intended to enlarge the understanding of the use of autonomy in this case. The idea of personhood linked inextricably to reason is, therefore, understood as empowering an individual to choose among various actions, to define and redefine life goals, and to give priority to selected values and moral tenants, which reveal a moral hermeneutic. Conditions and circumstances, existentially exposed, limit choice in unexpected ways, such that the predicted value of autonomy is vulnerable to misuse or misunderstanding. The intent to respect the dignity of every person is central to the philosophy of Respect for Persons ethics, and assumes that autonomy, as freedom of the moral agent, is a moral duty. Implicit reality of freedom is, in a practical sense, essential to being rational agents who can thereby exercise informed choice. The moral law, law of freedom, involves the autonomy of the will and an ultimate end to which all action is directed. Defined as the highest good, morality unites virtue and happiness by ascribing the ultimate end sought as God. The freedom to use rational will finds principles within its own rational nature. The ability to create maxims is autonomy of the will, which equates with the dignity of persons. My recent experience as a companion to a personal friend with a terminal illness inspired me to re-evaluate the concept of autonomy as it is too often interpreted in modern ethical discourse as a individualistic right of choice as opposed to the hermeneutic of dignity of person. This paper describes a shift of position in understanding the paradox of autonomy in this existential context.

Caring communities as collective learning process: findings and lessons learned from a participatory research project in Austria.

PubMed

Wegleitner, Klaus; Schuchter, Patrick

2018-04-01

By now, the public health end-of-life care approach is well established and has induced diverse initiatives-subsumed under the concept of compassionate or caring communities-to engage the community in supporting vulnerable, dying people and their beloved ones. In the light of a participatory research project our paper examines the question: what are the deeper ideas behind caring communities and what constitutes a caring community? A multi-level analysis based on (I) qualitative research with focus groups and interviews with community members within the project; (II) the reflection of the role of participatory research in caring community initiatives, and (III) the meta-analysis of an international expert workshop, which allowed to discuss our experiences and insights in the light of international caring community models and expertise. Our analysis of qualities ("ingredients") of a caring community, from the perspective of community members, highlighted the importance of the co-creation of supportive care relationships in the local care web, through everyday life solidarity in the neighbourhood, appreciating and exchanging the wisdom of care, and also marked the role of professionals as enablers. Participatory research in caring community developments has the potential to engage and empower citizens, and to interlink existential care-stories with questions about the structural and political environments of appropriate end-of-life care. The caring community movement and public health end-of-life care has to maintain their critical potential against the commercialization and fragmentation of care (services), but also without "romanticizing" communities. Prospective caring community progresses need (I) an ecological health-promotion framework for action and (II) social learning processes along the existential experiences and the wisdom of community members, complementing each other. Organizing existential-political care dialogues can contribute to an ethic of caring in practice on a community level.

Unmet patient needs in systemic sclerosis.

PubMed

Rubenzik, Tamara T; Derk, Chris T

2009-04-01

Assessment of systemic sclerosis patients has not directly addressed functioning from the patient's perspective. With this study, we aim to gain our patient's point of view by using a questionnaire to describe their unmet needs and understanding what demographic parameters influence these. A computer randomization program selected 50 patients, from 242 systemic sclerosis patients actively followed at our rheumatology clinic, to receive a survey about unmet needs. Twenty-five patients responded to the survey. Of 81 questions, 9 provided demographic data, whereas 72 questions addressed physical, daily living, psychologic, spiritual, existential, health services, health information, social support, and employment issues. A 4-point scale from no need to high need was used to rate all questions. Significant need was considered any issue for which more than 50% of patients reported a high need. The Fisher exact test was used to compare different demographic variables to unmet patient needs. The psychologic/spiritual/existential category had 9 questions reaching significance, the health services category had 5 significant questions, the physical category had 4 significant questions. Patients who had not attended college were more likely to have higher needs than patients who completed a college degree. Unmarried patients reported higher needs in 8 measures as compared with married patients, and patients in rural areas had higher needs in social support needs. The greatest prevalence of unmet needs in scleroderma patients were in the psychologic/spiritual/existential domain, such as being unable to do things they used to do, fear that the disease will worsen, anxiety and stress, feeling down or depressed, fears of physical disability, uncertainty about the future, change in appearance, keeping a positive outlook, and feeling in control. Significant differences were observed in unmet needs based on education, marital status, location, knowledge of disease, and age. Understanding each patient's specific unmet needs either through direct questioning or by the use of a questionnaire such as the one used for this study can help clinicians to give better care to each of our patients.

Children in Residential Group Care with No Family Ties: Facing Existential Aloneness

ERIC Educational Resources Information Center

Dvir, Orly; Weiner, Anita; Kupermintz, Hagai

2012-01-01

The issue of children living in residential group care in Israel completely without family ties is studied in order to explore the feelings of staff and uncover possible characteristics of these children. Data were collected through focus groups, questionnaires, and life stories of children who left group care at 18 years of age. Results reveal…

Role Strain and Adaptation Issues in the Strength-Based Model: Diversity, Multilevel, and Life-Span Considerations

ERIC Educational Resources Information Center

Bowman, Phillip J.

2006-01-01

This article applauds the strength-based model (SBM) of counseling but calls for an extension. In the existential or humanistic tradition, the SBM builds on emerging trends in psychology to highlight the importance of individual strengths in counseling interventions. However, a role strain and adaptation (RSA) approach extends the SBM to…

Like Circles on the Water: A Study of Adolescent Identity. Linkoping Studies in Education and Psychology, No. 62.

ERIC Educational Resources Information Center

Adamson, Lena

This thesis explores the subject of identity development during late adolescence by analyzing research from three studies: "Self-concept and questions of life: Identity development during late adolescence" (Adamson and Lyxell, 1996); "Adolescent identity--a qualitative approach: Self-concept, existential questions and adult contacts" (Adamson and…

Spiritual Well-Being Scale Differences between Caucasian Males and Females.

ERIC Educational Resources Information Center

Miller, Geri; Gridley, Betty; Chester, Terri; Nunn, David; Vickers, Valerie

This paper presents an exploratory factor analysis of the Spiritual Well-Being (SWB) Scale, which was developed to examine overall life satisfaction. It is a 20-item, self-report instrument that measures three dimensions: an overall Spiritual Well-Being score, a Religious Well-Being score, and an Existential Well-Being score. The findings show…

An Eye for an I: Neil Gaiman's Coraline and Questions of Identity

ERIC Educational Resources Information Center

Rudd, David

2008-01-01

This paper sees Neil Gaiman's "Coraline" as following a darker tradition in children's literature, most commonly found in the fairy tale. It explores some of the existential issues that concern us all: to do with identity, sex, death, ontology, evil, desire and violence. The article takes a largely psychoanalytical approach, showing how Freud's…

Life and Self Meaning: The Process of Their Creation.

ERIC Educational Resources Information Center

Weenolsen, Patricia

Research has not addressed issues of life meaning in a life-span developmental framework. The Loss and Transcendence paradigm was developed as a humanistic-existential approach to life-span development which has as its central theme the concept that individuals are in a continuous process of creating their lives and their selves. To explore loss…

Can Education Add Value to Values? A Study of Law Students

ERIC Educational Resources Information Center

Palermo, Josephine; Evans, Adrian

2004-01-01

In the global market place the value of education takes on many meanings. In transnational education forums it relates to the market's assessment (in dollar terms) of a qualification. But can we measure the value-addedness of tertiary education in existential terms? Can we measure the value that tertiary education provides to the enhancement of…

Demoralization in Health Professional Practice: Development, Amelioration, and Implications for Continuing Education

ERIC Educational Resources Information Center

Gabel, Stewart

2013-01-01

Demoralization is a feeling state of dejection, hopelessness, and a sense of personal "incompetence" that may be tied to a loss of or threat to one's own goals or values. It has an existential dimension when beliefs and values about oneself are disconfirmed. Numerous sources describe high rates of dissatisfaction and burnout in…

Toward a Communication Theory Focused on Humankind's Future.

ERIC Educational Resources Information Center

Ternent, William A.; Ternent, Janet A.

This speech presents a model of human communication which integrates the existential philosophy of Martin Buber with the communication views of Jonas Salk. In his book, "The Survival of the Wisest," Salk characterizes an "Epoch A" to describe the values and behaviors of the past and an "Epoch B" to describe the necessary values and behaviors for…

Teaching for the Recovery of Meaning: An Imagination-Centered Pedagogical Approach for Today's College Students

ERIC Educational Resources Information Center

Manning, Patrick R.

2017-01-01

In the face of a mounting mental health crisis among college students, professors have an opportunity and responsibility to respond to their students' psychological distress. Psychological and historical scholarship suggests that the proliferation of modern media and breakdown in traditional sources of existential meaning like religion are…

Nietzche at Northern: An Existential Narrative of Confronting the Abyss

ERIC Educational Resources Information Center

Thomas, Jim

2008-01-01

When good people do violently bad things, one seeks answers, drawing from one's repertoire of theories and concepts that have served him/her well. Underlying one's attempts to understand violent behavior is the belief that one can impose sense on seemingly insensible actions. Sometimes, in the face of inexplicable events, one is left to try to…

Bringing the Meaning Back In: Exploring Existentially Motivated Terrorism

DTIC Science & Technology

2016-06-01

approaches, radicalization theory examines terrorists with a multidisciplinary integration of psychology and rational choice along pathways and processes...Individual psychological traits or abnormalities combine with upbringing and environment to lead an individual down a path toward violence. It is...profiles of individual terrorists finds but one commonality— their essential normalness.56 Explaining terrorism though abnormal psychology is

The Lived-Experience of Novice Nurse's Actualizing Clinical Reasoning in Academic Simulation

ERIC Educational Resources Information Center

Brinker, Mary Catherine

2016-01-01

The purpose of this existential-phenomenological study was to address the first-person perspective of what it is like to experience clinical reasoning during a simulation. It was not known how a novice nurse would describe the experience of actualizing clinical reasoning during the academic simulation experience. In order to maintain the…

Moving Out of the Cellar: A New (?) Existentialism for a Future without Teachers

ERIC Educational Resources Information Center

Kline, Kip; Abowitz, Kathleen Knight

2013-01-01

In this article authors Kip Kline and Kathleen Abowitz write that the "new breed of accountability-driven schools is more interested in reaching some number at the end of the school year" than in actually constructing places where teachers can create meaningful learning experiences for students. In this article they argue that…

Using an Existential Psychotherapy Framework to Assist Students in Mindful Internet Use

ERIC Educational Resources Information Center

Eells, Gregory T.

2016-01-01

The use of the mobile Internet continues to play an increasing role in all of our lives and particularly in the lives of college and university students. Questions have been raised about the impact of the Internet on adolescents' and college students' fulfillment of traditional developmental tasks and more broadly their mental health. The present…

The Poetry of John Dewey

ERIC Educational Resources Information Center

Williams, Jerry L.

2016-01-01

This essay examines the poetry of John Dewey, 101 poems in total. Characteristic of the rhymed and metered poetry of the period, they show a very human side of Dewey. This analysis argues that many of his poems deal with existential themes--love, finitude, and God, for example. On a deeper level these poems are also show connections to Dewey's…

Group Counseling Using the Gestalt Approach.

ERIC Educational Resources Information Center

Schneibel, Dan

The phenomenological-existential therapy known as gestalt therapy sees awareness as its major goal. Clients are helped to become aware of what they are doing, how they are doing it, and how they can change themselves while, at the same time, learning to accept and value themselves. An important topic in the gestalt group process is the key…

You Are Alive Right Now: An Experimental Exploration of the Interplay between Existential Salience, Mental Health, and Death Anxiety

ERIC Educational Resources Information Center

Pashak, Travis J.; Oswald, Samuel R.; Justice, Michelle D.; Seely, Laura T.; Burns, Brittany R.; Shepherd, Sarah J.

2017-01-01

Terror management theory (TMT) places death anxiety in an explanatory role in cognition, affect, and behavior, spanning mental health to cultural trends. We aimed to connect TMT to trait death anxiety, and propose an additional component: "life acknowledgement" (life awareness, lived experience connection, liveliness engagement) which…

Algorithm Diversity for Resilent Systems

DTIC Science & Technology

2016-06-27

data structures. 15. SUBJECT TERMS computer security, software diversity, program transformation 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF 18...systematic method for transforming Datalog rules with general universal and existential quantification into efficient algorithms with precise complexity...worst case in the size of the ground rules. There are numerous choices during the transformation that lead to diverse algorithms and different

Embodied Learning and School-Based Physical Culture: Implications for Professionalism and Practice in Physical Education

ERIC Educational Resources Information Center

Thorburn, Malcolm; Stolz, Steven

2017-01-01

We write as critical theorists, who consider that in terms of scoping out robust conceptual elaborations which are suitable for contemporary schooling, that physical education has ground to make up connecting theory with practice and practice with theory. We advocate that aspects of existentialism and phenomenology can provide a theoretically…

Vision, Curriculum, and Pedagogical Content Knowledge in the Preparation of Israel Educators

ERIC Educational Resources Information Center

Backenroth, Ofra; Sinclair, Alex

2014-01-01

In this article we explore how we as teacher educators translate a new vision of Israel education into curricular practice in the preparation of emerging Jewish educators. Using a practitioner inquiry mode of research, we reflect on our existential vision of Israel education and its translation into practice as creators and directors of a semester…

Elder Theatre: Positive Image of Aging and Forum for Intergenerational Communication.

ERIC Educational Resources Information Center

Minister, Kristina

If art, when defined by existential and phenomenological boundaries, promotes self-understanding, then the verbal arts in particular offer fully developed hypothetical analogues of humans in action. The need to find some measure of self-knowledge through art does not diminish with age, but the self-understanding promoted by the portrayal of the…

In Search of the Environmentalist Way: Beyond Mending the Machine

ERIC Educational Resources Information Center

Stables, Andrew

2017-01-01

In this essay, Andrew Stables notes that philosophies such as existentialism, humanism, and environmentalism come in either exploratory or active forms: that is, one can study the nature of existence or the human, or one can ascribe to a way of life in an attempt to improve the world. Among the major influences on active environmentalist thought…

Predictors of Drug/Alcohol Abuse and Sexual Promiscuity of College Students.

ERIC Educational Resources Information Center

Nam, Jeong Sook; And Others

This study examined the relationship between the individual's purpose in life, existential anxiety, powerlessness and use of alcohol/drugs and the tendency to be sexually promiscuous. The study is rooted in the work of Viktor E. Frankl, which suggested that a lack of meaning and purpose can cause socially deviant behavior and psychological…

A Reflection on Musical Experience as Existential Experience: An Ontological Turn

ERIC Educational Resources Information Center

Pio, Frederik; Varkoy, Oivind

2012-01-01

In the current world of education, politics and public opinion, musical experience is increasingly threatened. It is designated ever more as an expendable luxury. This kind of general trend has hardly left the thinking in the field of music and music education untouched. Inspiration comes from the technical rationality of our time. This…

The Impossibility of Muslim Citizenship

ERIC Educational Resources Information Center

Ali, Arshad Imtiaz

2017-01-01

In this article I ask a seemingly simple question--How can a Muslim be a liberal citizen? In order to explore this question I define who and what was indexed by the term "Muslim" at various points in United States history. I argue that the figure of the Muslim has existed as an existential other upon which otherness, violence, and…

Nurses' Judgment as They Care for Persons Who Exhibit Impaired Judgment: A Phenomenonological Study.

ERIC Educational Resources Information Center

Doona, Mary Ellen

1995-01-01

A study looked at the process by which psychiatric nurses (n=6) make judgments as they care for people with impaired judgment. Results revealed an overarching theme--judgment as personal responsibility--and four major themes: closeness to clinical data, critical reflection, respect for one's knowledge and ignorance, and the existential nature of…

Existentialism in the Development of Islamic Education Institutions: A Portrait of Excellent School Development of Yapita Primary School Surabaya

ERIC Educational Resources Information Center

Mukaffa, Zumrotul

2017-01-01

This paper describes the development efforts of Islamic educational institution in order to maintain its existence in the midst of competition between educational institutions with various backgrounds of social religious organization communities that surround and underlie them. Yapita Primary School is a portrait of Islamic educational institution…

An Existential Approach: An Alternative to the AA Model of Recovery

ERIC Educational Resources Information Center

Rogers, Maria A.; Cobia, Debra

2008-01-01

Alcoholics Anonymous (AA) is the most widely used organization for the treatment of alcoholism. AA's philosophy has changed how many people view themselves and their substance use. The majority of substance abuse programs in the United States use the 12 steps, either by making them the basis of their treatment program, or by introducing AA to…

Fell Running and Voluptuous Panic: On Caillois and Post-Sport Physical Culture

ERIC Educational Resources Information Center

Atkinson, Michael

2011-01-01

As many cultural groups in Western societies have become disaffected with mainstream sports cultures and their logics of practice, sociologists of sport and physical culture have turned their attention to the existential benefits of play and games. There is growing interest in revisiting and exploring the classic theories of play in society,…

China Confronts Kant When University Students Experience the Angst of Freedom

ERIC Educational Resources Information Center

Shaw, Robert Keith

2016-01-01

An existential interpretation of student angst in Chinese universities raises issues of autonomy and freedom. The governance arrangements in China create a conflict for Chinese students who in their coursework are urged to become critical-minded and open-minded. In this essay, Kant's moral theory provides access to this phenomenon. His theory of…

An Existential Portraiture of an Educational Leadership Course: Soulful Transcendence through Poetics

ERIC Educational Resources Information Center

Amonett, Catherine York

2012-01-01

This portrait captured a journey of 13 individuals that participated in an educational leadership course. The subjects were members of a Cohort and the course was the last course in the program. The portraiture methodology was utilized so that the nuances in relationships, feelings and the portraitist's voice could create a layered,…

The Existential Self: Challenging and Renegotiating Gender Identity through Higher Education in England

ERIC Educational Resources Information Center

Fuller, Carol

2018-01-01

This article explores perceptions of the role of education as a potential medium of transformation and a vehicle to challenge and renegotiate symbolic and cultural notions of gender identity. Drawing on data collected at two time points over 10 years, it considers four young women from working-class backgrounds in England who aspired to and then…

"Words with Power" for Social Transformation: An Anatomy of Biblical Criticism for Theological Education

ERIC Educational Resources Information Center

Walker-Jones, Arthur

2008-01-01

The proliferation of methods of literary criticism in biblical studies raises the question of how to introduce students to the field. This article argues that the work of Northrop Frye is useful for teaching the existential meaning and social impact of the Bible. The first section introduces relevant aspects of Frye's literary theory. The second…

Grief and Loss: Towards an Existential Phenomenology of Child Spirituality

ERIC Educational Resources Information Center

Walters, David A.

2008-01-01

Western cultures have taken on a death-denying and grief-avoiding dimension, suggesting that children in particular are to be protected from the harshness of loss and death. As a result, many children grow up without having consciously experienced the pain of major loss and grief. It is argued that having been spared from suffering, from the pain…

Labor Conflict on the National Stage: Metaphoric Lenses in Israel's Teachers' Strike

ERIC Educational Resources Information Center

Shenkar, Miriam; Shenkar, Oded

2011-01-01

Teachers often embed their labor demands within a broader context to claim high moral ground and build community support. We analyze a recent teachers' strike in Israel, looking at how the strike played out in a country where the challenges of globalization collided with a socialist legacy in the face of an existential threat. The analysis reveals…

Do Worlds Have Corners? When Children's Picture Books Invite Philosophical Questions

ERIC Educational Resources Information Center

Maagero, Eva; Ostbye, Guri Lorentzen

2012-01-01

In this article, we want to present and analyse the picture book "The World has no Corners" (2006/1999) by the Norwegian author and illustrator Svein Nyhus. The book represents a new trend in Norwegian picture books for children by inviting the readers into a world of thinking and wondering about existential topics such as life and death, growing…

Philosophy of Education in Cultural Perspective. Essays Commemorating the Twenty-Fifth Anniversary Celebration of the Far Western Philosophy of Education Society.

ERIC Educational Resources Information Center

Jelinek, James John, Ed.

The manuscript contains 48 essays commemorating the 25th anniversary of the Far Western Philosophy of Education Society. Topics included are cultural awareness; the teaching of values; philosophy and teacher education; humanistic education; existentialism and education; the nature of man; and the educational philosophies of Abraham J. Heschel,…

From neurotic guilt to existential guilt as grief: the road to interiority, agency, and compassion through mourning. Part II.

PubMed

Kavaler-Adler, Susan

2006-12-01

This study is a continuation of an article that was published in the previous issue of The American Journal of Psychoanalysis (Volume 66, Number 3, September 2006). The case of Helen is illustrated in terms of the analysand's developmental mourning, countertransference, interiority, antilibidinal ego, and transformation of aggression into self-agency.

A Study of Spiritual Intelligence of the Pre-Service Teachers at the Secondary Stage in Relation to Self Esteem and Emotional Maturity

ERIC Educational Resources Information Center

Vibha, Keerti

2011-01-01

The study was conducted on a sample of 500 B.Ed. teacher trainees from School of Education, Lovely Professional University, Phagwara. Spiritual Intelligence and its dimensions of Transcendence, Interconnectedness, Expansion of Self, Extrasensory Perception and Existential Enquiry were taken up as dependent variables and whereas Self Esteem and…

Saving Black Boys: Unimaginable Outcomes for the Most Vulnerable Students Require Imaginable Leadership

ERIC Educational Resources Information Center

Smith, Rosa A.

2005-01-01

Defining moments generally do not come at a time of a leader's choosing but in the course of leading. In this article, the author explains when she suddenly understood how to best explain and frame her professional mission regarding urban public education. Sections include: (1) Existential Moments; (2) A New Vision; (3) Lifesaving Measures; and…

A Review of Palliative Sedation.

PubMed

Bobb, Barton

2016-09-01

Palliative sedation has become a standard practice to treat refractory symptoms at end-of-life. Dyspnea and delirium are the two most commonly treated symptoms. The medications used in palliative sedation are usually benzodiazepines, barbiturates, antipsychotics, and/or anesthetics. Some ethical considerations remain, especially surrounding the use of palliative sedation in psychological distress and existential suffering. Copyright © 2016 Elsevier Inc. All rights reserved.

Sexual Assault: The Dark Side of Military Hypermasculinity

DTIC Science & Technology

2016-02-16

carter- telling-military-open-all-combat-jobs- women /76720656/. 41. DMDC Human Resources Strategic Assessment Program, “2012 Workplace and...equal opportunity education and training programs and increased more combat roles to women . To provide additional oversight and management of sexual...desire for women , a perceived existential threat or challenge to one’s manhood, and the endorsement and validation of stereotypical military

Job Burnout and Couple Burnout in Dual-Earner Couples in the Sandwiched Generation

ERIC Educational Resources Information Center

Pines, Ayala Malach; Neal, Margaret B.; Hammer, Leslie B.; Icekson, Tamar

2011-01-01

We use existential theory as a framework to explore the levels of and relationship between job and couple burnout reported by dual-earner couples in the "sandwich generation" (i.e., couples caring both for children and aging parents) in a sample of such couples in Israel and the United States. This comparison enables an examination of…

Enhancing We11-Being During Breast Cancer Recurrence.

DTIC Science & Technology

1999-07-01

concerns. Among the factors that predicted higher distress were more symptoms, lack of social support, less hope , and being younger. Cella, Mahon...medical problems and existential concerns. Among the factors that predicted higher distress were more symptoms, lack of social support, (ess hope ...own oral history), the importance of hope . Stress management: approaches that may be helpful, including relaxation, visualization, exercise (with

The Analytic System of Martin Heidegger's Da-Sein and the Anthropology of Max Scheler in the Educational Perspective

ERIC Educational Resources Information Center

Ishchenko, N. I.

2017-01-01

When applied to education, Heidegger's analysis of Da-sein suggests that in his ontology the epistemological problem of clarifying cognition is replaced by the existential problem of the cognition of the understanding individual. Thus, Heidegger treats "education" ontologically as the ability to achieve Da-sein as one's own true and…

JPRS Report, East Europe.

DTIC Science & Technology

1989-10-26

violence and dictatorship and their substitution by a humanistic ide- ology of democratic socialism. If we want to avoid groping about politically...the association to maintain regular and good relations with political parties and governmental institutions. This is because the existential ...is the humanistic ; it proclaims what pertains to the individual to be sacred and declares that the rules of arithmetic cannot be applied to human

Fear and Loathing in the Academy? The Role of Emotion in Response to an Impact Agenda in the UK and Australia

ERIC Educational Resources Information Center

Chubb, Jennifer; Watermeyer, Richard; Wakeling, Paul

2017-01-01

The research impact agenda is frequently portrayed through "crisis" accounts whereby academic identity is at risk of a kind of existential unravelling. Amid reports of academics under siege in an environment in which self-sovereignty is traditionally preferred and regulation is resisted, heightened emotionalism, namely fear and dread,…

Governing American Education: Why This Dry Subject May Hold the Key to Advances in American Education

ERIC Educational Resources Information Center

Tucker, Marc S.

2013-01-01

The fundamental changes taking place in the global economy pose an existential threat for high-wage economies like the United States. Countries with high-wage economies will either figure out how to convert their mass education systems into systems that can educate virtually all their students to the standards formerly reserved for their elites,…

Spiritual well-being and quality of life in patients with spinal cord injury: A study from Iran.

PubMed

Hajiaghababaei, Marzieh; Saberi, Hooshang; Rahnama, Parvin; Montazeri, Ali

2018-05-07

To assess the relationship between spiritual well-being and health-related quality of life (QOL) among patients with spinal cord injury (SCI). Brain and SCI Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran. This was a cross-sectional study. A sample of patients with SCI participated in the study and completed two questionnaires: the Short-Form 36-Item Health Survey (SF-36) in order to collect data on vitality, social functioning, mental health and role emotional and the Spiritual Well-Being Scale (SWBS) to measure religious and existential well-being. The association between spiritual well-being and health-related QOL was then assessed. In all 213 patients were studied. The mean age of patients was 43.5 (SD = 10.8) years, and most were male (77.5%). The results obtained from generalized linear regression analysis indicated that religious well-being and existential well-being were significant contributing factors to improved vitality, social functioning, mental health and role emotional. The findings suggest that having higher levels of spiritual well-being might improve quality of life in people with spinal cord injury.

Too lonely to die alone: internet suicide pacts and existential suffering in Japan.

PubMed

Ozawa-de Silva, Chikako

2008-12-01

Most striking in the recent rise of suicide in Japan are the increase in suicide among young Japanese and the emergence of Internet suicide pacts. An ethnography of suicide-related Web sites reveals a distinctive kind of existential suffering among visitors that is not reducible to categories of mental illness and raises questions regarding the meaning of an individual "choice" to die, when this occurs in the context of an intersubjective decision by a group of strangers, each of whom is too afraid to die alone. Anthropology's recent turn to subjectivity enables analyses of individual suffering in society that provide a more nuanced approach to the apparent dichotomy between agency and structure and that connect the phenomenon of suicide in Japan to Japanese conceptions of selfhood and the afterlife. The absence of ikigai [the worth of living] among suicide Web site visitors and their view of suicide as a way of healing show, furthermore, that analyses of social suffering must be expanded to include questions of meaning and loss of meaning and, also, draw attention to Japanese conceptions of self in which relationality in all things, including the choice to die, is of utmost importance.

Spiritual Well-Being, Depression, and Stress Among Hemodialysis Patients in Jordan.

PubMed

Musa, Ahmad S; Pevalin, David J; Al Khalaileh, Murad A A

2017-10-01

The spiritual dimension of a patient's life is an important factor that may mediate detrimental impacts on mental health. The lack of research investigating spiritual well-being, religiosity, and mental health among Jordanian hemodialysis patients encouraged this research. This study explored levels of spiritual well-being and its associations with depression, anxiety, and stress. A quantitative, cross-sectional correlational study. A sample of 218 Jordanian Muslim hemodialysis patients completed a structured, self-administered questionnaire. The data were analyzed using descriptive statistics and linear multivariate regression models. The hemodialysis patients had, on average, relatively low levels of spiritual well-being, moderate depression, severe anxiety, and mild to moderate stress. The results of the regression models indicated that aspects of spiritual well-being were negatively associated with depression, anxiety, and stress, but only existential well-being consistently retained significant associations after controlling for religious well-being, religiosity, and sociodemographic variables. Greater spiritual and existential well-being of Jordanian hemodialysis patients were significantly associated with less depression, anxiety, and stress. It appears that these patients use religious and spiritual beliefs and practices as coping mechanisms to overcome their depression, anxiety, and stress. The implications for holistic clinical practice are explored.

Determinants of the effect of existential behavioral therapy for bereaved partners: a qualitative study.

PubMed

Kögler, Monika; Brandl, Jürgen; Brandstätter, Monika; Borasio, Gian Domenico; Fegg, Martin Johannes

2013-11-01

Informal caregivers of palliative patients took part in existential behavioral therapy (EBT), a group intervention comprising mindfulness exercises to reduce psychological distress and improve quality of life. This study examined what the participants perceived as helpful to cope with their loss during the first year of bereavement, particularly with regard to the EBT intervention. Sixteen problem-centered, semi-structured interviews were evaluated with content analysis. Two main categories were found: social support and self-regulation. Social support includes sense of belonging as well as emotional, cognitive, and practical help experienced from others. Mindfulness and acceptance, a clear focus on the positive, and orientation toward the future were helpful strategies of self-regulation; these were also part of the EBT intervention. Mindfulness was understood as permitting emotions and acceptance of one's inner processes, even if they were not pleasant, and was found to be helpful to stop ruminative thinking. The categories considered as being helpful parallel core elements of EBT and recent grief theories. The intervention was found to be supportive and met the needs of the participants. The interviewees appreciated the continuity of EBT support from palliative care into bereavement.

The netlore of the infinite: death (and beyond) in the digital memory ecology

NASA Astrophysics Data System (ADS)

Lagerkvist, Amanda

2015-04-01

In an era that celebrates instantaneity and hyper-connectivity, compulsions of networked individualism coexist with technological obsolescence, amounting to a sense of fragmentation and a heightened tension between remembering and forgetting. This article argues, however, that in our era of absolute presence, a netlore of the infinite is emerging, precisely in and through our digital memory practices. This is visible in the ubiquitous meaning-making practices of for instance personal digital archiving through the urges for self-perpetuation; it is evident at sites where the self may be saved for posterity; it is discernible in the techno-spiritual practices of directly speaking to the dead on digital memorials, as well as in the tendency among some users to regard the Internet itself as a manifestation of eternity, "heaven" and the sacred. This article shows that by approaching digital memory cultures existentially, and by attending to the complexities of digital time, we may gain insights into important and paradoxical aspects of our existential terrains of connectivity. This makes possible an exploration into how people navigate and create meaning in the digital memory ecology-in seeking to ground a sense of the eternal in the ephemeral.

Motivated emotion and the rally around the flag effect: liberals are motivated to feel collective angst (like conservatives) when faced with existential threat.

PubMed

Porat, Roni; Tamir, Maya; Wohl, Michael J A; Gur, Tamar; Halperin, Eran

2018-04-18

A careful look at societies facing threat reveals a unique phenomenon in which liberals and conservatives react emotionally and attitudinally in a similar manner, rallying around the conservative flag. Previous research suggests that this rally effect is the result of liberals shifting in their attitudes and emotional responses toward the conservative end. Whereas theories of motivated social cognition provide a motivation-based account of cognitive processes (i.e. attitude shift), it remains unclear whether emotional shifts are, in fact, also a motivation-based process. Herein, we propose that under threat, liberals are motivated to feel existential concern about their group's future vitality (i.e. collective angst) to the same extent as conservatives, because this group-based emotion elicits support for ingroup protective action. Within the context of the Palestinian-Israeli conflict, we tested and found support for this hypothesis both inside (Study 1) and outside (Study 2) the laboratory. We did so using a behavioural index of motivation to experience collective angst. We discuss the implications of our findings for understanding motivated emotion regulation in the context of intergroup threat.

What Do We Compare When We Compare Religions? Philosophical Remarks on the Psychology of Studying Comparative Religion Abroad

ERIC Educational Resources Information Center

Irvine, Andrew

2015-01-01

The issue of comparison is a vexing one in religious and theological studies, not least for teachers of comparative religion in study abroad settings. We try to make familiar ideas fresh and strange, in settings where students may find it hard not to take "fresh" and "strange" as signs of existential threat. The author explores…

Teaching the Banking System According to Critical Education. A Study of a Schoolbook on Economics

ERIC Educational Resources Information Center

Vaina, Maria; Katidioti, Evaggelia; Ktitikos, Antonis

2013-01-01

The main objective of the current paper is to establish the deficiencies of teaching Economics in the Greek educational system. It also proposes critical education as a way of partially overcoming these issues and the way it can contribute to the protection of the everyday man and woman against the rising and current existential threats of the…

The Pedagogical Needs of Children and Adults Living in the Calais Jungle Refugee Camp: Existential Issues and Perspectives of Volunteer Teachers and Workers

ERIC Educational Resources Information Center

Bodon, Theresa C.; Votteler, Nancy K.

2017-01-01

This study aimed at examining the pedagogical needs and challenges of children and young adults living in a refugee camp in France known as the "Calais Jungle." Through the researchers' observations and interviews with volunteer teachers and workers at the camp, insights into their perspectives shed light on the pedagogical needs of…

Human Formation of Young People and Adults in Brazil: Proposal for and Evaluation of a Curriculum Component

ERIC Educational Resources Information Center

Cordeiro, Eugenia de P. B.; Policarpo, José, Jr.; Mota, Ana Paula F. da S.; Wanderley, André L.

2014-01-01

The article is based on the idea of human formation in its broadest sense, which includes the formation of the senses, corporeality, habits and practices, emotional life, the cultivation of relationships and of reflection on the existential meaning of the singular human life. It is assumed that the postulate is accepted that education is a…

Through the Crucible of Pain and Suffering: African-American Philosophy as a Gift and the Countering of the Western Philosophical Metanarrative

ERIC Educational Resources Information Center

Yancy, George

2015-01-01

In this article, I argue that African-American philosophy emerges from a socio-existential context where persons of African descent have been faced with the absurd in the form of white racism (This paper is a substantially revised version on an earlier article. See Yancy, G. (2011). "African-American Philosophy through the Lens of…

The Use of Fiction as a Didactic Tool to Examine Existential Problems

ERIC Educational Resources Information Center

Sriraman, Bharath; Adrian, Harry

2005-01-01

Recent geopolitical events have changed the na?ve way in which many teenagers view the world. In particular, it has called into question many of the moral and ethical foundations we take for granted as norms of a functioning society. In the wake of these events, it is important for teachers to allow students, in particular the gifted, to voice…

Revista de Documentacao de Estudos em Linguistica Teorica e Aplicada (DELTA): Novos Estudos em Gamatica Gerativa (Journal of Documentary Studies in Theoretical and Applied Linguistics [DELTA]: New Studies in Generative Grammar).

ERIC Educational Resources Information Center

Revista de Documentacao de Estudos em Linguistica Teorica e Aplicada, 2000

2000-01-01

This issue contains the following articles: "Resumption and Last Resort" (Joseph Aoun); "Existentials, A-Chains, and Reconstruction" (Norbert Hornstein); "How Long Was the Nineteenth Century" (David Lightfoot); "Formal Features and Parameter Setting: A View From Portuguese Past Participles and Romance Future…

Hamas between Violence and Pragmatism

DTIC Science & Technology

2009-06-01

Islamic Palestinian state. Nonetheless, as a movement, it has another far more existential objective. Once established, a movement needs to sustain...34 (related by al- Bukhari, Moslem, Abu-Dawood and al-Tarmadhi). F. Followers of Other Religions: The Islamic Resistance Movement Is A Humanistic ...Movement: Article Thirty-One: The Islamic Resistance Movement is a humanistic movement. It takes care of human rights and is guided by Islamic

Is Fromm Relevant for Relational Approaches in Psychoanalysis?

PubMed

Cortina, Mauricio

2017-08-01

This paper provides an overview of how Erich Fromm's work influenced contemporary relational and intersubjective approaches. It stresses Fromm's humanistic and existential sensibility, his explanation of how different socioeconomic and cultural contexts mold different character types, and how his center-to-center relatedness in clinical work all contribute to psychic change. The author shows how these dimensions intersect and add to current interests in relational psychoanalysis.

Clinical Holistic Medicine: The Case Story of Anna. I. Long-Term Effect of Childhood Sexual Abuse and Incest with a Treatment Approach

PubMed Central

Ventegodt, Søren; Clausen, Birgitte; Merrick, Joav

2006-01-01

The nervous breakdown of a 22-year-old, young woman was caused by severe sexual abuse in childhood, which was repressed over many years. During therapy, the patient accumulated resources to start the painful integration of these old traumas. Using holistic existential therapy in accordance with the life mission theory and the holistic process theory of healing, she finally was able to confront her old traumas and heal her existence. She seemingly recovered completely (including regaining full emotional range) through holistic existential therapy, individually and in a group. The therapy took 18 months and more than 100 hours of intensive therapy. In the beginning of the therapy, the issues were her physical and mental health; in the middle of the therapy, the central issue was her purpose of life and her love life; and at the conclusion of the therapy, the issue was gender and sexuality. The strategy was to build up her strength for several months, mobilizing hidden resources and motivation for living, before the old traumas could be confronted and integrated. The therapy was based on quality of life philosophy, on the life mission theory, the theory of ego, the theory of talent, the theory of the evil side of man, the theory of human character, and the holistic process theory of healing. The clinical procedures included conversation, philosophical training, group therapeutic tools, extended use of therapeutic touch, holistic pelvic examination, and acceptance through touch was used to integrate the early traumas bound to the pelvis and scar tissue in the sexual organs. She was processed according to 10 levels of the advanced toolbox for holistic medicine and the general plan for clinical holistic psychiatry. The emotional steps she went through are well described by the scale of existential responsibility. The case story of Anna is an example of how even the most severely ill patient can recover fully with the support of holistic medical treatment, making her feel, understand, and let go of her negative beliefs and life-denying decisions. PMID:17369995

Clinical holistic medicine: the case story of Anna. I. Long-term effect of childhood sexual abuse and incest with a treatment approach.

PubMed

Ventegodt, Søren; Clausen, Birgitte; Merrick, Joav

2006-02-02

The nervous breakdown of a 22-year-old, young woman was caused by severe sexual abuse in childhood, which was repressed over many years. During therapy, the patient accumulated resources to start the painful integration of these old traumas. Using holistic existential therapy in accordance with the life mission theory and the holistic process theory of healing, she finally was able to confront her old traumas and heal her existence. She seemingly recovered completely (including regaining full emotional range) through holistic existential therapy, individually and in a group. The therapy took 18 months and more than 100 hours of intensive therapy. In the beginning of the therapy, the issues were her physical and mental health; in the middle of the therapy, the central issue was her purpose of life and her love life; and at the conclusion of the therapy, the issue was gender and sexuality. The strategy was to build up her strength for several months, mobilizing hidden resources and motivation for living, before the old traumas could be confronted and integrated. The therapy was based on quality of life philosophy, on the life mission theory, the theory of ego, the theory of talent, the theory of the evil side of man, the theory of human character, and the holistic process theory of healing. The clinical procedures included conversation, philosophical training, group therapeutic tools, extended use of therapeutic touch, holistic pelvic examination, and acceptance through touch was used to integrate the early traumas bound to the pelvis and scar tissue in the sexual organs. She was processed according to 10 levels of the advanced toolbox for holistic medicine and the general plan for clinical holistic psychiatry. The emotional steps she went through are well described by the scale of existential responsibility. The case story of Anna is an example of how even the most severely ill patient can recover fully with the support of holistic medical treatment, making her feel, understand, and let go of her negative beliefs and life-denying decisions.

Exploring the relationship between spiritual well-being and quality of life among patients newly diagnosed with advanced cancer.

PubMed

Bai, Mei; Lazenby, Mark; Jeon, Sangchoon; Dixon, Jane; McCorkle, Ruth

2015-08-01

In our context, existential plight refers to heightened concerns about life and death when people are diagnosed with cancer. Although the duration of existential plight has been proposed to be approximately 100 days, evidence from longitudinal studies raises questions about whether the impact of a diagnosis of advanced cancer may require a longer period of adjustment. The purpose of our study was to examine spiritual well-being (SpWB) and quality of life (QoL) as well as their interrelationship in 52 patients with advanced cancer after 100 days since the diagnosis at one and three months post-baseline. The study was designed as a secondary data analysis of a cluster randomized clinical trial involving patients with stage 3 or 4 cancer undergoing treatment. SpWB was measured using the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp-12); common factor analyses revealed a three-factor pattern on the FACIT-Sp-12. Quality of life was measured with the Functional Assessment of Cancer Therapy-General (FACT-G). We limited our sample to participants assigned to the control condition (n = 52). SpWB and QoL remained stable between one and three months post-baseline, which were a median of 112 and 183 days after diagnosis, respectively. SpWB was found to be associated with QoL more strongly than physical and emotional well-being. Peace and Meaning each contributed unique variance to QoL, and their relative importance shifted over time. Faith was positively related to QoL initially. This association became insignificant at three months post-baseline. This study underscores the significance of SpWB for people newly diagnosed with advanced cancer, and it highlights the dynamic pattern of Peace, Meaning, and Faith in association with QoL. Our results confirm that patients newly diagnosed with advanced cancer experience an existential crisis, improve and stabilize over time. Future studies with larger samples over a longer period of time are needed to verify these results.

Self-competence in death work among health and social care workers: a region-wide survey in Hong Kong.

PubMed

Cheung, Johnny T K; Au, Doreen W H; Chan, Wallace C H; Chan, Jenny H Y; Ng, Kenway; Woo, Jean

2018-04-20

According to the Quality of Death Index, Hong Kong is lagging behind many other Western and Asian countries in the category of palliative and healthcare. To ensure the provision of high-quality palliative care, it is important to explore the self-competence of health and social care workers in coping with death work including palliative care. This region-wide study aims to assess the level of self-competence with a validated Self-Competence in Death Work Scale (SC-DWS) and examine its correlates. The SC-DWS was administered to a cross-sectional convenience sample of health and social care workers across eight healthcare institutions between January and October 2016. Total scores for the 16-item SC-DWS and its Existential and Emotional subscales were calculated. We then examined sociodemographic variables (e.g., age, profession, place of employment) in relation to the total and subscale scores using multiple linear regression. Coding was conducted on responses to a final open-ended question asking about the personal views of the workers towards their self-competence in death work. We collected data from 885 health and social care workers. Mean score of the SC-DWS was 60.16 (range: 16 - 80), while its Existential and Emotional subscales scored 37.90 (range: 10 - 50) and 14.46 (range: 4 - 20) respectively. Four categories of personal view towards self-competence in death work including (1) personal resources; (2) existential challenges and coping; (3) emotional challenges and coping; and (4) personal recommendations on improving self-competence were identified. In multivariate analyses, workers aged 50 or above, divorced, working in Hospice A, Rehabilitation Hospital B (where a quality improvement initiative in end-of-life care was implemented) and Acute Hospital B (a Christian institution with strong caring culture) and with personal bereavement experience had significantly higher scores, whereas nurses scored significantly lower than less-educated personal care assistants. There is still room for improvement in self-competence in death work among health and social care workers, particularly the young, nurses and those working in acute hospitals. Future initiatives should involve identifying barriers in individual healthcare institutions. Training of the provision of palliative care is necessary.

The Iraq Study Group Report

DTIC Science & Technology

2006-12-01

government and Sunni Arab tribes must aggressively pursue al Qaeda. Militias are currently seen as legitimate vehicles of political action. Shia...is focused on discouraging Kurdish nationalism, which is seen as an existential threat to Turkey’s own internal stability. The Turks have supported...global economy. Terrorism could grow. As one Iraqi official told us, “Al Qaeda is now a franchise in Iraq, like McDonald’s.” Left unchecked, al Qaeda

Analysis of the Threat of Genetically Modified Organisms for Biological Warfare

DTIC Science & Technology

2011-05-01

biological weapons of unimagined which pose an existential threat. Some believe that, inevitably, these advances will lead to a catastrophic...d. Personnel and Costs Assertions to the effect that a high school graduate can develop an effective biological weapon are arguably... biologic - weapons development.35“   Is this really true and, if so, how far is the barrier to biological weapons development being lowered? Being able to

Being in the World: An Existential Inquiry of Knowing One's Self through a Personal Project--In the Context of Dissertation Survival

ERIC Educational Resources Information Center

Kitajima, Tomoe

2012-01-01

This study--a philosophical exploration, partly in an autoethnographical account-provides an empirical demonstration that one's personal project has a strong and positive impact on the dissertation process both for endurance to complete the process and for quality of the product. The concept of project is often explained as one's pursuit…

Language for Reconciliation in Religious Discourse: A Critical Discourse Analysis of Contradictions in Sermons Explored through the Activity Theory Framework

ERIC Educational Resources Information Center

Singh, Parvinder Kaur Hukam; Thuraisingam, Thavamalar

2011-01-01

This paper attempts to shed light on the role of language in keeping religion relevant to the individual and society in present times. In the context of postmodernity, religion has become more of a meaning system to address the existential questions of the individual. Religious institutions have had to accommodate the changes brought about by a…

Learning as Existential Engagement with/in Place: Departing from Vandenberg and the Reams

ERIC Educational Resources Information Center

Hung, Ruyu

2014-01-01

This article takes Vandenberg's critique of Ream and Ream's view on the Deweyan learning environment as a departing point to explore the educational meaning of place. The divergence between Vandenberg and the Reams reminds us that the place is not merely a physical site for learners to be located in but also a horizon to be engaged with.…

THE MYTH OF THE RUSSIAN EXISTENTIAL THREAT

DTIC Science & Technology

2016-04-01

According to Sam Perlo-Freeman, director of the Stockholm International Peace Research Institute , “In terms of military capabilities, the US and NATO will...defense companies since the Reagan administration. The Russian Audit Chamber reported to the Duma Defense Commission in 2012, “30 percent of the defense...ambiguous and not fully known. General Philip Breedlove, Supreme Allied Commander Europe, testified to Congress in April of 2015, “We cannot fully grasp

Observations for Practitioners: Counterinsurgency as a Complex Operation

DTIC Science & Technology

2010-04-22

or position of the Department of the Army, Department of Defense, or the U.S. Government . OBSERVATIONS FOR PRACTITIONERS: COUNTERINSURGENCY AS A...must be reflected in updated DOTMLPF for military services and the governments they support to be effective. 6 players‖. This then leads to a...mistake for the practitioner to consider direct participation in COIN—which requires taking siding with a government in an existential fight—as

[The coma awakening unit, between intensive care and rehabilitation].

PubMed

Mimouni, Arnaud

2015-01-01

After intensive care and before classic neurological rehabilitation is possible, patients in an altered state of consciousness are cared for at early stages in so-called coma awakening units. The care involves, on the one hand, the complex support of the patient's awakening from coma as a neurological and existential process, and on the other, support for their families. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Enhancing Well-Being During Breast Cancer Recurrence

DTIC Science & Technology

2005-07-01

concerns. Among the factors that predicted higher distress were more symptoms, lack of social support, less hope , and being younger. Celia, Mahon, and...existential concerns. Among the factors that predicted higher distress were more symptoms, lack of social support, less hope , and being younger. CelIa, Mahon...spiritual concerns, activities that -mayle )Ipful (e.g., recording one’s own oral history), the importance of hope .\\ Stress management: approaches that mayv

East Europe Report.

DTIC Science & Technology

1987-02-17

existential conditions that had changed to the detriment of U.S. imperialism in order to stir up a "mood of national awaken- ing" by means of militant...historic mission of the working class. We see reflected here the profoundly humanist nature of Marxism-Leninism, its inherent sense of...realization of socialist and humanist ideals. But this does not mean that everything has already been done, that there is not much in daily life, in

China’s Peaceful Rise

DTIC Science & Technology

2014-05-20

existential war on several fronts offers the U.S. military a strong opportunity to protect its dwindling budget. 14 Glaser. 15 See Zheng Bijian, “China’s...off [the] Somali coast, [and to ensure] the safety of ships carrying humanistic materials of such international organisations as the World Food...Programme [;] and, if the need arises, the taskforce will jointly conduct humanistic rescue operations with the escorting ships of other countries.” 26

Critical Thinking and Army Religious Leadership: Challenges and Opportunities

DTIC Science & Technology

2011-06-10

rational standards of judgment, some chaplains find in CT a secular humanistic or even ―liberal‖ agenda against religious expressions and beliefs. This...Akbar Ahmed situates the debate between CT and religious beliefs and values within the context of postmodernism and raises some existential questions...truly thought critically. Yet matters of faith do not always lend themselves to rationalistic or humanistic inquiry and resist easily agreeing to

JPRS Report, East Europe.

DTIC Science & Technology

1990-02-01

consciousness constitutes brutal violence imposition of doctrinal solutions which are in conflict against the natural rights of man. It has led to the with its...specific of scouting with a humanistic way of life rather than a democratic act, but carried out "under horrible political militaristic one. and...principles escalates the existential insecurity sensed by [Schoner] I do not like that adjective, either. I espouse an everyone. At the same time the

USSR Report, Translations From Kommunist, Number 18, December 1982.

DTIC Science & Technology

1983-03-04

The historical Decree on Peace and its appeal "to everyone" to put an end to war and to violence and robbery constitutes unfading testimony to this... existentialism , reconcilation with fideism, and flirtation with mysticism. Bergson’s intuitivism, Freudianism, spiritualism, parapsychology or Zen...scientific approach to reality, on the ignorance and misleading of the youth, and the promotion of blind passions, nationalistic instincts, hatred, violence

Changes in the sexual self-schema of women with a history of childhood sexual abuse following expressive writing treatment.

PubMed

Pulverman, Carey S; Boyd, Ryan L; Stanton, Amelia M; Meston, Cindy M

2017-03-01

Sexual self-schemas are cognitive generalizations about the sexual self that influence the processing of sexually pertinent information and guide sexual behavior. Until recently sexual self-schemas were exclusively assessed with self-report instruments. Recent research using the meaning extraction method, an inductive method of topic modeling, identified 7 unique themes of sexual self-schemas: family and development, virginity, abuse, relationship, sexual activity, attraction, and existentialism from essays of 239 women (Stanton, Boyd, Pulverman, & Meston, 2015). In the current study, these themes were used to examine changes in theme prominence after an expressive writing treatment. Women (n = 138) with a history of childhood sexual abuse completed a 5-session expressive writing treatment, and essays on sexual self-schemas written at pretreatment and posttreatment were examined for changes in themes. Women showed a reduction in the prominence of the abuse, family and development, virginity, and attraction themes, and an increase in the existentialism theme. This study supports the validity of the 7 themes identified by Stanton and colleagues (2015) and suggests that expressive writing may aid women with a history of sexual abuse to process their abuse history such that it becomes a less salient aspect of their sexual self-schemas. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Domestic Violence Against Partners According to Wife-Beaters: Construction of Lifestyle and Life Meaning.

PubMed

Vignansky, Efrat; Timor, Uri

2017-08-01

This qualitative study examines the life stories of men who committed violent crimes against their intimate partners, for which they have served prison sentences. For the study, nine men in a rehabilitation hostel in Israel were interviewed. The study aim was to understand the psychological process that had brought the participants to behave violently towards their partners. Narrative analysis of the life stories resulted in two main themes. The first, childhood, was related to how the interviewee during his childhood perceived his personal identity and his parents. The second theme represented the adult interviewee's worldview of violence in general and of intimate partner violence in particular. The findings revealed a subjective feeling of inferiority and lack of worth and volition during childhood, a feeling of chaos, and the absence of existential meaning. To avoid these feelings in adulthood, the participants chose a lifestyle that included the use of force and violence, which provided them with a sense of control and meaning. Discussion of the findings is based on the individual psychology theory of Adler and his followers, as well as on the existentialist orientation. According to these approaches, the study participants, who lacked a sense of positive "existential being," developed a negative lifestyle that enabled them to feel a sense of security, value, and meaning.

Changes in the sexual self-schema of women with a history of childhood sexual abuse following expressive writing treatment

PubMed Central

Pulverman, Carey S.; Boyd, Ryan L.; Stanton, Amelia M.; Meston, Cindy M.

2016-01-01

Objective Sexual self-schemas are cognitive generalizations about the sexual self that influence the processing of sexually pertinent information and guide sexual behavior. Until recently sexual self-schemas were exclusively assessed with self-report instruments. Recent research using the Meaning Extraction Method (MEM), an inductive method of topic modeling, identified seven unique themes of sexual self-schemas: family and development, virginity, abuse, relationship, sexual activity, attraction, and existentialism from essays of 239 women (Stanton, Boyd, Pulverman, & Meston, 2015). In the current study, these themes were used to examine changes in theme prominence after an expressive writing treatment Method Women (N = 138) with a history of childhood sexual abuse (CSA) completed a five-session expressive writing treatment, and essays on sexual self-schemas written at pre-treatment and post-treatment were examined for changes in themes. Results Women showed a reduction in the prominence of the abuse, family and development, virginity, and attraction themes, and an increase in the existentialism theme. Conclusions This study supports the validity of the seven themes identified by Stanton and colleagues (2015) and suggests that expressive writing may aid women with a history of sexual abuse to process their abuse history such that it becomes a less salient aspect of their sexual self-schemas. PMID:27336216

Spiritual well-being of patients with multiple sclerosis.

PubMed

Allahbakhshian, Maryam; Jafarpour, Mahshid; Parvizi, Soroor

2011-01-01

Spiritual well-being is one of the fundamental concepts in chronic diseases which create meaning and purpose in life and is an important approach in promoting general health and quality of life. This study performed to determine the level of spiritual health and its dimensions in patients with multiple sclerosis (MS). 236 members of Iranian MS Society were volunteered to participate in a descriptive co-relational study. Spiritual well-being was evaluated by The Spiritual Well-Being Scale (SWBS) questionnaires in two religious and Existential dimensions. Descriptive statistics, ANOVA, t-test and Pearson correlation coefficient were used to analyse the data. The majority of patients (% 97.9) showed moderate spiritual well-being (mean score = 74.3, SD= 8.90). Although Existential well-being (mean score = 40.3, SD= 5.51) was higher than religious well- being (mean score = 33.9, SD= 4.88). A significant relationship was seen between economic status and the spiritual well-being. The results emphasize on the necessity of spiritual well-being as an effective factor on different aspects of these patients' life. This key point is useful and even necessary to be considered to design programs of care and cure for these patients in a country (like Iran) with cultural and religious beliefs. On the other hand, patients' economic status should be considered.

Facing the experience of pain: A neuropsychological perspective

NASA Astrophysics Data System (ADS)

Fabbro, Franco; Crescentini, Cristiano

2014-09-01

Pain is an experience that none of us would like to have but that each one of us is destined to experience in our lives. Despite its pervasiveness, the experience of pain remains problematic and complex in its depth. Pain is a multidimensional experience that involves nociception as well as emotional and cognitive aspects that can modulate its perception. Following a brief discussion of the neurobiological mechanisms underlying pain, the purpose of this review is to discuss the main psychological, neuropsychological, cultural, and existential aspects which are the basis of diverse forms of pain, like the pain of separation from caregivers or from ourselves (e.g., connected to the thought of our death), the suffering that we experience observing other people's pain, the pain of change and the existential pain connected to the temporal dimension of the mind. Finally, after a discussion of how the mind is able to not only create but also alleviate the pain, through mechanisms such as the expectation of the treatment and the hope of healing, we conclude by discussing neuropsychological research data and the attitude promoted by mindfulness meditation in relation to the pain. An attitude in which, instead to avoid and reject the pain, one learns to face mindfully the experience of pain.

Psychological variables potentially implicated in opioid-related mortality as observed in clinical practice.

PubMed

Passik, Steven D; Lowery, Amy

2011-06-01

Opioid-related deaths in the United States have become a public health problem, with accidental and unintended overdoses being especially troubling. Screening for psychological risk factors is an important first step in safeguarding against nonadherence practices and identifying patients who may be vulnerable to the risks associated with opioid therapy. Validated screening instruments can aid in this attempt as a complementary tool to clinicians' assessments. A structured screening is imperative as part of an assessment, as clinician judgment is not the most reliable method of identifying nonadherence. As a complement to formal screening, we present for discussion and possible future study certain psychological variables observed during years of clinical practice that may be linked to medication nonadherence and accidental overdose. These variables include catastrophizing, fear, impulsivity, attention deficit disorders, existential distress, and certain personality disorders. In our experience, chronic pain patients with dual diagnoses may become "chemical copers" as a way of coping with their negative emotion. For these patients, times of stress could lead to accidental overdose. Behavioral, cognitive-behavioral (acceptance and commitment, dialectical behavior), existential (meaning-centered, dignity), and psychotropic therapies have been effective in treating these high-risk comorbidities, while managing expectations of pain relief appears key to preventing accidental overdose. Wiley Periodicals, Inc.

'The engine just started coughing!' - Limits of physical performance, aging and career continuity in elite endurance sports.

PubMed

Ronkainen, Noora J; Ryba, Tatiana V; Nesti, Mark S

2013-12-01

This research examines male endurance athletes' experience of aging and/or reaching the perceived limits of physical performance. More specifically, the current study aimed to explore how existential meanings attached to these experiences are connected with athletes' decision-making concerning career continuity and retirement. Life story interviews were conducted with 10 Finnish runners and/or orienteers aged between 25 and 62 and the data was analyzed with an existential-narrative framework. Four major storylines related to aging were identified: The end of an era, putting things in perspective, the attitude has to change and winning was never the only motive. Our results suggest that endurance athletes possess diverse ways of bringing meaning to the experience of aging, both confirming and resisting the dominant cultural narrative of decline. While three athletes' stories confirmed the normativity of retirement when unable to improve their results anymore, other athletes demonstrated career continuity and positive aspects in the late career years, such as lack of competitive anxiety, finding perspective and increased enjoyment in running. We suggest that through awareness of alternative narratives, sport psychology consultants may be able to help their clients to explore new meanings in the potentially challenging and beneficial experiences of aging and athletic retirement. © 2013.

Facing the experience of pain: a neuropsychological perspective.

PubMed

Fabbro, Franco; Crescentini, Cristiano

2014-09-01

Pain is an experience that none of us would like to have but that each one of us is destined to experience in our lives. Despite its pervasiveness, the experience of pain remains problematic and complex in its depth. Pain is a multidimensional experience that involves nociception as well as emotional and cognitive aspects that can modulate its perception. Following a brief discussion of the neurobiological mechanisms underlying pain, the purpose of this review is to discuss the main psychological, neuropsychological, cultural, and existential aspects which are the basis of diverse forms of pain, like the pain of separation from caregivers or from ourselves (e.g., connected to the thought of our death), the suffering that we experience observing other people's pain, the pain of change and the existential pain connected to the temporal dimension of the mind. Finally, after a discussion of how the mind is able to not only create but also alleviate the pain, through mechanisms such as the expectation of the treatment and the hope of healing, we conclude by discussing neuropsychological research data and the attitude promoted by mindfulness meditation in relation to the pain. An attitude in which, instead to avoid and reject the pain, one learns to face mindfully the experience of pain. Copyright © 2013 Elsevier B.V. All rights reserved.

Listening to the voices of older patients: an existential-phenomenological approach to quality assurance.

PubMed

Koch, T; Webb, C; Williams, A M

1995-05-01

The motivation behind this study was a desire to gain access to the experiences of elderly people receiving nursing care in hospital. Previous experience with quantitative approaches to quality assurance had led to dissatisfaction with their neglect of the patient perspective or reliance on patient satisfaction questionnaires. An existential-phenomenological approach was used in an attempt to reconstruct patients' experiences as reported in their own words. Themes which emerged from the data and are reported here focus on 'routine geriatric care', 'care deprivation', 'depersonalization', and 'geriatric segregation'. The findings are discussed against the background of literature about nursing care of elderly people. It is suggested that in the setting studied, limitations posed by past management deficiencies, under-staffing and poor physical environment contributed to the situation reported. Trained nurses felt they worked hard to give the best care they could but, with a high ratio of untrained staff and lack of continuing education, they were aware that their levels of achievement were far from ideal. The study demonstrates that, with an appropriate methodology, it is possible to gain access to how patients' experience their care and in this sense the attempt to 'listen to the voices of patients' was successful and gives pointers to developing more patient-sensitive quality-assurance processes.

Leadership qualities when providing therapy for women who suffer from eating difficulties.

PubMed

Rørtveit, Kristine; Severinsson, Elisabeth

2012-07-01

The aim of this study was to reflect on aspects of mental health nursing leadership qualities with special focus on the therapeutic process for women who suffer from eating difficulties (ED). Therapy for patients with ED involves motivating them to make meaningful changes. Leadership qualities in MHN should focus on the relationship with the patient and positive empowerment processes. In-depth interviews were conducted with six women suffering from ED who had participated in art therapy. The interviews were analysed by means of an interpretative hermeneutic approach. A main theme 'The mental health nurse as a formative and mindful leader in a group therapeutic relationship' and two themes 'Leading sensitively towards awakening the patients' awareness of their pre-understanding' and 'Leading dialectically towards solving patients' existential dilemmas' were developed and comprised two aspects of leadership. The nurse-patient relationship is influenced by the patients' pre-understanding and existential dilemmas. Leadership qualities associated with being formative and mindful represent important aspects of this relationship and should be investigated and thematically described in greater detail in future research. The nurse-patient relationship should focus on clinical supervision, in order to strengthen the nurses' leadership qualities in terms of being aware and dialectical. © 2011 Blackwell Publishing Ltd.

Working with chronic and relentless self-hatred, self-harm and existential shame: a clinical study and reflections.

PubMed

Austin, Sue

2016-02-01

This paper is the first of a two-part series which explores some of the theoretical and experiential reference points that have emerged in my work with people whose relationship to their body and/or sense of self is dominated by self-hatred and (what Hultberg describes as) existential shame. The first paper focuses on self-hatred and the second paper focuses on shame. This first paper is structured around vignettes taken from a 14-year analysis with a woman who was bulimic, self-harmed and repeatedly described herself as 'feeling like a piece of shit'. It draws together elements of Jung's concepts of the complex and symbol, and Laplanche's enigmatic signifier to focus on experiences of 'inner otherness' around which we are unconsciously organized. It also brings Jung's understanding that emotion is the chief source of consciousness into conversation with Laplanche's approach to the transference which is that by being aware that they do not 'know', the analyst provides a 'hollow' in which the patient's analytic process can evolve. These combinations of ideas are linked speculatively to emerging understandings of the neuroscience of perception and throughout the paper clinical material is used to illustrate these discussions. © 2016, The Society of Analytical Psychology.

Psychological Variables Potentially Implicated in Opioid-Related Mortality as Observed in Clinical Practice

PubMed Central

Passik, Steven D.; Lowery, Amy

2014-01-01

Opioid-related deaths in the United States have become a public health problem, with accidental and unintended overdoses being especially troubling. Screening for psychological risk factors is an important first step in safeguarding against nonadherence practices and identifying patients who may be vulnerable to the risks associated with opioid therapy. Validated screening instruments can aid in this attempt as a complementary tool to clinicians’ assessments. A structured screening is imperative as part of an assessment, as clinician judgment is not the most reliable method of identifying nonadherence. As a complement to formal screening, we present for discussion and possible future study certain psychological variables observed during years of clinical practice that may be linked to medication nonadherence and accidental overdose. These variables include catastrophizing, fear, impulsivity, attention deficit disorders, existential distress, and certain personality disorders. In our experience, chronic pain patients with dual diagnoses may become “chemical copers” as a way of coping with their negative emotion. For these patients, times of stress could lead to accidental overdose. Behavioral, cognitive-behavioral (acceptance and commitment, dialectical behavior), existential (meaning-centered, dignity), and psychotropic therapies have been effective in treating these high-risk comorbidities, while managing expectations of pain relief appears key to preventing accidental overdose. PMID:21668755

The self, the psyche and the world: a phenomenological interpretation.

PubMed

Brooke, Roger

2009-11-01

This paper takes as its starting point Jung's definition of the self as the totality of the psyche. However, because the term psyche remains conceptually unclear the concept of the self as totality, origin and goal, even centre, remains vague. With reference to Heidegger's analysis of human being as Dasein, as well as Jung's writings, it is argued that Jung's concept of psyche is not a synonym for mind but is the world in which we live psychologically. An understanding of the psyche as existentially situated requires us to rethink some features of the self. For instance, the self as origin is thus not a pre-existential integrate of pure potentiality but the original gathering of existence in which, and out of which, personal identity is constituted. The ego emerges out of the self as the development and ownership of aspects of an existence that is already situated and gathered. Relations between the ego and the self are about what is known, or admitted, and its relation with what is already being lived within the gathering that is existence. The self as psyche, origin, and centre are discussed, as well as the meaning of interiority. Epistemological assumptions of object relations theory are critically discussed. The paper also includes critical discussions of recent papers on the self.

Is `Learning' Science Enough? - A Cultural Model of Religious Students of Science in an Australian Government School

NASA Astrophysics Data System (ADS)

Ferguson, Joseph Paul; Kameniar, Barbara

2014-10-01

This paper investigates the cognitive experiences of four religious students studying evolutionary biology in an inner city government secondary school in Melbourne, Australia. The participants in the study were identified using the Religious Background and Behaviours questionnaire (Connors, Tonigan, & Miller, 1996). Participants were interviewed and asked to respond to questions about their cognitive experiences of studying evolutionary biology. Students' responses were analysed using cultural analysis of discourse to construct a cultural model of religious students of science. This cultural model suggests that these students employ a human schema and a non-human schema, which assert that humans are fundamentally different from non-humans in terms of origins and that humans have a transcendental purpose in life. For these students, these maxims seem to be challenged by their belief that evolutionary biology is dictated by metaphysical naturalism. The model suggests that because the existential foundation of these students is challenged, they employ a believing schema to classify their religious explanations and a learning schema to classify evolutionary biology. These schemas are then hierarchically arranged with the learning schema being made subordinate to the believing schema. Importantly, these students are thus able to maintain their existential foundation while fulfilling the requirements of school science. However, the quality of this "learning" is questionable.

Psychosocial facets of resilience: implications for preventing posttrauma psychopathology, treating trauma survivors, and enhancing community resilience.

PubMed

Iacoviello, Brian M; Charney, Dennis S

2014-01-01

There is a range of potential responses to stress and trauma. Whereas, on one extreme, some respond to stress and trauma by developing psychiatric disorders (e.g., posttraumatic stress disorder, PTSD), on the other extreme are the ones who exhibit resilience. Resilience is broadly defined as adaptive characteristics of an individual to cope with and recover from adversity. Understanding of the factors that promote resilience is warranted and can be obtained by interviewing and learning from particularly resilient individuals as well as empirical research. In this paper, we discuss a constellation of factors comprising cognitive, behavioral, and existential elements that have been identified as contributing to resilience in response to stress or trauma. The psychosocial factors associated with resilience include optimism, cognitive flexibility, active coping skills, maintaining a supportive social network, attending to one's physical well-being, and embracing a personal moral compass. These factors can be cultivated even before exposure to traumatic events, or they can be targeted in interventions for individuals recovering from trauma exposure. Currently available interventions for PTSD could be expanded to further address these psychosocial factors in an effort to promote resilience. The cognitive, behavioral, and existential components of psychosocial factors that promote individual resilience can also inform efforts to promote resilience to disaster at the community level.

Emotional intelligence and spiritual well-being: implications for spiritual care.

PubMed

Beauvais, Audrey; Stewart, Julie G; DeNisco, Susan

2014-01-01

Understanding factors that influence spiritual well-being may improve nurses' spiritual caregiving. This study examined relationships between emotional intelligence (EI) and spiritual well-being (SWB) in undergraduate and graduate nursing students. Using the Mayer-Salovey-Caruso Emotional Intelligence Test (MSCEIT) and the spiritual well-being scale (SWBS) relationships were found between managing emotion and spiritual well-being, and managing emotion and existential well-being. Implications for education and practice are discussed.

The Dialectic of Faith and Reason in Cornelio Fabro's Reading of Kierkegaard's Theology.

PubMed

Furnal, Joshua

2017-09-01

This essay explores the impact of Søren Kierkegaard upon the important Italian Thomist, Cornelio Fabro. Fabro rejected the caricature of Kierkegaard as an "irrationalist" and placed him firmly in the Christian tradition. By highlighting the influence of Kierkegaard upon a Thomist like Fabro, the relevance of Fabro's own thought is opened up for more contemporary debates in theology regarding the enduring legacies of German idealism, existentialism, and atheism.

Syllogistic Reasoning Tasks, A Methodological Review.

DTIC Science & Technology

1985-07-01

and that Figure 1 syllogisms were easier than the Figure 4, con- firmed the results reported by Frase (1968). Syllogism figure also had an effect on...241 In other words, both premises must assert class inclusion to entail an af- firmative conclusion. But class inclusion can be expressed only by...34There are no unicorns " does not. * The particular propositions (I, 0) have existential import, while the two * universal propositions (A, E) do not

The Inner Cold War: State Party Control and East German Society

DTIC Science & Technology

2014-06-01

explain: “The means of exerting pressure— existentially , psychologically, and morally—were so comprehensive that they had to seriously affect most...with a very different ideology and in principle far more humanistic set of goals, yet with a comparable disregard for individual human rights and...the universities were far too focused upon humanistic research for the Party’s taste,”185 and prompted reforms in these areas starting in 1951. The

To Our Great Detriment: Ignoring What Extremists Say About Jihad

DTIC Science & Technology

2007-07-01

scripture of Islam itself, Western analysts tried to explain it in political and economic terms in keeping with their own secular- humanistic orientation...virtue of the fact that it is said or written, is meant to indicate that the Orientalist is outside the Orient, both as an existential and moral fact...with their own secular- humanistic orientation.606 (Emphasis added) In the same article, hardly religious and written by a Hindu, Rajaram argues

East Europe Report, Political, Sociological and Military Affairs, No. 2169.

DTIC Science & Technology

1983-07-20

laughed at Malthus’ predictions about food and population." The Domestic "New Philosophers" After 100 years the humanistic ideas of the classics of...is not pointless for us to reflect about the nonmaterial, ideological, but also existential offers of our self-managing Left, offers without the...but certainly humanistic future. People are familiar, then, with the commitments of Belgraders, they know the aims of Belgrade, and the means and

East Europe Report, Political, Sociological and Military Affairs, No. 2167

DTIC Science & Technology

1983-07-15

from a universal point of view of human morality, noble. What concerns us here is what the famous humanist , Professor A. Gregorczyk, has asked...thinking and action from the same system of values. What produces them is, on one hand, the objective existential conditions of a given group of people...partner relations with the humanist intelligentsia and the managerial production personnel; —thirdly, the sovereignty of the class rule of workers

Translations on USSR Political and Sociological Affairs, Number 818.

DTIC Science & Technology

1977-11-08

humanist nature of our society, where everything is arranged to serve man, for his good and on his behalf. The example of our republic is vivid evidence of...theories and concepts in the modern world—from existentialism to anarchism—the bourgeois scientists state that the borrowing of "elements of Marxism...Uprisings against violence and injustice, exploitation and poverty flared up everywhere. Even at this time bold speeches rang out about freedom, knowledge

Goethe's anxieties, depressive episodes and (self-)therapeutic strategies: a contribution to method integration in psychotherapy.

PubMed

Holm-Hadulla, Rainer M

2013-01-01

In psychiatry and psychotherapy, abstract scientific principles need to be exemplified by narrative case reports to gain practical precision. Goethe was one of the most creative writers, productive scientists, and effective statesmen that ever lived. His descriptions of feelings, emotions, and mental states related to anxieties, depressive episodes, dysthymia, and creativity are unique in their phenomenological precision and richness. His life and work can thus serve as an excellent example enhancing our understanding of the relationship between anxiety, depression and creativity. Furthermore, he described (self-)therapeutic strategies that reinforce and refine modern views. Goethe's self-assessments in his works and letters, and the descriptions by others are analyzed under the perspective of current psychiatric classification. His therapeutic techniques and recommendations are compared with cognitive-behavioral, psychodynamic, and existential psychotherapy to amplify modern concepts of psychotherapy. From a scientific perspective, several distinctive depressive episodes can be diagnosed in Goethe's life. They were characterized by extended depressive moods, lack of drive, and loss of interest and self-esteem combined with social retreat. Goethe displayed diffuse and phobic anxieties as well as dysthymia. His (self-)therapeutic strategies were: (a) the systematic use of helping alliances, (b) behavioral techniques, (c) cognitive reflection on meanings and beliefs, (d) psychodynamic and psychoanalytic remembering, repeating, and working through, and (e) existential striving for self-actualization, social commitment, meaning, and creativity. In Goethe's life, creative incubation, illumination, and elaboration appear to have been associated with psychic instability and dysthymia, sometimes with depressive episodes in a clinical sense. On the one hand, his creative work was triggered by anxieties, dysthymia, and depressive moods. On the other hand, his creativity helped him to cope with psychic disorders and suicidal tendencies. Furthermore, Goethe described psychotherapeutic strategies that resemble modern techniques. He integrated relational, behavioral, cognitive, psychodynamic, and existential techniques and attitudes. These modern psychotherapeutic approaches can be exemplified and enhanced by reflecting upon the (self-)therapeutic efforts of one of the most creative persons that have ever lived. Hermeneutics as the art of communication and understanding derived from Goethe's (self-)therapy and creative works can serve as a meta-theoretical framework for the integration of different psychotherapeutic approaches. Copyright © 2012 S. Karger AG, Basel.

Domain-Wide or Variable-Dependent Vulnerability of the Semantics-Syntax Interface in L2 Acquisition? Evidence from "Wh"-Words Used as Existential Polarity Words in L2 Chinese Grammars

ERIC Educational Resources Information Center

Yuan, Boping

2010-01-01

Most studies in the second language (L2) literature that deal with interface issues do so in holistic terms. On the one hand, researchers have suggested that interface relations between the syntax and other domains are particularly difficult for adult L2 learners. On the other, it has been argued that such relations can be established in a…

Strong Artificial Intelligence and National Security: Operational and Strategic Implications

DTIC Science & Technology

2015-05-18

including Tesla/Space X founder Elon Musk and theoretical physicist Stephen Hawking, released an open letter warning of the existential risk presented by...the MIT Aeronautics and Astronautics Department’s 2014 Centennial Symposium, Elon Musk , a member of FLI, said that creating such a capable...pentagram and the holy water, it’s like yeah he’s sure he can control the demon. Didn’t work out.” Elon Musk , interview by Jaime Peraire, 2014

Ethics: A Selected Bibliography.

DTIC Science & Technology

1985-03-01

Morality and Beyond. New York: Harper & Row, 1963. (BJ1251 T6) 291. TolstoY, Lev N. Tolstoy’s Writings on Civil Disobedience and Non- Violence . 0 New York...Translated by R.H.M. Elwes. New York: Philosophi- cal Library, 1957. (B3973 E5E4) 265. Stack, George J. Kierkegaard’s Existential Ethics. University: Univer...271. Storer, Morris B., ed. Humanist Ethics: Dialogue on Basics. Buffalo: Prometheus Books, 1980. (BJ1360 1185) /4. Stratford, Michael C. Political

Attacking the Lion: A Study of Cohesion in Naval Special Warfare Operational Units

DTIC Science & Technology

2011-06-01

of Existential Courage.‖ Journal of Humanistic Psychology 44, no. 3 (Summer 2004): 279–298. ———. ―Relevance of Hardiness Assessment and Training to...stealth, teamwork, and violence of action to survive and succeed in missions against larger opponents. Developing bonds of trust between individuals and...a force that conducts kinetic action missions with an emphasis on speed, surprise, and violence of action. For the most part, this mentality

Medically unexplained physical symptoms, misunderstood and wrongly treated? A semiotic perspective on chronic pain.

PubMed

Busvold, Kari Irene H; Bondevik, Hilde

2018-06-01

Medically unexplained physical symptoms (MUPS) are a significant and increasing health issue in the western world. Chronic pain constitutes a considerable element of these symptoms, and the lack of a biomedical explanation of their cause challenges the clinical encounter. The limitations of biomedicine become evident in these encounters and expose the need for an expanded understanding of body and symptom. Semiotics, as an anti-dualistic meta-theory, closes the gap between natural science and the humanities and views the human body in an evolutionary and existential perspective. By focusing on interpretation and communication of signs as ongoing processes at all levels of life, biology and experience, the subjective and the measurable will be integrated. A special type of sign, the self-referential, is part of the body's internal communication. These signs may be viewed as the body's warnings to itself, for instance when the individual's consciousness, thought and action run counter to the organism's physiological and psychological needs. In a semiotic perspective, existential conditions may also activate the body's defense systems. In this context, the unexplained pain may be understood as a functional warning sign. The enhanced understanding of body and symptom that a semiotic approach calls for is relevant for the work of physiotherapists and may lead to more constructive clinical encounters with patients with unexplained chronic pain.

Quality of Life Theory I. The IQOL Theory: An Integrative Theory of the Global Quality of Life Concept

PubMed Central

Ventegodt, Soren; Merrick, Joav; Andersen, Niels Jorgen

2003-01-01

Quality of life (QOL) means a good life and we believe that a good life is the same as living a life with a high quality. This paper presents the theoretical and philosophical framework of the Danish Quality of Life Survey, and of the SEQOL, QOL5, and QOL1 questionnaires.The notion of a good life can be observed from subjective to the objective, where this spectrum incorporates a number of existing quality of life theories. We call this spectrum the integrative quality-of-life (IQOL) theory and discuss the following aspects in this paper: well being, satisfaction with life, happiness, meaning in life, the biological information system (“balance”), realizing life potential, fulfillment of needs, and objective factors.The philosophy of life outlined in this paper tries to measure the global quality of life with questions derived from the integrative theory of the quality of life. The IQOL theory is an overall theory or meta-theory encompassing eight more factual theories in a subjective-existential-objective spectrum. Other philosophies of life can stress other aspects of life, but by this notion of introducing such an existential depth into the health and social sciences, we believe to have taken a necessary step towards a new humility and respect for the richness and complexity of life. PMID:14570993

The silencing of Kierkegaard in Habermas' critique of genetic enhancement.

PubMed

Christiansen, Karin

2009-06-01

The main purpose of this paper is to draw attention to an important part of Habermas' critique of genetic enhancement, which has been largely ignored in the discussion; namely his use of Kierkegaard's reflections on the existential conditions for becoming one-self from Either/or and the Sickness unto Death. It will be argued that, although Habermas presents some valuable and highly significant perspectives on the effect of genetic enhancement on the individual's self-understanding and ability to experience him- or herself as a free and equal individual, he does not succeed in working out a consistent argument. The claim is that he fails to explain how the existential analysis is related to his reflections on the sociological and psychological impacts of genetic enhancement in the realm of communicative action. It is this lack of theoretical clarity, which seems to render Habermas vulnerable to some of the critique which has been raised against his theory from a number of different scientific disciplines and areas of research. Hence, the first part of the paper provides some examples of the nature and variety of this critique, the second part presents Habermas' own critique of genetic enhancement in the context of a dispute between so-called 'liberal' and 'conservative' arguments, and finally, the third part discusses the limits and possibilities of his position in a future debate about genetic enhancement.

The importance of existential dimensions in the context of the presence of older patients at team meetings—In the light of Heidegger and Merleau-Ponty's philosophy

PubMed Central

Lindberg, Elisabeth; Ekebergh, Margaretha; Persson, Eva; Hörberg, Ulrica

2015-01-01

The aim of the present study is to explore interpersonal dimensions of the presence of older patients at team meetings. The theoretical foundation of the study is grounded in caring science and lifeworld phenomenology. The results from two empirical studies, that indicated the need for a more in-depth examination of the interpersonal relationships when an older patient is present at a team meeting, were further explicated by philosophical examination in the light of Heidegger and Merleau-Ponty's philosophy. The empirical studies were performed in a hospital ward for older people, where the traditional rounds had been replaced by a team meeting, to which the patients were invited. The analysis of the general structure and philosophical examination followed the principles of reflective lifeworld research. The philosophical examination is presented in four meaning structures: mood as a force in existence; to exist in a world with others; loneliness in the presence of others; and the lived body as extending. In conclusion, professionals must consider patients’ existential issues in the way they are expressed by the patients. Existence extends beyond the present situation. Accordingly, the team meeting must be seen in a larger context, including the patients’ life as a whole, as well as the ontological and epistemological foundations on which healthcare is based. PMID:25700700

Communicative challenges in the home care of older persons - a qualitative exploration.

PubMed

Sundler, Annelie J; Eide, Hilde; van Dulmen, Sandra; Holmström, Inger K

2016-10-01

To explore communicative challenges in encounters between nurse assistants and older persons during home care visits. The older population is increasing worldwide. Currently, there is a shift in care for older people from institutional care to home care. Providing home care in a person's home involves several challenges, including the complexity of communication. A descriptive observational design with a qualitative approach was used. The data consisted of audio recordings of real-life encounters during home care visits between nurse assistants and older persons, collected in 2014. A hermeneutic phenomenological analysis was conducted. Communicative challenges were identified: (a) in situations where the older persons had a different view than the nurse assistants on the care task and its content; and (b) when unexpected actions or turns occurred in the communication. Challenges included older person's existential issues, fragility and worries and concerns, which often appeared to be only vaguely expressed and difficult to verbally detect and tackle. This engendered a risk of misinterpretation or ignorance of these challenges. The findings point to the importance of communication as the key to facilitate person-centred home care. Communication training should focus more on addressing needs and existential issues in older persons. Person-centred home care for older persons needs to be addressed at both an individual and an organizational level. © 2016 John Wiley & Sons Ltd.

Fear of Recurrence as a Predictor of Care Needs for Long-Term Breast Cancer Survivors.

PubMed

Fang, Su-Ying; Fetzer, Susan Jane; Lee, Kuo-Ting; Kuo, Yao-Lung

The improved survival rate for breast cancer has increased the number of women living with the diagnosis for more than 5 years. Limited studies have focused on the care needs for long-term healthy survivors of breast cancer. The aims of this study were to understand the care needs of long-term breast cancer survivors and identify related factors that influence these needs. A convenience sampling with a correlational study design was used. Women at least 20 years old, who were given a diagnosis of breast cancer at least 5 years, were recruited from 2 hospital clinics in southern Taiwan. A self-administered questionnaire measuring cancer survivors' unmet needs was administered after obtaining informed consent. Binary logistic regression was used to examine variables associated with unmet care needs. Of the 192 women participating, the highest unmet needs related to existential survivorship. The most frequently endorsed unmet need was for an ongoing case manager. Fear of recurrence was associated with 3 aspects including existential survivorship, comprehensive cancer, and quality-of-life unmet needs (odds ratio, 1.14-1.21). Even 5 years after the diagnosis and completion of therapy, women continue to report unmet needs. Evaluating women's fear of recurrence to identify high-risk women with unmet needs is critical to providing quality care. Developing appropriate survivorship care programs combined with managing concerns regarding recurrence by a nursing case manager is needed.

Different Sources of Dignity-Related Distress in Women Receiving Chemotherapy for Breast Cancer

PubMed Central

Shahhoseini, Somaye; Borhani, Fariba; Shoorideh, Foroozan Atashzadeh; Kavousi, Amir; Bagheri, Hossein; Almasi-Hashiani, Amir

2017-01-01

Background: Identification of different sources of dignity-related distress experienced by people nearing the end of life may help nurses to provide better care services. This study was conducted to determine sources of dignity-related distress from the perspective of women with breast cancer undergoing chemotherapy. Materials and Methods: In this cross sectional study, the participants comprised 207 women with breast cancer undergoing chemotherapy in chemotherapy clinics in hospitals of Tehran, Iran. The Cronbach’s coefficient alpha for the PDI was 0.76. Validity of PDI by confirmatory factor analysis shows that the comparative Fit Index of this instrument is 0.96 and so it is appropriate for application in different setting. Data were analyzed by Stata version 13. Results: Patients were mostly concerned about the distress caused by disease symptoms (mean; 2.4061, S.D.; 0.96), followed by existential distress (mean; 1.8784, S.D.; 0.75), peace of mind (mean; 1.871, S.D.; 0.77), dependence (mean; 1.8647, S.D.; 0.98), and social support (mean; 1.4097, S.D.; 0.99), respectively, in order of highest scores. Conclusion: Considering that the patients were mostly concerned about the distress caused by disease symptoms, followed by existential distress, peace of mind, dependency, and social support, it seems necessary to take further measures toward addressing these issues. PMID:29172264

Working with chronic and relentless self-hatred, self-harm, and existential shame: a clinical study and reflections (Paper 2 of 2).

PubMed

Austin, Sue

2016-09-01

This second of two papers focuses on the shame which emerged in the first 14 years of analysis of a woman who was bulimic, self-harmed, and repeatedly described herself as 'feeling like a piece of shit'. To explore this intense and pervasive shame I draw on Jung's and Laplanche's emphasis on experiences of unresolvable, non-pathological 'foreignness' or 'otherness' at the heart of the psyche. Images, metaphors, elements of clinical experience, and working hypotheses from a number of analytic traditions are used to flesh out this exploration. These include Kilborne's use of Pirandello's image of shame as like a 'hole in the paper sky' which, I suggest, points to a crack in subjectivity, and reveals our belief in the efficacy of the self to be illusory. Hultberg's observations on shame as having an existential mode (function) are also explored, as is the nature of analytic truth. Using these ideas I describe my patient's process of finding some small but freeing space in relation to her shame and self-hatred. Through enduring and learning from her shame in analysis she realized that it was part of a desperate unconscious attempt to draw close to her troubled father and so to 'love him better'. © 2016, The Society of Analytical Psychology.

Uses of duckweed

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hillman, W.S.; Culley, D.D. Jr.

1978-07-01

Among the various approaches to improving present technologies for waste-water treatment, several involve the use of plants, which can remove pollutants and provide materials useful as animal feeds or energy sources. Various aquatic plants are being proposed in such approaches, and the duckweeds in particular, an essentially unique group of higher aquatic plants, might be especially advantageous in such systems. Although this article focuses on only this one group of plants, it can nevertheless provide an introduction to issues that are both scientifically challenging and existentially inescapable.

Active listening to cancer patients' stories.

PubMed

ten Kroode, H F

1998-08-01

Approximately two thirds of all Dutch cancer patients have severe emotional problems; shortly after their change from the treatment regime into the regime of medical controls. Half of them even need professional support. It is, therefore, important that a professional listens with empathy to the patient's version of the illness story. Story telling helps to overcome the existential crisis of being a cancer patient; it is an essential step in the revalidation process. Themes and open questions which structure the communication are suggested in this article.

[BIOETHICS: THE ABILITY TO UNDERSTAND MAN, THE POWER TO STANDARDIZE THE FACTS].

PubMed

Tzitzis, Stamatios

2015-07-01

Bioethics is both theoria and praxis. It procceds by tactics which accompany dynamics of science and mobility of ethics, concerning values specific to spaces, periods and cultures. In this perspective, bioethics, with its normative requirements, is situated beyond gouvernmental policy. The rules related to bioethics contains meta-values. Value imposed to a fact by légal rules is an existential meta-value, because there are already values that surround the nature of this fact the the morality this nature contains.

Suffering, compassion and 'doing good medical ethics'.

PubMed

de Zulueta, Paquita C

2015-01-01

'Doing good medical ethics' involves attending to both the biomedical and existential aspects of illness. For this, we need to bring in a phenomenological perspective to the clinical encounter, adopt a virtue-based ethic and resolve to re-evaluate the goals of medicine, in particular the alleviation of suffering and the role of compassion in everyday ethics. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Playing Games with Games People Play. Contributions of Gestalt Theory to Individual Counseling. Self-Discovery through Art: A Group Experience. A Review of Personal Research on Experimental-Gestalt Growth Groups. Gestalt Dreamwork as a Method for Self Discovery.

ERIC Educational Resources Information Center

Guinan, James F.; And Others

The existential Gestalt approach to facilitating the human growth process is discussed, from somewhat different vantage points, in these papers. Two seek to elaborate the basic principles and facilitating "techniques" of Gestalt therapy, while maintaining that one can truly understand only by experiencing. The use of Focus Groups, in which a focal…

Closing the Gap: Force Expansion in an Age of ’Come-As-You-Are’ Conflict

DTIC Science & Technology

2016-03-29

monograph argues that in order to expand the land force to face an existential threat, Australia must be capable of raising, training and sustaining...a corps in combat as part ofa coalition. The purpose of this study was to add to the body ofknowledge relating to how Australia can expand the land ...expansion to fulfill obligations to allies or defend Australian territory and regional interests. This monograph argues that in order to expand the land

Carrier Enabled Power Projection: Delivering for Britain or Papering over the Cracks? Exerting Influence in an Age of Austerity

DTIC Science & Technology

2015-04-13

direction for apportionment of resources to deliver this national capability. The last time the UK introduced new aircraft carriers was at the height of...carefully in all but the most existential threats to a nation . Mahan believed that the blockade was the Navy’s greatest tactic in winning great wars. He...carriers at the heart of a comprehensive air, sea, and land capability to meet the national aims. But, in a severely resource constrained

Survey-Guided Development: Data Based Organizational Change

DTIC Science & Technology

1975-06-01

are largely environmentally determined, these experiences ":npact," and as they do so, move from the II 28 more existential surface level to the more...8217 personal values with those humanistic values which he believes are held by top managers today--form the major basis, in Bennis’ view, for the change...as "society." If they are, it is because we adhere to a set of humanistic values and define society’s "work" at least in part in these terms. It is

East Europe Report, Political, Sociological and Military Affairs, No. 2151

DTIC Science & Technology

1983-06-10

of the intelligentsia "has become estranged from classical- humanist culture, and for this reason it is with great difficulty or not at all able to...This comes from the socialist, humanistic ideas that guide our society and from the interests of our people. This is our major strength. Our most...and that is why the party can tolerate neither a two-faced attitude nor the so-called "force of persistence" as parti- cular attitudes of existential

USSR Report, International Affairs, The Working Class and the Contemporary World, No. 5, September-October 1986.

DTIC Science & Technology

1987-02-26

and the ideology of existentialism and ecosocialism, feminism and pacifism. The humanist and religious ideals of believers and the traditional...affecting the vital interests of the working people are realized and the highest goals of social- ism are embodied. It is here that the humanist nature of... humanist world outlook which is capable of bringing harmony to the mutual relations between society and nature." The documents adopted by the 27th CPSÜ

Collected Papers 1955-1970, M. D. Parrish, M.D. Colonel Medical Corps US Army (RET),

DTIC Science & Technology

1981-01-01

has been de- veloped by government. The group strengthens families and neighborhoods, and de- velops racial pride without violence . It does similar...and useful methods of group treatmenit had Lo die, at least temporarily. 62. The Use of Existential Conccpt -s -_i n _ (._oii lh!ra’!,py2jiId Tra in i n...and ,,ods h effect mood changes are seen as the basis of most modern economics; for ex- ample, drugs, food, sex, violence , entertainment, work

Translations on Eastern Europe Political, Sociological, and Military Affairs, Number 1415

DTIC Science & Technology

1977-07-13

FACTORS West German Commentary Bonn IWE-TAGESDIENST in German No 86/87, 5-6 May 77 p 2 [Report from Berlin: "Crimes of Violence in GDR To Be Researched...ditions for Crimes of Violence and Sex"] [Text] As part of its research tasks socialist criminology in the GDR must also elucidate the question whether in...human existential and be- havioral modes as well as to social structures, their development and de- termination, and which elevates biological factors

The Dialectic of Faith and Reason in Cornelio Fabro’s Reading of Kierkegaard’s Theology

PubMed Central

Furnal, Joshua

2017-01-01

This essay explores the impact of Søren Kierkegaard upon the important Italian Thomist, Cornelio Fabro. Fabro rejected the caricature of Kierkegaard as an “irrationalist” and placed him firmly in the Christian tradition. By highlighting the influence of Kierkegaard upon a Thomist like Fabro, the relevance of Fabro’s own thought is opened up for more contemporary debates in theology regarding the enduring legacies of German idealism, existentialism, and atheism. PMID:29081547

Positive effects, side effects, and adverse events of clinical holistic medicine. A review of Gerda Boyesen's nonpharmaceutical mind-body medicine (biodynamic body-psychotherapy) at two centers in the United Kingdom and Germany.

PubMed

Allmer, Charlotte; Ventegodt, Søren; Kandel, Isack; Merrick, Joav

2009-01-01

To review adverse events of intensive, clinical holistic medicine (CHM) as it is practiced in holistic body-psychotherapy in England and Germany. Gerda Boyesen's "biodynamic body-psychotherapy" (BBP) is an intensive type of holistic mind-body medicine used by Boyesen at two centers. About 13,500 patients were treated during 1985-2005 period and studied for side effects and adverse events. The first author worked closely with Boyesen 1995-2005 with full insight in all aspects of the therapy and provided the data on side-effects. Therapy helped chronic patients with physical, psychological, sexual, psychiatric and existential problems to improve health, ability, and quality of life (NNT (number needed to treat) = 1-3). Effective in the treatment of mentally ill patients (schizophrenia, anxiety, poor mental health, low general ability). For retraumatization, brief reactive psychosis, depression, depersonalization and derealization, implanted memories, side effects from manipulations of the body, suicide/suicide attempts, hospitalization for physical and mental health problem during or 90 days after treatment, NNH (number needed to harm) > 13,500. Intensive, holistic non-drug medicine is helpful for physical, sexual, psychological, psychiatric and existential problems and is completely safe for the patient. The therapeutic value TV = NNH/NNT > 5,000. Altogether about 18,000 patients treated with different subtypes of CHM in four different countries have now been evaluated for effects, side effects and adverse events, with similar results.

Childhood experiences of incarcerated male child sexual abusers.

PubMed

Garrett, Linda H

2010-10-01

While numerous efforts have been made to understand the impact of child sexual abuse, little has been done to examine the childhood experiences of those who abuse children. Child sexual abusers have been studied from quantitative perspectives using behavioral checklists, parental-bonding surveys, and sexual history questionnaires. The purpose of this study was to explore incarcerated child sexual abusers' recollections of their childhood experiences using the descriptive existential lens of phenomenology. Eight incarcerated male child sexual abusers described their childhood from existential perspectives of lived space, lived other, lived body, and lived time via face-to-face semi-structured interviews. Analysis was accomplished through the qualitative, descriptive method of Max van Manen. Rich descriptions of the participants' insights into their daily childhood life experiences that shaped their self-concepts and contributed to their adult behaviors were gathered. Four major themes were identified: (1) failure to root, (2) what you see is what you learn, (3) stupid is as stupid does, and (4) life's moments. Data from this study suggest that the experiences of childhood significantly contribute to an adult self-concept that can be distorted by the lack of a secure home space, maladaptive relationships, internalization of inappropriate behavior, and a lack of significant family development. This study explores the psychosocial and behavioral consequences of early childhood experiences. The findings support the need for family and psychological mental health nurse practitioners to be more aware of early home environments; improve their assessment of children's developing self-concept and the potential for abusive relationships.

Synthetic biology as red herring.

PubMed

Preston, Beth

2013-12-01

It has become commonplace to say that with the advent of technologies like synthetic biology the line between artifacts and living organisms, policed by metaphysicians since antiquity, is beginning to blur. But that line began to blur 10,000 years ago when plants and animals were first domesticated; and has been thoroughly blurred at least since agriculture became the dominant human subsistence pattern many millennia ago. Synthetic biology is ultimately only a late and unexceptional offshoot of this prehistoric development. From this perspective, then, synthetic biology is a red herring, distracting us from more thorough philosophical consideration of the most truly revolutionary human practice-agriculture. In the first section of this paper I will make this case with regard to ontology, arguing that synthetic biology crosses no ontological lines that were not crossed already in the Neolithic. In the second section I will construct a parallel case with regard to cognition, arguing that synthetic biology as biological engineering represents no cognitive advance over what was required for domestication and the new agricultural subsistence pattern it grounds. In the final section I will make the case with regard to human existence, arguing that synthetic biology, even if wildly successful, is not in a position to cause significant existential change in what it is to be human over and above the massive existential change caused by the transition to agriculture. I conclude that a longer historical perspective casts new light on some important issues in philosophy of technology and environmental philosophy. Copyright © 2013 Elsevier Ltd. All rights reserved.

[Anthropologic foundation and psychologic consequences of political orientation toward right or left. An existential-psychoanalytic study on the phenomenology of political radicalism].

PubMed

Schneemann, N

1975-05-01

The author searches for an explanation for the fact that an originally only spatial and not "loaded" pair of concepts like "right and left" could gain in our time such high-tension content in political terms. He suspected underlying anthropologic connections and tried to elucidate them with existential analysis. He found that the basis can be seen in the physical constitution of man. Physical experience first transmits the concepts of right and left. The "asymmetric" symmetry of our bilateral physical organisation makes experiencing right and left possible. On this basis the mental concepts of our existence would be imposed in noethic-ethic categories. And these would become active in our political world. This is demonstrated on a case of H.E. Richter. Following Richter'd ideas the psychodynamic rules of political-structural disparities could be shown. The "rights" as repressors dominate the "lefts" as the depressed which now protest in their dispair. As extreme forms the two polarized radicals who now fanatically stylize the other as the enemy, will fight to the death their own denied opposite side psychodynamically. Bizarre ideal visions lead to legalization of terror and brutality. As missing how they are linked in psychiatric terminology paranoid types result extending to the formation of genuine (political) obsessions. For both catathymia of outlook and language are characteristic which show eminent loss of a picture of the world.

Effectiveness of an experiential workshop for enhancing helping professionals' self-competence in death work in Hong Kong: a randomised controlled trial.

PubMed

Chan, Wallace Chi Ho; Tin, Agnes Fong; Wong, Karen Lok Yi

2017-05-01

Helping professionals require self-competence in coping with the existential and emotional challenges of death work. Previous training often focused on knowledge and skills rather than on this competence. This study aimed to examine the effectiveness of a 3-day workshop in Hong Kong to enhance helping professionals' self-competence in death work. A randomised controlled trial was conducted to examine the effects of the training between January and May 2014. Targeted participants were helping professionals who had been doing death work for at least 6 months. The 112 participants were openly recruited from hospitals and NGOs and were assigned to an intervention group or a waitlist control group. Data were collected at pre-intervention and post-intervention. Primary outcome was self-competence in death work. All participants were grouped for analysing the changes in outcomes at pre-intervention, post-intervention and 3-month follow-up. Participants in the intervention group experienced a significant increase in the total score of the Self-competence in Death Work Scale (SC-DWS) and in scores of the Existential and Emotional subscales of SC-DWS. The positive effects of training on self-competence in death work were maintained at the 3-month follow-up. This study provides evidence of the effectiveness of training in enhancing helping professionals' self-competence in death work. Further research is required to examine the long-term effects of training. © 2016 John Wiley & Sons Ltd.

[Experience of Spiritual Conflict in Hospice Nurses: A Phenomenological Study].

PubMed

Lee, Byoung Sook; Kwak, Su Young

2017-02-01

This aim of this phenomenological study was to describe and understand the experience of spiritual conflict in hospice nurses by identifying the meanings and structures of the experience. Participants were 12 nurses working for one year or more at hospice units of general hospitals in a metropolitan city and experiencing of spiritual conflict as hospice nurses. Over six months data were collected using individual in-depth interviews and analyzed with the method suggested by Colaizzi. The experience of spiritual conflict in participants was organized into three categories, six theme-clusters, and 13 themes. The participants felt existential anxiety on death and a fear of death which is out of human control and skepticism for real facts of human beings facing death. They also experienced agitation of fundamental beliefs about life with agitation of the philosophy of life guiding themselves and mental distress due to fundamental questions that are difficult to answer. Also they had distress about poor spiritual care with guilty feelings from neglecting patients' spiritual needs and difficulties in spiritual care due to lack of practical competencies. Findings indicate the experience of spiritual conflict in hospice nurses is mainly associated with frequent experience of death in hospice patients. The experience of spiritual conflict consisted of existential anxiety, agitation of fundamental beliefs and distress over poor spiritual care. So, programs to help relieve anxiety, agitation and distress are necessary to prevent spiritual conflict and then spiritual burnout in hospice nurses. © 2017 Korean Society of Nursing Science

Patient perceptions of experience with cardiac rehabilitation after isolated heart valve surgery.

PubMed

Hansen, Tina B; Berg, Selina K; Sibilitz, Kirstine L; Zwisler, Ann D; Norekvål, Tone M; Lee, Anne; Buus, Niels

2018-01-01

Little evidence exists on whether cardiac rehabilitation is effective for patients after heart valve surgery. Yet, accepted recommendations for patients with ischaemic heart disease continue to support it. To date, no studies have determined what heart valve surgery patients prefer in a cardiac rehabilitation programme, and none have analysed their experiences with it. The purpose of this qualitative analysis was to gain insight into patients' experiences in cardiac rehabilitation, the CopenHeart VR trial. This trial specifically assesses patients undergoing isolated heart valve surgery. Semi-structured interviews were conducted with nine patients recruited from the intervention arm of the trial. The intervention consisted of a physical training programme and a psycho-educational intervention. Participants were interviewed three times: 2-3 weeks, 3-4 months and 8-9 months after surgery between April 2013 and October 2014. Data were analysed using qualitative thematic analysis. Participants had diverse needs and preferences. Two overall themes emerged: cardiac rehabilitation played an important role in (i) reducing insecurity and (ii) helping participants to take active personal responsibility for their health. Despite these benefits, participants experienced existential and psychological challenges and musculoskeletal problems. Participants also sought additional advice from healthcare professionals both inside and outside the healthcare system. Even though the cardiac rehabilitation programme reduced insecurity and helped participants take active personal responsibility for their health, they experienced existential, psychological and physical challenges during recovery. The cardiac rehabilitation programme had several limitations, having implications for designing future programmes.

Inner power, physical strength and existential well-being in daily life: relatives' experiences of receiving soft tissue massage in palliative home care.

PubMed

Cronfalk, Berit Seiger; Strang, Peter; Ternestedt, Britt-Marie

2009-08-01

This article explores relatives' experiences of receiving soft tissue massage as a support supplement while caring for a dying family member at home. In palliative home care, relatives play an important role as carers to seriously ill and dying family members. To improve their quality of life, different support strategies are of importance. Complementary methods, such as soft tissue massage have become an appreciated supplement for these patients. However, only few studies focus on relatives experiences of receiving soft tissue massage as a supplemental support. Qualitative design Nineteen relatives received soft tissue massage (hand or foot) nine times (25 minutes) in their homes. Open-ended semi-structured tape-recorded interviews were conducted once per relative after the nine times of massage, using qualitative content analysis. Soft tissue massage gave the relatives' feelings of 'being cared for', 'body vitality' and 'peace of mind'. For a while, they put worries of daily life aside as they just experienced 'being'. During massage, it became apparent that body and mind is constituted of an indestructible completeness. The overarching theme was 'inner power, physical strength and existential well-being in their daily lives'. All relatives experienced soft tissue massage positively, although they were under considerable stress. Soft tissue massage could be an option to comfort and support relatives in palliative home care. In palliative nursing care, soft tissue massage could present a worthy supplement in supporting caring relatives.

Longing for homeliness: exploring mealtime experiences of patients suffering from a neurological disease.

PubMed

Beck, Malene; Poulsen, Ingrid; Martinsen, Bente; Birkelund, Regner

2018-03-01

Many patients suffering from a neurological disease experience eating difficulties during mealtimes in the hospital. Consequently, they often refrain from eating in public places to avoid potentially awkward situations. Eating is an essential part of life, providing patients with comfort during their hospitalisation. Therefore, attention should be paid to these patients, who encounter eating difficulties to foster a positive mealtime experience. To study what patients afflicted with a neurological disease experience and assign meaning when participating in mealtimes during hospitalisation. Ten semi-structured interviews with patients were conducted and recorded. After transcription the text was analysed, and interpreted compromising three methodological steps inspired by the French philosopher, Paul Ricouer. Three themes were identified through data analysis and interpretation: i) The missing feeling of homeliness, ii) The battle between socialisation vs. isolation, and iii) The sense of time, rhythm, and presence. To patients suffering from a neurological disease, mealtimes are not only a manageable task, but also a part of existential care that leads to positive experience. Aesthetic elements were shown to have the potential of making the patients feel comfortable and homely when hospitalised. This was important, as our study also identified that patients were longing for homeliness when participating in mealtimes during hospitalisation. Our findings emphasised the need of proceeding to interventions that includes mealtime assistance and protects the mealtime activity. Hence, it informs hospital organisations of the importance of restructuring mealtime environment, so that existential care can take place. © 2017 Nordic College of Caring Science.

Effect of Islam-based religious program on spiritual wellbeing in elderly with hypertension.

PubMed

Moeini, Mahin; Sharifi, Somaye; Kajbaf, Mohamed Bagher

2016-01-01

Lack of spiritual health in patients with hypertension leads to many mental, social, and physical effects, On the other hand, considering the prevalence of hypertension among the elderly, interventions to enhance their spiritual wellbeing is essential. Therefore, the aim of this study was to examine the effect of religious programs based on Islam on spiritual wellbeing in elderly patients with hypertension who referred to the health centers of Isfahan in 2014. This study was a randomized clinical trial. The participants (52 elderly patients with hypertension) were randomly divided in to experimental and control groups. Religious program was implemented for the experimental group in eight sessions in two Isfahan health centers. Spirituality wellbeing survey (SWB) questionnaire was completed in three steps, namely, pretest, posttest and follow-up (1 month) in two groups. In the study, Chi-square test, independent t -test, and repeated-measures analysis of variance were performed for analyzing the data. Before the intervention, there was no significant difference between the mean scores of spiritual wellbeing, the religious dimension, and the existential aspect of spiritual wellbeing of the two groups. However in the posttest step and follow-up stage, the mean scores of spiritual wellbeing, the religious dimension, and the existential aspect of spiritual wellbeing in the experimental group was significantly higher than in the control group ( P < 0.001). The religious program based on Islam promoted the SWB of elderly patients with hypertension; further, nurses can use these programs to promote the SWB of elderly patients with hypertension.

The patient dignity inventory: a novel way of measuring dignity-related distress in palliative care.

PubMed

Chochinov, Harvey Max; Hassard, Thomas; McClement, Susan; Hack, Thomas; Kristjanson, Linda J; Harlos, Mike; Sinclair, Shane; Murray, Alison

2008-12-01

Quality palliative care depends on a deep understanding of distress facing patients nearing death. Yet, many aspects of psychosocial, existential and spiritual distress are often overlooked. The aim of this study was to test a novel psychometric--the Patient Dignity Inventory (PDI)--designed to measure various sources of dignity-related distress among patients nearing the end of life. Using standard instrument development techniques, this study examined the face validity, internal consistency, test-retest reliability, factor structure and concurrent validity of the PDI. The 25-items of the PDI derive from a model of dignity in the terminally ill. To establish its basic psychometric properties, the PDI was administered to 253 patients receiving palliative care, along with other measures addressing issues identified within the Dignity Model in the Terminally Ill. Cronbach's coefficient alpha for the PDI was 0.93; the test-retest reliability was r = 0.85. Factor analysis resulted in a five-factor solution; factor labels include Symptom Distress, Existential Distress, Dependency, Peace of Mind, and Social Support, accounting for 58% of the overall variance. Evidence for concurrent validity was reported by way of significant associations between PDI factors and concurrent measures of distress. The PDI is a valid and reliable new instrument, which could assist clinicians to routinely detect end-of-life dignity-related distress. Identifying these sources of distress is a critical step toward understanding human suffering and should help clinicians deliver quality, dignity-conserving end-of-life care.

Physician-Assisted Suicide: Considering the Evidence, Existential Distress, and an Emerging Role for Psychiatry.

PubMed

Gopal, Abilash A

2015-06-01

Physician-assisted suicide (PAS) is one of the most provocative topics facing society today. Given the great responsibility conferred on physicians by recent laws allowing PAS, a careful examination of this subject is warranted by psychiatrists and other specialists who may be consulted during a patient's request for PAS. In this article, recent evidence regarding the implementation of PAS in the United States and The Netherlands is reviewed. Support is found for some concerns about PAS, such as the possibility that mental illness occurs at higher rates in patients requesting PAS, but not for other concerns, such as the fear that PAS will be practiced more frequently on vulnerable populations (the slippery-slope argument). These data and common arguments for and against PAS are discussed with an emphasis on the tension between values, such as maximizing patient autonomy and adhering to professional obligations, as well as the need for additional research that focuses more directly on the patient-centered perspective. Implications of the available evidence are discussed and lead to a consideration of mental anguish in terminally ill patients including aspects of existential distress and an acknowledgment of the importance of tailoring end-of-life care to the distinct set of values and experiences that shape each patient's perspective. The article concludes with a discussion of an expanding role for psychiatrists in evaluating patients who request PAS. © 2015 American Academy of Psychiatry and the Law.

Alienation, authenticity and the self.

PubMed

Rae, Gavin

2010-01-01

While many commentators have held that the concept "alienation" is of crucial importance when attempting to understand human existence, others have held that it is an inherently empty concept that we should abandon. In this article, I refute the latters' charge by showing that each conception of "alienation" is underpinned by a normative ontological conception of the preferable, or authentic, self and show that the concept "alienation" has ethical, existential and socio-political uses. From this I conclude that, when properly understood, the concept "alienation" can provide us with vital insights into human existence.

The origins of the universe: why is there something rather than nothing?

PubMed

Paulson, Steve; Albert, David; Holt, Jim; Turok, Neil

2015-12-01

Perhaps the greatest mystery is why the universe exists in the first place. How is it possible for something to emerge from nothing, or has a universe in some form always existed? This question of origins-both of the universe as a whole and of the fundamental laws of physics-raises profound scientific, philosophical, and religious questions, culminating in the most basic existential question of all: Why are we here? Discussion of this and related questions is presented in this paper. © 2015 New York Academy of Sciences.

[The place of cyber addiction in teenagers' addictive behavior].

PubMed

Valleur, Marc

2013-01-01

The easy access which modern teenagers have to new technologies favours their excessive use of video games, as they seek to escape potential existential difficulties. This harmful aspect should not mask the creative potential of games for the majority of teenagers. Treatment for young people with a gaming addiction is based on psychotherapy and takes into account the family dimension of the problem. This article presents an interview with Marc Valleur, a psychiatrist and head physician at Marmottan hospital specialising in the care and support of people with addictions.

Existential autonomy: why patients should make their own choices.

PubMed

Madder, H

1997-08-01

Savulescu has recently introduced the "rational non-interventional paternalist" model of the patient-doctor relationship. This paper addresses objections to such a model from the perspective of an anaesthetist. Patients need to make their own decisions if they are to be fully autonomous. Rational non-interventional paternalism undermines the importance of patient choice and so threatens autonomy. Doctors should provide an evaluative judgment of the best medical course of action, but ought to restrict themselves to helping patients to make their own choices rather than making such choices for them.

Existential autonomy: why patients should make their own choices.

PubMed Central

Madder, H

1997-01-01

Savulescu has recently introduced the "rational non-interventional paternalist" model of the patient-doctor relationship. This paper addresses objections to such a model from the perspective of an anaesthetist. Patients need to make their own decisions if they are to be fully autonomous. Rational non-interventional paternalism undermines the importance of patient choice and so threatens autonomy. Doctors should provide an evaluative judgment of the best medical course of action, but ought to restrict themselves to helping patients to make their own choices rather than making such choices for them. PMID:9279743

People search for meaning when they approach a new decade in chronological age

PubMed Central

Alter, Adam L.; Hershfield, Hal E.

2014-01-01

Although humans measure time using a continuous scale, certain numerical ages inspire greater self-reflection than others. Six studies show that adults undertake a search for existential meaning when they approach a new decade in age (e.g., at ages 29, 39, 49, etc.) or imagine entering a new epoch, which leads them to behave in ways that suggest an ongoing or failed search for meaning (e.g., by exercising more vigorously, seeking extramarital affairs, or choosing to end their lives). PMID:25404347

Philosophical foundations of French and U.S. nosology.

PubMed

Kroll, J

1979-09-01

The author examines the philosophical foundations of French and American nosology with a view toward understanding the relatively minor influence of French psychiatry in America. Despite the excellence of its descriptive psychiatry, much of French nosological writing is based on philosophical viewpoints that are antithetical to the empirical and pragmatic traditions of American psychiatry. French nosology, which is closely involved with the metaphysical issues of existentialism, phenomenalism, and structuralism, reveals these interests in language and concepts that do not easily permit its hypotheses to be scientifically tested, a prerequisite for any American classification.

A Short History of Clinical Holistic Medicine

PubMed Central

Ventegodt, Søren; Kandel, Isack; Merrick, Joav

2007-01-01

Clinical holistic medicine has its roots in the medicine and tradition of Hippocrates. Modern epidemiological research in quality of life, the emerging science of complementary and alternative medicine, the tradition of psychodynamic therapy, and the tradition of bodywork are merging into a new scientific way of treating patients. This approach seems able to help every second patient with physical, mental, existential or sexual health problem in 20 sessions over one year. The paper discusses the development of holistic medicine into scientific holistic medicine with discussion of future research efforts. PMID:17982604

Bounded Parametric Model Checking for Elementary Net Systems

NASA Astrophysics Data System (ADS)

Knapik, Michał; Szreter, Maciej; Penczek, Wojciech

Bounded Model Checking (BMC) is an efficient verification method for reactive systems. BMC has been applied so far to verification of properties expressed in (timed) modal logics, but never to their parametric extensions. In this paper we show, for the first time that BMC can be extended to PRTECTL - a parametric extension of the existential version of CTL. To this aim we define a bounded semantics and a translation from PRTECTL to SAT. The implementation of the algorithm for Elementary Net Systems is presented, together with some experimental results.

Vulnerability as a key to authenticity.

PubMed

Daniel, L E

1998-01-01

Vulnerability is explored as a human trait that gives nurses an opportunity to engage in authentic nursing. Vulnerability in both nurse and patient is necessary for the practice of nursing with caring as its basic premise. Philosophic discourse. Vulnerability is explored in terms of its traditional connotation and existential meaning. To be authentic, nurses must be aware of their own vulnerability, recognize themselves in others, and be willing to enter into mutual vulnerability. If nurses deny the opportunity to be vulnerable, they deny the opportunity to participate in humanness and are more likely to dehumanize others.

[Darwinism and the meaning of "meaning"].

PubMed

Castrodeza, Carlos

2009-01-01

The problem of the meaning of life is herewith contemplated from a Darwinian perspective. It is argued how factors such as existential depression, the concern about the meaning of "meaning," the problem of evil, death as the end of our personal identity, happiness as an unachievable goal, etc. may well have an adaptive dimension "controlled" neither by ourselves nor obscure third parties (conspiracy theories) but "simply" by our genes (replicators in general) so that little if anything is to be done to find a radical remedy for the human condition.

Multicollision attack on CBC-MAC, EMAC, and XCBC-MAC of AES-128 algorithm

NASA Astrophysics Data System (ADS)

Brolin Sihite, Alfonso; Hayat Susanti, Bety

2017-10-01

A Message Authentication Codes (MAC) can be constructed based on a block cipher algorithm. CBC-MAC, EMAC, and XCBC-MAC constructions are some of MAC schemes that used in the hash function. In this paper, we do multicollision attack on CBC-MAC, EMAC, and XCBC-MAC construction which uses AES-128 block cipher algorithm as basic construction. The method of multicollision attack utilizes the concept of existential forgery on CBC-MAC. The results show that the multicollision can be obtained easily in CBC-MAC, EMAC, and XCBC-MAC construction.

Sense of meaning as a predictor of burnout in emergency physicians in Israel: a national survey

PubMed Central

Ben-Itzhak, Shulamit; Dvash, Jonathan; Maor, Maya; Rosenberg, Noa; Halpern, Pinchas

2015-01-01

Objective Burnout is common in physicians and particularly acute in emergency physicians. Physician burnout may adversely affect physicians’ lives and the quality of care they provide, but much remains unknown about its main contributing factors. The present study evaluated burnout rates and contributing factors in emergency physicians in Israel, specifically focusing on the role of a sense of meaning, which has received little attention in the literature concerning burnout in emergency physicians. Methods A multicenter study, involving a convenience sample of physicians working full-time in the emergency departments of 16 general hospitals in Israel, was conducted. Questionnaires were used to assess burnout, demographic characteristics, professional stress, emotional distress, satisfaction, and quality of professional life, and open-ended questions were used to evaluate subjective perception of job satisfaction. Results Seventy physicians completed the questionnaires; 71.4% reported significant burnout levels in at least one of the burnout measures, while 82% also reported medium or high levels of competency. Burnout levels were associated with work-life balance, work satisfaction, social support, depressive symptoms, stress, and preoccupying thoughts. Regression analysis yielded two significant factors associated with burnout: worry and a sense of existential meaning derived from work. In addition, 61%, 51%, and 17% of participants exhibited high emotional exhaustion, high depersonalization, and a low sense of personal accomplishment, respectively. Conclusion These results indicate a high burnout rate in emergency physicians in Israel and highlight relevant positive and negative factors including the importance of addressing existential meaning in designing specific intervention programs to counter burnout. PMID:27752601

Sense of meaning as a predictor of burnout in emergency physicians in Israel: a national survey.

PubMed

Ben-Itzhak, Shulamit; Dvash, Jonathan; Maor, Maya; Rosenberg, Noa; Halpern, Pinchas

2015-12-01

Burnout is common in physicians and particularly acute in emergency physicians. Physician burnout may adversely affect physicians' lives and the quality of care they provide, but much remains unknown about its main contributing factors. The present study evaluated burnout rates and contributing factors in emergency physicians in Israel, specifically focusing on the role of a sense of meaning, which has received little attention in the literature concerning burnout in emergency physicians. A multicenter study, involving a convenience sample of physicians working full-time in the emergency departments of 16 general hospitals in Israel, was conducted. Questionnaires were used to assess burnout, demographic characteristics, professional stress, emotional distress, satisfaction, and quality of professional life, and open-ended questions were used to evaluate subjective perception of job satisfaction. Seventy physicians completed the questionnaires; 71.4% reported significant burnout levels in at least one of the burnout measures, while 82% also reported medium or high levels of competency. Burnout levels were associated with work-life balance, work satisfaction, social support, depressive symptoms, stress, and preoccupying thoughts. Regression analysis yielded two significant factors associated with burnout: worry and a sense of existential meaning derived from work. In addition, 61%, 51%, and 17% of participants exhibited high emotional exhaustion, high depersonalization, and a low sense of personal accomplishment, respectively. These results indicate a high burnout rate in emergency physicians in Israel and highlight relevant positive and negative factors including the importance of addressing existential meaning in designing specific intervention programs to counter burnout.

The folk psychology of souls.

PubMed

Bering, Jesse M

2006-10-01

The present article examines how people's belief in an afterlife, as well as closely related supernatural beliefs, may open an empirical backdoor to our understanding of the evolution of human social cognition. Recent findings and logic from the cognitive sciences contribute to a novel theory of existential psychology, one that is grounded in the tenets of Darwinian natural selection. Many of the predominant questions of existential psychology strike at the heart of cognitive science. They involve: causal attribution (why is mortal behavior represented as being causally related to one's afterlife? how are dead agents envisaged as communicating messages to the living?), moral judgment (why are certain social behaviors, i.e., transgressions, believed to have ultimate repercussions after death or to reap the punishment of disgruntled ancestors?), theory of mind (how can we know what it is "like" to be dead? what social-cognitive strategies do people use to reason about the minds of the dead?), concept acquisition (how does a common-sense dualism interact with a formalized socio-religious indoctrination in childhood? how are supernatural properties of the dead conceptualized by young minds?), and teleological reasoning (why do people so often see their lives as being designed for a purpose that must be accomplished before they perish? how do various life events affect people's interpretation of this purpose?), among others. The central thesis of the present article is that an organized cognitive "system" dedicated to forming illusory representations of (1) psychological immortality, (2) the intelligent design of the self, and (3) the symbolic meaning of natural events evolved in response to the unique selective pressures of the human social environment.

Three-Year Prospective Cohort Study of Factors Associated with Return to Work After Breast Cancer Diagnosis.

PubMed

Lee, Myung Kyung; Kang, Han Sung; Lee, Keun Seok; Lee, Eun Sook

2017-12-01

Purpose The purpose of this prospective cohort study of breast cancer survivors was to identify factors before diagnosis, during treatment, and after treatment that are associated with return to work (RTW). Methods A total of 288 women with breast cancer (stage I-III) and whose age were 18-65 years-old answered questionnaires at 4-6, 12, 24, and 36 months after diagnosis. The surveys asked about performance of regular exercise and health-related quality of life issues. "RTW at 36 months" was assigned to patients who reported any of the following: working at least twice; no job at baseline but working more than once; job at baseline, stopped working, and then started working again; and working during all 3 years. Results We classified 107 of 288 of the women (37.1%) as having returned to work. Analysis of pre-diagnostic factors indicated that more education and practice of regular endurance exercise were positively associated with RTW. Analysis of factors during treatment indicated that appetite loss and fatigue were negatively associated with RTW. Analysis of factors at post-treatment indicated that better body image, better physical function, better existential well-being, and participation in regular endurance and resistance exercise were positively associated with RTW. Childbirth at 12-24 months was negatively associated with RTW. Conclusion Women who participate in exercise before, during, and after treatment for breast cancer are more likely to RTW. A woman's need to care for children, perceived body image, and existential well-being may also affect her RTW.

Correlates of existential well-being and their association with health-related quality of life in breast cancer survivors compared with the general population.

PubMed

Shin, Hae Won; Noh, Dong Young; Lee, Eun Sook; Nam, Seok Jin; Park, Byeong Woo; Ahn, Sei Hyun; Yun, Young Ho

2009-11-01

The aim was to evaluate the correlates of existential well-being (EWB) and investigate the relationship between EWB and health-related quality of life (HRQOL) according to the McGill Quality of Life Questionnaire (MQOL) in breast cancer survivors (BCS) and in the general population. BCS (N = 1,933) recruited from five large hospitals completed a mailed survey, which included the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (QLQ-C30), Quality of Life Questionnaire Breast Cancer Module (QLQ-BR23) and the MQOL. Reference data were derived from a representative sample of the Korean adult population composed of 500 women selected by a nationwide random route technique. Multiple logistic regression analysis showed that members of the general population with a lower educational status were more likely to report poor EWB. However, among BCS, correlates that were associated with poor EWB included lower monthly income, lower educational status, unemployment and comorbidities. Almost all factors listed on the HRQOL questionnaire were correlated with EWB in BCS as well as in the general population (P < 0.001). Factors listed on the QLQ-C30 that were correlated to a clinically meaningful extent with EWB in the general population included physical functioning, nausea and vomiting, and appetite loss, whereas among BCS, insomnia and distress over hair loss were meaningfully correlated with EWB. Compared with general population, BCS showed different EWB correlates and distinct associations with HRQOL findings. Our data suggest that socio-economic status and comorbidities influence on their EWB.

The use of palliative sedation: A comparison of attitudes of French-speaking physicians from Quebec and Switzerland.

PubMed

Dumont, Serge; Blondeau, Danielle; Turcotte, Véronique; Borasio, Gian Domenico; Currat, Thierry; Foley, Rose-Anna; Beauverd, Michel

2015-08-01

Previous literature has suggested that laws and regulations may impact the use of palliative sedation. Our present study compares the attitudes of French-speaking physicians practicing in the Quebec and Swiss environments, where different laws are in place regarding physician-assisted suicide. Data were drawn from two prior studies, one by Blondeau and colleagues and another by Beauverd and coworkers, employing the same two-by-two experimental design with length of prognosis and type of suffering as independent variables. Both the effect of these variables and the effect of their interaction on Swiss and Quebec physicians' attitudes toward sedation were compared. The written comments of respondents were submitted to a qualitative content analysis and summarized in a comparative perspective. The analysis of variance showed that only the type of suffering had an effect on physicians' attitudes toward sedation. The results of the Wilcoxon test indicated that the attitudes of physicians from Quebec and Switzerland tended to be different for two vignettes: long-term prognosis with existential suffering (p = 0.0577) and short-term prognosis with physical suffering (p = 0.0914). In both cases, the Swiss physicians were less prone to palliative sedation. The attitudes of physicians from Quebec and Switzerland toward palliative sedation, particularly regarding prognosis and type of suffering, seem similar. However, the results suggest that physicians from Quebec could be slightly more open to palliative sedation, even though most were not in favor of this practice as an answer to end-of-life existential suffering.