In spite of an intensive discussion of ethical subjects, psychiatric departments rarely request clinical ethics support. However, during regular psychological supervisions subjects with an underlying ethical conflict are increasingly encountered. Based on the case study of a 39-year-old female patient suffering from personality disorder and her newborn child, the role of ethical consultation in psychiatric treatment and the decision making regarding health and welfare of child and mother will be presented. While discussing opportunities and limitations of psychological supervision as a (...) possible vehicle for clinical ethics support, it becomes obvious that during psychological supervision, ethical conflicts can also be reflected and treatment alternatives be evaluated. Psychological supervision finds its limits because of its more intuitive processes when the conflict escalates, when the patient cannot be involved and when institutional interests dominate. In these cases, the more structured and formalised process of clinical ethics consultation clearly offers advantages. (shrink)
By way of ”homage’, this article discusses the very peculiar worldview in the novels of French writer and so-called ”post-Proustian novelist’ Patrick Modiano, who won the Nobel prize in 2014. It will more specifically explore the singular atmosphere of his works and try to illustrate what has been called his ”art of memory’. Special attention will be directed toward what many have considered to be his major work, i.e., Dora Bruder, in which the author aims to reconstruct the life of (...) a 15-year-old Jewish girl who was a victim of the Holocaust in 1943. (shrink)
This book is a collection of riddles in Arabic divided into two main sections, one part on spiritual themes, the other on morals. The book was intended to develop the mind and character of young people.
When I was 19 years old, I fell crazily in love with a hometown girl. This was very surprising for both of us, as we had been acquainted since childhood but had never really noticed each other until a certain amount of maturing of mind and body took place. A second surprise, maybe inevitable in retrospect, came along a few months after we began spending virtually every possible hour in each others' arms. She called me from the university she was (...) attending a few hours away and told me she was fairly certain she was pregnant. (shrink)
Ethicists in American medical schools feel increasingly discouraged these days. In the 1960s, 1970s, and 1980s, society's enthusiasm for teaching about medical ethics flourished as new medical technologies posed new ethical perplexities. Americans eagerly sought ethics advice and looked to medical schools to provide it. As the sites where many of the new technologies were developed and future physicians were trained, medical schools were the logical place for medical ethicists to work and teach. A few schools recognized society's need and (...) instituted explicit medical ethics teaching—allocating funds, hiring ethicists, creating departments, and trumpeting their accomplishments. But most schools responded to the need with indifference or even hostility. They distrusted outside “experts” and feared a zealous reform movement aimed at the character or practices of modern medicine. Yet even those schools were forced to create ethics programs to meet powerful accreditation requirements adopted around 1990. Complying reluctantly, these schools allocated few personnel and minimal budgets. The resulting programs struggled. (shrink)
This article is a word for word reproduction of an unexpected resignation speech. It was given as—or rather, in place of—the presidential address of a recent annual meeting of ISEA . Because this is a secret society, the speaker’s and the transcriber’s names have been omitted. Those of us who were there for this speech will remember the anger and outrage that it provoked. Many of us still cannot believe the ridiculous spin-off resignations that this underwhelming speech somehow managed to (...) provoke. This speech is reprinted here so that certain recent members can rethink the irrationality and indefensibility of their recent resignations. At the time, and in the heat of the moment, this speech may have seemed to contain an argument. It does not. Consequently, it should be recognized as the feckless claptrap that it is. (shrink)