The present article is a primary introduction to the semi-structured interviewing method SMILE_PH, an acronym for Sense-Making Interviews Looking at Elements of Philosophical Health. Beyond grounding this new methodology theoretically (a work that is started here but will in the future necessitate several developments), the main motivation here is pragmatic: to provide the recent philosophical health movement with a testable method and show that philosophically-oriented interviews are possible in a manner that can be reproduced, compared, tested and used systematically with (...) a population that has received no training in philosophy. The SMILE_PH approach was conceived by the author during an ethically approved pilot study focused on the philosophy of life of persons living with spinal cord injury (SCI), with the intention of rectifying the epistemic obstacles generated by rationalist, Socratic or unstructured ways of in-depth interviewing. The six-step structure of the method is also inspired by hundreds of individual dialogue sessions with philosophical counselees, led by the author between 2018 and 2022: the SMILE_PH method progressively gathers phenomenological data about 1 – our bodily sense, 2 – our sense of self, 3 – our sense of belonging, 4 – our sense of the possible, 5 – our sense of purpose and 6 – our philosophical sense. (shrink)

The emergence of the genetic counseling profession has allowed laypeople to understand and benefit from biological advances, and to make critical decisions about their application. The discipline of genetic counseling has been criticized from its very beginning, in particular because of its early association with the eugenics movement. This paper presents a critical and reflective overview of how genetic counseling is implicitly embedded in the history of eugenics but also counteracts past eugenic practices and ideas. After World War II, attempts (...) were made to distance genetic counseling from eugenics. The first definition of genetic counseling did not position this field as a medical encounter but "as a kind of genetic social work aimed primarily to provide people with an understanding of their family's genetics problems." This approach was a reaction to the genetic and social evolutionary ideas that informed eugenic theories during the first half of the 20th century. Professionals engaged in genetic counseling during the 1940s and1950s rejected eugenic practices, but there was still support for eugenics’ goals of improving heredity and eliminating disease. From the 1960s, genetic counseling underwent professionalization alongside feminization and a definition of core values. Among these values were nondirectiveness counseling and the autonomy of the counselee. The dark shadow of Nazi ideology and other eugenic practices, attempts to employ the historical responsibility of geneticists, and the dynamic medical, social, political, and educational changes of the 1960s and 1970s helped to frame approaches and delineate the goals and limits of the new profession of “genetic counseling.”. (shrink)

In this article, I suggest that combining resources from philosophy and psychology can yield useful tools for philosophical counselling. More specifically, I argue for three theses: a) Iris Murdoch’s notion of just attention and Marshall Rosenberg’s method of non-violent communication are interestingly compatible; b) engaging in non-violent communication serves to support one’s endeavors to acquire the kind of clear vision Murdoch thinks doing well by others requires; and c) non-violent just communication would be beneficial to both counsellors and counselees and (...) thus a useful resource for philosophical counsellors. (shrink)

Philosophical practice or counseling has been described as a cluster of meth­ods for treating everyday problems and predicaments through philosophical means. Not­withstanding the variety of methods, philosophical counselors seem to share the following tenets: 1. The counselee is autonomous; 2. Philosophical counseling differs from psychological counseling and 3. Philosophical counseling is effective in solving predicaments. A critical examination shows these to be problematic at both theoretical and practical levels. As I believe that philosophical practice is a valuable contribution both (...) to philosophy and to psychology, though not devoid of potential dangers and misuses, I suggest that philosoph­ical counselors reconsider the theoretical and empirical validity of their tenets. Using my experience as a philosophical counselor, I attempt in this paper to contribute to this task while introducing the reader to what are, in my opinion, the main problems in the field. (shrink)

Beginning with a discussion of why value neutrality on the part of the genetics counselor does not necessarily preserve autonomy of the counselee, the idea that social values unavoidably underlie the articulation of risks and benefits of genetic testing is made explicit. Despite the best efforts of a counselor to convey value neutral facts, risk assessment by the counselee and family is done according to normative analysis, experience with illness, and definitions of health. Each of these factors must (...) be known by the genetic counselor in order to relate those facts which she acknowledges as relevant to the decisions that will be made by those people seeking the genetic information. (shrink)

When accessing healthcare services, LGBT+ individuals are often exposed to segregating and marginalizing discourses. Knowledge about how such experiences are reflected in the moral world of LGBT+ individuals living in Turkey is limited. This study examined LGBT+ individuals’ lived experiences when utilizing healthcare services. The findings are discussed in terms of moral discourses related to LGBT+ individuals’ gender identity and sexual orientation. A qualitative field study was conducted using semi-structured interviews with fifty-five LGBT+ individuals from Turkish cities who were in (...) contact with various non-governmental organizations that conduct studies on gender identity and sexual orientation. A questionnaire was administered with items on participants’ demographic information, experiences, behavioural patterns, and knowledge regarding healthcare services. The data were analysed thematically. The findings were evaluated within the framework of “access to healthcare service” theme related to “healthcare service demand” context. Additionally, the “interaction with physicians” theme was addressed in the context of “physician–patient/counselee relationship.” LGBT+ individuals state that they are exposed to stigmatizing and segregating discourses by healthcare professionals, which might pose an obstacle for adaptive health-seeking behaviours. These results suggest that physicians’ professional approach has a considerable influence on LGBT+ individuals’ capacity for utilizing healthcare services. (shrink)

For anyone who wishes to make philosophy relevant to our everyday life, the Meditations by the Roman emperor Marcus Aurelius is a fascinating text. It is fascinating because it not only presents a deep conception about life, but also mentions practical ways of applying this conception to everyday life.The Meditations is a Stoic text which contains some central ideas already found in earlier Stoic writings and develops them in an engaging way. Several prominent historians of philosophy, notably Pierre Hadot2 and (...) A.A. Long3 , interpret it as a personal notebook of Stoic exercises, or what Hadot calls “spiritual exercises.”4 The idea is that the emperor’s primary purpose in writing this text was not to describe or speculate, but rather to practice. His purpose was not to record his thoughts and actions but to influence them, and thus to direct himself towards the good life.The view that the Meditations is a book of Stoic exercises makes this text especially relevant for philosophical practice. Philosophical practice is a modern approach that seeks to use philosophical thought for dealing with our personal predicaments, enriching our self-understanding, and thus living more deeply, fully, and with greater wisdom.5 Philosophical practice can take different shapes: as philosophical counseling between a philosopher and a counselee; as a workshop of self-examination directed by a philosopher; as a companionship of fellow philosophical seekers; but it can also be practiced by an individual who seeks to live philosophically, just like Marcus Aurelius. Thus, the Meditations can be seen as one of the ancient precursors of modern philosophical practice. (shrink)

This article shows how Buddhist philosophies are consistent with the rational counseling approach of Logic-Based Therapy (LBT), as presented in Elliot D. Cohen’s book, The New Rational Therapy: Thinking Your Way To Serenity, Success, and Profound Happiness. It presents many Buddhist insights as pathways to the “transcendent” or guiding virtues of LBT, and, accordingly, as philosophical antidotes to its eleven “cardinal fallacies.” It therefore helpfully adds to the repertoire of philosophies that can be used by LBT counselors in helping counselees (...) address their problems of living. (shrink)

This study is to show how the Logic-Based Therapy (LBT) method can be applied to groups in an attempt to point out possible risks and benefits of its application related to a group context. From observation and analysis a single practical case has been outlined, taking into consideration influence of group dynamics on the counselees’ cognitive processes during the LBT session. Judging from the analysis of the outlined results, it seems that intersubjectivity can play an important role if considered as (...) a productive resource in the co-construction of a changing process among LBT group members during the application of its six steps. In particular, new research fields on the need to analyze LBT in groups have been opened, exploiting the possibility to consider the group as an autonomous entity, especially in long term counseling therapies. (shrink)

In this dissertation, I develop a theory of philosophical counseling and teaching. It is the outcome of my holding the tension of my practical and theoretical viewing points. Holding the tension is a term which Maurice Friedman coined to counter the idea of dichotomous either/or thinking and any attempt to synthesize thought into unity or fusion. ;This dissertation focuses on Buber's notion of the dialogical, which implies acknowledging the other's otherness. Buber's notion of other is diametrically opposed to the post-modern (...) notion of other. The difference lies in the fact that Buber's notion of the not-I is rooted in trust, whereas the post-modern notion of denial and exclusion is rooted in distrust. ;This difference is of great importance, especially as it affects fields like counseling and teaching. In both counseling and teaching, it is important to be able to acknowledge the other as other, and to be able to meet the other while holding one's own ground. Yet, one can only do so when one can trust the other's otherness through an act of implicitly understanding his otherness. In any field which affects learning and teaching, we deal with different styles of discourse. It is my contention that a topic-centered discourse style distrusts what is implicitly understood and requires that it be made explicit. It cannot be relied upon for any kind of accuracy or coherence. Topic-associating trusts and relies on what is implicitly understood. In my work as both philosophical counselor and teacher I try to restore the notion of working on the basis of understood trust, and on the basis of responding to people's otherness. ;In this dissertation I present illustrations of my work as philosophical counselor and as an instructor in the Upward Bound College Prep Academy at the University of Illinois. These are examples of actively bringing trust back into the interaction between teacher/student or counselor/counselee. (shrink)

This article explores the potential utility of the theory of Holism as developed by South African philosopher, British Commonwealth statesman and military leader, Jan Smuts, for philosophical counselling or practice. Central to the philosophical counseling process is philosophical counsellors or practitioners applying the work of philosophers to inspire, educate and guide their counselees in dealing with life problems. For example, Logic-Based Therapy, a method of philosophical counselling developed by Elliot Cohen, provides a rational framework for confronting problems of living, where (...) the counselor helps the counselee find an uplifting philosophy that promotes a guiding virtue that acts as an antidote to unrealistic and often self-defeating conclusions derived from irrational premises. We present the argument that Holism is one such uplifting philosophy which can be of utility to philosophical counselors or practitioners to help their counselees with confronting problems of living. Furthermore, we argue that Smuts’ articulation of freedom can act as a guiding virtue within this uplifting philosophy of Holism in accordance with the methodology of LBT. Smuts’ contribution to philosophy and psychology is arguably inadequately credited, and for this reason, and to the best of our knowledge, Smuts’ theory of Holism has yet to be discussed in the context of philosophical counseling or practice. Given these omissions, we begin this article with a discussion of his influence on 20th Century Anglo-American psychology. We then provide a brief historical context, and an introduction to the central argument of Smuts’ Holism, as well as a brief overview of the origins of Smut’s Holism and an introduction to his book Holism and Evolution. In the remainder of the article, we discuss several foundational concepts that underlie Smuts’ theory of Holism, as articulated and developed in his book Holism and Evolution, to substantiate our arguments. We conclude by highlighting the limitations of our article, limitations to Smuts’ model, and the challenges inherent in the use of a now largely antiquated theory, even by Smuts’ own admission nineteen years after its publication, for the purposes of contextualizing and substantiating the arguments and recommendations presented herein. (shrink)

Logic-Based Therapy, a modality of Philosophical Counselling, believes that humans suffer because of their faulty thinking patterns. It suggests antidotal reasoning and uplifting philosophies that help counselees refute these thinking patterns and adopt a healthier way of life. This paper investigates the possibility of using the influential ideologies found in Naruto in the framework of LBT, as suitable uplifting philosophies. The anime has been interpreted through the lens of Conversational Model Therapy, Japanese values, violence studies, etc.; there is an unavailability (...) of research on its connection with philosophical counselling. This paper aims to fill the gap by reviewing literature on concepts in counselling, LBT, and philosophical counseling. It also attempts at providing behavioral exercises for the readers to implement in their own life. (shrink)

BackgroundThe Arab population in Israel is a minority ethnic group with its own distinct cultural subgroups. Minority populations are known to underutilize genetic tests and counseling services, thereby undermining the effectiveness of these services among such populations. However, the general and culture-specific reasons for this underutilization are not well defined. Moreover, Arab populations and their key cultural-religious subsets (Muslims, Christians, and Druze) do not reside exclusively in Israel, but are rather found as a minority group in many European and North (...) American countries. Therefore, focusing on the Arab population in Israel allows for the examination of attitudes regarding genetic testing and counseling among this globally important ethnic minority population.MethodsWe used a qualitative research method, employing individual interviews with 18 women of childbearing age from three religious subgroups (i.e., Druze, Muslim, and Christian) who reside in the Acre district, along with focus group discussions with healthcare providers (HCPs; 9 nurses and 7 genetic counselors) working in the same geographical district.ResultsA general lack of knowledge regarding the goals and practice of genetic counseling resulting in negative preconceptions of genetic testing was identified amongst all counselees. Counselors’ objective of respecting patient autonomy in decision-making, together with counselees’ misunderstanding of genetic risk data, caused uncertainty, frustration, and distrust. In addition, certain interesting variations were found between the different religious subgroups regarding their attitudes to genetic counseling.ConclusionsThe study highlights the miscommunications between HCPs, particularly counselors from the majority ethno-cultural group, and counselees from a minority ethno-cultural group. The need for nuanced understanding of the complex perspectives of minority ethno-cultural groups is also emphasized. Such an understanding may enhance the effectiveness of genetic testing and counseling among the Arab minority group while also genuinely empowering the personal autonomy of counselees from this minority group in Israel and other countries. (shrink)

The American movie, “Peaceful Warrior” (2006), starring Scott Mechlowicz and Nick Nolte, is a story about an outstanding athlete’s perplexities and anxieties. The main character in the movie, Dan Millman, aggressively pushes his performance in order to become a top athlete. As a result, he develops feelings of perplexity and anxiety, and suffers daily from these problems, leading to insomnia. The other character in the movie, Socrates, who works at a gas station, is like a philosopher. Socrates not only helps (...) others to feel better, he can also help himself; in other words, he provides philosophical counseling services. In this paper, I utilize a combination of Buddhist philosophy and Logic-based Therapy (LBT) to interpret and analyze scenarios from this Movie, hoping to provide materials for philosophical counseling. The Buddhist philosophy I use includes the Ch’an philosophies of attachment, contemplation, greed, animosity, ignorance, non-duality, and meditation. The Five Steps of Logic-Based Therapy I incorporate include: (1) identifying the counsel­ee’s emotional reasoning; (2) identifying any irrational premises; (3) refuting any irrational premises; (4) finding antidotes to the refuted premises; and (5) exercising willpower in overcoming cognitive dissonance. There are six aspects that I address in this paper. The first is the anxieties of the Movie’s main character, Dan. The second is the philosophical counseling approach attained by combining Ch’an philosophy and Logic-based Therapy. The third is “knowing the dissatisfactions,” i.e. the process of finding one’s emotional reasoning/irrational premises. The fourth is “terminating the causes (of the dissatisfactions),” i.e. refuting the irrational premises. The fifth is “cultivating the path,” i.e. finding an antidote to the refuted premises. And the sixth aspect is “realizing the cessation (awakening),” i.e., exercising willpower in overcoming cognitive dissonance. (shrink)

Is Agassi’s philosophy of practical affairs applicable in philosophical practice? Is it recommendable to philosophical practitioners, counselors, or counselees? A critical rational approach like his demands a prior awareness, which participants in practical philosophy programs often miss. That approach is necessary for counseling that is really philosophical, and some of his ideas are inspiring. Yet the problems that interested him and his way of solving or dissolving them on meta-levels, are not always relevant to the counselees’ concerns. His attitude to (...) the opinions, background, and concerns of others, though tolerant, is not recommendable to practitioners who have to take into account the perspectives of participants with other backgrounds, understand their “problem situations” and their “logic.”. (shrink)

This book discusses the philosophical questions asked by counselees and the philosophical dilemmas faced by counselors in philosophical counseling. It illustrates the role of tacit philosophical assumptions in the creation and resolution of problems, as well as the contribution of philosophical dialogue in overcoming presuppositions.

BackgroundIn the Netherlands, Foundation De Einder offers counselling to people who wish to be able to self-determine the timing and manner of their end of life.AimThis study explores the experiences with counselling that counselees receive from counsellors facilitated by Foundation De Einder.MethodsOpen coding and inductive analysis of in-depth interviews with 17 counselees.ResultsCounselling ranged from solely receiving information about lethal medication to combining this with psychological counselling about matters of life and death, and the effects for close ones. Counselees appreciated the (...) availability of the counsellor, their careful and open attitude, feeling respected and being reminded about their own responsibility. Some counselees felt dependent on the counsellor, or questioned their competency. Most counselees collected lethal medication. This gave them peace of mind and increased their quality of life, but also led to new concerns. Few were inclined to use their self-collected medication. Counselling contributed to thinking about if, when and how counselees would like to end their life.ConclusionHaving obtained means to end their lives can offer people feelings of reassurance, which can increase their quality of life, but can also give rise to new concerns. Next to providing information on lethal medication, counsellors can play an important role by having an open non-judgemental attitude, providing trustworthy information and being available. These positively valued aspects of counselling are also relevant for physicians taking care of patients who wish to self-determine the timing and manner of their end of life. (shrink)