Forschungsgeschichte - Handbuch/übergreifende Darstellung.

Background: Electroconvulsive therapy is one of the most effective treatments for major depressive disorder. Recently, there has been increasing attention to evaluate the effect of ECT on resting-state functional magnetic resonance imaging. This study aims to compare rs-fMRI of depressive disorder patients with healthy participants, investigate whether pre-ECT dynamic functional network connectivity network estimated from patients rs-fMRI is associated with an eventual ECT outcome, and explore the effect of ECT on brain network states.Method: Resting-state functional magnetic resonance imaging data were (...) collected from 119 patients with depression or depressive disorder, and 61 healthy participants, with an age mean of 52.25 years old. The pre-ECT and post-ECT Hamilton Depression Rating Scale were 25.59 ± 6.14 and 11.48 ± 9.07, respectively. Twenty-four independent components from default mode and cognitive control network were extracted, using group-independent component analysis from pre-ECT and post-ECT rs-fMRI. Then, the sliding window approach was used to estimate the pre-and post-ECT dFNC of each subject. Next, k-means clustering was separately applied to pre-ECT dFNC and post-ECT dFNC to assess three distinct states from each participant. We calculated the amount of time each subject spends in each state, which is called “occupancy rate” or OCR. Next, we compared OCR values between HC and DEP participants. We also calculated the partial correlation between pre-ECT OCRs and HDRS change while controlling for age, gender, and site. Finally, we evaluated the effectiveness of ECT by comparing pre- and post-ECT OCR of DEP and HC participants.Results: The main findings include depressive disorder patients had significantly lower OCR values than the HC group in state 2, where connectivity between cognitive control network and default mode network was relatively higher than other states, Pre-ECT OCR of state, with more negative connectivity between CCN and DMN components, is linked with the HDRS changes. This means that those DEP patients who spent less time in this state showed more HDRS change, and The post-ECT OCR analysis suggested that ECT increased the amount of time DEP patients spent in state 2.Conclusion: Our finding suggests that dynamic functional network connectivity features, estimated from CCN and DMN, show promise as a predictive biomarker of the ECT outcome of DEP patients. Also, this study identifies a possible underlying mechanism associated with the ECT effect on DEP patients. (shrink)

In Rita Charon's account of narrative medicine, empathy seems to be an essential element of the clinical relationship. However, empathy has not received much attention, which I believe is problematic. First, I show that not only is there no clear definition of what empathy is, but that this conceptual gap creates ambiguity about its role in the practice of narrative medicine. Second, I argue that certain passages in Charon's work seem to implicitly characterize empathy as a combination of cognitive empathy, (...) affective empathy, and sympathy, and that its inclusion in the practice of narrative medicine can be problematic. Third, following Dan Zahavi, I argue that a phenomenological account of empathy not only seems most compatible with the practices, values, and theoretical framework of narrative medicine, but is also capable of resolving the problems posed by alternative definitions of empathy and the ambiguity about the role of empathy in narrative medicine. (shrink)

The view that narrative artworks can offer insights into our lives, in particular, into the nature of the emotions, has gained increasing popularity in recent years. However, talk of narrative often involves reference to a perspective or point of view, which indicates a more fundamental mechanism at work. In this article, I argue that our understanding of the emotions is incomplete without adequate attention to the perspectival structures in which they are embedded. Drawing on Bennett Helm’s theory of emotion, I (...) argue that the narrative view fails to take into account the influence of perspective on the emotions. In order to address this gap in our understanding of the emotions, I highlight a mode of engagement with literature that prioritizes the perspectival features of a work. Focusing on lyric poetry, I argue that non-narrative artworks are those best placed to highlight this fundamental aspect of our emotional experiences. (shrink)

The present narrative review seeks to unravel where we are now, and where we need to go to delineate the active ingredients in psychotherapy delivered by conversational agents (e.g., chatbots). While psychotherapy delivered by conversational agents has shown promising effectiveness for depression, anxiety, and psychological distress across several randomized controlled trials, little emphasis has been placed on the therapeutic processes in these interventions. The theoretical framework of this narrative review is grounded in prominent perspectives on the active ingredients in psychotherapy. (...) Based on search terms derived from various theoretical perspectives, we conducted a systematic literature search of four scientific databases and identified 17 studies. Across the selected studies, three themes emerged: relationship variables, emotional venting, and cognitive factors. While methodological issues compromise the epistemic value of this evidence base, core questions also remain to be answered. Such questions include, but are not limited to, whether humans can form affectionate bonds to inanimate beings and whether these kind of mental health treatments should be understood as psychotherapy or something else. Researchers should therefore be cautious when applying theories of psychotherapy in the realm of conversational agents. We conclude the paper by introducing recommendations for future research, which we hope will help instigate methodologically sound studies in this field. (shrink)

This book provides the first comparative analysis of the three major streams of contemporary narrative psychology as they have been developed in North America, Europe, and Australia and New Zealand. Interrogating the historical and cultural conditions in which this important movement in psychology has emerged, the book presents clear, well-structured comparisons and critique of the key theories of narrative psychology pioneered across the globe. Examples include Dan McAdams in the US and his followers, who have developed a distinctive approach to (...) self and identity as a life story over the past two decades; in the Netherlands by Hubert Hermans, whose research on the ‘dialogical self’ has made the University of Nijmegen a centre of narrative psychological research in Europe; and in Australia and New Zealand, where the collaborative efforts of Michael White and David Epston helped to launch the narrative movement in psychotherapy in the late 1980s. (shrink)

I distinguish what I call ?minimal narrative? from narrative of the kind that might disclose a person's identity in biography or autobiography. The latter exists in what I call ?the realm of meaning?; a realm in which, in ways I try to make clear, form and content cannot be separated. The realm of meaning is also the realm in which we develop an understanding of what it means to lead a human life lucidly responsive to the defining facts of the (...) human condition and, interdependently with that, our sense of what it means to wrong someone. To show to what degree assumptions about the realm of meaning set the stage for our understanding of what it is to wrong someone, of the nature of biography and autobiography and of what it is to learn morally from someone's example, I detail the conceptual structure of a certain kind of racist perception. The racist's distinction between ?us? and ?them?, is essentially the distinction between lives that are lived in the realm of meaning and lives that are not. Much of moral philosophy, I argue, takes as it starting point a perception of human life that is little different from the racist's perception of the lives of those whom he regards as less than fully human. (shrink)

This study examined narrative identity in a group of 81 patients with schizophrenia and 50 healthy controls through the recall of self-defining memories. The results indicated that patients’ narratives were less coherent and elaborate than those of controls. Schizophrenia patients were severely impaired in the ability to make connections with the self and extract meaning from their memories, which significantly correlated with illness duration. In agreement with earlier research, patients exhibited an early reminiscence bump. Moreover, the period of the (...) reminiscence bump, which is highly relevant for identity development, was characterized by fewer achievements and more life-threatening event experiences, compared with controls. A negative correlation was found between negative symptoms, number of self-event connections and specificity of narratives. Our results suggest that schizophrenia patients have difficulties to organize and extract meaning from their past experiences in order to create coherent personal narratives. (shrink)

Hume's moral epistemology, focusing on the elevation of character tratis, requires what in contemporary terms is a narrative structure. The moral significance of an action can only be understood when considered in relation to an agent's past actions, beliefs, intentions, social environment and situation. Three features of Hume's writings support this claim: his accounts of moral evidence, of the object of moral evaluation, and of the value of history. Without recognizing the role of narrative, the standard view of Hume's moral (...) epistemology is incomplete. Recognizing this, Hume's History of England can be read as an exercise of moral evaluation. (shrink)

ExcerptNarrative today is a commanding term for individual and group definition. Within literature and literary discussions, narrative structure has been treated in increasingly complex and multifaceted ways. However, as narrative has moved from literature into wider cultural circulation, such multiplicity and complexity can be lost. Narrative is embraced as the form in which experience takes meaningful shape. Each individual or each group has a story as their version of who they are, interpreted in each one’s terms and affirming each one’s (...) right to such interpretation. On the one hand, this promises the airing and sharing of viewpoints and versions on the part of each self or group. On the other hand, certain tendencies and implications of narrative structure close off each version from the others. Narrative can then become a claim to one’s own story in ways that refuse the stories of others. Instead of interchange among many voices in an open forum, what emerge are competitive accounts that deny the validity of the accounts of others. (shrink)

I argue against two popular claims. The first is a descriptive, empirical thesis about the nature of ordinary human experience: ‘each of us constructs and lives a “narrative” . . . this narrative is us, our identities’ (Oliver Sacks); ‘self is a perpetually rewritten story . . . in the end, we become the autobiographical narratives by which we “tell about” our lives’ (Jerry Bruner); ‘we are all virtuoso novelists. . . . We try to make all of our (...) material cohere into a single good story. And that story is our autobiography. The chief fictional char- acter . . . of that autobiography is one’s self’ (Dan Dennett). The second is a normative, ethical claim: we ought to live our lives narratively, or as a story; a ‘basic condition of making sense of ourselves is that we grasp our lives in a narrative’ and have an understanding of our lives ‘as an unfolding story’ (Charles Taylor). A person ‘creates his identity [only] by forming an autobiographical narrative – a story of his life’, and must be in possession of a full and ‘explicit narrative [of his life] to develop fully as a person’ (Marya Schechtman). (shrink)

The purpose of this paper is to demonstrate that the experience of a literary narrative qua literary narrative is an experience of narrative thickness, i.e. an experience in which narrative form and narrative content are inseparable. I explain my thesis of poetic thickness in §1, showing why it does not admit of extension from poetry to literary narratives. §§2-3 synthesise the work of Derek Attridge and Peter Lamarque, advancing narrative thickness as a necessary condition of literary narratives. I (...) propose a work of didactic literature – J.M. Coetzee’s “The Lives of Animals” – as a paradigmatic counter-example to narrative thickness in §4. I show, in §5, that narrative thickness holds for this work in particular and didactic works which are literary in general, concluding that narrative thickness is indeed a necessary condition of literary narratives. (shrink)

Introducing key ideas of narrative inquiry, this is the first book to explore in depth the theoretical underpinnings of the methodology. The authors open up ways of thinking about people's experiences and their lives, which are situated and shaped by cultural, social, familial, institutional, and linguistic narratives. The authors draw on a range of theorists, creative nonfiction writers, poets, and essayists. The book is arranged into five parts covering a range of topics including: embodiment, memory, knowledge, wonder, imagination, community, (...) responsibility, and place. Each section ends with a methodological discussion of their work involving refugee families with young children from Syria. (shrink)

Der Begriff "Narrativität" tritt heute als ein Modewort in Erscheinung, das sogar Einzug ins Feuilleton gehalten hat. Im Kontext der Philosophie des 20. und 21. Jahrhunderts kann der Mensch als narratives Wesen bestimmt werden. Erzählung dient hier nicht allein als Inbegriff einer Gesamtheit von Sinnbildungen, sondern vor allem zur Kennzeichnung des wirklich Menschlichen. Das narrative Selbst gibt nicht nur auf die Frage nach dem Menschen eine Antwort, sondern ist auch grundlegend für die Beantwortung der Frage nach dem Tunsollen des (...) Menschen. Und es wird sichtbar, dass die "Form der Erzählung" die Art und Weise des Verstehens der eigenen Handlungen und die der anderen sein kann. Die Klärung der Bedeutung von Narrativität im Spannungsfeld von Ethik und deren lebenspraktischem Bezug steht in systematischer Hinsicht allerdings noch aus. Der vorliegende Band leistet einen wichtigen Beitrag zur Klärung dieses Defizits, indem er Grundlagen, Grundpositionen und Anwendungen einer narrativen Ethik vorstellt. (shrink)

This article examines the pedagogic vision of audiovisual archives in Ici et ailleurs ( Here and Elsewhere, 1974/1978) (shot by Sonimage and drawn from the abandoned project Jusqu’à la Victoire [1970]) in terms of the stratification of images and sounds. Drawing on Gilles Deleuze and Michel Foucault, Tom Conley writes that a diagram that depends upon the division between the visible and the enunciable may be comprehended in terms of a map and as a line of forces. Such strata can (...) act as signposts for diverse and multilateral readings of film, as viewers “read” cinematic landscapes and time-images. In Ici et ailleurs, stratigraphic shots juxtapose the Western, static home life of a family in France with the nomadic life of Fedayeen troops in Jordan and Palestine. This article argues that Sonimage’s narrative specificity relies upon an “in-between” method that defines an inter-space between semantic orders. (shrink)

Use of narrative metaphors in moral theory makes possible an account of public worship as the ground for Christian moral life. By enabling us to picture how our moral agency acknowledges the living God, such worship grounds the principle that Christian moral endeavor takes shape in God's living presence. The community professes that, in its worship, its heritage of images of human life under God-creation, redemption, church, and eternal life-effectively reshapes our lives. Thus worship empowers us to see and to (...) shape our moral agency as a response of praise to God as Creator and Lord. (shrink)

The Narrative Practice Hypothesis (NPH) is a recently conceived, late entrant into the contest of trying to understand the basis of our mature folk psychological abilities, those involving our capacity to explain ourselves and comprehend others in terms of reasons. This paper aims to clarify its content, importance and scientific plausibility by: distinguishing its conceptual features from those of its rivals, articulating its philosophical significance, and commenting on its empirical prospects. I begin by clarifying the NPH's target explanandum and the (...) challenge it presents to theory theory (TT), simulation theory (ST) and hybrid combinations of these theories. The NPH competes with them directly for the same explanatory space insofar as these theories purport to explain the core structural basis of our folk psychological (FP)-competence (those of the sort famously but not exclusively deployed in acts of third-personal mindreading). (shrink)

In this article, I outline various ways in which artifacts are interwoven with autobiographical memory systems and conceptualize what this implies for the self. I first sketch the narrative approach to the self, arguing that who we are as persons is essentially our (unfolding) life story, which, in turn, determines our present beliefs and desires, but also directs our future goals and actions. I then argue that our autobiographical memory is partly anchored in our embodied interactions with an ecology of (...) artifacts in our environment. Lifelogs, photos, videos, journals, diaries, souvenirs, jewelry, books, works of art, and many other meaningful objects trigger and sometimes constitute emotionally-laden autobiographical memories. Autobiographical memory is thus distributed across embodied agents and various environmental structures. To defend this claim, I draw on and integrate distributed cognition theory and empirical research in human-technology interaction. Based on this, I conclude that the self is neither defined by psychological states realized by the brain nor by biological states realized by the organism, but should be seen as a distributed and relational construct. (shrink)

This text offers a reflection on the nature and significance of narrative in human communication.

Is the self narratively constructed? There are many who would answer yes to the question. Dennett (1991) is, perhaps, the most famous proponent of the view that the self is narratively constructed, but there are others, such as Velleman (2006), who have followed his lead and developed the view much further. Indeed, the importance of narrative to understanding the mind and the self is currently being lavished with attention across the cognitive sciences (Dautenhahn, 2001; Hutto, 2007; Nelson, 2003). Emerging from (...) this work, there appear to be a variety of ways in which we can think of the narrative construction of the self and the relationship between the narrative self and the embodied agent. I wish to examine two such ways in this paper. The first I shall call the abstract narrative account, this is because its proponents take the narrative self to be an abstraction (Dennett, 1991; Velleman, 2006). Dennett, for example, refers to the self as a centre of narrative gravity, to be thought of as analogous to a mathematical conception of the centre of gravity of an object. The second I shall call the embodied narrative account and this is the view that the self is constituted both by an embodied consciousness whose experiences are available for narration and narratives themselves, which can play a variety of roles in the agent’s psychological life. (shrink)

The condition of postmodernity has been associated with the depreciation of narratives. Here it is argued that stories play a primordial role in human self-creation, underpinning more abstract discourses such as mathematics, logic and science. This thesis is defended telling a story of the evolution of European culture from Ancient Greece to the present, including an account of the rise of the notion of culture and its relation to the development of history, thereby showing how stories function to justify (...) beliefs, situate people as agents within history and orient them to create the future. (shrink)

This book is a supplement to the author's earlier New Hegelian Essays. It continues the project of presenting the narrative(s) of religion as intelligible metaphysics, "interpreting spiritual things spiritually", as St. Paul says. After an introductory recall of the unreality of the phenomenal individual except insofar as viewed as "in" God, the Absolute, so that all depend upon all, the first subject to be considered is faith itself, too often seen as the polar and hence negative opposite of reason. After (...) this, we plunge straight for the hidden philosophical implications of the Trinity, leading on to a rational viewing of the doctrines of Creation and Incarnation, actually essentially connected. A false view of Creation, as, consequently, of divine transcendence, is here corrected. God has no otherness with which he is not at the same time united and hence identified and this is the very opposite of pantheism, is acosmism rather, God being "all in all". Regarding Incarnation, its full humanistic implications, in a context of Absolute Idealism as the philosophical and true view, are here teased out. Finally, we move to a consideration of "practical reason", virtues, ethical imperatives, their true character and import. The book concludes with some consideration of the eventual role of such philosophy as holding together a great contemporary political project, the European Union. (shrink)

As a powerful tool in the production of knowledge, comparing plays a crucial part in the sciences and the humanities. This volume explores the relationship between comparing and narrating in epistemic practices and clarifies the ways in which narratives enable or impede practices of comparing. It takes into account related activities, such as measuring and classifying, modeling, establishing norms and categories, as well as organizing and popularizing knowledge, to analyze the ambivalent relationship between narratives, scientific explanation, and understanding. (...) The contributions bring out the epistemic role of narratives, and elucidate how narratives are connected to comparisons and scientific explanations."--Publisher description. (shrink)

All people are vulnerable to having their self-concepts shaped by others. This article investigates that vulnerability using a theory of narrative self-constitution. According to narrative self-constitution, people depend on others to develop and maintain skills of self-narration and they are vulnerable to having the content of their self-narratives co-authored by others. This theoretical framework highlights how vulnerability to co-authoring is essential to developing a self-narrative and, thus, the possibility of autonomy. However, this vulnerability equally entails that co-authors can undermine (...) autonomy by contributing disvalued content to the agent’s self-narrative and undermining her authorial skills. I illustrate these processes with the first-hand reports of several women who survived sexual abuse as children. Their narratives of survival and healing reveal the challenges involved in developing the skills required to manage vulnerability to co-authoring and how others can help in this process. Finally, I discuss some of the implications of co-authoring for the healthcare professional and the therapeutic relationship. (shrink)

This paper promotes the view that our childhood engagement with narratives of a certain kind is the basis of sophisticated folk psychological abilities —i.e. it is through such socially scaffolded means that folk psychological skills are normally acquired and fostered. Undeniably, we often use our folk psychological apparatus in speculating about why another may have acted on a particular occasion, but this is at best a peripheral and parasitic use. Our primary understanding and skill in folk psychology derives from (...) and has its primary application in special kinds of second-personal engagements. (shrink)

Aryeh Goldberg compellingly argues for a Narrative Coherence Standard (NCS) to bolster existing methods of assessing patients' mental capacity. But his account fails to distinguish between the cognitive abilities of children and adults; consequently, worries may be raised about the scope of the NCS, in particular when we consider child patients. In this article, I argue the NCS cannot plausibly apply to children. Since children's self-conception does not arrive fully formed — but rather is a product of both incomplete cognitive (...) development and socializing factors — I claim children may not possess a sufficiently intimate knowledge of self, and therefore a sufficiently coherent sense of self, as Goldberg demands. Therefore, we should either revise the NCS to accommodate children, adopt an incremental view of consent, or revert to the relevant form of the MacArthur competence criteria to establish children’s capacity to consent. (shrink)

Decoupling a modestly construed Narrative Self Shaping Hypothesis from Strong Narrativism this paper attempts to motivate devoting our intellectual energies to the former. Section one briefly introduces the notions of self-shaping and rehearses reasons for thinking that self-shaping, in a suitably tame form, is, at least to some extent, simply unavoidable for reflective beings. It is against this background that the basic commitments of a modest Narrative Self-Shaping Hypothesis are articulated. Section two identifies a foundational commitment—the central tenet—of all Strong (...) Narrativist proposals, those that posit a necessary link between narrative self-shaping and narrative self-experience. As will be shown, in the hands of Strong Narrativists the latter notion is unpacked in stronger or weaker ways by appeal to the notion of implicit Narrativizing. Section three reminds the reader of Strawson’s challenge to Strong Narrativism. It is revealed that Strawson’s objections are most effective if they target Strong Narrativism’s central tenet construed as a phenomenological revelation about what is necessary for self-experience and not merely the psychological Narrativity thesis, construed as an empirical hypothesis about typical Narrativizing proclivities. Having set the stage, section four critically examines two different strategies, pursued by Rudd and Schechtman respectively, for escaping the horns Strawson’s dilemma poses for Strong Narrativism. In the end both strategies invoke the notion of implicit Narrativizing at a crucial juncture. Section five reveals that a substantive proposal about what implicit Narrativizing might be is lacking, hence we have no reason to believe that it actually occurs. It is concluded that, as things stand, Strong Narrativism has no way of avoiding the horns of Strawson’s dilemma. Brief concluding remarks in the final section are a reminder why, despite their modesty, softer versions of the NSSH—when coupled with a developmental proposal about the narrative basis of our folk psychological competence—are non-trivial and worthy of further development and investigation. (shrink)

This article examines the narrative approach to self found in philosophy and related disciplines. The strongest versions of the narrative approach hold that both a person's sense of self and a person's life are narrative in structure, and this is called the hermeneutical narrative theory. This article provides a provisional picture of the content of the narrative approach and considers some important objections that have been raised to the narrative approach. It defends the view that the self constitutes itself in (...) narrative and argues for something less than the hermeneutical view insofar as the narrative is less agency-oriented and without an overarching thematic unity. (shrink)

This volume aimed to highlight narrative identities of European cities or city neighbourhoods that have been overlooked, such as mid-sized cities. These cities are neither small towns nor metropolises, cities that are now unveiling their appeal or specificity. The present special issue thus covers a range of representations of cities. The articles investigate more systematically how different texts deal with various cities from different experiential and fictional perspectives. The issue covers the geographical scope across Europe, from east to west or (...) vice versa, as well as a range of different works of national literature(s), but with a clear emphasis on mid-sized European cities that have until now been deemed as lesser-known, secondary, peripheral, ‘other’ cities that are in the focus of the research of the COST project Writing Urban Places. New Narratives of the European City, within which this journal issue is being published. (shrink)

Kindergarten Narratives on Froebelian Education showcases the latest scholarship and historical understandings concerning the casting of the kindergarten idea abroad: across cultures, continents and centuries. Each chapter reveals previously unknown narratives of intrepid endeavour, political pragmatism and pedagogical innovation that collectively provide insight into the transformation of Froebel's ideas on early education into a global phenomenon. Across global contexts, each chapter will present a case study of the ideas scattering abroad, illustrative of the movement of ideas, curricula and (...) pedagogical change; in effect taking the kindergarten beyond the geographies and pedagogies of its German beginnings and borders. Chapters draw on historical examples of Froebelian education from The Netherlands, New Zealand, Japan, Sweden, the UK and the USA. In the journal History of Education in 2006, Froebelian history scholar Professor Kevin J. Brehony (1948-2013) lamented the 'relative neglect' of the history of early years education at the same time there was a heightened global social and political interest in educating the young child. In this book, an international team of contributors respond to Brehony's challenge that historical perspectives can play a role in current debates and suggest ways historical narratives might inform policies and practices in twenty-first century early childhood education, care settings and contexts. Reconnecting past lessons and insights with present and future concerns for early education, young children and their place in society, this important collection also includes an historical timeline charting the spread of Frobelian education ideas and kindergartens across the world. (shrink)

In this article, “Narrative Closure,” a theory of the nature of narrative closure is developed. Narrative closure is identified as the phenomenological feeling of finality that is generated when all the questions saliently posed by the narrative are answered. The article also includes a discussion of the intelligibility of attributing questions to narratives as well as a discussion of the mechanisms that achieve this. The article concludes by addressing certain recent criticisms of the view of narrative expounded by this (...) article. (shrink)

To the realists.—You sober people who feel well armed against passion and fantasies and would like to turn your emptiness into a matter of pride and ornament: you call yourselves realists and hint that the world really is the way it appears to you. As if reality stood unveiled before you only, and you yourselves were perhaps the best part of it … But in your unveiled state are not even you still very passionate and dark creatures compared to fish, (...) and still far too similar to an artist in love? And what is ‘reality’ for an artist in love? You are still burdened with those estimates of things that have their origin in the passions and loves of former centuries. Your sobriety still contains a secret and inextinguishable drunkenness. Your love of ‘reality’, for example-—oh, that is a primeval ‘love’ … Subtract the phantasm and every human contribution from it, my sober friends! If you can! If you can forget your descent, your past, your training—all of your humanity and animality. (F. Nietzsche,The Gay Science, Book Two, extract from Section 57). (shrink)