This paper argues that if one considers just a single clinical moment there may be no principled way to choose among different approaches to psychoanalytic technique. One must in addition take into account what Aristotle called the final cause of psychoanalysis, which this paper argues is freedom. However, freedom is itself an open-ended concept with many aspects that need to be explored and developed from a psychoanalytic perspective. This paper considers one analytic moment from the perspectives of the techniques of (...) Paul Gray, Hans Loewald, the contemporary Kleinians and Jacques Lacan. It argues that, if we are to evaluate these techniques, we must take into account the different conceptions of freedom they are trying to facilitate. (shrink)
This paper tries to make clear what practical intelligibility is and how it is threatened at times of cultural breakdown or devastation. It argues that it is easy to overlook a breakdown in practical intelligibility because there is a tendency to frame the problems in terms of theoretical reason. Once one gets clear on what the threat to intelligibility is (and what it is not) one can see fairly straightforward ways to respond to the comments made by Dreyfus and Sherman.
Background Regionalised models of health care delivery have important implications for people with disabilities and chronic illnesses yet the ethical issues surrounding disability and regionalisation have not yet been explored. Although there is ethics-related research into disability and chronic illness, studies of regionalisation experiences, and research directed at improving health systems for these patient populations, to our knowledge these streams of research have not been brought together. Using the Canadian province of Ontario as a case study, we address this gap (...) by examining the ethics of regionalisation and the implications for people with disabilities and chronic illnesses. The critical success factors we provide have broad applicability for guiding and/or evaluating new and existing regionalised health care strategies. Discussion Ontario is in the process of implementing fourteen Local Health Integration Networks (LHINs). The implementation of the LHINs provides a rare opportunity to address systematically the unmet diverse care needs of people with disabilities and chronic illnesses. The core of this paper provides a series of composite case vignettes illustrating integration opportunities relevant to these populations, namely: (i) rehabilitation and services for people with disabilities; (ii) chronic illness and cancer care; (iii) senior's health; (iv) community support services; (v) children's health; (vi) health promotion; and (vii) mental health and addiction services. For each vignette, we interpret the governing principles developed by the LHINs – equitable access based on patient need, preserving patient choice, responsiveness to local population health needs, shared accountability and patient-centred care – and describe how they apply. We then offer critical success factors to guide the LHINs in upholding these principles in response to the needs of people with disabilities and chronic illnesses. Summary This paper aims to bridge an important gap in the literature by examining the ethics of a new regionalisation strategy with a focus on the implications for people with disabilities and chronic illnesses across multiple sites of care. While Ontario is used as a case study to contextualize our discussion, the issues we identify, the ethical principles we apply, and the critical success factors we provide have broader applicability for guiding and evaluating the development of – or revisions to – a regionalised health care strategy. (shrink)
Sigmund Freud (1856-1939) developed the theory and practice of psychoanalysis, one of the twentieth century's most influential schools of psychology. He also made profound insights into the psychology and understanding of human beings. In this brilliant and long-awaited introduction, Jonathan Lear--one of the most respected writers on Freud--shows how Freud also made fundamental contributions to philosophy and why he ranks alongside Plato, Aristotle, Marx and Darwin as a great theorist of human nature. Freud is one of the most important introductions (...) and contributions to understanding this great thinker to have been published for many years, and will be essential reading for anyone in the humanities, social sciences and beyond with an interest in Freud or philosophy. (shrink)
This is a philosophical introduction to Aristotle, and Professor Lear starts where Aristotle himself started. He introduces us to the essence of Aristotle's philosophy and guides us through all the central Aristotelian texts--selected from the Physics, Metaphysics, Ethics, Politics and the biological and logical works. The book is written in a direct, lucid style that engages the reader with the themes in an active and participatory manner. It will prove a stimulating introduction for all students of Greek philosophy and for (...) a wide range of others interested in Aristotle as a giant figure in Western intellectual history. (shrink)
Aristotle was the first and one of the greatest logicians. He not only devised the first system of formal logic, but also raised many fundamental problems in the philosophy of logic. In this book, Dr Lear shows how Aristotle's discussion of logical consequence, validity and proof can contribute to contemporary dabates in the philosophy of logic. No background knowledge of Aristotle is assumed.