The author explores the presence and the essential tension between clarity and ambiguity as processes within our minds that become prominent in psychoanalysis. We learn from aesthetics and literary criticism that ambiguity can shade from taut disorganization to tolerating life's richness; clarity can range from a concrete fixity to a lucid grasp of one's state of mind. This article responds to Wallerstein's (1991) challenge to find common ground in psychoanalytic practice: We attempt this by avoiding metapsychological jargon and relying on more experience-near terms, such as clarity and ambiguity. The article also refers to Sandler's (1983) concept of implicit theory-that psychoanalysts use "preconscious, overlapping but not fully integrated models" (Sandler, 1988, p. 388)-in this case explicating how clarity and ambiguity are frequent but implicit phenomena in clinical work. Identifying these and the essential tension between them permits us to both improve training and identify our clinical efforts. The analyst's and analysand's tolerance of the tension between clarity and ambiguity facilitates increased structuralization and emotional robustness.
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http://dx.doi.org/10.1521/bumc.2011.75.1.1 | DOI Listing |
To date, no Dutch questionnaire exists to administer preoperative patient expectations in patients scheduled to undergo a total shoulder arthroplasty. The aim of this study is to develop a Dutch translation of the Hospital for Special Surgery Expectations Survey using a standardized translation procedure, to use both in clinical practice and in scientific research. Translation is performed on the basis of a forward - backward translation.
View Article and Find Full Text PDFBiomimetics (Basel)
January 2025
Institute of Philosophy, University of Rostock, 18051 Rostock, Germany.
Biomimetics aims to learn from living systems to develop innovative technical artefacts. As it transcends disciplinary boundaries and needs to integrate both biological and technological knowledge, a domain ontology for biomimetics would be highly desirable. So far, several terminological resources have been designed to support the biomimetic development process.
View Article and Find Full Text PDFBMC Med Ethics
January 2025
The Kirby Institute, UNSW Sydney, Sydney, Australia.
Background: The World Professional Association for Transgender Health guidelines Standards of Care 8 draw on ethical arguments based on individual autonomy, to argue that healthcare and other professionals should be advocates for trans people. Such guidelines presume the presence of medical services for trans people and a degree of consensus on medical ethics. Very little is known, however, about the ethical challenges associated with both providing and accessing trans healthcare, including gender affirmation, in the Global South.
View Article and Find Full Text PDFJ Hosp Palliat Nurs
December 2024
Since the inception of medical assistance in dying (MAiD) in Canada in 2016, the health care system continues to refine MAiD delivery models. The frameworks informing nursing practice related to MAiD are subject to variability across the country, leading to nursing role ambiguity and barriers in relational practice. Using critical incident technique, this qualitative research study explores the experiences of 7 Canadian nurses engaging with patients seeking MAiD.
View Article and Find Full Text PDFFront Psychol
December 2024
Fundação Getúlio Vargas, Rio de Janeiro, Rio de Janeiro, Brazil.
The purpose of the present study was to understand how executives responsible for Diversity and Inclusion construct their identities while occupying positions of "Marginal Leadership," and how they deal with threats to such identities. We conducted qualitative and inductive research with Brazilian executives in 66 organizations, focusing on their experiences as leaders. In our resulting model, we theorized that leaders in positions of Marginal Leadership demonstrate little role clarity, resources, and confidence for the exercise of their activities, suffering threats to their identities, which are not observed in executives occupying positions in more traditional functions such as Finance, Production, and Marketing.
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