As a means for presenting Sartre's insights into the narcissistic problems of the self, we have used his phenomenological system as articulated in Being and Nothingness (1943) to illuminate these issues in the personality of Roquentin, the hero of his novel Nausea (1938). Roquentin attempts to stabilize his fragmenting self and to avoid "nausea" by using three mechanisms which Sartre argues maintain the self from drowning in the objects of the self. These are "reflection," "temporality" (continuity through time), and "being-for-others" (how we experience another's view of ourselves). In Sartre's conception of being-for-others lies many clinically useful insights which can be used to explain both the structure and the instability of the transferences seen in the treatment of narcissistic personality disorders. Sartre demonstrates by implication that the patient must maintain (by using bad faith, i.e., disavowal) that the therapist is acting freely, or these transferences collapse. Thus, the patient must feel he is the unique and special "occasion," of any warmth, empathy, or compliments. A case example is included to illustrate these issues of freedom and bad faith.
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Soc Sci Med
February 2025
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The COVID-19 epidemic exposed a glaring imbalance between the need for hospitalization and the material and human resources required to meet it. A qualitative study was conducted in a hospital in a region of France overwhelmed by the epidemic in 2020, and this resulting article analyzes how hospital employees came to terms with the shortage of hospital resources. Research reveals the contradictions between the denial of patient sorting by top national leadership and hospital management and its everyday practice by hospital agents in direct contact with the public.
View Article and Find Full Text PDFProc Natl Acad Sci U S A
February 2025
Department of Psychology, University of Potsdam, Potsdam 14476, Germany.
Measurement literacy is required for strong scientific reasoning, effective experimental design, conceptual and empirical validation of measurement quantities, and the intelligible interpretation of error in theory construction. This discourse examines how issues in measurement are posed and resolved and addresses potential misunderstandings. Examples drawn from across the sciences are used to show that measurement literacy promotes the goals of scientific discourse and provides the necessary foundation for carving out perspectives and carrying out interventions in science.
View Article and Find Full Text PDFMed Health Care Philos
March 2025
Science and Technology Studies, York University, Toronto, Canada.
In recent years, data-driven approaches to chronic pain care have increased dramatically. However, people living with chronic pain are ambivalent about datafication practices. Drawing on in-depth interviews with individuals living with chronic pain, I discuss and analyze this ambivalence.
View Article and Find Full Text PDFJ Physiol
October 2024
Department of Biology, Stanford University, Stanford, California, USA.
Introduction: Terminal illness is an irreversible illness that, without life-sustaining procedures, usually results in death or permanent disability from which recovery is unlikely. When involved, family caregivers are believed to improve health outcomes, such as reduced hospitalization, and establishing a patient's initial access to professional treatment services. However, caring for a patient with a terminal illness is viewed as one of the most difficult aspects of providing care.
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