伊曼努尔·康德与理解他人生活经验的任务

IF 2.6 0 PHILOSOPHY Philosophy Psychiatry & Psychology Pub Date : 2022-09-01 DOI:10.1353/ppp.2022.0033
S. Wharne
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引用次数: 0

摘要

凯蒂·哈斯特教授研究了心理创伤现象,将哲学理解带入其中。她提供了观察到的“症状”和相关治疗的知情描述。我以咨询心理学家的身份发表评论,尽管我并不擅长她所描述的循证治疗。通常,在我与客户的合作中,我们试图弄清楚已经发生的事情,并关注未来可能发生的事情。因此,我感谢那些拥有我所缺乏的专业知识的同事。我记得与其中一位同事的一次讨论,他建议说:“如果一栋房子着火了,你的首要任务应该是扑灭火焰,你可以稍后再担心它是如何着火的。”我认为这是一个很好的观点,这得到了哈斯特的支持。我在扩大这个类比,但一个受了创伤的人可能就像那个恼人的有故障的烟雾报警器。即使没有真正的火灾,它也会一直响。当一个人的焦虑看起来毫无根据时,就会被认为是精神疾病的症状。我的同事们用标准的评分量表来测量焦虑,当干预措施降低了这些指标的分数时,就被认为是基于证据的。然而,我们知道,从恼人的烟雾报警器中取出电池是不够的。我在下面观察到,焦虑可以是积极的和保护性的。我还观察到,创伤可能远远超出了我们通常经历的范围,以至于很难理解发生了什么,也很难适应它。哈斯特描述了康德的框架如何支持对创伤的务实和坚忍的反应。这个框架支撑着心理学理论和实践的某些领域,在这些领域中,我们不能相信自己的情感,我们必须转向理性。我在一定程度上支持这一点,但我担心,理性和减轻症状并不总是足够的。哈斯特描述了受创伤的人如何在自责中挣扎。他们如何缺乏自我价值感以及他们如何陷入极端冒险。在康德的框架内,人们假设他们有问题。然而,如果我们花时间和他们一起探索发生了什么,
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Immanuel Kant and the Task of Understanding Another’s Lived-Experience
Professor Katie Harster has considered the phenomenon of psychological trauma, bringing philosophical understandings into play. She provides an informed account of observed “symptoms,” and associated treatments. I comment as a counseling psychologist, although I do not specialize in the evidence-based treatments that she describes. Usually, in my work with clients, we are trying to make sense of what has happened, with a concern for what might happen in the future. I am grateful therefore to colleagues who have the expertise that I lack. I recall a discussion with one of these colleagues, who suggested that, “If a house is on fire, your priority should be to put out the flames and you can worry about how it caught on fire sometime later.” A good point I thought, and this is supported by Harster’s account. I am stretching the analogy, but a traumatized person could be like that annoying faulty smoke alarm. It keeps going off even though there is no actual fire. When a person’s anxiety appears to be unwarranted, it is taken to be a symptom of mental illness. My colleagues measure anxiety, using standard rating scales, and interventions are considered evidence-based when they reduce scores on those measures. However, we know that removing the batteries from an annoying smoke alarm is not an adequate response. I observe below that anxiety can be positive and protective. I also observe that trauma can be so far off the scale of what we usually experience, that it will be difficult to make sense of what has happened, or to adjust to it. Harster describes how a Kantian framework supports pragmatic and stoic responses to trauma. This framework underpins certain areas of psychological theory and practice, in which it is suggested that we cannot trust our emotions, and we must turn instead to reason. I support this to a degree, but I am concerned that reason and symptom reduction will not always be enough. Harster describes how traumatized people can struggle with self-blame. How they lack a sense of self-worth and how they can lapse into extreme risk taking. Within that Kantian framework, it is assumed that there is something wrong with them. However, if we take time with them to explore what happened,
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CiteScore
3.60
自引率
4.30%
发文量
40
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