François Leuret: the last moral therapist

2017 ◽  
Vol 29 (1) ◽  
pp. 38-48 ◽  
Author(s):  
Edward M Brown

By the 1840s French psychiatrists had abandoned Moral Treatment as an individual psychological therapy, as opposed to an institutional practice. One advocate of Moral Treatment, however, would not go along with this movement. In three books and several papers published between 1834 and 1846, François Leuret (1797–1851) advocated aggressive psychological treatment. Recent commentators have understandably concentrated on the controversies surrounding Leuret’s practices. What such an approach has failed to make clear, however, is that Leuret had a complex, systematic psychological theory supporting his clinical judgements. In addition to reviewing the controversies that surrounded Leuret, this paper spells out Leuret’s psychological theory and shows how he used this theory to think about the individual psychotherapy he provided for his patients.

2001 ◽  
Vol 60 (3) ◽  
pp. 161-178 ◽  
Author(s):  
Jean A. Rondal

Predominantly non-etiological conceptions have dominated the field of mental retardation (MR) since the discovery of the genetic etiology of Down syndrome (DS) in the sixties. However, contemporary approaches are becoming more etiologically oriented. Important differences across MR syndromes of genetic origin are being documented, particularly in the cognition and language domains, differences not explicable in terms of psychometric level, motivation, or other dimensions. This paper highlights the major difficulties observed in the oral language development of individuals with genetic syndromes of mental retardation. The extent of inter- and within-syndrome variability are evaluated. Possible brain underpinnings of the behavioural differences are envisaged. Cases of atypically favourable language development in MR individuals are also summarized and explanatory variables discussed. It is suggested that differences in brain architectures, originating in neurological development and having genetic origins, may largely explain the syndromic as well as the individual within-syndrome variability documented. Lastly, the major implications of the above points for current debates about modularity and developmental connectionism are spelt out.


Author(s):  
Thomas Teo

Critical psychology comprises a broad range of international approaches centered around theories and practices of critique, power, resistance, and alternatives of practice. Although critical psychology had an axial age in and around the 1970s, many sources can be found decades and even centuries earlier. Critical psychology is not only about the critique of psychology, which is a broader historical and theoretical field, but about doing justice in and through theory, justice with and to groups of people, and justice to the reality of society, history, and culture as they powerfully constitute subjectivity, as well as the discipline and profession of psychology. Doing justice in and through psychological theory has a strong basis in Western critical approaches, representing a privileged position of reflection in Euro-American research institutions. Critical psychologists argue that traditional psychology is missing its subject matter and hence is not doing justice in methodology, and its practices of control and adjustment are not doing justice to the emancipatory possibilities of human agency or human science. Critical psychologists who are attempting to do justice with and to human beings are not neglecting the onto-epistemic-ethical domain, but are instead focusing on people, often marginalized or oppressed groups. Critical psychologists who want to do justice in history, culture, and society have argued that traditional psychological practice means adaption and adjustment. This means that not only subjectivity, but also the discipline and profession of psychology need to be connected with contexts. Psychologists have attempted to conceptualize the relationship between society and the individual, as well as the ability of humans not only to adapt to an environment but to change their living conditions and transform the status quo. This conceptualization also means providing concrete analyses of how current society, based in neoliberal capitalism, not only impacts individuals but also the discipline of psychology. Despite the complexities of critical psychology around the world, critical psychologists emphasize the importance of reflexivity and praxis when it comes to changing the conditions of social reality that create mental life. Given that subjectivity cannot be limited to intra-psychological processes, critical psychologists attend to relational and structural societal realities, requiring inter- and transdisciplinarity in the discipline and profession.


2021 ◽  
Author(s):  
◽  
Harry Dent

<p>In order for correctional rehabilitation practices to be maximally effective, they should be grounded in well-developed psychological theory about the causes, development, and nature of crime. This thesis argues that these theories of crime should be based in an underlying perspective of human functioning, or how people work at a fundamental level. I argue that this level of theory has been neglected in theories of crime, as demonstrated through an evaluation of the Risk-Need-Responsivity model of rehabilitation, which currently stands as the most popular and widely used rehabilitation framework throughout much of the world. This perspective is understood to implicitly present a view of functioning which is reward-oriented, multifactorial, norm-based, and modular, resulting in limited explanatory value and diminished treatment efficacy. I then suggest an alternative model of functioning as being embodied, embedded, and enactive (3e). 3e places an emphasis on the individual as an embodied whole, in an adaptive relationship with their physical and social environment. 3e prioritises the affective experience and agency of the individual, with a commitment to viewing the person as a functional whole drawing on comprehensive multilevel explanations. I outline how this perspective could be used to inform the explanation of crime, before applying the model to an exemplar to demonstrate the potential treatment utility of a 3e approach to correctional rehabilitation, as opposed to an RNR approach.</p>


1983 ◽  
Vol 28 (7) ◽  
pp. 571-576 ◽  
Author(s):  
J. Postel

Summary The purpose of this paper is to investigate Philippe Pinel's psychiatric experience, his practice in “la maison de santé Belhomme” and his first publications which were concerned with the treatment of mental patients and appeared in “La Gazette de Santé” which he edited between 1785 and 1789. During that time, the main preoccupation of the future head doctor of “La Salpétrière” had been to ensure the application and the development of moral treatment, in its practical modalities as well as its theoretic rationalization. Meanwhile, the institutional aspect of this therapy had the upper hand over the individual cure. This evolution brought Pinel and his successors to neglect the latter. In this connection we can regret that Philippe Pinel did not continue to have more private practice for this allowed him to follow first his experience and research (individual cure) in this field of rational psychotherapy, that of moral treatment.


2018 ◽  
Vol 28 (3) ◽  
pp. 390-408 ◽  
Author(s):  
Elmien Lesch ◽  
Alberta SJ van der Watt

Worldwide, societies continue to privilege the ideology of couplehood to the detriment of other relationship states, like singlehood, that are steadily increasing in number. Furthermore, according to developmental psychology theory, the formation of a committed romantic relationship is viewed as an important psychosocial developmental task in adulthood. It is therefore not surprising that women’s experience of being single has generally been neglected by psychological theory and research. Situated in a feminist-phenomenological perspective, this study explored the experiences of tertiary-educated, child-free, never-married, White, South African women between the ages of 30 and 40. Giorgi’s descriptive-phenomenological method was used to analyse the individual interview data. In this article, we discuss four of the prominent themes that best reflect the collective views and multi-faceted experiences of the participants: singlehood brings both freedom and loneliness; career as both fulfilment and singlehood coping mechanism; committed partners as sources of both restriction and connection; and hoping for a committed relationship. We highlight how the notion of a committed sexual relationship as the ultimate relationship that provides effortless connectedness and companionship underpins all of these themes. We argue that alternative discourses and mechanisms of connection that accommodate people who live as single adults, should be fostered.


2021 ◽  
Author(s):  
Angel Aguilera-Martin ◽  
Mario Gálvez-Lara ◽  
Fátima Cuadrado ◽  
Eliana Moreno ◽  
Francisco García-Torres ◽  
...  

The aim of this study is to compare, in cost-effectiveness and cost-utility terms, a brief transdiagnostic cognitive-behavioural therapy in two different modes, individual and group, with the treatment usually administered in primary care (TAU). Participants between 18 and 65 years old and with, according to the pretreatment evaluation, mild to moderate emotional disorders will be randomly allocated to the three clusters. They will be assessed again immediately after treatment and 6 and 12 months later. ClinicalTrials.gov: NCT04847310


1968 ◽  
Vol 114 (507) ◽  
pp. 169-174 ◽  
Author(s):  
Maxwell Jones ◽  
Paul Polak

It is part of the magical aura of the physician that he must have some omnipotent tool with which he dramatically makes patients better. In individual psychotherapy the individual interview and the interpretation, like the surgeon's scalpel, provides such an omnipotent instrument. In therapeutic community practice it is often group therapy in the form of the daily ward meeting and the review that plays the role of the omnipotent therapeutic tool. But in our opinion it is the daily living situation and not the formally organized therapeutic meeting which provides the greatest potential for learning and growth on the part of patients and staff. We have found the crisis situation and its resolution to be potentially the most useful of these daily living situations.


2021 ◽  
pp. 452-458
Author(s):  
Sharon Manne

Emotion-focused therapy (EFT) is a psychological treatment that posits that exploring and understanding one’s painful emotions is necessary for adaptive functioning. EFT enhances clients’ awareness and ability to access, understand, interpret, regulate, and potentially transform their maladaptive emotional responses. This chapter describes the principles, intervention approaches, and empirical evidence evaluating EFT in both nononcology and oncology populations. There is extensive empirical evidence supporting EFT for the treatment of depression, anxiety, and traumatic life events and relationship distress among the general population. Although components of EFT, such as inner awareness and self-compassion, can be found in other psychological interventions provided to cancer patients and survivors, EFT has received little empirical attention in the psycho-oncology literature. There are only two studies that have evaluated EFT for cancer patients, and one of these studies did not support its efficacy. It may be premature to conclude whether EFT has clinical utility. Future work may benefit from a more formal test of EFT, where therapists are carefully trained and monitored to deliver EFT using the phases, steps, and approaches described in this chapter, both in the individual and couples’ context.


2016 ◽  
Vol 44 (3) ◽  
pp. 241-268 ◽  
Author(s):  
Yolanda P. Jones

AbstractThis article will introduce an approach to teaching legal research called Expansive Legal Research. The Expansive Legal Research perspective is based upon dissertation research on legal information behavior at a law school legal aid clinic. This approach is inspired by an educational perspective called Expansive Learning, which in turn has roots in the psychological theory called Activity Theory. The Expansive Legal Research perspective includes elements inspired by Expansive Learning and Activity Theory such as a focus on an activity-centered context of both the individual and social aspects of human behavior; the design-oriented nature of human problem-solving; the role of tacit knowledge and unwritten rules in daily activity and practice; and a cultural historical approach to learning and development, where both the user and their tools are undergoing a constant process of growth and change and transformation. An Expansive Legal Research approach, and the theory it is based upon, may provide new insights into legal research instruction, and may be a useful tool for legal research instructors.


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