L'éthique en psychothérapie dans le cadre des processus de transfert et de contre-transfert: l'apport de la médecine narrative et du concept de représentation

Les discussions sur l’éthique de la santé mentale se concentrent généralement sur des sujets comme la confidentialité ou les conflits d’intérêt. Certaines formes de thérapie donnent cependant lieu à des situations plus particulières. C’est le cas de la thérapie psychodynamique et des considérations éthiques soulevées par les processus de transfert et de contre-transfert. En raison du peu de recherche sur ce sujet, l’approche de l’analyse documentaire critique, une méthode qualitative, fut sélectionnée. Ce projet vise à établir l’apport de la médecine narrative et plus spécifiquement du concept de représentation pour analyser les aspects éthiques du transfert et du contre-transfert. À cette fin, ces processus sont étudiés en détail et les diverses stratégies proposées aux thérapeutes pour maintenir une relation éthique avec leurs patients sont recensées. Popularisés principalement par Rita Charon, la médecine narrative et ses principaux composants, dont la représentation, sont ensuite présentés. De plus, la mimèsis étant à la base de la représentation, les travaux de Paul Ricœur sur le sujet sont discutés. Le dernier chapitre de ce mémoire, qui constitue la partie analytique du projet, prend la forme d’un exercice inductif évaluant l’apport de la médecine narrative pour analyser les aspects éthiques du transfert et du contre-transfert.

The human right to water - normative foundations and ethical implications

La présente contribution examine les fondements normatifs ainsi que les implications éthiques du droit à l’eau, tel qu’il fut reconnu en 2002 par le comité onusien des droits économiques, sociaux et culturels. Il sera défendu que le droit à l’eau potable peut être justifié en tant que droit moral fondamental, de par son caractère indispensable en vue de la garantie des conditions basiques de survie. Cet état de fait, cependant, s’avère moins évident au vue d’un droit à l’eau d’usage non-domestique. Ici, la discussion se rapproche des débats accompagnant le concept beaucoup plus complexe des droits sociaux et économiques. Par rapport à ce groupe de droits, la question de l’allocation est des plus controversées: à qui incombe-t-il de garantir leur respect? Dans le but d’éviter cette problématique d’allocation, le présent essai soulèvera la question de savoir, si la limitation de l’accès à l’eau peut être conçue comme une violation d’autres droits moraux: bien qu’il y ait des cas où des entreprises transnationales déploient des activités nuisibles à l’égard des populations pauvres en polluant sciemment leurs ressources en eau ou en initiant et en exécutant des stratégies de privatisation les privant de leurs droits, la crise globale de l’eau ne saura être rattachée uniquement aux effets de la mondialisation. Plutôt, l’on reconnaîtra la nécessité d’efforts positifs et soutenus de la part des pays développés en vue de la réalisation d’un approvisionnement suffisant en eau pour tous.

Pour un dialogue entre transcendance et immanence : une analyse du concept de justice chez Lévinas

Plusieurs critiques ont été adressées à Lévinas quant à la difficulté de conjuguer le caractère infini de la responsabilité éthique, qu’il présente comme condition de possibilité de l’expérience, et la mesure de l’obligation envers autrui qui naît inévitablement dans le politique. En effet, la distinction semble si prononcée entre l’obligation éthique transcendante envers l’autre et la logique politique, univers de sens associé à l’ontologie et présenté comme violent et immanent, que l’éthique peut apparaître compromise dès qu’elle est exprimée dans un contexte social. En réponse à ces difficultés, ce mémoire vise à démontrer qu’en dépit de leur opposition fondamentale, l’ordre éthique et l’ordre ontologico-politique font partie d’une structure unique. À la lumière de l’entrée en scène du tiers et de la nécessité de justice qui l’accompagne, l’existence d’un carrefour entre ces couches de significations distinctes, mais interdépendante, peut être illustrée. De fait, la justice constitue un concept amphibologique chez Lévinas qui, participant à la fois de l’éthique et du politique, permet de mettre au jour l’ancrage a priori social de l’éthique. Cette étude présentera des réflexions critiques reliées à la discipline juridique et aux droits de l’homme, qui démontreront comment la pensée de Lévinas non seulement peut, mais doit s’ouvrir à une expression sociale.

Le concept de double-usage de la recherche : un outil diagnostique de l’analyse éthique des risques associés aux usages neuroamélioratifs de la recherche en neurosciences

Les technologies de stimulations transcrâniennes – tel que la tDCS ou la TMS – présentent à l’heure actuelle d’intéressantes perspectives thérapeutiques, tout comme diverses améliorations cognitives chez le sujet « non-malade » dont découlent des applications neuroamélioratives, plus ou moins imminentes, en dehors du cadre clinique ou investigatoire. Est proposé ici d’analyser les risques associés à ces applications, détournées des objectifs premiers de recherche, et aux préoccupations éthiques qui les accompagnent (autonomie, justice, intégrité physique), via un concept généralement associé aux recherches avec des perspectives de sécurité nationale et associées à un niveau de risque élevé. Révisant la trivialité d’une définition dichotomique aux usages « bons » et « mauvais », est proposé d’étendre le concept de « double-usage » pour l’appliquer à la neuroamélioration comme un mésusage de la recherche en neurosciences. Faisant référence au conflit entre, d’une part, le respect de la liberté académique et, d’autre part, la protection de la sécurité et de la santé publique, ce concept s’avère être un outil diagnostique pertinent pour l’évaluation des risques associés à l’usage mélioratif desdites technologies, et plus particulièrement de la tDCS, afin d’alimenter la réflexion sur la régulation de ces dispositifs en amont de leur utilisation, selon un principe de précaution inhérent au double-usage de la recherche. Ce concept permet ainsi de réfléchir à la mise en place d’une gouvernance proactive et contextualisée impliquant une responsabilité partagée d’un large panel d’acteurs, nécessaire au vu des avancées rapides du domaine des neurosciences et de l’imminence de l’arrivée sur le marché de ces dispositifs.

Spiritual capital: the co-evolution of an ethical framework based on Abrahamic religious values in the Islamic tradition

Purpose – The aim of this paper is to investigate how values from within Abrahamic religions could be adopted to improve liberal market economies’ (LMEs’) corporate governance business practices. Design/methodology/approach – The concept of spiritual capitalism is explained from an Islamic perspective by adopting three universal Abrahamic values to critically analyse LMEs and offer an ethical alternative to current capitalism concerns. Findings – It is found that LMEs can be improved by considering all stakeholders, putting ethics before economics, and introducing shared risk/reward plus lower debt. Originality/value – The paper compares LMEs/Co-ordinated market economies (CMEs)/Islamic countries economies (ICEs) within an ethical framework for LMEs.

Insights into the concept of fish welfare

Fish welfare issues are predicated on understanding whether fish are sentient beings. Therefore, we analyzed the logic of the methodologies used for studying this attribute. We conclude that empirical science is unable to prove or to disprove that fish are sentient beings. Thus, we propose a combined ethical-scientific approach for considering fish as sentient beings. The most difficult ongoing question is to determine which conditions fish prefer. Approaches to assess fish preferences should be rigorously and cautiously employed. In light of these considerations, attempts to establish physiological standards for fish welfare are discouraged, and a preference-based definition of fish welfare is proposed.

The ethical dimension f analyst's interventions facing institutional demands of CAPS

(The ethical dimension f analyst's interventions facing institutional demands of CAPS) Considering the complexities involved in setting up clinical work in the psychosocial field, analyst must question their own contributions toward improvements in this area. This issue is presented here as a considerable challenge, due to the limitations of psychoanalytic practice and, especially, the differences between conventional clinical practice and that carried out in institutional and political settings. From this perspective, we call attention to the notion of ethics as a differentiating and guiding concept for psychoanalytic practice in its contribution toward the treatment provided at CAPS.

From Content to Concept: Thinking Historically in the Elementary Classroom

In a little more than a century Canadian history and social studies education has faced a barrage of questions that has complicated its delivery in schools. Questions about the purpose of social studies, whose history should be taught and how it should be taught have clouded what the purpose of social studies and history education should be. The current project has employed historical thinking (specifically Seixas and Morton’s six historical thinking concepts) as a lens for teaching social studies and history. Students will engage in activity meant to develop habits of mind, namely understandings of historical perspective, historical significance, continuity and change, cause and consequence, use of primary sources and the ethical dimension of history. The goal is participation in a classroom inquiry, wherein students will collaboratively construct a timeline of Canadian history. Each entry will be determined as significant to Canadian narrative by students, and will be evaluated through one or several thinking concepts.

Law, Rights and Reproduction: Reproductive Autonomy in Ethical Rationalism

As medical technology has advanced, so too have our attitudes towards the level of control we can expect to hold over our procreative capacities. This creates a multi-dimensional problem for the law in terms of access to services which prevent conception, access to services which terminate a pregnancy and recompensing those whose choices to avoid procreating are frustrated. These developments go to the heart of our perception of autonomy. In order to evaluate these three issues in relation to reproductive autonomy, I set out to investigate how the Gewirthian theory of ethical rationalism can be used to understanding the intersection between law, rights, and autonomy. As such, I assert that it is because of agents’ ability to engage in practical reason that the concept of legal enterprise should be grounded in rationality. Therefore, any attempt to understand notions of autonomy must be based on the categorical imperative derived from the Principle of Generic Consistency (PGC). As a result, I claim that (a) a theory of legal rights must be framed around the indirect application of the PGC and (b) a model of autonomy must account for the limitations drawn by the rational exercise of reason. This requires support for institutional policies which genuinely uphold the rights of agents. In so doing, a greater level of respect for and protection of reproductive autonomy is possible. This exhibits the full conceptual metamorphosis of the PGC from a rational moral principle, through an ethical collective principle, a constitutional principle of legal reason, a basis for rights discourse, and to a model of autonomy. Consequently, the law must be reformed to reflect the rights of agents in these situations and develop an approach which demonstrates a meaningful respect of autonomy. I suggest that this requires rights of access to services, rights to reparation and duties on the State to empower productive agency.

A critical and interpretative investigation of the ethical dimension of policies about school digital technologies

This thesis examines digital technologies policies designed for Australian schools and the ways they are understood and interpreted by students, school staff, teachers, principals and policy writers. This study explores the ways these research participant groups interpret and understand the ‘ethical dimension’ of schools’ digital technologies policies for teaching and learning. In this thesis the ethical dimension is considered to be a dynamic concept which encompasses various elements including; decisions, actions, values, issues, debates, education, discourses, and notions of right and wrong, in relation to ethics and uses of digital technologies in schools. In this study policy is taken to mean not only written texts but discursive processes, policy documents including national declarations, strategic plans and ‘acceptable use’ policies to guide the use of digital technologies in schools. The research is situated in the context of changes that have occurred in Australia and internationally over the last decade that have seen a greater focus on the access to and use of digital technologies in schools. In Australian school education, the attention placed on digital technologies in schools has seen the release of policies at the national, state, territory, education office and school levels, to guide their use. Prominent among these policies has been the Digital Education Revolution policy, launched in 2007 and concluded in 2013. This research aims to answers the question: What does an investigation reveal about understandings of the ethical dimension of digital technologies policies and their implementation in school education? The objective of this research is to examine the ethical dimension of digital technologies policies and to interpret and understand the responses of the research participants to the issues, silences, discourses and language, which characterise this dimension. In doing so, it is intended that the research can allow the participants to have a voice that, may be different to the official discourses located in digital technologies policies. The thesis takes a critical and interpretative approach to policies and examines the role of digital technologies policies as discourse. Interpretative theory is utilised as it provides a conceptual lens from which to interpret different perspectives and the implications of these in the construction of meaning in relation to schools’ digital technologies policies. Critical theory is used in tandem with interpretative theory as it represents a conceptual basis from which to critique and question underlying assumptions and discourses that are associated with the ethical dimension of schools’ digital technologies policies. The research methods used are semi-structured interviews and policy document analysis. Policies from the national, state, territory, education office and school level were analysed and contribute to understanding the way the ethical dimension of digital technologies policies is represented as a discourse. Students, school staff, teachers, principals and policy writers participated in research interviews and their views and perspectives were canvassed in relation to the ethical use of digital technologies and the policies that are designed to regulate their use. The thesis presents an argument that the ethical dimension of schools’ digital technologies policies and use is an under-researched area, and there are gaps in understanding and knowledge in the literature which remain to be addressed. It is envisaged that the thesis can make a meaningful contribution to understand the ways in which schools’ digital technologies policies are understood in school contexts. It is also envisaged that the findings from the research can inform policy development by analysing the voices and views of those in schools. The findings of the policy analysis revealed that there is little attention given to the ethical dimension in digital technologies at the national level. A discourse of compliance and control pervades digital technologies policies from the state, education office and school levels, which reduces ethical considerations to technical, legal and regulatory requirements. The discourse is largely instrumentalist and neglects the educative dimension of digital technologies which has the capacity to engender their ethical use. The findings from the interview conversations revealed that students, school staff and teachers perceive digital technologies policies to be difficult to understand, and not relevant to their situation and needs. They also expressed a desire to have greater consultation and participation in the formation and enactment of digital technologies policies, and they believe they are marginalised from these processes in their schools. Arising from the analysis of the policies and interview conversations, an argument is presented that in the light of the prominent role played by digital technologies and their potential for enhancing all aspects of school education, more research is required to provide a more holistic and richer understanding of the policies that are constructed to control and mediate their use.