Wednesday, May 31, 2017
行動
1.還是跟今天早上廢園有關
2.不要忘記蚊子很多
3.彥徵問了一個問題
4.大約是關於行動研究和心理治療
5.其實我沒有聽懂問題是甚麼
6.我說你們所上有行動研究的論文嗎
7.他想了 一會
8.說去九二一地震災區做debriefing
9.我說十多年前有一篇社會所的小姐下海論文
10.
他們倆點頭
11.
我說那篇很有趣但顯然很安全
12.
我的意思是說她畢竟沒有喝醉沒有上床
13.
那是一個安全的海
14.
或一個安全的看海的故事
15.
其實我們先前說過白梅
16.
跟討海人一夜後
17.
母親的直覺
18.
白梅知道有了
19.
走出那個房間
20.
打了火車票
21.
一路看著窗外
22.
碧藍的海
23.
回到山坳貧窮的家
24.
我說家裡人好高興
25.
沒有問題
26.
只是添了一雙筷子一個碗
27.
我們剛剛要說甚麼
28.
喔行動研究
29.
行動不可能是研究
30.
下海的姑娘脫褲
31.
算行動不算研究
32.
所有質性研究的教科書都這麼說
33.
反之行動研究不可能是行動
34.
我說的是素樸的行動
35.
沒有打算圖甚麼的行動
36.
這種行動
37.
和行動者
38.
會給這個世界
39.
帶來奇妙的變化
40.
這是我對治療
41.
和治療者
42.
最大的期許
what remains
1.今早彥徵做了一個個案報告和回顧
2.我說了一些意見
3.包括corrective emotional experience和say ‘no’
4.不是一個不 是兩個不
5.十點我們坐下來
6.蚊多
7.點了兩個蚊香
8.不是一個蚊香 是兩個蚊香
9.接下來說了些甚麼
10.
我已經記不得了
11.
還有印象的是
12.
我說脫落脫落
13.
magritte沒有畫過的一幅畫
14.
剩下的治療室(what remains of that room)
15.
大地孤懸一扇窗
16.
這是那個房間唯一留下的曾經存在過的證據
17.
Olga問為什麼是窗
18.
我說沒有為什麼
19.
也可以是一張茶几
20.
和兩盞餘茶
21.
或一個沒有門的門把
22.
我說去看看holocene (bon iver)罷
24.
中午想到
25.
what remains, what remains …
26.
beckett寫的
27.
豈不就是
28.
what remains of that man
Monday, May 29, 2017
拒馬音樂會拉得很好聽
https://www.youtube.com/watch?v=dcwbK48Koko
https://www.youtube.com/watch?v=7hJi_7b444g
this is not blues, and don't trust anyone who does not like blues
https://www.youtube.com/watch?v=7hJi_7b444g
this is not blues, and don't trust anyone who does not like blues
Sunday, May 28, 2017
司马南
https://www.youtube.com/watch?v=4xW65CeUzbs
https://www.youtube.com/watch?v=Tw38EXY8BkM
https://www.youtube.com/watch?v=QCHTD6qHXHM
https://www.youtube.com/watch?v=Tw38EXY8BkM
https://www.youtube.com/watch?v=QCHTD6qHXHM
Saturday, May 27, 2017
10:04 AM
5/27 windy, no rain, yet, 福氣 (blessing, not luck) is not
something you ask for, is something befalling you, dislikes
"macro" talks, which without exception, are "BIG"
words, 很快裡面有一種很慢很慢裡面有一種很快這種不均勻裡面有一種藍調的靈魂和午後的李侗, Before the
onset of the First World War, we are told, experience was passed down through
the generations in the form of folklore and fairy tales. (The Storyteller:
Tales out of Loneliness, by Walter Benjamin, 2016, kindle location
132-133) With the war came the severing of ‘the red thread of experience’ which
had connected previous generations ... ‘Where do you hear words from the dying
that last and that pass from one generation to the next like a precious ring?’
Benjamin asks. (‘Experience and Poverty’, 1933) (ibid,
kindle location 135-141) 3:42 PM. Why has the pleasure of slowness disappeared? Ah, where have they gone, the amblers of yesteryear? Where have they gone, those loafing heroes of folk song, those vagabonds who roam from one mill to another and bed down under the stars? Have they vanished along with footpaths, with grasslands and clearings, with nature? There is a Czech proverb that describes their easy indolence by a metaphor: “They are gazing at God’s windows.” A person gazing at God’s windows is not bored; he is happy. In our world, indolence has turned into having nothing to do, which is a completely different thing: a person with nothing to do is frustrated, bored, is constantly searching for the activity he lacks. (Milan Kundera, Slowness, p. 2) 5/28 8:37 AM. bright sun, mildly windy, A7 one Lt abd pain, 12:23 Noon. working on David Levine (2017). 5/29 8:01 AM. 關於Levine (2017) 幾個想法一每個地區歷史難題不同書寫者在那裡決定了他的難題二精神分析理論中產階級命格過強視野有限三如此應用精神分析(applied psychoanalysis)沒有預設治療者的存在只是看法沒有(打算)改變四精神分析講的是自我欺騙(self deception)個人如是族群如是時代如是五精神分析講的是生命力和毀滅力的辯證(the dialectics of eros and thanatos)個人如是族群如是時代如是六精神分析講的是自體和他者的辯證(the dialectics of self and other)個人如是族群如是時代如是七精神分析講的是互為主體的難得個人如是族群如是時代如是
Friday, May 26, 2017
Wednesday, May 24, 2017
Tuesday, May 23, 2017
龍天樓後
王文興
卅年前就知道
龍天樓後
只可能是更高聳
更森嚴的樓
和樓後的樓
和樓後的樓後的樓
意思是說
無止盡的樓
卅年後我
終於知此事
點起疲倦紙菸
看著無言窗外
想起卡夫卡
和他面對的城堡
他不曉得
知不知道
城堡後面
只可能是更高聳
更森嚴的城堡
Prescription of second-generation, lower metabolic risk antipsychotics increases (Highlights from APA)
SAN DIEGO — Findings presented here indicated that prescription of second-generation antipsychotics with lower metabolic risk have increased from 2006 to 2011, particularly for individuals with several metabolic disorders, but not those with cardiovascular disease.
“We know that patients with severe mental illness have a higher mortality rate than those without, estimates are between 13 and 30 years shorter life expectancy. That mortality gap has been widening in recent years,” Alisa Busch, MD, of McLean Hospital, said during a presentation. “Much of this excess mortality is due to medical comorbidity. We’ve known for a while now that second-generation antipsychotics can increase the risk for metabolic syndrome, which is a combination of different medical conditions —hypertension, hypercholesterolemia, diabetes and obesity — which in turn lead to increased risk for cardiovascular disease.”
To determine if patient characteristics were associated with differences in higher vs. lower risk second-generation antipsychotic prescribing patterns, researchers conducted an observational study of claims data from a 20% national sample of Medicare fee-for-service beneficiaries diagnosed with schizophrenia, bipolar I disorder, or major depression with psychotic features. Study participants filled at least one prescription for an oral second-generation antipsychotic within at least 1 year from 2006 to 2011. Analysis included 351,141 person-years.
Odds for filling a higher-risk antipsychotic decreased from 2006 (OR = 0.94; 95% CI, 0.91-0.98) to 2011 (OR = 0.66; 95% CI, 0.64-0.68).
Male gender (OR = 1.65; 95% CI, 1.62-1.68) and older age (OR = 2.36; 95% CI, 2.03-2.74) were associated with increased risk for using a higher-risk antipsychotic.
Past-year mental health admission or ED visit was associated with increased risk for using a higher-risk antipsychotic (OR = 1.38; 95% CI, 1.36-1.41).
Participants with cardiovascular disease were more likely to fill a higher-risk antipsychotic (OR = 1.03; 95% CI, 1-1.05). However, participants with metabolic syndrome disorders were less likely to fill a higher-risk prescription, with odds ratios of 1.06 (95% CI, 1.03-1.09) for one metabolic disorder to 0.76 (95% CI, 0.73-0.79) for four disorders.
“There does clearly seem to be a trend towards prescribing decreased metabolic-risk antipsychotics over time, and that’s despite the increased entry of generic medications, which are a higher metabolic risk option. Associated with higher metabolic risk prescribing was having an older age, having a mental health hospitalization or ED visit in the past year and being male,” Busch said. “At first I thought perhaps the association with older age is that maybe these are individuals that are already stabilized on the earlier entry second-generation antipsychotics, but that explanation wouldn’t really hold up with mental health hospitalization or ED visits in the prior year, because that would suggest individuals who are less stable. Looking forward to any insight on these findings.” – by Amanda Oldt
Reference:
Busch A, et al. Prescribing second-generation antipsychotic medications of higher vs. lower metabolic risk: The role of patient characteristics. Presented at: American Psychiatric Association Annual Meeting; May 20-24, 2017; San Diego.
Disclosure: The researchers report no relevant financial disclosures.
http://www.healio.com/psychiatry/schizophrenia/news/online/%7B896fb70a-568d-4e82-a9a2-cd8d15f9338a%7D/prescription-of-second-generation-lower-metabolic-risk-antipsychotics-increases?utm_source=selligent&utm_medium=email&utm_campaign=psychiatry%20news&m_bt=1421828296669
“We know that patients with severe mental illness have a higher mortality rate than those without, estimates are between 13 and 30 years shorter life expectancy. That mortality gap has been widening in recent years,” Alisa Busch, MD, of McLean Hospital, said during a presentation. “Much of this excess mortality is due to medical comorbidity. We’ve known for a while now that second-generation antipsychotics can increase the risk for metabolic syndrome, which is a combination of different medical conditions —hypertension, hypercholesterolemia, diabetes and obesity — which in turn lead to increased risk for cardiovascular disease.”
To determine if patient characteristics were associated with differences in higher vs. lower risk second-generation antipsychotic prescribing patterns, researchers conducted an observational study of claims data from a 20% national sample of Medicare fee-for-service beneficiaries diagnosed with schizophrenia, bipolar I disorder, or major depression with psychotic features. Study participants filled at least one prescription for an oral second-generation antipsychotic within at least 1 year from 2006 to 2011. Analysis included 351,141 person-years.
Odds for filling a higher-risk antipsychotic decreased from 2006 (OR = 0.94; 95% CI, 0.91-0.98) to 2011 (OR = 0.66; 95% CI, 0.64-0.68).
Male gender (OR = 1.65; 95% CI, 1.62-1.68) and older age (OR = 2.36; 95% CI, 2.03-2.74) were associated with increased risk for using a higher-risk antipsychotic.
Past-year mental health admission or ED visit was associated with increased risk for using a higher-risk antipsychotic (OR = 1.38; 95% CI, 1.36-1.41).
Participants with cardiovascular disease were more likely to fill a higher-risk antipsychotic (OR = 1.03; 95% CI, 1-1.05). However, participants with metabolic syndrome disorders were less likely to fill a higher-risk prescription, with odds ratios of 1.06 (95% CI, 1.03-1.09) for one metabolic disorder to 0.76 (95% CI, 0.73-0.79) for four disorders.
“There does clearly seem to be a trend towards prescribing decreased metabolic-risk antipsychotics over time, and that’s despite the increased entry of generic medications, which are a higher metabolic risk option. Associated with higher metabolic risk prescribing was having an older age, having a mental health hospitalization or ED visit in the past year and being male,” Busch said. “At first I thought perhaps the association with older age is that maybe these are individuals that are already stabilized on the earlier entry second-generation antipsychotics, but that explanation wouldn’t really hold up with mental health hospitalization or ED visits in the prior year, because that would suggest individuals who are less stable. Looking forward to any insight on these findings.” – by Amanda Oldt
Reference:
Busch A, et al. Prescribing second-generation antipsychotic medications of higher vs. lower metabolic risk: The role of patient characteristics. Presented at: American Psychiatric Association Annual Meeting; May 20-24, 2017; San Diego.
Disclosure: The researchers report no relevant financial disclosures.
http://www.healio.com/psychiatry/schizophrenia/news/online/%7B896fb70a-568d-4e82-a9a2-cd8d15f9338a%7D/prescription-of-second-generation-lower-metabolic-risk-antipsychotics-increases?utm_source=selligent&utm_medium=email&utm_campaign=psychiatry%20news&m_bt=1421828296669
Monday, May 22, 2017
24 again
5/22 3:12 AM. If HK is a city that never sleeps, then when and how, does it dream? Read David P. Levine, to learn how he thinks and writes,
regarding applied psychoanalysis. We all know that such lucidity is hard-won, and rarely seen. 5/22 4:20 AM. 不證明 不求人 只想 坐在公路休息站 夏日午後 那天我說 兩個擦邊球 一個界內 一個界外 不 我說錯了 兩個都是界外 把這句話說對了 頓時 輕鬆起來 5/22 5:05 PM. one er, four consults (pending), tired from bone,
regarding applied psychoanalysis. We all know that such lucidity is hard-won, and rarely seen. 5/22 4:20 AM. 不證明 不求人 只想 坐在公路休息站 夏日午後 那天我說 兩個擦邊球 一個界內 一個界外 不 我說錯了 兩個都是界外 把這句話說對了 頓時 輕鬆起來 5/22 5:05 PM. one er, four consults (pending), tired from bone,
Sunday, May 21, 2017
ISPSO
https://www.ispso.org/
https://en.wikipedia.org/wiki/International_Society_for_the_Psychoanalytic_Study_of_Organizations
Psychoanalysis, Society, and the Inner World: Embedded Meaning in Politics and Social Conflict, by David P. Levine,
https://en.wikipedia.org/wiki/International_Society_for_the_Psychoanalytic_Study_of_Organizations
Psychoanalysis, Society, and the Inner World: Embedded Meaning in Politics and Social Conflict, by David P. Levine,
Saturday, May 20, 2017
PINK FLOYD THE ENDLESS RIVER
https://www.youtube.com/watch?v=ADOQQiwgU0Y
https://www.youtube.com/watch?v=Es4kfcY5lc0&t=87s
https://www.youtube.com/watch?v=h34iLZXZMHw&index=2&list=RDEs4kfcY5lc0
https://www.youtube.com/watch?v=XqeXCHOOMIA
https://www.youtube.com/watch?v=LDHVevthtNI
https://www.youtube.com/watch?v=31nbPeWIsus
see also
Pink Floyd Greatest Hits | Best Of Pink Floyd Live Collection 2017
https://www.youtube.com/watch?v=X2Tt_VrO1KE
PINK FLOYD PROJECT - 50 YEARS OF FLOYD 2017
https://www.youtube.com/watch?v=yCpcmh6Ldv8&t=610s
https://www.youtube.com/watch?v=Es4kfcY5lc0&t=87s
https://www.youtube.com/watch?v=h34iLZXZMHw&index=2&list=RDEs4kfcY5lc0
https://www.youtube.com/watch?v=XqeXCHOOMIA
https://www.youtube.com/watch?v=LDHVevthtNI
https://www.youtube.com/watch?v=31nbPeWIsus
see also
Pink Floyd Greatest Hits | Best Of Pink Floyd Live Collection 2017
https://www.youtube.com/watch?v=X2Tt_VrO1KE
PINK FLOYD PROJECT - 50 YEARS OF FLOYD 2017
https://www.youtube.com/watch?v=yCpcmh6Ldv8&t=610s
Friday, May 19, 2017
24 ahead
5/19
8:03 PM. 5/20 duty, 5/21 meeting PM, 5/22 duty, 5/23 bvh, 5/24 mc,
5/25 free PM, 5/26 hell as usual, 5/27 cancelled, 5/28 duty, 5/29 free,
5/30 free, meantime, no middle name, jack none reacher, 5/20 5:42 AM.
full dawn. any so-called progress needs victims, and credit-collector, both of
which, we don't lack, 5/20, 7:57 PM, two er, one stays till tomorrow morning, 5/21, 6:26 AM, bright sun, may not attend it, 打了兩個擦邊界外球,
Thursday, May 18, 2017
Wednesday, May 17, 2017
Tuesday, May 16, 2017
516
5/16 AM 4:49 AM
六年後的五一六
雨仍然落著
當然
五十一年前的五一六
雨下得更大
我知道這種日子
已經不多
而且越來越知道
Carlo Strenger說錯了
廿一世紀要尋找的意義
不是Fear of Insignificance
和其後無止造作
識之多年它需擁抱才能睡去
所謂Embrace of Insignificance
你說然後呢
然後當然是
雨仍然落著
六年後的五一六
雨仍然落著
當然
五十一年前的五一六
雨下得更大
我知道這種日子
已經不多
而且越來越知道
Carlo Strenger說錯了
廿一世紀要尋找的意義
不是Fear of Insignificance
和其後無止造作
識之多年它需擁抱才能睡去
所謂Embrace of Insignificance
你說然後呢
然後當然是
雨仍然落著
Monday, May 15, 2017
豬哥亮 (1946-2017)
今天是台灣史悲傷的一天我三十年來一直希望他來當話事人那我們就會變成一個快樂的島嶼當然最好把葛民輝谷德昭王晶達文西自摸西一起找來當國防部長教育部長中研院長前瞻炒房洗錢部長等等那就不只快樂而是每天大笑到下巴掉下來你能想像每個台灣人下巴都掉下來的光景有多麼有趣嗎
關於洗碗的三重境界 (場在 / 在場 / 在) 和碗是誰洗的並不重要
當代的生活
已無場無在
勉強在場
已是強求
遑論場在
我的意思是說
每天洗五千個碗
洗個三十年
再告訴我
你還有甚麼氣
還有甚麼場
當然你有在
不然那些碗
是誰洗的
已無場無在
勉強在場
已是強求
遑論場在
我的意思是說
每天洗五千個碗
洗個三十年
再告訴我
你還有甚麼氣
還有甚麼場
當然你有在
不然那些碗
是誰洗的
「場在」和「在場」 (reading DM 2017-5-15)
5/15 4:55 AM. 微曦 十分鐘前 鳥雀已起身
1. 事實上，我認為這種「在場」便正是一種身心的「在場」(p. 18)
1. 事實上，我認為這種「在場」便正是一種身心的「在場」(p. 18)
而這種在場以人的「場在」作為前提，以「自然」作為氣機，便可達到「人牛兩忘」的境界。(p. 18)
是啊，當我「在場」之時，道自會顯現。這便是創造一種「在場」的條件，而我相信這裡面有「氣」的作用。正是這種身心的全然「在場」，使得「道」能顯現自身，「療癒」便是自然發生之事了。(pp. 18-19)
觀其上下文 以上三處
紅色字體的「在場」
似為筆誤 應為「場在」
2.
建議作者參考 Life Witness: Evolution of the
Psychotherapist, by T. Byram Karasu, Jason Aronson, 2013 這是一個 西方的學者 晚年來到的「場在」
• Within five to ten years of
practice, the so-called experiential evolution phase, the
therapist begins to appropriate techniques from other schools of psychotherapy,
and by shifting paradigms, synchronizes himself with the patient’s mind.
• It is from this synchronization
that all his techniques begin to evolve.
• This is the essence of the
“transtheoretical paradigm”.
• In ancient Greece, “psyche”
meant soul --- the principle of life.
• While psychotherapy, even with
this transtheoretical embrace, benefited our psychological issues, it was
also making us something less.
• The therapist who has
transcended his own school of psychotherapy now must transcend the field of
psychotherapy itself.
• Furthermore, if he wants to
address the patient’s existential issues as well, the therapist first has to
come to terms with those issues himself.
• This formative evolution
phase of a therapist encompasses a broad education especially in
philosophy and spirituality --- secular values distilled from all religions.
• He must find the meaning and
purpose of his life, cultivate an authenticity, and become someone whose
presence is itself therapeutic.
• All “therapeutic messages” will
then naturally emanate from within the therapist’s very self.
3.
我們認為人的「場在」是「在場」的條件，唯有此，治療師和當事人才能夠真實「相遇」，並使得「療癒力」得以展現自身，即所謂「身心復元」，進而達到人的境界提升與發展。(p. 1)
有一重要的理念 “use of the therapist’s self” 貫穿「場在」和「在場」 可參考The Therapist's Use of Self, by John Rowan, Michael Jacobs, Open University Press, 2002 而此理念 也貫穿了精神分析的某些學派
比如說 如此理解的療癒 與精神分析的
中間學派 自體心理學
互為主體理論 和關係學派 的關係?
乃至
如此理解的療癒 與存在治療的關係?
4. 敘事和療癒 和促成一個人「場在」的關係?
5. 以上3,4 不影響本文的行文和立論 是順著本文的鋪陳 往下想下去的問題 建議可以放在附註 作為伏筆 是對作者的提問 也是期許
2017-6-21
2017-6-21
作者依第一位審查者意見 將「場在」改為「場有」 這點殊為可惜
兩個理由 一是海德格的dasein (German: da "there"; sein
"being") 關鍵是在 二是作者顯然原本有意 將「場在」相應於「在場」 對比來做論述 這點依我所見 除用詞上的趣味 正是其創見
如果作者為了忠於其所引用之「場有哲學」 和採納第一位審查者意見 仍決定將「場在」改為「場有」 我會建議作者加註說明這件事 我會希望「場在」vs.「在場」
這一作者的創見 沒有失去
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