Using metaphors to build hope and hopefulness from depression.

Helplessness and hopelessness are common key dynamics of depression that often inhibit therapeutic progress and client recovery. Based on a case example, this article examines the processes for effectively communicating therapeutic interventions aimed toward building hope when other approaches have failed. It explores the use of therapeutic metaphors including assessing for positive outcomes, building the PRO Approach for creating therapeutic metaphors and using Hope Theory as an example of an evidence-based process for facilitating both hope and enhanced treatment outcomes. It concludes with an illustrative metaphor within a hypnotic model and a step-by-step process for building your own hope-enhancing metaphors.

Nursing students' metaphorical perceptions of sexuality in older people: An example of metaphor analysis.

PURPOSE: This study aims to describe the metaphorical perceptions of nursing students towards sexuality in older people through metaphor. BACKGROUND: Age-related changes and health problems can adversely affect sexual functions. Sexuality is a basic physiological need that continues throughout life and it is important to eliminate the problems related to sexual life that occur in old age. Determining the knowledge and attitudes of nursing students, who will be health professionals of the future, towards sexuality in older people can make a significant contribution to providing holistic health care to older individuals. Therefore, it is important to determine the knowledge and attitudes of nursing students about the sexuality of older people to improve their professional competence. DESIGN: This study was conducted with metaphor analysis technique based on phenomenological method. METHOD: This study was conducted in a total of 222 nursing students. The study data were collected between January and February 2022 with a questionnaire form prepared by the researchers. In the first part of the questionnaire, questions about socio-demographic characteristics were included, and in the second part, the sentence "sexuality in older people is like., because." was included to determine the metaphors developed by the students about sexuality in older people. These handwritten writings of the students were used as the main data source in this study. Content analysis was used to evaluate the metaphors. RESULTS: In this study, students produced a total of 222 valid metaphors related to the concept of sexuality in older people. The metaphors revealing the students' perceptions of the concept of sexuality in older people were grouped under 5 categories; "Category related to slowing down and regression", "Category related to need or normal", "Category related to not possible", "Category related to the feeling of love, compassion and friendship" and "Unnecessary, unimportant or should not be category". In the study, it was determined that the category in which the most metaphors were generated was "related to slowing down and regression". CONCLUSION: In the study, nursing students provided metaphors containing both positive and negative concepts related to sexuality in older people. However, most the metaphors generated contain negative concepts. To support nursing students' positive attitudes towards sexuality in older people, to change their negative attitudes, and to increase their knowledge and awareness, it is proposed to incorporate courses on sexuality in older people into the nursing curriculum and to include sexuality in older people in courses on sexuality.

Getting in a Spin over the Therapeutic Process: QBism and a Gyroscopic Model of the Vital Force.

BACKGROUND: In the previous paper, a relatively new interpretation of quantum theory called quantum Bayesianism or QBism was introduced as an alternative quantum metaphor for the therapeutic process (TP). This is because previous metaphors have been based on conventional quantum theory (CQT) and its notion that quantum states belong to a strongly objective shared reality. QBism says no: quantum states are subjective degrees of belief made by the individual agents assigning those states. This suggests QBism's explicit subjectivity is more in line with practitioners' (Pr) and patient's (Px) implicitly subjective TP experience. OBJECTIVE: The objective was to investigate the impact on this suggestion of a gyroscopic model of the vital force, Vf. METHOD: Based on an original starting wavefunction for the Vf, a sequence of equations and transformations between them are generated and then interpreted as the Vf interacting with and moving into and out of disease (Dx) states, in essence, a physics of health. RESULTS AND CONCLUSION: These equations and their transformations manage to predict (a) homeopathic aggravation from the curative remedy (Rx), and (b) the logic behind Hahnemann's development of the LM potencies. Further, displaying these equations and their interactions pictorially and geometrically (as a stellated octahedron) suggests that the recently developed gyroscopic model for the Vf supports a metaphor for the TP (based on the subjectivity explicit in QBism) that is indeed viable and potentially superior to previous metaphors based on the strong objectivity of CQT.

Metaphor, magic, and mental disorder: Poetics and ontology in Mexican (Purépecha) curanderismo.

This article offers an epistemological, poetic, and ontological reading of the ways of knowing regarding mental disorders that are characteristic of the traditional healers (curanderas and curanderos) of an Indigenous group in Mexico. The study is based on ethnographic interviews with traditional Purépecha (Tarascan) healers in rural Michoacan. Interviews focused on local conceptions of emotional and mental illness, especially Nervios, Susto, and Locura (nerves, fright, and madness). We discuss the conceptual structure of these Indigenous illness notions, the nature of the associated imagery and notions of the soul, as well as the general sense of meaningfulness and reality implicit in Purépecha curanderismo. The highly metaphorical modes of understanding characteristic of these healers defy analysis in purely structuralist terms. They do, however, have strong affinities with the Renaissance "episteme" or implicit framework of understanding described in The Order of Things, Michel Foucault's classic study of modes of knowing and experiences of reality in Western thought-a work profoundly influenced by Heidegger's interest in the historical and cultural constitution of what Heidegger termed "Being." After examining the individual illness concepts, we explore both the poetic and the ontological dimension (the foundational sense of reality or of Being) that they involve, with special emphasis on supernatural concerns.

Metaphors in End-of-Life Dreams in Patients Receiving Palliative Care: A Secondary Qualitative Study.

Background: Metaphors are used by patients and professionals in the discourse of disease and can facilitate conversations about difficult topics. There is little information about metaphors present in patients' end-of-life dreams. Objective: Identify and interpret metaphors in end-of-life dreams, directly reported by patients in palliative care. Design: A qualitative study with a secondary analysis of transcribed face-to-face interviews with patients. Setting/Participants: The study includes 25 patients with end-stage disease receiving advanced end-of-life palliative care. In total, 41 interviews were performed. Results: Metaphors applicable to 3 themes were found: the journey toward death, the inevitability of death and death itself. The underlying meaning of the metaphors is often related to topics and emotions commonly relevant in dialogue with patients near death. Patients, however, often seemed unaware of the meaning of their dream metaphors. Conclusion: Metaphors pertaining to death are present in end-of-life dreams in patients with end-stage disease. We hypothesize that encouraging patients to talk about their dreams can expose metaphors that could facilitate end-of-life discussions.

Postpartum Mood and Anxiety Disorders: A Lexicon of Metaphors.

Undiagnosed and untreated postpartum mental health disorders represent a silent health crisis. The aim of this paper was to develop a lexicon of metaphors women use to describe their postpartum mood and anxiety disorders to assist holistic nurses in recognizing as early as possible these struggling mothers. Mothers may not know the medical terminology to articulate their mental health problems and may turn to using metaphors. The metaphors included in this lexicon were obtained from the author's earlier qualitative studies of metaphors women used to describe their experiences of postpartum depression, postpartum panic disorder, and posttraumatic stress disorder due to traumatic childbirth. In this lexicon these metaphors are organized by these three mental health disorders and includes a table of definitions of each metaphor along with examples of the context of the metaphors represented by quotes from the mothers. Metaphors can be keys that open and unlock doors that stand between holistic nurses and their patients. Being attentive to metaphorical language women use to describe how they are feeling after giving birth can be an innovative approach holistic nurses can use to identify these vulnerable women and provide an opportunity to nurture and empower new mothers.

Reflexo e sombra: o duplo e o narcisismo em hoffmann e chamisso / Reflection and shadow: the double and the narcissism in hoffmann and chamisso / Reflejo y penumbra: el doble y el narcisismo en hoffman y chamisso

Esta é uma pesquisa qualitativa, em formato de ensaio, que realiza o estudo comparado de duas obras literárias, de A. Von Chamisso e E. T. A. Hoffmann, e de uma anotação do diário deste último para problematizar a repercussão de algumas formas de desestabilizações do Eu na dinâmica psíquica da neurose. O foco dos textos referidos está no fenômeno do duplo na sua forma negativizada, isto é, como o desaparecimento da imagem exterior que dá suporte ao Eu. As ausências da sombra e do reflexo são entendidas como representações metafóricas de uma alteração do Eu que engendra repercussões importantes na homeostase psíquica, sobretudo nas relações sociais de troca. Explora-se daí a menção no diário de Hoffmann de instrumentos ópticos para interrogar o uso desses aparelhos como modelos metapsicológicos na psicanálise. Salienta-se, ainda, a participação de processos de natureza estética na dinâmica psíquica do infamiliar, tomando como referência a ligação entre o conto de Hoffmann e o relato de Stendhal sobre a sua estadia em Florença.(AU)

This is a qualitative research, in essay format, which performs the comparative study of two literary works, by A. Von Chamisso and E. T. A. Hoffmann, and an annotation in the latter's diary to problematize the repercussion of some forms of destabilization of the Ego's in the psychic dynamics of neurosis. The focus of the referred texts is on the phenomenon of the double in its negative form, that is, as the disappearance of the outer image that supports the Ego. The absences of the shadow and the reflection are understood as metaphorical representations of an alteration of the Ego that generates important repercussions on psychic homeostasis, above all in social relationships of exchange. Thus, we analyze the mention of optical instruments in Hoffmann's diary to question the use of these devices as metapsychological models in psychoanalysis. Note, also, the participation of processes of aesthetic nature in the psychic dynamics of the uncanny, taking as reference the connection between Hoffmann's short story and Stendhal's account of his stay in Florence.(AU)

Este ensayo cualitativo realiza un estudio comparativo de dos obras literarias de A. Von Chamisso y de E. T. A. Hoffmann, junto con una anotación en el diario de este último para problematizar la repercusión de algunas formas de desestabilizaciones de la función del Yo en la dinámica psíquica de la neurosis. Los textos se centran en el fenómeno del doble en su forma negativa, como la desaparición de la imagen exterior que sostiene el Yo. Se entienden las ausencias de la penumbra y el reflejo como una representación metafórica de una alteración de la función del Yo que genera importantes repercusiones en la regulación psíquica, sobre todo en las relaciones de intercambio social. Se analiza la presencia en el diario de Hoffmann de instrumentos ópticos para discutir el uso de estos dispositivos como modelos metapsicológicos en psicoanálisis. Se destaca la reverberación de procesos de naturaleza estética en la dinámica psíquica de lo ominoso, tomando como referencia la conexión entre el cuento de Hoffmann y el relato de Stendhal sobre su estancia en Florencia.(AU)

Stimulating unconscious processes with metaphors and narrative.

Metaphors, analogies, fairy tales, parables, myths, aphorisms, anecdotes, stories are effective communication tools used for educational, suggestive and persuasive purposes. They are part of pragmatic and strategic communication with the intent to convey values, suggest feelings, thoughts and behavior aimed at improving the clinical outcome. In the philosophical field these tools are used to concretely explain an abstract thought, such as Schopenhauer's story of porcupines to send the message of the right distance between people: neither too close not to be stung, nor too distant not to feel cold. Freud also used a metaphor to explain the concept of the unconscious as the hidden part of the iceberg. In the psychotherapeutic field these tools are used by those who believe in the greater effectiveness of indirect communication. Metaphors and narratives are intended to address a creative unconscious that can autonomously make connections that promote a process of evolutionary change without having to sift through the logic and rationality of the conscious mind. This article describes the personal use of these tools by the author in her therapeutic practice.

Some Remarks on QBism and Its Relevance to Metaphors for the Therapeutic Process Based on Conventional Quantum Theory.

BACKGROUND: Signs and symptoms of dis-ease are considered observable manifestations of an immaterial Vital Force. Likewise, experimental results on quantum systems are thought to indicate the presence of something that does not show up. Consequently, the discourse of conventional quantum theory (CQT) - with non-locality and entanglement being objective (i.e., ontic) facets of reality - has been considered a useful metaphor for the therapeutic process (TP) in homeopathy/CAMs. Thus, Patient-Practitioner-Remedy (PPR) entanglement postulated an ontic non-local interaction between patient (Px), practitioner (Pr), and potentised medicine/curative procedure (Rx), resulting in the patient's "journey to cure." QBism is a new epistemic interpretation of quantum theory. Rooted in the subjectivity of Bayesianism, QBism refutes the notion that the quantum state of a system is a separate ontic property of reality. In QBism, non-locality and entanglement are considered an agent's "subjective degrees of belief," i.e., they are personally epistemic. OBJECTIVE: To examine whether previous CQT-based entanglement metaphors for the therapeutic process need re-evaluation in the light of QBism. METHOD: Px and Rx quantum states/wavefunctions - ΨPx, and ΨRx - are reinterpreted in QBist terms. Unlike CQT, this means each quantum state/wavefunction is postulated to represent only the local subjective "degrees of belief" of an agent who in this case, is the Pr. RESULTS AND CONCLUSION: Compared to earlier CQT quantum entanglement metaphors, QBism's interpretation of the probabilities inherent in the Px and Rx quantum state/wavefunctions are Bayesian and subjective. Their resulting highly personal epistemology makes them more aligned with (and therefore potentially more useful to) how practitioners might experience the evolution of the TP. Also, because QBism predicts non-locality and entanglement can only be subjective properties of a practitioner's own beliefs, the overall significance of previous ontic non-local CQT-based entanglement metaphors for the TP is questioned.

A novel walk-in clinic treatment intervention for youth presenting with anxiety and depression.

TOPIC: This article explores a novel, single-session treatment intervention for anxiety and depression through an externalizing process, transforming of metaphoric imagery, and shifting of underlying maladaptive emotional schemas within the Walk-in counseling setting. PURPOSE: The purpose of this paper is to present a novel, single-session treatment protocol that is delineated through a six-stage process (or mediators of change) for the clinical population of youth presenting with anxiety and/or depression, mild-to-moderate severity. These are two of the most common presenting concerns for this population and the proposed treatment intervention is from a very brief format. A case study is used to illustrate the treatment protocol which is presented in table format and within-session description. SOURCES USED: A composite literature review was conducted with relevant works specific to single-session consultation including Walk-in clinic models to mental health treatment. CONCLUSIONS: The interconnected theoretical constructs both map and manualize its key clinical processes, which reflects the mechanism of change in this brief model. This proposed line of clinical research may introduce a paradigm shift towards specific treatments for specific presenting concerns in the Walk-in counseling modality for youth.

Scanning electron microscopic imaging of palynological metaphors: A case study of family Poaceae taxa.

This study highlighted the taxonomic utilization of palynological metaphors for selected members (53) of family Poaceae. Multiple microscopic technique light and scanning electrons had been employed for detailed analysis. Results reported monad pollen type in all studied 53 members, which showed its limited taxonomic value up to family level. In relation to shape of pollen both polar and equatorial views strikingly differed from each other. Like semi angular pollen observed in Dactyloctenium aegyptium (L.) Wild. whereas round-minutely irregular pollen in Lolium temulentum L. Polar and equatorial diameter also showed variation, that is, Desmostachya bipinnata (L.) Stapf. can be differentiated from Sorghum bicolor (L.) Moench on diameter variation basis. A pore characteristic does not show much qualitative variation; however pore sizes differ species to species. The most frequently scarbate sculpturing was observed in 28 species followed by verrucate. Hence it can be said that pollen shape, polar, and equatorial diameters, pore size, P/E ratio, pore sculpturing are of good taxonomic value and holds a significant position in identification and delimitation of Poaceae taxa.

Embodied metaphor in communication about lived experiences of the COVID-19 pandemic in Wuhan, China.

The study investigated how a group of 27 Wuhan citizens employed metaphors to communicate about their lived experiences of the Corona Virus Disease 2019 (COVID-19) pandemic through in-depth individual interviews. The analysis of metaphors reflected the different kinds of emotional states and psychological conditions of the research participants, focusing on their mental imagery of COVID-19, extreme emotional experiences, and symbolic behaviors under the pandemic. The results show that multiple metaphors were used to construe emotionally-complex, isolating experiences of the COVID-19 pandemic. Most metaphorical narratives were grounded in embodied sensorimotor experiences such as body parts, battling, hitting, weight, temperature, spatialization, motion, violence, light, and journeys. Embodied metaphors were manifested in both verbal expressions and nonlinguistic behaviors (e.g., patients' repetitive behaviors). These results suggest that the bodily experiences of the pandemic, the environment, and the psychological factors combine to shape people's metaphorical thinking processes.

Metáforas da lama: multimodalidade e argumentação em discursos sobre sustentabilidade e rompimento de barragens de rejeitos de minério de ferro / Metaphors of the mud: multimodality and argumentation in discourses about sustainability and the rupture of tailings dams of iron ore

As barragens de rejeito de minério de ferro fazem parte do processo de mineração no Brasil. Trata-se de uma técnica antiga envolvendo diversas tecnologias para torná-la mais segura. A constante vigília e cuidado sobre essas estruturas tornaram-se uma rotina frequente das mineradoras para evitar possíveis rupturas dessas barragens. Após o rompimento da barragem de rejeitos de minério em Brumadinho-MG e Mariana-MG muitos discursos com elementos metafóricos acerca da sustentabilidade e a prática de uso de barragens de rejeitos foram sustentados por uma intencionalidade discursiva voltada para a crítica social. O objetivo deste estudo é identificar e analisar o uso de metáforas conceptuais presentes como elementos multimodais na argumentação textual, numa perspectiva sociocognitiva e interacional da linguagem. Para isso, adota-se uma pesquisa expo-facto. O viés teórico da intencionalidade discursiva na linha de Searle; o caráter de modelos mentais, representações sociais e conhecimento sociocultural tal com prevê Van Dijk, a visão sociosemiótica de Geeraerts para compreender como argumentação por meio do campo imagético das charges é construída e sustentada socialmente e o dialogismo na perspectiva de Meyer a partir da argumentação. Nessa perspectiva sociocognitiva e interacional, o texto é pensado como uma construção linguístico-discursiva na qual a intencionalidade está relacionada com os modelos mentais resultantes de representações construídas a partir da experiencia do sujeito em sociedade e das práticas interacionais. Nesse contexto, o texto contempla uma gama de operações cognitivas interligadas como direciona Marscuschi. Constitui-se um corpus de charges publicadas na mídia brasileira, orientadas para a temática do rompimento de barragens de rejeitos de minério de ferro para a análise do aparecimento de metáforas conceptuais. Conclui-se que as metáforas se constituem recursos multimodais na orientação argumentativa e revelam metáforas do medo e da lama envolvendo um discurso do horror sobre a tragédia das cidades de Brumadinho e Mariana.

Iron ore tailings dams are part of the mining process in Brazil. It is an old technique involving several technologies to make it more secure. Constant vigilance and care about these structures have become a frequent routine for mining companies to avoid possible failures of these dams. After the collapse of the ore tailings dam in Brumadinho (MG) and Mariana (MG) cities, many discourses with metaphorical elements about sustainability and the practice of using tailings dams were supported by a discursive intentionality focused on social criticism. The aim of this study is to identify and analyze the use of conceptual metaphors present as multimodal elements in textual argumentation, in a sociocognitive and interactional perspective of language. For this, it is adopted from expo-facto research. The theoretical bias of discursive intentionality along the lines of Searle; the character of mental models, social representations,and sociocultural knowledge as predicted by Van Dijk, the sociosemiotic vision of Geeraerts (2016) to understand how argumentation through the imagery field of cartoons is constructed and socially supported and dialogism in perspective of Meyer from the argumentation. In this sociocognitive and interactional perspective, the text is thought of as a linguistic-discursive construction in which intentionality is related to mental models resulting from representations built from the subject's experience in society and interactional practices. In this context, the text contemplates a range of interconnected cognitive operations as directed by Marscuschi. A corpus of cartoons published in the Brazilian media is constituted, oriented to the theme of breaking up iron ore tailings dams for the analysis of the appearance of conceptual metaphors. It is concluded that metaphors are multimodal resources in the argumentative orientation and reveal metaphors offear and mud involving a horror speech about the tragedy of the cities of Brumadinho and Mariana.

[Scientific medicine and care relationship: From the therapeutic alliance to the therapeutic effect of the alliance]. / Médecine scientifique et relation de soin : de l'alliance thérapeutique à l'effet thérapeutique de l'alliance.

The new paradigm of precision medicine in oncology questions today the respective place of evidence-based medicine and doctor-patient relationship. Based on the results of a randomized study comparing the efficacy of a homeopathic molecule in the prevention of nausea and vomiting induced by chemotherapy in non-metastatic breast cancer, this article extends and develops the discussion of maintaining an unresolved tension between medical art and medical science, between care and cure. This tension sets a base for the authors of the therapeutic alliance in medicine, defined as a dialectic constantly adjourned between the alliance of the doctor with the patient and his therapy, and the therapeutic effect of this alliance. Because if a policy or a public opinion were to promote an exclusively rational medicine deprived of the field of relation to care, or on the contrary a medicine based only on clinical sense and intuition, then respectively the ethics of care and the progress of therapy would be threatened. It is advisable to be aware of erring from the truth, amplified today by social networks, as much due to a tide of scientific positivism, as an excess of the "good caring soul". Taking into account the therapeutic alliance makes it possible to no longer oppose scientific medicine and care relationship.

Be Mindful of Your Metaphors about Microbes.

Metaphors are ubiquitous in science and have important implications for how we frame our research objectives as well as how we communicate to the public. This piece focuses on the power of metaphors to shape our attitude and actions toward antimicrobial-resistant bacteria. It begins by emphasizing the pervasiveness of war metaphors to describe bacteria. Then it highlights that, with this type of framing, the solutions follow a similar suit. Ultimately, this metaphorical framing can imply dangerously incorrect solutions to the problem of antibiotic resistance. I propose that we need metaphors that represent the problem of antimicrobial resistance as an ecological and evolutionary issue rather than a single bacterial enemy. I end by offering a new metaphor that does not downplay the healthy fear we should have for antimicrobial-resistant bacteria but acknowledges that living things evolve and self-preserve. This piece is a call to action to use metaphors that express microbes' exceptional resilience rather than our brute strength in combat against them.

Eliciting the Concept of Cancer in Nursing Students in Turkey: an Exploratory Metaphor Analysis.

OBJECTIVES: Although there are promising studies on cancer treatment, it is still a frightening disease. For effective treatment, an integrative and positive perspective is required. Using the power of metaphors to facilitate understanding of complex and intangible ideas, this study aims to define cancer from the perspective of Turkish nursing students. SAMPLE AND SETTING: This study was conducted with 166 nursing students at a nursing faculty in Turkey. It was a mixed method study using qualitative and quantitative methods. METHODS AND VARIABLES: To capture the picture in a human mind of the complexity of feelings for cancer, writing a description and elicitation interviews were employed. Moreover, to reach ontological and epistemological level thoughts in the deepest layers of elicited metaphors, the data were analyzed in an analytical framework. RESULTS: The study provides a conceptualization of "Cancer." The students produced 92 valid metaphors. The most commonly used metaphors were found to be 'death', 'war', 'a virus', 'a malady' and 'a spider'. It was found that the metaphors produced by the students on the concept of cancer generally used negative themes. IMPLICATIONS FOR NURSING: This study provides a framework for understanding all aspects of the concept of cancer on the metaphor axis. It is believed that the results will provide an holistic approach toward the concept of cancer, especially in nursing education, and will increase awareness of this concept.

Cognitive and motivational factors driving sharing of internet memes.

As naturally occurring examples of folk culture and creativity, internet memes provide a rich testbed to examine the interrelationships among cognitive and motivational factors that influence their impact. In two studies with participants recruited over the internet, we measured a variety of appraisals of both apolitical and political memes with a focus on the role of metaphorical aptness and personal relatability as predictors of comprehensibility and humor. Structural equation modeling was used to analyze interconnections among appraisals. A major network path connects relatability to aptness, which in turn is linked to appraisals of comprehensibility, humor, and propensity to share. For political memes, the congruity of the meme with the person's political position (liberal or conservative) has a powerful but indirect impact on the propensity to share it. These findings indicate that appraisals of memes are based on cognitive and motivational processes that also underlie metaphor comprehension and appreciation of humor.

Ericksonian Family Constellation Work with Metaphoric Objects: Discussion and Illustration.

This article describes Ericksonian family constellation work with metaphoric objects. This method is based on using metaphorical objects that can represent relevant characteristics of a person, history of a situation, and/or solutions to problems. This method can be utilized in an individual or group format. The development of this method was influenced by methods developed by Bert Hellinger, Milton H. Erickson, and the contributions of Teresa Robles. Ericksonian family constellation work with metaphoric objects is discussed and illustrated from a workshop presentation at the conference, Hypnosis: New Generation (HNG).

Working (it) Out: An Heuristic Enquiry Into Psychotherapy and Physical Exercise.

Psychotherapy is predominantly a sedentary practice that, with rare exceptions, does not involve much physical activity on the part of either the client or the therapist. In response to this situation, the article examines three concerns: the impact of sedentarism on psychotherapists; the disconnection between the evidence of the benefit of physical exercise on psychological wellbeing and the predominant focus in psychotherapy on the sedentary mind; and the implications of the disconnection between psychotherapists' own minds and bodies. of the method employed was an heuristic enquiry conducted by the first author (reflected in the "I" and the "my" voice in the article), under the supervision of the second author. Drawing on and interweaving relevant literature throughout, the enquiry explores the first author's own relationship with exercise and, specifically, boxing, as both a practice (i.e., physical exercise) and as a metaphor for the heuristic research process (a psychological and intellectual exercise).

Embedding Critical Reflection in Training for Spiritual Care Supervision and Practice: The Experience of a Specific Student Group.

This article explores student experiences of a subject called Supervision in Spiritual Care Using Critical Reflection in postgraduate study in Australia for spiritual carers and ministers of religion. Their online dialogue identified how students used critical reflection in practice, and what they saw as the benefits and challenges in their learning. This affirms the value of a critically reflective approach to spiritual care and how this can be used in supervision and in practice.