In lieu of an abstract, here is a brief excerpt of the content:The Voice of Patients:The Exclusive Work of a Human Who Can AdvocateLaisson DeSouzaThere is much conversation in the medical interpreter community about the effects of artificial intelligence in the work we do, and how we may or may not be out of a job in the coming years. Back in the day, I used to think about the future of interpreting and dread the day machines would do something (...) intrinsically of human nature: communication and interpretation.As time goes on, I am much more assured that all medical interpreters have their place solid, as technology progresses. I started as a medical interpreter in 2015, newly arrived from Brazil and having left a promising career in education there, as there were some pressing family needs that obligated me to move to the United States. Medical interpreting was the way to get closer to a field I loved and learn something new. The classes had all the elements that attracted me to the profession, including extensive medical terminology, in-depth discussion of human anatomy and physiology, intense discussions about culture and the role of medical interpreters, and the practice of medical interpreting in several role-play sessions with knowledgeable and experienced instructors in the field.When I first started, there were many questions and not as many answers. Because of the nature of what we do, each patient and each encounter is unique. Sometimes, you may have prepared your vocabulary list for a topic, and the encounter goes somewhere else, wasting the effort you put into that specific appointment. And now you better be ready for several new words and expressions that both the patient and provider may use. The interpreter can always ask for clarification; however, it is important to develop your language wealth so that interruptions on our part do not affect the flow of communication.Sometimes, you get to work with lovely providers who respect you as a professional and a human being, and sometimes, you have to work with rude providers who see you as an intruder or a disposable piece of human equipment. We are witnesses of how much providers go through as they face a broken system to care for their patients, and we share their frustration when they have to say that the insurance has not approved a procedure, a course of treatment, and so forth, and that there is nothing they can do to ameliorate the situation. We are witnesses, we are there, we are part of it.The line that separates an interpreter and other important healthcare professionals can be blurred. There is an expectation that interpreters act as case managers, doing screening calls or surveys, or that they will contact patients to deliver pharmacy instructions, and other requests. We are used to advocating for our patients, but we seldom advocate for ourselves to ensure that we have better working conditions and are seen as an important part of the care team. We are part of the medical encounter to collaborate and should be seen as a resource to promote communicative autonomy—at times, medical providers such as nurses and clinicians see interpreting as a burden, and, understandably, a 15-minute routine appointment will take at least double that time, but again, is it not the ultimate goal to provide optimal care for a patient? How would that be possible without hearing the voice of the most important element of an encounter, the patient?So many touching moments have warmed my heart over the past few years. The first time that joyful expecting parents could hear the heartbeat of their baby who would be born in a few months—and all the questions that followed in the pre-natal care appointment—were moments that reached deep into my heart, reminding me of how privileged I am as an interpreter to be the [End Page 170] voice and ears of people in a process that makes us human. Another heartwarming moment came when, after months of speech therapy, a child with a developmental delay was able to say a few words for the first time. I can still remember how all involved—the care team, the mother, and myself—clapped our... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Full Collection of Personal NarrativesGianna O'Leary, Paul Hostovsky, Yilu Ma, Leo Almazan, Hilda Sanchez-Herrera, Marisa Rueda Will, Elaine Hsieh, Manuel Patiño, Felicity Ratway, Liliana Crane, Laisson DeSouza, Nilsa Ricci, Linda Pollack-Jackson, Kelley Cooper, Mateo Rutherford-Rojas, Rosa C. Moreno, Maja Milkowska-Shibata, Patricia Coronado, and Catalina Meyer• A Day in the Life of a Spanish Interpreter• Deaf Interpreter• "Call me Dr. XXX!"• Translating Care for the Voiceless Patient• Are (...) We There Yet? A Narrative of Firsthand Interpreter Experiences in the Medical Field and Insights to Aid Language Access Compliance• One Interpreter's Journey of Interpreting for Pregnancy Loss• More Than Words: Communicating for the Quality of Care• From Linguistic Bridge Builder to Aspiring Physician• Towards Language Justice: A Call to Identify and Overcome Structural Barriers• Voices in the Shadows: The Hidden Complexities of Being a Medical Interpreter• The Voice of Patients: The Exclusive Work of a Human Who Can Advocate• Don't Mute the Messenger• The Ramp and the Stop Sign• How Policies and Practices in Medical Settings Impact Communication Access with Deaf Patients and Caregivers• And When May I Cry? Juggling Emotions in Healthcare Interpreting• To Engage or Not to Engage: An Interpreter and a Mother's Need for Connection in the Cardiothoracic Unit• Witnessing Trauma: Emotional Challenges in Medical Interpretation• Being an Interpreter—Beyond Linguistics• 1-800-Quit-NowCopyright © 2024 Johns Hopkins University Press... (shrink)

In recent years there has been growing attention paid to a kind of human action or activity which does not issue from a process of reflection and deliberation and which is described as, e.g., ‘engaged coping’, ‘unreflective action’, and ‘flow’. Hubert Dreyfus, one of its key proponents, has developed a phenomenology of expertise which he has applied to ethics in order to account for ‘everyday ongoing ethical coping’ or ‘ethical expertise’. This article addresses the shortcomings of this approach by examining (...) the pre-reflective ethical know-how individuals first develop and on which all later forms of ethical expertise are dependent. In the first section an account is given of the ‘ethical second nature’ which every individual develops from childhood onwards and which forms the basis of pre-reflective ethical know-how. The acquisition of an ethical second nature early on opens up the very domain of ‘the ethical’ for us in the first place and is constitutive of our sensitivity to it. The second section turns to pre-reflective ethical know-how and whether it is conceptual in nature. Just as sensorimotor understanding forms the basis of our reflective perceptual concepts, pre-reflective ethical know-how is similarly proto-conceptual and is the source of our reflective ethical and moral concepts. Finally, the third section examines the process whereby ethical second nature and pre-reflective ethical know-how are actually acquired, namely, through immersion in an ‘ethical world’. This world consists of both the web of ethical meanings and significances which has evolved in a particular society or community as well as its members whose actions and interactions continually reproduce that web. (shrink)

The subject of this article is Herder’s unique conception of the soul-body relationship and its divergence from and dependence on Leibniz. Herder’s theory is premised on a rejection of the windowlessness of monads in two important respects: interaction between material bodies (as gleaned from Crusius and Kant) and interaction between the soul and body. Herder’s theory depends on Leibniz insofar as it agrees with the intimate connection Leibniz posits between the soul and the body, as his epistemology demonstrates, with, however, (...) the significant modification that the connection is real. Herder transforms the Leibnizian rehabilitation and use of substantial forms to develop a double-conception of the human soul as both thinking substance and substantial form: the soul, qua thinking substance, needs a body through whose senses it can interact with, and acquire knowledge of, the external world; the soul, qua substantial form, constructs itself this material body by harnessing the forces of attraction and repulsion. Herder’s theory provides an alternative to other contemporary accounts of the soul-body relationship, especially Kant’s, which start from the problem of relating two distinct substances. His unique and original reconciliation of the modern dichotomy of spirit and matter, via his connecting of Leibniz’s realms of final and efficient causes, is of great significance for the rise of German Idealism. (shrink)

In contemporary Western societies, birthing is framed as transformative for mothers; however, it is also a site for the regulation of women and the exercise of power relations by health professionals. Nursing scholarship often frames migrant mothers as a problem, yet nurses are imbricated within systems of scrutiny and regulation that are unevenly imposed on ‘other’ mothers. Discourses deployed by New Zealand Plunket nurses (who provide a universal ‘well child’ health service) to frame their understandings of migrant mothers were analysed (...) using discourse analysis and concepts of power drawn from the work of French philosopher Michel Foucault, read through a postcolonial feminist perspective. This research shows how Plunket nurses draw on liberal feminist discourses, which have emancipatory aims but reflect assimilatory practices, paradoxically disempowering women who do not subscribe to ideals of individual autonomy. Consequently, the migrant mother, her family and new baby are brought into a neoliberal project of maternal improvement through surveillance. This project – enacted differentially but consistently among nurses – attempts to alter maternal and familial relationships by ‘improving’ mothering. Feminist critiques of patriarchy in maternity must be supplemented by a critique of the implicitly western subject of maternity to make empowerment a possibility for all mothers. (shrink)

The objective of this chapter is to trace the influence of Stoic dispositional innatism on the early development of Herder’s concept of force through an examination of two of the most likely sources of transmission of this tradition: Leibniz and Shaftesbury. The interdependence of soul-forces, the obscure, and dispositional innatism is then explored in Herder’s plan for an aesthetics that genuinely comes to grips with the lower, sensuous regions of the soul that he presents against the backdrop of his critical (...) engagement with Baumgarten. (shrink)

Background: Previous studies have investigated the effects of dance interventions on Parkinson’s motor and non-motor symptoms in an effort to develop an integrated view of dance as a therapeutic intervention. This within-subject study questions whether dance can be simply considered a form of exercise by comparing a Dance for Parkinson’s class with a matched-intensity exercise session lacking dance elements like music, metaphorical language, and social reality of art-partaking.Methods: In this repeated-measure design, 7 adults with Parkinson’s were tested four times; before (...) and after a Dance for Parkinson’s class, as well as before and after a matched-intensity exercise session. Physiological measures included heart rate and electrodermal activity. Self-reported affect and body self-efficacy were collected. Gait symmetry and dual task cost were analyzed using the 6 min walking test and Timed-Up-and-Go test, respectively.Results: Average heart rate was the same for both conditions, while electrodermal activity was higher during Dance for Parkinson’s. Significant differences were found in body self-efficacy, beauty subscale, symmetry of gait, and dual task performance.Conclusion: Dance, compared to an exercise intervention of matched intensity, yields different outcomes through the means of intrinsic artistic elements, which may influence affective responses, the experience of beauty, self-efficacy, and gait performance. (shrink)

Thirteen scholars offer new essays exploring the question at the heart of J. G. Herder's thought: How can philosophy enable an understanding of the human being not simply as an intellectual and moral agent, but also as a creature of nature who is fundamentally marked by an affective openness and responsiveness to the world and other persons?

COVID-19 severity and mortality risk are greater for older adults whereas economic impact is deeper for younger adults. Using the Health Belief Model as a framework, this study used a web-based survey to examine how perceived COVID-19 susceptibility and severity and perceived efficacy of recommended health behaviors varied by age group and were related to the adoption of health behaviors. Proportional odds logistic regression was used to examine the relationship between age group and perceived COVID-19 susceptibility, severity, impact, and health (...) behavior efficacy and adoption. Structural equation modeling based on HBM constructs examined the relationships between health beliefs and behaviors. Data from 820 participants were analyzed. Middle-aged and older adults reported greater concerns about the personal risk of hospitalization and mortality, economic impact, and social impact of COVID-19 than young adults. Middle-aged adults also reported greatest concern for other age groups. Adoption and perceived efficacy of health behaviors was similar across age groups with few exceptions. Both middle-aged and older-adults were more likely to perceive their own and each other's age groups as responding adequately to COVID-19 compared to young adults. Structural equation modeling indicated perceived benefits of health behaviors were the primary driver of behavior uptake, with socioeconomic factors and perceived severity and susceptibility indirectly associated with uptake through their influence on perceived benefits. Overall, these results suggest adoption of health behaviors is very high with few differences between age groups, despite differences in perceived impact of COVID-19. Public health communications should focus on the benefits of health behaviors to drive adoption. (shrink)

Lors d’un safari, vous apercevez une lionne sur le point d’attaquer une gazelle. Or, vous êtes un partisan des droits des animaux. La gazelle a le droit de vivre, donc vous estimez devoir la sauver des griffes du félin. Toutefois, sauver la gazelle signifie violer le droit de la lionne de subvenir à ses besoins. Que vous sauviez la gazelle ou que vous laissiez la lionne la manger, il semble que vous soyez moralement condamnable. Certains estimeront que cette situation est (...) absurde et qu’elle est due à l’attribution de droits aux animaux. De ce fait, nous ne devrions pas leur en attribuer. Le présent article tente d’expliquer pourquoi nous ne devons pas intervenir dans les cas de prédation chez les animaux sauvages sans que cela ne mène à des conséquences absurdes en regard d’une théorie des droits des animaux sans que cela ne soit problématique pour le devoir d’assistance à personne en danger généralement accepté et tout en étant en accord avec, au moins, une théorie de la défense d’un tiers.During a safari, you see a lioness about to attack a gazelle. Now you are an advocate of animal rights. The gazelle has the right to live, so you feel you must save it from the feline’s claws. However, rescuing the gazelle will violate the right of the lioness to meet her needs. Rescuing the gazelle or let the lioness eat it, it seems that in any case you are wrong. Some will find this situation absurd and that it is due to the attribution of rights to animals. Thus, we should not attribute rights to them. This article attempts to show why we should not intervene in cases of predation in wildlife without leading to absurd consequences within an animal rights theory, without being problematic for the generally accepted duty to provide assistance and while being consistent with at least a theory of other-defense. (shrink)

Jean-Luc Nancy has worked substantially from, or maybe with, Bataillian thought. This interview touches specifically on his rapport with Bataille and the links that exist between the later thinker’s œuvre and Nancy’s own.

Herder: Philosophy and Anthropology is an important and refreshing contribution to the growing literature in English on the philosophy of Johnann Gottfried Herder. Anik Waldrow and Nigel DeSouza have brought together an impressive array of contributors—a number who are well-established within Herder scholarship and others newer to his thought—to produce an interesting collection of essays exploring Herder's philosophical anthropology.The implications of Herder's attempt to place the human agent at the core of philosophy is a broad theme, with the collection (...) offering reflections on his metaphysics, his philosophy of language, his philosophy of history, his philosophy of science, his hermeneutics, as well as the role... (shrink)

Laissons-nous guider par les étymologies. Songeons-nous assez que le grec fi eipflvri disait seulement la trêve, et la pax romana, la pacification à la manière de Rome? L'Antiquité semblait nous avertir de l'illusion d'une paix définitive. Etait-ce par ce constat désabusé de la folie des hommes, ou par crainte que ne se reproduise le mensonge babélien d'une paix totalitaire? Ilolq.ti o, qu'on traduit par "faire la guerre" est construit sur itâXXw, dont le sens premier est "repousser". Nous sommes instruits de (...) ce qui est véritablement recherché à la guerre (ô rrôXeμoç) : moins s'emparer, dominer, ou ravager, que recréer les conditions d'une distance salutaire et indispensable au jeu des altérités... C'est pourquoi il faut cesser de la juger par défaut, comme l'ont fait les philosophes du droit, l'assimilant à leur fiction de l'état de nature. Nous voulons penser la guerre pour elle-même, lui tenter une psychologie positive, mettre à nu, bien plus que la politique qu'elle relaie, la profonde métaphysique qui l'anime. (shrink)

"Au fond des doctrines qui méconnaissent la nouveauté radicale de chaque moment de l'évolution il y a bien des malentendus, bien des erreurs. Mais il y a surtout l'idée que le possible est moins que le réel, et que, pour cette raison, la possibilité des choses précède leur existence. Elles seraient ainsi représentables par avance ; elles pourraient être pensées avant d'être réalisées. Mais c'est l'inverse qui est la vérité. Si nous laissons de côté les systèmes clos, soumis à des (...) lois purement mathématiques, isolables parce que la durée ne mord pas sur eux, si nous considérons l'ensemble de la réalité concrète ou tout simplement le monde de la vie, et à plus forte raison celui de la conscience, nous trouvons qu'il y a plus, et non pas moins, dans la possibilité de chacun des états successifs que dans leur réalité. Car le possible n'est que le réel avec, en plus, un acte de l'esprit qui en rejette l'image dans le passé une fois qu'il s'est produit. Mais c'est ce que nos habitudes intellectuelles nous empêchent d'apercevoir." Henri Bergson. (shrink)

Voici un livre important. Ne nous laissons pas abuser par son titre discret et son illustration de couverture idyllique. Mine de rien, il montre, avec une maîtrise exceptionnelle, comment et pourquoi l’histoire des femmes est un moteur puissant de l’histoire tout court. On pourrait croire que l’accouchement sans douleur concerne seulement le confort des parturientes. On découvre ici que cette « révolution oubliée » a bouleversé non seulement l’histoire du corps, de la santé, de la douleur, ma...

" Cet ouvrage a pour but de laisser parler le cœur de la pensée hégélienne, sa Logique afin de la voir parvenir au bout de ce qu'elle peut. Patiemment mis au contact de ce que cette pensée comporte de plus puissant, le lecteur est paradoxalement conduit à la regarder se renverser de l'intérieur. La philosophie hégélienne n'est pas une opinion offerte à une réfutation protéiforme, elle n'est ni une simple représentation ni une supplémentaire conception du monde, mais une nef colossale (...) dont il ne suffit pas de contredire avec plus ou moins d'inspiration l'une ou l'autre base pour espérer la faire chavirer. Cette œuvre relève le vertigineux défi de déployer un mouvement qui précède son lecteur. On ne "sort" de ce cercle que pour l'étendre, l'enrichir et y contribuer. C'est un fait : la pensée de Hegel est, sur son terrain, indépassable, ou, en dehors de son terrain, jamais atteinte puisque ce n'est pas d'elle que l'on parle quand on croit la mettre en cause. Nous voyons ainsi, plus que pour toute autre pensée, deux camps ennemis s'affronter autour du système hégélien : d'une part, ceux qui, croyant préserver la "liberté" de leur "esprit critique", ne veulent ni lire véritablement, ni comprendre en profondeur, ni entendre parler de Hegel, d'autre part, ceux qui n'en sortent plus et répètent Hegel comme on répète encore une pièce quand on la joue pour la millième fois. Conscient de ces deux écueils, nous avons voulu suivre la voie d'une herméneutique phénoménologique : laisser apparaître l'œuvre comme elle se donne. Attentif aux métamorphoses de cette notion d'identité qui est l'expressive figure dans laquelle se lisent les diverses motions de l'Idée absolue, nous laissons cette dernière s'ouvrir, révéler ses différents aspects et nous conduire d'elle-même à ce qu'elle veut nous dire. La méditation de la notion d'identité fait précisément apparaître les différents moments de la rythmique hégélienne et en fait pénétrer le sens ontologique. Chemin faisant, si l'affaire s'expose, elle s'expose intégralement, et elle se met donc également à nu. Un cohérent principe de connivence avec une grande pensée ne s'interdit nullement les voies de la clairvoyance ; il produit au contraire les conditions de sa juste et saine apparition. Cet ouvrage est donc une exposition ou une manifestation du penser hégélien au terne de laquelle doit logiquement apparaître l'essence de ce dernier, car l'objet d'une méditation approfondie laisse non seulement apparaître le tout, mais il laisse aussi tout apparaître, c'est-à-dire des limites et des inconséquences qui sont désormais les siennes et non celles que l'arbitraire critique importe pour la commodité de ses préjugés. Cette méditation se donne donc à la fois comme un cours sur la pensée hégélienne et comme une irrémédiable prise de distance. ". (shrink)

Since the pioneering work of [Aglioti, S., DeSouza, J. F., & Goodale, M. A. . Size-contrast illusions deceive the eye but not the hand. Current Biology, 5, 679–685] visual illusions have been used to provide evidence for the functional division of labour within the visual system—one system for conscious perception and the other system for unconscious guidance of action. However, these studies were criticised for attentional mismatch between action and perception conditions and for the fact that grip size is (...) not determined by the size of an object but also by surrounding obstacles. Stoettinger and Perner [Stoettinger, E., & Perner, J., . Dissociating size representations for action and for conscious judgment: Grasping visual illusions without apparent obstacles. Consciousness and Cognition, 15, 269–284] used the diagonal illusion controlling for the influence of surrounding features on grip size and bimanual grasping to rule out attentional mismatch. Unfortunately, the latter objective was not fully achieved. In the present study, attentional mismatch was avoided by using only the dominant hand for action and for indicating perceived size. Results support the division of labour: Grip aperture follows actual size independent of illusory effects, while finger-thumb span indications of perceived length are clearly influenced by the illusion. (shrink)

"Peut-on, de l'existence d'un Cours consacré partiellement à l'attention, conclure à l'existence chez Husserl d'une phénoménologie de l'attention en bonne et due forme? En montrant comment l'attention entretient une relation complexe à la perception, à la volonté, à l'affect et à la réflexion, le phénoménologue fait ressortir l'originalité d'un vécu qui n'est pas un acte intentionnel au sens précis mais traverse les actes pour les porter à leur accomplissement : ni raison, ni sentiment, l'attention remplit une fonction modulatrice des actes (...) de la conscience, fonction qui fait à elle seule son originalité dynamique d'amorçage et d'adossage intégratif. Par une double réforme de l'intentionnalité et de l'intensité de la conscience, il renvoie dos-à-dos, non sans y puiser certaines ressources, la problématique du champ de la conscience (Wundt) et celle, longuement discutée, de l'attention comme plaisir pris à remarquer (Stumpf). L'attention en ressort définitivement dissociée de la réflexion ; elle se présente comme l'aiguillon qualitatif d'une perception-tenir pour vrai (Wahrnehmung) elle-même renouvelée dans sa dimension modalisatrice et réidentifiée comme " perceptualité " (Perzeptionales) ; elle s'affirme de plus en plus, à mesure que l'on avance dans la description, partant de son alliance signitive, en tant qu'activité de remarquer (Bemerken), avec l'aperception (Aufmerken), comme un mouvement interne quasi-organique de se tourner (zuwenden) où les degrés d'aperception interne se trouvent réinvestis comme des traits concrets de " remarquabilité " (Merklichkeit/Bemerksamkeit), et finit par y intégrer le moteur affectif lui-même à titre, non de cause, mais de stimulation et d'effet possibles. Bref, Husserl joue sur une variation terminologique de l'attention (Zuwendung: conversion attentionnelle; Aufinerksamkeit : activité aperceptive de remarquer ; Attention : tension vers) qui démantèle une identité homogène donnée a priori et permet au langage d'épouser les modifications et mutations expérientielles du phénomène attentionnel. A-t-on pour autant affaire à une " phénoménologie de l'attention "? Nous laissons le lecteur juger et conclure lui-même après lecture.". (shrink)

Voici un livre important. Ne nous laissons pas abuser par son titre discret et son illustration de couverture idyllique. Mine de rien, il montre, avec une maîtrise exceptionnelle, comment et pourquoi l’histoire des femmes est un moteur puissant de l’histoire tout court. On pourrait croire que l’accouchement sans douleur concerne seulement le confort des parturientes. On découvre ici que cette « révolution oubliée » a bouleversé non seulement l’histoire du corps, de la santé, de la douleur, ma...

Voici un livre important. Ne nous laissons pas abuser par son titre discret et son illustration de couverture idyllique. Mine de rien, il montre, avec une maîtrise exceptionnelle, comment et pourquoi l’histoire des femmes est un moteur puissant de l’histoire tout court. On pourrait croire que l’accouchement sans douleur concerne seulement le confort des parturientes. On découvre ici que cette « révolution oubliée » a bouleversé non seulement l’histoire du corps, de la santé, de la douleur, ma...

Voici un livre important. Ne nous laissons pas abuser par son titre discret et son illustration de couverture idyllique. Mine de rien, il montre, avec une maîtrise exceptionnelle, comment et pourquoi l’histoire des femmes est un moteur puissant de l’histoire tout court. On pourrait croire que l’accouchement sans douleur concerne seulement le confort des parturientes. On découvre ici que cette « révolution oubliée » a bouleversé non seulement l’histoire du corps, de la santé, de la douleur, ma...