In this response to commentaries on our target article, we highlight and clarify a variety of issues and respond to several comments, challenges, and misconceptions. Topics covered include the mechanisms of enduring change, the nature of memory, the conditions in which memories are updated, the role of emotional arousal in change, and current limitations in our understanding of the neural basis of change in psychotherapy. It is our hope that through research stimulated by this exchange the latter may be advanced.

If the COVID-19 crisis has brought any benefits, one is the increased attention paid to persons with disabilities in the contexts of clinical medicine and public health. There has been a great deal of insightful discussion since the outbreak about controversial disability issues the pandemic has brought to light. For a population often overlooked in both academic circles and the public square, mere visibility is a victory. There are at least two important respects in which the discussion remains underdeveloped, however.First, (...) much of the work being done has focused on disability considerations in policies governing triage and the rationing of critical care resources under crisis conditions. This is undoubtedly an... (shrink)

Post-industrial landscapes present a challenge to traditional means of aesthetic evaluation. This article examines the work of four artists and their contributions to an aesthetic vocabulary that can support art practices that engage places and systems rather than objects. Art presumes a manipulation of materials and places, a significant point for landscape reclamation which also requires a re-making of a site. The land reclamation projects and proposals of Robert Smithson, Robert Morris, and Helen Mayer Harrison and Newton Harrison are guides (...) to an aesthetics that expands to include ethical relationships and responsibility for the well-being of the environment and others. (shrink)

Since Freud, clinicians have understood that disturbing memories contribute to psychopathology and that new emotional experiences contribute to therapeutic change. Yet, controversy remains about what is truly essential to bring about psychotherapeutic change. Mounting evidence from empirical studies suggests that emotional arousal is a key ingredient in therapeutic change in many modalities. In addition, memory seems to play an important role but there is a lack of consensus on the role of understanding what happened in the past in bringing about (...) therapeutic change. The core idea of this paper is that therapeutic change in a variety of modalities, including behavioral therapy, cognitive-behavioral therapy, emotion-focused therapy, and psychodynamic psychotherapy, results from the updating of prior emotional memories through a process of reconsolidation that incorporates new emotional experiences. We present an integrated memory model with three interactive components – autobiographical (event) memories, semantic structures, and emotional responses – supported by emerging evidence from cognitive neuroscience on implicit and explicit emotion, implicit and explicit memory, emotion-memory interactions, memory reconsolidation, and the relationship between autobiographical and semantic memory. We propose that the essential ingredients of therapeutic change include: (1) reactivating old memories; (2) engaging in new emotional experiences that are incorporated into these reactivated memories via the process of reconsolidation; and (3) reinforcing the integrated memory structure by practicing a new way of behaving and experiencing the world in a variety of contexts. The implications of this new, neurobiologically grounded synthesis for research, clinical practice, and teaching are discussed. (shrink)

We believe that clinical ethics consultants (CECs) should offer advice, options, and recommendations to attending physicians and their teams. In their article in this issue of The Journal of Clinical Ethics, however, Kornfeld and Prager give CECs a somewhat different role. The CEC they describe may at times be more aptly understood as a medical interventionist who appropriates the roles of the attending physician and the medical team than as a traditional CEC. In these remarks, we distinguish the role of (...) the CEC from that of the physician, in contrast to some of these authors’ recommendations, which confuse the two roles. (shrink)

This paper explores the idea that wellbeing and healthy development should be the central goal of school music programs. After establishing a framework of student wellbeing, the metaphor of rites of passage experiences is employed—through Joseph Campbell's hero's journey and Jane McGonigal's analysis of the benefits of online gaming—as one way to think about high school music programs as potential sites for contributing to optimal adolescent wellbeing. Writing at the nexus of practice and theory the authors analyze two rites of (...) passage examples from their high school music classrooms. Musicking experiences that offer students openings for embarking upon rites of passage hold potential for addressing students' needs for autonomy, relatedness, and competence—needs Richard Ryan and Edward Deci document as predictive of psychological wellbeing in all cultures and that Dissanayake argues are evolved psychobiological needs. (shrink)

Few sectors are more affected by COVID-19 than higher education. There is growing recognition that reopening the densely populated communities of higher education will require surveillance technologies, but many of these technologies pose threats to the privacy of the very students, faculty, and staff they are meant to protect. The authors have a history of working with our institution’s governing bodies to provide ethical guidance on the use of technologies, especially including those with significant implications for privacy. Here, we draw (...) on that experience to provide guidelines for using surveillance technologies to reopen college campuses safely and responsibly, even under the specter of covid. We aim to generalize our recommendations, so they are sensitive to the practical realities and constraints that universities face. (shrink)

Though not yet a well-known figure outside of Japan, Naka Tarō 那珂太郎 stands at the crossroads of philosophical and artistic exchanges in twentieth-century Japanese literature. Not only was Naka a devotee of the great poet Matsuo Bashō 松尾芭蕉 and Kyōto School 京都学派 head and titan of modern Japanese literature Nishida Kitarō 西田幾多郎, but he was also versed in philosophy and art from Western Europe, with Friedrich Nietzsche, Fyodor Dostoevsky, and Charles Baudelaire all having exerted a great influence on his poetry. (...) Indeed, these "Western" figures influenced the Kyōto School itself; the work of Nishida and his acolytes and associates including Nishitani Keiji 西谷啓治, Watsuji Testurō 和辻哲郎, and Kuki Shūzo 九鬼周造 would have been... (shrink)

The promise of adventure amid the vast ocean of space has always enticed me, so when the author first heard about James Cameron's Avatar, the author is hooked even before he stepped into the theater. Interplanetary travel, giant robotic bodysuits, and a marine joining and eventually saving an indigenous extraterrestrial race – this film had it all! But when the author finally saw Avatar, he realized there was something going on that was more serious than whether Jake Sully would save (...) the Na'vi or whether his relationship with Neytiri would work out. Lurking beneath all that nerdy sci‐fi goodness were real issues of how the military community viewed and treated Jake as a disabled person and how Jake himself dealt with the stigma related to his condition. In fact there's scarcely a reference to disability after the first 15 minutes of the film. (shrink)

This quantitative study of 3557 high school teachers from 44 states assesses the implications of the social studies teacher-coach. The study compares social studies teacher-coaches and non-coaches in terms of teacher demographics and school contexts, disciplines taught, and instructional preferences. Substantial differences between coaches and non-coaches were found across gender, community type, and teaching experiences. Teacher-coaches disproportionately taught general classes such as government, Economics, and Geography, while non-coaches are more likely to teach Advanced Placement courses. Finally, self-report data measuring teacher's (...) instructional preferences indicates that teacher-coaches were more likely to indicate implementation of lectures, textbooks, worksheets, and videos, while non-coaches were more likely to indicate preference for examining photographs, artifacts, or primary materials. (shrink)

As a group, LGBTQ+ people experience food insecurity at a disproportionately high rate, yet food security scholars and practitioners are only beginning to uncover patterns in how food insecurity varies by subgroups of this diverse community. In this paper, we use data from the U.S. Census Bureau’s Household Pulse Survey—which added measures of gender identity and sexuality for the first time in 2021—to analyze New Englanders’ food insufficiency rates by gender, sexuality, race, and ethnicity. We find that (1) in the (...) past seven days, 13.0 percent of LGB + (lesbian, gay, bisexual, and other non-heterosexual) New Englanders experience food insufficiency—which is nearly twice the rate of heterosexual people—and 19.8 percent of transgender+ (transgender, genderqueer, gender non-binary, and other non-cisgender people) New Englanders experience food insufficiency—which is two to three times the rate of cisgender men and women. (2) Whereas cisgender New Englanders experience food insufficiency at a _lower_ rate than their counterparts in the rest of the nation (about two percentage points lower for both cisgender men and women), transgender+ New Englanders experience no such New England advantage compared to transgender+ people in the country as a whole. (3) LGBTQ+ New Englanders of color experience devastatingly high rates of food insufficiency, with, for example, one in three Black transgender+ New Englanders not having enough food to eat in the past seven days. These findings suggest that addressing food insecurity in New England demands approaching the problem with an intersectional queer lens, with attention to the ways in which racism, cissexism, and heterosexism are creating a systemic, ongoing food crisis for LGBTQ+ New Englanders, especially those who are transgender+ and/or people of color. (shrink)

This chapter contains sections titled: Understanding Disability in Relation to Social Justice Cognitive Disabilities and Equality Considering Disability under Conditions of Injustice.

This volume provides a forum for some of the best new philosophical work on law, by both senior and junior scholars from around the world. The chapters range widely over issues in general jurisprudence (the nature of law, adjudication, and legal reasoning); the philosophical foundations of specific areas of law (from criminal law to evidence to international law); the history of legal philosophy; and related philosophical topics that illuminate the problems of legal theory.

The federal regulations that govern biomedical research, most notably those enshrined in the Common Rule, are a product of their time. Born in the aftermath of wartime atrocities committed by Nazi doctors, and influenced by domestic research scandals like the Willowbrook and Tuskegee studies, the regulations express a protectionist ethos aimed at safeguarding subjects of human experimentation from the potential harms of research participation. Requirements for informed consent, risk minimization, equitable subject selection, and peer review of proposed research rest on (...) the presumption that the research enterprise owes subjects a duty of protection. (shrink)

Although the concept of dignity is commonly invoked in clinical care, there is not widespread agreement—in either the academic literature or in everyday clinical conversations—about what dignity means. Without a framework for understanding dignity, it is difficult to determine what threatens patients’ dignity and, conversely, how to honor commitments to protect and promote it. This article aims to change that by offering the first conceptual model of dignity for patients in the intensive care unit. The conceptual model we present is (...) based on the notion that there are three sources of patients’ dignity—their shared humanity, personal narratives, and autonomy—each of which independently warrants respect. The article describes each source of dignity and draws on examples to illustrate how clinician attitudes, actions, and behaviors can either contribute to, or detract from, expressions of respect for patient dignity. (shrink)

Far from feeling a need to leave their brains at the door of the church, as contemporary Christians may feel is asked of them, the suggestion is that the development of our intellect is central to human growth into the image and likeness of God."--P. [4], cover.

A decade before Foucault began to work with the related concepts of biopolitics and biopower, Gellner posed a series of questions which are suggestive of a similar line of inquiry. Gellner did not pursue this strand of his thought as an historical sociologist however. Instead he packaged it into a functionalist account of how industrial society reproduces itself. In Gellner’s writings, biopolitics is both present and absent, like a redacted text. This is the focus of this article, which locates Gellner’s (...) method of inquiry within a corpus of genealogical studies that includes the work of Polanyi, Weber and Foucault. What distinguishes Gellner is that the history he reconstructs is a story of achievement in the face of terrible historical odds, but this culminates in a normative genealogy that limits the scope for critical analysis. The article concludes by adopting an alternative – yet still Gellnerian – approach to the question of social reproduction, thereby using Gellner to critique Gellner. (shrink)

All insects appear to have a transport lipoprotein in the hemolymph (blood) that is responsible for moving hydrophobic materials through aqueous compartments. This has been called lipophorin because it is believed to be a reversible transport shuttle. Since most insects undergo some degree of metamorphosis from larval stages to the adult, the need to transport hydrophobic materials or the nature of these materials may change in the course of the life span. This is especially marked in the case of the (...) holometabolous insects – those which undergo drastic change of form, e.g. caterpillar‐pupa‐adult moth. We have found that lipophorin undergoes a molecular metamorphosis paralleling that of the insect. (shrink)

This article introduces the work of philosopher-novelist Walker Percy to the Zygon: Journal of Religion and Science readership. After some biographical and contextual preliminaries, I suggest that the conceptual collecting feature to Percy's work is his critique of abstractionism manifest in a tripartite congruence of Cartesianism, derivatively misapplied science, and social atomism.

Can a country with a free press and a robust political debate provide its citizens with actionable information so that they can protect themselves from a threat to their health or safety? By actionable information, I mean accurate facts and reasonable interpretations of those facts upon which an individual should rely in making reason-based decisions. In the context of public health, this includes information that allows an individual to weigh the risk to one’s self, family, and community before deciding to (...) act in an uncertain environment under threatening conditions. The recent H1N1 pandemic, and in particular the government’s campaign for public acceptance of the vaccine, highlights the challenges in ensuring that individuals receive accurate information and perceive that such information should be the basis on which to make potential life-saving decisions. (shrink)

This book offers the first fully documented and historically contextualised account of the origins and implications of the concept of community in the work of Nancy and Blanchot. It analyses in detail the underlying philosophical, political, literary, and religious implications of the often misrepresented debate between Blanchot and Nancy.

A volume in Ethics in Practice Series Editors Robert A. Giacalone, Temple University and Carole L. Jurkiewicz, Louisiana State University Making sure that performance in business enterprise is achieved ethically is no small task. Leaders, managers, and employees at every level of the organization need to utilize systems and processes that support ethical strength, establishing a workplace where responsibility, accountability, and doing the right thing are genuinely valued and practiced. Management can help support ethical performance in workers' daily task actions (...) by underscoring the importance of rules and regulations, while also moving to ensure that employees understand and care about doing what's right. Given that most firms only emphasize compliance in ethics training, there is vast room for additional development. Training people to be less bad is not good enough. With the infusion of mandatory requirements for ethics training programs in some firms and self-imposed initiatives in others, we see a range of deliverables. To advance ethics in practice, a closer look at ethics training in the workplace is warranted. This volume attempts to better understand ethics in organizational settings by taking a focused look at the science of ethics training and best practices, areas for concern, specific techniques, application outcomes, how to cultivate an ethical work environment, and considering where opportunities for additional inquiry reside. Managers and practitioners reading this book will garner specific trends and useful techniques that can inform, guide, and improve their efforts to build ethical awareness and effective ethical decisionmaking within their organizations. Academic scholars will find this book useful, providing insight as to where additional research and empirical work is needed. (shrink)