Phenomenology has been adapted for use in qualitative health research, where it’s often used as a method for conducting interviews and analyzing interview data. But how can phenomenologists study subjects who cannot accurately reflect upon or report their own experiences, for instance, because of a psychiatric or neurological disorder? For conditions like these, qualitative researchers may gain more insight by conducting observational studies in lieu of, or in conjunction with, interviews. In this article, we introduce a phenomenological approach to conducting (...) this kind of observational research. The approach relies on conceptual grounding to focus a study on specific aspects of the participants’ experiences. Moreover, the approach maintains the openness to novel discoveries that qualitative research requires while also providing a structured framework for data collection and analysis. To illustrate its practical application, we use examples of hemispatial neglect—a neurologic disorder in which patients characteristically lack awareness of their own illness and bodily capacities. However, the approach that we describe can be applied more broadly to the study of complex illness experiences and other experiential alterations. (shrink)

In Feminist Phenomenology and Medicine, the editors have assembled a collection of papers on important topics that should be addressed in the modern phenomenology of medicine - topics which do not exclusively focus on illness, disability, bodily deterioration or pathologies, as seen for instance in prior work of the philosophers S Kay Toombs, Frederik Svenaeus, and Havi Carel. The contributors met at a congress on feminist phenomenology and medicine in Sweden in 2011, and come from a variety of relevant disciplines (...) including bioethics, philosophy of medicine, feminism and gender studies. All contributors are well-known, major players within their particular fields.Although it seems obvious that new developments in medicine, such as organ transplantation and plastic surgery, will push the boundaries of normality within the medical discourse, this volume is the first of its kind to offer a collection of essays exploring a variety of medical conditions that are situated within the gray zo .. (shrink)

A key challenge when learning language in naturalistic circumstances is to extract linguistic information from a continuous stream of speech. This study investigates the predictors of such implicit learning among adults exposed to a new language in a new modality. Sign-naïve participants were shown a 4-min weather forecast in Swedish Sign Language. Subsequently, we tested their ability to recognise 22 target sign forms that had been viewed in the forecast, amongst 44 distractor signs that had not been viewed. The target (...) items differed in their occurrence frequency in the forecast and in their degree of iconicity. The results revealed that both frequency and iconicity facilitated recognition of target signs cumulatively. The adult mechanism for language learning thus operates similarly on sign and spoken languages as regards frequency, but also exploits modality-salient properties, for example iconicity for sign languages. Individual differences in cognitive skills and language learning background did not predict recognition. The properties of the input thus influenced adults’ language learning abilities at first exposure more than individual differences. (shrink)

A wide array of species throughout the animal kingdom has shown the ability to distinguish between quantities. Aside from being important for optimal foraging decisions, this ability seems to also be of great relevance in group-living animals as it allows them to inform their decisions regarding engagement in between-group conflicts based on the size of competing groups. However, it is often unclear whether these animals rely on numerical information alone to make these decisions or whether they employ other cues that (...) may covary with the differences in quantity. In this study we used a touch screen paradigm to investigate the quantity discrimination abilities of two closely related group-living species, wolves and dogs, using a simultaneous visual presentation paradigm. Both species were able to successfully distinguish between stimuli of different quantities up to 32 items and ratios up to 0.80, and their results were in accordance with Weber's law (which predicts worse performances at higher ratios). However, our controls showed that both wolves and dogs may have used continuous, non-numerical cues, such as size and shape of the stimuli, in conjunction with the numerical information to solve this task. In line with this possibility, dogs' performance greatly exceeded that which they had shown in other numerical competence paradigms. We discuss the implications these results may have on these species' underlying biases and numerical capabilities, as well as how our paradigm may have affected the animals' ability to solve the task. (shrink)

Background: In the context of new reimbursement systems like diagnosis-related groups, moral distress is becoming a growing problem for healthcare providers. Moral distress can trigger emotional and physical reactions in nurses and can cause them to withdraw emotionally from patients or can cause them to change their work place. Objective: The aim of this pilot study was to develop an instrument to measure moral distress among acute care nurses in the German-speaking context, to test its applicability, and to obtain initial (...) indications of the instrument’s validity. Method: The study was designed in 2011 as a cross-sectional pilot survey. Conducted on eight units of one university hospital in German-speaking Switzerland, 294 registered nurses were asked to fill out a web-based questionnaire on moral distress. Ethical considerations: The study proposal was approved by the cantonal ethics committee. All participating nurses provided informed consent and were assured of data confidentiality. Results: The survey had a response rate of 55%. The results show the prevalence of statements on the questionnaire indicating situations with the potential to trigger moral distress. The entire range of answers was used in the responses. Most participants found the questionnaire comprehensible, while some criticized the phraseology of certain statements. Many more found the registration process prior to online access to be too time consuming. Nurses confirmed that the results reflect their subjective assessment of their situation and their experience of moral distress. Conclusion: The newly developed moral distress questionnaire appears to produce face validity and is sufficiently applicable for use in our study. The results indicate that moral distress appears to be a relevant phenomenon also in Swiss hospitals and that nurses were experiencing it prior to the introduction of Swiss diagnosis-related groups. (shrink)

Does thought precede language, or the other way around? How does having a language affect our thoughts? Who has a language, and who can think? These questions have traditionally been addressed by philosophers, especially by rationalists concerned to identify the essential difference between humans and other animals. More recently, theorists in cognitive science, evolutionary biology, and developmental psychology have been asking these questions in more empirically grounded ways. At its best, this confluence of philosophy and science promises to blend the (...) respective strengths of each discipline, bringing abstract theory to bear on reality in a principled and focused way. At its worst, it risks degenerating into a war of words, with each side employing key expressions in its own idiosyncratic way – or worse, contaminating empirical research with a priori dogmas inherited from outmoded philosophical worldviews. In Baboon Metaphysics (2007), Dorothy Cheney and Robert Seyfarth offer an analysis of baboon cognition that promises to exemplify the very best interaction of philosophical theory and empirical research. They argue that baboons have a language of thought: a language-like representational medium, which supports the sophisticated cognitive abilities required to negotiate their complex social environment. This claim is intended to be surprising in its own right, and also to shed light on the evolution of spoken language. Because our own ancestors likely lived in a similarly complex social environment, Cheney and Seyfarth propose that the earliest humans also developed language first as a cognitive medium, and that spoken language evolved as a means to express those thoughts. There are two potential difficulties here. First, ‘Language of Thought’ (LOT) is a term of art, with much associated theoretical baggage and often comparatively little careful exposition. Thus, evaluating the claim requires getting clearer about just what LOT implies in this context.. (shrink)

Natural selection causes adaptation, the fit between an organism and its environment. For example, the white and grey coloration of snowy owls living and breeding around the Arctic Circle provides camouflage from both predators and prey. In this Element, we explore a variety of such outcomes of the evolutionary process, including both adaptations and alternatives to adaptations, such as nonadaptive traits inherited from ancestors. We also explore how the concept of adaptation is used in evolutionary psychology and in animal behavior, (...) and the adequacy of methods used to confirm evolutionary accounts of human traits and behaviors. (shrink)

This paper is concerned with the role of conscious agency in human action. On a folk-psychological view of the structure of agency, intentions, conceived as conscious mental states, are the causes of actions. In the last decades, the development of new psychological and neuroscientific methods has made conscious agency an object of empirical investigation and yielded results that challenge the received wisdom. Most famously, the results of Libet’s studies on the ‘readiness potential’ have been interpreted by many as evidence in (...) favor of a skeptical attitude towards conscious agency. It is questionable, however, whether action initiation should be regarded as the touchstone of conscious agency. I shall argue that the traditional folk-psychological view, but also some of the objections leveled against it, rest in part on an over-simplified conception of the structure of agency, that neglects both the role of control processes after action initiation and the role of planning processes before action initiation. Taking these processes into account can lead to a reassessment of the relation between intentions and action and of the role of conscious agency in action production. (shrink)

Knochen waren im 19. und frühen 20. Jahrhundert ein unverzichtbarer, größtenteils importabhängiger Rohstoff der chemischen Industrie, die daraus Düngemittel, Tierfutter, Leim, Gelatine, Seife und andere Produkte herstellte. Das Thema Knochenverwertung wurde im Schulunterricht der NS-Zeit genutzt, um Jugendlichen die Relevanz des Vierjahresplans und der deutschen Autarkiepolitik zu verdeutlichen und sie zu motivieren, sich im Rahmen der Altstoffsammlungen an der heimischen Erfassung dieses Rohmaterials zu beteiligen. Diverse NS-Instanzen hatten ein differenziertes Spektrum von Lehrmitteln erarbeitet, um die Behandlung dieses Themas in der (...) Schule zu unterstützen. Der Artikel untersucht, welche Botschaften diese damals hochmodernen Unterrichtsmedien vermittelten und zeigt, wie auch weniger ideologieanfällig scheinende Fächer, etwa der Chemieunterricht, politisch instrumentalisiert wurden. (shrink)

Eine plarmiäßig gestaltete Naturalwütschaft setzt an die Stelle der abstrakten Eiiüieit des Geldes und des Marktes eine konkrete Einheitlichkeit, die das Ergebnis von Beratungen und Entscheidungen ist. Da diese Eiiüieitlichkeit nicht auf ein Prinzip (das Geld) zurückgeführt werden kann, wüd in üir das "naturale Wesen aller Leistungen" einerseits und die Abhängigkeit der Wirtschaftsordnung von Machtverhältnissen andrerseits sichtbar. Ebenso soll die Eirüieitswissenschaft an die Stelle der abstrakten Eirüieit des phüosophischen Systems eine lebendige Verknüpfung des historisch gegebenen wissenschaftlichen Wissens setzen und es (...) so als Ergebnis "schöpferischer Tat" sichtbar und verfügbar machen. (shrink)

_Edward Bibring Photographs the Psychoanalysts of His Time_ provides us with a unique pictorial window into a fascinating period of psychoanalytic history. It is the gift of Edward Bibring, a passionate photographer who, Rolleiflex in hand, chronicled international psychoanalytic congresses from 1932 to 1938. The period in question spans the ascendancy of Hitler, the great exodus of analysts to England and the U.S., and the Anschluss of 1938. A year after the Paris Congress, the last meeting photographed by Bibring, Europe (...) would be in flames. At Wiesbaden in 1932, we find an ever dignified Ernest Jones relaxing aboard a sight-seeing ship, and Helene Deutsch and Heinz Hartmann delightfully at ease at a coffee shop. At the Lucerne Congress of 1934, Anna Freud, Ludwig Jekels, Wilhelm Reich, Grete Bibring, Max Eitingon, and Franz Alexander happily converse outside a hotel. At Marienbad in 1936, there are smiling new faces: Annie Reich, Ernst Kris, Otto Fenichel, Edward Glover, and others. At Budapest in1937 the women – Anna Freud, Vilma Kovacs, Dorothy Burlingham, and Elisabeth Geleerd – speak animatedly among themselves. A demure Margaret Mahler and a chic Marianne Kris make their appearance. In 1938, we see a series of table shots, where analysts, now with suit jackets removed and even a few collars loosened, relax with their food, wine, and cigars. Bracketed by Sanford Gifford’s brief introduction and biographical sketches of all the captured parties, Bibring’s photographs, digitized and enlarged, retain just enough graininess to evoke a different era in the history of psychoanalysis. It is heartening to see the paragons of “classical psychoanalysis” as warmly human, their analytic reserve supplanted by relaxed affability. But it is sobering to remember that the high spirit engendered by Congresses – in Bibring’s time no less than our own – may overlay the gravest political developments and the deepest personal anxieties. (shrink)

This article looks at the way Matthew Weiner deploys double vision in his historical re-imagination of the 1960s in Mad Men. At issue is both the way the past haunts the present on the diegetic level in the form of flashback sequences, as well as the way Weiner performs simultaneity by virtue of parallel editing, especially in the closing sequences of individual episodes. At issue also is the way stock footage of key historical events such as the moon landing is (...) deployed so as to offer a further juxtaposition of present and past. (shrink)

BackgroundIn the Netherlands, Foundation De Einder offers counselling to people who wish to be able to self-determine the timing and manner of their end of life.AimThis study explores the experiences with counselling that counselees receive from counsellors facilitated by Foundation De Einder.MethodsOpen coding and inductive analysis of in-depth interviews with 17 counselees.ResultsCounselling ranged from solely receiving information about lethal medication to combining this with psychological counselling about matters of life and death, and the effects for close ones. Counselees appreciated the (...) availability of the counsellor, their careful and open attitude, feeling respected and being reminded about their own responsibility. Some counselees felt dependent on the counsellor, or questioned their competency. Most counselees collected lethal medication. This gave them peace of mind and increased their quality of life, but also led to new concerns. Few were inclined to use their self-collected medication. Counselling contributed to thinking about if, when and how counselees would like to end their life.ConclusionHaving obtained means to end their lives can offer people feelings of reassurance, which can increase their quality of life, but can also give rise to new concerns. Next to providing information on lethal medication, counsellors can play an important role by having an open non-judgemental attitude, providing trustworthy information and being available. These positively valued aspects of counselling are also relevant for physicians taking care of patients who wish to self-determine the timing and manner of their end of life. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Impossible Sacrifice of Poetry: Bataille and the Nancian Critique of SacrificeElisabeth Arnould (bio)When, at the very center of his Inner Experience, Bataille arrives at what he calls the “uppermost extremity of non-meaning,” he stages for us one of the principal scenes of his “sacrifice of knowledge.” It depicts Rimbaud, turning his back on his works, making the ultimate and definitive sacrifice of poetry. This scene, which complements two (...) other representations of the “supplice” of the experience—the crucifixion of God and the oncoming madness of Hegel—rounds out the triple sacrificial vocation of an experience of nonknowledge, at once “a-theological,” “a-gnoseological,” and “a-poetological.” It extends to poetry and language the critical and sovereign imperative of an experience that can only be called “inner” insofar as it renounces truth, knowledge, and, ultimately, speech.What exactly, however, does this sacrificial renunciation of words represent for Bataille and why did he choose to load it with all the transgressive weight of the experience of nonknowledge (“non-savoir”)? Why place the self-sacrifice of poetry at the very center of a book that would be annulled by an immolation of speech? Indeed, why make this final “supplice”—a sacrifice of words performed and dedicated “to” “nothing”—into the core of the book’s interior rapture? Isn’t this figure of death and silence incurably equivocal? Does it not attribute the traditional traits of a “nothingness” to this “rapturous heart” of finitude that Bataille always wanted to designate as the “impossible” object of his experience? And is it not, therefore, condemned to appropriate, through this representation, the nonmeaning of a finitude that Bataille, far from conceptualizing as simple nothingness, usually prefers to designate ambiguously as “nonknowledge”?Such are the questions I shall address in reevaluating Bataille’s concept of sacrifice in light of Jean-Luc Nancy’s critique. In his article “The Unsacrificeable,” Nancy was the first to point out the problematic nature of the sacrificial model in Bataille’s conceptualization of finitude. According to Nancy, sacrifice, including the self-sacrifice of Rimbaud so important to Bataille, is the vehicle of an “ontotheological” appropriation. And it is through sacrifice that Bataille’s reflection on finitude attempts to domesticate death while claiming to abandon it to the aporetic enunciation of a “nonknowledge.”I shall thus examine the problematic figure of poetry’s self-sacrifice in order to expose, with Nancy, the equivocality of its conceptual appropriation. In light of Bataille’s multiple stagings and interpretations of this figure, however, I shall also attempt to demonstrate how his writing on and of sacrifice already contains the seeds of its own critique and attempts to exceed itself. Bataille did not simply want to reveal, in Rimbaud’s self-sacrifice, the inexpressible truth of finitude; he also wanted to denounce the comical lie of the sacrificial appropriation. And it is this double valence of the Rimbaldian self-sacrifice that I shall try to bring forth. [End Page 86]Before elucidating the meaning and function of this figure in the specific context of Inner Experience and questioning its possible duplicity, one must examine the general notion upon which it is modeled. Poetry’s self-sacrifice is the “consummate” form 1 of a sacrifice that we find in the form of stagings and commentaries in Bataille’s work. As is well known, the question of sacrifice has always occupied a central place in Bataille’s thought. He has not only studied this protean ethnological phenomenon we call “sacrifice” but has also wanted to give sacrifice, beyond traditional “ontotheological” interpretations and recent anthropological reconstructions, a meaning that far exceeds these restricted determinations. Sacrifice is not simply, for Bataille, a theoretical object. A paradigmatic manifestation of the sacred and its transgressions, it marks rather a limit to conceptualization and constitutes a stumbling block to thought. As such, it is, for Bataille—or, as he himself maintains, for all thought—the locus of an interruption. Cross-culturally, sacrifice delineates the limit thought comes up against when it faces what it cannot think.As the negation of our corporeal and intellectual limits, as the bloody excess that erupts before the fascinated eyes of a spectator, sacrifice “represents,” for... (shrink)

Die Gattungsbestimmung stellt die Gesellschaft im Kontext biotechnologischer Entwicklungen immer wieder vor neue ethische, rechtliche und soziale Herausforderungen. Scheinbar längst geklärte Probleme tauchen neu auf, und konsensfähige Annahmen werden brüchig. So hat sich in weiten Teilen der akademischen Bioethik die Auffassung durchgesetzt, dass dem biologischen Menschsein als solchem keine moralische Bedeutung zukommt. Auf der anderen Seite ist in jüngster Zeit die Forderung nach einer eigenen 'Gattungsethik' erhoben worden. Mit diesem Programm verbinden sich freilich eine Reihe von konzeptuellen und argumentativen Schwierigkeiten. (...) Der vorliegende Band geht der Gattungsbestimmung aus der Perspektive von Biologie, Philosophie, Recht, Theologie, Soziologie und Kulturwissenschaften nach, um ihre deskriptive und normative Erschließungskraft auf den Prüfstand zu stellen. Was leistet sie innerhalb ethischer Diskurse? Wie kann sie für rechtliche Regelungen bedeutsam werden? Mit Beiträgen von:Jörn Ahrens, Steffen Augsberg, Peter Dabrock, Ruth Denkhaus, Wilfried Härle, Gerald Hartung, Jan C. Joerden, Nikolaus Knoepffler, Gesa Lindemann, Elisabeth List, Thomas Potthast, Markus Rothhaar, Stephan Schaede, Marianne Schark, Ludwig Siep, Klemens Störtkuhl, Manfred Weinberg, Martin G. Weiss. (shrink)

Thierry fue canciller de la escuela catedralicia de Chartres de 1142-1150. Comentador de Boecio, su obra refleja sin embargo una síntesis personal de fuentes platónicas, neoplatónicas y aristotélicas. Está convencido del valor propedéutico de las artes liberales para la teología, dando amplia cabida también al quadrivium. Este estudio, centrado en su Tractatus de sex dierum operibus, pone de manifiesto que la causalidad es el eje de su comprensión ontológica de la realidad :desde el punto de vista filosófico, la causalidad explica (...) la existencia real de lo múltiple a partir del Uno, y en la perspectiva teológica muestra la creación como obra de Dios Uno y Trino. La causalidad implica, para Thierry, la participación y garantiza por tanto la capacidad causal de los seres naturales, con la consiguiente autonomía real en su orden, pero dependiente de la causa suprema, sin la cual nada existiría. (shrink)

La expresión veritas vitae o “verdad de la vida” significa, en Tomás de Aquino, que el hombre realiza en su vida los designios existentes sobre él en la mente de Dios. El estudio de los textos aquinianos pone de manifiesto que el sintagma veritas vitae forma parte de la “triple verdad” y se sitúa a un nivel más profundo que la virtud de la veracidad. La relación entre veracidad y “verdad de la vida” abre una perspectiva interesante que puede prestarse (...) al diálogo con los filósofos contemporáneos sobre el tema de la autenticidad.The expression veritas vitae or “truth of life” means, in the writings of Thomas Aquinas, the realization of each person’s life according to the plan of the Creator. A study of the texts shows that the syntagma veritas vitae belongs to the so-called “ three-fold truth” and is of a deeper kind than the virtue of truthfulness. For contemporary philosophers, the relationship between truthfulness and “truth of life” opens up an avenue for dialogue regarding the topic of authenticity. (shrink)

ArgumentThis paper contributes to inquiries into scientific personae by employing a rhetorical approach. It analyzes the persuasive strategies of Judith Rich Harris in The Nurture Assumption: Why Children Turn Out the Way They Do. Rhetorical analysis of Harris' self-fashioning in this remarkable best-seller and the reactions of the press to her persona demonstrates the resilience of specific archaic cultural repertoires for constructing scientific identities. While historical studies investigate how repertoires for scientific self-fashioning evolve through time, rhetoric reveals how identity models (...) from an earlier age may be appropriated in the present. (shrink)