Over the last fifty years, medical practice has shifted to an autonomy-based model that promotes patient self-determination as the basis for decision making. Physicians and other health care professionals are often expected to acquiesce to patients’ wishes, even when these wishes are for inappropriate medical care. Three cases are used to illustrate specific conflicts between a professional’s understanding of the science of human biology and a patient’s autonomy. Medical professionals must carefully evaluate issues of patient autonomy in their practices if (...) they are to provide care that displays deep respect for the full human dignity of their patients combined with respect for their own professional role and expertise. National Catholic Bioethics Quarterly 12.4 : 653–673. (shrink)

Recent efforts in a range of scientific fields have emphasised research and methods concerning individual differences and individualisation. This article brings together various scientific disciplines—ecology, evolution, and animal behaviour; medicine and psychiatry; public health and sport/exercise science; sociology; psychology; economics and management science—and presents their research on individualisation. We then clarify the concept of individualisation as it appears in the disciplinary casework by distinguishing three kinds of individualisation studied in and across these disciplines: Individualisation ONE as creating/changing individual differences (the (...) process that generates differences between individuals: intrapopulation or intraspecific variation/heterogeneity); Individualisation TWO as individualising applications (the tailoring or customising of something—information, treatment, a product or service, etc.—for an individual or specific group of individuals); and Individualisation THREE as social changes influencing autonomy, risk, and responsibilities (the process discussed under the rubric of sociological individualisation theory). Moreover, we analyse conceptual links between individualisation and individuality, and characterise different sorts of individuality that the disciplines study. This paper aims to promote interdisciplinary research concerning individualisation by establishing a common conceptual-theoretical basis, while leaving room for disciplinary differences. (shrink)

Packed with ideas designed to help children learn to sing, this booklet offers criteria for selecting songs, strategies to bring out the best in children's voices, and suggestions for games, ideas, and resources.

This article focuses on key features of the use of sex and gender in titles of articles about women, science, and engineering over an important forty-six-year period. The focus is theoretically and empirically consequential. Theoretically, the paper addresses science as a critical case that connects femininity/masculinity to social stratification; and the use of sex and gender as an enduring, analytical issue that reveals perspectives on hierarchies of femininity/masculinity. Empirically, this article identifies the emergence, development, and stabilization of published articles about (...) women, science, and engineering that use sex and gender in their titles. The distinctive method involves search, retrieval, and review of 23,430 articles, using intercoder reliabilities for inclusion/exclusion. This results in a uniquely specified and comprehensive set of articles on our subject and the identification of titles with sex and gender. Findings point to the growth of gender titles, their increase in every field, differing concentrations of sex and gender titles in journals, a span of telling topic areas, and higher citation rates of gender, compared to sex, titles. Broader implications appear in reasons for the growth of gender titles, meanings of topic areas that occur, insights into social inequalities and science policies, and emerging complexities of nonbinary categories of sex/gender. (shrink)

A history of the Atomic Bomb from Marie Curie to Hiroshima. “I am become Death, the destroyer of worlds” — Oppenheimer quoting the Bhagavad Gita after witnessing the successful demonstration of the atom bomb. The bomb, which killed an estimated 140,000 civilians in Hiroshima and destroyed the countryside for miles around, was one of the defining moments in world history. That mushroom cloud cast a terrifying shadow over the contemporary world and continues to do so today. But how could this (...) have happened? What led to the creation of such a weapon of mass destruction? From the moment scientists contemplated the destructive potential of splitting the atom, the role of science changed. Ethical and moral dilemmas faced all those who realized the implications of their research. Before the Fall-Out charts the chain of events from Marie Curie’s scientific breakthrough through the many colourful characters such as Einstein, Robert Oppenheimer and Lord Rutherford, whose discoveries contributed to the bomb. The story of the atomic bomb spans 50 years of prolific scientific innovation, turbulent politics, foreign affairs and world-changing history. Through personal stories of exile, indecision and soul-searching, to charges of collaboration, spying and deceit, Diana Preston presents the human side of an unstoppable programme with a lethal outcome. (shrink)

During a smallpox epidemic in April 1721, Lady Mary Wortley Montagu asked Dr. Charles Maitland to "engraft" her daughter, thus instigating the first documented inoculation for smallpox (_Variola_ virus) in England. Engrafting, or variolation, was a means of conferring immunity to smallpox by placing pus taken from a smallpox pustule under the skin of an uninfected person to create a local infection. The introduction of infectious viral matter, however, could trigger fullblown smallpox, and the practice was controversial for both (...) this reason and the pervasive conviction that it was immoral to intentionally infect a human body. Eventually, engrafting was phased out altogether in favor of vaccination, a much safer procedure established by Edward Jenner in the late eighteenth century. Montagu's decision was influenced by her experiences in Constantinople, where she had spent a year, and where engrafting was commonplace. As a smallpox survivor herself, Montagu had taken an interest in Turkish inoculation practices, and had had her son Edward engrafted while in Turkey. She was not the first person to import the idea of smallpox inoculation to England, nor the first English person to have their child inoculated (other English children had been inoculated while visiting Turkey), yet she quickly became known for importing and popularizing smallpox inoculation. At the request of her acquaintances, she took her inoculated daughter with her on a round of visits into elite households to demonstrate the safety of the procedure. The reputation she gained was both positive and negative: monuments were erected in her honor, encomiastic poems were published, and Voltaire declared her "a woman of as fine a genius, and endued with as great a strength of mind as any of her sex in the British Kingdoms"; however, anti-inoculationists ridiculed her, some society figures regarded her warily, and Alexander Pope satirized her in his poetry.

Montagu’s pioneering role in the smallpox debate is undoubtedly significant: she instigated the first smallpox inoculation on English soil, and she was largely responsible for making the practice acceptable in elite circles. My interest in this essay is in the nature and significance of Montagu’s reputation as an inoculation pioneer. I will argue that her reputation was based on the particular combination of her social position as a Whig and an aristocratic woman; her interest in progressive and enlightened forms of social, political, and scientific thought; her standing in influential literary circles; and, not least, the force of her own personality. In broad terms, I offer Montagu’s involvement in the smallpox debate as a case study in a new kind of public role becoming available to elite women in the early eighteenth century — a role that caused considerable discomfort among her peers and in the medical community, and one that stimulated a widespread controversy in print publications of the day. (shrink)

Effective communication and interpersonal skills have long been recognized as fundamental to the delivery of quality health care. However, there is mounting evidence that the pressures of communication in high stress work areas such as hospital emergency departments present particular challenges to the delivery of quality care. A recent report on incident management in the Australian health care system cites the main cause of critical incidents, as being poor and inadequate communication between clinicians and patients. This article presents research that (...) describes and analyses spoken interactions between health care practitioners and patients in one ED of a large, public teaching hospital in Sydney, Australia. The research aimed to address the challenges and critical incidents caused by breakdowns in communication that occur between health practitioners and patients and by refining and extending knowledge of discourse structures, to identify ways in which health care practitioners can enhance their communicative practices thereby improving the quality of the patient journey through the ED. The research used a qualitative ethnographic approach combined with discourse analysis of audio-recorded interactions. Some key findings from the analysis of data are outlined including how the absence of information about processes, the pressure of time within the ED, divergent goals of clinicians and patients, the delivery of diagnoses and professional roles impact on patient experiences. Finally, the article presents an in-depth linguistic analysis on interpersonal and experiential patterns in the discursive practices of patients, nurses and doctors. (shrink)

Pregnant people experience moral judgment in healthcare settings that may be coded into clinical documentation. Stigmatizing language in medical records transmits bias between clinicians, potentially exacerbating disparities in maternal morbidity and mortality. We examined obstetrical records from 100 randomly selected patients who received prenatal and delivery care in an academic hospital system. Qualitative analysis sought to identify linguistic features conveying negative attitudes or moral judgment, revealing themes of epistemic injustice: (1) discrediting patient testimony as incompetent, unreliable, and hysterical; (2) unnecessary (...) details that are objectifying, stigmatizing, or unprofessional; and (3) judgments of maternal fitness, where women are labeled “bad mothers” by emphasizing neglectful, selfish, and debauched characteristics. We conclude by advocating for further validation of our findings, revisiting medical education paradigms, and supporting the development of natural language processing (NLP) technologies to detect and intercept stigma. (shrink)

The aim of this paper is to analyze the relationship between phenomenal experience and our folk conceptualization of it. I will focus on the phenomenal concept strategy as an answer to Mary's puzzle. In the first part I present Mary's argument and the phenomenal concept strategy. In the second part I explain the requirements phenomenal concepts should satisfy in order to solve Mary's puzzle. In the third part I present various accounts of what a phenomenal concept is, (...) and I show the difficulties each of them have. Finally, I develop my own account of phenomenal concepts. My thesis claims that phenomenal concepts are complex concepts whose possession conditions depend upon the mastery of many other concepts, in fact, quite complex concepts such as the distinction between appearance and reality (which belongs to our theory of mind system), and color concepts (at least in the case of the phenomenal concepts needed in order to account for Mary's case). And these later concepts are concepts that have special possession conditions: they include the deployment of nonconceptual recognitional capacities. (shrink)

In their paper “Mary, Mary, Quite Contrary” , George Graham and Terence Horgan argue, contrary to a widespread view, that the socalled Knowledge Argument may after all pose a problem for certain materialist accounts of perceptual experience. I propose a reply to Graham and Horgan on the materialist’s behalf, making use of a distinction between knowing what it’s like to see something F and knowing how F things look.

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:La séduction de la fiction by Jean-François VernayDiana MistreanuVernay, Jean-François. La séduction de la fiction. Hermann, 2019. 214pp.Published in Hermann’s prestigious “Savoirs Lettres” book series founded by Michel Foucault, Jean-François Vernay’s latest work is a compelling neurophenomenology of literary fiction. This makes it a valuable contribution to the burgeoning field of cognitive literary studies pioneered in Anglo-Saxon research in the late 1970s, but which French academia, with a (...) few notable exceptions such as Jean-Marie Schaeffer, Pierre-Louis Patoine, Alexandre Gefen, Catherine Grall, or Françoise Lavocat, is still largely reluctant to embrace. The author is a lecturer in Australian studies at the Global Institute in Sydney, and he is a bilingual literary scholar whose recent research explores the complex interface between fiction and human cognition.Vernay’s book starts by restating a narratological cliché: in the words of Paul Valéry, stories accompany humans from the cradle to the tomb, as monsters, pirates, fairies, and other fantastic creatures fascinate children’s minds from the first years of their lives (7). A truism follows this cliché: the origin of any story is the human brain (16), as the author reminds us by underlining the bio-anthropological origins of fiction in pages that cite the works of Umberto Eco and Nancy Huston (the writer who coined the notion of “espèce fabulatrice,” “the tale-teller species” [2008]), and that echo the research of scholars such as Mark Turner (1996) and Jean-Marie Schaeffer (1999). Indeed, oral and written stories are not only created, but also interpreted by human minds, triggering states and emotions that range from extreme boredom to excitement and inviting identification with fictional characters. Nevertheless, the mechanisms of the interaction between the human mind and brain and one of its most sophisticated products, namely fiction, are largely still understudied in the field of literature. Placing fiction under the sign of seduction (8) – which allows us to read between the lines an homage to Roland Barthes, the theorist of the “plaisir du texte” referenced later in the book (85-86) – Vernay defines works of fiction as catalysts of a sensori-affective experience [End Page 151] that engages almost all our senses and arouses emotions (“le vecteur d’une expérience sensori-affective qui sollicite la quasi-totalité de nos sens et suscite des émois” [19]). Characterized by the interdisciplinarity that forms the core of cognitive approaches to fiction, Vernay’s study investigates the literary phenomenon in its complexity, asking not only how fiction seduces us, but also why it sometimes fails to do so. Drawing on state-of-the-art research in cognitive psychology and neuroscience, the book manages to eschew over-simplified or reductionist analyses. Our engagement with and consumption of literary fiction is thus analyzed by discussing marketing strategies and editorial choices, the activity of reading as a solitary pleasure versus a professional obligation, as well as the interplay between society, politics, and educational curricula. The author answers his multi-layered research question in nine different chapters, each of them exploring one facet of the relationship between literature and the human mind.The first chapter, “Émois livresques,” highlights the marketing value of books, as well as their status as objects of consumption, in the capitalistic sense of the word. Books are presented here as the targets of our desire, since in financial terms, the notion of reader, the author reminds us, is a mere euphemism for that of consumer (20-22). As we are entering the era of what Yves Citton, often quoted in this essay, calls “cognitive capitalism,” a system in which society is conceptualized as a set of machines that process information (21), fictional literature, along with the arts, is devalued. To counterbalance this trend, Vernay explains, the book industry has to adopt effective strategies that create a desire for consumption. Thus, this chapter addresses the editorial and marketing techniques designed to attract our attention and trigger our impulse to buy and read. From the smell and color of books to the blurb and the careful mention of literary prizes, no detail is overlooked or considered redundant.After addressing the... (shrink)

Published in 1982, Carol Gilligan's _In a Different Voice_ proposed a new model of moral reasoning based on care, arguing that it better described the moral life of women. ____An Ethic of Care__ is the first volume to bring together key contributions to the extensive debate engaging Gilligan's work. It provides the highlights of the often impassioned discussion of the ethic of care, drawing on the literature of the wide range of disciplines that have entered into the debate. _Contributors:_ Annette (...) Baier, Diana Baumrind, Lawrence A. Blum, Mary Brabeck, John Broughton, Owen Flanagan, Marilyn Friedman, Carol Gilligan, Catherine G. Greeno, Catherine Jackson, Linda K. Kerber, Mary Jeanne Larrabee, Zella Luria, Eleanor E. Maccoby, Linda Nicholson, Bill Puka, Carol B. Stack, Joan C. Tronto, Lawrence Walker, Gertrud Nunner-Winkler. (shrink)

En este texto exploraré la idea de que la práctica de la danza puede ser un método de investigación en filosofía. Propongo que no solo es posible hacer filosofía en movimiento, sino que además esta aproximación cinética al pensamiento permite poner en cuestión y transformar sesgos y paradigmas patriarcales y coloniales que han predominado en la historia de la filosofía. La danza nos permite experimentar nuestros cuerpos a través de, en y por el movimiento, en lugar de meramente hablar y (...) referirnos al cuerpo como un objeto (como cualquier otro objeto) y de conceptualizar sus propiedades generales. Mi tesis es que un cuerpo que piensa es un cuerpo en movimiento, de manera que, si queremos filosofar como una forma de rechazar los dualismos y privilegios arbitrarios, la danza es una forma interesante de hacerlo. Analizaré el concepto de lo viviente de Gilbert Simondon, a partir de una difracción basada en la experiencia de participar en un taller de danza de Marie Bardet, para mostrar que cuando la temporalidad y la topología de lo viviente se aclaran en la experiencia, es posible constatar las potencias de pensamiento de los cuerpos múltiples, ya no está en cuestión un cuerpo abstracto, sino un cuerpo vivido, feminizado, marcado por historias singulares. (shrink)

The commentators of this book symposium have written insightful reflections on the philosophical, theoretical, and ethical implications that arise from my work on the moral psychology of perpetrators and their emotional reactions. In this reply, I have organized my response in three thematic blocks. I begin with a discussion of my use of normative language raised by Kim Wagner, then consider the question of motivation in emotions discussed by Jessica Sutherland, Marco Viola, and Juan Loaiza and Diana Rojas-Velásquez, and (...) conclude by discussing some perspectives on how a contextual view of emotions can be expanded to other domains. (shrink)

On first inspection, Diana Raffman’s Language, Music, and Mind appears to be focused quite narrowly on a rather obscure problem in the aesthetics of music, the problem of accounting for the alleged ineffability of musical experience. The case that Raffman builds in this clear, well-structured book, however, has far-reaching philosophical implications for philosophy of mind, epistemology, general aesthetics, philosophy of the emotions, ontology, and phenomenology.

Mary Kalantzis was from 2006 to 2016 Dean of the College of Education at the University of Illinois, Urbana-Champaign. Bill Cope is a Professor in the College of Education at the University of Illinois, Urbana-Champaign. They are co-authors of multiple books including Making Sense: Reference, Agency, and Structure in a Grammar of Multimodal Meaning (Cambridge, forthcoming), New Learning: Elements of a Science of Education (Cambridge, 2008, 2012), Literacies (Cambridge 2012, 2016) and e-Learning Ecologies (2017).

2021 Catholic Media Association Award first place award in Catholic Social Teaching In The Meal That Reconnects, Dr. Mary McGann, RSCJ, invites readers to a more profound appreciation of the sacredness of eating, the planetary interdependence that food and the sharing of food entails, and the destructiveness of the industrial food system that is supplying food to tables globally. She presents the food crisis as a spiritual crisis—a call to rediscover the theological, ecological, and spiritual significance of eating and (...) to probe its challenge to Christian eucharistic practice. Drawing on the origins of Eucharist in Jesus’s meal fellowship and the worship of early Christians, McGann invites communities to reclaim the foundational meal character of eucharistic celebration while offering pertinent strategies for this renewal. (shrink)

For much of the 20th century, dance writers and critics regularly bemoaned a shortage of male dancers. As one writer put it, the average American father would rather see his son dead than performing on stage in tights. This article looks at commentary about male dancing as a means of understanding popular conceptions of effeminacy. It addresses the way discourses about sport, physical prowess and hard bodies have been appropriated in attempts to validate the manliness of male dancers. Drawing on (...) works by dance educators, critics and dancers, such as Gene Kelly and American modern dancer Ted Shawn, the article looks at gendered notions of the body and movement and the way these have been shaped by the late 19th-century conflation of effeminacy and homosexuality. The athleticism and muscularity of male dancers were to have brought them mainstream respect; that they have yet to do so at all but elite levels reminds us that even the hardest bodies must be read through the limitations of the discursive contexts in which they move. (shrink)

_Jung and the Human Psyche: An Understandable Introduction_ presents a comprehensive introduction to Jungian theory, taking the reader through the major themes of Jung's work in a clear way, relating such concepts to individual experience. Drawing on her extensive experience in practicing and teaching Jungian psychology, Mary Ann Mattoon succeeds in making the fundamental insights of Jung's work accessible. The major topics of Jungian psychology are presented in a manner that is clear, emotionally engaging, well illustrated and non-dogmatic. Areas (...) covered include: The visible psyche: ego, persona, typology. The hidden psyche: self, shadow, unconscious, archetypes, instincts. Becoming who we are: early development, gender. Obstacles and helps to growth: complexes, projection, psychopathology. Helps from the psyche: psychic energy, self-regulation/compensation, symbol, synchronicity, creativity. _Jung and the Human Psyche_ provides an original and imaginative introduction to Jung's work, and will appeal to students of Jungian psychology, those considering training in Jungian analysis, and anyone interested in Jungian psychology. (shrink)

(2007). A Rview Of “Asian Americans in Class: Charting the Achievement Gap Among Korean American Youth”. Educational Studies: Vol. 42, No. 1, pp. 68-71.

This paper is part of a cluster of issues around reconciliation on which I have been working. I begin with the tension between the fact that reconciliation is an unpopular concept in feminist theology, yet in contexts of conflict is the deepest longing as well as a cherished Christian ideal. By focusing on post-genocide Rwanda I am opening up key issues. I then focus on the difficulties associated with `reconciliation' beginning with the fear that it may involve giving up on (...) structural justice. Feminist theology's problems with the concept are explored before re-envisioning the death of Jesus in terms of life-giving love and affirmation of life which is the suggested re-interpretation of sacrifice. This brings us into a meta-patriarchal world where symbols of flourishing replace patriarchal symbols of violence. Reconciliation then is both the goal of healed creation and the path towards it. (shrink)

_The Snake and the Fox_ is a highly imaginative and fun way to learn logic. Mary Haight's characters guide you through an elaborate tale of how logic works. This book features the Snake and the Fox, Granny, Gussie and the Newts, Ren^De Descartes and Miss Nightingale, along with a huge supporting cast of humans, devils and sausage machines. For anyone coming to logic for the first time, this is the best place to start. Mary Haight makes logic easy (...) and fun - she asks the reader questions, and uses words instead of logic symbols with amusing pictures and characters to help them. This book teaches all the basics the reader needs to know about logic in a truly enjoyable and innovative way. Anyone teaching themselves logic, or learning it on a course is bound to benefit from_ _this original and intriguing book. (shrink)

KJORVEN M, RUSH K and HOLE R. Nursing Inquiry 2011; 18: 325–335 A discursive exploration of the practices that shape and discipline nurses’ responses to postoperative deliriumAlthough delirium is classified as a medical emergency, it is often not treated as such by health care providers. The aim of this study was to critically examine, through a poststructural, Foucauldian concept of discourse, the language practices and discourses that shape and discipline nurses' care of older adults with postoperative delirium (POD) with a (...) purpose to question accepted nursing practice. The study was based on data collected from face‐to‐face, in‐depth, personal interviews with six nurses who work on an acute postoperative patient care unit. Five analytic readings of the data identified two prominent discourses at work in nursing practice which influenced the care of patients with POD. These were identified as discourses of legitimacy/illegitimacy and discourses of nursing work. Through the process of poststructural analysis it became evident that one overriding discourse – the biomedical/scientific discourse – served to direct, legitimize and govern all other discourses. The findings of this study have implications for nursing knowledge and practice, length of hospital stay and improved patient outcomes. This study builds on previous work and is the first study to conduct a discourse analysis illuminating nurses’ responses to POD through comparison with other acute medical emergencies from a poststructural perspective. (shrink)

A thorough account of the philosophy of mathematics. In a cogent account the author argues against the view that mathematics is solely logic.

Two aspects of mothering—using drugs during pregnancy and giving up the rearing of one's children—are the focus of this analysis of 58 addicted Chicana mothers who spent their adolescent years in barrio gangs. From a traditional stance, such women were doubly deviant, since they violated gender-role prescriptions by joining a barrio gang and by becoming involved in heroin and street life. Half of these women added to this deviance by using heroin during pregnancy, and 40 percent relinquished at least one (...) of their children. This article explores what distinguishes these classically “bad mothers” from addicts who maintain some degree of conventionality in their mothering. We found that Mexican gender-role traditionalism is not the only influence on these women. Many came from cholo or underclass families with a tradition of street involvement. In addition, their involvement in gang and heroin worlds may influence their behavior as mothers. We found that women who used drugs during pregnancy were more likely than abstainers to be cholas and to reject traditional gender-role values. However, those who gave up their children were more likely than those who kept their children to be from traditional families. We discuss the implications of these findings for research on deviance and the underclass among Hispanic women. (shrink)

The Western cultural consensus based on the ideas of free markets and individualism has led many social scientists to consider poverty as a personal experience, a deprivation of material things, and a failure of just distribution. Mary Douglas and Steven Ney find this dominant tradition of social thought about poverty and well-being to be full of contradictions. They argue that the root cause is the impoverished idea of the human person inherited through two centuries of intellectual history, and that (...) two principles, the idea of the solipsist self and the idea of objectivity, cause most of the contradictions. Douglas and Ney state that Economic Man, from its semitechnical niche in eighteenth-century economic theory, has taken over the realms of psychology, consumption, public assistance, political science, and philosophy. They say that by distorting the statistical data presented for policy analysis, the ideas of the solipsist self and objectivity indeed often protect a political bias. The authors propose to correct this by revising the current model of the person. Taking cultural bias into account and giving full play to political dissent, they restore the "persons" who have been missing from the social science debates. Drawing from anthropology, economics, political science, and sociology, the authors set forth a fundamental critique of the social sciences. Their book will find a wide audience among social scientists and will also interest anyone engaged in current discussions of poverty. This book is a copublication with the Russell Sage Foundation. (shrink)