Discourse, in general, and gist reasoning specifically, are valuable tools to explore cognitive brain health across the life span. Gist reasoning is a higher-order cognitive function that entails a constructive/integrative process in which explicit content of the stimuli is combined with personal knowledge to generate meaning that is transformed and personally salient. In this article, we discuss gist reasoning ability as a marker of cognitive brain health and its potential in differentiating normal cognitive brain health from brain diseases. We highlight (...) the benefits of gist reasoning training as an approach to strengthening cognitive health across the life span. (shrink)

The ability to extrapolate essential gist through the analysis and synthesis of information, prediction of potential outcomes, abstraction of ideas, and integration of relationships with world knowledge is critical for higher-order learning. The present study investigated the efficacy of cognitive training to elicit improvements in gist-reasoning and fact recall ability in 556 public middle-school students (grades seven and eight), versus a sample of 357 middle school students who served as a comparison group, to determine if changes in gist-reasoning and fact (...) recall were demonstrated without cognitive training. The results showed that, in general, cognitive training increased gist-reasoning and fact recall abilities in students from families in poverty as well as students from families living above poverty. However, the magnitude of gains in gist-reasoning varied as a function of gender and grade-level. Our primary findings were that seventh and eighth grade girls and eighth grade boys showed significant increases in gist-reasoning after training regardless of socioeconomic status. There were no significant increases in gist-reasoning or fact recall ability for the 357 middle school students who served in the comparison group. We postulate that cognitive training in middle school is efficacious for improving gist-reasoning ability and fact recall in students from all socioeconomic levels. (shrink)

Previous research in North America has supported the view that male involvement in committed, romantic relationships is associated with lower testosterone (T) levels. Here, we test the prediction that undergraduate men involved in committed, romantic relationships (paired) will have lower T levels than men not involved in such relationships (unpaired). Further, we also test whether these differences are more apparent in samples collected later, rather than earlier, in the day. For this study, 107 undergraduate men filled out a questionnaire and (...) collected one saliva sample (from which a subject’s T level was measured) at various times across the day. As in previous studies, men involved in committed, romantic relationships had lower salivary T levels, though only during later times of the day. Furthermore, additional analysis of the variation among unpaired subjects indicated that men without prior relationship experience had lower T levels than experienced men. Finally, while paired men as a group had lower T levels than unpaired men, those men at the earliest stage (less than six months) of a current relationship had higher T levels than unpaired men as well as men in longer-term relationships. These results suggest that variation in male testosterone levels may reflect differential behavioral allocation to mating effort. (shrink)

A philosophical exploration of the meaning and significance of friendship.This book explains the persistence of friendship today in the light of the history of philosophical approaches to the subject. It considers ideals of intimacy and fusion in the context of claims that such ideals are unrealistic and even dangerous. Cicero's scepticism about friendship in the public realm is compared with the Aristotelian view of friendship as a genuine political bond, and with Derrida's development of that view via an exploration (...) of Aristotle's alleged and provocative announcement 'O my friends, there is no friend'. Tensions between love and respect, identity and difference, a focus on the self and a focus on the other are closely examined.From Aristotle to contemporary theorists, the book explores the conditions that enable the development of self-understanding in friendship, the delicate and unstable pairing of concepts like inclination and duty and distinctions between self-love, self esteem and self-concern in relations between friends.Key Features* Recognition of the variety of the term 'friend' in the history of philosophy* The treatment of the tension between identity and difference in relations between friends* Discussion of the contribution of friendship to self-understanding. (shrink)

In “A Critique of Critical Psychiatry,” Chapman asserts that a dominant philosophical premise among many “criticals” (the label used in that paper, which I adopt here) is adherence to a Szaszian distinction between psychiatry and other branches of medicine. Chapman eloquently summarizes the problems with this perspective. Their elucidation of the complexity of non-psychiatric conditions, which are not nearly as well delineated as Szasz and his followers would have one believe, is clear and compelling. The notion of comparativist (...) critique, that is, negative assessments of psychiatry as compared to general medicine, is helpful. Chapman’s interests extend into the realm of activism, where development of allies is... Read More. (shrink)

There is an analogy between a scientific approach to medicine in which the patient ultimately becomes an object of study rather than a whole person, and a post/modern aesthetic in literature in which the subject has little or no agency in a chaotic linguistic universe. Raymond Carver died of cancer in 1988, and in both his pre- and post-diagnostic poetry there is humanistic lyricism that contributes to re-establishing empathic bonds between readers and characters, and to re-humanizing the patient as a (...) whole person in the context of contemporary health institutions. Close readings of poems with descriptions of the autopsy room and of patient-doctor relations bring out the medical humanism in Carver's verse. (shrink)

_Utopia in the Revival of Confucian Education_ investigates the classics-reading movement in contemporary Chinese society by examining how people re-forge lost bonds with tradition in the revival of Confucian education and strive towards their ideal future, while seeking to overcome the problems of the present.

Explores what the last few decades of European/American, feminist, and postcolonial science and technology studies can learn from each other. This book proposes new directions for thinking about objectivity, method, and reflexivity in light of the new understandings developed in the post-World War II world.

Autism is typically framed as stemming from empathy deficits as well as more general cognitive and sensory issues. In turn it is further associated with other purported harms: ranging from psychological suffering to diminished moral agency. Given such associations, in the philosophical literature, autism is widely taken to hinder the possibility of both thriving and attaining personhood. Indeed, this purported stifling of thriving personhood can be taken as the core harm associated with autism as such. In direct contrast to this (...) dominant view, the key aim of this thesis is to raise reasonable doubt as to the validity of this exclusion, by establishing that there is no decisive reason to accept the notion that autism is inherently harmful. This builds on arguments made by autistic self-advocates who argue in favour of de-medicalising and instead politicising autistic disablement and distress. However, the originality of this thesis lies in three key factors. First: it focuses more specifically on the purported impossibility of thriving autistic personhood, since I take this more fundamental matter to underlie all the other issues relating to these wider debates. Second: I use a negativist methodology. That is, instead of, say, arguing that autistic individuals can be useful to society or have positive attributes, my aim is to raise reasonable doubt regarding the core assumption underlying the dominant framing of autism as a pathology: namely, that autism and thriving personhood are inherently at odds. Third, I draw on methodologies developed by feminist philosophers and critical theorists in order to further our understanding of autism and the ethical issues surrounding it with more nuance than I have found in the existing literature. In sum: after a critical analysis of the concept of autism, and then further analysis of the relationship between autism and the harms it is associated with, I conclude that we have no decisive reason to think that being autistic, in and of itself, is at odds with either thriving or personhood. This chimes with the notion that autism is best framed as a difference, disabled by society rather than medical pathology, raises important problems for both ethical and psychiatric theory, and has significant implications for autism policy and practice. (shrink)

This article presents the results of a systematic literature review on religiosity and spirituality, particularly in the work context. We aimed to verify the state-of-the-art of scientific production related to these themes. To achieve the proposed objective, we identified 312 articles published in journals in the period between 1960 and 2018 using a rigourous method of analysis and sorting, which resulted in 52 appropriate studies. The analyses presented are based on the three bibliometric laws: those of Lotka, Bradford and Zipf. (...) This article brings contributions that encompass four approaches: measurement scales of spirituality and religiosity; behavioural benefits of religiosity in individuals; insertion of religiosity and spirituality in social service practice; and research directions. This research presents technical and managerial implications to provide theoretical support for the creation of programmes and/or practices of spirituality and religion in the workplace as an effective strategy, towards ethical attitudes. Also, this study contributes to the methodological achievement of SLRs in the field of religion in the workplace, highlighting an effective method for thematic mapping, and holistically identifying new research topics and directions, especially because of the several guidelines presented. (shrink)

Rethinking the ways modern science encodes destructive political philosophies.

In this paper we suggest an interpretation of the concept of ‘relational value’ that could be useful in both environmental ethics and empirical analyses. We argue that relational valuing includes aspects of intrinsic and instrumental valuing. If relational values are attributed, objects are appreciated because the relationship with them contributes to the human flourishing component of well-being (instrumental aspect). At the same time, attributing relational value involves genuine esteem for the valued item (intrinsic aspect). We also introduce the notions of (...) mediating and indirect relational environmental values, attributed in relationships involving people as well as environmental objects. We close by proposing how our analysis can be used in empirical research. (shrink)

This book articulates and defends an interpretation of Schopenhauer's ethics as an original and credible contribution to the history of ethics. It presents Schopenhauer's ethics of compassion in direct tension with his resignationism and aims to show surprising continuities with Kant's ethics.

The ecofeminist cosmologies of Indian scientist Vandana Shiva and Catholic theologian Ivone Gebara are examined. At the centre of each author’s discourse is their feminist epistemology that occasion a new way of knowing, incorporating each thinker’s social locations as nexus for authority. For Shiva, the feminine principle of Prakriti, or the awareness of nature as a living, interdependent force, is realized through the inclusion of women as sources of expertise and knowledge. Gebara rejects classical theology and philosophy as androcentric, anthropocentric, (...) and hierarchical. Instead Gebara envisions a revised epistemology of inclusivity with emphasis on multiplicity and unity initiated by an ecofeminist Trinitarian cosmology. Taken together Shiva and Gebara provide an epistemology that privileges the paradox of unity through diversity and difference as a solution to society’s current ecological crises. (shrink)

The essays in this volume bring to their focuses on philosophical issues the new angles of vision created by the multicultural, global, and postcolonial feminisms that have been developing around us.

Cutting edge feminist investigations of rationality.

The essence of Baars’ paper is to propose nine functions for consciousness. By way of introducing these functions we are presented with a metaphor of a theatre, in which players act, operators set contexts behind the scenes, an unconscious audience provides specialised capabilities, and, of course, a bright spotlight of attention illuminates whatever is available to consciousness. The value of this metaphor is not entirely clear, with the separate ‘roles’ of the audience and of the operators behind the scenes being (...) particularly difficult to identify. Additionally, there may be a problem with idea that there is some kind of competition between actors who are seeking the spotlight of attention, for this suggests that the components of thought have volitions of their own. These would, indeed, be dangerous thoughts. Rather than attempting an analysis of the metaphor and its potential usefulness, this commentary will consider the nine functions of consciousness that have been proposed. (shrink)

My paper focuses on the theme of visibility by teasing out some paradoxes of invisibility. In the ordinary social world, what is said to be invisible is generally what is here, right before our eyes, but to which we pay no attention. Care is invisible because it goes on without us seeing it. By suddenly making visible what is ordinarily invisible, the COVID pandemic has been a strange pedagogical moment, making visible the people who take care of “us”, and revealing (...) our entire society’s ignorance of what allows it to live—whether in the context of everyday life or in the urgency of the risk of death. The grammar of care has thus imposed itself on everyone, because care is never so visible as in those situations where a form of life is shaken. Care work has been revealed as invisible work that keeps everyone going. “Invisible” does not refer to a difficulty in perceiving but rather a refusal to see. A refusal to see something that is not hidden, but which we do not see precisely because it is right before our eyes. Invisibility is thus denial, in both the social and the theoretical realms, especially when care work is envisioned in the terms of the further invisibilization of care work when it is done for the benefit of women as in the “care drain” from poor to rich countries. The asymmetry in the relations between North and South is part of the invisibility of what sustains societies. The invisible chains of care reveal the extent to which the question of service is the fundamental question of social invisibility. (shrink)

Policy‐makers, bioethicists, and patient advocates have been engaged in a fierce battle about the merits and potential harms of a federal right‐to‐try law. This debate about access to investigational medical products has raised profound questions about the limits of patient autonomy, appropriate government regulation, medical paternalism, and political rhetoric. For example, do patients have a right to access investigational therapies, as the right‐to‐try movement asserts? What is government’s proper role in regulating and facilitating access to drugs that are still in (...) development? In this review, we analyze the history of the right‐to‐try movement, review the arguments put forth by supporters and opponents of the legislation, and consider the movement’s consequences. Two possible scenarios may emerge. One is that the right‐to‐try pathway may fail to meaningfully increase patient access to investigational products. Alternatively, certain companies may attempt to rely on the federal right‐to‐try legislation to sell investigational products, taking advantage of the provision that allows for direct costs, as there is currently no clear mechanism for enforcement or monitoring of cost calculations. (shrink)

This paper provides a phenomenological analysis of the navigation of academia as experienced by two Black scholars, situated in dissimilar disciplinary and cultural traditions and origins. What is shared is an interest in the academic space that exists within which Black scholars may freely roam, and the structure and function of the boundaries that are present. The policing of Black thought and Black emotion within those boundaries, the violence with which the boundaries are enforced, and the strategies and rationales employed (...) by Black academics in expanding, resisting, subverting, and acquiescing to said boundaries is explored by way of the authors’ testimonies. Drawing on our lived experience of academia, we suggest that the academy functions as a frontier of racist violence, where the thinking that grounds state-based racist violence is taught, legitimated and fostered. Through a dialogue which brings to the fore the tensions and contradictions of the outlooks and strategies employed by Black academics, we testify to the emancipatory potential of Black pain, Black rage and Black thought. (shrink)

People who believe they have greater efficacy to address climate change are more likely to engage in pro-environmental behaviour. To confront the climate crisis, it will therefore be essential to understand the processes through which climate change efficacy is promoted. Some interventions in the literature assume that efficacy emerges from analytic reasoning processes: that it is deliberative, verbal, conscious, and influenced by information and education. In the current paper, we critique this notion. We review evidence showing that climate change efficacy (...) perceptions are (a) associated with climate-related distress and threat, (b) prescribed by social norms, (c) associated with social desirability and identity-expressive concerns, (d) surprisingly difficult to change through explicit, verbal instruction, but (e) responsive to imagery. We conclude by examining applied implications of these five propositions and discuss why non-analytic processes might (ironically) be beneficial for sustaining green activism. (shrink)

A good place to start in assessing a theory of truth is to ask whether the theory under discussion is consistent with Aristotle’s commonsensical definition of truth from Metaphysics 4: “What is false says of that which is that it is not, or of that which is not that it is; and what is true says of that which is that it is, or of that which is not that it is not.”1 Philosophers of a realist bent will be delighted (...) to see that Anselm unambiguously adopts the Aristotelian commonplace. A statement is true, he says, “when it signifies that what‐is is.”2 But the theory of truth that Anselm builds on this observation is one that would surely have confounded Aristotle. For no matter what the topic, Anselm’s thinking always eagerly returns to God; and the unchallenged centrality of God in Anselm’s philosophical explorations is nowhere more in evidence than in his account of truth. Indeed, we see in the student’s opening question in De veritate that the entire discussion has God as its origin and its aim: “Since we believe that God is truth, and we say that truth is in many other things, I would like to know whether, wherever truth is said to be, we must acknowledge that God is that truth.”3 The student then reminds Anselm that in the Monologion he had argued from the truth of statements to an eternal Supreme Truth. Does this not commit Anselm (the student seems to be asking) to holding that God himself is somehow the truth of true statements? But what definition of truth could make sense of such an odd claim? Anselm is happy to take up the challenge of showing that his description of God as “Supreme Truth” is no mere metaphor, but the expression of the deepest insight into the nature of truth. An account of truth is just theology under a different name. This first distinctive characteristic of Anselm’s theory, the centrality of God as Supreme Truth, helps account for a second distinctive characteristic: its strong insistence on the unity of truth. All truth either is God or somehow reflects God; thus, one simple being provides the.... (shrink)

This book shows how an understanding of the nature and role of insanity in Hegel's writing provides intriguing new points of access to many of the central themes of his larger philosophic project.

This article is a response to the challenge with which Zachary Schrag concluded his article, ‘The case against ethics review in social sciences’ − that ‘the burden of proof for its continuation rests on its defenders’ (Schrag, 2011). This article acknowledges that there is substance in the charges he lays against some reviews of social sciences and that these are of sufficient quantity and seriousness to justify his challenge. Instead of favouring abandonment of ethical review of social sciences, the author (...) of this article draws upon his experience as Research Ethics Officer for Social Sciences and Law in a research intensive UK university to identify the sources of some of the problems and suggest potential remedies. These start with reviewing the warrant for ethical review as the basis for understanding reviewer’s role concerning the core ethical issues of rigour, respect and responsibility in the proposed research. This response concludes by considering the implications of a warrant for enhancing trust between scientists and the public as the context in which ethical review is only one component in a number of ethical strategies designed to promote ethical mindfulness as integral to social science research. (shrink)

This research seeks to understand the relationship between philosophy and the formation of concepts in childhood from the perspective of Matthew Lipman. As our own research in the area of philosophy of education, we pose the following question as a problem to be analyzed: how can philosophy contribute to the concept formation process in childhood according to Lipman? The development of this problem was organized in five stages. A first seeks to understand and deepen Lipman's conception of Philosophy for Children, (...) especially the idea of thinking skills and philosophical dialogue in the research community; the second stage consisted of planning philosophical practice with the children at school, in a class with 32 students from the 3rd year of elementary school in a public school in the city of Londrina / PR, in the period of one semester; the third was to carry out the classroom experience with the students and the teacher from the previous stages; the fourth step was the evaluation of the practice and the planning of the following classes after each meeting; and the fifth stage was concerned with the registration, analysis and systematization of the observed. In order to investigate the contribution of philosophy to the concept formation process in childhood, according to Lipman, part of the research methodology was qualitative, analyzing the concepts of philosophy, thinking and the research community of this philosopher. For this, his main works and those of his commentators were consulted. Action research procedures were also employed through the practice of students from Elementary School I, in order to carry out an experience of the analyzed concepts. As a result of the research, it is possible to highlight the fundamental role of Lipman’s Philosophy for Children in the formation of concepts, because, through philosophical practices, the children were more reflective in approaching concepts that in their daily lives could go unnoticed. The work of questioning and dialogue in the research community made it possible to highlight the difficulty of conceptualizing at the beginning of the work, the progress along their approach and the need to seek more in-depth answers. With that, it can be highlighted that the Philosophy classes contributed to such advances and that without them the skills would remain stagnant. This study is added to the philosophical educational movement of teaching philosophy from childhood, which is considered essential for the formation of more reasonable subjects, and most importantly, with the acquisition of skills that will facilitate life in and out of school. (shrink)

Americanization in Two Immigrant Theravada Buddhist Temples. Paul David Numrich. University of Tennessee, Knoxville 1996. xxiv, 181 pp. Illustrations. $25. ISBN 0-87049-905-X.

“To create fiction is, in fact, a way to abolish reality.”1The main title of this article departs from a statement made by Andrew Cross in the chapter he wrote for The Cambridge Companion to Kierkegaard, “Neither Either nor Or: the Perils of Reflexive Irony,” which must surely suggest a tantalizing read for anyone familiar with the writings of Italo Svevo. In his chapter, Cross posits Søren Kierkegaard’s theorizing of irony as “not just a verbal strategy, but a way of life.”2 (...) It is, of course, commonly accepted that Kierkegaard’s writing is characterized by various forms of intentional and self-conscious verbal indirectness, some of which will be explored in this article. But beyond irony as a speech... (shrink)

This essay examines the administrative state as a ubiquitous phenomenon that results in part from the mismatch of incentives. Using two dramatic episodes in the history of economics, the essay considers two types of mismatch. It then examines how economists increasingly endorsed the “general good” as a unitary goal for society, even at the expense of private hopes and desires. More than this, their procedures and models gave them warrant to design mechanisms and advocate for legislation and regulations to “fix” (...) the supposedly suboptimal choices of individuals in service to the overarching goal. The rise of New Welfare Economics dealt an additional blow to the sovereignty of individual motivations, notwithstanding that Hayek and Buchanan warned that this engineering approach allowed social goals to override individual preferences. Throughout, the argument is that it is important to recognize that people within or advising the administrative state are influenced by the same sorts of motivations as actors throughout the economy. (shrink)

In this paper I attempt to show, by considering a number of sources, including Wittgenstein, Sartre, Thomas Nagel and Spinoza, but also adding something crucial of my own, that it is impossible to construe the subject of experience as an object among other objects in the world. My own added argument is the following. The subject of experience cannot move in time along with material events and processes or it could not be aware of the passage of time, hence neither (...) of change nor of motion. The subject cannot therefore be identified with any neural process, function, or location since whatever goes on in the CNS is necessarily objective and part of the temporal flux. However this does not imply any form of dualism for experiences exist only for the subject whose experiences they are and hence they have no objective reality. (shrink)

This is the first volume devoted to the topic of dance and quality of life. Thirty-one chapters illuminate dance in relation to singular and overlapping themes of nature, philosophy, spirituality, religion, life span, learning, love, family, teaching, creativity, ability, socio-cultural identity, politics and change, sex and gender, wellbeing, and more. With contributions from a multi-generational group of artists, community workers, educators, philosophers, researchers, students and health professionals, this volume presents a thoughtful, expansive-yet-focused, and nuanced discussion of dance’s contribution to human (...) life. The volume will interest dance specialists, quality of life researchers, and anyone interested in exploring dance’s contribution to quality of living and being. (shrink)

Williams claims that the only particular moral truths, and perhaps the only moral truths of any kind, are nonobjective, i.e., culture-bound. For Lovibond we have moral truths when an assertion-condition is satisfied, and that is determined by the voice of the relevant moral authority as embodied in the institutions of the sittlich morality. According to MacIntyre one must speak from within a living tradition for which there can be no external rational grounding. However, if my criticisms of traditional philosophical ethics (...) are sound, such relativist and historicist views are unjustified, and the project of seeking a rationally grounded morality is perfectly in order. (shrink)

For well over a hundred years, commentators have examined the importance of the famous ‘neglected alternative’ (NA) objection to transcendental idealism. By contrast, very little attention has been paid to what the NA objection means for a later philosophical system of the 19th century that was highly indebted to Kant, namely, that of Arthur Schopenhauer. I seek to redress this lacuna in Schopenhauer scholarship and argue first that Schopenhauer acknowledged NA ( avant la lettre ) and took it seriously. Second, (...) I evaluate the arguments he gave against NA and in favor of the exclusive subjectivity of space and time, and thus for the thesis that the thing in itself is aspatiotemporal. Finally, I consider the threat posed by NA for Schopenhauer's thought in general. This investigation ultimately yields a clearer understanding of the basis upon which Schopenhauer founded his metaphysics, and how he attempted to provide a more self-consistent version of transcendental idealism. These topics have not been sufficiently appreciated by commentators to date. (shrink)

In this article I will discuss various aspects of Hegel’s radical critique of metaphilosophy. This critique announces a clear-cut departure from the widely held conviction in the philosophic tradition that in order to gain a firm foundation for science, a preliminary examination of the capacity and nature of knowledge is required. Hegel’s position is that such a propaedeutic is impossible. In the first part of this article, I will show how Hegel’s position can be illuminated in terms of his criticism (...) of Kant’s philosophic methodology and in terms of a comparison with Plato’s solution to the Meno paradox. In the second part, I will ask the question whether Hegel’s own philosophic method is consistent with his criticism of metaphilosophy. This question arises most clearly when we reflect on Hegel’s frequent claim that in order for the philosopher to write the science of knowledge, he or she needs “only to watch” or “merely to look on” at the way consciousness develops its knowledge of objects. We must consider whether such a “language of spectatorship,” as we might call it, does not contradict the evident conclusion of Hegel’s critique of metaphilosophy, viz., that the philosopher cannot attain a distanced perspective from knowledge without at the same time abandoning knowledge. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Mild Cognitive Impairment:Where Does It Go From Here?John Bond (bio) and Lynne Corner (bio)Keywordsbiomedicalization, dementia, mild cognitive impairment, subjectivityThe joy of formal interdisciplinary discussion of this kind is the way that ideas presented through the gaze of social scientists stimulate such exciting thoughts and responses from other disciplines such as philosophy and psychology. We would like to thank Sabat and Thornton for their supportive and provocative reactions to (...) our paper. In the spirit of their responses, it is not our intention to respond to their thoughts directly; rather, we take the opportunity to theorize sociologically about this new category of psychiatry that has come to be known simply as mild cognitive impairment (MCI). In reviewing the responses of Sabat and Thornton, three thoughts emerged. First, together we have covered ontologic, epistemologic, methodologic, and theoretical questions about MCI, but none of us has posed basic political questions, such as: Why has MCI emerged as a new psychiatric label at this particular time? Second, this discussion brings together social scientists with a psychologist and a philosopher, but important constituents are missing. Consequently we are missing "insider" views on the importance of MCI to clinical practice. Third, this discussion highlights for us even more acutely the central question: Is MCI a real entity? In the following, we reflect on the first of these because our response also addresses the third. We first revisit the "evidence" about the importance of MCI for clinical practice.The notion of MCI as the transitional state between normal aging and Alzheimer's disease and other dementias has existed in a number of guises for many years, with benign senescent forgetfulness (Kral 1962) being the forerunner of a number of other terms, including questionable dementia, incipient dementia, isolated memory impairment, mild neurocognitive decline, age-associated memory impairment, age-associated cognitive decline, and cognitive-impairment-not-demented (Geda et al. 2004). Given that psychiatric labels implying the existence of MCI have been part of the practice landscape for over forty years, it is perhaps not surprising that its reinvention in the form of MCI has not, it appears, raised much attention outside specialist centers in North America and Europe. The reaction from grassroots clinical practice has been similar in intensity to their subdued reaction to the antipsychiatry movement in the 1960s. But for specialist clinics like the Mayo Clinic in Rochester, Minnesota, it has been an expanding [End Page 29] industry with numerous published papers, international conference presentations, and research funding opportunities.MCI can be distinguished from similar diagnostic categories that preceded its appearance in 1991. A key diagnostic criteria is the requirement for a subjective memory complaint by the person subsequently diagnosed as having MCI. Other diagnostic criteria include normal general cognitive function, normal activities of daily living, and memory being impaired for age, but not being demented (Petersen et al. 1999; Petersen and Morris 2003). To our knowledge, the idea of subjectivity being an important diagnostic criterion, as opposed to a means of identifying signs and symptoms, is a first in medical science. We know of no other medical category or diagnosis where subjectivity plays such a significant role, other than perhaps severe health phobias. Broadly speaking, two kinds of clinical evidence for MCI exist: first, that originating from studies (some quite small) applying the diagnostic criteria in specialist clinic populations; and, second, that found in large population studies. The main distinction between these two sets of evidence is that one is based on selected clinic populations and the other on unselected community populations. Most studies conclude that people whose memory is impaired for their age, as measured by similar cognitive tests such as the Mini-Mental State Examination, show decline in cognition that often leads to Alzheimer's disease and other kinds of dementia in the future. This finding is not remarkable given that it has long been known that age is a predictor of cognitive impairment. However, the population studies suggest a lower conversion rate than those for specialist clinics (Ritchie, Artero, and Touchon 2001).Petersen (2005) provides a robust defense as to why MCI might be a useful category in research and also indicates the potential benefits of treating MCI... (shrink)