Accession Number: ATLA0001712129; Hosting Book Page Citation: p 207-225.; Language(s): English; General Note: Bibliography: p 222-225.; Issued by ATLA: 20130825; Publication Type: Essay.

This paper advances a new paradigm in clinical ethics education that not only emphasizes development of individual cli but also focuses on the institutional context within which health care professionals work. This approach has been applied to the goal of improving the care provided to critically and terminally ill adults. The model has been adopted by about thirty hospitals and nursing homes; additional institutions will soon join the program, entitled Decisions Near the End of Life. Here, we describe the history (...) and rationale for this approach, its goals, pedagogical assumptions, and design. (shrink)

Well-trained, competent therapists are crucial for safe and effective psychedelic-assisted therapy (PAT). The question whether PAT training programs should require aspiring therapists to undergo their own PAT—commonly referred to as “experiential training”—has received much attention within the field. In this article, we analyze the potential benefits of experiential training in PAT by applying the framework developed by Rolf Sandell et al. concerning the functions of any training therapy (the therapeutic, modeling, empathic, persuasive, and theoretical functions). We then explore six key (...) domains in which risks could arise through mandatory experiential training: physical and psychological risks; negative impact on therapeutic skill; justice, equity, diversity, and inclusion; dual relationships; privacy and confidentiality; and undue pressure. Ultimately, we argue that experiential training in PAT should not be mandatory. Because many PAT training programs already incorporate experiential training methods, our exploration of potential harms and benefits may be used to generate comprehensive risk-mitigation strategies. (shrink)

This book's importance is derived from three sources: careful conceptualization of teacher induction from historical, methodological, and international perspectives; systematic reviews of research literature relevant to various aspects of teacher induction including its social, cultural, and political contexts, program components and forms, and the range of its effects; substantial empirical studies on the important issues of teacher induction with different kinds of methodologies that exemplify future directions and approaches to the research in teacher induction.

Rationale: Deep brain stimulation (DBS) of the hippocampus is proposed for enhancement of memory impaired by injury or disease. Many pre-clinical DBS paradigms can be addressed in epilepsy patients undergoing intracranial monitoring for seizure localization, since they already have electrodes implanted in brain areas of interest. Even though epilepsy is usually not a memory disorder targeted by DBS, the studies can nevertheless model other memory-impacting disorders, such as Traumatic Brain Injury (TBI). Methods: Human patients undergoing Phase II invasive monitoring for (...) intractable epilepsy were implanted with depth electrodes capable of recording neurophysiological signals. Subjects performed a delayed-match-to-sample (DMS) memory task while hippocampal ensembles from CA1 and CA3 cell layers were recorded to estimate a multi-input, multi-output (MIMO) model of CA3-to-CA1 neural encoding and a memory decoding model (MDM) to decode memory information from CA3 and CA1 neuronal signals. After model estimation, subjects again performed the DMS task while either MIMO-based or MDM-based patterned stimulation was delivered to CA1 electrode sites during the encoding phase of the DMS trials. Each subject was sorted (post hoc) by prior experience of repeated and/or mild-to-moderate brain injury (RMBI), TBI, or no history (control) and scored for percentage successful delayed recognition (DR) recall on stimulated vs. non-stimulated DMS trials. The subject’s medical history was unknown to the experimenters until after individual subject memory retention results were scored. Results: When examined compared to control subjects, both TBI and RMBI subjects showed increased memory retention in response to both MIMO and MDM-based hippocampal stimulation. Furthermore, effects of stimulation were also greater in subjects who were evaluated as having pre-existing mild-to-moderate memory impairment. Conclusion: These results show that hippocampal stimulation for memory facilitation was more beneficial for subjects who had previously suffered a brain injury (other than epilepsy), compared to control (epilepsy) subjects who had not suffered a brain injury. This study demonstrates that the epilepsy/intracranial recording model can be extended to test the ability of DBS to restore memory function in subjects who previously suffered a brain injury other than epilepsy, and support further investigation into the beneficial effect of DBS in TBI patients. (shrink)

The Monographs produced by the International Agency for Research on Cancer (IARC) apply rigorous procedures for the scientific review and evaluation of carcinogenic hazards by independent experts. The Preamble to the IARC Monographs, which outlines these procedures, was updated in 2019, following recommendations of a 2018 expert Advisory Group. This article presents the key features of the updated Preamble, a major milestone that will enable IARC to take advantage of recent scientific and procedural advances made during the 12 years since (...) the last Preamble amendments. The updated Preamble formalizes important developments already being pioneered in the Monographs Programme. These developments were taken forward in a clarified and strengthened process for identifying, reviewing, evaluating and integrating evidence to identify causes of human cancer. The advancements adopted include strengthening of systematic review methodologies; greater emphasis on mechanistic evidence, based on key characteristics of carcinogens; greater consideration of quality and informativeness in the critical evaluation of epidemiological studies, including their exposure assessment methods; improved harmonization of evaluation criteria for the different evidence streams; and a single-step process of integrating evidence on cancer in humans, cancer in experimental animals and mechanisms for reaching overall evaluations. In all, the updated Preamble underpins a stronger and more transparent method for the identification of carcinogenic hazards, the essential first step in cancer prevention. (shrink)

A brain-computer interface technology that can decode the neural signals associated with attempted but unarticulated speech could offer a future efficient means of communication for people with severe motor impairments. Recent demonstrations have validated this approach. Here we assume that it will be possible in future to decode imagined (i.e., attempted but unarticulated) speech in people with severe motor impairments, and we consider the characteristics that could maximize the social utility of a BCI for communication. As a social interaction, communication (...) involves the needs and goals of both speaker and listener, particularly in contexts that have significant potential consequences. We explore three high-consequence legal situations in which neurally-decoded speech could have implications:Testimony, where decoded speech is used as evidence;Consent and Capacity, where it may be used as a means of agency and participation such as consent to medical treatment; andHarm, where such communications may be networked or may cause harm to others. We then illustrate how design choices might impact the social and legal acceptability of these technologies. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reasons CountJohn Z. Sadler (bio)Keywordscriminality, mental disorder, responsibilityAs a fourth-year psychiatry resident many years ago, I encountered a patient on the psychiatric emergency service whom I have never forgotten, because my experience with him jelled a distinction about the importance of explaining violence. Brought in involuntarily by the police for being “dangerous,” he was a fearsome visage: six feet four, shaven head, angular jaw, the triangular build of an (...) athlete, a history of paranoid schizophrenia and violence. I’ll call him Mr. Big. His court order papers explained that he had threatened to kill his brother-in-law.Mr. Big’s story, in brief, was that he was a veteran on disability, and that he had purchased, some years ago, a small home using his wits and savings from his pension. Although he admitted that he could be, and had been, violent off his medications, he explained that he had been taking his medicines reliably for two years and had never had any trouble over that period—until now. His brother-in-law, according to Mr. Big, had moved in and appropriated his home while the patient was away on a trip to see a friend, and now refused to leave, to the chagrin of both the patient and his sister. Mr. Big had threatened to kill the brother-in-law in indignation with the in-law’s behavior. The brother-in-law never called or appeared. The sister, it turns out, corroborated the story, and after an examination revealed only minimal idiosyncrasies of thought and affect, the patient was referred for legal counseling, released, and the family was warned. We all hoped that justice could be found peacefully.Wilson and Adshead emphasize in their thoughtful discussion of violence and psychiatric symptoms that the explanation for the violent act is crucial to assessing its pertinence to mental disorder. What was elegant in Mr. Big’s case was that the motivation for threats of violence was proximate, morally comprehensible, corroborated by at least one other, insightful, and most of all, clear-cut. Although these features for distinguishing violence due to normative motivation versus violence due to mental disorder are addressed by Wilson and Adshead, they would agree that, unfortunately, these tools of proximity, comprehensibility, ordinariness of motivation, insight, and corroboration are often absent, unobtainable, or inadequate.But these considerations are helpful in ruling out violence as symptom, which is the lesson Mr. Big taught me—reasons count. Wilson and Adshead go on to critically consider the features that may be positive identifications for violence as symptom. With “deplorability,” they identify a feature of the violence that exceeds what I have termed “normative motivation,” which defies our empathic ability to understand the perpetrator’s point of view. However, deplorable events are perpetrated by soldiers and police in their socially approved work, so even deplorability has limits in its utility. Indeed, social psychologists’ research has shown, as Susan Fiske and colleagues put it, “Virtually anyone can be aggressive if sufficiently [End Page 73] provoked, stressed, disgruntled, or hot” (Fiske et al. 2004, 1482). Also, like “normative” motivation, deplorability is culture—and politically—relative, another limit to its utility.Even with complex causality, the INUS approach of Mackie’s offers a way to link symptoms to a more complex causal network while admitting that the social components of the causal network may exhibit particular moral and pragmatic interests. For medicine, the INUS approach is sensible and coherent with biomedicine’s intellectual culture of multifactorial causation of disease. However, criminal culpability in law is usually a dichotomous decision; any taint of choice links the offender to the whole culpability package (Sadler 2002).The conclusion one is left with is that no failsafe tools permit us to distinguish violence provoked by mental disorder versus normatively motivated violence. I tend to agree that, for some cases, we will never be able to broker the distinction between disordered violence versus nondisordered violence. My pessimism is based on the technical limitations of parsing mental life retrospectively in a way that will always allow for the kind of clear-cut distinction described in the case of Mr. Big (Sadler 2002). That is, how, after the... (shrink)

Etrog: How a Chinese Fruit Became a Jewish Symbol. By David Z. Moster. New York: Palgrave Macmillan, 2018. Pp. xv + 144, illus. $54.99. The Etrog Citron : Tradition and Research. Essays on the Scientific, Halachic and Historical Significance of the Etrog. Edited by eliezer goldSchmidT and moShe bar-JoSeph. Jerusalem: Mossad Harav Kook, 2018. Pp. 24 + 14 + 480, illus. IS96. [Hebrew with English abstracts].

Professor Strawson was interviewed on video on location at King's College, London during the Spring of 1992. Professor Strawson discusses his thoughts on a variety of topics on which he has written previously, providing some illuminating insights into how his thoughts has progressed. The text published here is en excerpt from this interview, translated with kind permission of Mr Rudolf V. Fara, the producer, in which prof. Strawson discusses his philosophical views with Martin Davies, Wilde Reader in Mental Philosophy at (...) Oxford University, and Mark Sainsbury, Susan Stebbing Professor of Philosophy at King's College, University of London. (shrink)

Jednym z głównych pytań w filozofii logiki jest to, czy jest jedna, czy wiele logik. Pytanie to doczekało się różnych odpowiedzi, które formułują opozycyjne stanowiska: monizm logiczny contra pluralizm logiczny. Za reprezentatywnego przedstawiciela monizmu uznawany jest Willard Van Orman Quine, a pluralizmu — Susan Haack. Oba te stanowiska są kontynuowane współcześnie: monizm (m.in. Michael Dummett, Graham Priest, Timothy Williamson) oraz pluralizm (m.in. Jc Beall i Greg Restall, Johan van Benthem, Ottavio Bueno i Scott Shalkovski, Stewart Shapiro i Roy Cook). (...) Monizm jest znacznie mniej preferowany niż pluralizm. W artykule wskazano na źródła pluralizmu w logice (m.in. wieloznaczność spójników języka naturalnego, prawdy i wynikania) oraz przywołano argumentacje wybranych przedstawicieli tego stanowiska. (shrink)

Only human beings have a rich conceptual repertoire with concepts like tort, entropy, Abelian group, mannerism, icon and deconstruction. How have humans constructed these concepts? And once they have been constructed by adults, how do children acquire them? While primarily focusing on the second question, in The Origin of Concepts , Susan Carey shows that the answers to both overlap substantially. Carey begins by characterizing the innate starting point for conceptual development, namely systems of core cognition. Representations of core (...) cognition are the output of dedicated input analyzers, as with perceptual representations, but these core representations differ from perceptual representations in having more abstract contents and richer functional roles. Carey argues that the key to understanding cognitive development lies in recognizing conceptual discontinuities in which new representational systems emerge that have more expressive power than core cognition and are also incommensurate with core cognition and other earlier representational systems. Finally, Carey fleshes out Quinian bootstrapping, a learning mechanism that has been repeatedly sketched in the literature on the history and philosophy of science. She demonstrates that Quinian bootstrapping is a major mechanism in the construction of new representational resources over the course of childrens cognitive development. Carey shows how developmental cognitive science resolves aspects of long-standing philosophical debates about the existence, nature, content, and format of innate knowledge. She also shows that understanding the processes of conceptual development in children illuminates the historical process by which concepts are constructed, and transforms the way we think about philosophical problems about the nature of concepts and the relations between language and thought. (shrink)

Susan Hekman believes we are witnessing an intellectual sea change. The main features of this change are found in dichotomies between language and reality, discourse and materiality. Hekman proposes that it is possible to find a more intimate connection between these pairs, one that does not privilege one over the other. By grounding her work in feminist thought and employing analytic philosophy, scientific theory, and linguistic theory, Hekman shows how language and reality can be understood as an indissoluble unit. (...) In this broadly synthetic work, she offers a new interpretation of questions of science, modernism, postmodernism, and feminism so as to build knowledge of reality and extend how we deal with nature and our increasingly diverse experiences of it. (shrink)

In celebration of the 250th anniversary of the birth of G.W.F. Hegel, Slavoj Žižek gives us a reading of a philosophical giant that changes our way of thinking about the post-human era we are entering. No ordinary study of Hegel, Hegel in a Wired Brain reveals our time as it appears through Hegel's eyes. Focusing in on the idea of the wired brain, this is a philosophical analysis of what happens when a direct link between our mental processes and a (...) digital machine emerges. Here Žižek explores the phenomenon of a wired brain affect, and the notion of singularity subsequently arising when we can share our thoughts and experiences with others. He hones in on the key question of how it affects our experience and status as free human individuals, dealing with what happens with the human spirit, our subjectivity and the very essence of being-human when a machine can read, action and disperse our thoughts. With characteristic verve and energy, Žižek connects Hegel to the world we live in and shows why he is much more fun than anyone gives him credit for, and why the 21st century might just be Hegelian. (shrink)

The phenomenon of multiple personality--Like the "split-Brain" phenomenon--Involves a disintegration of the normally unified self to the point where one must question whether there is one, Or more than one, Person associated with the body even at a single moment in time. Besides the traditional problem of determining identity over time, There is now a new problem of personal identity--Determining identity at a single moment in time. We need the conceptual apparatus to talk about this new problem and a test, (...) Like the one I propose, For determining the number of persons associated with a body at a single moment in time. (shrink)

Lingering skepticism about climate change might be due in part to the way climate projections are perceived by members of the public. Variability between scientists’ estimates might give the impression that scientists disagree about the fact of climate change rather than about details concerning the extent or timing. Providing uncertainty estimates might clarify that the variability is due in part to quantifiable uncertainty inherent in the prediction process, thereby increasing people's trust in climate projections. This hypothesis was tested in two (...) experiments. Results suggest that including uncertainty estimates along with climate projections leads to an increase in participants’ trust in the information. Analyses explored the roles of time, place, demographic differences, and initial belief in climate change. Implications are discussed in terms of the potential benefit of adding uncertainty estimates to public climate projections. (shrink)

The term conceptual simulation refers to a type of everyday reasoning strategy commonly called “what if” reasoning. It has been suggested in a number of contexts that this type of reasoning plays an important role in scientific discovery; however, little direct evidence exists to support this claim. This article proposes that conceptual simulation is likely to be used in situations of informational uncertainty, and may be used to help scientists resolve that uncertainty. We conducted two studies to investigate the relationship (...) between conceptual simulation and informational uncertainty. Study 1 was an in vivo study of expert scientists; the results suggest that scientists do use conceptual simulation in situations of informational uncertainty, and that they use conceptual simulation to make inferences from their data using the analogical reasoning process of alignment by similarity detection. Study 2 experimentally manipulated experts' level of uncertainty and provides further support for the hypothesis that conceptual simulation is more likely to be used in situations of informational uncertainty. Finally, we discuss the relationship between conceptual simulation and other types of reasoning using qualitative mental models. (shrink)

For ages, medicine has had poor access to the fetus inside the mother's womb. But in relatively recent years, the human body has become transparent. The latest breakthroughs of technology have made it possible, from the very beginning of pregnancy, to consider the fetus as an individual who can be examined and sampled. His or her physician may now establish a diagnosis and prognosis and prescribe a treatment in the same way as in traditional medicine.

Susan Haack; IX*—Theories of Knowledge: An Analytic Framework, Proceedings of the Aristotelian Society, Volume 83, Issue 1, 1 June 1983, Pages 143–158, https://.

Re-consent in research, the asking for a new consent if there is a change in protocol or to confirm the expectations of participants in case of change, is an under-explored issue. There is little clarity as to what changes should trigger re-consent and what impact a re-consent exercise has on participants and the research project. This article examines applicable policy statements and literature for the prevailing arguments for and against re-consent in relation to longitudinal cohort studies, tissue banks and biobanks. (...) Examples of re-consent exercises are presented, triggers and non-triggers for re-consent discussed and the conflicting attitudes of commentators, participants and researchers highlighted. We acknowledge current practice and argue for a greater emphasis on ‘responsive autonomy,’ that goes beyond a one-time consent and encourages greater communication between the parties involved. A balance is needed between respecting participants' wishes on how they want their data and samples used and enabling effective research to proceed. (shrink)

Our urban problem is how to revive the reality of the outside as a dimension of human experience.Richard Sennett.

The 20-item happiness scale proposed by the Eysenck Personality Profiler was completed by 1,148 Anglican clergymen and 523 Anglican clergywomen during their first year in ordained ministry. The data demonstrated that clergymen were neither more nor less happy than men in the general population, and that clergywomen were happier than women in the general population. These findings are discussed in the context of work-related satisfaction and overall well-being.

Research on the origins of human social smiling is presented as a case study of how a species-specific, species-typical behavior may emerge from thousands of momentary events in which a continuously changing biological organism acts to make, respond to, and learn from its experience.

Name der Zeitschrift: Semiotica Jahrgang: 2016 Heft: 213 Seiten: 307-343.