Bidirectional deep brain stimulation (DBS) platforms have enabled a surge in hours of recordings in naturalistic environments, allowing further insight into neurological and psychiatric disease states. However, high amplitude, high frequency stimulation generates artifacts that contaminate neural signals and hinder our ability to interpret the data. This is especially true in psychiatric disorders, for which high amplitude stimulation is commonly applied to deep brain structures where the native neural activity is miniscule in comparison. Here, we characterized artifact sources in recordings (...) from a bidirectional DBS platform, the Medtronic Summit RC + S, with the goal of optimizing recording configurations to improve signal to noise ratio (SNR). Data were collected from three subjects in a clinical trial of DBS for obsessive-compulsive disorder. Stimulation was provided bilaterally to the ventral capsule/ventral striatum (VC/VS) using two independent implantable neurostimulators. We first manipulated DBS amplitude within safe limits (2–5.3 mA) to characterize the impact of stimulation artifacts on neural recordings. We found that high amplitude stimulation produces slew overflow, defined as exceeding the rate of change that the analog to digital converter can accurately measure. Overflow led to expanded spectral distortion of the stimulation artifact, with a six fold increase in the bandwidth of the 150.6 Hz stimulation artifact from 147–153 to 140–180 Hz. By increasing sense blank values during high amplitude stimulation, we reduced overflow by as much as 30% and improved artifact distortion, reducing the bandwidth from 140–180 Hz artifact to 147–153 Hz. We also identified artifacts that shifted in frequency through modulation of telemetry parameters. We found that telemetry ratio changes led to predictable shifts in the center-frequencies of the associated artifacts, allowing us to proactively shift the artifacts outside of our frequency range of interest. Overall, the artifact characterization methods and results described here enable increased data interpretability and unconstrained biomarker exploration using data collected from bidirectional DBS devices. (shrink)

This study of internal auditors and auditees, who engage in both financial and operational internal audits in Israel, extends theory and research on internal audits in organizational units. It develops and tests a model that examines the role of top management and internal auditors in facilitating learning from internal audits and driving perceived performance improvement. We argue that support from the top management for the internal audit as well as the auditor’s capacity facilitate learning from audits and help audited units (...) to improve ethicality, efficiency, and effectiveness in organizations. The results of time-lagged survey data provide general support for the hypothesized indirect relationships between auditor capacity, auditor–auditee relational exchanges, learning from audits, and three different perceived performance measures: ethical behavior, efficiency, and effectiveness. We discuss the implications for research on internal audits, proactive learning, ethics, and performance improvement of organizational units in the public sector. (shrink)

In response to recent corporate ethical and financial disasters there has been increased pressure on business schools to improve their teaching of corporate ethics. Accreditation bodies, such as the Association to Advance Collegiate Schools of Business (AACSB), now require member institutions to develop the ethical awareness of business students, either through a dedicated subject or an integrated coverage of ethics across the curriculum. This paper describes an institutional approach to the incorporation of a comprehensive multi-disciplinary ethics framework into the business (...) curriculum. We discuss important implications for the assessment of ethics within institutional assurance practices, and address critical issues related to the support of academics whenrequired to incorporate new ethics material within their subject which may be outside their field of expertise. As an example, the successful application of the framework within the marketing discipline is presented and discussed. (shrink)

Appearing between two historical touchstones—the alleged end of communism and the 100th anniversary of Nietzsche’s death—this book offers a provocative hypothesis about the philosopher’s afterlife and the fate of leftist thought and culture. At issue is the relation of the dead Nietzsche and his written work to subsequent living Nietzscheanism across the political spectrum, but primarily among a leftist _corps_ that has been programmed and manipulated by concealed dimensions of the philosopher’s thought. If anyone is responsible for what Geoff (...) class='Hi'>Waite maintains is the illusory death of communism, it is Nietzsche, the man and concept. Waite advances his argument by bringing Marxist—especially Gramscian and Althusserian—theories to bear on the concept of Nietzsche/anism. But he also goes beyond ideological convictions to explore the vast Nietzschean influence that proliferates throughout the marketplace of contemporary philosophy, political and literary theory, and cultural and technocultural criticism. In light of a philological reconstruction of Nietzsche’s published and unpublished texts, _Nietzsche’s Corps/e_ shuttles between philosophy and everyday popular culture and shows them to be equally significant in their having been influenced by Nietzsche—in however distorted a form and in a way that compromises all of our best interests. Controversial in its “decelebration” of Nietzsche, this remarkable study asks whether the postcontemporary age already upon us will continue to be dominated and oriented by the haunting spectre of Nietzsche’s corps/e. Philosophers, intellectual historians, literary theorists, and those interested in western Marxism, popular culture, Friedrich Nietzsche, and the intersection of French and German thought will find this book both appealing and challenging. (shrink)

It is shown that in any model of constructive mathematics in which a certain omniscience principle is false, for strongly extensional functions on an interval the distinction between sequentially continuous and regulated disappears. It follows, without the use of Markov's Principle, that any recursive function of bounded variation on a bounded closed interval is recursively sequentially continuous.

The focus is on the meaning of ὑπόϑεσις in Irenaeus of Lyons’ Adversus haereses. Our case is to argue that two different elements converge in ὑπόϑεσις or its translations in the Latin version of AH. The first stems from the Greek literary field, in which ὑπόϑεσις means the “subject” or “plot” of a dramatic or poetic composition. The second is related to the philosophical meaning of ὑπόϑεσις as “that which is placed under” or “foundation”. On the one hand, Irenaeus uses (...) ὑπόϑεσις theologically to express the plot of the historia salutis, so that the term can be understood as teaching or doctrine. On the other hand, this ὑπόϑεσις is at the same time a regula, the normative foundation of all the elements that take part in God’s economy of salvation. (shrink)

Our objective is to corroborate Merleau-Ponty's phenomenology of speech perception and intersubjectivity through an analysis of A. R. Luria's account of semantic aphasia. By emulating Merleau-Ponty's style of analysis in dealing with the work of a contemporary leader in the field of aphasiology, we are able to take up Merleau-Ponty's thought and test whether his conclusions are inevitable or whether they are based on outmoded problems of the psychology and psychopathology of his day. These reflections also enable us to present (...) arguments against both the assumptions of the natural attitude, as well as those of transcendental phenomenology, and so enable us to cast some light on the relation between existential phenomenology and empirical research. By contrasting aphasic and normal perception, we intend to show that ultimately even the aphasiologist is able to characterize aphasic perception only in terms of the aphasic's loss of an "openness" to meanings present in the uttered sounds. We argue that this notion of openness, like that of Merleau-Ponty's notion of "perceptual faith, " requires the reduction but also points to the impossibility of a complete reduction. (shrink)

There was a famous discussion between Heidegger and Ernst Cassirer in Davos which revealed the lostness and emptiness of this remarkable representative of established academic philosophy to everyone who had eyes. Cassirer had been a pupil of Hermann Cohen, the founder of the neo-Kantian school. Cohen had elaborated a system of philosophy whose center was ethics. Cassirer had transformed Cohen's system into a new system of philosophy in which ethics had completely disappeared. It had been silently dropped: he had not (...) faced the problem. Heidegger had faced the problem. He declared that ethics is impossible, and his whole being was permeated by the awareness that this fact opens up an abyss.... Only a great thinker could help us in our plight. But here is the great trouble: the only great thinker in our time is Heidegger. The only question of importance, of course, is the question whether Heidegger's teaching is true or not. But the very question is deceptive because it is silent about the question of competence—of who is competent to judge. StraussHeidegger conceals nothing. He does not lie. He says what he really thinks.JanicaudIt is important for us to understand, above all, the true intentions of our author, to illuminate what he thinks really needs to be said, and to surmise what is most critical for him. LevinasOnly once or twice in my thirty to thirty-five years of teaching have I ever spoken about what really matters to me.HeideggerFor a long time I have not said what I believed, nor do I ever believe what I say, and if indeed I do happen to tell the truth I hide it among so many lies that it is hard to find. MachiavelliThe `doctrine' of a thinker is what is unsaid in his saying, to which man is exposed so that he might expend himself for it. HeideggerBut for those on the outside everything is in parables; so that they may see but not perceive, and hearing, they may hear but not understand; lest they should turn, and their sins be forgiven them. Mark 4:12“Now do you recognize that I am a philosopher?”... “I would have, had you remained silent.”BoethiusThe same goes for Heidegger: It is necessary to know how to listen to the silences of philosophers. These are always eloquent.Althusser. (shrink)

Berkeley introduces his water experiment in order to demonstrate that in perception the perceiver does not reach the world itself but is confined to a realm of representations or sense data. We will attempt to demonstrate that Berkeley's description of our experience at the end of the water experiment is inauthentic, that it is not so much a description of an experience as a reconstruction of what we would experience if the receptor organs were objects existing in a space partes (...) extra partes. Our argument is that there is nothing in our experience of the illusion to suggest that under normal conditions perception does not reach the world itself. (shrink)

Perhaps the greatest challenge to an existential phenomenological account of perception is that posed by the argument from illusions. Recent developments in research on the behaviour of subjects suffering from illusions together with some seminal ideas found in Merleau-Ponty''s writings enable us to develop and corroborate an account of the phenomenon of illusions, one, which unlike the empiricist account, does not undermine our conviction that in perception we reach the things themselves. The traditional argument from illusions derives its force from (...) an uncritical assumption that the process of experience takes place in time conceived as an infinite series of distinct moments. Once this assumption has been bracketed we are able to recognise the paradoxical truth that in the disillusion something can become that which it has always been and can cease to be that which it has never been. Furthermore, through a reflection on our experience of others overcoming their illusions, and on psychological evidence, we are able to show that there is nothing to suggest that this description of the disillusion is a description of a private or subjective event. (shrink)

Theories of Early Childhood Education continues to provide a comprehensive overview of the various theoretical perspectives in early childhood education from developmental psychology to critical studies, Piaget to Freire. This revised and updated edition includes additional chapters on Michael Alexander Halliday's view of language learning and the attachment theory work of John Bowlby and Mary Ainsworth. Each author questions assumptions underpinning the use of theory in early childhood education and explores the implications of these questions for policy and practice. Theories (...) reported in this book are a timely reminder of the importance of the relationship between theory and practice necessary for teacher candidates, teacher educators, and early childhood teachers. Students will learn the fundamentals while in-service teachers and professionals will learn the theory behind field observations for their certification exams. (shrink)

This book presents a collection of contemporary discourses that reconsider the relationship of democracy as a political ideology and American ideal and education as the foundation of preparing democratic citizens in America.

When I first began to study philosophy I was introduced to the discipline in that magically traditional way by being assured that what lay before me was the love of wisdom. Why this had any adolescent appeal still puzzles me, but, like many others, I joined in as spectator to and occasionally as a removed participant in all the rough and tumble of a Socratic sparring match in the Athenian marketplace. There was some talk of wisdom, to be sure, which (...) seemed to link it with a humble admission of ignorance or a pitch against yielding to temptation, but neither was ever deeply revealing. I waited for more. My next encounter a few years later turned up little more than the surname of an English disciple of Wittgenstein. Somehow the trail had gone to brush, despite the apparent health and energy of philosophy. (shrink)

Kierkegaard, a poet of ideals and practitioner of the indirect method, also had a direct and polemical side. He revealed this in several writings throughout his career, culminating in The Moment, his attack against the established ecclesiastical order. Kierkegaard was moved to criticize the church by his differences with Bishop Mynster, Primate of the Church of Denmark. Although Mynster saw in Kierkegaard a complement to himself and his outlook, Kierkegaard challenged Mynster to acknowledge the emptying and estheticizing of Christianity that (...) had occurred in modern Christendom. For three years Kierkegaard was silent, waiting. When Mynster died, he was memorialized as "an authentic truth-witness" in the "holy chain of truth-witnesses that stretches through the ages from the days of the apostles." This struck Kierkegaard as blasphemous and inspired him to write a series of articles in Fædrelandet, which he followed with ten numbers of the pamphlet The Moment. This volume includes the articles from Fædrelandet, all numbers of The Moment, and several other late pieces of Kierkegaard's writing. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 21.1 (2001) 33-36 [Access article in PDF] How I, a Christian, Have Learned from Buddhist Practice, or "The Frog Sat on the Lily Pad... Not Waiting" Frances S. Adeney Louisville Presbyterian Theological Seminary As a Christian, I have practiced various forms of silent meditation. I remember sitting under the grand piano as a child of three, watching the sun flit through white curtains during our one-hour home (...) communion service of the Plymouth Brethren. Most of the hour was spent in communal silence, gathered around a small table upon which was placed wine and bread. My memories of these meetings are filled with a sense of awe and presence.I practiced a different kind of silent meditation as a young adult when I spent six weeks living on a beach in Greece. I saw few people apart from my two companions and the shepherdess who brought her flock to the meadow each day. I spent hours watching the waves or studying the grains of sand at my feet. I never missed a sunset.At certain times of my life, there were more intentional, prayer-filled kinds of silent meditation. Wordless yearnings and grievings were brought to those meditations as I sought understanding and peace during times of illness, loss, and confusion. I wouldn't call any of those experiences Buddhist meditation. They were intentionally focused on either worshiping Christ or experiencing nature. There was no attempt to leave behind desires, no longing for emptiness, no intentional focus on being in the present moment, qualities that I associate with Buddhist meditation.The first time I joined a group of people practicing Buddhist sitting was in 1997. Yet I felt like I had been doing this kind of silent meditating for years. Here is how that convergence came about.During the early 1990s, while living in Indonesia, I frequently visited a Trappist monastery in central Java. The nuns there didn't practice Buddhism, but my spiritual director, a German priest who lived down the mountain, said to me, "Come and see." Father Hamma introduced me to sitting in a gentle non-technique-oriented way. He called it "contemplative prayer." I took up this practice daily during a difficult time of loss in my life. Spiritual retreats at the monastery up the mountain helped me learn to let go of what I could not hold onto in life. It was there that I began to experience the delight and calm that comes from a practice of meditative silence. [End Page 33]This silent meditation differed from other practices of silence that I had known in significant ways: (1) It was not focused on an interchange between God and myself. I was not listening for God's voice. I was not bringing my concerns to God. I was simply entering a place of silence. (2) It was not predicated on specific ideas about God or thoughts from writings in the Bible. I did not need to frame this time of silence with religious meanings. (3) It was not focused on an outcome. I neither expected nor did I ask for any changes in myself or the world.Yet there were ways in which this practice of meditative silence was framed by my Christian faith. In taking up this practice, I felt I was intentionally entering God's presence. While not looking for spiritual experiences, I was somehow seeking life, and I did believe that God met me in those silent moments. More than once I had experiences that were "sightings" if not meetings with the Divine. During the seven years that I have practiced entering silence, the space that I enter has grown larger, and the conviction that I am entering and becoming part of God's presence deepens. The frog sat on the lily pad not waiting. This Haiku poem resulted from one such experience. I had taken the bus out from the city. It dropped me at the foot of one of hundreds of small mountains in Java covered by... (shrink)

Advances in life-saving technologies in the past few decades have challenged our traditional understandings of death. Traditionally, death was understood to occur when a person stops breathing, their heart stops beating and they are cold to the touch. Today, physicians determine death by relying on a diagnosis of ‘total brain failure’ or by waiting a short while after circulation stops. Evidence has emerged, however, that the conceptual bases for these approaches to determining death are fundamentally flawed and depart substantially from (...) the established biological conception of death. We argue that the current approach to determining death consists of two different types of unacknowledged legal fictions. These legal fictions were developed for practices that are largely ethically legitimate but need to be reconciled with the law. The considerable debate over the determination of death in the medical and scientific literature has not informed the public that vital organs are being procured from still-living donors and it seems unlikely that this information can remain hidden for long. Given the instability of the status quo and the difficulty of making the substantial legal changes required by complete transparency, we argue for a second-best policy solution: acknowledging the legal fictions involved in determining death to move in the direction of greater transparency. This may someday result in more substantial legal change to directly confront the challenges raised by life-sustaining and life-preserving technologies without the need for fictions. (shrink)

The blinkered debate on organ donation neglects the widening gap between the developed and developing worldsThe current debate about organ donation and the associated advocacy for selling kidneys, while laudable for its concern about increasing the ability to save the lives of some people with chronic renal failure, is characterised by four features that locate the reasoning process within a narrow and inadequate framework. Firstly, the focus on saving lives is myopic, with the lives of the most privileged in the (...) world receiving most attention. Secondly, the debate is firmly set within a value system in which market values dominate. Thirdly, health is considered from a highly individualistic perspective with little understanding of the importance of social solidarity in health. Finally, a constricted moral vocabulary is used to discuss the ethics of organ sales.MYOPIC CONCERN FOR SAVING LIVESMany articles making pleas for more organs begin by describing the number of people waiting for donated organs, the number of donors who could give organs but are not doing so, and how many lives could be saved if more organs could be made available. Great concern is expressed about a few thousand …. (shrink)

The use of technology and teaching techniques derived from technology is currently a bourgeoning topic in higher education. Teachers at all levels and types of institutions want to know how these new technologies will affect what happens in and outside of the classroom. Many teachers have already embraced some of these technologies but remain uncertain about their educational efficacy. Other teachers have waited because they are reluctant to try tools or techniques that remain unproven or, as is often the case, (...) lack institutional support. This book is designed to help both groups, so that those with technological expertise can extend their knowledge, while technological novices can "ramp up" at their own pace and for their own purposes. Best Practices for Technology-Enhanced Teaching and Learning brings together expert teacher-scholars who apply and assess technology's impact on traditional, hybrid or blended, or completely on-line courses, relying on technology as a teaching tool for classroom management and interaction, as well as student-based uses of technology largely independent of instructors. Each chapter will address how technological improvements can be connected to assessment initiatives, as is now routinely advocated in psychology and social science education. The book features current scholarship and pedagogy involving innovative technology that impacts on student learning in psychology and related disciplines, focusing also on student reactions to these novel technologies, and proper assessments of how well they promote learning. This text will serve as the standard reference on emerging technologies for undergraduate instructors. (shrink)

We studied the role of time in the experience of boredom and its relationship with various psychological states using virtual reality. Sixty-six participants visited nine virtual waiting rooms and evaluated their perception of time and psychological experiences, including boredom, exhaustion, restlessness, amotivation, frustration, anger, unhappiness, spontaneous and deliberate mind-wandering, fantasy, and absorption. Results confirmed the relationship between boredom and time perception, showing that the higher the levels of boredom, the slower time seems to pass. However, manipulating time-related information via a (...) slower/faster ticking clock did not affect boredom. We also found that boredom increased as participants progressed through the nine virtual rooms, and its affective characterisation over time remained stable, while its cognitive characterisation fluctuated. While boredom was consistently associated with exhaustion, restlessness, amotivation, and frustration, its relationship with fantasy, absorption, spontaneous mind-wandering and deliberate mind-wandering, evolved over time. These findings provide novel insights into the intricate and differentiated cognitive and affective consequences of being bored. (shrink)

The last year, June 1992 through September 1993, has seen a great deal of ferment with respect to access to and financing of health care in the United States. The elections of 1992 portend dramatic changes in the American health care system, and vigorous debate regarding both expansion of access to health care and transformation of the health care financing system is taking place at the federal and the state levels. In fact, however, the time period covered here produced remarkably (...) few changes in the law, particularly at the federal level. The one piece of Medicare and Medicaid legislation passed by Congress in the fall of 1992, H.R. 11, was vetoed by President Bush immediately after the election. The Omnibus Budget Reconciliation Act of 1993 contained a host of minor adjustments to the Medicare and the Medicaid programs, but only the Medicaid asset transfer provisions and extensions to the self-referral provisions of the fraud and abuse laws, discussed below, are of import to us. (shrink)

The last year, June 1992 through September 1993, has seen a great deal of ferment with respect to access to and financing of health care in the United States. The elections of 1992 portend dramatic changes in the American health care system, and vigorous debate regarding both expansion of access to health care and transformation of the health care financing system is taking place at the federal and the state levels. In fact, however, the time period covered here produced remarkably (...) few changes in the law, particularly at the federal level. The one piece of Medicare and Medicaid legislation passed by Congress in the fall of 1992, H.R. 11, was vetoed by President Bush immediately after the election. The Omnibus Budget Reconciliation Act of 1993 contained a host of minor adjustments to the Medicare and the Medicaid programs, but only the Medicaid asset transfer provisions and extensions to the self-referral provisions of the fraud and abuse laws, discussed below, are of import to us. (shrink)

© 2015 NATCO, The Organization for Transplant Professionals.Despite the known benefits of kidney transplant, less than 30% of the 615 000 patients living with end-stage renal disease in the United States have received a transplant. More than 100 000 people are presently on the transplant waiting list. Although the shortage of kidneys for transplant remains a critical factor in explaining lower transplant rates, another important and modifiable factor is patients' lack of comprehensive education about transplant. The purpose of this article (...) is to provide an overview of known best practices from the broader literature that can be used as an evidence base to design improved education for ESRD patients pursuing a kidney transplant. Best practices in chronic disease education generally reveal that education that is individually tailored, understandable for patients with low health literacy, and culturally competent is most beneficial. Effective education helps patients navigate the complex health care process successfully. Recommendations for how to incorporate these best practices into transplant education design are described. Providing more ESRD patients with transplant education that encompasses these best practices may improve their ability to make informed health care decisions and increase the numbers of patients interested in pursuing transplant. (shrink)

Sartre’s Critique of Dialectical Reason ranks with Being and Nothingness as a work of major philosophical significance, but it has been largely neglected. The first volume, published in 1960, was dismissed as a Marxist work at a time when structuralism was coming into vogue; the incomplete second volume has only recently been published in France. In this commentary on the first volume, Joseph S. Catalano restores the Critique to its deserved place among Sartre’s works and within philosophical discourse as a (...) whole. Sartre attempts one of the most needed tasks of our times, Catalano asserts—the delivery of history into the hands of the average person. Sartre’s concern in the Critique is with the historical significance of everyday life. Can we, he asks, as individuals or even collectively, direct the course of our history? A historical context for our lives is given to us at birth, but we sustain that context with even our most mundane actions—buying a newspaper, waiting in line, eating a meal. In looking at history, Sartre argues, reason can never separate the historical situation of the investigator from the investigation. Thus reason falls into a dialectic, always depending upon the past for guidance but always being reshaped by the present. Clearly showing the influence of Marx on Sartre’s thought, the Critique adds the historical dimension lacking in Being and Nothingness. In placing the Critique within the corpus of Sartre’s philosophical writings, Catalano argues that it represents a development rather than a break from Sartre’s existentialist phase. Catalano has organized his commentary to follow the Critique and has supplied clear examples and concrete expositions of the most difficult ideas. He explicates the dialogue between Marx and Sartre that is internal to the text, and he also discusses Sartre’s Search for Method, which is published separately from the Critique in English editions. (shrink)

Previous research on associative learning has uncovered detailed aspects of the process, including what types of things are learned, how they are learned, and where in the brain such learning occurs. However, perceptual processes, such as stimulus recognition and identification, take time to unfold. Previous studies of learning have not addressed when, during the course of these dynamic recognition processes, learned representations are formed and updated. If learned representations are formed and updated while recognition is ongoing, the result of learning (...) may incorporate spurious, partial information. For example, during word recognition, words take time to be identified, and competing words are often active in parallel. If learning proceeds before this competition resolves, representations may be influenced by the preliminary activations present at the time of learning. In three experiments using word learning as a model domain, we provide evidence that learning reflects the ongoing dynamics of auditory and visual processing during a learning event. These results show that learning can occur before stimulus recognition processes are complete; learning does not wait for ongoing perceptual processing to complete. (shrink)

Sartre’s Critique of Dialectical Reason ranks with Being and Nothingness as a work of major philosophical significance, but it has been largely neglected. The first volume, published in 1960, was dismissed as a Marxist work at a time when structuralism was coming into vogue; the incomplete second volume has only recently been published in France. In this commentary on the first volume, Joseph S. Catalano restores the Critique to its deserved place among Sartre’s works and within philosophical discourse as a (...) whole. Sartre attempts one of the most needed tasks of our times, Catalano asserts—the delivery of history into the hands of the average person. Sartre’s concern in the Critique is with the historical significance of everyday life. Can we, he asks, as individuals or even collectively, direct the course of our history? A historical context for our lives is given to us at birth, but we sustain that context with even our most mundane actions—buying a newspaper, waiting in line, eating a meal. In looking at history, Sartre argues, reason can never separate the historical situation of the investigator from the investigation. Thus reason falls into a dialectic, always depending upon the past for guidance but always being reshaped by the present. Clearly showing the influence of Marx on Sartre’s thought, the Critique adds the historical dimension lacking in Being and Nothingness. In placing the Critique within the corpus of Sartre’s philosophical writings, Catalano argues that it represents a development rather than a break from Sartre’s existentialist phase. Catalano has organized his commentary to follow the Critique and has supplied clear examples and concrete expositions of the most difficult ideas. He explicates the dialogue between Marx and Sartre that is internal to the text, and he also discusses Sartre’s Search for Method, which is published separately from the Critique in English editions. (shrink)

BackgroundThere are numerous ethical challenges that can impact patients and families in the health care setting. This paper reports on the results of a study conducted with a panel of clinical bioethicists in Toronto, Ontario, Canada, the purpose of which was to identify the top ethical challenges facing patients and their families in health care. A modified Delphi study was conducted with twelve clinical bioethicist members of the Clinical Ethics Group of the University of Toronto Joint Centre for Bioethics. The (...) panel was asked the question, what do you think are the top ten ethical challenges that Canadians may face in health care? The panel was asked to rank the top ten ethical challenges throughout the Delphi process and consensus was reached after three rounds.DiscussionThe top challenge ranked by the group was disagreement between patients/families and health care professionals about treatment decisions. The second highest ranked challenge was waiting lists. The third ranked challenge was access to needed resources for the aged, chronically ill, and mentally ill.SummaryAlthough many of the challenges listed by the panel have received significant public attention, there has been very little attention paid to the top ranked challenge. We propose several steps that can be taken to help address this key challenge. (shrink)

Nietzsche, the Godfather of Fascism? What can Nietzsche have in common with this murderous ideology? Frequently described as the "radical aristocrat" of the spirit, Nietzsche abhorred mass culture and strove to cultivate an Übermensch endowed with exceptional mental qualities. What can such a thinker have in common with the fascistic manipulation of the masses for chauvinistic goals that crushed the autonomy of the individual? The question that lies at the heart of this collection is how Nietzsche came to acquire the (...) deadly "honor" of being considered the philosopher of the Third Reich and whether such claims had any justification. Does it make any sense to hold him in some way responsible for the horrors of Auschwitz? The editors present a range of views that attempt to do justice to the ambiguity and richness of Nietzsche's thought. First-rate contributions by a variety of distinguished philosophers and historians explore in depth Nietzsche's attitudes toward Jews, Judaism, Christianity, anti-Semitism, and National Socialism. They interrogate Nietzsche's writings for fascist and anti-Semitic proclivities and consider how they were read by fascists who claimed Nietzsche as their intellectual godfather. There is much that is disturbingly antiegalitarian and antidemocratic in Nietzsche, and his writings on Jews are open to differing interpretations. Yet his emphasis on individualism and contempt for German nationalism and anti-Semitism put him at stark odds with Nazi ideology. The Nietzsche that emerges here is a tragic prophet of the spiritual vacuum that produced the twentieth century's totalitarian movements, the thinker who best diagnosed the pathologies of fin-de-siècle European culture. Nietzsche dared to look into the abyss of modern nihilism. This book tells us what he found. The contributors are Menahem Brinker, Daniel W. Conway, Stanley Corngold, Kurt Rudolf Fischer, Jacob Golomb, Robert C. Holub, Berel Lang, Wolfgang Müller-Lauter, Alexander Nehamas, David Ohana, Roderick Stackelberg, Mario Sznajder, Geoffrey Waite, Robert S. Wistrich, and Yirmiyahu Yovel. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Missing the Cross?Types of the Passion in Early Christian ArtS. Mark Heim (bio)René Girard has frequently contended that the core of his best known theories is already contained in the Bible, that in the end he is "only a kind of exegete" (Girard and Treguer 1994, 196). To those who object that the Bible had to wait two thousand years to be read as he reads it, he protests (...) that this is a gross exaggeration: "three quarters of what I say can be found in Saint Augustine" (196). In the introduction to I See Satan Fall like Lightning, Girard puts it like this:The Passion accounts reveal a phenomenon that unbeknownst to us generates all human cultures and still warps our human vision in favor of all sorts of exclusions and scapegoating. If this analysis is true, the explanatory power of Jesus's death is much greater than we realize, and Paul's exalted idea of the cross as the source of all knowledge is anthropologically sound.(2001, 3)In other words, Girard's insight comes only in the train of revelation. The revelation in the biblical sources was not perfectly grasped in the religious traditions that flowed from them, and was frequently betrayed through the construction of sacrificial theologies. But Girard insists that its power was in significant measure perceived and effective from the beginning. His view of the meaning of the passion cannot be correct if he is the first one to see it. So it is no minor matter to ask whether in fact early Christians saw the connection of the cross with scapegoating that is so central for Girard.One point that appears to tell against Girard's case is the absence of images of the cross and crucifixion in the first four Christian centuries. A brutal realism about this specific event is the keystone of Girard's understanding of the passion narratives. The fact that the sight is literally hidden from view throughout this formative Christian period hardly appears consistent with his claims.There is a notable early Christian work of art, the so-called Brescia Casket (see fig. 1), that sheds some important light on the general question of the [End Page 183] representation of the passion and, even more dramatically, upon its interpretation in Girardian terms. The casket indicates that the widespread use of Old Testament types as representations of Christ, and specifically as representations of his passion, may partly explain the absence of literal depiction of the crucifixion. And the particular types involved fit extremely well with Girard's outlook. This essay draws out the connection—so far unremarked—between this significant work of early Christian art and Girard's reading of the passion. Click for larger view View full resolutionFigure 1.Brescia Casket. Ivory, late fourth century.Christ's passion and death were described in stark terms in the gospels and recounted explicitly from the beginning in the church's liturgy, teaching, and preaching. On this plane, there is no question of the centrality of the cross. Yet no literal depictions of the crucifixion survive in art from the first four Christian centuries. There is no entirely satisfactory explanation of why the cross would figure so centrally in Christian faith and worship, but be visually absent. Representations of Jesus in early Christian art most often display a healer, wonderworker, or teacher. In fact, the early centuries offer an odd inversion in creed and art. Early creeds focus on Jesus's beginnings and endings, "skipping right from 'born of the Virgin Mary' to 'suffered under Pontius Pilate,' with no mention of Jesus's life and work, while the art appears to take an opposite tack" (Jensen 2000, 131–32). Perhaps the frequent Christian use [End Page 184] of images of anchors and ship's masts, or of the chi-rho sign, served as their image of the cross. Perhaps the reality the scriptures described was too gruesome to easily picture, too readily ridiculed by outsiders, or too awesome and mysterious to present directly. Perhaps, in a persecuted and at times martyred church, such a sign would be realistically terrifying to many and dangerously seductive to some.That the... (shrink)

Doctor, just one more thing.” I marvel every time I hear this, nearly always as I reach for the door. It is as though all patients receive copies of the same instructions, perhaps posted somewhere in the waiting room: Wait until your appointment has run over time. Watch until your doctor stands to leave. Ask a question of grave importance that cannot possibly be answered quickly. I released the doorknob. “Yes, sir?” “I was wondering if you had any advice for (...) me on preparing to die. You see, I got a copy of the pathology report and even though my oncologist didn’t tell me the prognosis was bad, I did a little of my own research. I learned that ‘high grade’ and ‘poorly .. (shrink)

John Alexander entered the Powell Street branch of the San Francisco Savings Bank shortly after 2:00 p.m. yesterday. He took his place in line and quietly waited his turn. But when he reached the window of teller Jane East, he quickly took a pistol from his pocket and began to order her to give him all the money in her cash drawer. Just as Alexander started to make his demand, Barney Gleason, a bank customer, rushed up to East’s window, shoved (...) Alexander to the side, and simultaneously knocked Alexander’s pistol to the floor. Bob Mann, the guard on duty, saw the gun, quickly scooped it up, and turned the tables on Alexander, who was soon handcuffed and taken off by the police. James Metzger, the bank manager, warmly thanked Gleason and said he would recommend him for a “San Francisco Certificate of Merit.” These certificates are awarded monthly to citizens who risk their lives for their fellow San Franciscans. (shrink)

‘Creative Involution’ posits something of a philosophical genealogy, a line of flight that has neither need for nor interest in the periodisation of Modernism, a line of which Beckett (even reluctantly) is part. Murphy, among others, is deterritorialised as much as Beckett's landscapes are, and so he/they become a ‘complexification’ of being that manifests itself in Beckett not as represented, representative or a representation, since so much of Beckett deals with that which cannot be uttered, known or represented, but whose (...) image the works (and its figures) have become, a thinking through of negativity, becoming, and multiplicity through non-Newtonian motion, of being as becoming, where every movement brings something new into the world, but in something of a reverse Darwinism that moves from complex to simple organism, from Murphy to Worm, or Watt to Pim, or among the nameless figures in the short prose, a ‘becoming-animal’, in something not so much of a creative devolution but rather a ‘neoevolution’, or to adopt another term from Deleuze and Guattari, an ‘involution’, which ‘is in no way confused with regression’ (1987: 238), becomings creating nothing less than new worlds. Writing casually to his post-war confidant Georges Duthuit on 26 July 1951, Beckett noted in the midst of gardening chores, ‘Never seen so many butterflies in such worm-state, this little central cylinder, the only flesh, is the worm’ (2011: 271). The observation comes after the writing but before the premiere performance of Waiting for Godot in which Gogo tells Didi, ‘You and your landscapes! Tell me about the worms!’ (1954: 67). Such ‘becoming-animal always involves a pack, a band, a population, a peopling, in short a multiplicity’ (1987: 239), Deleuze and Guattari tell us. For Beckett it defines creativity as well, only possible through such un-tethered selves or beings, amid the generation of varieties and differences, accessible through moments of deterritorialisation, characterised by, ‘A fearsome involution calling us toward unheard-of becomings’ (240). (shrink)

In contemporary society nothing upsets us more than having to wait for our bodies. Our bodies serve us as we direct and when they break down we become angry that they have failed us. Christians, however, are called to be a patient people even in illness. Indeed, impatience is a sin. Learning to be patient when sick requires practicing patience while healthy. First, we must learn that our bodies are finite — they will die. Second, we must learn to live (...) with one another in patience as Christians with the love that the presence of others can and does create in us. Third, in life there is time for the acquisition of habits that come from worthy activities that require time and force us to take first one step and then another. In patience one can live with God. (shrink)

While people are still alive, we owe them respect. Yet what, if anything, do we owe the newly dead? This question is an urgent practical concern for aged societies, because older people die at higher rates than any other age group. One novel way in which Japan, the frontrunner of aged societies, meets its need to accommodate high numbers of newly dead is itai hoteru or corpse hotels. Itai hoteru offer families a way to wait for space in over‐crowded crematoriums (...) while affording an environment conducive to grieving. Drawing on conversations with itai hoteru employees, we delineate the values this contemporary death practice expresses and show how these values comprise part of the broader idea of a good death. A good death implies duties on both sides of death's divide: to both the dying and the newly dead. (shrink)

Although it is clear that i-frame approaches cannot stand alone, the impact of s-frame changes can plateau. Combinations of these approaches may best reflect what we know about behavior and how to support behavioral change. Interactions between i-frame and s-frame thinking are explored here using two examples: alcohol consumption and meat consumption.

"Make your own Bible. Select and collect all the words and sentences that in all your readings have been to you like the blast of a trumpet." -Ralph Waldo Emerson We have all come across a sentence in a book or a line of poetry that seems to jump off the page as if it has been patiently waiting for you to discover it in this precise instant. At times, the lyrics of a song or words spoken in a play (...) can feel as if God is speaking directly to you, guiding you on your quest for truth and authenticity in this weird and wonderful life. (shrink)

THE FATES of perceiving and remembering have been inextricably intertwined in Western philosophy and psychology. It has been asserted from Plato’s Theaetetus onwards that there can be no remembering without perceiving and, though much less frequently, no perceiving without remembering of some sort. Just how either of these forms of interdependency occurs, however, has given rise to continual controversy. Little discernible progress has been made since Plato first proposed, in the Theaetetus, a model of the mind as an aviary in (...) which individual memories wait like captive birds to be plucked from the cage of recollection in order to aid in the identification of present perceptions. The elaborate and ingenious character of this memory machine—elaborate and ingenious in comparison with the simpler model of the wax tablet also proposed in the Theaetetus—was to prove prophetic, since later treatments of perception often invoke memory as a deus ex machina brought in to resolve ambiguities and perplexities of perceptual experience. (shrink)

In this paper we explore the rise of ‘the breast cancer gene’ as a field of medical, cultural and personal knowledge. We address its significance in the Norwegian public health care system in relation to so-called biological citizenship in this particular national context. One of our main findings is that, despite its claims as a measure for health and disease prevention, gaining access to medical knowledge of BRCA 1/2 breast cancer gene mutations can also produce severe instability in the individuals (...) and families affected. That is, although gene testing provides modern subjects with an opportunity to foresee their biological destiny and thereby become patients in waiting, it undoubtedly also comes with difficult existential dilemmas and choices, with implications that resonate beyond the individual and into different family and love relations. By elaborating on this finding we address the question of whether the empowerment slogan, which continues to be advocated through various health, BRCA and breast cancer discourses, reinforces a naïve or an idealized notion of the actively responsible patient: resourceful enough to seek out medical expertise and gain sufficient knowledge, on which to base informed decisions, thereby reducing the future risk of developing disease. In contrast to this ideal, our Norwegian informants tell a different story, in which there is no apparent heroic mastery of genetic fates, but rather a pragmatic attitude to dealing with a dire situation over which they have little control, despite having complied with medical advice through national guidelines and follow-up procedures for BRCA 1/2 carriers. In conclusion we claim that the sense of safety that gene testing and its associated medical solutions allegedly promise to provide proved illusory. Although BRCA-testing offers the potential for protection from adverse DNA-heritage, administered through possibilities for self-monitoring and self-management of the body, the feeling of ‘being in good health’ has hardly been reinforced by the emergence of gene technology. (shrink)

There is a flood of papers being published on new ways to diagnose Alzheimer disease before it is symptomatic, involving a combination of invasive tests , and pen and paper tests. This changes the landscape with respect to genetic tests for risk of AD, making rational suicide a much more feasible option. Before the availability of these presymptomatic tests, even someone with a high risk of developing AD could not know if and when the disease was approaching. One could lose (...) years of good life by committing suicide too soon, or risk waiting until it was too late and dementia had already sapped one of the ability to form and carry out a plan. One can now put together what one knows about one's risk, with continuing surveillance via these clinical tests, and have a good strategy for planning one's suicide before one becomes demented. This has implications for how these genetic and clinical tests are marketed and deployed, and the language one uses to speak about them. The phrase ‘there is nothing one can do’ is insulting and disrespectful of the planned suicide option, as is the language of the Risk Evaluation and Education for Alzheimer's Disease studies and others that conclude that it is ‘safe’ to tell subjects their risk status for AD. Further, the argument put forward by some researchers that presymptomatic testing should remain within research protocols, and the results not shared with subjects until such time as treatments become available, disrespects the autonomy of people at high risk who consider suicide an option. (shrink)

To walk or not to walk: Should a batsman acknowledge his own dismissal by leaving the wicket without even waiting for the umpire's decision? David Coady and Samir Chopra examine this flashpoint ethical debate in cricket.

Psychology ought to describe how and explain why we human beings live our lives as we do, which necessarily comes down to how and why we engage in the actions and have the subjective experiencings that we do. Our physical actions are themselves in part subjective phenomena, because actions are not simply body movements but also essentially involve intentions, beliefs about specific causation, and a sense of voluntariness. Thus, whatever else it is, psychology is inescapably the science of explaining the (...) personally subjective. It is time for psychology to openly embrace its subjective subject-matter as such, which would open up a vast domain still waiting to be systematically studied. 2012 APA, all rights reserved). (shrink)

Anna Chavlovski,1 Greg A Knoll,1–3 Timothy Ramsay,4 Swapnil Hiremath,1–3 Deborah L Zimmerman1–31University of Ottawa, 2Ottawa Hospital, 3Kidney Research Centre, Ottawa Hospital Research Institute, 4Ottawa Methods Centre, Ottawa, ON, CanadaBackground: In patients with end-stage renal disease, use of vitamin D and calcium-based phosphate binders have been associated with progression of vascular calcification that might have an impact on renal transplant candidacy. Our objective was to examine management of mineral metabolism in patients wait-listed for renal transplant and to determine the impact on (...) cardiac perfusion imaging.Methods: Data was collected retrospectively on patients wait-listed for a renal transplant, being either active and on hold. Demographic data, medications, serum concentrations of calcium, phosphate, parathyroid hormone, and cardiac perfusion imaging studies were collected from the electronic health record. Chi-square and Student’s t-tests were used to compare active and on-hold patients as appropriate. Logistic regression was used to examine variables associated with worsening cardiac imaging studies.Results: The wait-listed patients were of mean age 56 ± 14 years and had been on dialysis for 1329 ± 867 days. On-hold patients had received a significantly greater total dose of calcium and were more likely to have developed worsening cardiovascular imaging studies. Total doses of calcium and calcitriol were associated with worsening cardiovascular imaging studies.Conclusion: Patients on hold on the renal transplant waiting list received higher total doses of calcium. A higher total dose of calcium and calcitriol was also associated with worsening cardiovascular imaging. Time on dialysis before transplant has been associated with worse post-transplant outcomes, and it is possible that the total calcium and calcitriol dose received contributed to these inferior outcomes.Keywords: dialysis, calcium, cardiac, transplantation. (shrink)