A psychiatrist who has received international recognition for her research on the neural basis of primate social cognition, Leslie Brothers, M.D., offers here a major argument about the social dimension of the human brain, drawing on both her own work and a wealth of information from research laboratories, neurosurgical clinics, and psychiatric wards. Brothers offers the tale of Robinson Crusoe as a metaphor for neuroscience's classic notion of the brain: a starkly isolated figure, working, praying, writing alone. But the famous (...) castaway of literature, she notes, came from society and returned to society. So too with our brains: they have evolved a specialized capacity for exchanging signals with other brains--they are designed to be social. This can be seen in the brain's sensitive attunement to the meanings of facial expressions and physical gestures and the way it assigns mental lives to physical bodies--a feat we too often take for granted. Brothers describes fascinating case studies that show that certain kinds of brain damage can destroy a patient's ability to interpret faces, leaving him or her with the sense that they are surrounded by zombies. She takes us down to the level of the individual neuron, exploring the response of brain cells to social events. Perhaps most important, she connects neuroscience, psychiatry, and sociology as never before, showing how our daily interaction creates an organized social world--a network of brains that generates meaningful behavior and thought. Our emotions and our sense of self have no existence outside of a social context. Brothers conducts her argument with grace and style. By broadening our approach to the brain, this groundbreaking book makes an important contribution to our understanding of the human mind. (shrink)

Current debates surrounding liberalism and communitarianism, modernity and postmodernity, ethical theory and narrative ethics fail to account for shifting foundations of personal identity in an increasingly computer‐mediated era of human communication. This paper aims to examine some of the conceptual assumptions about identity and community which are being radically undermined by rapidly evolving information networks and are therefore in need of redefinition. Additionally, I argue for an expansion of the literary imagination to include virtual, coauthored fiction sites where exploration of (...) personal identity will bear upon future ethical and political decision‐making. (shrink)

This article provides practical guidance for researchers who wish to enroll and collect data from pediatric research participants through online and mobile platforms, with a focus on the involvement of both children and their parents in the decision to participate.

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Provider claims to conscientious objection have generated a great deal of heated debate in recent years. However, the conflicts that arise when providers make claims to the "conscience" are only a subset of the more fundamental challenges that arise in health care practice when patients and providers come into conflict. In this piece, the author provides an account of patient-provider conflict from within the moral tradition of St. Thomas Aquinas. He argues that the practice of health care providers should be (...) understood as a form of practical reasoning and that this practical reasoning must necessarily incorporate both "moral" and "professional" commitments. In order to understand how the practical reasoning of provider should account for the needs and commitments of the patient and vice versa, he explores the account of dependence provided by Alasdair MacIntyre in his book Dependent Rational Animals. MacIntyre argues that St. Thomas’ account of practical reasoning should be extended and adapted to account for the embodied vulnerability of all humans. In light of this insight, providers must view patients not only as the subjects of their moral reflection but also as fellow humans upon whom the provider depends for feedback on the effectiveness and relevance of her practical reasoning. The author argues that this account precludes responsive providers from adopting either moral or professional conclusions on the appropriateness of interventions outside the individual circumstances that arise in particular situations. The adoption of this orientation toward patients will neither eradicate provider-patient conflict nor compel providers to perform interventions to which they object. But this account does require that providers attend meaningfully to the suffering of patients and seek feedback on whether their intervention has effectively addressed that suffering. (shrink)

In response to the attractive moral and politicalmodel of cosmopolitanism, this paper offers anoverview of some of the conceptual limitations to thatmodel arising from computer-mediated, interest-basedsocial interaction. I discuss James Bohman''sdefinition of the global and cosmopolitan spheres andhow computer-mediated communication might impact thedevelopment of those spheres. Additionally, I questionthe commitment to purely rational models of socialcooperation when theorizing a computer-mediated globalpublic sphere, exploring recent alternatives. Andfinally, I discuss a few of the political andepistemic constraints on participation in thecomputer-mediated public sphere (...) that threaten thecosmopolitan ideal.``Nature should be thanked for fostering socialincompatibility, enviously competitive vanity, andinsatiable desires for possessions and even power.Without these desires, all man''s excellent naturalcapacities would never be roused to develop.'''' Theultimate destiny for mankind, according to Kant whowrote these words in 1784, is to achieve through theuse of reason a `cosmopolitan existence'' or ``thematrix within which all the original capacities of thehuman race may develop.'''' Ironically, however, as Habermas andothers have realized, Kant''s carefully developedvision for `perpetual peace'' among nations and `worldcitizenship'' is now murky even as the electronicallymediated infrastructure of that matrix is rapidlydeveloping. Globalization as a process has intensifiedto the point where a new social, political, andeconomic condition has taken hold in the global arena.Recently this condition has been termed ``globality'''' –a term denoting a networked world characterized byspeed, mobility, risk, insecurity, andflexibility. And a debate is forming around thequestion of whether we are still in late modernity andexperiencing the culmination of modernity''s inherentlyglobalizing tendency or instead we have entered thenetworked age, in which the tension between collectiveand transformative identities and the networking logicof dominant institutions and organizations heralds theend of civil society. Inthis paper assume the latter but wish to explorefurther the political and epistemic constraints onparticipation in the computer-mediated public sphere.These constraints seem certain to impact the viabilityof a cosmopolitan public sphere. In the first sectionI shall discuss James Bohman''s definition of theglobal and cosmopolitan spheres and howcomputer-mediated communication (hereafter CMC) mightimpact the development of those spheres. In the secondsection, I question the commitment to purely rationalmodels of social cooperation when theorizing a globalpublic sphere. I explore recently proposed alternativeways of thinking about this issue in section three.And finally, I discuss a few of the political andepistemic constraints on participation in thecomputer-mediated public sphere that threaten thecosmopolitan ideal. (shrink)

In the twentieth century the question of the relationship of Terence's Heautontimorumenos to its Greek original has been largely neglected or else dismissed on the grounds that it presents no major problem. It is true that, because of the new light which the discovery of the Cairo codex of Menander shed on the nature and role of the chorus in Greek new comedy, there was a flurry of activity concerning the difficult passage 167 ff.; but the far more fundamental problem (...) of contaminatio in general and of the meaning and interpretation of lines 4 to 6 of the play's prologue has attracted comparatively little attention. H. Marti produced a two-part survey of work done on Terence in the years 1909 to 1959; in it he says that in the period under review the question of contaminatio in Heauton–in the sense of the fusion of two originals –has been totally abandoned, with the exception of one article by F. Skutsch in which he holds to his earlier views on the subject. Marti also refers to Kohler's earlier work on the same problem, and to the discussion to be found in Kuiper's more comprehensive work on Roman comedy, but that is all. (shrink)

THE closing lines of Act I, Scene n of Terence's Eunuchus pose certain difficulties; in particular it is far from clear when Phaedria and Parmeno leave the stage-if indeed they do so at all. Taking this small difficulty as a starting-point, I wish to examine the text of Eunuchus at this place in order to see what information can be gained about the structure of the play and about any alterations Terence may have made in adapting his Greek original. In (...) this I shall mainly be confining myself to Terence's adaptation of Menander's Eunuchus at this one point, and shall not re-examine the welltrodden ground concerning the introduction of the parasite and the boastful Captain from Menander's Colax. (shrink)

Since trauma is a thoroughly relational phenomenon, it is highly unpredictable, and cannot be made to fit within the scientific framework Freud so admired. In _Toward a Psychology of Uncertainty: Trauma-Centered Psychoanalysis,_ Doris Brothers urges a return to a trauma-centered psychoanalysis. Making use of relational systems theory, she shows that experiences of uncertainty are continually transformed by the regulatory processes of everyday life such as feeling, knowing, forming categories, making decisions, using language, creating narratives, sensing time, remembering, forgetting, and fantasizing. (...) Insofar as trauma destroys the certainties that organize psychological life, it plunges our relational systems into chaos and sets the stage for the emergence of rigid, life-constricting relational patterns. These trauma-generated patterns, which often involve denial of sameness and difference, the creation of complexity-reducing dualities, and the transformation of certainty into certitude, figure prominently in virtually all of the complaints for which patients seek analytic treatment. Analysts, she claims, are no more strangers to trauma than are their patients. Using in-depth clinical illustrations, Dr. Brothers demonstrates how a mutual desire to heal and to be healed from trauma draws patients and analysts into their analytic relationships. She recommends the reconceptualization of what has heretofore been considered transference and countertransference in terms of the transformation of experienced uncertainty. In her view the increased ability of both analytic partners to live with uncertainty is the mark of a successful treatment. Dr. Brothers’ perspective sheds fresh light on a variety of topics of great general interest to analysts as well as many of their patients, such as gender, the acceptance of death, faith, cult-like training programs, and burnout. Her discussions of these topics are enlivened by references to contemporary cinema and theatre. (shrink)

There is a growing consensus that results generated through multiplex genetic tests, even those produced as a part of research, should be reported to providers and patients when they are considered “actionable,” that is, when they could be used to inform some potentially beneficial clinical action. However, there remains controversy over the precise criterion that should be used in identifying when a result meets this standard. In this paper, we seek to refine the concept of “actionability” by exploring one proposed (...) use for genetic test results. We argue that genetic test results indicating that a patient is at risk for developing a chronic health condition should not be considered actionable if the only potential value of that result is to motivate patients to make changes in their health behaviors. Since the empirical research currently available on this question is equivocal, we explore relevant psychological theories of human motivation to demonstrate that current theory does not support the assumption that information about genetic risk will be motivating to most patients in their attempts to make changes in health behaviors. (shrink)

The COVID-19 pandemic has resulted in widespread disruption of the typical way of doing things. In nearly every industry, responses to the pandemic have brought about departures from standard opera...

Logical problems inherent in claims that biological neuroscience can ultimately explain mind are not anomalous: They result from underlying social interests. Neuroscientists are currently making a successful bid to fill a vacuum of authority created by the demise of Freudian theory in popular culture. The conflations described in the Gold & Stoljar target article are the result of alliances between certain apologist-philosophers, neuroscientists, and institutions, for the purpose of commanding authority and resources. Social analysis has a role to play in (...) addressing logical issues in the philosophy of neuroscience. (shrink)

In this issue of the American Journal of Bioethics, Kraft and colleagues (2018) provide important insights into the role trust plays in donor's decisions to contribute data and samples to local bio...