The study of the effects of interactive media has mainly focused on dysregulated behaviors, the conceptualization of which is supported by the paradigms of addiction. Research into Game Transfer Phenomena examines the interplay between video game features, events while playing, and the manipulation of hardware, which can lead to sensory-perceptual and cognitive intrusions and self-agency transient changes related to video games. GTP can influence the interpretation of stimuli and everyday interactions and, in contrast to gaming disorder, are relatively (...) common and not necessarily negative. However, some players have reported feeling distress due to their GTP. This study focuses on how dispositional and interactive media habit factors are related to GTP and two forms of problematic interactive media [problematic video game playing and problematic social media use ]. A sample of 343 university students who played video games completed an online survey. Not all who had experienced GTP were identified as exhibiting PVG or PSMU, but all of those in the PVG group had experienced GTP. Overall, the profiles of the groups, including GTP, PVG, and PSMU, were in accordance with previous findings. Those in the GTP and the PVG groups were characterized by being male, being highly engaged in the game, and showed preferences for game-related activities. However, while those in the GTP group were significantly more likely to be fantasy-prone, those with PVG were the ones who played most per day. Those in the PSMU group were characterized by being female and/or extroverted, frequently using social/sharing platforms, and seldom playing video games. A hierarchical binary logistic regression revealed that males were more likely to experience GTP. Increases in PVG, fantasy proneness, and neuroticism increased the odds of GTP. Future work can benefit from considering the role of GTP in gaming disorder, since intrusive thoughts, cognitive biases, and poor impulse control are pivotal in the initiation and maintenance of dysfunctional playing behaviors. (shrink)

If validated, diet‐derived foreign microRNA absorption and function in consuming vertebrates would drastically alter our understanding of nutrition and ecology. RNA interference (RNAi) mechanisms of Caenorhabditis elegans are enhanced by uptake of environmental RNA and amplification and systemic distribution of RNAi effectors. Therapeutic exploitation of RNAi in treating human disease is difficult because these accessory processes are absent or diminished in most animals. A recent report challenged multiple paradigms, suggesting that ingested microRNAs (miRNAs) are transferred to blood, accumulate in (...) tissues, and exert canonical regulation of endogenous transcripts. Independent replication of these findings has been elusive, and multiple disconfirmatory findings have been published. In the face of mounting negative results, any additional positive reports must provide the proverbial “extraordinary proof” to support such claims. In this article, we review the evidence for and against a significant role for dietary miRNAs in influencing gene expression, and make recommendations for future studies.Also watch the Video Abstract. (shrink)

Thomas Kuhn had little to say about scientific change in biological science, and biologists are ambivalent about how applicable his framework is for their disciplines. We apply Kuhn’s account of paradigm change to evolutionary microbiology, where key Darwinian tenets are being challenged by two decades of findings from molecular phylogenetics. The chief culprit is lateral gene transfer, which undermines the role of vertical descent and the representation of evolutionary history as a tree of life. To assess Kuhn’s relevance to (...) this controversy, we add a social analysis of the scientists involved to the historical and philosophical debates. We conclude that while Kuhn’s account may capture aspects of the pattern of an episode of scientific change, he has little to say about how the process of generating new understandings is occurring in evolutionary microbiology. Once Kuhn’s application is limited to that of an initial investigative probe into how scientific problem-solving occurs, his disciplinary scope becomes broader. (shrink)

Maintaining and coordinating multiple task-sets is difficult and leads to costs, however task-switching training can reduce these deficits. A recent study in young adults demonstrated that this training effect occurs at an amodal processing level. Old age is associated with reduced cognitive plasticity and further increases the performance costs when mixing multiple tasks. Thus, cognitive aging might be a limiting factor for inducing cross-modal training effects in a task-switching environment. We trained participants, aged 62–83 years, with an auditory task-switching paradigm (...) over four sessions, to investigate whether training-related reductions in task-switching costs would also manifest in an untrained visual modality version of the task. Two control groups trained with single tasks or not trained allowed us to identify improvements specific to task-switching training. To make statistical evaluations of any age differences in training and cross-modal transfer, the data from the Kattner cohort were incorporated into the present analysis. Despite the tendency for older adults to respond more cautiously, task-switching training specifically led to a mixing cost reduction in both trained and untrained modalities, the magnitude of which was statistically similar regardless of age. In line with a growing body of research, we failed to observe any far transfer effects in measures of inhibition, working memory or fluid intelligence. Overall, we conclude that any apparent cognitive limitations associated with aging do not prevent cognitive control processes which support set-shifting from improving at an amodal level. (shrink)

Horizontal transfer (HT) is the transmission of genetic material between non‐mating species, a phenomenon thought to occur rarely in multicellular eukaryotes. However, many transposable elements (TEs) are not only capable of HT, but have frequently jumped between widely divergent species. Here we review and integrate reported cases of HT in retrotransposons of the BovB family, and DNA transposons, over a broad range of animals spanning all continents. Our conclusions challenge the paradigm that HT in vertebrates is restricted to infective (...) long terminal repeat (LTR) retrotransposons or retroviruses. This raises the possibility that other non‐LTR retrotransposons, such as L1 or CR1 elements, believed to be only vertically transmitted, can horizontally transfer between species. Growing evidence indicates that the process of HT is much more general across different TEs and species than previously believed, and that it likely shapes eukaryotic genomes and catalyses genome evolution. (shrink)

According to Novalis the "encyclopedization" of a field occurs when it is not just fitted into a larger architectonic of knowledge, but also reconfigures this whole. This paper begins with Hegel's encyclopedic ambitions and Schellin's parallel—if less systematic—project in his 1803/4 lectures on the method of academic study. It takes up Schelling's First Outline of a System of the Philosophy of Nature, so as to look at the encyclopedic effects of the life sciences on a philosophy that has inevitably become (...) interdisciplinary by trying to organize or at least interrelate all knowledge that matters in an “encyclopedia of the philosophical sciences”: an interdisciplinarity that makes Idealism a first version of "Theory." More specifically, it focuses on the concept of "evolution" in Schelling's First Outline: a word that did not have its current, Darwinian meaning, and that therefore allows us to think about more than one model of development, and more than one developmental paradigm for knowledge. In this text Schelling experiments with a model in which Nature evolves from the lower to the higher through a series of graduated stages, but he also explores a number of resistances to it. Given that the Stufenfolge provides the prototype for the evolutionary histories that both Schelling and Hegel project in other domains, I conclude by taking up the consequences of these resistances for one such area: namely aesthetics as discussed by Hegel. (shrink)

The training of teachers in conducting a Philosophical Discussion with children introduces them to a new paradigm of educational authority that modifies and improves their posture, both on the ethical and epistemic levels. This practice contributes to the joy of teaching and learning for three main reasons: it restores meaning to learning by cultivating a heuristic and collaborative relationship with knowledge; it forges a relational ethic that weaves more trusting relationships between teachers and students; it introduces teachers to professional gestures (...) that can be transferred to other pedagogical or educational situations that contribute to improving the school climate. (shrink)

In this paper, I argue that the German morphological tradition made a major contribution to twentieth-century study of form. Several scientists paved the way for this research: paleontologist Adolf Seilacher, entomologist Hermann Weber, and biologist Johann-Gerhard Helmcke together with architect Frei Otto. All of them sought to examine morphogenetic processes to illustrate their inherent structural properties, thus challenging the neo-Darwinian framework of evolutionary theory. I point out that the German theoretical challenge to adaptationist thinking was possible through an exchange and (...) transfer of practices, data, technologies, and knowledge between biologically oriented students of form and architects, designers, and engineers. This exchange of practices and knowledge was facilitated by the establishment of two collaborative research centers at the beginning of the 1970s. Hence, by showing the richness of topics, methods, and technologies discussed in German-speaking morphology between 1950 and the 1970s, this paper paves the way to a much broader comprehension of the shifts that have shaped twentieth-century evolutionary biology. (shrink)

Shanker & King (S&K) fail to provide substantive reasons for a paradigm shift in the study of communication because nonstandard and equivocal use of terminology obscures and undercuts their arguments.

Two key research issues in the field of causal learning are how people acquire causal knowledge when observing data that are presented sequentially, and the level of abstraction at which learning takes place. Does sequential causal learning solely involve the acquisition of specific cause-effect links, or do learners also acquire knowledge about abstract causal constraints? Recent empirical studies have revealed that experience with one set of causal cues can dramatically alter subsequent learning and performance with entirely different cues, suggesting that (...) learning involves abstract transfer, and such transfer effects involve sequential presentation of distinct sets of causal cues. It has been demonstrated that pre-training can modulate classic causal learning phenomena such as forward and backward blocking. To account for these effects, we propose a Bayesian theory of sequential causal learning. The theory assumes that humans are able to consider and use several alternative causal generative models, each instantiating a different causal integration rule. Model selection is used to decide which integration rule to use in a given learning environment in order to infer causal knowledge from sequential data. Detailed computer simulations demonstrate that humans rely on the abstract characteristics of outcome variables to select a causal integration rule, which in turn alters causal learning in a variety of blocking and overshadowing paradigms. When the nature of the outcome variable is ambiguous, humans select the model that yields the best fit with the recent environment, and then apply it to subsequent learning tasks. Based on sequential patterns of cue-outcome co-occurrence, the theory can account for a range of phenomena in sequential causal learning, including various blocking effects, primacy effects in some experimental conditions, and apparently abstract transfer of causal knowledge. (shrink)

The multiple activities of the RecA protein in DNA metabolism have inspired over a decade of research in dozens of laboratories around the world. This effort has nevertheless failed to yield an understanding of the mechanism of several RecA protein‐mediated processes, the DNA strand exchange reactions prominent among them. The major factors impeding progress are the invalid constraints placed upon the problem by attempting to understand RecA protein‐mediated DNA strand exchange within the context of an inappropriate biological paradigm – namely, (...) homologous genetic recombination as a mechanism for generating genetic diversity. In this essay I summarize genetic and biochemical data demonstrating that RecA protein evolved as the central component of a recombinational DNA repair system, with the generation of genetic diversity being a sometimes useful byproduct, and review the major in vitro activities of RecA protein from a repair perspective. While models proposed for both recombination and recombinational repair often make use of DNA strand cleavage and transfer steps that appear to be quite similar, the molecular and thermodynamic requirements of the two processes are very different. The recombinational repair function provides a much more logical and informative framework for thinking about the biochemical properties of RecA and the strand exchange reactions it facilitates. (shrink)

Secretory proteins and membranes move in transfer vesicles from the rough endoplasmic reticulum through the transitional region to the outer saccule of the Golgi complex. In both arthropod and vertebrate cells, the GC beads are a characteristic structural component of the transitional region. The beads are particles about half the size of ribosomes arranged equidistantly from one another and the smooth face of the ER. In an active GC, the beads are in rings through which the ER membrane emerges (...) to form transfer vesicles. The beads may be part of the energy‐dependent step required for the movement of proteins along the secretory pathway, since they lose their ring arrangement under conditions that lower cellular ATP. The beads are organizers for Golgi complexes in the sense that they are the first recognizable components of new GCs as they arise from ER. Arthropod GC beads, but not those of vertebrates, can be visualized through their reaction with bismuth in vivo and in fixed tissue. Useful paradigms for traffic between the ER and the GC need to combine structural and biochemical information. Insect fat body, with its readily resolvable bismuth‐stained beads and easily fractionated cell components may have particular value for this problem. (shrink)

The digital transfer of the mind to a computer system requires representing the mind as a finite sequence of bits. The classic “stored-program computer” paradigm, in turn, implies the equivalence between program and data, so that the sequence of bits themselves can be interpreted as a program, which will be algorithmically executed in the receiving device. Now, according to a previous proof, on which this paper is based, a computational or algorithmic machine, however complex, cannot be free. Consequently, a (...) finite sequence of bits cannot adequately represent a free mind and, therefore, a free mind cannot be digitally transferred, quod erat demonstrandum. The impossibility of making this transfer, as demonstrated here, should be a concern especially for those who wish to achieve it. Since we intend this to be a rigorous demonstration, we must give precise definitions and conditions of validity. The most important part of the paper is devoted to explaining the meaning and reasonableness of these definitions and conditions. Special attention is paid, also, to the philosophical implications of the demonstration. Finally, this thesis is distinguished from other closely related issues. (shrink)

I propose an approach that expands philosophical views of scientific change, on the basis of an analysis of contemporary biomedical research and recent developments in the philosophy of scientific change. Focusing on the establishment of the exposome in epidemiology as a case study and the role of data as a context for contrasting views on change, I discuss change at conceptual, methodological, material, and social levels of biomedical epistemology. Available models of change provide key resources to discuss this type of (...) change, but I present the need for an approach that models transfer, alignment, and influence as key processes of change. I develop this as a pragmatic approach to scientific change, where processes might change substantially depending on specific circumstances, thus contributing to and complementing the debate on a crucial epistemological issue. (shrink)

Introduction: Falls are the leading cause of fatal and nonfatal injuries among older adults. Studies showed that older adults can reduce the risk of falls after participation in an unexpected perturbation-based balance training, a relatively novel approach that challenged reactive balance control. This study aims to investigate the effect of the practice schedule on reactive balance function and its transfer to proactive balance function. Our primary hypothesis is that improvements in reactive balance control following block PBBT will be not (...) inferior to the improvements following random PBBT.Methods and Analysis: This is a double-blind randomized controlled trial. Fifty community-dwelling older adults will be recruited and randomly allocated to a random PBBT group or a block PBBT group. The random PBBT group will receive eight training sessions over 4 weeks that include unexpected machine-induced perturbations of balance during hands-free treadmill walking. The block PBBT group will be trained by the same perturbation treadmill system, but only one direction will be trained in each training session, and the direction of the external perturbations will be announced. Both PBBT groups will receive a similar perturbation intensity during training, the same training period, and the same concurrent cognitive tasks during training. The generalization and transfer of learning effects will be measured by assessing the reactive and proactive balance control during standing and walking before and after 1 month of PBBT, for example, step and multiple steps and fall thresholds, Berg balance test, and fear of falls. The dependent variable will be rank transformed prior to conducting the analysis of covariance to allow for nonparametric analysis.Discussion: This research will explore which of the balance retraining paradigms is more effective to improve reactive balance and proactive balance control in older adults over 1 month. The research will address key issues concerning balance retraining: older adults’ neuromotor capacities to optimize training responses and their applicability to real-life challenges.Clinical Trial Registration: Helsinki research ethics approval has been received. (shrink)

In light of scientific advances such as genomics, predictive diagnostics, genetically engineered agriculture, nuclear transfer cloning, and the manipulation of stem cells, the idea that genes carry predetermined molecular programs or blueprints is pervasive. Yet new scientific discoveries—such as rna transcripts of single genes that can lead to the production of different compounds from the same pieces of dna—challenge the concept of the gene alone as the dominant factor in biological development. Increasingly aware of the tension between certain empirical (...) results and interpretations of those results based on the orthodox view of genetic determinism, a growing number of scientists urge a rethinking of what a gene is and how it works. In this collection, a group of internationally renowned scientists present some prominent alternative approaches to understanding the role of dna in the construction and function of biological organisms. Contributors discuss alternatives to the programmatic view of dna, including the developmental systems approach, methodical culturalism, the molecular process concept of the gene, the hermeneutic theory of description, and process structuralist biology. None of the approaches cast doubt on the notion that dna is tremendously important to biological life on earth; rather, contributors examine different ideas of how dna should be represented, evaluated, and explained. Just as ideas about genetic codes have reached far beyond the realm of science, the reconceptualizations of genetic theory in this volume have broad implications for ethics, philosophy, and the social sciences. Contributors. Thomas Bürglin, Brian C. Goodwin, James Griesemer, Paul Griffiths, Jesper Hoffmeyer, Evelyn Fox Keller, Gerd B. Müller, Eva M. Neumann-Held, Stuart A. Newman, Susan Oyama, Christoph Rehmann-Sutter, Sahotra Sarkar, Jackie Leach Scully, Gerry Webster, Ulrich Wolf. (shrink)

DNA methylation constitutes one of the pillars of epigenetics, relying on covalent bonds for addition and/or removal of chemically distinct marks within the major groove of the double helix. DNA methyltransferases, enzymes which introduce methyl marks, initially evolved in prokaryotes as components of restriction‐modification systems protecting host genomes from bacteriophages and other invading foreign DNA. In early eukaryotic evolution, DNA methyltransferases were horizontally transferred from bacteria into eukaryotes several times and independently co‐opted into epigenetic regulatory systems, primarily via establishing connections (...) with the chromatin environment. While C5‐methylcytosine is the cornerstone of plant and animal epigenetics and has been investigated in much detail, the epigenetic role of other methylated bases is less clear. The recent addition of N4‐methylcytosine of bacterial origin as a metazoan DNA modification highlights the prerequisites for foreign gene co‐option into the host regulatory networks, and challenges the existing paradigms concerning the origin and evolution of eukaryotic regulatory systems. (shrink)

The theoretical and philosophical assumptions underlying our psychological practices greatly affect the ways that clinicians in the mental health field go about their work and to some extent how successful at it they are. This paper attempts to illustrate this by describing how a careful and systematic look at the underlying philosophical presuppositions surrounding the concept of transference yielded clear clinical benefits to my own practice of psychotherapy. More specifically, by contrasting the philosophical paradigm implied in the classical definitions of (...) transference with that of an alternative, phenomenologically-based model my understandings of the clinical phenomena in question were allowed to develop in new ways--ones which feel truer to the actual experiences in question and ultimately more helpful. 2012 APA, all rights reserved). (shrink)

Reasoning about underlying causal relations drives responsibility judgments: agents are held responsible for the outcomes they cause through their behaviors. Two main causal reasoning approaches exist: dependence theories emphasize statistical relations between causes and effects, while transference theories emphasize mechanical transmission of energy. Recently, pluralistic or hybrid models, combining both approaches, have emerged as promising psychological frameworks. In this paper, we focus on causal reasoning as involved in third-party judgements of responsibility and on related judgments of intention and control. In (...) particular, we used a novel visual paradigm to investigate the combined effects of two well-known causal manipulations, namely omission and pre-emption, on these evaluations. Our findings support the view that people apply a pluralistic causal reasoning when evaluating individual responsibility for negative outcomes. In particular, we observed diminished responsibility when dependence, transference, or both fail, compared to when these mechanisms are upheld. Responsibility judgement involves a cognitive hybrid of multiple aspects of causal reasoning. However, important differences exist at the interindividual level, with most people weighting transference more than dependence. (shrink)

Sensory substitution devices (SSDs) are most familiar from their use with subjects who are deficient in a target modality (e.g. congenitally blind subjects), but there is no doubt that the use and potential value of SSDs extend to persons without such deficits. Recent work by Amedi and his team (in particular Levy-Tzedek et al. 2012) has begun to explore this. Their idea is that SSDs may facilitate behavioural transference (BT) across sense modalities. In this case, a motor skill learned through (...) visual perception might be subsequently employed in response to auditory perception, using an SSD as a mediator. They infer from the existence of such BT that the learned skill is amodally represented. After a brief overview I identify ways to more fully test for BT within this experimental paradigm and argue that their conclusion about amodal representation is premature. Additionally, I argue that their preferred SSD (Eyemusic) is of limited value for the project. While my remarks are critical, my intention is to be constructive, particularly in light of the fact that Levy-Tzedek et al. (2012), is, I believe, the first output from Amedi's lab concerning this line of research. (shrink)

Despite the burgeoning research in recent years on what is called analogical reasoning and transfer, the problem of how similarity or invariant relations are fundamentally accessed is typically either unrecognized, or ignored in componential and computational analyses. The access problematic is not a new one, being outlined by the paradox found in Plato’s Meno. In order to understand the analogical-access problematic, it is suggested that the concepts of analogical relations including the lexical concept metaphor, isomorphic relation in mathematics, homology (...) in biology, stimulus generalization in psychology, transfer of learning in education, and transposition phenomena in perception, be reconceptualized as subsets of a higher-order domain as all share the problem of how invariance relations are generated and accessed. A solution is suggested based on two specific evolutionary and neurological models, coupled with findings regarding the cognitive importance of knowledge-base. The paper constitutes a reciprocal complementarity analysis of a previous paper on metaphor. A higher-order form of analogical reasoning called analogical progression is introduced. Implications for research are discussed that indicate the need for a paradigm shift. The paper concludes with a four-stage model of analogical access. (shrink)

The Physician Orders for Life-Sustaining Treatment Paradigm is designed to improve end-of-life care by converting patients' treatment preferences into medical orders that are transferable throughout the health care system. It was initially developed in Oregon, but is now implemented in multiple states with many others considering its use. An observational study was conducted in order to identify potential legal barriers to the implementation of a POLST Paradigm. Information was obtained from experts at state emergency medical services and long-term care organizations/agencies (...) in combination with a review of relevant state law. (shrink)

The Physician Orders for Life-Sustaining Treatment Paradigm is designed to improve end-of-life care by converting patients’ treatment preferences into medical orders that are transferable throughout the health care system. It was initially developed in Oregon, but is now implemented in multiple states with many others considering its use. Accordingly, an observational study was conducted in order to identify potential legal barriers to the implementation of a POLST Paradigm. Information was obtained from experts at state emergency medical services and long-term care (...) organizations/agencies in combination with a review of relevant state law. Legal analysis of survey responses and existing laws identified several potential state legal barriers to a POLST Paradigm implementation. The most potentially problematic barriers are detailed statutory specifications for out-of-hospital DNR protocols. Other potential barriers include limitations on the authority to consent to forgo life-sustaining treatments, medical preconditions, and witnessing requirements for out-of-hospital DNR protocols. (shrink)

Les approches pour lutter contre le fléau des maladies chroniques qui augmentent dans le monde entier se révèlent infructueuses et très coûteuses. Il est maintenant possible de corriger les chiffres alarmants et d’envisager une prévention efficace en adoptant le nouveau paradigme des Origines du Développement de la Santé et des Maladies (DOHaD), à condition d’intervenir très tôt en agissant sur le risque et non lorsque la maladie est déjà apparue. Ce concept est largement reconnu grâce à des études épidémiologiques et (...) des études animales. Les influences des facteurs environnementaux – nutrition, stress, psycho-affectifs, toxiques, bactériens et physiques – sur les processus épigénétiques représentent une révolution. En effet, les DMR modifications épigénétiques conservent la mémoire des impacts de facteurs environnementaux auxquels un individu est soumis tout au long de sa vie. Une période cruciale est le développement précoce, pré et postnatal, les 1000 jours ; cruciale parce que l’épigénome est particulièrement sensible aux effets de l’environnement, et aussi parce que l’individu construit son capital santé pour répondre plus ou moins bien aux aléas de la vie. En outre, l’existence de mécanismes non génétiques et non culturels capables de transférer la mémoire des expériences/expositions à des facteurs environnementaux parentaux et qui conditionnent la réactivité des générations suivantes à différents environnements au cours de leur vie suscite un intérêt grandissant. L’idée selon laquelle des marques épigénétiques non effacées lors des phases de reprogrammation est actuellement très en vogue, voire considérée à tort comme acquise malgré la rareté des exemples probants. Cependant, des questions fondamentales subsistent quant à la nature, aux rôles et à l’impact des marques et des mécanismes épigénétiques, des ARN non codants ou d’autres mécanismes et à leur persistance au cours des générations. Un modèle intégrant ces différents systèmes, leurs interactions avec l’environnement et les fenêtres de développement de la sensibilité selon le sexe du parent et de l’enfant reste à construire. Sur la base de la malléabilité des mécanismes épigénétiques sous-jacents, la réversibilité des marques environnementales ouvre de nouvelles perspectives. Cependant, comment les facteurs conférant une susceptibilité accrue ou une résilience vis-à-vis du développement des maladies agissent et influencent les mécanismes épigénétiques reste à élucider. Si la mémoire des expériences/expositions à des facteurs environnementaux est effectivement transmissible, le principal défi pour l’individu, et surtout pour les pouvoirs publics, est d’être en mesure d’éviter ceux qui posent des risques pour la descendance. Ces données peuvent déplacer le curseur des responsabilités en matière de soins de santé, de la sphère privée à la sphère socio-géographico-politique. (shrink)

Both the concept of a Darwinian tree of life (TOL) and the possibility of its accurate reconstruction have been much criticized. Criticisms mostly revolve around the extensive occurrence of lateral gene transfer (LGT), instances of uptake of complete organisms to become organelles (with the associated subsequent gene transfer to the nucleus), as well as the implications of more subtle aspects of the biological species concept. Here we argue that none of these criticisms are sufficient to abandon the valuable (...) TOL concept and the biological realities it captures. Especially important is the need to conceptually distinguish between organismal trees and gene trees, which necessitates incorporating insights into widely occurring LGT into modern evolutionary theory. We demonstrate that all criticisms, while based on important new findings, do not invalidate the TOL. After considering the implications of these new insights, we find that the contours of evolution are best represented by a TOL. (shrink)

Physician-patient communication is not optimal. It suffers from an imbalance of information and power, misunderstandings and incomplete information transferred between the parties, and time constraints. Time constraints are due to patient volume, physician responsibilities, and explicit or implicit time restrictions imposed by patient insurers or physician employers. Communication is also complicated by a hesitancy to ask questions or give specific information, delays in accessing parties to transfer important information (usually, it is difficult to contact or recontact the physician), and (...) poor communication skills. These difficulties do not universally exist among patients and clinicians—but are common enough to be discussed regularly in medical journals and in the popular media. Some of these problems are more frequently encountered in certain patient or physician subsets (e.g., certain medical specialties, practice locations, patient age groups, and cultural groups). (shrink)

This is the first book-length project to examine the relationship between blackness, queerness, and hip hop. Using aesthetics as its organizing lens, Hip Hop Heresies attends to the ways that hip hop cultural production in New York City from the 1970s through the first fifteen years of the 21st century produced hip hop cultural products (film, visual art, and music) that offer "queer articulations" of race, gender, and sexuality that are contrary to hegemonic ideas and representations of those categories in (...) hip hop production, as well as in writing about hip hop culture. (shrink)