Despite technological innovations, clinical expertise remains the cornerstone of psychiatry. A clinical expert does not only have general textbook knowledge, but is sensitive to what is demanded for the individual patient in a particular situation. A method that can do justice to the subjective and situation-specific nature of clinical expertise is ethnography. Effective deep brain stimulation for obsessive-compulsive disorder involves an interpretive, evaluative process of optimizing stimulation parameters, which makes it an interesting case to study clinical expertise. The aim of (...) this study is to explore the role of clinical expertise through an ethnography of the particular case of DBS optimization in OCD. In line with the topic of the special issue this article is a part of, we will also use our findings to reflect on ethnography as a method to study complex phenomena like clinical expertise. This ethnography of DBS optimization is based on 18 months of participant observation and nine in-depth interviews with a team of expert clinicians who have been treating over 80 OCD patients since 2005. By repeatedly observing particular situations for an extended period of time, we found that there are recurrent patterns in the ways clinicians interact with patients. These patterns of clinical practice shape the possibilities clinicians have for making sense of DBS-induced changes in patients’ lived experience and behavior. Collective established patterns of clinical practice are dynamic and change under the influence of individual learning experiences in particular situations, opening up new possibilities and challenges. We conclude that patterns of clinical practice and particular situations are mutually constitutive. Ethnography is ideally suited to bring this relation into view thanks to its broad temporal scope and focus on the life-world. Based on our findings, we argue that clinical expertise not only implies skillful engagement with a concrete situation but also with the patterns of clinical practice that shape what is possible in this specific situation. Given this constraining and enabling role of practices, it is important to investigate them in order to find ways to improve diagnostic and therapeutic possibilities. (shrink)

Do Heidegger-teabags give philosophy a bad name? An essay about philosophy for the general publicAmong many academic philosophers, philosophy for the general public has a bad reputation. In this paper I give an overview of the main points of criticism, and use these to develop a positive account of what good philosophy for the general public could be. As a first step towards such an account, I outline different views on how philosophy for the general public can relate to academic (...) philosophy. Subsequently, I argue that what makes philosophy for the general public ‘good’, is just what makes philosophical work in general ‘good’: good philosophical work has a philosophical aim, employs philosophical methods and employs these methods in a sound way. Finally I argue that communicability of philosophical ideas should not be seen as a bonus feature but as the sine qua non of philosophical thinking: if academic philosophy paid more attention to communicability, we might not even need a distinct discipline of philosophy for the general public. I conclude with some concrete suggestions for improving such communicability. (shrink)

The Gesta Normannorum Ducum is one of the most important sources for the history of Normandy and England in the eleventh and twelfth centuries, and contains the earliest prose account of the Norman Conquest. It was written by a succession of authors, the first of whom was William of Jumieges, who wrote for William the Conqueror. Later historians, such as Orderic Vitalis and Robert of Torigni, interpolated and extended the chronicle as far as King Henry I. The later accretions reveal (...) much not only about changing attitudes towards the Norman invasion of England, but also about views of the early Viking foundations of Normandy.Elisabeth van Houts's two-volume edition is based on a study of all forty-seven extant manuscripts of the Gesta, including the earliest surviving copy of c. 1100, unknown until very recently. The full original text of William of Jumieges is supplied, as well as the integral text of the subsequent revisions and additions. Volume I contains Dr van Houts's introduction to the whole work, together with the text and translation of books i-iv. Volume II contains books v-viii. The edition forms an important contribution to our understanding of Anglo-Norman politics. (shrink)

We can understand and act upon the beliefs of other people, even when these conflict with our own beliefs. Children’s development of this ability, known as Theory of Mind, typically happens around age 4. Research using a looking-time paradigm, however, established that toddlers at the age of 15 months old pass a non-verbal false-belief task (Onishi and Baillargeon in Science 308:255–258, 2005). This is well before the age at which children pass any of the verbal false-belief tasks. In this study (...) we present a more complex case of false-belief reasoning with older children. We tested second-order reasoning, probing children’s ability to handle the belief of one person about the belief of another person. We find just the opposite: 7-year-olds pass a verbal false-belief reasoning task, but fail on an equally complex low-verbal task. This finding suggests that language supports explicit reasoning about beliefs, perhaps by facilitating the cognitive system to keep track of beliefs attributed by people to other people. (shrink)

The human body is central to myriad metaphors, so studying the conceptualisation of the body itself is critical if we are to understand its broader use. One essential but understudied issue is whether languages differ in which body parts they single out for naming. This paper takes a multi-method approach to investigate body part nomenclature within a single language family. Using both a naming task and colouring-in task to collect data from six Japonic languages, we found that lexical similarity for (...) body part terminology was notably differentiated within Japonic, and similar variation was evident in semantics too. Novel application of cluster analysis on naming data revealed a relatively flat hierarchical structure for parts of the face, whereas parts of the body were organised with deeper hierarchical structure. The colouring data revealed that bounded parts show more stability across languages than unbounded parts. Overall, the data reveal there is not a single universal conceptualisation of the body as is often assumed, and that in-depth, multi-method explorations of under-studied languages are urgently required. (shrink)

This article aims to further test the cognitive claims of the so-called subjectivity account of causal events and their linguistic markers, causal connectives. We took Mandarin Chinese, a language that is typologically completely different from the usual western languages, as a case to provide evidence for this subjectivity account. Complementary to the commonly used corpora analyses, we employed crowdsourcing to tap native speakers’ intuitions about causal coherence, focusing on four result connectives kějiàn ‘therefore’, suǒyǐ ‘so’, yīncǐ ‘so/for this reason’ and (...) yúshì ‘thereupon/as a result’. The analysis shows systematic differences regarding the use of connectives in relations that differ in terms of subjectivity, demonstrating that native speakers make use of subjectivity to encode and decode different types of causal relations in discourse. Moreover, our study evidences that a comprehensive model of subjectivity should include the epistemic dimension of certainty about the subjectivity scale that might be indicated by other linguistic elements. In-depth analyses of the test items revealed that the presence/absence of modality words in the result segments are related to different preferential patterns for the connectives. There is a trade-off between the epistemic dimension of certainty and the expression of subjectivity in the four connectives involved. (shrink)

Students in different living situations are the central issue of this study. Large groups of first‐year students not only transfer to a new educational system, but also start to live independently in rooms. The questions we answer, in this paper, are whether the students' living situations affect the integration process and how it is related to study progress. A total 782 first‐year full‐time students responded to questionnaires. A remarkable conclusion was that a positive effect of living independently on integration was (...) not found. The students living in rooms experienced more personal problems than students who stayed at home. Students living in rooms spent several hours less on their studies, which negatively affected study progress. (shrink)

In this study, we investigated the influence of individual learners’ motivation on the collaborative discovery learning process. In this we distinguished the motivation of the individual learners and had eye for the composition of groups, which could be homogeneous or heterogeneous in terms of motivation. The study involved 73 dyads of 10th‐grade learners. Learners worked in dyads on separate screens in a shared discovery learning environment. They communicated using a chat box. A self‐report questionnaire was used to measure the motivational (...) beliefs of learners. We used on‐line measures to measure communicative and discovery activities of the learners. Task value seems to be an important motivational construct with regard to the composition of dyads. The results show that the performance of a dyad existing of a highly and a lowly motivated learner can be influenced positively by the highly motivated peer. (shrink)

Lexical diversity, the amount of lexical variation shown by a particular concept, varies between concepts. For the concept drunk, for instance, nearly 3000 English expressions exist, including blitzed, intoxicated, and hammered. For the concept sober, however, a significantly smaller number of lexical items is available, like sober or abstinent. While earlier variation studies have revealed that meaning-related concept characteristics correlate with the amount of lexical variation, these studies were limited in scope, being restricted to one semantic field and to one (...) dialect area, that of the Limburgish dialects of Dutch. In this paper, we investigate whether the impact of concept characteristics, viz. vagueness, lack of salience and proneness to affect, is manifest in a similar way in other dialects and other semantic fields. In particular, by extending the scope of the earlier studies to other carefully selected semantic fields, we investigate the generalizability of the impact of concept characteristics to the lexicon as a whole. The quantitative approach that we employ to measure concept characteristics and lexical diversity methodologically advances the study of linguistic variation. Theoretically, this paper contributes to the further development of Cognitive Sociolinguistics by showcasing how meaning can be a source of lexical diversity. (shrink)

The Gesta Normannorum Ducum is one of the most important sources for the history of Normandy and England in the eleventh and twelfth centuries, and contains the earliest prose account of the Norman Conquest. It was written by a succession of authors, the first of whom was William of Jumièges, who wrote for William the Conqueror. Later writers, such as Orderic Vitalis and Robert of Torigni, interpolated and extended the chronicle as far as King Henry I. The later accretions reveal (...) much not only about changing attitudes towards the Norman invasion of England, but also about views of the early Viking foundation of Normandy. Elisabeth van Houts's two-volume edition is based on a study of all forty-seven extant manuscripts of the Gesta, including the earliest surviving copy of c. 1100, hitherto unknown. The full original text of William of Jumièges is supplied, as well as the integral text of the subsequent revisions and additions. Volume I contains Dr van Houts's introduction to the whole work, together with the text and translation of books i-iv. Books v-viii will appear in Volume II. The edition forms an important contribution to our understanding of Anglo-Norman politics. (shrink)

This study investigates what professional caregivers working in nursing homes consider to be a good life for residents suffering from dementia. Ten caregivers were interviewed; special attention was paid to the way in which they deal with conflicting values. Transcripts of the interviews were analysed qualitatively according to the method of grounded theory. The results were compared with those from a similar, earlier study on ideals found in mission statements of nursing homes. The concepts that were mentioned by most interviewed (...) participants as important for a good life were ‘peace and quiet’, ‘going along with subjective experience’ and ‘no enforcement: the way the resident wants it’. A considerable overlap was found between the interviews and the mission statements; however, when compared with the mission statements, the interviews put less emphasis on individuality and on giving meaning, and more on offering residents pleasant activities. When faced with conflicting values, caregivers tend to make pragmatic and more or less intuitive decisions. Although this has its merits, it may be desirable to stimulate conscious reflection regarding conflict between different values. (shrink)

This paper discusses the characteristic properties of List PR systems and FPTP systems, as given in Hout 2005 and Hout et al. 2006. While many of the properties we consider are common to both systems, it turns out that the British system distinguishes itself by satisfying the district cancel lation property, while the Dutch system distinguishes itself by satisfying consistency and anonymity. For scoring rules, topsonlyness is equivalent to being party fragmentation-proof. One might present this as an argument (...) in favour of requiring topsonlyness. However, we will also give counter-arguments against insisting upon the property of being party fragmentation-proof. (shrink)

In this paper I critically reflect on the sustainability potential of biomimetic technologies by focusing on writings of the German philosopher Peter Sloterdijk. Although I agree with Sloterdijk that biomimetic technologies - or, as he calls them, 'homeotechnologies' - offer specific opportunities for a more peaceful co-existence of humans and nature, I will argue that his reflections are based on a series of problematic assumptions. I will conclude by arguing that the 'homeotechnological turn' can be effected only if it is (...) developed within the context of a different ecological ethos from the technocentric ethos that currently dominates our attitude towards nature. (shrink)

This article traces the development of European ideas of peace and unity from the time of Desiderius Erasmus to Immanuel Kant. The argument will be made that these ideas, which were initially strongly determined by Christian religious thinking, gradually changed, and from the seventeenth century onwards were put forward in more political and legal terms. Erasmus's way of reasoning about peace and war was still strongly influenced by his firm orientation on the New Testament and the teachings of Jesus Christ. (...) Emeric Crucé, a French writer, was of the opinion that all human beings in the end had God in common, and so had to live peacefully together. Duc de Sully was one of the first not to argue as a religious man but as a politician: a system of balance of power could bring international stability. According to the English Quaker William Penn and the French Abbé de Saint-Pierre only the acceptance of international rules of justice could produce everlasting peace. Immanuel Kant finally directed attention to the form of government and to the founding of a federation of free republics. So God seems to have disappeared from Europe???but with what consequences for today? (shrink)