Background International electives are often considered a valuable learning opportunity for medical students. Yet, as travelling to lower and middle income countries (LMICs) becomes more common, ethical considerations of such practices emerge. We conducted a scoping review to assess the extent to which five ethical themes were addressed in existing literature about electives, with the aim of investigating the ethical impacts of medical student electives on local resources, patients and clinicians in LMICs. Methods We systematically searched PubMed, Global Health and (...) Embase databases using the search terms “(ethics) AND (medical electives)”. Thematic content analysis was undertaken using a combination of deductive and inductive themes. The deductive themes included: exceeding clinical competence, use of limited local resources, respect for patients and local culture, collaboration with local community/colleagues, and one-sided benefits in partnership. In addition, we also allowed for emerging themes within the data, and conducted a narrative synthesis of the results. Results A total of 37 papers discussed ethical issues relating to medical student international electives to LMICs. More publications were written from the medical student perspective (n = 14), than by the host-institution (n = 5), with nearly half written from third-party perspectives (n = 18). Negative impacts on local host students and impact upon patient care were identified as additional ethical considerations. Conclusions Our review demonstrated that while there is a degree of awareness in the existing literature of the potential negative impacts of medical electives to local LMIC students’ access to medical education and patient care, continued work is needed to ensure equitable partnerships. We recommend that these ethical themes should be further explored in pre-departure elective teaching courses and post-elective debriefs to increase medical students’ awareness of the impact of their presence on host communities. (shrink)

En este trabajo presentamos un registro de la historia de vida de Mónica Medina, integrante de la comunidad weenhayek Quebracho, ubicada a 5 kilómetros de Tartagal, provincia de Salta. En esa memoria sobre sus ancestros desde tres generaciones previas hasta el presente, Mónica relata los recuerdos sobre el modo en que su familia vivió la Guerra del Paraguay que les obligó a desplazarse; las epidemias; el proceso de trashumancia y las distintas expulsiones a que se vieron sometidos; los modos en (...) que se fue transformando la vida a medida que se acercaban a los centros urbanos; la aproximación a la política partidaria y la formación de dirigentes; el proceso de conformación de demandas de reconocimiento de identidad étnica y las expectativas de futuro. Partimos de entender que este relato de vida, si bien es individual, se inscribe en la memoria colectiva de su familia, su comunidad y su pueblo, por cuanto resulta de experimentar, desde su trayectoria, ciertos recuerdos comunes. Este registro adquiere aquí un doble sentido epistémico: por un lado, permite conocer datos nodales sobre las trayectorias y las demandas actuales del Pueblo Weenhayek en torno a sus derechos a la identidad en Argentina, y particularmente sobre la disputa que libra por el reconocimiento estatal y social de su carácter de pueblo preexistente; pero a la vez, nos introduce en el trabajo de memoria que es central en el proceso de etnicidad que protagonizan estas comunidades weenhayek en su demanda y ejercicio de derechos actuales. (shrink)

In this paper we have two main aims. First, we present an account of mood-congruent delusions in depression (hereafter, depressive delusions). We propose that depressive delusions constitute acknowledgements of self-related beliefs acquired as a result of a negatively biased learning process. Second, we argue that depressive delusions have the potential for psychological and epistemic benefits despite their obvious epistemic and psychological costs. We suggest that depressive delusions play an important role in preserving a person’s overall coherence and narrative identity at (...) a critical time, and thus can be regarded as epistemically innocent. (shrink)

This article analyses how normative decision theory is understood by economists. The paradigmatic example of normative decision theory, discussed in the article, is the expected utility theory. It...

This paper presents a dialogue system called Lorenzen–Hamblin Natural Dialogue (LHND), in which participants can commit formal fallacies and have a method of both identifying and withdrawing formal fallacies. It therefore provides a tool for the dialectical evaluation of force of argument when players advance reasons which are deductively incorrect. The system is inspired by Hamblin’s formal dialectic and Lorenzen’s dialogical logic. It offers uniform protocols for Hamblin’s and Lorenzen’s dialogues and adds a protocol for embedding them. This unification required (...) a reformulation of the original description of Lorenzen’s system to distinguish “between different stances that a person might take in the discussion”, as suggested by Hodges. The LHND system is compared to Walton and Krabbe’s Complex Persuasion Dialogue using an example of a dialogue. (shrink)

Love is a universal experience that most people desire. A serious, long-term, and stigmatized illness makes entering and maintaining close relationships difficult, however. Ten persons, who have been diagnosed with schizophrenia, and lived with their illness for between years and decades of their lifetimes, shared their stories. They reported how the illness has influenced their emotional experiences regarding love and their intimate relationship experiences. We present here a qualitative Interpretative Phenomenological analysis (IPA) of their narratives. This analysis has been done (...) with an explicit intention to give voice to the patient’s perspective. The results highlight how illness adjustment and hospitalizations have an alienating effect on relationships through stigmatization and self-stigmatization; how illness creates psychological obstacles to love, such as diminished trust toward oneself and others; and how long-term patients experience practical difficulties in creating and sustaining relationships, such as poverty. Moreover, we show how patients experience changes in sexuality and the risks involved in it, and discuss possible coping strategies from their perspectives. (shrink)

This paper refutes the widespread view that disjunctions of imperatives invariably grant free choice between the actions named by their disjuncts. Like other disjunctions they can also express a correlation with some factual distinction, but as with modalized declaratives used for non-assertive speech acts this needs to be indicated explicitly. A compositional analysis of one such indicator, depending on, constitutes the point of departure for a uniform analysis of disjunctions across clause types. Disjunctions are analyzed as sets of propositional alternatives (...) that correlate with a partition that the speaker may or may not be able to indicate explicitly. Free choice arises as the specific case where the partition is induced by the preferences of the addressee. (shrink)

While social research has documented the prevalence and ill effects of hepatitis C related stigma, there has been little analysis of the ways in which this stigma is constituted. This article addresses this gap in the literature by providing a phenomenologically informed account of the ways in which societal attitudes and regulations draw from and feed back into corporeal processes and experiences of embodiment in the creation of hepatitis C related stigma. The case is made that three components are central (...) to hepatitis C stigma: associations with illicit drug injecting, infectiousness and societal aversion to chronic illness. The article draws upon qualitative interviews with 40 people living with chronic hepatitis C in New Zealand and Australia, as well as the researcher’s embodied experience of living with the virus. The works of Julia Kristeva and Mary Douglas are utilized to provide an analysis that moves beyond acknowledgement of societal reinforcers of stigma, such as prohibitory drug laws, to address underlying notions of boundary crossing in the production of stigma and exclusionary practices. (shrink)

Case, agreement, and A-movement dependencies across finite clause boundaries, such as Hyperraising or Long-Distance Case or Agreement [LDA], are available in many typologically diverse languages. The research on such dependencies typically distinguishes between cross-linguistically restricted true A-dependencies across finite clauses, and generally available binding-like A′-dependencies as found in Prolepsis. In this paper, we investigate both types of configurations in parallel and refer to this as the A-domain. Since the diagnostics to distinguish A-configurations vary across languages and often cannot be compared (...) directly, we define four characteristic properties: whether the construction is restricted by matrix predicate selection, whether movement in the embedded clause is involved, whether the dependency shows locality restrictions, and whether there are semantic restrictions on the relevant DP. By combining different values of the characteristic properties, we show, differently from previous approaches, that the A-domain does not simply consist of two types of configurations, but that the empirical landscape represents a continuum of five A-constructions. We suggest a theoretical implementation of our empirical findings, which is built on a predicational relator phrase above the embedded CP and propose that, in some of the constructions, these two projections fuse into one. We employ a minimalist probing approach which relies on differences in the base-generated position of the relevant DP, differences in the feature composition of the embedded C, a composite probe hierarchy yielding three types of feature-dependencies of composite probes, and, resulting from that, different probing mechanisms. Lastly, this paper also contributes methodological tools for disentangling constructions of the A-domain. (shrink)

The aim of this article is to question the epistemic presuppositions of applying behavioural science in public policymaking. Philosophers of science who have examined the recent applications of the behavioural sciences to policy have contributed to discussions on causation, evidence, and randomised controlled trials. These have focused on epistemological and methodological questions about the reliability of scientific evidence and the conditions under which we can predict that a policy informed by behavioural research will achieve the policymakers’ goals. This paper argues (...) that the philosophical work of Helen Longino can also help us to have a better and fuller understanding of the knowledge which the behavioural sciences provide. The paper advances an analysis of the knowledge claims that are made in the context of policy applications of behavioural science and compares them with the behavioural research on which they are based. This allows us to show that behavioural policy and the debates accompanying it are based on an oversimplified understanding of what knowledge behavioural science actually provides. Recognising this problem is important as arguments that justify reliance on the behavioural sciences in policy typically presume this simplification. (shrink)

Cultural comparisons enjoy increasing popularity in economics. Since cultural comparison must abandon random allocation to treatments, it is unclear whether differences found between countries can be attributed to country characteristics or are merely driven by differences in subject pools. In experiments in two Chinese cities and at two campuses in Ethiopia, we show that within-country differences are negligible. Differences between the two countries, on the other hand, are large.

This article discusses the philosophy of Alain Badiou from the perspective of a formulation that we believe represents it succinctly: the dialectic of formalization. The main thesis of the article is that Badiou’s doctrine of the four truth procedures can be understood as a doctrine of a dialectical realization of new and universal forms in the world. The dialectic of formalization announces a double procedure – an autonomous and creative procedure for the production of a new true form in the (...) world and a process of the formation of continuity in discontinuity. Moreover, the dialectic of formalization represents a connection between Badiou’s mature work and his early writings from the late 1960s. Even though in the 1960s and 1970s Badiou had not yet introduced the concepts of subject and truth in the sense that he understands them today, it is possible to support the thesis that there is an indisputable connection between Badiou’s early concept of formalization and his later concept of generic truth procedure. We will try to show that the dialectic of formalization designates the continuity between Badiou’s early and mature work. (shrink)

W archiwum osobistym Adama Tarna (1902–1975) – pierwszego redaktora naczelnego miesięcznika „Dialog”, tłumacza, krytyka, powieściopisarza, dramaturga – znajdują się zapiski z luźnymi pomysłami do utworów dramatycznych, notatki do nieukończonej książki o Czechowie, a także niewielkie próby literackie – poprawiane, odkładane i na powrót rozwijane. Materiały te udostępniane dzięki uprzejmości spadkobierców są cennym świadectwem procesu twórczego i ewolucji pisarstwa redaktora naczelnego „Dialogu”. W kontekście debiutanckiej i jedynej ukończonej powieści Tarna _Obraz ojca w czterech ramach _(1934) intrygującym utworem jest zachowana w archiwum (...) nieukończona powieść _Kameleon_. Artykuł charakteryzuje materiały znajdujące się w archiwum osobistym Tarna. Pozwala wniknąć w jego „wewnętrzne laboratorium” pisarskie i odczytać je m.in. w perspektywie biograficznej. Datowanie zgromadzonych materiałów można przyjąć jedynie orientacyjnie. Najwcześniejsza zachowana próba prozatorska zapisana po francusku pochodzi prawdopodobnie jeszcze z okresu międzywojennego. Ostatnie zapiski pochodzą z okresu emigracyjnego po 1968 roku, kiedy Tarn pracował nad nieukończoną książką o Czechowie. (shrink)

The article analyses the history of the Einfühlung concept. Theories of ‘feeling into’ Nature, works of art or feelings and behaviours of other persons by German philosophers of the second half of the nineteenth century Robert and Friedrich Vischer and Theodor Lipps are evoked, as well as similar theory of understanding (Verstehen) by Wilhelm Dilthey and Friedrich Schleiermacher, to which Dilthey refers. The meaning of the term Einfühlung within Edith Stein’s thought is also analysed. Both Einfühlung and Verstehen were criticized (...) as non-objective and naive methods consisting only in the identification of the subject with the object or the projection of feelings onto the object. The article refers to criticism by Georg Gadamer and Bertolt Brecht and proposes ways to restitute the concept of Einfühlung after this criticism, recalling the theory of empathy by Dominick Lacapra, in terms of its advantages for the historical enquiry, or the myth of Narcissus analyzed in the spirit of psychoanalysis by Julia Kristeva. The article proposes a reformulation of the concept of mimesis, connected to the Einfühlung, understood as the identification, analogy, imitation of feelings (as it was described by Lipss and Vischer). Mimesis does not necessarily mean a passive repetition and reconstruction of the feelings of the object, but serves only as a starting point for the interest of the subject for the outside world or for experiences of historical protagonists. Then there is no identification or projection of feelings, but the creative, active and critical reformulation of knowledge. It is stated that empathy is not a passive, uncritical process, but that it deals with the critical choice of the object of empathy and with an active approach to the perceived feelings and appearances. In addition to this cognitive aspect, empathy may also contribute to the analytical and valuable introspection. Furthermore empathy allows us to connect the analysis of the facts with a personal narrative and understanding of individual identity in historical knowledge. (shrink)

This article traces disagreements about the genetic effects of low-dose radiation exposure as waged by James Neel, a central figure in radiation studies of Japanese populations after World War II, and Yuri Dubrova, who analyzed the 1986 Chernobyl nuclear power plant accident. In a 1996 article in Nature, Dubrova reported a statistically significant increase in the minisatellite DNA mutation rate in the children of parents who received a high dose of radiation from the Chernobyl accident, contradicting studies that found no (...) significant inherited genetic effects among offspring of Japanese A-bomb survivors. Neel’s subsequent defense of his large-scale longitudinal studies of the genetic effects of ionizing radiation consolidated current scientific understandings of low-dose ionizing radiation. The article seeks to explain how the Hiroshima/nagasaki data remain hegemonic in radiation studies, contextualizing the debate with attention to the perceived inferiority of Soviet genetic science during the Cold War. (shrink)

The enduring failure of financial institutions to identify and deal with risk events continues to have serious repercussions, whether in the form of small but significant losses or major and potentially far-reaching scandals. Using a mixed-methods approach that combines an innovative version of the classic dictator game to inform prosocial tendencies with the survey-based Theory of Planned Behaviour, we examine the risk-escalation behaviour of individuals within a large financial institution. We discover evidence of purely selfish behaviour that explains the lack (...) significance in pressure to adhere to the Subjective Norms of colleagues around intention to report risks. A finding that has potentially important implications for efforts to instil a high-error management climate and incentivise risk reporting within organisations where risk, if ignored or unchecked, could ultimately have consequences that extend far beyond the institutions themselves. (shrink)

We discuss the semantic significance of a puzzle concerning ‘ought’ and conditionals recently discussed by Kolodny and MacFarlane. We argue that the puzzle is problematic for the standard Kratzer-style analysis of modality. In Kratzer’s semantics, modals are evaluated relative to a pair of conversational backgrounds. We show that there is no sensible way of assigning values to these conversational backgrounds so as to derive all of the intuitions in Kolodny and MacFarlane’s case. We show that the appropriate verdicts can be (...) derived by extending Kratzer’s framework to feature a third conversational background and claiming that the relevant reading of ‘ought’ is sensitive to this parameter. (shrink)

This article describes experiences of long-term ethnographic fieldwork on disobedience, disloyalty and dissensus among women in public space in selected (post-)Yugoslav cities. I focus on the opportunities and pitfalls of feminist ethnography and methodology in the context of positionality, engagement and solidarity as essential elements of research into activist networks. In order to problematize the emerging field positionalities and solidarities, I examine the “militant ethnography” methodological approach (Jeffrey Juris), which seeks to move beyond the divide between research practice and politically (...) engaged participation. It is about being among and within the activist network and adopting many identities and roles by constantly shifting between reflective solidarity and analysis. In trying to shed light on the critical self-reflective research process of embodied understandings and experiences, I focus on ethnographic practices embedded in transnational “crowded fields” that encompass the dynamics of relationships and dependencies between knowledge producers. (shrink)

Mild and massive DNA damage are differentially integrated into the cellular signaling networks and, in consequence, provoke different cell fate decisions. After mild damage, the tumor suppressor p53 directs the cellular response to cell cycle arrest, DNA repair, and cell survival, whereas upon severe damage, p53 drives the cell death response. One posttranslational modification of p53, phosphorylation at Serine 46, selectively occurs after severe DNA damage and is envisioned as a marker of the cell death response. However, the molecular mechanism (...) of action of the p53 Ser46 phospho‐isomer, the molecular timing of this phosphorylation event, and its activating effects on apoptosis and ferroptosis still await exploration. In this essay, the current body of evidence on the molecular function of this deadly p53 mark, its evolutionary conservation, and the regulation of the key players of this response, the p53 Serine 46 kinases, are reviewed and dissected. (shrink)

ZusammenfassungDer vorliegende Aufsatz beleuchtet die komplexen Wechselbeziehungen zwischen Physik, Literatur und Philologie in der ersten Hälfte des 20. Jahrhunderts. Ausgehend von einem Brief des österreichischen Physikers Erwin Schrödinger an Ernst Cassirer gehen wir der Frage nach, inwiefern die prominenten deutschsprachigen Vertreter der aufstrebenden theoretischen Physik nicht nur literarische Texte und Inhalte verarbeiteten, sondern in ihrer zutiefst philologisch geprägten Publikations- und Arbeitspraxis auch textwissenschaftlich operierten. Lassen sich in den nachgelassenen und publizierten Schriften von Physikern wie Schrödinger neue Hinweise darauf finden, dass (...) die »Macht der Philologie« noch weit ins Jahrhundert der Physik nachwirken, ja Philologie vielleicht sogar als Wissensmodell in der theoretischen Physik fungieren konnte?This essay examines the complex interrelations between physics, literature, and philology in the first half of the 20th century. Starting from a letter of the Austrian physicist Erwin Schrödinger to Ernst Cassirer, we investigate how theoretical physicists in the German-speaking world referred to literary texts and contents. Beyond that, we focus on traces of philological working and publication practices in the works of the physicists. To what extent and under what conditions could philology function as an inevitable knowledge model for the modern natural sciences? (shrink)

Relative results concerning the Banach space l ∞ / c 0 are presented. We show that some basic properties of the Banach space l ∞ / c 0 implied by CH and OCA are different.

XIV Zimowe Igrzyska Olimpijskie, które odbyły się od 8 do 19 lutego 1984 r., wciąż budzą nostalgiczne wspomnienia mieszkańców Bośni i Hercegowiny, a zwłaszcza mieszkańców stolicy. Choć był to schyłkowy moment trwania Jugosławii, władze komunistyczne włożyły wiele wysiłku w promowanie atmosfery „braterstwa i jedności”. Wkrótce jednak wybuchła wojna, a powojenny kształt, jaki przybrało państwo bośniackie, spowodował permanentny kryzys polityczny, społeczny i gospodarczy. W rezultacie Serbowie, Chorwaci i Bośniacy nie mogą się zgodzić co do wspólnej historii i wspólnych bohaterów. Jednym z (...) nielicznych miejsc wspólnych jest mit XIV Zimowych Igrzysk Olimpijskich, w związku z czym ówcześni idole sportu mogliby wypełnić luki w prawie pustym bośniackim aparacie symbolicznym. (shrink)

Herling-Grudziński suggests reading his short stories as a part of his Diary Written in Night. Nevertheless, Herling’s short stories may reveal their philosophical and artistic dimension without this interlextual dependency. Such an opportunity is offered by pointing out the main motives of Herling’s prose works. The writter frequently makes use of specific methods of creating the plot, scenery and characters. The typical first-person short story by Herling starts with a narrator’s journey, which turns into solving a mistery of a main (...) character. That human existence is constantly crushed by undiserved suffering. The action usually takes place in a symbolic scenery (an island, gloomy tower or mansion, abandoned house). The poetics of space indicates universal significance: phisical landscape is affected by human lonelyness, suffering or unfulfilled hopes. These experiences usually lead Herling’s hero to death, after which his shelter (or the place of existential banishment) finally gets ruinned. The narrator is not in possesion of sufficient knowledge about the tragedy. He gains necessary details from accidental informants or letters, diary notes left by the protagonist. This motif gives the reader a dual perspective onto the action. (shrink)

Konfabulacja to błędnie ugruntowane przekonanie, które jest skutkiem wypełniania luk w systemie poznawczym. Konfabulację należy odróżnić od kłamstwa, gdyż osoby konfabulujące nie mają intencji oszukania odbiorcy. Wyróżniam konfabulacje patologiczne oraz konfabulacje normalne. Przedstawiam dwa podejścia do problematyki konfabulacji: podejście pamięciowe i epistemiczne. Wedle tego pierwszego, wąskiego podejścia, konfabulacje są wynikiem uzupełniania luk w systemie pamięci. Zgodnie z drugim, szerszym podejściem, konfabulacje mogą być związane także z innymi domenami wiedzy, takimi jak np. percepcja wzrokowa czy percepcja ciała. W artykule proponuję, by (...) przyjrzeć się konfabulacjom jako różnego rodzaju trybom pracy umysłu w sytuacji braku dostępu do informacji. Wyróżniam konfabulacje wypełniające, scalające i addytywne. (shrink)