The subject of sexuality among elderly patients with dementia was examined, focusing on two main aspects: the sexual behaviour of institutionalized elderly people with dementia; and the reactions of other patients, staff and family members to this behaviour. The behaviour was found to be mostly heterosexual and ranged from love and caring to romance and outright eroticism. Reactions varied, being accepting of love and care but often objecting to erotic behaviour. Understanding of the sexual needs of elderly people should become (...) an integral part of the training and continued education of health care staff, thus helping to resolve conflicts and clarify common misconceptions. (shrink)

We have long lived in a world made by global connections. Our products, our travels, our ideas--all of these have their origins in places and peoples both near and far. But when scholars narrate the history of the modern self, they ignore these connections and focus on changes in European science and philosophy. In this provocative new book, Avram Alpert argues that we need to rethink the story of the modern self as a global history. He first shows how (...) canonical European thinkers like Michel de Montaigne, René Descartes, and Immanuel Kant explicitly formed their ideas of selfhood in relation to the travel accounts flooding into Europe from colonial missionaries. He then pushes this history beyond Europe, showing how a diverse series of writers, including Ralph Waldo Emerson, W.E.B. Du Bois, Léopold Senghor, Frantz Fanon, and D.T. Suzuki, critiqued these ideas of global selfhood with their own creative responses. Spanning four continents and four centuries, the book argues that all of these writers partake of a shared global history forged in the violence of colonial rule. The resulting narrative shows that the modern self is not a European invention, but a global, evolving, and fraught attempt to make ourselves the kinds of beings who can live with the complexity of a world that is at once connected and never fully knowable. (shrink)

Robert Jackall, Street Stories: The World of Police Detectives. Cambridge, MA: Harvard University Press, 2005. 429pp.

Objective: There are benefits and risks of giving patients more granular control of their personal health information in electronic health record (EHR) systems. When designing EHR systems and policies, informaticists and system developers must balance these benefits and risks. Ethical considerations should be an explicit part of this balancing. Our objective was to develop a structured ethics framework to accomplish this. -/- Methods: We reviewed existing literature on the ethical and policy issues, developed an ethics framework called a “Points to (...) Consider” (P2C) document, and convened a national expert panel to review and critique the P2C. -/- Results: We developed the P2C to aid informaticists designing an advanced query tool for an electronic health record (EHR) system in Indianapolis. The P2C consists of six questions (“Points”) that frame important ethical issues, apply accepted principles of bioethics and Fair Information Practices, comment on how questions might be answered, and address implications for patient care. -/- Discussion: The P2C is intended to clarify whatis at stake when designers try to accommodate potentially competing ethical commitments and logistical realities. The P2C was developed to guide informaticists who were designing a query tool in an existing EHR that would permit patient granular control. While consideration of ethical issues is coming to the forefront of medical informatics design and development practices, more reflection is needed to facilitate optimal collaboration between designers and ethicists. This report contributes to that discussion. (shrink)

Locked-in syndrome (LIS) is a severe neurological condition that typically leaves a patient unable to move, talk and, in many cases, initiate communication. Brain Computer Interfaces (or BCIs) promise to enable individuals with conditions like LIS to re-engage with their physical and social worlds. In this paper we will use extended mind theory to offer a way of seeing the potential of BCIs when attached to, or implanted in, individuals with LIS. In particular, we will contend that functionally integrated BCIs (...) extend the minds of individuals with LIS beyond their bodies, allowing them greater autonomy than they can typically hope for in living with their condition. This raises important philosophical questions about the implications of BCI technology, particularly the potential to change selves, and ethical questions about whether society has a responsibility to aid these individuals in re-engaging with their physical and social worlds. It also raises some important questions about when these interventions should be offered to individuals with LIS and respecting the rights of these individuals to refuse intervention. By aiding willing individuals in re-engaging with their physical and social worlds, BCIs open up avenues of opportunity taken for granted by able individuals and introduce new ways in which these individuals can be harmed. These latter considerations serve to highlight our emergent social responsibilities to those individuals who will be suitable for, and receive, BCIs. (shrink)

Computer technologies are having a profoundly transforming effect on how the United States federal government operates. As technologies become more sophisticated, Federal agencies are becoming more innovative, devising creative ways to use these technologies for program delivery. One hopes that the near-term effect of these technology applications will be more efficient operation of government, the goal that generally leads to their implementation.

We have all heard a refrain much like this one over the last decade, increasingly so, as the cost of genetic sequencing has been drastically reduced with improvements in associated techniques and technologies. Already, discoveries are being made in laboratories that can help doctors determine from which drug a particular patient will receive the most efficacious treatment. The working presumption is that, eventually, individuals’ genetic sequence information will be included in each of their personal medical records.

In April 2021, longing to learn first-hand about ageing philosophically, Valery Vino reached out to the legendary Arnold Berleant (who was 89 at the time of writing), to see whether he might be interested in recording a dialogue to this theme, with a companion of his choice. Berleant selected his ideal collaborator Michael Alpert, book designer and collector, poet, senior, and treasured friend. Over the following six months, a rich tapestry of leisurely reading, contemplation and discussion unfolded, culminating in (...) an unrehearsed, free-flowing conversation about ageing, which has been recorded, lightly edited and offered here for readers to share. (shrink)

Household & Family Religion in Persian-Period Judah: An Archaeological Approach. By José E. Balcells Gallarreta. Ancient Near East Monographs, vol. 18. Atlanta: SBL Press, 2017. Pp. xiv + 192. $33.95.

How an acceptance of our limitations can lead to a more fulfilling life and a more harmonious society We live in a world oriented toward greatness, one in which we feel compelled to be among the wealthiest, most powerful, and most famous. This book explains why no one truly benefits from this competitive social order, and reveals how another way of life is possible—a good-enough life for all. Avram Alpert shows how our obsession with greatness results in stress and (...) anxiety, damage to our relationships, widespread political and economic inequality, and destruction of the natural world. He describes how to move beyond greatness to create a society in which everyone flourishes. By competing less with each other, each of us can find renewed meaning and purpose, have our material and emotional needs met, and begin to lead more leisurely lives. Alpert makes no false utopian promises, however. Life can never be more than good enough because there will always be accidents and tragedies beyond our control, which is why we must stop dividing the world into winners and losers and ensure that there is a fair share of decency and sufficiency to go around. Visionary and provocative, The Good-Enough Life demonstrates how we can work together to cultivate a good-enough life for all instead of tearing ourselves apart in a race to the top of the social pyramid. (shrink)

The requirement by the National Science Foundation (NSF) that research proposals include plans for “broader impact” activities to foster connections between Science, Technology, Engineering, and Math (STEM) research and service to society has been controversial since it was first introduced. A chief complaint is that the requirement diverts time and resources from the focus of research and toward activities for which researchers may not be well prepared. This paper describes the theoretical framework underlying a new strategy to pair NSF-funded nano (...) research centres with science museums in order to achieve greater success in the broader impact mission, and to transform the perceived burden of the requirement into an opportunity to provide enhanced value to the constituencies of the partnering organizations, as well as to the larger community. This partnership approach is presented as a model that also can be applied to NSF-funded research centres in other STEM fields, and to non-NSF-funded STEM research centres nevertheless looking to pursue broader impacts types of activities. The model also provides an opportunity to stretch the typical spectrum of broader impacts activities to include citizen engagement in science, technology and societal concerns. (shrink)

In this essay I return to the difficult relation between the ethics and politics of Emmanuel Levinas through his critique of "paganism" and "primitivism." I argue that Levinas' central philosophical claims are fundamentally constituted by his problematic conceptions of so-called primitive life. Thus unlike current scholarship which has tried to put a wedge between Levinas' ethics and his politics, I suggest that one way to make Levinas' contributions meaningful in a global world is to unhinge the philosophy from the beginning. (...) Building on the dialogue between Levinas and Derrida, as well as contemporary anthropology, I argue that we can make an orginary agnostic moment prior to his work, which might allow us to think through a plurality of ethical subjectivities. (shrink)

In this article, the author argues that the works of Immanuel Kant and Henry David Thoreau can help reframe current political discussions about violence and nonviolence within revolutionary movements. For both of them, the means and ends of political change must coincide. Since they seek a nonviolent state of affairs, each argues against violent political change. However, they are also concerned to articulate a relationship between armed and unarmed struggle. After all, Kant and Thoreau worked to find what was positive (...) in violent acts: the French Revolution and John Brown’s raid on Harpers Ferry, respectively. They suggest that one of the ethical acts of revolutionary nonviolence is the sympathetic spectatorship of comrades in struggle who have chosen violent means. This opens up a theory of revolutionary nonviolence as a dual injunction to remain resolutely opposed to violence, but also to be capable of finding within violent acts a deeper desire for the end of violence. (shrink)

Within the psychoanalytic framework, there is a growing body of research and thinking about female development. In addition, there is ongoing research within other areas of psychology, such as developmental psychology and social psychology, which has important implications for an understanding of women's adult development. Often these research findings are not readily available to the analytic community, nor has much of the research been incorporated into a psychoanalytic framework. _Psychoanalysis and Women_ broadens analytic thinking by integrating contemporary literature from psychoanalysis (...) with that of other areas, both within and outside psychology, which has implications for the undertanding of women's development. This literature is conceptualized within a psychoanalytic framework. A basic premise underlying this book is that psychoanalysis needs continuing review and revision in terms of what women and men are about and a continuing focus on whether and how unfounded biases prevent analysts from understanding patients. The present volume considers how sexism and feminism are affecting psychoanalysis and exemplifies how the emerging field of psychoanalysis of women and the issues its existence raises should be conceptualized. It also exemplifies some of the positive contributions that a feminist outlook gives to the study of human behavior and should esxpand the range of hypotheses that we have about people. (shrink)

In summaries of “best practices” for pedagogy, one typically encounters enthusiastic advocacy for metacognition. Some researchers assert that the body of evidence supplied by decades of education studies indicates a clear pedagogical imperative: that if one wants their students to learn well, one must implement teaching practices that cultivate students’ metacognitive skills. -/- In this dissertation, I counter that education research does not impose such a mandate upon instructors. We lack sufficient and reliable evidence from studies that use the appropriate (...) research design to validate the efficacy of metacognitive skill-building interventions (not just evaluate their relationship to learning outcomes). I argue that improved academic outcomes following these interventions aren’t necessarily mediated by increased metacognitive skills; rather, enhanced student performance can be accounted for by other factors that accompany metacognitive training, particularly the explicit provision of domain-specific knowledge. -/- On the way to this conclusion, I elaborate some complications and controversies surrounding “metacognition.” This is a sprawling and nebulous construct, which makes generalizations about its pedagogical value dubious from the outset. Moreover, it is unclear the extent to which the end goal of metacognitive skill-building (cognitive self-mastery, involving knowledge of and control over our own minds) is even possible, given our mental architecture; some cognitive scientists allege that we are subject to phenomenological illusions which make this seem more achievable than it actually is. -/- I also attempt to provide an account of how metacognitive skill-building could receive glowing endorsements from educators and education researchers, even though its conceptual and empirical underpinnings are flimsy. The error theory I offer identifies two major factors that may foster belief in the efficacy of metacognitive training: goalpost-shifting around the objective of such efforts, and motivated reasoning in defense of the desirable conclusion that educators can significantly reshape students’ minds and unlock their intellectual potential through simple pedagogical interventions. (shrink)

Current law does not adequately protect patients' privacy or their medical records. Proposals to computerize these records could further erode confidentiality unless new federal laws are enacted.

SAINT JOAN OF NEW YORK is a novel about a math prodigy who becomes obsessed with discovering the Theory of Everything. Joan Cooper, a 17-year-old genius traumatized by the death of her older sister, tries to rebuild her shattered world by studying string theory and the efforts to unify the laws of physics. But as she tackles the complex equations, she falls prey to disturbing visions of a divine being who wants to help her unveil the universe’s mathematical design. Joan (...) must enter the battle between science and religion, fighting for her sanity and a new understanding of the cosmos. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The African Novel of Ideas: Philosophy and Individualism in the Age of Global Writing by Jeanne-Marie JacksonAvram AlpertThe African Novel of Ideas: Philosophy and Individualism in the Age of Global Writing, by Jeanne-Marie Jackson; 232 pp. Princeton: Princeton University Press, 2021.The world of postcolonial literary studies harbors a well-earned suspicion of claims to promoting liberal ideals like civility, rationality, and individuality. The liberal worldview, after all, arose in (...) the same era as European colonial expansion. To many critics, this was not a coincidence: liberal ideals were often crafted in opposition to the peoples that Europeans were encountering around the world. Whereas these other peoples were supposedly bound to collective myths, unaware of the primacy of the individual, and condemned to violent passions, liberals claimed that Europeans used rationality to perceive the value of individual life, and, in so doing, had unlocked the key to promoting civilizational harmony. All that everyone else had to do to experience this new way of life was, in one of history's most wretched paradoxes, to succumb to colonial violence and join the empire of liberty. It is thus quite logical that anticolonial criticism would call into question the basic features of the liberal worldview.But in recent years, an interdisciplinary cohort of scholars—including Sankar Muthu in political science, Sanjay Subrahmanyam in history, Mukti Lakhi Mangharam in literary studies, and Ato Sekyi-Otu in philosophy—have come to question this consensus.1 Their challenge rests on an ironic problem of the critique of ideologies associated with colonialism: by criticizing topics like civility, rationality, and individuality as such, do we not play into the very Eurocentric idea that these ideas were invented by Europeans in the first place? As these scholars have shown across various disciplines, geographies, and time periods, this critique risks giving modern Europe too much credit. Ideals often associated with liberalism have antecedents around the world. Sometimes they are used to advance general equality and well-being; sometimes they subvert these ideals. As Jeanne-Marie Jackson argues in her trenchant new book intervening in these debates, The African Novel of Ideas, we thus need a criticism that is as much attuned to the critique of "false universalisms" as it is open to "the promise of one that is true" (p. 189).Throughout her book, Jackson argues that a reconstructed liberalism is not only fundamental to literature from Africa but that the critical neglect of this fact has distorted the general understanding of literature today. Critics—especially but not exclusively in the West—have become so accustomed to sniffing out hints of liberal, individualist ideology that they routinely cast aside the ways in which African philosophers and novelists have themselves sought to explore and transform these ideals. Jackson's argument is not that liberalism, as it stands, is a noble philosophy that has been unfairly jettisoned. Rather, she posits that African writers are developing a fundamental innovation by considering how they—who were so long exploited by European ideals—can nonetheless find [End Page 495] meaning in both alternative and emergent versions of these very same ideals. What their work emphasizes is the "process of getting from an African locality to its universal resonance" (p. 185). In other words, whereas Europeans had simply presumed that their view of the world should apply everywhere, the contemporary novelists and philosophers discussed in this book engage in thorough intellectual and conceptual labor to tease out how ideas generated in one place might speak (without force) to peoples around the world.Jackson advances this argument through an innovative mix of philosophy and literature. Rather than evoking the standard series of French philosophers summoned to explicate literature, Jackson frames her readings through the work of philosophers such as Kwasi Wiredu, Kwame Anthony Appiah, and Emmanuel Eze. This allows her to shift the focus of her readings of literature from questions of language and close reading to underanalyzed topics in philosophy and literature, especially about how African literature enacts philosophical questions. She discusses topics ranging from the nature of the self and the meaning of rationality to a meta-interrogation on the purpose of philosophizing itself (pp. 16–17). That purpose... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Reviewed by:The African Novel of Ideas: Philosophy and Individualism in the Age of Global Writing by Jeanne-Marie JacksonAvram AlpertThe African Novel of Ideas: Philosophy and Individualism in the Age of Global Writing, by Jeanne-Marie Jackson; 232 pp. Princeton: Princeton University Press, 2021.The world of postcolonial literary studies harbors a well-earned suspicion of claims to promoting liberal ideals like civility, rationality, and individuality. The liberal worldview, after all, arose in (...) the same era as European colonial expansion. To many critics, this was not a coincidence: liberal ideals were often crafted in opposition to the peoples that Europeans were encountering around the world. Whereas these other peoples were supposedly bound to collective myths, unaware of the primacy of the individual, and condemned to violent passions, liberals claimed that Europeans used rationality to perceive the value of individual life, and, in so doing, had unlocked the key to promoting civilizational harmony. All that everyone else had to do to experience this new way of life was, in one of history's most wretched paradoxes, to succumb to colonial violence and join the empire of liberty. It is thus quite logical that anticolonial criticism would call into question the basic features of the liberal worldview.But in recent years, an interdisciplinary cohort of scholars—including Sankar Muthu in political science, Sanjay Subrahmanyam in history, Mukti Lakhi Mangharam in literary studies, and Ato Sekyi-Otu in philosophy—have come to question this consensus.1 Their challenge rests on an ironic problem of the critique of ideologies associated with colonialism: by criticizing topics like civility, rationality, and individuality as such, do we not play into the very Eurocentric idea that these ideas were invented by Europeans in the first place? As these scholars have shown across various disciplines, geographies, and time periods, this critique risks giving modern Europe too much credit. Ideals often associated with liberalism have antecedents around the world. Sometimes they are used to advance general equality and well-being; sometimes they subvert these ideals. As Jeanne-Marie Jackson argues in her trenchant new book intervening in these debates, The African Novel of Ideas, we thus need a criticism that is as much attuned to the critique of "false universalisms" as it is open to "the promise of one that is true" (p. 189).Throughout her book, Jackson argues that a reconstructed liberalism is not only fundamental to literature from Africa but that the critical neglect of this fact has distorted the general understanding of literature today. Critics—especially but not exclusively in the West—have become so accustomed to sniffing out hints of liberal, individualist ideology that they routinely cast aside the ways in which African philosophers and novelists have themselves sought to explore and transform these ideals. Jackson's argument is not that liberalism, as it stands, is a noble philosophy that has been unfairly jettisoned. Rather, she posits that African writers are developing a fundamental innovation by considering how they—who were so long exploited by European ideals—can nonetheless find [End Page 495] meaning in both alternative and emergent versions of these very same ideals. What their work emphasizes is the "process of getting from an African locality to its universal resonance" (p. 185). In other words, whereas Europeans had simply presumed that their view of the world should apply everywhere, the contemporary novelists and philosophers discussed in this book engage in thorough intellectual and conceptual labor to tease out how ideas generated in one place might speak (without force) to peoples around the world.Jackson advances this argument through an innovative mix of philosophy and literature. Rather than evoking the standard series of French philosophers summoned to explicate literature, Jackson frames her readings through the work of philosophers such as Kwasi Wiredu, Kwame Anthony Appiah, and Emmanuel Eze. This allows her to shift the focus of her readings of literature from questions of language and close reading to underanalyzed topics in philosophy and literature, especially about how African literature enacts philosophical questions. She discusses topics ranging from the nature of the self and the meaning of rationality to a meta-interrogation on the purpose of philosophizing itself (pp. 16–17). That purpose... (shrink)

This commentary compares clinical aspects of ketamine with the amphetamine model of schizophrenia. Hallucinations and loss of insight, associated with amphetamine, seem more schizophrenia-like. Flat affect encountered with ketamine is closer to the clinical presentation in schizophrenia. We argue that flat affect is not a sign of schizophrenia, but rather, a risk factor for chronic schizophrenia.

In recent years, two distinct trajectories of bioethical inquiry have emerged: neuroethics and nanoethics. The former deals with issues in neuroscience, whereas the latter deals with issues in nanoscience and nanotechnology. In both cases, the ethical inquiries have coalesced in response to rapidly increasing scientific and engineering developments in each field. Both also present major issues for contemplation in bioethics. However, the questions are (1) how different are the ethical issues raised, and (2) is it beneficial for neuroethics and nanoethics (...) inquiries to proceed on often-divergent trajectories by ethicists who otherwise might never interact? If, for example, ethical inquiry occurs only within the disciplinary confines of their predominant area(s) of science (which now seems to be the case) or by overlooking prior discussions in other scientific realms (like genetics), then the opportunity for a richer, more comprehensive discourse may be lost. I argue that this (1) is a disservice to bioethics, (2) is antithetical to some of the aims of bioethical inquiry, and (3) encourages the reductionism bioethicists’ claim that is counterproductive. (shrink)

Upon doing something generous for someone with whom you are close, some kind of reciprocity may be appropriate. But it often seems wrong to actually request reciprocity. This chapter explores the wrongness in making these requests, and why they can nevertheless appear appropriate. After considering several explanations for the wrongness at issue (involving, e.g. distinguishing oughts from obligation, the suberogatory, imperfect duties, and gift-giving norms), a novel proposal is advanced. The requests are disrespectful; they express that their agent insufficiently trusts (...) the hearer to recognize their own reasons to reciprocate, and the close relationship between them morally requires this kind of trust. This proposal is articulated and situated in the recent discussion of the normativity of requests. The chapter concludes by explaining how these requests may appear appropriate. Agents in these relationships often have standing to make requests, though the standing is lacking in these particular cases. (shrink)

Strange Tools foregoes stolid conventions of professional philosophy, laudably broadening the book’s appeal to accommodate a popular audience. However, Noë’s manner of glossing over complex issues about art does not necessarily render these topics intelligible to philosophical novices. Instead, his oversimplifications will tend to confirm naïve notions that art is straightforward – a common misconception that a foray into philosophy of art ought to dispel, not corroborate.

On concept of Jīva in Hindu philosophy and Vedic literature.