Blueprints and Recipes: Gendered Metaphors for Genetic Medicine

In the face of documented difficulties in the public understanding of genetics, new metaphors have been suggested. The language of information coding and processing has become deeply entrenched in the public representation of genetics, and some critics have found fault in the blueprint metaphor, a variant of the dominant theme. They have offered the language of the recipe as a preferable metaphor. The metaphors of the blueprint and the recipe are compared in respect to their deterministic implications and other associations. The likelihood of the recipe metaphor framing cognition in more useful ways is called into question.     

Some basic problems in the development of the human sciences in China today

Paper read on November 3, 1988 before the Philosophical Society of Fribourg (Switzerland) — In China we use social sciences to refer to all disciplines in the humanities and the social sciences. The expression is juxtaposed to natural sciences. Since I do not discuss such subjects as economics, education, journalism, and other practical fields, I prefer to use here the term human sciences.     

Variations in use of the term “or”

Two studies showed that adults' responses to questions involving the term or varied markedly depending upon the type of question presented. When presented with various objects (A's and B's) and asked to circle all things which are A or B subjects tended to circle A's as well as B's, whereas when asked to circle all the A's or B's subjects showed a relatively stronger tendency to circle one or the other. Moreover the nature of the sets of objects (As and Bs) influenced behavior as well. There was also evidence that the effects due to question wording or set type transferred.     

What is non-fregean in the semantics of Wittgenstein'sTractatus and why?

From J.M. Bocheski's Rady starego filozofa [Advice of the old philosopher]: 6. Pytaj sie Zawsze (i) co to znaczy? i (ii) dlaczego? [Ask always (i) what does it mean? and (ii) why?]     

Foucault on the Case: The Pastoral and Juridical Foundation of Medical Power

This paper employs Foucaults concept of governmentality to examine critically the efforts by medical humanists to reform the medical case. I argue that these reform efforts contribute to the individualizing dimensions of medical power through the development of a pastoral technique that medicine has taken over from religious authority. Clinical experiences at this NEH Institute also revealed a juridical dimension of the medical case that treats a patients statements as suspect and in need of corroboration by evidence provided by the patients body. The combination of these pastoral and juridical dimensions of the case contributes to the normalizing power of modern medicine, and medical humanists need to be aware of their own contribution to this form of power as they reform the case.     

The two cultures

Anhand von zwei Unterbereichen der künstlichen Intelligenz — den Expertensystemen und der wissenschaftlichen Entdeckung — wird aufzuzeigen versucht, daß die Beziehung zwischen der formalen und der intuitiven Kultur aus dem Gleichgewicht geraten ist. Dem Bereich der Intuition sollte größere Aufmerksamkeit gewidmet werden.

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This article is based on a presentation given on a symposium The Art of Science, in Amsterdam, Amolf, 27 May 1987. It was organized to celebrate the 65th birthday of Prof. J. o.     

Countering perfectionism in research on clinical practice I: Surveying rationality changes after a single intensive ret intervention

The failure of controlled experimental research on therapy out-come to produce findings of clinical as well as statistical significance seems at least partly due to irrational, perfectionistic, beliefs about how research can be used to infer causes of therapeutic change. Irrational beliefs about controlled experimental designs and about incomplete sampling, in particular, appear to prevent appropriate consideration of probatively valuable quasi-experimental research. Models of more rational alternatives are identified, and an example of the functional advantages of adopting these rational beliefs is explicated. The example demonstrates that single-shot pre-post survey data from self-selected catch-as-catch-can samples can permit legitimate, but not absolutely certain, conclusions about the efficacy and efficiency of RET.Albert Ellis, Ph.D. is executive director of the Institute for Rational-Emotive Therapy in New York City.     

Where “Sex” Is Born(e): Intersexed Births and the Social Urgency of Heterosexuality

Our beloved genders of the present moment are neither universal nor trans-historical presences in the world. The specific gender order which we employ today is the legacy of a particular cultural and political history, and there is still a great deal at stake in preserving it. As a graduate student I stumbled upon the topic of intersexuality a few years ago and found myself enthralled with its implications. Continuing to present itself inspite of all our scientific knowledge about the supposed immutability of female and male, intersexuality disrupts the gender order. The response to this disruption has been swift and terrible: from the intersexed infants who enter our world everyday are carved (literally and figuratively) supposedly normal boys and girls (mostly girls). The following exposition represents a pre-fieldwork (theoretical) stage in my current research and attempts to demonstrate that medical authorities manage intersex cases as they do in order to stabilize the always precarious institution of heterosexuality.     

Ethical Reasoning And The Embodied,Socially Situated Subject

My discussion is concerned with how symbolic power constitutively structures our very identities in relation to one another and at the bodily level of lived experience. Although many accounts of the self and of subjectivity as socially situated have difficulties in their explanations of agency, Zaners work suggests a basis upon which the selfs independence from others can be understood. His phenomenology of embodied subjectivity explains how the emerging self presupposes presence with others. At the same time, however, co-presence also reveals the selfs distinct perspective and capacity for circumstantial possibilizing, that is to say, actualizing another possible than the actual. My aim is to examine critically the intersections between Zaners phenomenology and other theoretical accounts of the socially situated self. I also show how Zaners work contributes to these discussions a way of understanding the possibility of agency that is rooted in embodied experience.     

The (Gendered) Construction of Diagnosis Interpretation of Medical Signs in Women Patients

Medicine maintains a distinction between the medical symptom -- the patient'ssubjective experience and expression, and the privileged medical sign -- the objective findings observable by the doctor. Although the distinction is not consistently applied, it becomes clearly visible in the undefined, medically unexplained disorders of women patients. Potential impacts of genderized interaction on the interpretation of medical signs are addressed by re-reading the diagnostic process as a matter of social construction, where diagnosis results from human interpretation within a sociopolitical context. The discussion is illustrated by a case story and empirical evidence of the gendering in the doctor-patient relationship. The theoretical analysis is supported by semiotic perspectives of bodily signs, feminist theory on experience, and Foucault'sideas about medical perception and gaze, and concludes that a medical diagnosis is seldom a biological fact, but the outcome of a process where biological, cultural and social elements are interwoven. Further deconstruction of the chain of signs from a feminist perspective, assigning validity to the voice of the woman patient, might broaden the understanding of women'shealth, illness and disease.     

Medical Intellectuals: Resisting Medical Orientalism

In this paper, we propose analogies between medical discourse and Edward Said's Orientalism. Medical discourse, like Orientalism, tends to favor institutional interests and can be similarly dehumanizing in its reductionism, textual representations, and construction of its subjects. To resist Orientalism, Said recommends that critics—intellectuals—adopt the perspective of exile. We apply Said's paradigm of intellectual-as-exile to better understand the work of key physician-authors who cross personal and professional boundaries, who engage with patients in mutually therapeutic relationships, and who take on the public responsibility of representation and advocacy. We call these physician-authors medical intellectuals and encourage others to follow in their path.     

Die Rechtsansichten der Eurasier -- Rechtsordnung oder Wertordnung?

In their juridical doctrines, the members of the Evrazijstvo movement advocated the idea of a Russian special path criticizing at the same time the formalism and coldness of the western conception of law, based principally on Roman law. Their views are characterized by an evident priority accorded to justice over law, to the order of values over legal order.     

Indeterminiertheit,Iterabilität und Intentionalität

In his recent paper Indeterminacy, empiricism, and the first person John R. Searle tries to refute Willard V. O. Quine's famous indeterminacy of translation thesis by arguing that this thesis is in fact areductio ad absurdum of Quine's own linguistic behaviorism. Searle accuses Quine of being (irrationally) antimentalistic and suggests that the absurdity of Quine's thesis might be avoided if a full-fledged intentionality were tolerated in the debate on meaning. — This anti-Quinean approach in some respects reminds of the improbable debate between Searle and Jacques Derrida ten years ago, when Derrida had split and deferred intentionality by showing that the essential iterability of signs inevitably infects every intentional act with an unremovable non-presence.In this paper it is argued that Searle's attacks on Quine and Derrida have both failed — and that there are structural similarities between these two failures which reveal some interesting parallels between Quine's and Derrida's philosophy.     

Coming Out: Considering the Closet of Illness

This essay explores key concerns surrounding coming out as a person with illness and addresses important professional and social considerations for those who are closeted in various kinds of illness. Using central tenets of Queer Theory and Disability and Cultural Studies as a theoretical base, I examine the politics of coming out in the specific context of my lived experience during the 2002 NEH Summer Institute, Medicine, Literature, and Culture While such an environment might foster unusual candor about personal illness experience, I discovered that the choice to come out as a person with chronic, non-infectious disease (Inflammatory Bowel Disease) was nevertheless complicated in interesting ways.     

The psychophysical nature of humans

Postpowanie czlowieka [Human activity] in [Ajdukiewicz 1985], vol. 1, 317–324.     

Can Life Be Evaluated? The Jewish Halachic Approach vs. The Quality of Life Approach in Medical Ethics: A Critical View

In recent years there has been an increase in the number of requests formercy killings by patients and their relatives. Under certain conditions,the patient may prefer death to a life devoid of quality. In contrast to thosewho uphold this quality of life approach, those who hold the sanctity oflife approach claim that life has intrinsic value and must be preservedregardless of its quality. This essay describes these two approaches,examines their flaws, and offers a golden path between the two extremepositions.We discuss the halachic and the secular views, arguing for a balancebetween the sanctity of life and the quality of life. We argue that, indeed,such a balance exists in practice, and that life is important, but it is not sacred. Life can be evaluated, but quality of life is not the solecriterion.     

Emeralds are no chameleons — Why “Grue” is not projectible for induction

The model function for induction of Goodmans's composite predicate Grue was examined by analysis. Two subpredicates were found, each containing two further predicates which are mutually exclusive (green and blue, observed before and after t). The rules for the inductive processing of composite predicates were studied with the more familiar predicate blellow (blue and yellow) for violets and primroses. The following rules for induction were violated by processing grue: From two subpredicates only one (blue after t) appears in the conclusion. As a statement about a future and unobserved condition this subpredicate, however, is not projectible for induction whereas the only suitable predicate (green before t) does not show up in the conclusion. In a disjunction a v b where a is true and b false the disjunction is true. When, however, the only true component is dropped, what remains is necessarily false. An analogous mistake may be observed in the processing of grue, where the only true component (green) was dropped in the conclusion. — As a potent criterion for correct inductions a check of the necessity of the conclusions is recommended.The author is indebted to Prof. Curt Christian for valuable suggestions.