Tube feedings and persistent vegetative state patients: ordinary or extraordinary means?

This article looks at the late John Paul II's allocution on artificial nutrition and hydration (ANH) and the implications his statement will have on the ordinary-extraordinary care distinction. The purpose of this article is threefold: first, to examine the medical condition of a persistent vegetative state (PVS); second, to examine and analyze the Catholic Church's tradition on the ordinary-extraordinary means distinction; and third, to analyze the ethics behind the pope's recent allocution in regards to PVS patients as a matter of conscience. Rather than providing clarification, I argue that the papal allocution has raised many difficult questions. People in situations where decisions must be made about withdrawal or continued ANH are in need of guidance. Moreover, additional analysis is needed to determine whether the papal allocution is in conflict with the traditional Catholic medical ethics understanding of the ordinary-extraordinary care distinction.     

Gurus and Devotees: Guides or Gods? Pathology or Faith?

This research investigated whether individuals who were members of a religious group in which they participated in a guru-devotee relationship differ in particular psychological and developmental ways (the need to be mirrored, the need to idealize, and retrospective perceptions of styles of having been parented) from individuals who were members of other groups, religious or non-religious. One hundred and eight subjects were drawn from three groups: (a) a Hindu based guru-devotee group, (b) a Unitarian Universalist Church with a non-hierarchical polity, and (c) a non-religious group, a computer company. Subjects were men and women ranging in age from 23 to 83. Each completed the Goal Instability and Superiority Scales (GIS) the Parental Authority Questionnaire (PAQ) and a demographics questionnaire. Results demonstrated no statistically significant differences among the groups on the measures of idealizing, mirroring, and perceived styles of having been parented, thus challenging the conventionally held belief that guru-devotee involvement is indicative of pathology. Private practice in     

Buddhism and Science: Allies or Enemies?

Buddhist teachings and modern science are analogous both in their approach to the search for truth and in some of the discoveries of contemporary physics, biology, and psychology. However, despite these congruencies and the recognized benefits of science, Buddhism reminds us of the dangers of a tendency toward scientific reductionism and imperialism and of the sciences' inability to deal with human moral and spiritual values and needs. Buddhism and science have human concerns and final goals that are different, but as long as the boundaries between them are not trespassed, they can be mutually corrective and allied to benefit humankind. Buddhism must be open to the discoveries of science about the physical world as must all religions today, but no matter how much it may have to modify some of its ancient beliefs, its basic truths—the truths about human suffering and its release—will remain untouched.     

Faith and Psychology: Integration or Separation?

This article describes the integration of spiritual and psychological issues as it pertains to a woman's coping with her husband's death. This case highlights the need to incorporate theological elements in any caregiving relationship, whether it be professional or otherwise. Finally, it challenges educational institutions to collaborate in working on the interface of faith and psychology.     

Revelation or Reveilation?: Barth and Postmodernism

Recent developments within literary theory challenge the theological assumption that specific words can act as 'transcendental signifiers', claiming supra-linguistic origin and divine authority. Within the postmodern theology of Mark Taylor this challenge is taken up in such a way as to obliterate the idea of divine revelation within language. However, this article contends that this position, which claims to be absolutely 'post-revelational' results in self-contradictory statements, hidden and unacknowledged forms of foundationalism, and a disregard for the radically other and different. Karl Barth also addresses the problem of the radical relativity of words, but without denying the influence of divine revelation within language. Taking the nature of the 'true Word' as being radically Christological, Barth claims the miraculous nature of transcendence-within-language. However, this divine presence within the Word of God remains hidden, and thus does not inaugurate a violent miracle, whereby human language in all its relativity would be trivialized. Instead of claiming to have abolished transcendent foundations in the light of the challenge of relativism, as Taylor does, this article claims that Barth openly advocates a non-violent, subtle form of transcendent foundationalism for theology, and thus maintains both the relativity of language and divine revelation as the 'Word of God'.     

Personhood and neuroscience: naturalizing or nihilating?

Personhood is a foundational concept in ethics, yet defining criteria have been elusive. In this article we summarize attempts to define personhood in psychological and neurological terms and conclude that none manage to be both specific and non-arbitrary. We propose that this is because the concept does not correspond to any real category of objects in the world. Rather, it is the product of an evolved brain system that develops innately and projects itself automatically and irrepressibly onto the world whenever triggered by stimulus features such as a human-like face, body, or contingent patterns of behavior. We review the evidence for the existence of an autonomous person network in the brain and discuss its implications for the field of ethics and for the implicit morality of everyday behavior.     

Kierkegaard and Camus: either/or?

The philosophies of Søren Kierkegaard and Albert Camus have typically been considered as inverted images of each other. Kierkegaard turns to faith in God as a path of redemption from meaninglessness while Camus rejects faith as a form of intellectual suicide and cowardice. I argue that an analysis of key terms of contest—faith and lucidity, revolt and suicide, Abraham and Sisyphus, despair and its overcoming—serves to blur the lines of contrast, making Kierkegaard and Camus much closer in their views of what sort of life we should live in face of the forsakenness of our condition than they seem at first glance.     

Psychotherapy and Religion: Rapprochement or Antithesis?

Religion and psychotherapy have long maintained separate directions, currently manifested in four viewpoints: orthodox, atheistic, neutralist, and moderate. Although each therapeutic viewpoint is distinct, each contains the seed for rapprochement. The need for a rapprochement that provides professional psychotherapy capable of addressing religious issues is clearly voiced by laypersons, who are clients or potential clients, and by members of the clergy and psychotherapeutic professions. Increasing numbers of ministers now receive professional preparation for pastoral counseling. It is timely for those in the counseling professions to consider seriously specialized education and certification in religious counseling for secular psychotherapists.     

Medical Thrillers: Doctored Fiction for Future Doctors?

Medical thrillers have been a mainstay of popular fiction since the late 1970s and still attract a wide readership today. This article examines this specialized genre and its core conventions within the context of professionally-based fiction, i.e. the class of thrillers written by professionals or former professionals. The author maps this largely unchartered territory and analyzes the fictional representations of doctors and medicine provided in such novels. He argues that medical thrillers, which are not originally aimed at specialized readers and sometimes project a flawed image of medicine, may be used as a pedagogical tool with non-native learners of medical English.     

Individualism-collectivism and self-concept: Social or contextual?

The cultural constructs of individualism and collectivism (I-C) have been closely identified with different conceptions of the self. In contrast to autonomous, abstract self-concepts, it has been argued that collectivists have concepts of self which are interdependent with others and connected with particular contexts. This study investigated the extent to which spontaneous social and contextual self-concepts were connected to each other and to individual-level I-C measures. Questionnaires were administered to adult employee samples in Australia and South-East Asia (N = 581). Although closely intertwined, social and contextual statements were able to be independently tested in relation to I-C. I-C was primarily related to the social-autonomous dimension of self. Controlling for social self-responses, contextual self-concepts were not independently related to any of the measures of I-C.     

Partners or pawns?: The impact of elite decision-making and epistemic communities in global information policy on developing countries and transnational civil society

This paper explores the complex institutional processes that comprise the global governance of cyberinfrastructure and examines the impact of these elite regime formation processes on developing countries and transnational civil society organizations. Based on a concurrent, mixed-methods study of the United Nations-sponsored World Summit on the Information Society (WSIS), we find that policy-actors from developing countries and civil society organizations have been less effective than other actors in influencing these processes. Finally, we recommend future research on the use of ICTs to strengthen the effective participation of developing countries and transnational civil society organizations in these processes. He directs the Collaboratory on Technology Enhanced Learning Communities 〈www.cotelco.net〉 and holds a Ph.D. in political science from Howard University. This study is part of a larger research program called From Pawns to Partners, supported by grants from the University of Michigan, W.K. Kellogg Foundation, Microsoft Research, and Hewlett-Packard. The author would like to thank the graduate students working in Cotelco, as well as helpful colleagues Deborah Robinson, James Jackson, Michael Traugott, Alford Young, and Michael Kennedy. An earlier version of this paper was presented at the 2004 ISA conference.     

Social attitudes and education: Self-selection or socialization?

The aim of this study was to replicate earlier findings (Ekehammar et al., 1987) concerning the relationship between social attitudes and educational direction and field of study, by addressing further the causality issue. The sample comprised 256 Swedish adolescents from metropolitan Stockholm attending the two lowest grades in secondary school (modal age was 17 years). The main findings of the previous study were replicated, although the statistical power was weaker. Two higher-order attitude dimensions (labeled Political-economic conservatism and Social conservatism) discriminated between six groups, based on combinations of the two aspects of education. The main picture evidenced a socialization effect regarding Political-economic conservatism and a self-selection explanation for Social conservatism. Introducing intellectual ability as an independent variable in the causal model, affecting both educational direction and social attitudes, weakened the relationship, as compared to the previous study.     

Analytical Psychology and Science: Adversaries or Allies?

This article examines C. G. Jung's relationship to science as a paradigm and the relationship between the Jungian community and science. The impact of Jungian “isolation” in terms of academic dialogue, cross-theoretical influence, and absence from the public sphere is also discussed. The author examines how findings from science can enhance our functioning as analytic clinicians and improve our ability to communicate the wealth found in analytical psychology to a variety of audiences outside Jungian circles. Finally, research on analytic interaction and analytic theories of the mind/psyche is explored as well as general research that has implications for analytical psychology and psychoanalytic theory.     

Job involvement and Machiavellianism: obsession-compulsion or detachment?

This study addressed a conflicting finding in the Machiavellianism literature--the direction of the relationship between job involvement and Machiavellianism. Although the results did not verify the positive relationship implicit in the view of job involvement as obsession-compulsion, they did confirm the negative relationship implicit in the characterization of Machiavellians as somewhat detached from their surroundings and uninvolved in their jobs.     

Action and motivation: Measuring perception or strategies?

It has been suggested that when judging the distance to a desirable object, motivated distortions of perceived distance occur, and that these distortions can be measured by actions, such as throwing a beanbag. The results of two new experiments suggest that reported variations in beanbag performance may instead depend on instructional effects, such as ones that emphasize proximity rather than accuracy. When the goal was to be closest to the target, underthrowing was observed, whether the target was intrinsically valuable or not. When the goal was to hit the target, however, throwing performance was unbiased.