The perils of protection: vulnerability and women in clinical research

Subpart B of 45 Code of Federal Regulations Part 46 (CFR) identifies the criteria according to which research involving pregnant women, human fetuses, and neonates can be conducted ethically in the United States. As such, pregnant women and fetuses fall into a category requiring “additional protections,” often referred to as “vulnerable populations.” The CFR does not define vulnerability, but merely gives examples of vulnerable groups by pointing to different categories of potential research subjects needing additional protections. In this paper, I assess critically the role of this categorization of pregnant women involved in research as “vulnerable,” both as separate entities and in combination with the fetuses they carry. In particular, I do three things: (1) demonstrate that pregnant women qua pregnancy are either not “vulnerable” according to any meaningful definition of that term or that such vulnerability is irrelevant to her status as a research participant; (2) argue that while a fetus may be vulnerable in terms of dependency, this categorization does not equate to the vulnerability of the pregnant woman; and (3) suggest that any vulnerability that appends to women is precisely the result of federal regulations and dubious public perceptions about pregnant women. I conclude by demonstrating how this erroneous characterization of pregnant women as “vulnerable” and its associated protections have not only impeded vital research for pregnant women and their fetuses, but have also negatively affected the inclusion of all women in clinical research.     

SIGNALING STATIC: ARTISTIC,RELIGIOUS, AND SCIENTIFIC TRUTHS IN A RELATIONAL ONTOLOGY

Abstract. In this essay I point toward the difficulties inherent in ontological objectivity and seek to restore our truth claims to validity through a relational ontology and the dynamic of coimplication in signals and noise. Theological examination of art and science points toward similarities between art, religion, and science. All three have often focused upon a “metaphysics of presence,” the desire for absolute presence of the object (the signified, the divine, the natural object). If we accept a relational ontology, however, we must accept that the revelation of presence is always simultaneously a concealment. This helps explain technoscientific achievement without recourse to a philosophically flawed objectivity. Twentieth‐century information theory shows the impossibility of a “pure signal.” By accepting that signal and noise are permanently interconnected, we begin to see how noise makes signal possible and even how noise becomes signal (allowing the discovery of novel facts). Information theory thus underscores important similarities and leads toward new approaches in aesthetics, Christian theology, and scientific research. By comparing art, religion, and science, I argue that rejecting a metaphysics of presence without rejecting presence itself allows human beings to know the world. Although religion, science, and art often seek the absolute presence of their objects, they function better without.     

Social psychology circa 2016: A field on steroids

This paper considers the current state of the field in social psychology. On the one hand, we have made enormous progress in integrating our research with other disciplines, reaching out to general public and using our knowledge toward addressing major societal ills. On the other hand, social psychology has been recently mired in a crisis of confidence concerning the appropriateness of our methods and the robustness of our findings. We propose that shifting our attention to theory, method, and application, as well as away from a pervasive “outcome focus,” can extricate social psychology from its current doldrums and allow it to realize its potential as an indispensable social science.     

The mismeasure of a young man: an alternative reading of autism through a co-constructed fictional story

The combination of academic article and the fictional story it contains represents an attempt to convey our combination of qualitative participatory research and collaborative creative writing as used in a project with a group of young people with disabilities. Through our story involving the fictional character Jasper, we have tried to distil some of the essence of his real-life inspiration, Peter, a young man with autism. At the same time, we recognise the impossibility of “pinning down” any character as a representation of any psychological condition. By questioning the boundaries between science and art, and by considering alternative ways of creating research reports, we present the story as an alternative reading of autism. We suggest that the value of fiction in this context is that it allows a reframing of problems while presenting readers with an accessible means of connecting with others across disciplinary, methodological, and social divides.     

Health Policies and Bioethics: A Psychosocial Perspective in Managing the Moral Question

In Western democratic society, the specificity of the bioethical debate over the life-sciences involves bringing together many different study factors. The dilemmas raised by the new scientific discoveries highlight how contemporary common sense is plagued by a profound feeling of anguish over possible future anthropological developments. One of the central problems is the social construction of consent as a psychological strategy seeking to orient public opinion toward accepting new applications of science and technology. On the one hand, the general features in the epistemological analysis of the mind-brain identity are called into question; and on the other, together with all those research directions concerned with the “meaning of life,” we enter the dimension of the complex issue inherent in the possibility of establishing if there exists something transcending thought and what it may be. In both cases a problem is raised on which the meaning of human life and the world depend, while between the two universes described by medical science and ethical-philosophical thought a window of opportunity for important psychological research is opened. In order to understand such phenomena the present article defends the theory that social psychology must adopt as its subject matter “thinking society,” that is, society characterized by discussion and reasoning on themes relevant to bioethics.     

Creating a Self-Plagiarism Research Topic Typology through Bibliometric Visualisation

Self-plagiarism, textual recycling and redundancy seemed to be controversial and unethical; however some questions about its definition are still open. The objective in this paper presented study was to use bibliometric analysis to synthesise and visualize the research literature production and derive a typology of self-plagiarism research. Five topics emerged: Self-plagiarism, Institutional self-plagiarism, Self-plagiarism and ICT, Self-plagiarism in academic writing, Self-plagiarism in science. The state of the art topics seem to be “social medium”, “virtual world”, “face book”, “sociomateriality”, “knowledge sharing”, “open access”, “institutional repository”, “retraction” and “responsible conduct”.     

Ce que soigner veut dire. Le peintre,le patient et le bon samaritain

The hyper-medicalization of our societies and our absolute confidence in curative medicine have made us gradually lose the deep meaning of the words of ailments. Many are now calling on the public authorities to promote a “policy of Care”. The use of anglicisms is certainly “trendy” but opposing “cure” and “care” does not make sense. We invite our readers to try to recover the meaning and the value of the verb to treat and the word care(s), plural and yet so singular. To carry out this quest, we will focus our attention on a few works of art which will perhaps allow us, in three stages, to (re)discover the deep meaning of the care relationship.     

Psychoanalysis as a Pocket of Resistance Against Inhumanity: Commentary on Paper by Rachael Peltz

In this commentary I discuss ways in which Rachael Peltz makes use of a work of art—John Berger's The Shape of a Pocket—to glimpse “the absent,” Berger's word for the inarticulate living core of human experience. I first take up the idea that art must overcome the existent as “an act of resistance instigating hope” (Berger, 2001, p. 22). Each of the mediums in which art (including the art of psychoanalysis) is made involves the artist's effort to overcome the resistance inherent in transforming one form of experience (e.g., an analyst's reverie experience) into another (e.g., an intervention or an analytic essay). Peltz describes the state of mind necessary for such transformational movement as “an attitude of receptivity to whatever is about to happen,” but never completely comes into being. A second strand of thought that I discuss is the idea that disappearance is as important a part of the human condition as is appearance. Dreams, for example, would lose their mystery and power if they were not just out of reach, perpetually receding. And finally, I comment on how Berger and Peltz share the belief that each of us is personally responsible for making our own individual effort to come together with others to create acts of resistance against man's inhumanity to man.     

Yearning for certainty and the critique of medicine as “science”

A debate has simmered concerning the nature of clinical reasoning, especially diagnostic reasoning: Is it a “science” or an “art”? The trend since the seventeenth century has been to regard medical reasoning as scientific reasoning, and the most advanced clinical reasoning is the most scientific. However, in recent years, several scholars have argued that clinical reasoning is clearly not “science” reasoning, but is in fact a species of narratival or hermeneutical reasoning. The study reviews this dispute, and argues that in a theoretical sense, the dispute rests upon a naïve—but very popular—caricature of what constitutes “science reasoning.” But, if the dispute rests upon just such a caricature, why is it so persistent? The study concludes by suggesting that we, as patients and as physicians, have deep psychological tendencies that incline us to adopt the very naïve “science” concept/model of diagnostic reasoning, even if (or when) we understand its inaptness.     

Trait “pessimism” is associated with increased sensitivity to negative feedback in rats

Several cognitive theories of depression have proposed that cognitive judgment bias determines individual vulnerability to this disorder. Indeed, we have recently demonstrated a relationship between pessimistic judgment bias and vulnerability of rats to the stress-induced anhedonia, and a negative correlation between the level of pessimism and motivation. To further characterize the effects of trait pessimism on cognitive processes associated with depression, in the present study we compared the sensitivity of rats displaying optimistic and pessimistic traits to positive and negative feedback. The animals were initially trained and tested in the rat version of the probabilistic reversal-learning (PRL) task, which allowed for the assessment of feedback sensitivity in individual animals. Subsequently, the rats were re-trained and tested in a series of ambiguous-cue interpretation (ACI) tests, which allowed for the classification of animals displaying “optimistic” and “pessimistic” traits. The “pessimistic” rats were significantly more sensitive to negative feedback than their “optimistic” conspecifics, as indicated by an increased proportion of lose-shift behaviors. The results of our study demonstrate the interrelation and co-existence of two cognitive biases that may predict vulnerability to depressive disorder.     

Psychology,Science, and Culture: Cross-Cultural Analysis of National Psychologies

Although psychology is assumed to be a value-free, universal, and objective branch of science, in actual practice it is deeply enmeshed with Euro-American cultural values that champion rational, liberal, and individualistic ideals. In North America, the free exchange of ideas is valued, and ideas are purportedly evaluated through public and competitive avenues. This belief affects how conferences are organized, research collaborations are developed, research is funded, and publications are accepted. In East Asia, human relationships that can be characterized as being “virtue-based” rather than “rights-based” occupy the centre stage. Individuals are considered to be linked in a web of inter-relatedness and ideas are exchanged through established social networks. Establishing trust and cordial working relationships are prerequisites for the active exchange of ideas. Psychological science is a cultural enterprise that must examine its implicit assumptions and integrate with other world views in developing a truly universal psychological science.     

Narrating Rape: An Ethnographic Case-Study of Non-Consensual Sexual Debut in Tanzania

ABSTRACT

This article explores the issue of (female) sexual consent in a non-western context by examining narratives of the non-consensual sexual debut in Tanzania within the institutional and cultural tolerance for intimate violence, and the role of the state and media in condoning “proper” gender roles. None of the young women interviewed during a year of ethnographic fieldwork on a college campus were willing to identify this activity as “rape,” though they frequently detailed the ways that aspirations for “respectability” created conditions of vulnerability to ongoing exploitative sexual relationships with older men in positions of authority whom they once trusted. In the socio-sexual premarital landscape of school girls, sex is never given away for free, but may be dispensed with reasonable expectation of return. In an effort to contextualize sexual intimacy and avoid careless use of labels like “prostitution,” feminist public health researchers began to frame sexual encounters in transactional terms. Although not entirely unproblematic, the less stigmatizing terminology reveals more nuanced intimate economies among men and women which include structurally and culturally-derived elements of deprivation, agency, and instrumentality. This article pays careful attention to the narrative of one young women who describes a socio-sexual premarital landscape which almost universally positions male partners as culturally-empowered to proceed with aggressive, even violent, advances toward young women they wish to have sex with, “date,” or marry. Within this context, this article then teases out emerging discourses about structural conditions that reinforce violence.     

Is psychoanalysis alive and well at 85? A rejoinder

Psychoanalysis has declined in public interest and scientific validity. It has become a “dead science” and an anachronistic system of beliefs. Its goal of total personality reconstruction is frustrating and futile. Psychoanalytic practice became a form of “exclusive salvationism,” and unconscionable, when it excluded the spouse from participation in the total treatment plan. More frequent interviews over a longer period of time do not produce a therapeutic effect that is “deeper,” and there is no reason to believe that fewer interviews are superficial, or temporary, and that prolongation of an analysis is more likely to produce better therapeutic results. Research studies do not produce any clear-cut winners when psychotherapies are compared. Psychoanalytic theories rest more on argument than on scientific evidence. The patient’s needs seldom, if ever, correspond to the therapist’s theoretical preoccupations, system of beliefs, and indoctrination. Research psychologists, philosophers of science, and eclectic psychiatrists have expressed their dissatisfaction with unproven psychoanalytic doctrines and the concept of “mental energy.” Psychoanalysis is not a pseudoscience, but a “half-science,” whose poetic mythology requires translation into the prose of science.     

The Top Ten Sales Articles of the 20th Century

The dawn of a millennium brings reflection on accomplishments and progress over the prior century. A common exercise is to identify the “best of the best” in a variety of fields of endeavor (e.g., music, science, art, or literature). In this article we identify the “best of the best” in academic research concerning sales management and professional selling. We conducted a survey of practicing sales academics to identify the “Top 10” sales articles of the century. Each of these articles is briefly reviewed, with attention to its purpose, content and contribution. A citation analysis was also conducted to validate the expert opinion rankings. In total, the results present an intriguing perspective on the accomplishments of the sales academy and its progress as a scholarly community.     

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.     

Conflict and Convergence: The Ethics Review of Action Research

The article is based on the author’s experience as an administrator of three primarily social science institutional review boards (IRBs) to which researchers presented research protocols that purported to be minimal risk studies of teacher practice where the “teacher–researcher” was the “research subject.” Recently, educational, social, and behavioral science researchers encounter many problems with regard to their methodologies and the oversight mandate of the IRBs. There is a divergence between the IRB’s role and assumed bio-clinical predisposition and the ability of behavioral and social science researchers to have their research methodologies and research understood and appreciated by IRB members. The article explores some of the dilemmas confronting IRB members and administrators in the review and administration of the action research protocols, particularly those that involve vulnerable populations and which, from the practitioner–researcher’s perspective, focus on the practitioner–researcher as the object of the research.     

Personality science and personal projects: Six impossible things before breakfast

Personality science pursues the paradoxical project of specializing in comprehensiveness, a pursuit that some may see as an inherently impossible undertaking. Accompanied by one such contrarian, a hypothetical “Reviewer C,” I explore six possible “impossibilities” in personality science. Together we examine our epistemological assumptions, conceptual units of analysis, assessment methodologies, psychometric techniques, social impact, and organizational viability. I focus on “personal projects” (Little, 1972, Little, 1983) as core integrative units of analysis that provide linkages with other integrative units. I propose that personality science will assume increasing importance at the very center of university curricula, as a hub of scientific progress and as a stimulant for a diversity of applied fields. Its paradoxes and perplexities notwithstanding, personality science is an audacious project that is already advancing our understanding of the depth and subtleties of human natures and nurturing attempts to enhance the quality of lives.     

Public Art and Dewey's Democratic Experience: The Case of John Adams's On the Transmigration of Souls

The aesthetic and political sides of public art have recently been examined from different theoretical vantage points. Pragmatist accounts, however, have been largely absent from the discussion. This article develops a theory of public art on some central ideas of John Dewey's aesthetics and social philosophy. From a pragmatist perspective, the best cases of public art turn out to have high social significance, for they are means of promoting the sense of community, which Dewey saw as foundational for well‐functioning democracies. The Deweyan account of public art developed in this article is set against theories that explain its social value by public artworks’ ability to disrupt people's everyday routines and beliefs, as well as by the political alertness they often raise. Diana Boros's recent treatment of what she calls “visionary public art” serves as the main specimen of this approach. The Deweyan understanding of public art is illuminated and defended with the help of a reading of John Adams's On the Transmigration of Souls—a piece composed in memory of the victims of 9/11—that highlights its capacity to generate such communal experiences that have a fundamental role in Dewey's theory of democracy.     

Response to Stuart Kauffman: The Paradox of Divine Action and Scientific Truth

We three authors compare and contrast Stuart Kauffman's concept of the “cosmic mind” with similar ideas developed in our recent book, The Unity of Truth: Solving the Paradox of Science and Religion (IUniverse, 2012). Albert Einstein was known to have said: “Science without religion is lame, religion with science is blind.” We authors make use of the “paradox resolution” methods of physics to find a non-conflicting method by which God's actions communicate with human beings without violating any of the laws of science. The “communications paradox” is resolved by hypothesizing non-causal quantum-mechanical measurements as the way God communicates. the quantum-mechanical resolution of the “communications paradox” is completely consistent with both theist belief and the laws of science, whereas Kauffman's “cosmic mind” concept is seen to be consistent with pantheism.