God and Some Recent Public Theologies

This article addresses the 'ever widening' circle of theological writing concerned with the public character of theology. Specifically, it examines the work of two 'public theologians': Linell Cady and Max Stackhouse, and it does so by focusing on the concept of God ingredient in their programmes for contemporary public theology. The article is an inquiry into the sort of theology such public theologies might be. It argues that an account of the identity and agency of God is of decisive significance for an account of the public character of theology. In keeping with its exploratory nature, it concludes with a series of questions regarding the work of Cady and Stackhouse and suggests an alternative way forward for public theology. It suggests a re-orientation of public theology 'on the basis of a more robust account of divine identity and divine agency cognizant of the possibilities afforded by the prevenient publicity of the God of the Christian gospel'.     

信仰理性·认知理性·反思理性--理性"天然合法性"的根据何在

人类文明的发展,经过了"信仰理性"、"认知理性"的支配阶段后,将进入一个"人性自主一反思理性"的时代.在已往的历史中,理性并没有真正握有自主权,它更多地充当了一种工具化的角色.信仰理性是"本性在外"的理解方式,理智理性是"本性对外"的理解方式,二者均未达到人性的自主.反思理性作为理性的自我反省,是向生成自身的那个人性根基的回归.理性的"天然合法性"的根据即在理性自身.反思理性使"理性自洁"的功能得以发挥,它一定能够解决理性自身造成的问题."反思理性"将成为新世纪人类文明的主导理性.     

Restoring the Image: Spirituality, Faith, and Cognitive Disability

There is a great deal of theological confusion within the church as to the level of participation people with profound cognitive disabilities should be allowed within the orders of the church. For some, sacramental participation without intellectual comprehension is dishonoring to God, while for others, lack of cognitive ability precludes any kind of meaningful spiritual life. This paper sets out some of the various positions and argues that faith and spirituality are not intellectual concepts, but relational realities. It is only in and through our relationships that any of us can learn anything about the divine. A relational understanding of faith and spirituality as outlined here offers the church the freedom to avoid evaluating a person's spiritual life according to intellectual criteria and to begin to find new ways of preaching the Word to those who have no words.     

Prospective Memory Impairment in Mild Cognitive Impairment: An Analytical Review

Mild cognitive impairment (MCI) is a heterogeneous condition characterized by the presence in an otherwise healthy elderly individual of cognitive deficits involving specific domains in the absence of significant functional impairments. Reports indicate that prospective memory (PM), that is, the ability to remember to execute delayed intentions, is impaired in individuals with MCI. The present review discusses the current debate in the literature on PM functioning in MCI by focusing on the relationship between prospective retrieval and retrospective memory functioning. Analysis of the reported evidence revealed that both the prospective component and the retrospective component of PM can be impaired in MCI. Declarative memory dysfunction may account for the retrospective memory impairment, while either reduced executive abilities or a deficit of reflexive mechanisms could explain the prospective component impairment.     

Cognitive Impairment and Personality Adjustment in Vietnam Veterans

This study investigated the intellectual functioning and personality characteristics of 81 Australian ex-servicemen, 42 of whom had served in Vietnam. A Cognitive Impairment Model (SCIM) developed by Savage (1978, 1981, 1984) enabled intellectual functioning levels, intellectual deterioration and learning ability in the verbal and performance modalities to be asses. The Clinical Analysis Questionnaire (CAQ) of Krug (1980) based 00 Cattell's theory and personality measurement techniques provided an assessment of normal personality characteristics and clinical factors. The data suggested that the two groups, Australian ex-servicemen and Australian Vietnam veterans, were relatively homogeneous with regard to cognitive functioning and gave no indication of impairment in their intellectual levels or of their learning ability. Significant personality differences were, however, found between the two groups of ex-servicemen. The Vietnam veterans showed significantly more tension, depression, guilt, resentment, alienation and hypochondriasis than their colleagues who had remained in Australia. They were more withdrawn from others and from reality and had more abnormal thought than the ex-servicemen who had not been to Vietnam. The cognitive data do not support the view that Vietnam veterans suffered from any serious cognitive impairment. The personality data, however, suggest a significant “Psycbological Stress Syndrome” in these Vietnam veterans which required professional psychological treatment.     

Production and Identification Repetition Priming in AmnesticMild Cognitive Impairment

ABSTRACT

The experiment reported here examined implicit memory function, as measured through repetition priming, in amnestic mild cognitive impairment (MCI) to examine whether impairments exist in this aspect of memory function. Young adults, healthy older controls, Alzheimer's disease patients, and MCI participants were asked to perform two types of implicit memory tests (word stem completion and threshold identification repetition priming tasks), as well as a recognition test for studied items. As expected, young adults performed better than the other participants on the recognition test and the word stem completion task; there was equivalent priming across groups on the word identification task. While both the older control and MCI participants showed lower levels of priming on the word stem completion task relative to the young adults, the magnitude of priming was equivalent for these two groups, and reliably greater than that of the dementia participants. These results suggest that not all aspects of memory function are impaired in MCI relative to healthy aging.     

Heterogeneity of Neuropsychological Impairment in HIV Infection: Contributions from Mild Cognitive Impairment

Despite longstanding acknowledgement of the heterogeneity of HIV-associated neurocognitive disorders (HAND), existing HAND diagnostic methods classify according to the degree of impairment, without regard to the pattern of neuropsychological strengths and weaknesses. Research in mild cognitive impairment (MCI) has demonstrated that classifying individuals into subtypes by both their level and pattern of impairment, using either conventional or statistical methods, has etiologic and prognostic utility. Methods for characterizing the heterogeneity of MCI provide a framework that can be applied to other disorders and may be useful in clarifying some of the current challenges in the study of HAND. A small number of studies have applied these methods to examine the heterogeneity of neurocognitive function among individuals with HIV. Most have supported the existence of multiple subtypes of neurocognitive impairment, with some evidence for distinct clinicodemographic features of these subtypes, but a number of gaps exist. Following a review of diagnostic methods and challenges in the study of HAND, we summarize the literature regarding conventional and empirical subtypes of MCI and HAND and identify directions for future research regarding neurocognitive heterogeneity in HIV infection.     

血管性认知功能障碍与胰岛素抵抗关系的临床研究

探讨在血管性认知功能障碍（vascular cognitive impairment,VCI）的发病机制中胰岛素抵抗（insulin resistance,IR）的作用及二者之问的关系。比较41例VCI患者与80例健康对照组中空腹血糖（FPG）等13个因素之间是否存在差异,及VCI的发生与上述各因素之间的关系。VCI组FPG、FINS、HOMA-IR、ISI、FIB、TC、TG、LDL明显高于对照组（P〈0．01或P〈0．05）;其中FINS、HOMA-IR、LDL为VCI发生的危险因素;MMSE评分与ISI呈显著正相关（rs=0．56,P〈O．01）。VCI中存在IR,IR是VCI发生的危险因素之一,VCI的严重程度与IR呈正相关。     

轻度认知损伤的语义记忆研究述评

轻度认知损伤（Mild cognitive impairment,MCI）是介于正常老化与痴呆之间的过渡阶段,表现为与年龄和教育程度不相称的认知功能减退。本文回顾了近期有关MCI语义记忆的研究,分析比较了各研究的实验任务及结果,得出MCI患者存在一定程度的由多种原因造成的语义记忆损伤,语义记忆测验对MCI的早期筛查和转归预测有重要作用。最后指出将来的研究需要将包括语义记忆成分在内的多种认知测验相结合,以便及早发现有可能发展为痴呆的危险个体并开展相应干预。     

Everyday Impact of Cognitive Interventions in Mild Cognitive Impairment: a Systematic Review and Meta-Analysis

Cognitive interventions in Mild Cognitive Impairment (MCI) seek to ameliorate cognitive symptoms in the condition. Cognitive interventions may or may not generalize beyond cognitive outcomes to everyday life. This systematic review and meta-analysis sought to assess the effect of cognitive interventions compared to a control group in MCI on generalizability outcome measures [activities of daily living (ADLs), mood, quality of life (QOL), and metacognition] rather than cognitive outcomes alone. PRISMA guidelines were followed. MEDLINE and PsychInfo were utilized as data sources to locate references related to cognitive interventions in individuals with MCI. The cognitive intervention study was required to have a control or alternative treatment comparison group to be included. Thirty articles met criteria, including six computerized cognitive interventions, 14 therapist-based interventions, and 10 multimodal (i.e., cognitive intervention plus an additional intervention) studies. Small, but significant overall median effects were seen for ADLs (d = 0.23), mood (d = 0.16), and metacognitive outcomes (d = 0.30), but not for QOL (d = 0.10). Computerized studies appeared to benefit mood (depression, anxiety, and apathy) compared to controls, while therapist-based interventions and multimodal interventions had more impact on ADLs and metacognitive outcomes than control conditions. The results are encouraging that cognitive interventions in MCI may impact everyday life, but considerably more research is needed. The current review and meta-analysis is limited by our use of only PsychInfo and MEDLINE databases, our inability to read full text non-English articles, and our reliance on only published data to complete effect sizes.     

认知和情绪冲突的监控与解决：来自轻度认知损伤的证据

轻度认知损伤(mild cognitive impairment, MCI)是介于正常老化和痴呆之间的过渡阶段。近年来, 执行控制的损伤被认为是MCI的核心特征之一。当前, 在MCI执行控制的领域内, 对冲突监控与解决的特征及其神经机制的研究较少。本研究拟通过认知及情绪冲突实验范式, 结合脑成像技术, 探讨遗忘型MCI (amnestic MCI, aMCI)认知和情绪冲突的监控与解决的特征及相应的脑激活模式; 通过对比aMCI和正常老年人在认知和情绪冲突任务中激活的神经环路, 考察aMCI是否在执行加工的神经网络上存在激活异常。在上述研究基础上, 研究者拟探讨aMCI在执行控制的冲突监控与解决上是否存在一般性的损伤机制, 同时试图寻找aMCI在执行控制的冲突监控与解决方面的认知及神经生物学标记。这对深入理解痴呆的发病进程并有针对性的开展痴呆的早期识别与干预具有重要的理论意义和实践意义。     

Association Between Gait and Dual Task With Cognitive Domains in Older People With Cognitive Impairment

The authors investigated whether impaired gait and dual-task performances are associated with specific cognitive domains among older people with preserved cognition (PC), mild cognitive impairment (MCI), and mild Alzheimer's disease (AD). The sample comprised 40 older adults with PC, 40 with MCI, and 38 with mild AD. The assessment consisted of gait (measured by 10-m walk test and Timed Up and Go Test [TUGT]), dual task (measured by TUGT associated with a cognitive-motor task of calling a phone number), and cognition (domains of the Addenbrooke Cognitive Examination–Revised and Frontal Assessment Battery [FAB]). For data analysis, the Pearson product-moment correlation and the backward stepwise linear regression were conducted. Language, fluency, and visuospatial domains predicted the 10-m walk test measure specifically in PC, MCI, and AD groups. Only the visuospatial domain was independently associated with the TUGT measure in the MCI and AD groups. FAB score, language domain, and FAB score and fluency domain were the strongest predictors for the isolated cognitive-motor task measure in the PC, MCI, and AD groups, respectively. The visuospatial domain was independently associated with the dual-task test measure in all 3 groups. The study findings demonstrate the influence of specific cognitive domains in daily mobility tasks in people with different cognitive profiles.     

Logic and Rhetoric in Legal Argumentation: Some Medieval Perspectives

While the formal treatment of arguments in the late medieval modi arguendi owes much to dialectic, this does not remove the substance and function of the argumentative modes discussed from the realm of rhetoric. These works, designed to teach law students skills in legal argumentation, remain importantly focused on persuasive features of argumentation which have traditionally been strongly associated with a rhetorical approach, particularly in efforts to differentiate from it dialectic as a more strictly scientific and logical form of reasoning. This also sheds some light on the relative roles logic and rhetoric play in the legal discourse of our own time. In their approach to persuasive legal discourse, the modi arguendi stand between the argumentative rhetorics of Antiquity and the rhetoricized dialectics of the Renaissance, and by linking the minute technicalities of professionalized law with broad general considerations of justice, utility, nature, and emotion, they mediate between the modem trend towards atomized field-specific rhetorics and the classical idea of a unified civic rhetoric.     

Development of a Brief Cognitive Screen for Mild Cognitive Impairment and Neurocognitive Disorder

Abstract

The purpose of this study was to develop and evaluate a brief cognitive screen for possible Mild Cognitive Impairment (MCI) and other neurocognitive impairment in a sample of general medical patients. Two hundred community-dwelling general medical patients aged 65 or older participated in this study. Age and education corrected scores from the Rey Auditory Verbal Learning Test and Mattis Dementia Rating Scale were used to classify participants into three groups: MCI, neurocognitive disorder, cognitively intact. Groups were then compared on an independent set of measures: the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) neuropsychological battery, Mini-Mental State Examination, and Clock Drawing Test. The MCI group constituted 9% of the sample, while 10.5% of the sample was classified into the neurocognitive disorder group. The CERAD Verbal Category Fluency and CERAD Word List Memory Test Delayed Recall measures were individually and collectively the most effective in differentiating cognitively intact elders from persons in both the MCI and neurocognitive disorder groups. We conclude that these two brief measures appear to be effective for detecting possible MCI or neurocognitive disorder, thereby facilitating identification of candidates who would benefit from more detailed neuropsychological assessment.     

轻度认知功能障碍的防治决策

轻度认知功能障碍(mild cognitive i mpairment,MCI)被认为是阿尔茨海默病(alzhei mer disease,AD)的极早期。AD的防治需从MCI开始,早期发现,早期干预,以便延缓和阻止AD的发生。目前我国MCI具有就诊率低,诊断率低,治疗率低和漏诊率高的特点。临床研究要改变MCI三低一高的状况,医师及民众要提高对MCI的认识,应该采取重在预防,重视筛查,早期诊断,早期治疗的决策,可以延迟和阻止AD的发生。