PHILOSOPHY OF MEDICAL PRACTICE: A DISCURSIVE APPROACH

In spite of the seminal work A Philosophical Basis of Medical Practice, the debate on the task and goals of philosophy of medicine still continues. From an European perspective it is argued that the main topics dealt with by Pellegrino and Thomasma are still particularly relevant to medical practice as a healing practice, while expressing the need for a philosophy of medicine. Medical practice is a discursive practice which is highly influenced by other discursive practices like science, law and economics. Philosophical analysis of those influences is needed to discern their effect on the goals of medicine and on the ways in which the self-image of man may be changed. The nature of medical practice and discourse itself makes it necessary to include different philosophical disciplines, like philosophy of science, of law, ethics, and epistemology. Possible scenario's of euthanasia and the human genome project in the USA and Europe are used to exemplify how philosopy of medicine can contribute to a realistic understanding of the problems which are related to the goals of medicine and health care.     

Teaching maxi- and minicomputer programming at the same time: Is there an advantage?

A course is described that provides concurrent and equal coverage of maxi- and minicomputer systems. The results of student evaluations are provided.     

Emerging Migrant Churches in the Netherlands: Missiological challenges and mission frontiers

Abstract Emerging migrant churches in the Netherlands are a visible sign of a changed society. These changes demand rethinking of missiological challenges and “mission frontiers”. In this process sentiments of the Dutch population towards immigrants need to be addressed. Since the murders of right‐wing politician Pim Fortuyn and film producer Theo van Gogh, existing tensions in society and feelings of fear can neither be neglected nor downplayed. Referring to three examples of newly emerged multicultural churches, the author comments on how these communities shape their church and mission. He argues that migrant churches are missional by definition in their focus on internal, external or common mission. In discussing the response to migrant's theologies, he argues that true dialogue is often precluded by reductionist tendencies. More opportunities for theological training of the leadership of migrant churches, on their own terms, are mentioned as an important challenge. Defining one's own Christian identity anew in the changed context is seen as vital for true dialogue and connectedness.     

Effects of language comprehension on visual processing - MEG dissociates early perceptual and late N400 effects

We investigated whether and when information conveyed by spoken language impacts on the processing of visually presented objects. In contrast to traditional views, grounded-cognition posits direct links between language comprehension and perceptual processing. We used a magnetoencephalographic cross-modal priming paradigm to disentangle these views. In a sentence-picture verification task, pictures (e.g. of a flying duck) were paired with three sentence conditions: A feature-matching sentence about a duck in the air, a feature-mismatching sentence about a duck in a lake, and an unrelated sentence. Brain responses to pictures showed enhanced activity in the N400 time-window for the unrelated compared to both related conditions in the left temporal lobe. The M1 time-window revealed more activation for the feature-matching than for the other two conditions in the occipital cortex. These dissociable effects on early visual processing and semantic integration support models in which language comprehension engages two complementary systems, a perceptual and an abstract one.     

The Effects of Self-generated Cues on Recall of the Paragraphs of a Text

A self-generated list of short indications of the paragraphs of a text was shown to subjects to facilitate the retrieval of the text's contents during recall. The results of Experiment 1 indicated that a substantial number of potentially accessible paragraphs failed to be retrieved under ordinary conditions of free recall. Access to some paragraphs appears to have been inhibited progressively by previous, more or less complete, retrieval of the contents of other paragraphs. In Experiment 2, repetition of recall provided access to a significant number of supplementary paragraphs. A significant number of paragraphs initially reproduced, however, was omitted during secondary recall. In both experiments, the completeness of recalled paragraphs was a negative function of their serial position of output. In Experiment 3, inspection of a self-generated list of short indications of paragraphs and experimenter-provided verbal embellishment of half of the paragraphs affected recall independently.     

Trauma and autobiographical memory specificity in depressed inpatients

Research on autobiographical memory has shown that clinical depression is associated with a difficulty in retrieving specific autobiographical memories in response to cue words. This study examined the relation between lack of autobiographical memory specificity and self-reported trauma in a group of depressed adults (N = 23). In addition to the Autobiographical Memory Test (AMT; Williams & Broadbent, 1986) participants completed a number of questionnaires assessing the presence of traumatic experiences in the past, level of depression and neuroticism. The number of specific responses was not related to depression severity, but was significantly associated with the presence and severity of reported physical abuse. Participants who had been victim of physical abuse were less specific than participants who had not been confronted with such physical adversities. The results are discussed in the context of a functional hypothesis about the developmental relations between memory specificity, trauma and depression.