生活医学化与健康恐慌的关系及其反思*--论Michael Fitzpatrick《健康的暴政：医生及生活方式的控制》

迈克尔·菲茨帕特里克的《健康的暴政：医生及生活方式的控制》一书,以健康干预为主线,以健康政治化、生活医学化、疾病道德化为主题,论述了生活医学化的不同方面和形成过程,并力图揭示医学化背后隐含着的医学对社会的干预和控制。其中作者关于生活医学化和健康恐慌的一些哲学思考,尤其是生活医学化与健康恐慌的内涵及特点、生活医学化与健康恐慌的关系以及对生活医学化的审视与反思,在一定程度上蕴涵着对当今社会发展的启示。     

Self-predication and the Third Man

The paper addresses the widely held position that the Third Man regress in theParmenides is caused at least in part by the self-predicational aspect of Plato's Ideas. I offer a critique of the logic behind this type of interpretation, and argue that if the Ideas are construed as genuinely applying to themselves, then the regress is dissolved. Furthermore, such an interpretation can be made technically precise by modeling Platonic Universals as non-wellfounded sets. This provides a solution to the Third Man regress, and allows a consistent reading of both self-predication and the singularity of the respective Forms.     

Situation awareness as a function of frame of reference, computer-graphics eyepoint elevation, and geometric field of view

The purpose of this study was to determine how 3 variables for the design of a "heads-down" spatial display--the frame of reference (pilot's eye vs. God's eye), geometric field of view, and elevation of the computer graphics eyepoint--influenced situation awareness. Thirteen flight-naive subjects each flew a simulated F-16 over a computer-generated flight environment to lock onto and intercept a series of sequentially appearing targets. The flight scene consisted of both an "out-the-window" view and a computer-generated heads-down spatial display showing an airplane symbol superimposed on a perspective view of the flight environment. During the interactive phase of the experiment, root mean square flight-path error, target lock-on time, and target acquisition time were measured. After the interactive phase of the study was completed, subjects were required to mark the location of the targets from memory on a computer-generated top-down view of the flight scene in an attempt to reconstruct the spatial mental model which subjects formed of the flight environment. The results for the interactive phase of the study indicated that performance was superior using the pilot's-eye display. However, for the spatial reconstruction task, performance was better using the God's-eye display. It was also shown that the ability to maintain the optimal flight-path using the more top-down view of the scene (600 eyepoint) was superior to the 300 eyepoint elevation. Implications of the results for the design of spatial instruments are discussed.     

Investigating the relationship of working memory tasks and fluid intelligence tests by means of the fixed-links model in considering the impurity problem

The impurity of measures is considered as cause of erroneous interpretations of observed relationships. This paper concentrates on impurity with respect to the relationship between working memory and fluid intelligence. The means for the identification of impurity was the fixed-links model, which enabled the decomposition of variance into experimental and non-experimental parts. A substantial non-experimental part could be expected to signify impurity. In a sample of 345 participants error scores and reaction times, which were obtained by the Exchange Test, represented working memory, and Advanced Progressive Matrices served as measure of fluid intelligence. The four independent latent variables of the model associated with error scores and reaction times led to a multiple correlation .67 with the latent variable of fluid intelligence. However, there was impurity since the decomposition by means of the fixed-links model showed that only 45% of the common variance was due to working memory.     

Intersexualität oder Störung der Geschlechtsentwicklung

Intersexuality is suspected when a person either lacks the gender-typical attributes or they are too pronounced or if the attributes of both genders are present in one individual. Intersexuality is an umbrella term for a multitude of diagnoses having different causes, different disease patterns and different developments. Some of them are described in this article, such as the adrenogenital syndrome showing virilisation phenomena with a 46,XX chromosome set or reduced virilisation with a 46,XY chromosome set in the case of an androgen insensitivity syndrome, disturbances of androgenic biosynthesis or gonadal dysgenesis mostly with a feminine gender role. Examples of treatment situations from the psychotherapeutic practice are presented.     

On the validity of Raven’s matrices test: Does spatial ability contribute to performance?

The paper reports on an investigation of the convergent and discriminant validity of Raven’s matrices in considering reasoning and spatial abilities. Raven’s advanced progressive matrices (APM) and four scales representing reasoning, visualization, mental rotation and closure were applied to a sample of N = 280 university students. The data were investigated by means of structural equation modeling. The results demonstrated convergent validity of APM with respect to reasoning. In contrast, in investigating discriminant validity substantial correlations of moderate size between APM and the scales representing spatial abilities were observed. However, the investigation of the structure of the prediction of APM revealed that the scales representing spatial abilities did not improve the prediction based on the reasoning scale alone at the latent level. Consequently, it is suggested that Raven’s matrices show good convergent validity and slightly impaired discriminant validity.     

Not all triads are created equal: further support for the importance of visual and semantic proximity in object identification

Identification deficits were investigated in ELM, a temporal lobe stroke patient with category-specific deficits. We replicated previous work done on FS, a patient with category specific deficits as a result of herpes viral encephalitis. ELM was tested using novel, computer generated shapes that were paired with artifact labels. We paired semantically close or disparate labels to shapes and ELM attempted to learn these pairings. Overall, ELM's shape-label confusions were most detrimentally affected when we used labels that referred to objects that were visually and semantically close. However, as with FS, ELM had as many errors when shapes were paired with the labels "donut," "tire," and "washer" as he did when they were paired with visually and semantically close artifact labels. Two explanations are put forth to account for the anomalous performance by both patients on the triad of donut-tire-washer.     

The cognitive and neural basis of option generation and subsequent choice

Decision-making research has thoroughly investigated how people choose from a set of externally provided options. However, in ill-structured real-world environments, possible options for action are not defined by the situation but have to be generated by the agent. Here, we apply behavioral analysis (Study 1) and functional magnetic resonance imaging (Study 2) to investigate option generation and subsequent choice. For this purpose, we employ a new experimental task that requires participants to generate options for simple real-world scenarios and to subsequently decide among the generated options. Correlational analysis with a cognitive test battery suggests that retrieval of options from long-term memory is a relevant process during option generation. The results of the fMRI study demonstrate that option generation in simple real-world scenarios recruits the anterior prefrontal cortex. Furthermore, we show that choice behavior and its neural correlates differ between self-generated and externally provided options. Specifically, choice between self-generated options is associated with stronger recruitment of the dorsal anterior cingulate cortex. This impact of option generation on subsequent choice underlines the need for an expanded model of decision making to accommodate choice between self-generated options.