‘Knowledge’ as a natural kind term

Naturalists who conceive of knowledge as a natural kind are led to treat ‘knowledge’ as a natural kind term. ‘Knowledge,’ then, must behave semantically in the ways that seem to support a direct reference theory for other natural kind terms. A direct reference theory for ‘knowledge,’ however, appears to leave open too many possibilities about the identity of knowledge. Intuitively, states of belief count as knowledge only if they meet epistemic criteria, not merely if they bear a causal/historical relation to the term. I will develop this objection and show that it is grounded in modal considerations central to Kripke’s work on reference. I will also argue that a more plausible externalist semantics for natural kind terms disarms the objection.     

Immobility reaction at birth in newborn infant

Objective

To describe an immobility reaction (IR) that was not previously reported at or immediately after birth in human newborns.

Method

We analyzed 31 videos of normal term vaginal deliveries recorded from Time 0 of birth defined as the as the moment that lies between the birth of the thorax and the pelvis of the infant. We searched for perinatal factors associated with newborn's IR.

Results

IR at birth was observed in 8 of the 31 newborns. The main features of their behavior were immobilization, frozen face, shallow breathing and bradycardia. One of the 8 newborns had sudden collapse 2 h after birth. We found significant relationships between maternal prenatal stress (PS) and IR (p = .037), and a close to significant one between infants’ lividness at Time 0 and IR (p = .053). The first breath of the 31 newborns occurred before and was not associated with the first cry (p < .001).

Discussion

The main features of IR at birth are similar to those of the universal most severe response to severe stress or danger. The relationship with PS suggests that children who had IR at birth might be at risk for similar disorders as those associated with PS. Sudden neonatal collapse of one of the IR newborns needs further research to determine if they are at risk for sudden infant death syndrome.

Conclusion

This first report of an IR reaction at birth in human infants could open up new paths for improving early neonatal care. Further research is needed for maternal PS, stress hormones, umbilical cord blood pH measurements in IR newborns. The challenge of education and support for parents of IR newborns is outlined.     

Sensorimotor theory,cognitive access and the ‘absolute’ explanatory gap

Sensorimotor Theory (SMT) is the claim that it is our practical know-how of the relations between our environments and us that gives our environmental interactions their experiential qualities. Yet why should such interactions involve or be accompanied by experience? This is the ‘absolute’ gap question. Some proponents of SMT answer this question by arguing that our interactions with an environment involve experience when we cognitively access those interactions. In this paper, I aim to persuade proponents of SMT to accept the following three claims. First, that appeals to cognitive access fail to answer the absolute gap question. Second, that SMT can be read in a way that rejects the gap question. Third, that if proponents of SMT are prepared to read SMT in a way that rejects the absolute gap question, then they can also reject the claim that cognitive access is needed to explain experience.     

Traveling Through the Unthinkable and the Nameless: Discussion of Gómez and Kovalskys

In this response to the paper “Reencounter With History Through a Therapeutic Process” written by Elena Gómez and Juana Kovalskys, I comment in some aspects that are to be addressed while working with patients traumatized by social and political violence. I started by reflecting the inevitability of facing horror and death in the experience of remembering the foreclosed experience of trauma and the need and effects of working from the personal; how the personal wrecked history is interweaved with the ruptures of the big History, and how trauma is stablished not only from the violence of a single human over another, but by the catastrophic lose of the social bond. I conclude by commenting around the place of words in the field of the unthinkable and the nameless experiences.     

Historical Legacies,Social Capital,and Women’s Decision-Making Power: Religion and Child Nutrition in Mozambique

Journal of Religion and Health - In sub-Saharan settings, parental religion may have important implications for children’s health and well-being. Using survey data from rural Mozambique, we...     

Benefits of team participative decision making and its potential to affect individual creativity

How does team participative decision‐making affect individual creative performance? Building on team climate theory (Anderson & West, 1998; West 1990, 2002; West & Sacramento, 2012), this study investigates the indirect effect of team participative decision making on employee creativity through individual perception of cognition team diversity and psychological safety. Results from 256 supervisor–subordinate dyads in 45 teams show that team participative decision making is positively associated with cognitive team diversity and psychological safety. For the mediating effects, team participative decision‐making climate is positively indirectly related to creative performance via psychological safety but not via cognitive team diversity. Theoretical and practical implications are discussed.     

The concept of risk and responsible conduct of research

Assessment of risk is one of the key issues in the field of responsible conduct of research which covers discourses of research ethics and research integrity. The principle of minimizing risks and balancing of risks and benefits is one of the main requirements of research ethics. In addition, the content of informed consent that is another fundamental principle of research ethics derives from the assessment of risks and benefits related to a particular research project. Risk assessment also plays a crucial role in methodological design of the research project. This is an important point where research ethics and research integrity discourses overlap. Firstly, because the choice of a control group (e.g., placebo control) is a key ethical issue related to the protection of the research subjects' interests. Secondly, because the quality of the research data, that is one of the key elements of research integrity, is closely connected to the choice of research methodology as well. The problem of biased interpretation or manipulation of risk related features of biomedical research should also be taken into account. Despite the importance of the concept of risk to the field of biomedical research, its relevance has not yet attracted a sufficient attention in the responsible conduct of research debate.     

The protection of patients’ rights in clinical trials

The Helsinki Declaration is a very important document regarding the protection of patients’ rights in clinical trials and one of the fundamental sources of operational principles for every ethics committee. Although they have been updated, the international guidelines for ethics committees continually fail to address certain issues pertaining to the protection of patients’ rights in clinical trials. These issues include, most significantly, the method of electing ethics committees (a free, secret ballot should be preferred to direct appointment), the avoidance of conflict of interest during the election of ethics committee members, and the necessary insurance coverage for the participants of clinical trials. Polish law should, on the other hand, be developed in such way as to not limit the effectiveness of ethics committees in protecting patients’ rights in clinical trials. The ideal solution would be to draft a uniform law concerning not only clinical trials, but all medical experiments. The opinions of experts who have been reviewing medical research projects for several years may prove to be especially valuable in this setting. This paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005. The author is Chairman, Bioethics Committee of the Warsaw Regional Chamber of Physicians and Dentists.     

The mentor and the trainee in academic clinical medicine

Medicine is a scientific discipline, but it is sometimes difficult to separate what is scientific and what is a clinical, practical activity. Man is the object, but he is always the subject of medical research and therefore these two elements become closely bound together by a thread of moral interdependencies. Every mentor of a young academic and all institutions dealing with the teaching of and research into medicine must understand multidimensional, multifaceted, and multilevel aspects of their activity and give them due regard in the educational process. The educational mission of an academic institution and of the teacher working there may be summed up in one phrase: Teach thinking! At the same time, the task of a school and the individual mentor is to teach the student to distinguish personal freedom from a lack of the feeling of responsibility. The medieval principle “Universitas magistrorum et scholarium”, and thus the corporation, the community of teachers and students, has not lost any of its relevance and value today. The situation is, in its far-reaching consequences, tragic in which the “insufficiently tutored teach”. Both physician and teacher, and especially physician-teacher, are not only professions, but also callings. This paper was presented at the 6th International Bioethics Conference on the subject of ‘The Responsible Conduct of Basic and Clinical Research’, held in Warsaw, Poland, 3–4 June 2005.