Common morality: comment on Beauchamp and Childress

The notion of common morality plays a prominent role in some of the most influential theories of biomedical ethics. Here, I focus on Beauchamp and Childress’s models in the fourth and fifth edition of Principles of Biomedical Ethics as well as on a revision that Beauchamp proposed in a recent article. Although there are significant differences in these works that require separate analysis, all include a role for common morality as starting point and normative framework for theory construction in combination with a coherence theory of moral justification. I defend to some extent the existence and empirical significance of common morality, as delineated by Beauchamp and Childress in different versions, but criticize its normative role. It is neither convincing as a moral foundation nor well compatible with a standard coherentist justification. I suggest that the authors should give up the foundational account for a more modest account of common morality as resource of well-established moral insights and experiences, which have proved generally valid but neither sufficient nor infallible. Beauchamp’s latest proposal appears as a step in this direction; indeed, it may be the beginning of the end of his common-morality theory.

Report from borderland: an addendum to ‘What works?’

Abstract :  Based on personal experience the following paper briefly argues that forming a supportive relationship prior to analysis is important for certain 'borderline' patients. Should such a relationship not be established analysis may prove destructive, despite the best of intentions. Direct expression of feeling is important here but, it is suggested, has been undervalued in the history of analysis because of fear of spontaneity. This also affects current day writing about analysis.     

Using High-Probability Request Sequences to Increase Journal Writing

Written expression is a key aspect of academic success. Programs to enhance writing skills often rely on a feedback loop that consists of student production (i.e., get something on paper) and teacher feedback. Unfortunately, some students fail to produce enough written product so that the teacher can give constructive feedback. The purpose of this study was to examine two methods to increase the written word production of four students with difficulties in written expression. In the verbal prompt condition, students were given verbal prompts by their teacher to resume writing in their journals after the student stopped writing for approximately one min. In the high-p request condition, the teacher asked students to write a series of three words that typically occasioned compliance prior to asking the student to resume journal writing. Both interventions were assessed within the context of verbal praise and no verbal praise. Results suggested that both interventions increased the number of words written, particularly in the verbal praise condition. However, the high-p request sequence was more efficient and produced writing behavior that was more persistent across sessions. Results are discussed within the context of the theory of behavioral momentum.     

工作记忆与小学生文本产生、书写活动的关系

以小学三、六年级学生为被试,考察工作记忆与小学生文本产生、书写活动之间的关系。结果表明．工作记忆中的储存、加工功能对小学生写作的影响不同,储存功能主要与书写活动有关,加工功能主要与文本产生有关,储存与加工相对独立。随年级增长,小学生工作记忆的加工水平逐步提高。     

Working together: Editing a book as narrative research methodology

This paper is a multi‐layered account that begins with an overview of narrative inquiry and narrative analysis methodologies, and then leads into an examination of how the process of editing a book can represent an example of narrative research. The author describes how she came to create two books that provide an insider's view of counsellors' role development within the fields of health and rehabilitation. Taking the task of editor a step further, she gathered additional reflexive data from chapter authors once the books were published: these data provide insight into the challenges created by undertaking a project of this kind, in particular the adoption of a reflexive voice. The paper concludes with a discussion of how both projects meet the criteria for narrative inquiry.     

Access is mainly a second-order process: SDT models whether phenomenally (first-order) conscious states are accessed by reflectively (second-order) conscious processes

Access can either be first-order or second-order. First order access concerns whether contents achieve representation in phenomenal consciousness at all; second-order access concerns whether phenomenally conscious contents are selected for metacognitive, higher order processing by reflective consciousness. When the optional and flexible nature of second-order access is kept in mind, there remain strong reasons to believe that exclusion failure can indeed isolate phenomenally conscious stimuli that are not so accessed. Irvine’s [Irvine, E. (2009). Signal detection theory, the exclusion failure paradigm and weak consciousness—Evidence for the access/phenomenal distinction? Consciousness and Cognition.] partial access argument fails because exclusion failure is indeed due to lack of second-order access, not insufficient phenomenally conscious information. Further, the enable account conforms with both qualitative differences and subjective report, and is simpler than the endow account. Finally, although first-order access may be a distinct and important process, second-order access arguably reflects the core meaning of access generally.     

Shifting goal posts: First and second order access

Snodgrass et al.’s (2009) commentary makes explicit one of the major problems in consciousness research; that there seem to be just as many definitions of basic terms are there are people in the field. Although Snodgrass et al.’s position appears at odds with the views expressed in Irvine (2009), many of their arguments are actually consistent with the proposed views, or else fail to engage with them as a consequence of the shifting goal posts of what basic terms mean.     

Mirror writing in pre-school children: a pilot study

Mirror writing refers to the production of individual letters, whole words or sentences in reverse direction. Unintentional mirror writing has been observed in young children learning to write and interpreted as the manifestation of different cognitive impairments. We report on mirror writing instances in a sample of 108 pre-school children. Results showed MW to be age-related but independent from handedness and left-right discrimination abilities. We propose an account of mirror writing as reflecting dissociation between acquired motor programmes for letter shape composition and unspecified spatial direction of hand movements. Before learning to write, the child’s directional cognitive system is assumed to be dichotomous, thus inducing the production of randomly oriented asymmetrical letters.     

Theory as metaphor: clinical knowledge and its communication

Abstract :  This paper investigates the relationship between clinical knowledge and psychological theory and considers the implications for clinical writing. I argue that clinical knowledge is a way of understanding rather than a body of facts and compare clinical material to 'texts' that generate multiple and indeterminate meanings. Analytic theories, which represent the crystallization of ways of understanding clinical phenomena, have an inherently metaphorical 'as if' quality since they are derived from and adapted to the clinical process of making meaning by representing psychic states in symbolic form. Thus good clinical writing demonstrates an integration of theory and clinical material into a unified network of symbolic meanings. Redfearn's paper, 'The captive, the treasure, the hero and the "anal" stage of development' (1979), is discussed as an exemplar of such integration. It is suggested that clinical knowledge is equivalent to the skill of making effective interpretations.     

走向实践的共同体——论现代性的反思性重建

现代性的基本矛盾是由其运作机制反思性唯我主义所导致的人类生存的具体性与抽象的客观体系的矛盾。重建现代性就需要克服反思性唯我主义。黑格尔的承认的辩证法、哈贝马斯的交往行动理论和马克思的实践的共同体,是现代性重建的三种不同路径。实践共同体就是马克思为之奋斗终生的人类理想社会自由人联合体的哲学表达。