Cognitive exercise through body movement: Using a fun and short neuropsychological tool to adapt physical activity and enhance pleasure in individuals suffering from mental illnesses

Mental illness is associated to both metabolic and cognitive deficits. The idea here is to use adapted physical activity (APA) to help both aspects of pathology within a personal-targeted cognitive intervention program in order to enhance self-efficacy and intrinsic motivation. Using a multi-experience neuropsychological tool set (comprising touch pad exercises, wood puzzles and one-on-one semi-structured interviews), the different domains of action, timing, executive functions and social cognition were evaluated in a short 30-minute session. These computerized neuropsychological data were then used to adapt the difficulty of the proposed physical activity. Results obtained in a small group of ten patients revealed that the battery was well accepted. Both quantitative and qualitative results were collected and suggested that after 4 sessions of 2 h activity, the scores were improved for motor planning, motivation and the subjective report of quality of life. These preliminary data are important as they show that new technology can now be used to adapt automatically physical activities to the motor, cognitive and emotional capacities of the targeted individuals. Touch pads may also afford an innovating way to evaluate efficiently cognitive abilities while preserving the pleasure of the moment.     

Exploitation,structural injustice,and the cross-border trade in human ova

Global demand for human ova in in vitro fertilization has led to its expansion in countries with falling average incomes and rising female unemployment. Paid egg donation in the context of national, regional, and global inequalities has the potential to exploit women who are socioeconomically vulnerable, and indeed there is ample evidence that it does. Structural injustices that render women in middle-income countries – and even some high-income countries – economically vulnerable contribute to a context of ‘omissive coercion’ (Wilkinson 2003 Wilkinson, S. 2003. “The Exploitation Argument Against Commercial Surrogacy.” Bioethics 17 (2): 169–187. doi: 10.1111/1467-8519.00331[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) that is morally troubling. When egg brokers or fertility clinics take advantage of these background structural injustices and prospective ova providers’ vulnerability in order to pay them less than they need to meet their livelihood needs, they engage in exploitation. Analyzing paid egg donation as a form of reproductive labor, however, can direct our attention to reforms that would reduce exploitative instances of this practice. In contrast to those who see egg provision as inescapably commodifying and harmful, I argue that compensated egg provision can be made less exploitative. I defend my approach against commodification-driven analyses of egg donation and concerns about undue inducement, and conclude by discussing some of the ways in which policy-makers and medical practitioners might reduce the harms that may result from this global practice.     

Psychosocial discontinuities introduced by the new reproductive technologies

The introduction of the new reproductive technologies has brought about a separation of the experience of reproduction from a previously necessary act of sexual intercourse between a fertile male and a fertile female. This has brought in its train the need for new ways of thinking about the relationship between procreation, reproduction and parenting. Psychosocial research into child–parent, male–female and kin relationships resulting from the use of the new reproductive technologies has value both in terms of its own intrinsic interest and also in terms of insights provided into what has been traditionally portrayed as the ‘normal’ reproductive process. This contribution to the Special Issue serves as a general introduction to the topic by presenting a ‘discontinuity’ model intended to provide a context in which psychosocial research into the provision and use of the new reproductive technologies could be explored. © 1998 John Wiley & Sons, Ltd.     

The Epistemology of Communitarian Bioethics:Traditions in the Public Debates

I consider the problem liberalism poses for bioethics.Liberalism is a view that advocates that the state remain neutralto views of the good life. This view is sometimes supported by askeptical moral epistemology that tends to propel liberalismtoward libertarianism. I argue that the possibilities for sharedagreement on moral matters are more promising than is sometimesappreciated by such a view of liberalism. Using two examples ofpublic debates of moral issues, I show that commonly sharedintuitions may ground moral principles even if they may be givendifferent weight by persons of different moral and religioustraditions. Nevertheless, the fact that the intuition andprinciple is widely shared may be sufficient to chart somedirections for public policy or cooperative action even if theydo not lead to complete agreement. As a result, I argue that aliberal communitarianism that presupposes a fairly minimalistepistemology is a legitimate approach to achieving sharedagreement in a pluralistic society.     

人类辅助生殖技术中的诊疗策略及伦理

人类辅助生殖技术是医学领域的一门新兴学科,随着此项技术的逐步成熟,也伴随着出现了各种诊疗及伦理问题。探讨对不孕症夫妇诊疗过程中的心理关怀与策略、人类辅助生殖技术治疗过程中的诊疗策略及其引起的伦理及相关法律等问题,认为在实施此项技术的过程中需要更规范、合理和人性化的诊疗策略。     

A Heideggerian Defense of Therapeutic Cloning

Debates about the legitimacy of embryonic stem-cell research have largely focused on the type of ethical value that should be accorded to the human embryo in␣vitro. In this paper, I try to show that, to broaden the scope of these debates, one needs to articulate an ontology that does not limit itself to biological accounts, but that instead focuses on the embryo’s place in a totality of relevance surrounding and guiding a human practice. Instead of attempting to substantiate the ethical value of the embryo exclusively by pointing out that it has potentiality for personhood, one should examine the types of practices in which the embryo occurs and focus on the ends inherent to these practices. With this emphasis on context, it becomes apparent that the embryo’s ethical significance can only be understood by elucidating the attitudes that are established towards it in the course of specific activities. The distinction between fertilized embryos and cloned embryos proves to be important in this contextual analysis, since, from the point of view of practice, the two types of embryos appear to belong to different human practices: (assisted) procreation and medical research, respectively. In my arguments, I highlight the concepts of practice, technology, and nature, as they have been analyzed in the phenomenological tradition, particularly by Martin Heidegger. I come to the conclusion that therapeutic cloning should be allowed, provided that it turns out to be a project that benefits medical science in its aim to battle diseases. Important precautions have to be taken, however, in order to safeguard the practice of procreation from becoming perverted by the aims and attitudes of medical science when the two practices intersect. The threat in question needs to be taken seriously, since it concerns the structure and goal of practices which are central to our very self understanding as human beings.     

From da Vinci to CAD and beyond

Here what I would like to accomplish is to set something of the stage from which the growing recognition of what I shall now term technoscience’s visualism—a term which can accommodate both sciences and engineering, and both imaging and design practices—takes its recognition. I shall very briefly look at the ‘godfathers and peers’ who help set this stage, and then proceed to an examination of a few moments in the development of visualism from da Vinci to computer assisted design (CAD) and beyond.     

Ethnography and Jewish Ethics

This essay offers a Jewish approach to ethnography in religious ethics. Following the work of other ethnographers working in religious ethics, I explore how an ethnographic account of reproductive ethics among Haredi (ultra‐Orthodox) Jewish women in Jerusalem enhances and improves Jewish ethical discourse. I argue that ethnography should become an integral part of Jewish ethics for three reasons. First, with a contextual approach to guidance and application of law and norms, an ethnographic approach to Jewish ethics parallels the way ethical decisions are made on a daily basis in Jewish communities. Second, ethnography bolsters the voices of those involved in ethical discourse. Third, ethnography facilitates the bridge between local ethical questions and global ethical discourse.     

Access to reproductive technologies by single women and lesbians: Social representations and public debate

A landmark decision in 2000 by the Federal Court of Australia (FCA) allowed access to medically assisted reproductive technologies (MART) regardless of marital status, i.e. by single women and lesbians. This decision sparked much debate, including comments by the Prime Minister of Australia and hundreds of letters to newspapers around the country. In this study, 180 letters to the editor in two newspapers were analyzed to identify themes and processes relevant to conceptualizing who should have access to MART. Representations of family were particularly evident and themes supported the traditional family structure of a mother, father and children, arguing that access to MART should be restricted to this family form. However, emerging representations of family, based on themes of positive parenting values, independent of gender and number of parents, were also observed, suggesting that political agendas restricting MART to heterosexual family structures are not supported by public consensus, or by the emerging acceptance of alternative family forms. Copyright © 2008 John Wiley & Sons, Ltd.     

Odysseans of the Twenty-First Century

In his book Radical Evolution: The Promise and Peril of Enhancing Our Minds, Our Bodies—and What It Means to Be Human (2005), author-journalist Joel Garreau identifies four technologies whose synergistic activity may transform humankind into a state transcending present human nature: genetic, robotic, information, and nano (GRIN) technologies. If the GRIN technologies follow Moore's Law, as information technology has done for the past four decades, Homo sapiens and human society may be unimaginably different before the middle of this century. But among scientists, futurists, and other pundits there is no agreement on the nature and ramifications of this transformation. Based on dozens of interviews, Garreau sees three possible scenarios for our species. The Heaven Scenario foresees enhanced bodies and minds in a disease-free world, perhaps even immortality; the Hell Scenario warns of losing our identity as a biological entity and perhaps the demise of liberal democracy; the Prevail Scenario predicts that we will muddle through the GRIN technology revolution basically intact, as we have prevailed during past technological upheavals. In this review, these scenarios are examined in the context of Kuhn's “normal” versus “extraordinary” science and in the context of current understanding about gene function.