Solidarity and Community Engagement in Global Health Research

Abstract

Community engagement (CE) is gaining prominence in global health research. A number of ethical goals–spanning the instrumental, intrinsic, and transformative–have been ascribed to CE in global health research. This paper draws attention to an additional transformative value that CE is not typically linked to but that seems very relevant: solidarity. Both are concerned with building relationships and connecting parties that are distant from one another. This paper first argues that furthering solidarity should be recognized as another ethical goal for CE in global health research. It contends that, over time, CE can build the bases of solidaristic relationships—moral imagination, recognition, understanding, empathy—between researchers and community members. Applying concepts from existing accounts of solidarity, the paper develops preliminary ideas about who should be engaged and how to advance solidarity. The proposed approach is compared to current CE practice in global health research. Finally, the paper briefly considers how solidaristic CE could affect how global health research is performed.     

Approaching Heidegger’s History of Being Through the Black Notebooks

ABSTRACT

This essay explores the importance of the Black Notebooks (GA 94-99) beyond their contribution to Heidegger’s political biography. While attention has up to now focused almost exclusively on other matters, the Black Notebooks offer new perspectives on Heidegger’s writings from the 1930s and 1940s, and beyond. The essay argues, that any reading of Heidegger’s later work that tries to ignore the question for the History of Being, as it moves from a consideration of the Meaning of Being to the History of Being, is doomed to misunderstand the whole of Heidegger’s thought. Therefore, if one wants to mobilize Heidegger’s thinking as a response to the great questions of our age, which this essay identifies as those of Global Warming, Globalisation, Nihilism and the Nightmare of the Manipulated Human Being, then one needs to force the question of history as the central problem underlying any future potentiality of Heidegger's philosophical impact.     

Positive Public Health Ethics: Toward Flourishing and Resilient Communities and Individuals

Abstract

The COVID-19 pandemic is a global contagion of unprecedented proportions and health, economic, and social consequences. As with many health problems, its impact is uneven. This article argues the COVID-19 pandemic is a global health injustice due to moral failures of national governments and international organizations to prepare for, prevent and control it. Global and national health communities had a moral obligation to act in accordance with the current state of knowledge of pandemic preparedness. This obligation—a positive duty to develop and implement systems to reduce threats to and safeguard individuals’ and, communities’ abilities to flourish—stems from theories of global health justice and governance. The COVID-19 pandemic revealed and amplified the fragility and deficiencies in our global and domestic health institutions and systems. Moving forward, positive public health ethics is needed to set ethical standards for building and operating robust public health systems for resilient individuals and communities.     

Christian Prayer and the Local Congregation: A Social Analysis of Individual Prayer Petitions

Abstract

Prayer requests from members and attendees of a progressive Christian church located in a large American City was the subject of this investigation. This church serves congregants from Roman Catholic and Protestant backgrounds, and a large, but not exclusively gay, lesbian, bisexual, transgender community. ap Siôn’s study of prayer typology and subject contents from rural England influenced this investigation. This study used computer technology and document analysis to categorize 8,059 individual prayer card requests submitted between 2014-2018 from church members and attendees. Results showed the most common prayer requests were “Thanks and Thanksgiving” prayers with “Praise and Adoration” prayers among the least common. Few references to sin and forgiveness were found. The most frequently mentioned subjects of prayers were those referencing personal needs and concerns. Findings and comparison with ap Siôn and other research suggest these prayer requests demonstrate the social and theological cohesiveness of Christian prayer. Additional research is suggested comparing Christian prayer with prayers in other religions and how prayer behaviors interact with the rise of multiculturalism in society.     

Culture variation in the average identity extraction: The role of global vs. local processing orientation

ABSTRACT

Research has shown that observers often spontaneously extract a mean representation from multiple faces/objects in a scene even when this is not required by the task. This phenomenon, now known as ensemble coding, has so far mainly been based on data from Western populations. This study compared East Asian and Western participants in an implicit ensemble-coding task, where the explicit task was to judge whether a test face was present in a briefly exposed set of faces. Although both groups showed a tendency to mistake an average of the presented faces as target, thus confirming the universality of ensemble coding, East Asian participants displayed a higher averaging tendency relative to the Westerners. To further examine how a cultural default can be adapted to global or local processing demand, our second experiment tested the effects of priming global or local processing orientation on ensemble coding via a Navon task procedure. Results revealed a reduced tendency for ensemble coding following the priming of local processing orientation. Together, these results suggest that culture can influence the proneness to ensemble coding, and the default cultural mode is malleable to a temporary processing demand.     

新编中国基督教通史的几点看法

从20世纪90年代以来,笔者所见国内外发表的论述有关中国基督教史研究状况的文章有10多篇①。这些文章对笔者写作本文多有启发,如比利时钟鸣旦教授撰写的《基督教在华传播史研究的新趋势》,旨在以近年来重要的范式变换为出发点,分梳剖析基督教在华传播史研究领域内新近出现的一些趋势;香港建道神学院邢福增博士撰写的《近代中国基督教史的研究趋向——以美国及台湾为例》一文,从较宏观的角度回顾并评检美国及中国台湾地区在近代中国基督教史方面的研究范式转换和趋向,提出了建立“中国基督教史学统”的观点。不过,这些文章虽然也涉及如何编撰中国基督教通史的问题,但并非从多角度专门论述编撰规范问题。本文在参考相关论述的基础上,经过认真考虑,提出从指导思想、研究方法、体裁与体例、内容与分期、文献资料、语言及翻译问题、编写队伍等7个方面思考编撰中国基督教通史的规范问题的建议,以期引起进一步讨论。     

The minimal self hypothesis

For millennia self has been conjectured to be necessary for consciousness. But scant empirical evidence has been adduced to support this hypothesis. Inconsistent explications of “self” and failure to design apt experiments have impeded progress. Advocates of phenomenological psychiatry, however, have helped explicate “self,” and employed it to explain some psychopathological symptoms. In those studies, “self” is understood in a minimalist sense, sheer “for-me-ness.” Unfortunately, explication of the “minimal self” (MS) has relied on conceptual analysis, and applications to psychopathology have been hermeneutic, allowing for many degrees of interpretive latitude. The result is that MS’s current scientific status is analogous to that of the “atom,” at the time when “atom” was just beginning to undergo transformation from a philosophical to a scientific concept. Fortunately, there is now an opportunity to promote a similar transformation for “MS.” Discovery of the brain’s Default Mode Network (DMN) opened the door to neuroimaging investigations of self. Taking the DMN and other forms of intrinsic activity as a starting point, an empirical foothold can be established, one that spurs experimental research and that enables extension of research into multiple phenomena. New experimental protocols that posit “MS” can help explain phenomena hitherto not thought to be related to self, thereby hastening development of a mature science of self. In particular, targeting phenomena wherein consciousness is lost and recovered, as in some cases of Unresponsive Wakefulness Syndrome (UWS), allow for design of neuroimaging probes that enable detection of MS during non-conscious states. These probes, as well as other experimental protocols applied to NREM Sleep, General Anesthesia (GA), and the waking state, provide some evidence to suggest that not only can self and consciousness dissociate, MS might be a necessary precondition for conscious experience. Finally, these findings have implications for the science of consciousness: it has been suggested that “levels of consciousness” (LoC) is not a legitimate concept for the science of consciousness. But because we have the conceptual and methodological tools with which to refine investigations of MS, we have the means to identify a possible foundation—a bifurcation point—for consciousness, as well as the means by which to measure degrees of distance from that foundation. These neuroimaging investigations of MS position us to better assess whether LoC has a role to play in a mature science of consciousness.     

Fire & Language: The Two-Faced Process of Progress in Deep-Structural Sociocultural Evolution

Abstract

This paper attempts to show how the inherent structure of human becoming is evolutionarily determined to work toward a “meta-system transition” to a higher order of control with a growing risk of extinction as humanity approaches the “event horizon.” The “double helix” of progress technological and social caused manifold cultural surface structures according to the law of increasing entropy, which, however, are mechanically determined to reunite following the same law. Separate individual centers of cybernetic processing thus gradually turn themselves into discursive (“neural”) units, possibly collapsing into a super-conscious single will once information transmission in the network reaches a certain density and noise decreases below a certain threshold.     

Analytic attitude – focus or embodiment? Subtle communications in the transference/countertransference relationship

The paper considers a ‘befallment’ that occurred in the course of analysis at a time when the focus of work was too much at a conscious level, dissociated from the patient’s embodied and visceral depths. A rigidly held attitude of focal attention is considered as potentially a defence against embodied experiences of overwhelm and vulnerability that may haunt shadowy realms which remain unlit by the narrow beam of conscious awareness. Rather as a dream drifts in from the unconscious, an enactment by the analyst brought neglected aspects of the transference and countertransference relationship into the room. Later, the patient’s own dreaming mind offered images that suggested an underlying dynamic. These subtle communications, alongside the patient’s attitude toward the analyst’s lapse, are considered as factors in the achievement of greater embodied integration. The analyst’s difficulty in arriving at a formulation of such events is discussed, along with the necessity of holding such ‘befallments’ in mind over long periods of time before any explanation can be adumbrated.