Through a Glass Darkly: A Dialogue Between Dementia and Faith

SUMMARY

Our understanding and experience of dementia is changing and developing, as is our understanding and experience of faith. Both areas offer signs of hope but both also contain evidence of discrimination and disenchantment. This paper seeks to explore these parallel worlds from the perspective of the person with dementia, the family carer, the institutional carer and the community of faith. It closes with a challenge to theology to demonstrate just what is the Good News of the Gospel for the person with dementia.     

Philosophy,Its Pitfalls,Some Rescue Plans,and Their Complications

This article offers the motivation for organising a conference on philosophy as it is practised across several faculties and departments at the University of Cambridge. It also offers an overview of the main themes that emerge in the essays collected in this issue of Metaphilosophy, which derive from the aforementioned conference. In particular it focuses on the risk of scholasticism and dogmatism that philosophy faces when it divorces itself from its own history, other disciplines, and real life. It then discusses the potential problems that can arise from the practice of philosophy in close conjunction with other disciplines, such as the natural sciences and the history of philosophy. Finally, it briefly comments on how institutional/academic structures have an influence on the way philosophy is practised.     

Dimensions of Modernity and Their Contemporary Fate

Modernity, a focal point of interest in our time, means the cultural schemata and mechanisms of social action stemming from the Enlightenment and the modernization process. It is a set of new and “man-made” rationalized mechanisms and rules for human societies that naturally grow beyond geographical boundaries. The interrelated dimensions of modernity may be roughly grouped into “intellectual” and “institutional” categories including subjectivity and individual self-consciousness, a spirit of rationalized and contracting public culture, modernity in sociohistorical narratives as an ideology, rationalization of economic operations, bureaucracy in administrative management, autonomy of the public sphere, and the democratization and contraction of public power. Modernity is inherently contradictory and risky, yet until now there has been no sign of an end in sight. It remains to be the major support and dynamic in keeping human society running. Let us beware of superficial judgment when reflecting upon theoretical critiques of modernity and try to grasp the great challenges and opportunities of globalization—essentially a process of modernity. Translated by Fan Lingmei, from Zhongguo shehui kexue, 2004:4     

A STAFF MANAGEMENT SYSTEM FOR MAINTAINING IMPROVEMENTS IN CONTINENCE WITH ELDERLY NURSING HOME RESIDENTS

We developed a staff management system for maintaining treatment gains achieved on a specialized continence unit located in a geriatric nursing home. Geriatric assistants learned to use a prompted voiding procedure to maintain improved dryness for 4 elderly residents. The staff management system included self-monitoring and recording of prompted voiding activities and supervisory monitoring and feedback based on group performance of these activities. Results show that the system was effective in maintaining prompted voiding activities with corresponding maintenance of improved patient continence. However, a gradual decline in staff performance was noted 4 to 5 months after the initiation of the system. During a subsequent phase of the study, provision of individual feedback restored staff performance to previous levels. Results are discussed in relation to the practicality of prompted voiding interventions in nursing home environments and the applicability of staff management systems in this setting.     

Pushing the frontiers of multicultural training in community psychology

Suarez-Balcazar, Durlak, and Smith (1994) have provided the field with important baseline information regarding multicultural training practices in community psychology. This report can serve as a catalyst in our quest to place an understanding of human diversity, in particular, ethnic-cultural diversity, at the heart of community psychology. To do so, we need to move beyond the teaching of culturally sensitive research and practice to a reconceptualization of the knowledge base and methods of community psychology, to an examination of the conflicts engendered by the inclusion of multiple voices, and to the implementation of institutional arrangements that can support such a challenging task in constructive ways.     

The self in transformation: the passage from a two- to a three-dimensional internal world

This paper seeks to describe some of the steps in the process of transformation from a two-dimensional to a three-dimensional inner world as experienced by a patient who had essentially used up her remaining vital resources. An important hurdle had first to be crossed when the analyst was required to demonstrate her capacity to survive with her in a two-dimensional claustrum, in a solitary confinement. Here, an oppositional defensive system had been created in which positive and negative personifications of vital but withdrawn energies ensured that she was locked within an interior world that sought to bar entry to anyone else, and where the possibility of the transformation of her self was disallowed. The patient had to accept the risk of breaching the system of self-defence before the analyst was allowed a mutual position within her interior world. A series of dreams tracks this transformation internally and in relation to the analyst.     

Philosophy in Post-Soviet Russia (1992--1997)

The author argues that the decline of philosophical thought and research in Russia is over. He describes the state of present-day philosophy in Russia, its background, and prospects for development citing concrete examples and little known facts.Any survey of the state of the philosophy in post-Communist Russia is a complicated task requiring accuracy and completness. Whether I succeed in this task remains to be seen, although I shall be content if I manage to present a clear picture. It will of course be subjective and reflect my interests and preferences, remaining in this sense quite incomplete. But I aim to present a concise survey, identifying the most important trends, personalities, and topics of discussion.I shall focus on changes with respect to the following issues: 1) the state of research in philosophy, in particular noticeable shifts in problematics, geography, and management; 2) philosophical education, i.e., noticeable development in problematics, approaches, geography, and management. Moreover, I shall examine the origin of these shifts and assess whether they are of a qualitative character.     

Research ethics committees: a regional approach

Guidelines for Institutional Review Boards (IRBs) or research ethics committees exist at national and international levels. These guidelines are based on ethical principles and establish an internationally acceptable standard for the review and conduct of medical research. Having attained a multinational consensus about what these fundamental guidelines should be, IRBs are left to interpret the guidelines and devise their own means of implementing them. Individual and community values bear on the interpretation of the guidelines so different IRBs attain different levels of effectiveness. In the Caribbean and Pan American regions there are few IRBs. Obstacles to the establishment and function of IRBs are exacerbated in developing regions like these by differences in language, literacy, and local value systems; education, administrative expertise, facilities, and access to information are also limited. A regional IRB network might facilitate more uniform ethical review in developing countries, and simplify IRB procedures. This revised version was published online in August 2006 with corrections to the Cover Date.     

完善我国ART机构伦理委员会结构和规模的构想

建立结构合理、规模适当的ART机构伦理委员会是有效发挥作用的基本要求和必备条件.针对存在的问题,根据委员会履行职责的需要,建议参照国际惯例,结合实际,制订我国ART机构伦理委员会结构和规模的标准或规范.