Technology in Medicine: Ontology,Epistemology, Ethics and Social Philosophy at the Crossroads

In reference to the different approaches in philosophy(of medicine) of the nature of (medical) technology,this article introduces the topic of this specialissue of Theoretical Medicine and Bioethics, that is,the way the different forms of medical technologyfunction in everyday medical practice. The authorselaborate on the active role technology plays inshaping our views on disease, illness, and the body,whence in shaping our world.     

Hamlet: plea for a measure of normality

The author first considers issues in psychoanalytic interpretations of literary characters, especially the question of treating the character as fiction (the aesthetic illusion) or as a real person. The position he adopts is to interpret Hamlet as a potential person, created by Shakespeare and an expression of Shakespeare’s actual – and intuitive – view of man.

With a synopsis of the tragedy and the context of its creation as background, the author then reflects on questions concerning the play. How does Shakespeare present the characters? Is Hamlet’s madness pretended or real? Which conflicts does he handle in the course of the play? Has Oedipal dynamics a role as motivational factor in his mind?

Hamlet is irrational, impulsive, emotional, inhibited, brooding, suspicious, revengeful, condemning and much more. But, in the view of the author, he is all this in a human, ‘normal’ way. There is nothing convincingly pathological or constricted in his character. ‘Un-normal’ is his intelligence and his wit. Hamlet – an intelligent, reflected, resourceful prince in late Renaissance – who has wrestle with a madhouse of political intrigues, family murders and deceitful friends.

Hamlet in Shakespeare’s text – a fairly normal person in quite a mad world.     

A short note on the maximal point‐biserial correlation under non‐normality

The aim of this paper is to derive the maximal point‐biserial correlation under non‐normality. Several widely used non‐normal distributions are considered, namely the uniform distribution, t‐distribution, exponential distribution, and a mixture of two normal distributions. Results show that the maximal point‐biserial correlation, depending on the non‐normal continuous variable underlying the binary manifest variable, may not be a function of p (the probability that the dichotomous variable takes the value 1), can be symmetric or non‐symmetric around p = .5, and may still lie in the range from ?1.0 to 1.0. Therefore researchers should exercise caution when they interpret their sample point‐biserial correlation coefficients based on popular beliefs that the maximal point‐biserial correlation is always smaller than 1, and that the size of the correlation is always further restricted as p deviates from .5.     

中医辨证思维的常法与变法

中医辨证思维涉及到"常法"与"变法"的概念,对反映在辨证分析方法中的常法与变法、中医辨证的思辨方法中的常法与变法、中医辨证原理应用的常法与变法加以研究,有利于思辨能力和医疗水平的提高.     

Mental health – a normal state?

ABSTRACT

How can we conceptualize mental health; what is the relation between mental health and normality; and what has psychoanalysis to say about these questions? After a short resume of the views concerning normality and melancholia in the last centuries, the author turns to Freud and Bion. For Freud, mental health at best seems to be a relatively mild neurotic state, and perfect mental health is an unattainable ideal. Bion underlines the dynamic nature of the concept; mental health comprehended as a process. Problems connected to the individual’s subjective view of his or her mental health are considered, and some consequences that the questions under discussion have for psychoanalytic treatment are discussed. The author concludes with a reflection on the complex relation between mental health and normality.