Care of the Self and Patient Participation in Genetic Discourse: A Foucauldian Reading of the Surgeon General's “My Family Health Portrait” Program

Critics of genetic discourse are concerned that deterministic and discriminatory views of genetics are increasingly becoming adopted. These views argue that current genetic discourse becomes a source of power whereby powerful institutions harm people with so-called “bad” genes. This essay argues that current analyses of the power of genetics discourse are grounded in an improper reading that disempowers patients. Deploying Michel Foucault's concept “care of the self,” this essay claims that genetics discourse is better understood as a way that patients take on power through rhetoric rather than a force that has power over patients. Through a close reading of the “My Family Health Portrait” program, this paper argues that patients experience a process of “subjection” wherein they become agents of and objects of genetics discourse both. This alternative mode of analyzing the power of genetics discourse has implications for our collective understanding of the operations of the care of the self and the uses of genetic information that we propose.     

Introducing ethics across the curriculum at South Dakota school of mines and technology

This paper describes how the Electrical and Computer Engineering Department at South Dakota School of Mines and Technology has chosen to integrate ethics into their curriculum. All university freshmen engineering students are introduced to ethics through the presentation of ethical dilemmas. During this exercise, students are forced to argue both sides (‘for’ and ‘against’) of a hypothetical ethical engineering dilemma. It provides a setting for great discussion with the desired outcome that they learn to carefully analyze a situation before they draw conclusions. In the sophomore year, students are introduced to methods to use the fundamental principles, the fundamental canons, and the suggested guidelines for use with the fundamental canons of ethics when analyzing appropriate action to be taken when confronted with ethical dilemmas. We currently use the ‘sophomore’ method for seniors because the sequencing is just beginning. Next year the seniors will do more indepth analysis of ethical case studies. An earlier version of this paper was presented at the Fourteenth Annual Meeting, Association for Practical and Professional Ethics, February 24–27, 2005.     

我国小学生品德发展关键期研究的述评与展望

关于小学生品德发展关键期的研究是德育心理学研究领域的重要的组成部分之一。本文综述了国内20多年的研究资料,探讨了我国小学生品德发展的关键期、测查工具,阐述了研究中存在的不足,并提出了研究的思路和方向。     

内隐联想测验中他人重要性对自我心理表征的影响

联合采用联想匹配任务和内隐联想测验（IAT）任务,考察了自我—他人分类中的他人重要性对自我—高奖赏相似性的影响。研究将中性的几何图形与自我、不同重要性的他人（实验一为陌生人,实验二为朋友）建立联结,并将自我（暂时建立联结的图形）高奖赏联合任务与自我低奖赏联合任务下的反应差异（即IAT值）作为自我—高奖赏相似性的指标,结果表明：（1）联想匹配任务中自我和朋友以及自我和陌生人之间都存在显著的自我优势效应;（2）IAT任务中,自我和高奖赏只在他人为朋友的自我—他人分类判断时才具有相似性,而他人为陌生人时二者不具有相似性。这说明他人重要性改变了自我的心理表征。     

The Double Life of Double Effect

The U.S. Supreme Court's majorityopinion in Vacco v. Quill assumes thatthe principle of double effect explains thepermissibility of hastening death in thecontext of ordinary palliative care and inextraordinary cases in which painkilling drugshave failed to relieve especially intractablesuffering and terminal sedation has beenadopted as a last resort. The traditionaldoctrine of double effect, understood asproviding a prohibition on instrumental harmingas opposed to incidental harming or harming asa side effect, must be distinguished from otherways in which the claim that a result is notintended might be offered as part of ajustification for it. Although double effectmight appropriately be invoked as a constrainton ordinary palliative care, it is not clearthat it can be coherently extended to justifysuch practices as terminal sedation. A betterapproach would reconsider double effect'straditional prohibition on hastening death as ameans to relieve suffering in the context ofacute palliative care.     

王阳明思想中的“身体”隐喻

本文首先揭示了王阳明对身体的两种基本样式的区分 ,然后从身体的七个具体的存在面向考察阳明身体隐喻的使用 ,以期通过此“第二序”的论说方式之反思 ,而阐发阳明乃至宋明儒家运思的能近取譬特征     

张君劢论中国现代化与儒家思想的复兴

张君劢从现代与古代是不能完全割裂的以及在现代化过程中起主导作用的是人的心知或思想方法这两点认识出发 ,认为中国的儒家思想不仅不是现代化的障碍 ,相反可以导致一种新的思想方法 ,这种新的方法能成为现代化的基础。因此 ,我们今天要在中国实现现代化 ,就必须从复兴儒家思想入手。换言之 ,复兴儒家思想是中国现代化的途径 ,而儒家思想的复兴又主要是宋代新儒学的复兴。复兴儒家思想的道路是“自力更生中之多形结构” ,亦即“以儒家为本 ,而沟通东西思想”     

鬼谷子的测谎心理思想研究

鬼谷子的测谎心理思想其目的在于帮助统治者考察权变、征召远近人才、谋划国家事物、献说陈情、决安危、定亲疏、察同异、辨真伪。其基本依据的是阴阳观。他认为阴阳是宇宙变化的一贯之道,把握了阴阳之道,就获得了开启人内心隐秘的基本原理。其所遵循的原则是：知己知人原则,隐秘性原则,把握时机原则。其具体技术有捭阖术,即根据阴阳变化原理提出的开启和闭藏的技术;钩言术,即通过语言表达的动静状态窥探他人内心情报的方法;飞箝术,是以激励、褒扬的言语诱导对方获得实情而抓住对方心理的一种测谎技术。揣摩术,又分揣术和摩术。揣术是根据情感的两极变化和惯常行为表现推测对方心理真实情报的方法。摩术是指将内在情感与外在符验相结合进行推测、切磋、体会获得对方真实情报的方法。     

The placebo effect in popular culture

This paper gives an overview of the placebo effect in popular culture, especially as it pertains to the work of authors Patrick O’Brian and Sinclair Lewis. The beloved physician as placebo, and the clinician scientist as villain are themes that respectively inform the novels, The Hundred Days and Arrowsmith. Excerpts from the novels, and from film show how the placebo effect, and the randomized clinical trial, have emerged into popular culture, and evolved over time. An earlier version of this paper was presented at an international conference, “Placebo: Its Action and Place in Health Research Today,” held in Warsaw, Poland on 12–13 April, 2003.     

The concept of placebo

This paper attempts to define the concept of placebo as it is used in the clinical context The author claims that X is a placebo if and only if X has such a property d_p, that whenever in a therapeutic situation T a stimulus S appears, then in attending conditions A, it will cause a beneficial reaction R in the patient. Formally, the same structure may be used to define any pharmacologically active drug. The main difference between the drug and a placebo is in the range of possible substitutions for X and the property d. For the active drug there is only one possible substitution for X and property d and it can be scientifically explained why, and how the drug works. In the case of a placebo a set of possible substitutions for X and d is open, and so far it is impossible to offer any scientifically valid explanation of the action mechanism of placebo.