Neuroscience research has improved our understanding of the long term consequences of sports-related concussion, but ethical issues related to the prevention and management of concussion are an underdeveloped area of inquiry. This article exposes several examples of conflicts of interest that have arisen and been tolerated in the management of concussion in sport (particularly professional football codes) regarding the use of computerized neuropsychological (NP) tests for diagnosing concussion. Part 1 outlines how the recommendations of a series of global protocols (...) for dealing with sports-related concussions (the 1st, 2nd and 3rd Consensus Statements on Concussion in Sport) have endorsed the use of NP testing. The development of these protocols has involved experts who have links with companies that sell computerised NP tests for concussion management. Part 2 describes how some professional football leagues—in particular the National Football League (NFL), the Australian Football League (AFL) and the National Rugby League (NRL)—have mandated specific NP testing products. They have done so on the basis of these international guidelines and by engaging experts who have conflicts of interest with NP testing companies. These decisions have also been taken despite evidence that casts doubt on the reliability and validity of NP tests when used in these ways. (shrink)
Paul Klee's art found broad impact upon philosophers of varying commitments, including Hans-Georg Gadamer. Moreover, Klee himself was not only one of the most important artists of aesthetic modernism but one of its leading theoreticians, and much in his work, as in Gadamer's, originated in post-Kantian literary theory's explications of symbol and allegory. Indeed at one point in Truth and Method, Gadamer associates his project for a general "theory of hermeneutic experience" not only with Goethe's metaphysical account of the symbolic (...) but equally with a "rehabilitation" of allegory. In this paper, I examine this position and Gadamer's own use of it in his analysis of Klee's work, contrasting it with that of Walter Benjamin's account of allegory, equally indebted to Goethe and this archive. Finally, I contrast the resulting interpretations of Klee, discussing the implications that evolve for understanding both Gadamer and Benjamin— but equally for understanding Klee's work and, provisionally, the work of art, thus construed, for philosophy. (shrink)
Evidence suggests that research participants often fail to recall much of the information provided during the informed consent process. This study was conducted to determine the proportion of consent information recalled by drug court participants following a structured informed consent procedure and the neuropsychological factors that were related to recall. Eighty-five participants completed a standard informed consent procedure to participate in an ongoing research study, followed by a 17-item consent quiz and a brief neuropsychological battery 2 weeks later. (...) Participants performed within the normal range on most of the neuropsychological measures, although roughly one third showed deficits on measures of executive functioning. Participants failed to recall over 65% of the consent information within 2 weeks of entering the study, and their recall was significantly correlated with verbal IQ, drug problem severity, reading ability, memory, and attention. These factors may be useful in determining whether research participants require enhanced consent procedures. (shrink)
Criminal offenders may be offered to participate in voluntary rehabilitation programs aiming at correcting undesirable behaviour, as a condition of early release. Behavioural treatment may include direct intervention into the central nervous system (CNS). This article discusses under which circumstances voluntary rehabilitation by CNS intervention is justified. It is argued that although the context of voluntary rehabilitation is a coercive circumstance, consent may still be effective, in the sense that it can meet formal criteria for informed consent. (...) Further, for a consent to be normatively valid ( take the wronging out of the act ) under a coercive circumstance, the subject to be treated must (1) have the sovereign authority to consent, and (2) the offer-giver must be in the right normative position to make the offer. While I argue that subjects do have the sovereign authority to consent to treatment, I also argue that inappropriate offers yield invalid consents. Considerations on inappropriate offers should therefore inform which kinds of CNS intervention-based rehabilitation schemes the state may propose as part of the criminal justice system. Yet as I conclude in this paper, while there are some intrinsic constraints on voluntary rehabilitation programs, the main constraints on voluntary rehabilitation are likely to be contingent overriders. However, CNS intervention is not ruled out as such in the context of voluntary rehabilitation. (shrink)
New forms of river management have emerged following widespread recognition of the environmental damage caused by attempts to harness and control rivers for navigation, consumptive water use and power generation. A dominant top-down engineering-based paradigm is being challenged by catchment-framed, ecosystem-based approaches which claim to place greater emphasis on participation and equity. However, there has been limited attention given to examining these claims, and principles of justice are frequently left unarticulated or embedded in what is still presented as an essentially (...) technical, outcome-driven management process. This paper examines the contribution of an environmental justice framework in articulating and explicating the ethical and political nature of decision making in stream rehabilitation practice. Particular attention is given to distributive, procedural and relational elements of justice, and to the limitations of an anthropocentric approach. A broader-based ecological justice framework is proposed. Several key issues in applying this framework are discussed, including the need for 'situated justice', for multiple voices to be heard, for dealing with unity and diversity at the catchment scales, and in integrating knowledge through genuine transdisciplinary research and practice. (shrink)
Rehabilitation programmes are widely offered to offenders in custodial and community settings around the world. Despite the existence of a large evidence base that identifies features of effective practice, levels of programme integrity remain low and are widely believed to undermine successful rehabilitation. In this paper it is suggested that conceptualising rehabilitation as a moral activity which involves assisting offenders to make better ethical decisions is one way to address some of the difficulties in the delivery of (...)rehabilitation programmes that potentially lead to low levels of integrity, thereby increasing effectiveness. (shrink)
Recent research suggests that spiritual experiences are related to increased physiological activity of the frontal and temporal lobes and decreased activity of the right parietal lobe. The current study determined if similar relationships exist between self-reported spirituality and neuropsychological abilities associated with those cerebral structures for persons with traumatic brain injury (TBI). Participants included 26 adults with TBI referred for neuropsychological assessment. Measures included the Core Index of Spirituality (INSPIRIT); neuropsychological indices of cerebral structures: temporal lobes (Wechsler (...) Memory Scale-III), right parietal lobe (Judgment of Line Orientation), and frontal lobes (Trail Making Test, Controlled Oral Word Association Test). As hypothesized, spirituality was significantly negatively correlated with a measure of right parietal lobe functioning and positively correlated (nonsignificantly) with measures of left temporal lobe functioning. Contrary to hypotheses, correlations between spirituality and measures of frontal lobe functioning were zero or negative (and nonsignificant). The data support a neuropsychological model that proposes that spiritual experiences are related to decreased activity of the right parietal lobe, which may be associated with decreased awareness of the self (transcendence) and increased activity of the left temporal lobe, which may be associated with the experience of specific religious archetypes (religious figures and symbols). (shrink)
The translator of Scheler’s essay, “On the Rehabilitation of Virtue,” presents an account of the context of this essay in Scheler’s work and of its relevance to his concept of the ordo amoris and to his critique of Kant. The translator discusses the intended audience of the essay, its moral purpose, and the method of its procedure. The postscript further reflects on the essay’s central themes of humility and reverence, suggesting avenues for a critical assessment of Scheler’s conclusions. It (...) ends with some reflections on the contemporary value of Scheler’s contributions in this essay to a historical and philosophical understanding of the conflict between science and religion. (shrink)
Written by leading experts in the field, this invaluable text situates the practice of cognitive and behavioral rehabilitation in the latest research from ...
In vocational rehabilitation, empowerment is understood as the notion that people should make an active, autonomous choice to find their way back to the labour process. Following this line of reasoning, the concept of empowerment implicitly points to a specific kind of activation strategy, namely labour participation. This activation approach has received criticism for being paternalistic, disciplining and having a one-sided orientation on labour participation. Although we share this theoretical criticism, we want to go beyond it by paying attention (...) to the practical consequences of understanding empowerment as an activation strategy. Inspired by the field of Science and Technology Studies, we will explore the meaning of empowerment and activation in concrete practices of vocational rehabilitation in the Netherlands. Our analysis is based on the narratives of people with a work disability about their lives and the vocational rehabilitation programmes they participated in. We present five illustrative cases that how empowerment is ‘done’ in the practice of vocational rehabilitation and its unintended effects. Our analysis demonstrates that activation strategies seem to be caught in a paradox: instead of including people in society, they have excluding consequences. Vocational rehabilitation professionals can go beyond this paradox by learning from the ways in which empowerment is ‘done’ by clients in vocational rehabilitation programmes. (shrink)
"Uprightness" was termed the "leitmotiv in the formation of the human organism" by Erwin Straus (1966, p. 139). He felt that without it the human being was certainly doomed to die. Yet, what happens with those who are deprived of their "uprightness" in either the literal or moral sense (as in "not to stoop to anything"), through becoming Dis-abled? Getting up, rising in opposition to the "other" (Allon) implies a moral dimension in the case of human Dis-ability which is tied (...) to the leitmotiv established by the upright posture of anthropos . The suggestion that there is a moral dimension to Disability is a radical notion in a culture whose health professionals have become very sensitive to any idea that suggests we are blaming those who through no fault of their own have become in some way disadvantaged as compared to the mainstream of society. Although the importance of rising in opposition to the world (Allon) was perhaps originally established upon the upright posture quite literally, because man is a sense-making and sense-giving creature, this primordial act which establishes our full humanity may itself be represented and re-enacted in a variety of ways which can and should become the central project of rehabilitation of the body, as opposed to the current emphasis on technique and technological innovation. It is in the changing physiognomy of the Dis-abled person's ruptured world that we may discover the phenomenological sense of Dis-ability. Keywords: Dis-Ability, Uprightness, Rehabilitation CiteULike Connotea Del.icio.us What's this? (shrink)
Background The broad topic of research ethics is one which has been relatively well-investigated and discussed. Unique ethical issues have been identified for such populations as pediatrics, where the issues of consent and assent have received much attention, and obstetrics, with concerns such as the potential for research to cause harm to the fetus. However, little has been written about ethical concerns which are relatively unique to the population of patients seen by the practitioner of rehabilitation medicine. Discussion This (...) paper reviews unique ethical concerns in conducting research in this population, including decision-making capacity, communication, the potential for subject overuse, the timing of recruitment, hope for a cure and therapeutic misconception and the nature of the health care provider-research subject relationship. Summary Researchers in the area of rehabilitation medicine should be aware of some of the unique ethical challenges posed by this patient population and should take steps to address any potential concerns in order to optimize subject safety and ensure that studies meet current ethical guidelines and standards. (shrink)
The purpose of this study was to assess the effectiveness of the Reach to Recovery Program of volunteers sponsored by the American Cancer Society. Effectiveness was defined as enhancing the quality of life and rehabilitation of women who had had a mastectomy, through increasing knowledge of rehabilitative procedures, post-surgery activities and level of self-esteem.
Goal setting is an important professional method and one of the key concepts that structure a practical field such as physical rehabilitation. However, the actual use of goals in rehabilitation practice is much less straightforward than the general acceptance of the method suggests as goals are frequently unattained, modified or contested. In this paper, I will argue that the difficulties of goal setting in day-to-day medical practice can be understood by unravelling the normative assumptions of goal setting, in (...) this case three different tensions that come along with it. First, goals are developed for a future state that may require activities that clash with necessities of the present situation. Second, professionals in clinical rehabilitation centres elaborate goals for an environment that differs in terms of spatial and social characteristics from the environment in the centre, where people train for the accomplishment of goals. Finally, goal setting requires active patient participation and individual control that sometimes appears impossible, unrealistic, and undesirable. I will describe how professionals deal with these tensions in a creative and dynamic way. With my articulation of the assumptions of goal setting, I hope to contribute to the self-reflection of rehabilitation practitioners as well as to theoretical discussions of goal setting in contexts other than rehabilitation. (shrink)
Jackendoff (2002) argues that grammatically relevant and irrelevant components of meaning do not occupy distinct levels of the semantic system. However, neuropsychological studies have found that the two components doubly dissociate in brain-damaged subjects, suggesting that they are in fact segregated. Neural regionalization of these multidimensional semantic subsystems might take place during language development.
Studies of neuropsychological patients are relevant to models of how long-term memories are stored. If amnesia is considered a binding deficit and not a difficulty in transferring information from short-term to long-term memory, it is unclear why context-free semantic learning is impaired. Also the model should account for the reverse temporal gradient seen in patients with semantic dementia.
Aggressive-sadistic personality disorder (SPD) involves derivation of pleasure from another's physical or emotional suffering, or from control and domination of others. Findings from a head-injured sample indicate that SPD traits are associated with neuropsychological deficits in executive function and language, suggesting difficulties in frontal-lobe-mediated self-regulation of aggressive and emotional impulses. Implications for rehabilitation of aggressive offenders are discussed.
@FP= Although rehabilitation is often considered a type of punishment for criminal offenders, its objectives are therapeutic rather than punitive. While some theories of punishment claim that criminals deserve to suffer for their crimes, the rehabilitative ideal views criminal behavior more like a disease that should be treated with scientific methods available to cure the offender. Many convicts suffer from mental and physical illness, drug addiction, and limited opportunities for economic success and these problems increase the likelihood that they (...) will engage in criminal activity. If we simply incarcerate the convict while she “pays her debt to society,” she will likely reenter it with all of the obstacles that drove her to crime still in place. She will also need to contend with additional difficulties: a criminal record will impact her employment opportunities, she will be older and still without marketable skills or education, her social relationships may have deteriorated while she was in jail, and she may have become further acclimated to criminal culture. Thus incarcerating offenders could actually make them more likely to commit offenses after they are released, and recidivism rates attest to this. A rehabilitative approach would attempt to treat the underlying cause of her transgressions so that she can return to society to become a full and productive citizen. In other words, instead of exacting revenge against criminals and making their lives worse, rehabilitation tries to help them. (shrink)
Against the backdrop of eliminitivist versus critical conservationist approaches to the racial category of whiteness, this article asks whether a rehabilitated version of whiteness can be worked out concretely. What might a non-oppressive, anti-racist whiteness look like? Turning to Josiah Royce’s “Provincialism” for help answering this question, I show that even though the essay never explicitly discusses race, it can help explain the ongoing need for the category of whiteness and implicitly offers a wealth of useful suggestions for how to (...) transform it. “Provincialism” is an exercise in critical conservation of the concept of provincialism, and while not identical, provincialism and whiteness share enough in common that “wise” provincialism can serve as a model for “wise” whiteness. Royce’s concept of provincialism thus can be a great help to critical philosophers of race wrestling with questions of whether and how to transformatively conserve whiteness. Exploring similarities and differences between wise provincialism and wise whiteness, I use Royce’s analyses of provincialism to shed light on why whiteness should be rehabilitated rather than discarded and how white people today might begin living whiteness as an anti-racist category. (shrink)
Category-specific impairments of object recognition and naming are among the most intriguing disorders in neuropsychology, affecting the retrieval of knowledge about either living or nonliving things. They can give us insight into the nature of our representations of objects: Have we evolved different neural systems for recognizing different categories of object? What kinds of knowledge are important for recognizing particular objects? How does visual similarity within a category influence object recognition and representation? What is the nature of our semantic (...) knowledge about different objects? We review the evidence on category-specific impairments, arguing that deficits even for one class of object (e.g., living things) cannot be accounted for in terms of a single information processing disorder across all patients; problems arise at contrasting loci in different patients. The same apparent pattern of impairment can be produced by damage to different loci. According to a new processing framework for object recognition and naming, the hierarchical interactive theory (HIT), we have a hierarchy of highly interactive stored representations. HIT explains the variety of patients in terms of (1) lesions at different levels of processing and (2) different forms of stored knowledge used both for particular tasks and for particular categories of object. Key Words: category-specific deficits; functional imaging; hierarchical models; interactive activation models; neuropsychology; object recognition; perceptual and functional knowledge. (shrink)
Of all the problems facing science none are more challenging yet fascinating than those posed by consciousness. In The Science of Consciousness leading researchers examine how consciousness is being investigated in the key areas of cognitive psychology, neuropsychology and clinical psychology. Within cognitive psychology, special focus is given to the function of consciousness, and to the relation of conscious processing to nonconscious processing in perception, learning, memory and information dissemination. Neuropsychology includes examination of the neural conditions for consciousness and the (...) effects of brain damage. Finally, mind/body interactions in clinical and experimental settings are considered, including the somatic effects of imagery, biofeedback and placebo effects. Every chapter is written by an expert in the field. They each provide a clear overview of existing research along with an exciting new synthesis of consciousness studies. The The Science of Consciousness will be invaluable for students, researchers and clinicians interested in the developments and directions of this rapidly growing field. (shrink)
In this important essay, Joseph Mali argues that Vico's New Science must be interpreted according to Vico's own clues and rules of interpretation, principally his claim that the 'master-key' of his New Science is the discovery of myth. Following this lead Mali shows how Vico came to forge his new scientific theories about the mythopoeic constitution of consciousness, society, and history by reappraising, or 'rehabilitating' the ancient and primitive mythical traditions which still persist in modern times. He further relates Vico's (...) radical redefinition of these traditions as the 'true narrations' of all religious, social, and political practices in the 'civil world' to his unique historical depiction of Western civilisation as evolving in a-rational and cyclical motions. On this account, Mali elaborates the wider, distinctly 'revisionist', implications of Vico's New Science for the modern human sciences. He argues that inasmuch as the New Science exposed the linguistic and other cultural systems of the modern world as being essentially mythopoeic, it challenges not only the Christian and Enlightenment ideologies of progress in his time, but also the main cultural ideologies of our time. (shrink)
Francis Allen, The Borderland of Criminal Justice: Essays in Law and Criminology Chicago: The University of Chicago Press, 1964 Francis Allen, The Crimes of Politics: Political Dimensions of Criminal Justice Cambridge: Harvard University Press, 1974 Francis Allen, Law, Intellect, and Education Ann Arbor: University of Michigan Press, 1979 Francis Allen, The Decline of the Rehabilitative Ideal: Penal Policy and Social Purpose New Haven: Yale University Press, 1981.
Jones, Kate In Victoria, a complex maze of issues govern the accessibility of appropriate support for people with a severe disability or serious illness, be it financial assistance, or a range of rehabilitative services. This article is a continuation from the previous article printed in the last issue of the Bulletin - Crisis: Young People Living in Aged Care Homes.
Studies of normal individuals reveal an asymmetry in the folk concept of intentional action: an action is more likely to be thought of as intentional when it is morally bad than when it is morally good. One interpretation of these results comes from the hypothesis that emotion plays a critical mediating role in the relationship between an action’s moral status and its intentional status. According to this hypothesis, the negative emotional response triggered by a morally bad action drives the attribution (...) of intent to the actor, or the judgment that the actor acted intentionally. We test this hypothesis by presenting cases of morally bad and morally good action to seven individuals with deficits in emotional processing resulting from damage to the ventromedial prefrontal cortex (VMPC). If normal emotional processing is necessary for the observed asymmetry, then individuals with VMPC lesions should show no asymmetry. Our results provide no support for this hypothesis: like normal individuals, those with VMPC lesions showed the same asymmetry, tending to judge that an action was intentional when it was morally bad but not when it was morally good. Based on this finding, we suggest that normal emotional processing is not responsible for the observed asymmetry of intentional attributions and thus does not mediate the relationship between an action’s moral status and its intentional status. (shrink)
Scholars working in philosophy of action still struggle with the freedom/determinism dichotomy that stretches back to Hellenist philosophy and the metaphysics that gave rise to it. Although that metaphysics has been repudiated in current philosophy of mind and cognitive science, the dichotomy still haunts these fields. As such, action is understood as distinct from movement, or motion. In early China, under a very different metaphysical paradigm, no such distinction is made. Instead, a notion of self-caused movement, or spontaneity, is elaborated. (...) In this article a general conception of spontaneity from early Daoism is explained, detailing its constituent aspects. Similar notions appeared from time to time in Western philosophy, and these instances are pursued, exploring how their instantiations differed from Daoist spontaneity and why. Based on these approximate examples of spontaneity and on early Daoist spontaneity, new criteria are postulated for a plausible theory of action that dispenses with presuppositions that eventuate in a freedom/determinism dichotomy, and instead the possibility is offered of a general model of action that can be applied smoothly across current philosophical and cognitive scientific subdisciplines. (shrink)
The paper first sketches out a reply to the underdetermination challenge and the incommensurability challenge that rebuts the sceptical conclusions of these challenges and that is sufficient to lay the ground for the project of a metaphysics of nature. That metaphysics is as hypothetical as are our scientific theories. The paper then explains how can one can argue for certain views in the metaphysics of nature based on our current fundamental physical theories, namely a tenseless theory of time and existence (...) instead of a tensed one, events instead of substances, and relations instead of intrinsic properties. Finally, the paper points out the limits in grounding metaphysical claims on science with respect to the themes of causation, laws and dispositions. (shrink)
1. The issue - The reflection I am proposing was stimulated by some recent research on the mental processing of proper names. However, the issue I am raising is independent of both the particular nature of such results and the fact that they are accepted as well established. The question I would like to ask is whether (neuro)psychological results on the mental processing of language can falsify (or confirm) semantic theses about natural language. By a semantic thesis I mean something (...) like any of the following. (shrink)
: The work of Boris Hessen and Henryk Grossman on the emergence of early modern science is an attempt at a historical sociology of science and a historical epistemology of scientific knowledge. One of their theses is elaborated here, namely that early modern mechanics developed in the study of contemporary technology. In particular I discuss the thesis that the replacement of the Aristotelian concept of motion by the modern general and mathematical concept developed in the study of transmission machines. In (...) addition to a discussion of the thesis and its implications, I also present a case study to substantiate the thesis. I show that Benedetti's famous refutation of Aristotle and his introduction of a new concept of motion depended on empirical knowledge of the newly invented treadle mechanism. I argue that although the historiography of science since the 1930s has explored many of the individual issues first raised by the Marxist historians of science, this perspective remains unique in that it establishes direct and informative connections between the grand narrative of the transition from agrarian-feudal society to industrial production in early capitalism and the development of science and technology down to specific cognitive issues such as shared assumptions concerning the natural order. (shrink)
seems appropriate to heed Dickens’ warning that liberalcapitalism’s ethos of self-interest is incomplete, and a The main criticisms of liberal society that have emerged purely self-interested man like Scrooge is less than fully over the last hundred years have all objected to its “live human. This, of course, is a familiar message; indeed..
Max Scheler’s essay on virtue, first published under a pseudonym in 1913, begins with some reflection upon the decline in his era of a concern for virtue. Its central theme is a phenomenological exhibition of the Christian experience of humility, reverence, and related concepts, together with an exploration of their historical and social embodiments in Western culture. The core of humility is a spiritual readiness to serve, related to love, that produces in its possessor a liberation from the ego. The (...) core of reverence is its sense of what surpasses our vision. It has the power to reveal to us the deeper value and being in all things. The paper contains elements of a polemic directed against scientific naturalism. (shrink)
Comparaison entre la philosophie pratique aristotélisante d'aujourd'hui, représentée en Allemagne surtout par H.G. Gadamer, J. Ritter et leurs élèves, et les théories d'Aristote sur la phronesis et l'ethos, visant à montrer que ces dernières, dans la pensée du Stagirite, ne remplissent pas, contrairement à ce que croient ces interprètes, le rôle de la philosophie pratique toute entière. Contrast between the aristotelizing practical philosophy of today, represented in Germany especially by H.G. Gadamer, J. Ritter and their followers, and Aristotle's theories on (...) phronesis and ethos, in order to show that these theories, in the Stagirite's thought, don't play, against the opinion of those interpreters, the rôle of the whole practical philosophy. (shrink)
Whether it is morally acceptable to offer rehabilitation by CNS-intervention to criminals as a condition for early release constitutes an important neuroethical question. Bomann-Larsen has recently suggested that such interventions are unacceptable if the offered treatment is not narrowly targeted at the behaviour for which the criminal is convicted. In this article it is argued that Bomann-Larsen’s analysis of the morality of offers does not provide a solid base for this conclusion and that, even if the analysis is assumed (...) to be correct, it still does not follow that voluntary rehabilitation schemes targeting behaviour beyond the act for which a criminal is convicted are inappropriate. (shrink)
This commentary elaborates on Gray's conclusion that his neurophysiological model of consciousness might explain how consciousness arises from the brain, but does not address how consciousness evolved, affects behaviour or confers survival value. The commentary argues that such limitations apply to all neurophysiological or other third-person perspective models. To approach such questions the first-person nature of consciousness needs to be taken seriously in combination with third-person models of the brain.
: Challenging the interpretation of Charles Fried's use of "equipoise" presented by Paul Miller and Charles Weijer in a recent issue of the Kennedy Institute of Ethics Journal , this commentary argues that Fried was in no way promoting the concept of equipoise. In fact, his key point was that patients have a right to know and to make their own decisions about participation in clinical trials, regardless of equipoise, however it is defined.
Observations on patients who lost visual imagery after brain damage call into question the notion that the knowledge subserving visual imagery is “tacit.” Dissociations between deficient imagery and preserved recognition of objects suggest that imagery is exclusively based on explicit knowledge, whereas retrieval of “tacit” visual knowledge is bound to the presence of the object and the task of recognizing it.
In his article Grush proposes a potentially useful framework for explaining motor control, imagery, and perception. In our commentary we will address two issues that the model does not seem to deal with appropriately: one concerns motor control, and the other, the visual and motor imagery domains. We will consider these two aspects in turn.
This text presents an overview of the bioethical debate on pediatric cochlear implants and pays particular attention to the analysis of the Deaf critique of implantation. It dismisses the idea that Deaf concerns are primarily about the upholding of Deaf culture and sign language. Instead it is argued that Deaf skepticism about child rehabilitation after cochlear surgery is well founded. Many Deaf people have lived experiences as subjects undergoing rehabilitation. It is not the cochlear technology in itself they (...) view as problematic, but rather the subsequent rehabilitation process. Because they themselves have experienced what they describe as harmful effects which relate above all to the idea of normalization, they have articulated worries for the new generations of deaf children in need of rehabilitation following cochlear implant surgery. These insights have attracted little attention, but could represent relevant ethical questions of which both practitioners and researchers in the field of implantation might be aware. (shrink)
Some of the assumptions underlying the arguments in Aggleton & Brown's target article are reviewed; discrepancies/predictions are pointed out in relation to human lesion studies. A&B's proposal is interesting, but it may require harder, confirmatory evidence before it can be considered to be all-encompassing.
