Patient portals are poised to transform health communication by empowering patients with rapid access to their own health data. The 21st Century Cures Act is a US federal law that, among other provisions, prevents health entities from engaging in practices that disrupt the exchange of electronic health information—a measure that may increase the usage of patient health portals. Caregiver access to patient portals, however, may lead to breaches in patient privacy and confidentiality if not managed properly through proxy accounts. We (...) present an ethical framework that guides policy and clinical workflow development for healthcare institutions to support the best use of patient portals. Caregivers are vital members of the care team and should be supported through novel forms of health information technology (IT). Patients, however, may not want all information to be shared with their proxies so healthcare institutions must support the development and use of separate proxy accounts as opposed to using the patient’s own account as well provide controls for limiting the scope of information displayed in the proxy accounts. Lastly, as socioeconomic barriers to adoption of health IT persist, healthcare providers must work to ensure multiple streams of patient communication, to prevent further propagating health inequities. (shrink)

Through a study of Gandhian political writings in mid-twentieth-century India, this article explores the neglected question of how the issue of representative democracy shaped anticolonial thought. The rise of a Gandhian perspective on electoral representation was made possible by the account of modern democracy given in Gandhi’s "Hind Swaraj" (1909). From the 1930s, four key Indian thinkers influenced by Gandhi expanded on "Hind Swaraj" to argue that capitalist economics were a threat to democratic equality and produced the kinds of unaccountability (...) and elite capture of legislatures that they identified in Western European parliamentary states. In response, Gandhian thinkers developed proposals for federalist postcolonial constitutions, combining a system of participatory legislative councils with collectivist agrarian socialism. I trace the intellectual origins of Gandhian democratic thought in the 1930s and 1940s and outline how its main proponents articulated ideas of antiparliamentarism and moral economics. Revisiting the Gandhian tradition, I suggest, highlights the importance of economic ethics in participatory theories of democracy and popular sovereignty. (shrink)

The article explores meditation-based examination of experience as a means for developing a contemplative, nonnaturalized, and existentially meaningful empirical research of consciousness in which the experiencing person is regarded as the primary investigator. As the first phase of a broader project, a group of seven researchers carried out a series of five meditation retreats. We sampled the ongoing experience of the researchers at the same random moments during meditation practice. The acquired data, consisting of more than 500 journal entries, interview (...) transcripts, and participatory analysis records, set the ground for three lines of enquiry: (1) What, if any, kind of meditative practice is suitable for researching experience? How can it be cultivated? (2) Can a group of researchers skilled in meditation systematically investigate selected experiential phenomena? (3) What is the actual lived experience of a group of researchers engaged in a continuous meditation-based examination of experience? In this report, we primarily focus on the third question, offering a concrete ethnographic overview of our research enterprise. We conclude by relating our findings to the discussion of the phenomenological practice of the epoché as an empirical tool for the study of consciousness. (shrink)

The study of individual experience during the performance of a psychological task using a phenomenological approach is a relatively new area of research. The aim of this paper was to combine first‐ and third‐person approaches to investigate whether the strategies individuals use during a working memory task are associated with specific task conditions, whether the strategies combine to form stable patterns, and whether the use of specific strategies is related to task accuracy. Thirty‐one participants took part in an experiment in (...) which they were instructed to remember colors, orientations, or positions of stimuli presented in a change detection task. After every 7th–15th trial, participants took part in an in‐depth phenomenological interview in which they described their experiences during the trial that immediately preceded the interview. Qualitative analysis revealed a set of 18 strategies that participants used while performing the task, which we divided into active and passive strategies of encoding, maintenance, and retrieval. Quantitative analysis revealed that while many strategies were used in all task conditions, some strategies and their combinations may be better suited to the specific task demands, while others are more general in nature. The results also suggest a distinction between strategies for encoding object identity and spatial features. Finally, our results did not provide robust evidence for a relationship between specific strategies and task accuracy. (shrink)

In experimental cognitive psychology, objects of inquiry are typically operationalized with psychological tasks. When interpreting results from such tasks, we focus primarily on behavioral measures such as reaction times and accuracy rather than experiences – i.e., phenomenology – associated with the task, and posit that the tasks elicit the desired cognitive phenomenon. Evaluating whether the tasks indeed elicit the desired phenomenon can be facilitated by understanding the experience during task performance. In this paper we explore the breadth of experiences that (...) are elicited by and accompany task performance using in-depth phenomenological and qualitative methodology to gather subjective reports during the performance of a visuo-spatial change detection task. Thirty-one participants were asked to remember either colors, orientations or positions of the presented stimuli and recall them after a short delay. Qualitative reports revealed rich experiential landscapes associated with the task-performance, suggesting a distinction between two broad classes of experience: phenomena at the front of consciousness and background feelings. The former includes cognitive strategies and aspects of metacognition, whereas the latter include more difficult-to-detect aspects of experience that comprise the overall sense of experience. We focus primarily on the background feelings, since strategies of task-performance to a large extent map onto previously identified cognitive processes and discuss the methodological implications of our findings. (shrink)

Context: In sciences of the mind, cognitive phenomena are typically investigated with the use of psychological tasks. These usually represent highly constrained environments that isolate and make ….

Context: Perceptual presence is the experience wherein veridical objects are experienced as belonging to an observer-independent world. Problem: Experimental investigations of perceptual presence ….

Assuming that the only epistemically relevant experiential report is the one made in the present moment, it may be unclear how individuals ground their responses to stable-trait assessments. ….

Many methodologies for systematic study of lived experience have been proposed in recent decades. These methods are typically calibrated in terms of the depth and complexity of data collection, and whether they consider reports on pre-reflective experience admissible. Even though it has been shown that lived experience occurs at different timescales (elementary, integrative, narrative), contemporary methods tend to focus on momentary experience. We trace the focus on momentary experience to the current cultural milieu and attitudes in the history of psychology. (...) We point out the need for studying temporally extended experiences in the field of psychopathology. We propose that lived experiences at different timescales are nested within each other and that this principle can be used to organize data collected with qualitative methods for the study of experience. We suggest that temporally extended experiences occur at the narrative level of description (i.e. they consist of experiential reports and sense-making). (shrink)

An ethical curriculum depends on the ability to impart skill with knowledge for making the best use of the learning processes. It can further advance only when one explores different value dimensions with additional goals in education than mere technical goal with an appropriate curriculum. An ethical curriculum provides character formation for the well-being of an individual which is even more important than cultivation of intellect. However, the present education system offers no provision to gain experience in social virtues while (...) studying, as a result of which even the well-qualified are not being readily accepted as serious social citizens. A curriculum with ethics will be able to address and advise various social diversities in a holistic manner and also elevate a society with values to greater heights. So, the main aim of ethical education is to provide statesmanship and academic heroism to create a good society for holistic thinkers. Various methods and techniques have been designed for ethical curriculum and faculty development with clear oracle and action to act as a nursery towards total personality development of an individual for emerging education. (shrink)

This review essay provides a critical analysis of the book ‘The Great Tech Game,’ authored by Anirudh Suri. For the analysis, other literature published in a similar area is considered and pitched the arguments against the ones made in the book. During the year this book was released, there were numerous debates on accountability and trust in frontier digital technologies like AI. These debates have reached a systemic level where the entire global community is divided into two camps headed by (...) the US and China in drafting rules and regulations for the internet and allied technologies. A critical comment on a well-circulated book would add clarity to the debates on the impacts of frontier digital technologies. This review contributes to the critical voices of the emerging scholarship on the confluence of digital technology and global politics. This review essay is intended to serve as an academic comment on the published work. (shrink)

A common theme in the contemporary medical model of psychiatry is that pathophysiological processes are centrally involved in the explanation, evaluation, and treatment of mental illnesses. Implied in this perspective is that clinical descriptors of these pathophysiological processes are sufficient to distinguish underlying etiologies. Psychiatric classification requires differentiation between what counts as normality (i.e.- order), and what counts as abnormality (i.e.- disorder). The distinction(s) between normality and pathology entail assumptions that are often deeply presupposed, manifesting themselves in statements about what (...) mental disorders are. (shrink)

: Addressing the methodological issues raised by the commentators, I argue that the disagreement among them regarding the optimal method to gather phenomenal data (micro-phenomenology or ….

: In our response, we demonstrate how theoretical constructs of philosophical phenomenology do not correspond to findings from lived experience. We provide additional subjective reports ….

This research attempts to construct a second order observation model in understanding the significance of Artificial intelligence (AI) in changing the global power structure. Because of the inevitable ubiquity of AI in the world societies’ near future, it impacts all the sections of society triggering socio-technical iterative developments. Its horizontal impact and states’ race to become leader in the AI world asks for a vivid understanding of its impact on the international system. To understand the latter, Triple Helix (TH) model (...) along with Shannon’s information entropy has been used to operationalize system’s theory. This model uses Shannon’s information theory to calculate the uncertainty generated from the interactions between the sub-systems considered. Data for the latter has been taken from Sanford Artificial Intelligence Laboratory 2019 report. It is found that European countries are the most effected in the AI era, with probability of losing their global influence and thus creating power void. Emerging powers such as India, Canada, South Africa and Brazil have better chances to fill the void and emerge as global influences. (shrink)

While abortion has been legal in most developed countries for many years, the topic remains controversial. A major area of controversy concerns women’s rights vis-a-vis the rights of health professionals to opt out of providing the service on conscience grounds. Although scholars from various disciplines have addressed this issue in the literature, there is a lack of empirical research on the topic. This paper provides a documentary analysis of three examples of conscientious objection on religious grounds to performing abortion-related care (...) by midwives in different Member States of the European Union, two of which have resulted in legal action. These examples show that as well as the laws of the respective countries and the European Union, professional and church law each played a part in the decisions made. However, support from both professional and religious sources was inconsistent both within and between the examples. The authors conclude that there is a need for clear guidelines at both local and pan-European level for health professionals and recommend a European-wide forum to develop and test them. (shrink)

BackgroundThe ARRIVE (Animal Research: Reporting of In Vivo Experiments) guidelines are widely endorsed but compliance is limited. We sought to determine whether journal-requested completion of an ARRIVE checklist improves full compliance with the guidelines.MethodsIn a randomised controlled trial, manuscripts reporting in vivo animal research submitted to PLOS ONE (March–June 2015) were randomly allocated to either requested completion of an ARRIVE checklist or current standard practice. Authors, academic editors, and peer reviewers were blinded to group allocation. Trained reviewers performed outcome adjudication (...) in duplicate by assessing manuscripts against an operationalised version of the ARRIVE guidelines that consists 108 items. Our primary outcome was the between-group differences in the proportion of manuscripts meeting all ARRIVE guideline checklist subitems.ResultsWe randomised 1689 manuscripts (control: n = 844, intervention: n = 845), of which 1269 were sent for peer review and 762 (control: n = 340; intervention: n = 332) accepted for publication. No manuscript in either group achieved full compliance with the ARRIVE checklist. Details of animal husbandry (ARRIVE subitem 9b) was the only subitem to show improvements in reporting, with the proportion of compliant manuscripts rising from 52.1 to 74.1% (X2 = 34.0, df = 1, p = 2.1 × 10−7) in the control and intervention groups, respectively.ConclusionsThese results suggest that altering the editorial process to include requests for a completed ARRIVE checklist is not enough to improve compliance with the ARRIVE guidelines. Other approaches, such as more stringent editorial policies or a targeted approach on key quality items, may promote improvements in reporting. (shrink)

Oblak et al. portray perceptual presence as an individually driven reflective operation. I question their account and suggest that PP involves a socially induced pre-reflective awareness of ….

Oblak, Boyadzhieva, and Bon claim that fractality is a modal property of the experience of perceptual presence. I will instead argue that the concept of fractality implies amodality and that modal ….

García’s and Oblak’s reviews of my book Enactive Psychiatry open up some fundamental debates with regard to my use of the term “enactive” for the kind of approach that I develop. Is my account still properly “enactive” (García) and how does my approach compare to the extended mind theory on the one hand and to constructivism on the other hand (Oblak? In this response, I argue that (a) adding an existential dimension to enactivism is necessary to do justice (...) to our way of being in the world and our specific sense-making and its problems; and (b) that this dimension can be incorporated within enactivism without giving up on either enactivism’s commitment to naturalism or the enactive life-mind continuity thesis. My “existentialized” enactivism is very much enactive in that it adopts the thoroughly relational perspective that forms the core of enactivism. This relational perspective is also what distinguishes enactive theory from both extended mind theory and constructivism. Erratum: In §1, the name of the first commentator is misspelled: Her name is “Enara García” rather than “Elena García.”. (shrink)

While appreciating Oblak’s call for and investment in more ecological research designs in psychology, I point out several aspects in Oblak’s own experimental setup that might themselves derive ….

In contrast to the experimental methods of studying visual memory, Oblak has used a less constrained method of investigation. The comparison between the conventional experimental methods and the ….