OBJECTIVES: To compare the practices of local research ethics committees and the time they take to obtain ethical approval for a multi-centre study. DESIGN: A retrospective analysis of outcome of applications for a multi-centre study to local research ethics committees. SETTING: Thirty-six local research ethics committees covering 38 district health authorities in England. MAIN MEASURES: Response of chairmen and women, the time required to obtain approval, and questions asked in application forms. RESULTS: We received replies from all 36 chairmen contacted: (...) four (11%) granted their approval, and 32 (89%) required our proposal to be considered by their local research ethics committee. Three committees asked us to attend their meetings. The application was approved by all 36 local research ethics committees but the time to obtain ethical approval varied between six to 208 days. One third of the committees did not approve the project within three months, and three took longer than six months. There was considerable variation in the issues raised by local research ethics committees and none conformed exactly to the Royal College of Physicians' guidelines. CONCLUSION: Obtaining ethical approval for a multi-centre study is time-consuming. There is much diversity in the practice of local research ethics committees. Our data support the recommendation for a central or regional review body of multi-centre studies which will be acceptable to all local research ethics committees. (shrink)

In this book Almaas brings together concepts and experiences drawn from contemporary object relations theory, Freudian-based ego psychology, case studies from his own spiritual practice, and teaching from the highest levels of Buddhist and other Eastern practices. He challenges us to look not only at the personality and the content of the mind, but also at the underlying nature of the mind itself.

The volume presents essays on the philosophical explanation of the relationship between body and soul in antiquity from the Presocratics to Galen. The title of the volume alludes to a phrase found in Plato, Aristotle and Plotinus, referring to aspects of living behaviour involving both body and soul, and is a commonplace in ancient philosophy, dealt with in very different ways by different authors.

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, (...) and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

Christianity stands out among the three great Abrahamic religions in its willingness to make extremely precise dogmatic statements about God. The Christians who make these statements have generally regarded them as universally and absolutely true, since they are divinely revealed, or divinely guaranteed interpretations of revealed texts. Of course from the beginning there has not been universal agreement (to put it mildly) among Christians about what statements should be so regarded and how they should be worded: and the seriousness with (...) which this need for dogmatic precision has been taken is shown by the way in which the inevitable disputes did not only involve theologians but the general body of Christians, and have led to divisions of churches, long continuing and flourishing mutual hatreds, and an overwhelming amount of theoretical and, where opportunity offered (i.e. where a Church party could get a secular power on its side), practical intolerance. Two areas of Church history which seem to me to provide particularly clear evidence of the incompatible verbal precisions demanded in dogmatic statements and the serious consequences of these demands are the Christological controversies of the fifth and sixth centuries and the Filioque dispute between East and West (though there is plenty of choice, and others may have other preferences). In both of these, theologians with a real and deep sense of the mystery of God often seem to an outside observer, in spite of their passionate assertions that this is not at all what they are doing and the rhetorical reverence of their language, to be arguing as if the God-Man or the Trinity were small finite objects which they had pinned down firmly in their theological laboratories and were examining under the microscope. (shrink)

Christianity stands out among the three great Abrahamic religions in its willingness to make extremely precise dogmatic statements about God. The Christians who make these statements have generally regarded them as universally and absolutely true, since they are divinely revealed, or divinely guaranteed interpretations of revealed texts. Of course from the beginning there has not been universal agreement among Christians about what statements should be so regarded and how they should be worded: and the seriousness with which this need for (...) dogmatic precision has been taken is shown by the way in which the inevitable disputes did not only involve theologians but the general body of Christians, and have led to divisions of churches, long continuing and flourishing mutual hatreds, and an overwhelming amount of theoretical and, where opportunity offered, practical intolerance. Two areas of Church history which seem to me to provide particularly clear evidence of the incompatible verbal precisions demanded in dogmatic statements and the serious consequences of these demands are the Christological controversies of the fifth and sixth centuries and the Filioque dispute between East and West. In both of these, theologians with a real and deep sense of the mystery of God often seem to an outside observer, in spite of their passionate assertions that this is not at all what they are doing and the rhetorical reverence of their language, to be arguing as if the God-Man or the Trinity were small finite objects which they had pinned down firmly in their theological laboratories and were examining under the microscope. (shrink)

"This collection of essays owes its inception to a symposium held in Munich 8-10th September 2003"--P. [i].

The authors discuss some of the conceptual issues that must be considered in using and understanding psychiatric classification. DSM-IV is a practical and common sense nosology of psychiatric disorders that is intended to improve communication in clinical practice and in research studies. DSM-IV has no philosophic pretensions but does raise many philosphical questions. This paper describes the development of DSM-IV and the way in which it addresses a number of philosophic issues: nominalism vs. realism, epistemology in science, the mind/body (...) dichotomy, the definition of mental disorders, and dimensional vs. categorical classification. (shrink)

In the year ending March 2020, an estimated 773,000 people in England and Wales were sexually assaulted. These types of crimes have lasting effects on victims’ mental health, including depression, anxiety, and post-traumatic stress disorder. There is a large body of literature which identifies several factors associated with the likelihood of the victim reporting a sexual assault to the police, and these differences may be due to rape myth stereotypes which perpetuate the belief that rape is only “real” under (...) certain conditions. Less is known, however, about the effect these rape myths and stereotypes have on the investigation process itself and the subsequent police outcomes assigned to sex offences. This study aimed to address this gap, providing a profile of all RASSO committed over a 3-year period in one English police force, the police outcomes of these offences, and whether any offences, suspect, or victim variables were associated with different outcomes, in particular the decision to charge or cases where victims decline to prosecute. In line with previous research, the majority of victims were female while the majority of suspects were male, and the most frequent victim–suspect relationship was acquaintance, followed by partner/ex-partner. Charge outcomes were more likely in SSOs and less in rape offences, more likely with stranger offences and less likely than offences committed by partners/ex-partners and relatives, and some non-white suspects were more likely to be charged than suspects of other ethnicities, including white suspects. Victim attrition was more likely in cases where the suspect was a partner or ex-partner and least likely where the suspect was a stranger, more likely in SSOs than in rape cases, and more likely when the victim ethnicity was “other”. Law enforcement should be aware of the potential biases, both relating to rape myths and stereotypes and to the biased treatment of victims and suspects based on demographic characteristics, and work to eliminate these to ensure a fairer and more effective RASSO investigative process. (shrink)

The detection of the number of extra–compact dimensions contained in some gravitational models is analyzed resorting to the discontinuity of the specific heat at the critical temperature of a Bose–Einstein condensate. It is shown that the function relating the number of particles and this discontinuity defines a segment of a straight line whose slope depends upon the number of extra–compact dimensions. The experimental feasibility of the proposal is also considered.

This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work was reproduced from the original artifact, and remains as true to the original work as possible. Therefore, you will see the original copyright references, library stamps (as most of these works have been housed in our most important libraries around the world), and other notations in the work. This work is in the public domain (...) in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. As a reproduction of a historical artifact, this work may contain missing or blurred pages, poor pictures, errant marks, etc. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

To the question ‘What does it mean to act or to do something?’, replies that it is not easy to identify a common character in actions. Begins by examining the position of Cook Wilson, who maintains that ‘to do something’ means to originate, cause, or bring into existence, either directly or indirectly, some not yet existing state either in oneself or some other body. Although Prichard agrees that usually action involves causing something, he observes that causing a change is (...) not itself an activity. In moving one's hand, one performs that indefinable mental activity of willing some change. The movement of the hand is the effect of the action, not the action itself, a fact overlooked by thinkers like Locke. Turning to the nature of the desire behind one's willing, Prichard rejects the view that this desire is actually a desire for the change willed. Despite forceful objections, Prichard maintains that this desire is the desire for the willing of that change. (shrink)

Evidence suggests that humans might have neurological specializations for music processing, but a compelling adaptationist account of music and dance is lacking. The sexual selection hypothesis cannot easily account for the widespread performance of music and dance in groups (especially synchronized performances), and the social bonding hypothesis has severe theoretical difficulties. Humans are unique among the primates in their ability to form cooperative alliances between groups in the absence of consanguineal ties. We propose that this unique form of social organization (...) is predicated on music and dance. Music and dance may have evolved as a coalition signaling system that could, among other things, credibly communicate coalition quality, thus permitting meaningful cooperative relationships between groups. This capability may have evolved from coordinated territorial defense signals that are common in many social species, including chimpanzees. We present a study in which manipulation of music synchrony significantly altered subjects’ perceptions of music quality, and in which subjects’ perceptions of music quality were correlated with their perceptions of coalition quality, supporting our hypothesis. Our hypothesis also has implications for the evolution of psychological mechanisms underlying cultural production in other domains such as food preparation, clothing and body decoration, storytelling and ritual, and tools and other artifacts. (shrink)

The International Classification of Functioning, Disability and Health (ICF), designed by the WHO, attempts to provide a holistic model of functioning and disability by integrating a medical model with a social one. The aim of this article is to analyze the ICF’s claim to holism. The following components of the ICF’s complexity are analyzed: (1) health condition, (2) body functions and structures, (3) activity, (4) participation, (5) environmental factors, (6) personal factors, and (7) health. Although the ICF claims to (...) be holistic, it presupposes a monistic materialistic ontology. We indicate some limitations of this ontology, proposing instead: (a) a pluralistic–holistic ontology (PHO) and (b) a multidimensional view of the human being, with individual and environmental aspects, in relation to three levels of reality implied by the PHO. For the ICF to attain its holistic claim, the interactions between its components should be based on (a) and (b). (shrink)

There is a growing body of literature on the research ethics review process, a process that can have important effects on the nature of research in contemporary times. Yet, many people know little about what the actual process entails once an application has been submitted for review. This lack of knowledge can affect researchers and committee members' responses to the review process. Based on ethnographic research on the ethics review process in 5 countries (Australia, Canada, New Zealand, the United (...) States, and the United Kingdom) this article takes the reader through common aspects of the research ethics review process, including some of the kinds of narratives that influence decision making. Greater understanding of the nature of the review process and the narratives that often form the core of the process can help contextualize responses that researchers get from committees so they can better address them. It may also help committee members reflect on how these narratives influence their decision making and the responses they make to researchers. (shrink)

The concern for ethical principles and values is not limited to health professionals alone. However, ethical principles in nursing act as safety valves for social control to prevent professional misconduct and abuse of the rights of clients. As a result of colonial experience, developing countries like Botswana usually follow the European lead, especially examples from the UK. This article examines the ethical problems and dilemmas associated with rural nursing practice in Botswana, a developing country in sub-Saharan Africa. The major ethical (...) problems identified are related to the distribution of and access to health resources in rural communities. It is proposed that nurses must assume responsibility in the field of access and allocation by working collaboratively with governments and other professional bodies, and that nurses as a global community must work together as a team to support each other. (shrink)

"Permanent Things reminds us that some of the century's most imaginative minds - G. K. Chesterton, T. S. Eliot, C. S. Lewis, Dorothy Sayers, and Evelyn Waugh - were profoundly at odds with the secularist spirit of the age, seeing progressive enlightenment as ushering in, not a millennium of perfect freedom, but a Waste Land whose inhabitants - Waugh's "vile bodies," Eliot's "hollow men," Lewis's "men without chests" - can find refuge from their boredom and anomie only in the ceaseless (...) acquisition of things or in the consoling illusions of pseudo religions - "distracted from distraction by distraction," as Eliot memorably put it." "How does one explain the desolation of a world which, though richly endowed with material comforts, is mentally and spiritually impoverished? The essayists here are united, as were their subjects, by a need to try to answer this question. Modern man's poverty of spirit, visible alike in so much of his art and architecture, his literature and philosophy and political science, reflects his loss of any good reasons for living - his loss of the Permanent Things." "The Christian writers whose work is eloquently interpreted in this book repay our attention for at least two reasons. First is their ability to sharpen our awareness of what, by any previous civilized standards, must be called the abnormal condition of modern man. For all the writers treated in this book, it was never enough to simply capture the spiritual aridity of modern life. It was also necessary to speak of a moral order that may yet be restored by the expressive power and beauty of the written word."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved. (shrink)

THIS paper seeks to elucidate the phenomenon known in psychology as 'the specious present,' by postulating a two-dimensional theory of the extensional aspects of time. On this theory, the usual logical and psychological difficulties, encountered in current accounts of this phenomenon, can be resolved. For, when there are two dimensions of time, the same event may be without extension in one of these dimensions ('transition-time'), while it is nevertheless finitely extended in the other of these dimensions ('phase-time'); so that in (...) a definable sense the phases of a finitely enduring event, though successive in one time-order, yet are contemporary in the other. The epistemological standpoint implicit in the paper is generally similar to the one Bertrand Russell has put forward, in his Physics and Experience (Cambridge, 1946), and his Human Knowledge: Its Scope and Limits (London, 1948) (allowing for the changes which would be required in Russell's theory to take into account a second time dimension). A 'psycho-neural parallelism,' or one-one correspondence, is postulated between features of certain 'experiential events' (namely, those experiential events normally held to be happening to some person's mind, which are describable in the language of psychology); and features of certain 'physical events' (namely, those events described in the language of physics, chemistry and physiology, which are ordinarily conceived as happenings in that same person's body). These physical events are conceived of as being causally connected with events in the physical world outside the experient's body, by means of the concepts of light waves, sound waves, chemical stimuli, and consequential processes in the nervous system (central and peripheral) and sense-organs, in the usual way. In terms of this psycho-neural parallelism the physical correlate of the finite temporal span of the specious, or experiential present, is to be found in certain consequences of the uncertainty principle in quantum physics; according to which there is a finite interval of time necessarily associated with a nearly precise determination of energy levels, and of transitions between them. Some of the physical implications of this theory, applied to processes in the material structure of the human body, are discussed qualitatively. But, for the reasons given in the last section of the paper, a quantitative treatment is not yet possible. The paper is greatly indebted in regard to the physical application of the two-dimensional theory of time, to the discussion of the pentadic group structure in Eddington's Fundamental Theory (Cambridge, 1946 and 1950); and in particular to the treatment there of the phase-variable as the 'time-analogue' in the quantum statistics of stationary states. (shrink)

Frantz Fanon's Black Skin, White Masks is an analysis of lived experience, experiences supported or inhibited by our group, and individual interactions with the world. Present in the text is an accounting of the lived experiences of Negrophobic white males. Fanon argues that Negrophobic white males live their bodies and their worlds inauthentically, as improperly limited possibilities. He finds that the Negrophobic white male's body operates as a body of “structural harmony.” The Negrophobe tries to use his interactions (...) with others to delude himself into believing that his body is the pinnacle of agency. The Negrophobe is troubled by guilt. Projecting, what he sees as, his socially acceptable characteristics onto fellow white males and projecting, what he sees as, his socially unacceptable characteristics onto black males allows the Negrophobic white male to perpetuate the lie that he is the pinnacle of innocence. Removing this mythical blackness into the background of his world would allow the Negrophobe to exist in a world that is all white. He would be white. All of the Other people in this world would be white. And, they would all be innocent. In this world the prevalence of whiteness would mean that the Negrophobe and his guilt could not be seen because everyone would be suffering from snow-blindness. (shrink)

The author, a member of the faculty in philosophy at Visva-Bharati University, produced this volume under appointment as Visiting Fellow at the Indian Institute of Advanced Study, after having studied in England. These four essays are concerned with recent analytic thought, concentrating upon the problem of identity and the experiments of reflection which have appeared in modern British philosophy, such as Strawson’s world of nothing but sound. Chandra’s central concern is to analyse the relationship between identity and continuity, and to (...) show that these concepts are not identical. Thus the book is an extended essay in conceptual clarification and logical geography. Saying that a is identical with b is not to say that a is continuous with b. All of this is undertaken because the author finds this inappropriate identification pervasive in contemporary philosophy, and the source of considerable logical confusion, especially in the consideration of personal identity. As an underlying theme attention is also focused upon the relevance of this issue to the debate concerning philosophical skepticism. Strawson’s sound world is seen as an attempt to refute the skeptic, which attempt fails because of Strawson’s failure to distinguish between identity and continuity. With the failure of Strawson’s attack upon the skeptic, and perhaps the phenomenalist as well, his defense of material bodies is thereby undermined. In addition to Strawson, Chandra studies Price, Ryle, Hick, and the very recent work on personal identity by Parfit. The author concludes that identity is consistent with discontinuous existence. He also offers an analysis of after-images, including not only visual after-images but after-images of taste as well. A further underlying theme is the use of science in such thought experiments, for they are frequently presented as if they were of a scientific character, thus exaggerating scientific capabilities. However, the nature of the relationship between philosophy and science is hardly clarified, and the nature of scientific limits remains vague throughout the book. Chandra has isolated a unique feature of contemporary analytic philosophy for consideration, for few others have so concentrated upon this strange feature of thought experiment which pervades British philosophy, nor the identification of identity and continuity. The book would have been improved tremendously, however, if the author had only indicated much more clearly than he does the philosophical conclusions which he wishes to draw from his reflections. These constantly remain uncertain and ambiguous.—H.A.D. (shrink)

Instead of using low-level neurophysiology mimicking and exploratory programming methods commonly used in the machine consciousness field, the hierarchical Operational Architectonics (OA) framework of brain and mind functioning proposes an alternative conceptual-theoretical framework as a new direction in the area of model-driven machine (robot) consciousness engineering. The unified brain-mind theoretical OA model explicitly captures (though in an informal way) the basic essence of brain functional architecture, which indeed constitutes a theory of consciousness. The OA describes the neurophysiological basis of the (...) phenomenal level of brain organization. In this context the problem of producing man-made “machine” consciousness and “artificial” thought is a matter of duplicating all levels of the operational architectonics hierarchy (with its inherent rules and mechanisms) found in the brain electromagnetic field. We hope that the conceptual-theoretical framework described in this paper will stimulate the interest of mathematicians and/or computer scientists to abstract and formalize principles of hierarchy of brain operations which are the building blocks for phenomenal consciousness and thought. (shrink)

The network approach to psychopathology posits that mental disorders can be conceptualized and studied as causal systems of mutually reinforcing symptoms. This approach, first posited in 2008, has grown substantially over the past decade and is now a full-fledged area of psychiatric research. In this article, we provide an overview and critical analysis of 363 articles produced in the first decade of this research program, with a focus on key theoretical, methodological, and empirical contributions. In addition, we turn our attention (...) to the next decade of the network approach and propose critical avenues for future research in each of these domains. We argue that this program of research will be best served by working toward two overarching aims: (a) the identification of robust empirical phenomena and (b) the development of formal theories that can explain those phenomena. We recommend specific steps forward within this broad framework and argue that these steps are necessary if the network approach is to develop into a progressive program of research capable of producing a cumulative body of knowledge about how specific mental disorders operate as causal systems. (shrink)

Many interpretations of David Cronenberg’s 1986 film The Fly read it as a film about monstrosity. Within this framework, the protagonist Seth Brundle’s progressive illness and decay are subsumed under his metamorphosis into a monster. Illness is taken to be a metaphor for the changes in Seth, changes that continuously turn him away from the human and towards the monstrous. Seth’s monstrosity, in turn, arises from the fusion of human and non-human, in this case the fusion of a man with (...) an insect. I suggest an opposite interpretation: instead of seeing Seth’s illness as a metaphor for monstrosity, I suggest that monstrosity is a metaphor for illness. Seth’s physical corruption as he becomes more and more monstrous is, in fact, a depiction of illness, and elicits disgust in the viewer that is identical to the disgust elicited by physical corruption brought about by illness. The external deformation of Seth as he becomes more and more fly-like, shown so spectacularly in the film, is a representation of the internal destruction and physiological chaos caused by disease. I argue that the notion of the monstrous that is so central to the film in fact supports the health/ illness dichotomy, in which the two states – health and illness, or human and monster – are posited as mutually exclusive. Instead of accepting the dichotomy and focusing on the dialecticbetween human and monstrous, as many interpretations have, I claim that the film in fact demonstrates the fallacy of this dichotomous view, showing that ultimately we all have ‘the disease of being finite’. I propose to understand the film as a tragedy portraying the terminal illness of a decent man. As such, the film dupes the viewer into accepting the human/ monster and healthy/ diseased dichotomies, only to grasp their illusoriness by the end of the film. (shrink)

If James has a latent tuberculosis infection , he is at risk of developing active tuberculosis disease but he is not yet sick. LTBI is a liminal space between health and illness. Diagnosed with LTBI, James could be conceptualised as having a liminal body. Treatments for LTBI are available, but why would a person seek treatment for a disease he does not yet have? One thing is definite: James needs to be educated about the symptoms and severity of active (...) tuberculosis disease. (shrink)