Comparing the relative sensitivity of direct and indirect measures of learning is proposed as the best way to provide evidence for unconscious learning when both conceptual and operative definitions of awareness are lacking. This approach was first proposed by Reingold & Merikle (1988) in the context of subliminal perception. In this paper, we apply it to a choice reaction time task in which the material is generated based on a probabilistic finite-state grammar (Cleeremans, 1993). We show (1) that participants progressively (...) learn about the statistical structure of the stimulus material over training with the choice reaction time task, and (2) that they can use some of this knowledge to predict the location of the next stimulus in a subsequent “generation” task. However, detailed partial correlational analyses of the correspondence between performance during the reaction time task and the statistical structure of the training material showed that large effects remained even when controlling for explicit knowledge as assessed by the generation task. Hence we conclude (1) that at least some of the knowledge expressed through reaction time performance can not be characterized as conscious, and (2) that even when associations are found at a global level of analysis, dissociations can still be obtained when more detailed analyses are conducted. Finally, we also show that participants are limited in the depth of the contingencies they can learn about, and that these limitations are shared by the Simple Recurrent Network model of Cleeremans & McClelland (1991). (shrink)

Jackson and Jackson (1995) argue that most current tests used to assess awareness of sequential material are flawed because of their emphasis on accuracy. They propose to distinguish two forms of sequence knowledge: Serial knowledge, that is, knowledge about the specific sequence that stimuli follow, which involves information about the statistical relationship between many sequence elements, and statistical knowledge, or knowledge about the probability of different transitions between adjacent sequence elements. Further, they suggest a new method to analyze generation performance, (...) which involves considering the correlation between subjects' responses and the distribution of transition probabilities, regardless of the accuracy of generation performance. In this comment, we first suggest that the distinction between serial and statistical knowledge is unwarranted except in one case which is not addressed by Jackson and Jackson. We propose instead that all sequence knowledge is essentially statistical in nature. Second, we suggest that using probabilistic instead of deterministic sequences is a better way to approach the assessment of explicit knowledge, and illustrate this contention with empirical and simulated examples based on previous and current research (Cleeremans, 1993; Cleeremans and McClelland, 1991; Jimenez, Mendez and Cleeremans. (shrink)

According to the Differences of Sex Development Regulations of the International Association of Athletics Federations, Caster Semenya and other athletes with heightened testosterone levels are considered non-eligible for middle distance running races in the women’s class. Based on an analysis of fair equality of opportunity in sport, I take a critical look at the Semenya case and at IAAF’s DSD Regulations. I distinguish between what I call stable and dynamic inequalities between athletes. Stable inequalities are those that athletes cannot impact (...) or control in any significant way such as inequalities in biological sex, body size and chronological age. Dynamic inequalities, such as inequalities in strength, speed and endurance, or in technical and tactical skills, can be impacted and to a certain extent controlled by athletes. If stable inequalities exert significant and systematic impact on performance, they provide a rationale for classification. If high testosterone level is an inborn, strong and systemic driver of performance development, inequalities in such levels can provide a rationale for classification. As is emphasised by the Court of Arbitration for Sport, this leads to a dilemma of rights: the right of Semenya to compete in sport according to her legal sex and gender identity, and the right of other athletes within the average female testosterone range to compete under fair conditions. I conclude with providing conditional support of the CAS decision in the Semenya case and of IAAF’s DSD Regulations. (shrink)

Caster Semenya, a South African 18-year-old, won the 800-metre track running title at the Berlin World Athletics Championships in 2009. Only 3 h later, her gender was being harshly contested. The investigation of the International Association of Athletics Federations (IAAF) was neither discreet nor respectful of her privacy. Caster's case has implications for the ethics of sports and debates about gender and enhancement, and for the philosophical debate about the nature of categories and the classification of people. The IAAF has (...) not disclosed the results of their tests on Caster, and the South African Ministry of Sport has decreed that in any case she can continue running with women in her own country. But could a scientific or medical test offer uncontroversial answers regarding Caster's gender? The concept of ‘gender’ is partly a social construction. The authors argue that ethics may guide science and medicine at addressing such questions. (shrink)

Routley-Meyer Ternary Relational Semantics for Intuitionistic-type Negations examines how to introduce intuitionistic-type negations into RM-semantics. RM-semantics is highly malleable and capable of modeling families of logics which are very different from each other. This semantics was introduced in the early 1970s, and was devised for interpreting relevance logics. In RM-semantics, negation is interpreted by means of the Routley operator, which has been almost exclusively used for modeling De Morgan negations. This book provides research on particular features of intuitionistic-type of negations (...) in RM-semantics, while also defining the basic systems and many of their extensions by using models with or without a set of designated points. (shrink)

In the realm of the philosophy of sounds and auditory experience there is an ongoing discussion concerned with the nature of sounds. One of the contestant views within this ontology of sound is that of the Property View, which holds that sounds are properties of the sounding objects. A way of developing this view is through the idea of dispositionalism, namely, by sustaining the theory according to which sounds are dispositional properties (Pasnau 1999; Kulvicki 2008; Roberts 2017). That portrayal, however, (...) is not sufficient, as it has not inquired the metaphysical debates about dispositions beyond the conditional analysis. In this paper, I try to advance this view by including recent developments (for instance Bird 2007; Vetter 2015) in the field of dispositionalism and I analyse whether this new version can sort out known and new objections to Property View. (shrink)

Economic regulation is a way for interest groups to gain rent by reducing competition. However, regulations are often understood as anti-signatures. This is due to a lack of economic knowledge combined with an inability to process information about the real costs of average regulations on the part of the citizen. As a result, we often find ourselves in a dynamic where the real motivation behind regulations is rarely recognized and, in this way, interest groups benefit by not paying their costs. (...) Traditional methods of dealing with regulatory quality are not working. Therefore, this article proposes a way to address this problem: to put the cost of regulation where the benefits are, i.e., on the industry or other stakeholders that are the main beneficiaries of the regulation, and to analyze the elements of the proposed regulation from an ius-economic approach and study case studies related to the situation of Peruvian universities. This is done through a descriptive, legal-theoretical, and economic methodology based on a review of contemporary literature. Finally, consider the creation of a tax for the interest groups that benefit from the regulations. While this idea is not new, it has not yet been implemented or described operationally. This commentary is an effort to bring this idea into academic and public debate. (shrink)

¿Qué entendemos hoy por “neoliberalismo”? Si bien hay varias formas de contestar tal pregunta, la respuesta más frecuente consiste en asociarlo con la aplicación de un conjunto de medidas estrictamente económicas; de hecho, se dice que los neoliberales, casi por defecto congénito, no pueden pensar la realidad más allá de los números y las recetas abstractas. Siguiendo el método arqueológico-genealógico de Michel Foucault y de algunos de sus intérpretes contemporáneos, el presente artículo buscará revisar y en lo posible ampliar aquella (...) concepción crítica. Nuestra hipótesis es que el neoliberalismo no se reduce a un mero “economicismo”, sino que contiene más bien toda una dimensión “espiritual”, todo un campo de prácticas y de discursos que se conforma como respuesta ante el excesivo racionalismo de las sociedades modernas. La cuestión consiste en transformar a los hombres desde dentro, hasta el punto de tornarlos más aptos para acceder a un conjunto de valores y asimilar ciertas formas de comportamiento. Según sostiene este artículo, es en los escritos de Wilhelm Röpke, un economista y sociólogo alemán de mediados del siglo XX, donde mejor se aprecia la dimensión espiritual del neoliberalismo. Röpke proponía un “diagnóstico” y una “terapéutica”. El primero sostiene que los hombres padecen una enfermedad espiritual denominada como “masificación” y “proletarización”, mientras que la terapéutica procura hacer de esos hombres unos emprendedores de sí mismos. Tal sería el modo de superar los efectos adversos del capitalismo: transformando a los hombres masificados y proletarizados en sujetos completamente comprometidos con su profesión. No se trata sencillamente de recuperar un pensamiento casi olvidado por la historia, sino de explorar los límites de nuestro presente, especialmente de nuestras formas de subjetividad. Aunque muchas de las críticas contemporáneas no hayan reparado aún en ello, hay que preguntarse hasta qué punto los diagnósticos y las terapéuticas propuestas por neoliberales como Röpke persisten en la actualidad. Aquí no se darán respuestas tajantes y definitivas, pero sí algunos indicios al respecto. (shrink)

This paper presents evidence, in the form of two passages from the Electra, that the editor of Euripides will do well not to resign himself too easily to pointless illogicality or violations of the formal regularities of tragedy or to comfort himself with the idea that illogic and meandering are ‘human’ touches, while formal incongruities are Euripides' incipient verismo.

This article discusses the imbrication of racialising and sexualising scientific practices of gender testing and verification in elite athletics competition, and their intersection with social politics, using as a theoretical frame the feminist, anti-racist work of Hortense Spillers, Judith Butler and Anne Fausto-Sterling, among others. It traces the practice of sex-gender testing of ‘women’ at sanctioned International Association of Athletics Federations and International Olympic Committee track and field competitions in order to contextualise South African middle-distance runner Caster Semenya’s experiences at (...) the 2009 Berlin World Championships and the subsequent spectacularisation of her body through the discursive practices of representation. (shrink)

This paper presents evidence, in the form of two passages from the Electra, that the editor of Euripides will do well not to resign himself too easily to pointless illogicality or violations of the formal regularities of tragedy or to comfort himself with the idea that illogic and meandering are ‘human’ touches, while formal incongruities are Euripides' incipient verismo.

Sport is predicated on the idea of victors emerging from a level playing field. All ethically informed evaluate practices are like this; they require an equality of respect, consideration, and opportunity, while trying to achieve substantively unequal outcomes. For instance: limited resources mean that physicians must treat some patients and not others, while still treating them with equal respect; examiners must pass some students and not others, while still giving their work equal consideration; employers may only be able to hire (...) one applicant, while still being required to treat all applicants fairly, and so on. The 800 m is meant to be one of these practices: a level and equidistance running track from which one victor is intended to emerge. The case of Caster Semenya raises challenging questions about what makes level-playing-fields level, questions that extend beyond any given playing field. In the Feature Article for this issue Loland provides us with new and engaging reasons to support of the Court of Arbitration for Sport decision in the Casta Semenya case. The impact of the CAS decision requires Casta Semenya to supress her naturally occurring testosterone if she is to compete in an international athletics events. The Semenya case is described by Loland as creating a ‘dilemma of rights’.i The dilemma lies in the choice between ‘the right of Semenya to compete in sport according to her legal sex and gender identity’ and ‘the right of other athletes within the average female testosterone range to compete under fair conditions’ (see …. (shrink)

Filosofía y antropología: interconexiones reúne ensayos en donde ambas disciplinas dialogan sobre cuatro campos vertebrales: conocimiento, lenguaje, política-poder y cultura. Respecto al conocimiento, se articulan las relaciones históricas, sus hermenéuticas y problemas éticos comunes. -/- A propósito del lenguaje, se aborda la construcción simbólica de los artefactos, la pragmática y las implicaciones lógicas en la práctica antropológica. Sobre el poder, se muestran los problemas sobre el pluralismo político, el mal, las feminidades y la transexualidad. En torno a la cultura, se (...) desarrolla la relación entre la arqueología y la estética de la imagen, el sujeto postmetafísico y, finalmente, la revolución y confrontación de la fenomenología en filosofía y antropología. Todos estos temas, recurrentes y emergentes para la antropología, se enriquecen a la luz de los planteamientos filosóficos. -/- El título de este libro busca hacer evidente la relación (las interconexiones) entre dos regímenes de sentido, disciplinas, ciencias, formaciones discursivas y hasta tradiciones académicas que, si bien se distinguen, comparten, no obstante, una zona limítrofe llena de coincidencias. La mayoría de los ensayos aquí reunidos hacen hincapié en la ínter, trans o multidisciplina, en pos de sostener, ilustrar o justificar las interconexiones entre la antropología y la filosofía. -/- El presente volumen resalta estas interconexiones en cuatro áreas específicas: conocimiento, lenguaje, poder y cultura. Destacan tres tipos de interacción posible: 1) respecto de los objetos de estudio; 2) a propósito de los métodos de investigación; y, finalmente, 3) en lo que toca a las diferencias en términos institucionales, donde cada disciplina se distinguiría por el tipo de agregados sociales de profesionales que la integran. (shrink)

Background: The castor bean is a large grassy or semi-wooden shrub or small tree. Any part of the castor plant parts can suffering from a disease that weakens the ability to grow and eliminates its production. Therefore, in this paper will identify the pests and diseases present in castor culture and detect the symptoms in each disease. Also images is showing the symptom form in this disease. Objectives: The main objective of this expert system is to obtain (...) appropriate diagnosis of the disease. Methods: In this paper, the expert system is designed for the ability of agricultural engineers to detect and diagnose disease of castor like as: seeding blight, alternaria blight, cercospora leaf spot, powdery mildew and wilt. This system presents the disease symptoms, survival and spread, favorable conditions and image for each disease. Clips and Delphi expert system languages are used for designing and implementing the proposed expert system. Results: The expert system in the diagnosis of castor diseases was assessed by farmers and agricultural engineers and they were satisfied and accepted with its quality of performance. Conclusions: The expert system is easy for farmers and people have experience in the plant of castor to detect and diagnosis the symptoms that may face this plant from several disease. (shrink)

Stem cells are likely to be used as an alternate source of biological material for neural transplantation to treat Parkinson’s disease in the not too distant future. Among the several ethical criteria that must be fulfilled before proceeding with clinical research, a favourable benefit to risk ratio must be obtained. The potential benefits to the participant and to society are evaluated relative to the risks in an attempt to offer the participants a reasonable choice. Through examination of preclinical studies transplanting (...) stem cells in animals and the transplantation of fetal tissue in patients with Parkinson’s disease, a current set of potential benefits and risks for neural transplantation of stem cells in clinical research of Parkinson’s disease are derived. The potential benefits to research participants undergoing stem cell transplantation are relief of parkinsonian symptoms and decreasing doses of parkinsonian drugs. Transplantation of stem cells as a treatment for Parkinson’s disease may benefit society by providing knowledge that can be used to help determine better treatments in the future. The risks to research participants undergoing stem cell transplantation include tumour formation, inappropriate stem cell migration, immune rejection of transplanted stem cells, haemorrhage during neurosurgery and postoperative infection. Although some of these risks are general to neurosurgical transplantation and may not be reduced for participants, the potential risk of tumour formation and inappropriate stem cell migration must be minimised before obtaining a favourable potential benefit to risk calculus and to provide participants with a reasonable choice before they enrol in clinical studies. (shrink)

Drawing from ethnographic research in the Research Triangle of North Carolina and Williamsburg, Virginia, the authors build on Anzaldúa's conceptualization of “borderlands” to analyze how borders of social membership are constructed and enforced in “el Nuevo South.” Our gender analysis reveals that intersecting structural conditions—the labor market, the organization of public space, and the institutional organization of health care and other public services—combine with gendered processes in the home and family to regulate women's participation in community life. Enforcers of borders (...) include institutional actors, mostly women, in social services and clinics who occupy institutional locations that enable them to define who is entitled to public goods and to categorize migrants as undeserving “others.” We reveal how a particularly configured matrix of domination transcends the spheres of home, work, and community to constrain women migrants' physical and economic mobility and personal autonomy and to inhibit their participation in their societies of reception. (shrink)

En el escenario actual de Cuba y el mundo la migración al software libre constituye una necesidad para el desarrollo para garantizar la independencia tecnológica. Los procedimientos para realizar dicho proceso son fundamentales en la estrategia definida por el país que incluye la "Guía cubana de migración al software libre", sin embargo, su aplicación práctica enfrenta dificultades que han motivado a los autores a la elaboración de una estrategia específica para la migración al software libre en el sector de la (...) Salud Pública de la provincia de Camagüey, Cuba. En esta estrategia se proponen las acciones concretas, los programas docentes que permitirán la recalificación del capital humano y las acciones que posibiliten garantizar la sostenibilidad de la migración al concluir el proceso. In the present Cuban and world scenarios the migration to free software constitutes a need for the development to guarantee technological independence. The procedures to carry out that process are vital in the strategy defined by the country that includes “Cuban guidelines for the migration to free software” however its practical implementation is facing difficulties that have motivated the authors to elaborate a specific strategy form the migration to free software in the Public health sector in the province of Camagüey, Cuba. In this strategy actions are suggested, like teaching programs that will allow the recertification of the capital human resources and steps that will make possible to guarantee the sustainability of the migration at the end of the process. (shrink)

Resumen Como toda actividad social, la investigación en el campo de las ciencias sociales se institucionaliza por la acción de los individuos, instaurando ciertos mecanismos que regulan -a través de pautas organizacionales definidas- su quehacer social e institucional. Es así que la investigación social desarrollada en las instituciones de educación superior es experimentada por sus actores como una realidad establecida y objetiva que antecede al individuo actual, una realidad sujeta a una clara definición de roles, situaciones y comportamientos. Desde una (...) perspectiva sociológica, y ante a la injerencia de las actuales tecnologías de la información y la comunicación, en este trabajo se exploran los obstáculos y las posibilidades que enfrenta la condición institucionalizada de la investigación social y la de sus actores en sociedades con distintos tipos de desarrollo. Con tal propósito nos detenemos en el enlace de cuatro dimensiones del problema: la expansión y dispersión de las ciencias humanas y sociales; la institución como marco normativo de la organización de la actividad de investigación; el académico-investigador como principal actor y, por último, la función del "par académico" como árbitro de una competencia más institucional que cognitiva.As any social activity, research in social sciences is institutionalized by the action of individuals, establishing certain mechanisms that regulate -through defined organizational patterns- its social and institutional activities. In this way, the social research developed in higher education institutions is experienced by their actors as an established and objective reality that precedes the actual individual; a reality attached to a clear definition of roles, situations and behaviors. From a sociological perspective, and confronting the interference of the current information and communications technologies, in this paper are explored the obstacles and opportunities facing the institutionalized condition of social research, and their actors in societies with different types of development. For that purpose, we look into the connection of four dimensions of the problem: the expansion and dispersion of human and social sciences; the institution as a regulatory structure for the organization of the research activity; the academic researcher as the main actor, and finally, the role of "academic peer" as an arbiter of a competition more institutional than cognitive. (shrink)

This paper offers a particular intuitionistic negation completion of Urquhart's system C resulting in a super-intuitionistic contractionless propositional logic equivalent to Dummett's LC without contraction.

In his paper, Loland1 offers conditional support for 2019 World Athletics ‘differences of sex development’ regulations,2 upheld that year by the Court of Arbitration for Sport 3 in the case of Caster Semenya. He states this is conditional due to the ‘systemic and psycho-somatic’ impact of hormonal treatment. Loland also calls for ‘further analysis of the nature of athlete classification’ and identifies some welcome options for reducing the significance of sex classifications in sport. While Loland identifies ‘essentialist and reductionist definitions (...) of gender’ as problematic, he finds this inescapable, affirming the case as a ‘dilemma of rights’ where excluding Semenya is ‘protecting the integrity of women’s sport’.1 The idea that Semenya’s participation presents a dilemma necessarily presumes that she is not a woman. Loland’s conclusions support a convenience-based approach to classification of sex where choices about the status of people with intersex variations are made by others according to their interests at that time, inter alia, a woman in situation A if no-one complains, a woman in situation B when subjected to medical intervention, a man in situation C and non-binary in D. While a majority decision by CAS adjudicators denied consideration of the ‘wider impact’ of their decision outside sport, …. (shrink)

Business ethics has become a very important concern in global business and understanding the effects of various factors on ethical judgments continues to attract research and practitioner attention. Using the Multidimensional Ethics Scale with its five generally accepted philosophical constructs, and vignettes developed by Cohen et al., current study investigates the relationship between cultural values, personality, religiosity and the ethical sensitivity of business students. We focus on a rapidly emerging country, Turkey, whose economic environment is similar to that of the (...) most Western nations but with a significantly different background and cultural values. Data for the study is collected from a major university in the southeastern Turkey. Although some significant relationships are identified between ethical sensitivity and cultural values and personality, our study findings confirm that MES dimensions had the highest influence on ethical sensitivity levels of business students. (shrink)

RESUMENEn este trabajo quiero examinar la Carta sobre la tolerancia de John Locke, con el propósito de considerar los diferentes tipos de argumentos que propone para justificar la tolerancia en materia de religión y valorar su relevancia para el lector actual. Aunque la línea argumental principal de la Carta es insatisfactoria, cabe encontrar una justiicación alternativa, mucho más afin con la defensa que el liberalismo contemporáneo hace de la libertad de conciencia.PALABRAS CLAVETOLERANCIA-RELIGIÓN-LIBREALISMO-LOCKEABSTRACTIn this paper I will examine John Locke'se Letter (...) concerning toleration, with the aim of reviewing the different arguments he adduces to justify religious toleration and of assessing their relevance for the contemporary reader. Althought the Letter's main argument is not satisfactory, it is possible to find an alternative justification, in line with the freedom of conscience defended by contemporary liberalism.KEYWORDSTOLERATION-RELIGION-LIBERALISM-LOCKE. (shrink)

RESUMENEste trabajo se interesa por una acepción de cultura que ha cobrado una indudable importancia en los últimos timepos y que tiene que ver con la definición de identidades y delimitación de fronteras entr grupos. NUestro propósito es no tomar dicha acepción como algo obvio y para ello intentamos recuperar su historicidad refiriéndonos a la oposición entre cultura y civilización que se traza a finales del s. XVIII en Alemania. Lejos de ser un término neutro, el sesgo y las implicaciones (...) filosóficas de cultura nos remiten a lo que Berlin ha denominado la contra-ilustración. PALABRAS CLAVECULTURA-CIVILIZACION-CONTRA-INLUSTRACION-PLURALISMOABSTRACTTHis paper focuses on one respect of cultura that has drawn an unquestionable attention lately. This has to do with the definition of identities and with the drawing of boundaries among groups. Our aim is not to consider it as self-evident. To that end, we try to retrieve its historicity by reerring to the oposition of culture and civiltiation advanced in Germany by the end of the XVIIIth century. Far from being a neutral term, the feature and the philosophic implications of culture lead us to what Berlin has called the counter-Enlightement.KEYWORDSCULTURE-CIVILITATION-COUNTER-ENLIGHTEMENT-PLURALISM. (shrink)

The busy beaver problem of Rado [6] is reexamined for the case of Turing machines given by quadruples rather than quintuples. Moreover several printing symbols are allowed. Some values of the corresponding beaver function are given and it is shown that this function for a fixed number of states and varying number of symbols is nonrecursive for three or more states and recursive for two states. As a byproduct we get that the minimal number of states in a universal Turing (...) machine (quadruples) is three. (shrink)

Let \ be distintict wffs, \ being an odd number equal to or greater than 1. Intuitionistic Propositional Logic IPC plus the axiom \\vee...\vee \vee \) is equivalent to Gödel-Dummett logic LC. However, if \ is an even number equal to or greater than 2, IPC plus the said axiom is a sublogic of LC.

RESUMEN Aunque la educación superior cubana constituye un espacio privilegiado para la atención a la diversidad cultural, se identifica la carencia de una concepción de la interculturalidad desde el sujeto que vive la experiencia y cuya cultura de origen se instaura como dimensión mediatizadora de la relación con respecto a otros; carencia no abordada en profundidad a través del prisma de la sicología social. En este orden se realizó una revisión bibliográfica con el objetivo de profundizar en el enfoque sicosocial (...) expresivo de las relaciones interculturales contextualizadas en la enseñanza médica superior cubana; la misma, contribuyó a la comprensión de la expresión subjetiva conformada alrededor de la realidad objeto de estudio. Los resultados permitieron construir un cuerpo teórico descriptivo-explicativo de las emergencias subjetivas que adquieren su especificidad en las relaciones interculturales desde un compromiso práctico y axiológico. A modo de conclusiones se estableció que en la búsqueda de un campo académico unificado y coherente con la complejidad de la realidad objeto de estudio, la sicología social deviene tributaria de un enfoque centrado en el estudio de las formas de subjetividad social que median en las relaciones interculturales desde el contexto de la enseñanza médica superior cubana. ABSTRACT Even though Cuban higher education is a privileged space for the attention of cultural diversity, the lack of an intercultural conception from the person who lives the experience and whose home culture is established as an interfering dimension in his relationship with others is identified; a problem which is not dealt with in depth through the perspective of social psychology. Therefore, a bibliographic review was made in order to go into depth in the expressive psychosocial approach to intercultural relationships put in context in Cuban higher medical education. It contributed to the understanding of the subjective expression which makes the reality of the object of study. The results allowed to make a descriptive-explanatory theoretical body of the subjective emergencies which become specific in intercultural relationships from a practical and axiological commitment. As a conclusion, it was established the search of an academic field which can be unifying and coherent with the complexity of the reality object of study. Social psychology becomes tributary of an approach that is centered in the study of social subjectivity forms that mediate in intercultural relationships from the context of Cuban higher medical education. (shrink)