D. D. Martin

The scope of noninvasive prenatal testing (NIPT) could expand in the future to include detailed analysis of the fetal genome. This will allow for the testing for virtually any trait with a genetic contribution, including “non-medical” traits. Here we discuss the potential use of NIPT for these traits. We outline a scenario which highlights possible inconsistencies with ethical decision-making. We then discuss the case against permitting these uses. The objections include practical problems; increasing inequities; increasing the burden of choice; negative impacts on the child, family, and society; and issues with implementation. We then outline the case for permitting the use of NIPT for these traits. These include arguments for reproductive liberty and autonomy; questioning the labeling of traits as “non-medical”; and the principle of procreative beneficence. This summary of the case for and against can serve as a basis for the development of a consistent and coherent ethical framework.

Non-invasive prenatal testing is at the forefront of prenatal screening. Current uses for NIPT include fetal sex determination and screening for chromosomal disorders such as trisomy 21. However, NIPT may be expanded to many different future applications. There are a potential host of ethical concerns around the expanding use of NIPT, as examined by the recent Nuffield Council report on the topic. It is important to examine what NIPT might be used for before these possibilities become consumer reality. There is limited research exploring views of women on possible future uses of NIPT, particularly those of women who have undergone NIPT. In this study, we examined the views of women who undertook NIPT previously on the acceptability of and interest levels in using NIPT for a number of current and possible future applications. These included several medical conditions encompassing psychiatric, neurodevelopmental and adult-onset conditions as well as non-medical traits such as intelligence. One thousand women were invited to participate and 235 eligible surveys were received. Women generally reported an interest in using NIPT for medical conditions that severely impacted quality of life and with an onset earlier in life and stressed the importance of the accuracy of the test. Concerns were raised about the use of NIPT for non-medical traits. Respondents indicated that termination of pregnancy was not their only reason for testing, particularly in the case of sex. These results can further inform the ethical debate around the increasing integration of NIPT into healthcare systems.

Critical thinking is a complex, dynamic process formed by attitudes and strategic skills, with the aim of achieving a specific goal or objective. The attitudes, including the critical thinking attitudes, constitute an important part of the idea of good care, of the good professional. It could be said that they become a virtue of the nursing profession. In this context, the ethics of virtue is a theoretical framework that becomes essential for analyse the critical thinking concept in nursing care and nursing science. Because the ethics of virtue consider how cultivating virtues are necessary to understand and justify the decisions and guide the actions. Based on selective analysis of the descriptive and empirical literature that addresses conceptual review of critical thinking, we conducted an analysis of this topic in the settings of clinical practice, training and research from the virtue ethical framework. Following JBI critical appraisal checklist for text and opinion papers, we argue the need for critical thinking as an essential element for true excellence in care and that it should be encouraged among professionals. The importance of developing critical thinking skills in education is well substantiated; however, greater efforts are required to implement educational strategies directed at developing critical thinking in students and professionals undergoing training, along with measures that demonstrate their success. Lastly, we show that critical thinking constitutes a fundamental component in the research process, and can improve research competencies in nursing. We conclude that future research and actions must go further in the search for new evidence and open new horizons, to ensure a positive effect on clinical practice, patient health, student education and the growth of nursing science.

In his “The Star of Redemption”, Rosenzweig engages not only in an argument with philosophy, but also with theology. Next to Augustine and Friedrich Schleiermacher Martin Luther was a counterpart in whose face he developed his dialogical “new thinking”. The essay takes up the traces of this dispute in the letters to focus here on Rosenzweig's reading of Ricarda Huch's “Luther’s Faith”. This literary picture is then related in a sketch to Luther's Reformation theology as it emerges from contemporary research. In a next step, the “Star” is interpreted as a book that, on the one hand, owes much to a previous reception of Luther, but on the other hand, also shows the Reformator's thinking in a new light. Finally, the late writings on the problem of translation come into view in order to justify Rosenzweig’s “Verdeutschung” of the Hebrew Bible, undertaken together with Buber, to Luther’s “German Bible”.

There are contemporary tendencies to regard the human consciousness as an algorithm, or to reduce the human subjective to organic-natural processes or to see it as a social construction depending on cultural conditions. Such approaches pose a challenge to ethical humanism, as it seems, as if it requires new justification and groundings. How can we grasp and defend the concept of embodied subjectivity of man and its freedom to act? How can we think of its unity including thought, will and feeling, preventing it from getting lost in specialized potentials, and maintaining the person as an alert, responsible and self-founded unit? Furthermore, how is it possible to preserve the meaning of the name of the soul, since the notion of this traditional limit concept of the human subjective has fallen into disuse and likely vanished from the horizon? The essay asks for answer with the help of Hermann Cohen, the great Jewish philosopher of Neo-Kantianism, following the traces of his repeatedly stated, however never written systematic psychology. This first part of investigation confines itself to understand Cohen's early interpretation of Plato as the "primordial cell" of his psychology in order to show how the first three parts of his system of philosophy answer to some of the questions and problems the early work had raised, with special attention to Cohens philosophy of religion. Self-movement of soul and its deep connection with the human body could be viewed and grasped from the unity of human culture as well as of the allness of man.

ABSTRACT Radical democracy was, at its inception, a polemical alternative to the hegemony of Marxism over the political discourse of the Left. This is particularly striking in the work of two of its figureheads, Miguel Abensour and Chantal Mouffe. Whereas C. Mouffe advocates for radical democracy to break free from the rigidness and the determinacy of Marxism, M. Abensour goes back to the young Marx’s plea for a “real democracy”. It results in radical democrats locating differently the radicality of their approaches. While post-Marxists emphasize the crucial and dynamic role of divisive conflicts within the political community and consequently grant the State a role as their arbitrator, “Young Marxists” emphasize a constant struggle against an abusive institutionalization of the State. As a result, they advocate for a form of political spontaneity that is complicated to reconcile with consideration of the political community’s inner conflicts. The regrouping of disparate critical works under a single label makes us shortsighted to some of its internal contradictions.

Mientras el carácter de la alta educación como medio de vida es sólo accesible para la reproducción de la burguesía y de las capas acomodadas de la pequeña burguesía, funge también dominantemente como asiento de un título bajo el cual estas capas puedan apropiarse de una parte de la riqueza social producida. Por eso, la pérdida de este carácter puede constituirse en el indicador de algún grado de descomposición de estas capas. La forma en que se presenta más abiertamente esta situación es en la posibilidad del desempleo de los graduados superiores, aunque también se podría extender a todas aquellas situaciones en que las categorías que se formaron para ejercer funciones intelectuales no pueden insertarse efectivamente en dichas actividades. ¿Puede estar asociada esta situación a un proceso de proletarización? Con esta pregunta como guía, el artículo presenta una serie de reflexiones a partir de un ejercicio de análisis del peso y la composición de los egresados de educación superior en Argentina, particularmente de aquellos no insertos en ocupaciones tradicionalmente adjudicadas a la pequeña burguesía acomodada. Los datos proceden del procesamiento de información a partir de la Encuesta Anual de Hogares Urbanos 2010 y 2012.

Using COVID-19 as a base, this groundbreaking book brings together several renowned scholars to explore the concept of crisis, and how this global event has shaped the discipline of psychology. It engages directly with the challenges that psychology continues to face when theorizing societal issues of gender, race, class, history, and culture, while not disregarding "lived" experiences. This edited volume offers a set of pathways to rethink psychology beyond its current scope and history to become more apt to the conditions, needs, and demands of the 21st century. The book explores topics like resilience, interpersonal relationships, mistrust in the government, and access to healthcare. Dividing the book into three distinct sections, the contributors first examine the current crisis within psychology, then go on to explore how psychology theorizes the subject and the other in a social world of perpetual political, economic, cultural, and social crises, and lastly consider the role of crises in the creation of new theorizing. This is essential reading for advanced undergraduate and postgraduate students of theoretical and philosophical psychology, social psychology, community psychology, and developmental psychology.

Providing a rich combination of theoretical resources, methodological approaches and empirical investigation, each of the chapters takes a distinct aspect of touch within a particular spatial context, exploring this through a mixture of sustained empirical work, critical theories of embodiment, philosophical and psychoanalytic approaches to gendered touch and touching, or the relationship between visual and non-visual culture, to articulate something of the variety and variability of touching experiences. The volume has a strong thematic identity and therefore represents the formative collection concerning the multiple senses of touch within social science scholarship at this time..

BackgroundFear of abandonment and aloneness play a key role in the clinical understanding interpersonal and attachment-specific problems in patients with borderline personality disorder and has been investigated in previous functional Magnet Resonance Imaging studies. The aim of the present study was to examine how different aspects of attachment representations are processed in BPD, by using for the first time an fMRI attachment paradigm including personalized core sentences from the participants’ own attachment stories. We hypothesized that BPD patients would show increased functional involvement of limbic brain regions associated with fear and pain when presented personalized attachment relevant stimuli representing loneliness compared to healthy controls.MethodsWe examined the attachment classifications of 26 female BPD patients and 26 female HC using the Adult Attachment Projective Picture System. We used an fMRI-adapted attachment paradigm to investigate the neural correlates of attachment. All participants were presented three personalized sentences extracted from their AAP attachment narrative, combined with standardized AAP pictures representing being alone or in interactive attachment situations.ResultsAs expected, the classification of unresolved attachment was significantly greater in BPD compared to HC. BPD patients showed increased fMRI-activation in brain areas associated with fear, pain, and hyperarousal than HC when presented with personalized attachment-relevant alone stimuli. In particular, pictures with monadic attachment situations induced greater anterior medial cingulate cortex, anterior insula, amygdala, thalamus and superior temporal gyrus activation in the patient group.ConclusionThe results point to increased fMRI-activation in areas processing emotional distress and painful experiences in BPD patients. In particular, the emotional cascade reflecting attachment distress was evoked by combining monadic pictures, representing abandonment and aloneness, with the patients’ personalized narrative material. Our results confirmed and replicated previous results that illustrate once again the high relevance of aloneness and feelings of abandonment for BPD in the context of attachment trauma. Moreover, our results support the hypothesis of hypermentalization in response to attachment distress as a core feature of social-cognitive impairment in BPD associated with common treatment implications across different therapeutic orientations.

The Yogācāra school of Buddhism is well known for maintaining that the sentient beings are divided by nature according to five different spiritual dispositions. These five spiritual dispositions are established as a pentad and explained in one of Xuanzang’s Chinese translations, but the Indian origin of the pertinent textual passage is debated. In the introductory part of this paper, it is argued that Xuanzang’s explanations of the five spiritual dispositions in themselves are, to a great extent, in line with the orthodox Indian Yogācāra doctrine, although such pentad is hardly mentioned. The second and main part of this paper discusses a textual passage of Sthiramati’s Madhyāntavibhāgaṭīkā in which he juxtaposes—without bias—the orthodox position and the diametrically opposed idea of the potential of all sentient beings to attain the state of a buddha. By examining other parts of his work, it is shown that the author clearly favors and approves of the orthodox position.