Internists of the mind or physicians of the soul: does psychiatry need a public philosophy?
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The various solutions that have been proposed with respect to the body-mind problem can be more or less regarded as variations on three traditional models. Since the time of Descartes the philosophical position of hylomorphism has been almost forgotten and the influence of the dualist point of view has also been greatly reduced. In contrast, reductionism in the form of materialistic monism has gained immense popularity, especially in psychiatric circles. The present paper summarizes these different approaches but primarily focuses on certain aspects of a modified form of hylomorphism as developed by Thomas Aquinas. These latter considerations are then drawn upon as the basis for a critique of Kurt Schneiders so-called aristotelean-scholastic or metagenic interpretation with regard to the endogenous psychoses.
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The Author outlines that the form of a nose can define a character and a personality. This is confirmed not only by various linguistic phenomena but also by many examples met during an amusing journey in literature. Hypotheses and ideas are here offered to the surgeon to pause and consider all the intricate implications when his scalpel reconstructs noses of perfect proportions.
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This article addresses the ethics of selling transplantable organs. I examine and refute the claim that Catholic teaching would permit and even encourage an organ market. The acceptance of organ transplantation by the Church and even its praise of organ donors should not distract us from the quite explicit Church teaching that condemns an organ market. I offer some reasons why the Church should continue to disapprove of an organ market. The recent commercial turn in medicine can blind us to the problem of an organ market. In addition, the reliance on the gift image in organ transplantation raises difficulties of its own. What is needed is a fuller appreciation of the fact that the human person is essentially embodied with all its parts, and not merely an autonomous being that possesses organs as properties to sell. I support this vision of the embodied human person by appealing to the writings of Immanuel Kant.
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It is often considered important that clothing should not be visible in a good medical photograph. Medical illustrators offer the clinical professionalism to allow most of their patients to feel comfortable being photographed. For some patients, however, consenting to medical photography involves more than a temporary embarrassment. This paper seeks to explore some of the religious and cultural beliefs that the medical photographer may be asking the patient to compromise in the studio.
The purpose of this study was to explore the experiences and meanings of physical activity for women with disabilities and to interpret the implications of physical activities specifically for women with mobility impairments. In-depth qualitative interviews were used to uncover data about how women with mobility impairments experienced physical activity and leisure. Emerging themes addressed the value of physical activity, attitudes toward one's disability and participation in physical activity, and conditions necessary for involvement in physical activity. Four values were associated with physical activities: leisure, therapy, maintenance, or perceived little value. Attitudes toward one's disability and physical activity resulted in conforming, resisting, or adjusting behavior. Energy/stamina/low pain level, transportation, removal of social fears, accessibility, and social support were the individual or combined conditions that influenced values and attitudes regarding physical activities. The results of this study highlighted the need to consider and improve opportunities for physical activity for women with mobility impairments.
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We all depend on molecular oxygen and heme for our life, as evident from the pigments in blood and daily wastes. About 80% of serum bilirubin is derived from hemoglobin of senescent erythrocytes, which have finished their mission of 120 days and have been phagocytized by macrophages in the reticuloendothelial system. Here we present an overview of the heme degradation processes and relevant disorders by focusing on heme oxygenase-1 (HO-1), a key enzyme in heme catabolism. HO-1 cleaves the porphyrin macrocycle of heme at the expense of molecular oxygen to release a linear tetrapyrrole biliverdin, carbon monoxide, and ferrous iron; biliverdin is rapidly reduced to bilirubin. Bilirubin is transported to the liver (hepatocytes), conjugated with glucuronic acid by bilirubin UDP-glucuronosyltransferase, and excreted into bile. Genetic diversity, a strategy in the host defense, is seen in the human ho-1 and UDP-glucuronosyltransferase genes. Moreover, striking interspecies variations are noted in the regulation of HO-1 expression by hypoxia, heat shock, or interferon-gamma, each of which mainly represses HO-1 expression in human cells. Implications of such a variety are discussed in relevance to the pathogenesis of severe malaria caused by Plasmodium falciparum, the most ancient foe of humans.