Although the impact of job demands and work–family conflict (WFC) on burnout has been extensively discussed and analysed in the past literature, the role of WFC as a generative mechanism has been neglected. Therefore, the purpose of this study is to examine the mediating effects of WFC between job demands and burnout. The studied sample consisted of 713 Indian primary school government teachers who completed a self-report questionnaire assessing job demands, WFC and burnout. The results confirmed that WFC partially mediates (...) the adverse association of job demands with burnout. Primary schools should, therefore, be encouraged to provide effective practices to manage work–family interfaces. (shrink)

Defined as patients who ‘lack decision-making capacity and a surrogate decision-maker’, the unrepresented (sometimes referred to as the ‘unbefriended’, ‘isolated patients’ and/or ‘patients without surrogates’) present a major quandary to clinicians and ethicists, especially in handling errors made in their care. A novel concern presented in the care of the unrepresented is how to address an error when there is seemingly no one to whom it can be disclosed. Given that the number of unrepresented Americans is expected to rise in (...) the coming decades, and some fraction of them will experience a medical error, creating protocols that answer this troubling question is of the utmost importance. This paper attempts to begin that conversation, first arguing that the precarious position of unrepresented patients, particularly in regards to errors made in their care, demands their recognition as a vulnerable patient population. Next, it asserts that the ethical obligation to disclose error still exists for the unrepresented because the moral status of error does not change with the presence or absence of surrogate decision-makers. Finally, this paper concludes that in outwardly acknowledging wrongdoing, a clinician or team leader can alleviate significant moral distress, satisfy the standards of a genuine apology, and validate the inherent and equivalent moral worth of the unrepresented patient. (shrink)

While American physicians have traditionally practised as non-unionised professionals, there has been increasing debate in recent years over whether physicians in training (known also as interns, residents or house staff) are justified in unionising and using collective action. This paper examines specific ethical criteria that would permit union action, including a desire to ameliorate patient care as well as the goal of improving the conditions of working physicians. We posit that traditional rebuttals to physician unionisation often lean on an infinite (...) conception of a doctor’s energies and obligations, one that promotes burnout and serves to advance the financial motives of hospital management and administration. Furthermore, this paper explores the empirical justifications for collective action, which include substantial reductions in medical error. Finally, we address the free-rider problem posed by non-union physicians who might benefit from working improvements garnered through union action. We conclude that in order to maintain a notion of justice as fairness, resident physicians who benefit from union deliberations are impelled to acquire union membership or make a commensurate donation and that the healthcare organisations for which they work ought to share in the responsibility to improve patient care. (shrink)

Résumé Draupadi, protagoniste de la nouvelle de Mahasweta Devi publiée ici dans sa version anglaise, est une femme assujettie, mais capable de se rebeller, de résister jusqu’à la mort. Elle ne cherche pas la compassion. Son corps nu et mourant devant l’ennemi, elle résiste, son dernier acte est un acte de résistance dans lequel elle défie son ennemi de la (ren)contrer : pour la première fois, son ennemi, Senanayak, a peur, peur de faire face à un « objectif désarmé ». (...) Mais qui est Senanayak? Dans la nouvelle, Senanyak est un officier de l’armée du gouvernement du Bengale qui commande l’arrestation et l’humiliation de Draupadi, la femme qui a pris la tête de la révolte tribale au moment des luttes des Naxalites pour la réforme agraire, dans les années 1960. Mais dans sa préface à la nouvelle, Gayatri Spivak suggère de rapprocher la figure de Senanayak de celle de l’intellectuel du Premier-monde, coproducteur malgré lui des régimes d’exploitation et de domination dans le Tiers-monde. Son point de vue sur l’engagement des féministes occidentales est alors clair : « nous ne serons pas capables de parler aux femmes de là-bas si nous dépendons entièrement des conférences et des anthologies d’informateurs formés à l’Ouest ». (shrink)

In amblyopia, abnormal visual experience during development leads to an enduring loss of visual acuity in adulthood. Physiological studies in animal models suggest that intracortical GABAergic inhibition may mediate visual deficits in amblyopia. To better understand the relationship between visual cortical γ-aminobutyric acid (GABA) and perceptual suppression in persons with amblyopia (PWA), we employed magnetic resonance spectroscopy (MRS) to quantify GABA levels in both PWA and normally-sighted persons (NSP). In the same individuals, we obtained psychophysical measures of perceptual suppression for (...) a variety of ocular configurations. In PWA, we found a robust negative correlation between the depth of amblyopia (the difference in visual acuity between the amblyopic and non-amblyopic eyes) and GABA concentration that was specific to visual cortex and was not observed in a sensorimotor cortical control region. Moreover, lower levels of visual cortical GABA were associated with weaker perceptual suppression of the fellow eye by the amblyopic eye and stronger suppression of the amblyopic eye by the fellow eye. Taken together, our findings provide evidence that intracortical GABAergic inhibition is an important component of the pathology of human amblyopia and suggest possible therapeutic interventions to restore vision in the amblyopic eye through enhancement of visual cortical GABAergic signaling in PWA. (shrink)

This essay draws a parallel between Macaulay’s stint as the “lawgiver” of India under the East India Company and the Anglicists-Orientalists debate that he brought to a decisive end on the one hand and on the other the culture/canon wars of the 1980s, and the neoconservative ascendancy that followed it and remained influential during the second Iraq War. Although neo-conservativism’s fierce resistance to a more inclusive liberal arts curriculum in the 1980s and its towering role during the militarization of the (...) US foreign policy in the last decade has established it as the most Eurocentric and logocentric intellectual movement at present, post-colonial studies is yet to take a serious reckoning of this ideological movement. This essay tries to fill this lacuna with an attempt to first establish Macaulayite Whiggism as a precursor of the American neo-conservatism and then to focus on Macaulay’s oedipal hostility with Sir William Temple, who was not just the most accomplished statesman of English Restoration Era (that Macaulay himself considered the golden period of English history and became its historian laureate), but also stood on the exact opposite pole of Macaulay’s Whiggish Eurocentrism. Finally, the essay will briefly consider Temple’s little-known essay “On the Ancient and Modern Learning” and its genuine and uniquely anti-logocentric outlook on non-European cultures and their histories. (shrink)

In a new and interesting book entitled Medical Nihilism (2018), Jacob Stegenga attempts to convince us that modern medical therapies are less effective than we think. Given the heterogeneity of hypotheses in medicine and the evidence for or against them, I argue that such a decontextualised critique cannot be made unless substantially weakened. Instead, I put forward an alternative, more nuanced and defensible epistemic view of medicine. According to this view, evaluating medical evidence requires analysis of both the methods of (...) research e.g. randomised controlled trial (RCT), and context-specific information. This is because the way a trial (even an RCT) is conducted e.g. the population recruited and how it is intervened on, will vary and will have significant effects on the likelihood of a positive outcome. Moreover, the relationship between the positive outcome of a trial and the actual effectiveness of an intervention (the trial validity) will depend on these context specific factors. I argue for this position against nihilism by showing how each of Stegenga's individual claims about medical trials (trials are biased in favour of positive outcomes etc) can be questioned by taking the context into consideration. (shrink)

The traditional conception of immune function is that of a system which differentiates the organism’s own tissues (the self) from any foreign invaders (nonself), preserving the former by rejecting the latter. In a mammalian pregnancy, however, the immunologically foreign foetus is accepted by the gestator’s immune system. This presents a serious challenge to the self–nonself theory which has sometimes been called the immunological paradox of pregnancy. In this paper I shall defend the self–nonself theory against the critique posed by Thomas (...) Pradeu. In addition I critically examine the alternative he proposes—the continuity theory. The main problem I will raise for any theory of immunology is that the phenomenon to be explained in pregnancy is the non-rejection of the foetus despite the triggering of the gestator’s immune system. I will argue that contemporary modified versions of the self–nonself theory can rise to this challenge but that continuity theory cannot. As such, the immunology of pregnancy gives us a good reason to favour contemporary self–nonself theory over the continuity theory. (shrink)

Preface -- Introduction -- The burden of English -- Who claims alterity? -- How to read a "culturally different" book -- The double bind starts to kick in -- Culture: situating feminism -- Teaching for the times -- Acting bits/identity talk -- Supplementing Marxism -- What's left of theory? -- Echo -- Translation as culture -- Translating into English -- Nationalism and the imagination -- Resident alien -- Ethics and politics in Tagore, Coetzee, and certain scenes of teaching -- Imperative (...) to re-imagine the planet -- Reading with Stuart Hall in "pure" literary terms -- Terror: a speech after 9/11 -- Harlem -- Scattered speculations on the subaltern and the popular -- World systems and the creole -- The stakes of world literature -- Rethinking comparativism -- Sign and trace -- Tracing the skin of day. (shrink)

Christopher Marlowe’s Doctor Faustus, like Goethe’s Faust, begins in Faustus’ study. Faustus, renowned for his learning, is reading, going through the entire range of medieval disciplines — Aristotelian logic, Galenic medicine, Justinian law, Jerome’s Vulgate. His rapid deductions, after quoting to himself snatches from the concerned texts, read like a pastiche of the vanity of all human knowledge one encounters in De vanitate scientiarum by Cornelius Agrippa, a rumored alchemist and master of the occult.1 Faustus rejects logic as sterile, and (...) medicine and law as “mercenary,” unfit for the gentleman-scholar, who, according to the contemporary code,2 did not study or work for gain — these are.. (shrink)

This paper examines the controversial diagnosis of excited delirium, which is often employed after individuals die during an encounter with the police. Rather than asking the important, and widely explored, question of whether the diagnosis is real or not, here, we consider how it operates in the world and why it seems to stick around, despite growing controversy and resistance to its use. First, we consider the question of what kinds of people are made up through the diagnosis of excited (...) delirium, exploring how racial stereotypes are exploited and certain behaviors are engendered through the illness script offered by excited delirium. Next, we ask what work excited delirium doing is doing in the world, unpacking how it tends to justify force and redirect responsibility, as well as who is it serving, and who is it not benefitting. Finally, we interrogate the slippery logic of excited delirium, examining how the way it is employed renders it non-falsifiable, and therefore impossible to uncover as real or unreal. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Excited DeliriumFalsifiability, Causality, and the Importance of AdvocacyArjun Byju, MD (bio) and Phoebe Friesen, PhD (bio)We want to begin by thanking both Kathryn Petrozzo and Paul B. Lieberman for taking the time to read and respond to our article, “Making Up Monsters, Redirecting Blame: An Examination of Excited Delirium,” so thoughtfully. They each offered us an opportunity to consider dimensions of excited delirium that we had not encountered as (...) of yet and encouraged us to think more carefully about them. In our response, we consider each of their commentaries in turn, given that, as a philosopher and a psychiatrist, they each speak to different aspects of our argument.First, we turn to Kathryn Petrozzo’s commentary “Excited Delirium: The Self-Fulfilling Prophecy of Police Brutality.” We are grateful for her generous comments and careful engagement with our arguments. While much of the commentary is supportive of our piece, Petrozzo makes three critical and insightful points that we hope to respond to here.The first point Petrozzo makes is that our assertion that excited delirium is non-falsifiable is not supported. She suggests that those “seeking to exonerate the police/first responders responsible for these deaths, are not accepting this evidence leading them to reject the excited delirium diagnosis, but rather, are crafting an incorrect causal narrative. This is deeply problematic, but it does not necessarily render excited delirium as nonfalsifiable.”Although we are intrigued by this challenge, we would like to hear more about what it would look like to falsify the phenomenon of excited delirium. The way that the causal theories related to it are structured are such that if one causal factor is not present (e.g., drug use), then another causal factor can be located (e.g., mental health), and if that is not found, another may be simply made up (e.g., genetic predisposition), making excited delirium multiply realizable in a seemingly endless fashion. This is precisely what took place in the case of Anthany Dawson, who was initially said to have been experiencing a mental health crisis, but was later said to have died from excited delirium related to a genetic condition never identified before (Hon, 2004; Razack, 2015). [End Page 361]In practice, confirmations of excited delirium are found on the basis of various unrelated factors, such that after a death involving police force, there is almost always the option to reach for excited delirium as an explanation/exoneration. According to proponents, there is no factor that could be present that could rule out the diagnosis of excited delirium as it is currently constructed. Indeed, even in the presence of video evidence showing police officers choking an individual until they stop breathing, these deaths are still attributed to excited delirium. This seems like a clear instance of non-falsifiability.Although Petrozzo might maintain that this is simply “an incorrect causal narrative,” it is a causal narrative that aligns with the current theoretical scaffolding surrounding excited delirium.The second point Petrozzo makes is regarding widespread criticisms of Popper’s demarcation criterion of falsifiability. Indeed, this criterion has been called too inclusive, in that any empirical claim can be called falsifiable in principle—even if it refers to a future apocalypse or a UFO landing. It has also been criticized for being too exclusive, in that it ignores the “remarkable tenacity of scientific theories,” as Lakatos puts it (2009, p. 516). In practice, scientists do not merely abandon a theory if it is not supported by facts; they tend to find other explanations (e.g., the measurement was faulty) rather than accept an instance of falsification.Despite this, we believe it is still worth discussing falsifiability in the context of excited delirium for two reasons. First, while falsifiability may not be successful as a criterion that draws a line between science and pseudoscience, in this case, we argue, it still works well as a signifier of pseudoscience. Recently, many interested in the demarcation question have turned towards pluralism as a way to identify pseudoscientific practices (Pigliucci & Boudry, 2013). And excited delirium offers an excellent example of a phenomenon that bumps up against many of the features that might indicate a pseudoscientific practice... (shrink)

In a recent article on the interpretation of probability in evidence-based medical practice, Jonathan Fuller argues that we should interpret probabilities as credences in individual cases because this avoids some important problems. In this article, I argue that Fuller misidentifies the real issue and so fails to offer a meaningful solution to it. The real problem with making probability judgments in individual cases is deciding which objective considerations ought to constrain our formation of credences. This leads us to the reference (...) class problem, which, as Alan Hajek argues, is a problem for any interpretation of probability. (shrink)

It should not be possible to read nineteenth-century British literature without remembering that imperialism, understood as England’s social mission, was a crucial part of the cultural representation of England to the English. The role of literature in the production of cultural representation should not be ignored. These two obvious “facts” continue to be disregarded in the reading of nineteenth-century British literature. This itself attests to the continuing success of the imperialist project, displaced and dispersed into more modern forms.If these “facts” (...) were remembered, not only in the study of British literature but in the study of the literature of the European colonizing cultures of the great age of imperialism, we would produce a narrative, in literary history, of the “worlding” of what is now called “the Third World.” To consider the Third World as distant cultures, exploited but with rich intact literary heritages waiting to be recovered, interpreted, and curricularized in English translation fosters the emergence of “the Third World” as a signifier that allows us to forget that “worlding,” even as it expands the empire of the literary discipline.1[…]In this essay, I will attempt to examine the operation of the “worlding” of what is today “the Third World” by what has become a cult text of feminism: Jane Eyre.2 I plot the novel’s reach and grasp, and locate its structural motors. I read Wide Sargasso Sea as Jane Eyre’s reinscription and Frankenstein as an analysis—even a deconstruction—of a “worlding” such as Jane Eyre’s.3 Gayatri Chakravorty Spivak is Longstreet Professor of English at Emory University. She is the translator of Jacques Derrida’s De la grammatologie and is presently finishing a book entitled Master Discourse, Native Informant. Her previous contributions to Critical Inquiry are “ ‘Draupadi’ by Mahasveta Devi” and “The Politics of Interpretations”. (shrink)

Self-development of individuals and societies is an epochal challenge now but surprisingly very little has been written about this in the vast field of development studies and social sciences. The present book is one of the first efforts in this field and explores in detail the dynamics of pursuits of self-development and the accompanying contradictions in the self-study mobilization called Swadhyaya. Giri is one of the pioneers in bringing self-development to the core of theory and ethnographic multiverse of humanities and (...) development studies. (shrink)

A "reading" of archival material on the Rani of Sirmur shows the soldiers and administrators of the East India Company constructing the object of representations that becomes the reality of India. The Rani emerges only when she is needed in the space of imperial production. Caught between the patriarchy of her husband, the Raja of Sirmur, and the imperialism of the British who deposed him, she is in an almost allegorical position. Both patriarchal subj ect- formation and imperialist object-constitution efface (...) the dubious place of the free will of the sexed subject as female. In the cracks between the production of the archives and indigenous patriarchy, today distanced by the waves of hegemonic "feminism," there is no "real Rani" to be found. (shrink)

In what follows, we intervene in the long history of the study of curiosity to propose curiosity studies proper. Such a field, we argue, traverses the many disciplinary and experiential contexts in which curiosity appears, in order to generate theories, analytics, and practices of curiosity that are as complex and ubiquitous as the phenomenon of curiosity itself. Assuming an ecology of knowledge framework, which expressly resists academic silos and intellectual monocultures, we envision curiosity studies as an unbounded inquiry built on (...) three simple principles: (1) Curiosity is multiple; its markers shift across history, geography, species, social identities, institutions, contexts, and circumstances; therefore it requires immensely flexible analytic attention; (2) Curiosity is praxiological; far from something that is simply felt, curiosity is something that is done, expressed in behaviors, habits, architectures, and movements across physical, conceptual, and social space; and (3) Curiosity is political; its manifestations within sociocultural worlds are marked by inherited hierarchies of value among scientific methodologies, people groups, and ideologies. And yet, precisely because it is multiple, praxiological, and political, curiosity bears a keen subversive potential. It has the capacity to upend what we know, how we learn, how we relate, and what we can change. Curiosity has the capacity to become radical, to get at the root of things. We therefore propose curiosity studies not only as a field of scholarship but as a way of reimagining the world, both within the classroom and far beyond it. (shrink)

In this essay, we offer a preliminary account of why and how to consciously cultivate curiosity in contemporary learning environments. First, we begin by discussing some of the educational theory upon which curiosity-centric classrooms might be built: experiential learning pedagogy, feminist pedagogy, critical pedagogy, and abolitionist pedagogy. Second, recognizing that our social, cultural, political, and economic processes all shape who can be curious, about what, and when, we then formulate what we call a critically curious pedagogy. Critically curious pedagogy aims (...) to stay accountable to the complex sociopolitical processes in and against which curiosity is either cultivated or suppressed. Such pedagogy relies on the affective practices of reflexivity, mindfulness, empathy, uncertainty, and transformative questioning. Third, we identify several key elements of curiosity-based assignments by which teacher–learners from all disciplinary backgrounds—whether they be mathematicians, engineers, anthropologists, psychologists, or philosophers—can facilitate the growth of critical curiosity in their students. These elements include student leadership, a research mindset, collaborative environments, multimodal outputs, real-life applications, and community engagement. Finally, we reflect on future directions in the theory and praxis of curiosity-centric learning environments. It is our hope that this chapter provides a framework for members of teacher–learner communities of all sorts to become aware of and cultivate their own curiosity with one another. (shrink)

"In this volume, Gayatri Chakravorty Spivak engages with 16 photographs by photographer Alice Attie as she attempts telepoiesis, a reaching toward the distant other through the empathetic power of the imagination."-- dust jacket.

This article is an analysis of the ideological production of the idea of cultural pluralism. It points at the impossibility of inhabiting two or more civil societies at once. It points at the fact that culture alive cannot be accessed. It recommends attention to the ungeneralizable huge subaltern populations of the world that often also constitute an electorate. It recommends linguistic rather than cultural pluralism and a nurturing of the understanding of the right to intellectual labor in education practice.

In lieu of an abstract, here is a brief excerpt of the content:Ethics and Politics in Tagore, Coetzee, and Certain Scenes of TeachingGayatri Chakravorty Spivak (bio)It is practically persuasive that the eruption of the ethical interrupts and postpones the epistemological—the undertaking to construct the other as object of knowledge, an undertaking never to be given up. Lévinas is the generic name associated with such a position. A beautiful passage from Otherwise than Being lays it out, although neither interruption nor (...) postponement is mentioned. That connection is made by Derrida [Adieu 51-59].Here, then, is Lévinas, for whom Kant's critical perspectivization of the subject and the rigorous limits of pure theoretical reason seem to have been displaced by the structuralist hermeneutics of suspicion. For Lévinas, structuralism did not attend to what in Kant was the mechanism that interrupted the constrained and rigorous workings of pure reason: "The interests that Kant discovered in theoretical reason itself, he subordinated to practical reason, become mere reason. It is just these interests that are contested by structuralism, which is perhaps to be defined by the primacy of theoretical reason" [Otherwise than Being 58; trans. modified].The relationship between the postponement of the epistemological in Lévinas and the subordination of pure reason in Kant is a rich theme, beyond the scope of this essay. Let us return to what Lévinas will perceive as a general contemporary hermeneutics of suspicion, related to the primacy of theoretical reason: "The suspicions engendered by psychoanalysis, sociology and politics weigh on human identity such that we never know to whom we are speaking and what we are dealing with when we build our ideas on the basis of the human fact."1 The political calculus thematizes this suspicion into an entire code of strategy defined as varieties of game theory and rational choice. This can be verified across cultural difference, backwards through history, and in today's global academic discourse. Over against this Lévinas posits the ethical with astonishing humility: "but we do not need this knowledge in the relationship in which the other is the one next to me [le prochain]" [Otherwise 59].Kant thought that the ethical commonality of being (gemeines Wesen—repeatedly mistranslated as "the ethical state") cannot form the basis of a state. Surprisingly, there is a clear line from the face-to-face of the ethical to the state in Lévinas.2 It has long [End Page 17] been my habit to scavenge and tinker in the field of practical philosophy. I will conserve from Kant the discontinuity between the ethical and the political, from Lévinas the discontinuity between the ethical and the epistemological. I will suggest that the discontinuities between the ethical and the epistemological and political fields are tamed in the nestling of logic and rhetoric in fiction.3Enabled by such a suggestion, I can move to another bit of prose on that page in Lévinas: "for reasons not at all transcendental but purely logical, the object-man must figure at the beginning of all knowing."The figure of the "I" as object: this representation of the holy man in Lévinas does not match our colloquial and literal expectations. My general suggestion, that the protocol of fiction gives us a practical simulacrum of the graver discontinuities inhabiting (and operating?) the ethico-epistemic and the ethico-political, can, however, take such a figure on board. I will continue to want to say that fiction offers us an experience of the discontinuities that remain in place "in real life." That would be a description of fiction as an event—an indeterminate "sharing" between writer and reader, where the effort of reading is to taste the impossible status of being figured as object in the web of the other. Reading, in this special sense, is sacred.In this essay I consider not only fiction as event but also fiction as task. I locate in Rabindranath Tagore (1861-1941) and J. M. Coetzee (1940-) representations of what may be read as versions of the "I" figured as object and weave the representations together as a warning text for postcolonial political ambitions.4 I am obviously using "text" as "web," coming from Latin texere—"to... (shrink)

I have always admired the Society for Phenomenology and Existential Philosophy for its public commitment to intellectual equality. I will gloss it as a headnote for this article by way of some words from Mary Rawlinson's new book, Just Life: "Critical phenomenology starts from the idea that universality appears in multiplicity and difference. More than one narrative will be necessary to do justice to life. Women's experience is just as much an opportunity for the appearance of the universal as is (...) Man's. Critical phenomenology resists both abstract universalism and cultural relativism."1Let me cite here part of the abstract that I sent ahead of the Society for Phenomenology and Existential... (shrink)

I have suggested elsewhere that, when we wander out of our own academic and First-World enclosure, we share something like a relationship with Senanayak's doublethink.2 When we speak for ourselves, we urge with conviction: the personal is also political. For the rest of the world's women, the sense of whose personal micrology is difficult for us to acquire, we fall back on a colonialist theory of most efficient information retrieval. We will not be able t speak to the women out (...) there if we depend completely on conferences and anthologies by Western-trained informants. As I see their photographs in women's studies journals or on book jackets, indeed, as I look in the glass, it is Senanayak with his anti-Fascist paperback that I behold. In the inextricably mingling historico-political specificity with the sexual differential in a literary discourse, Mahasveta Devi invites us to begin effacing that image.· 2. See my "Three Feminist Readings: McCullers, Drabble, Habermas," Union Seminary Quarterly Review 1-2 , and "French Feminism in an International Frame."Mahasveta Devi teaches English at Bijaygarh College in Jadavpur, India, an institution for working-class women. She has published over a dozen novels, most recently Chotti Munda ebang Tar Tir, and is a prolific journalist, writing on the struggle of the tribal peasant in West Bengal and Bihar. Gayatri Chakravorty Spivak is professor of English at the University of Texas at Austin. The translator of Derrida's De la grammatologie, she has published essays on Marxist meminism, deconstructive practice, and contemporary literature and is currently completing a book on theory and practice in the humanities. (shrink)