Author note: Raymond A. Belliotti is Professor of Philosophy at State University of New York at Fredonia.

Training residents to become humanistic physicians capable of empathy, compassionate communication, and holistic patient care is among our most important tasks as physician educators. Narrative medicine aims to foster those highly desirable characteristics, and previous studies have shown it to be successful in fostering self-reflection, emotional processing, and preventing burnout. We aimed to evaluate pediatric residents’ perceptions of a novel narrative medicine curriculum. After the initiation of a longitudinal narrative medicine curriculum, focus groups were conducted with residents who participated in (...) at least one narrative medicine session. The curriculum was viewed positively, and residents found the sessions to be helpful in developing empathy, offering a space for reflection, and introducing new perspectives. Challenges noted were perception of relevance, timing of sessions, and interpretation by non-native English-speaking residents. With attention to linguistics and thematic undertones, narrative medicine is a feasible, replicable, and accepted teaching modality for pediatric residents to foster empathy, process emotions, and participate in self-reflection. (shrink)

This paper argues that humans possess unique cognitive abilities due to the presence of a functional system that exists in the human brain that is absent in the non-human brain. This system, the frontal feedback system, was born in the hominin brain when the great phylogenetic expansion of the prefrontal cortex relative to posterior sensory regions surpassed a critical threshold. Surpassing that threshold effectively reversed the preferred direction of information flow in the highest association regions of the neocortex, producing the (...) frontal feedback system. This reversal was from the caudo-rostral bias characteristic of non-human, or pre-human, brain dynamics to a rostro-caudal bias characteristic of modern human brain dynamics. The frontal feedback system works through frontal motor routines, or action schemes, manipulating the release and reconstruction of stored sensory memories in posterior sensory areas. As an obligatory feature of frontal feedback, a central character, or self, emerges within this cortical network that manifests itself as agent in these reconstructions as well as in the experience of sensory perceptions. Dynamical-systems modeling of cortical interactions is combined in the paper with recent neuroimaging studies of “resting-state” brain activity to bridge the gap between microscopic and macroscopic levels of cortical behavior. This synthesis is used to support the proposal of an information flow reversal occurring in the hominin brain and also to explain how such a reversal generates the wide variety of cognitive and experiential phenomena that many consider to be uniquely human. (shrink)

The frontal feedback model argues that the sudden appearance of art and advancing technologies around 40,000 years ago in the hominid archaeological record was the end result of a recent fundamental change in the functional properties of the hominid brain, which occurred late in that brain's evolution. This change was marked by the switching of the driving mechanism behind the global, dynamic function of the brain from an "object-centered" bias, reflective of nonhuman primate and early hominid brains, to a "self-centered" (...) bias, reflective of modern Homo sapiens and perhaps late Homo erectus brains. Such a change in the global-functional properties of the brain was provided for by the progressive enlargement of the primate frontal lobe throughout its evolution. In late-developing hominids, this progressive enlargement effectively succeeded in reversing the preferred direction of information flow in the highest association areas of the neocortex from a caudo-rostral bias to a rostro-caudal bias. It was this reversal specifically that provided for the ability of humans to use symbolic thought in the creative expression of art, language, and the development of advancing technologies. Part 2 discusses the specific changes in the brain that occurred as a result of the reversal and how those changes were and are manifested as human abilities and experience. (shrink)

The question of the morality ofin vitro fertilization is examined. One of the central questions to be answered is whether the zygote loss that seems inseparable from the process is morally justified. Even when embryo transfer occurs, many zygotes which have been intentionally created are intentionally destroyed; they are used as means to the alleged benefits that others will attain.

Recipient of Choice Magazine's 1996 Outstanding Academic Book Award Author Raymond Morrow outlines and recounts the development of the major tenets of critical theory, exemplifying them through the works of two of their most influential, recent adherents: Jürgen Habermas and Anthony Giddens. Beginning with a comprehensive yet meticulous explication of critical theory and its history, the author next discusses it within the context of a research program; his work concludes with an examination of empirical methods. Emphasizing the connections between (...) critical theory, empirical research, and social science methodology, Morrow's volume offers refreshing insights on traditional and current material. (shrink)

Daydreaming appears to have a complex relationship with life satisfaction and happiness. Here we demonstrate that the facets of daydreaming that predict life satisfaction differ between men and women , that the content of daydreams tends to be social others , and that who we daydream about influences the relation between daydreaming and happiness variables like life satisfaction, loneliness, and perceived social support . Specifically, daydreaming about people not close to us predicts more loneliness and less perceived social support, whereas (...) daydreaming about close others predicts greater life satisfaction. Importantly, these patterns hold even when actual social network depth and breadth are statistically controlled, although these associations tend to be small in magnitude. Individual differences and the content of daydreams are thus important to consider when examining how happiness relates to spontaneous thoughts. (shrink)

This article answers the question, How can we build capacity for the development of a critical democratic citizenry? This is achieved by generally describing postmodern society, and by introducing the idea of evolutionary consciousness as the next step in meeting the needs of a postmodern society. Secondly, the current nature of education is described, which is followed by a redefinition of education within the context of a critical ideal. The discussion concludes with a presentation of the pragmatics of building capacity (...) for the development of a critical democratic citizenry through a redefinition of education. (shrink)

(1989). BLOOD IS THICKER THAN WATER: DON'T FORSAKE THE FAMILY JEWELS. Philosophical Papers: Vol. 18, No. 3, pp. 265-280. doi: 10.1080/05568648909506323.

This paper investigates ethical perceptions among Hong Kong Chinese managers of themselves and peers according to age, location of education and employment (local vs. multinational), based upon responses to thirteen potentially unethical situations.The major conclusions of the study are: (1) there is little consistency among perceptions of ethical situations; (2) Hong Kong managers perceive their peers as more unethical than themselves; (3) ethical perceptions in some situations are affected by age and to a lesser extent, place of education; and (4) (...) significant interactions were found between age and the nature of employer, as well as between the place of education and the nature of employer. (shrink)

The failure of medical codes to provide adequate guidance for physicians' moral dilemmas points to the fact that some rules of analysis, informed by moral theory, are needed to assist in resolving perplexing ethical problems occurring with increasing frequency as medical technology advances. Initially, deontological and teleological theories appear more helpful, but critcisms can be lodged against both, and neither proves to be sufficient in itself. This paper suggests that to elude the limitations of previous approaches, a method of moral (...) decision making must be developed incorporating both coherence methodology and some independently supported theoretical foundations. Wide Reflective Equilibrium is offered, and its process described along with a theory of the person which is used to animate the process. Steps are outlined to be used in the process, leading to the application of the method to an actual case. (shrink)