The pharmaceuticalisation of life? A fictional case report of insomnia with a thought experiment

Abstract Background The safety of sleeping pills has increased dramatically during the last 100 years, from barbiturates to bensodiazepines to modern day so-called Z-drugs. Methods The circumstances of prescribing sleeping pills in the early 20th century are illustrated by summarizing the main storyline of a novel by Swedish writer Vilhelm Moberg. This is followed by a thought experiment and a theoretical discussion. Results In his 1937 novel Sömnlös (Swedish for sleepless) Vilhelm Moberg portrayed existential and relational distress in relation to insomnia. In a thought experiment, past progresses in sleeping pills safety are projected into the future. Thereby, it is claimed that important issues in the area of philosophy of medicine come to the fore. This leads to a theoretical discussion about broader questions concerning the role of the physician, the goals of medicine (as described by Lennart Nordenfelt), the concept of pharmaceuticalisation (as described notably by sociologist of sleep Simon J. Williams and co-workers), and health enhancement (c.f. Carl Elliott and the alleged wish to be better than well). Conclusion Insomnia is a prism through which important philosophical and sociological questions related to the practice of medicine can be asked.

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Development? Thinking the future through a urban-natural perspective

Nova Economia ◽

10.1590/0103-6351/3971 ◽

2016 ◽

Vol 26 (spe) ◽

pp. 1157-1186

Author(s):

Harley Silva ◽

Jakob O. W. Sparn ◽

Renata Guimarães Vieira

Keyword(s):

Human Development ◽

Development Project ◽

Theoretical Discussion ◽

Current Development ◽

Alternative Development ◽

The Future ◽

The Relationship ◽

Urban Utopia ◽

Traditional Communities

Abstract: This article offers a theoretical discussion on urbanization, nature and development and some of the links and interdependencies that connect these concepts. The focus is on some of the underlying dynamics and issues of our current development project defined as capitalist industrialization. The article illustrates the role of cities for human development and then argues that the relationship between society and nature could be - and indeed already has been - thought from a different perspective. Finally, the article discusses the transition from “campesinato” (peasantry) to traditional communities as product of extensive urbanization, as form of resistance and as potential blueprint for an alternative development and, potentially, for the Lefebvrian urban-utopia.

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Australia's pharmaceutical benefits system: flawed but improving, and better than anywhere else

Australian Health Review ◽

10.1071/ah010007 ◽

2001 ◽

Vol 24 (2) ◽

pp. 7 ◽

Cited By ~ 4

Author(s):

Andrew Dalton

Keyword(s):

Advisory Committee ◽

Current Process ◽

The Future ◽

The Media ◽

The Subject ◽

Better Than ◽

Pharmaceutical Benefits Scheme

The composition and role of the Pharmaceutical Benefits Advisory Committee (PBAC) has been the subject ofacrimonious debate through the media in recent months, with accusations of government subjugation to strongindustry lobby groups at the future expense of the Australian taxpayer. An understanding of the issues at thismore political level is helped by appreciation of the rationale for the current process of listing drugs forreimbursement on the Pharmaceutical Benefits Scheme (PBS). I will try to give the non-economist reader anoverview of the system and share some perceptions of the strengths and weaknesses of what is fundamentally agood system.

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A Discussion on manufacturing technology in the 1980s - High volume component manufacture

Philosophical Transactions of the Royal Society of London. Series A, Mathematical and Physical Sciences ◽

10.1098/rsta.1973.0108 ◽

1973 ◽

Vol 275 (1250) ◽

pp. 391-400

Keyword(s):

Environmental Factors ◽

Technological Development ◽

High Volume ◽

Manufacturing Technology ◽

Competitive Position ◽

Future Role ◽

The Future ◽

Better Than

We attempt to forecast the future in order to ensure that today’s decisions and the actions which follow will continue to be relevant as the future becomes the present. Historically, forecasts of the kind and direction of technological development have consistently been better than forecasts of the timing, application and impact of such developments. The latter, however, are the more important when assessing what changes are likely to be significant. The paper examines both technical and environmental factors which make this sort of forecasting difficult and considers their relevance to the particular circumstances posed by high volume component manufacture. Against this general background, the paper speculates on the future role of such companies, the development of techniques and technologies to maintain their competitive position and the adjustments necessary to meet changes in both social and trading environments.

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Examining the Role of Language in Play Among Children With and Without Developmental Disabilities

Language Speech and Hearing Services in Schools ◽

10.1044/2020_lshss-19-00084 ◽

2020 ◽

Vol 51 (3) ◽

pp. 795-806 ◽

Cited By ~ 1

Author(s):

Elizabeth J. Short ◽

Rachael Cooper Schindler ◽

Rita Obeid ◽

Maia M. Noeder ◽

Laura E. Hlavaty ◽

...

Keyword(s):

Developmental Disabilities ◽

Autism Spectrum ◽

Free Play ◽

Group Differences ◽

Typically Developing ◽

Play Skills ◽

Critical Aspect ◽

Hyperactivity Disorder ◽

Better Than

Purpose Play is a critical aspect of children's development, and researchers have long argued that symbolic deficits in play may be diagnostic of developmental disabilities. This study examined whether deficits in play emerge as a function of developmental disabilities and whether our perceptions of play are colored by differences in language and behavioral presentations. Method Ninety-three children participated in this study (typically developing [TD]; n = 23, developmental language disorders [DLD]; n = 24, attention-deficit/hyperactivity disorder [ADHD]; n = 26, and autism spectrum disorder [ASD]; n = 20). Children were videotaped engaging in free-play. Children's symbolic play (imagination, organization, elaboration, and comfort) was scored under conditions of both audible language and no audible language to assess diagnostic group differences in play and whether audible language impacted raters' perception of play. Results Significant differences in play were evident across diagnostic groups. The presence of language did not alter play ratings for the TD group, but differences were found among the other diagnostic groups. When language was audible, children with DLD and ASD (but not ADHD) were scored poorly on play compared to their TD peers. When language was not audible, children with DLD were perceived to play better than when language was audible. Conversely, children with ADHD showed organizational deficits when language was not available to support their play. Finally, children with ASD demonstrated poor play performance regardless of whether language was audible or not. Conclusions Language affects our understanding of play skills in some young children. Parents, researchers, and clinicians must be careful not to underestimate or overestimate play based on language presentation. Differential skills in language have the potential to unduly influence our perceptions of play for children with developmental disabilities.

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Challenges of Fear Conditioning Research in the Age of RDoC

Zeitschrift für Psychologie ◽

10.1027/2151-2604/a000303 ◽

2017 ◽

Vol 225 (3) ◽

pp. 189-199 ◽

Cited By ~ 5

Author(s):

Tina B. Lonsdorf ◽

Jan Richter

Keyword(s):

Fear Conditioning ◽

Clinical Diagnosis ◽

Research Domain Criteria ◽

Major Focus ◽

The Future ◽

Definition Of ◽

Methodological Considerations ◽

Research Domain

Abstract. As the criticism of the definition of the phenotype (i.e., clinical diagnosis) represents the major focus of the Research Domain Criteria (RDoC) initiative, it is somewhat surprising that discussions have not yet focused more on specific conceptual and procedural considerations of the suggested RDoC constructs, sub-constructs, and associated paradigms. We argue that we need more precise thinking as well as a conceptual and methodological discussion of RDoC domains and constructs, their interrelationships as well as their experimental operationalization and nomenclature. The present work is intended to start such a debate using fear conditioning as an example. Thereby, we aim to provide thought-provoking impulses on the role of fear conditioning in the age of RDoC as well as conceptual and methodological considerations and suggestions to guide RDoC-based fear conditioning research in the future.

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