Pure Versus Impure Models of Agency

- In this article I explore some of the implications of the Buddhist perspective on nonduality and acceptance for psychoanalytic practice. Nonduality is a mode of experiencing that breaks down the distinction between categories that are conventionally regarded as opposites8e. g., good versus bad, pure versus impure, sacred versus profane, heaven and hell). The Buddhist perspective on nonduality is that the natural human tendency to think about things in dualistic terms is at the heart of the problem and that wisdom is the ability to experience things nondualistically. As long as we distinguish between things as they should be in some idealized state versus things as they are, we are unable to be fully open to, and appreciate the present situation for what it has to offer. I attempt to convey a sense of way in which the cultivation of a nondual perspective can lead to a radical and paradoxical perspective on the role of acceptance in the analytic process.

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Papanicolaou Tests With Mixed High-Grade and Low-Grade Squamous Intraepithelial Lesion Features: Distinct Performance in the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytopathology

Archives of Pathology & Laboratory Medicine ◽

10.5858/2006-130-456-ptwmha ◽

2006 ◽

Vol 130 (4) ◽

pp. 456-459

Author(s):

Andrew A. Renshaw ◽

Dina R. Mody ◽

Patricia Styer ◽

Mary Schwartz ◽

Barbara Ducatman ◽

...

Keyword(s):

Interlaboratory Comparison ◽

Low Grade ◽

High Grade ◽

Squamous Intraepithelial Lesion ◽

Performance Trends ◽

Mixed Features ◽

Intraepithelial Lesion ◽

Slide Type ◽

Pure Versus ◽

Better Than

Abstract Context.—Previous studies have shown that in gynecologic cytology, cases of low-grade squamous intraepithelial lesion (LSIL) and high-grade squamous intraepithelial lesion (HSIL) perform differently on interpretive review. The performance of cases with mixed LSIL and HSIL features is unknown. Objective.—To compare the performance of gynecologic cytology cases of “pure” LSIL and HSIL with cases showing mixed LSIL and HSIL features. Design.—We compiled performance data from the College of American Pathologists Interlaboratory Comparison Program in Cervicovaginal Cytopathology from the years 2003 and 2004, and compared the performance of slides showing relatively pure LSIL and HSIL (≤10% misclassification as HSIL and LSIL, respectively) with slides showing mixed LSIL or HSIL features (cases misclassified as LSIL or HSIL >10% of the time). Results.—Interpretations from a total of 4508 cases (2452 HSIL and 2056 LSIL) were analyzed. Overall, the sensitivity of participants on slides with a reference diagnosis of HSIL was 97.3%, and of LSIL was 95.9%. Performance trends for pure versus mixed cases varied by slide type and reference diagnosis. For conventional slides, participant sensitivity on pure HSIL cases was greatest (98.0%) and on pure LSIL cases was least (95.2%), while participant performance on cases with mixed features was intermediate (97.0% for mixed HSIL and 96.7% for mixed LSIL). In contrast, participant performance on ThinPrep slides showed the greatest sensitivity for mixed LSIL slides (97.9%), while performance on mixed HSIL slides showed the lowest sensitivity (95.7%); slides with pure features had intermediate sensitivity levels (96.3% for both HSIL and LSIL). Further evaluation demonstrated that conventional pure HSIL slides performed significantly better than mixed HSIL slides (P = .006), whereas mixed LSIL slides performed better than pure LSIL slides (P = .01). For ThinPrep slides, pure HSIL cases performed similarly to mixed HSIL cases (P = .43), while mixed LSIL cases performed better than pure LSIL cases (P = .04). Conclusion.—Slides with mixed LSIL and HSIL features have measurably distinct performance characteristics in comparison to slides with pure LSIL or HSIL features. Participant performance on conventional mixed cases is distinctly different from performance on ThinPrep mixed cases.

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Can ‘Territoriality’ be Social? Interrogating the ‘Political’ of Dalit Social Inclusion in India

Contemporary Voice of Dalit ◽

10.1177/2455328x211022194 ◽

2021 ◽

pp. 2455328X2110221

Author(s):

Ronki Ram

Keyword(s):

Social Inequality ◽

Social Exclusion ◽

Social Inclusion ◽

Social Structures ◽

The Political ◽

Central Concern ◽

Pure Versus

Social exclusion of Dalits in India is often understood in terms of discriminatory social structures embedded in oppressive cultural domains of pure versus polluted. Territorial demarcation of Dalits from upper/dominant castes is yet another way of perpetuating and sustaining social exclusion while segregating them in separate neighbourhoods built on the Varna principle of graded social inequality. However, over the last few years, Dalits have gathered some strength to say no to social exclusion while re-territorializing their segregated living spaces into radical sites of social contestation. Dalit counterculture and alternative Dalit heritage are what provided the necessary material for the re-territorialization of Dalit segregated neighbourhoods. The central concern of this study is to unravel what led to transformation of separate Dalit neighbourhoods into social territoriality of contestation.

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