Oltre il postmodernismo: L'opera di David Foster Wallace tra autoriflessivita' e realismo

La presente ricerca si propone di delineare un orizzonte critico e filosofico che permetta di ridefinire il concetto di postmodernismo in America alla fine del XX secolo e, a partire dagli anni Novanta del Novecento, il tentativo di un suo superamento da parte della letteratura contemporanea. L’analisi si focalizza sull’opera dello scrittore David Foster Wallace che esemplifica le contraddizioni interne al postmodernismo e mostra il passaggio cruciale dal postmodernismo a una non-ancora-ben-definita letteratura contemporanea. Muovendosi in un’ottica interdisciplinare e comparata, la tesi si propone di mostrare come Wallace, riprendendo la metariflessività e alcune opere di scrittori postmodernisti, tenti un atto di liberazione dalle convenzioni postmoderne attraverso un «postmodern founders’ patricidal work»: un “parricidio” letterario, prima di accettazione e poi di superamento. Attraverso un percorso tematico, nonché strutturale, si cercherà dunque di porre in rilievo il recupero del realismo da parte di Wallace che, seppur nel suo breve periodo compositivo, rappresenta questa nuova direzione della letteratura americana.

Consensus Report: 2nd European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals

Tobacco use has been identified as a major risk factor for oral disorders such as cancer and periodontal disease. Tobacco use cessation (TUC) is associated with the potential for reversal of precancer, enhanced outcomes following periodontal treatment, and better periodontal status compared to patients who continue to smoke. Consequently, helping tobacco users to quit has become a part of both the responsibility of oral health professionals and the general practice of dentistry. TUC should consist of behavioural support, and if accompanied by pharmacotherapy, is more likely to be successful. It is widely accepted that appropriate compensation of TUC counselling would give oral health professionals greater incentives to provide these measures. Therefore, TUC-related compensation should be made accessible to all dental professionals and be in appropriate relation to other therapeutic interventions. International and national associations for oral health professionals are urged to act as advocates to promote population, community and individual initiatives in support of tobacco use prevention and cessation (TUPAC) counselling, including integration in undergraduate and graduate dental curricula. In order to facilitate the adoption of TUPAC strategies by oral health professionals, we propose a level of care model which includes 1) basic care: brief interventions for all patients in the dental practice to identify tobacco users, assess readiness to quit, and request permission to re-address at a subsequent visit, 2) intermediate care: interventions consisting of (brief) motivational interviewing sessions to build on readiness to quit, enlist resources to support change, and to include cessation medications, and 3) advanced care: intensive interventions to develop a detailed quit plan including the use of suitable pharmacotherapy. To ensure that the delivery of effective TUC becomes part of standard care, continuing education courses and updates should be implemented and offered to all oral health professionals on a regular basis.