Whither our Art? Clinical Wisdom & Evidence-based Medicine

The relationship between evidence-based medicine (EBM) and clinical judgement is the subject of conceptual and practical dispute. For example, EBM and clinical guidelines are seen to increasingly dominate medical decision-making at the expense of other, human elements, and to threaten the art of medicine. Clinical wisdom always remains open to question. We want to know why particular beliefs are held, and the epistemological status of claims based in wisdom or experience. The paper critically appraises a number of claims and distinctions, and attempts to clarify the connections between EBM, clinical experience and judgement, and the objective and evaluative categories of medicine. I conclude that to demystify clinical wisdom is not to devalue it. EBM ought not be conceived as needing to be limited or balanced by clinical wisdom, since if its language is translatable into terms comprehensible and applicable to individuals, it helps constitute clinical wisdom. Failure to appreciate this constitutive relation will help perpetuate medical paternalism and delay the adoption of properly evidence-based practice, which would be both unethical and unwise.

'Making Science Understandable'. Divulgació científica i mediació editorial: el cas de The Wisdom of the Body de Walter B. Cannon (1871-1945)

The present paper aims at an historical reconstruction, in the framework of the publishing industry in the years between the two World Wars, of the role played by the publisher William W. Norton in the genesis, published in 1932, and new edition in 1938, of Walter B. Cannon"s book The Wisdom of the Body. With the analysis of this case study, we aimed at contributing to the current criticism of the «dominant view», which tries, in an uncritical manner, that scientific popularization follows an ineluctable, continuous and linear evolution.

'Making Science Understandable'. Divulgació científica i mediació editorial: el cas de The Wisdom of the Body de Walter B. Cannon (1871-1945)

The present paper aims at an historical reconstruction, in the framework of the publishing industry in the years between the two World Wars, of the role played by the publisher William W. Norton in the genesis, published in 1932, and new edition in 1938, of Walter B. Cannon"s book The Wisdom of the Body. With the analysis of this case study, we aimed at contributing to the current criticism of the «dominant view», which tries, in an uncritical manner, that scientific popularization follows an ineluctable, continuous and linear evolution.

Did ISI fail and is neoliberalism the answer for Latin America? Re-assessing common wisdom regarding economic policies in the region

The second phase of Import Substituting Industrialization, commonly known as ISI2, involved the move in Latin America to "heavy" industrialization, from around 1950-80. This period of economic history has been reviled on both the Left and the Right as being one of either heightened dependency or one demonstrating the clear failure of state intervention in the economy. In this research note, a basic statistical analysis is used to back up other descriptive claims that the ISI2 period was rather one of mixed success, with macroeconomic volatility accompanying great progress in GDP and manufacturing growth. In a sense, the ISI2 period succeeded in industrializing the large economies of the period, and contrasts favorably with the record of the succeeding paradigm of neoliberalism. This research note seeks to raise questions about the way we look at the historical period of ISI2, and suggests that a more open-minded perspective could lead to a more effective and sustainable political economy paradigm for the region in the future.

"Our aim is to challenge this conventional wisdom". Luokkatutkimuksen keskusteluja Sosiologia-lehdessä ja British Journal of Sociologyssa 1970–2010

Tutkielmani aiheena on sosiologisen luokkatutkimuksen erot ja vaiheet Suomessa ja Iso-Britanniassa neljän vuosikymmenen aikana. Keskeinen tutkimuskysymykseni on, minkälaisia muutoksia suomalaisessa ja brittiläisessä luokkatutkimuskeskustelussa on tapahtunut vuosina 1970–2010, ja miten maiden sisäiset painotukset sosiologisessa luokkatutkimuksessa eroavat toisistaan. Empiirinen tutkimusaineisto koostuu suomalaisen Sosiologian ja brittiläisen British Journal of Sociologyn vuosina 1970–2010 julkaistuista luokkatutkimusartikkeleista. Tarkastelen aineistoani ja sen diskursseja luokasta Foucault'n tiedonarkeologista tutkimusotetta soveltaen. Historian keskeisyys kyseisessä lähestymistavassa sopii tämän tutkimuksen historialliseen tutkimusasetelmaan. Tiedonarkeologinen näkökulma erottuu diskurssianalyysin perinteistä siten, että se ei ole kiinnostunut esimerkiksi kirjoittajien positioinnista erilaisiin valta-asemiin, vaan teksteistä sekä niiden suhteista toisiinsa ja historialliseen tekstien jatkumoon. Haasteelliseksi tutkimukselle osoittautui mm. luokkatutkimuksen rajaaminen foucault'laisittain niin, että saataisiin tutkittavien diskurssien kokonaisuus ja suhteet esiin mahdollisimman hyvin. Diskurssien muutosten ohella olen myös tarkastellut luokkatutkimuksen artikkelimäärien prosentuaalista osuutta kaikista tutkimusartikkeleista vuosittain. Tuloksissa näkyy joitakin eroja maiden välillä, mutta osaksi myös samankaltaisia kehityskulkuja. Muutoksia näkyy esimerkiksi keskustelujen luokkateoreettisissa painotuksissa ja puheessa luokan selitysvoimasta.

Educating for love of wisdom : John Dewey and Simone Weil

The writings of John Dewey (1859-1952) and Simone Weil (1909-1943) were analyzed with a view to answering 3 main questions: What is wisdom? How is wisdom connected to experience? How does one educate for a love of wisdom? Using a dialectical method whereby Dewey (a pragmatist) was critiqued by Weil (a Christian Platonist) and vice versa, commonalities and differences were identified and clarified. For both, wisdom involved the application of thought to specific, concrete problems in order to secure a better way of life. For Weil, wisdom was centered on a love of truth that involved a certain way of applying one's attention to a concrete or theoretical problem. Weil believed that nature was subject to a divine wisdom and that a truly democratic society had supernatural roots. Dewey believed that any attempt to move beyond nature would stunt the growth of wisdom. For him, wisdom could be nourished only by natural streams-even if some ofthem were given a divine designation. For both, wisdom emerged through the discipline of work understood as intelligent activity, a coherent relationship between thinking and acting. Although Weil and Dewey differed on how they distinguished these 2 activities, they both advocated a type of education which involved practical experience and confronted concrete problems. Whereas Dewey viewed each problem optimistically with the hope of solving it, Weil saw wisdom in, contemplating insoluble contradictions. For both, educating for a love of wisdom meant cultivating a student's desire to keep thinking in line with acting-wanting to test ideas in action and striving to make sense of actions observed.

Words on wisdom: perspective transformation in a "learning in retirement institute" /

In this study, 7 men and women with an average age of 77 were interviewed regarding their experience of attending courses at a Learning in Retirement Institute (LRI) in southern Ontario. The purpose was to explore the role of wisdom in the learning of these retirees. Explicit theories of wisdom developed by selected philosophers, psychologists, and religious thinkers were compared to the implicit theories of wisdom that respondents expressed. Further comparisons were drawn between these implicit theories of wisdom and the act of perspective transformation in transformative learning. Some evidence was found that the development of wisdom compares favourably to perspective transformation, especially with regards to the behavioural changes associated with critical self-reflection. Among all the respondents, those 3 LRI stude.its who had also moderated courses indicated that they had experienced the most opportunities for critical self-reflection. These 3 also expressed deep satisfaction in having been able to put their learnings to use as teachers. A recommendation of this study is that opportunities for sharing and acting upon the results of discourse within Learning in Retirement Institutes should be implemented. In the absence of evaluation, opportunities for praxis (such as coop placements) must be developed so that students can measure their success against objective criteria and hence attach meaning to their studies.