History and philosophy

  • 文章类型: Journal Article
    本文总结了许多关于儿童和青少年抑郁症的发现。抑郁症很普遍,非常痛苦,并在世界范围内施加相当大的负担。从童年到成年的比率激增,并且在过去十年中有所上升。已经确定了许多风险因素,并且存在基于证据的干预措施,主要是通过心理或药理手段针对个体水平的变化。同时,在推进对抑郁症特征的科学理解或提供干预措施以应对青年抑郁症高发和不断增长的挑战方面,该领域似乎停滞不前,并没有取得相当大的进展。本文采取了几个立场来应对这些挑战,并推动该领域向前发展。首先,我们强调了构建验证方法的再激活,这些方法可以更好地表征青年抑郁症的现象学特征,并提供更有效和可靠的评估,以增强科学理解并改善青年抑郁症的干预措施.为此,考虑了影响抑郁症概念化和测量的历史和哲学原理。第二,我们建议将治疗和预防工作的范围和目标扩大到目前的循证干预实践指南之外.这套更广泛的干预措施包括集中在社区和社会层面的结构和系统层面的变化(例如,基于证据的经济反贫困干预措施)和具有足够证据基础的个性化干预措施。我们建议通过关注FORCE(基础知识,开放,关系,Constructs,证据),青少年抑郁症的研究可以提供新的希望。
    This paper summarizes many findings about depression among children and adolescents. Depression is prevalent, highly distressing, and exerts considerable burden worldwide. Rates surge from childhood through young adulthood and have increased over the last decade. Many risk factors have been identified, and evidence-based interventions exist targeting mostly individual-level changes via psychological or pharmacological means. At the same time, the field appears stuck and has not achieved considerable progress in advancing scientific understanding of depression\'s features or delivering interventions to meet the challenge of youth depression\'s high and growing prevalence. This paper adopts several positions to address these challenges and move the field forward. First, we emphasize reinvigoration of construct validation approaches that may better characterize youth depression\'s phenomenological features and inform more valid and reliable assessments that can enhance scientific understanding and improve interventions for youth depression. To this end, history and philosophical principles affecting depression\'s conceptualization and measurement are considered. Second, we suggest expanding the range and targets of treatments and prevention efforts beyond current practice guidelines for evidence-based interventions. This broader suite of interventions includes structural- and system-level change focused at community and societal levels (e.g., evidence-based economic anti-poverty interventions) and personalized interventions with sufficient evidence base. We propose that by focusing on the FORCE (Fundamentals, Openness, Relationships, Constructs, Evidence), youth depression research can provide new hope.
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  • 文章类型: Journal Article
    This paper presents the Mind the Gut exhibition, opened in 2017 at the Medical Museion, the University of Copenhagen\'s museum for the culture and history of medicine. It is an experimental exhibition combining science, art, and history in an examination of the relationship between mind and gut, including the trillions of microbes that inhabits them. Mind the Gut was the result of a 2-year-long research and curatorial process, which began in 2015 when Museion was awarded the Bikuben Foundation Vision Award. The exhibition brings together the long history of attempts to understand and intervene in the relationship between mind and gut, between emotions and digestion with cutting-edge biomedical research, and includes the perspectives of science, medicine, and personal experience, via a combination of artworks, historical objects from the Medical Museion collections, items from laboratories, and individual stories. The exhibition is organized around different ways the body has been handled in order to intervene in interactions between mind, gut, and bacteria, including imaging, electrifying, feeding, drugging, and opening surgically. This paper outlines some of the thoughts on science communication that motivated the exhibition, discussing why the displays emphasize the exploratory over the explanatory. Also discussed are several artistic collaborations that formed part of the displays. Ultimately, Mind the Gut is created to be a public space that encourages reflection and curiosity, by showing how biomedicine fits into social, cultural, historical, and directly personal contexts. The exhibition does not aim to provide answers about what food the visitors should eat or what the truth of how gut and brain interactions might be. Rather, it emphasizes process over result, hopefully encouraging the visitors to ask their own questions of the relationship between mind and gut, between body and microbes.
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  • 文章类型: Biography
    Methods and equations for analysing the kinetics of enzyme-catalysed reactions were developed at the beginning of the 20th century in two centres in particular; in Paris, by Victor Henri, and, in Berlin, by Leonor Michaelis and Maud Menten. Henri made a detailed analysis of the work in this area that had preceded him, and arrived at a correct equation for the initial rate of reaction. However, his approach was open to the important objection that he took no account of the hydrogen-ion concentration (a subject largely undeveloped in his time). In addition, although he wrote down an expression for the initial rate of reaction and described the hyperbolic form of its dependence on the substrate concentration, he did not appreciate the great advantages that would come from analysis in terms of initial rates rather than time courses. Michaelis and Menten not only placed Henri\'s analysis on a firm experimental foundation, but also defined the experimental protocol that remains standard today. Here, we review this development, and discuss other scientific contributions of these individuals. The three parts have different authors, as indicated, and do not necessarily agree on all details, in particular about the relative importance of the contributions of Michaelis and Menten on the one hand and of Henri on the other. Rather than force the review into an unrealistic consensus, we consider it appropriate to leave the disagreements visible.
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