Transformative learning theory, a theory in progress? Thoughts from a Habermasian perspective

Mezirow borrows heavily from Habermas utilizing core concepts of his theory. However, this activity has serious shortcomings. This paper explores these shortcomings and contributes to the further development of the theory of transformative learning (TL). This paper focuses on three philosophical aspects of transformation theory. I (1) underline inaccuracies and misunderstandings of Habermas\u27 ideas utilized by Mezirow. It will (2) identify theoretical shortcomings and problems in the work of Habermas transposed onto Mezirow\u27s theory of transformative learning. And (3) finally I argue for a way forward for the theory of transformative learning to become a theory in progress

MS

thesisPersonal beliefs, illness behaviors, and present expectations were identified in a group of 43 chronic headache patients. History taking mirroring a patient explanatory model was used for the interview. These patients had minimal insight into mechanisms and trigger factors of headaches. Headaches were seen as a separate entity not under the patient's locus of control. Headaches were not identified by the patients as being a behavioral pattern. Few self-directed interventions were noted. Non-M.D. practitioners, such as chiropracters, osteopaths, and herbalists were commonly consulted. In the formal health care system, neurologists and other physicians were consulted extensively. Expectations of diagnosis, treatment and follow-up care was widely divergent between medical practitioners and patients. Dissatisfaction with the health care system was high, as reported by this group of chronic headache patients

Transformative Learning Theory and the Missing Focus: How to Enable Perspective Transformation through Communication

This approach focuses on the question how to challenge the learners’ intrapersonal communication within his/her taken-for-granted worldview through (interpersonal) communication. This means not to focus solely on the question how learning leads to change, but also on how the adult educator is able to initiate and catalyze changes through communication

A COPD Primer

In 2012 we received a grant from the Veterans Health Administration Office of Specialty Care entitled, “Patient-Centered Model for the Management of Chronic Obstructive Pulmonary Disease.” The grant’s goals were to enhance the recognition and diagnosis of COPD and implement a Patient-Centered Model for the Management of COPD. As the work on that proposal progressed, we realized that providers did not have an up-to-date, comprehensive, easily read, “how to” manual for the management of COPD despite all the advances in COPD care that have occurred over the past 5 years. Consensus documents such as the VA-DOD Guidelines were abbreviated summaries that were rarely used. From those discussions, the concept for this volume, a COPD Primer, developed. The goal was to develop a practical book that concisely presented COPD to providers with sufficient background and explanation of the physiologic and scientific rationale for various management strategies without becoming an esoteric academic work. We hope that this COPD Primer has achieved that goal and will be a useful, practical text for practitioners and medical trainees alike. The COPD Primer begins with an examination of what COPD is; it is really a syndrome, a constellation of historical features and clinical, physiologic, and radiographic findings. However, those elements come together in many different ways to create multiple different COPD phenotypes that are only now being recognized and used to define specific management strategies. COPD research has progressed beyond the simple classification of “blue bloaters” and “pink puffers.” Next, the epidemiology and economic consequences of COPD are reviewed. Bill Eschenbacher presents an approach to the patient with respiratory symptoms with detailed discussions of pulmonary function testing and how airflow limitation/obstruction is identified by spirometry and the use of lung imaging to identify individuals with COPD. Michael Borchers and Gregory Motz summarize current evidence implicating genetics, proteolytic imbalance, oxidative stress, inflammation, occupational and environmental exposures, and innate and adaptive immune function in the pathogenesis of COPD and the implication of these findings to future treatments. The single most important intervention in the prevention and treatment of COPD is smoking cessation. Shari Altum, Katherine Butler, and Rachel Juran present a practical approach to smoking cessation utilizing motivational interviewing in combination with pharmacologic interventions. Then, they expand upon these concepts to provide practitioners with convenient, realistic suggestions to encourage patient self-management in all aspects of COPD care and overall health. Ahsan Zafar reviews the natural history, recently described COPD phenotypes, and gender differences that clearly illustrate the broad spectrum of disease that comprises the term, COPD. The cover illustration highlights Dr. Zafar’s creative and artistic talents. The extensive nonpulmonary aspects of COPD are reviewed by Ralph Panos in an examination of COPD’s multi-organ manifestations. Next, the effect of COPD on sleep and the overlap syndrome, the concurrence of COPD and obstructive sleep apnea, and its consequences are presented. Jean Elwing examines the effect of COPD on the pulmonary vasculature with a detailed discussion of the evaluation and management of pulmonary hypertension associated with COPD. COPD’s effects on psychosocial functioning and familial interactions are presented by Mary Panos and Ralph Panos. The focus of the Primer then shifts from manifestations to treatment with a discussion of stable COPD management. With the current plethora of devices for delivering respiratory medications, it is difficult for both patients and providers to sustain knowledge of their proper use. Aaron Mulhall presents a practical guide to correct inhaler use that reviews all the current devices. Folarin Sogbetun then reviews the management of outpatient COPD exacerbations and Nishant Gupta discusses the approach to the patient hospitalized with COPD. Because patients with COPD often see multiple subspecialty physicians in addition to their primary care providers, interdisciplinary communication and coordination of care is essential for their management; Sara Krzywkowski-Mohn reviews the interactions between primary and specialty care for the patient with COPD with suggestions for improved communication and care coordination. Finally, advance care planning including palliative care and hospice is reviewed with a discussion of how end stage COPD affects not only the patient but also their family and social network. This COPD Primer incorporates the knowledge that we have learned over the past several years during the development and implementation of a patient-centered model for the management of COPD. It was written with the explicit goal of assisting both the practicing provider and medical trainee in the care of patients with COPD

The Social Construction of Threats. The Iran Nuclear Crisis as a Textbook Example for Jack Mezirow’s Transformative Learning Theory

Perception matters for research and analysis because the image of a state (non-state actor) as aggressive and the perceptions of its intentions as aggressive are mutually reinforcing. We will use an interdisciplinary perspective combining political science and adult education research, which we believe has the potential for further policy advice

Characterization of a 14 kDa oocyst wall protein of Eimeria tenella and E. acervulina

We have extracted a protein of 14 kDa from purified oocyst walls of several Eimeria species. Polyclonal antibodies were raised in rats against the 14 kDa proteins of E. acervulina and E. tenella. On immunoblots these antisera reacted in a highly specific manner with the homologous 14 kDa antigens, but not with heterologous antigens. In addition, specific binding of the two antisera to oocyst wall fragments of E. acervulina and E. tenella was demonstrated by immunofluorescence. Partial amino-terminal sequences comprising 20 amino acid residues were obtained from the 14 kDa oocyst wall proteins of E. acervulina and E. tenella. They are characterized by an abundance of amino acids containing hydroxyl groups in their side chains (serine, tyrosine, threonine). Binding of the oocyst wall protein of E. tenella by peanut agglutinin indicates the presence of O-linked carbohydrate