Unpresentable Members: The Theology and Radical Phenomenology of the Sexual Flesh

Unpresentable Members begins with a wager: that a proper account of the flesh and its sexual character may not only prove philosophically fertile within its own limited domain, but may also provide insight into the theological question of the proper role and place of gender and sexual difference within communities, particularly Christian religious communities. In this regard, this dissertation has two distinct goals: one phenomenological and one theological. Phenomenologically, it offers an account of the manifestation of concrete sexual determinations not only as they objectively appear across the “body-object” (Körper, le corps) but with equal importance as they manifest within the subjective affectivity of the flesh (Leib, la chair). Here, the text is particularly centered on the radical phenomenologies of Michel Henry and Jean-Luc Marion, two theologically-inflected phenomenologies that offer a powerful reconception of bodily-ownness, and yet nevertheless replicate the worst patriarchal and heteronormative prejudices of their predecessors. Theologically, Unpresentable Members employs this account of the flesh in order to construct an account of community that resists oppressive forms of social and religious marginalization—particularly the oppression of sexual minorities and other representatives of gender and sexual difference. In this regard, the present dissertation brings together, for the first time, three discourses: radical phenomenology, queer theory, and theology

K-12 Teachers and Parents: How Do Length and Frequency of Serial Arguments Affect Perceived Resolvability in the Parent-Teacher Relationship?

This paper aimed to study the relationship between length of serial arguments and perceived resolvability and number of serial arguments and perceived resolvability in the K-12 setting. Role theory explains people’s predictable behaviors based on the roles they take on; thus, it explains the role of parents and teachers in their unique relationships and how roles play into the level of involvement teachers and parents have in the education of children, which can inadvertently result in serial arguments. Role theory was chosen for this study because it works hand-in-hand with identifying predictable behaviors teachers and parents have that contribute to the formation of serial arguments in terms of length and frequency and it can help explain how length and frequency are related to the perceived resolvability of serial arguments among teachers and parents. The hypotheses tested in this study were H1) The length of serial arguments is negatively associated with perceived resolvability in the K-12 education context and H2) K-12 teachers who engage in serial arguments more frequently have lower perceived resolvability The study included 100 participants who were either parents of K-12 students or who were K-12 teachers themselves. Participants were asked to fill out an anonymous survey. The study found that as the length of serial arguments rose, perceived resolvability fell. Likewise, as the number of serial arguments rose, perceived resolvability fell. Thus, both hypotheses were supported by our findings. Future research should study serial arguments in the K-12 area further, as there was no prior research

Returning Individual Research Results from Digital Phenotyping in Psychiatry

Psychiatry is rapidly adopting digital phenotyping and artificial intelligence/machine learning tools to study mental illness based on tracking participants’ locations, online activity, phone and text message usage, heart rate, sleep, physical activity, and more. Existing ethical frameworks for return of individual research results (IRRs) are inadequate to guide researchers for when, if, and how to return this unprecedented number of potentially sensitive results about each participant’s real-world behavior. To address this gap, we convened an interdisciplinary expert working group, supported by a National Institute of Mental Health grant. Building on established guidelines and the emerging norm of returning results in participant-centered research, we present a novel framework specific to the ethical, legal, and social implications of returning IRRs in digital phenotyping research. Our framework offers researchers, clinicians, and Institutional Review Boards (IRBs) urgently needed guidance, and the principles developed here in the context of psychiatry will be readily adaptable to other therapeutic areas

Microduplications of 16p11.2 are associated with schizophrenia

Recurrent microdeletions and microduplications of a 600-kb genomic region of chromosome 16p11.2 have been implicated in childhood-onset developmental disorders1,2,3. We report the association of 16p11.2 microduplications with schizophrenia in two large cohorts. The microduplication was detected in 12/1,906 (0.63%) cases and 1/3,971 (0.03%) controls (P = 1.2 × 10−5, OR = 25.8) from the initial cohort, and in 9/2,645 (0.34%) cases and 1/2,420 (0.04%) controls (P = 0.022, OR = 8.3) of the replication cohort. The 16p11.2 microduplication was associated with a 14.5-fold increased risk of schizophrenia (95% CI (3.3, 62)) in the combined sample. A meta-analysis of datasets for multiple psychiatric disorders showed a significant association of the microduplication with schizophrenia (P = 4.8 × 10−7), bipolar disorder (P = 0.017) and autism (P = 1.9 × 10−7). In contrast, the reciprocal microdeletion was associated only with autism and developmental disorders (P = 2.3 × 10−13). Head circumference was larger in patients with the microdeletion than in patients with the microduplication (P = 0.0007)

Proceedings of the 3rd Biennial Conference of the Society for Implementation Research Collaboration (SIRC) 2015: advancing efficient methodologies through community partnerships and team science

It is well documented that the majority of adults, children and families in need of evidence-based behavioral health interventionsi do not receive them [1, 2] and that few robust empirically supported methods for implementing evidence-based practices (EBPs) exist. The Society for Implementation Research Collaboration (SIRC) represents a burgeoning effort to advance the innovation and rigor of implementation research and is uniquely focused on bringing together researchers and stakeholders committed to evaluating the implementation of complex evidence-based behavioral health interventions. Through its diverse activities and membership, SIRC aims to foster the promise of implementation research to better serve the behavioral health needs of the population by identifying rigorous, relevant, and efficient strategies that successfully transfer scientific evidence to clinical knowledge for use in real world settings [3]. SIRC began as a National Institute of Mental Health (NIMH)-funded conference series in 2010 (previously titled the “Seattle Implementation Research Conference”; $150,000 USD for 3 conferences in 2011, 2013, and 2015) with the recognition that there were multiple researchers and stakeholdersi working in parallel on innovative implementation science projects in behavioral health, but that formal channels for communicating and collaborating with one another were relatively unavailable. There was a significant need for a forum within which implementation researchers and stakeholders could learn from one another, refine approaches to science and practice, and develop an implementation research agenda using common measures, methods, and research principles to improve both the frequency and quality with which behavioral health treatment implementation is evaluated. SIRC’s membership growth is a testament to this identified need with more than 1000 members from 2011 to the present.ii SIRC’s primary objectives are to: (1) foster communication and collaboration across diverse groups, including implementation researchers, intermediariesi, as well as community stakeholders (SIRC uses the term “EBP champions” for these groups) – and to do so across multiple career levels (e.g., students, early career faculty, established investigators); and (2) enhance and disseminate rigorous measures and methodologies for implementing EBPs and evaluating EBP implementation efforts. These objectives are well aligned with Glasgow and colleagues’ [4] five core tenets deemed critical for advancing implementation science: collaboration, efficiency and speed, rigor and relevance, improved capacity, and cumulative knowledge. SIRC advances these objectives and tenets through in-person conferences, which bring together multidisciplinary implementation researchers and those implementing evidence-based behavioral health interventions in the community to share their work and create professional connections and collaborations

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Michel Henry’s Transcendental Asexuality

Since his earliest speculations in The Essence of Manifestation (1963), Michel Henry’s radical phenomenology has highlighted the importance of the flesh and eros as central figures of the duality of appearance. Yet, in his prioritization of the affective flesh Henry has systematically bracketed “concrete sexual determinations” from the immanence of the flesh. That is to say, for Henry, the fundamental human person manifests in the mode of transcendental a-sexuality. This bracketing of sexual determinations from the affective flesh opens Henry’s analysis of incarnation and eros to the subtle insinuation of a determinatively masculine “universal subject,” a regression to stereotyped notions of femininity, and deeply troubling accounts of queer sexuality. In the present investigation, I aim to trace Henry’s thought from his account of the flesh into his analysis of the erotic encounter and, through an engagement with the French feminist tradition contemporary to his own work, expose the limits of his analysis of the incarnation and eros. Ultimately, I aim to suggest not that Henry’s radical phenomenology should be abandoned or condemned, but rather that a recuperation of a liberative phenomenology of sexuality requires a more consistent employ of Henry’s radical phenomenological method.Michel Henry’s radical phenomenology has highlighted the importance of the flesh and eros as central figures of the duality of appearance. For Henry, the paradigmatic manifestation of this duality is the human body. Representationally, the body (le corps) manifests as an object among objects. Affectively, the body manifests as a flesh (la chair) that is always already mine. By prioritizing the affective flesh Henry opens up fertile ground for genuinely novel phenomenological investigations, but it has also resulted in a bracketing of “concrete sexual determinations” from the immanence of the flesh — a category including erogenous zones, sexual organs, hormones, etc. For Henry, the fundamental human person manifests in the mode of transcendental a-sexuality. This bracketing of sexual determinations from the affective flesh opens Henry’s analysis of incarnation and eros to the subtle insinuation of a determinatively masculine “universal subject”, a regression to stereotyped notions of femininity, and a denegration of queer sexualities. In the present investigation, I aim to trace Henry’s thought from his account of the flesh into his analysis of the erotic encounter and, through an engagement with his contemporary French feminist thinkers, expose the limits of his analysis of incarnation and eros