The psychoanalytic literature on shame is critically reviewed. A vagueness and incompleteness in formulations is noted which appears to be related to an adherence to the structural and topographical models. Shame is shown to have a clearly defined place in object-relations theory, in particular within the theory of narcissism as developed elsewhere by the author. It is the signal, affective and cognitive, that a move from 'self-narcissism' to 'object-narcissism' is about to occur.
Sridhar Venkatapuram's Health Justice argues that health is a 'metacapability' - specifically, as the metacapability of having the ten 'central human capabilities' described by Martha Nussbaum. This cannot be right, as it provides no basis for distinguishing health from education, riches, or love. An amendment correcting this problem is suggested, namely that health is the involuntary, bodily aspect of the metacapability for the central capabilities.
In this paper, a survey is conducted to study the attitudes of Hong Kong residents towards organ donation after death. It is found that 60.3% of the respondents are willing to donate organs, which is comparable to those cited in the literature. The results also indicate that the willingness to donate is related to age, occupation and attitude. A factor analysis of attitudes yielded four factors, including form of burial, altruism, lack of understanding on organ donation and lack of confidence in professional conduct of medical doctors.
OBJECTIVE: To evaluate the informed consent process for a clinical trial of intravenous doxycycline for rheumatoid arthritis. METHODS: Participants completed a self-administered questionnaire about the consent process at baseline and 16 weeks following enrollment in a clinical trial. RESULTS: Respondents (n = 30) affirmed voluntary participation in the parent trial. Participants acknowledged hope and altruism as reasons for entering the trial more than expectation of personal benefit or outside influences.