Curing “Moral Disability”: Brain Trauma and Self-Control in Victorian Science and Fiction

While, historically, the disabled body has appeared in literature as “monstrous,” burgeoning psychological theories of the Victorian period predicated an unusual shift. In a culture of sexual anxiety and fears of devolution and moral decay, the physically disabled and “weak” are portrayed as strangely free from moral corruption. Unlike the cultural link between deviance and disability witnessed in the medical literature and eugenic approach to generation, authors of narrative fiction—particularly Charles Dickens, but Wilkie Collins, Charlotte Yonge, and others as well—portray disabled characters as “purified,” and trauma itself as potentially sanitizing. This present paper argues that such constructions were made possible by developments in the treatment of insanity. “Curing ‘Moral Disability’: Brain Trauma and Self-Control in Victorian Fiction,” examines the concept of trauma-as-cure. Throughout the Victorian period, case studies on brain trauma appeared in widely circulated journals like the Lancet, concurrently with burgeoning theories about psychological disturbance and “moral insanity.” While not widely practiced until the early twentieth century, attempts at surgical “cures” aroused curiosity and speculation—the traumatic event that could free sufferers from deviance. This work provides a unique perspective on representations of disability as cure in the nineteenth century as a means of giving voice to the marginalized, disabled, and disempowered.     

Malnutrition and Childhood Disability in Turkana,Kenya: Results from a Case-Control Study

Background

Children with disabilities may be particularly vulnerable to malnutrition, as a result of exclusions and feeding difficulties. However, there is limited evidence currently available on this subject.

Methods

A population-based case-control study was conducted in Turkana County, Kenya, between July and August 2013. Key informants in the community identified children aged 6 months to 10 years who they believed may have a disability. These children were screened by a questionnaire (UNICEF-Washington Group) and assessed by a paediatrician to confirm whether they had a disability and the type. Two controls without disabilities were selected per case: A sibling control (sibling nearest in age) and a neighbourhood control (nearest neighbour within one year of age). The caregiver completed a questionnaire on behalf of the child (e.g. information on feeding, poverty, illness, education), and anthropometric measures were taken. We undertook multivariable logistic and linear regression analyses to estimate the relationship between disability and malnutrition.

Results

The study included 311 cases with disabilities, 196 sibling controls and 300 neighbour controls. Children with disabilities were more likely to report a range of feeding difficulties. They were 1.6–2.9 times more likely to have malnutrition in comparison to neighbour controls or family controls, including general malnutrition (low weight for age), stunting (low height for age), low body mass index (BMI) or low mid upper arm circumference (MUAC) for age. Children with disabilities were almost twice as likely to have wasting (low weight for height) in comparison to neighbour controls (OR = 1.9, 95% CI 1.1–3.2), but this difference was not apparent compared with siblings (OR = 1.5, 95% CI 0.8–2.7). Children with disabilities also faced other exclusions. For instance those aged 5+ were much more likely not to attend school than neighbour controls (OR = 8.5, 95% CI 4.3–16.9).

Conclusions

Children with disabilities were particularly vulnerable to malnutrition, even within this area of food insecurity and widespread malnutrition. Efforts need to be made to include children with disabilities within food supplementation programmes, and school based programmes alone may be inadequate to meet this need. Exclusion of children with disabilities from education is also a priority area to be addressed.     

The Ecosystem as a Multidimensional Concept: Meaning,Model, and Metaphor

The ecosystem is a fundamental ecological concept that is not as simple as it first appears. We explore three key dimensions of the concept that make it both complex and broadly useful—its basic definition, its application via models to concrete or specific situations, and its metaphorical connotations as used in general communication within the domain of science and with the public at large. Clarity in identifying what the dimensions are and how they are related can help to maintain the rigor of the concept for specific scientific uses while also allowing enough flexibility for its use in the integration of scientific principles, as well as in public discourse. This analysis of the ecosystem as a multidimensional concept is likely to be generalizable to other important concepts in ecology. Received 28 February 2001; accepted 5 September 2001.     

Conceiving Reproduction: New Reproductive Technologies and the Redefinition of the Kinship Narrative in New Zealand Society

This paper focuses on technologies for assisting conception and considers how normative notions of conception and family formation have informed the rejection, incorporation and adaptation of technologies and their regulation in New Zealand. Drawing on a textual analysis of primary written materials and secondary sources generated between 1965 and 2004, the paper reveals how these technologies help various groups in New Zealand society make explicit their understandings of relatedness, identity and social and cultural belonging. Whilst biological/genetic connection and social connections inform understandings of kinship, reproduction, parenthood and social structure for many New Zealanders, the boundaries between the biological and social are often blurred and precedence of one over the other is very much context dependent. The incorporation of the new reproductive technologies has been an inherently politicised process, with barriers to access to these technologies emerging in relation to ethnic identity and race, sexuality, socioeconomic status, gender, and marital status.     

National Past-Times: Narrative, Representation, and Power in Modern China

National Past-Times: Narrative, Representation, and Power in Modern China. Ann S. Anagnost. Durham, NC: Duke University Press, 1997.232 pp.     

Retraction Note to: Fuzhisan,a Chinese Herbal Medicine,Inhibits Beta-Amyloid-Induced Neurotoxicity and Tau Phosphorylation Through Calpain/Cdk5 Pathway in Cultured Cortical Neurons

Neurochemical Research -     

Trauma, disease and collateral damage: conflict in cimicids

The bed bugs and bat bugs (Hemiptera: Cimicidae) are unusual in being a gonochorist (separate male and female genders) taxon with obligate traumatic insemination. Males of all the species in this family have a lanceolate paramere (intromittent organ) which they use to pierce the female's body wall and inseminate directly into her haemocoel, despite the presence of a functional female genital tract. Mating is tightly linked to the feeding cycle in Cimex lectularius, the common bed bug. In this paper, I examine key aspects of the reproductive anatomy and behaviour of C. lectularius that underpin the nature of the conflict over mating rate in this species. I then examine the consequences of traumatic insemination for female fitness and examine potential mechanisms that might underpin those costs. Finally, the collateral consequences of the male reproductive tactic on other males of C. lectularius and the African bat bug, Afrocimex constrictus are examined.     

Through a glass, darkly: data and uncertainty in the AIDS debate

The HIV/AIDS epidemic is the greatest threat to development in much of Africa. It is already the main cause of death in many countries, especially those in Southern Africa. However there is an absence of solid data on the scale and scope of the disease and how it is evolving. In this article we discuss the data on the epidemic – where it comes from and how it is presented. We note the limitations of the use of antenatal clinic surveys – which provide the bulk of our information.
We then turn to the evidence of impact. The paper shows that the long incubation period between infection and illness means that it takes time for HIV infections to turn into AIDS cases, and AIDS cases to translate into deaths with all the consequences of orphaning, poverty and changing population structures. Furthermore it means that once the HIV prevalence has peaked, AIDS impact will take years to work through – this epidemic is a 'long-wave' event.
The paper is premised on the view that HIV causes AIDS and AIDS causes death. It notes that insufficient and/or unreliable data have allowed leaderships to deny the scope and scale of the problem and that this is unacceptable. However it is incumbent on all to accept the moral responsibility for and the moral consequences of their work, and this includes those who gather, interpret and use the data.     

Focus: Preventive Medicine: Firearm Injury Among Children and Adolescents in Nigerian Civilian Trauma Setting: Prevalence,Pattern, and Implications for Prevention

Firearm injury in children and adolescents and the morbidity associated with it is an appreciable burden in resource-limited settings, though it is under-reported. This study aimed to determine its prevalence and pattern in Nigerian civilian trauma setting. We undertook a retrospective study of all the patients with firearm injury aged 19 years or under who visited the Emergency Department (ED) of two tertiary hospitals in Nigeria over a period of 15 years. Of the 46,734 children and adolescents seen in the ED, firearm injury was the reason for the visit in 56 of them, giving a prevalence of 1.2 per 1000 ED attendance (95% CI: 0.9-1.6). The male-to-female ratio was 1.8:1, and the mean age was 13.98 ± 5.6 years. The preponderance of firearm injury was in the rural areas, during the dry season, at home, and in the daytime. Armed robbery (20, 35.7%) and communal clash (7, 12.5%) were the two topmost incidents leading to gunshot wounds. Armed robbery-related gunshot occurred mostly on the roads and at nighttime and involved predominantly 15-19-year-olds. Lower extremity was the topmost anatomical region involved. The majority (67%) had no pre-hospital care; the mean and median injury-hospital arrival interval respectively was 352 hrs and 4.2 hrs. Wound infection was the topmost complication. The mean hospital length of stay was 22.6 days. One (1.8%) of the patients died on the third day of hospital admission. Educational campaigns for prevention intensified during the dry season should highlight the risk of firearm injury to this age group and emphasize the importance of proper supervision and guidance of vulnerable children and adolescents. Improving the rates of pre-hospital care and early presentation of victims to the hospital should be considered in tertiary injury prevention strategies.     

Land, Stories, and Resources: Discourse and Entification in Onabasulu Modernity

Resource development may involve codifications of social organization that alter preexisting arrangements. This is the case in Onabasulu society today, impacted by Chevron's petroleum extractions nearby and the codifications of collective life introduced by multinationals and the State of Papua New Guinea alike. Located on the Great Papuan Plateau of Papua New Guinea, Onabasulu "clans" are largely an artifact of a certificate-based incorporation process and do not preexist the era of petroleum development. This "entification" of clans is matched by an entification of ethnic groups, which previously enjoyed soft (or "thick") rather than hard (or sharp) edges and boundaries. Various discourses—lineage histories, myths, other stories—are best viewed as instruments that political actors—the Onabasulu as a people, various clans, various individuals—use to embrace, contest, or manipulate the new codifications as these actors strive to position themselves competitively in relation to resources in an era of nationalist and capitalist penetration. "Land, Stories, and Resources" argues for a discourse-centered political ecology of Onabasulu modernity, one that recognizes the political and discursive roots of human-land relations in an unfolding and open-ended history predicated on an emerging politics of difference within a globalizing context, [political ecology, discursive practices, cognized models, Onabasulu (Papua New Guinea)]