To understand the radical potential of Heidegger’s model of practice, we need to acknowledge the role that temporality plays within it. Commentaries on Heidegger’s account of practical engagement, however, often leave the connection between purposiveness and temporality unexplored, a tendency that persists in the contemporary discourse generated by the interaction between the phenomenological tradition and certain approaches within cognitive science. Taking up a temporality-oriented reading that redresses this can, I want to argue here, reveal new illuminating sites for the intersection (...) between phenomenology and the cognitive sciences, particularly between Heideggerian perspectives and what have become known as enactive approaches to the study of cognition. According to the latter, cognition is an inherently relational process through which the interaction of a living being and its environment generates meaning and, ultimately, a world of significance defined by the cogniser’s self-concern. I will suggest that this emphasis upon the inextricable intertwining of agent and world renders enactive models of cognition particularly congenial to a mutually enriching dialogue with Heidegger’s account of purposiveness, particularly if we read the latter in terms of the temporal framework that Being and Time offers us. (shrink)

In 2013, in accordance with a provision in the Patient Protection and Affordable Care Act, the U.S. government began fining hospitals with “excessive” patient readmission rates. Those working to respond to this issue have identified discharge communication with patients as a critical component. In response to this exigency and to contribute to the conversation in the medical humanities about the field’s purview and orientation, this article analyzes studies of and texts about communication in health and medicine, ultimately arguing that the (...) on-going circulation of compliance rhetoric and assumptions has limited efforts to improve patient communication. The article, furthermore, considers that humanist ideals of agentic action, the patient-centered care movement’s emphasis on the patient, and biomedicine’s tendency to treat evidence-based knowledge as fixed and given may have combined to support a rationale for using patient adherence to treatment guidelines as metrics in measurement studies designed to identify effective communication strategies. Finally, the article proposes that those working in the medical humanities consider the value of interdisciplinary posthumanist scholarship—specifically, its treatment of agency and knowledge as emergent, distributed, and contingent—and its potential to transform or extend in productive ways the conversation about what constitutes effective communication with patients. (shrink)