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Enregistrement W2401035793

Room for a view : Parallax

2000· article· en· W2401035793 sur OpenAlexvenueaboutno aff
Peter Uhlmann

Notice bibliographique

RevueCanadian Medical Association Journal · 2000
Typearticle
Langueen
DomaineMedicine
ThématiqueAdvances in Oncology and Radiotherapy
Établissements canadiensnon disponible
Organismes subventionnairesnon disponible
Mots-clésObituaryWifeHomelandMedicineMedical schoolFamily medicinePsychoanalysisClassicsLawPsychologyHistoryMedical educationTheologyPhilosophyPolitics
DOInon disponible

Résumé

récupéré en direct d'OpenAlex

When my father was in his 30s, he left his homeland and immigrated to America; when I was 30 I immigrated to Canada. He and my mother had three children together; my wife and I have three also. He was a physician; I am a physician. He died of cancer at age 64; I was diagnosed with lymphoma at age 54. After my father died the New York Times published his obituary. The hospital where he had directed a tumour clinic for 25 years put up a plaque in his memory. Such was his fame as a radiation therapist that for about a year after his death we received condolences from around the world. My father wanted one of his sons to follow in his footsteps, much as he had emulated his Uncle Gustav in Germany. My two older brothers, following their own lights, failed to pick up this torch. It was left to me to fulfil my father's dream. Actually, at the time I graduated from high school there seemed to be few career options: I could study medicine, law or engineering — unless I wanted to join the military or pump gas. I must admit that I enjoyed medical school and the practice of medicine, but my choice was strongly influenced by my father. When I was still in medical school my father developed bowel cancer, and I wondered whether his occupational exposure to radiation was a factor. He came from the school where cancer patients were not told about their diagnosis. Issues of grieving and the work of Elizabeth Kubler-Ross were not current at the time. He knew, of course, exactly what was happening to him, but his denial was so strong that neither I nor the rest of the family could talk to him about his impending demise. Instead, he would talk about getting better, tell old stories about his struggles and accomplishments and do crossword puzzles. I found it hard to play along, but I felt I had no choice. My father and I would often talk about my medical studies. I would try to describe some exciting concept or experience, but he rarely listened. Rather, I would end up hearing for the umteenth time about his experiences at his German medical school. Evidently, these experiences were more interesting or important than mine. I began to resent his need to impress me with his achievements and his need to undervalue my own. His death came during my last year in medical school. I felt cheated and angry that he would not be there to celebrate my graduation. I almost convinced myself that he had died rather than acknowledge my accomplishment. But these thoughts were soon pushed aside. I was newly married. I had a gruelling internship to complete, and then a two-year military obligation. I had no time to grieve or to examine my feelings. And so life continued. The next 10 years, as I recall them, were stressful, but happy and fulfilling. Then I decided to enter psychiatry. One requirement of my training was to be involved in personal therapy; this included a 2-week course in psychodrama. Although I wanted to learn the techniques, I was expected to be a participant and learn from my own life experience. After a week of observing and assisting with other peoples' dramas, I was finally triggered to work on my own unfinished business. In an arduous five-hour session the therapist-trainers helped me to deal with my unresolved grief for my father. I had always looked at my relationship with my father from my own perspective, a vantage-point from which I felt anger and self-pity. I was asked at the workshop to play the role of my father, to better understand his perspective. In one scene I acted the part of my father lying in a hospital bed, talking to the son who would soon graduate from medical school. I knew I was dying and would never have the pleasure of attending his graduation. I talked about my feelings, and cried with my son about our mutual frustration and grief. I was able to listen to him tell me how the graduation went and how his life evolved in the ensuing years. He told me about his psychiatry training, his marriage and the two children I would never meet. In this way, father and son came to an understanding, and the scene resolved in a long, wonderful hug. I was finally able to be the father my son needed. It was an experience that profoundly influenced my future life. I could finally forgive my father and remember him with love. I could finally forgive myself. My own experience with cancer has been so different. I have been able to grieve more openly with my own children, and I have attempted to remain in the present. I appreciate more deeply what my father must have gone through and, even at this distance of time, feel closer to him. The world may have forgotten him, but I have not.

Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.

Comment cette classification a été obtenuedéplier

Prédiction machine sur la base complète

Imitation des enseignants

Ni prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.

score de la tête « metaresearch » (Codex)0,001
score de la tête « metaresearch » (Gemma)0,005
Version: metacan-v3-hybrid-931329e0061cStatut de validation: machine_predicted_unvalidated
Catégories candidatesCharge utile insuffisante (le modèle a refusé de juger)
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: Sans objet
GenreSignal candidat: Commentaire · Signal consensuel: aucune
Score de désaccord entre enseignants0,391
Score d'incertitude au seuil0,869

Scores du classifieur distillé par catégorie (deux têtes)

CatégorieCodexGemma
Métarecherche0,0010,005
Méta-épidémiologie (sens strict)0,0010,000
Méta-épidémiologie (sens large)0,0010,001
Bibliométrie0,0010,000
Études des sciences et des technologies0,0060,002
Communication savante0,0050,006
Science ouverte0,0010,005
Intégrité de la recherche0,0040,008
Charge utile insuffisante (le modèle a refusé de juger)0,3910,170

Scores machine (provisoires)

Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.

Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.

Tête enseignante Opus0,008
Tête enseignante GPT0,328
Écart entre enseignants0,319 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.

Devis d'étudeSans objet
Domainenon disponible
GenreCommentaire

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations0
Publié2000
Routes d'admission2
Résumé présentoui

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