Guidelines Follow-up

The are many professional organisations which agree after thorough discussions on guidelines how to conduct professional services. As long as we have such guidelines, the adherence to the guidelines is an issue as well. This is part of a research program of organisational sociology, but there is a rather strange paradox in this field of compliance with guidelines. In the most highly educated professions like medical doctors, the rate of compliance to guidelines is below average. A study of 20+ years ago published in the JAMA Journal: Cabana et al. (1999) “Why Don’t Physicians Follow Clinical Practice Guidelines?” highlighted this paradox among medical doctors. The lack of awareness of existing or changed guidelines is one of the major reasons mentioned in this respect. Self-efficacy is also an issue, but mentioned less frequently for not following guidelines.
Besides a professional bias, related to the above average educational attainment of physicians, (believed) superior coping mechanisms compared to the average population might be at work. Mastering advanced technology might lead to a behavior that assumes to be able to handle higher risks as well.
For a profession that is used to confront issues of life and death on a regular basis some adherence to a very specific medical guideline might appear a negligible risk. However, maybe comparable to some cases among politicians or priests a logic: “rules or guidelines are for others to follow” rather than the physicians bear obvious risks to these persons themselves, but even to others in specific circumstances like the spreading of infectious diseases.
Drug or substance abuse has been evidenced before in relationship with specific professions or in historical time periods. We should take care to repeat similar studies (Cabana et al. (1999) every now and again.

Augmented Cognition

With everybody talking about artificial intelligence we tend to overlook recent advances in augmented cognition. Just 2 examples of studies presenting new findings published in 2025 suffice to make that point. Automated versus manual driving have different effects on our brains. Automation makes us sleepy and inattentive with potentially dangerous consequences. Using EEG measures of neuromarkers the drop in attention shows up earlier than through measures of keeping one’s lane while driving. For jobs or duties that involve extended hours of attention the wearing of a mobile EEG-device could avoid lots of accidents. Drugs, alcohol or medication abuse would also show up before it is too late, I suppose (Scanion et al. 2025).
The 2nd study involved a robotic assistance to piano playing which achieved surprising training effects for learners of the music instrument. Objective measurement of speed and finger coordination might even allow overall accuracy to improve significantly. The technology around us and the one in direct contact with us, our behavior and performances shall have an impact on all of us sooner or later. We have to pose the question of how far we want to go along with these evolutions. Augmented cognition will not only be of interest for civil purposes, but military applications or dual use is evidently another option.

Aufklärung Enlightenment

The period of the enlightenment is a historically defined time period of the late 17th and the whole 18th century. Although often associated only with Europe as its origin, the American contributions and influences have been far-reaching as well, just thinking of the “Declaration of Independence“. This historical period is, however, most interesting through the unrivalled contribution and pivotal point to the history of ideas. The exhibition and catalogue on the “Aufklärung – Enlightenment” by the German Historical Museum in Berlin exposes many of the historical editions of books that “made the enlightenment”. Philosophical writings and readings (Immanuel Kant: Kritik der …) of the period (especially in German) are tough even for native speakers of German, unlike reading of French (e.g. Jean-Jacques Rousseau) or English (e.g. John Locke) contributions to the enlightenment. Maybe this is already one of the reasons why in France the revolutionary ideas were put into practice through population-wide political movements.
The historical period of the enlightenment came to a close in the early 19th century (1806 another pivotal year). The English or French terms of enlightenment or lumière maybe be interpreted in a way that other historical periods like the medieval ages were periods of darkness, even later periods again did not live up to the idealist prerogatives of the evolution of humanity. The German term “Aufkärung” has its etymological roots more in the action associated with “to enlighten”. This hints at the continuing process of the ideas of the enlightenment in modern terms the process of individualisation, tolerance and autonomy.
There many valuable short interviews shown in the exhibition and Jürgen Habermas contributed a short closing statement to the catalogue of the exhibition on the unfinished project of the “Aufklärung” inviting us to continue also with the “Kritik der Aufklärung”. After all the enlightenment did not save us from repeated events like “Apokalyses“.
(Image: Émilie du Châtelet, below book on Newton Physics in DHM Enlightenment exhibition 2025).

Apocalypse Depicted

At the beginning of the 21st century we have a renewed interest in depictions of the Apocalypse. “L’Apocalisse di Giovanni” has been illustrated in various Christian monasteries and some traveled quite a bit. The version of the Apocalypse (Link) which was attributed to Cambrai is a copy of the older original version found in the City library of Trèves, which dates back to the year of about 825. A flemish version of the 16th century is to be found at the BNF in Paris. Throughout the centuries the “Apocalypsis”has been reworked. The version of Trèves has the “carolingish” depiction characteristized by a presentation of image on one page and text on another page. Nowadays we are used to futuristic images and have known even worse experiences of apocalyptic events (Nazi terror). Earth quakes or man-made climate change with heating of the planet, storms, draughts and floods testify for the renewed interest in the Apocalypse. Other man-made technological innovations like rockets. atomic bombs, chemical and biological weapons overshadow even the “natural” ones. The potential of AI to cause destruction is not fully assessed until today. Swarms of drones guided by AI might reach apocalyptic levels as well. We just remind ourselves of the bombing of walls of a water reservoir by Russia in Ukraine. The Apocalypse will remain the original example of a horror story and our strange fascination for such texts, images or movies is likely to stay. (Image: extract of anonymous 1st quarter of 9th century. Trier Stadtbibliothek, Schatzkammer. Wikipedia public domain).

Apocalypse
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Law and Witches

Medical and chemical authorities have been questioned for many centuries. As far back as Friedrich Spee (1591-1635) in the early 17th century there were even among the clergy men with enlightened views on what might be helpful ways to assist people on their journey to better health or simply pain relief. This did include many unhelpful or detrimental methods as well. Scientific rigor was not well established at that time, which opened up many doors for alternative diagnosis and treatment. From a historical and sociological perspective the closing procedures of professional organizations are interesting as well as opposition to them. Early moderators between hardliner positions are rare at the times of forceful and fierce competition between opinions and doctrines that characterized medieval history. In the absence of an independent judiciary earlier moderation could be influential in specific instances. A testimony for can be found in a documentation of the biography of Friedrich Spee and the society that promotes the memory of such exemplary behavior.

Wall Membrane

Walls are meant to separate persons. In certain circumstances, however, they work more like a membrane, which allows for example sound to pass walls. We are sometimes surprised to find out that we might hear almost every word that is spoken in a neighboring apartment or home. Listening without seeing is in fact a perfect set up for a comedy to evolve around this theme. Unintentional listening might turn into noisy listening and 2 lives start to intermingle. This is predestined for a comedy to evolve as does the theatre play by Lilou Fogli “mur mure”. The turning tripartite scenario by Jérémie Lippmann makes the 2 rooms arrangement visible where listening and seeing both separated actors a delightful experience. Understanding without seeing is better than seeing without understanding. Misunderstandings are frequent with the focus on appearances of persons. It is somehow the opposite of what our social media platforms suggest with their focus on stylized images and AI-enhanced photo editing. Hearing maybe the better seeing. In that sense the theatre play is in the emancipating tradition of authors like Ibsen or Chekhov, emancipating us from the dominant and overwhelming presence of selfies and self promotion.

Law and Legality

Some persons consider themselves to stand above the law or push all interpretations of regulations beyond usual understanding of it. Even after a person has been dealing with pharmaceuticals or drugs used also for doping purposes, the conviction of such a person may take several years if not decades. In France, Mr Bernard Sainz seems to be a good example of such a relentless case of practicing para-medical consultations to assist mainly cyclists in endeavors to win championships or professional status. Le Monde  and Cash investigation have raised awareness of the public for such dubious practices. The “French Federation du cyclisme” and medical doctors association fight a continued legal battle against this persons exercising illegally such doping assistance. 

With apparently 56 legal procedures in connection with this person, the legal system has to bear the majority of costs of such illegal practices.

The reach of such dubious practices might be extended if the systems beyond doping, but for assisted euthanasia cannot be controlled effectively. Hence, the precursor cases of positive stimuli like doping pose similar challenges to the legal system as “negative stimuli” weakening persons as assistance to die. The end of a life course is not only a medical issue. Society-wide debates need to take place in order to organize a large consensus on the implications more liberal practices shall entail. 

(Image: Palais de Justice, Paris 2025)

Art from India

Indian music, art and performances have had a difficult time in traditional western cultures. Based on the historical collections and donations in the BNF, this WEIRD bias is challenged a bit. The focus on performances and art from India of centuries old traditions of high standards could have been a major source of inspiration to wider audiences already. The narrative language of for example dance as Bharatanatyam is a sophisticated ritual of expression. It appears to us like a spiritual performance which reaches our emotions much like our modern ways of expressing and performing. It seems amazing how the western world has omitted looking and listening to other continents. 

Of course, archers have played an important role in Indian culture as well. Such depictions have been common across cultures in previous times. These images can reflect the shared human heritage and this with a global perspective on art history. Flora Willson (2024 in Die Musikforschung) refers to this Indian cultural heritage in her book review and why Italian Opera never really became popular in India. 

(Image BNF, Paris Richelieu in Rotonde 2025).

Great Petit Palais

The Petit Palais in Paris was built together with the Grand Palais for the World Exhibition in 1900. The great architecture of both buildings is complemented by great interiors. The Petit Palais has also been the home of donations to, as well as commissions by, the city of Paris since 1870. This means that a sizable collection of sculptures and paintings has accumulated since then. In spring 2025 the visit of these collections is free of charge and gives honor to the donors and artists exhibited. Over time the collections spread more than 2500 years of art history similar to the exhibition at the BNF gallery Mansard. In the 21st century the exhibition of a piece of art, which stems from the North of Syria reminds us that art is a treasure that can last even if the civilization has been lost or at interrupted for many centuries. This is an important aspect of taking a long term perspective on international politics and history. The breadth of the collection allows a stroll through art history in a splendid setting. Romanticism and impressionism receive a little bit of attention, but the architecture of the Petit Palais invites you to delve into lesser known territory. This, probably is the specific merit of the joint presentation of otherwise necessarily eclectic collections of donors across centuries.

(Image: Anse de chaudron Syrie du Nord 700 years before our time, Petit Palais Paris).

La défense Végétale

Greening a metal and concrete block and buildings is a big challenge. The logic of unrealistic growth and big business has left liabilities for future generations. More vegetation in inner cities is part of our responsibility towards future generations. Therefore, urban planning has started in Paris to get rid of concrete walls and floors.

Eventually the district might have a more human touch which attracts citizens and new businesses and services. The adaptation of the infrastructure to facilitate mobility with bicycles and secured pedestrian paths has started but will take a lot of time before people adopt again these more healthy modes of transport. The big boulevards reserved for polluting transport is no longer adequate in combination with residential living spaces.

It will take a change of a whole generation to accomplish such a fundamental change. The reduced demand for office space due to more employees choosing to work from home contributes to such a change as well. Many other cities go ahead with similar changes (Copenhagen, Berlin). In combination with the „All electric society“ there are fundamental changes at work which will make inner cities more attractive again. Ease of clean transportation and other infrastructure for urban lifestyles ensures that cities remain strong points of attraction. They keep pulling people from nearby and far away towards them, if we like it or not.