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Transformative learning as explained by Mezirow in the field of adult education has been criticized as a process that is overly dependent on critical reflection, such that it minimizes the role of feelings and overlooks transformation through the unconscious development of thoughts and actions. This paper further substantiates these concerns by exploring the emotional nature of rationality and unconscious ways of knowing (implicit memory) from the field of neurobiology and psychology and offers a physiological explanation of the interdependent relationship of emotion and reason and the role of implicit memory in transformative learning theory. Recent research not only provides support that emotions can affect the processes of reason, but more importantly, emotions have been found to be indispensable for rationality to occur. Furthermore, brain research brings to light new insights about a form of long-term memory that has long been overlooked, that of implicit memory, which receives, stores, and recovers outside the conscious awareness of the individual. From implicit memory emerges habits, attitudes and preferences inaccessible to conscious recollection but these are nonetheless shapes by former events, influence our present behaviour, and are an essential part of who we are. Finally, based on these new insights for fostering transformative learning is discussed, revealing the need to include practices inclusive of ‘other ways of knowing,’ and more specifically, from the study of emotional literacy and multiple intelligences.  相似文献   
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Rural hospitals face difficult times as Medicare health insurance threatens their survival. A small community in Polk County, North Carolina, developed a program that was designed to take advantage of the Medicare skilled nursing benefit as a payment source and which can be implemented by any rural hospital that has Medicare-certified swing beds or distinct nursing facilities. This program involves the development of a special unit, the Restorative Care Unit (RCU), which provides subacute care to older adults. A major element in the RCU care system is a highly structured continuing education program for hospital staff. The continuing education component trains personnel to implement and manage the RCU care system using a team approach. The Appalachian Geriatric Education Center Consortium recognized the need for dissemination of this model of service. They took the concept, developed a curriculum and implemented it with eight rural hospitals. The purpose of this article is to describe in detail the RCU care system continuing education element, and present results from a qualitative and quantitative evaluation of the program. The stages of the development of the program are described, in addition to the content of the curriculum.  相似文献   
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Electrocortical and behavioral responses of low, moderate, and high physically active older adults were compared with a younger control group on neutral and incompatible conditions of a flankers task. Compared to younger adults, high and moderate active older adults exhibited increased event-related potentials component P3 amplitude for the incompatible condition at the frontal electrode site. For the neutral condition, only low active older adults exhibited decreased amplitude at the central-parietal site, compared to younger adults. P3 latency revealed the longest latencies for low active older adults, followed by moderate active, high active, and younger adults, respectively. Reaction time (RT) data revealed that younger adults exhibited faster RT compared to all three older groups. Results suggest that physical activity may improve executive control function in older adults by affecting the distribution of P3 amplitude, which has been related to memory and attentional processes, and by decreasing P3 latency, which relates to the speed of cognitive processing.  相似文献   
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