ROUGH EDITED COPY Gallaudet University Diversity as Normalcy: Research, Ethics & Social Responsibility Presentation by Dr. James Giordano AUGUST 24, 2010 10:45 AM-12:15 PM CAPTIONING PROVIDED BY: ALTERNATIVE COMMUNICATION SERVICES, LLC PO BOX 278 LOMBARD, IL 60148 * * * * * This is being provided in a rough-draft format. Communication Access Realtime Translation (CART) is provided in order to facilitate communication accessibility and may not be a totally verbatim record of the proceedings. Editor’s Note: The original CART transcript was edited minimally by Terry Coye in the creation of this document. All of Dr. Giordano’s remarks have been retained, but comments by other speakers were deleted. Headings and a new title were added to increase clarity. Introduction by Dr. Carol Erting >> Good morning, again, to some of you and good morning to everyone. It's my distinct honor to introduce our guest lecturer for today. Dr. James Giordano hack working with us here at -- has been working with us at Gallaudet University as the William H. and Ruth Crane Distinguished Visiting of neuroethics. He's working with us in that capacity since February. Gallaudet's community -- he's gotten to know the community here and different faculty members. He's a formal introduction to the undergraduate and the graduate students. I would like you to read the formal affiliations that are here on the slide. That would be easier than me finger spelling all of the agencies this he's working in. The Potomac institute for policy studies is the area -- is actually located in Arlington, Virginia which is next to the national offices. It's known as PIPS. Dr. Giordano in addition to these titles has recently become a vice president for the academic programs at the center in PIPS. His responsibility has been to interact with different universities all over our area as well as internationally and throughout our country. Gallaudet is one of those fortunate universities to have been chosen to work and collaborate with PIPS. So today is really just the beginning of a very exciting year ahead of pursuing this particular topic for our faculty development areas here at the university. There will be a lecture series on a monthly basis with invited guests that Dr. Giordano had affiliated us with. Those lectures will be open to the community. This lecture that we will be having today is the foundation for the lecture series that will focus on this very important issue. And this issue is not important only to Gallaudet university, of course, nor to just the research community, but rather to the entire state of our global community. Dr. Giordano has published widely a variety of articles, prestigious journal entries, countless books and is one of the premier collaborators that I have ever met. He works with a wide array of people in a variety of fields. And not only that, but he mentors students. The list to students that he has mentored is quite long, he's been on student's Ph.D. committees. I'm sure he doesn't sleep. It would be impossible for him to have hours to sleep. I guess he can talk more about that. Without further due, I would like to introduce Dr. Giordano to you. You are in for an invigorated stimulating, exciting morning. Dr. Giordano, welcome. Presentation by Dr. James Giordano >> Let me apologize for my rud men tear ability to sign. I'm learning as quickly as I can. I'm a slow learner. Be patient with me. If the terms are foreign to you, you can stop me. I also have a nasty New York act sent. This is one of the few forms where I can get by with that and not have people laugh at me. What I would like to do this hour is answer nothing. I want to give you questions. I want to give you questions. These are questions that I wish I could answer. I wish science could answer. Philosophy, history, anthropology, we cannot. Science remains iterative, progressive, facts change, truth is contingent. But it's our responsible as members of the human community engaged in the human condition and human predicament to embrace that contingency and adapt our norms to a deep understanding of our biology and what it means to be human As graduate students, my hope is that this ves tube to your professional career. I'm far older than most of you. My career will end far before yours will. This is a baton. I pass it on to you. You are the future of science, social sciences, humanities, healthcare, the public and social good this all of its divergent forms. I pass you this baton for a meaningful reason. My junior colleagues I line you with the dialectic. But I give this to you in challenge, not in any way that's antagonistic, but to conjoin and you inflate you to the opportunity that lies ahead. To change the predicament to change the world before you make the world a better place. From science to social sciences to ethical discourse writ laws. Viewing the world through a multifaceting lens that appreciates that acuity comes from each and all of the prisms. We will talk about normalcy. The discussion does not stop here. It begins here. The hopefully the discussion will be one that ground you to the individual fields as diverse as they are to trying to understand this particular component of what it means to be human and all of the incumbent responsibilities, obligations and actions that arise from our understanding of history, historicity and the candidate that imparts from your field What we know right now in contemporary fields of science that creates science as a basis of knowledge is indeed the biological variation exists within a number of species if not all species inclusive of the human species. Such biological -- flourish and adapt inclusive of the environments. Failure to achieve such diversity imparts failure of adaptation which imparts perishing. Humans have been very successful at our capacity to adapt, to utilize tools, to harness the environment, shape and relate to nature and in some ways, change nature and in that way, perhaps, falsely believe that we have changed our nature. You cannot buck your biology. Plainly and simply. Moreover, what we understand is that these biological variations are preserved through a complex and dynamic series of characteristics and traits that engage different levels of the environment on both an individual level and a cohort level. This imparts vigor. The premise is simple. Biological variation and diversity is the norm. I'll state it again. Biological diversity is the norm. What does this mean? If we break this down to its simply and most component parts and we look at a single characteristic and I'm being ridiculously simple, we can say that the presence of a particular trait as conferred from genetics to physical expression which we call a phenotype, enables, allows, supports a particular function or sets of function, X, but also influences a variety of other functions and they take on an x influence. Let me give you an example I don't have to worry about buying hair care products every morning, so I can spend far more time making coffee. Now, if on the other hand I had to worry about hair care products and what side my hair was parted on rare than the part in the middle that I wear, I would, in fact, engage my daily activities and influence my environment in a slightly distinct way. The absence of hair on my head in some ways detracts from certain things but in other ways imparts other things. Both benefits and in some cases burdens and perhaps even risks. However, I cannot ascribe burden or risk simply due to the presence or absence of a trait that has been biologically preserved. It's the old niciam maxim, (phonetic) what doesn't destroy me, makes me stronger. If it has not destroyed me, it's there for a reason. Even if as an artifact, we as a species as so many other species exploit these arty facts to maximize our capability and flourishing. In some, it imparts a particular gain. Still with me? Good. It gets fun from here. I could bore you for the next 30 or 40 years talking about systems and complexity, but it works out much easier if I can show you with an equation. It balances out on two sides of the screen. You have it before you. Very simply put, genes plus environment interact with physical expressions in environment. Genes provide only a blueprint. They require an internal and external environment for their expression. That expression in physical characteristics is calls a phenotype. That phenotype effects environments. The environments effects the phenotype which actually feeds back upon the genes to determine what genes are selectively activated, suppressed or may be latent. The preservation of genotype and phenotype confers particular advantages to different individuals, groups of individuals and ultimately a species at large based upon the environments. It either finds itself in or has created. Simply put, we cannot extricate one from the other. To do so is factually wrong. And we know that these physical characteristics occur along a spectrum, not all or none, not either or, but more like both and very few things in biological terms are absolute. For those of you who are comfortable with this equation, I give you this equation, this is what looks back at you every morning in the mirror. You are this. From the formation of your genotype, that is, the genes that made you you, there is a environmental interaction. Being the scientist that I am, I would make the presumption that each and every one of you had a mother and a father. I learned that in Ph.D. school. Irrespective of whether said mother and father are still in the picture, you needed one of each. They got together in a particular environment. For a reason. Sometimes accidental, sometimes purposive, sometimes a combination of both. Geographic, social, all of the above. Moreover, I would make the strange strong -- strong wager that each and every one of you spend 8 months in change in a womb. Just a hunch. That was influence as to what genes got turned on and turned off and what you were like when you came out of that womb after eight months in change or nine months, in most cases. And what you were predisposed to be and be once you came out. From the point of conception and even before, we like so many other species are an inextricable of genes and environment and physical being. Moreover, as you can see, feedback, meaningfully. They produce what's called spectrum effects. If we look at the abscissa. If we look at the X axis, we see that this equation can, in fact, be quantified, particular levels, qualities, types of genes, interacting with environments, producing particular physical characteristics that interact with environments that feedback on both genes and physical characteristics. This is referred to as a dynamical. It sounds very George Bushism. It's a real word. Unlike strategery, which is not. This interaction produces qualitative manifest characteristics. that we enact and perceive. At some point or another, there can be a line drawn, a threshold that would suggest the viability of these characteristics to do something. For example, we might be able to draw that threshold of my ability to be drafted in the national basketball association. I do not have a very good slam shot. At 5' 6", my phenotype does not permit that, however, this can also be a social threshold. So not only do we say that there are particular biological practical thresholds, given my biology, for example, I cannot fly by flapping my arms. I cannot suck oxygen out of a water without a device. I cannot jump high buildings in a single bound despite what my bosses wish me to do at the Potomac institute. Those are real thresholds. They are natural kinds of limitations and abilities. However, we also incur practical types that are more social. We say that certain characteristics allow me to do certain things socially. We draw that line. My argument is simple, that line socially must be consistent with the most contemporary current knowledge of our biological capacities, limitations and adaptabilities. Otherwise, it is at least anacronistic and criminally. And I use criminally literally and hope to show you how. We can say that individual and group variation is the result and interaction of genetic predisposition, particular phenotypes. Those phenotypes working back to modify certain genes and how our psychosocial environment affects what we do and who we are. Remember, we cannot extract the organism from the social new you and environment. There are biological norms. We cannot deny that. But these biological norms are iterative. They are dynamic interaction with various environments. They change. We as a species adapt. We preserve particular characteristics because of the environment and the environments we have created. This is based upon an interplay. And so what it allows us to do is to see components within an organism, organisms within an environment and it nests biology and culture. Not or, not one versus the other. It grounds biology to the culture that gives rise to it. Let's spend a little time on this word. We in the English language do not do a very good job with this word. We have, in fact, bastardize it. We have ruined it. My native language, German does a much better job with it. And I made some suggestions from that language for those of you who may be familiar with it. We can preface the German world coutua with word other words that describe it more fully. Germans are notorious for attaching a bunch of nouns and adverbs to bring in big words. This means a predispositional culture. A predispositional culture. Culture as a medium that gives rise to something. We also have something known as (speaking German) culture for the forum of the expression which that it has given rise to. These are finely grained terms that require rich insight and give deep analysis to the interaction of biology and culture. In systems language, in systems verbiage, we can see how biology and culture establish conditions, at tractors and -attract fors and constraints. As well as a forum for particular expressions. Certainly we can see here biology encultured as we would think of culture like a petri dish. We say we culture a certain thing. But we also seek culture -- see culture as a forum for its expression. What are the limits? What are the gains? The at tractors for such expression? Let's get specific. Let's then take these premises and concepts and delay them to notion of human nature hearing and deafness. And so we must ask what nature? Are we looking at a contemporary biological orientation to the nature of the human person and the human condition? We can look at contemporary biological doctrine and in so doing, appreciate and acknowledge what we know, how we know it and the consistent and current facts. Are we looking at simple statistics. How many are born one way and how many develop one way, et cetera. Are we looking at human nature in more of a social construct where we now embed the biological facts within their social meaning and take instead the social meaning to be truth while ignoring the reality of biological fact? My argument is simple, it's erroneous to do that. And it grounds to a simple question when looking at nature, human nature, what is the appropriate norm from which to instantiate any further discussions as to what such nature means? My argument is that we must base this upon a biological form simply because we are biological organisms that are embodied and embedded within a social fabric. That does not deny our social characteristics or its importance. Only sheds light upon the interaction. Psychologically, we respond to both. So it becomes important to appreciate norming as one that arises in and from the biological facts that we have at our disposal and appreciate all of those facts, recognize that that biology is enacted in a particular set of social environments and understand our psychological response and reaction to this. This brings us to a point of a bridge. The bridge is one by now that you should appreciate which is how do we form our psychological impressions of our biosocial nature? This speaks to a more profound philosophical and ethical position. Are we looking at what we are, the being that is the human organism, its ontology or are we just looking at a set of operations which change over time with particular limits and other delimitations? The question is one of are we really looking at what is the nature of the entity or simply looking at its effectuation. And more over, can we, based upon the knowledge that we have right now, not antiquated knowledge, not dated knowledge, but neither the knowledge that ignores history are we able to appreciate the relationship and more forward in such a way to counter and move away from this. What can and what does contemporary science provide of human nature? What level of knowledge? How does this impact or impart social and psychological effect? How do we or better how should we examine, assess and embrace the relationship between what we do or cannot do and what we are? And my argument continues to suggest that the directionality of that relationship needs to proceed from an understanding of what we are to an appreciation and acknowledgment of how that provides capacities to do different things. The question really is one of what level shall we base normalcy and normativity? Biological? Social? Our psychological response to the similarities, alignments disalignments and disarticulation of those two? I argue that we must be both cautious and prudent. Because how we embrace science and its tools and artifacts of technology very often give rise to biocentric, biologically centered definitions. And although I'm arguing for an understanding of biological norming, and understanding what that means to human nature, we must be equally cautious because we cannot afford to continue to selectively cherry pick what data we use and what data we do not. We cannot make those mistakes again. Moreover, we need to be prudent and cautious in accepting what our contemporary data tell us. Information is not knowledge and understanding requires a mixture of biological fact and appreciation for both history and philosophical meaning. Because these definitions affect our activities, what we do and what we don't. Our stature, what we are. Our status, what we mean. The moral decisions that we make and the mores that are our behaviors in response to our activities, stature and moralities. We need to learn from history, we need to be cautious, we need to be prudent and responsible. This approach, this road map, utilizing science as perhaps its good, its humanistic value is consistent with any philosophical orientation. If we look at the philosophy of science, the philosophy of history, we say philosophy is an analytic tool that enables three tasks. I beg consistency with those tasks as we move forward to appreciate our biology and acknowledge how we utilize this information and understanding towards instantiating social good. It must be epistemologically current. Philosophy engages the anthropological task. That is the utility and use of knowledge and its contingency in the human dimension and human condition. And ultimately if we are looking at the application and use of science, then we must do so in the literal definition of science, not simply knowledge for knowledge sake, but knowledge toward human good. Important to understand that this then embraces the ethical dimension. What is the good? How do these constructs impact the scope, tenor, direction and future of our technological development and its use in applications, research what we study and how we study it, medicine, treating those who are rendered vulnerable and upholding the obligation to treat and in some cases maximize flourishing. Particular philosophical presents. The ethics of what that meaning is for the good and obviously the translation and articulation of these intellectual concepts in the practicalities of daily life. In appreciating the good, we must understand that good entails right. Aquinas said it good in Latin. It sounds lovely and reads just as well. It translates into the right balance use of knowledge as critical to the right, good use in application. We cannot cherry pick such knowledge, but we must be prudent in the use of application. We must understand that utilizing science techniques and technologies in ways that are indeed technically correct as consistent with the way these things would be designed to be used and not misused is a part of achieving the good. Misusing science and technology usurps good. It affords us caveat against misinterpretation. Cherry picking, inapt use of science and anthropology and history or Frank misuse of all of the above. It's important to engage in what is referred to as bricolage. Being something of a jack of all trades. A jack of all trades. Essentially, we cannot ignore history, but we must base our future upon it. We cannot throw out the old simply because it is old. But we must also embrace the new, but do so in a way that's tempered in the lessons of history. The issue at hand here is one that particular historical lessons may be gained. And I give you three biographical examples. Sir Francis Galtin. Very instrumental in the use of the term norm and normal. With regard to the idea that particular characteristics fell outside of a distribution and should be weeded from a population. That concept was then advanced by his student, colleague and ultimately academic successor, Karl Pearson who is known for developing the correlation statistic. Pearson advanced these concepts that together were referred to as positive, genetic control you know this more colloquially as eugenics. Not necessarily an idea that one could embrace as intrinsically bad or evil. But rather one can look historically and see that only some of the data and information were utilized in the formulation of this thesis. Moreover, it's easy to see how such thesis can be readily adopted when they are constrained within social and political agendas and not appreciated as a larger component of the body of biological knowledge. Indeed, Galton and Pearson's work grew out of the new science of evolution which did not wholly appreciate genetics, but only heredity. Very often, we make due with limited knowledge. But when, in fact, we then engage social practice and policy with such cemented knowledge, we fall into a fallacious construct and activity. We need to embrace the entirety of the knowledge at hand. Neither Galton or Pearson did so. We love to point a finger elsewhere. We love to see that people in other countries did heinous things with partial information. It was generated here and there being the U.K. being England and America. We know the history of American eugenics. Certainly it speaks loudly, pun intended. To the historicity and deafness of the United States. Not the least of which through the involvement of Mr. Bell. In Germany, at that time, a mecca for scholarly activity, these concepts were embraced by an academic careerist Fonfarshi in ascending the ranks of academia within the Kaiser Vilhelm institute which became embraced by national Socialist politics, he married a limited amount of information and knowledge to a large sociopolitical agenda to advance opportunity for himself and his colleagues. We know this as the T-4 program. Eugenics and u then 80s Shah. Although we like to point a finger in the accusations of the nasty Nazis, let us not forget that the foundational volume that set the stage for consideration of eugenics as policy was actually written by a jurist and a physician in 1920. In a paper in subsequent volume published by Lysic publications entitled releasing restrictions on the lives unworthful of life. Eugenics was posed as a viable mechanism to instantiate public health and reduce the burden of financial strain incurred by disability. You may be very familiar with the terminal phrase of this treatise. Lives unworthy of life. It's simply posed conflation of biology norms based on a prior history of doing that. In part from the animal welfare -impose the thesis for discussion. It asked the question, should we, can we and what does it mean? We can see how very easily adopting the title from its full, original form which was considerations of releasing restriction into a more verb-based form release those restrictions very easily begins to serve the purposes of a Fonfarshua and his colleagues that lead to this. Whose life is unworthy of living? What biological characteristics do we establish a practical threshold upon to determine worth and value? Both operational labor as well as ontologically. We cannot repeat lessons from history. I throw you out food and fodder for consideration. It's easy to look here and point a finger and shake our heads with regard to crimes against humanity, committed by medicine. It's easy to look back to 1920 and recognize, ah, what did they know? They knew a lot. The idea was posed as partial consideration based upon a reflection of the work of Galton, Pearson. Darwin in reality, the bastardization that and the inscription of -- lead to this. Unless you think it's all gone, I will pose to you two contemporary situations that I think demand your attention. One is the current Bill 2702 appropriated first in California that examined the potential and viability of various forms of treatment with individuals with, quote, disabilities, inclusive in that definition are individuals who are deaf. And what treatment options are available and/or prescribed as mandatory. But perhaps more importantly something that is occurring in the other place where I spend about half of my time which is in U.K. which is the human fertilization and embriology act which stirs the cauldron of eugenics. By dictating how, whom and in what directions humans as individuals and species may procreate. There's a whiff there, folks. Get it? In the spirit of Bruno Latur, I will not answer questions regarding these two. They are your questions. These are things that you must wrestle with. That you must address. And perhaps try to answer because each and every one of these based on historicity gives us a contemporary cannon that gives rice to ontological assertions. When we define these things in terms of ability, disability, when we set particular standards that, in fact, acknowledge or disacknowledge biological norms in the sake of social or psychological norms, we must be weary and cognizant of the power of such assertions to name, frame and claim who, what individuals and groups are and what that means. When focusing this upon the notion of deaf, we must then ask, is this diagnosis? Is this some assertion of this ability or is it a declaration that suggests for more doctrinal? Are we aligning this with the biological, social and in between reaction and reflection of psychology, on an individual or social level. The idea of diagnosis, disability or declaration of capability and capacity for particular gains is laden and reflective of dissonance, tension and perhaps frank conflicts and various normative values, criteria and thresholds. My premise, arguments and conclusions are straightforward. If we are to base much of our contemporary social -- know you and reliance and science and technology as we are, if we are to nest that within our social environments and our public and political activities, we better get the science right. And we better use that knowledge in right in good ways. I urge the primacy of the biological model. I think it establishes a baseline for the medical norm. We must appreciate that the facts are contingent and a particular flexibility of how we use these biological norms. We cannot cherry pick these data, but nor should be just knee jerk and react and respond to them. We must be prepared, prudent and responsible. I think it's important that understanding what it means to be biologically human sets particular thresholds for psychosocial effects. What is normal, what does it mean to be autonomous? What are certain things that we gain? What things can we lose and what does that mean based upon those norms in a biological frame work that's nested with an ongoing interaction between genes, physical expression, environments and our social constructs. There is a burden that we carry. It is my burden. It is your burden. It is all of us. Simply put, with great capability, cognition to make machines, to manipulate through our technology, to help heal and harm comes tremendous responsibility to use these things in ways that are technically right and that we strive to be morally good. In many ways, this is the faustian bargain. And it's of interest, the doctor, Faust, craves knowledge and he craves knowledge so that he can acquire the love that he desires that he can navigate the shifting realties of the human conditions. And so he learns to mafisto. The fallen angel in a way that is both desirous and begging. Faust urges mafisto to give him all of the knowledge that humanity will one day acquire. And manfisto urges prudence. The fallen angel sees the ability to reconcile his own falling, dump it back on humanity. As Faust stands poised at the threshold of limitless knowledge, and unending capability, mafisto weighs on his shoulder and with urged hand, urges him to pause, you stand, stock, pull and stare if before the lecture hall. This is not an academic exercise, you fool, this is reality. There in the flesh, physics and metaphysics is there. Not only what is tangible, but what we believe is there. He urges him, you want to go there? Come on? I've got your soul. We made the bargain, let's go. But, what about the dangers? Are you ready for the truth? Then he urges him. Remember the blood guilt that you might have from your own hand. Are you ready to be responsible for the knowledge and capability that it brings? He urges him, caution and prudence. How will you use this knowledge and will you use it in ways that are right and good? In many ways, we are imparted with the faustian bargain. Contemporary science have given us great capabilities. We must use that capability to understand and finely and richly grain -on human fallibility to utilize such understanding and knowledge in ways that are sometimes less than right and fall far short of good. If I'm going to give you any answers, I give you answers solely towards a fix. We cannot retard progress. The status quo is progress. Hanna Arent was well-known for the study of convicted war criminal and she referred to humanities binality of evil. She looked at the human conditions we slave away as opportunists, careerists and labor away and then at one point, we pick our heads up and go, what have we done? She urges against that. Such noncontemplative advancement is no longer tenable. Arent referred to this as slaving like an animal. If, in fact, we are not going to live by the rules of nature and we choose to manipulate it and control it, then the responsibility is not upon nature, but upon us. Indeed, we must appreciate that our nature is one of manipulation, no our nature is inactive and we must -- interactive and we must be contemplative of our action, knowledge and effects. She calls this homofeber. The creative, building human. One that steps back with reflective pause before, during and after the instantiation of any progress or advancement of science to ask what does it mean and how shall we use this? Indeed, my invocation to you is simple. I believe that this must, can, should be instantiated and implied into three critical domains that academia and scholarly activity provides to society. Research, what is studied, how is it studied, by whom, for whom, to what ends? Critically important to this community. Wishes to create evil or do harm, one needs only to choose what is taught as the good. In cherry picking that, in not affording a rich, finely grained, 360-degree view of facts and contingencies, one can view the world through a straw which may be very easily proloined for agendas outside of that which is buy logically or psychologically or universally good. How does what we learn give us prudence and purchase to make learning better? How does what we learn get integrated into curricula today so we don't make the mistakes tomorrow that we did yesterday? And the reciprocal integration of education back into research. What does the educational forum dictate about what we should study and how we should study it? In reality, this describes one of the problems that is going on at Gallaudet. The VL2 program. I urge consideration of programs like that. Writ large within a curricula integration. To be able to then move on to practice in healthcare, social sciences, humanities, public life. They all require educational address and explication. What I urge is very simple. That ethics must remain in step with scientific progress. It's a nice little contraction. It's the integration of science, technology, ethics and policy. Not after the fact like Hanna Arents slaving animal that looks up one day, what have I done? But for and during the process so as to be reflective, analytic, prudent and responsible. It's a paradigm in an Arentian spirit. Simply put, the pace, breadth and depth of technological advancement is such that we must ensure lessons are not repeated. We are moving too fast. Not to measure twice and cut once. Because as history has caught us, far too often as Faust learned from Fasito, there's no turning back. This is available to you in Gallaudet. I want to invite each and all of you to do is to engage this in discourse, dialectic and expression. Remember, I started this not by saying here is a lecture, sit and listen for an hour and then go have lunch. This was an invitation. This was an invocation. This was a conjoinment, welcome to the field. You want to be in this field, that vests you to a level of responsibility one of the ways that we are doing this at Gallaudet is through ongoing participation in the international ethics consortium that brings together a group of diverse academic institutions in the humanities and the sciences, from around the globe, the international ethics consortium is gaining tremendous momentum and focused upon those issues in ethics that reflect the most contemporary questions, problems and solutions, science, technology and the social agenda. These universities are literally the founding members. We get about one new participant a week. Gallaudet is, indeed, the top of the list. By mission statement, the international ethics consortium seeks educational development -- forms of healthcare, human services, humanities in the arts across multicultural and global perspectives. How do we do this in engages participation through a tool, we become participatory with the university of Michigan's ethics share. Through an ongoing multicenter partnership, University of Michigan has created this portal. Gallaudet university is part of this portal. It enabled through consistent funding unique facets of the lens to be shared. Moreover, it's attributional. It's not anonymous. Does not infuse viewpoint, voice and insight into a larger add mixture of anonymity. But allows people to retain voice so as to be able to advance their insight of those with multicultural. Work with colleagues as junior peers. As junior members of the profession in this contributory effort. Indeed, it allows expression and exchange of ideas and I close this talk and thank you for your time and your patience and support and, number, two, open information to pick up the baton from my hand to your future, thank you. [Applause]. * * * * * This is being provided in a rough-draft format. Communication Access Realtime Translation (CART) is provided in order to facilitate communication accessibility and may not be a totally verbatim record of the proceedings. * * * * *