Patients in a vegetative state/ unresponsive wakefulness syndrome (VS/UWS) pose ethical dilemmas to those involved. Many conflicts occur between professionals and families of these patients. In the Netherlands physicians are supposed to withdraw life sustaining treatment once recovery is not to be expected. Yet these patients have shown to survive sometimes for decades. The role of the families is thought to be important. The aim of this study was to make an inventory of the professional perspective on conflicts in long-term (...) care of patients in VS/UWS. A qualitative study of transcripts on 2 Moral Deliberations (MD’s) in 2 cases of patients in VS/UWS in long-term care facilities. Six themes emerged: 1) Vision on VS/UWS; 2) Treatment and care plan; 3) Impact on relationships; 4) Feelings/attitude; 5) Communication; 6) Organizational aspects. These themes are related to professionals and to what families had expressed to the professionals. We found conflicts as well as contradictory feelings and thoughts to be a general feature in 4 of these themes, both in professionals and families. Conflicts were found in several actors: within families concerning all 6 themes, in nurse teams concerning the theme treatment and care plan, and between physicians concerning all 6 themes. Different visions, different expectations and hope on recovery, deviating goals and contradictory feelings/thoughts in families and professionals can lead to conflicts over a patient with VS/UWS. Key factors to prevent or solve such conflicts are a carefully established diagnosis, clarity upon visions, uniformity in treatment goals and plans, an open and empathic communication, expertise and understanding the importance of contradictory feelings/thoughts. Management should bridge conflicts and support their staff, by developing expertise, by creating stability and by facilitating medical ethical discourses. Shared compassion for the patient might be a key to gain trust and bridge the differences from non-shared to shared decision making. (shrink)

Clinical trials for acute conditions such as myocardial infarction and stroke pose challenges related to informed consent due to time limitations, stress, and severe illness. Consent processes shou...

The study examines perceptions of managers, nonmanagerial employees, students, and union officers regarding the legitimacy of managerial influence over various subordinate behaviors and beliefs. The results indicate that: (1) perceived legitimacy has decreased since a comparable study by Schein and Ott in 1962, (2) perceived legitimacy is generally related to proximity to the managerial role, (3) there is a high degree of consensus on the relative legitimacy of influencing various behaviors and beliefs, and (4) only issues of direct relevance to (...) work and task performance are currently perceived as legitimate areas for managerial influence. Theoretical, research, and managerial implications are discussed. (shrink)

Volume 20, Issue 8, August 2020, Page W12-W13.

Raymond V. McNally was an economist at the Henry George School of Social Science in New York City. This article was written shortly after the entry of the United States into World War II, and presumably remained unpublished because of the unsettled times. It recently came to light among the papers of Spencer Heath, to be domiciled at the Universidad Francisco Marroquín. In the paper, McNally describes the important social role—both present and potential—of property in land, thus (...) offering a broader understanding of the basic Georgian concept of rent as the natural fund for public services. To clarify the nature of public enterprise, McNally first examines private enterprise in terms of the production and distribution of services, viewed in light of the role played by owners. He then shows that the two kinds of enterprise, private and public, are alike with respect to distribution but differ with respect to production, due to incomplete development of the ownership role in the latter. He suggests that this anomaly will be resolved as owners in public enterprise develop a scientific understanding of their role and bring it into alignment with that of owners in private enterprise. Hence, the author anticipates that the evolution of normal economic, as opposed to political, provision of public services will lead to the abandonment of taxation and its ills. (shrink)

In this paper, we report on the development and validity of the Professional Decision-Making in Research measure, a vignette-based test that examines decision-making strategies used by investigators when confronted with challenging situations in the context of empirical research. The PDR was administered online with a battery of validity measures to a group of NIH-funded researchers and research trainees who were diverse in terms of age, years of experience, types of research, and race. The PDR demonstrated adequate reliability and parallel form (...) correlation. As hypothesized, the PDR was significantly negatively correlated with narcissism, cynicism, moral disengagement, and compliance disengagement; it was not correlated with socially desirable responding. In regression analysis, the strongest predictors of higher PDR scores were low compliance disengagement, speaking English as a native language, conducting clinical research with human subjects, and low levels of narcissism. Given that the PDR was written at an eighth grade reading level to be suitable for use with English as a second language participants and that only one-fourth of items focused on clinical research, further research into the possible roles of culture and research ethics training across specialties is warranted. This initial validity study demonstrates the potential usefulness of the PDR as an educational outcome assessment measure and a research instrument for studies on professionalism and integrity in research. (shrink)

In this paper, we report on the development and validity of the Professional Decision-Making in Research measure, a vignette-based test that examines decision-making strategies used by investigators when confronted with challenging situations in the context of empirical research. The PDR was administered online with a battery of validity measures to a group of NIH-funded researchers and research trainees who were diverse in terms of age, years of experience, types of research, and race. The PDR demonstrated adequate reliability and parallel form (...) correlation. As hypothesized, the PDR was significantly negatively correlated with narcissism, cynicism, moral disengagement, and compliance disengagement; it was not correlated with socially desirable responding. In regression analysis, the strongest predictors of higher PDR scores were low compliance disengagement, speaking English as a native language, conducting clinical research with human subjects, and low levels of narcissism. Given that the PDR was written at an eighth grade reading level to be suitable for use with English as a second language participants and that only one-fourth of items focused on clinical research, further research into the possible roles of culture and research ethics training across specialties is warranted. This initial validity study demonstrates the potential usefulness of the PDR as an educational outcome assessment measure and a research instrument for studies on professionalism and integrity in research. (shrink)

In this article, we present results from a literature review of intrinsic, instrumental, and relational values of nature conducted for the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services, as part of the Methodological Assessment of the Diverse Values and Valuations of Nature. We identify the most frequently recurring meanings in the heterogeneous use of different value types and their association with worldviews and other key concepts. From frequent uses, we determine a core meaning for each value type, which is (...) sufficiently inclusive to serve as an umbrella over different understandings in the literature and specific enough to help highlight its difference from the other types of values. Finally, we discuss convergences, overlapping areas, and fuzzy boundaries between different value types to facilitate dialogue, reduce misunderstandings, and improve the methods for valuation of nature's contributions to people, including ecosystem services, to inform policy and direct future research. © 2023 The Author(s). Published by Oxford University Press on behalf of the American Institute of Biological Sciences. (shrink)

Humans are experts in cooperating with each other when trying to accomplish tasks they cannot achieve alone. Recent studies of joint action have shown that when performing tasks together people strongly rely on the neurocognitive mechanisms that they also use when performing actions individually, that is, they predict the consequences of their co‐actor’s behavior through internal action simulation. Context‐sensitive action monitoring and action selection processes, however, are relatively underrated but crucial ingredients of joint action. In the present paper, we try (...) to correct the somewhat simplified view on joint action by reviewing recent studies of joint action simulation, monitoring, and selection while emphasizing the intricate interrelationships between these processes. We complement our review by defining the contours of a neurologically plausible computational framework of joint action. (shrink)

The Tao Is Silent Is Raymond Smullyan's beguiling and whimsical guide to the meaning and value of eastern philosophy to westerners. "To me," Writes Smullyan, "Taoism means a state of inner serenity combined with an intense aesthetic awareness. Neither alone is adequate; a purely passive serenity is kind of dull, and an anxiety-ridden awareness is not very appealing." This is more than a book on Chinese philosophy. It is a series of ideas inspired by Taoism that treats a wide (...) variety of subjects about life in general. Smullyan sees the Taoist as "one who is not so much in search of something he hasn't, but who is enjoying what he has." Readers will be charmed and inspired by this witty, sophisticated, yet deeply religious author, whether he is discussing gardening, dogs, the art of napping, or computers who dream that they're human. (shrink)

This volume, first published in 1954, is one of three presenting the correspondence of David Hume. It collects letters from 1737 to 1776 which do not appear in J. Y. T. Greig's two volumes of 1932, and offers a rich picture of the man and his age. The correspondents include such famous thinkers as Adam Smith, James Boswell, and Benjamin Franklin.

The question of whether the term ”art,” or art as an array of objects, can be defined depends upon the sense of “art” and its extension. The generic sense of “art” is its broadest meaning having its widest extension. I argue that the term is very much like the generic term “science.” Uses of both terms don’t depend upon rigorous definition. Rather, the terms organize an enormous number of varied and sometimes incompatible sub-categories. Most informative topics in art and science (...) are under these sub-categories. As dynamic areas of activity, art and science continue to evolve without an efficacious generic sense. We can dispense with it for these purposes. (shrink)

This highly regarded volume features a modern translation of all ten books of _The Republic_ along with a synoptic table of contents, a prefatory essay, and an appendix on The Spindle of Necessity by the translator and editor, Raymond Larson. Also included are an introduction by Eva T. H. Brann, a list of principal dates in the life of Plato, and a bibliography.

Raymond Polin. valeurs objectives. De l'objectivité des valeurs, n'espère-t-on pas tirer un double bénéfice, fonder la vérité d'une part, et, d'autre part, rendre possible leur universalité ? La liaison des valeurs aux normes est trop essentielle  ...

How to point : a primer for Martians -- What it takes to be a pointer -- Do animals get the point? -- People who don't point -- Pinning language to the world -- Pointing and power -- Assisted pointing and pointing by proxy -- The transcendent animal : pointing and the beyond.

The majority of papers in this special issue were presented at a conference, ‘The Advancement of Science and the Dilemma of Dual Use: Why We Can’t Afford to Fail’ held on 9–10 November 2007. The conference chairman was Andrzej Górski and its patrons were UNESCO and the President of the Polish Academy of Sciences. Three additional papers on the subject of Dual Use have been included in this issue; the authors are T. A. Cavanaugh , J. Forge and D. Koepsall.

In his recently published paper, ‘The Nature of Possibility,’ David Armstrong presents an account of possibility which, he correctly claims, is partly an elaboration of the early Wittgenstein's. Both are combinatorialists. That is to say, both hold that there is a fixed ontology of individuals, properties and relations whose combinations determine the range of all possible states of affairs, and therewith the range of all those totalities of states of affairs which they call possible worlds.But Armstrong's account, I believe, is (...) fatally flawed in ways that Wittgenstein's isn't. And this, I shall argue, is mainly because Armstrong is both an actualist, whose fixed ontology is one of actual individuals, properties and relations, and a reductionist, who tries to reduce the notion of possibility to that of ߢallߣ their combinations. Armstrong seems to think that Wittgenstein at least shares his actualism, and perhaps even his reductionism. (shrink)

God for man, freedom to be himself, gracious and liberating -- Theological knowledge, faith's free response -- God, graciously veiled in nature, presents self in human terms -- Addressed by the Bible -- The issue of general revelation, biblical faith and nature -- Natural theology, a natural folly -- The ill-fated mirror, speculations always push towards monopoly -- If God is for real, why does God hide? -- How can anyone truly know God? -- Responding to God's eternity and glory (...) (précis) -- If liberation is God's own glory, how free we are to be! -- God-talk from the inside out -- How broadly may we hope? -- Humanity as a whole; can it really be accepted? -- Human life means community, the Jewish witness -- The promies, Old Testament and New -- Jesus, God for man: wide-open atonement vs. divine parsimony? -- Ethics, a task within our doctrine of God -- Approaches to law and gospel -- Agents of liberation -- The word as sole criterion: Jesus Christ, scripture's focus and the only sacrament -- Creation's ultimate purpose envisioned: freedom for covenant -- Creation's purpose fulfilled: freedom in covenant -- Creation old and new: God's coherent gift -- Mankindin the cosmos and creation's science -- Jesus, man for God -- True humanity in and out of grace -- The majesty of God's self-representation (a Sozietät discussion) -- To relate only in grace, God keeps to the wings of our world (another Sozietät discussion) -- On God before man: permission in command (The preparatory précis for a colloquium). (shrink)

We do indeed “live and work in a time when the issues facing education, many of which have been with us for a considerable period, are being approached primarilythrough measurement – classroom assessment, research methods, standardized testing, international comparisons”. It is also true that “we do not often stop to consider what counts – and alternatively, what doesn’t count – in a climate where measuring up to a standard is the name of the game. At a deeper level, we rarely (...) raise questions about measurement itself.” Heidegger argued that what is “most thought provoking [in this ‘thought provoking age’] is that we are still not thinking,” in What is called thinking? . This somewhat startling assertion deserves careful attention especially in relation to the quote above . Heidegger’s assertion is pertinent for a number of reasons: he associated this “not thinking” with a “critical moment in history”, with a “call”, and with a “miscalculation”. I will argue that it is important to reflect on a number of questions: what is thinking, especially in relation to measurement? Was Heidegger correct in arguing that we have “miscalculated” in so far as we have sought “the safety of the mere drive for calculation” ? And how does the desire for a higher form of “representational thinking” in these contexts serve and promote a number of aims in higher education, such as learning and even “flourishing”? I will attempt to provide answers to a number of these questions by reflecting on the broad but fundamentally important question of measurement and its limits. (shrink)

Résumé Au point de départ, l’acte théologique se constitue par la lecture des Écritures. Mais cette lecture, par laquelle se produit un sujet théologien, ne peut elle-même se résoudre que dans une écriture par laquelle ce sujet fait trace, à son tour, de son expérience. Le présent article investigue ces rapports complexes de la théologie aux Écritures et à l’écriture pour tenter d’en définir l’acte théologique comme traversée des textes et production d’un sens. La théologie, argumente-t-il, suppose que le lecteur-écrivain (...) se situe dans l’axe de l’Autre, c’est-à-dire dans un rapport au texte et à l’ordre symbolique du monde qui consiste à ne pas se laisser arrêter par leurs valeurs acquises, à continuer sans relâche à interroger ce qu’ils laissent à désirer. Cet acte, dès lors, ne peut se réaliser que dans le lieu de son impossibilité même : donner figure à l’Autre en sachant que cet Autre lui échappe.The theological work starts by reading Scriptures. This reading, which produces the theological subject, yet needs a writing by which this subject traces his own experience. The present paper investigates the complex relations that the theologian must keep up with reading and writing in order to define the specific locus of his work. Theology, it argues, supposes that the reader-writer places himself in the axis of the Other, that means, in such a relation with texts and symbolic order of the word as he will not be stopped by actual value systems and he will keep inquiring what is left open to desire by them. This act, therefore, can take place only in the context of its own impossibility : it gives a representation of the Other while knowing that the Other cannot be represented. (shrink)