Background:Person-centred care is often described as an ideal way of preserving vulnerable persons’ wellbeing and dignity and an essential component of quality-care delivery. However, the staff find that making the care dignified is the most challenging issue, often because of effectivity, everyday stress and overload. In the interests of making the care more person-centred, systematic intervention involving ‘one-to-one contact’ (resident – carer) was trialled for 30 min twice a week over 12 months in two units in a nursing home in (...) Eastern Norway.Objectives:The aim of the study was to elicit healthcare staff’s experiences of implementing ‘one-to-one contact’ between residents and carers in nursing homes.Methods:The study has a grounded-theory inspired design. Two groups of health care staff were each interviewed three times. Data were collected over an 18-month period.Ethical considerations:The study was approved by the Data Protection Official for Research under the auspices of the Norwegian Social Science Data Services.Findings:The core category is ‘One-to-one contact’ at a nursing home is possible, but requires open-mindedness. The core category indicates that open-mindedness is required, since it does not take much for scepticism to take over and cause reversion to habitual practices. The category Expectant but Sceptical describes staff thoughts and experiences before the implementation phase got underway. The category Positive but Undecided describes staff experiences 6 months into the intervention and after 12 months.Conclusions:This study has revealed that systematic ‘one-to-one contact’ between resident and carer in nursing home is achievable, and that such a simple action might be an important step towards achieving more person-centred care as the resident is seen more as a person. However, in order to make a more person-centred and dignified approach to care constant attentiveness and awareness is required, as there were ongoing factors counteracting it. (shrink)

Ralph Waldo Emerson, an important figure in the popular understanding of America has been rediscovered by scholars and critics, yet there has been no critical study of Emerson's relation to traditional nineteenth-century questions about ethics and epistemology. In Emerson's Epistemology David Van Leer turns to this unexplored area of Emerson's philosophy and especially to the problem of his relation to the central intellectual issue of his age - the transcendental idealism of Immanuel Kant. Although Emerson would throughout his life (...) try a number of vocational roles, he considered himself primarily a thinker. He saw his roles as poet and prophet as versions of the more fundamental one of philosopher. Thus an understanding of Emerson's relation to traditional problems about the theory of knowledge clarifies not only the arguments of the specific essays, but the shape of his complex career. (shrink)

As presidential campaigns and “Saturday Night Live” have repeatedly demonstrated, debate is an uninteresting mode of communication, imitating dialogue without engaging in it. Formally it encourages infinite regress: my misreading of your misreading of my misreading of your misreading. Intellectually its conclusions are in some ways predetermined. In the short run, the winner is whoever speaks last; in the long run, whoever has the greater power. Rather than occasion or remark on further “shifty moments” , then, I will try to (...) review some general areas of contention suggested in my exchange with Eve Kosofsky Sedgwick.Although Sedgwick and I value the personal and the theoretical both, we disagree on the lines of intersection. I am struck by her initial situation of “Van Leer” in the ranks of those who feel silenced. The complaint might just as easily have been that he has entirely too much to say. Nor, if autobiography is really the issue, do I in any way regret the notoriety of Sedgwick’s work? From what I take to be my point of view, Sedgwick’s book has opened up for me a far more visible space in the academy than has my own. And I attribute to myself at least enough self-consciousness to recognize the disingenuousness of “feeling silenced” in Critical Inquiry. David Van Leer is associate professor of English and American literature at the University of California, Davis. The author of Emerson’s Epistemology: The Argument of the Essays , he is currently examining the issue of contextualism in a book to be called The Queening of America. (shrink)

[Eve] Sedgwick examines from an explicitly feminist, implicitly Marxist perspective the relation of homosexuality to more general social bonds between members of the same sex . She argues that the similarity between homosocial desire and homosexuality lies at the root of much homophobia. Moreover, she sees this tension as misogynist to the extent that battles fought over patriarchy within the homosocial world automatically exclude women from that patriarchal power. Thus she places homosexuality and its attendant homophobia within a wider dynamic (...) of social relationships.1Yet even as Sedgwick invents a more sophisticated definition of “homophobia,” she may permit misreading of a more elementary sort. Her use of vocabulary is troubling. In a slangy prose that regularly juxtaposes James Hogg and Louis Lepke, Tennyson and Howard Keel, references to the “campiness” of Thackeray’s “bitchy” bachelors or the “feminized” cuckolds of Wycherley’s The Country Wife seem tame enough. Yet there is a political difference between the jokes. One can burlesque fifties musicals or organized crime with impunity; to refer to sexually embattled men with feminine adjectives, however, is to reinforce a sexual stereotype that sees in the supposed effeminacy of homosexuals a sign of their deviance. Nor are women empowered when terms of female degradation like “bitch” are turned back against men: the ironic reversal does not challenge the terms’ validity but reaffirms it, showing they have an even wider range of applicability than had been thought. 1. Throughout my analysis, I use “homosexual” and “gay” exclusively in reference to male sexuality. I do so in part to echo Sedgwick’s emphasis and in part because the logic of my own argument does not empower me to speak on female homosexuality. David Van Leer is associate professor of English and American literature at the University of California, Davis. He is the author of Emerson’s Epistemology: The Argument of the Essays and articles on American literature and popular culture. (shrink)

Excessive fear generalisation is a feature characteristic of clinical anxiety and has been linked to its aetiology. Previous animal studies have shown that the mere passage of time increases fear generalisation and that brief exposure to training cues prior to long-term testing reverses this effect. The current study examined these phenomena in humans. Healthy participants learned the relationship between the presentation of a picture of a neutral male face and the delivery of a mild shock. One group was immediately tested (...) with a novel picture of a somewhat different male face (generalisation test). Another group was tested one week later. A third group was also tested one week later and was additionally exposed to the training picture prior to testing. During picture presentations, shock-expectancy ratings were obtained as a measure of fear. Fear generalisation increased from the immediate test to the 1-week follow-up test. This result could not be attributed to level of neuroticism or a general increase in fear (incubation). Furthermore, the time-dependent increase in fear generalisation vanished following brief exposure to the training picture. Results indicate that human fear generalisation is a temporally dynamic process and that memory for stimulus details can be re-established following a reminder treatment. (shrink)

The cooking show The Naked Chef (1999–2001) with Jamie Oliver has often been highlighted as an example of the cooking show genre's potential for reformulating masculine identity through cooking. Through a series of close readings of a selection of cooking shows from France, the UK and Denmark post-The Naked Chef and through a dialogue with other works on the subject, this article will attempt to identify the tendencies in the constructions and negotiations of masculinity in the cooking show genre following (...) The Naked Chef and to understand these in relation to a revision of masculine identity in contemporary culture. The article is informed by poststructural gender theory and understands ‘doing food’ and ‘doing masculinity’ as two mutually constituting practices. The analyses identify four new tendencies in the construction of masculinity in cooking shows at the beginning of the twenty-first century: 1) rechefisation, 2) the TV chef as a moral entrepreneur, 3) the TV chef and the revitalisation of the national myth and 4) cooking as masculine escapism. The article concludes that the innovation of the masculine identity that was launched in The Naked Chef has not continued; rather, the genre has become a platform for the revitalisation of traditional masculinity discourses. (shrink)

The Five Senses of Haiti discusses a series of medical mission trips by physicians and medical students to the Central Plateau of Haiti delivering care in the outpatient setting. Practitioners describe their experiences through the use of their five senses to draw contrast between modern health care and medical practice in the developing world. Physicians in a resource poor setting are left without the usual diagnostic armamentarium and the safeguards and distractions of the modern hospital setting. This deficit creates an (...) opportunity to devote time and focus to individual patients. Practicing medicine in this context clinicians use a heightened sense of awareness and increase their reliance on physical exam findings. Global medicine creates an opportunity for medical students to learn and physicians out of training to practice overlooked physical exam skills in the modern era. Physical exam findings and patient care yield diagnoses and fosters the bonds of the doctor-patient relationship. (shrink)

Ethical considerationsThe study was conducted according to the principles of Declaration of Helsinki, and was approved by the Norwegian Social Science Data Services.ObjectiveTo describe patients’ experiences of staying in multiple- and single-bed rooms.Patients and methodsThis qualitative study employed a descriptive and exploratory approach, and systematic text condensation was used to analyze the material. Data were collected in a hospital trust in Norway. A total of 39 in-depth interviews were performed with patients discharged from the medical, surgical, and maternity departments.ResultsPatients had (...) ambiguous views on whether multiple-bed rooms or single-bed rooms were to be preferred. Main results include how patients cherished “the importance of others” but at the same time valued “the importance of privacy.” Being hospitalized in multiple-bed rooms was for many patients a very positive experience in terms of social interaction. Patients in single-bed rooms reported being more dependent on nurses to maintain social contact and obtain safety.ConclusionThis research provides new knowledge on how the need for privacy can be in contradiction with the need for socializing with other patients. When hospitalized, the physical structure of a hospital impacts with whom patients interact and to what extent they depend on the nursing staff to have their social needs met. (shrink)

In this article we explore a notion of relationship which exists between humans. This notion of relationship takes as a point of departure that differences in human relations and interaction have to be safeguarded. Starting with the Irigarayan notion of ‘two’ as a gendered difference, opposed to an understanding of humans as one and same (gender), we elaborate an understanding of otherness which opens a space where both self and other are welcomed. This relational space cannot be appropriated by either (...) one for it to exist. We continue by drawing from Harry G. Frankfurt's discussion of care in order to understand human (inter)actions in this space. Through an elaboration of how love as a special form of care represents a motivational drive, a way in which a person's will is formed, we try to show how this attentiveness towards the other is possible. Our point of departure is two statements by female head teachers that prompted these theoretical inquiries into other possibilities for interpreting human (inter)action in leadership in education. (shrink)

In order to reach a better understanding of relationships in pedagogical practices the authors believe their language about relationships needs to be broadened and deepened. This chapter draws upon American philosopher Harry G. Frankfurt who writes about ‘care’ and how what we care about represents a volitional drive. It explores his notion of love in relation to his notion of care, and elaborates more fully what is at stake in our pedagogical interactions. The chapter also offers some thoughts on why (...) a more complex theory of actions is needed in order to broaden and deepen our language of pedagogical relations and what this means for reimagining pedagogical relationships. Finally, it discusses two statements from two school leaders: ‘you have to give of yourself’ and keeping ‘an open door’. These led the authors to investigate some aspects of human relationships in education that are rarely touched upon in pedagogical literature. (shrink)

This study assessed the International Critical Thinking Essay Test (ICTET-A) for inter-rater reliability, internal reliability, and criterion validity. A self-selecting sample of participants (N = 100) completed the ICTET-A and a comparison test online. We found the ICTET-A items to have moderate to good levels of inter-rater reliability, and overall excellent inter-rater consistency for total test scores. The test had good internal reliability. There was a strong correlation between scores on the ICTET-A and the comparison test. Factor analysis showed that (...) scores were best explained with one factor, suggesting the test measures a single construct. The ICTET-A can therefore be considered a valid measure of critical thinking. Additionally, we propose a short form of the test. (shrink)

La novela ha sido consagrada como una de las “técnicas de experiencia vicaria” fundamentales, que adiestran nuestra habilidad para ponernos en la piel de otras personas. No han sido pocos los que han visto un claro efecto moral en esa permanente exploración de la alteridad. El artículo repasa los argumentos de los entusiastas de esa idea, los que creen que leer novelas nos hace más empáticos y solidarios; de los moderados, quienes consideran que ayuda ante todo a ejercitar nuestro (...) juicio moral, y de los escépticos, que apenas encuentran ningún fin moral en ese hábito. Revisa a continuación algunas complejidades del desarrollo moral, que hacen improbable una fácil conexión, y termina distinguiendo los modos en que la lectura de novelas sí puede contribuir a cultivar la humanidad que hay en nosotros y a ahondar en el humanitarismo. (shrink)

El artículo es una creación en la que convergen las experiencias, indagaciones, discusiones suscitadas en los antecedentes y el desarrollo del Proyecto “Investigar, leer y escribir en la universidad:el docente investigador mediador y aprendices investigadores autónomos”, que identifica la problemática sobre la orientación de investigación formativa en pregrado, en la relación docencia-investigación; así, formula la pregunta directriz ¿Cómo orientar el proceso de investigación formativa en la formulación de proyectos de investigación? La propuesta recoge la experiencia docente e investigativa en (...) lectura, escritura, procesos de mediación y autorregulación. Además, reconoce la necesidad de articular los proyectos de investigación estudiantiles, planteados comotrabajos de grado, al sistema de investigación universitario. (shrink)

De Leer van Boeddha. H. Saddhatissa. Wereldbibliotheek B. V., Amersterdam. 143pp.

Op basis van de zgn. wijsbegeerte der wetsidee van Dooyeweerd (1894-1977) bouwt de auteur een christelijke, wijsgerige antropologie.

En este artículo me propongo releer el llamado “fragmento de las máquinas” de los cuadernos Grundrisse a partir de la concepción de la prótesis y la producción biodrag de subjetividades desplegada por Preciado. Mientras que la mayoría de las lecturas de Preciado en clave marxiana se centran en Testo yonqui, sostendré que leer a Marx a partir del concepto de prótesis en Manifiesto contra-sexual permite reformular la noción de “individuo social” en una clave transhumanista. Esto empuja la interpretación de (...) Marx más allá de los marcos en que él mismo comprendió la crítica del capital. Al mismo tiempo, esta vuelta a Marx ilumina los marcos sociales comprehensivos en cuyo seno la producción tecnológica del género tiene lugar. La producción de géneros y la maquínica se articulan así de manera significativa. (shrink)

The beginning of Philosophy of Right with the concept of "Right" and "morality" presents the appearance of a form of treatment typical of the methodological individualism of natural right theories. Nevertheless, Hegel makes it clear that the expository plan does not reflect the genetic, temporal or ontological structure of the issue. This article will thus try to give an answer to the question about the criteria to which this problematic structure of the work plan responds. The thesis sustained by the (...) author is that the first two parts of the work have to be read mainly as a critical-negative exposition of the current theories, and only the third part about the institutions of Sittlichkeit provides a positive exposition of Hegel's thought. The treatment of Right and morality is not merely negative either, but takes up again and at the same time conforms to Kant's and Natural Rights fundamental principles, as necessary conditions for the comprehension of the institutions of modern society and modern State.El comienzo de la Filosofía del Derecho con el concepto de "Derecho abstracto" y la "moralidad" presenta la apariencia de una forma de tratamiento típica del individualismo metodológico de las teorías jusnaturalistas. Hegel aclara sin embargo que el plan de la exposición no refleja ni el orden genético, o temporal, ni la estructura ontológica de la cosa. La pregunta que tratará de responder este artículo es, entonces, a qué criterios responde esta problemática estructura del plan de la obra. La tesis que sostiene el autor es que las dos primeras partes de la obra se tienen que leer principalmente como una exposición crítico-negativo de las teorías vigentes, y que recién la tercera parte sobre las instituciones de la eticidad expone positivamente el pensamiento de Hegel. Pero el tratamiento del derecho y la moralidad no es tampoco meramente negativo, sino que retoma y hace suyos al mismo tiempo principios fundamentales del jusnaturalismo y de Kant, como condiciones necesarias para comprensión de las instituciones de la sociedad y del Estado modernos. (shrink)

El trabajo forma parte de! Proyecto HISTELEA y propone una historia social de la lectura y escritura como campo de estúdio interdisciplinaria que supere la mirada diacrónica de la didáctica. Invita a combinar la historia de la escritura y su tecnologia con la historia de la lectura y sus variaciones desde la oralidad residual de la lectura colectiva en alta voz de! catecismo em las aulas conventuales, hasta la ruminatío que preanunciaba la lectura silenciosa individual moderna. La escuela fue erigida (...) como e! espacio privilegiado para curnplir con el objetivo de la producción masiva de Jectores ai constituirse los sistemas educativos nacionales euro-occidentales a fines del Sigla XIX, y siglas de prácticas sociales de escritura y lectura pasaron a condensarse en e! manual escolar, el libra de lectura, el discurso de! método como integrante del discurso pedagógico naciente, y con ello, la aparición de la escena de lectura escolar. (shrink)

¿Cómo desplazar un sistema de signos? ¿Cómo expandir el alcance textual de una fuerza? ¿Cómo repensar una teoría del cambio en el marco de un discurso que por estructura se nutre del silencio como su modo otro de conformación? ¿Cómo des-leer los montajes e imágenes que el lenguaje jurídico ata y moviliza? El presente trabajo pretende abordar la pregunta por la relación entre texto jurídico, ausencia y transformación a partir de los aportes de tres autores: Julia Kristeva, Gayatri Spivak (...) y Pierre Legendre. Entendiendo que es allí en la tensión misma entre lo dicho, lo ausente y lo im-puesto donde se inscribe la posibilidad misma de la acción. Mientras que Kristeva aborda la pregunta por la transformación a partir de una crítica vuelta sobre la semiótica misma, Spivak inscribe una teoría del cambio en el marco de una relectura semiótica de la subalternidad. Legendre, por su parte, insiste en el carácter inconsciente, libidinal de la sujeción. (shrink)

In this article I pay attention to some of the reviews that Reason in Common Sense of George Santayana received from some of the most outstanding philosophers of his time: E. Albee, J. Dewey, A.W. Moore, G. E. Moore, C. S. Peirce and F. C S. Schiller. My paper is arranged in six sections: 1) Biographical circumstances of Reason in Common Sense; 2) Peirce’s reading of Santayana; 3) The reviews of John Dewey; 4) Other readers of Reason in Common Sense; (...) 5) Santayana returns on his book; and, finally, by way of conclusion, 6) Reading today Reason in Common Sense. (shrink)

Texto de la conferencia inaugural donde se trazan importantes claves para la lectura de Vico y se reflexiona sobre su condición de clásico.Text from the opening lecture, where important keys for the reading of Vico are pointed, and his character of classic is considered.