The idea of narrative has been widely discussed in the recent health care literature, including nursing, and has been portrayed as a resource for both clinical work and research studies. However, the use of the term 'narrative' is inconsistent, and various assumptions are made about the nature (and functions) of narrative: narrative as a naive account of events; narrative as the source of 'subjective truth'; narrative as intrinsically fictional; and narrative as a mode of explanation. All these assumptions have left (...) their mark on the nursing literature, and all of them (in our view) are misconceived. Here, we argue that a failure to distinguish between 'narrative' and 'story' is partly responsible for these misconceptions, and we offer an analysis that shows why the distinction between them is essential. In doing so, we borrow the concept of 'narrativity' from literary criticism. Narrativity is something that a text has degrees of, and our proposal is that the elements of narrativity can be 'sorted' roughly into a continuum, at the 'high narrativity' end of which we find 'story'. On our account, 'story' is an interweaving of plot and character, whose organization is designed to elicit a certain emotional response from the reader, while 'narrative' refers to the sequence of events and the (claimed) causal connections between them. We suggest that it is important not to confuse the emotional persuasiveness of the 'story' with the objective accuracy of the 'narrative', and to this end we recommend what might be called 'narrative vigilance'. There is nothing intrinsically authentic, or sacrosanct, or emancipatory, or paradigmatic about narrative itself, even though the recent health care literature has had a marked tendency to romanticize it. (shrink)
Matrix models are widely used in biology to predict the temporal evolution of stage-structured populations. One issue related to matrix models that is often disregarded is the sampling variability. As the sample used to estimate the vital rates of the models are of finite size, a sampling error is attached to parameter estimation, which has in turn repercussions on all the predictions of the model. In this study, we address the question of building confidence bounds around the predictions of matrix (...) models due to sampling variability. We focus on a density-dependent Usher model, the maximum likelihood estimator of parameters, and the predicted stationary stage vector. The asymptotic distribution of the stationary stage vector is specified, assuming that the parameters of the model remain in a set of the parameter space where the model admits one unique equilibrium point. Tests for density-dependence are also incidentally provided. The model is applied to a tropical rain forest in French Guiana. (shrink)
The Words, as its name suggests, interweaves with the fictionalized account of Sartre's childhood the story of his discovery of reading and writing. To be able to say something about those Words other than what Sartre has said himself, we must have in mind a precise goal, a clear question which we must not lose sight of. Ours is: how does Sartre explain to himself his entry into the world of written signs, into what we will call, with Lacan, the (...) symbolic? And following from that, what might Sartre's theory of the symbolic be? How, without full knowledge of it, does this account of a childhood (and a masterful one it is) connect together reading, writing and psychic structure? By his psychological explanations Sartre in fact helps us to imagine this complex adventure which "the entry into reading" represents for the human subject. We have here chosen the particular moment of the child's discovery of his grandfather's Library. We shall see how this scene sheds light on the fantasm which structures the subject's choice of writing as his symptom. We should add that in our own research we are interested not so much in a psychoanalysis of Sartre, as in an attentive reading of what the author of The Words and Nausea tells us indirectly about the function of the symbolic in the life of a human subject. Sartre helps us to understand Lacan. (shrink)
O objetivo deste artigo é examinar como Montaigne retoma, na sua crítica das filosofias morais e, especialmente, da existência de leis naturais, a proposta por Sexto Empírico acerca do mesmo tema ao final das Hipotiposes Pirronianas. Pretendo mostrar que, para além das consideráveis similaridades, o modo como Montaigne relaciona razão, natureza e costume, confere um perfil próprio à sua reconstrução do pirronismo, particularmente visível na sua compreensão da oposição entre critério de verdade e critério de ação. Igualmente, sustento que essa (...) distinção, proveniente do pirronismo, ocupará um lugar central na sua reflexão moral. The aim of this paper is to investigate how Montaigne adopts, in his own discussion of moral philosophies (and, in particular, of the proponents of natural laws), Sextus Empiricus' criticism on the same topic, as exposed in his Outlines of Pyrrhonism. I want to show that, besides the deep similarities we can find between them, Montaigne's peculiarities show themselves throughout his way of dealing with relations between reason, costume and nature, as well as in his interpretation of the opposition between a criterion of truth and a practical criterion. I maintain also that this Pyrrhonism notion occupies a prominent place in his moral reflections. (shrink)
BackgroundIn 2009, Dr. Paolo Zamboni proposed chronic cerebrospinal venous insufficiency (CCSVI) as a possible cause of multiple sclerosis (MS). Although his theory and the associated treatment (“liberation therapy”) received little more than passing interest in the international scientific and medical communities, his ideas became the source of tremendous public and political tension in Canada. The story moved rapidly from mainstream media to social networking sites. CCSVI and liberation therapy swiftly garnered support among patients and triggered remarkable and relentless advocacy efforts. (...) Policy makers have responded in a variety of ways to the public’s call for action.DiscussionWe present three different perspectives on this evolving story, that of a health journalist who played a key role in the media coverage of this issue, that of a health law and policy scholar who has closely observed the unfolding public policy developments across the country, and that of a medical ethicist who sits on an expert panel convened by the MS Society of Canada and the Canadian Institutes of Health Research to assess the evidence as it emerges.SummaryThis story raises important questions about resource allocation and priority setting in scientific research and science policy. The growing power of social media represents a new level of citizen engagement and advocacy, and emphasizes the importance of open debate about the basis on which such policy choices are made. It also highlights the different ways evidence may be understood, valued and utilized by various stakeholders and further emphasizes calls to improve science communication so as to support balanced and informed decision-making. (shrink)
: In this commentary on Eva Feder Kittay's Love's Labor: Essays on Women, Equality, and Dependency, I focus on Kittay's dependency theory. I apply this theory to an analysis of women's inadequate access to high-quality, cost-effective healthcare. I conclude that while quandaries remain unresolved, including getting men to do their share of dependency work, Kittay's book is an important and original contribution to feminist healthcare ethics and the development of a normative feminist ethic of care.
Eva Buddeberg: Verantwortung im Diskurs: Grundlinien einer rekonstruktiv-hermeneutischen Konzeption moralischer Verantwortung im Anschluss an Hans Jonas, Karl-Otto Apel und Emmanuel Lévinas Content Type Journal Article Pages 1-2 DOI 10.1007/s10677-012-9366-3 Authors Norbert Anwander, Humboldt-Universität zu Berlin, Institut für Philosophie, Unter den Linden 6, 10099 Berlin, Germany Journal Ethical Theory and Moral Practice Online ISSN 1572-8447 Print ISSN 1386-2820.
This article questions the continued use and application of EVA® (economic value added) because it is epistemologically a non-sequitur, fails to satisfy the requirements of sound research methodology in terms of being a reliable and valid metric, and is unlikely to satisfy the requirements of Rule 702 of the Federal Rules of Evidence. In the light of these insufficiencies, the continued use of EVA® is ethically questionable, and moreover in time is likely to result in class actions.
This paper investigates the assertions that EVA is more highly associated with shareholder wealth and firm values than are traditional performance measures. Two commonly used value-based performance metrics namely, Total Shareholder Return (TSR) and Tobin's Q were also considered to highlight the value-relevance of EVA vis-a-vis these measures in predicting shareholder wealth. Using a panel sample of about 1000 American firms over the period 1990 2002, the study found compelling evidence consistent with the notion that EVA outperforms other traditional performance (...) measures in explaining shareholder wealth. Value-relevance tests reveal EVA to be more highly associated with shareholder wealth than TSR and Tobin's Q. The incremental value-relevance tests have also suggested that EVA possesses the largest explanatory power over TSR and Tobin's Q. These results conclusively support the claims made by EVA proponents and further support the potential usefulness of EVA metric for internal and external performance measurement. (shrink)
Illuminating letters by Barbara Striker and Bela Hidegkuti respond to Walter Gulick’s review of David Cesarani’s book, Arthur Koestler: The Homeless Mind in Tradition and Discovery 29:2 (2002-2003), 50-55. The letters and accompanying commentary shed light on the details of Eva Striker Zeisel’s USSR imprisonment and release, her relationship to Arthur Koestler, the lives of George and Barbara Striker (Polanyi’s nephew and wife), and the circumstances and sources of Cesarani’s biography.
Protestant Christian ethicist Timothy Jackson and secular feminist philosopher Eva Feder Kittay each explore the relationship between love or care and justice through the lens of human dependency. Jackson sharply prioritizes agape over justice, whereas Kittay articulates a more complex and integrated understanding of the relationship of care and distributive justice. An account of Christian love and its relation to justice must account for the gratuity, mutuality, and reciprocity that pervade human existence. Such an account must integrate provision for another's (...) basic needs, a feature of agape, with a distributive justice that fairly allocates the material prerequisites of care and the burden of caring labor. Kittay's treatment of care and justice is more adequate to the realities of human embodiment and the social organization of care than Jackson's, but neither offers a fully adequate ground for the moral personhood of all human beings, including deeply dependent persons. (shrink)