This paper proposes communities of practice (CoP) as a process to build moral resilience in healthcare settings. We introduce the starting point of moral distress that arises from ethical challenges when actions of the healthcare professional are constrained. We examine how situations such as the current COVID-19 pandemic can exponentially increase moral distress in healthcare professionals. Then, we explore how moral resilience can help cope with moral distress. We propose the term collective moral resilience to capture the shared capacity arising (...) from mutual engagement and dialogue in group settings, towards responding to individual moral distress and towards building an ethical practice environment. Finally, we look at CoPs in healthcare and explore how these group experiences can be used to build collective moral resilience. (shrink)

BackgroundThis article is part of a study to gain insight into the decision-making process by looking at the views of the relatives of potential brain dead donors. Alongside a literature review, focus interviews were held with healthcare professionals about their role in the request and decision-making process when post-mortal donation is at stake. This article describes the perspectives of the relatives.MethodsA content-analysis of 22 semi-structured in-depth interviews with relatives involved in an organ donation decision.ResultsThree themes were identified: ‘conditions’, ‘ethical considerations’ (...) and ‘look back’. Conditions were: ‘sense of urgency’, ‘incompetence to decide’ and ‘agreement between relatives’. Ethical considerations result in a dilemma for non-donor families: aiding people or protecting the deceased’s body, especially when they do not know his/her preference. Donor families respect the deceased’s last will, generally confirmed in the National Donor Register. Looking back, the majority of non-donor families resolved their dilemma by justifying their decision with external arguments. Some non-donor families would like to be supported during decision-making.DiscussionThe discrepancy between general willingness to donate and the actual refusal of a donation request can be explained by multiple factors, with a cumulative effect. Firstly, half of the participants stated that they felt that they were not competent to decide in such a crisis and they seem to struggle with utilitarian considerations against their wish to protect the body. Secondly, non-donor families refused telling that they did not know the deceased’s wishes or contesting posthumous autonomy of the eligible. Thirdly, the findings emphasise the importance of Donor Registration, because it seems to prevent dilemmas in decision-making, at least for donor families.ConclusionDiscrepancies between willingness to consent to donate and refusal at the bedside can be attributed to an unresolved dilemma: aiding people or protect the body of the deceased. Non-donor families felt incompetent to decide. They refused consent for donation, since their deceased had not given any directive. When ethical considerations do not lead to an unambiguous answer, situational factors were pivotal. Relatives of unregistered eligible donors are more prone to unstable decisions. To overcome ambivalence, coaching during decision-making is worth investigation. (shrink)

In _Aristotle’s Empiricism_, Jean De Groot argues that an important part of Aristotle’s natural philosophy has remained largely unexplored and shows that much of Aristotle’s analysis of natural movement is influenced by the logic and concepts of mathematical mechanics that emerged from late Pythagorean thought. De Groot draws upon the pseudo-Aristotelian_ Physical Problems_ XVI to reconstruct the context of mechanics in Aristotle’s time and to trace the development of kinematic thinking from Archytas to the Aristotelian _Mechanics_. She shows the influence (...) of kinematic thinking on Aristotle’s concept of power or potentiality, which she sees as having a physicalistic meaning originating in the problem of movement. De Groot identifies the source of early mechanical knowledge in kinesthetic awareness of mechanical advantage, showing the relation of Aristotle’s empiricism to more ancient experience. The book sheds light on the classical Greek understanding of imitation and device, as it questions both the claim that Aristotle’s natural philosophy codifies opinions held by convention and the view that the cogency of his scientific ideas depends on metaphysics. (shrink)

In the Netherlands, consent from relatives is obligatory for post mortal donation. This study explored the perspectives of relatives regarding the request for consent for donation in cases without donor registration. A content analysis of narratives of 24 bereaved relatives of unregistered, eligible, brain-dead donors was performed. Relatives of unregistered, brain-dead patients usually refuse consent for donation, even if they harbour pro-donation attitudes themselves, or knew that the deceased favoured organ donation. Half of those who refused consent for donation mentioned (...) afterwards that it could have been an option. The decision not to consent to donation is attributed to contextual factors, such as feeling overwhelmed by the notification of death immediately followed by the request; not being accustomed to speaking about death; inadequate support from other relatives or healthcare professionals, and lengthy procedures. Healthcare professionals could provide better support to relatives prior to donation requests, address their informational needs and adapt their message to individual circumstances. It is anticipated that the number of consenting families could be enlarged by examining the experience of decoupling and offering the possibility of consent for donation after circulatory death if families refuse consent for donation after brain-death. (shrink)

Positive monotone modal logic is the negation- and implication-free fragment of monotone modal logic, i.e., the fragment with connectives and. We axiomatise positive monotone modal logic, give monotone neighbourhood semantics based on posets, and prove soundness and completeness. The latter follows from the main result of this paper: a duality between so-called \-spaces and the algebraic semantics of positive monotone modal logic. The main technical tool is the use of coalgebra.

The majority of healthcare professionals regularly witness fragility, suffering, pain and death in their professional lives. Such experiences may increase the risk of burnout and compassion fatigue, especially if they are without self-awareness and a healthy work environment. Acquiring a deeper understanding of vulnerability inherent to their professional work will be of crucial importance to face these risks. From a relational ethics perspective, the role of the team is critical in the development of professional values which can help to cope (...) with the inherent vulnerability of healthcare professionals. The focus of this paper is the role of Communities of Practice as a source of resilience, since they can create a reflective space for recognising and sharing their experiences of vulnerability that arises as part of their work. This shared knowledge can be a source of strength while simultaneously increasing the confidence and resilience of the healthcare team. (shrink)

It is shown that Aristotle’s references to automata in his biological treatises are meant to invoke the principle behind the ancient conception of the lever, i.e. that points on the rotating radius of a circle all move at different speeds proportional to their distances from the center. This principle is mathematical and explains a phenomenon taken as whole. Automata do not signify for him primarily a succession of material movers in contact, the modern model for mechanism. For animal locomotion and (...) embryological development, Aristotle models his dunamis concept on the idea of mechanical potential that the lever principle displays. (shrink)

Originally published in 1991. Philoponus’ long commentary on Aristotle’s definition of light sets up the major concerns, both in optics and theory of light, that is discussed here. Light was of special interest in Neoplatonism because of its being something incorporeal in the world of natural bodies and therefore had a special role in the philosophical analysis of the interpenetration of bodies and also as a paradigm for the soul-body problem. The material investigated in this book contains much about the (...) physiology of vision as well as the propagation of light. Several chapters investigate the philosophical theory and its origins in ‘multiplication of species.’ These issues in the history of science philosophy are looked at further and an analysis is offered of the development of the distinction between Aristotle’s kinesis and energeia. The book covers a substantial amount of the philosophy of mathematical science from the point of view of Philoponus, drawing on more of his works relating to three dimensionality. (shrink)

This paper examines geometrical arguments from Galileo's Mechanics and Two New Sciences to discern the influence of the Aristotelian Mechanical Problems on Galileo's dynamics. A common scientific procedure is found in the Aristotelian author's treatment of the balance and lever and in Galileo's rules concerning motion along inclined planes. This scientific procedure is understood as a development of Eudoxan proportional reasoning, as it was used in Eudoxan astronomy rather than simply as it appears in Euclid's Elements. Topics treated include the (...) significance of the circle in Galileo's demonstrations, the substitution of rectilinear elements for heterogeneous factors like weight and curvilinear distance, and the way in which elements of a motion are used to measure other elements of the same motion. The indirectness of Galileo's proofs, his conception of speed as relative and comparative, and the meaning of his concept of moment all come into clearer focus. Conclusions are drawn about Galilean idealization, and also about the contrast of literal versus figural modes of explanation in Galileo's science. (shrink)

Examples are presented of Aristotle’s use of non-idealized mathematics. Distinctions Husserl makes in Crisis help to delineate the features of this empiricalmathematics, which include the non-persistence of mathematical aspects of things and the selective application of mathematical traits and proper accidents. In antiquity, non-abstracted mathematics was involved with practical sciences that treat motion. The suggestion is made that these sciences were incorporated by Aristotle into natural philosophy without first being abstracted as pure mathematics—a state of affairs not envisioned by Husserl, (...) for whom science recast natural ontology by means of the idealization of pure mathematics. The relation of empirical mathematics to life-world ontology is considered. (shrink)

Examples are presented of Aristotle’s use of non-idealized mathematics. Distinctions Husserl makes in Crisis help to delineate the features of this empiricalmathematics, which include the non-persistence of mathematical aspects of things and the selective application of mathematical traits and proper accidents. In antiquity, non-abstracted mathematics was involved with practical sciences that treat motion. The suggestion is made that these sciences were incorporated by Aristotle into natural philosophy without first being abstracted as pure mathematics—a state of affairs not envisioned by Husserl, (...) for whom science recast natural ontology by means of the idealization of pure mathematics. The relation of empirical mathematics to life-world ontology is considered. (shrink)

This piece uses a feminist approach to explore various aspects of ‘commodification’ in the lives and work of those teaching and researching in UK universities, and in particular its gender dimensions. After setting a historical context for the radical transformation of UK universities during the 1980s, it considers how this transformation was experienced by academics in terms of alienation, anxiety and accountability. Key features of that experience are loss of autonomy and control to the external power of competition and managerialism, (...) insecurity and casualization in employment, and exposure to increasing judgemental scrutiny. For women academics job insecurity and discrimination continue to be disproportionately important, although some of the challenges to old established academic convention and practice have opened up real possibilities to progress more pro-women agendas. In the future they will confront quite depressing developments in the reconstruction of academic identities and labour, but have the legacy of the gains/insights of feminist analysis and politics over the last twenty years with which to do so. (shrink)

We investigate bisimulations for instantial neighbourhood logic and an \-indexed collection of its fragments. For each of these logics we give a Hennessy-Milner theorem and a Van Benthem-style characterisation theorem.

"This book collects essays by leading scholars, both American and European, on the American understanding of nature from Emerson to Dewey and beyond. The volume features essays on Emerson and Thoreau, Royce, Peirce, Wright, James, Holmes, Tocqueville, and Dewey. Topics include the role of nature in American idealism, the influence of Darwin, naturalism in psychology, and human nature in political thought. The final essay presents a comprehensive taxonomy of views of nature in relation to expressions of nature in American art." (...) "With its focus on philosophy of nature, this book fills a gap in the ongoing reassessment of nineteenth-century American philosophy, and it opens the way to further study of the role played by reflection on nature in the emergence of the American mind."--Jacket. (shrink)

QUINE'S DOCTRINE of the indeterminacy of translation is made possible by the principle of substitution characteristic of extensional logic. The same characteristic makes it impossible, in philosophy of science, to choose among theoretical models no one of which is obviously best suited to explain the facts. Hilary Putnam achieved a sort of closure to the problem of reference in philosophy of science, when he pointed out the implications of the Skolem-Löwenheim theorem. He said that besides the facts a theory is (...) designed to explain, there are any number of unintended interpretations of the same theory that assign the correct truth values to all sentences of the theory. There can be no sound basis for deciding upon the sole interpretation for a theory. Following Putnam, some philosophers have abandoned the problem of reference in the context of axiomatic systems. Ian Hacking, for instance, prefers a notion of reference "that is not tied by any specific, binding theory about what is referred to." He has turned to the study of approximations and practical models, spurred on by the difficulty of reconciling axiomatic systems to scientific practice. (shrink)

Rethinking the meaning of mechanism in antiquity Content Type Journal Article Category Essay Review Pages 1-6 DOI 10.1007/s11016-011-9599-0 Authors Jean De Groot, School of Philosophy, Catholic University of America, 420 Michigan Ave., NE, Washington, DC 20064, USA Journal Metascience Online ISSN 1467-9981 Print ISSN 0815-0796.

This article considers the childrens writer Alison Uttley, and, particularly, her engagements with debates regarding science and philosophy. Uttley is a well-known childrens author, most famous for writing the Little Grey Rabbit series, but very little critical attention has been paid to her. She is also an important alumna of the University of Manchester, the second woman to graduate in Physics. In particular, the article looks at her novel A Traveller in Time through the lens of her thinking on time, (...) ethics, history and science. The article draws on manuscripts in the collection of the John Rylands Library to argue that Uttley‘s version of history and time-travel was deeply indebted to her scientific education and her friendship with the Australian philosopher Samuel Alexander. (shrink)

This paper traces the significance of first principles in Greek philosophy to cognitive developments in colonial Greek Italy in the late fifth century BC. Conviction concerning principles comes from the power to make something true by action. Pairing and opposition, the forerunners of metonymy, are shown to structure disparate cultural phenomena—the making of figured numbers, the sundial, and the production, with the aid of device, of fear or panic in the spectators of Greek tragedy. From these starting points, the function (...) of the gnômôn in knowledge is explored. (shrink)

Prolific research suggests identity associates with pro-environmental behaviours that are individual and/or group focused. Individual PEB is personally driven, self-reliant, and are conducted on one's own. Group focused PEB is other people-reliant and completed as part of a group. A wide range of identities have been related to PEBs. For example, a recent systematic qualitative review revealed 99 different types of identities studied in a PEB context. Most studies were correlational, few had an experimental design. However, the relationships between all (...) these identities and PEBs have so far not been tested quantitatively with meta-analytical techniques. As such, a clear overview of this field is currently lacking. Due to the diverse nature of the field, a priori hypotheses were not possible and relatively broad definitions of identity had to be used to encompass all types of identities and the diverse meanings of identity that have been included in PEB research. What prior theory did allow for was to assess the distinction between two main types of identity, namely how people label, describe, and recognise oneself individually, or as part of a group. Our overall goal was thus to assess the current state of knowledge on identities and PEBs. In 104 studies using a meta-regression following the preferred reporting items for systematic reviews and meta-analyses guidelines, our random-effects meta-analysis showed that the overall concept of identity associated with PEB with a medium Pearson's r. Furthermore, we found that individual identities associated more strongly with PEBs than group identities. The associations between individual and group identities were stronger when the identity and PEB were from the same category. Methodologically, the findings revealed that group identities and group PEBs were most strongly associated for self-reported rather than observed PEBs. Overall identity associated most strongly with group PEBs in the field rather than in the lab and in student- rather than non-student samples. We discuss the theoretical and practical implications. (shrink)

In the introduction to An Approach to Aristotle’s Physics, David Bolotin presents an exceptionally clear account of the difficulties of making a claim for Aristotle’s natural philosophy as a contemporary teacher about nature. Modern science has repudiated the chief elements of the Aristotelian cosmos—the geocentric universe, the account of projectile motion—and so the contemporary interpreter treats Aristotle as a brilliant expositor of the world “as it appears.” Alternatively, the interpreter may say there is no final truth in the matter of (...) nature, so Aristotle’s cosmos within its own perspective was as compelling as our modern science is within its own perspective. Neither of these interpretations suits Aristotle, Bolotin says, since the philosopher’s conception of science included its being a true account of nature itself. (shrink)