Colleges and universities exist within a political arena where external demands for accountability materialize within a market-driven environment. As a result, government agencies pressure colleges and universities to rely on assessment and transparent reporting to become more market-driven assuming that the competition within the market, led by public choice and institutional selection, will drive improvements in learning and will also self-govern the institutions. This article explores how Foucault informs our conception of neoliberal governmentality through political rationality and technologies of self-governance (...) in order to inform our understanding of accountability in higher education and to challenge institutions to develop a counter dialogue which meets institutional obligations to the public and market. (shrink)

As clinical ethics consultants move toward professionalization, the process of certifying individual consultants or accrediting programs will be discussed and debated. With certification, some entity must be established or ordained to oversee the standards and procedures. If the process evolves like other professions, it seems plausible that it will eventually include a written examination to evaluate the core knowledge competencies that individual practitioners should possess to meet peer practice standards. The American Society for Bioethics and Humanities has published core knowledge (...) competencies for many years that are accepted by experts as the prevailing standard. Probably any written examination will be based upon the ASBH core knowledge competencies. However, much remains to be done before any examination may be offered. In particular, it seems likely that a recognized examining board must create and validate examination questions and structure the examination so as to establish meaningful, defensible parameters after dealing with such challenging questions as: Should the certifying examination be multiple choice or short-answer essay? How should the test be graded? What should the pass rate be? How may the examination be best administered? To advance the field of health care ethics consultation, thought leaders should start to focus on the written examination possibilities, to date unaddressed carefully in the literature. Examination models—both objective and written—must be explored as a viable strategy about how the field of health care ethics consultations can grow toward professionalization. (shrink)

The article presents the results of research on relationships between types of social participation and emotion regulation. In the study, Gratz’ and Roemer’s perspective on emotion regulation and Reinders’ and Butz’s concept of types of social participation were applied. Participants were 1151 students from three types of vocational schools: basic vocational school, technical upper secondary school, and specialized upper secondary school. The results of studies conducted with the use of Difficulties in Emotion Regulation Scale and Social Participation Questionnaire indicate that (...) there are small, however, significant, differences in the levels of social participation dimensions and the frequency of particular types of social participation between students from the three investigated types of vocational schools. The level of transitive orientation turned out to be higher among students from the basic vocational schools than among students from the specialized upper secondary schools and the technical upper secondary schools. In each educational group, the level of transitive orientation was significantly higher than the level of moratorium orientation. The hypothesis about the relationship between dimensions of emotion regulation and types of social participation, particularly with respect to the dimension of “lack of emotional awareness”, was confirmed. The most effective style in terms of emotion regulation turned out to be the assimilation type. The highest level of emotion dysregulation proved to be connected with the segregation type. (shrink)

An individual’s right to refuse life-sustaining treatment is a fundamental expression of patient autonomy; however, supporting this right poses ethical dilemmas for healthcare providers when the patient has attempted suicide. Emergency physicians encounter patients who have attempted suicide and are likely among the first medical providers to face the dilemma of honoring the patient’s DNR or intervening to reverse the effects of potentially fatal actions. We illustrate this issue by introducing a case example in which the DNR of a terminally (...) ill woman was not honored because the cause of her cardiac arrest was suicide. We argue that although a terminal diagnosis should change the way health care providers respond to a suicide attempt, many of the theoretical underpinnings for how one should treat suicide attempts—especially the criterion of external reasonability, that is the action to withhold or withdraw life-sustaining measures is reasonable independent of the precipitating event—are common to all situations :3–12, 2013). The presumption that patients who attempt suicide lack capacity due to acute mental illness is flawed because it fails to account for a competent individual’s reasonable preference to not be forced to live in an unbearable, terminal condition. In states without legislation allowing physician aid in dying, patients and providers must grapple with these limitations on a case-by-case basis. In cases where the patient has a limited life expectancy and there is not concern for psychiatric illness as the primary cause of the suicidal action, we argue that the negative right to refuse life-sustaining treatment should prevail. (shrink)

The main theorem says that a consequence operator is an effective part of the consequence operator for the classical prepositional calculus iff it is a consequence operator for a logic satisfying the compactness theorem, and in which every finitely axiomatizable theory is decidable.

The nurse asks the ethics consultant what can be done to stop the patient’s blogging. R.J.’s messages on the public forum are taking their toll on the care environment and the health care providers...

The aim of the present study was to investigate the relationship between positive orientation defined as a basic predisposition to perceive and evaluate positive aspects of life, the future and oneself and the Five-Factor Model of personality. Hypotheses postulated positive correlations between PO and extraversion, conscientiousness, agreeableness and openness; a negative correlation was predicted between PO and neuroticism. Two hundred Polish students completed the following measures: SES, SWLS, LOT-R and NEOFFI. The results confirmed correlations between PO and extraversion, conscientiousness, and (...) neuroticism; correlations with openness and agreeableness were not supported. According to canonical correlations, PO shows a clear affinity to the FFM. (shrink)

This paper examines how three Dutch political parties employ the Internet as a tool to enhance ‘digital democracy’. The potential of digital democracy is considered to be strongest in the sphere of collective action outside the domain of political institutions. In this article, however, attention is given to how institutionalized channels might be supportive of digital democracy. Three components of the democratic process – information provision, deliberation, and political decision-making – are examined in the content and user assessments of the (...) web sites of the Socialist Party, the Christian Democratic Party and the Green Party. Minor differences were found in the party web sites regarding information provision; substantial differences were found regarding the degree and nature of political deliberation available on the sites. Indicators of the third component, political decision-making, were least evident on all three web sites. User assessments of the sites and opportunities for political deliberation followed, more or less, the general public images of the related political parties. (shrink)

Benchmarks against which healthcare ethics consultation (HCEC) services can assess their performance are needed. As first-generation benchmarks continue to be developed, it is the obligation of the field to continually evaluate how these measures reflect the performance of any single HCEC service. This will be possible only with widespread reporting of standardized data points. In their article in this issue of The Journal of Clinical Ethics, Glover and colleagues provide a valuable preliminary approach for assessing appropriate consult volumes for a (...) HCEC service. The limitations of their study read as a call to action for the field of clinical ethics to expand and standardize data reporting so that more robust metrics can be developed. In response to this call by Glover and colleagues, the Cleveland Clinic HCEC service provides consult data from 2015 through 2019 for one of its medical centers, and offers an additional volumebased metric, consult-to-ICU-to-bed ratio (CiBR), that may add nuance to any normative assessment of HCEC service consult volume. Given that volume-based metrics are the native language of the clinical environment, efforts to improve such metrics in the field through transparency and standardization are warranted. However, the expositive power of volume-based metrics is limited; additional domains related to quality and outcomes are needed. (shrink)

Our aim in this article is to define the difficulties that clinical ethics services encounter when they are asked to demonstrate the value a clinical ethics service (CES) could and should have for an institution and those it serves. The topic emerged out of numerous related presentations at the Un- Conference hosted by the Cleveland Clinic in August 2018 that identified challenges of articulating the value of clinical ethics work for hospital administrators. After a review these talks, it was apparent (...) that the field of clinical ethics may be at a crisis of sorts due to increased pressure to provide explicit measures to healthcare institutions to concretely demonstrate that CESs make a valuable difference in healthcare delivery. In this article, we grapple with how to satisfy the need for demonstrable value in a field in which metrics alone may not capture the scope of clinical ethics practice. We suggest that capturing the value of a CES has been difficult because the benefits of ethics consultation may be overt or attributable to the CES, but are often hidden due to the systems-level and process-oriented nature of clinical ethics work. Part of the difficulty in demonstrating the value of CESs is capturing and conveying all of the ways the integration of a CES throughout an institution positively affects patients, families, visitors, healthcare professionals, administrators, and the institution itself. Our aim is to (1) elucidate the multifaceted value added by a CES, including value that tends to be hidden and (2) suggest how to demonstrate value to others in a way that is not simplistic or reductionistic. (shrink)

This article presents the case of a mother who is planning a home birth with a midwife with the shared knowledge that the fetus would have congenital anomalies of unknown severity. We discuss the right of women to choose home birth, the caregivers’ duty to the infant, and the careproviders’ dilemma about how to respond to this request. The ethical duties of concerned careproviders are explored and reframed as professional obligations to the mother, infant, and their profession at large. Recommendations (...) are offered based on this case in order to clarify the considerations surrounding not only home birth of a fetus with anticipated anomalies, but also to address the ethical obligations of caregivers who must navigate the unique tension between respecting the mother’s wishes and the duty of the careproviders to deliver optimal care. (shrink)

Clinical ethics consultants (CECs) often face some of the most difficult communication and interpersonal challenges that occur in hospitals, involving stressed stakeholders who express, with strong emotions, their preferences and concerns in situations of personal crisis and loss. In this article we will give examples of how much of the important work that ethics consultants perform in addressing clinical ethics conflicts is incompletely conceived and explained in the American Society of Bioethics and Humanities Core Competencies for Healthcare Ethics Consultation and (...) the clinical ethics literature. The work to which we refer is best conceptualized as a specialized type of interviewing, in which the emotional barriers of patients and their families or surrogates can be identified and addressed in light of relevant ethical obligations and values within the context of ethics facilitation. (shrink)

In this paper we show that some standard topological constructions may be fruitfully used in the theory of closure spaces (see [5], [4]). These possibilities are exemplified by the classical theorem on the universality of the Alexandroff's cube for T 0-closure spaces. It turns out that the closure space of all filters in the lattice of all subsets forms a generalized Alexandroff's cube that is universal for T 0-closure spaces. By this theorem we obtain the following characterization of the consequence (...) operator of the classical logic: If is a countable set and C: P() P() is a closure operator on X, then C satisfies the compactness theorem iff the closure space ,C is homeomorphically embeddable in the closure space of the consequence operator of the classical logic.We also prove that for every closure space X with a countable base such that the cardinality of X is not greater than 2 there exists a subset X of irrationals and a subset X of the Cantor's set such that X is both a continuous image of X and a continuous image of X. (shrink)

Volume 20, Issue 6, June 2020, Page 75-77.

The article presents the results of a study investigating the links between emotion regulation and identity. The aim of this study was to explore the relationship between the two variables. On the basis of neo-eriksonian theories, an attempt to specify the role of emotion regulation in the process of identity formation was made. The study involved 849 people aged 14-25. The participants attended six types of schools: lower secondary school, basic vocational school, technical upper secondary school, general upper secondary school, (...) post-secondary school, and university. The research was conducted with the use of two questionnaires: Difficulties in Emotion Regulation Scale and Dimensions of Identity Development Scale. The analysis of the results points to a partial confirmation of the assumed hypotheses about the differences between people with different identity statuses in respect of the six investigated dimensions of emotion regulation. Also, the hypotheses about the links between the dimensions of emotion regulation and dimensions of identity in the subgroups with different identity statuses were partially confirmed. (shrink)

This paper is closely related to investigations of abstract properties of basic logical notions expressible in terms of closure spaces as they were begun by A. Tarski (see [6]). We shall prove many properties of -conjunctive closure spaces (X is -conjunctive provided that for every two elements of X their conjunction in X exists). For example we prove the following theorems:1. For every closed and proper subset of an -conjunctive closure space its interior is empty (i.e. it is a boundary (...) set). 2. If X is an -conjunctive closure space which satisfies the -compactness theorem and [X] is a meet-distributive semilattice (see [3]), then the lattice of all closed subsets in X is a Heyting lattice. 3. A closure space is linear iff it is an -conjunctive and topological space. 4. Every continuous function preserves all conjunctions. (shrink)

The authors of this article are previous or current members of the Clinical Ethics Consultation Affairs (CECA) Committee, a standing committee of the American Society for Bioethics and Humanities (ASBH). The committee is composed of seasoned healthcare ethics consultants (HCECs), and it is charged with developing and disseminating education materials for HCECs and ethics committees. The purpose of this article is to describe the educational research and development processes behind our teaching materials, which culminated in a case studies book called (...) A Case-Based Study Guide for Addressing Patient-Centered Ethical Issues in Health Care (hereafter, the Study Guide). In this article, we also enumerate how the Study Guide could be used in teaching and learning, and we identify areas that are ripe for future work. (shrink)

Volume 20, Issue 3, March 2020, Page 21-24.

D. Scott in his paper [5] on the mathematical models for the Church-Curry -calculus proved the following theorem.A topological space X. is an absolute extensor for the category of all topological spaces iff a contraction of X. is a topological space of Scott's open sets in a continuous lattice.

We give an idea of uniform approach to the problem of characterization of absolute extensors for categories of topological spaces [21], closure spaces [15], Boolean algebras [22], and distributive lattices [4]. In this characterization we use the notion of retract of the closure space of filters in the lattice of all subsets.

Стаття містить результати аналізу рецепції конструктивізму у вітчизняній філософії та з'ясування праксеологічного спрямування виявлених інтерпретацій у теоретично-аксіологічному полі міждисциплінарних підходів у соціальній філософії, філософській антропології та філософії культури. Автор доходить висновку, що актуалізація теоретично-аксіологічної позиції конструктивізму сприяє осмисленню джерел соціальної спільності. Значення філософського дискурсу в розбудові соціальних конструктів засвідчує процес перетворення уявного в його формі символічного обміну на природне.

This paper discusses the ethical issues related to hemicorporectomy surgery, a radical procedure that removes the lower half of the body in order to prolong life. The literature on hemicorporectomy (HC), also called translumbar amputation, has been nearly silent on the ethical considerations relevant to this rare procedure. We explore five aspects of the complex landscape of hemicorporectomy to illustrate the broader ethical questions related to this extraordinary procedure: benefits, risks, informed consent, resource allocation and justice, and loss and the (...) lived body. (shrink)

The main result of this paper is the following theorem: a closure space X has an , , Q-regular base of the power iff X is Q-embeddable in It is a generalization of the following theorems:(i) Stone representation theorem for distributive lattices ( = 0, = , Q = ), (ii) universality of the Alexandroff's cube for T 0-topological spaces ( = , = , Q = 0), (iii) universality of the closure space of filters in the lattice of all (...) subsets for , -closure spaces (Q = 0). By this theorem we obtain some characterizations of the closure space given by the consequence operator for the classical propositional calculus over a formalized language of the zero order with the set of propositional variables of the power . In particular we prove that a countable closure space X is embeddable with finite disjunctions preserved into F iff X is a consistent closure space satisfying the compactness theorem and X contains a 0, -base consisting of -prime sets. (shrink)