Objectives: The objectives of the study were to assess similarities and differences between breast cancer patients and their husbands in terms of doctor-patient/spouse relationships and shared decision making; and to investigate the association between breast cancer patients and husbands in terms of preference of type of doctor, doctor-patient relationship, and shared decision making regarding medical treatment. Method: Fifty-seven women with breast cancer, and their husbands, completed questionnaires measuring doctor-patient/spouse relationships, and decision making regarding medical treatment. Results: Patients believe they have (...) a key role in the medical decision-making process and that the participation of their husbands, and their agreement with the decision, is important. Both breast cancer patients and their husbands prefer a shared decision-making process to paternalistic or autonomy-based approaches. Conclusion: In contrast to legal and bioethical approaches, which focus on the patient as the primary decision maker, this study reflects a practical recognition of the role of the breast cancer patient's husband in the decision-making process. It also reflects a relational rather than an individualistic perception of patient autonomy. (shrink)

The process of advisement in the research of a doctoral dissertation is prolonged and harbors a variety of ethical aspects and issues. In some cases it gives rise to dissatisfaction on the part of both advisor and student regarding the process itself and/or the publication of the dissertation. To ameliorate these problems, the Dissertation Committee of the School of Social Work at the University of Haifa recently set out guidelines for both advisor and doctoral student, in accordance with which both (...) parties will draw up an agreement in advance to suit the student’s research. The present article discusses the components of the advisement process and presents recommendations for an advisor-doctoral student agreement. Although no evaluation was undertaken by the authors to assess the impact of the guidelines agreement, our brief experience with these guidelines reinforces the importance of such an agreement, which can help assure mutual satisfaction on the part of both the advisor and the student. (shrink)

Communicating genetic information to family members has been the subject of an extensive debate recently in bioethics and law. In this context, the extent of the relatives’ right to know and not to know is examined. The mainstream in the bioethical literature adopts a liberal perception of patient autonomy and offers a utilitarian mechanism for solving familial tensions over genetic information. This reflects a patient-centred approach in which disclosure without consent is justified only to prevent serious harm or death to (...) others. Based on a legal and bioethical analysis on the one hand, and an examination of empirical studies on the other, this paper advocates the adoption of a relational perception of autonomy, which, in the context of genetics, takes into account the effect that any decision—whether to disclose or not to disclose—will have on the familial relationship and the dynamics of the particular family. Adding this factor to the criteria usually advocated by lawyers and ethicists will facilitate reaching a sensitive decision, which recognises the various interests of family members beyond the risk to physical health. Taking this factor into account will require a process of deliberation both between doctors and patients, and in the family. It will also require a relaxation of medical confidentiality, as the family rather than the patient is gradually perceived as the unit of care. Moreover, adopting such a relational approach will accord with current views of doctors and patients who base their decision primarily on the nature of the familial relationship. (shrink)

Stressful life situations can impair or facilitate various cognitive functions. In the present study, the effect of examination stress on students was examined using two executive function tasks, task-switching and the Stroop task, in a between-subject crossover design. Students showed increased anxiety in the 2 week period prior to exams compared to the beginning of the semester, manifested as higher scores on the Spielberger State-Trait Anxiety Scale and a shift to more sympathetic activation when heart rate variability was assessed. During (...) the stressful period, the switching cost was reduced on a spatial task-switching paradigm and reaction times in the Stroop task were faster. This is the first study to show stress-induced facilitation of performance on these executive function tasks. (shrink)

As in other areas of medical practice, relatives accompany patients to genetic consultations. However, unlike in other areas, the consultations may be relevant to the relatives’ health because they may be at risk of developing the same genetic condition as the patient. The presence of relatives in genetic consultation may affect the decision‐making process and it raises questions about the perception of patient autonomy and the way it is practiced in genetics. However, these issues have not been examined in previous (...) empirical studies. This article aims to fill this gap by reporting findings from a qualitative study with clinicians working in the area of inherited breast cancer. The findings indicate that family presence has an impact on the patient's decisions to undergo genetic testing and preventative operations when she is diagnosed as a carrier. The findings further indicate that, unlike in other areas of medical practice, blood relatives who are present in consultations are perceived by clinicians as patients or potential patients, and this in turn increases their involvement in discussions in the consultation room. Finally, the findings indicate that in genetics, a relational approach to autonomy is applied. Decisions are made in a social context, where the relatives’ views are heard and taken into account. The findings suggest that the conventional bioethical approach to autonomy, which perceives the decision‐making unit as comprising a clinician and an individual patient, is challenged in genetics. The findings thus suggest that bioethicists, lawyers and policy‐makers should consider whether this individualistic approach is still valid and applicable. (shrink)

This book discusses the philosophical questions asked by counselees and the philosophical dilemmas faced by counselors in philosophical counseling. It illustrates the role of tacit philosophical assumptions in the creation and resolution of problems, as well as the contribution of philosophical dialogue in overcoming presuppositions.

While proper names in argument positions have received a lot of attention, this cannot be said about proper names in the naming construction, as in “Call me Al”. I argue that in a number of more or less familiar languages the syntax of naming constructions is such that proper names there have to be analyzed as predicates, whose content mentions the name itself (cf. “quotation theories”). If proper names can enter syntax as predicates, then in argument positions they should have (...) a complex structure, consisting of a determiner and its restriction, like common nouns (cf. “definite description theories of proper names”). Further consideration of the compositional semantics of proper names in the naming construction also shows that they have another argument slot, that of the naming convention. As a result, we will be able to account for the indexicality of proper names in argument positions and provide compositional semantics of complex and modified proper names (e.g., the famous detective Sherlock Holmes ). (shrink)

In this paper I provide novel arguments for the predicative approach to proper names, which claims that argument proper names are definite descriptions containing a naming predicate . I first argue that modified proper names, such as the incomparable Maria Callas or the other Francis Bacon cannot be handled on the hypothesis that argument proper names have no internal structure and uniformly denote entities. I then discuss cases like every Adolf, which would normally be interpreted as every individual named Adolf (...) and show that the predicative approach to proper names can straightforwardly account for the distribution of a detectable naming component in proper names. Finally, I address the issue of proper names used as common nouns and plural proper names and demonstrate that they do not form a homogenous group yet can be clearly distinguished on both syntactic and semantic grounds from proper names involving a detectable naming component. (shrink)

Leading research projects are evidence of the growing public interest in genetic diagnosis and treatment. In this context, disclosure of genetic information to relatives has become a prominent issue. However, this involves patient confidentiality, which is grounded in law and conflicts with disclosure to relatives. When conducting a legal and bioethical discussion in this context, it is first necessary to examine how clinicians perceive the role of law in their practice and how they interpret it. A qualitative study was therefore (...) conducted among clinicians in Israel. The findings indicate that the clinicians’ approach is more relational than that of the law, in view of their pro-active steps to ensure that familial information reaches the relatives when the patient is reluctant to convey this information themselves. In light of these findings the authors argue that the law can resolve situations of explicit and implicit refusal to inform relatives. (shrink)

Is Agassi’s philosophy of practical affairs applicable in philosophical practice? Is it recommendable to philosophical practitioners, counselors, or counselees? A critical rational approach like his demands a prior awareness, which participants in practical philosophy programs often miss. That approach is necessary for counseling that is really philosophical, and some of his ideas are inspiring. Yet the problems that interested him and his way of solving or dissolving them on meta-levels, are not always relevant to the counselees’ concerns. His attitude to (...) the opinions, background, and concerns of others, though tolerant, is not recommendable to practitioners who have to take into account the perspectives of participants with other backgrounds, understand their “problem situations” and their “logic.”. (shrink)

The posthumous retrieval and use of gametes is socially, ethically, and legally controversial. In the countries that do not prohibit the practice, posthumous assisted reproduction is usually permitted only at the request of the surviving spouse and only when the deceased left written consent. This paper presents the recommendations of an ethics committee established by the Israeli Fertility Association. In its discussions, the committee addressed the ethical considerations of posthumous use of sperm—even in the absence of written consent from the (...) deceased—at the request of either the spouse or the deceased’s parents who wish to become the offspring’s parents or grandparents. It is concluded that under certain conditions, a request by the deceased’s parents to posthumously use the deceased’s sperm is justified and should be granted. (shrink)

Wittgenstein, in his first period, where he adopted a theory of meaning as representation, can be thought to consider language and reality as separated entities. However, in the second period, where the use theory of meaning is put forward, he can be thought to conceive language as something dependent on the human agencies that employ it, as something into which actions are interwoven. So, in his later work, Wittgenstein can be said to consider language as a unit together with reality (...) -as far as the notion of meaning is concerned. In this sense, his two theories of meaning are the opposites of one another. My claim, in this paper, is that the gist of this radical change on Wittgenstein’s position on the connection between language and reality can be found in the private language argument given in Philosophical Investigations. For, reminding that this is a semantic claim, I think, the repudiation of private language in Wittgenstein’s philosophy amounts to the repudiation of the representational relation between language and world -or reality- as distinct entities; and hence, the traditional dichotomy of mind-body or inner-outer which is inherited from Descartes. This, I think, also means the rejection of the traditional distinction of language (as a vehicle of thought) and world as two different realms where skepticism is possible. In parallel with the rejection of this dichotomy, in this paper, by focusing on Wittgenstein’s understanding of meaning by which his overall philosophy is structured, I will examine his rejection of the representational theory of meaning (to avoid skepticism) and evince the effect of it to his later understanding of meaning (or vice versa). I will come to the conclusion that the gist of the radical change in his view on meaning and language can be found in his private language argument. (shrink)

The ArgumentLike many controversies in science, the one between Freud and Jung is overloaded with ad hominem arguments despite the incompatibility of such arguments with the pretensions of both sides to attain scientific ad rem validity. Unlike natural scientists, Freud and Jung regarded their own ad hominem arguments as relevant to general and impersonal truths. They practically legitimized such a use claiming to have a clinical basis for the rejection of the opponent's objections by a de-validating analysis of the opponent's (...) personality as a whole. The argument of this paper is that the de-validating strategy was neither an inevitable psychological outcome of the intricate interpersonal relationships in analytic situations nor the logical consequence of any clinical or scientific psycho-analytical discovery. It followed from the epistemological invalid pretension to have a general theory of mind which could explain by mental analysis the existence of “unreasonable opinions,” and the application of the same principles to the opinion that the theory itself is unreasonable. Such a pretension, apparently specific to mystical traditions in theology and metaphysics, was deeply rooted in the modern epistemological tradition. The paper examines the impact of the different branches of that tradition on Freud and Jung's respective ideologies, theories, and practice, including the ad hominem malpractice. (shrink)

Todat Yehoshua (1935), a Hasidic commentary on the Passover Haggadah by Rabbi Yehoshua Heschel Rabinowitz of Monastyrishche, Ukraine, later of Brownsville, New York, offers an important perspective on Orthodox experience in North America in the interwar period. On his reading, the Haggadah invites an understanding of history that recognizes and contends with all that is radically unholy: from secularism, enlightenment, and Zionism in the Jewish camp, to Marxism, communism, anarchy, Nazism, and contemporary antisemitism. As a Hasidic tsadik and émigré rabbi, (...) R. Yehoshua Heschel sought to revitalize religion as an existentially vital facet of being, while encouraging those around him to forge a Jewish identity loyal to the past and empowered to rise to the challenges of the present. (shrink)

Bioethicists, medical professionals and lawyers who support Posthumous Assisted Reproduction as an ethical procedure in the case of the deceased’s spouse often oppose it in the case of the deceased’s parents. In addition, supporters of PAR usually rely on an individualistic version of liberalism, thus focusing on a personal rather than relational approach to autonomy. This article proposes an alternative and comprehensive theoretical framework for the practice of PAR, based on the concepts of solidarity and relational autonomy. By analyzing empirical (...) data on people’s attitudes towards PAR, we reveal an important distinction between the deceased’s wish and the deceased’s consent. In addition, we show that in the majority of cases individuals report that the well-being of their relatives is paramount once they are dead. This finding, as will be demonstrated in the article, is not fully in line with Tremellen and Savulescu’s position who allow PAR in the case of the deceased’s spouse but not in the case of his parents. We also suggest that a relational autonomy perspective can be used to evaluate the choices and actions of the deceased, and to justify the requests for PAR by his spouse or parents. Furthermore, the discussion leads us to analyze both Sandel’s account of solidarity and the more recent account of Prainsack and Buyx. We conclude that PAR can be considered as a solidarity-based practice, both at the familial and societal level, an aspect that should be given more emphasis in the discourse surrounding PAR. (shrink)

On Advaita philosophy and self-realization; Sanskrit text with Hindi verse and prose translation and interpretation.

Human interaction has two principle functions: building and maintaining relationships with others and exchanging information. The function of building and maintaining relationships with others relates to interpersonal coordination; this behavior pattern is expected to predict the outcome of social relationships, such as between therapists and patients. It is unclear, however, whether the exchange of information is associated with interpersonal coordination. In the present study, we tested a hypothesis of whether body movement synchrony occurs in a natural conversation and whether this (...) synchrony has a positive correlation with the degree of information exchange. Fifty participants were engaged in a conversation task; each had different roles in the conversation. We measured their body movements during this conversation using an optical motion capture system. Similar to methods that can be found in previous research, we calculated body movements and quantified their synchrony applying the methods previously reported that automatically quantified their body movements. Moreover, we determined the participants’ degree of information exchange concerning the conversation using a questionnaire. We observed that the body movement synchrony of pairs who talked with each other was significantly higher than that of pairs who did not talk with each other, and that this synchrony was positively associated with the degree of information exchange. These results suggest that body movement synchrony predicted information exchange. (shrink)

Commentary on Patañjali's Yogasūtra; includes complete text.

Research papers on Jainism and Jaina philosophy.

This multi-faceted collection of women's perspectives on the renaissance in philosophical practices provides an international overview on the professional practice of philosophical counseling as rooted in the ancient philosophical discipline of life and its essential difference from modern mainstream philosophy.

This book offers both the theoretical background behind the minority effect, teachers' personal experiences as they experienced being a minority, and their analyses and insights for teaching diverse learners. This book uses real-life experiences of diverse people to illustrate that, if not understood and addressed, situational minorities at school or work are unlikely to perform at their highest potentials.

After Discourse is an interdisciplinary response to the recent trend away from linguistic and textual approaches and towards things and their affects. The new millennium brought about serious changes to the intellectual landscape. Favoured approaches associated with the linguistic and the textual lost some of their steam, and were followed by a new curiosity and concern for things and their natures. Gathering contributions from archaeology, heritage studies, history, geography, literature and philosophy, After Discourse offers a range of reflections on what (...) things are, how we become affected by them, and the ethical concerns they give rise to. Through a varied constellation of case studies, it explores ways of dealing with matters which fall outside, become othered from, or simply cannot be grasped through perspectives derived solely from language and writing. After Discourse provides a new perspective for archaeologists, anthropologists and historians interested in the way objects can shed light on areas where textual evidence falls short. (shrink)

A recent publication project entitled Asian Business Discourse has brought to the attention of the international readership an original body of research on business discursive practices and organizational communication issues in a variety of Asian cultures. In this Forum, we discuss some of the topics highlighted by the project, which arise from the recent indigenous research in business discourse as a multidisciplinary field.