There has been little previous scholarship regarding the aims, options and impact of ethics education on residential care‐givers. This manuscript details findings from a pragmatic cluster trial evaluating the impact of three different approaches to ethics education. The focus of the article is on one of the interventions, an immersive simulation experience. The simulation experience required residential care‐givers to assume the profile of elderly care‐recipients for a 24‐hr period. The care‐givers were student nurses. The project was reviewed favourably by a (...) university ethics committee, and participants provided informed consent. Data from six postsimulation experience focus groups were analysed thematically and three themes were identified: the experience of vulnerability, dignity in care and the organisation of care. Findings suggest that the immersive simulation experience had a powerful immediate impact as participants described epiphanous insights relating to their care experiences. It is suggested that reflecting on and recording epiphanous events has the potential to sustain ethical care practices. Further research is required to evaluate the impact of different ethics education interventions in different cultural contexts. Exploration is also required regarding the meaning and significance of care epiphanies, those “most delicate and evanescent of moments,” for the sustainability of ethical care. (shrink)

The option of being ‘spiritual but not religious’ deserves much more philosophical attention. That is the aim here, taking the work of Robert Solomon as a starting point, with focus on the particular issues around viewing life as gift. This requires analysis of ‘existential gratitude’ to show that there can be gratitude for things without gratitude to someone for providing things, and also closer attention to the role that metaphor plays in cognition. I consider two main concerns with gift and (...) gratitude thinking, that the nonreligious justification is too instrumentalist in its approach and that viewing life as gift, whether in a religious or nonreligious way, is simply too optimistic. (shrink)

In the paper we present a formal system motivated by a specific methodology of creating norms. According to the methodology, a norm-giver before establishing a set of norms should create a picture of the agent by creating his repertoire of actions. Then, knowing what the agent can do in particular situations, the norm-giver regulates these actions by assigning deontic qualifications to each of them. The set of norms created for each situation should respect (1) generally valid deontic principles (...) being the theses of our logic and (2) facts from the ontology of action whose relevance for the systems of norms we postulate. (shrink)

In “Science as a Vocation,” Max Weber identifies a trajectory within modernity of increased rationalization, which results in a dangerous loss of meaning, a marginalization of religion, and a disenchanted view of the world. Weber’s misunderstanding of religion as premodern and “magical” results in his underestimating how religion can contribute to “re-enchanting” a field of knowledge, specifically medicine. This article proposes to turn to a theology of the Holy Spirit as “giver of life” for resources to “re-enchant” medicine. Re-enchantment (...) does not require returning to a magical view of the world but retrieving a real sense of God at work in the world, thereby enabling the health care worker and scientist to arrive at a deeper understanding of vocation. (shrink)

In a departure from the traditional studies of corporate philanthropy that focus on board composition, advertising, and social networks, the authors investigate the financial correlates of corporate philanthropy. The research design controls for firm size and industry while observing firms from a variety of industries. The sample contains matched pairs of generous and less generous corporate givers. The authors find, as hypothesized, a positive relationship between a firm''s cash resources available and cash donations, but no significant relationship between corporate philanthropy (...) and firm financial performance, regardless of whether corporate philanthropy is measured as cash payouts or the aggregate contributions that charities actually receive, and regardless of whether financial performance is gauged using accounting measures or market measures. Whereas the link between available resources and corporate philanthropy is well accepted in the literature on corporate social responsibility, it has been rarely tested and never so definitively found as in this research. (shrink)

During the late nineteenth and early twentieth centuries, gas-pipes were among the most popular therapeutic devices available to an unhealthy public. Spurred on by the explosion of print advertising, mail-order gas-pipes were questionable remedies promoted for such diverse conditions as pneumonia and neurasthenia. Though they are an interesting part of the social history of questionable therapeutics, no historian has recently looked in depth at these devices. This paper examines the clinical, social, and economic environment that facilitated the success of the (...) most ubiquitous gas-pipe, the Oxydonor, and its proprietor, Hercules Sanche. (shrink)

This study adopts an intrapersonal perspective to explore how and when employees shift roles from help giver to help seeker by investigating the relationship between their help-giving and following help-seeking behavior. Based on self-regulation theory, we hypothesize two contradictory psychological processes (i.e., consistency vs. licensing) via which employees determine whether to seek help after giving help. Importantly, we differentiate autonomous help-seeking from dependent help-seeking and propose stronger effects of help-giving on dependent help-seeking. Further, we identify leader respect as a (...) moderator to solve the opposite effects of employees’ help-giving on their subsequent help-seeking indicated by the two contradictory mechanisms. Results of two field studies consistently showed that the negative (positive) relationship between help-giving and dependent help-seeking was serially mediated by personal reputation and reputation maintenance concerns (perceived increase of moral credits and help-seeking justification). Results regarding autonomous help-seeking were inconsistent and help-giving only positively affected autonomous help-seeking via perceived increase of moral credits and help-seeking justification in Study 2. Leader respect weakened the positive (in Study 1) but strengthened the negative relationship (in Study 1 and 2). We discuss theoretical implications for helping literature, self-regulation theory, and moral behavior research. (shrink)

This essay aims at identifying a tradition of lawgivers in the political culture of the late Republic. It focuses on the antiquarian tradition of the second half of the first century BC, which, it argues, should be considered part of the wider quest for legal normativism that takes place towards the end of the Republic. By reconstructing the intellectual debates on the nature of the consulship, which at the time was carried out through the means of etymological research, this essay (...) shows that, when set within its proper philosophical framework, ancient etymological studies acted as a search for philosophical truth and, in the case of Varro, identify the early kings as the first Roman lawgivers. In turn, the language of political institutions and its etymologies, conceived along philosophical lines, could become a weapon in the constitutional battles of the late Republic. (shrink)

There has been little previous research regarding the effectiveness of ethics education interventions for residential care‐givers. The Researching Interventions to Promote Ethics in social care project responded to the question: Which is the most effective ethics education intervention for care‐givers in residential social care? A pragmatic cluster trial explored the impact of three ethics education interventions for: (a) interactive face‐to‐face ethics teaching; (b) reflective ethics discussion groups; and (c) an immersive simulation experience. There was also a control arm (d). 144 (...) trial participants were recruited from 39 residential care homes for older people in southern England. Change scores compared across intervention arms showed a significant reduction in work‐related moral stress in the teaching arm compared with control group (p =.03); there were no significant differences between control and intervention arms in change scores for moral sensitivity, interpersonal reactivity (empathy) or ethical leadership. Qualitative data themes were as follows: ethical care; care challenges; and ethical care inhibitors. Overall findings stimulate reflection on the value of three different ethics education interventions and the most appropriate means to evaluate their impact. Findings suggest the complexity and diverse nature of ethical competence in care. We suggest a way forward for research evaluating ethics education. (shrink)

For females without a functioning womb, the only way to become a biological parent is via assisted gestation—either surrogacy or uterus transplantation (UTx). This paper examines the comparative impact of these options on two types of putative ‘womb‐givers’: people who provide gestational surrogacy and those who donate their uterus for live donation. The surrogate ‘leases’ their womb for the gestational period, while the UTx donor donates their womb permanently via hysterectomy. Both enterprises involve a significant degree of self‐sacrifice and medical (...) risk in order to enable another person(s) to become a parent by either providing gestational labour or enabling the other person to undertake gestation themselves. In this paper, we explore the burdens and the benefits from the perspective of the womb‐giver in order to inform ethical debate about assisted gestation. This is a perspective that is often neglected in the bioethical discourse. With both surrogacy and UTx, when success follows the womb‐giver’s sacrifice, the key benefit is delivered to the intending parent(s), but as this article examines, the womb‐giver may also enjoy some unique (relational) benefits as a result of their sacrifice. Ultimately, the choice of how a womb‐giver lends assistance in gestation will impact on their bodily autonomy; some will prefer to carry a pregnancy and others to donate their uterus. We argue that the perspective of the womb‐giver is crucial and thus far has not been afforded sufficient consideration in ethical discussion. (shrink)

Bertepatan waktu dengan Seminar Sola Scriptura bulan Maret 2015, dengan topik Miracles: The Credibility Of The New Testament Accounts, yang dibawakan oleh Prof. Craig Keener, oleh Perkantas diterbitkan terjemahan bukunya yang berjudul Gift and Giver: The Holy Spirit for Today (2001). Apakah eksemplar yang dihadiahkan kepada saya, akan bernasib sama seperti yang selalu saya kira terjadi dengan buku yang tidak dibayar, yakni tidak dibaca? Penampilan Keener yang sederhana, berbobot dan spiritual dalam seminar tersebut, menantang saya untuk membuka dan membaca (...) buku hadiah ini. Keener mau membantu kita untuk lebih memahami bagaimana Roh Kudus menolong kita menjalani kehidupan dan perutusan kristiani. Buku dimulai dari belajar mengenali suara Roh Kudus dan oleh Roh itu belajar mendengar Allah (bab 1-2). Selalu dengan bantuan Alkitab, Keener menguraikan bagaimana Roh Kudus memberdayakan kita untuk penginjilan (bab 3) dan mengerjakan peruba-han dalam pola hidup kita (bab 4). Sesudah itu Keener membicarakan aspek-aspek yang lebih kontroversial dalam karismatik, pertama-tama karunia-karunia Roh (bab 56), juga baptisan dalam Roh Kudus dan kapannya (bab 7-8), dan lebih khusus bahasa lidah (bab 9). Dalam beberapa bab ini Keener, sendiri seorang “karismatik” dalam arti mempraktikkan karunia-karunia Roh (hlm. 14), mempertahankannya terhadap orang-orang yang mengira tak perlu lagi mempraktikkannya setelah zaman rasul-rasul. Keener yakin bahwa karunia-karunia biblis dimaksud untuk terus dijalankan dalam masa sekarang di mana diberi. Ia juga membahas perbedaanperbedaan pemahaman antara pelbagai kelompok karismatik dan pentekostal tentang karunia-karunia tertentu, juga tentang momen pembaptisan dalam Roh, dan menjelaskan apa yang menurutnya dimaksudkan dalam Alkitab. Keener memang seorang pakar Perjanjian Baru yang disegani. Dalam bab terakhir, Mengapa menguji Roh (bab 10), Keener menjawab beberapa pra-sangka yang tidak benar terhadap gerakan karismatik, tetapi di lain pihak tidak menyembunyikan bahwa dalam jemaat karismatik dan pentekostal juga muncul ekses-ekses yang menurutnya menyimpang dari paham Alkitab dan bisa membahayakan iman pelaku dan kehidupan jemaat. Maka diberinya klarifikasi................................. Tekanan Keener pada Roh yang memberdayakan untuk penginjilan dalam arti berprakarsa memberitakan dan mengajarkan injil kepada semua orang, mungkin tak menimbulkan masalah di Amerika Serikat yang dominan Kristen, tetapi menjadi pertanyaan pelik bagi Gerejagereja di Asia. Orang kristen Asia yang didorong oleh Roh untuk hadir di tengah orang-orang beragama lain hanya dengan kesaksian hidup dan bekerja sama, dan —baru bila muncul kesempatan—berdialog dalam arti sharing iman dan bukan perdebatan, tidak menemukan pengarahan untuk itu dalam buku ini. Isu Yesus sebagai satu-satunya jalan keselamatan, prinsip yang Keener percaya sebagai inti injil (267), isu yang ia takut dapat menjadi hal utama yang menimbulkan perpecahan di antara orang kristiani sekarang ini, memang rela ia agendakan di tempat kedua demi misi bersama yang mempersatukan kita sebagai Kristen. Apakah itu berarti bahwa ia juga mau berbuat demikian demi misi bersama seluruh umat manusia, semua agama? Eksklusivisme keselamatan dalam agama-agama tetap mengakibatkan perpecahan yang kini merupakan ancaman yang lebih besar lagi bagi dunia daripada perpecahan-perpecahan di dalam agama Kristen. Apakah sikap dialogal antar kristiani yang sangat mewarnai sikap Keener dalam buku ini, juga diperluas kepada semua orang beragama? Beberapa catatan ini tidak mengurangi penghargaan tinggi saya akan penjelasan Keener tentang pemberian-pemberian Roh Kudus dari dalam pemahamannya yang mendalam akan Alkitab, dan sharingnya. yang tulus, berbobot dan personal tentang pengalamannya sendiri akan karunia Roh Kudus itu dalam hidup dan penginjilannya sendiri. Suatu buku penting untuk setiap orang karismatik untuk memahami yang paling pokok, dan bagi orang non karismatik untuk lebih mengenal yang terbaik di dalam gerakan karismatik. (Martin Harun, Guru Besar Ilmu Teologi Emeritus, Sekolah Tinggi Filsafat Driyarkara, Jakarta). (shrink)

In this article, I argue that the relationship between patients and their health care providers need not be construed as a contract between moral strangers. Contrary to the (American) legal presumption that health care providers are not obligated to assist others in need unless the latter are already contracted patients of record, I submit that the presence of a suffering human being constitutes an immediate moral commandment to try to relieve such suffering. This thesis is developed in reference to the (...) French philosopher Levinas and the Dutch theologian Schillebeeckx. An expanded version of the biblical parable of the Good Samaritan serves as test case. (shrink)

In a recent article in this journal, Alex Mullock, Elizabeth Chloe Romanis and Dunja Begović provide an analysis of gestational surrogacy and uterus transplantation (UTx) from the perspective of those who may decide to act as gestational surrogates and womb donors, referred to as ‘womb‐givers’. In this article, I advance two sets of claims aimed at critically engaging with some aspects of their analysis. Firstly, I argue that the expression ‘womb‐givers’ obscures the biologically, socially and politically salient issue that those (...) who engage in these practices are primarily persons and women. My contention is that this is of substance in discussions of the burdens and benefits of gestational surrogacy and UTx, which need to consider the specific position that women occupy in society, and the hierarchies that mediate their lives, experiences and preferences. Second, I argue that, if one were to take seriously the experiences and preferences of the women who may engage in these practices, and their bodily autonomy, then gestational surrogacy and UTx should be regarded as biologically and sociopolitically incommensurable. Mullock et al. overlook important aspects of gestational surrogacy, such as the embodied nature of pregnancy and childbirth, the sociopolitical significance of these experiences, and the often‐oppressive social norms that shape them. Whilst biology is not destiny, I suggest that it is socially and politically ‘sticky’ when it comes to this significance and norms, especially within the sphere of reproduction. Towards the end of the article, I query the authors' conceptualisation of bodily autonomy and of the instruments that enable its respect and promotion. (shrink)

The reception of Elaine Scarry’s landmark text, The Body in Pain, focuses in part on exploring how pain might be understood as beneficial or therapeutic. Childbirth is often cited as the paradigmatic instance of this kind of beneficial pain. This essay examines conceptualizations of labour pain in biomedical, natural childbirth and reproductive justice movements that explore the limits of Scarry’s description of pain as ‘unshareable’. Political struggles over pain in childbirth centre on the legibility of pain in labour. Feminist and (...) natural childbirth activists have developed an understanding of pain at birth as central to maternal subjectivity, where pain is a biopolitical force and its management a means of self-transformation. Alongside calls for reproductive justice, the essay considers how the visibility and expressivity of labour pain could contribute to what Imogen Tyler and Lisa Baraitser term a new ‘natal politics’ that addresses concerns for the disproportionate injury and death experienced by Black birth givers. (shrink)

In recent developments in Artificial Intelligence and especially in robotics we can observe a tendency towards building intelligent artefacts that are meant to be social, to have ‘human social’ characteristics like emotions, the ability to conduct dialogue, to learn, to develop personality, character traits, and social competencies. Care, entertainment, pet and educational robots are conceptualised as friendly, understanding partners and credible assistants which communicate ‘naturally’ with users, show emotions and support them in everyday life. Social robots are often designed to (...) interact physically, affectively and socially with humans in order to learn from them. To achieve this goal, roboticists often model the human‐robot interaction on early caregiver‐infant interactions. In this paper I want to analyse prominent visions of these ‘socio‐emotional’ machines as well as early prototypes and commercial products with regard to the human‐machine interface. By means of this I will ask how feminist critiques of technology could be applied to the field of social robotics in which concepts like sociality or emotion are crucial elements while, at the same time, these concepts play an important role in feminist critiques of technology. (shrink)

Considering the values and the cultural model today prevailing, all centred on narcissistic individualism and extreme competition, Chiara Lubich’s thought on gift and self – giving is likely to look ingenuous and absurd. However, this thought is confirmed in the secular culture of today and in particular in the psychological studies.

The present research explored differences in gift evaluation between gift givers and receivers. Three studies were conducted to test how the pricing influenced the gift evaluations of givers and receivers, and whether the price-quality and price-monetary sacrifice inferences were the underlying mechanisms. The results showed that: givers evaluated high-priced gifts as better than low-priced gifts, whereas receivers evaluated low-priced gifts as better than high-priced gifts; price-quality inference mediated the effect of pricing on gift evaluations, but only for givers. Furthermore, the (...) effect of pricing on gift evaluation was moderated by the gift type: givers evaluated the high-priced gift as better only for the desirable gift ; receivers evaluated the low-priced gift as better only for the feasible gift. The results demonstrate the effect of pricing on gift evaluation and could contribute to understanding the differences between givers’ and receivers’ perception of what a “good gift” is, and the underlying psychological mechanisms. (shrink)

For adults, ownership is a concept that rests on principles and connections that apply broadly – whether the owner is the self or someone else, and whether the self is giver or receiver. The present studies tested whether preschool children likewise treat ownership in this abstract fashion. In Experiment 1, 20 children and 24 adults were assigned to be either “givers” or “receivers.” They were then asked to identify which items they and the researcher owned. In Experiment 2, 20 (...) children and 24 adults were asked which items they and the experimenter liked best. In both experiments, participants’ judgments were not influenced by their role, but were more adult-like when reasoning about self-owned than other-owned objects. These data suggest that intuitions about property ownership are initially egocentric – biased toward linking objects to one’s self – and then extend to others over the course of development. (shrink)

To circumvent objections that the death penalty was “cruel and unusual punishment” and therefore a violation of the Eighth Amendment to the Constitution, advocates proposed lethal injection and the involvement of physicians to overcome the negative perceptions associated with the death penalty, and to increase public acceptability of the practice. Initiated in 1982, lethal injection is now the primary method of execution in 37 of the 38 states with the death penalty. “To be exact, this method has been used to (...) kill 788 of the 956 men and women who have been executed in the United States since 1976, when the death penalty was reinstated by the Supreme Court.” More recently, of the 191 executions performed in the United States since 2001, 189 have been by lethal injection.This “medicalization” of the death penalty has ignited a debate, by those within the medical profession and by others outside it, about the appropriateness of physicians participating in executions. (shrink)

Purpose. The aim of this piece is to study the manifestations of humanistic pursuits in a literary fiction work. The main interest is related to the interpretation of those existential and sociocultural concepts that underlie the dystopian novel by Lois Lowry. The theoretical basis of the study is based on works on phenomenology and the theory of reader reception. The method of phenomenology is a descriptive method: the phenomena of consciousness cannot be reduced to limited cognitive forms, and therefore language (...) and means of description are important along with their ability to reveal consciousness through phenomena. Originality of the study lies in the investigation of the humanistic aspect of a dystopian society, depicted in the modern literary fiction. The main attention is focused on the phenomenological identification of existential ideas and their manifestation in the literary characters of the given work. The conclusions speak about the tendencies of humanization and dehumanization of a man and society in the context of philosophical, ethical and aesthetic issues, which are the most important and urgent problems of our time. The current study finds out that in the modern dystopian literature and philosophy, the main subject of attention is a human. This human is perceived and depicted as a phenomenon that cannot be grasped by the notions of intimation and essence. The human is a creature whose freedom presupposes a constant departure from nature and habitual reality to the realm of transcendent through the desire to comprehend his or her certain way of existence. (shrink)

What is the value of an early diagnosis of dementia in the absence of effective treatment? There has been a lively scholarly debate over this question, but until now patients have not played a large role in it. Our study supplements biomedical research into innovative diagnostics with an exlporation of its meanings and values according to patients. Based on seven focusgroups with patients and their care-givers, we conclude that stakeholders evaluate early diagnostics with respect to whether and how they expect (...) it to empower their capacity to care. They value it, for instance, with respect to whether it explains experienced complaints, allows to start a process of psychological acceptance and social adaptation to the expected degeneration, contributes to dealing with anxieties, informs adequately about when to start preparing for the end of life, informs the planning of a request for euthanasia, or allows society to deal with a growing amount of dementia patients. Our study suggests that information about disease is considered ‘harmful’ or ‘premature’ when recipients feel unable to act on that information in their care. The results of this research offers input to further ethical research. It invites to adopt a care perspective in evaluation and to seek ways to prevent the ‘harm’ that such diagnostic methods can bring about. (shrink)

We present and discuss the responses to a survey we sent to selected libraries regarding their decisions to accept unsolicited book donations, especially regarding any with an apparent political or proselytizing intent.

Houston, Texas, is a major U.S. city with, like many, a growing aging population. The purpose of this study and ultimate book chapter is to explore the views and perceptions of long-term care (LTC) residents, family members and health care providers. Individuals primarily in independent living and group residential settings were interviewed and studied. Questions emphasized the concepts of personal autonomy, dignity, quality and location of care and decision making. Although a small sample of participants were involved, consistency was noted. (...) Keeping the elderly in caring and loving home situations (theirs or family) was most preferred. Personal choice and independence were emphasized by residents, but family members needed to act as advocates. We also noted that the legal system emphasizes family control over individual decision making as competency declines with aging. Optimal personal decision making in the residents' best interest also became more difficult with loss of individual mental capacity. (shrink)

Phenomenology begins from the recognition that human awareness is intentional, directed beyond itself at “objects” and “states of affairs” that it both intends as meaningful and encounters as already meaningful. Intentionality has too often been misconstrued as the manner in which external objects are represented in the mind or as the problem of the kind of relation that can hold between minds and things that do not even exist, are imaginary or even impossible. I contend that much of this discussion (...) concerning the intentional relation misses the point of Husserl’s breakthrough analyses. Instead of beginning with a concept of mental representation taking place “inside the head”, it is more constructive to think of “sense”, “meaning”, or “significance” as emerging from human intersubjective interaction or “comportment” constituting a world of significance within which objects and subjects find their sense. I contend that Husserlian phenomenology really proposes that human beings are meaning-apprehenders and meaning bestowers in a world that is encountered as already laden with significances that humans both uncover and, in a certain sense, invent. (shrink)

Persons of diminished capacity, especially those who are still legally competent but are de facto incompetent should still be able to participate in moderately risky research projects that benefit the class of persons with similar diseases. It is argued that this view can be supported with a modified communitarianism, a philosophy ofmedicine that holds that health care is a joint responsibility that meets foundational human needs. The mechanism for obtaining a substituted consent I call ``community consent,'' and distinguish this from (...) the usual family or surrogate consent for treatment. Care givers are included in the community that might consent for an individual who has no identifiable family members. (shrink)

When philosophers consider factors compromising autonomy in consent, they often focus solely on the consent-giver’s agential capacities, overlooking the impact of the consent-receiver’s conduct on the consensual character of the activity. In this paper, I argue that valid consent requires justified trust in the consent-receiver to act only within the scope of consent. I call this the Trust Condition (TC), drawing on Katherine Hawley’s commitment account of trust. TC constitutes a belief that the consent-receiver is capable and willing to (...) act as we expect from them. If such trust is not warranted, I argue, consent lacks the appropriate normative grounds. After establishing TC, I explore its application in the sexual arena, asserting that due to the non-contractual dimensions of sexual activity — such as the dynamic nature of sexual desires and the absence of external factors effectively binding sexual partners to the terms of consent—trust is warranted in sexual consent by means of care. I define care as a special sensitivity and attention toward the partner’s will and discuss how this approach leads to safer intimate relationships in practice. (shrink)

Primary care givers commonly interpret shortages of time with patients as placing them between a rock and a hard place in respect of their professional obligations to fairly distribute available healthcare resources (justice) and to offer a quality of attentive care appropriate to patients’ states of personal vulnerability (compassion). The author argues that this a false and highly misleading conceptualisation of the basic structure of the ethical dilemma raised by the rationing of time in clinical settings. Drawing on an analysis (...) of the Aristotelian virtue of nemesis, or “the sense of justice”, it is argued that, far from being a moral orientation distinct from justice, compassion is a justice response insofar as it is conceptualised as a rational, appropriate response to others’ adversity. The author then proceeds to point out that the perspective on justice and compassion as attributes of healthcare professionalism suggests a novel critical viewpoint on the ethics of managed forms of clinical rationing and the “scarcity paradigm” they engender: clinical conditions where primary care givers’ time is intentionally rendered a commodity in chronically short supply run a deficit of justice, because they fail to make adequate accommodations for the provision of the quality of care human beings deserve in situations of illness and injury, and when they are dying. (shrink)

This article highlights the limitations of the tendency to frame health- and wellbeing-related digital tools (mHealth technologies) as empowering devices, especially as they play an increasingly important role in the National Health Service (NHS) in the UK. It argues that mHealth technologies should instead be framed as digital companions. This shift from empowerment to companionship is advocated by showing the conceptual, ethical, and methodological issues challenging the narrative of empowerment, and by arguing that such challenges, as well as the risk (...) of medical paternalism, can be overcome by focusing on the potential for mHealth tools to mediate the relationship between recipients of clinical advice and givers of clinical advice, in ways that allow for contextual flexibility in the balance between patiency and agency. The article concludes by stressing that reframing the narrative cannot be the only means for avoiding harm caused to the NHS as a healthcare system by the introduction of mHealth tools. Future discussion will be needed on the overarching role of responsible design. (shrink)

Chest pain is the pain felt in the chest by infants, children and adolescents. In most cases the pain is not associated with the heart. It is mainly recognized by the observance or report of pain by the infant, child or adolescent by reports of distress by parents or care givers. Chest pain is not unusual in children. Lots of children are seen in ambulatory clinics, emergency rooms and hospitals and cardiology clinics. Usually there is a benign cause for the (...) pain for utmost children. Certain patients have conditions that are serious and perhaps life-threatening. Chest pain in pediatric patients needs careful physical examination and a detailed history that would point to the possibility of a serious cause. Researches of pediatric chest pain are scarce. It has been difficult to create evidence-based guidelines for evaluation. In this paper we propose an expert system to help doctors and parents, and care giver in diagnosing chest pain in infants and children. This expert System is design and implemented in SL5 Object language. (shrink)

On many occasions, care givers are faced with problems in which “drastic” types of treatment seem clearly inappropriate but “lesser” interventions still appear to be advisable, if not indeed mandatory. In the hospital setting, examples are frequent: the demented elderly patient, still very much capable of brief social interactions and still able to enjoy at least limited life, who although clearly not a candidate for coronary bypass surgery is, nevertheless, a patient in whom an intercurrent pneumonia deserves treatment; the severely (...) retarded youngster in whom appendectomy seems clearly warranted but for whom long-term dialysis seems ill-advised. The examples are legion, and their variety defies an easy, stereotypical solution. Why, one may ask, is the treatment of intercurrent pneumonia or operating on an acute appendix “clearly indicated” while coronary bypass and long-term dialysis “clearly” are not? The reactions of care givers in the past have often consisted of attempts to give half-hearted treatment or to treat fully even against their better judgment. The lack of conceptual guidelines that might help sort out such problems has inevitably led either to an inflexible absolutism in which all possible treatment to sustain life or no treatment at all is given or has resulted in a pathetic attempt to act but act minimally with the hope that such actions will be ineffective. (shrink)

The scope of someone's consent is the range of actions that they permit by giving consent. The Scope of Consent investigates the under-explored question of which normative principle governs the scope of consent. To answer this question, the book's investigation involves taking a stance on what constitutes consent. By appealing to the idea that someone can justify their behaviour by appealing to another person's consent, Dougherty defends the view that consent consists in behaviour that expresses a consent-giver's will for (...) how a consent-receiver behaves. The ultimate conclusion of the book is that the scope of consent is determined by certain evidence that bears on the appropriate interpretation of the consent. (shrink)

PART I : THE GOD-QUESTION TODAY -- God as a problem -- The denial of God in modern atheism -- The predicament of theology in the face of atheism -- Experience of God and knowledge of God -- Knowledge of God in faith. PART II : THE MESSAGE ABOUT THE GOD OF JESUS CHRIST -- God, the father almighty -- Jesus Christ, son of God -- The Holy Spirit, Lord, and giver of life. PART III : THE TRINITARIAN MYSTERY (...) OF GOD -- Establishment of the doctrine of the Trinity -- Exposition of the doctrine of the Trinity. (shrink)

I am writing a mediocre paper on a topic you are not particularly interested in. You don't have, it seems safe to assume, a (normative) reason to read my draft. I then ask whether you would be willing to have a look and tell me what you think. Suddenly you do have a (normative) reason to read my draft. By my asking, I managed to give you the reason to read the draft. What does such reason-giving consist in? And how (...) is it that we can do it? In this paper, I characterize what I call robust reason giving, the kind present in requests. I distinguish it from epistemic and merely triggering reason-giving, I discuss in detail the phenomenology of robust reason-giving, and I offer an analysis of robust reason-giving in terms of the complex intentions of the reason-giver and of the normative background. (shrink)

This paper provide the first extended discussion in the philosophical literature of the epistemic significance of the phenomenon of “being known” and the relationship it has to reparations that are distinctively epistemic. Drawing on a framework provided by the United Nations of the “right to know,” it is argued that victims of gross violations and injustices not only have the right to know what happened, but also the right to be known—to be a giver of knowledge to others about (...) their own experiences. It is shown that such victims can suffer epistemic wrongs by being rendered invisible, vilified or demonized, or systematically distorted, and that these ways of not being known demand epistemic reparations. While there are traditional reparations that are epistemic in nature, such as memorialization and education, it is argued that there is a prior and arguably more important epistemic reparation—knowing victims of gross violations and injustices in the sense of bearing witness. The paper concludes with a sketch of an epistemological picture to underwrite this notion of epistemic reparations, one that significantly expands the traditional picture by including epistemic duties that are imperfect in nature and concern actions in addition to beliefs. (shrink)

In this essay, I discuss why consent is invalidated by duress that involves attaching penalties to someone's refusal to give consent. At the heart of my explanation is the Complaint Principle. This principle specifies that consent is defeasibly invalid when the consent results from someone conditionally imposing a penalty on the consent‐giver's refusal to give the consent, such that the consent‐giver has a legitimate complaint against this imposition focused on how it is affects their incentives for consenting. The (...) Complaint Principle says that this consent is defeasibly invalid to make room for the Authorization Principle, which allows sincere authorizations to constitute valid consent, even when these are issued by an agent acting under duress. The Authorization Principle has application only in cases of third‐party duress because when the consent‐receiver is the source of the duress, the consent‐giver is not sincerely authorizing the action. (shrink)

Twenty-five years ago, robotics guru Joseph Engelberger had a mission to motivate research teams all over the world to design the ‘Elderly Care Giver’, a multitasking personal robot assistant for everyday care needs in old age. In this article, we discuss how this vision of omnipotent care robots has influenced the design strategies of care robotics, the development of R&D initiatives and ethics research on use of care robots. Despite the expectations of robots revolutionizing care of older people, the (...) role of robots in human care has remained marginal. The value of world trade in service robots, including care robots, is rather small. We argue that the implementation of robots in care is not primarily due to negative user attitudes or ethical problems, but to problems in R&D and manufacturing. The care robots currently available on the market are capable of simple, repetitive tasks or colloquial interaction. Thus far, also research on care robots is mostly conducted using imaginary scenarios or small-scale tests built up for research purposes. To develop useful and affordable robot solutions that are ethically, socially and ecologically sustainable, we suggest that robot initiatives should be evaluated within the framework of care ecosystems. This implies that attention has to be paid to the social, emotional and practical contexts in which care is given and received. Also, the political, economic and ecological realities of organizing care and producing technological commodities have to be acknowledged. It is time to openly discuss the drivers behind care robot initiatives to outline the bigger picture of organizing care under conditions of limited resources. (shrink)

Women continue to be in charge of most childrearing; men continue to be responsible for most breadwinning. There is no consensus on whether this state of affairs, and the informal norms that encourage it, are matters of justice to be tackled by state action. Feminists have criticized political liberalism for its alleged inability to embrace a full feminist agenda, inability explained by political liberals’ commitment to the ideal of state neutrality. The debate continues on whether neutral states can accommodate two (...) feminist demands: to enact policies aimed at dismantling the feminization of caregiving, especially childrearing, and to compensate women for some of the disadvantages they incur by being primary care-givers. I contribute to this debate with three arguments in support of policies meant to de-gender care-giving and compensate care-givers. The first appeals to equality of opportunity to positions of advantage and justifies policies that prevent or mitigate statistical discrimination and implicit biases. The second draws attention to a possible causal relationship between the specialization of women in early childcare and misogyny; since the latter is incompatible with political liberal justice, it yields the conclusion that political liberals ought to further investigate the causal hypothesis with the aim of establishing or refuting it. The third argument concludes that legitimate childrearing prohibits adults from socializing children or, at least girls, into gender norms; it justifies duties of justice on the side of parents, educators, and economic agents, and state policies meant to offset foreseeable breaches of some of these duties. (shrink)

Videnskabsteori handler om krav til videnskabelig viden, og disse krav hviler på forudsætninger, der kan ekspliciteres yderligere. -/- Specielt i dag er der dog brug for en bog, der ikke blot analyserer den klassiske videnskabsteori, men i samme diskurs også forholder sig til de meget forskellige tankegange, der i dag giver sig ud for at være videnskabsteori. -/- Om videnskabelig viden til dem, der ønsker et bedre videnskabsteoretisk overblik, og til dem som ønsker at gå mere i dybden med (...) den egentlige filosofiske videnskabsteori. Bogen henvender sig til studerende og færdige kandidater inden for især samfundsvidenskab og humaniora. -/- Asger Sørensens ambition med bogen er at bidrage til klarhed og fornuft i en verden, hvor ideologisk forblændelse ikke blot sker gennem massemedier og underholdningsindustri, men også gennem en akademisk teoriproduktion, der udvikler og anerkender alle mulige programmer for videnskab. (shrink)

Recent criticism of the role of respect for autonomy in bioethics has focused on that principle's status as ‘dogma’ or ‘ideology’. I suggest that lying beneath many applications of respect for autonomy in medical ethics are some influential dogmas — propositions accepted, not as explicit premises or as a consequence of reasoned argument, but simply because moral problems are so frequently framed in such terms. Furthermore, I will argue that rejecting these dogmas is vital to secure and protect an autonomy (...) worthy of respect. The concept of autonomy that is widely applied in clinical ethics emphasises decision-making competence, at the expense of considering the authenticity of those decisions. Respect for such autonomy is interpreted in largely synchronic and individual terms — concerned with the isolated decisions of individual agents — and thus neglects the diachronic and social dimensions of many moral dilemmas arising in the health care context. I will examine how these unwritten rules lead to an impoverished understanding of respect and a systematic neglect in bioethics of certain kinds of ethical consideration, and draw on insights from feminist and communitarian work on autonomy to sketch an alternative approach to understanding respect, modelled on the norms of respectful conversation — a respect that is firstly concerned with engaging with the another as a potential giver and bearer or reasons, and working with them to promote both individual and social flourishing. (shrink)

Charging others with hypocrisy often acts as a way of rejecting the practical reasons they attempt to give (Herstein, 2017). There are some merits to a practice of rejecting reasons. To accept others’ provided reasons as valid is to affirm their authority in the relevant normative domain (Isserow and Klein, 2017). Conversely, to reject these reasons as invalid is to undermine the reason-givers’ authority in the domain. However, this practice can be rife with abuse—if we allow charges of ‘Hypocrite!’ to (...) take hold too broadly, we risk compromising the entire enterprise of reason-giving. I propose that one form of such abuse has already entered into our normative vocabulary with the concept of ‘hypocritical advice.’ At best, this term plays a superfluous role in our normative vocabulary; at worst, its vagueness perpetuates a vicious practice of reason-rejecting. Regardless of the severity of its impact on normative discourse, I will argue herein that we should do away with talk of ‘hypocritical advice.’ -/- I begin by echoing a standard distinction between second- and third-personal reasons and the corresponding types of authority that ground agents’ abilities to give reasons of each kind (sec. 2). After briefly discussing the connection between authority and hypocrisy (sec. 3), I argue that most purported cases of hypocritical advice-giving rest on a confusion between an utterance as communicating second- or third-personal reasons (sec. 4). Against recent suggestions that reasons given unambiguously as advice can be hypocritical, I demonstrate that the basis for rejecting third-personal reasons given in hypocritical advice is an interestingly different one than for rejecting second-personal reasons given through blame (sec. 5). I close with some final considerations against keeping ‘hypocritical advice’ in our normative vocabulary. (shrink)