Patients with a life-threatening illness can be confronted with various types of loneliness, one of which is existential loneliness (EL). Since the experience of EL is extremely disruptive, the issue of EL is relevant for the practice of end-of-life care. Still, the literature on EL has generated little discussion and empirical substantiation and has never been systematically reviewed. In order to systematically review the literature, we (1) identified the existential loneliness literature; (2) established an organising framework for the review; (3) (...) conducted a conceptual analysis of existential loneliness; and (4) discussed its relevance for end-of-life care. We found that the EL concept is profoundly unclear. Distinguishing between three dimensions of EL—as a condition, as an experience, and as a process of inner growth—leads to some conceptual clarification. Analysis of these dimensions on the basis of their respective key notions—everpresent, feeling, defence; death, awareness, difficult communication; and inner growth, giving meaning, authenticity—further clarifies the concept. Although none of the key notions are unambiguous, they may function as a starting point for the development of care strategies on EL at the end of life. (shrink)

Patients with a life-threatening illness can be confronted with various types of loneliness, one of which is existential loneliness (EL). Since the experience of EL is extremely disruptive, the issue of EL is relevant for the practice of end-of-life care. Still, the literature on EL has generated little discussion and empirical substantiation and has never been systematically reviewed. In order to systematically review the literature, we (1) identified the existential loneliness literature; (2) established an organising framework for the review; (3) (...) conducted a conceptual analysis of existential loneliness; and (4) discussed its relevance for end-of-life care. We found that the EL concept is profoundly unclear. Distinguishing between three dimensions of EL—as a condition, as an experience, and as a process of inner growth—leads to some conceptual clarification. Analysis of these dimensions on the basis of their respective key notions—everpresent, feeling, defence; death, awareness, difficult communication; and inner growth, giving meaning, authenticity—further clarifies the concept. Although none of the key notions are unambiguous, they may function as a starting point for the development of care strategies on EL at the end of life. (shrink)

There are wide individual differences in the ability to detect a stimulus contingency embedded in a complex paradigm. The present study used a cognitive masking paradigm to better understand individual differences related to contingency learning. Participants were assessed on measures of electrodermal arousal and on working memory capacity before engaging in the contingency learning task. Contingency awareness was assessed both by trial-by-trial verbal reports obtained during the task and by a short post-task recognition questionnaire. Participants who became aware had fewer (...) non-specific skin conductance responses and tended to score higher on a digit span assessment. Skin conductance level was not significantly lower in the aware group than in the unaware group. These findings are consistent with studies showing that lower arousal and greater cognitive processing capacity facilitate conscious perception of a greater breadth of information within a scene or a task. (shrink)

The advent of prenatal screening technologies has neatly paralleled the evolution of disability rightsDisability rights. During the 1970s and 1980s, the disability movement in many countries campaigned for barrier removal, better provision and recognition.

The topics discussed in this book are important to South Africans as they search for a new identity in a so-called secular community. A useful reader for academics and lay-people alike, this study empowers one to make up one's own mind with regard to ethical issues and related Biblical guidelines.

Aan de orde komen opvattingen over (de rol van) vrouwen in het werk van westerse filosofen, te weten Plato, Aristoteles, St. Thomas Aquinas, Christine de Pisan, Bacon, Descartes, Rousseau, Kant, Wollstonecraft, Schopenhauer, Nietzsche, Irigaray.

Drie cultuurfilosofische opstellen over de Duitse filosoof (1844-1900) als diagnosticus van de crisis in het hedendaagse denken.

For a patient to make an informed decision about participation in research, it is fundamental that they can understand what is involved. COREC has produced a model information sheet and consent form that researchers are encouraged and sometimes forced to use by LRECs. By applying readability statistics to these documents we have shown that the majority of the UK population would not be able to read this proposed text.

Flexible work arrangements (FWAs) are widely offered in public accounting as a tool to retain valued professional staff. Previous research has shown that participants in FWAs are perceived to be less likely to succeed in their careers in public accounting than individuals in public accounting who do not participate in FWAs (Cohen and Single, 2001). Research has also documented an increasing backlash against family–friendly policies in the workplace as placing unfair burdens on individuals without children. Building directly on a previous (...) study in this journal (Cohen and Single, 2001), this study addresses the issue of whether the documented perceptions toward FWA participants are the result of electing to take part in the FWA or the result of bias against employees with children. The research questions are addressed in a 3 × 2 experimental setting in which we manipulate FWA participation, along with family status and gender of a hypothetical manager in a public accounting firm. Our findings indicate that FWA participants are viewed as less likely to advance and as less committed than individuals without children or individuals who had children but who were not taking part in a FWA. Male FWA participants are viewed as less likely to succeed than female FWA participants. This effect appears to arise from a perception that FWA participants are willing to make sacrifices in their careers to accommodate family needs and thus may not be as committed to making the sacrifices perceived as necessary to meet the rigorous demands of the public accounting environment. This raises the ethical question of what could be done to change the culture in public accounting to foster a substantive support system for individuals who want to balance a family and a career. (shrink)

Online crowdsourcing platforms have rapidly become a popular source of data collection. Despite the various advantages these platforms offer, there are substantial concerns regarding not only data validity issues, but also the ethical, societal, and global ramifications arising from the prevalent use of online crowdsourcing platforms. This paper seeks to expand the dialogue by examining both the “internal” aspects of crowdsourcing research practices, such as data quality issues, reporting transparency, and fair compensation, and the “external” aspects, in terms of how (...) the widespread use of crowdsourcing data collection shapes the nature of scientific communities and our society in general. Online participants in research studies are informal workers who provide labor in exchange for remuneration. The paper thus highlights the need for researchers to consider the markedly different political, economic, and socio-cultural characteristics of the Global North and the Global South when undertaking crowdsourcing research involving an international sample; such consideration is crucial for both increasing research validity and mitigating societal inequities. We encourage researchers to scrutinize the value systems underlying this popular data collection research method and its associated ethical, societal, and global ramifications, as well as provide a set of recommendations regarding the use of crowdsourcing platforms. (shrink)

When considering submissions ethics committees should be consistent in all aspects of their review. A wide variation in performance is likely to result in the unfair dismissal of good research on the one hand with inadequate ethical review on the other, neither of which is acceptable. The recent annual reports for UK MRECs suggest that the level of unfavourable opinion ranges from 6.9% to 24.2% Although a certain level of inconsistency is inherent in the system of ethical review there is (...) little research to determine how much of that inconsistency in inevitable and how much of it is the result of poor process. The time has come for high quality research to be done to assess the consistency and hence the validity of ethical review. (shrink)

ABSTRACT The article examines Nietzsche’s evaluation of D. F. Strauss’ progressive theology. It argues firstly, that Nietzsche identified a nihilistic strain in Strauss’ vision, a strain which renders his views ultimately untenable and that this strain is detectable in latter-day atheistic activism. This claim is supported by identifying two major contradictions in Strauss’ thought. The first is a misreading of Hegel which renders Strauss’ own reliance on Hegel illegitimate and incoherent. The second is Strauss’ failure to appreciate the full impact (...) of Darwin’s naturalistic shift. It is demonstrated that Strauss’ attempt to forge a new progressive religion on scientific principle still rests upon Christian moral principle. Like his latter-day inheritors, Strauss ultimately fails to make a convincing argument. The article shows the nihilistic consequences of Strauss’ continuous reliance on Christianity. (shrink)

Flexible work arrangements (FWAs) are widely offered in public accounting as a tool to retain valued professional staff. Previous research has shown that participants in FWAs are perceived to be less likely to succeed in their careers in public accounting than individuals in public accounting who do not participate in FWAs (Cohen and Single, 2001). Research has also documented an increasing backlash against family–friendly policies in the workplace as placing unfair burdens on individuals without children. Building directly on a previous (...) study in this journal (Cohen and Single, 2001), this study addresses the issue of whether the documented perceptions toward FWA participants are the result of electing to take part in the FWA or the result of bias against employees with children. The research questions are addressed in a 3 × 2 experimental setting in which we manipulate FWA participation, along with family status and gender of a hypothetical manager in a public accounting firm. Our findings indicate that FWA participants are viewed as less likely to advance and as less committed than individuals without children or individuals who had children but who were not taking part in a FWA. Male FWA participants are viewed as less likely to succeed than female FWA participants. This effect appears to arise from a perception that FWA participants are willing to make sacrifices in their careers to accommodate family needs and thus may not be as committed to making the sacrifices perceived as necessary to meet the rigorous demands of the public accounting environment. This raises the ethical question of what could be done to change the culture in public accounting to foster a substantive support system for individuals who want to balance a family and a career. (shrink)

This study aims at providing a global explanation of the good life or happiness according to Aristotle. By applying the method used in ethics by Aristotle, the specific content of happiness is determined, of which meditation is the essence, together with the practice of moral virtues. The article rests on a relatively new perspective, neither ‘exclusive’ nor ‘inclusive’, considering the results of each type of traditional interpretation, and shedding light upon the richness of all happiness’ dimensions.

Concern about two problems runs through the work of davidson: the problem of accounting for the "explanatory force" of rational explanations, and the problem posed for materialism by the apparent anomalousness of psychological events. davidson believes that his view of mental causation, imbedded in his theory of "anomalous monism," can provide satisfactory answers to both questions. however, it is argued in this paper that davidson's program contains a fundamental inconsistency; that his metaphysics, while grounding the doctrine of anomalous monism, makes (...) impossible a successful response to the problem of explanatory force in terms of a causal theory of action. (shrink)

A medical student's ability to present a case history is a critical skill that is difficult to teach. Case histories presented without theatrical engagement may fail to catch the attention of their intended recipients. More engaging presentations incorporate ‘stage presence’, eye contact, vocal inflection, interesting detail and succinct, well organised performances. They convey stories effectively without wasting time. To address the didactic challenge for instructing future doctors in how to ‘act’, the Mayo Medical School and The Mayo Clinic Center for (...) Humanities in Medicine partnered with the Guthrie Theater to pilot the programme ‘Telling the Patient's Story’. Guthrie teaching artists taught storytelling skills to medical students through improvisation, writing, movement and acting exercises. Mayo Clinic doctors participated and provided students with feedback on presentations and stories from their own experiences in patient care. The course's primary objective was to build students' confidence and expertise in storytelling. These skills were then applied to presenting cases and communicating with patients in a fresher, more engaging way. This paper outlines the instructional activities as aligned with course objectives. Progress was tracked by comparing pre-course and post-course surveys from the seven participating students. All agreed that the theatrical techniques were effective teaching methods. Moreover, this project can serve as an innovative model for how arts and humanities professionals can be incorporated for teaching and professional development initiatives at all levels of medical education. (shrink)

Les 18 cahiers inédits des « Études psychologiques sur moi-même » écrits entre 1862 et 1876 sont caractéristiques de ces écritures de l’intime qui connaissent un déploiement certain dans la sphère privée et un succès éditorial dans la sphère publique au XIXe siècle. Premières écritures tardiennes, si ces cahiers représentent pour Tarde un support matériel pour une écriture et une lecture de soi, ils nous plongent aussi dans le laboratoire intérieur de Tarde où la pratique d’une introspection à visée scientifique (...) se construit et s’affirme comme la genèse d’une véritable méthode de travail de la pensée tardienne en devenir. (shrink)

Dans cet article, la question de l'immobilisme est abordée à la suite d'un détour par la description sommaire de diverses tendances féministes regroupées sous les catégories de féminismes de revendication, féminismes de libération et féminismes d'affirmation de la différence. Cette présentation permet de retracer une histoire des femmes et de leurs mouvements. À la suite de ce tour d'horizon, l'auteure essaie d'analyser le trait d'immobilisme dont on taxe les femmes et que l'on retrouve même, à des degrés et à des (...) titres divers, dans de nombreuses thèses féministes. S'agit-il d'une caractéristique spécifiquement féminine ou cette constatation dépend-elle du lieu d'énonciation ? Quelques hypothèses sont envisagées pour ouvrir la question.In this article the issue of immobility is dealt with following a brief digressive description of the various femenists leanings, regrouped into categories of protest feminism, liberation feminism, and feminism assertive of difference. This presentation makes it possible to relate a history of women and their movements. Following this general survey, the author attemps to analyse the trait of immobility of wich women are accused and wich is found in many feminist argumentations to various degrees and under various labels. Is this a specifically feminine trait or does this observation depend on the context of uttering. Several hypotheses are considered in dealing with this issue. (shrink)

In this article, we analyze the intractability of the low-level radioactive waste debate in California through the construction and examination of policy frames and their associated policy narratives. Relying primarily on reports, formal comments, and written correspondence, we reconstruct three policy frames and explore their interaction in the public debate through the policy stories told by the actors. We analyze how policy actors using these policy frames appropriate available information, value scientific input, and respond to uncertainty in technical and regulatory (...) information to create policy stories. These policy frames and their associated policy narratives demonstrate how policy actors differ in their drivers for action, bases for trusting claims, and response to uncertainty. These differences lead to divergent characterizations of the risk of low-level radio-active waste disposal. This analysis provides insight into the dynamics of intractable policy controversies. (shrink)

La pratique de la divination, telle que Xénophon l’expose tout au long de l’Anabase, est la mise en œuvre d’un mode de communication avec les dieux qui peut emprunter des formes diverses, mais dont la principale est le sacrifice et l’observation des signes positifs ou négatifs, offerts par les victimes. Elle suppose une bienveillance de la divinité toujours prête, semble-t-il, à répondre aux questions posées par les hommes, dans le domaine public comme dans le privé, pourvu que ces questions soient (...) légitimes. Le reste de l’œuvre relève de la même conception, influencée par Socrate, comme le suggèrent les Mémorables, et trouve son origine dans la consultation de l’oracle de Delphes, au moment de son départ pour l’expédition organisée par Cyrus et qui deviendra l’expédition dite des Dix Mille.Divination, as described by Xenophon in the Anabasis, represents a means of communication with the gods, which can take several forms. The offer of a sacrifice is the first of these, with the observation of the signs given by the victims. This practice assumes that the gods are kind and that they are always ready to respond to questions posed by people either in public or in private, if these questions are legitimate. The same idea, influenced by Socrates, is found in all Xenophon’s works, as evidenced in the Memorabilia, beginning with Xenophon’s consultation of the Delphic oracle on joining Cyrus’ expedition, which would known as the “Ten Thousand” expedition. (shrink)