Within medical education, there is an increasing need to provide ethics education for learners embarking on service learning. The concept of hospitality, as illustrated in Homer’s classic epic the Odyssey, has the potential to underpin such ethics education. This paper describes the implementation and evaluation of an ethics education session for medical students, built on the concept of hospitality, before they embark on a three-year longitudinal service-learning home visit program. In preparation for their household visits, second-year students at a medical (...) school in Miami, Florida, participate in weekly didactic sessions. One of these classes consisted of a two-hour ethics session, involving a brief introductory large-group lecture, followed by self-administered small-group discussions of a series of case scenarios. An innovative web-based platform called Rise allowed the students to run their own small group activities. To assess the impact on the students’ ability to identify, and on their confidence in handling, ethical dilemmas, we administered pre- and post-session surveys. Students indicated statistically significant improvement in median responses to all questions, for two consecutive years. Students also listed three adjectives, both before and after the session, that they associated with good and bad hosts and guests. The consistency of the terms listed suggests that hospitality is a robust concept for the learners. In our experience, the concept of hospitality provides a robust framework for the students, and the mixed large-group and self-facilitated small-group format offers a valuable tool for ethics education related to service learning in medicine. Our study supports the utility of the concept as a teaching tool, and the format facilitates a session using minimal faculty. The notion of hospitality seems particularly fruitful for various ethical considerations in medicine, even beyond those that involve home visits. (shrink)

Within medical education, there is an increasing need to provide ethics education for learners embarking on service learning. The concept of hospitality, as illustrated in Homer’s classic epic the Odyssey, has the potential to underpin such ethics education. This paper describes the implementation and evaluation of an ethics education session for medical students, built on the concept of hospitality, before they embark on a three-year longitudinal service-learning home visit program. In preparation for their household visits, second-year students at a medical (...) school in Miami, Florida, participate in weekly didactic sessions. One of these classes consisted of a two-hour ethics session, involving a brief introductory large-group lecture, followed by self-administered small-group discussions of a series of case scenarios. An innovative web-based platform called Rise allowed the students to run their own small group activities. To assess the impact on the students’ ability to identify, and on their confidence in handling, ethical dilemmas, we administered pre- and post-session surveys. Students indicated statistically significant improvement in median responses to all questions, for two consecutive years. Students also listed three adjectives, both before and after the session, that they associated with good and bad hosts and guests. The consistency of the terms listed suggests that hospitality is a robust concept for the learners. In our experience, the concept of hospitality provides a robust framework for the students, and the mixed large-group and self-facilitated small-group format offers a valuable tool for ethics education related to service learning in medicine. Our study supports the utility of the concept as a teaching tool, and the format facilitates a session using minimal faculty. The notion of hospitality seems particularly fruitful for various ethical considerations in medicine, even beyond those that involve home visits. (shrink)

Within medical education, there is an increasing need to provide ethics education for learners embarking on service learning. The concept of hospitality, as illustrated in Homer’s classic epic the Odyssey, has the potential to underpin such ethics education. This paper describes the implementation and evaluation of an ethics education session for medical students, built on the concept of hospitality, before they embark on a three-year longitudinal service-learning home visit program. In preparation for their household visits, second-year students at a medical (...) school in Miami, Florida, participate in weekly didactic sessions. One of these classes consisted of a two-hour ethics session, involving a brief introductory large-group lecture, followed by self-administered small-group discussions of a series of case scenarios. An innovative web-based platform called Rise allowed the students to run their own small group activities. To assess the impact on the students’ ability to identify, and on their confidence in handling, ethical dilemmas, we administered pre- and post-session surveys. Students indicated statistically significant improvement in median responses to all questions, for two consecutive years. Students also listed three adjectives, both before and after the session, that they associated with good and bad hosts and guests. The consistency of the terms listed suggests that hospitality is a robust concept for the learners. In our experience, the concept of hospitality provides a robust framework for the students, and the mixed large-group and self-facilitated small-group format offers a valuable tool for ethics education related to service learning in medicine. Our study supports the utility of the concept as a teaching tool, and the format facilitates a session using minimal faculty. The notion of hospitality seems particularly fruitful for various ethical considerations in medicine, even beyond those that involve home visits. (shrink)

Within medical education, there is an increasing need to provide ethics education for learners embarking on service learning. The concept of hospitality, as illustrated in Homer’s classic epic the Odyssey, has the potential to underpin such ethics education. This paper describes the implementation and evaluation of an ethics education session for medical students, built on the concept of hospitality, before they embark on a three-year longitudinal service-learning home visit program. In preparation for their household visits, second-year students at a medical (...) school in Miami, Florida, participate in weekly didactic sessions. One of these classes consisted of a two-hour ethics session, involving a brief introductory large-group lecture, followed by self-administered small-group discussions of a series of case scenarios. An innovative web-based platform called Rise allowed the students to run their own small group activities. To assess the impact on the students’ ability to identify, and on their confidence in handling, ethical dilemmas, we administered pre- and post-session surveys. Students indicated statistically significant improvement in median responses to all questions, for two consecutive years. Students also listed three adjectives, both before and after the session, that they associated with good and bad hosts and guests. The consistency of the terms listed suggests that hospitality is a robust concept for the learners. In our experience, the concept of hospitality provides a robust framework for the students, and the mixed large-group and self-facilitated small-group format offers a valuable tool for ethics education related to service learning in medicine. Our study supports the utility of the concept as a teaching tool, and the format facilitates a session using minimal faculty. The notion of hospitality seems particularly fruitful for various ethical considerations in medicine, even beyond those that involve home visits. (shrink)

The Twentieth Century has seen a dramatic rise in the use of probability and statistics in almost all fields of research. This has stimulated many new philosophical ideas on probability. _Philosophical Theories of Probability_ is the first book to present a clear, comprehensive and systematic account of these various theories and to explain how they relate to one another. Gillies also offers a distinctive version of the propensity theory of probability, and the intersubjective interpretation, which develops the subjective theory.

Understanding Animal Abuse and How to Intervene with Children and Young People offers a positive, compassion-based and trauma-informed approach to understanding and intervening in animal abuse. It provides an accessible cross-disciplinary synthesis of current international evidence on animal abuse, and a toolkit for professionals working with people and/or animals to help them understand, prevent, and intervene in cases of animal abuse. With contributions from experts in the field, this essential text offers ten user-friendly chapters with questions for reflection and key (...) summary points. It offers a definition of animal abuse, synthesises the latest research on children, young people and animal abuse, and explores the link between animal abuse and other forms of abuse, and legal perspectives on animal abuse. The second half of the book presents a practical toolkit for professionals, offering guidance and strategies for prevention of and intervention in cases of animal abuse. It provides multidisciplinary perspectives on interventions; from teachers' and social workers roles in detection and intervention of childhood animal abuse, to the roles of enforcement agencies and veterinarians in legal cases of adult animal abuse. Together with a final chapter proposing new directions for research, policy, and practice, this guide is for all who work with children, young people and/or animals, including psychologists, social workers, veterinarians, education professionals, and animal welfare educators. It is also key reading for those involved in legal and policy issues relating to animal welfare. (shrink)

Outlines the key concepts in the work of Foucault, showing how his concepts of discourse, of power/knowledge, and of governmentality offer a way to understand how ideas of educational leadership and management have emerged, how they serve to establish a discipline, and how they construct individuals in particular ideological ways.

Go to John Cantwell’s response to the original paper from here › Go to Grazia Ietto-Gillies’ original paper from here ›.

The paper briefly summarises the historical evolution of transnational corporations and their activities. It then introduces the major theories developed to explain the TNC. There is an attempt to place the theories historically, within the context of the socio-economic … More ›.

Teaching children to ask and answer questions is critically important if they are to learn to talk and reason effectively together, particularly during inquiry-based science where they are required to investigate topics, consider alternative propositions and hypotheses, and problem-solve together to propose answers, explanations, and prediction to problems at hand. This study involved 108 students (53 boys and 55 girls) from seven, Year 7 teachers’ classrooms in five primary schools in Brisbane, Australia. Teachers were randomly allocated by school to one (...) of two conditions: the metacognitive questioning condition (Trained condition) or the prescriptive questioning condition (Untrained condition). Data on students’ discourse and reasoning and problem-solving (RP-S) were collected across Times 1 and 2. The results showed that while there were significant differences in the discourse categories of the students in the two conditions at Time 1, the only significant difference was in questioning behaviour at Time 2 with the students in the trained condition continuing to ask more questions than their untrained peers. Given that these students had been taught to specifically ask ‘thinking’ questions that probed and interrogated information, these results are not surprising. A follow-up examination of students’ discourse during their small group discussions illustrated how these students interacted with each other to probe and interrogate information by providing explanations and reasons to make their thinking explicit and by using analogies to verbally represent concepts they were trying to express. Results on the follow-up reasoning and problem-solving (RP-S) tasks indicated that students in the Trained and Untrained conditions improved their scores from Time 1 to Time 2 although the change was not significantly different between conditions. (shrink)

Evidence-based medicine (EBM) makes use of explicit procedures for grading evidence for causal claims. Normally, these procedures categorise evidence of correlation produced by statistical trials as better evidence for a causal claim than evidence of mechanisms produced by other methods. We argue, in contrast, that evidence of mechanisms needs to be viewed as complementary to, rather than inferior to, evidence of correlation. In this paper we first set out the case for treating evidence of mechanisms alongside evidence of correlation in (...) explicit protocols for evaluating evidence. Next we provide case studies which exemplify the ways in which evidence of mechanisms complements evidence of correlation in practice. Finally, we put forward some general considerations as to how the two sorts of evidence can be more closely integrated by EBM. (shrink)

The last couple of decades has brought a renewed interest in American conservatism among historians. Yet most recent studies have focused on the emergence of neoconservatism after World War II and virtually no recent scholarly work has pursued the history of conservatism before the 1920s. Both Richard Hofstadter and Clinton Rossiter agreed that the late nineteenth century was an important watershed in the evolution of American conservative thought. Hofstadter argued that the new laissez-faire conservatism that became dominant during the Gilded (...) Age was remarkable in that “it lacked many of the signal characteristics of conservatism as it is usually found.” Yet some conservatives refused to accept key features of what Clinton Rossiter once branded this new “contradictory conservatism.” This essay focuses mostly on Protestant clerical intellectuals who dissented from the new orthodoxy and attempted to preserve older conservative principles. Against the laissez-faire conservatives' hyperindividualism, these dissenting conservatives stressed an organic view of the social order and the importance of mediating institutions such as family and church. To the others' secularism, they offered a social theory suffused with evangelical Protestantism. This analysis highlights where these dissidents differed from their fellow conservatives and seeks also to elucidate their alternative conservative vision of the American republic. Such a study serves to clarify just how profound an ideological shift occurred among conservatives during the Gilded Age and illuminates some of the persistent tensions within American conservatism still evident today. (shrink)

Pourquoi a-t-on raison de se révolter contre l'homme-machine et le monde mécanique qu'entraînent les mutations technologiques incontrôlées? Et si, contre les robots, la fragilité faisait l'humanité? Un traité philosophique, un manuel de combat. Dans cet essai de philosophie contemporaine, Pascal Marin rassemble un large faisceau d'arguments contre ceux qui entendent faire de l'homme une machine. De chapitre en chapitre, il dénonce le fantasme du transhumanisme californien, qui s'exporte aujourd'hui à travers des médias en mal de sujets. Mais selon (...) class='Hi'>Marin, cette crise du sens de l'humain est peut-être une chance pour la pensée : elle contraint à mieux prendre la mesure de la vie qui demeure énigmatique à la science. Cette enquête d'anthropologie radicale progresse donc par des chemins insolites jusqu'à atteindre à l'ironie d'un constat paradoxal : ce pouvoir technicien fascinant, qui semble sans limite, aurait pour cause le rapport intime que l'homme entretient depuis toujours avec le raté, la panne, le bug, bref tout ce qui peut mettre justement une machine en défaut. Un cri d'alerte, où l'intelligence et le style convainquent à chaque page. (shrink)

The ideal moral standard for surgical informed‐consent calls upon surgeons to carry out a disclosure dialogue with patients so they have as full as possible an understanding of the procedure before they sign the informed‐consent form. This study is the first to empirically explore patient preferences regarding disclosure dialogue. Twelve Israelis who underwent life‐saving surgeries participated in a narrative study. Three themes emerged from the analysis: objectification of patients, anxiety provoking processes and information, and lack of information that was essential (...) for patients. Findings contribute to existing debates among surgeons regarding the scope and importance of some disclosure components. Analysis led to our formulation of an augmented subjective model of information disclosure that participants prefer, which extends beyond the immediate present of the surgery to the period after discharge, and until return to routine. Surgeons should be aware of patient preferences in disclosure, and gaps between perceptions of surgeons, and preferences and needs of patients. (shrink)

La France est une nation légère - ce lieu commun antique est abondamment repris tout au long du XVIIIe siècle, témoignant de profonds bouleversements axiologiques, scientifiques et éthiques, dont ce volume collectif cherche à mesurer l'importance et les enjeux, en racontant l'histoire d'un autre siècle des Lumières: celle d'un siècle de la Légèreté. Ce volume collectif offre une perspective interdisciplinaire, croisant les champs d'études concernés par la question de la légèreté. Les 15 articles réunis analysent tant la peinture que la (...) morale, tant les sciences que l'histoire politique, tant la littérature que les technologies ou l'économie. Ensemble, ces articles révèlent la complexité de la légèreté au dix-huitième siècle, en proposant non seulement des analyses nouvelles originales de sources bien connues (Hogarth, Fontenelle ou Voltaire) mais aussi des découvertes de textes et des objets moins souvent étudiés (La Morlière, le Père Castel, Octave Uzanne, les cabriolets ou les parfums). L'un des atouts principaux de cette recherche est son approche critique et historiographique de la légèreté qui remet en question la façon dont s'écrit l'Histoire. Derrière les idées reçues, ce livre découvre les enjeux nationaux, diplomatiques, voire parfois aussi existentiels qui ont participé à la construction des représentations du dix-huitième siècle français. (shrink)

According to current hierarchies of evidence for EBM, evidence of correlation is always more important than evidence of mechanisms when evaluating and establishing causal claims. We argue that evidence of mechanisms needs to be treated alongside evidence of correlation. This is for three reasons. First, correlation is always a fallible indicator of causation, subject in particular to the problem of confounding; evidence of mechanisms can in some cases be more important than evidence of correlation when assessing a causal claim. Second, (...) evidence of mechanisms is often required in order to obtain evidence of correlation. Third, evidence of mechanisms is often required in order to generalise and apply causal claims. While the EBM movement has been enormously successful in making explicit and critically examining one aspect of our evidential practice, i.e., evidence of correlation, we wish to extend this line of work to make explicit and critically examine a second aspect of our evidential practices: evidence of mechanisms. (shrink)

Dans un texte bref et essentiel prononcé et publié en 1992, Paul Ricœur interrogeait l’expérience de la souffrance au cœur de l’existence humaine. Il en dépliait les horizons dans le rapport à soi et à l’autre, depuis la douleur corporelle jusqu’à la souffrance morale. Ce volume se propose de donner aujourd’hui à relire ce texte clé tant pour sa compréhension que pour une réflexion sur l’anthropologie philosophique et l’éthique du soin. Les contributions qui le suivent, chacune à leur manière, rebondissent (...) sur les éléments d’analyse aujourd’hui particulièrement stimulants qui sont les siens, tout en les mettant en perspective avec certains enjeux très concrets du soin dans nos vies. (shrink)

Le christianisme a mené une guerre contre le paganisme et ses manières végétales de faire des mondes, qui ont été reléguées dans l'indifférence ou la simple ornementation. Refoulées, elles n'ont cessé pourtant de rejaillir : en philosophie, mais aussi dans l'architecture ou la littérature. La description de la cathédrale gothique, de l'arabesque musulmane ou du roman proustien, par exemple, ouvrent un nouveau champ pour l'esthétique, comprise comme l'ensemble des expériences faites sur un monde commun pour créer des mondes nouveaux. Un (...) principe de floraison dégagé au ras des herbes et de la poussée des plantes remplace alors le principe de raison sacrificielle juché au surplomb du monde, qui nous rend incapables d'entendre les forces imperceptibles de la croissance végétale. Comme un premier pas sur le chemin d'une nouvelle philosophie de la Nature... (shrink)

Sommes-nous tous malades? La médecine, ses approches de l'humain, son vocabulaire ont pénétré dans notre univers quotidien. Une telle médicalisation de notre existence n'est pas sans effet. Les problèmes du corps et de l'âme se voient systématiquement redéfinis en pathologies et les différentes phases de la vie accompagnées de l'aide technique médicale. Celle-ci esquisse la figure d'un homme amélioré par les biotechnologies, débarrassé des aléas des passions, maîtrisant ses colères et ses pulsions: un homme sans fièvre. Ainsi paradoxalement, à mesure (...) que la médecine identifie toujours plus de maladies, les hommes rèvent de parfaite guérison et en font à la fois une exigence personnelle et un idéal social. Guérir la société de ses blessures, nous défaire de notre vulnérabilité; telle est la manière dont est interprétée trop rapidement l'idée d'une société du soin proposée par de nouvelles philosophies. Pourtant, soigner n'est pas un geste anodin, guérir ne se fait pas sans souffrance et généraliser le modèle médical, c'est aussi prendre le risque de banaliser sa violence spécifique. (shrink)

Is the leibnizian'doctrine of science laying on a doctrine of knowledge? This book demonstrates that there is not such a dependence in Leibniz'searlier writings in which the theory of science is established, independently of any doctrine of understanting.

Con el presente libro se da razón del resultado investigativo y colaborativo que se realizó entre dos universidades chilenas, la Universidad Finis Terrae y la Universidad Alberto Hurtado, con cuatro universidades colombianas: la Universidad de La Salle (sede Bogotá), la Universidad Católica de Oriente, la Universidad Mariana de Pasto y la Universidad Católica de Pereira, en torno a la reflexión pedagógica y disciplinar que atañe a la educación religiosa escolar en ambos países. Esas disertaciones posibilitaron avanzar en la investigación y (...) hoy se reúnen en este texto, Intuiciones para el cultivo de la inteligencia espiritual en la Educación Religiosa Escolar desde la perspectiva de la libertad religiosa y de cultos. (shrink)

El humanismo cristiano constituye un permanente debate desde que el cristianismo entra en diálogo con la cultura y la filosofía en los primeros siglos, cuando recién formadas las primeras comunidades adherentes a la predicación de los apóstoles y, por tanto, anuentes al Evangelio de Jesucristo, surgen en ellas las primeras inquietudes de corte no solo religioso y teológico sino también filosófico, ético y antropológico, que tocan la esencia misma de esa religión a la cual muchos acaban de ingresar por la (...) vía de la conversión. (shrink)

The creation of poetry can be an intensely healing process, as therapeutic as the other arts and talking therapies. This paper examines three areas. First, it sets out some opinions about the specific qualities of poetry that make it particularly valuable as part of a therapeutic process. It goes on to give exemplified information about how poetry is used within healthcare in Britain. Finally, it indicates the current growth of interest in this area, with brief descriptions of pilot research studies (...) where poetry has been offered by a writing therapist, or by nursing or medical practitioners. (shrink)

Background There is little dispute that the ideal moral standard for surgical informed consent calls for surgeons to carry out a disclosure dialogue with patients before they sign the informed consent form. This narrative study is the first to link patient experiences regarding the disclosure dialogue with patient-surgeon trust, central to effective recuperation and higher adherence. Methods Informants were 12 Israelis, aged 29–81, who underwent life-saving surgeries. A snowball sampling was used to locate participants in their initial recovery process upon (...) discharge. Results Our empirical evidence indicates an infringement of patients’ right to receive an adequate disclosure dialogue that respects their autonomy. More than half of the participants signed the informed consent form with no disclosure dialogue, and thus felt anxious, deceived and lost their trust in surgeons. Surgeons nullified the meaning of informed consent rather than promoted participants’ moral agency and dignity. Discussion Similarity among jarring experiences of participants led us to contend that the conduct of nullifying surgical informed consent does not stem solely from constraints of time and resources, but may reflect an underlying paradox preserving this conduct and leading to objectification of patients and persisting in paternalism. We propose a multi-phase data-driven model for informed consent that attends to patients needs and facilitates patient trust in surgeons. Conclusions Patient experiences attest to the infringement of a patient’s right to respect for autonomy. In order to meet the prima facie right of respect for autonomy, moral agency and dignity, physicians ought to respect patient’s needs. It is now time to renew efforts to avoid negligent disclosure and implement a patient-centered model of informed consent. (shrink)