ḥeleḳ 1. Pirḳe mavo -- ḥeleḳ 2. Shaʻar ha-ʻaśiyah ṿe-shaʻar ha-yetsirah --.

Introduction Expressions of Managerial ethics as a clinical phenomenon in Nursing Ethics as expressed by nurse managers were investigated. A coherence could be detected between the concepts and phenomena of Managerial ethics and nurse managers as a context. Background Managerial ethics as a new approach has emerged in the perspective and by prioritizing ethics in the organization has provided the basis for creating and promoting individual and organizational effectiveness. Managers’ and staff’s adherence to professional ethics helps hospitals to achieve their (...) intended goals. Aim The present study aimed to explain nurse managers’ experience of managerial ethics. Research design This qualitative study was conducted based on a phenomenological design in 2022. Participants and research context The participants included 20 nurse managers working in hospitals in Arak, Iran. They were selected by the purposive sampling method which continued until data saturation. Data were collected through semi-structured individual interviews (30–90 min); subsequently, the obtained results were analyzed using the Van Manen six-step approach. Ethical considerations The confidentiality and the right of participants to take part or withdraw from the study were observed during this research. Results The results of the present study were able to demonstrate nurse managers’ lived experience of managerial ethics in the form of five themes of professional ethics, people-oriented management, professional empowerment, excellencism, and patient-centered care. Conclusions As evidenced by the obtained results, nurse managers held a positive view of managerial ethics. They were striving to strongly adhere to ethical principles in nursing management since they contribute greatly to the improved quality of nursing services in care and health settings. Therefore, appropriate policy-making and planning for managerial ethics training are indispensable for all nurses and nursing students. (shrink)

La medicina en Alemania durante la época nacionalsocialista constituyó un área social de intensas contradicciones éticas y existenciales. Frente a los crímenes de lesa humanidad, perpetrados” por médicos serviciales al poder y ávidos de reconocimiento, en nombre de una “ciencia de la raza” y de una “guerra total, hubo también actitudes y gestos oponentes de quienes persistieron –con un alto riesgo personal– en mantener una visión humanista de la profesión y su quehacer en la sociedad. Este artículo continúa la exposición (...) iniciada en el décimo número de la Revista Polis, y aborda las gestiones en contra de los crímenes de la medicina bajo la égida nacionalsocialista. Se apoya en un estudio sistemático de fuentes originales y en las recientes investigaciones sobre la temática en Alemania y en los países ocupados por el régimen nazi durante la II Guerra Mundial. (shrink)

The principle of the lesser evil--the acceptability of pursuing one exceptional course of action in order to prevent a greater injustice--has long been a cornerstone of Western ethical philosophy. From its roots in classical ethics and Christian theology, to Hannah Arendt's exploration of the work of the Jewish Councils during the Nazi regime, the author explores its development in three key transformations of the problem: the defining intervention of Medecins Sans Frontisres in mid-1980s in Ethiopia; the separation wall in (...) Israel-Palestine; and international and human rights law in Bosnia, Gaza and Iraq. Drawing on a wealth of new research, the author charts the latest manifestation of this age-old idea. In doing so he shows how military and political intervention acquired a new humanitarian acceptability and legality in the late twentieth and early twenty-first centuries.--Publisher description. (shrink)

Winner of the Los Angeles Times Book Prize With a new preface by the author In his most powerful and important book, renowned psychiatrist Robert Jay Lifton presents a brilliant analysis of the crucial role that German doctors played in the Nazi genocide. Now updated with a new preface, The Nazi Doctors remains the definitive work on the Nazi medical atrocities, a chilling exposé of the banality of evil at its epitome, and a sobering reminder of the (...) darkest side of human nature. (shrink)

This important new work surveys the source and ramifications of the famed Nuremburg Code -- recognized around the world as one of the cornerstones of modern bioethics.

In this essay, I discuss the comparison between the restoration of natural environments and the Nazi project to develop a pure homeland for native species and authentic Aryan humans. There exists a metaphorical comparison between Nazi eliminationist policies regarding specific human populations and the eradication of invasive and non-native species in ecological restorations. Moreover, there are substantive environmental policies of the Nazi regime that appear to be similar to the goals and methodology of contemporary restoration practice. But (...) there is also a more fundamental connection: the idea of the domination of the natural world. The idea of domination is the key to understanding both the process of ecological restoration and its real connection to Nazism. (shrink)

Vidkun Quisling, who after World War II was executed as a traitor to his country/Norway, offers an unusual opportunity to reach the deepest layers of a Nazi mind-set, for he was also a closet philosopher. Was Quisling a genius, as some revisionists will have it? What did the original Quisling think? How did he think? A Nazi Interior deals with Quisling's own all-embracing philosophy, which he called « Universism. The author identifies Quisling's sources from early Christianity to the (...) twentieth century and analyses his very mode of thought. Barth is the first philosopher to deal with this matter. This book is constructed around twenty-eight basic themes central to Quisling's thought. Many of the conclusions come as a surprise. The author offers clear surveys of the elements of Quisling's mind-set and shows the effects of their interaction. (shrink)

The two statements quoted above bring out some central features of modern Latin America. A close study of recent trends including the specific totalitarian ideology of the generals, the system of ideological manipulation and terror, the diaspora, and the defensive response of the churches (and their harassment by the military juntas) reveals startling similarities with patterns of thought and behavior under European fascism, especially under Nazism. Fascist ideology has flowed into Latin American directly and indirectly. Large numbers of Nazi (...) refugees came to Latin America during and after World War II, and important ingredients of fascist ideology have been indirectly routed into that area through the U.S. military and intelligence establishment. Whatever the source, however, it has met a need of the local and foreign elites that dominate the area, and has been modified to meet their special requirements. (shrink)

Plusieurs aspects du modèle biopsychosocial promeuvent une approche humaniste en médecine. Cependant, Engel a explicitement rejeté un humanisme médical qui s’opposerait à la science. En adoptant une approche fondée sur la science des systèmes pour étudier les êtres humains, la santé et la maladie, Engel défend une approche scientifique pour améliorer la qualité des soins cliniques, ou autrement dit, une approche qui se prête à un examen scientifique de cette question.

Le terme de médecine personnalisée peut désigner indifféremment la médecine de précision et la médecine des systèmes. L’objectif de cet article est d’analyser les rapports entre ces deux faces de la médecine personnalisée, au prisme de l’histoire du développement des thérapies ciblées. Les thérapies ciblées ont été développées dans le cadre de la médecine de précision, en s’appuyant sur le concept d’addiction oncogénique et sur l’idée qu’à chaque biomarqueur permettant d’identifier un sous-type de cancer correspondrait (...) un médicament précis. Ce modèle a permis des succès thérapeutiques remarquables, mais a également rencontré des limites, notamment avec l’apparition des résistances aux thérapies ciblées. Pour mieux comprendre les raisons de ces limites, il me semble qu’il faut justement se tourner plutôt vers la médecine des systèmes. Je soutiens en particulier que cette dernière repose sur des concepts de robustesse et de redondance fonctionnelle, qui nous permettent de comprendre en quoi l’apparition des phénomènes de résistance est une conséquence inéluctable et non transitoire du développement des thérapies ciblées. Il s’agit donc de montrer comment la médecine des systèmes permet de penser différemment les stratégies thérapeutiques dans la prise en charge du cancer et l’évolution future de la médecine de précision. (shrink)

This chapter explores the ideological dimension of dehumanization in the context of National Socialism, focusing on the connection between concepts of humanity and dehumanizing images. NS regarded itself as a political revolution, realizing a new concept of humanity. Nazi ideologues undergirded the self-understanding of NS by developing racist anthropologies. I examine two major strands of Nazi ideology, focusing on their diverging strategies of dehumanization, and arguing that they were dependent on different anthropological frameworks. Richard Walther Darré held a (...) naturalistic concept of humanity and advanced biologistic forms of dehumanization. Alfred Rosenberg developed a dualistic anthropology that combined metaphysical and natural features. He dehumanized certain groups of people by reducing them to being human in a natural sense only. Moreover, I aim to show that the key motifs of these racist worldviews were prevalent in the scientific and philosophical debates on anthropology in early-twentieth-century Germany. I thus explore the general orientation of both the naturalistic and the anti-naturalistic strand in anthropological thought, unfold the animalizing tendencies of these views, and emphasize their conformity with the key motifs of Nazi ideology. The case of NS should thus exemplify the dehumanizing potential of anthropological theories. (shrink)

Depuis les années 1980, l’histoire de la médecine a connu un très fort renouvellement de ses approches, de ses objets et de sa mise en récit. L’histoire des femmes, du genre et des sexualités, en plein essor depuis ces mêmes années, a contribué de manière non négligeable à ce renouvellement en s’emparant de sources médicales délaissées par l’histoire de la médecine traditionnelle. En effet, durablement imprégnées par l’héritage positiviste du xixe siècle, l’histoire de la médecine et plus (...) lar... (shrink)

Engineers, architects, and other technological professionals designed the genocidal death machines of the Third Reich. The death camp operations were highly efficient, so these technological professionals knew what they were doing: they were, so to speak, good engineers. As an educator at a technological university, I need to explain to my students—future engineers and architects—the motivations and ethical reasoning of the technological professionals of the Third Reich. I need to educate my students in the ethical practices of this hellish regime (...) so that they can avoid the kind of ethical justifications used by the Nazi engineers. In their own professional lives, my former students should not only be good engineers in a technical sense, but good engineers in a moral sense. In this essay, I examine several arguments about the ethical judgments of professionals in Nazi Germany, and attempt a synthesis that can provide a lesson for contemporary engineers and other technological professionals. How does an engineer avoid the error of the Nazi engineers in their embrace of an evil ideology underlying their technological creations? How does an engineer know that the values he embodies through his technological products are good values that will lead to a better world? This last question, I believe, is the fundamental issue for the understanding of engineering ethics. (shrink)

In a series of experiments done in wartime Nazi Germany, inmates of the Dachau concentration camp were exposed to cold by being immersed in ice water, or kept outside in freezing temperatures; their responses were measured, and various techniques were used in an attempt to revive them. The immediate application of these hypothermia studies was to the war effort, to try to protect or save soldiers exposed to cold water or air. An account of the procedures and results of (...) these experiments was written by an American officer, Major Leo Alexander, on the basis of his post-war discovery of documents and interviews in Germany. These reports reveal the ghastly and abominable details of the experiments.Recent scientific work in British Columbia has caused some ethical debate when it consulted the Alexander report and used some of the Nazi experimental data. The scientists in the Hypothermia Unit of the University of Victoria, unsurprisingly but reassuringly, have no intention of repeating the Nazi atrocities, and condemn them. The current controversy concerns the morality of their using the Alexander data in their study. This out-of-the-way case has some small intrinsic interest; but its consideration leads to broader concerns. (shrink)

In contemporary ethical discourse generally, and in discussions concerning the legalization of physician‐assisted suicide (PAS) and voluntary active euthanasia (VAE) specifically, recourse is sometimes had to the Nazi! accusation. Some disputants charge that such practices are or will become equivalent to the Nazi ‘euthanasia’ program in which over 73,000 handicapped children and adults were killed without consent. This paper reflects on the circumstances that lead to the use of this charge and offers reasons for putting the Nazi! (...) charge aside in contemporary discussions of PAS and VAE. A number of the philosophical presuppositions common to both the Nazi ‘euthanasia’ program and the currently proposed practices of PAS and VAE are examined. Noting that racist ideology and violent coercion characterized the Nazi program, the paper concludes with a cautionary consideration of the current circumstances that would specify PAS and VAE in the US. (shrink)

Evidence-Based Medicine (EBM) and Personalized Medicine (PM) share a common goal: reducing the gap between the results of biomedical research and their clinical application. PM is, however, often presented as a “new paradigm” for medicine, just as EBM was in the 1990s. It covers a wide variety of projects but the core idea that generally unites them is the ambition of better taking account of individual specificities than did EBM with its statistical and population-centred approach. In this article, I concentrate (...) on PM in cancerology, the essence of which is to target treatments based on the molecular profile of the patient. This targeting is made possible by gaining better knowledge about the molecular mechanisms of cancers. The classification of patients as a function of their molecular profile entails the creation of patient sub-groups. This creates a problem for the traditional evaluation of therapeutic treatment promoted by EBM, in particular the use of randomized trials using sizeable cohorts. But a better understanding of the mechanisms and the greater precision of treatments could reduce the need for these trials. Does PM thus represent the revenge of a physio-pathological and mechanistic culture in clinical research against the statistical and empirical one of EBM? My objective is to show how current practices of PM leads to epistemological changes in our estimation of what count as relevant types of information and proof in medicine, in particular in the field of therapeutic evaluation. I defend the idea that PM, far from obviating the need for statistical approaches and the search for correlations, ultimately poses new challenges for EBM. PM drives EBM to strengthen the articulation and the integration of statistical and mechanistic data with a view to providing a better service for each patient. (shrink)

What interests us and claims our attention in Nazism is, essentially, its ideology, in the definition Hannah Arendt has given of this term in her book on The Origins of Totalitarianism. In this work, ideology is defined as the totally self-fulfilling logic of an idea, an idea “by which the movement of history is explained as one consistent process.” “The movement of history and the logical process of this notion,” Arendt continues, “are supposed to correspond to each other, so that (...) whatever happens, happens according to the logic of one ‘idea.’”2Ideology, in other words, interests us and claims our attention insofar as, on the one hand, it always proposes itself as a political explanation of the world, that is, as an explanation of history on the basis of a single concept—the concept of race, for example, or the concept of class—and insofar as, on the other hand, this ideological explanation or conception of the world seeks to be a total explanation or conception. This totality signifies that the explanation is indisputable, leaving neither gaps nor remainders—unlike philosophical thought, from which ideology shamelessly draws the greater part of its resources but which is characterized by a risky, problematic style, what Arendt calls the “insecurity” of philosophical questioning . 2. Hannah Arendt, The Origins of Totalitarianism , p. 469; hereafter abbreviated OT. Philippe Lacoue-Labarthe and Jean-Luc Nancy teach at the University of Human Sciences of Strasbourg, France, and are also visiting professors at the University of California, Berkeley. They are coauthors of The Literary Absolute and, related to the topic of politics, “The Jewish People Don’t Dream” . Lacoue-Labarthe is also the author of Typography and La Fiction du politique . Nancy has written “Sharing Voices” in Transforming Hermeneutics and La Communauté désoeuvrée . Brian Holmes is a doctoral candidate in romance languages and literatures at the University of California, Berkeley, and editor of the journal Qui Parle. He is currently at work on the parody of authorial identity in Cervantes and Flaubert. (shrink)

While many (perhaps most) of those engaged in the study of philosophy would accept the continued reality and importance of an analytic/continental divide in the discipline, there has been no serious examination of the political dimensions of this rift. Here a series of political assumptions are revealed to be widely held among the British analytic philosophers who were active during the period in which the analytic/continental divide was being established. This paper will approach demonstrating the analysts’ beliefs about the political (...) affiliations of continental philosophy in three ways. Firstly, it will produce direct evidence of the analysts’ belief in the relationship between 19th century continental philosophy and various politically undesirable regimes. Secondly, it will examine in detail one illustrative example, that of Hegel. Thirdly, it will illustrate how the political beliefs already canvassed permeated beyond the limited political critique of continental philosophy into the analysts’ writing on the history of philosophy. (shrink)

The Third Reich conceived of life as a struggle (Kampf) between competing forces. This view of life was based on a growing emphasis in German philosophy and culture upon voluntarism, or the power of the will as the ultimate metaphysical reality. For these Germans, God was dead. There was no transcendent or universal standard to provide life with direction, no grand design or rationality to explain the succession of events, only the groundless and endless struggle of forces competing to assert (...) their power and extend their dominion. These Germans found early inspiration for this idea in the writings of Gottfried Leibniz, who spoke of life as possessing its own autonomous power in each of its individual members or monads. They saw this concept develop and become the one metaphysical truth in the works of Arthur Schopenhauer and Friedrich Nietzsche with their emphasis upon the “will to live” and the “will to power.” The two philosophers exerted particular influence upon the Nazis, who saw them as early exponents of their ideology. This influence is important in understanding the fundamental mentality of the Nazis, even if the metaphysics of voluntarism contained other possible forms of interpretation beyond what the Nazis represented in word and deed. To understand the relationship between Nazism and voluntarism, the article develops the philosophical background from Leibniz to Nietzsche and relates this development to its Nazi expression in Adolf Hitler, Alfred Rosenberg, Alfred Bäumler, and Martin Heidegger. (shrink)

Selon l’une des thèses les plus répétées de la médecine narrative, la théorie littéraire, ou plus largement, la narration, permettrait aux membres du personnel médical d’appréhender les récits des patients et par là, de prendre en considération leurs expériences dans leur singularité absolue. Dans ma contribution, je soulignerai quelques limites de cette thèse. J’appuierai mon analyse sur un exemple de récit dominant de maladie, les récits portant sur le cancer du sein aux États-Unis au XXe siècle, à partir des (...) analyses féministes qui en ont été faites. Ainsi je montrerai d’une part qu’il est peu plausible que les récits des patients soient absolument singuliers et uniques, en un sens pertinent, et d’autre part que certains récits peuvent devenir dominants et marginaliser des récits qui voudraient s’en démarquer. (shrink)

This paper examines how aesthetic ideals shaped the practice of Nazi medicine. It proposes that Nazi eugenics relied on the conflation of norms of health with norms of beauty determined and performed by Nazi cultures of action. Though theories of biological holism served as vehicles of Nazi ideology, they did so contingently. The anti-totalitarian thinking of biological holist Kurt Goldstein shows that the use of biological holism to promote Nazi ideology was not inevitable. This examination (...) of aesthetic influences on Nazi medicine shows that traditionally speaking ‘non-rational’ factors shaped the Nazi biomedical program’s aims and methods. (shrink)

N'y a-t-il pas une contradiction dans l'oeuvre d'Arendt? On y trouve une description critique du totalitarisme national-socialiste, mais aussi l'apologie de Heidegger érigé, malgré son éloge de la "vérité interne et grandeur" du mouvement nazi, en roi secret de la pensée. L'étude des Origines du totalitarisme montre qu'Arendt développe une vision heideggérienne de la modernité. Dans Condition de l'homme moderne, la conception déshumanisée de l'humanité au travail et le discrédit jeté sur nos sociétés égalitaires procèdent également de Heidegger. En (...) outre, des lettres inédites montrent qu'Arendt a décidé de marcher sur les pas de Heidegger avant leurs retrouvailles de l'année 1950. Il s'agit d'une adhésion intellectuelle, irréductible à la seule passion amoureuse, et qui mérite d'être prise au sérieux. Certes, Arendt ne partage pas l'antisémitisme exterminateur de Heidegger confirmé par ses Cahiers noirs. Que devient cependant la pensée, instrumentalisée dans l'opposition - nouveau mythe moderne - entre Heidegger, le "penseur" retiré sur les hauteurs neigeuses de sa hutte de Todtnauberg, et Eichmann, l'exécutant sans pensée, le "clown" muré dans sa cage de verre? (shrink)

The treatment of eye brightness in Tolstoy's Anna Karenin is read to reveal a centuries-old Western eye code of love. This eye code is then used as a test of interaction theories essayed by Mead and by Goffman and of subjectivities left faceless by Foucault, Mulvey, Sartre and Lacan. The implications of Tolstoy's eye code are followed through to the conclusion that a woman in love (such as Anna Karenin) is a Nazi in the image of Hitler.

This article analyzes instances of independent mobility of Jewish youngsters in Nazi Germany through the lens of photography. Photographs, taken by teenagers of their trips and sometimes assembled in albums or collages demonstrate that the category of mobility helps to uncover and define a particular kind of agency exclusive to Jewish youth, shaped by the simultaneous attachment to and disconnect from the environments they crossed. Travel is observed as a space in which freedom and restrictions were negotiated, preparing youngsters (...) for a near future of sometimes radically independent choices. Moreover, it is investigated in its capacity of offering instances of contact – planned or spontaneous – with other youth, with Jewish adults or with Germans, which additionally shaped the youngers’ identities on the move. Photography not only helped youngsters to produce records and memories. It also incited new trips and encounters. The camera, then, served as a means of translation which helped Jewish teenagers make sense of their surroundings in a moment of utmost crisis. Ultimately, the photographs attest to an alternative German topography created by independent youngsters who found a home in a cosmopolitan way of life tested on provincial roads. (shrink)

During the Nazi era, most German physicians abrogated their responsibilities to individual patients, and instead chose to advocate the interests of an evil regime. In so doing, several fundamental bioethical principles were violated. Despite gross violations of individual rights, many physicians went on to have successful careers, and in many cases were honored. This paper will review the case of Hans Sewering, a participant in the Nazi euthanasia program who became the President-elect of the World Medical Association. The (...) appropriate stance for the medical and scientific community toward those who violate human rights and ignore fundamental ethical principles of the healing professions will be considered. (shrink)

La médecine contemporaine bénéficie d’une prodigieuse efficacité technique. Pourtant, paradoxalement, les griefs à son encontre lui dessinent fréquemment le profil d’une accusée : l’objectivité, la rationalité de la science médicale ne font pas bon ménage avec la parole du malade. Dans la consultation médicale, plus exactement dans le contrat qui unit l’usager à un prestataire de soins, n’y a-t-il que des droits pour le premier et des obligations pour le second ? Droit d’avoir les enfants que l’on veut et (...) devoir de proposer le dernier équipement technique ? Un « testament de vie » est-il contraignant pour les soignants ? La médecine doit-elle accéder à toutes les demandes et s’occuper du bonheur ? L’article discute l’enjeu de ces interrogations. Celui-ci est peut-être lié à une question de sens, c’est-à-dire d’interaction entre la signification de la pratique médicale, la direction que celle-ci veut, peut ou doit prendre, et sa perception dans les représentations mentales. (shrink)