Background: Legislative changes are resulting in assisted death as an option for people at the end of life. Although nurses’ experiences and perspectives are underrepresented within broader ethical discourses about assisted death, there is a small but significant body of literature examining nurses’ experiences of caring for people who request this option. Aim: To synthesize what has been learned about nurses’ experiences of caring for patients who request assisted death and to highlight what is morally at stake for nurses who (...) undertake this type of care. Design: Qualitative meta-synthesis. Methods: Six databases were searched: CINAHL, Medline, EMBASE, Joanna Briggs Institute, PsycINFO, and Web of Science. The search was completed on 22 October 2014 and updated in February 2016. Of 879 articles identified from the database searches, 16 articles were deemed relevant based on inclusion criteria. Following quality appraisal, 14 studies were retained for analysis and synthesis. Results: The moral experience of the nurse is defined by a profound sense of responsibility, shaped by contextual forces that nurses navigate in everyday end-of-life care practice, and sustained by intra-team moral and emotional support. Discussion: The findings of this synthesis support the view that nurses are moral agents who are deeply invested in the moral integrity of end-of-life care involving assisted death. The findings further demonstrate that to fully appreciate the ethics of assisted death from a nursing standpoint, it is necessary to understand the broader constraints on nurses’ moral agency that operate in everyday end-of-life care. Ethical considerations: Research ethics board approval was not required for this synthesis of previously published literature. Conclusion: In order to understand how to enact ethical practice in the area of assisted death, the moral experiences of nurses should be investigated and foregrounded. (shrink)

The focus of much sensory language research has been on vocabulary and codability, not how language is used in communication of sensory perceptions. We make a case for discourse-oriented research about sensory language as an alternative to the prevailing vocabulary orientation. To consider the language of sound in authentic textual data, we presented participants with 20 everyday sounds of unknown sources and asked them to describe the sounds in as much detail as possible, as if describing them to someone who (...) could not hear them. We explored how the participants use language to describe these sounds. Do they describe their listening experiences (stressful), sound properties (intermittent beeping), and/or the events that caused the sounds (eating an apple)? The results show that out of these three soundscape elements, events are the most frequent and most indispensable element. We let the results from the study illustrate the need for more discursive data in studies of sensory language and argue that there is no designated language of sound. Our study highlights that in order to account for sensory language use, we need an analytical framework that accommodates discursive language in a non-trivial way beyond stable couplings between individual words and meanings. (shrink)

T. H. Huxley (1825-1895) was not only an active protagonist in the religious and scientific upheaval that followed the publication of Darwin's theory of evolution but also a harbinger of the sociobiological debates about the implications of evolution that are now going on. His seminal lecture Evolution and Ethics, reprinted here with its introductory Prolegomena, argues that the human psyche is at war with itself, that humans are alienated in a cosmos that has no special reference to their needs, and (...) that moral societies are of necessity in conflict with the natural conditions of their existence. Seen in the light of current understanding of the mechanisms of evolution, these claims remain as controversial today as they were when Huxley proposed them. In this volume George Williams, one of the best-known evolutionary biologists of our time, asserts that recent biological ideas and data justify a more extreme condemnation of the "cosmic process" than Huxley advocated and more extreme denial that the forces that got us here are capable of maintaining a viable world. James Paradis, an expert in Victorian studies, has written an introduction that sets the celebrated lecture in the context of cultural history, revealing it to be an impressive synthesis of Victorian thinking, as well as a challenge to eighteenth-century assumptions about the harmony of of nature. With Huxley's lecture as a focal point, the three parts of this book unite philosophy and science in a shared quest that recalls their common origins as systems of knowledge. Originally published in 1989. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905. (shrink)

In this ethnography of Full Contact, a San Francisco Bay Area boxing gym, I use Bourdieu’s theory of practice to illustrate how ‘rules of the game’ shape people’s perceptions, interactions and positions (capital). First, I show how the unwritten, unspoken rules of boxing as a field (its doxa) impact readings of bodies and bodily capital, readings that then have an impact on micro-level interactions and hierarchies at Full Contact. Second, I show the micro-level consequences of hysteresis – delays in the (...) realignment of habitus and field that result from change at the field level – on social interactions and hierarchies. Gender is at the core of my analysis, for it is both a fundamental part of my and others’ habitus, and a symbolic trait of significance in the hypermasculine doxa of boxing as a field. (shrink)

This article is concerned with how we make decisions based on how problems are presented to us and the effect that the framing of the problem might have on our choices. Current philosophical and psychological accounts of the framing effect in experiments such as the Asian Disease Problem concern reference points and domains. We question the importance of reference points and domains. Instead, we adopt a linguistic perspective focussing on the role of the evaluative polarity evoked by the words - (...) negativeand positive - used to describe the options in the decision problem. We show that the evaluative polarity of the different wordings in the ADP better explain participants’ behaviour than reference points and domains. We propose two models in which the values given to evaluative polarity words directly influence the strength of framing. The results indicate that linguistic considerations regarding evaluative polarity have to be considered in relation to the ADP. The account resembles Fuzzy-Trace-Theory but allows for thestrength of evaluative polarity to directly affect behaviour. In the discussion, we also assess how evaluative polarity relates to negation, antonyms and the communicative frame within which the choices are presented. (shrink)

Loïc Wacquant’s article ‘Homines in Extremis’ outlines five propositions about habitus that support a broader and richer use of Bourdieu’s famous concept. His article was a response to a new edited volume by Sanchez and Spencer under the title Fighting Scholars. In this article, I support Wacquant’s argument, but suggest that he undersells habitus as a topic of and tool for inquiry. I point to previous conversations about habitus and suggest that we may learn more about social phenomena by engaging (...) the relational aspects of habitus and the social aspects of the incorporation of habitus. (shrink)

The purpose of this paper is to propose a framework of lexical meaning, broadly along the lines of Cognitive Semantics (Langacker 1987a). Within the proposed model, all aspects of meaning are to be explained in terms of properties of ontologies in conceptual space, i.e. properties of content ontologies and schematic ontologies and construals which are imposed on the conceptual structures on the occasion of use. It is through the operations of construals on ontological structures that different readings of lexical expressions (...) arise. Lexical meanings are dynamic and sensitive to contextual demands, rather than fixed and stable. In a dynamic, usage-based model like this, polysemy and multiple readings emerge as a natural consequence of the human ability to think flexibly. Another more specific purpose of this paper is to draw attention to the usefulness of ontologies in linguistic research in general and semantic modelling in particular. (shrink)

The purpose of the article is to shed light on how experiences of sensory perceptions in the domains of vision, smell, taste, and touch are recast into text and discourse in the genre of wine reviews. Because of the alleged paucity of sensory vocabularies, in particular in the olfactory domain, it is of particular interest to investigate what resources language has to offer in order to describe those experiences. We show that the main resources are, on the one hand, words (...) evoking properties that are applicable cross-modally and properties of objects that range over more than one domain, and on the other, vivid imagery that compares the characteristics of the wine with people, buildings, animals, and the hustle and bustle of market places and other events. The second goal is to account for the construals of the meanings of the expressions used in the recontextualization into written discourse in the light of their apparent flexibility across the descriptions of the sensory experiences. In contrast to a large body of the literature on sensory meanings in language, we argue that the descriptors of properties such as sharp, soft, lemon, and cherry used to describe a wine's qualities across the sensory domains are not polysemous synesthetic metaphors, but monosemous synesthetic metonymizations, more precisely zone activations. With regard to the imagery used, the construals represented cover both similes, metaphorizations and metonymizations proper. (shrink)

ABSTRACTUsing authentic textual data from written personal narratives, we investigate how individuals with Attention Deficit Hyperactivity Disorder, Obsessive Compulsive Disorder, and Tourette Syndrome mediate their emotive and sensory experiences through language. Our study reveals that experiential comparisons of different kinds feature prominently as means of conveying such experiences. We identify a number of meaning domains that are recruited in correspondences between sources and targets, including motion and force, and detail how sensory modalities, bodily sensations, and emotions are exploited to evoke (...) emotive/sensory responses in readers. We conclude that comparative construal is a significant communicative strategy precisely because it elicits familiar situational meanings capable of evoking vicarious experiences in readers. By considering texts from actual uses of language in natural situations, our research sheds new light on how emotive/sensory... (shrink)

L'oeuvre de Pinel a donné lieu à des évaluations tout à fait contradictoires : certains, comme Pierre Pichot, Kavka, Zilboorg et Gladys Swain ont estimé, en effet, que Pinel n’avait pas été sensible à l'influence de la psychologie « sensualiste » et « associationniste »; Pichot et Zilboorg pour en conclure que ce que souhaitait Pinel, c'était en fait une psychiatrie sans psychologie ; Kavka et Swain pour en déduire l’opposé. Mon intention est de montrer brièvement : l) que dans (...) l’esprit de l'Idéologie il n’y a pas fondamentalement de contradiction entre le physiologisme organiciste et la psychologie associationniste , ce qui explique la coexistence du traitement médical et du traitement moral chez Pinel dans le traitement des maladies mentales, y compris la folie raisonnante ; 2) que l’influence de Condillac sur Pinel est beaucoup plus grande qu’on ne le croit généralement ; et 3) que Pinel a décidément bien peu à voir avec la psychanalyse.Pinel's works have been evaluated in completely contradictory ways : some, like Pierre Pichot, Kavka, Zilboorg and Gladys Swain have indeed considered that Pinel was not sensitive to the influence of "sensualist" and "associationist" psychology. Pichot and Zilboorg conclude from this that what Pinel was hoping for was in fact psychiatry without psychology. Kavka and Swain deduce the opposite. 1) intended to show, briefly : I) that in the minds of the ideologists there is fundamentally no contradiction between organicist physiologism and association nist psychology , which explains the coexistence of medical treatment and moral treatment of mental illness, including mania without delirium, in Pinel's work ; 2) that Condillac's influence on Pinel is much greater than is generally believed ; and 3) that Pinel has really very little to do with psychoanalysis. (shrink)

Study objectives The emergency department (ED) provides an arena for patient enrolment into a variety of research studies even for non-critically ill patients. Given the types of illness, time constraints and sense of urgency that exists in the ED environment, concern exists about whether research subjects in the ED can provide full consent for participation. We sought to identify enrolled research subjects' perspectives on the informed consent process for research conducted in the ED. Methods This was a prospective, observational study (...) of ED subjects, 18 years or older, who had been approached to participate in research in the ED and who were judged to have decision-making capacity. Exclusions were critical illness and refusal to participate. Subjective were followed up within 1 week after enrolling using structured phone interviews by trained interviewers. Results During the study period, 229 eligible patients were approached to participate in both a target study and this study. Of these, 66% (150/229) agreed to participate in this study, at least to the extent of allowing us access to their demographic data. The study participant group was similar in terms of gender to this particular ED's patient population but had significantly more African-Americans and persons older than 45. Conclusion Despite rigorous time constraints and rapid throughput times, the majority of subjects who consented to research participation in the ED felt that they were sufficiently informed and had adequate time to decide to participate. (shrink)

La voix féminine dans l’œuvre lyrique mozartienne chante sur un unique registre, le registre aigu. Tous les personnages féminins possèdent une voix unique : celle du soprano ; par contre, la voix masculine, elle, chante sur deux registres : aigu et grave. Cette séparation sexuée des voix qui apparaît pour la première fois dans l’histoire de l’opéra avec Mozart délimite nettement, côté masculin, des rôles bien séparés : ceux des fils - ténor, registre aigu - et ceux des pères - (...) basse, registre grave -. Par contre, côté féminin, les rôles sont confondus ; jeunes filles, épouses, sœurs, mères, duègnes, non seulement possèdent une commune tessiture mais s’expriment musicalement, très souvent, de la même manière : la grande aria virtuose. C’est à travers le personnage de la mère et en particulier celui de la Reine de la Nuit dans La Flûte enchantée, que nous avons tenté de comprendre le pourquoi de cette voix unique de la féminité selon Mozart. Le fil de cette voix féminine est noué avec le fil d’une autre voix qui résonne dans la correspondance mozartienne, celle de la mère de Mozart, Anna-Maria. La mise en relation de l’œuvre et de la biographie détient, peut-être, la clé - musicale - de l’énigme. (shrink)

Former colleagues of distinguished philosopher Raymond Klibansky examine tolerance from a number of perspectives, including historical roots in Bayle and Locke, the plea for tolerance in literature and poetry, as well as judicial, cultural and societal aspects.

BackgroundYouth are increasingly aware of the negative effects of climate change on the planet and human health, but this knowledge can often come with significant affective responses, such as psychological distress, anger, or despair. Experiencing major “negative” emotions, like worry, guilt, and hopelessness in anticipation of climate change has been identified with the term eco-anxiety. Emerging literature focuses on adults' experience; however, little is known about the ways in which children and youth experience eco-anxiety.ObjectivesThe aim of this review was to: (...) identify the available evidence on the topic of eco-anxiety in children, clarify the mental health consequences brought by the awareness of climate change in this population, and identify knowledge gaps in the literature and considerations for future research.MethodsGiven that the research on the topic of eco-anxiety in children is limited, that there are very few randomized controlled trials, and that the goal is not to analyze individual studies in-depth, a scoping review was used. Keywords pertaining to the themes of eco-anxiety, climate change and children were used as search terms in five databases. Journal articles using qualitative and quantitative methods, as well as gray literature were examined by two independent reviewers. A descriptive-analytical method was used to chart the data that emerged from the literature. Eighteen articles were considered in the final analysis.ResultsEvidence confirms that children experience affective responses and eco-anxiety in reaction to then awareness of climate change. Mental health outcomes include depression, anxiety, and extreme emotions like sadness, anger, and fear. Youth from vulnerable communities, like indigenous communities, or those who have strong ties to the land are often identified as being emotionally impacted by climate change. The literature analyzed also describes how children and youth are coping with eco-anxiety, including maladaptive and adaptive responses. Preliminary considerations for parents, teachers and educators, mental health care providers, school systems, adults and people of power include adding age-appropriate climate education to the school curriculum, considering youth's emotions, and promoting healthy coping through empowerment. Important gaps exist in the definition of eco-anxiety in youth, as various characterizations of this emerging concept are found across articles. (shrink)

La Barbarie à visage humain de Bernard-Henri Lévy traduit le désenchantement d'une génération de jeunes intellectuels français aussi bien face au marxisme, à son enseignement théorique, à ses crédos politiques, à ses prétentions de révolutionner les rapports sociaux que face au capitalisme, fut-il répressivement tentaculaire et « rationnel » ou tout simplement énergumène. En rupture de ban avec ses « doctes maîtres », Althusser, Poulantzas, Deleuze ou Lyotard, Lévy pose que toute action politique militante, de gauche ou de droite, conduit (...) irrémédiablement, par delà ses mots d'ordre de libération et de progrès, à la reproduction du Prince, du Pouvoir, tout pouvoir par essence tendant à l'absolu et au totalitarisme. La Maîtrise est la loi de ce monde et toute théorie socio-politique, tout projet de société ne peuvent être que des masques truculents de promesses dont il faut bien s'affubler pour que s'opère dans l'espoir la circularité répétitive de cette Maîtrise. L'histoire à cet égard ne fait que tourner en rond et notre siècle n'est que l'ultime achèvement en extension, mais à « visage » humain cette fois, d'une barbarie plusieurs fois millénaire. Que reste-t-il au nouveau philosophe sinon de proclamer à tout jamais le divorce de l'Éthique et de la Politique, de la candeur et de l'imposture, du fond de sa retraite solipsiste et libertaire? (shrink)

Entre le XIIIe et le XVIIIe siècle, les allégories picturales de la musique mettent en scène de manière récurrente un couple énigmatique : une jeune femme à l’orgue et un forgeron frappant sur son enclume. Il s’agira, à travers un parcours en quelques images, de questionner les termes, a priori antagonistes, de cet appariement et, ce faisant, de poser les jalons d’une réflexion sur ces représentations qui, sur la longue durée historique, semblent bien former – ou forger – un système.

On peut distinguer, dans l'histoire du marxisme contemporain, deux tendances qui n'ont cessé de se confronter sous des formes plus ou moins radicales et qui tiennent à deux lectures apparemment inconciliables de l'oeuvre de Marx. La première, selon laquelle le marxisme se résorbe essentiellement en une théorie scientifique , en une sociologie . Cette tendance trouve son expression culminante dans l'althussérisme, dans le primat des relations constitutives de la structure sociale sur les individus-sujets. La seconde, qui veut que le marxisme (...) soit d'abord et avant tout un humanisme et/ou une philosophie de la praxis, tout travail théorique se trouvant subordonné à sa visée historico-pratique : celle de l'instauration de rapports sociaux dans lesquels seraient abolis les rapports d'exploitation de l'homme par l'homme. Poser la question de l'existence d'une éthique marxiste, c'est tenter de résoudre théoriquement cette épineuse dichotomie entre l'objectivisme des « déterminations » sociales des représentations de conscience morales et la capacité des individus-sujets de produire un ordre social, d'orienter le développement historique conformément à ces représentations . Pour un matérialiste, n'y a-t-il pas là une contradiction interne au marxisme? L'auteur de l'article a tenté de faire voir, à travers quelques propositions sommaires, comment une telle contradiction peut être dépassée.In the history of contemporary Marxism one can distinguish two conflicting tendencies which continue to confront each other in a more or less radical manner, and which give rise to two apparently irreconcilable readings of Marx's work. The first is that by which Marxism is essentially absorbed into a scientific theory , into a sociology. This tendency finds its ultimate expression in 'althussérisme', in the primacy of the constituent relations of the social structure involving individual subjects. In the second, which sees Marxism as essentially humanist and/or a philosophy of praxis, all theoretical work is subordinated to the practical-historical aim, that of establishing social relations in which the exploitation of persons by persons will be done away with. To ask whether a Marxist ethic exists is an attempt to resolve theoretically this thorny dichotomy between the objectivism of the social determinants of the prescriptions of moral conscience, and the capacity of individual subjects to produce a social order to orient historical development in accordance with these prescriptions. For a materialist, is there not here an apparent contradiction within Marxism? The author has attempted to clarify, by means of a few succinct propositions, how such a contradiction may be resolved. (shrink)

Passant par les voies non pavées de l'interdisciplinarité, on entend ici montrer, au moyen d'une réflexion sur la triple articulation du corps, du signe et du pouvoir, en quoi l'alternative classique et binaire du matérialisme et de l'idéalisme peut être dépassée. Par l'approche utilisée, on ambitionne de contribuer conjointement à la théorie de la pensée et des représentations socio-culturelles et à une critique du concept de pouvoir revu à la lumière de la socio-psychanalyse. Les notions d'émancipation et de création, parallèlement (...) à celles de soumission et d'aliénation, sont reprises dans la perspective des conditions socio-culturelles de l'accès à la parole et à l'identité aussi bien personnelle que groupale et collective.Borrowing the unpaved ways of interdisciplinary we will here try to show, relying upon reflections on the relations between the body, signs and power, how the traditional and binary opposition of materialism and idealism can be overcome. It is hoped that the approach will jointly be a contribution to a theory of thought and of socio-cultural representations and a critique of the concept of power, restated with the assistance of socio-psychoanalysis. The notions of liberation and of creation, with those of submission and alienation, are here recaptured in connection with the socio-cultural conditions of access to language {parole) and to individual as well as group and collective identity. (shrink)