Our capabilities in space are growing almost as fast as our ambitions. Many nations, companies, and private actors are currently vying to secure historic “firsts” in space, raising complex social and ethical questions. There is surprisingly little serious analysis of these issues, however, and they are rarely discussed in undergraduate class discussions, despite their popularity with students. To help correct this deficit, a student research team designed 11 case studies to help instructors across the curriculum introduce space into their classes. (...) These are designed for ease of use, with self-contained background information, suggested readings/movies, and a series of juicy questions. (shrink)

Recent estimates indicate that over 40,000 children die annually in the United States and a majority have life-limiting conditions. Children at end of life require extensive healthcare resources, including multiple hospital readmissions and emergency room visits. Yet, many children still suffer from symptoms at end of life—including fatigue, pain, dyspnea, and anxiety—with less than 10% of these children utilizing hospice care services. A critical barrier to pediatric hospice use was the original federal regulations associated with the hospice care that required (...) a diagnosis of 6 months to live and the discontinuation of all curative treatments. The Concurrent Care Provision of the United States’ Affordable Care Act eliminated the need to forgo curative therapies in order to enroll in hospice for children in Medicaid or Children’s Health Insurance Program. Concurrent care for children can help mitigate the tension families experience in choosing between essential forms of care, as well as contribute to improved end-of-life outcomes for the child and possibly bereavement outcomes for the family. Understanding concurrent care for children from a social justice perspective has important advocacy and research implications for hospice and palliative care clinicians providing care for children and their families. We apply Powers and Faden’s theory of social justice “as the moral foundation of public health and health policy” to the provision of concurrent care to children near end of life and families in the United States. The goals of applying this theory are to explore additional insights and perspectives into concurrent care policy may provide and to assess the usefulness of this theory when applied to end-of-life health policy. We argue that concurrent care policy is socially just since it has potential to promote well-being in vulnerable children and families and can limit the inequity children at end-of-life experience in access to high-quality hospice care. (shrink)

Studies suggest that when a language requires grammatical marking of future events, speakers prefer immediate payoffs and engage in less future-oriented behavior. If future costs of tax avoidance are non-trivial, we posit that strong future time reference in languages would lower managers’ perceptions about costs, encouraging more tax avoidance. Using a large sample of 56,243 firm-year observations across 31 countries, we find that tax avoidance is higher where FTR in the language is strong. We also find that tax avoidance is (...) more prevalent in Swiss regions with strong FTR and in US firms whose CEOs were born in countries with strong FTR. Collectively, our evidence suggests that costs of tax avoidance can be non-trivial, and that linguistically driven time perception helps explain the cross-country variation in tax avoidance. (shrink)

Introduction: Probationers, offenders with less serious and non-violent offences, and under statutory supervision, have low levels of self-esteem and physical health, and high level of family conflict, and poorer quality of family relationships. This study examined the effectiveness of the existing probation service and the additional use of a positive family holistic health intervention to enhance physical, psychological, and family well-being in probationers and relationships with probation officers.Methods: Probationers under the care of the Hong Kong Social Welfare Department were randomized (...) into a care-as-usual control group, a brief intervention group receiving two 1-h individual sessions [of a brief theory-based positive family holistic health intervention integrating Zero-time Exercise and positive psychology themes of “Praise and Gratitude” in the existing probation service], or a combined intervention group receiving BI and a 1-day group activity with family members. The outcomes were physical activity, fitness performance, self-esteem, happiness, anxiety and depression symptoms, life satisfaction, quality of life, family communication and well-being, and relationships with probation officers. Self-administered questionnaires and simple fitness tests were used at baseline, 1-month and 3-month follow-up. Linear mixed model analysis was used to compare difference in the changes of outcome variables among groups, adjusted of sex, age, and baseline values. Focus group interviews were conducted. Thematic content analysis was used.Results: 318 probationers were randomized into CAU, BI, or CI group. CAU showed enhanced physical activity, fitness performance and psychological health, and family communication with small effect sizes. BI and CI showed further improved physical activity, family communication and family well-being. Additionally, CI reported greater improvements in the relationships with probation officers than CAU with a small effect size. CI also reported greater increases in physical activity and family communication than BI with small to moderate effect sizes. Qualitative feedbacks corroborated the quantitative findings.Conclusion: Our trial provided the first evidence of the effectiveness of probation service and the additional use of an innovative, relatively low-cost, theory-based brief positive family holistic health intervention. This intervention may offer a new model for enhancing probation service.Trial Registration: The research protocol was registered at the National Institutes of Health. (shrink)

Two decades of research on euthanasia in the Netherlands have resulted into clear insights in the frequency and characteristics of euthanasia and other medical end-of-life decisions in the Netherlands. These empirical studies have contributed to the quality of the public debate, and to the regulating and public control of euthanasia and physician-assisted suicide. No slippery slope seems to have occurred. Physicians seem to adhere to the criteria for due care in the large majority of cases. Further, it has been shown (...) that the majority of physicians think that the euthanasia Act has improved their legal certainty and contributes to the carefulness of life-terminating acts. In 2005, eighty percent of the euthanasia cases were reported to the review committees. Thus, the transparency envisaged by the Act still does not extend to all cases. Unreported cases almost all involve the use of opioids, and are not considered to be euthanasia by physicians. More education and debate is needed to disentangle in these situations which acts should be regarded as euthanasia and which should not. Medical end-of-life decision-making is a crucial part of end-of-life care. It should therefore be given continuous attention in health care policy and medical training. Systematic periodic research is crucial for enhancing our understanding of end-of-life care in modern medicine, in which the pursuit of a good quality of dying is nowadays widely recognized as an important goal, in addition to the traditional goals such as curing diseases and prolonging life. (shrink)

The Dutch law states that a physician may perform euthanasia according to a written advance euthanasia directive when a patient is incompetent as long as all legal criteria of due care are met. This may also hold for patients with advanced dementia. We investigated the differing opinions of physicians and members of the general public on the acceptability of euthanasia in patients with advanced dementia.

Two decades of research on euthanasia in the Netherlands have resulted into clear insights in the frequency and characteristics of euthanasia and other medical end-of-life decisions in the Netherlands. These empirical studies have contributed to the quality of the public debate, and to the regulating and public control of euthanasia and physician-assisted suicide. No slippery slope seems to have occurred. Physicians seem to adhere to the criteria for due care in the large majority of cases. Further, it has been shown (...) that the majority of physicians think that the euthanasia Act has improved their legal certainty and contributes to the carefulness of life-terminating acts. In 2005, eighty percent of the euthanasia cases were reported to the review committees. Thus, the transparency envisaged by the Act still does not extend to all cases. Unreported cases almost all involve the use of opioids, and are not considered to be euthanasia by physicians. More education and debate is needed to disentangle in these situations which acts should be regarded as euthanasia and which should not. Medical end-of-life decision-making is a crucial part of end-of-life care. It should therefore be given continuous attention in health care policy and medical training. Systematic periodic research is crucial for enhancing our understanding of end-of-life care in modern medicine, in which the pursuit of a good quality of dying is nowadays widely recognized as an important goal, in addition to the traditional goals such as curing diseases and prolonging life. (shrink)

A report of a problem-based learning project on the ethics of terminal care, offered as one of the options available to first year MB ChB students in Edinburgh University Medical School. The project formed part of the 'clinical correlation course' in the new curriculum. Six students took part under the supervision of two clinical tutors and a moral philosopher. The course was case-based and practical with students being given the opportunity over a period of eight weeks to meet patients, relatives (...) and hospital staff at a local geriatrics hospital and terminal care home. The main issue studied was the degree of choice available to patients electing to be treated at home, in hospital or in a hospice. Other issues included: pre-death, disposal of the dead, certification of death, communication with relatives and follow-up bereavement services. (shrink)

Background Studies describing physicians’ experiences with sedation at the end of life are indispensible for informed palliative care practice, but they are scarce. We describe the accounts of physicians from the USA and the Netherlands, two countries with different regulations on end-of-life decisions regarding their use of sedation.Methods Qualitative face-to-face interviews were held in 2007–2008 with 36 physicians , including primary care physicians and specialists. We applied purposive sampling and conducted constant comparative analyses.Results In both countries, the use of sedation (...) was described in diverse terms, especially in the USA, and was often experienced as emotionally challenging. Respondents stated different and sometimes multiple intentions for their use of sedation. Besides alleviating severe suffering, most Dutch respondents justified its use by stating that it does not hasten death, while most American respondents indicated that it might hasten death but that this was justifiable as long as that was not their primary intention. While many Dutch respondents indicated that they initiated open discussions about sedation proactively to inform patients about their options and to allow planning, the accounts of American respondents showed fewer and less-open discussions, mostly late in the dying process and with the patient's relatives.Conclusions The justification for sedation and the openness with which it is discussed were found to differ in the accounts of respondents from the USA and the Netherlands. Further clarification of practices and research into the effect and effectiveness of the use of sedation is recommended to enhance informed reflection and policy making. (shrink)

Many appraisal theories claim that appraisal causes emotion. Critics have rejected this claim because they believe (a) it is incompatible with the claim that appraisal is a part of emotion, (b) it is not empirically supported, (c) it is circular and hence nonempirical, and (d) there are alternative causes. I reply that (a) the causal claim is incompatible with the part claim on some but not all interpretations of the causal claim and the part claim, (b) the lack of empirical (...) support can be remedied, (c) there may even be ways to cope with the circularity problem, and (d) it is unclear to what extent the alternative causes differ from appraisal. (shrink)

This volume addresses the intriguing issue of indirect reports from an interdisciplinary perspective. The contributors include philosophers, theoretical linguists, socio-pragmaticians, and cognitive scientists. The book is divided into four sections following the provenance of the authors. Combining the voices from leading and emerging authors in the field, it offers a detailed picture of indirect reports in the world’s languages and their significance for theoretical linguistics. Building on the previous book on indirect reports in this series, this volume adds an empirical (...) and cross-linguistic approach that covers an impressive range of languages, such as Cantonese, Japanese, Hebrew, Persian, Dutch, Spanish, Catalan, Armenian, Italian, English, Hungarian, German, Rumanian, and Basque. (shrink)

The precarious rights of senior citizens, especially those who are highly educated and who are expected to counsel and guide the younger generations, has stimulated the creation internationally of advocacy associations and opinion leader groups. The strength of these groups, however, varies from country to country. In some countries, they are supported and are the focus of intense interest; in others, they are practically ignored. For this is reason we believe that the creation of a network of all these associations (...) is essential. The proposed network would act as a support for the already-existing policies of the United Nations’ High Commission for Human Rights, of independent experts, and of the Global Alliance for the Rights of Older People. All three have long ago recommended the creation of a recognized instrument for uniting presently scattered efforts. The proposed network, therefore, will seek to promote the international exchange of relevant expertise, and it will reinforce the commitments and actions that single countries are currently taking to meet these objectives. For example, informative public events can be organised to promote particular support initiatives and to provide an opportunity for new members of the network to be presented. The network will promote health for senior citizens, disease prevention, senior mobility, safe free time for seniors, alimentary education, protection against new risks and dangers, as well as equity in the services necessary for seniors to adopt new information and communication technologies. In the case of retired academic members, the network will promote equality with respect to continuing use of digital technologies (particularly email), continuing access to research libraries, and the guaranteed ability for seniors to fund their own research programs and to deliver free seminars. (shrink)

Annotation Scholars of medieval scholastic philosophy as well as those who study semiotics will appreciate this side-by-side translation, with introduction, by Doyle (Saint Louis U.) of a late 16th-early 17th century Jesuit text. The text (its name is taken from the U. of Coimbra, in Portugal, where the authors taught) contains commentaries on Aristotle, as part of a course in philosophy, particularly logic. Annotation c. Book News, Inc., Portland, OR (booknews.com).

BackgroundRelatives have no formal position in the practice of euthanasia and physician-assisted suicide (EAS) according to Dutch legislation. However, research shows that physicians often involve relatives in EAS decision-making. It remains unclear why physicians do (not) want to involve relatives. Therefore, we examined how many physicians in the Netherlands involve relatives in EAS decision-making and explored reasons for (not) involving relatives and what involvement entails.MethodsIn a mixed-methods study, 746 physicians (33% response rate) completed a questionnaire, and 20 were interviewed. The (...) questionnaire included two statements on relatives’ involvement in EAS decision-making. Descriptive statistics were used, and multivariable logistic regression analyses to explore characteristics associated with involving relatives. In subsequent interviews, we explored physicians’ views on involving relatives in EAS decision-making. Interviews were thematically analysed.ResultsThe majority of physicians want to know relatives’ opinions about an EAS request (80%); a smaller group also takes these opinions into account in EAS decision-making (35%). Physicians who had ever received an explicit EAS request were more likely to want to know opinions and clinical specialists and elderly care physicians were more likely to take these opinions into account. In interviews, physicians mentioned several reasons for involving relatives: e.g. to give relatives space and help them in their acceptance, to tailor support, to be able to perform EAS in harmony, and to mediate in case of conflicting views. Furthermore, physicians explained that relatives’ opinions can influence the decision-making process but cannot be a decisive factor. If relatives oppose the EAS request, physicians find the process more difficult and try to mediate between patients and relatives by investigating relatives’ objections and providing appropriate information. Reasons for not taking relatives’ opinions into account include not wanting to undermine patient autonomy and protecting relatives from a potential burdensome decision.ConclusionsAlthough physicians know that relatives have no formal role, involving relatives in EAS decision-making is common practice in the Netherlands. Physicians consider this important as relatives need to continue with their lives and may need bereavement support. Additionally, physicians want to perform EAS in harmony with everyone involved. However, relatives’ opinions are not decisive. (shrink)

On doit sans doute admettre que le discours de l’évaluation vient de l’intérêt de quelques hommes pour la production et son contrôle. Ce sont eux qui ont facilité l’implantation du discours de la science dans l’industrie un peu avant et un peu après la Seconde Guerre mondiale.C’est aux États-Unis, dans les années 1930, que Walter Shewhart2 et trois autres scientifiques américains3..

L’ouvrage de Florence Weber, Le sang, le nom, le quotidien : une sociologie de la parenté pratique, s’inscrit dans une démarche ambitieuse, en croisant deux ensembles d’analyses généralement séparés : d’une part, les travaux sur le care et la prise en charge familiale des personnes dépendantes, enfants, malades et vieillards (domaine des spécialistes des politiques sociales et de la santé, économistes, sociologues et politistes) et, d’autre part, les analyses portant sur les transformations c...

Le Japon est le premier producteur mondial de jeux vidéo « à l’eau de rose ». Ces jeux de simulation amoureuse présentent une caractéristique curieuse : théoriquement, ils assignent la femme à la tache unique de séduire un personnage masculin, mais, dans les faits, ils favorisent la mise en place d’un réseau d’amitié entre femmes. C’est de ce réseau – tissé à la fois dans le jeu et dans la vraie vie – que dépend le succès en amour. M’appuyant sur (...) l’analyse de cette double dynamique, contradictoire en apparence, j’aimerais proposer l’hypothèse suivante : que les jeux permettent de « déjouer » les mécaniques sociales de l’injonction. Ces jeux nommés otome games s’inscrivent en effet, de façon significative, dans le contexte d’une panique nationale liée au déclin de la fécondité : ils visent le marché très porteur des nouvelles générations de femmes qui – vivant seules ou chez leur parents – sont tenues pour responsables de la faillite à venir du système. Elles ne fondent pas de foyer. Elles n’ont pas d’enfant. Comment parviennent-elles à conjurer l’exclusion? L’étude portera sur les stratégies collectivement mises au point pour faire des otome games un outil de construction identitaire, favorisant l’amitié entre joueuses comme moyen d’entrer en résistance. (shrink)

Le Japon est le premier producteur mondial de jeux vidéo « à l’eau de rose ». Ces jeux de simulation amoureuse présentent une caractéristique curieuse : théoriquement, ils assignent la femme à la tache unique de séduire un personnage masculin, mais, dans les faits, ils favorisent la mise en place d’un réseau d’amitié entre femmes. C’est de ce réseau – tissé à la fois dans le jeu et dans la vraie vie – que dépend le succès en amour. M’appuyant sur (...) l’analyse de cette double dynamique, contradictoire en apparence, j’aimerais proposer l’hypothèse suivante : que les jeux permettent de « déjouer » les mécaniques sociales de l’injonction. Ces jeux nommés otome games s’inscrivent en effet, de façon significative, dans le contexte d’une panique nationale liée au déclin de la fécondité : ils visent le marché très porteur des nouvelles générations de femmes qui – vivant seules ou chez leur parents – sont tenues pour responsables de la faillite à venir du système. Elles ne fondent pas de foyer. Elles n’ont pas d’enfant. Comment parviennent-elles à conjurer l’exclusion? L’étude portera sur les stratégies collectivement mises au point pour faire des otome games un outil de construction identitaire, favorisant l’amitié entre joueuses comme moyen d’entrer en résistance. (shrink)

Résumé La problématique de l’Un et du multiple est, chez Plotin, cruciale. La question est de savoir comment de l’Un le multiple peut provenir. En effet, l’Un est transcendant à ce qu’il donne, mais le Premier surabonde, et cette énergie dérivée, née de son effusion et de sa profusion, se tourne vers lui et veut en être fécondée. Affronter le problème de cette dualité apparemment irréconciliable, c’est rechercher pourquoi l’Un surabonde, quelle est la nature de cette surabondance et comment celle-ci (...) peut être au fondement de la procession/conversion.The problem of the One and the Many is crucial in Plotinus. The question is to know how the Many can come from the One. For the One transcends what it gives, but the First overflows and this derived energy, born from its effusion and its profusion, turns to its begetter and seeks to be filled. To confront the problem of this apparently irreconcilable duality is to ask why the One overflows, what the nature of this overflowing is and how the latter can be at the source of the procession/conversion. (shrink)

L’actualité, comme toujours, suscite la réflexion historique. Devant le déchaînement de la violence en Algérie, CLIO avait programmé, dès sa fondation en 1995, un numéro consacré aux Femmes d’Algérie où se seraient exprimés des chercheurs (euses) d’Algérie. C’était pour son comité de rédaction une façon de dire, comme il le pouvait, sa solidarité à ceux qui vivaient dans la quotidienneté de la terreur. Il a demandé à Djamila Amrane, titulaire depuis 1994 du poste d’« Histoire des Femmes et de...

« La musique est femme » écrit Wagner à Liszt dans une lettre datée du 25 novembre 1850. Dans ce début de phrase qui ouvre la contribution d’Aline Tauzin, le musicien allemand exprimait intuitivement une équivalence dont les auteurs des textes qui suivent, chacun à sa manière, analysent les contours. S’ils s’intéressent aux pratiques musicales concrètes, c’est le plus souvent pour les mettre en rapport avec les représentations de la musique, des femmes et du féminin dans la longue durée du (...) mo... (shrink)

Certains chercheurs ne voient pas d’autres moyens de présenter leurs analyses qu’en les opposant à d’autres, dont ils ne précisent d’ailleurs pas plus le contenu que l’identité de leurs auteurs. C’est le cas d’Emmanuel Désveaux dans son livre Avant le genre, dont l’introduction intitulée « Contre la tyrannie du genre » laisse pour le moins perplexe. En effet, s’élevant contre l’idée « qui circulerait communément aujourd’hui dans les cercles parisiens » (lesquels?) que « l’anthropologie class...

Ce livre réunit douze articles publiés dans différentes revues entre 1979 et 1993 qui, tous, abordent sous un angle un peu différent une question qui taraude l'auteur : quel est le fondement de la hiérarchie entre les sexes ? Françoise Héritier, anthropologue, observe tout d'abord celle-ci chez les Samo, ethnie du Burkina Faso qui fut son premier terrain, mais elle la repère également dans tous les systèmes de parenté. C'est en effet en tant qu'anthropologue de la parenté qu'elle pours..

Ce livre réunit douze articles publiés dans différentes revues entre 1979 et 1993 qui, tous, abordent sous un angle un peu différent une question qui taraude l'auteur : quel est le fondement de la hiérarchie entre les sexes? Françoise Héritier, anthropologue, observe tout d'abord celle-ci chez les Samo, ethnie du Burkina Faso qui fut son premier terrain, mais elle la repère également dans tous les systèmes de parenté. C'est en effet en tant qu'anthropologue de la parenté qu'elle pours...

Cet article a déja paru dans les Mélanges de l'École française de Rome – Italie et Méditerranée modernes et contemporaines, 125-1 | 2013 et mis en ligne ici. Résumé : La gestion de l'espace et du temps est au cœur de la pratique des marchands, ici florentins, spécialisés dans le grand commerce. Cette pratique marchande, étudiée ici pour les premières années de la compagnie Salviati de Lyon, est un élément d'une culture marchande commune aux grandes compagnies marchandes florentines de la (...) fin du Moyen Age (...) - Histoire – Nouvel article. (shrink)

Ces deux livres, parus en même temps et dans la même collection, sont le résultat d'une recherche collective sur les centres maternels, menée par une équipe de sociologues et d'historiens, dirigée par C. Rollet dont on connaît les solides travaux personnels sur l'histoire de la politique à l'égard de la petite enfance sous la Troisième République. Les deux ouvrages se complètent parfaitement dans la mesure où la lecture du premier, une monographie historique sur l'un des plus anciens e...

Ces deux livres, parus en même temps et dans la même collection, sont le résultat d'une recherche collective sur les centres maternels, menée par une équipe de sociologues et d'historiens, dirigée par C. Rollet dont on connaît les solides travaux personnels sur l'histoire de la politique à l'égard de la petite enfance sous la Troisième République. Les deux ouvrages se complètent parfaitement dans la mesure où la lecture du premier, une monographie historique sur l'un des plus anciens e...

L’actualité, comme toujours, suscite la réflexion historique. Devant le déchaînement de la violence en Algérie, CLIO avait programmé, dès sa fondation en 1995, un numéro consacré aux Femmes d’Algérie où se seraient exprimés des chercheurs (euses) d’Algérie. C’était pour son comité de rédaction une façon de dire, comme il le pouvait, sa solidarité à ceux qui vivaient dans la quotidienneté de la terreur. Il a demandé à Djamila Amrane, titulaire depuis 1994 du poste d’« Histoire des Femmes et de...

L’actualité, comme toujours, suscite la réflexion historique. Devant le déchaînement de la violence en Algérie, CLIO avait programmé, dès sa fondation en 1995, un numéro consacré aux Femmes d’Algérie où se seraient exprimés des chercheurs (euses) d’Algérie. C’était pour son comité de rédaction une façon de dire, comme il le pouvait, sa solidarité à ceux qui vivaient dans la quotidienneté de la terreur. Il a demandé à Djamila Amrane, titulaire depuis 1994 du poste d’« Histoire des Femmes et de...

S'il est exact, comme l'indique la quatrième de couverture, que ce livre s'adresse en priorité aux enseignants de lettres en collège, aux professeurs des écoles, aux formateurs et aux étudiants d'IUFM, c'est surtout vrai pour la deuxième partie qui leur suggère quelques pistes d'utilisation didactique des résultats de l'enquête présentée dans la première partie. Celle-ci intéressera beaucoup plus largement les sociologues, anthropologues ou spécialistes du langage et de la communicatio...

A close reading of Psalm 58, focusing particularly on its stylistic features, reveals the centrality of God's presence to his people in the midst of injustice and evil. In spite of its imprecatory language, Psalm 58 is a song of God's saving activity and a celebration of justice. A powerful seven-fold curse full of rich yet horrific images calls out for the disempowerment of the wicked. The Hebrew text, together with significant text-critical notes, along with a critical translation, colometric division (...) and examination of stylistic features constitutes the first part of the article. The structuring and non-structuring elements of the poem lead us to its primary theological purpose which is discussed in the second half of the article. Placing Psalm 58 within the context of the lament genre, the purpose of its difficult words is examined. In line with authors such as W. Brueggemann and C. Stuhlmueller an attempt is made to surface the significance of formal language of violence in the search for theological meaning. A hermeneutic for understanding and utilising the imprecatory psalms as a form of speech which gives voice to our disorientation and the disorientation of others is presented. In conclusion, the article points out how the often hyperbolic and ugly language of Psalm 58 reflects a biblical spirituality which should not be denied in the prayer forms of the community. (shrink)