The essay attempts to delineate how Maurice Merleau-Ponty’s phenomenology of perception can be applied to theories of sign processes, and how it reworks the framework of the phenomenalist conception of communication. His later philosophy involved a reformulation of subjectivity and a resolution of the subject/object dualism. My claim is that this non-reductionist theory of perception reveals a different view of nature as we experience it in an expressive and meaningful interaction. The perspective that another living being has and communicates entails (...) a form of depth, the invisible dimension of the visible or audible. These two aspects of perception and dialogue are intertwined in a dialectic of presence and absence, so that sense arises in the perceptual field rather than in subjectivity. This, I argue, is the most fundamental result of his theory. The origination of meaning in the workings of the chiasm of visible and invisible in perception opens up an objective sense of intersubjective nature. The essay also deals with the role of the phenomenological reduction; a suspension of beliefs and existence claims in experience. The reduction enables us to take a step back and look more closely at our understanding of nature in light of the historical and cultural influence on our thinking. (shrink)

The Game of Thrones Tapestry is a hand-woven and hand-embroidered tapestry which depicts key moments from the HBO TV series Game of Thrones in the style of the Bayeux Tapestry. By analysing particular aspects of its imagery and materiality, the article states that the Game of Thrones Tapestry confirms the way that the Middle Ages are also depicted in the TV series as a time of brutality, barbarism and permeable grotesque bodies, or in short, as the contrast to Modernity. With (...) reference to Art historian Hans Belting’s image theory, it is suggested that one way in which the tapestry confirms this idea of the Middle Ages is through the properties of its medium because as a symbolic body it resembles the Grotesque Body by being permeable and transformable. Because of the tapestry’s ability to mediate the conception of the Middle Ages that characterises the fictional world of Game of Thrones in general, the article proposes that the tapestry can be regarded as a very suitable medium for the images of Game of Thrones which may also explain why this tapestry was created. (shrink)

Machine learning platforms have emerged as a new promissory technology that some argue will revolutionize work practices across a broad range of professions, including medical care. During the past few years, IBM has been testing its Watson for Oncology platform at several oncology departments around the world. Published reports, news stories, as well as our own empirical research show that in some cases, the levels of concordance over recommended treatment protocols between the platform and human oncologists have been quite low. (...) Other studies supported by IBM claim concordance rates as high as 96%. We use the Watson for Oncology case to examine the practice of using concordance levels between tumor boards and a machine learning decision-support system as a form of evidence. We address a challenge related to the epistemic authority between oncologists on tumor boards and the Watson Oncology platform by arguing that the use of concordance levels as a form of evidence of quality or trustworthiness is problematic. Although the platform provides links to the literature from which it draws its conclusion, it obfuscates the scoring criteria that it uses to value some studies over others. In other words, the platform “black boxes” the values that are coded into its scoring system. (shrink)

Data-intensive science comes with increased risks concerning quality and reliability of data, and while trust in science has traditionally been framed as a matter of scientists being expected to adhere to certain technical and moral norms for behaviour, emerging discourses of open science present openness and transparency as substitutes for established trust mechanisms. By ensuring access to all available information, quality becomes a matter of informed judgement by the users, and trust no longer seems necessary. This strategy does not, however, (...) take into consideration the networks of professionals already enabling data-intensive science by providing high-quality data. In the life sciences, biological data- and knowledge bases managed by expert biocurators have become crucial for data-intensive research. In this paper, I will use the case of biocurators to argue that openness and transparency will not diminish the need for trust in data-intensive science. On the contrary, data-intensive science requires a reconfiguration of existing trust mechanisms in order to include those who take care of and manage scientific data after its production. (shrink)

There is a growing recognition that victims of injustice may have privileged access to knowledge about the injustices they experience, and that injustices are perpetuated through silencing victims by taking them to be less credible, and through denying them the platform and capacity to speak. However, these are not ideas that political philosophers tend to engage with in a sustained manner, to the extent that they alter methodological approaches to be systematically attentive to victim testimony. In this article, I provide (...) two arguments in favour of political philosophers attending to victim testimony, one moral, one epistemic, and demonstrate that the moral case has little purchase, but that the epistemic case is more successful. Then, I present the strongest case against including victim testimony in political philosophy, and I argue that it does not hold up to scrutiny. In so doing, I demonstrate how methodological practices in political philosophy could be improved through drawing on feminist social epistemology; attending to victim testimony can enrich political philosophy in epistemically acceptable ways, and it also corrects for a range of potential biases. (shrink)

In this paper I present a problem for the Marxist idea of false consciousness, namely how it is vulnerable to accusations of dogmatism. I will argue that the concept must be further developed if it is to provide a plausible tool for systematic social analysis. In the second half of the paper I will show how this could be done if the account of false consciousness incorporates Shaun Gallagher’s theory of the socially extended mind. This is a theory that explores (...) how the mind expands towards external objects and systems. I will conclude that it helps to reinstate false consciousness as a reliable tool for the analysis of cognitive dynamics within power structures. (shrink)

In recent years, there have been an increasing number of attempts by analytic philosophers to engage with key insights of Critical Theory. While this has had some success within feminist philosophy, and in epistemology, with the emergence of political epistemology as a significant and productive subfield, analytic political philosophers have generally not explored what lessons can be learnt from attempting to bridge the disciplinary divide. In this chapter, I provide what I take to be the clearest explanation for this, namely (...) the dominance of Rawlsianism within analytic political philosophy. Moreover, I argue that in its refusal to engage with core tenets of Critical Theory, Rawlsian political philosophy can be exploited as the mouthpiece of dominant ideologies. However, this is not a charge against analytic political philosophy in general, insofar as analytic political philosophers are willing to engage with Critical Theory, at the cost of dismissing Rawlsianism. -/- . (shrink)

EMBARGOED - expected end date 20.05.2024.

BackgroundFollowing several landmark rulings and increasing public support for physician-assisted death, in 2016, Canada became one of a handful of countries legalising medical assistance in dying (MAiD) with Bill C-14. However, the revised Bill C-7 proposes the specific exclusion of MAiD where a mental disorder is the sole underlying medical condition (MAiD MD-SUMC).AimThis review explores how some persons with serious and persistent mental illness (SPMI) could meet sensible and just criteria for MAiD under the Canadian legislative framework.MethodsWe review the proposed (...) Bill C-7 criteria (capacity, voluntariness, irremediability and suffering) as well as the nuances involved in separating a well-reasoned request for assisted suicide from what might be solely a manifestation of a SPMI.FindingsIn this paper, we argue against the absolute exclusion of patients with SPMIs from accessing MAiD. Instead, we propose that in some circumstances, MAiD MD-SUMC may be justifiable while remaining the last resort. Conducting MAiD eligibility assessments removes the need to introduce diagnosis-specific language into MAiD legislation. Competent psychiatric patients who request MAiD should not be treated any differently from other eligible candidates. Many individuals with psychiatric disorders will be incapable of consenting to MAiD. The only ethical option is to assess eligibility for MAiD on an individual basis and include as legitimate candidates those who suffer solely from psychiatric illness who have the decisional capacity to consent to MAiD. (shrink)

Consists of a description of a multitude of imagery techniques that have been loosely grouped into four major categories: hypno-behavioral, cognitive-behavioral, psychodynamic/humanistic and humanistic/transpersonal.

Intensified and extensive data production and data storage are characteristics of contemporary western societies. Health data sharing is increasing with the growth of Information and Communication Technology platforms devoted to the collection of personal health and genomic data. However, the sensitive and personal nature of health data poses ethical challenges when data is disclosed and shared even if for scientific research purposes. With this in mind, the Science and Values Working Group of the COST Action CHIP ME ‘Citizen's Health through (...) public-private Initiatives: Public health, Market and Ethical perspectives’ identified six core values they considered to be essential for the ethical sharing of health data using ICT platforms. We believe that using this ethical framework will promote respectful scientific practices in order to maintain individuals’ trust in research. We use these values to analyse five ICT platforms and explore how emerging data sharing platforms are reconfiguring the data sharing experience from a range of perspectives. We discuss which types of values, rights and responsibilities they entail and enshrine within their philosophy or outlook on what it means to share personal health information. Through this discussion we address issues of the design and the development process of personal health data and patient-oriented infrastructures, as well as new forms of technologically-mediated empowerment. (shrink)

We attempt to resolve some details of Barsalou's theory. (1) The mechanism that guides selection of perceptual information may be the efferent control of activity. (2) Information about a world that is not accessible to the senses can be constructed in the process of semiotic mediation. (3) Introspection may not be a kind of perception; rather, semiotically mediated information processing might be necessary for the emergence of introspection.

The target article differentiates a new, syntactic component in verbal working memory. We suggest that several more components could be differentiated to make a model of working memory complete. Next, syntax is not always separable from the subject's verbal memory capacity as measured by standard working memory tasks. Finally, interference between different processes cannot be taken as evidence for the processes sharing the same resources. Interference might be a result of active mutual inhibition.

The purpose of the research was to study Finnish people's attitudes towards biomedical research and whether the research sponsor makes a difference to those attitudes. A survey questionnaire was sent to a random sample of 25-64 years old. Respondents had a positive attitude towards biomedical research and there were only small variations by population group. When asked whether one's own clinical blood samples could be used in scientific biomedical research, 84 per cent of the respondents would allow it. The most (...) important reasons for giving routinely collected samples to a biobank were altruistic. Attitudes were strongly dependent on the sponsor of the research. Domestic research was looked at more positively than international research. Whether research was made by a public or private actor had less impact. The results suggest that people want to be research participants to help such research of their own free will, and to choose whom they help. This has an impact on the way participants are informed, on the criteria used by ethics committees and other research regulators, and also on transparency and access to research results. (shrink)

Vivemos num mundo marcado por divisões de ordem religiosa, política, geográfica, cultural, de gênero, social e de outras naturezas inúmeras. A vida humana se dá nesse universo dividido. O ecumenismo consiste numa disposição de aproximação e caminhada conjunta entre diferentes Igrejas a fim de que diferenças não tenham que ser sinônimo de divisão, mas de pluralidade e fonte de riqueza para quem se dispõe a construir a Unidade. Palavras-chave: Ecumenismo; Cristianismo; Diálogo; Unidade; Pluralidade; Igrejas. ABSTRACT We live in a world (...) marked by divisions of a religious, political, geographical, cultural, gender and social order, to mention a few. Human life takes place in this divided universe. Ecumenism consists of a willingness of various Faiths to approach each other and march together so that differences do not mean division, but plurality and a source of richness to those who wish to construct Unity. Key words: Ecumenism; Christianity; Dialogue; Unity; Plurality; Churches. (shrink)

Human security is being threatened as a consequence of climate change. However, the human security paradigm still needs to be addressed as a cause and effect of environmental degradation. Therefore, this article aims to comprehend the impacts of climate change in fragile states regarding food security and human development. The article is a comparative case study of the five most vulnerable countries in Africa: Somalia, South Sudan, Central African Republic, Sudan, and Congo (Dem. Republic). This research contends that climate change (...) is detrimental to the agricultural sector and effects economic growth and basic human needs. Moreover, it is threatening human development due to food and water shortages. This scenario also triggers conflicts among the vulnerable populations of fragile states, disrupting food availability and people’s access. This article suggests that international measures connecting environmental degradation and human security must be implemented in order to improve the quality of life in Africa. Also, long-term nation-building is required to address human security issues present in all five countries. (shrink)

The first aim of the study was to identify when deliberate self-harm behavior ceased in patients with borderline symptoms undergoing dialectical behavioral treatment. The second aim was to compare patients who ceased their self-harm behavior early or late in the course of treatment, with regard to demographics, comorbidity, and symptom severity. The study used a naturalistic design and included 75 treatment completers at an outpatient DBT clinic. Of these 75 patients, 46 presented with self-harming behavior at pre-treatment. These 46 participants (...) where split into two groups, based on median amount of time before ceasing self-harm behavior, termed early and late responders. Treatment duration varied from 16 to 160 weeks. Patients were assessed pre- and post-treatment using measures of depression, hopelessness, personality traits, quality of life, and global assessment of symptoms and functioning. The majority ceased their self-harming within the first year, and the average number of weeks was 15.5. Twenty-five percent of patients ceased their DSH behavior during the first week of treatment. For the remaining patients, the cessation of DSH continued gradually across a 1 year period. We found no differences between early and late responders with respect to demographics, comorbidity, symptom severity, or treatment outcome. None of the patients committed suicide. The findings indicate that self-harming behavior decreases gradually across the first year after starting DBT. (shrink)

The Nordic countries aim to have a unique place within the European and global health data economy. They have extensive nationally maintained and centralized health data records, as well as numerous biobanks where data from individuals can be connected based on personal identification numbers. Much of this phenomenon can be attributed to the emergence and development of the Nordic welfare state, where Nordic countries sought to systematically collect large amounts of population data to guide decision making and improve the health (...) and living conditions of the population. Recently, however, the so-called Nordic gold mine of data is being re-imagined in a wholly other context, where data and its ever-increasing logic of accumulation is seen as a driver for economic growth and private business development. This article explores the development of policies and strategies for health data economy in Denmark and Finland. We ask how nation states try to adjust and benefit from new pressures and opportunities to utilize their data resources in data markets. This raises questions of social sustainability in terms of states being producers, providers, and consumers of data. The data imaginaries related to emerging health data markets also provide insight into how a broad range of different data sources, ranging from hospital records and pharmacy prescriptions to biobank sample data, are brought together to enable “full-scale utilization” of health and welfare data. (shrink)

In this book, the contributors expand on their use of Mayes archetypal pedagogy in volume 1 to apply its principles to a wide variety of venues, purposes, and projects. Each essay explores from its own disciplinary angle the difference between what Mayes has called "educational processes" (which are those practices that take place in the dedicated space of the classroom, through the medium of the curriculum, and under the stewardship of the teacher) and "educative acts" (which are those deep transactions (...) between individuals in joint pursuit of existential truth, wherein one is alternately the teacher and student in conversation, and sometimes even communion, with one's dialogical partner"). (shrink)

Les discours de la morale à l’époque moderne exigent d’être pensés aux confins d’une anthropologie des moeurs, de l’histoire et de la philosophie, de l’épistémologie et de la littérature. C’est ce qu’ont mis en lumière les recherches contemporaines portant aussi bien sur l’histoire des mentalités et sur les rapports entre anthropologie et littérature que sur la dimension éthique des pratiques artistiques et la pensée morale. Dans ce contexte, comment aborder la réflexion morale sous l’Ancien Régime sans s’intéresser à ses fondements (...) philosophiques, aux différentes définitions dont elle fait l’objet ou à ses prolongements artistiques et littéraires? Théologiens, philosophes, moralistes, artistes, hommes et femmes de lettres sont autant de figures de la République des Lettres qui prennent la plume pour interroger la topique des vices et des vertus, qui échappent progressivement au domaine religieux pour investir celui de la philosophie et devenir ainsi l’objet d’un questionnement général sur l’homme et sur l’idée d’humanité. Ces actes du onzième colloque « Jeunes chercheurs du CIERL « proposent un regard critique sur la frontière entre vice et vertu : d’une laïcisation à une relativisation de la morale, elle semble se faire de plus en plus ténue et poreuse, donnant ainsi à voir les effets de tension qui parcourent la réflexion morale, et ce, dès la Renaissance. (shrink)

In recent years, cross-national collaboration in medical research has gained increased policy attention. Policies are developed to enhance data sharing, ensure open-access, and harmonize international standards and ethics rules in order to promote access to existing resources and increase scientific output. In tandem with this promotion of data sharing, numerous ethics policies are developed to control data flows and protect privacy and confidentiality. Both sets of policy making, however, pay limited attention to the moral decisions and social ties enacted in (...) the everyday routines of scientific work. This paper takes its point of departure in the practices of a Danish laboratory with great experience in international collaboration regarding genetic research. We focus on a simple query, what makes genetic material and health data flow, and which hopes and concerns travel along with them? We explore what we call the flows, the nonflows, and the overflows of material and information, and we document the work producing the flows of health data and biomaterial. We call this work “ethics work” and argue that it is crucial for data sharing though it is rarely articulated in ethics policies, remains inadequately funded, and lacks acknowledgment in policies promoting international data sharing. (shrink)

This article poses the question of whether biobanking practices and standards are giving rise to the construction of populations from which various biobanking initiatives increasingly draw on for legitimacy? We argue that although recent biobanking policies encourage various forms of engagement with publics to ensure legitimacy, different biobanks conceptualize their engagement strategies very differently. We suggest that biobanks undertake a broad range of different strategies with regard to engagement. We argue that these different approaches to engagement strategies are contributing to (...) the construction of populations, whereby specific nationalities, communities, societies, patient groups and political systems become imbued or bio-objectified with particular characteristics, such as compliant, distant, positive, commercialized or authoritarian. This bio-objectification process is problematic in relation to policy aspirations ascribed to biobanking engagement since it gives rise to reified notions of different populations. (shrink)

Patients in specialist mental healthcare services who are at risk of suicide may experience their struggles as existential in nature. Yet, research on meaning in life has been relatively scarce in suicidology. This qualitative study aimed to explore how patients at risk of suicide perceived their encounters with specialist healthcare professionals after a suicide attempt (SA), with special reference to meaning in life experiences. The study was conducted in specialised mental healthcare services in Norway. Data were collected via individual interviews (...) with eight patients aged 20–75 years. Using a four-step procedure, the interviews were analysed by systematic text condensation. The participants understood their feelings of shame, self-contempt and challenging life experiences as contributing factors to their SA. They perceived that existential themes in relation to financial difficulties, shame and trauma were resolved, while issues associated with the SA, such as death, loss and beliefs, were given less attention. The participants were either ambivalent about continuing to live or wished to rebuild a meaningful life. Overall, their experiences of meaningfulness were hampered. Assisting patients with meaning in life experiences may help them alter their life interpretations and increase their ability to rebuild their lives as meaningful. The present study should be seen as a contribution to meaning-informed approaches in specialist mental healthcare services. More research is needed to equip healthcare personnel in their overall aims of preventing suicide and supporting patients at risk in their efforts to live a meaningful life. (shrink)

The purpose of the research was to study Finnish people's attitudes towards biomedical research and whether the research sponsor makes a difference to those attitudes. A survey questionnaire was sent to a random sample of 25-64 years old. Respondents had a positive attitude towards biomedical research and there were only small variations by population group. When asked whether one's own clinical blood samples could be used in scientific biomedical research, 84 per cent of the respondents would allow it. The most (...) important reasons for giving routinely collected samples to a biobank were altruistic. Attitudes were strongly dependent on the sponsor of the research. Domestic research was looked at more positively than international research. Whether research was made by a public or private actor had less impact. The results suggest that people want to be research participants to help such research of their own free will, and to choose whom they help. This has an impact on the way participants are informed, on the criteria used by ethics committees and other research regulators, and also on transparency and access to research results. (shrink)

Dados da tradução brasileira de HEGEL, Georg Wilhelm Friedrich. Linhas Fundamentais da Filosofia do Direito ou Direito Natural e Ciência do Estado em Compêndio. Tradução, notas, glossário e bibliografia de Paulo Meneses et alli. Apresentações de Denis Lerrer Rosenfield e de Paulo Roberto Konzen. São Paulo: Loyola; São Leopoldo: UNISINOS, 2010.

This paper discusses the nature of administrative judiciary through Decision No (10) of 2013 which stipulates considering administrative courts a part of regular courts and the effect of this decision on the scope of referral due to lack of jurisdiction, specifically, referral between civil courts and administrative courts. This paper found, through evaluating the decision of the constitutional court, that the considerations this decision was based on are invalid and according to the provisions of the constitution and the regular Court (...) Establishment Law, the administrative judiciary is merely a judicial entity independent from regular courts and could not be a part thereof. However, despite the necessity of abiding to the decision of the constitutional court, we concluded that it has no effect on deciding inadmissibility of referral due to lack of jurisdiction between regular and administrative courts. Although case law, prior to issuing the decision of the constitutional court, considered that the basis of inadmissibility is that the provision of Article (112) of the Civil Procedure Law is limited to regular courts, which administrative courts are not a part thereof; considering that there are other justifications to decide inadmissibility of referral between civil courts and administrative courts, most importantly the difference of judicial procedures followed before each of these courts. Thus, in this paper we provided several recommendations, most importantly, the necessity of interference of the constitutional legislator by explicitly stipulating to consider administrative judiciary as an independent judicial entity. As well, to amend the provision of Article (112) of the Civil Procedures Law by explicitly stipulating not to include referral due to lack of functional competence. (shrink)

Objective: Previous research suggests a positive association between pain, depression and sleep. In this study, we investigate how sleep correlates with varying levels of pain and depression in nursing home patients with dementia.Materials and methods: Cross-sectional study with sleep-related data, derived from two multicenter studies conducted in Norway. We included NH patients with dementia according to the Mini-Mental State Examination from the COSMOS trial and the DEP.PAIN.DEM trial whose sleep was objectively measured with actigraphy. In the COSMOS trial, NH patients (...) were included if they were ≥65 years of age and with life expectancy >6 months. In the DEP.PAIN.DEM trial, patients were included if they were ≥60 years and if they had depression according to the Cornell Scale for Depression in Dementia. In both studies, pain was assessed with the Mobilization-Observation-Behavior-Intensity-Dementia-2 Pain Scale, and depression with CSDD. Sleep parameters were total sleep time, sleep efficiency, sleep onset latency, wake after sleep onset, early morning awakening, daytime total sleep time and time in bed. We registered use of sedatives, analgesics, opioids and antidepressants from patient health records and adjusted for these medications in the analyses.Results: Mean age was 86.2 years and 76.3% were female. Hierarchical regressions showed that pain was associated with higher TST and SE, less WASO and more DTS. More severe dementia was associated with more WASO and TiB. More severe depression was associated with less TST, less DTS and less TiB. Use of sedative medications was associated with less TiB.Conclusion: When sleep was measured with actigraphy, NH patients with dementia and pain slept more than patients without pain, in terms of higher total sleep time. Furthermore, their sleep efficiency was higher, indicating that the patients had more sleep within the time they spent in bed. Patients with more severe dementia spent more time awake during the time spent in bed. Furthermore, people with more severe depression slept less at daytime and had less total sleep time Controlling for concomitant medication use did not affect the obtained results. (shrink)

The COVID-19 pandemic and the accompanying safety measures, including confinement, has meant an unprecedented challenge for the world population today. However, it has entailed additional difficulties for specific populations, including children and people with disabilities. Being out of school for months has reduced the learning opportunities for many children, such as those with less academic resources at home or with poorer technological connectivity. For students with disabilities, it has entailed losing the quality of the special attention they often need, in (...) addition to a more limited understanding of the situation. In this context, a case study was conducted in a special education classroom of a secondary education school. This class started implementing Dialogic Literary Gatherings with their special education students before the COVID-19 confinement and continued online during the confinement. Qualitative data was collected after a period of implementation of the gatherings showing positive impacts on the participants. The case study shows that interactive learning environments such as the Dialogic Literary Gatherings can provide quality distance learning for students with disabilities, contributing to overcome some of the barriers that the pandemic context creates for the education of these students. (shrink)