The authors of this article are previous or current members of the Clinical Ethics Consultation Affairs (CECA) Committee, a standing committee of the American Society for Bioethics and Humanities (ASBH). The committee is composed of seasoned healthcare ethics consultants (HCECs), and it is charged with developing and disseminating education materials for HCECs and ethics committees. The purpose of this article is to describe the educational research and development processes behind our teaching materials, which culminated in a case studies book called (...) A Case-Based Study Guide for Addressing Patient-Centered Ethical Issues in Health Care (hereafter, the Study Guide). In this article, we also enumerate how the Study Guide could be used in teaching and learning, and we identify areas that are ripe for future work. (shrink)

This first-person essay explores wonder in the medical encounter from a patient’s point of view, considering times when medical technology has given the author insight into her body and the wonder that has been evoked by these experiences. Two medical encounters are detailed: one in which post-polio vocal cord weakness was explored using a miniature camera, which evoked a sense of wonder at the process of evolution; and the second in which an MRI of the author’s skull became a memento (...) mori. The author reflects on the long processes of genetic mutation from single-celled organism to human being, and on the devolution after death to food for bacteria and insects. (shrink)

Sex determination in mammals is mediated via the supporting cell lineage in the fetal gonad. In the very early stages of gonadal development, the fate of the supporting cell population is critically dependent on the expression of the male‐determining gene on the Y chromosome. If this gene is absent or fails to be expressed, or is expressed too late or in too small a number of supporting cells, all supporting cells (XX or XY) differentiate as pre‐follicle cells and development proceeds (...) along the female pathway. Supporting cells in which the male‐determining gene is expressed in a timely manner differentiate as pre‐Sertoli cells; given sufficient such cells, testis cords form and development proceeds in a male direction. If XX supporting cells are also present, a few may be recruited into the pre‐Sertoli population and participate in testis cord formation. The subsequent fate of pre‐follicle cells depends critically on interaction with the germ cell population in the developing gonad: absence of germ cells may lead to partial masculinization of the gonad, and/or to disappearance of the supporting cell component. (shrink)

Parmi les déesses du monde mésopotamien, deux figures féminines se dégagent : les soeurs Ištar et Ereškigal. Ištar agit dans la sphère des relations amoureuses, et surtout de la bataille. Elle joue dans la guerre comme elle le ferait « avec une corde à sauter ». Ereškigal règne sur le monde des morts : elle est celle « qui n’a pas connu le jeu des jeunes filles ». Cette contribution s’appuie sur les documents écrits (hymnes, narrations mythologiques) en cunéiformes (sumérien (...) – akkadien et textes bilingues) des iie et ier millénaire av. n. è. Elle prend pour angle d’approche les relations conflictuelles entre ces grandes déesses pour mieux saisir leurs rapports respectifs au jeu : où et quand jouent-elles? À quoi et avec qui jouent-elles? Quelles sont les informations que l’on peut en tirer pour les femmes et jeunes filles humaines? Diverses problématiques sont abordées à la lumière des études de genre : celles des rapports intergénérationnels et interfamiliaux, de la définition des espaces privé-public, de la séduction et de l’érotisme. (shrink)

Across 13 essays "e; 12 of which were previously unavailable in English "e; Deleuze specialist Anne Sauvagnargues reveals the continuing potential of Deleuze, Guattari and Simondon to invent new concepts and new modes of creativity and existence. She redeploys their work, together with other key philosophers including Bergson, Lacan, Deligny and Ruyer, to create new concepts including geophilosophy, the artmachine, the ritornello, schizoanalysis and the machinic assemblage.

In "Implementing Expanded Prenatal Genetic Testing: Should Parents Have Access to Any and All Fetal Genetic Information?," Bayefsky and Berkman argue in favor of establishing three categorie...

Debates in metaethics about metanormative realism, quasi-realism, anti-realism, and nihilism mostly focus on epistemic reasons for beliefs about values. Very little has been said about our practical reasons for metaethical beliefs, and even less is said about practical reasons for other attitudes we might take toward metaethical views. This paper shows why a recent argument bucking that trend fails to show that we have practical reasons to believe realism over nihilism, but that for many of us, we do have practical (...) reason to hope that what I call Optimistic Realism is true. (shrink)

This paper relates firm size and opportunism by showing that, given certain behavioral dispositions of humans, the size of a profit-maximizing firm can be determined by cognitive aspects underlying firminternal cultural transmission processes. We argue that what firms do better than markets – besides economizing on transaction costs – is to establish a cooperative regime among its employees that keeps in check opportunism. A model depicts the outstanding role of the entrepreneur or business leader in firminternal socialization processes and the (...) evolution of corporate cultures. We show that high opportunismrelated costs are a reason for keeping firms’ size small. (shrink)

En accompagnement de la reprise des fouilles, nous présentons de nouvelles données relatives aux trois monuments les plus occidentaux de la terrasse de la Marmaria, obtenues à l’occasion de l’inventaire des blocs hors œuvre, présents sur le site, et d’une relecture des sources textuelles antiques. La fonction d’hestiatorion de SD 44 est ainsi confirmée. Une nouvelle datation est proposée pour l’édifice de calcaire SD 43 dont l’architecture ne correspond pas à celle d’un temple, mais plutôt à celle d’une salle d’assemblée. (...) La date de la tholos SD 40 est également abaissée, ce qui la met en relation avec le Philippéion d’Olympie. Ces acquis auront à être précisés par la poursuite de l’étude architecturale, mais ils invitent déjà à réévaluer la place que la Macédoine des Argéades tenait à Delphes. (shrink)

In this paper we argue that the eudaimonist virtue of hope holds pride of place in development of psychological traits that promote human flourishing. The argument is part theoretical and part empirical. On the theoretical side, hope, the virtue, is the disposition to envision future good possibilities for oneself and one’s community and to move towards those possibilities. This renders hope necessary for any agent’s self-conscious pursuit of the goods that constitute flourishing, and also for the development of other virtues. (...) On the empirical side, we draw on evidence from psychology to argue that early in development, humans need relationships of trust with caregivers to develop the future orientation and features of agency constitutive of the virtue of hope. Thus the virtue of hope generally needs to be fostered, in part, through trusting relationships for humans to flourish. (shrink)

Tom Regan holds that all subjects-of-a-life possess equal inherent value, and thus have an equal right to be treated with respect. In this chapter, I consider an apparent implication of Regan's principle: that we have an obligation to rescue prey from their predators. This apparent implication is counterintuitive to many people who otherwise accept Regan's principle, so it is worth considering whether it is indeed implied by Regan's principle. Regan argues that his principle does not imply we have an obligation (...) to rescue prey from their predators; I consider this argument, and show that it does not succeed. Instead, I offer a different argument, inspired by a eudaimonist approach, but compatible with Regan's rights-centered framework. (shrink)

Abstract This article examines major methodological issues in Gramsci?s writings that are relevant for re?thinking contemporary political relationships, by considering his use of the ?particular?. It draws on Gramsci?s notes on Chesterton?s Father Brown stories, including his contrast between ?old? Catholic Europe and ?new? Protestant, positivist America, and discusses Gramsci?s critique of positivism and populism with reference to his writings on the palaeontologist Cuvier and the criminologist Cesare Lombroso. It links Gramsci?s use of details and fragments from diverse sources, Father (...) Brown?s methods, and the practice of psychoanalysis. Gramsci?s criticism of Conan Doyle is contrasted with Freud?s admiration for him. It examines the tensions involved in interrogating seemingly unimportant, ?everyday? material and in engaging with the innate conservatism of popular ?common sense? beliefs, whose ?good sense? is nonetheless the necessary point of departure for mass politics. At the same time it argues that in addressing major social and political issues, the ?general?, universal or hegemonic cannot be derived from the ?particular?. It connects these themes to contemporary questions about the status and objectives of different kinds of knowledge and the split between politics and people. It suggests that Gramsci?s aim to go beyond the dichotomy between rationalism and irrationalism has profound implications both for understanding his writings and for their use in contemporary political analysis. (shrink)

The data from a sample of wives living in countries not their own led to a challenge of the assumption that womanhood is an ascribed status. The article contrasts social womanhood with biological womanhood and shows the ways wives attempted to bridge the gaps between definitions of womanhood in their own and in their husbands' societies. If womanhood is an achieved status, further work is needed to define the dimensions and the criteria for this status.

At forstå med kroppen – Udvalgte dele af Løgstrups kritik af Kant.

Introduction: Aristotle's phantasia and the ancient concept of imagination -- Visualization, vividness (enargeia) and realism -- Mathematical projection, copying and analogy -- Prophecy, inspiration and allegory -- Conclusion: ancient and modern imagination.

Abstract -/- Artiklen gør op med en tolkning af Arendts teori om dømmekraft som bestående af to forskellige teorier; en om dømmekraft som umiddelbar skelneevne, og en dømmekraft som diskursiv fornuft. Denne tvedeling kan genfindes hos flere nulevende filosoffer, som Albrecth Wellmer, Jürgen Habermas, Richard Bernstein, Seyla Benhabib, hvoraf sidstnævnte ydermere associerer dem med de to filosofihistoriske dømmekraftbegreber, nemlig Aristoteles’ phronesisbegreb og Kants begreb om den refleksive dømmekraft. I sin rekonstruktion søger artiklen at komme bag om denne opdeling ved at (...) spore gennemgående træk i Arendts værk, som går på tværs af forholdet mellem handling og tænkning. (shrink)

Peut-on concevoir un récit généalogique ou une forme catalogique en dehors de tout contexte littéraire ? Le sanctuaire d’Olympie offre plusieurs pistes de réflexion à travers l’analyse de ses offrandes et de son décor figuré : généalogie sous-jacente liée à l’identité grecque, agencement parataxique du décor archaïque , catalogue des douze travaux d’Héraclès, ou catalogue abstrait suscité par un épisode épique. Les différentes stations de cette visite du sanctuaire ouvrent la voie à une réflexion sur la complémentarité – et non (...) l’interdépendance directe – du récit verbal et des représentations figurées. En tant que centre panhellénique le sanctuaire est un creuset dans lequel se met en place une koinè mythologique. Les images participent grandement à cette construction de l’identité culturelle hellénique, aussi bien comme déclencheur du récit, que comme medium à part entière.The Narrative Object, or Myth Materialised. Genealogies and Catalogues without Words in the Sanctuary of Olympia. Is it conceivable that genealogical accounts or forms of catalogues, divorced from any literary context, can exist? The sanctuary of Olympia, through an analysis of its votive offerings and figural decoration, yields several paths of reflection: the omnipresenceof genealogy, intimately connected with the Greek identity, paratactic arrangements of archaic decoration , the twelve labours of Herakles, or an abstract catalogue attached to an epic episode. The different stations in this sanctuary visit lead us to reflect on the complementarity – but not direct interdependence – of narrative and figural representation. As a Panhellenic sanctuary, Olympia is a veritable melting pot, in which a mytho­logical koine gradually evolves. Images play a large part in the construction of Hellenic cultural identity: as stimulators of narrative, certainly, but also as media in themselves. (shrink)

The article concerns civic experiences beyond or prior to civic action. Approaching questions of civic culture and democracy by way of the rather broad notion of civic experience, the author suggests that democratic values and processes involving citizens’ participation should be understood as deeply anchored in the lifeworld. The article establishes a view in which civic culture is understood from a holistic perspective as an experience. At the same time, the author is interested in the ways in which media are (...) involved in that process, without assuming their predominance in fostering civic engagement and public connection. Drawing mainly on 20 solicited, open-ended online diaries with young adults from Narva, Tartu, and Tallinn in Estonia and the European Social Survey Round 5, the article proposes civic experience as a helpful notion to overcome the generic divide between utopian and dystopian views on the relationship between media and civic culture. (shrink)

Berichte zur Wissenschaftsgeschichte, Volume 44, Issue 4, Page 391-413, December 2021.

The concept of suffering is discussed among those who are cognitively aware and verbally capable to express their suffering. Due to immaturity, preterm infants’ abilities to express suffering are limited. Relieving suffering is an ethical and juridical demand of good nursing care. The purpose of this study is to describe nurses’ perceptions of the suffering of preterm infants. A descriptive qualitative approach was selected. Data were collected from essays written by nurses (n = 19) working in the neonatal intensive care (...) unit. Inductive content analysis guided by the research question was performed. The nurses described individually determined suffering of the preterm infants according to four categories: suffering ruled by maturation, existence of suffering, individual threshold of suffering and interpreting the cues of suffering. Suffering of preterm infants is manifested by population-specific features, emphasising the need to develop sensitive interventions for relieving their suffering. (shrink)

The issue of abortion has been the topic of heated and frequent debate in post-Communist Poland. Parliamentary debate in 1998—9 centred around a legislative attempt to restrict prenatal testing, specifically amniocentesis, in order to further reduce the numbers of abortions carried out, as it was argued to inevitably result in the termination of pregnancy. Medical professionals are rarely visible as subjects of and authorities on the abortion debate in the Polish context. However, in this debate around prenatal testing, the medical (...) community appear as key commentators and meaning-makers. This article asks the following questions: What role do the medical profession and biomedical knowledge play in the debate around prenatal testing, when abortion is highly politicized? Second, what social meanings and consequences are attributed to prenatal testing? How do these construct the relationship between foetus, pregnant woman and doctor, and what agency and 'rights' are attributed to women in the process of prenatal testing? (shrink)