Official Dutch food information apparently tries to avoid images but is implicitly shaped by the metaphor that food is fuel. The image of food as fuel and its accompanying view of the body as a machine are not maximally helpful for integrating two important human desires: health and pleasure. At the basis of the split between health and pleasure is the traditional mind¿body dichotomy, in which the body is an important source of evil and bodily pleasure is sinful and dangerous. (...) In the search for alternatives, new metaphors are proposed that integrate mind and body as well as pleasure and health. The relevance of metaphors for ethics is at least twofold. Moral thought and theory are at least partly shaped by metaphors. In the light of this growing recognition, the analysis of morality needs innovation. With regard to food, new metaphors, such as slow food, or the image of enjoyment as an art, enable a new search for morally responsible forms of hedonism, based on more love and respect for human as well as animal bodies. But new metaphors are specific and selective, just like old ones. I argue that a search for the best overall metaphor would be misguided, but that more diverse forms of attention to bodily aspects of life, including experiences related to food, will result in richer vocabularies of the body, the mind, and body¿mind relations. This holds a promise of moral progress. (shrink)

Questions the dominant biological approach of explaining animal development as entirely genetic by exploring the explanatory value of investigating environmental influences.

In this article, the effectiveness of an intervention aimed at the development of reading motivation and reading strategies within problem-oriented learning environments is evaluated. The basic assumption underlying the intervention is that reading should occur in meaningful contexts and that reading and science should be regularly integrated. The intervention challenges pupils to investigate a self-formulated problem, read several books or texts on the topic and report the results of their study. The participants were six experimental third-grade classes and seven comparable (...) control classes. The effects of the intervention were measured using a pretest-posttest control group design. Analyses of covariance were conducted to examine the effects as measured by a standardized Reading Comprehension Test, a Reading Comprehension Questionnaire, a Reading Strategy Test and a Reading Motivation Scale. The results showed the experimental group to outperform the control group with regard to knowledge of reading strategies and the use of such strategies . A significant difference in favour of the experimental group was also found for the Reading Motivation Scale. An effect on the standardized Reading Comprehension Test was not found. (shrink)

.This paper explores the ambiguous notion of bodily integrity, focusing on male and female circumcision. In the empirical part of the study we describe and analyse the various meanings that are given to the notion of bodily integrity by people in their daily lives. In the philosophical part we distinguish between a person-oriented and a body-oriented approach and between four levels of interpretation, i.e. bodily integrity conceived of as a biological wholeness, an experiential wholeness, an intact wholeness, and as an (...) inviolable wholeness. We argue that bodily integrity is a prima facie principle in its own right, closely connected with, but still fundamentally different from, the principle of personal autonomy, that is, autonomy over the body. (shrink)

Two approaches to an integration of evolution and development are often distinguished, one neo-Darwinian and the other structuralist. Should these approaches in turn be integrated? Kelly Smith recently stated that we need a more complete theory of biological order, suggesting integration as the ideal. In response to him, I argue that a recognition of different types of scientific questions and causal explanation is more urgent. Do we understand development when we know the crucial factors in the process of differentiation, or (...) rather when we know the laws that govern the transformations of fields? Without a recognition of these different explanatory ideals, integration is likely to have the character of annexation. (shrink)

Frans de Waal’s view that empathy is at the basis of morality directly seems to build on Darwin, who considered sympathy as the crucial instinct. Yet when we look closer, their understanding of the central social instinct differs considerably. De Waal sees our deeply ingrained tendency to sympathize (or rather: empathize) with others as the good side of our morally dualistic nature. For Darwin, sympathizing was not the whole story of the workings of sympathy ; the (selfish) need to receive (...) sympathy played just as central a role in the complex roads from sympathy to morality. Darwin’s understanding of sympathy stems from Adam Smith, who argued that the presence of morally impure motives should not be a reason for cynicism about morality. I suggest that De Waal’s approach could benefit from a more thorough alignment with the analysis of the workings of sympathy in the work of Darwin and Adam Smith. (shrink)

Official Dutch food information apparently tries to avoid images but is implicitly shaped by the metaphor that food is fuel. The image of food as fuel and its accompanying view of the body as a machine are not maximally helpful for integrating two important human desires: health and pleasure. At the basis of the split between health and pleasure is the traditional mind–body dichotomy, in which the body is an important source of evil and bodily pleasure is sinful and dangerous. (...) In the search for alternatives, new metaphors are proposed that integrate mind and body as well as pleasure and health. The relevance of metaphors for ethics is at least twofold. (1) Moral thought and theory are at least partly shaped by metaphors. In the light of this growing recognition, the analysis of morality needs innovation. (2) With regard to food, new metaphors, such as slow food, or the image of enjoyment as an art, enable a new search for morally responsible forms of hedonism, based on more love and respect for human as well as animal bodies. But new metaphors are specific and selective, just like old ones. I argue that a search for the best overall metaphor would be misguided, but that more diverse forms of attention to bodily aspects of life, including experiences related to food, will result in richer vocabularies of the body, the mind, and body–mind relations. This holds a promise of moral progress. (shrink)

Recent documents from the Jewish-Catholic dialogue have raised the question about the relation of the two covenants, their salvific efficacy, and their continuing validity. II Cor. 3, a text renowned for its difficulties, proposes an analogy of glory which allows the old covenant to be subsumed into the new. The new covenant's transcendence grounds the demand made upon Jews to remove the veil and turn with Moses to Christ. Yet the process of inoperancy attendant upon the old covenant, the reason (...) for Moses' veiling, does not abolish it immediately; its operativeness remains within the new. Thus the Mosaic covenant, understood from the plenitude of Christ, serves to point prophetically to the new covenant and furnishes rules of conduct for Christians. Glory does not just characterize the new covenant externally; instead, because the new covenant is written on the hearts of believers, it effects a transformation of believers into Christ that is mediated by His historical appearance and the Eucharist. (shrink)

With regard to the theoretical place of environmental factors in development, three approaches to evolution and development can be distinguished. One is the neo-Darwinist approach in which ‘genetic programs’ are central. The other two present themselves as alternatives to the gene-centrism in present-day biology. I discuss pairwise similarities and differences between the three approaches. Goodwin's approach differs from neo-Darwinism in its favoured types of causes, but shares the internalist perspective on embryological development. The ‘constructionist’ alternative proposes to enlarge the developmental (...) system to include external factors, and shares with neo-Darwinism the emphasis on contingent causes. Thus there is neither a grand dichotomy in biology, between neo-Darwinism and its alternative, nor a grand trichotomy. Different purposes make different approaches useful. I conclude by arguing that environmental influences should have a more prominent place in developmental biology. (shrink)

With regard to the theoretical place of environmental factors in development, three approaches to evolution and development can be distinguished. One is the neo-Darwinist approach in which genetic programs are central. The other two present themselves as alternatives to the gene-centrism in present-day biology. I discuss pairwise similarities and differences between the three approaches. Goodwin's approach differs from neo-Darwinism in its favoured types of causes, but shares the internalist perspective on embryological development. The constructionist alternative proposes to enlarge the developmental (...) system to include external factors, and shares with neo-Darwinism the emphasis on contingent causes. Thus there is neither a grand dichotomy in biology, between neo-Darwinism and its alternative, nor a grand trichotomy. Different purposes make different approaches useful. I conclude by arguing that environmental influences should have a more prominent place in developmental biology. (shrink)

On 10 July 1973, Laurens, our second son, was born in the same Dutch hospital where I worked as an intensive care physician. Two weeks after we brought him. home from the hospital, my wife heard him crying at about 5:45 A.M. Rather than going to him, she decided to wait until his scheduled feeding time. At about 6:10 when she went to Laurens's room to feed him, she saw him. face down in the corner of his crib. He appeared (...) dead. She screamed for me. I ran from upstairs to Laurens's room on the ground floor. I initiated cardio-pulmonary resuscitation and continued the CPR while my wife called our general practitioner. He arrived in about 10 minutes and the ambulance arrived a minute later. (shrink)

Por meio de processos-crime, reflete-se sobre a organização racial/racista da sociedade no passado. O assassinato de Vicente Crioulo, no ano de 1848, funciona como o primeiro paradigma para que se entenda que o Estado representa apenas um dos canais para a subjugação de povos não-brancos aos brancos dominadores. Esta abordagem filia-se à micro-história, e procura ver a vida cotidiana de homens e mulheres negras, escolhendo três casos paradigmáticos, que caminham da tortura e morte de um homem negro à uma rebelião (...) de escravos contra o seu feitor. Trata-se de uma narrativa de dor, mas também de resistência à ordem escravocrata. (shrink)

This article examines how people with type 2 diabetes perceive autonomous decision making and which moral capacities they consider important in diabetes nurses' support of autonomous decision making. Fifteen older adults with type 2 diabetes were interviewed in a nurse-led unit. First, the data were analysed using the grounded theory method. The participants described a variety of decision-making processes in the nurse and family care-giver context. Later, descriptions of the decision-making processes were analysed using hermeneutic text interpretation. We suggest first- (...) and second-order moral capacities that nurses specializing in diabetes need to promote the autonomous decision making of their patients. We recommend nurses to engage in ongoing, interactive reflective practice to further develop these moral capacities. (shrink)

Since Ackerman in Corporate social responsiveness, the modern dilemma (1973), pleaded for the institutionalisation of corporate social performance (CSP) in business processes, researchers have focused on the role of strategy in CSP. This article demonstrates that CSP is institutionalised within the governance structure. We will attempt to make this clear by means of a description of the Dutch system of corporate governance. Under certain circumstances Dutch companies are already bound to CSP due to prevailing legislation. A governance perspective shows that (...) CSP is institutionalised within a company’s governance structure. “Processes of responsiveness”, since long regarded as a starting point of CSP-analysis, appear to be decision-making processes. Within these processes the expectations of the stakeholders can be institutionalised, trust can be built and interests can be incorporated. This makes CSP context-dependent. However, it is possible to analyse companies by comparing the companies’ individual governance structures. The article concludes that CSP-analysis can fruitfully extend into analysing in the role of the stakeholders in the influence-pathways that are incorporated within the governance structure. (shrink)

The goal of this article is to augment the ethical discussion among nurses with the findings from empirical research on autonomy of older adults with type 2 diabetes mellitus. There are many factors influencing autonomy. These include: health conditions, treatment, knowledge, experience and skills, personal approach as well as familial patterns, type of relationship, life history and social context. Fifteen older adults with type 2 diabetes mellitus were interviewed in a nurse-led diabetes clinic. These participants perceive three processes which support (...) autonomy in responsive relationships: preserving patterns of concern and interaction, nurturing collaborative responsibilities and being closely engaged in trustful and helpful family relations. People with diabetes realize autonomy in various responsive relationships in their unique life context. Next, we performed a literature review of care ethics and caring in nursing with regard to relational autonomy. We classified the literature in five strands of care: attitude-oriented, dialogue-oriented, activity-oriented, relationship-oriented and life-oriented. According to our respondents, autonomy in responsive relationships is fostered when patient, nurses, professionals of the health team and family members carry out care activities supported by a relational attitude of care. They can best realize autonomy in relationships with others when several essential aspects of care and caring are present in their lives. Therefore, we advocate a comprehensive approach to care and caring. (shrink)

Developing countries face numerous barriers to conducting effective and efficient ethics reviews of international collaborative research. In addition to potentially overlooking important scientific and ethical considerations, inadequate or insufficiently trained ethics committees may insist on unwarranted changes to protocols that can impair a study's scientific or ethical validity. Moreover, poorly functioning review systems can impose substantial delays on the commencement of research, which needlessly undermine the development of new interventions for urgent medical needs. In response to these concerns, the Drugs (...) for Neglected Diseases Initiative, an independent nonprofit organization founded by a coalition of public sector and international organizations, developed a mechanism to facilitate more effective and efficient host country ethics review for a study of the use of fexinidazole for the treatment of late stage African Trypanosomiasis. The project involved the implementation of a novel ‘pre-review’ process of ethical oversight, conducted by an ad hoc committee of ethics committee representatives from African and European countries, in collaboration with internationally recognized scientific experts. This article examines the process and outcomes of this collaborative process. (shrink)

Com este breve artigo, prendemos fazer um estudo sobre os Sodomitas “de cor” perseguidos pela Inquisição Portuguesa na Bahia do século XVII. Inicialmente, faz-se uma reflexão sobre a Sodomia, delito contra a fé católica, crime que estava sob a alçada do Tribunal do Santo Ofício e que fora praticado pelos negros escravizados e a partir dos documentos inquisitoriais, discorremos sobre a trajetória dos desviantes: o cativo lisboeta Jeronimo Soares, que fora acusado de sodomita e “alcoviteiro” e o mulato ator cômico (...) Bugio, denunciado por praticar sodomia, por fim, procuramos evidenciar as andanças, força, formas de repressão utilizadas contra esses sodomitas no contexto baiano, assim com a influência da religião – Igreja Católica – e as ferramentas de controle utilizadas para “convencer” a sociedade colonial a seguir o caminho correto da fé e da moral. As fontes utilizadas são os registros de depoimentos dos “hereges” e das testemunhas, produzidas pelo Santo Ofício, localizadas no Arquivo Nacional da Torre do Tombo : Sumário de culpa nº 12257 e Caderno do Promotor nº 29. Palavras-chave: Escravidão, Sodomia, Inquisição, Brasil Colônia. (shrink)

Although many studies have revealed the importance of study skills for students' first?year performance and college retention, the extent of the impact of study skills preparation on students' academic achievement is less clear. This paper explores the impact of pre?university study skills preparation on students' first?year study experiences, academic achievement and persistence. The setting for this study is a large law school in the Netherlands which attracts students from more than 100 schools for secondary education. The results show that the (...) perceived study skills preparation concerning time management and learning skills does have a positive impact on college students' first?year study behaviour and academic achievement. However, the study also shows that the impact of perceived college preparation is far less important for college retention than other factors such as satisfaction about the chosen degree programme and tutorial attendance. (shrink)

In pursuit of my ultimate objective of being in control of my self-deliverance at the time when my physical condition no longer warrants continuance, I have joined the Hemlock Society of Los Angeles. The Society urges its members to explore with their personal physicians this subject well in advance of the actual moment of necessity, and in particular the problem of acquiring a lethal dose of a drug that will provide a release consistent in quality with the degree of peace (...) and serenity sought in life. It is my hope that we can find a process commensurate with your moral and professional concerns which will allow us to collaborate. (shrink)