This article reviews the history of medical and research abuses experienced by American Indians since European colonization. This article examines the unethical research of American Indians/Alaska Natives in light of the Tuskegee Study of Untreated Syphilis in the Negro Male. Literature citations indicate that significant unethical research and medical care incidents occurred both before and after the Tuskegee Syphilis Study among American Indians/Alaska Natives. The majority of these unethical abuses were committed by the federal government and within the historical context (...) of a long-term contentious relationship between American Indians and the federal government. Although President Clinton issued a highly visible public apology to the African American survivors of the Tuskegee syphilis experiment in 1997, American Indians have yet to experience such visible federal acknowledgment. To ensure ethical research in which benefits outweigh risks and findings are not value-laden or misrepresented, tribes have instituted their own Institutional Review Boards coupled with community-participatory activities. (shrink)

There is a global shortage of nurses that affects healthcare delivery, which will be exacerbated with the increasing demand for healthcare professionals by the aging population. The growing shortage requires an ethical exploration on the issue of nurse migration. In this article, we discuss how migration respects the autonomy of nurses, increases cultural diversity, and leads to improved patient satisfaction and health outcomes. We also discuss the potential for negative impacts on public health infrastructures, lack of respect for cultural diversity, (...) and ethical concerns related to autonomy and justice, including coercion and discrimination. This analysis is written from a rights-based ethics approach by referring to rights held by nurses and patient populations. Nurse migration highlights conflicts between nurses and between nurses and healthcare systems. Increased awareness of ethical challenges surrounding nurse migration must be addressed to enhance the well-being of nurses and patient populations. (shrink)

Nurses have traditionally been regarded as clinicians that deliver compassionate, safe, and empathetic health care (Nurses again outpace other professions for honesty & ethics, 2018). Caring is a fundamental characteristic, expectation, and moral obligation of the nursing and caregiving professions (Nursing: Scope and standards of practice, American Nurses Association, Silver Spring, MD, 2015). Along with caring, nurses are expected to undertake ever‐expanding duties and complex tasks. In part because of the growing physical, intellectual and emotional demandingness, of nursing as well (...) as technological advances, artificial intelligence (AI) and AI care robots are rapidly changing the healthcare landscape. As technology becomes more advanced, efficient, and economical, opportunities and pressure to introduce AI into nursing care will only increase. In the first part of the article, we review recent and existing applications of AI in nursing and speculate on future use. Second, situate our project within the recent literature on the ethics of nursing and AI. Third, we explore three dominant theories of caring and the two paradigmatic expressions of caring (touch and presence) and conclude that AI—at least for the foreseeable future—is incapable of caring in the sense central to nursing and caregiving ethics. We conclude that for AI to be implemented ethically, it cannot transgress the core values of nursing, usurp aspects of caring that can only meaningfully be carried out by human beings, and it must support, open, or improve opportunities for nurses to provide the uniquely human aspects of care. (shrink)

Depuis sa fondation comme discipline indépendante, la psychologie semble contourner les questions épistémologiques constitutives d’une science de l’esprit. Cet article s’attache à présenter brièvement quelques-unes de ces questions, à travers la psychologie historique d’Ignace Meyerson.

What does it mean to know who you are? Is it a matter of knowing your name? The things that you’ve done? The people you love? Such indispensible knowledge is somehow not enough; I can know all of these things, and still feel puzzled about who I am. “I am not the person I once was,” “I am not myself today,” and “I am learning who I am,” are all commonplace poems of a kind: expressive sentences completely at home both (...) in literature and ordinary life. Such a poem is the sentence “I know who I am.” This last is one of the many grand and emblematic boasts of Miguel de Cervantes’s hilariously self-fashioned knight, Don Quixote de la Mancha, a boast that can seem both impossible and yet utterly sensible, part quixotic and... (shrink)

A common contention of literary criticism is that literary forms can express, reflect, shape, represent or otherwise give form to human life. Literature can seem to offer the same idea as a promise of life’s meaningfulness; where expressive form is powerful, life need not be empty. Can literary forms give form to human life? I will argue for one sense in which this is true. As will become clear, at stake in this inquiry is not simply an idea about the (...) meaningfulness of literature’s poetry, but a way of answering the question of what it means to be human. (shrink)

En danse comme dans les autres arts – même en science – écrit Hélène Marquié, le premier pas pour les études de genre est de donner de la visibilité aux femmes dans l’archive historique afin de reconstruire une histoire « mixte » (p. 218). L’auteure explique que c’est seulement avec les rapports de 2006 et de 2009 sur « l’accès égal » des hommes et des femmes aux performances et aux structures chorégraphiques que le féminisme à tonalité politique a commencé (...) à s’implanter dans la danse françai... (shrink)

In this issue, Ellen Fox and colleagues report on their national study on ethics consultation in U.S. hospitals, following up on the previous 1999–2000 landmark study. Th...

Number terms and quantifiers share a range of linguistic (syntactic, semantic, and pragmatic) properties. On the basis of these similarities, one might expect these 2 classes of linguistic expression to pose similar problems to children acquiring language. We report here the results of an experiment that explicitly compared the acquisition of numerical expressions (two, four) and quantificational (some, all) expressions in younger and older 3-year-olds. Each group showed adult-like preferences for “exact” interpretations when evaluating number terms; however they did not (...) use the corresponding upper bounded interpretation when evaluating the quantifier some. Apparently, children follow different procedures for learning and evaluating numerals and quantifiers. These findings have implications for theories of number representation in child and adult grammars. (shrink)

Tout comme dans la confession catholique, le vin connaît dans l’orthodoxie une symbolique très riche qui engendre – en l’étayant – une fonctionnalité liturgique assez complexe. Nous avons essayé de la surprendre à quatre niveaux contextuels: les liturgies eucharistiques et la litie; le sacrement du mariage; le rituel de la consécration des églises; les offices et rituels pour les morts. Nous avons étudié les fonctions liturgiques de sanctification, de guérison, de bénédiction et de purification du vin, qui peuvent être regroupées, (...) selon leur symbolique sous-jacente, en trois catégories principales: l’obtention d’une efficacité rituelle extraordinaire; l’actualisation de la communication symbolique caractéristique du mimodrame liturgique; l’alimentation du sentiment religieux chez les fidèles. L’actualisation de ces fonctions liturgiques dépend strictement de la mise en oeuvre de quelques conditions essentielles, propres à l’anthropologie religieuse: l’espace sacré, le temps sacré et le contexte rituel créé par la communication de type symbolique. (shrink)

Volume 20, Issue 3, March 2020, Page 1-5.

Imagine a single musical tone—for instance, the A above middle C that the oboe plays to tune an orchestra. Now imagine this tone, with no variation in dynamics, pitch, or timbre, extended over the course of “an hour or a day,” existing, as Peirce describes in “How to Make Our Ideas Clear” (W3:262),1 “as perfectly in each second of that time as in the whole taken together; so that, as long as it is sounding, it might be present to a (...) sense from which everything in the past was as completely absent as the future itself” (W3:262). Imagine a world consisting of nothing but the sensation of this single oboe A, and having never consisted of anything but it. In such a world, Peirce indicates, there would be no .. (shrink)

Historically nurses have lacked significant input in end-of-life decision-making, despite being an integral part of care. Nurses experience negative feelings and moral conflict when forced to aggressively deliver care to patients at the EOL. As a result, nurses participate in slow codes, described as a limited resuscitation effort with no intended benefit of patient survival. The purpose of this study was to explore and understand the process nurses followed when making decisions about participation in limited resuscitation. Five core categories emerged (...) that describe this theory: (1) recognition of patient and family values at the EOL; (2) stretching time and reluctance in decision-making; (3) harm and suffering caused by the physical components of CPR; (4) nurse’s emotional and moral response to delivering aggressive care, and; (5) choosing limited resuscitation with or without a physician order. Several factors in end-of-life disputes contribute to negative feelings and moral distress driving some nurses to perform slow codes in order to preserve their own moral conflict, while other nurses refrain unless specifically ordered by physicians to provide limited care through tailored orders. (shrink)

This article employs the animated feature film WALL-E to examine a contemporary incarnation of paternal authority, the anal father of enjoyment. Slavoj Zizek coined the expression “anal father of enjoyment” to identify a metaphorical father who operates counter to Sigmund Freud’s oedipal. Unlike the oedipal father, the anal father does not command the subject to sacrifice enjoyment as a price for entry into the social order. Rather, the anal father directs the subject to enjoy excessively. This article reasons that the (...) anal father figuration is a result of global capitalism. While a post-apocalyptic event, such as climate change, may destroy the planet, it does not end capitalism. Yet, WALL-E suggests that with the demise of the anal father, capitalism can be replaced with an alternative economic system. (shrink)