Background Self-binding directives (SBDs) are psychiatric advance directives that include the possibility for service users to consent in advance to compulsory care in future mental health crises. Legal provisions for SBDs exist in the Netherlands since 2008 and were updated in 2020. While ethicists and legal scholars have identified several benefits and risks of SBDs, few data on stakeholder perspectives on SBDs are available. Aims The aim of the study was to identify opportunities and challenges of SBDs perceived by stakeholders (...) who have personal or professional experience with legally enforceable SBDs. Methods Data collection was carried out in the Netherlands from February 2020 to October 2021 by means of semi-structured interviews. Participants were selected through purposive sampling and snowball methods. Interviews were conducted with mental health service users (n = 7), professionals (n = 13), and an expert on SBD policy (n = 1), resulting in a total number of 21 interviews. The data were analyzed thematically. Results Perceived benefits of SBDs included increased autonomy, improvement of the therapeutic relationship, possibility of early intervention and prevention of harm, prevention of compulsory care, reduction of the duration of compulsory care and recovery, mitigation of negative experiences around compulsory care, and guidance for professionals in providing compulsory care. Perceived risks included infeasibility of SBD instructions, difficulty in decision-making around SBD activation, limited accessibility of SBDs, disappointment of service users due to non-compliance with SBDs, and limited evaluation and updating of SBD content. Barriers to SBD completion included lack of knowledge of SBDs among professionals, lack of motivation or insight among service users, and lack of professional support for SBD completion. Facilitators of SBD completion and activation included support for SBD completion, involvement of relatives and peer experts, specification of SBD content, and evaluation of compulsory care and SBD content. The new legal framework was regarded as having both positive and negative effects on SBD implementation. Conclusions Stakeholders who have personal or professional experience with legally enforceable SBDs perceive SBDs as having important benefits and tend not to articulate the fundamental ethical concerns about SBDs which can be found in the ethics and legal literature. Instead, they perceive ethical and practical challenges that can be addressed through the implementation of suitable safeguards. (shrink)

This collection of essays examines the ways in which disputes and controversies about the application of scientific knowledge are resolved. Four concrete examples of public controversy are considered in detail: the efficacy of Laetrile, the classification of homosexuality as a disease, the setting of safety standards in the workplace, and the utility of nuclear energy as a source of power. The essays in this volume show that debates about these cases are not confined to matters of empirical fact. Rather, as (...) is seen with most scientific and technical controversies, they focus on and are structured by complex ethical, economic, and political interests. Drs. Engelhardt and Caplan have brought together a distinguished group of scholars from the sciences and humanities, who sketch a theory of scientific controversy and attempt to provide recommendations about the ways in which both scientists and the public ought to seek more informed resolutions of highly contentious issues in science and technology. Scientific Controversies is offered as a contribution to the better understanding of the roles of both science and nonscientific interests in disputes and controversies pertaining to science and technology. (shrink)

This book traces the profound impact of technical media on the sound of music, asking: how do media technologies shape sound? How does this affect music? And how did it change what we listen for in music? Based on the information theoretical proposition that all transmission channels introduce noise and distortion, the argument accounts for the fact that technologically reproduced music is inherently shaped by the technologies that enable its reproduction. The media archaeological assessment of this noise of sound media (...) developed in the book draws from a wide range of sources, both theoretical and historical, conceptual and technical. Together, they show that noise should not be understood as unwanted by-effect but instead plays a foundational role in shaping the sonic contours of technologically reproduced music. Over the course of five chapters, the book sketches a broad history of the problem of noise in sound recording, looks at specific analog and digital noise-related technologies, traces the ideal of sonic purity back to key developments in nineteenth century acoustics, and develops an analysis of the close interrelation between noise and the temporality of sound. This relation, it argues, is central to the way in which recorded sound and music resonate with listeners. Ultimately, this media specific analysis of the noise of sound media thereby greatly enriches our understanding of the way in which they changed and continue to change the sonorous qualities of music, thus offering a new perspective on the interaction between music, media and listeners. (shrink)

This work has been selected by scholars as being culturally important and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be (...) preserved, reproduced, and made generally available to the public. To ensure a quality reading experience, this work has been proofread and republished using a format that seamlessly blends the original graphical elements with text in an easy-to-read typeface. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. (shrink)

In this provocative study, Bedau demonstrates the usefulness of "casuistry," or "the method of cases" in arriving at moral decisions. He examines well-known cases, including the aftermath of the sinking of the William Brown in 1841, that compel us to consider questions about who ought to survive when not all can. By doing so, we learn something about how we actually reason concerning such life and death situations, as well as about how we ought to reason if we wish both (...) to be consistent and to properly respect human life. Bedau's elegant book will be a valuable resource for students, philosophers, and general readers. (shrink)

stufe oder Unterstufe im emporsteigenden Gang zur absoluten Er kenntnis gewinnen. Man kann sagen, daB das philosophisehe Interesse in vollbe wuBter Weise als leitendes Ziel das vor Augen hat, was sieh in jedem 5 rein theoretisehen Interesse als gleiehsam verborgene Tendenz be kundet: Die Tendenz auf vollkommene Erkenntnis liegt in allem rein theoretisehen Bestreben. a) Immerfort ftihlt es sieh fortgetrieben im Sinne mOgliehster Verdeutliehung, Klarung, mogliehst vollkom mener Begriindung. b) Immerfort ftihlt es sieh mit der vereinzelten 10 Tatsaehe, mit dem (...) vereinzelten Gesetz unbefriedigt; es kann daran nieht haften bleiben. Es ftihlt sich gedrangt, von dem Besonderen emporzusteigen zum Allgemeineren, von der Tatsaehe zum Gesetz, von der niederen Allgemeinheit zu der hoheren. Damit nieht zufrie den, muB es aIle mogliehen theoretisehen Lehren durehlaufen, um- 15 spannende Theorien bauen, die Theorien zu umfassenden Theorien verbinden, und so immer weiter. Dabei erweitert sieh der enge Kreis der yom theoretisehen Interesse zunaehst ins Auge gefaBten Gegen standliehkeiten; Einheit der theoretisehen Erkenntnis greift immer weiter von Gebiet zu Gebiet, ohne Grenze. 20 Bringen wir uns diese Tendenzen zur Klarheit, so sehen wir, daB sie im Verborgenen dem Ziel der hoehsten Vereinheitliehung die nen, daB sie verstreuten, zusammenhangslosen Erkenntnissen feind sind, daB sie gleiehsam niehts Untheoretisehes, Unvereinheitlichtes dulden wollen ebensowenig als ein Ende, soweit irgend noeh ein plus 25 ultra denkbar ist. Und zu alledem gehort offenbar aueh die Tendenz zu voll ausweisender Klarheit. (shrink)

The Belnap–Dunn logic is a well-known and well-studied four-valued logic, but until recently little has been known about its extensions, i.e. stronger logics in the same language, called super-Belnap logics here. We give an overview of several results on these logics which have been proved in recent works by Přenosil and Rivieccio. We present Hilbert-style axiomatizations, describe reduced matrix models, and give a description of the lattice of super-Belnap logics and its connections with graph theory. We adopt the point of (...) view ofAlgebraic Logic, exploring applications of the general theory of algebraization of logics to the super-Belnap family. In this respect we establish a number of new results, including a description of the algebraic counterparts, Leibniz filters, and strong versions of super-Belnap logics, as well as the classification of these logics within the Leibniz and Frege hierarchies. (shrink)

This essay offers a fresh interpretation of Bhartr̥hari’s concept of “insight”, and of its identification as the object of a sentence in the second kāṇḍa of the Vākyapadīya. Earlier scholars dealing with this topic disagreed on three main points: whether an epistemologically rigorous concept of insight can be found in Bhartr̥hari’s work, or if the notion remains irrevocably vague and equivocal; whether the concept of pratibhā primarily belongs to linguistics, or to action theory; whether Bhartr̥hari’s identification of insight as the (...) object of a sentence should be taken literally or figuratively. Starting from a close analysis of all passages in Bhartr̥hari’s work mentioning pratibhā, I identify, first of all, a univocal understanding of insight, valid throughout the Vākyapadīya, as immediate cognition informed by verbal transmission, in other words as a form of practical knowledge, non-representational yet essentially productive and dynamic. Showing, on this basis, how Bhartr̥hari’s understanding of language at the level of sentences is pragmatic rather than referential, I demonstrate, against the view prevalent in the late grammatical tradition, that a literal interpretation of his provocative statement on pratibhā as vākyārtha remains perfectly plausible. This thesis is further corroborated by the consideration of post-Bhartr̥hari philosophical sources elaborating on his ideas, which allow us better to understand in what sense pratibhā can legitimately be thought of as cognition “without an object”. (shrink)

Can we meet intolerance with tolerance? Illiberalism with liberalism? Political ruthlessness with a certain temperament? This is the ‘liberal predicament’ that Joshua Cherniss, in his thought-provo...

There are relatively few empirical studies on the impacts of corporate social responsibility policies and programs. This article addresses the research gap by analyzing the incidence of, and the conditions that affect, decoupling among CSR policies, implementation of CSR programs, and CSR impacts for various environmental and social issues. Complete decoupling is a condition of full divergence among policies, programs, and impacts amounting to purely ceremonial CSR. Using ratings from a sustainability rating agency on a sample of about 1,000 large (...) companies in 24 countries, the authors find empirical evidence not supporting a conclusion of complete decoupling. The empirical evidence suggests four levels of nondivergence in the sample. First, for most CSR issues examined, CSR policies of high quality do have relatively strong effects on CSR implementation. Second, CSR programs of high quality do have relatively strong effects on CSR impacts. Third, for most CSR issues, even low-quality CSR policies enforce the incidence and quality of programs in comparison with having no policy at all. Fourth, weak programs have more impact on the realization of CSR goals than having no program at all. The authors also find that the quality of CSR reporting and locating the responsibility for CSR at the board level reduce decoupling by strengthening the quality of CSR programs. (shrink)

This paper presents a unified framework that explains and extends the already successful applications of the Leibniz operator, the Suszko operator, and the Tarski operator in recent developments in abstract algebraic logic. To this end, we refine Czelakowski’s notion of an S-compatibility operator, and introduce the notion of coherent family of S-compatibility operators, for a sentential logic S. The notion of coherence is a restricted property of commutativity with inverse images by surjective homomorphisms, which is satisfied by both the Leibniz (...) and the Suszko operators. We generalize several constructions and results already existing for the mentioned operators; in particular, the well-known classes of algebras associated with a logic through each of them, and the notions of full generalized model of a logic and a special kind of S-filters. We obtain a General Correspondence Theorem, extending the well-known one from the theory of protoalgebraic logics to arbitrary logics and to more general operators, and strengthening its formulation. We apply the general results to the Leibniz and the Suszko operators, and obtain several characterizations of the main classes of logics in the Leibniz hierarchy by the form of their full generalized models, by old and new properties of the Leibniz operator, and by the behaviour of the Suszko operator. Some of these characterizations complete or extend known ones, for some classes in the hierarchy, thus offering an integrated approach to the Leibniz hierarchy that uncovers some new, nice symmetries. (shrink)

Nursing research using concept analysis plays a critical role for knowledge development, particularly when concerning to broad and foundational concepts for nursing practice, such as dignity. This study aimed to synthesize research concerning concept analysis of dignity in nursing care. Based on a literature review, electronic databases were searched using the terms “dignity,” “human dignity,” “concept analysis,” and nurs*. Papers in Portuguese or English were included. The research synthesis was conducted independently by two reviewers. A total of 35 citations were (...) identified and seven papers were included. Six studies were elected using Walker and Avant concept analysis methodology while one applied the Beth Rodgers evolutionary model. The concept of dignity has been studied by nurses, and its attributes, antecedents, consequences, and similar concepts were synthesized into a definition. Dignity emerged as a fundamental concept in nursing ethics and the main attributes synthesized were personhood, sociability, respect, and autonomy. The antecedents identified were: facilitators—patient focus care, recognition, education, and ethical competence; threats—vulnerability and organizational environment. The consequences were positive coping, empowerment, and dignity preservation. The synthesis of these seven studies using concept analysis provided a clear definition of dignity. These findings challenge future research and education, particularly for the study of undergraduate and postgraduate nursing education programs to enhance skills for preserving patient dignity in clinical practice. (shrink)

This paper explores a notion of “the strong version” of a sentential logic S, initially defined in terms of the notion of a Leibniz filter, and shown to coincide with the logic determined by the matrices of S whose filter is the least S-filter in the algebra of the matrix. The paper makes a general study of this notion, which appears to unify under an abstract framework the relationships between many pairs of logics in the literature. The paradigmatic examples are (...) the local and the global consequences associated with a normal modal logic, and the logics preserving degrees of truth and preserving truth associated with certain substructural and many-valued logics. For protoalgebraic logics the results in the paper coincide with those obtained by two of the authors in 2001, so the main novelty of the approach is its suitability for all kinds of logics. The paper also studies three kinds of definability of the Leibniz filters, and their consequences for the determination of the strong version. In a second part of the paper several case studies are developed, comprising positive modal logic, Dunn–Belnap’s four-valued logic, the large family of substructural logics, and some relevance logics. (shrink)

This article questions the place of the child in the metaphysics and imaginary of Western colonization, racialization, and decolonization. In the last chapter of The Wretched of the Earth by Frantz Fanon, children appear not only as victims but also as a problem for which Fanon struggles to account as a theorist of decolonization as much as a psychiatric practitioner. Through a reading of one of the cases, this article interrogates the ways in which colonization attempts to infantilize colonized populations (...) while erasing childhood, and the ways in which decolonization meets colonization by regarding childhood in the end as a misfortune. The work of decolonization, to proceed, thus would demand us to rethink childhood, and in doing so break free of Western metaphysics. (shrink)

El presente libro se inicia con una breve reflexión sobre la actitud de los intelectuales en América Latina ante la coyuntura actual, señalando las aportaciones y confusiones de su dicurso teórico y tratando de rescatar las formas de expresión del pensamiento crítico; psra esto se considera la vigencia de la dialéctica como lenguaje. Además, se pretende incursionar sobre las relaciones entre individuos y colectivo, y sobre cuestiones metodológicas para el estudio de sujetos sociales; se incorporan el problema de análisis de (...) variables desde la perspectiva de las mediaciones, y una reflexión sobre la lógica del discurso económico para mostrar cómo implica el olvido del sujeto. Constituyen estos trabajos un esfuerzo de aplicación de la postura racional de nuevas posibilidades de reflexión teórica que contribuyan a enriquecer el discurso, aunque conscientes de su carácter todavía exploratorio. (shrink)

This paper examines hart's model (1967) of the retributive theory. section i criticizes the model for not answering all the main questions to which a theory of punishment should be addressed, as hart alleges it does. section ii criticizes the model for its omission of the concept of desert. section iii criticizes attempts by card (1973) and by von hirsch (1976) to provide new ways of proportioning punitive severity to criminal injury. section iv discusses the idea of retribution in justifying (...) aim and criticizes the theory of fingarette (1977). the conclusion is that the new retributivists have not solved the problems inherent to older versions of the theory. (shrink)

This article addresses the topic of artistic mímēsis, and attempts to illuminate the contemporary discussion between two seemingly irreconcilable positions. The first, framed in a traditional interpretation of Aristotelian texts, considers the work of art as an imitation of nature, finding in it its only rule. The second, supported by a different interpretation, states that, according to Aristotle himself, artistic creativity is fictional, that is, independent of natural reality, and therefore debtor only of the artist’s subjectivity. However, when considering the (...) analogy between téchnē and phýsis, within Aristotle’s teleological worldview, it is possible to notice a kind of “common work” that harmonizes them. In this context, and advancing on the consideration of the mimetic poiésis, the philosopher’s texts allow an interpretation that, without detaching itself from the original naturalness of art and taking it as a guide, opens the horizon to the artist’s creativity. (shrink)

"A book from the Park Ridge Center for the Study of Health, Faith, and Ethics." Includes bibliographical references (p. [141]-195) and index.

« Et si la nature finissait par livrer ses mystères? » Et d’ailleurs, à qui les livrerait-elle? Si tant est que nous en soyons les dépositaires, que pourrions-nous faire de ces mystères délivrés, nous qui cherchons la lumière de la connaissance et la clarté de l’évidence? Ce que Goethe ne dit pas dans cette interrogation placée par Schopenhauer en exergue du Monde comme volonté et représentation, c’est justement qu’il n’y a de mystère que pour un sujet qui fait face à (...) la nature et qui y ti... (shrink)

Examples of such powers are the art of building houses and the art of medicine. The actualities correlated with such powers are the construction of a house and the healing of a someone who is sick, which occur respectively in the bricks and ...