In this article, we report the findings from a qualitative study that explored how relatives of terminally ill, alert and competent intensive care patients perceived their involvement in the end-of-life decision-making process. Eleven family members of six deceased patients were interviewed. Our findings reveal that relatives narrate about a strong intertwinement with the patient. They experienced the patients’ personal individuality as a fragile achievement. Therefore, they viewed their presence as crucial with their primary role to support and protect the patient, (...) thereby safeguarding his values and interests. However, their inclusion in decision making varied from active participation in the decision-making process to acceptance of the physicians’ decision or just receiving information. We conclude that models of informed shared decision making should be utilised and optimised in intensive care, where nurses and physicians work with both the patient and his or her family and regard the family as partners in the process. (shrink)

Effectiveness is a key criterion in assessing the justification of antibiotic resistance interventions. Depending on an intervention’s effectiveness, burdens and costs will be more or less justified, which is especially important for large scale population-level interventions with high running costs and pronounced risks to individuals in terms of wellbeing, integrity and autonomy. In this paper, we assess the case of routine hospital screening for multi-drug-resistant Gram-negative bacteria (MDRGN) from this perspective. Utilizing a comparison to screening programs for Methicillin-Resistant Staphylococcus aureus (...) (MRSA) we argue that current screening programmes for MDRGN in low endemic settings should be reconsidered, as its effectiveness is in doubt, while general downsides to screening programs remain. To accomplish justifiable antibiotic stewardship, MDRGN screening should not be viewed as a separate measure, but rather as part of a comprehensive approach. The program should be redesigned to focus on those at risk of developing symptomatic infections with MDRGN rather than merely detecting those colonised. (shrink)

This book deals with contemporary epistemological questions, connecting Educational Philosophy with the field of Science- and Technology Studies. It can be understood as a draft of a general theory of world-disclosure, which is in its core a distinction between two forms of world-disclosure: experiment and exploration. These two forms have never been clearly distinguished before. The focus lies on the experimental form of world-disclosure, which is described in detail and in contrast to the explorational form along the line of twenty-one (...) characteristics, which are mainly derived from empirical studies of experimental work in the field of natural sciences. It can also be understood as an attempt to integrate elements of the Anglo-Saxon Philosophy of Science with elements of the German tradition of Educational Philosophy. This is also reflected in the style of writing. In accordance to the content-level of the book, the argument for experimental forms of world-disclosure is written in an essayistic, readable style, which can be understood as an experimental form of writing. This book is a translation of the doctoral thesis 'Experiment und Exploration. Bildung als experimentelle Form der Welterschließung' (summa cum laude). The thesis was published in German in 2010 by Transcript (Bielefeld) in the series called 'Theorie Bilden', edited by Prof. Dr. Hannelore Faulstich-Wieland, Prof. Dr. Hans-Christoph Koller, Prof. Dr. Karl-Josef Pazzini and Prof. Dr. Michael Wimmer. (shrink)

The last two decades or so have borne witness to a modest revival of interest in the possibility that numerical relations are, at bottom, perceived properties or relations of some sort. In an earlier era writers as divergent as J. S. Mill and Edmund Husserl pursued just such a possibility, only to be swept out of the mathematical mainstream with a battery of broadsides from Gottlob Frege. Despite more recent arguments that numerical understanding is somehow derived from experience, however, no (...) analysis of quantitative perception yet offered seems able to account adequately for the perception of arithmetical equations as simple as 1 + 2 = 3. Without a satisfactory analysis of “equality”—clearly, the pivotal relation in arithmetic—we can expect the possible empirical foundations of mathematics to continue to be generally ignored. (shrink)

This commentary focuses on the role played by constructions of women's violence in the maintenance of male control over women. While actual women's violence tends to be denied, pathologized or minimized, cultural constructions (particularly in the media) of women's violence tend to demonize it. Both of these androcentric cultural processes fail to illuminate the actual sources of the gender gap in violent behavior and instead tend to normalize male aggression and to cultivate female passivity.

Few studies of gangs have explored both ethnic and gender variations in the experience of gang membership. Based on an analysis of interviews with 48 youth from a number of ethnic gangs in Hawaii, this article explores boys' and girls' reasons for joining gangs. The results suggest that although gang members face common problems, they deal with these in ways that are uniquely informed by gender and ethnicity. The interviews also confirm that extensive concern about violent criminal activities in boys' (...) gangs has distracted researchers from exploring the wide range of activities and experiences gangs provide their members. Girls and boys growing up in poor and violent neighborhoods turn to the gangs for many reasons, and the gangs themselves take on a variety of forms in response to the diverse challenges facing their members. Most important, the interviews reveal that girls and boys, even those in the same ethnic groups, inhabit worlds that are heavily influenced by gender. As a result, male and female gangs tend to provide different sets of experiences, skill, and opportunities to their members. (shrink)

This is the introduction to Moretti, Luca and Nikolaj Pedersen (eds), Non-Evidentialist Epistemology. Brill. Contributors: N. Ashton, A. Coliva, J. Kim, K. McCain, A. Meylan, L. Moretti, S. Moruzzi, J. Ohlorst, N. Pedersen, T. Piazza, L. Zanetti.

Jonathan Dancy works within almost all fields of philosophy but is best known as the leading proponent of moral particularism. Particularism challenges “traditional” moral theories, such as Contractualism, Kantianism and Utilitarianism, in that it denies that moral thought and judgement relies upon, or is made possible by, a set of more or less well-defined, hierarchical principles. During the summer of 2006, the Philosophy Departments of Lund University (Sweden) and the University of Reading (England) began a series of exchanges to take (...) place every other year, alternating between the departments. Andreas Lind and Johan Brännmark arranged to meet Dancy during the first meeting in Lund to talk about questions regarding particularism, moral theory and the shape of the analytical tradition. The major part of the conversation is printed below. (shrink)

This volume is about moral judgment, especially its exercise in selected social settings.

It is undeniable that computer technology has had a major impact on how we engage enquiry. We use computer devices to store information that helps us in our daily lives—just think of the contacts on your phone and whatever calendar app you might use to keep track of your schedule. Furthermore, people enjoy easy and quick access to a wide range of reliable online resources such as Nature, Reuters, and Encyclopedia Britannica through their laptops or smartphones. Powerful search engines such (...) as Google open up the door to swaths of information, enabling people easily to acquire a wide range of true beliefs through reliable means about all kinds of subject matters. However, what is the status of such true beliefs? In particular, once beliefs cease to be occurrent, do we still have non-occurrent beliefs, and, if true and reliably sustained, do they still qualify as knowledge? If they do, we would have cases of extended belief and knowledge, as these computer devices go beyond onboard capacities such as perception and memory. However, unlike our beliefs and desires, many information-storing apps and resources do not have the capacity automatically to “update” their information in light of new information. Moreover, wouldn’t extended belief and knowledge lead to massive cognitive bloat—an unpalatable explosion of belief and knowledge completely detached from an ability naturally to recall the relevant information? It would seem so given the wide variety of storage repositories and devices at one’s fingertips. Doesn’t cognitive bloat threaten to undermine the notion of expertise? Is it really possible to become an expert on a given topic by simply and easily looking up information via one’s smartphone and saving it? And where, now, would we place cognitive effort—steps taken by individuals to commit details to memory, to apply knowledge, to deliberate, and to assess and reflect? In “Extended Knowledge Overextended?”, Nikolaj Jang Lee Linding Pedersen and Jens Christian Bjerring offer a comprehensive discussion of extended belief and knowledge. They criticize two recent attempts to mitigate concerns about cognitive bloat by arguing that their effectiveness is contingent on the current state of technology—in particular, the fact that computer devices are currently external to us. However, if computer devices seamlessly integrated with our own onboard capacities—the so-called neuromedia—become reality, it may be much more difficult to resist extended belief and knowledge and, with them, massive cognitive bloat. (shrink)

Theoretical works in economics usually have a core consisting of proofs that a “model-economy” has certain properties. The economist constructs a model that can be looked on as a description of an economy, and then proves that certain relations hold in this economy and/or that certain relations in this economy depend on certain specific characteristics. The model-economy is usually described as simplified or idealized.

Source domain verification has not received as much attention as criteria for metaphor identification in the study of conceptual metaphor. In this paper, we provide a replicable approach to source...

C-systems were defined by Cartmell as models of generalized algebraic theories. B-systems were defined by Voevodsky in his quest to formulate and prove an initiality conjecture for type theories. They play a crucial role in Voevodsky’s construction of a syntactic C-system from a term monad. In this work, we construct an equivalence between the category of C-systems and the category of B-systems, thus proving a conjecture by Voevodsky.

Aujourd’hui, le gouvernement fédéral entreprend de diriger les situation d’urgence, un tâche si intimidante qu’elle fait appel à la panoplie de réglementation et de pouvoirs économiques résidant dans les institutions et les bureaucraties fédérales. L’Administration Fédérale de Gestion des Situations d’Urgence occupe la pôle position dans cet effort massif. Mais une société qui autorise le gouvernement à répondre face aux catastrophes naturelles et autres calamités de ce type peut-elle espérer préserver sa liberté? Non. En fait, le gouvernement d’une société libre (...) peut gouverner efficacement sans détruire la liberté, si et seulement si ses citoyens en ont décidé ainsi.Today, the federal government undertakes to manage emergencies, a task so daunting that it must call forth all of the concentrated regulatory and economic power that resides in federal institutions and bureaucracies. The Federal Emergency Management Administration takes the point position in this massive effort. But can a society which authorizes government to respond to natural disasters and other such calamities hope to preserve its liberty? No. In fact, the government of a free society can govern effectively without destroying freedom, if and only if the citizens are willing to be so governed. (shrink)

Kaum ein anderes Thema bündelt aktuell so nachhaltig die Debatte über die Konsequenzen des unlängst ausgerufenen Anthropozäns, wie das des anthropogenen Klimawandels. Nicht nur wird die Umwelt des Menschen unabsehbaren Veränderungen ausgesetzt sein, sondern diese Veränderungen der natürlichen Umwelt sind insbesondere auch humanen Ursprungs. Anthropologie, Ökologie und Ethik werden verschaltet; die zu gewärtigenden Konsequenzen können unabsehbar sein. Damit wird der Klimawandel auch grundlegende anthropologische Folgen haben und sich etwa der epistemische Zuschnitt des Anthropos grundlegend neu definieren. Gerade aber weil Natur (...) hier konsequent humanisiert ist, kann sie auch für die Verfasstheit der Gattung bedrohlich werden und sich gegen das Humanum wenden. (shrink)

This study proposes an operational approach to a metaphorical framing analysis using large-scale data. We conducted a case analysis of how war metaphors are framed to address various societal issues in a corpus of public speeches by Hong Kong government officials. By investigating patterns of lexical choices under the source domain of WAR and the underlying reasons for the source-target domain mappings (i.e. Mapping Principles), we found that the target domain of social issues in Hong Kong is primarily conceptualized in (...) terms of a combat frame, and governmental issues are primarily talked about in terms of a protection frame, both of which are positively evaluated. Additionally, economic issues are primarily addressed in terms of a strategy frame, which is both positively and negatively evaluated. We show that analyzing the Mapping Principles of these conceptual metaphors captures the “selection” process of framing at the dimensions of frame frequency and frame sentiment, allowing for a principled way to propose a metaphorical framing analysis in corpora-based studies. The proposed approach enriches Critical Discourse Analysis studies of metaphorical framing and bridges the link between metaphor analysis at a conceptual level and framing analysis at a communication level. (shrink)

We dedicate this book to John Thibaut. He was mentor and personal friend to one of us, and his work had a profound intellectual influence on both of us. We were both strongly influenced by Thibaut's insightful articulation of the importance to psychology of the concept of pro cedural justice and by his empirical work with Laurens Walker in reactions to legal institu demonstrating the role of procedural justice tions. The great importance we accord the Thibaut and Walker work is (...) evident throughout this volume. If anyone person can be said to have created an entire field of inquiry, John Thibaut created the psychological study of procedural justice. (To honor Thibaut thus in no sense reduces our recognition of the contributions of his co-worker, Laurens Walker, in the creation of the field. We are as certain that Walker would endorse our statement as we are that Thibaut, with characteristic modesty, would demur from it. ) Even to praise Thibaut in this fashion falls short of recognizing all of his contributions to procedural justice. Not only did he initiate the psy chological study of the topic, he also built much of the intellectual foun dation upon which the study of procedural justice rests. Thibaut's work with Harold Kelley (1959; Kelley & Thibaut, 1978) created a social psy chological theory of interdependence that, among many other applica tions, serves as the basis for one of the major models of the psychology of procedural justice. (shrink)

This study seeks to clarify the nature of linguistic synesthesia using a lexical-conceptual account. Based on a lexical analysis of Mandarin synesthetic usages, we find that linguistic synesthesia maps the metaphorical meaning between two domains; and linguistic synesthetic mappings and conceptual metaphoric mappings have similar behaviors when sense modalities are treated as conceptual domains that contain a set of mappings constrained by Mapping Principles. This lexical-conceptual account is designed to capture the fact that linguistic synesthesia involves mapping between lexicalized concepts (...) of sensory properties, instead of the real-time sensory input that is processed in neurological synesthesia. The incorporation of a lexical semantic view with the framework of Conceptual Metaphor Theory not only offers a coherent and comprehensive account for the nature of linguistic synesthesia, but also handles aspects of linguistic synesthesia previously only accounted for by non-metaphorical accounts. These design features make this proposal the most comprehensive account to fit the current data. Furthermore, by showing linguistic synesthesia as a type of metaphor, our study strengthens the role of conceptual metaphors as the link between the perceived world and our conceptualization of that world. (shrink)

Vann McGee claims that open-ended schemas are more innocuous than ordinary second-order quantification, particularly in terms of ontological commitment. We argue that this is not the case.

In lieu of an abstract, here is a brief excerpt of the content:Response to Louise Pascale, “Dispelling the Myth of the Non-Singer: Embracing Two Aesthetics for Singing”Vicki R. LindIn "Dispelling the Myth of the Non-Singer: Embracing Two Aesthetics for Singing," Louise Pascale explores classroom teachers' beliefs about singing. Specifically, she looks at possible reasons why many classroom teachers who have been raised in the Western traditions of music-making do not feel comfortable singing. As a vocal music education professor and an (...) avid singer, this is a topic near and dear to my heart. My image of a vibrant elementary classroom, rooted in my experiences as a student and later as an elementary music teacher, includes singing. If, as Pascale notes, there is a growing number of teachers who define themselves as "non-singers" and who, because of this, do not include music in the classroom, there is indeed reason for alarm.As I read the introductory paragraph of this paper I immediately thought of elementary teachers who had at one time or another been labeled as "tone deaf" and who had allowed an early negative singing experience to cause them to believe they could not sing. Pascale challenged this simple explanation of the non-singer and made a strong case for a more thorough investigation of the problem.Pascale began her investigation by conducting a series of interviews with people who believed they could not sing. She found a variety of reasons for the self-proclaimed non-singers negative self image including: 1) never being selected to sing a solo; 2) not being able to lead songs, and 3) not singing in tune. Pascale used the story of a young Barbados woman, Onika, as an illustration of how these experiences could be linked to Western music traditions. Onika was born in Barbados but moved to the United States at the age of four. This young woman considered herself a singer in her native country but a non-singer in America. Onika felt she was a singer in Barbados because she enjoyed singing music in the Solka tradition; the music was fun, moved fast, and she could sing along without being concerned about how she sounded. She described herself as a non-singer in the United States because she was not able to lead songs and did not have a strong voice.I agree that the conventional Western view of music in the schools is rooted in classical traditions that value performance, perfection, and virtuosity and that these views may lead to the above mentioned assumptions regarding singing. I question, however, whether this conventional view permeates the beliefs of those [End Page 200] outside of the traditional music education circle. Onika's experiences with music in Barbados seemed to be very natural, a part of life; her experiences with music in the United States seemed limited to formal experiences in church or school settings. It would be interesting to investigate whether the dichotomy is between two cultures, the United States and Barbados, or between two different ways of experiencing music, in school and in everyday life.The main body of Pascale's work is the description of two aesthetics for singing, Aesthetic A, the classical Western tradition and Aesthetic B, a broader, multi-dimensional perspective. The list of characteristics differentiating Aesthetic A and Aesthetic B relate to the teaching of music, the process of music education. Emphasizing product and performance, stressing the importance of skill building and relying on classical repertoire are characteristics related to the traditional viewpoint, or Aesthetic A. These characteristics are contrasted with those related to Aesthetic B; the emphasis is placed on process and participation, stress is placed on social value and feeling, and vernacular repertoire is used. Pascale makes the point that Aesthetic B is not meant to replace "traditional" thinking but is a broadening of the perspective. Two questions emerge from Pascale's two aesthetics. First, is there a commonly held "traditional" culture of singing that exists in schools today? Schools and learning populations in the United States are so diverse it is hard to imagine a single philosophy driving music education. Second, does Aesthetic B add new dimensions, or does it describe a balance that is necessary in any philosophy that... (shrink)