The successes of the human genome project and genomics research programs portend great potential to improve upon health and enhance life. As scientific advancements continue, bioethicists and policy makers deliberate over the social and ethical implications of genetic and genomic technologies and information. The application of ggT/I to human reproduction raises conceptual and moral questions about being human and the links between offspring, parents, and society. Given ggT/I’s ability to significantly affect the biological constitution of humans and future human generations (...) thinking through such issues is fundamental to ethical and policy analysis. By means of a systematic literature review and accompanying content analysis, this paper highlights the dominant ethical concerns raised within recent bioethics discourse over the use of ggT/I for human reproduction. Based on these findings it aso offers a framework through which, and demarcates where, religious perspectives can add value to genethics... (shrink)

Unlike previous studies that examine the direct effect of employees’ perceived corporate social responsibility (CSR) on affective organizational commitment (AOC), this article examines a mediated link through organizational trust and organizational identification. Social exchange and social identity theory provide the foundation for predictions that the primary outcomes of CSR initiatives are organizational trust and organizational identification, which in turn affect AOC. The test of the research model relies on data collected from 378 employees of local and multinational companies in South (...) Asia, as well as structural equation modeling to test the postulated relationships. Both organizational trust and organizational identification fully mediate the CSR–AOC link. However, the identification mechanism is significantly stronger than the trust mechanism in terms of building AOC from CSR. Out of four CSR components, CSR toward employees is the strongest predictor of employees’ trust, identification, and AOC, followed by CSR toward community, whereas CSR toward the environment has no effect. Finally, CSR toward community and employees are more associated with social exchange, whereas CSR toward consumers relates more to the social identity process. (shrink)

Most decision-making research in economics focuses on individual decisions. Yet, we know, from psychological research in particular, that individual preferences can be sensitive to social pressures. In this paper, we study the impact of a group environment on individual preferences for risky and ambiguous prospects. In our experiment, each participant was invited to make a series of lottery-choice decisions in two different conditions. In the Alone condition, individuals made private choices, whereas in the Group condition, individuals belonged to a three-person (...) group and group members’ choices were aggregated according to either a majority or unanimity rule. This design allows us to study the impact of a group environment on individuals’ attitude towards both risky and ambiguous prospects, while controlling for the decision rule used in the group. Our experimental results show that when individuals are in the Group condition, they tend to be less risk averse and more ambiguity averse than when they are not part of a group. Our experiment also suggests that the decision rule matters as it shows that these two trends tend to be stronger when the group implements a unanimity rule. Specifically, we found that individuals who belong to a group implementing a unanimity rule are significantly less risk averse than individuals who belong to a group that relies on the majority rule. We obtained a similar—but non-significant—result under ambiguity. (shrink)

En el presente artículo nos proponemos reconocer y analizar el uso de la técnica de la ring-composition o estructura anular en los cantos corales de Antígona de Sófocles en relación con los elementos de los cultos eleusino y dionisíaco que atraviesan la obra. Nuestra hipótesis consiste en que, lejos de ser un factor de mera articulación formal, la ring-composition cumple con una función dramática pues cohesiona, con su juego de paralelismos, las alusiones a los misterios con el fin de presentar (...) la acción como un ritual iniciático fallido. En esta primera parte trataremos el marco general de análisis y el canto de entrada del coro. (shrink)

The aim of this paper is to explore the identity of the teacher as a dialectical being that is in permanent construction, to identify some obstacles teachers might find in this process while operating in an institutional framework, and the effects these could have upon the teacher and the goals she pursues with her students. By ruling out the idea of identity as an autonomous self that can be constructed with no ties with its context, we propose that identity is (...) dialogical and is built through the relationships we establish with others. This fact situates the relationship between the student and the teacher at the center of pedagogical practices and allows us to establish the ideas of teacher presence and integrity as central elements for the moral development of students. In this context, we identify the excessive institutionalization of the role of the teacher as a cause for the reduction of identity and a defensive retreat to the possible outcomes of being judged by strictly formal criteria, wh... (shrink)

Disparities in maternal morbidity and mortality for Latinx populations are a paradigmatic example of the now widely acknowledged structural racism in U.S. health care that predisposed minorities to...

Constructivism is frequently met with objections, criticism and often equated with nihilism or relativism. Sometimes even blamed for what some would randomly picture as unwanted side effects of radicalism or of a progressivist era: such misconceptions are not only due to an imprecise grasp of the premises shared by the constructivist family of systems. The structure of media, political systems, and economic models, still up today impel societal understandings of knowledge on neo-positivistic grounds. The first part of this essay outlines (...) such pressures while sketching how language and worldviews play critical roles in our knowledge construction. Focusing on recent mediatic events, this work advances displaying some essential limits regarding the construction of human knowledge. Though unavoidable, some of the distinguishing aspects regarding the nature of our narratives are then critically reviewed. Later, it is shown how a special kind of self-denial that certain sub-stories implicitly hold about their own narrative nature leaves us with clashing worldviews that eventually collide onto crisis. Finally, it’ll be argued that it’s precisely in this scenario where a constructivist depiction of social discourses may move us away from any adolescent intent of elucidating absolutes within mere heuristics, to the pragmatic need of arriving on satisfactory agreements between parties. (shrink)

This article deals with the impact of governmental assistance on insurance demand under ambiguity, i.e., in situations where probabilities are uncertain. First, using a model of insurance demand under ambiguity, we derive theoretical predictions about the impact of several governmental assistance programmes on optimal insurance demand. For example, governmental assistance through a fixed public support scheme implies that partial insurance is always optimal under fair insurance with ambiguity. Second, we present the results of an experiment designed to test these predictions. (...) We find support for several of our theoretical predictions. For example, the presence of governmental assistance through a fixed public support scheme decreases individuals’ willingness to pay to be fully insured. Finally, we compare these results with those obtained for a risk situation. We find that, regardless of the form of governmental assistance, participants in the ambiguity context are consistently willing to pay more to be fully insured than participants in the risk situation. (shrink)

This paper seeks to find possibilities forreconciliation of the implementation of theprecautionary principle and the promotion ofinternational trade of genetically modified organisms,based on the assumption that a sustainabledevelopment is a right objective to strive for. Itstarts with an explanation of the background and therole of the precautionary principle, and describes inwhat way measures based on the precautionary principlecan easily lead to the creation of trade barriers. Thearticle then examines to what extent the WTO (WorldTrade Organisation) Agreements allow theimplementation of the (...) precautionary principle. Inaddition, structural conflicts between the perceptionof the precautionary principle and the concept oftrade liberalisation will be evoked. The last sectionof the paper analyses to what extent the WTO rulesprovide possibilities to avoid or solve theseconflicts in order to attempt to answer the mainquestion: are the precautionary principle and theinternational trade of genetically modified organismsreconcilable? (shrink)

Should nurses have their own ethics to match specific problems met in their daily routines? How do nurses act in a society that is changing from a 'monocultural' to an 'intercultural' structure? What are the ethical consequences of these changes for their many tasks? How can the ethical aspects be taught to nurses? This article describes the current status of nursing ethics in the curriculum taught in schools of higher education for nurses in The Netherlands. Aspects of the debate on (...) nursing ethics are outlined and ideas about its future as a subject and discipline in nurse education are offered. Est-ce que le personnel infirmier doit avoir son éthique à soi pour faire face aux problèmes spécifiques dans la routine journalière? Et comment les infirmiers/ères se comportent-ils dans une société qui est en train de changer de la 'monoculture' en 'interculture'? Quels sont les conséquences éthiques de leur tâches? Comment peuvent ces aspets éthiques être enseignés aux infirmiers/ères? Cet article parle de l'état courant de l'éthique infirmier dans l'enseignement dans les écoles de l'education supérieure pour infirmiers/ères en Hollande. En plus, il donne une esquisse de la discussion sur l'éthique infirmier et donne quelques idées pour le futur de l'éthique infirmier comme sujet et discipline en soi dans l'éducation des infirmiers/ères. Sollte das Pflegepersonal seine eigene Ethik haben um den spezifischen Problemen seiner täglichen Routine gewachsen zu sein? Wie soll das Pflegepersonal in einer Gesellschaft handeln, die im Wechsel ist von einer 'Monokultur' zu einer 'Interkultur'? Was sind die ethischen Konsequenzen ihres handeln? Wie können diese ethischen Aspekte dem Pflegepersonal gelehrt werden? Dieser Artikel beschreibt den gegenwärtigen Zustand der Krankenpflege-Ethik im Lehrplan der Schulen für Höhere Ausbildung für Pflegepersonal in Holland. Er gibt auch einen Umriss über die Debatte über Krankenpflege-Ethik und formuliert einige Ideen für die Zukunft der Krankenpflege- Ethik als ein Thema und eine Disziplin in der Ausbildung des Pflegepersonals. (shrink)

El corpus de manuscritos árabes de los musulmanes de los territorios cristianos de la península ibérica medieval y temprano-moderna ha sido generalmente estudiado en menor medida que sus escritos en romance en caracteres latinos o árabes. Este artículo discute los nuevos datos en el códice misceláneo Árabe 1668, copiado en 928 probablemente por musulmanes en los territorios cristianos. MS Escorial Árabe 1668 no es totalmente desconocido por los estudiosos, pero han sido pocos los intentos por investigar sus extraordinarios contenidos, que (...) hasta ahora han permanecido en gran medida sin identificar. Destacable es la copia en árabe de la historia universal de ʿAbd al-Malik ibn Ḥabīb, el Kitāb al-Taʾrīkh [La historia], considerada como el ejemplar más antiguo de literatura árabe en al-Andalus y que se preserva solamente en un único manuscrito árabe en Oxford. Además, MS Escorial Árabe 1668 contiene un número importante de narrativas adaptadas en aljamiado que ya se conocían, pero de las cuales aún no se habían identificado los originales árabes en circulación entre los musulmanes peninsulares. Estos materiales amplían los datos ya existentes de la producción tardía de manuscritos árabes de los musulmanes peninsulares y la preservación dentro de sus comunidades de originales provenientes de al-Andalus, el norte de África y el oriente islámico, algunos de los cuales contienen miniaturas. En el MS Escorial Árabe 1668 también encontramos un sermón árabe-Aljamiado que arroja luz sobre las reuniones de musulmanes que a veces se celebraron de forma clandestina debido a las crecientes restricciones impuestas a sus comunidades por los cristianos. (shrink)

A partir dos questionamentos de uma turma de Sociologia do Ensino Médio, bastante comovida com o assassinato da vereadora Marielle Franco, que causou comoção nacional, foi organizada uma atividade para apresentar sua trajetória pessoal e política. No intuito de fundamentar a aula na perspectiva interseccional, o recurso didático principal representou a silhueta do rosto de Marielle, em forma de desenho, composto de cinco partes indissociáveis. Cada fragmento trazia uma categoria sociológica: classe, raça, gênero, sexualidade e protagonismo, que, debatidas com a (...) turma, previamente à colagem de cada peça, promoveram reflexões sobre o significado dos conceitos e de como se entrelaçam à história de vida de Marielle. O trabalho abordou conceitos clássicos das Ciências Sociais, como o de fato social de Émile Durkheim, por meio de um olhar inventivo e partindo de uma problematização suscitada pela turma. (shrink)

While it was a centerpiece of medieval theology, the thesis of God's simplicity is often perceived by contemporary thinkers as enigmatic or even incoherent. After having presented the recent debate on divine simplicity from a historical perspective, this paper questions the attribute of simplicity from the perspective of the fourteenth‐century German preacher Meister Eckhart and shows that the so‐called speculative mystical thought of the Middle Ages is able to suggest new perspectives regarding God's simplicity, and to enrich discussions on this (...) difficult aspect of the divine nature. (shrink)

The fragility of the subject is a recurring issue in the work of Anne Enright, one of Ireland's most remarkable and innovative writers. It is this specific interest, together with her attempt to make women into subjects, that inevitably links her work to Bracha Lichtenberg-Ettinger's theory of the matrixial borderspace, a feminine sphere that coexists with the Lacanian symbolic order and that, even before our entrance into this linguistic system, informs our subjectivity. By turning to a point in time before (...) language—the encounter between “self” and “other” during pregnancy—both Enright and Ettinger test the boundaries of and the gaps within the linguistic system. It is the going before language that ultimately enables both to go beyond some of the most persistent dualisms present within the linguistic system and to create room for an alternative—a feminine—understanding of the ethical relationality between self and other. (shrink)

¿Hay requisitos epistemológicos para la posesión de conceptos? Aunque nuestra intuición apunta claramente a una relación muy estrecha entre condiciones de posesión de conceptos y ciertos tipos de conocimiento, posiciones naturalistas en filosofía —como la defendida por Jerry Fodor— traen consigo una visión según la cual los conceptos que un sujeto posee son independientes metafísica y conceptualmente de las capacidades epistémicas de dicho sujeto. En este artículo argumentaré que, tal y como el análisis del dogmatismo de Pryor puede mostrar, las (...) teorías de la justificación epistémica proporcionan, desde un punto de vista general, apoyo independiente a la idea intuitiva de requisitos epistemológicos para la posesión de conceptos. Por este motivo, las aproximaciones naturalistas a los conceptos harían bien en evitar condiciones de posesión que carezcan de compromisos epistemológicos. (shrink)

To help eliminate perinatal HIV transmission, the US Department of Health and Human Services recommends against breastfeeding for women living with HIV, regardless of viral load or combined antiretroviral therapy status. However, cART radically improves HIV prognosis and virtually eliminates perinatal transmission, and breastfeeding's health benefits are well-established. In this setting, pregnancy is increasing among American women with HIV, and a harm reduction approach to those who breastfeed despite extensive counseling is suggested. We assess the evidence and ethical justification for (...) current policy, with attention to pertinent racial and health disparities. We first review perinatal transmission and breastfeeding data relevant to US infants. We compare hypothetical risk of HIV transmission from breastmilk to increased mortality from sudden infant death syndrome, necrotizing enterocolitis and sepsis from avoiding breastfeeding, finding that benefits may outweigh risks if mothers maintain undetectable viral load on cART. We then review maternal health considerations. We conclude that avoidance of breastfeeding by women living with HIV may not maximize health outcomes and discuss our recommendation for revising national guidelines in light of autonomy, harm reduction and health inequities. (shrink)

Conscience ‐ a catholic anthropological visionIn the catholic tradition conscience always played an important role as visible in the ‘clausula Petri’ or in Paul’s belief in its wisdom. Conscience can break rules, but should not stand up against the church as such. Luther’s historical deed left behind a distrust in conscience in the Catholic Church; it took 400 years to restore Paul’s vision of the conscience as the highest authority ‐ if it is formed and reaches the state of maturity. (...) By his conscience, man is called to be as God created him; he is called by others to develop and to respect their dignity. He is also called by the world to form it according to its higher possibilities which cannot be realized but by man. Conscience is God’s voice in the person where his promises can be heard. Though conscience is free, it is the place where responsibility is formed according to what someone can and should do. This is why the conscience will keep its unavoidable and undeniable role ‐ even in a postmodern context. (shrink)

The McGurk illusion occurs when listeners hear an illusory percept, resulting from mismatched pairings of audiovisual speech stimuli. Hearing a third percept—distinct from both the auditory and visual input—has been used as evidence of AV fusion. We examined whether the McGurk illusion is instead driven by visual dominance, whereby the third percept, e.g., “da,” represents a default percept for visemes with an ambiguous place of articulation, like/ga/. Participants watched videos of a talker uttering various consonant vowels with and without audios (...) of/ba/. Individuals transcribed the CV they saw or heard. In the V-only condition, individuals predominantly saw “da”/“ta” when viewing CVs with indiscernible POAs. Likewise, in the AV condition, upon perceiving an illusion, they predominantly heard “da”/“ta” for CVs with indiscernible POAs. The illusion was stronger in individuals who exhibited weak/ba/auditory encoding. In Experiment2, we attempted to replicate these findings using stimuli recorded from a different talker. The V-only results were not replicated, but again individuals predominately heard “da”/“ta”/“tha” as an illusory percept for various AV combinations, and the illusion was stronger in individuals who exhibited weak/ba/auditory encoding. These results demonstrate that when visual CVs with indiscernible POAs are paired with a weakly encoded auditory/ba/, listeners default to hearing “da”/“ta”/“tha”—thus, tempering the AV fusion account, and favoring a default mechanism triggered when both AV stimuli are ambiguous. (shrink)

La denominada “crisis ambiental” que advierte sobre los límites materiales del planeta ha dado lugar a una extensa producción teórica durante décadas. Producción que, como regla general, ha relegado la relectura de los textos clásicos de las ciencias sociales. El presente artículo rescata algunos debates contemporáneos relacionados con la lectura en clave ecológica de la obra de Marx. Obra que adquiere especial importancia al momento de comprender las formas que toma la explotación de la naturaleza bajo el sistema capitalista, problemática (...) resignificada en el marco de las discusiones actuales sobre sustentabilidad ambiental. (shrink)

If the significance of nature is a crucial phenomenon in understanding the forms of relations societies establish with the environment, in what way is this significance built? This paper presents the results of a case study focused on exploring how the meanings of nature and socioecological relationships relate to each other in an indigenous population. The first part of the article explains the theoretical scaffolding used to collect and analyse data, based on ecological anthropology and Ogden and Richards’ semiotic scheme. (...) The second part describes the methodological procedures and the first findings, that is, the elements and dimensions that integrate the meanings of nature and land for the inhabitants of this population. It is also explained how those meanings are built and how they are fused to local socioecological relationships in an ontological way. The findings reveal that the inhabitants of this community configure their meanings of ‘nature’ from multiple references of biological, spiritual, axiological, and cultural character, often represented by its referent ‘land’. The notion of ‘nature’ is created from subjective and social experiences with the environment and the territory, and in turn provides meaning to the biocultural identity of the population. However, historical learning, worldview, and social organization also emerge as the main structuring elements of the social meanings of nature and land. (shrink)

Research on opioid use in pregnancy is critically important to understand how the opioid epidemic has affected a generation of children, but also raises significant ethical and legal challenges. Embedded ethicists can help to fill the gaps in ethics oversight for such research, but further guidance is needed to help strike the balance between integration and independence.

In the USA, there are missed opportunities to diagnose hepatitis C virus in pregnancy because screening is currently risk-stratified and thus primarily limited to individuals who disclose history of injection drug use or sexually transmitted infection risks. Over the past decade, the opioid epidemic has dramatically increased incidence of HCV and a feasible, well-tolerated cure was introduced. Considering these developments, recent evidence suggests universal HCV screening in pregnancy would be cost-effective and several professional organisations have called for updated national policy. (...) Historically, universal screening has been financially disincentivised on the healthcare system level, particularly since new diagnoses may generate an obligation to provide expensive treatments to a population largely reliant on public health resources. Here, we provide ethical arguments supporting universal HCV screening in pregnancy grounded in obligations to respect for persons, beneficence and justice. First, universal prenatal HCV screening respects pregnant women as persons by promoting their long-term health outside of pregnancy. Additionally, universal screening would optimise health outcomes within current treatment guidelines and may support research on treatment during pregnancy. Finally, universal screening would avoid potential harms of risk-stratifying pregnant women by highly stigmatised substance use and sexual behaviours. (shrink)

Volume 19, Issue 9, September 2019, Page 50-52.

Prenatal ultrasound use is skyrocketing despite limited evidence of improved outcomes. One factor driving this trend is the widely recognized psychological appeal of real-time fetal imaging. Meanwhile, considering imperfect safety evidence, U.S. professional guidelines dictate that prenatal ultrasound—a screening test—should be governed by expected clinical benefits—an opportunity for intervention. However, when women’s healthcare professionals themselves are pregnant, their access to ultrasound technology permits informal, personal use that may deviate from standard-of-care, e.g., for reassurance. Highlighting a poignant case wherein a pregnant (...) obstetrician’s personal ultrasound use had unforeseen negative consequences, we explore this issue within context of professional ethics and informal medical care. We discuss how women’s health professionals’ self-care may influence and inform prenatal care at large. We advocate curtailing informal prenatal ultrasound use, but also potentially broadening accepted indications for or relaxing proscriptions against ultrasounds for patients. Further research and updated, evidence-based, ethically-sound guidelines are needed. (shrink)

Marielle Franco was part of a new generation of progressive activists in Brazilian politics. She was assassinated point-blank on March 14, 2018 by an elite shooter. In this piece, Meg Stalcup and Erika Robb Larkins examine how Marielle’s death is revealing of the issues that she fought for in her life. They also ask how she continues to be present in and beyond the unfolding investigation into who killed her.