BackgroundClinical ethics case consultations provide a structured approach in situations of ethical uncertainty or conflicts. There have been increasing calls in recent years to assess the quality of CECCs by means of empirical research. This study provides detailed data of a descriptive quantitative and qualitative evaluation of a CECC service in a department of cardiology and intensive care at a German university hospital.MethodsSemi-structured document analysis of CECCs was conducted in the period of November 1, 2018, to May 31, 2020. All (...) documents were analysed by two researchers independently.ResultsTwenty-four CECCs were requested within the study period, of which most had been initiated by physicians of the department. The patients were an average of 79 years old, and 14 patients were female. The median length of stay prior to request was 12.5 days. The most frequent diagnoses were cardiology-related, followed by sepsis and cancer. Twenty patients lacked decisional capacity. The main reason for a CECC request was uncertainty about the balancing of potential benefit and harm related to the medically indicated treatment. Further reasons included differing views regarding the best individual treatment option between health professionals and patients or between different team members. Consensus between participants could be reached in 18 consultations. The implementation of a disease specific treatment intervention was recommended in five cases. Palliative care and limitation of further disease specific interventions was recommended in 12 cases.ConclusionsTo the best of our knowledge, this is the first in-depth evaluation of a CECC service set up for an academic department of cardiology and intensive medical care. Patient characteristics and the issues deliberated during CECC provide a starting point for the development and testing of more tailored clinical ethics support services and research on CECC outcomes. (shrink)
The first collection of twentieth-century French philosopher Michel Henry's work in English, this book provides an excellent introduction to his thought.
La contribution de Michel Troper à la théorie générale du droit et à la théorie constitutionnelle est aujourd'hui reconnue et célébrée un peu partout dans le monde. Un talent d'architecte se tient à l'origine de cette audience rarement égalée dans la sphère francophone : celui qu'il faut pour accommoder toutes les exigences, quel que soit l'ordre de valeur dans lequel on les trouve : originalité, rigueur, souci de la fonction, esthétisme, solidité, adaptation, intelligence, inquiétude, esprit critique, renoncement, réalisme... A (...) ces mérites, on ajoutera une curiosité insatiable, un goût prononcé pour l'échange et le débat, un refus distingué de l'académisme, un sens exigeant de l'amitié et une méfiance profônde pour les adjectifs... C'est cet édifice de qualités que les élèves, collègues et amis de Michel Troper sont heureux de célébrer en lui offrant ces Mélanges. (shrink)
John Stuart Mill's crisis of 1826 has received a great deal of attention from scholars. This attention results from reflection on the importance of the crisis to Mill's mature thought. Did the crisis signal rejection or revision of Benthamism? Or did it have little or no effect on Mill's view of his intellectual inheritance? Ultimately, an interpretation of the cause and resolution of the crisis is integral to an understanding of the nature of Mill's moral and social philosophy. Scholars, in (...) their zeal to understand Mill's crisis, have suggested various reasons for both the onset of the crisis and the recovery. Yet Mill's own perception of his crisis has often been overlooked or rejected. (shrink)
Delivered at the Collège de France between January and March 1980, the lectures entitled On the Government of the Living (Du gouvernement des vivants) seem to be the missing piece in the Foucauldian puzzle. Still unpublished, those eleven lectures were intended to set the theoretical foundation for the book announced as the fourth and last volume of the History of Sexuality, under the title Confessions of the Flesh (Les aveux de la chair). This book, however, was never published, despite the (...) fact that his editor described it as the keystone for the entire History of Sexuality.1 The value of Michel…. (shrink)
Ce livre est le produit d’un colloque éponyme tenu en 2017 à l’université Lumière Lyon 2. Référence est faite, avec une ample chronologie allant de l’époque moderne au très contemporain, à diverses aires culturelles étudiées dans des langues et avec des supports très variés. Les auteurs sont essentiellement des littéraires et des linguistes et nombre de chapitres concernent les représentations de l’enfermement sous toutes ses formes dans des œuvres littéraires, des récits écrits, télévisuels...
In the 1970s feminist scholars rediscovered J. S. Mill's writings on sexual equality. The new feminist appraisal confronted traditional Mill scholarship which had tended either to neglect Mill's writings on women or to concentrate on Harriet Taylor's influence on Mill's views on sexual equality. But even the most cursory review of the writings of feminist scholars reveals a lack of consensus.
This article is a transcript of a conversation between Michel Foucault and Jonathan Simon in San Francisco in October 1983. It has never previously been published and is transcribed on the basis of a tape recording made at the time. Foucault and Simon begin with a discussion of Foucault’s 1977 lecture ‘About the Concept of the “Dangerous Individual” in 19th-Century Legal Psychiatry’, and move to a discussion of notions of danger, psychiatric expertise in the prosecution cases, crime, responsibility and (...) rights in the US and French legal systems. The transcription is accompanied by a brief contextualizing introduction and a retrospective comment by Simon. (shrink)
From Society to System presents an overview of sociologist Michel Freitag's distinctive, multifaceted and interdisciplinary work. Elaborated within the grand sociological tradition, his dialectical sociology redefines sociality as the realm of the symbolic to pinpoint its ontological frailty.
