Audits of the informed consent process are a key element of a clinical research quality assurance program. A systematic approach to such audits has not been described in the literature. In this paper we describe two components of the audit. The first is the audit of the informed consent document to verify adherence with federal regulations. The second component is comprised of the audit of the informed consent conference, with emphasis on a real time review of the appropriate communication of (...) the key elements of the informed consent. Quality measures may include preparation of an informed consent history log, notes to accompany the informed consent, the use of an informed consent feedback tool, and the use of institutional surveys to assess comprehension of the informed consent process. (shrink)

Tocqueville pessimistically predicted that liberty and equality would be incompatible ideas. Robert Dahl, author of the classic _A Preface to Democratic Theory,_ explores this alleged conflict, particularly in modern American society where differences in ownership and control of corporate enterprises create inequalities in resources among Americans that in turn generate inequality among them as citizens. Arguing that Americans have misconceived the relation between democracy, private property, and the economic order, the author contends that we can achieve a society of (...) real democracy and political equality without sacrificing liberty by extending democratic principles into the economic order. Although enterprise control by workers violates many conventional political and ideological assumptions of corporate capitalism as well as of state socialism. Dahl presents an empirically informed and philosophically acute defense of "workplace democracy." He argues, in the light of experiences here and abroad, that an economic system of worker-owned and worker-controlled enterprises could provide a much better foundation for democracy, political equality, and liberty than does our present system of corporate capitalism. (shrink)

One of the main objectives in the information society is to improve the quality of life. — Paying attention to the needs of people seems to be a key element in good ethical behaviour, says Tor Dahl, Managing Director of Manpower Scandinavia. In defining these needs, Manpower used Abraham Maslow's famous pyramid, his hierarchy of needs, as a model for trying to satisfy in practise the needs on each level.However, they went a step further, asking; what comes after Maslow? (...) To mean something for others; togetherness and that people can be trusted and that they seek a purpose with their work, came out as answers. In his paper Mr. Dahl tells us how Manpower Scandinavia has developed a written set of values, which function as a basis for action and guidelines for behaviour, and where the key idea behind it all is to let people be self-managed. Furthermore, he shows us how Manpower has organised the company according to this conviction. (shrink)

Written by the preeminent democratic theorist of our time, this book explains the nature, value, and mechanics of democracy. This new edition includes two additional chapters by Ian Shapiro, Dahl’s successor as Sterling Professor of Political Science at Yale and a leading contemporary authority on democracy. One chapter deals with the prospects for democracy in light of developments since the advent of the Arab spring in 2010. The other takes up the effects of inequality and money in politics on (...) the quality of democracy, a subject that was of increasing concern to Dahl in his final years. “The late Robert Dahl’s _On Democracy_ is _the_ source for how to govern democratically. Following the methods and channeling the insight of Dahl, Ian Shapiro’s new edition completes Dahl’s project and is must reading for the next generation and essential re-reading for the present.”—Michael Doyle, Columbia University “Dahl’s tersest summary of the lessons of his profoundly influential interrogation of democracy’s strengths and weaknesses. Ian Shapiro shows forcefully what we have learned since its initial publication.”—John Dunn, author of _Breaking Democracy’s Spell_ “Robert A. Dahl’s _On Democracy_ admirably synthesized the contributions of the world’s leading democratic theorist of the twentieth century. Now Ian Shapiro intelligently carries Dahl’s queries and concerns into our own century.”—Robert D. Putnam, author of _Our Kids: The American Dream in Crisis_. (shrink)

The American philosopher Stanley Cavell is a secular Jew who by his own admission is obsessed with Christ, yet his outlook on religion in general is ambiguous. Probing the secular and the sacred in Cavell’s thought, Espen Dahl explains that Cavell, while often parting ways with Christianity, cannot dismiss it either. Focusing on Cavell's work as a whole, but especially on his recent engagement with Continental philosophy, Dahl brings out important themes in Cavell’s philosophy and his conversation with (...) theology. (shrink)

Emotion regulation is one of the major foci of study in the fields of emotion and emotional development. This article proposes that to properly study emotion regulation, one must consider not only an intrapersonal view of emotion, but a relational one as well. Defining properties of intrapersonal and relational approaches are spelled out, and implications drawn for how emotion regulation is conceptualized, how studies are designed, how findings are interpreted, and how generalizations are drawn. Most research to date has been (...) conducted from an intrapersonal perspective, and the shortcomings of this approach for understanding emotion regulation are highlighted. The article emphasizes major conceptual and methodological steps required for a fuller description of the process of emotion regulation. (shrink)

Emotional action and communication are integral to the development of morality, here conceptualized as our concerns for the well-being of other people and the ability to act on those concerns. Focusing on the second year of life, this article suggests a number of ways in which young children’s emotions and caregivers’ emotional communication contribute to early forms of helping, empathy, and learning about prohibitions. We argue for distinguishing between moral issues and other normative issues also in the study of early (...) moral development, for considering a wider range of emotional phenomena than the “moral emotions” most commonly studied, and for paying more attention to how specific characteristics of early emotional interactions facilitate children’s development of a concern for others. (shrink)

In her paper, The case for physician assisted suicide: not proven, Bonnie Steinbock argues that the experience with Oregon’s Death with Dignity Act fails to demonstrate that the benefits of legalising physician assisted suicide outweigh its risks. Given that her verdict is based on a small number of highly controversial cases that will most likely occur under any regime of legally implemented safeguards, she renders it virtually impossible to prove the case for physician assisted suicide. In this brief paper, we (...) suggest some ways that may enable us to weigh the risks and benefits of legalisation more fairly and, hopefully, allow us to close the case for physician assisted suicide. (shrink)

One important aspect of the nurse-patient relationship is nurses’ attitudes towards their patients. Nurses’ attitudes towards people with dementia have been studied from a wide range of approaches, but few authors have focused on the structure of these attitudes. This study aimed to identify a structure in licensed practical nurses’ attitudes towards people with dementia. Twenty-one group dwelling units for people with dementia at 11 nursing homes participated in the study. A total of 1 577 assessments of 178 patients were (...) sent out to 181 respondents and 1 237 answers were returned. The semantic differential technique was used. The scale had 57 bipolar pairs of adjectives that estimate an unknown number of dimensions of nurses’ attitudes towards an identified patient. The assessments were analysed using entropy-based measures of association combined with structural plots. The analysis revealed four dimensions, which related to licensed practical nurses’ opinions of the patients: an ethical and aesthetic dimension; an ability to understand; an ability to experience; and an ability for social interaction. The results of the study indicated that, on the positive to negative attitude continuum, the nurses’ attitudes fell at the positive to neutral end. This is an important finding owing to the personhood perspective, from which it is reasonable to assume that, with a more positive attitude to people with dementia, the prerequisites for person-centred care will improve. (shrink)

Attempts to explain emotion typically emphasize the interaction of evolutionary and socialization processes. However, in describing this interplay the role of the person is typically underemphasized or unaccounted for. This paper lays out empirical and theoretical rationale for considering the person as a major contributor to emotion generation and development.

While we share many of the views on emotion research put forth in Kagan’s article “Once More into the Breach,” our commentary focuses on two points of disagreement. First, we argue for the importance of a priori principles. In particular, emotions cannot be understood without reference to final and formal cause, and the related principles of equifinality and equipotentiality. Secondly, although we agree the term “basic emotions” is misleading, we maintain that the emotions traditionally called “basic” should still be seen (...) as a distinct set of emotions by virtue of their being constitutive for other, derived emotions. In conclusion we argue for moving beyond the strict empiricist approach proposed by Kagan and many thinkers before him. (shrink)

This article tries to bring out the implication of Cavell’s critical comments on Derrida, clustered around Cavell’s charge that deconstruction entails a flight from the ordinary. Cavell’s and Derrida’s different readings of Austin’s ordinary language philosophy provide a common ground for elaborating their respective positions. Their writings are at once the closest but also the most divergent when addressing the moral implication of speech, or more precisely, when addressing their understanding of responsibility and voice. Employing Derrida’s so-called ‘double reading’ as (...) a leitmotif will not only shed light on the moral dimension of deconstruction, but also bring the central target of Cavell’s critique into the open. (shrink)

Definition of the problem: Medical research with children, especially non-therapeutic research, requires particular consideration. In the current situation this kind of research is not clearly regulated by law in Germany. This entails practical problems in evaluating clinical studies from an ethical point of view. Arguments and conclusion: To develop a new policy framework the international ethical discussion is reviewed. The article analyzes the historical development of research with minors from an ethical perspective, the notion of minimal risk, criteria for evaluating (...) risk and harm in research, consent and assent procedures, and the participation of parents and children in the planning of clinical studies. A list of proposals for minimal standard in ethical regulation of research with minors is developed. (shrink)

This study investigates the prevalence of ‘Seeking God’s Help’, its relation to time since diagnosis, and its association with Life Satisfaction for all cancer types. This study also investigates Disease-Specific Quality of Life for patients with breast, prostate, and colorectal cancers. Data were obtained from the third wave of the Nord-Trøndelag Health Study of Norway , with 2,086 cancer patients identified by the Cancer Registry of Norway and 6,258 cancer-free controls. Our results indicate a higher prevalence of ‘Seeking God’s Help’ (...) after a shorter time since diagnosis among men. No association was observed in multivariate analyses between ‘Seeking God’s Help’ and ‘Life Satisfaction’ or ‘Disease-Specific QoL’ in long-term cancer survivors. Longitudinal investigations are needed to elucidate the relationship between the ‘Seeking God’s Help’ variable and Life Satisfaction and Disease-Specific QoL among cancer patients in a Norwegian context. (shrink)

This article argues that Cavell's key concept of acknowledgement is of great theological significance. Acknowledgement is meant as a particular interpretation of knowledge, which emphasises the personal responsiveness and responsibility to the human other and to the world. As Cavell himself indicates, acknowledgement also overlaps with faith. However, what such acknowledgement of God amounts to, is not yet satisfactorily understood in the growing literature on Cavell. This article argues that Cavell's treatment of confessions (Augustine, Wittgenstein) and acceptance of promise (Luther) (...) provides important clues to a more elaborate understanding of acknowledgement in general, and of acknowledging God in particular. (shrink)

Parsing according to the principles of modern linguistic theory is only now becoming a computationally interesting task. We contribute to these developments by illustrating how the account of movement introduced by Chomsky inBarriers can be incorporated into a Static Discontinuity Grammar (SDG). We are concerned with A''-movement as reflected inwh movement of arguments and adjuncts. The resulting SDG can be processed by an SDG parser to recover the thematic information and constitutency structure associated with a natural language sentence.

The distinction between ‘partial’ and ‘total’ interpretations (models) is discussed and related to the distinction between proof-theoretical and model-theoretical treatments of logic. It is claimed that there is a parallel between the construction of a proof based on a set of premises and e.g. the production of a natural-language text which is based on information in some kind of data-base. The main part of the paper is devoted to a discussion of the relations between the deduction rules traditionally associated with (...) the existential quantifier and notions pertaining to the theory of reference such as specificity and referentiality /attributivity. Two types of specificity are distinguished, which can be connected with ‘Existential Elimination’ and ‘Existential Introduction’, respectively. A distinction is further made between trivial and non-trivial ‘Existential Introduction’, where only the latter kind involves erasure of ‘coreference links.’ It is argued that an analogous treatment of the referential-attributive distinction is a way of making sense of Donnellan's suggestion that the latteT may depend on the description's role in an argument. Finally, the notions of 'external anchoring' and ‘stability of individual concepts’ are related to the distinctions made earlier in the paper. (shrink)

Despite the divide between American formalism and theoreticians of minimalism, Barnett Newman’s art received great acclaim from both schools of thought. Attempting to unearth the philosophical preconditions of this strange constellation, this article argues that the closeness between minimalism and formalism is due to their mutual reliance upon phenomenology and ordinary language philosophy. However, their proximity also conveys their distance, since they imply different interpretations and applications of the philosophical schools in question. Such theoretical differences shed light on Newman’s paintings: (...) both minimalism and formalism are right in their accounts – yet not exclusively so. What arguably makes up the distinctive fascination of Newman’s paintings is their incessant oscillation between empty physicality and powerful meaning. (shrink)

Joel Feinberg, Harm to Self Oxford: Oxford University Press, 1986, xxiii + 412 pp.