Comparatively little scholarly attention has been given to the question of futility in chronic psychiatric disorders, with the exception of a small body of work on so-called end-stage anorexia nervosa. A review of this literature provides the background for a critical examination of whether the concept of futility has any clinically meaningful, ethically justifiable, and legally defensible application to AN. In this article, the arguments for and against futility judgments in AN are analyzed with special emphasis on determinations of capacity (...) in this serious mental illness. Parallels between the futility disputes in medical and psychiatric disorders, where applicable, will be drawn to further illuminate whether or not the concept that continued psychiatric treatment for AN is ever truly futile. (shrink)
The present work investigates whether the hemispheric processing of both verbal and emotional stimuli, studied by means of a dichotic listening task, differs between normal high and low dissociators as assessed by the Dissociative Experiences Scale . Development, reliability and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727–735). Two groups of subjects , participated in the experiment. The task consisted in identifying both verbal and emotional stimulus-targets, respectively, on successive sessions. Reaction time and response accuracy (...) were registered and analysed using ANOVA . The interaction between stimuli , channel , and dissociation level reached statistical significance in terms of accuracy measures = 4.75; p < .05). Both high and low dissociators exhibited the expected right ear advantage on verbal targets. On the other hand, whereas low dissociators exhibited the expected left ear advantage on emotional targets, high dissociators failed to follow this typical pattern of hemispheric asymmetry: both hemispheres exhibited similar performances. These results confirm the hypothesis that dissociation is related to changes in hemispheric processing, specifically of emotional information. (shrink)
It is our privilege to be invited to write a commentary on the "Interface of Ethics and Psychiatry: A Philosophical Case Consultation on Psychiatric Ethics on the Ground." The article presents an innovative collaboration between a philosopher and a psychiatrist reasoning together through the ethical aspects of three clinical cases. The case consultation also offers a unique opportunity to reflect on the teaching of psychiatric ethics in clinical settings. This commentary explores those areas of the article from the perspective of (...) a teacher and trainee whose mentoring relationship is grounded in their shared interest in philosophy and psychiatric ethics.A quick search on PubMed and Google Scholar confirms my own... (shrink)
Nurses’ job satisfaction is the most important thing in health care business science the attitudes and the behaviors of the nurses could affects the health care services quality. The objectives of this study is to find out whether there are direct or indirect effects from the perception of transactional leadership, perception of transformational leadership, perception of distributive justice, perception of procedural justice, to job satisfaction. The samples of this study consist of 132 nurses from X hospital. The measurement instruments which (...) had been used consist of perception of Leadership style measurement instrument, perception of distributive justice measurement instrument, perception of procedural justice measurement instrument, and job satisfaction measurement instrument which later the result was calculated by using the program LISREL. The result showed that perception of leadership style and perception of justice had direct significant effects toward job satisfaction. . (shrink)
Resumen: ¿Qué es la identidad de la persona? El pensamiento de Harry Frankfurt y sus enmiendas, al hilo de objeciones de Velleman, Penelhum, Watson y Korsgaard, resulta instructivo porque manifiesta los alcances y las limitaciones de una radicalización paulatina de la determinación puramente individual de la propia identidad volitiva. En este trabajo se expone esa trayectoria intelectual, que va desde los actos más controlables hasta los menos sujetos al control voluntario inmediato, pero también autoimpuestos. Al final, Frankfurt admite cierto amor (...) innato.: What is personal identity? Frankfurt’s thought and the modifications it undergoes following objections by Velleman, Penelhum, Watson and Korsgaard are instructive because they highlight the scope and limitations of a gradual radicalization of a strictly individual self-constitution of one’s own volitional identity. This article traces that intellectual trajectory, which goes from those acts most amenable to immediate voluntary control to those that are least amenable to it, but nonetheless self-imposed. In the end, Frankfurt admits there is a certain innate love. (shrink)
Resumen: los trabajos de perspectiva sociológica que sobre los seminarios diocesanos se han llevado a cabo son muy escasos. Sin embargo el estudio de estas instituciones puede proporcionar al científico social datos de gran utilidad que, por una parte, completan los análisis de la religiosidad española hechos hasta el momento y, por otra, ayudan a comprender mejor el futuro de una Iglesia Católica inmersa en un profundo proceso secularizador. Para desarrollar esta propuesta haremos una reflexión sobre la “misión organizativa” que (...) los seminarios han tenido a lo largo de la historia.*****: The works of sociological perspective that have been carried out about diocesan seminaries are short. However the study of these institutions can provide the social scientific very useful information that, on the one hand, completes the analysis of Spanish religiousness made until the present day and, on the other hand, helps for a better understanding of the future of a Catholic Church immersed in a deep secularising process. In order to develop this proposal we will make a reflection on the “organisational mission” that seminaries have had throughout History. (shrink)
