Background:Moral distress occurs when constraints prevent healthcare providers from acting in accordance with their core moral values to provide good patient care. The experience of moral distress in nurses might be magnified during the current Covid-19 pandemic.Objective:To explore causes of moral distress in nurses caring for Covid-19 patients and identify strategies to enhance their moral resiliency.Research design:A qualitative study using a qualitative content analysis of focus group discussions and in-depth interviews. We purposively sampled 31 nurses caring for Covid-19 patients in (...) the acute care units within large academic medical systems in Maryland and New York City during April to June 2020.Ethical considerations:We obtained approval from the Institutional Review Board at the University of Maryland, Baltimore.Results:We identified themes and sub-themes representative of major causes of moral distress in nurses caring Covid-19 patients. These included (a) lack of knowledge and uncertainty regarding how to treat a new illness; (b) being overwhelmed by the depth and breadth of the Covid-19 illness; (c) fear of exposure to the virus leading to suboptimal care; (d) adopting a team model of nursing care that caused intra-professional tensions and miscommunications; (e) policies to reduce viral transmission (visitation policy and PPE policy) that prevented nurses to assume their caring role; (f) practicing within crisis standards of care; and (g) dealing with medical resource scarcity. Participants discussed their coping mechanisms and suggested future strategies.Discussion/Conclusion:Our study affirms new causes of moral distress related to the Covid-19 pandemic. Institutions need to develop a supportive ethical climate that can restore nurses’ moral resiliency. Such a climate should include non-hierarchical interdisciplinary spaces where all providers can meet together as moral peers to discuss their experiences. (shrink)

Caste and Buddhist Philosophy: Continuity of Some Buddhist Arguments against the Realist Interpretation of Social Denominations. By Vincent Eltschinger. Translated by Raynald Prévèreau in collaboration with the author. Buddhist Traditions Series, vol. 60. Delhi: Motilal Banarsidass, 2012. Pp. xxi + 235. INR 650.

In 1973, the Supreme Court of the United States issued Roe v. Wade, a historic and contentious decision that established abortion as a fundamental constitutional right. This ruling protected aborti...

Some properties are causally relevant for a certain effect, others are not. In this paper we describe a problem for our understanding of this notion and then offer a solution in terms of the notion of a program explanation.

In this essay we argue that reasoning can sometimes generate epistemic justification, rather than merely transmitting justification that the subject already possesses to new beliefs. We also suggest a way to account for it in terms of the relationship between epistemic normative requirements, justification and cognitive capacities.

Later reprinted by Deborah Charles Publications (and not available from Amazon), this book expounds and comments on the application of Greimasian semiotics to a legal text, as found in the article by Greimas and Landowski in Greimas, Sémiotique et Sciences Sociales (1976), compares this with the semiotic presuppositions of Hart, Dworkin, MacCormick and Kelsen, and offers my own analysis of the implications of such semiotic analysis for legal theory, including some more recent radical non-positivist accounts.

ONE way t0 defend narrow content is to produce a sentence 0f the form ‘S believes that P’, and show that this sentence is true 0f S if and 0nly if it is true 0f any duplicate from the skin in, any doppclgangcr, of S. N0toriously, this is hard to d0. Twin Earth examples are pervasivc.1 Another way to defend narrow content; is t0 show that Only 2. narrow notion can play thc causal explanatory r01c we require 0f contcnt in (...) 2. properly scicntiicm psychology 0r cognitive science. Notoriously, this is hard t0 d0. The considerations—mcthod010gicaI solipsism, the principle 0f autonomy, 0r what:cvcr—invokcd to show that a broad notion 0f content cannot.. (shrink)

Urban dwellers’ food and nutritional wellbeing are both dependent on infrastructure and can be indicative of wider wellbeing in urban contexts and societal health. This paper focuses on the multiple relationships that exist between food and infrastructure to provide a thorough theoretical and empirical grounding to urgent work on urban food security and nutrition in the context of rapid urban and nutrition transitions in the South. We argue that urban systems and food systems thinking have not been well aligned, but (...) that such alignment is not only timely and overdue but also fruitful for both thematic areas of research and policy. We draw in particular on work within wider urban political economy and political ecology that can be classified as part of the ‘infrastructural turn’ that is influential with urban studies but little acknowledged within food studies. Drawing on these literatures helps us to better understand the interrelationships between people, things and ideas that make up both infrastructure and food systems. Policy, planning and research relating to both food and urban systems cannot afford to ignore such interlinkages, though much policy still operates on the neat assumptions of progressive connectivity to ‘the grid’ and formal food retail. Instead we argue how in many urban governance systems, a variety of hybrid mechanisms—on and off the grid, public and private formal and informal—better represent how urban residents, particularly the most marginalised, meet their everyday food and infrastructural needs along a continuum of gridded and off-grid access. (shrink)

Spirituality, in the broad sense, provides a deeper foundation for principles of international business ethics than legalistic, command-based ethics programs. Spiritual-based principles and values are presupposed and endorsed by established legal and ethical principles for international business. Identifying such spiritual-based principles and values requires the exercise of moral imagination and an openness to values embraced by the world's religions. Once identified, a new realm of moral freedom is attained for multinational corporations which may help them move beyond an "ethics for (...) sale" orientation. (shrink)

In this article, I link the empirical hypothesis that neural representations of sensory stimulation near the body involve a unique motor component to the idea that the perceptual field is structured by skillful bodily activity. The neurophenomenological view that emerges is illuminating in its own right, though it may also have practical consequences. I argue that recent experiments attempting to alter the scope of these near space sensorimotor representations are actually equivocal in what they show. I propose resolving this ambiguity (...) by treating these representations as responsive to the development or degeneration of know-how—which can be isolated as an appropriate object for scientific investigation. (shrink)

I offer an account of the relation between explanations of behaviour in terms of psychological states and explanations in terms of neural states that: makes it transparent how they can be true together; explains why explanations in terms of psychological states are characteristically of behaviour described in general and relational terms, and explains why certain sorts of neurological investigations undermine psychological explanations of behaviour, while others leave them intact. In the course of the argument, I offer an account of implicit (...) theories. (shrink)

Easwaran has given a definition of transferability and argued that, under this definition, randomized arguments are not transferable. I show that certain aspects of his definition are not suitable for addressing the underlying question of whether or not there is an epistemic distinction between randomized and deductive arguments. Furthermore, I demonstrate that for any suitable definition, randomized arguments are in fact transferable.

Previous studies have shown cognitive task performance to be affected by tinnitus severity, but also that the literature is conflicted. This study sought to identify neuroticism as a possible confound, since severe tinnitus distress is associated with higher levels of neuroticism. A total of 78 participants undertook two cognitive tasks. It was found that when undertaking a Stroop paradigm, controlling for neuroticism rendered previously significant results not significant. It was also found that neuroticism was not a significant covariate for a (...) change blindness task. Gender, age, anxiety, and depression were all controlled for, and future implications for the literature discussed. (shrink)

Social democracy has often been seen as a pragmatic compromise between capitalism and socialism. This chapter shows that social democracy is in fact a distinctive body of political thought: an ideology which prescribes the use of democratic collective action to extend the principles of freedom and equality valued by democrats in the political sphere to the organization of the economy and society, chiefly by opposing the inequality and oppression created by laissez-faire capitalism. The chapter makes this case by examining three (...) distinct eras in the development of social democratic ideas: the emergence of social democracy in the decades before the Second World War; the so-called ‘golden age’ of social democracy between 1945 and 1970; and the period of social democratic retreat from 1970 until the present. (shrink)

In this paper a method is proposed for empirically determining simultaneity at a distance within the special theory of relativity. It is argued that this method is independent of Einstein's signalling method and provides a basis for denying the conventionality of distant simultaneity.

This article presents data from the Growing up with Media study related to the implementation of a risk reduction protocol that resulted in three groups of youth: low-risk youth (no flags), youth flagged because of violence involvement and not clinically referred; and flagged youth who were referred to a team clinician due to additional risk considerations. Data are from 3,979 US youth 14–15 years of age recruited through social media between October 2018-August 2019. Four in ten youth were flagged for (...) review. Findings suggest that this methodology of identifying and reviewing cases appears to be working as intended: Not only did referred youth have more flags than non-referred youth, but post-hoc analyses suggested that these youth also had higher rates of psychosocial problems (e.g., non-victimization adversity, substance use, and depressed mood). The implementation of a risk reduction protocol such as the one described in this article adds a layer of human subject protection beyond the more standard list of websites and hotlines provided to all participants in most studies. This protocol leads the way for future studies to recreate a similar process to address concerning responses collected from survey research. (shrink)

This study examines how people engage with the dynamic environment of the dog park in the face of unclear or ambiguous rules and emergent norms. Using participant observation, the analysis shows how, in the formal dog park, caretakers become “control managers” who must negotiate problems related to a variety of dog behaviors, especially mounting, aggression, and waste management. In this process, caretakers use various strategies to manage their own and others’ possible perceptions and understandings of appropriate behavior for dogs in (...) public places. (shrink)

While disagreeing with some of the detail of my argument in [2] F. John Clendinnen accepts its conclusion, namely, that the vindication he proposed in [1] fails. I will thus confine myself to saying, very briefly, why I think the new vindication of induction that he sketches in [3] also fails.

Background and Objectives People living with dementia have historically been excluded from qualitative research and their voices ignored due to the perception that a person with dementia is not able to express their opinions, preferences and feelings. Research institutions and organizations have contributed by adopting a paternalistic posture of overprotection. Furthermore, traditional research methods have proven to be exclusionary towards this group. The objective of this paper is to address the issue of inclusion of people with dementia in research and (...) provide an evidence-based framework for dementia researchers based on the five principles of human rights: Participation, Accountability, Non-discrimination and equality, Empowerment and Legality (PANEL). Design This paper adapts the PANEL principles to the research context, and uses evidence from the literature to create a framework for qualitative research in people with dementia. This new framework aims to guide dementia researchers in designing studies around the needs of people with dementia, to improve involvement and participation, facilitate research development and maximize research outcomes. Results A checklist is presented with questions related to the five PANEL principles. These questions cover ethical, methodological and legal issues that researchers may need to consider while developing qualitative research for people with dementia. Conclusions The proposed checklist offers a series of questions and considerations to facilitate the development of qualitative research in patients with dementia. It is inspired by current human rights work of recognized dementia researchers and organizations who have been directly involved in policy development. Future studies need to explore its utility in improving participation, facilitating ethics approvals and ensuring that outcomes are relevant to people with dementia. (shrink)

The theme of the possibility or impossibility of the compatibility between Heideggerian philosophy and Freudian metapsychology has been taken up in various ways. Without going into the details of this body of commentary, it is argued that there is a clear difference between the ways in which Heidegger and Freud think cultural crisis. By examining texts of both thinkers from the early 1930s, it is shown that whereas Freud conceives of the possibility of amelioration of crisis in terms of a (...) grappling with material necessity, Heidegger's philosophical conception of crisis seeks to bring about freedom's performative coincidence with ontological necessity. Heidegger's approach, it is claimed, is blind to the confrontation with material necessity that is its own condition of possibility. This blindness is evident in his ontological understanding of suffering. Key Words: crisis • critique • Sigmund Freud • Martin Heidegger • materiality • necessity • questioning. (shrink)