It is not rare to find students of language interested in the many ways in which speakers talk about Fred or about the weather, assert of Fred or of the weather that he is fat or that it is fine. Many philosophers, logicians, and linguists share an interest in what words or phrases designate or describe, and what speakers refer to, mention, and say things about. But it is also notable that the Grammarian and the Philosopher, especially the Metaphysician, have (...) looked at intentionality in different ways. In this lecture I sketch the ways that the Philosophers Nelson Goodman and W.V.O Quine and by contrast the Grammarians have analyzed and used the notion of Aboutness, in Quine’s case in his famous argument against Quantifying Into intensional sentences. Goodman’s and Quine’s analyses are motivated by different intellectual goals from the Linguists’. By contrast Linguists have the notion of Topic Noun Phrase. I shall argue that the Linguists’ notion of Topic Noun Phrase offers clarification and an intellectual advance over Goodman’s and Quine’s notions, especially in the treatment of propositional attitude sentences. (shrink)

Plagiarism is a discursive practice involving conceptions of creativity, originality, authorship, and transgression. With the increasing globalization of university education and academic research,...

BackgroundHealthcare ethics is neglected in clinical practice in LMICs such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal.MethodsThis was a cross sectional study conducted among resident doctors and ward nurses in the largest tertiary care teaching hospital of Nepal during January- February 2016 with a self-administered questionnaire. A Cramer’s V value was assessed (...) to ascertain the strength of the differences in the variables between doctors and nurses. Association of variables were determined by Chi square and statistical significance was considered if p value was less than 0.05.ResultsOur study demonstrated that a significant proportion of the doctors and nurses were unaware of major documents of healthcare ethics: Hippocratic Oath, Nuremberg code and Helsinki Declaration. A high percentage of respondents said that their major source of information on healthcare ethics were lectures, books, and journals. Attitude of doctors and nurses were significantly different in 9 out of 22 questions pertaining to different aspects of healthcare ethics. More nurses had agreement than doctors on the tested statements pertaining to different aspects of healthcare ethics except for need of integration of medical ethics in ungraduate curricula,paternalistic attitude of doctor was disagreed more by doctors. Notably, only few doctors stood in support of physician-assisted dying.ConclusionsSignificant proportion of doctors and nurses were unaware of three major documents on healthcare ethics which are the core principles in clinical practice. Provided that a high percentage of respondents had motivation for learning medical ethics and asked for inclusion of medical ethics in the curriculum, it is imperative to avail information on medical ethics through subscription of journals and books on ethics in medical libraries in addition to lectures and training at workplace on medical ethics which can significantly improve the current paucity of knowledge on medical ethics. (shrink)

Our knowledge, beliefs, doubts, etc., concern primarily logical constructions of propositions. If we assume that iterating ‘belief attitudes’ is valid, i.e., that the agent is perfectly introspective, he knows what he knows, believes, etc., then the so-called propositional attitudes are actually hyperintensional attitudes, i.e., they are relations of an agent to the construction–concept expressed by the embedded clause. Their implicit counterparts, relations of an agent to the proposition denoted by the embedded clause, are just idealised cases of an agent with (...) unlimited inferential abilities. On the other hand, our wishes, intentions, seeking, finding, etc., concern particular intensions , and the so-called notional attitudes are not hyperintensional. In the paper we formulate some criteria for notional attitudes and examine basic categories of them. In general, notional attitudes are relations-in-intension between an agent and an object to which the agent is intentionally related. Even relations of an agent to a proposition can be notional ones, in case there is no salient constructional counterpart, the attitude is not influenced by agent’s inferential abilities. Another problem we meet is the ambiguity of sentences expressing notional attitudes. These statements can often be read both in the de dicto and in the de re way. Yet, a common feature that characterizes notional attitudes is using the construction of the respective intension in the de dicto way. The respective intension is mentioned; referring on such a situation, the reporter may use any of the equivalent constructions of the intension, but not just a co-referring notion of another intension. Still, unlike the cases of relations of an agent to an individual when the respective individual office serves just as a pointer to the individual, when referring on notional attitudes the use of the respective notion of the intension is indispensable, which might perhaps justify calling such attitudes notional, though they actually are intensional. We also show that a passive form of a sentence cannot be usually read in the de dicto way . Thus a common belief at the equivalence of the active and passive form of a statement is generally not justified. (shrink)

Introduction:Prehospital emergency medicine is a specific field of emergency medicine. The basic approach of prehospital emergency medicine is to provide patients with medical intervention at the scene of the incident. This special environment causes health professionals to encounter various problems. One of the most important problems in this field is ethics, in particular questions involving refusal of treatment and the processes associated with it.Objective:The objective of this study is to identify emergency health professionals’ views regarding refusal of treatment.Methods:This study was (...) conducted with 356 health professionals who were on active duty in prehospital emergency health services. The data were collected through a form which included 10 statements. The participants were asked to indicate their level of agreement with the statements given by rating them between 0 and 10.Ethical considerations:Before conducting the research, permission was received from the local ethics committee. Participants were given written information about the purpose of the study. Participants were assured that their participation was voluntary.Results:The healthcare professionals with fewer years of experience in the profession and female participants adopted an attitude of giving priority to providing care. Young participants, in general, respected patient autonomy. However, paradoxically, when it comes to emergency medical cases, they expressed an opinion closer to paternalism.Conclusions:This study has found that prehospital emergency health professionals generally respect the patient’s right to refuse treatment; however, they do not prioritize this right when there is a life-threatening situation or when the person does not have decision-making capacity. In these cases, prehospital emergency health professionals tended to adopt a more paternalistic approach. (shrink)

In English, we use the word "I" to express thoughts that we have about ourselves, and we use the reflexive pronouns "himself" and "herself" to attribute such thoughts to others. Philosophers and linguists call such thoughts, and the statements we use to express them, de se. De se thoughts and statements, although they appear often in our day-to-day lives, pose a series of challenging problems for both linguists and philosophers. This interdisciplinary volume examines the structure of de se (...) thought, various issues concerning the semantics and pragmatics of our discourse about it, and also what it reveals about how humans think about themselves and the world around them. (shrink)

Introduction: Pharmaceutical companies offer various gifts to physicians to encourage them to prescribe their products. This collaboration has some negative and positive aspects. Different countries have established guidelines to limit the collaboration and reform such relationships. This study aims to determine the attitude of Bangladeshi medical students towards pharmaceutical gifts, physician-pharmacist collaboration, and associated factors. Methods: An online cross-sectional and correlational study was conducted through email and Google-Forms among Bangladeshi medical students. A total of 435 students from different medical (...) colleges completed the questionnaires in May and June, 2016. Results: Monthly parental income was moderate among the majority of medical students. Less than 16% had a physician or pharmacist parent. Most of the students were taught about medical ethics, but 73% were not taught about the ethics of physician-pharmacist collaboration. About 85% did not have any experience of interaction with marketing representatives. Drug samples and pennotepads were the most appreciated pharmaceutical gifts. Jewelry and gifts costing more than 100 thousand were said to be the least appreciated pharmaceutical gifts. Attitudes towards drug companies and representatives were assessed by fifteen statements. Medical students had a variety of attitudes regarding its ethical justification. Attitudes were correlated with gender, parental income, physician parents, academic years, and having been taught about pharmaceutical collaboration with physicians. Conclusion and Recommendations: medical students should elaborate on ethical reasoning before accepting pharmaceutical gifts. Medical colleges and curriculums should teach them about the interaction. A national guideline may be needed. (shrink)

This article reports on a replication study of “Childless by choice? Attributions and attitudes concerning family size”, research published in Social Behavior and Personality and carried out by Valerie LaMastro in 2001. In the study presented in this paper the author examined the personality characteristics ascribed by naive perceivers to people with families of varying sizes. Students read one of twenty-four paragraphs describing a heterosexual couple who varied in the number of children they had and in male and female employment (...) status. Targets were rated on 28 personality characteristics and seven relationship quality statements concerning the level of family happiness. The results obtained indicated that a childless pair was viewed as less happy than those with children. Parents of any size family were, however, perceived similarly. (shrink)

Our knowledge, beliefs, doubts, etc., concern primarily logical constructions of propositions. If we assume that iterating ‘belief attitudes’ is valid, i.e., that the agent is perfectly introspective, he knows what he knows, believes, etc., then the so-called propositional attitudes are actually hyperintensional attitudes, i.e., they are relations of an agent to the construction–concept expressed by the embedded clause. Their implicit counterparts, relations of an agent to the proposition denoted by the embedded clause, are just idealised cases of an agent with (...) unlimited inferential abilities. On the other hand, our wishes, intentions, seeking, finding, etc., concern particular intensions, and the so-called notional attitudes are not hyperintensional. In the paper we formulate some criteria for notional attitudes and examine basic categories of them. In general, notional attitudes are relations-in-intension between an agent and an object to which the agent is intentionally related. Even relations of an agent to a proposition can be notional ones, in case there is no salient constructional counterpart, the attitude is not influenced by agent’s inferential abilities. Another problem we meet is the ambiguity of sentences expressing notional attitudes. These statements can often be read both in the de dicto and in the de re way. Yet, a common feature that characterizes notional attitudes is using the construction of the respective intension in the de dicto way. The respective intension is mentioned; referring on such a situation, the reporter may use any of the equivalent constructions of the intension, but not just a co-referring notion of another intension. Still, unlike the cases of relations of an agent to an individual when the respective individual office serves just as a pointer to the individual, when referring on notional attitudes the use of the respective notion of the intension is indispensable, which might perhaps justify calling such attitudes notional, though they actually are intensional. We also show that a passive form of a sentence cannot be usually read in the de dicto way. Thus a common belief at the equivalence of the active and passive form of a statement is generally not justified. (shrink)

This article seeks to shed light on the beliefs that influence nurses’ intention of respecting or not respecting an advance directive document, namely a living will or a durable power of attorney. Nurses’ beliefs were measured using a 44-statement questionnaire. The sample was made up of 306 nurses working either in a long-term care centre or in a hospital centre offering general and specialized care in the province of Québec. The results indicate that nurses have a strong intention of complying (...) with advance directives written by patients. The analysis also shows that four variables determine the strength of this intention: respect for autonomy; the location of the workplace; justice; and the dimension of relationships and emotions. Although these documents favour the expression of patients’ wishes, nurses should be aware that they do not systematically guarantee respect of a patient’s autonomy, nor do they replace a relationship based on trust between patients and health care professionals. (shrink)

This paper is based on the findings of research into the attitudes towards business ethics of a group of business students in Western Australia. The questionnaire upon which the research was based was originally used by Preble and Reichel (1988) in an investigation they undertook into the attitudes towards business ethics held by two similar groups of United States and Israeli business students. The specific purpose of the current investigation was to administer the same questionnaire with one minor modification to: (...) (1) two groups of Curtin University students; (2) a group of Asian students from the Australian Institute of Business and Technology (AIBT), a privately funded tertiary institution affiliated with Curtin University; and (3) a group of managers from the Australian Institute of Management (AIM), many of whom would not have been university graduates. The questionnaire was preceded by a profile inventory to establish the participant''s age, sex, occupation, course of study, whether or not they were born in Australia, their attitudes towards religion, and whether or not they saw themselves as ethically minded persons. In the original questionnaire, Preble and Reichel had asked the US and Israeli students to indicate on a five point scale, their attitudes towards a selection of business ethics situations by reflecting on thirty statements. In the replicate study, the means and standard deviations of each response of the four groups of Western Australian students were calculated and then compared with the means and standard deviations of the US and Israeli students. In summary, statistically significant differences in the scores of the original study were noted between nineteen out of thirty of the US and Israeli students in their attitudes towards business ethics. However, a closer examination and interpretation showed several of these differences to have little meaning. (p. 946) The purpose of this current study therefore, was to see if the Curtin, AIBT and AIM students'' results were statistically significant (different) to the US and Israeli student scores. The implications of understanding the way a selected group of business students in Western Australia react towards a range of ethical issues ought to have relevance for those involved in developing management education courses, particularly in view of the current economic and business climate. Studies into attitudes towards ethical issues in business have, as yet, received little attention in Australasia. This present study will hopefully lead to more thoughtful discussion of these issues. (shrink)

I generalize the notion of a conditional attitude by bringing together two topics of inquiry. One is the ordinary inquiry into conditional attitudes. The other topic is the inquiry into the attitude of thinking that a proposition is likely, or having a high credence in a proposition. For instance, what is it to intend to go to the game if it is likely that Kershaw pitches? Being likely that Kershaw pitches is the condition of the attitude. Given (...) a natural position about statements like “It is likely that Kershaw pitches,” the target attitude looks different from ordinary conditional attitudes. (shrink)

We might describe the philosophical issue of human freedom and moral responsibility as an existential metaphysical problem. Problems of this kind are not just a matter of theoretical interest and curiosity: They address issues that we care about and that affect us. They are, more specifically, relevant to the significance and value that we attach to our lives and the way that we lead them. According to the orthodox view, there is a tidy connection between skepticism and pessimism. Skepticism threatens (...) a wide range of interests and concerns that themselves rest on the foundation of our self-conception as responsible moral agents. From this perspective, whereas skepticism licenses a degree of pessimism about our human predicament, the defeat of skepticism serves to vindicate optimism. In recent years this orthodox view of the relationship between skepticism and pessimism has been challenged. It has been argued, for example, that skepticism may be defended in much more optimistic terms. While we have reason to accept skepticism, we have no reason to draw any bleak or depressing consequences from this. Another way of severing the orthodox connection between skepticism and pessimism is to reject skepticism but deny that this will serve to secure or salvage any unqualified form of optimism. This chapter reviews and contrasts these various positions and approaches, beginning with an account of P. F. Strawson’s particularly influential statement of the relationship between the skeptical challenge and pessimism. (shrink)

Under normal circumstances, saying that you have a thought, a belief, a desire, or an intention differs from saying that somebody (who happens to be you) has that attitude. The former statement comes with some form of first person authority and constitutes commitments that are not involved in the latter case. Speaking with first person authority, and thereby publicly committing oneself, is a practice that plays an important role in our communication and in our understanding of what it means (...) to be a person. In their Group Agency, Christian List and Philip Pettit argue that some corporations are agents with attitudes of their own, and they claim that they are persons. The question on which this paper is focused is: Can corporations (groups with attitudes and the capacity for linguistic communication) participate in this practice, that is, can they express their attitudes with first person authority, and thereby enter first person commitments? The first section of the paper gives a rough (and, I hope, ecumenical) account of some features of first person authority and commitment. The second section examines if and how this account of first person authority carries over to corporations. It is argued that the possibility for groups to express their attitudes with straightforward first person authority, and thus to enter first person commitments, are extremely limited. The third part of the paper argues that while under normal circumstances, a member’s expression of her group’s attitudes in first person plural terms does not constitute straightforward first person authority, it does come with something resembling some aspects of the first-personal commitments encountered in the singular case. (shrink)

This paper addresses a certain objection to the quantificational theory of definite descriptions. According to this objection, the quantificational account cannot provide correct interpretations of definite descriptions embedded in the non-doxastic attitude ascriptions and therefore ought to be rejected. In brief, the objection says that the quantificational theory is committed to the view that a sentence of the form “The F is G” is equivalent to the claim that there is a unique F and it is G, while the (...) ascription such as, e.g., “S wants the F to be G” is not equivalent to the statement that S wants there to be a F and for it to be G. I argue that this objection is invalid as it rests on a false assumption concerning the substitutivity of the relative clauses in the non-doxastic attitude ascriptions. (shrink)

BackgroundThe attitudes of patients' to consent have changed over the years, but there has been little systematic study of the attitudes of anaesthetists and surgeons in this process. We aimed to describe observations made on the attitudes of medical professionals working in the UK to issues surrounding informed consent.MethodA questionnaire made up of 35 statements addressing the process of consent for anaesthesia and surgery was distributed to randomly selected anaesthetists and surgeons in Queen's Medical Centre, Royal Sussex County Hospital (...) and Eastbourne District General Hospital during 2007. Participants were asked to what extent they agreed with statements regarding consent.ResultsOf 234 questionnaires distributed, 63% were returned. Of the respondents 79% agreed that the main purpose of the consent process is to respect patient autonomy. While 55% of the examined cohort agreed that the consent process maybe inappropriate as patients do not usually remember all the information given to them. Furthermore, 84% of the participants agreed that what the procedure aims to achieve should be explained to the patient during the consent process. While of the participants, over 70% agreed that major risks of incidence greater than 1/100 should be disclosed to the patient as part of the consent process.ConclusionsThe majority of respondents appear to hold attitudes in standing with current guidelines on informed consent however there was still a significant minority who held more paternalistic views to the consent process bringing into question the need for further training in the area. (shrink)

Background Whether patients' life-style should involve lower priority for treatment is a controversial question in bioethics. Less is known about clinicians' views. Aim To study how clinical doctors' attitudes to questions of patient responsibility and priority vary over time. Method Surveys of doctors in Norway in 2008, 2014, 2021. Questionnaires included statements about patients' lifestyle's significance for priority to care, and vignettes of priority cases (only in 2014). Results Attitudes were fairly stable between 2008 and 2021. 17%/14% agreed that (...) patients' lifestyle should count, while 19%/22% agreed that it should involve lower priority to scarce organs. 42/44% agreed that smokers should have lower priority. Substantially more agreed in 2014. Regression analyses showed that being male, working in hospital, and younger age increased the likelihood of agreeing. Conclusion A substantial minority of doctors agreed that lifestyle should be a priority criterion, possibly contrary to Norwegian legislation and professional ethics. The finding might be explained by the unspecified meaning of priority, increased scarcity-awareness, or socio-cultural trends towards individualism. The 2014 results indicate a framing effect; the vignettes may have primed the respondents towards accepting lifestyle as a criterion. We conclude that attitudes to normative questions are unstable and depend on context. A substantial minority of doctors seems to be positive to deprioritizing patients allegedly responsible for their illness. However, what deprioritization implies in practice is not clear. (shrink)

The attitudes of teachers in Wales to speaking and listening in the National Curriculum, both as a profile component in English and as a requirement across the curriculum, were tested using a Likert-type attitude scale. A 10%, sample of the whole of Wales was involved, specifically teachers of key stage 2. The results show the differences in attitudes between the teachers according to age, years in teaching and training. A factor analysis revealed almost universal agreement that speaking and listening (...) help children to learn. This is discussed in relation to a group of statements concerning classroom practices in speaking and listening. (shrink)

This study adapts the theory of reasoned action (Ajzen and Fishbein, 1980) to the behavior of fraudulent reporting on financial statements so as to examine the effects of moral reasoning and self-monitoring on intention to report fraudulently, using structural equation modeling. The paper seeks to investigate two of the red flags for financial statement fraud identified in Loebbecke et al.'s (1989) paper: client management displays a significant lack of moral fiber and client personnel exhibit strong personality anomalies. As expected, (...) high moral reasoners are more influenced than low moral reasoners by their own attitude towards the behavior. Contrary to prior research, low self-monitors are found to be more influenced than high self-monitors by subjective norms. Future research is recommended to investigate the counter-intuitive results for self-monitors, to consider the implications of group decision making as regards the promulgation of fraudulent financial statements, and to examine additional red flags for financial statement fraud. (shrink)

C. L. Stevenson, in “The Scientist’s Role and the Aims of Education,” has recently recommended that scientists join in the activity of making educational value statements, and that educationists have their value attitudes “straightened out under the guidance of beliefs that are well verified.” The argument underlying his recommendation is that since scientific knowledge is in some way relevant to questions of value in education, this knowledge must be utilized, otherwise some rather absurd educational judgments will be made, perhaps (...) with disastrous results. As he puts it, if the scientist “won’t risk making value judgments, then I’d like to ask who is going to make them. There’s always the possibility that those who aren’t reluctant to make them will turn out to be … complete asses.”. (shrink)

The paper represents an empirical study of public attitudes towards moral bioenhancement. Moral bioenhancement implies the improvement of moral dispositions, i.e. an increase in the moral value of the actions or character of a moral agent. The views of bioethicists and scientists on this topic are present in the ongoing debate, but not the view of the public in general. In order to bridge the gap between the philosophical debate and the view of the public, we have examined attitudes towards (...) moral bioenhancement. The participants were people from Serbia older than 15, who voluntarily completed an online questionnaire. The questionnaire consisted of a brief introduction to moral bioenhancement, seven general questions, 25 statements about participants’ attitudes towards moral bioenhancement, and five examples of moral dilemmas. The questionnaire also included questions which were used to reveal their preference of either deontology, or utilitarianism. Participants were asked to what degree they agree or disagree with the statements. The results showed that the means used to achieve moral enhancement, the level of education, and preference for deontology or utilitarianism do have an impact on public attitudes. Using exploratory factor analysis, we isolated four factors that appear to drive the respondents' attitudes toward moral bioenhancement, we named: general—closeness, fear of change, security, and voluntariness. Each factor in relationship to other variables offers new insights that can inform policies and give us a deeper understanding of the public attitudes. We argue that looking into different facets of attitudes towards moral bioenhancement improves the debate, and expands it. (shrink)

BackgroundMedical professionalism has been developing in the Peoples’ Republic of China as one way to better address perennial and new challenges in healthcare in an ever-changing society. Among many recent developments in this area is promotion by the national Chinese Medical Doctor Association of the principles and values contained in the international document, “Medical Professionalism in the New Millennium: A Physician Charter.”ObjectiveTo discover Chinese physicians’ attitudes toward and understanding of medical professionalism.MethodologyThe authors distributed a self-reporting questionnaire that included 34 (...) class='Hi'>statements and four case scenarios concerning the general principles of medical professionalism: the primacy of patients’ welfare, respect for patients’ autonomy, promotion of social justice, and professional self-regulation. The questionnaire included controversial issues such as the role of the family in decision making and reporting medical errors. A total of 2,966 practicing physicians, randomly selected from the Chinese Medical Association database, were surveyed, and 1,198 valid questionnaires were returned. Our sample covered 23 provinces and 51 cities throughout the Peoples’ Republic of China.ResultsMore than 80 percent of the physicians who responded agreed that the physician-patient relationship should be a relationship of trust founded on professional altruism, and that informed consent is necessary. More than 95 percent agreed that physicians should promote professional self-regulation as well as social justice. More than half agreed with the principle of the primacy of patients’ welfare (62.8 percent), and that physicians have a responsibility to report medical errors and incompetent colleagues (51.0 percent). In certain cases, a great majority of Chinese physicians favored familism and paternalism.LimitationsThe study does not include data on how Chinese physicians practice medical professionalism, or the perspectives of physicians working in smaller cities and in rural areas.ConclusionsBased on responses to the survey, Chinese physicians strongly support the majority of the fundamental principles and responsibilities of medical professionalism, including dedication, altruism, social justice, self-regulation, and informed consent. However, their support for the primacy of patients’ welfare as a general principle, and the physician’s responsibility to report medical errors and incompetent colleagues, is relatively low. To help advance medical professionalism in the People’s Republic of China, professional development programs and medical ethics education should not only emphasize the general principles involved, but also formulate guidelines on how these principles can be carried out in practice. (shrink)

Philosophical logic has its problem-children; and among these the Principle of Substitutivity of codesignating expressions — the linguistic spawn of Leibniz's law—has achieved a place of prominence. It has become increasingly apparent that a certain style of linguistic analysis, which seeks to impose formal regimentation ruled by the constraints of classical quantification theory, does not yield results with the kind of uniformity and elegance one should hope for from a satisfyi.ng theory. The root of the difficulty, I believe, bears upon (...) the answers to fundamental questions concerning the nature of cognitive agents and the purposes which their use of language is designed to further. If this is the case, one might expect to find some of the trouble surfacing at precisely those points where the language is used to convey information about the cognitive activities associated with the use of language by such agents. So it is.The central problem of this essay is the interpretation of referential expressions in statements involving propositional attitudes, with the focus on belief contexts. But I shall begin by placing the discussion within a broader theoretical framework. (shrink)

This article is designed to focus on the provision of nursing care in general medical wards following the admission of persons who have attempted suicide or who have a previous history of attempting suicide. The authors explore, analyse and synthesize how nurses, as key players in the health care team, may begin by recognizing the uniqueness of the individual, and by cotravelling therapeutically with the person on part of his or her journey towards recovery and healing. Efforts are made to (...) demonstrate how nurses can influence the health gain of this group of people and their families. Professional attitudes and related ethical aspects, such as autonomy, respect for autonomy and paternalism, are also examined within the context of the nursing care of people who have attempted suicide. The need to enhance sensitive and caring communication skills for nurses who work with this group of people is tentatively considered. Some reasoning about why there may be difficulties in specific areas of communication such as empathy are contested and explored. (shrink)

This article is designed to focus on the provision of nursing care in general medical wards following the admission of persons who have attempted suicide or who have a previous history of attempting suicide. The authors explore, analyse and synthesize how nurses, as key players in the health care team, may begin by recognizing the uniqueness of the individual, and by cotravelling therapeutically with the person on part of his or her journey towards recovery and healing. Efforts are made to (...) demonstrate how nurses can influence the health gain of this group of people and their families. Professional attitudes and related ethical aspects, such as autonomy, respect for autonomy and paternalism, are also examined within the context of the nursing care of people who have attempted suicide. The need to enhance sensitive and caring communication skills for nurses who work with this group of people is tentatively considered. Some reasoning about why there may be difficulties in specific areas of communication such as empathy are contested and explored. (shrink)

Hybrid theories are metaethical theories concerning the content of sentences about moral value. These theories claim that sentences with ethical content express two kinds of mental state. One state is an affect‐like state. The other is a belief‐like state. The expressed affect‐like state will involve a moral attitude of some kind, such as approval, but it is not part of the truth‐conditions of the sentence. We can divide hybridists into two kinds.

The aim of this paper is to show that expressivism about attitudes is not a tenable position. Although this claim has been often made in the literature, traditional arguments against attitudinal expressivism assumed a dated form of expressivism. In order to show that ascriptions of attitudes cannot be seen as expressive in either of them, the paper discusses two more recent versions of expressivism: quasi-realism and inferentialist expressivism. Quasi-realism escapes traditional arguments against attitudinal expressivism because it allows expressive statements (...) to be true in a deflationary sense. Nonetheless, it is implausible to adopt quasi-realist expressivism with regard to attitudes because this position cannot avoid substantial psychological commitments, despite Toppinen's recent arguments to the contrary. This conclusion also pertains to quasi-realist hybrid expressivist conceptions. The recently developed conception of inferentialist expressivism arguably creates the most accommodating theory for attitudinal expressivism as it does not make any substantial psychological commitments. Still, the criteria of bifurcation assumed in this framework does not support the claim that attitudes play an expressive role. (shrink)

The dominant route to nondescriptivist views of normative and evaluative language is through the expressivist idea that normative terms have distinctive expressive roles in conveying our attitudes. This paper explores an alternative route based on two ideas. First, a core normative term ‘ought’ is a modal operator; and second, modal operators play a distinctive nonrepresentational role in generating meanings for the statements in which they figure. I argue that this provides for an attractive alternative to expressivist forms of nondescriptivism (...) about normative language. In the final section of the paper, I explore ways it might be extended to evaluative language. (shrink)

I shall propose five theses on de re states and attitudes. To be a de re state or attitude is to bear a peculiarly direct epistemic and representational relation to a particular referent in perception or thought. I will not dress this bare statement here. The fifth thesis tries to be less coarse. The first four explicate and restrict context- bound, singular, empirical representation, which constitutes a significant and central type of de re state or attitude.

Transparency lies at the heart of most modern slavery reporting legislation, but while publication of statements is mandatory, conformance with content guidance is voluntary, such that overall, corporate responses have been poor. Existing studies, concentrated in business to consumer rather than inter-organisational contexts, have not undertaken the fine-grained assessments of statements needed to identify which aspects of reporting performance are particularly poor and the underlying reasons that need to be addressed by policy makers. In a novel design, this (...) study utilises the ethical trade initiative assessment framework to evaluate the content of 95 UK government suppliers’ modern slavery statements. The findings suggest that in a modern slavery context, discovery challenges are more important than firms’ attitudes to disclosure. We contribute to the transparency literature through a model contrasting discovery costs and disclosure risks and by identifying the disclosure of unknowns as an additional relevant dimension of disclosure. We then discuss the model in relation to normativity theory to consider options through which the currently low legitimacy of the reporting governance regime can be enhanced and the intended norms established. (shrink)

This experiment uses quantitative and qualitative measures to address the effect of two syllabus statements on academic misconduct: one based on prohibitions and one on academic integrity. Students expressed favorable attitudes toward the statements, showed an increase in guilt compared to a control group, but showed no decrease in intentions to cheat. Including only a standard academic misconduct statement in one's syllabus is not sufficient to alter behavior, which should be acknowledged by faculty.

Background Interest in biobanking for collection of specimens for non-communicable diseases research has grown in recent times. This paper explores the perspectives of Nigerians on donation of specimen for the biobanking research. Methods We conducted 16 Focus Group Discussions (FGD) with individuals from different ethnic, age and socio-economic groups in Kano (North), Enugu (Southeast), Oyo States (Southwest) and Abuja, the Federal Capital Territory (Central) of Nigeria. We used topic guides and prompt statements to explore the knowledge and understanding of (...) interviewees to general issues about biobanking of biospecimens, their use and specifically about role of biobanking in non-communicable diseases research. Results A total of 123 individuals participated in 16 focus group discussions in 2011. Our participants had limited knowledge of the concept of biobanking but accepted it once they were educated about it and saw it as a worthwhile venture. Half of our study participants supported use of broad consent, a quarter supported restricted consent while the remaining quarter were in favour of tiered consent. Most discussants support shipment of their samples to other countries for further research, but they prefer those collaborations to be done only with competent, ethical researchers and they would like to receive feedback about such projects. The majority preferred health care as a benefit from participation, particularly for any unexpected condition that may be discovered during the course of the research instead of financial compensation. Participants emphasized the need to ensure that donated samples were not used for research that contradicts their religious beliefs. Conclusions Our study demonstrates that our participants accepted biobanking once they understand it but there were different attitudes to elements of biobanking such as type of consent. Our study highlights the need to carefully document population attitudes to elements of modern scientific research and the consenting process. (shrink)

Two distinct attitudes have been adopted by investigators in the field of the sociology of knowledge. One of them may be called speculative; the other, empirical. The central interest of an investigator having the speculative attitude lies in developing a theory of the sociology of knowledge. The central interest of investigators having the empirical attitude lies in finding out or explaining concrete phenomena; the theory is employed, implicitly or explicity, for this purpose. The existence of the two attitudes (...) may be in part explained, as far as the German sociology of knowledge is concerned, by reference to the history of this school, which has grown out of and has been determined by a Marxist and materialistic philosophy, and especially by the use of this philosophy as a political instrument in the struggle of the emerging proletariat against the bourgeoisie. This statement, however, must be supplemented by a short location of the four most important contributors to the theory of the German sociology of knowledge. Max Scheler approaches the problem phenomenologically; he was the first and only one to ask the fundamental question, “What is knowledge?” Karl Mannheim, though markedly influenced by the Marxist viewpoint, particularly by Lukács, seems to me more adequately characterized by stressing his development from a more exclusively speculative to a more decidedly empirical attitude, which latter is especially evident in his most recent book, Man and Society in an Age of Reconstruction. Alexander von Schelting's main contribution is his thorough logical analysis of Mannheim's theory in the light of Max Weber's methodology. Ernst Grünwald has given the most complete survey of the forerunners, the history, and the various contributions of the sociology of knowledge. These four thinkers are indirectly dependent on the historically determined emphasis of the movement on ideology in that they remain on the level of a theoretical discussion without arriving at factual research. (shrink)

This study examines the discursive history and interactive aspects of the opening statement in Anglo-American courts. Informed by the concepts of stance and engagement, the study explicates the process of conceptual interaction which turns the jurors into co-constructors of the discourse, thereby making the opening statement fictively dialogic. Drawing upon 51 opening statements as recorded in Proceedings of the Old Bailey, between 1759 and 1789, the qualitative and quantitative analysis reveals that interactive devices are an integral part of the (...) genre, and that pronouns appear to occur most frequently, followed by the lawyers’ use of attitude markers, questions, and reported discourse, respectively. With these devices, the lawyers are likely to be able to prime the jury into viewing the events and participants in a given direction. (shrink)

In his foreword to the Philosophical papers by Hans Hahn, Karl Menger mentions a controversy about the possibility or impossibility to speak about language within the Vienna Circle in the early 1930’s. He then adds: “Waismann proclaimed that one could not speak about language. Hahn took strong exception to this view. Why should one not – if perhaps in a higher-level language – speak about language? To which Waismann replied essentially that this would not fit into the texture of Wittgenstein’s (...) latest ideas.”1 Thanks to the publication of the protocols of the Vienna Circle by Friedrich Stadler in his book The Vienna Circle – Studies in the origins, development and influence of logical empiricism, we have access to some discussions within the circle in the years 1930 and 1931, that allow us a partial reconstruction of the controversy. In these minutes we attend a very lively discussion on the topic of ‘talking about language’. We would like to make more explicit the tenets of this controversy, starting from the discussions within the circle. We will then focus on the evolution of the positions of different members of the Circle, that reflect different attitudes towards this problem, that are expounded in articles published until 1936. Although its members strived to stay the closest, they could to the landmarks laid down by the Tractatus logico-philosophicus, some of its members broke with them in many respects. The need to admit the possibility of talking theoretically about language became more pressing as the works of Tarski and Godel began to exert an influence on the researches of its members. Two options emerged: talking about a language in another language (Hahn) or in the same language (Carnap). Hahn’s positions, despite their originality, stand close to those of Carnap, who presents in 1931 his meta-logical project. Disagreements with Waismann occured frequently. Neurath remained skeptical about such a development that could, according to him, lead back to metaphysical considerations. The protocols by Rosa Rand give us precious insights on the premises of this debate, symptomatic of the diversity of the positions and of the fruitfulness of the exchanges within the Vienna Circle at that time. However, this debate takes place in a broader setting, namely the discussion of the status of philosophical statements once the rejection of metaphysics is accomplished. The answers provided reflect strong dissenting currents within the circle. For Neurath, to conceive of philosophy as providing elucidations is mistaken. Science shall take the form of an encyclopedia, that contains heterogeneous discourses – exact formulated sentences, as well as piece of ordinary language – and is taken in a dynamic process. No discourse outside science can be accepted. For Schlick and Waismann, there is still room for philosophy as providing elucidations about language. For Carnap, the aim is to attain a logically suitable language for science; discussions in a natural language have only a provisional role, in order to attain an adequate language, in which the logic of science can be formulated. (shrink)

In their article ‘Unintended consequences of human research ethics committees: au revoir workplace studies?’, Greg Bamber and Jennifer Sappey set out some real obstacles in the practices and attitudes of some Human Research Ethics Committees (HRECs), to research in the social sciences and particularly in industrial sociology. They sheet home these attitudes and practices to the way in which various statements in the NHMRC’s National Statement [1999] are implemented, which they say is often ‘in conflict with an important stream (...) of industrial sociological research’ in Australia. They do not discuss the recently completed revision of the NS. We undertake to show that the revised National Statement meets their concerns about research in industrial sociology, and to draw attention to the resources of the revised National Statement that engage with those concerns. A more general aim is to display the greater scope, in the revised National Statement, for researchers to show to HRECs that their research is justified by virtue of its reflecting the established methodology and traditions of their discipline. The revised National Statement, we suggest, provides for a more flexible and responsive approach than its predecessor to the ethical review of many areas of research. (shrink)

Background An increasing number of studies on physicians’ professionalism have been done since the 2002 publication of Medical Professionalism in the New Millennium: A Physician Charter. The Charter proposed three fundamental principles and ten responsibilities. However, most studies were done in developed countries, and few have been done in China. Additionally, few studies have examined the effect of patient-centered hospital culture (PCHC) on physicians’ professionalism. We aimed to investigate physicians’ medical professionalism in public hospitals in China, and to assess mediating (...) effect of professional attitudes in the relationship of PCHC with professional behaviours. Methods Self-administered questionnaires including professional attitudes (20 items) and behaviours (10 items) survey and PCHC scale (22 items) were given to clinical physicians in five public hospitals, China. The mediating effect of professional attitudes in the relationship of PCHC with professional behaviours was tested. Result 232 valid questionnaires were collected. More than 90% (208) respondents agreed with 15 of 20 specific statements on medical professionalism. As for the responsibility of improving quality of care, 54 (23%) respondents disagreed with reporting of incompetent colleagues and as for the responsibility of maintaining professional competence, 49 (21%) disagreed with recertification. More than 185 (83%) respondents reported that they sometimes, usually, or always showed the four positive behaviours on the questionnaire, and 173 (77%) reported that they never showed the six negative behaviours. Mediating effect analysis revealed that two dimensions of PCHC (i.e. value/institution culture and behaviour/material culture) had a significant positive impact on physicians’ professional behaviour, and professional attitude played a complete mediation role between them, but another dimension of PCHC (i.e. negative evaluation of hospital) directly affected professional behaviour without influencing professional attitude. Conclusion Chinese physicians showed positive professional attitudes and behaviours. Different dimensions of PCHC affected physicians’ attitudes and behaviours in different ways. (shrink)

Non-domestic companies are increasingly present on the London Stock Exchange. Such companies have specific governance requirements. They may seek to access capital in a more liquid market and to diversify ownership. The reputational ‘bonding’ to a prestigious exchange should be a statement to the market of a propensity to disclosure and a willingness to protect minority shareholders. Yet, many non-domestic companies retain tightly controlled shareholding structures and are based in emerging regions where national culture norms differ to the UK. We (...) hypothesise that non-domestic companies are likely to be less compliant with the principles of the UK Corporate Governance Code and suggest a correlation between lower levels of compliance and non-domestic companies from countries that demonstrate high power distance in the Hofstede cultural value framework. We find some encouraging signs of compliance with the reigning governance code principles in Board structures. However, we find only partial compliance in leadership and Board effectiveness measures in those companies from cultures high on the power-distance scale. Further, we include analysis into ownership characteristics and find companies from emerging markets are dominated by a single or controlling group of shareholders, which is likely to impact on attitudes to compliance and is particularly evidenced in terms of Board structures with no executive directors or led by an executive Chairman. Much of the prior research effort into the levels of compliance with the UK’s ‘comply-or-explain’ approach to governance has produced mixed results and focused on all companies. In our exploratory approach to analysing only the non-domestic subsample, we report some evidence linking cultural distance to lower levels of compliance with the UK standards. We develop a framework to guide future research into the context and cultural underpinnings of this sub-sample of companies, hypothesising that frequent market capitalisation-induced index changes may divert attention away from any potential compliance issues. On the one hand, our evidence is encouraging for governance regimes based on voluntary compliance disclosures such as the UK and similar European and international markets, as we report partial compliance with the principles of the current governance code. Our research may, however, be helpful in guiding future versions of the UK governance framework and other international governance regimes adopting the ‘comply-or-explain’ approach and in setting policy to improve disclosure. It contributes to the understanding of the specific context of non-domestic companies and any cultural tendencies to non-compliance. By demonstrating evidence of lower levels of compliance with key principles of the Code by non-domestic companies, we present a framework enabling lawmakers to further improve corporate governance codes. (shrink)

Value co-creation goes through the stage of co-production, customer experience, service-dominant logic, and service ecosystem. The integration of science and technology has become a key factor to the process of VCC. The rise and application of artificial intelligence technology has added a new driving force to VCC and began to affect its original practical logic. Based on the consumer perspective, this study uses Q-methodology to measure consumer cognitive attitude toward the use of AI technology in VCC, aiming to explore (...) the key factors that affect VCC. The study found that content quality, information security, efficiency concern, and degree of manipulation have become the important concerns of consumers for VCC under AI integration. Moreover, their different statements have their specific focus and direction. The study demonstrates and analyzes the importance of the four factors and proposes the combination of human and non-human actors to shape the new model of VCC in the future, which is worth further deepening and exploring for academia and enterprises. (shrink)

Environmental education aims to affect environmental knowledge and attitude to ultimately induce pro-environmental behavior. Based on 247 upper elementary school students, we tested the impact of an outdoor-based earth education program on environmental knowledge and attitude with a pre-post design. Both outcome measures were Rasch scales. Environmental knowledge is a composite of 27 system, action, and effectiveness knowledge items, and environmental attitude is a composite of 13 evaluative statements and 11 self-reported behaviors about nature preservation. Our (...) analysis revealed gains in environmental knowledge and attitude. The convergence between knowledge and attitude increased significantly from pre- to post-program, and attitude played a significant role in knowledge acquisition. (shrink)

The present work develops a new theory of meaning---which I call attitudinal semantics---and applies it to solving three concrete problems. ;Chapter 1 notes that theories are to be understood and judged in comparison to their rivals. It accordingly sets out the dominant theory of meaning, truth-conditional semantics, which claims that to give the meaning of sentence is to give the conditions under which is true, as in . Chapter 2 articulates my alter native proposal, which claims that to give the (...) meaning of is to give the conditions under which is held under some appropriate propositional attitude by some subject S situated in a given bio/cultural matrix, as in . L'etat c'est moi. "L'etat, c'est moi" is true in French iff I am the state. For any proficient speaker of French S, S thinks "L'etat, c'est moi" iff S thinks that S is the state. Attitudinal semantics thus represents a challenge to the prevailing view of meaning. If it is at all defensible, then it is highly significant. ;Chapter 3. TC semantics claims that the meaning of pejorative statement is given by specifying whether is true or false in various possible worlds. Nietzsche was a kraut. Attitudinal semantics claims that the meaning of is given by specifying the attitudes that various speakers might have toward Nietzsche and Germans more generally. ;Chapters 4, 5 deploy the attitudinal framework to analyze two other phenomena that have resisted TC solutions, ambiguity and the Liar paradox. The Liar paradox, for instance, disproves the naive T-schema and poses difficulties for sophisticated versions. Since the T-schema fails when applied to the Liar sentence, and since the Liar sentence is meaningful, meaning cannot be explicated by means of the T-schema. Instead, the proper analysis of the predicate true, like the analysis of all other predicates, situates language as irrevocably embedded in human thought/use. ;Chapter 6 considers objections to attitudinal semantics, replies to them, and closes with reflections on subjectivity. (shrink)

Background To determine whether fetal care paediatric and maternal–fetal medicine specialists harbour differing attitudes about pregnancy termination for congenital fetal conditions, their perceived responsibilities to pregnant women and fetuses, and the fetus as a patient and whether self-perceived primary responsibilities to fetuses and women and views about the fetus as a patient are associated with attitudes about clinical care.Methods Mail survey of 434 MFM and FCP specialists .Results MFMs were more likely than FCPs to disagree with these statements : (...) ‘the presence of a fetal abnormality is not an appropriate reason for a couple to consider pregnancy termination’ ; ‘the effects that a child born with disabilities might have on marital and family relationships is not an appropriate reason for a couple to consider pregnancy termination’ ; and ‘the cost of healthcare for the future child is not an appropriate reason for a couple to consider pregnancy termination’ . 65% MFMs versus 47% FCPs disagreed that their professional responsibility is to focus primarily on fetal well-being . Specialists did not differ regarding the fetus as a separate patient. Responses about self-perceived responsibility to focus on fetal well-being were associated with clinical practice attitudes.Conclusions Independent of demographic and sociopolitical characteristics, FCPs and MFMs possess divergent ethical sensitivities regarding pregnancy termination, pregnant women and fetuses, which may influence clinical care. (shrink)

In a nutshell, semantic antirealism is the doctrine that if a statement is true, then it must be possible, at least in principle, to determine that it is true. Consider the particular case of self-ascriptions of attitudes such as beliefs, desires and intentions, i.e. statements of the form "I φ [that] p", where φ ranges over propositional attitude verbs and p provides the content of whatever is φd by the self-ascriber. Should we be semantic antirealists about these when (...) the putative bearer of the attitude is the only individual who may retrieve a warrant in favour of his φing that p? We can't provide an answer to the question unless we're clear about (i) whether or not the "at least in principle" clause is too weak, and (ii) what the right construal of positive introspection should look like. 2 Thus two issues: strict finitism on the one hand and the phenomenological nature of introspective warrants on the other. I shall argue that recent views defended by Peacocke and Pryor are found wanting with respect to both. (shrink)

Both Ricoeur and Foucault, apparently independently of each other, dedicated much effort to provide an account of truth that goes far beyond the truth of sentences, propositions, or judgments. While well aware of the speech act theory and pragmatics, they want to go beyond a formalism of rules of speech or arguments and integrate the attitude of the one who speaks in the very notion of truth. They see truth not merely as a property of statements, but as (...) an existential process in such a way that the truth of statements is linked to the historically situated speaker. Truth as a property of statements is related to truth as an event. However, both reject any form of historicism or relativism. I examine Ricoeur's notion of attestation and Foucault's notion of parrhesia, showing how both notions represent a kind of “poetics of truth”, which combines the existential position of the speaker and the historical circumstances of utterance. I show the extent to which both poetics of truth are political and ethical and how successful each poetics is: Ricoeur believes that he can maintain a claim to universality whereas Foucault abandons such a claim and instead subscribes to a radical singularity of the event of speech in a mode of truth that is, as he says, “polemic”. (shrink)

Within the context of structural theories this paper examines what health professionals say about their clinical service structures. We firstly trace various conceptual perspectives on clinical service structures, discussing multiple theoretical axes. These theories question whether clinical service structures represent either superficial or more profound changes in hospitals. We secondly explore which view is supported though a content analysis of the free text responses of 111 health professionals (44 doctors, 45 nurses and 22 allied health practitioners) about their clinical service (...) structures in a questionnaire survey in two large hospitals that had implemented clinical service structures three years previously. Commentaries unfavourable toward clinical service structures were made by 47.7% of staff, favourable by 24.3%, mixed (both favourable and unfavourable) by 17.1% and non-evaluative statements were made by 10.8%. The most frequent criticisms were inefficient organisation of change (27%), poor management (24.3%), lack of cooperation between staff (15.9%) and failure to empower health practitioners (13.5%). All professions made more negative than positive evaluations of their clinical service structures but the ratio was highest for doctors and lowest for allied health. Ranking of nurses' and allied health staffs' specific evaluations were similar but both differed significantly from doctors.' Unfavourable or negative comments predominated, and change appears more superficial and less profound than advocates of structural contributions hope. Four types of belief systems about clinical service structures are apparent. Some study participants are disposed toward the status quo; others toward restructuring; yet others are team oriented; and a final group is tribally oriented. The implication of this paper for managers is that more work is needed if clinical service structures are to realise the promise of more multi-disciplinarity and less fragmentation across professional groups. For scholars, the implication is that marrying different theoretical frames with empirical data can serve to produce fresh perspectives and perhaps new insights. (shrink)