In this article, an intervention aimed at improving quality of care to prevent seclusion in psychiatry by focusing on the first five minutes at admission is analyzed from a care ethics perspective. Two cases are presented from an evaluation study in a psychiatric hospital. In both cases, the nurses follow the intervention protocol, but the outcome is different. In the first case, the patient ends up in the seclusion room. In the second case, this does not happen. Analyzing (...) the cases from a care ethics perspective, we conclude that applying the intervention in the right way implies more than following the steps laid down in the protocol. It requires a new way of thinking and acting, resulting in new relationships between nurses and patients. Care ethics theory can help clarify what good care is actually about and keep in mind what is needed to apply the intervention. Thus, care ethics theory can be highly practical and helpful in changing and improving healthcare practice. (shrink)

In acute inpatient mental health services, patients commonly demonstrate extreme behaviours. A number of coercive practices, such as locked doors, enforced medication and seclusion, are used in these settings to control such behaviours. The aim of this report is to explore briefly some of the contemporary debates pertaining to seclusion. A perusal of the literature reveals a clarion call to end the practice of seclusion, without consideration of feasible alternatives. It is hoped that this brief report will (...) encourage further evidence-based discussion and research initiatives on this important ethical topic. (shrink)

Since the mid-nineteenth century, women in Europe, North America and elsewhere have played an increasing role in the workforce. Women started pursuing jobs in factories, offices and businesses instead of being dependent on men for their livelihood. However, along with this significant improvement in the status of women, they still face obstacles, such as the gender pay gab and harassment in the workplace. Although both males and females experience harassment, the available literature clearly suggests that females are more likely to (...) be harassed. Much of the research concerning workplace harassment against women has been conducted in the West while little is known about this phenomenon in workplaces across the Arab and Muslim countries. In fact, gender relations and the nature of workplaces in Arab countries vary significantly from the Western workplace due to religious, social and cultural traditions. Muslim women live in the midst of patriarchal cultures where women’s honour is believed to be sacred. The ideology of women’s seclusion and subordination resulted in the restriction of their ability to participate in the labour force even where females are in urgent need of earned income. In this regard, harassment considers a crucial subject on various international agendas. The Convention on the Elimination of all Forms of Discrimination Against Women (CEDAW) for instance, reinforces the implementation of legislation that protects women against gender discrimination. Islam in a similar manner respects women and acknowledges their major role within a society. Therefore, as women living in Muslim communities where issues related to sexuality are sensitive, and people are reluctant to discuss such questions in public, this paper aims to discuss women seclusion, the situation of Muslim women with regard to harassment in the workplace, how international human rights deals with harassment as well as the relation between the Islamic jurisprudence and the international human rights with regard harassment in the workplace. (shrink)

The increased focus on issues of gender and schooling in India over the last decade has produced several gains that include more incentive schemes to make girls attend school, greater employment of women teachers and improved efforts to incorporate female protagonists in textbooks. However, a closer reading of this ‘gender’ focus reveals an inordinate concern with numbers, i.e. enrolment. The instrumentalism that underlies these efforts is revealed through a double-move effected by existing discourses. The first is to locate the reasons (...) why girls are out of school strictly within a reading of cultural and familial practices and (secondly) to therefore fail to recognize normative practices of schooling and State policies as already deeply ‘gendered’. This double-move is epitomized in the Indian State’s more recent efforts to set up residential elementary schools for girls (Kasturba Gandhi Vidyalayas) in each district of the country; an effort that has been publicly lauded as the most effective way to overcome cultural barriers to girls’ schooling. Through a focus on policy documents that discuss this scheme, the article will interrogate the existing conflation of ‘gender’ with a biological/culturalist reading of the ‘girl child’. In what ways does this narrow focus naturalize a binary frame of reference around the traditional family/community and the empowered girl child? Why have State efforts around educating the ‘girl child’ not been subject to greater critical analysis amongst feminist scholars in India? (shrink)

The use of patient restrictions (e.g. involuntary admission, seclusion, restraint) is a complex ethical dilemma in psychiatric care. The present study explored nurses’ (n = 22) and physicians’ (n = 5) perceptions of what actually happens when an aggressive behaviour episode occurs on the ward and what alternatives to seclusion and restraint are actually in use as normal standard practice in acute psychiatric care. The data were collected by focus group interviews and analysed by inductive content analysis. The (...) participants believed that the decision-making process for managing patients’ aggressive behaviour contains some in-built ethical dilemmas. They thought that patients’ subjective perspective received little attention. Nevertheless, the staff proposed and appeared to use a number of alternatives to minimize or replace the use of seclusion and restraint. Medical and nursing staff need to be encouraged and taught to: (1) tune in more deeply to reasons for patients’ aggressive behaviour; and (2) use alternatives to seclusion and restraint in order to humanize patient care to a greater extent. (shrink)

Monasteries were famous for their extensive libraries and richly decorated churches. Less well known are their observatories and their mathematical-physical collections with telescopes, air pumps, and friction machines. But how did the way of life in the monastery and scientific practices influence each other? This paper examines the interaction of scientific practices and religious way of life using the example of southern German monasteries in the second half of the eighteenth century. It shows how the monks pragmatically linked monastic life (...) and research practice, thereby forming their own specific scientific culture. This closes an important gap in the understanding of scholarship in the eighteenth century by foregrounding the monasteries as places of knowledge production, which have so far received little attention alongside universities and academies. (shrink)

남명에 대한 기존의 연구는 남명학의 특징을 敬義사상의 실천유학에 초점을 맞추어 왔다. 그러나 엄밀한 의미에서 역사적 인물로서의 남명을, 그의 당대에서나 그의 사후 오늘에 이르기까지, 가장 남명답게 규정짓는 요소는 무엇인가? 경과 의로 정립된 그의 철학인가? 이 점에 있어 필자는 다소 다른 견해를 가지고 있다. 당대나 후세에 남명을 평가한 모든 글들에서는 한결같이 出處에 있어 處士로서의 지조를 끝까지 지킨 남명의 출처사상을 가장 높게 평가하고 있음을 알 수 있다. 본고는 그의 출처관을 그 자신의 人物評을 통하여 살펴보고, 나아가 그러한 인물평의 저변에 깔려 있는 출처사상의 바탕을 찾아보고자 (...) 하였다. 그는 역사적 인물들과 당대의 인물들에 대한 비판적 검토를 통해서 그들의 출처를 논하였다. 남명은 그 출처가 합당한가 아닌가에 대한 기준으로서 기미를 파악하는 선견지명을 꼽았는데, 이때의 ‘幾’는 바로 선과 악으로 나뉘는 분기점인 것이다. 기미의 순간에 인욕을 배제하고 천리를 잘 보존하게 된다면 바로 吉人이 되고, 인욕이 천리에 포함되게 되면 바로 惡人이 되는 것으로 파악한 것이다. 벼슬길에 나아감에 있어서도 일을 ‘할 수 없는 시기’에 나아가는 것이나, ‘할 수 없는 일’을 하려고 하는 것은 모두 인욕이 개입된 것으로 보았으니, 곧 그 출처가 잘못된 것이라는 관점이다. (shrink)

This essay critically examines some classic philosophical and legal theories of privacy, organized into four categories: the nonintrusion, seclusion, limitation, and control theories of privacy. Although each theory includes one or more important insights regarding the concept of privacy, I argue that each falls short of providing an adequate account of privacy. I then examine and defend a theory of privacy that incorporates elements of the classic theories into one unified theory: the Restricted Access/Limited Control (RALC) theory of privacy. (...) Using an example involving data-mining technology on the Internet, I show how RALC can help us to frame an online privacy policy that is sufficiently comprehensive in scope to address a wide range of privacy concerns that arise in connection with computers and information technology. (shrink)

A programme of research into conflict (e.g. violence, absconding, medication refusal) and containment (e.g. seclusion, special observation, physical restraint) in inpatient psychiatry has been under way at City University, London, UK, for the past 10 years. Recent research findings, plus the challenges posed by ongoing projects, have made apparent the need for greater clarity about the overarching concepts of ‘conflict’ and ‘containment’. This paper pulls together research findings pertaining to this issue, and conducts a reasoned analysis of what common (...) characteristics might underlie ‘conflict’ and ‘containment’. It is concluded that these are patient threats to safety, and the staff maintenance of safety. Details are presented on the inclusions and exclusions that follow from taking such a position, and potential definitions offered. On the grounds of this conceptual analysis, plus evidence for moderate degrees of statistical association between behaviours and events in each domain, it is concluded that it is legitimate to conduct analyses at the level of total conflict and containment rates, as well as at the level of individual types of behaviours and events (e.g. verbal abuse, sedation). Some of the mathematical difficulties in the analysis of total conflict and containment are addressed, and results of a weighting exercise presented. This exercise challenges our perception of the severity of some containment measures that are becoming more commonly used in acute psychiatry. (shrink)

Although there is a high degree of consensus in the existing literature regarding the importance of respect in mental health care, a realistic appraisal suggests that there is something of a disconnect between what is espoused in policy documents and what actually occurs in practice. As a result, this article seeks to explore and advance our understanding of the phenomenon of respect in mental health care and draws on real practice situations to illustrate this schism. To this end, the authors (...) present three case studies that focus on the following: “use of seclusion,” “respecting professional boundaries,” and “horizontal workplace violence.” The authors advance the, perhaps for some, provocative argument that it is relatively easy to write/speak about respect, while the reality of communicating respect to others is more difficult, challenging, and makes significant demands on the individual psychiatric/mental health nurse. (shrink)

We present a multiscale integrationist interpretation of the boundaries of cognitive systems, using the Markov blanket formalism of the variational free energy principle. This interpretation is intended as a corrective for the philosophical debate over internalist and externalist interpretations of cognitive boundaries; we stake out a compromise position. We first survey key principles of new radical views of cognition. We then describe an internalist interpretation premised on the Markov blanket formalism. Having reviewed these accounts, we develop our positive multiscale account. (...) We argue that the statistical seclusion of internal from external states of the system—entailed by the existence of a Markov boundary—can coexist happily with the multiscale integration of the system through its dynamics. Our approach does not privilege any given boundary, nor does it argue that all boundaries are equally prescient. We argue that the relevant boundaries of cognition depend on the level being characterised and the explanatory interests that guide investigation. We approach the issue of how and where to draw the boundaries of cognitive systems through a multiscale ontology of cognitive systems, which offers a multidisciplinary research heuristic for cognitive science. (shrink)

In this article we address the social value of bioethics research and show how a participatory approach can achieve social impact for a wide audience of stakeholders, involving them in a process of joint moral learning. Participatory bioethics recognizes that research co-produced with stakeholders is more likely to have impact on healthcare practice. These approaches aim to engage multiple stakeholders and interested partners throughout the whole research process, including the framing of ideas and research questions, so that outcomes are tailored (...) to the interests and context, and the type of impact stakeholders envisage. There is an emphasis on realizing social change through the conduct of the research, and it is believed that the engagement of stakeholders in the research process will promote their intrinsic motivation to change their practice. Another distinctive feature of participatory bioethics research is that its central normative commitment is to reflection and dialogue, not to a particular substantive ethical approach. In reflection and dialogue there is an emphasis on inclusion and the co-production of knowledge. Furthermore, empirical and normative research are combined, and there is a deliberate attempt to give voice to otherwise marginalized positions. This provides a model of social impact which is relevant not only for bioethics research, but also for other areas of health care research. We will show the merits of a participatory approach to bioethics research with a case example. It concerns the reduction of coercion and in particular seclusion in Dutch mental healthcare. (shrink)

This paper examines the nature of “asceticism” (rīyāḍat) in Sufism, revolving around the works of the 13th century Persian Sufi Mawlānā Jalāl al-Dīn Muḥammad Rūmī Balkī and exploring two critical inquiries: Firstly, it seeks to determine whether Rūmī’s mystical perspective on asceticism is world-rejecting or world-affirming. Secondly, it investigates potential parallels and divergences between Rūmī and Meister Eckhart’s stances—specifically, through the Dominican’s Sermons and Treatises—and assesses the implications for the two figures. In examining Rūmī’s works, the current research primarily relies (...) on secondary sources within the Persian intellectual tradition to provide an intracultural context. Utilizing horizontal and vertical interpretations, this study examines critical themes in Rūmī’s works, such as love, detachment (zuhd), the world’s deceptive nature, and seclusion. The findings reveal that Rūmī’s asceticism is not “monastic” (ruhbānī); instead, it balances moderate abstinence and worldly engagement, underpinned by the Quran and the ḥadīth teachings. Rūmī and Eckhart underscore asceticism as an inner transformation rather than mere physical austerity, emphasizing inner purification, self-transcendence, and spiritual detachment as routes to divine unity. The two thinkers’ teachings are catalysts for profound personal transformation and a more fulfilling life in today’s world. (shrink)

The analogous unity between God and creature, which Eckhart assumes in his doctrine of the analogy of the communissima 'Being', 'One', 'True', 'Good' does not consist in a causal relation ('analogous causality'), as understood in recent studies, but in a sign relation: The creature functions as a medium, which indicates and manifests the being, one, true, good, which is God. This relation, however, is based on a causal relation which Eckhart interprets as participation. His understanding of participation differs fundamentally from (...) that of Aquinas. Eckhart unfolds the practical consequences of his doctrine of analogy in his reflections on the ethos of seclusion. Keywords: doctrine of analogy, analogous unity (of God and creature), analogy of the transcendentals, participation (Eckart versus Thomas Aquinas), creature as sign, ethos of seclusion. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Fluctus Irarum, Fluctus Curarum: Lucretian Religio in the AeneidJulia T. DysonTantum religio potuit suadere malorum.(De Rerum Natura 1.101)Tantae molis erat Romanam condere gentem.(Aeneid 1.33)More than formal similarity unites these lines. 1 Lucretius points out the folly of religio, epitomized in Agamemnon’s sacrifice of his own daughter to appease an indifferent goddess; Virgil emphasizes the hardship of founding Rome in the wake of a goddess’s very real persecution. That is, (...) what Lucretius derides as foolish fantasy, Virgil weaves into the fabric of his epic. 2 I argue here that Virgil continually brings to life Epicurean caricatures of religio—that the vengeful gods and fearful mortals whom Lucretius ridicules become the chief actors in the Aeneid.One of Lucretius’ most “revolutionary” inversions of conventional language and assumptions is his paradoxical assertion that religio and pietas are opposites (see Summers 1995, 33). This paradox underlies his philosophical system: men are unhappy and wicked because of their superstitious fear of the gods (religio), and to free them from the “constricting knots of religion” (artis religionum nodis, 4.6–7) is his passionately stated purpose. He asserts that the gods are sublimely indifferent to human affairs and defines pietas as the equanimity that comes from recognizing this indifference, that is, from seeing the folly of conventional religio:O genus infelix humanum, talia divis cum tribuit facta atque iras adiunxit acerbas! quantos tum gemitus ipsi sibi, quantaque nobis vulnera, quas lacrimas peperere minoribu’ nostris! nec pietas ullast velatum saepe videri [End Page 449] vertier ad lapidem atque omnis accedere ad aras nec procumbere humi prostratum et pandere palmas ante deum delubra nec aras sanguine multo spargere quadrupedum nec votis nectere vota, sed mage pacata posse omnia mente tueri.(DRN 5.1194–1203)For the Epicurean, happiness, wisdom, and pietas all consist in surveying the world with a “peaceful mind.” Virgil shows us a world in which such ataraxia is impossible because the central assumptions of Epicureanism are wrong; in particular, the behavior of Aeneas and of the gods illustrates what Lucretius says should not or cannot happen.Aeneas has long been recognized as a sort of proto-Stoic, struggling with variable success to achieve self-control and obedience to Fate. 3 At the beginning of his journey, however, he momentarily resembles an Epicurean philosopher even as he engages in an act of conventional pietas. When his attempts to uproot a small tree to deck his altar twice cause the bark to drip blood (3.24–29), he tries to discover the hidden cause of this bizarre phenomenon: “mihi frigidus horror membra quatit gelidusque coit formidine sanguis. rursus et alterius lentum convellere vimen insequor et causas penitus temptare latentis ; ater et alterius sequitur de cortice sanguis. multa movens animo Nymphas venerabar agrestis Gradivumque patrem, Geticis qui praesidet arvis, rite secundarent visus omenque levarent.”(Aen. 3.29–36)These lines have a peculiar resonance with one of the most important and controversial passages in the Georgics (2.475–512). In this passage the poet first longs for the ability to explain natural phenomena (like Lucretius), then concedes that if cold fear should prevent him from attaining to this knowledge, he would settle for bucolic seclusion and rustic religio:sin has ne possim naturae accedere partis frigidus obsteterit circum praecordia sanguis, rura mihi et rigui placeant in vallibus amnes, [End Page 450] flumina amem silvasque inglorius. o ubi campi Spercheosque et virginibus bacchata Lacaenis Taygeta! o qui me gelidis convallibus Haemi sistat, et ingenti ramorum protegat umbra! felix qui potuit rerum cognoscere causas, atque metus omnis et inexorabile fatum subiecit pedibus strepitumque Acherontis avari; fortunatus et ille deos qui novit agrestis, Panaque Silvanumque senem Nymphasque sorores.(Geo. 2.483–92)It may seem strange that this passage should have anything to do with Aeneas in Thrace, but the verbal echoes and parallels of thought are striking: an image of chilled blood is followed first by a desire to know the underlying causes of things, then, failing that, by an appeal to rustic religio, symbolized (among other things) by rural nymphs. Most readers see a reference to Lucretius in the line felix qui potuit rerum cognoscere causas (see Dyson 1994... (shrink)

The present article analyzes a fifteenth-century debate over the value and significance of enclosure in monastic contemplative life. The controversy arose as a consequence of the vow of seclusion taken by the canons regular in the convent of Bethlehem near Louvain and centered on the legitimacy of enclosure as an object of monastic professio as well as on its compatibility with Augustine’s rule. The article surveys the sources of this debate clarifying its historical circumstances and its theoretical boundaries and (...) focuses on the contribution of the Albertistic theologian Heymericus de Campo. The dossier of this querelle is mainly handed down in the manuscript Brussel, Koninklijke Bibliotheek, 11752-64, with the integration of the codex Wien, Österreichische Nationalbibliothek, Series Nova 12835 containing Heymericus’ Epistola de laude religiose solitudinis. (shrink)

"During the last months of the war, Josef Pieper saw the realization of a long-cherished plan to escape from the "lethal chaos" that was the Germany of that time, "plucked," he writes, "as was Habakkuk, by the hair of his head... to be planted into a realm of the most peaceful seclusion, whose borders and exists were, of course, controlled by armed sentries." There he made contact with a friend close-by, who possessed an amazing library, and Pieper hit upon (...) the idea of reading the letters of Goethe from that library. Soon, however, he decided to read the entire Weimar edition of fifty volumes, which were brought to him in sequence, two or three at a time." "It was precisely in the seclusion, the limitation, the silence of Goethe that made the strongest impact on Pieper. Here was modern Germany's quintessential conversationalist intellectual, but the strength of his words came from the restraint behind them, even to the point of purposeful forgetting." --Book Jacket. (shrink)

The Sera Jey Monastery, reestablished near Mysore, India, houses 5,000 Buddhist monks living in exile -- including survivors of the destruction of the Tibetan monastery in 1959. Sheila Rock's moving portraits are a celebration of the everyday simplicity and subtle beauty of the ascetic life. More than a hundred duotone photographs document the compassionate expressions, emotional openness, and aura of serenity inspired by lives of renunciation and seclusion. A percentage of the royalties from this book go to the Sera (...) Jhe Health Care Committee in aid of various humanitarian projects. (shrink)

In the first work of investigative journalism in decades to give a comprehensive view into contemporary psychiatric incarceration and forced interventions, Your Consent Is Not Required exposes how rising numbers of people from many walks of life are being subjected against their will to surveillance, indefinite detention, and powerful tranquilizing drugs, restraints, seclusion, and electroshock.

Ghazali’s The Beginning of Guidance (Bidayetü'l Hidaye) is a book that represents the beginning for people's salvation. According to Ghazali, in order for the human to be guided, he must first follow the orders of this book and then read the book The Revival of Religious Sciences, which he says contains useful science. According to him, the book of Beginning of Guidance can offer the key to salvation. In this book he made major changes in the understanding of worship of (...) Islam and expanded both the content and the scope of worship. In this book, where the understanding of worship of Islam has become mystical; in addition to the prayers that the Qur'an declares as obligatory, the prophet Mohammed’s worship, the prayers of his companions, the remembrances of the Sufis, the wars made in the life of the ascetics are described in the form of orders that must be made in the way of liberation. Thus, he made the prayer not a part of life, but the whole life, saying that three times as much prayer as the God made obligatory, four times as much as Ramadan fasting, fifty-seven times a day prayer and chant every time of the day. There has been no previous study regarding the issue of Ghazali turning worship into ascetism with the book of Beginning of Guidance. In this paper, in addition to this work of Ghazali, the narrations in his other works will be taken into consideration. Thus, his project of Islam religion and mysticization will be introduced in more detail. There are two important factors that direct Gazali, who presents a way of life based on ascetism and seclusion, as an "ideal life". The first is the Sufi culture that he has been in since his childhood and has never broken. According to Ghazali, the life style of Sufi culture that takes the person away from the world is a prescription for salvation of Muslims who are under the threat of "secularization". The second is the distinction between the community and the upper class in the society with the effect of this Sufi culture. It is not possible to say the same thing for the common people belonging to the religion of 'imitation', while the upper class is liberated with the life of the feast and the deity. The only way of the salvation of the common people is to turn the prayers of the imitation religion to ascertism and to open the way of the seclusion. They can do it with the book Beginning of Guidance. Thus the common people can reach salvation just like the upper class by leaving this world behind. (shrink)

As physicians encounter an increasingly diverse patient population, socioeconomic circumstances, religious values and cultural practices may present barriers to the delivery of quality care. Increasing cultural competence is often cited as a way to reduce healthcare disparities arising from value and cultural differences between patients and providers. Cultural competence entails not only a knowledge base of cultural practices of disparate patient populations, but also an attitude of adapting one's practice style to meet patient needs and values. Gender roles, relationship dynamics (...) and boundaries are culture specific, and are frequently shaped by religious teachings. Consequently, religion may be conceptualised as a cultural repertoire, or dynamic tool-kit, by which members of a faith adapt and negotiate their identity in multicultural societies. The manner in which Islamic beliefs and values inform Muslim healthcare behaviours is relatively under-investigated. In an effort to explore the impact of Islam on the relationship between patients and providers, we present an Islamic bioethical perspective on cross-gender relations in the patient-doctor relationship. We will begin with a clinical scenario highlighting three areas of gender interaction that bear clinical relevance: dress code, seclusion of members of the opposite sex and physical contact. Next, we provide a brief overview of the foundations of Islamic law and ethical deliberation and then proceed to develop ethicolegal guidelines pertaining to gender relations within the medical context. At the end of this reflection, we offer some practice recommendations that are attuned to the cultural sensitivities of Muslim patient populations. (shrink)

Current technology and surveillance practices make behaviors traceable to persons in unprecedented ways. This causes a loss of anonymity and of many privacy measures relied on in the past. These de facto privacy losses are by many seen as problematic for individual psychology, intimate relations and democratic practices such as free speech and free assembly. I share most of these concerns but propose that an even more fundamental problem might be that our very ability to act as autonomous and purposive (...) agents relies on some degree of privacy, perhaps particularly as we act in public and semi-public spaces. I suggest that basic issues concerning action choices have been left largely unexplored, due to a series of problematic theoretical assumptions at the heart of privacy debates. One such assumption has to do with the influential conceptualization of privacy as pertaining to personal intimate facts belonging to a private sphere as opposed to a public sphere of public facts. As Helen Nissenbaum has pointed out, the notion of privacy in public sounds almost like an oxymoron given this traditional private-public dichotomy. I discuss her important attempt to defend privacy in public through her concept of ‘contextual integrity.’ Context is crucial, but Nissenbaum’s descriptive notion of existing norms seems to fall short of a solution. I here agree with Joel Reidenberg’s recent worries regarding any approach that relies on ‘reasonable expectations’ . The problem is that in many current contexts we have no such expectations. Our contexts have already lost their integrity, so to speak. By way of a functional and more biologically inspired account, I analyze the relational and contextual dynamics of both privacy needs and harms. Through an understanding of action choice as situated and options and capabilities as relational, a more consequence-oriented notion of privacy begins to appear. I suggest that privacy needs, harms and protections are relational. Privacy might have less to do with seclusion and absolute transactional control than hitherto thought. It might instead hinge on capacities to limit the social consequences of our actions through knowing and shaping our perceptible agency and social contexts of action. To act with intent we generally need the ability to conceal during exposure. If this analysis is correct then relational privacy is an important condition for autonomic purposive and responsible agency—particularly in public space. Overall, this chapter offers a first stab at a reconceptualization of our privacy needs as relational to contexts of action. In terms of ‘rights to privacy’ this means that we should expand our view from the regulation and protection of the information of individuals to questions of the kind of contexts we are creating. I am here particularly interested in what I call ‘unbounded contexts’, i.e. cases of context collapses, hidden audiences and even unknowable future agents. (shrink)

Studies link involuntary outpatient commitment with improved patient outcomes, fueling debate on its ethical justification. This study compares inpatient utilization for committed outpatients in the 1990s with those who were not under outpatient civil commitment orders. Findings reveal committed outpatients had higher utilization of inpatient services and restraint episodes prior to their commitment compared with a control group. Committed outpatients also were more likely to have been on discharge status at the time of admission, have been admitted involuntarily under emergency (...) legal procedures, and have had a greater number of admissions and hospital days prior to their commitment. Following commitment, patients had fewer hospitalizations, shorter lengths of stay, fewer seclusion episodes and hours, and fewer restraint episodes and hours. Findings are discussed within the context of parens patriae and therapeutic jurisprudence, and support medical and public policy justifications for ethical uses of outpatient civil commitment laws for seriously mentally ill patients. (shrink)

Background Nurses experience moral distress when they cannot do what they believe is right or when they must do what they believe is wrong. Given the limited mechanisms for managing ethical issues for nurses in Japan, an Online Ethics Consultation on mental health (OEC) was established open to anyone seeking anonymous consultation on mental health practice. Research objective To report the establishment of the Online Ethics Consultation and describe and evaluate its effectiveness. Ethical considerations The research was conducted in accordance (...) with the Declaration of Helsinki. Research design This evaluation describes the outcomes of 5 years of operation of the Online Ethics Consultation on mental health in Japan Participants The Online Ethics Consultation received 12 emails requesting consultation. Consultees included mental health nurses, psychiatrists, and service users. Findings The most common questions directed to the service were about seclusion and physical restraint. Response time from receipt of email to sending a reply was between 1 and 14 days. Despite the disappointing number of consultations, feedback has been positive. Discussion The Online Ethics Consultation was established to assist morally sensitive nurses in resolving their ethical problems through provision of unbiased and encouraging advice. Mental health care in Japan has been less than ideal: long-term social hospitalization, seclusion, and restraint are common practices that often lead to moral distress in nurses and the questions received reflected this. The head of the Online Ethics Consultation sent a supportive, facilitative response summarizing the opinions of several consultants. Conclusion This study provides key information for the establishment of an online ethics resource the adoption of which has the potential to improve the experience of nurses, allied health and clients of mental health services. This paper has implications for services concerned with improving patient care, managing nurses’ moral distress, building ethics into decision-making. (shrink)

Abstract The article sketches a theoretical model which explains how it is possible that fundamentalist beliefs can emerge as a result of an individual rational adaptation to the context of special living conditions. The model is based on the insight that most of our knowledge is acquired by trusting the testimony of some kind of authority. If a social group is characterized by a high degree of mistrust towards the outer society or other groups, then the members of this group (...) will rely solely on the authorities of their own group for their acquisition of knowledge. In this way they can adopt a corpus of beliefs which may seem absurd from an external point of view. However, they may be locked in a “fundamentalist equilibrium” in which particularistic trust, common sense plausibility, epistemic seclusion, social isolation and fundamentalist beliefs are mutually reinforcing - and in which individuals who adopt the “fundamentalist truths” of their group do not behave more irrationally than individuals in an open society who accept the “enlightened” worldview of their culture. (shrink)

Background In this article, the sources and features of moral distress as experienced by acute psychiatric care nurses are explored. Research design A qualitative design with 16 individual in-depth interviews was chosen. Braun and Clarke’s six analytic phases were used. Ethical considerations Approval was obtained from the Norwegian Social Science Data Services. Participation was confidential and voluntary. Findings Based on findings, a somewhat wider definition of moral distress is introduced where nurses experiencing being morally constrained, facing moral dilemmas or moral (...) doubt are included. Coercive administration of medicines, coercion that might be avoided and resistance to the use of coercion are all morally stressful situations. Insufficient resources, mentally poorer patients and quicker discharges lead to superficial treatment. Few staff on evening shifts/weekends make nurses worry when follow-up of the most ill patients, often suicidal, in need of seclusion or with heightened risk of violence, must be done by untrained personnel. Provision of good care when exposed to violence is morally challenging. Feelings of inadequacy, being squeezed between ideals and clinical reality, and failing the patients create moral distress. Moral distress causes bad conscience and feelings of guilt, frustration, anger, sadness, inadequacy, mental tiredness, emotional numbness and being fragmented. Others feel emotionally ‘flat’, cold and empty, and develop high blood pressure and problems sleeping. Even so, some nurses find that moral stress hones their ethical awareness. Conclusion Moral distress in acute psychiatric care may be caused by multiple reasons and cause a variety of reactions. Multifaceted ethical dilemmas, incompatible demands and proximity to patients’ suffering make nurses exposed to moral distress. Moral distress may lead to reduced quality care, which again may lead to bad conscience and cause moral distress. It is particularly problematic if moral distress results in nurses distancing and disconnecting themselves from the patients and their inner selves. (shrink)

As physicians encounter an increasingly diverse patient population, socioeconomic circumstances, religious values and cultural practices may present barriers to the delivery of quality care. Increasing cultural competence is often cited as a way to reduce healthcare disparities arising from value and cultural differences between patients and providers. Cultural competence entails not only a knowledge base of cultural practices of disparate patient populations, but also an attitude of adapting one's practice style to meet patient needs and values. Gender roles, relationship dynamics (...) and boundaries are culture specific, and are frequently shaped by religious teachings. Consequently, religion may be conceptualised as a cultural repertoire, or dynamic tool-kit, by which members of a faith adapt and negotiate their identity in multicultural societies. The manner in which Islamic beliefs and values inform Muslim healthcare behaviours is relatively under-investigated. In an effort to explore the impact of Islam on the relationship between patients and providers, we present an Islamic bioethical perspective on cross-gender relations in the patient-doctor relationship. We will begin with a clinical scenario highlighting three areas of gender interaction that bear clinical relevance: dress code, seclusion of members of the opposite sex and physical contact. Next, we provide a brief overview of the foundations of Islamic law and ethical deliberation and then proceed to develop ethicolegal guidelines pertaining to gender relations within the medical context. At the end of this reflection, we offer some practice recommendations that are attuned to the cultural sensitivities of Muslim patient populations. (shrink)

In the closed wards of mental health institutions, moral decisions are made concerning the use of forced seclusion. In this article we focus on how these moral decisions are made and can be improved. We present a case study concerning moral deliberations on the use of seclusion and its prevention among nurses of a closed mental health ward. Moral psychology provides an explanation of how moral judgments are developed through processes of interaction. We will make use of the (...) Social Intuitionist Model of Jonathan Haidt that emphasizes the role of emotions, intuitions and the social context in moral judgments and reasoning. We argue that this model can help to explain social dynamics in the context of enforced seclusion. In the discussion we explore how moral psychology can be complemented with the normative perspective of dialogical ethics to develop strategies for improving psychiatric practices. We conclude that social processes play an important role in moral deliberations and that moral development can be fostered by bringing in new perspectives in the dialogue. Moral case deliberation provides a practical tool to systematically organize moral reflections among nurses on the work floor. (shrink)

The essay discusses a significant shift in conceptualizing the notion of representation found in Alain Badiou’s ontology and Jacques Rancière’s aesthetics. From Heidegger to Deleuze, the artwork was able to express an ontological truth about the world on the condition that it does not represent it. Badiou’s ‘subtractive’ approach to ontology and Rancière’s redefinition of the modern aesthetic break with representation, however, suggest that there is nothing to express beyond the veil of representation. Instead, representation can only be counteracted by (...) the occurrence of surplus representations that subvert the principles of the dominant regime of representation. The essay provides an understanding of this shift by reversing the Leibnizian conceptual metaphor Adorno used to describe the modern artwork. Unlike ‘windowless monads’, whose seclusion from the world enables them to convey an ontological truth, artworks as ‘monadless windows’ reframe the parameters of what is perceived as reality. (shrink)

Demosthenes' client Euxitheos is attempting to defend his claim to citizenship, and finds himself obliged to counteract the prejudice raised by his opponent Euboulides from the fact that his mother works, and has worked, in menial wage labour. The implication is that no citizen woman would sink so low; therefore, she is no citizen, and so neither is he. His response is defensive: he acknowledges that such labour is a source of prejudice , but argues that people often find themselves (...) obliged to undertake such demeaning work through poverty, which is deserving of the jury's sympathy, and in any case has no bearing on questions of citizenship . He does not challenge the assumptions behind the prejudice, suggesting that he expects the jury to share them, and this might encourage us to extrapolate from the passage to a set of common values held by Athenian citizens, namely that paid work by women is degrading, embarrassing and only acceptable as a temporary expedient under the compulsion of poverty. If we then align these attitudes with the implications elsewhere in the orators that women led lives of seclusion, usually confined indoors and largely separated from the exterior male world, we might be inclined to conclude that the labour of women was also confined to the oikos and almost entirely distinct from the labour of males, not least in having little or no monetary aspect, a point which the usual view of the economic capacity of Athenian women appears to confirm. (shrink)

Georg Lukács wrote that "there is autonomy and 'autonomy.' The one is a moment of life itself, the elevation of its richness and contradictory unity; the other is a rigidification, a barren self-seclusion, a self-imposed banishment from the dynamic overall connection." Though Lukács' concern was with the conditions for the possibility of art, his distinction also serves as an apt description of the way that Hegel and Hegelians have contrasted their own interpretations of self-determination with that of Kant. But (...) it has always been difficult to see how elevation is possible without seclusion, or how rigidification can be avoided without making the boundaries of the self so malleable that its autonomy looks like a mere cover for the power of external forces. Yeomans explores Hegel's own attempts to grapple with this problem against the background of Kant's attempts, in his theory of virtue, to understand the way that morally autonomous agents can be robust individuals with qualitatively different projects, personal relations, and commitments that are nonetheless infused with a value that demands respect. In a reading that disentangles a number of different threads in Kant's approach, Yeomans shows how Hegel reweaves these threads around the central notions of talent and interest to produce a tapestry of self-determination. Yeomans argues that the result is a striking pluralism that identifies three qualitatively distinct forms of agency or accountability and sees each of these forms of agency as being embodied in different social groups in different ways. But there is nonetheless a dynamic unity to the forms because they can all be understood as practical attempts to solve the problem of autonomy, and each is thus worthy of respect even from the perspective of other solutions."Everyone recognizes the importance of Hegel's critique of Kantian morality as empty, but until now there has not been a fully worked out presentation of how Hegel's views in his discussion of Sittlichkeit actually provide the missing content. Yeomans has finally provided us with a reconstruction of Hegel's mature position that makes good on all the promissory notes that Hegel gives in his famous descriptions of his alternative to Kantian ethics. Yeomans offers a compelling account of Hegel's view of individuality, societal differentiation and its roots in Kantian and Fichtean moral theory. The book will be a major contribution to the scholarship on Hegel's practical philosophy." - Dean Moyar, Associate Professor of Philosophy, Johns Hopkins University -/- "Yeomans' book is a subtle, detailed and original explication of some key ideas having to do with how Hegel's general philosophy of action relates to his social and political philosophy. It is attentive to Hegel's texts, and it ties its discussions into all the relevant contemporary themes in philosophy. It is very ambitious in its attempt to make Hegel's theory into a real competitor to other views that are currently in wide play in the philosophical world. It will very likely become one of the key texts in the secondary literature on Hegel." - Terry Pinkard, University Professor of Philosophy, Georgetown University. (shrink)

The aim of this study was to obtain an increased understanding of the experiences of elderly people in geriatric care, with special reference to integrity. Data were collected through qualitative interviews with elderly people and, in order to obtain a description of caregivers’ integrity-promoting or non-promoting behaviours, participant observations and qualitative interviews with nursing students were undertaken. Earlier studies on the integrity of elderly people mainly concentrated on their personal and territorial space, so Kihlgren and Thorsén opened up the possibility (...) of considering the concept of integrity from a broader view by recognizing its relationship to the larger framework of the self-concept. Based on this, findings in the present study indicate that elderly people’s integrity relating to their corporal self were the least violated. On the other hand, their psycological, information and cultural selves were the most exposed. The study also identified a further dimension (i.e. one relating to social self), which should be included in the concept of integrity because respecting elderly people’s social self reduces their feelings of loneliness, isolation and seclusion. In summary, the results indicate that the concept of integrity is complex and has several dimensions. (shrink)

From the Qur'an, Surah Maryam: -/- (21) So she conceived him, and went in seclusion with him to a remote place. (22) And the pains of childbirth drove her to the trunk of a palm tree: she cried (in her anguish): "Ah! would that I had died before this! Would that I had been a thing forgotten and out of sight!" (23) But (a voice) cried to her from beneath the (palm tree): "Grieve not! for thy Lord hath provided (...) a rivulet beneath thee;" (24) "And shake towards thyself the trunk of the palm tree: it will let fall fresh ripe dates upon thee." (25) "So eat and drink and cool (thine) eye. And if thou dost see any man say 'I have vowed a fast to (Allah) Most Gracious, and this day will I enter into no talk with any human being.'" -/- This Surah depicts a human being in unbearable pain. What makes the pain tolerable is the sympathy that God shows for Mary. Hearing her inner voice, understanding her suffering and her grief, God is moved to provide her with practical and substantive support to help her bear her agony. For me this story portrays a God who is active in the world, hears the supplications of humanity, and has empathy with the needy, the oppressed, and those who are suffering. -/- Yet I am concerned that our theological traditions in the Islamic world (as also in Christendom) have developed through the centuries such that God is now seen, by overwhelming theological consensus, as an immutable being, a being outside time who has determined our providence from the standpoint of eternity, who has foreknowledge of every free action of his creations and has designed all according to His plan for past and future events; who knows in advance even the timings and contents of our petitionary prayers and has decided already whether to answer them. (shrink)

The application of human right frameworks is an increasingly important part of efforts to accelerate progress in global mental health. Much of this has been driven by several influential legal and policy instruments, most notably the United Nations’ Convention on the Rights of Persons with Disabilities, as well as the World Health Organization’s QualityRights Tool Kit and Mental Health Action Plan. Despite these significant developments, however, much more needs to be done to prevent human rights violations. This chapter focuses on (...) a critical component of this broader challenge, which is the question of how best to regulate and reduce the use of coercive measures. The recent literature on coercion in psychiatry – which addresses involuntary commitment, seclusion, restraint, and forced medication – represents a useful resource that can help guide tractable solutions in global mental health. These issues are evaluated from the perspective of global health governance, and several general recommendations are made in order to improve monitoring and enforcement, provide guidance for domestic legislative reform, and strengthen health systems. (shrink)

There are some radical practices of asceticism, such as wearing ṣūf (wool clothes), traveling without provisions, choosing to be single, and avoiding earning a living by working, which were generally seen in the 2nd century A.H. and were subject to criticism with the formation of classical Ṣūfism. Criticisms of these practices have started to appear in the literature since the 3rd century A.H. Early Ṣūfī writers such as Al-Ḥakīm al-Tirmidhī, Muḥāsibī, Abū Saʿīd al-Kharrāz, al-Sarrāj focused on this issue and criticized (...) these practices. How are these practices of ascetics viewed in the sects that were formed and spread in the 6th and 7th centuries? Our research seeks the answer to this question, but limits it to the example of Abū l-Ḥasan al-Shādhilī, the founder of Shādhiliyya. This question is important in two respects: First of all, it is investigated whether the determination of some researchers that al-Shādhilī taught comfort in the face of worldly blessings is also correct. Because, among contemporary researchers, there are those who believe that al-Shādhilī wears ostentatious clothes, rides horses, encourages economic competitiveness, and is therefore open to benefiting from worldly blessings to the fullest. Secondly, it includes an investigation of the validity of the belief that these practices belong to an early period in the history of Sûfism and have been completely abandoned over time. Although al-Shādhilī seems to have completed his spiritual education in Morocco with his sheikh, he later went to Tunisia with the latent command of his master. We see that in his first years in Tunisia, he went into seclusion in a cave and was completely isolated from the society and engaged in worship in a way that reminds us of the practices of the early ascetics. But in the second phase of his life in Tunisia, he went to the city on a spiritual sign, socialized, started to give sermons to people, and started to behave more flexible about eating and drinking. al-Shādhilī specifically states that he did not prefer socialization at this stage, but with a spiritual sign. Later, he went to Egypt again with a spiritual sign and got married there, started to deal with agriculture, and continued to socialize by establishing relations with the rulers. Therefore, it can be said that this new social period is a break both from the radical practices of the early ascetics and from the early period in Tunisia itself. It is also seen that in this new period of al-Shādhilī, he did not wear the clothes of ascetics like sūf (wool clothes) and did not want his followers to wear them. He also encouraged to have a profession and was generally against traveling without provisions. But there are two points to be noted here: First, these milder and more comfortable practices should not lead to a search for comfort and luxury. He continued to keep his distance from worldly blessings and to advise asceticism. Secondly, he had some of his distinguished disciples make some practices of the ascetics. The reason for the existence of these seemingly contradictory practices is that while he recommends moderate and sustainable practices to the general public and his followers, he can make the specialized sūfis more strict and difficult practices. While he was encouraging work and earning in general, not ignoring experience, including avoiding work; not ignoring seclusion while leading to sociality in general; while generally suggesting to resort to occasions, he also follows a path of implementing and enforcing radical practices such as traveling without food. Thus, al-Shādhilī is able to encompass all the seemingly incompatible practices of the previous sūfi accumulation with a point of view of spiritual rank and hierarchy. (shrink)

Although there is a high degree of consensus in the existing literature regarding the importance of respect in mental health care, a realistic appraisal suggests that there is something of a disconnect between what is espoused in policy documents and what actually occurs in practice. As a result, this article seeks to explore and advance our understanding of the phenomenon of respect in mental health care and draws on real practice situations to illustrate this schism. To this end, the authors (...) present three case studies that focus on the following: “use of seclusion,” “respecting professional boundaries,” and “horizontal workplace violence.” The authors advance the, perhaps for some, provocative argument that it is relatively easy to write/speak about respect, while the reality of communicating respect to others is more difficult, challenging, and makes significant demands on the individual psychiatric/mental health nurse. (shrink)

This article presents the novel view that ‘inclusion into seclusion’ and ‘public disclosure of embarrassing facts’ (‘misuse of private information’ (“MOPI”) in the UK), which both the academic commentary and US case law treat as two separate legal actions, occupy the same conceptual space. This claim has important practical ramifications. No further development of the law is required to realise an actionable intrusion tort as part of the UK’s MOPI tort. The argument is defended in doctrinal and theoretical terms, (...) and by reference to both UK and US law. It is presented in three forms: first, in negative terms, that the orthodox distinction between the two claims (informational privacy and intrusion) is unsustainable; secondly, in positive terms, that both guard against the same wrong (unwarranted privacy-invasion) and the same harm (mental distress), in a way that is distinctive from other privacy actions and legal claims based upon the autonomy value; finally, in pragmatic terms, that MOPI’s mature jurisprudence is sufficiently flexible and dynamic to recognise intrusion-only claims using its existing legal framework. (shrink)

Yuan Dynasty was an era with austere political reality and thinking reality. As a result of despisement to ruling of different races, a large majority of scholars in Yuan Dynasty chose seclusion without other choice, but the “internal beauty” they pursued was amazingly unanimous, which was, without doubt, owing to the spirit of the mountains and forests. When they tried to find enjoyment in painting, they put their willpower in it, which was a spontaneous awareness of cultural spirit and (...) was, moreover, a peak experience of Chinese traditional culture. Achievement of Yuan Dynasty painting was impressive, and extended the aesthetic space of human beings. Thus, it enriched and development and manifestation connotation of landscape painting to a great extent, and would be engraved forever in the spiritual and cultural history of human beings. (shrink)

The voluminous writings of Ludwig Wittgenstein contain some of the most profound reflections of recent times on the nature of the human subject and self-understanding - the human condition, philosophically speaking. Describing Ourselves mines those extensive writings for a conception of the self that stands in striking contrast to its predecessors as well as its more recent alternatives. More specifically, the book offers a detailed discussion of Wittgenstein's later writings on language and mind as they hold special significance for the (...) understanding and clarification of the distinctive character of self-descriptive or autobiographical language. Garry L. Hagberg undertakes a ground-breaking philosophical investigation of selected autobiographical writings - among the best examples we have of human selves exploring themselves - as they cast new and special light on the critique of mind-body dualism and its undercurrents in particular and on the nature of autobiographical consciousness more generally. The chapters take up in turn the topics of self-consciousness, what Wittgenstein calls 'the inner picture', mental privacy and the picture of metaphysical seclusion, the very idea of our observation of the contents of consciousness, first-person expressive speech, reflexive or self-directed thought and competing pictures of introspection, the nuances of retrospective self-understanding, person-perception and the corollary issues of self-perception (itself an interestingly dangerous phrase), self-defining memory, and the therapeutic conception of philosophical progress as it applies to all of these issues. The cast of characters interwoven throughout this rich discussion include, in addition to Wittgenstein centrally, Augustine, Goethe, Dostoevsky, Kierkegaard, Iris Murdoch, Donald Davidson, and Stanley Cavell, among others. Throughout, conceptual clarifications concerning mind and language are put to work in the investigation of issues relating to self-description and in novel philosophical readings of autobiographical texts. (shrink)

The practice of coercive measures in psychiatry is controversial. Although some have suggested that it may be acceptable if patients are a danger to others or to themselves, others committed themselves to eliminate it. Ethical, legal and clinical considerations become more complex when the mental incapacity is temporary and when the coercive measures serve to restore autonomy. We discuss these issues, addressing the conflict between autonomy and beneficence/non-maleficence, human dignity, the experiences of patients and the effects of coercive measures. We (...) argue that an appeal to respect autonomy and/or human dignity cannot be a sufficient reason to reject coercive measures. All together, these ethical aspects can be used both to support and to reject a non-seclusion approach. The total lack of controlled trials about the beneficial effects of coercive measures in different populations however, argues against the use of coercive measures. (shrink)

Those who live in retirement, whose lives have fallen amid the seclusion of schools and other walled-in and guarded dwellings, are liable to be suddenly and for a long while dropped out of the memory of their friends, the denizens of a freer world … there falls a stilly pause, a wordless silence, a long blank of oblivion. Unbroken always is this blank, alike entire and unexplained. The letter, the message once frequent, are cut off, the visit, formerly periodical, (...) ceases to occur; the book, paper, or other token that indicates remembrance, comes no more. Always there are excellent reasons for these lapses if the hermit but knew them. Though he is stagnant in his cell, his connections without are whorling in the very vortex of life … The hermit – if he be a sensible hermit – will swallow his own thoughts, and lock up his own emotions during these weeks of inward winter… (Charlotte Brontë, Villette, 1979: 348). (shrink)

This paper presents a social-theologically informed interpretation of the term integrity, as it occurs in fundamental law. It explores the manifestations of integrity violations and proceeds to draw an inference: an integrity violation can directly emanate from a misconception regarding integrity itself, as well as the implementation of protective measures that follow it. Integrity in its wholeness dimension is understood as open-endedness and non-seclusion rather than as a substantial, clearly definable characteristic of a person. This open-endedness and non-seclusion (...) results from the relational constitution of an individual. Consequently, it follows that a violation of integrity occurs when the open-endedness and non-seclusion of a person and their relational Becoming is hindered. The new definition of integrity is particularly important when it comes to the governance of new health technologies, especially Digital Twins that can become representatives of a person. Human integrity is non-violated only when it is understood as open to relational Becoming and this Becoming shows its expression in the mutual enabling and support of self-articulation. (shrink)

This article is discussing the possibilities of new media technologies in the context of transmitting ancient spiritual traditions in various cultural and religious backgrounds. The use of internet as a means to preserve the orally transmitted knowledge of the Aboriginals and Maoris, and in doing so transferring their cultural heritage to their younger generations and interest groups. Following is an extended case study of the Naqshbandi Sufi Order and its specific compatibility of a traditional orientation towards spiritual work among people (...) rather than monastic seclusion and its recent application of digital media resources. Therefore, new technology is being discussed as a logical extension, not without attention being drawn to possible limitations, however. (shrink)

Sufi group mainly dictates its followers to distance themselves from worldy affairs and to live in religious seclusion. This article offers a distinct perspective on the study of sufism through examining the political activities of the sufi group the Tarekat Qa>diriyah wa Naqsyabandiyah of Cukir in Indonesia and the group’s political patron, the Partai Persatuan Pembangunan. The article benefits form a French philosopher Michel Foucault’s concept of geneology and the notion of knowledge to better comprehend the nature of political (...) activism of a sufi group. It further argues that basic concept of student and master relationship in Sufism is explaining the politics of sufism in contemporary Indonesia. The mutual relation between leaders of the sufi group and the PPP has facilitated the crossing boundaries of Sufi basic principle of non-participatory politics. (shrink)

ABSTRACT When melancholy is mentioned in connection with pietism, it is usually associated with self-ordained contrition and castigation which, according to the opponents of this religious movement, is prone to drive the believers into pathological dejection or even suicide. The example of the radical pietist Frankfurt physician Johann Christian Senckenberg, however, demonstrates the need for a more differentiated approach. As Senckenberg attained his medical knowledge primarily through physical and mental self-observation, he experienced the sadness of his own soul as absence (...) of divine grace and increased irritability resulting from his own wilfulness and lack of faith in God. Similarly, he interpreted his hypochondriac affliction as a divine punishment for his lustfulness and culinary debauchery. Concluding that both ailments could be remedied by dietetic moderation, steadfastness against temptations and withdrawal from the company of sinners, temporary seclusion and abstinence to him did not at all serve the crucifixion of the flesh, but rather functioned as part of a dietary cure, from which the sufferer could emerge cheerfully and strengthened. In this way, he could not only identify melancholy as a pathological yet treatable condition, but also solve the seeming contradiction between pious humility and independent self-preservation. (shrink)

Arthur Bispo do Rosário created separate realities inspired by the objects of his surroundings. He intended to summon up everything and report to God. The objects he found or got from other inmates were waste of the Juliano Moreira Colony where he lived in seclusion because the lords of order categorised him as mentally ill. Bispo began by unravelling the uniforms of his seafaring days and Colony clothing and with the threads he wove maps and banners. He collected old (...) shoes, empty milk bags, gears, tools, toys, cutlery, bottles, mugs to shape into powerful amalgams of odd aesthetic narrative. As pieces of the Colony waste were given to Bispo by other inmates and as he turned the scraps into art, his creative strength was offered to the hospital’s population and now to museums and art galleries. The observation of this cycle of stunning wonder between Bispo and his fellow inmates suggests the view of unravelling second-order cybernetic processes. Simple things of the world turned into art got new significance in the eyes of the observers. Their poor world became thrilled in delight. As an inmate of a psychiatric ward in Rio de Janeiro, he never stopped his intense and endless work building an inventory of embroidery, assemblages and objects deemed to present the Lord. His work captured the aesthetic sensibility of the Colony population who started viewing the common things of the world redeemed by Bispo as sacred uncaged tokens with divine destination. A virtuous unending cycle of human sensibility and creativity. As observers, we make the distinction of evolving processes in the realm of second-order cybernetics. (shrink)