TRANSCENDENTAL THOUGHT IN HENRY OF GHENT JAN A. AERTSEN (K6LN) 1. Introduction: Henry as a "transcendental" philosopher (J. Paulus) "If it is proper to an...

The literature fails to reflect general agreement over the nature of the services and procedures provided by bioethicists, and the training and core competencies this work requires. If bioethicists are to define their activities in a consistent way, it makes sense to look for common ground in shared communities of practice. We report results of a survey of the services and procedures among bioethicists affiliated with the University of Toronto Joint Centre for Bioethics (JCB). This is the largest group of (...) bioethicists working in healthcare organizations in Canada. The results suggest there are many common services and procedures of JCB bioethicists. This survey can serve as a baseline for further exploration of the work of JCB bioethicists. Common practices exist with respect to the domains of practice, individual reporting relationships, service availability within business hours and the education and training of the bioethicist. (shrink)

Philosophers of science don't very often discuss the place of mathematics between other sciences or the meaning of mathematics for other sciences. They consider mathematics as a formal language with mainly analytical statements about the use of symbols (Carnap, Russell, Ayer ). Originally Wittgenstein defended this formalistic interpretation of mathematics in his TLP. Gradually, however, he develops himself towards an intuitionistic and ontological position, in which mathematics is conceived as the central and therefore normative part of our thought (of course (...) : on what there is and how it is). Mathematical science plays the role of logic in relation to other sciences. Its universal applicability and efficiency are consequences of its creating beings on a necessary level, in virtue of the number of its relations (always still by substitution). This highly important philosophy of mathematics (misinterpreted by Crispin Wright) starts with his lectures in Cambridge (in the thirties ) and reaches its culmination in the Remarks on the Foundations of Mathematics and in On Certainty. In a second part this philosophical determination of mathematical reasoning is traced backwards through history. David Hume's contribution is reinterpreted from a new point of view. Inside the total field of our beliefs he distinguishes between different sciences with the critérium of the intricacy of relations between items of our knowledge field. The more and stronger these relations, the more forceful and necessary their influence on the remaining parts of the system of our belief. So mathematics is in the centre, the loose reveries of our fancy on the periphery. Quine's representation of ‘the tribunal of sense experience’, by which the total field should be judged and corrected, must be disqualified. Hume's dictum ‘Whatever we conceive, we conceive it to be existent’ reveals sharply that this evaluative and corrective role is performed by the necessary thoughts (or, if one likes it so, ‘realities’) of mathematical science. That reason and especially mathematical reason is the highest judge on the population and structure of our world and a very precious heritage of Pythagorism and Platonism. From the sources of Sextus Empiricus and Aristotle the author tries to reconstruct exactly the original assertion of Pythagoristic mathematical philosophy, which has nothing to do with a naive hypostazation of numbers or a kabbalistic number mysticism. Philolaos' saying, that some propositions are stronger than we, is demonstrated to refer to mathematical laws. The pythagorical position is fully integrated in Plato's dialectical philosophy. Mathematics is the great mediator towards the intuition of true being, the ‘metaxu’ between sensible phenomena and ideas. This tradition of philosophical taxation of mathematics as the ‘logic of science’ is broken by Aristotle, who didn't use mathematics in his qualitative natural science and considered mathematics as an abstract science (about the quantitative aspect of being). Moreover, he disowned its logical role and created a special science for this task. Human reason is mathematical in so far it is sure of its language and thought, which is excellently expressed by the Greek μαθηματιxα (= what can be understood, learned and taught) and by the Dutch word ‘wiskunde’ (= science of what is certain). The remarks and reflections of Wittgenstein have produced a new perspective on the placevalue (‘Stellenwert’) of mathematics among all possible sciences and beliefs and have proven that its onto-logical purport is an unavoidable implication. (shrink)

OBJECTIVE: To report and analyse the pattern of end-of-life decision making for terminal Chinese cancer patients. DESIGN: Retrospective descriptive study. SETTING: A cancer clinical trials unit in a large teaching hospital. PATIENTS: From April 1992 to August 1997, 177 consecutive deaths of cancer clinical trial patients were studied. MAIN MEASUREMENT: Basic demographic data, patient status at the time of signing a DNR consent, or at the moment of returning home to die are documented, and circumstances surrounding these events evaluated. RESULTS: (...) DNR orders were written for 64.4% of patients. Patients in pain (odds ratio 0.45, 95% CI 0.22-0.89), especially if requiring opioid analgesia (odds ratio 0.40, 95% CI 0.21-0.77), were factors associated with a higher probability of such an order. Thirty-five patients were taken home to die, a more likely occurrence if the patient was over 75 years (odds ratio 0.12, 95% CI 0.04-0.34), had children (odds ratio 0.14, 95% CI 0.02-0.79), had Taiwanese as a first language (odds ratio 6.74, 95% CI 3.04-14.93), or was unable to intake orally (odds ratio 2.73, 95% CI 1.26-5.92). CPR was performed in 30 patients, none survived to discharge. CONCLUSIONS: DNR orders are instituted in a large proportion of dying Chinese cancer patients in a cancer centre, however, the order is seldom signed by the patient personally. This study also illustrates that as many as 20% of dying patients are taken home to die, in accordance with local custom. (shrink)

This is a collective writing project that is part of the larger design of Infantologies, Infanticides and Infantilizations; a quartet that explores the philosophy of infants from thematic perspectives, that puts infants at the centre of our reflections, and that encourages a different academic style of thinking.

The late John Burrow, one of the most stimulating promoters of the distinctively interdisciplinary enterprise that is Intellectual History, was a vital member of what has become known as the ‘Sussex School’. In exploring the resonances of his singular and richly idiosyncratic contribution, this article places his unique historical sensibility within a series of interpretative contexts, demonstrating the vitality of writings that will continue to inspire and inform scholarship in the field for decades to come. ☆ The Sussex Centre for (...) Intellectual History Lecture delivered at the University of Sussex on 21st October, 2010. I am deeply indebted to Noël Sugimura for reading and commenting on an earlier version of the present essay with her customary sense and sensibility. (shrink)

‘Learning to be job ready’ (L2BJR) was a pilot scheme involving 16 long-term unemployed people from a range of backgrounds being offered a 6-month paid placement within the care department of a city council in Northern England. The project was based on a partnership with the largest college in the city specialising in post-16 education and training for residents and employees. The college targeted people as potential candidates for the programme through their prior attendance on or interest in care courses (...) at the college, rather than the council employing more traditional methods of recruitment. Surveys, focus groups and interviews were utilised to capture the views and experiences of the participants, project workers and line managers, and also evidence of the project’s impact on service delivery in the care department. The article adds to our conceptual and practical knowledge of corporate social responsibility (CSR) in the public sector in three distinct ways. From a social and business perspective, the findings of the research highlight a potentially more robust strategy for matching long-term unemployed citizens to training and job opportunities in the public sector than is otherwise possible through the more conventional route of the job centre. Secondly, through this approach and with appropriate pre-training, a greater understanding of and empathy for the service users can be developed in the new organisational members, strengthening the subsequent ethical delivery and quality of the service. Finally, a re-conceptualisation of Carroll’s influential model of CSR, which also specifically incorporates the ethical and social inclusion duties of public sector organisations not only as service providers but also as potential employers, offers a more tailored paradigm for understanding this unique yet under-researched element of CSR theory and practice. (shrink)

The ``Many Sides of Logic'' is a volume containing a selection of the papers delivered at three simultaneous events held between 11-17 May 2008 in Paraty, RJ, Brazil, continuing a tradition of three decades of Brazilian and Latin-American meetings and celebrating the 30th anniversary of an institution congenital with the mature interest for logic, epistemology and history of sciences in Brazil: CLE 30 - 30th Anniversary of the Centre for Logic, Epistemology and the History of Science at the State University (...) of Campinas (UNICAMP) XV EBL -15th Brazilian Logic Conference XIV SLALM - 14th Latin-American Symposium on Mathematical Logic Several renowned logicians, philosophers and mathematicians gathered in colonial Paraty, a historic village on the Brazilian coast founded in the 17th Century and surrounded by the luscious Atlantic rain forest to deliver lectures and talks celebrating the many sides of logic: the philosophical, the mathematical, the computational, the historical, and the multiple facets therein. The topics of the joint conferences, well represented here, included philosophical and mathematical Logic and applications with emphasis on model theory and proof theory, set theory, non-classical logics and applications, history and philosophy of logic, philosophy of the formal sciences and issues on the foundations of mathematics. The events have been preceded by a Logic School planned for students and young researchers held at the UNICAMP campus in Campinas, SP. (shrink)

OBJECTIVE: To describe the issues faced, and how they were addressed, by the University of Toronto Critical Care Medicine Program/Joint Centre for Bioethics Task Force on Appropriate Use of Life-Sustaining Treatment. The clinical problem addressed by the Task Force was dealing with requests by patients or substitute decision makers for life-sustaining treatment that their healthcare providers believe is inappropriate. DESIGN: Case study. SETTING: The University of Toronto Joint Centre for Bioethics/Critical Care Medicine Program Task Force on Appropriate Use of Life-Sustaining (...) Treatment. PARTICIPANTS: The 24-member Task Force included physician and nursing leaders from five critical care units, bioethicists, a legal scholar, a health administration expert, a social worker, and a hospital public relations professional. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Our specific lessons learned include a) a policy focus on process; b) use of a negotiation and mediation model, rather than a hospital ethics committee model, for this process; and c) the policy development process is itself a negotiation, so we recommend equal involvement of interested groups including patients, families, and the public. CONCLUSIONS: This article describes the key issues faced by the Task Force while developing its policy. It will provide a useful starting point for other groups developing policy on appropriate use of life-sustaining treatment. (shrink)

The development of gene expression profiling and next-generation sequencing technologies have steered oncogenomics to the forefront of precision medicine. This created a need for harmonious cooperation between clinicians and researchers to increase access to precision oncology, despite multiple implementation challenges being encountered. The aim is to apply personalised treatment strategies early in cancer management, targeting tumour subtypes and actionable gene variants within the individual’s broader clinical risk profile and wellbeing. A knowledge-generating database linked to the South African Medical Research Council’s (...) Genomic Centre has been created for the application of personalised medicine, using an integrated service and research approach. Insights gained from patient experiences related to tumour heterogeneity, access to targeted therapies and incidental findings of pathogenic germline variants in tumour DNA, provided practice-changing evidence for the implementation of a cost-minimisation pathology-supported genetic testing strategy. Integrating clinical care with genomic research through data sharing advances personalised medicine and maximises precision oncology benefits. (shrink)

The conceptual framework and core courses of the certificate program in Preventive Engineering and Social Development of the Centre for Technology and Social Development at the University of Toronto are briefly described. Preventive approaches for the engi neering, management, and regulation of technology examine how technology fits into, interacts with, and depends on human life, society, and the biosphere in order to apply this understanding in a negative feed back mode to avoid or reduce harmful effects to these contexts. These (...) approaches represent a new paradigm for engineering education and practice enriched through STS. (shrink)

Background While prenatal surgery historically was performed exclusively for lethal conditions, today intrauterine surgery is also performed to decrease postnatal disabilities for non-lethal conditions. We sought to describe physicians' attitudes about prenatal surgery for lethal and non-lethal conditions and to elucidate characteristics associated with these attitudes. Methods Survey of 1200 paediatric surgeons, neonatologists and maternal–fetal medicine specialists. Results Of 1176 eligible physicians, 670 responded. In the setting of a lethal condition for which prenatal surgery would likely result in the child (...) surviving with a severe disability, most respondents either disagreed or strongly disagreed that they would recommend the surgery. Male physicians were twice as likely to recommend surgery for the lethal condition, as were physicians who believe that abortion is morally wrong. Older physicians were less likely to recommend surgery. For non-lethal conditions, most respondents agreed that they would recommend prenatal surgery, even if the surgery increases the risk of prematurity or fetal death. Compared with MFMs, surgeons were less likely to recommend such surgery, as were physicians not affiliated with a fetal centre, and physicians who were religious. Conclusion Physician’s attitudes about prenatal surgery relate to physicians’ beliefs about disability as well as demographic, cultural and religious characteristics. Given the variety of views, parents are likely to receive different recommendations from their doctors about the preferable treatment choice. (shrink)

Le monde se révèle à l'homme, comme matière, temps et esprit. L'on sait à présent que considérés dans l'espace et le temps, la terre est d'une extrême petitesse et l'homme un être éphémère. Une conception du monde qui prendrait l'homme pour centre et partirait de lui ne donnerait donc aucune garantie de probabilité. Pourtant elle est assez générale, accoutumés comme nous sommes à juger d'après les perceptions grossières des sens, qui trop souvent nous induisent en erreur. Selon les physiciens, la (...) formule mathématique réunissant les coördonnées du temps et de l'espace, serait la plus conforme à la représentation du monde matériel. Nous avançons ici l'hypothèse que le monde matériel répond effectivement à cette conception, et qu'il est donc un monde plongé dans un repos éternel, dans lequel nous voyageons, pour ainsi dire, avec notre temps. Grâce à cette hypothèse, la causalité, le miracle, la prévoyance de l'avenir, s'expliquent plausiblement. Manifestement le troisième principe, l'esprit, est à la fois en interaction avec la matière et indépendante d'elle (p.e. la télépathie). Cette action réciproque suppose une parenté partielle entre l'esprit et la matière. C'est pourquoi nous proposons une seconde hypothèse: l'esprit est une "facies" de la matière qui reste en dehors de la rigidité du monde considéré comme espace et temps. On a toujours considéré ces éléments spirituels comme étant des êtres spirituels, mais leur aspect anthropomorphique nous empêche de croire à leur existence réelle. Si nous identifions la partie spirituelle du corps humain avec l'homme spirituel, le problème du libre arbitre s'explique avec clarté. Seul le procès spirituel du libre arbitre est vraiment libre, mais la volonté ne peut réaliser aucun changement dans la substance purement matérielle. La conception d'une àme se logeant dans le corps matériel comme dans une maison, et qui par ses actions détermine sa demeure future ne s'accorde pas avec l'hypothèse du monde matériel-et-temporel-en-repos. Suivant nos conceptions humaines, nous avons imaginé des êtres spirituels animés d'une volonté libre. Mais alors il faut supposer une unité spirituelle supérieure, qui considère et qui décide. Or, cette conception étant anthropomorphique il est admissible qu'elle soit la véritable figuration du monde. La solution de ce problème pourrait être trouvée par une troisième hypothèse" selon laquelle il existerait un monde supérieur, dans lequel le monde-du-temps-et-de-l'espace fusionne avec un temps supérieur, auquel le nom de "temps spirituel" serait approprié. Seul, ce monde supérieur plongé dans un repos éternel peut nous expliquer d'une façon convaincante l'univers. Un monde d'une essence et d'une invariabilité éternelles, dans lequel le temps, capable d'agir pas des voies infiniment variées, introduit des événements innombrables, les processus spirituels étant effectués par le temps spirituel, les événements matériels par ce que nous sommes habitués à appeler "le temps". (shrink)

From the 1980s onwards, the Roslin Institute and its predecessor organizations faced budget cuts, organizational upheaval and considerable insecurity. Over the next few decades, it was transformed by the introduction of molecular biology and transgenic research, but remained a hub of animal geneticists conducting research aimed at the livestock-breeding industry. This paper explores how these animal geneticists embraced genomics in response to the many-faceted precarity that the Roslin Institute faced, establishing it as a global centre for pig genomics research through (...) forging and leading the Pig Gene Mapping Project (PiGMaP); developing and hosting resources, such as a database for genetic linkage data; and producing associated statistical and software tools to analyse the data. The Roslin Institute leveraged these resources to play a key role in further international collaborations as a hedge against precarity. This adoption of genomics was strategically useful, as it took advantage of policy shifts at the national and European levels towards funding research with biotechnological potential. As genomics constitutes a set of infrastructures and resources with manifold uses, the development of capabilities in this domain also helped Roslin to diversify as a response to precarity. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Philosophy, Psychiatry, & Psychology 11.2 (2004) 165-173 [Access article in PDF] Professional Judgment, Critical Realism, Real People, and, Yes, Two Wrongs Can Make a Right! K.W.M. Fulford Anthony Colombo Keywords values, values-based practice, models of disorder, concept of mental illness, user-centred practice, patient-centred practice, multidisciplinary teamwork We are grateful to our four commentators for putting much-needed conceptual air and space around the models project. Published originally as an empirical (...) study of the different implicit models of disorder, held by users of services, carers, nurses, psychiatrists, and social workers (Colombo et al. 2003), our paper outlined the philosophical roots of the models project in linguistic analytic philosophy of the "Oxford school" (Fulford and Colombo 2004). Our four commentators provide extra dimensions of understanding, respectively from professional education (Williams 2004), sociology (Bendelow 2004), Heideggerian phenomenology (Heginbotham 2004), and mental health policy and practice (Williamson 2004).Since the original study, the models project has been taken forward as a key contribution to a range of philosophy-into-practice initiatives called, collectively, Values-Based Practice. In this brief response, we outline the key features of Values-Based Practice and indicate how these connect with some of the many thoughtful points about models made by our commentators. Values-Based Practice Values-Based Practice, then, is the theory and skills-base for effective health care decision making where different, and hence potentially conflicting, values are in play (Fulford 2004). Premised on the democratic meta-value of equal respect for all voices, Values-Based Practice relies, much as a political democracy relies, on good process rather than preset outcomes for its practical effectiveness. The ten pointers to good process in Values-Based Practice are summarized in Figure 1. We return to the implications of these for the work on models below.Relying on good process may be thought to be a recipe more for relativism and indecision in clinical decision making than for practical effectiveness. To the contrary, however, the 'values democracy' of Values-Based Practice, again like a political democracy, carries a number of clear and coherent implications for policy and practice in health care. [End Page 165] Click for larger viewFigure 1 10 Pointers to Good Process in VBP [End Page 166]Examples of the implications of Values-Based Practice for policy and practice are given in the Values Framework shown in Figure 2. This is a policy framework for the development of Values-Based Practice in mental health produced by a project group in the National Institute for Mental Health in England (NIMHE), the section of the UK's National Health Service (NHS) responsible for implementing government policy on mental health as embodied in the National Service Framework for Mental Health (Department of Health 1999) and subsequent policies. The framework gives three key principles of Values-Based Practice (the three Rs of recognition, raising awareness, and respect) and then summarizes some of the specific implications of the approach. Racism, for example, is incompatible with Values-Based Practice because racism is by definition intolerant of diversity. Again, we indicate some of the policy implications of Values-Based Practice for the points about models made by our commentators below.Training for mental health practitioners in Values-Based Practice will be rolled out from April 2005, through both voluntary and statutory bodies, in each of the eight regions of the National Health Service of England and Wales. This roll out will be supported by training methods developed and piloted in a unique joint venture between Warwick University's Department of Philosophy and Medical School, and an in-service training provider, the Sainsbury Centre for Mental Health (Fulford, Williamson, and Woodbridge 2002; Woodbridge and Fulford 2003). These training methods are the basis of a detailed workbook for Values-Based Practice (Woodbridge and Fulford 2004). The workbook will be launched in July 2004 at a conference in London by the Minister of State with responsibility for mental health, Rosie Winterton. Professional Training and Professional Judgment The models project has been central to the development of... (shrink)

The environmental crisis, ecological injustice and climate change are some of the biggest challenges to humanity and sustainable development worldwide. The youth are at the centre of the ecological justice, environmental consciousness and climate change discourse. For the youth to participate and influence development with regard to the climate crisis in a favourable way, they must understand their role and the issues and challenges that they face in this regard.Contribution: The aim of this explorative article is twofold. It highlights the (...) involvement of the South African youth in ecological matters. It also offers insights on why the youth can be regarded as game-changing role-players with regard to the climate crisis and being environmentally conscious. (shrink)

As the world faces rapidly increasing cycles of disruption, challenges, and disorder, mission leaders are stretched to adapt, trying to catch up with the pace of change and provide leadership to further the mission God has given his Church. This paper, presented at the Oxford Centre for Mission Studies Montagu Barker Lecture Series: “Polycentric Theology, Mission, and Mission Leadership,” focuses on ways leadership is changing, suggesting a new theoretical model for mission leadership. It reviews the idea of polycentrism through mission (...) history, mission and church organizations, movement theory, and governance, identifying themes of an emerging theory of polycentric mission leadership. (shrink)

Apical cells are universally present in lower plants and their description has been mostly viewed morphologically as single-celled meristems. This study attempts to demonstrate that the roles of apical cells and more generally of meristems collectively are (a) often the proliferative source of all cells in a plant, (b) sometimes a formative centre in histogenesis and organogenesis and (c) always a regulatory site. As a proliferative centre it occurs as a series of apical cells through a mitotic lineage by unequal (...) divisions which includes a rotational pattern to form cells distributed according to the symmetry of its organ. As a formative centre it determines leaf arrangement in mosses and leafy liverworts as well as the root cap and gametophyte cushion in ferns. It appears initially to determine the type of organ and later the organ determines the type of apical cells within. As a regulatory centre it activates distal secondary cells to proliferate as well as inhibiting neighbouring cells from becoming apical cells to preserve the identity of an organ during its development.Based on these three roles by which apical cells can be recognized an argument can be drafted that seed plants may have apical cells, although morphologically indistinguishable from other cells, singularly or in batteries instead of possessing the traditionally described multicellular meristems. (shrink)

Feeling moved or touched can be accompanied by tears, goosebumps, and sensations of warmth in the centre of the chest. The experience has been described frequently, but psychological science knows little about it. We propose that labelling one’s feeling as being moved or touched is a component of a social-relational emotion that we term kama muta. We hypothesise that it is caused by appraising an intensification of communal sharing relations. Here, we test this by investigating people’s moment-to-moment reports of feeling (...) moved and touched while watching six short videos. We compare these to six other sets of participants’ moment-to-moment responses watching the same videos: respectively, judgements of closeness, reports of weeping, goosebumps, warmth in the centre of the chest, happiness, and sadness. Our eighth time series is expert ratings of communal sharing. Time series analyses show strong and consistent cross-correlations of feeling moved and touched and closeness with each other and with each of the three physiological variables and expert-rated communal sharing – but distinctiveness from happiness and sadness. These results support our model. (shrink)

A two strain HIV/AIDS model with treatment which allows AIDS patients with sensitive HIV-strain to undergo amelioration is presented as a system of non-linear ordinary differential equations. The disease-free equilibrium is shown to be globally asymptotically stable when the associated epidemic threshold known as the basic reproduction number for the model is less than unity. The centre manifold theory is used to show that the sensitive HIV-strain only and resistant HIV-strain only endemic equilibria are locally asymptotically stable when the associated (...) reproduction numbers are greater than unity. Qualitative analysis of the model including positivity, boundedness and persistence of solutions are presented. The model is numerically analysed to assess the effects of treatment with amelioration on the dynamics of a two strain HIV/AIDS model. Numerical simulations of the model show that the two strains co-exist whenever the reproduction numbers exceed unity. Further, treatment with amelioration may result in an increase in the total number of infective individuals (asymptomatic) but results in a decrease in the number of AIDS patients. Further, analysis of the reproduction numbers show that antiretroviral resistance increases with increase in antiretroviral use. (shrink)

Through 1886 to 1889 understanding of the mechanism of telephone transmission was transformed from an electrostatic and traditional view to an electrodynamic one conforming with Maxwell's scheme. Observed at the level of commercial application this painful adjustment occurred via a sequence of controversies connected with self-induction—on techniques of telephony, on electrical measurement, on lightning conductors and on matters of professional ethics—in which the parts played by evidence, by theory, and by authority were strangely mixed. The well-known confrontation of O. Heaviside (...) and W. H. Preece was at the centre of the debate. An open division between traditionalists and progressives amongst electrical engineers was provoked, and the effectiveness of mathematical theory as against pure pragmatism at the practical level had in the end to be conceded. (shrink)

Little is known about the circumstances that give rise to blushing and there have been no systematic attempts to classify and analyze the types of situations where it occurs. The study reported here analyzes a sample of recollections of occasions and a selection of literary episodes. The two sources of evidence yield somewhat different patterns but prominent themes in both are being the centre of attention, whether this is positive, neutral or negative, and the disclosure, or threat of exposure, of (...) a private or sensitive topic. Inspection of example suggests that a blush is associated with self-consciousness. More specifically, it is elicited when circumstances cause someone to take another's perspective on the self, and this generates awareness of a discrepancy between his or her position and this position as it appears to the other. A blush does not require that the other take an adverse view of the actor's position. The blush shows sensitivity to the opinions of others and it is its capacity to communicate this that makes it effective in deflecting aggressive or rejecting responses from others. (shrink)

Tarán’s case against the authenticity of Epinomis depends on the claim that it is incompatible with Plato’s Laws. Behind this claim is the uncritical assumption that the Athenian Stranger of Laws speaks for Plato. While the Athenian Stranger of Epinomis clearly does not do so, the same is equally true, albeit more difficult to detect, of the Stranger in Laws. Once the Athenian is recognized as both ambitious and impious, a reconstruction of the last sentence of Epinomis — on which (...) Tarán’s incompatibility thesis principally rests — reveals the theological-political continuity between the two dialogues: the Stranger is intent on bringing the city into being while securing divine sanction for his own code of laws and divine honours for himself. Plato appended the Epinomis to the Laws in order to make it easier for the student to recognize the Stranger’s intentions as well as to draw attention to Book VII of the Laws, the centre of the dialogue once Epinomis is recognized as its thirteenth book; it is here that the Stranger describes how a mathematical and astronomical man may become a god to other men. (shrink)

Background Implementing person-centred care (PCC) in nursing homes is challenging due to a gap between theory and practice. Bridging this gap requires suitable education, which focuses on learning how to attune care to the values and preferences of residents and take moral, relational, and situational aspects into account. Staff’s stories about the care they provide (i.e. caring stories) may deliver valuable insights for learning about these aspects. However, there is limited research on using staff's narratives for moral learning. Objective This (...) study aims to provide insight into the perspectives of nursing staff on using their caring stories to learn about PCC. Research design In this qualitative research, we conducted two rounds of interviews with 17 participants working in nursing homes. We wanted to obtain nursing staff’s perceptions of working with their caring stories and the impact on PCC. Ethical considerations Participation was voluntary, and participants provided written consent. The study protocol is approved by The Institutional Review Board of the Medical Ethical Committee Leiden-Den Haag-Delft. Findings Working with caring stories enables nursing staff to provide PCC and improves job satisfaction. It increases awareness of what matters to residents, fosters information rich in context and meaning, and enhances voice and vocabulary. Through in-depth team reflections, nursing staff discussed the significant moments for residents, which centralizes the discussions on the moral quality of care. Discussion Working with caring stories fosters dialogue on PCC and enhances reflection on ethical situations in daily encounters, contributing to the moral development of nursing staff. Putting nursing staff’s narratives at the centre of learning suits their daily practice and intrinsic motivation. Therefore, the outcomes of this study are an addition to the existing literature about using narratives in long-term care. Conclusion Using nursing staff's narratives contributes to PCC and positively impacts nursing staff. We recommend using staff's caring stories as a vehicle for moral learning in the transition to PCC. (shrink)

This paper seeks to identify, clarify, and perhaps rehabilitate the virtual reality metaphor as applied to the goal of understanding consciousness. Some proponents of the metaphor apply it in a way that implies a representational view of experience of a particular, extreme form that is indirect, internal and inactive (what we call “presentational virtualism”). In opposition to this is an application of the metaphor that eschews representation, instead preferring to view experience as direct, external and enactive (“enactive virtualism”). This paper (...) seeks to examine some of the strengths and weaknesses of these virtuality-based positions in order to assist the development of a related, but independent view of experience: virtualist representationalism. Like presentational virtualism, this third view is representational, but like enactive virtualism, it places action centre-stage, and does not require, in accounting for the richness of visual experience, global representational “snapshots” corresponding to the entire visual field to be tokened at any one time. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Spiritual Experience and PsychopathologyMike Jackson and K. W. M. Fulford (bio)AbstractA recent study of the relationship between spiritual experience and psychopathology (reported in detail elsewhere) suggested that psychotic phenomena could occur in the context of spiritual experiences rather than mental illness. In the present paper, this finding is illustrated with three detailed case histories. Its implications are then explored for psychopathology, for psychiatric classification, and for our understanding of (...) the concept of mental illness. It is argued that pathological and spiritual psychotic phenomena cannot be distinguished by 1) form and content alone (as in traditional psychopathology), 2) by their relationship either with other symptoms or with pathological causes (as in psychiatric classification), or 3) by reference to the descriptive criteria of mental illness implied by the “medical” model. The distinction is shown to depend, rather, on the way in which psychotic phenomena themselves are embedded in the values and beliefs of the person concerned. This in turn is shown to have implications for diagnosis (it shows the need for clinicians to attend to the values and beliefs of individual patients), for treatment (it points to a cognitive problem-solving model), and for research in psychopathology (especially as related to the emerging sciences of dynamic brain imaging and cognitive neuroscience).Keywordsfirst rank symptoms, schizophrenia, delusion, hallucination, thought disorder, religious experience, mystical experienceIntroductionThis paper explores some of the conceptual and practical implications of the finding that phenomena which in a medical context would probably be diagnosed as psychotic symptoms, may occur in the context of non-pathological, and indeed essentially benign, spiritual experiences.The existence of non-pathological psychotic experiences of this kind (we will call them “psychotic phenomena” as distinct from “psychotic symptoms”—see also Endnote 1, terminology) was a key finding in a study carried out by one of us (MJ) at the Alister Hardy Research Centre (AHRC) in Oxford. Details are given elsewhere both of the overall empirical findings of the study, including the relationship between spiritual experience and personality variables, and of a hypothetical cognitive problem-solving model of these phenomena (Jackson 1991, and forthcoming a and b). In the present paper, 1) the background to the study is described briefly in relation to earlier work on the possible links between spiritual experience and psychopathology; 2) some of the psychotic phenomena identified are illustrated with three detailed case histories; 3) the significance of these phenomena is reviewed for our understanding respectively of psychopathology, of diagnostic syndromes, and of the concept of mental illness; and 4) some of the practical implications of the study for clinical work and research in psychiatry are indicated.BackgroundIt has long been recognized that there are similarities between spiritual and psychotic experiences. [End Page 41] William James (1902), for example, argued that “in delusional insanity, paranoia as they sometimes call it, we may have a kind of diabolical mysticism, a sort of religious mysticism turned upside down” (426). Other commentators have noted a wide variety of phenomena, such as time distortion, synesthesias, loss of self-object boundaries and the transition from a state of conflict and anxiety to one of sudden “understanding,” all of which are reported in both spiritual and psychotic experiences (Buckley 1981; Watson 1982; Wapnick 1969; and Wootton and Allen 1983).Yet the similarities notwithstanding, the distinction between these two kinds of experience can be crucially important. Spiritual experiences, whether welcome or unwelcome, and whether or not they are psychotic in form, have nothing (directly) to do with medicine (Fulford 1996a). It would be quite wrong, then, to “treat” spiritual psychotic experiences with neuroleptic drugs, just as it is quite wrong to “treat” political dissidents as though they were ill (Fulford, Smirnoff and Snow, 1993). Pathological psychotic experiences, on the other hand, or psychotic symptoms, are by definition a proper object of medical treatment, sometimes even against the wishes of the person concerned. Hence it would be both negligent and, as Wing (1978) put it, morally “repellent,” to leave untreated someone who is genuinely ill (244).Given how much turns on the distinction between spiritual experience and psychopathology, it is perhaps not surprising that scholarly discussion of the relationship between them has at times... (shrink)

Wolff and the First Fifty Years of German Metaphysics offers a fresh account of philosophical developments in German philosophy in the first half of the 18th century. At the centre of this book is Wolff's seminal text on metaphysics, the Deutsche Metaphysik of 1719, a text that modernized and advanced German philosophy but also provoked a vigorous intellectual controversy which informed and animated German thought through the decades until Kant's later philosophical revolution. -/- Corey W. Dyck draws extensively on the (...) wider intellectual context and Wolff's own early philosophical and scientific writings to provide a new and comprehensive account of Wolff's metaphysics, with particular emphasis on Wolff's views on the human soul and God. Dyck explores the impact of Wolff's text, beginning with a widely-neglected aspect of Wolff's reception in Germany, namely, the striking uptake of his philosophy among women intellectuals and Wolff's hostile reception by his Pietist colleagues. In the concluding chapters, a number of key metaphysical debates in the aftermath of the controversy between Wolff and the Pietists are considered. The reader is shown how these two opposed intellectual systems served as the indispensable frame for metaphysical inquiry-inspiring and shaping discussion among German thinkers-in the first half of the 18th century. In the end, this all points to the rich philosophical vein exposed through the opening of the fracture between Wolffianism and Pietism, and takes a step towards giving Wolff-but also his Pietist critics and the philosophers who took up positions between them-their rightful place at the beginning of the history of classical German metaphysics. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:February 19, 2011 (11:48 am) E:\CPBR\RUSSJOUR\TYPE3002\russell 30,2 040 red.wpd russell: the Journal of Bertrand Russell Studies n.s. 30 (winter 2010–11): 155–82 The Bertrand Russell Research Centre, McMaster U. issn 0036-01631; online 1913-8032 eviews AN INTRODUCTION TO THE PROBLEMSz Omar W. Nasim Science Studies / Swiss Federal Institute of Technology (eth) 8092 Zürich, Switzerland [email protected] David Mills Daniel and Megan Daniel. BrieXy: Russell’sz The Problems of Philosophy. London: scm P., (...) 2007. Pp. viii, 131. isbn 978-0-334-04118-4. £7.99. The following book is a part of the SCM BrieXyz series, which already includes such titles as Anselm’s Prosologion and Kierkegaard’s Fear and Trembling. The series objective is to “enable students and general readers to acquire knowledge and understanding of key texts in philosophy, philosophy of religion, theology and ethics” (p. vii). Each volume is a “short guide” to a particular philosopher ’s ideas through a close reading of a primary text by that philosopher. This review looks at the volume on Bertrand Russell’s The Problems of Philosophy, which is divided by the authors into a few parts, including a section on the “Context”, a “Detailed Summary of Bertrand Russell’s The Problem of Philosophy ”, an overview and a helpful glossary of terms. The “Context” provides a very brief statement about who Russell was, and spends most of its pages summarizing the arguments of Russell’s Problems. The last few pages of this section provide some helpful “Issues to Consider,” which are a list of pertinent questions one may ask of Russell’s Problems, and ends with some further reading. It ought to be noted that the “Context” is not about the history of Russell’s text, nor is it an attempt to relate the latter to Russell’s other works. This is unfortunate, considering Russell’s well-known philosophical development and the rich history surrounding Problems. The volume under review is indeed a problemoriented study of Problems which uncritically rehearses the same embedding of problems that Russell urges, especially in relation to the British empiricist tradition of the early modern period. The main section of the book is the “Detailed Summary” and is itself divided in the same way in which Russell’s Problems is divided; that is, into Wfteen subsections, with exactly the same headings and order. Using a reissued second edi- February 19, 2011 (11:48 am) E:\CPBR\RUSSJOUR\TYPE3002\russell 30,2 040 red.wpd 156 Reviews 1 It has the same pagination as oup’s 1967 edition in the uk.z—zEd. tion of Russell’s Problems by Oxford University Press (2001),1 Daniel and Daniel provide a very close, page-by-page exposition of each chapter of Russell’s Problems. The reading is in fact so close that not only is there nearly the same number of pages dedicated to each chapter as in the original, but just about every sentence teems with scare quotes. This goes for not only technical terms such as “universal”, “sense-data”, “relations”, etc., which remain snared by scare quotes throughout the entire section, but also all sorts of other terms such as “light”, “motion”, “just”, “forgotten”, etc. The rationale for this is given in the introduction and is supposed to “enable the reader to follow each development in the philosopher’s argument” (p. vii). Unlike the terms that are in bold type, which are given some explanation in the glossary, the reviewer Wnds the sheer number of scare quotes distracting and pedagogically confusing, because there is no distinction made between terms central to Russell’s argument and those used only in the construction of a sentence. But even the glossary entries are oddly compiled. While most correspond to the bold-type terms in the Summary, some are terms not found anywhere but in the introduction or the “Context” section. So Sartre, Wittgenstein, McMaster University, and Bertrand Russell Peace Foundation are nowhere to be found in Russell’s original, or in the summary provided by the authorsz—zthey are simply terms used in passing in the introduction or “Context” and without being introduced in bold type. Other... (shrink)

There is a fundamental inconsistency in Western society’s treatment of non-human animals on the one hand, and of human foetuses on the other. While most Western countries allow the butchering of animals and their use in experimentation, this must occur under carefully controlled conditions that are intended to minimize their pain and suffering as much as possible. At the same time, most Western countries permit various abortion methods without similar concerns for the developing fetus. The only criteria for deciding which (...) abortion method is used centre in the stage of the pregnancy, the size of the fetus, the health of the pregnant woman and the physician’s preference. This is out of step with the underlying ethos of animal cruelty legislation, cannot be justified ethically and should be rectified by adjusting abortion methods to the capacity of the fetus to experience nociception and/or pain. (shrink)

I begin by quoting from two valuable recent works on Horace. Professor Brink in his Horace on Poetry writes: ‘The centre of the short piece lies in lines 21—34. Readers, among them critics and poets, had denied one aspect of the Odes which was surely above criticism—the striking originality of these poems. Horace's defence turns on the question of originality’ and ‘Epistle 19 is unique in that it alone among the literary satires and letters reiterates Horace's claim to be the (...) Latin fidicen’ . And Dr. McGann in his Studies in Horace's First Book of Epistles : ‘In Ep. 19... as in the literary satires, Horace is a practising poet or at least a very recently practising one, engaged in defending himself against hostile criticism’ and ‘As the only epistle concerned exclusively with literary matters, the nineteenth stands apart’. (shrink)

This paper examines the question of whether a fetus can feel pain. The question is divided into four sub questions: What is pain? What is the neurology of pain processing? What is the fetus? Are there good reasons for holding that fetuses feel pain? Pain is suggested to be a multi‐dimensional phenomenon drawing on emotional and sensory processes – a consequence of a gradual development involving a number of noxious events rather than an automatic consequence of injury or disease. The (...) non‐automaticity of pain is emphasised in the discussion of pain neurology that defies explanations based on a specialised neuronal ‘pain‐centre’. The development of the fetus is considered with respect to developmental neurobiology, behavioural and neurological responses to stimulation, and hormonal and neurochemical responses to noxious stimulation. While acknowledging that the development of the fetus is complex, especially after 26 weeks gestation, considerable development is still to occur, even after birth. The fetal pain literature is criticised for tending to exaggerate fetal development. Finally, the difficulty of explaining the subjectivity of pain in materialist terms is discussed. Pain is suggested to arise with development of the necessary neurological, cognitive and emotional structures. Pain experience is placed at approximately 12 months of age, though this is within the context of a continuum of awareness rather than a straight ‘on‐off’ switch. The major moral implication of this stance is to place the burden of proof for analgesic use onto clinical measures, rather than relying upon the, so far, poorly supported assumption of pain awareness. (shrink)

Le monde se révèle à l'homme, comme matière, temps et esprit. L'on sait à présent que considérés dans l'espace et le temps, la terre est d'une extrême petitesse et l'homme un être éphémère. Une conception du monde qui prendrait l'homme pour centre et partirait de lui ne donnerait donc aucune garantie de probabilité. Pourtant elle est assez générale, accoutumés comme nous sommes à juger d'après les perceptions grossières des sens, qui trop souvent nous induisent en erreur. Selon les physiciens, la (...) formule mathématique réunissant les coördonnées du temps et de l'espace, serait la plus conforme à la représentation du monde matériel. Nous avançons ici l'hypothèse que le monde matériel répond effectivement à cette conception, et qu'il est donc un monde plongé dans un repos éternel, dans lequel nous voyageons, pour ainsi dire, avec notre temps. Grâce à cette hypothèse, la causalité, le miracle, la prévoyance de l'avenir, s'expliquent plausiblement. Manifestement le troisième principe, l'esprit, est à la fois en interaction avec la matière et indépendante d'elle. Cette action réciproque suppose une parenté partielle entre l'esprit et la matière. C'est pourquoi nous proposons une seconde hypothèse: l'esprit est une "facies" de la matière qui reste en dehors de la rigidité du monde considéré comme espace et temps. On a toujours considéré ces éléments spirituels comme étant des êtres spirituels, mais leur aspect anthropomorphique nous empêche de croire à leur existence réelle. Si nous identifions la partie spirituelle du corps humain avec l'homme spirituel, le problème du libre arbitre s'explique avec clarté. Seul le procès spirituel du libre arbitre est vraiment libre, mais la volonté ne peut réaliser aucun changement dans la substance purement matérielle. La conception d'une àme se logeant dans le corps matériel comme dans une maison, et qui par ses actions détermine sa demeure future ne s'accorde pas avec l'hypothèse du monde matériel-et-temporel-en-repos. Suivant nos conceptions humaines, nous avons imaginé des êtres spirituels animés d'une volonté libre. Mais alors il faut supposer une unité spirituelle supérieure, qui considère et qui décide. Or, cette conception étant anthropomorphique il est admissible qu'elle soit la véritable figuration du monde. La solution de ce problème pourrait être trouvée par une troisième hypothèse" selon laquelle il existerait un monde supérieur, dans lequel le monde-du-temps-et-de-l'espace fusionne avec un temps supérieur, auquel le nom de "temps spirituel" serait approprié. Seul, ce monde supérieur plongé dans un repos éternel peut nous expliquer d'une façon convaincante l'univers. Un monde d'une essence et d'une invariabilité éternelles, dans lequel le temps, capable d'agir pas des voies infiniment variées, introduit des événements innombrables, les processus spirituels étant effectués par le temps spirituel, les événements matériels par ce que nous sommes habitués à appeler "le temps". (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Buddhist-Christian Studies 20 (2000) 287-292 [Access article in PDF] Book Review Original Tao: Inward Training and the Foundations of Taoist Mysticism Laughing at the Tao: Debates Among Buddhists and Taoists in Medieval China Taoist Tradition and Change: The Story of the Complete Perfection Sect in Hong Kong Lord of the Three in One: The Spread of a Cult in Southeast China Original Tao: Inward Training and the Foundations of (...) Taoist Mysticism. By Harold D. Roth. New York: Columbia University Press, 1999. xv + 275 pp. Laughing at the Tao: Debates Among Buddhists and Taoists in Medieval China. By Livia Kohn. Princeton: Princeton University Press, 1995. xii + 281 pp. Taoist Tradition and Change: The Story of the Complete Perfection Sect in Hong Kong. By Bartholomew P. M. Tsui. Hong Kong: Chinese Study Centre on Chinese Religion and Culture, 1991. 207 pp. Lord of the Three in One: The Spread of a Cult in Southeast China. By Kenneth Dean. Princeton: Princeton University Press, 1998. xii + 406 pp. Buddhism in China has many forms: sometimes functioning as a foreign object provoking attraction, rivalry, or persecution, and at other times being so integrated that it epitomized or completed Chinese culture. Although the elite monastic community maintained its distinctive Buddhist identity throughout its history, the story of the various forms of popular appropriation of Buddhist elements beyond the monastic [End Page 287] walls is just beginning to be studied. Probably the most important arena where Buddhism became part of Chinese culture is its mixture with Daoist practice, but only in the 1990s have Daoist studies evolved to the point where the Buddhist presence can be traced and evaluated. The four books listed above are among a shelf-full of new studies on Daoism that offer resources for exploring the complex relationships among Buddhism, Daoism, and Chinese culture.The study of the Inner Training by Harold Roth clarifies a core practice within early Daoism that was later integrated--usually without acknowledgment--as a central practice by both Confucianists and Buddhists, especially Ch'an. In contrast, the definitive study by Livia Kohn of the Xiaodao lun shows a carefully constructed Buddhist attack on Daoist scriptures. During the last millennium, the two most influential integrations of the three religions--Daoism, Buddhism, and Confucianism--were achieved by Wang Chong-yang (1113-1170) and Lin Zhao-en (1517-1598). Bartholomew Tsui offers an important field study of the liturgical practices of the contemporary followers of Wang as embodied in Hong Kong temples of Quanzhen (Complete Perfection) Daoism, while Kenneth Dean provides a massive field report of over one thousand temples of the Xiajiao movement in contemporary Fujian Province that revere the teachings of Lin Zhao-en as Lord of the Three-in-One. All four books provide rich materials for reflecting on interreligious encounter in China.The archaeological discovery of lost Chinese texts has made clear that the Lao-tzu is no earlier than the beginning of the third century b.C.E. and did not exist at the time of Confucius. Harold Roth's book argues that earlier than the book of Lao-tzu there was a movement of internal cultivation that was first expressed in two fourth-century b.C.E. texts, the first seven chapters of Chuang-tzu and a text found among the seventy-six texts in the Kuan-tzu that Roth calls Inner Training. Roth proposes that this latter text constitutes the "original Tao" in the sense that it is the core practice embodied in those thinkers who were grouped together by later historians. Roth observes that the earliest identification of a Daoist school (daojia) by Ssu-ma T'an about 110 b.C.E. emphasized techniques or practices, "not the philosophies that developed along with them and that support them.... Techniques must be seen as a way to define pre... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Past, Present—and Future Perfect?Taking Psychiatry Beyond Its Single Message MythologiesK. W. M. Fulford (bio)I am grateful to John Sadler and his colleagues for their generous invitation to contribute to this collection marking Philosophy, Psychiatry, & Psychology (PPP)'s thirtieth birthday. True to our editorial tradition of "no nonsense" publishing, the "ask" was a reflection on PPP's past, present and future, limited to 500 words. In fact, one word does it (...) for me—collegiality.Collegiality was our watch word from the start. I still treasure a group photo taken at an early pre-meeting of the Association for the Advancement of Philosophy and Psychiatry (AAPP) convened by Michael Schwartz at his home in 1992, when, among other initiatives, PPP was conceived through transferring our then-nascent journal proposal from a small British publishing house to its current international publisher, the Johns Hopkins University Press. Michael and I had met earlier by phone when he had called the Royal College of Psychiatrists in London to enquire about its recently launched Philosophy Group and (by mere chance) I happened to be standing next to the person who took the call! PPP, with John and myself its founder editors, was subsequently born as, and has remained, a joint venture between our two groups: and Peter Zachar's recent initiative in building closer links with the International Network for Philosophy and Psychiatry (INPP) has taken us an important step towards the vision shared by Michael, John and myself that PPP should grow to reflect and represent a global open society of philosophy and mental health.As a pointer to the future, this global open society was no mere utopian vision but a joint commitment to what we conceived as a necessary ambition. Contemporary disenchantment with the repeated failures of translation of current narrowly empirical models of psychiatry, points to the truth of our German colleague, Paul Hoff's, characterization of the history of psychiatry as a history of serial collapses into single message mythologies. This disenchantment might seem to offer an opportunity for colonial expansion of philosophy into psychiatry (a re-assertion, perhaps, of phenomenology?). But PPP was born out of the "decade of the brain" and has remained throughout an ally of, not competitor to, the neurosciences. [End Page 3] So, while it is true that, with Peter's initiative, and with editorial and other innovations introduced by John, PPP is actively extending its reach (to new areas of philosophy, and to new voices, informed notably by experience as well as by training), this expansion remains a collegial not colonial enlargement of the field. I need hardly point to the challenges presented by the inclusive ambitions of such enlargement (not least to maintaining the highest standards of editorial and peer review). But PPP's collegiality provides the foundation for the work needed to deliver on these challenges. Even if imperfectly realized, this collegiality will help to take us beyond the single message mythologies by which our discipline has too long been hobbled. [End Page 4]K. W. M. Fulford K.W.M. (Bill) Fulford is a Fellow of St Catherine's College and Member of the Philosophy Faculty, University of Oxford; Emeritus Professor of Philosophy and Mental Health, University of Warwick Medical School; and Founder Director of the Collaborating Centre for Values-based Practice, St Catherine's College, Oxford (valuesbasedpractice.org).Copyright © 2023 Johns Hopkins University Press... (shrink)

James A Edwards1, David W Mathes21Department of Plastic and Reconstructive Surgery, Skagit Valley Hospital, Mount Vernon, WA, USA; 2Division of Plastic Surgery, University of Washington Medical Center, Seattle, WA, USA: The surgical history of transplantation in the modern era begins in 1956 with the successful transplantation of a kidney between identical twins. Since then the field of transplantation has seen remarkable advancements in both surgical techniques and our understanding and ability to manipulate the immune response. Composite tissue allotransplantation involves (...) the transplantation of any combination of vascularized skin, subcutaneous tissue, blood vessels, nerves, muscle, and bone. Orthotopic hand transplantation is considered the first clinical example of CTA and has seen success at many different centers worldwide. Facial allotransplantation is a recent development in the field of CTA and the first successful case was performed as recently as November 2005. Since then there have been a number of successful facial transplants. The purpose of this paper is to examine some of the issues surrounding facial transplantation including the complex ethical issues, the surgical and clinical issues, cost and administrative issues, and future directions for this new, exciting, and controversial field.Keywords: composite tissue allograft, facial transplantation. (shrink)

Micheline Sauvage of the French National Scientific Research Centre traces for us the story of this great Athenian and great philosopher, as seen both by his contemporaries and by the European philosophers who followed after him.

‘Text’ has been a frequent notion in analytical conceptualizations of landscape and the city. It is mostly found in analyses of textual representations or suggestions concerning a metaphor of “reading” an (urban) landscape. In the Tartu-Moscow School of Semiotics the idea of the text of St. Petersburg has also been applied in analysing particular cities as organizing topics in literature and in culture more widely, but it has not happened to an equal degree in studies of actual urban spaces. The (...) understanding of text as a semiotic system and mechanism is, however, more promising than revealed by these conceptions. Some potential can be made apparent by relating this textual paradigm to a more pragmatic understanding of the city and its planning. My project in this paper is to uncover an analytical framework focusing on the concepts of ‘text’, ‘textualization’ and ‘texting’ in studying the planning of urban environment. The paper observes the case of the urban planning process of the Tartu city centre in Estonia during 2010–2016, and is particularly concerned with the roles that urban nature has acquired in the process of this “textualization” of the local environment, societal ideals, practices and possible others. (shrink)

Built in the centre of Copenhagen, and noted for its equestrian stairway, the Rundetaarn, was intended as an astronomical observatory. Part of a complex of buildings that once included a university library, it affords expansive views of the city in every direction, towering above what surrounds it. The metaphor of the towering figure, who sees what others might not, whose vantage point allows him to visualize how things fit together, and who has an earned-stature of respect and authority, fits another (...) Danish stalwart, Hans Vilhelm Hansen, whose contributions to the fields of informal logic and argument theory have earned the gratitude of his colleagues, and inspired this collection of essays, written to express the appreciation of its authors and of the many, many colleagues they represent. (shrink)

Obstetric Fistula is an abnormal opening between the vagina and rectum resulting from prolonged and obstructed labour. Studies indicate that delays in accessing maternal care and home birth contribute to the development of fistula. Survivors are usually women of low socioeconomic status residing in rural locations. This study explores the birthing experiences of 15 fistula survivors through a narrative inquiry approach at a repair centre in North‐central Nigeria. Using structural violence as a lens, it describes the role of social, political (...) and health systems in the inequitable access to care for women. For women opting for home births, preference for home delivery was mainly due to lack of finances, poor health systems and cultural practices. Rural location inhibited access as women seeking facility delivery faced transfer delays to referral centres when complications developed. Inequitable maternal health services in rural locations in Nigeria are inherently linked to access to health care, and these contribute to the increased incidence of fistulae. Structural intervention is a health policy priority to address poor health systems and achieve universal health coverage to address maternal health issues in Nigeria. (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)