Principle-based formulations of bioethical theory have recently come under increasing scrutiny, particularly insofar as they give prominence to personal autonomy. This essay critiques the dominant conceptualization of autonomy and urges an alternative formulation freed from the individualistic assumptions that pervade the prevailing framework. Drawing on feminist perspectives, I discuss the need for a vision of patient autonomy that joins relational experiences to individuality and acknowledges the influence of patterns of power and authority on the exercise of patient agency. Deficiencies in (...) the current models of science and social relations guiding medical practice are analyzed, particularly (1) the tendency to disregard the patients self-knowledge and (2) failure to recognize limitations on the generalizability of medical knowledge. Models of social relations such as mothering and friendship are explored to advance a conception of autonomy better suited to the practical activities of medicine. In conclusion, I consider how acknowledgement of the specificity and complexity of social relations can contribute to reconfiguration of other principles comprising the standard framework of bioethics, particularly beneficence, justice, and equality. (shrink)

School-based education in England has undergone significant changes since 2010, with a huge expansion of academies, schools outside local authority control, funded directly by central government. Academies and local authority (LA) maintained schools are subject to different legislative and regulatory frameworks. This paper focuses on the governance of LA maintained schools, single academy trusts (SATs) and schools that are part of multi-academy trusts (MATs). The research involved analysing legislative provision, policy documents, and documents addressing the governance arrangements of a sample (...) of 23 secondary schools. Our findings reveal a fragmented state-funded secondary school system as regards overall governance, school admissions, the curriculum, and the use of funding. Significantly schools in MATs, which are governed by the trust board, lack the autonomy of either SATs or maintained schools and are instead under the ultimate control of the trust board. The paper argues that there is a need for greater consistency regarding the governance of state-funded schools. (shrink)

Increasingly, nurses conduct scientific inquiry into complex health‐care problems by collaborating on teams with researchers from other highly specialized fields. As cross‐disciplinary research proliferates and becomes institutionalized globally, researchers will increasingly encounter the need to integrate their particular research perspectives within inquiries without sacrificing the potential contributions of their discipline‐specific expertise. The work of the philosopher Bernard Lonergan (1904–1984) offers the necessary philosophical grounding. Here, I defend a role for philosophy in cross‐disciplinary research and present selected ideas in Lonergan's work. (...) These include: (1) a dynamic, normative pattern that each inquirer operates uniquely also forms the common core, or unity, in knowing; (2) the possibility of cross‐disciplinary knowledge development is dependent on each researcher's consciousness of her or his attentiveness, intelligence, reasonableness, and responsibleness; and (3) shifts in researchers' viewpoints, or horizons, facilitate their collaborative inquiry and their grasp of the unity in knowing. The desire to know, shared by team members, drives their inquiry. Lonergan's stance is consistent with nursing values because it respects, but does not unconditionally privilege, any researcher or discipline. Arguments support a claim that Lonergan's perspective is well suited to guide nurse researchers participating on cross‐disciplinary health research teams. (shrink)

Le pape François se retrouve à la tête d’une Eglise confrontée à de grandes difficultés. Il a lancé et poursuivi des chantiers que son prédécesseur a eu du mal à faire avancer. Il a su se placer au centre des discussions essentielles de notre époque : la richesse et la pauvreté, l'équité et la justice, la transparence, la modernité, la mondialisation, le rôle de la femme, l’ouverture de la prêtrise aux femmes, la nature du mariage, l’accueil des divorcés remariés, les (...) tentations du pouvoir, les _relations avec l'islam, la lutte contre la pédophilie, les finances du Saint-Siège, _l’abolition du célibat ecclésiastique, _la gouvernance de l'Eglise, la redynamisation de la foi en Europe. Même si nous n’allons pas aborder tous ces thèmes, le pape pour sa part _n’a guère d’autres solutions que de poursuivre dans la route déjà empruntée pour une Église à géométrie variable. Au-delà de sa personne, il s’agit de l’Eglise et, surtout de l’accueille du Christ par notre société contemporaine dans sa diversité culturelle. Ce qui est frappant c’est de voir comment le Pape François catalyseur, conçoit son ministère à travers l’écoute des pasteurs qui ont eux-mêmes écouté le peuple. Il insiste souvent sur l’enjeu de la liberté de parole et de débat. D’où la place que nous avons à la riche culture africaine. (shrink)

This paper is concerned with aspects of responsibility in Norwegian public health nursing. Public health nursing is an expansive profession with diffuse boundaries. The Norwegian public health nurse does not perform ‘hands on’ nursing, but focuses on the prevention of illness, injury, or disability, and the promotion of health. What is the essence of ethical responsibility in public health nursing? The aim of this article is to explore the phenomenon based on the ethics of responsibility as reflected upon by the (...) philosopher Emanuel Levinas (1906–1995). From an ethical point of view, responsibility is about our duty towards the Other, a duty we have not always chosen, are prepared for, or can fully explain; but it is nevertheless a demand we have to live with. Interviews with five experienced Norwegian nurses provide the empirical base for reflection and interpretation. The nurses share stories from their practice. In interpreting the nurses’ stories, the following themes emerge: personal responsibility; boundaries; temporality; worry, fear, and uncertainty; and a sense of satisfaction. As the themes are developed further, it becomes apparent that, despite their diversity, they are all interrelated aspects of ethical responsibility. Responsibility for the Other cannot be avoided, ignored, or transferred. The nurses’ responsibility is personal and infinite. Levinasian ethics can help nurses understand the importance of accepting that being a responsive carer can involve not only contentment in the predictable, but also the fear, worry, and uncertainty of the unpredictable. (shrink)

This paper interprets the British legislative process that initiated the first comprehensive national regulation of embryo research and fertility services and examines subsequent efforts to restrain the assisted reproduction industry. After describing and evaluating British regulatory measures, I consider successive failures to control the assisted reproduction industry in the US. I discuss disparities between UK and US regulatory initiatives and their bearing on regulation in other countries. Then I turn to the political and social structures in which the assisted reproduction (...) industry is embedded. I argue that regulatory bodies are seldom neutral arbiters. They tend to respond most readily to special interests and neglect strategies that could more effectively meet the health needs of the people they represent. Neither national nor international bodies have aggressively pursued policies to harness the industry, reduce infertility rates, or meet the needs of people whose fertility is threatened by substandard healthcare and environmental neglect. In conclusion, I consider recent initiatives by activist groups to mount an alternative response to the industry's current practices and build a transnational reproductive justice movement. (shrink)

Dignified care is a central issue in the nursing care of older adults. Nurses are expected to treat older adults with dignity, and older adults wish to be treated in a dignified manner. Researchers have recommended investigating the concept of dignity based on specific contexts and population groups. This meta-synthesis study aims to explore the understandings of dignity from the perspective of older adults in the Nordic countries. Synthesising findings from qualitative studies on older adults’ experiences of dignity has provided (...) important insight into what can be essential for dignified care in a Nordic context. The importance of visibility and recognition for the experience of dignity is an overarching theme in all the studies. The participants’ descriptions mostly implicated an existence dominated by a lack of recognition. The older adults do not feel valued as people or for their contribution to society and strive to tone down their illnesses in an attempt to become more visible and acknowledged as people. Toning down their illnesses and masking their needs can protect their independence. At the same time, becoming less visible can leave them without a voice. The metaphorical phrase protected and exposed by a cloak of invisibility is used to express the authors’ overall interpretation of the findings. Lack of recognition and being socially invisible is a genuine threat to older adults’ dignity. (shrink)

Young netizens are an emerging generator of online content, engaging in an increasing number of online flaming interactions. This shortened communication mode has incorporated power amplifiers, enabling the inclusion of both verbal and non-verbal triggers, thereby initiating abuses akin to cyberbullying. Cyberbullying has emerged as an extremely unstable hot issue, which is difficult to regulate upstream, severely impacting inexperienced young netizens. This Machiavellian apparatus proves to be sophisticated, given its powerful nature, and results in its victims being ensnared in a (...) cyber net from which they see very little escape. Laws have been enacted to combat cyberbullying, which is rampant among netizens, highly naive or actively aggressive in their use of various social media platforms. (shrink)

This paper gives a critical edition of the Treatise on the Easter Computus of Barlaam of Seminara, with a French translation and commentary. Written around 1333 this treatise demonstrates systematically and scientifically why the Easter Canon used at that time by the Church is superseded. Nevertheless Barlaam advises that the usual Canon should not be changed. In spite of its objectivity, Barlaam's treatise must be seen in the context of his rivalry with Nicephorus Gregoras, who had already proposed to modify (...) the Canon. The paper analyses Gregoras' text and gives a comparison with Barlaam's treatise. At the scientific level, both scholars rely on Ptolemy for the date of the spring equinox and the length of the Solar year, but Barlaam introduces a supplementary argument, which is the inexactness of the 19 year cycle. (shrink)

Un jeu subtil associant les dimensions visuelles, culturelles ou sociales s’établit entre l’utilisateur de la règle et son destinataire. L’étude des différentes méthodes employées met en lumière cette dynamique du discours juridique. Cette nécessité de spécifier les rôles, de montrer les visages multiples a pour vocation de rendre sensible et conscient le locuteur au pluralisme organisé dans le discours juridique. C’est dans la multiplicité que le discours peut s’avérer fragile, susceptible de rupture dans la compréhension de sens.

From its origins in the twelfth century, the rosary grew to become the most popular extraliturgical prayer of the Catholic church. Why this text—of all the medieval experiments in religious exercises—succeeded so dramatically has to do with the form of the text itself and with developments in popular religious piety. Like other medieval texts, the rosary was “written” collectively, that is, by accretion, experimentation, and revision, as users adapted it to evolving spiritual and practical ends. The most significant development in (...) this process was the addition of “mysteries” to the prayer, which profoundly changed its character and created a new religious exercise uniquely suited to the needs of the lay faithful. Ultimately, the devotion shaped, and was shaped by, the demands of the laity for new, more individual and private forms of religious observance. (shrink)

Drawing upon five years of experience with an interdisciplinary initiative, colleagues in biology, literary studies, and physics offer a framework by which to understand the nature and value of interdisciplinary work. Effective interdisciplinary exchange depends on a dynamic and mutual interplay that challenges normally unexamined disciplinary assumptions. Effective interdisciplinary exchange can not only reinvigorate the disciplines but also engage them more effectively in a common intellectual enterprise, one that in turn is able to engage more effectively with a wide range (...) of human concerns beyond the academy. (shrink)

The Oceania region is home to some of the world's most restrictive abortion laws, and there is evidence of Pacific Island women's reproductive oppression across several aspects of their reproductive lives, including in relation to contraceptive decision‐making, birthing, and fertility. In this paper we analyse documents from court cases in the Pacific Islands regarding the illegal procurement of abortion. We undertook inductive thematic analysis of documents from eighteen illegal abortion court cases from Pacific Island countries.Using the lens of reproductive justice, (...) we discuss the methods of abortion, the reported context of these abortions, and the ways in which these women and abortion were constructed in judges' summing up, judgements, or sentencing. Our analysis of these cases reveals layers of sexual and reproductive oppression experienced by these women that are related to colonialism, women's socioeconomic disadvantage, gendered violence, limited reproductive control, and the punitive consequences related to not performing gender appropriately. (shrink)

OverviewEn 1979, la revue Meta publiait, sous la direction de Jean-Claude Gémar, un numéro spécial consacré, pour une première fois, à la traduction juridique comme activité et discipline autonomes au sein de la jeune traductologie [8]. Ce numéro reste une référence devant la persévérance et la rigueur manifestées par le Bureau des traductions d’alors et l’action, inspirée et audacieuse, du ministère de la Justice du Canada , qui laissaient entrevoir l’avènement d’une «jurilinguistique» en gestation. Cette tentative de refrancisation du langage (...) du droit canadien par le biais de lois bilingues, corédigées et non plus traduites, allait connaître une fortune peu commune. L’exemple canadien et son modèle de «lisibilité» de la loi se sont en effet répandus, inspirant de nombreux États aux quatre coins du monde. Quelques années plus tard, en 1982, le Conseil de la langue française du Québec publiait, sous la direction de J-C Gémar, un ouvrage collectif bilingue trai .. (shrink)

Reaction time to detect a phoneme target in a sentence was found to be faster when the word in which the target occurred formed part of the semantic focus of the sentence. Focus was determined by asking a question before the sentence; that part of the sentence which comprised the answer to the sentence was assumed to be focussed. This procedure made it possible to vary position of focus within the sentence while holding all acoustic aspects of the sentence itself (...) constant. It is argued that sentence understanding is facilitated by rapid identification of focussed information. Since focussed words are usually accented, it is further argued that the active search for accented words demonstrated in previous research should be interpreted as a search for semantic focus. (shrink)

The significance of private standards and associated local level initiatives in agri-food value chains are increasingly recognised. However whilst issues related to compliance and impact at the smallholder or worker level have frequently been analysed, the governance implications in terms of how private standards affect national level institutions, public, private and non-governmental, have had less attention. This article applies an extended value chain framework for critical analysis of Private Standards Initiatives (PSIs) in agrifood chains, drawing on primary research on PSIs (...) operating in Kenyan horticulture (Horticulture Ethical Business Initiative and KenyaGAP). The paper explores the legislative, executive and judicial aspects of governance in these southern PSIs highlighting how different stakeholders shape debates and act with agency. It is argued that governance is exercised ‘beyond the vertical’ in that one can identify wider horizontal processes of governance, including how the scope of key debates is constructed (especially in legislative governance) but analysis of executive governance emphasises the dominant role of the lead buyers. (shrink)

The principled approach to theory building that has been a conspicuous mark of bioethical theory for the past generation has in recent years fallen under considerable critical scrutiny. Although some critics have confined themselves to reordering the dominant principles, others have rejected a principled approach entirely and turned to alternative paradigms. Prominent among critics are antiprin-ciplists, who want to jettison the principle-based approach altogether and adopt a casuistic model, and communitarians, who favor an eclectic model combining features of both the (...) casuistic model and a modified principled approach. Particularly conspicuous in virtually all such critiques is their challenge to the preeminence of the principle of autonomy. Critical barbs have been aimed not only at theories favoring a hierarchical ordering of moral principles that give first place to autonomy, but also at those that include autonomy among a set of ostensibly coequal principles. Though these critics have performed a valued function by displacing bioethical principles from their Olympian perch beyond actual decision-making contexts, some version of the principle of autonomy may, nonetheless, be well worth defending but for very different reasons than those put forward by its supporters. (shrink)

Representations of the active brain have served to establish a particular domain of competence for brain mappers and to distinguish brain mapping’s particular contributions to mind/brain research. At the heart of the claims about the emerging contributions of functional brain mapping is a paradox: functional imagers seem to reject representations while also using them at multiple points in their work. This article therefore considers a love-hate relationship between scientists and their object: the case of the iconoclastic imager. This paradoxical stance (...) is the result of the formation of an interdisciplinary approach that brings together a number of scientific traditions and their particular standards of what constitutes scientific evidence. By examining the various ways in which images are deployed and rejected, the origins of these conflicting tendencies can be traced to the technological, methodological, and institutional elements in the work of functional imagers. This approach provides insight into the current demarcation of imaging and reflects on features of visual knowledge. (shrink)

Michel Serres nous est familier sous les traits du père de Petite Poucette, de l'écrivain, du conteur, du philosophe scientifique. Il l'est certainement moins sous ceux du "pèlerin de l'absolu", comme il aimait à se définir. Pourtant, que l'on évoque ses premiers ouvrages honorant la figure d'Hermès, les voix animistes peuplant le chant du monde, la parole forte de Bioqée, les anges dont il écrivit La Légende, les accents panthéistes du Tiers-Instruit, les chants poétiques, voire les expériences mystiques, qui ont (...) innervé ses livres jusqu'à la clé de voûte de Relire le relié, le thème du religieux émaille de part en part sa philosophie. Anne Baudart, philosophe proche de Serres, propose ici une nouvelle approche, qui revisite l'œuvre du penseur à l'aune des liens - parfois inattendus, mais toujours vivants - qu'il a tissés, de livre en livre, avec le religieux. N'aspirait-il pas, au fond, à une religion du lien, qui n'exclut rien ni personne?"--Page 4 of cover. (shrink)

Recently a number of philosophers have argued for a kind of encroachment of the practical into the epistemic. Fantl and McGrath, for example, argue that if a subject knows that p, then she is rational to act as if p. (Fantl and McGrath 2007) In this paper I make a preliminary case for what we might call encroachment in, not knowledge or justification, but epistemic excellence, recent accounts of which include those of Roberts and Wood (2007), Bishop and Trout (2005), (...) and Baehr (2011). I believe that practical considerations bear on whether a disposition is an epistemic excellence, and I propose a practical condition on epistemic excellence that is roughly analogous to the practical condition on knowledge proposed by Fantl and McGrath. Since the view is also an epistemic analogue to a kind of moral rationalism in ethics, we might also call it a variety of ‘epistemic rationalism’. (shrink)

In our multicultural, globalised and increasingly postmodern world, people live within competing and contradicting philosophies, and the question of ethics becomes extremely pertinent. It is within this context that this article sheds light on ethics by comparing ubuntu, as part of the African philosophical tradition, and transimmanence, as part of the Western deconstructionist philosophical tradition. As divergent as these traditions may be, ethics are a key feature in both and a crucial point of overlap. Notions of identity, personhood, the community (...) and sense (meaning), for example, play a pivotal role in ubuntu and transimmanence. A reading of these two contrasting philosophical traditions (ubuntu and transimmanence), each through the lens of the other, helps one to develop a better understanding of each of these traditions with regard to their respective ethics and eventually to develop a better understanding of ethics per se. (shrink)

In the midst of the recent Ebola outbreak, scientific developments involving infection challenge experiments on nonhuman primates (NHPs) sparked hope that successful treatments and vaccines may soon become available. Yet these studies pose a stark ethical quandary. On the one hand, they represent an important step in developing novel therapies and vaccines for Ebola and the Marburg virus, with the potential to save thousands of human lives and to protect whole communities from devastation; on the other hand, they intentionally expose (...) sophisticated animals to severe suffering and a high risk of death. Other studies that infect NHPs with a lethal disease in order to test interventions that may prove beneficial for humans pose the same ethical difficulty. Some advocates have argued that all research on primates should be phased out, and ethicists have questioned whether a moral justification of primate research is possible. A 2010 European Union directive banned virtually all research on great apes, and 2013 guidelines from the National Institutes of Health (NIH), based upon recommendations in an influential 2011 Institute of Medicine (IOM) report, eliminated most biomedical research with chimpanzees in the United States. But studies involving other NHPs face no comparable restrictions.Should research on NHPs other than great apes be subject to tighter restrictions than it currently is? In this article, we explore this general question in the context of one particular type of biomedical research: infection challenge studies. We advocate a presumptive prohibition on infection challenge experiments in NHPs, but we also argue that exceptions to this prohibition are permissible, subject to strict substantive and procedural safeguards, when necessary to avert substantial loss of human life or severe morbidity for a substantial number of people. (shrink)

The article concerns civic experiences beyond or prior to civic action. Approaching questions of civic culture and democracy by way of the rather broad notion of civic experience, the author suggests that democratic values and processes involving citizens’ participation should be understood as deeply anchored in the lifeworld. The article establishes a view in which civic culture is understood from a holistic perspective as an experience. At the same time, the author is interested in the ways in which media are (...) involved in that process, without assuming their predominance in fostering civic engagement and public connection. Drawing mainly on 20 solicited, open-ended online diaries with young adults from Narva, Tartu, and Tallinn in Estonia and the European Social Survey Round 5, the article proposes civic experience as a helpful notion to overcome the generic divide between utopian and dystopian views on the relationship between media and civic culture. (shrink)

À tour de bras, elle apprend à prendre la loi par-dessus la jambe. Sur le bout des doigts, elle apprend à mettre sur sa langue la langue aux hommes jusqu’alors légalement réservée. Elle apprend la finance, la politique, le name-dropping, les portefeuilles, les influences, le marchandage, le chantage et les combines. (Suspending gems dripping :) Elle divorce.

Name der Zeitschrift: Paragrana Jahrgang: 25 Heft: 1 Seiten: 61-75.