The objective of the present study was to show that the use of adversative and conclusive connectives to mark off the prototypical schema of argumentative text begins to set in at approximately the age of 10 or 11. Based on Adam's (1992) proposals, we constituted an argumentative text with two blocks of arguments separated by an adversative instruction (the connective but or an equivalent) and followed by a conclusion introduced by a conclusive instruction (the connective thus or an equivalent). Four (...) revising tasks (insertion or substitution with or without five connectives) have been used to asses children's knowledge of the argumentative schema and the use of connectives that punctuate them. The study of good and erroneous locations (concerning the placement of but and thus) showed that there was some regularity in the choices made by the children. The main result of this study shows that argumentative connectives are used differently by children aged 9 and children aged 10 or 11. The argumentative schema is used more consciously by 11-year-olds to guide revising tasks than by 10-year-olds. (shrink)

Annie Besant is primarily remembered as the international president of the Theosophical Society. One of the most important aspects of her career were the years that she was a professional atheist, which has given her a place in history as a pioneer feminist. _The Origins of Theosophy _contains thirteen of Besant’s pamphlets, originally published from 1883-1890. This book is ideal for students of theology.

David Annis is professor of philosophy at Ball State University. In this essay, Annis offers an alternative to the foundationalist-coherent controversy: "contextualism." This theory rejects both the idea of intrinsically basic beliefs in the foundational sense and the thesis that coherence is sufficient for justification. he argues that justification is relative to the varying norms of social practices.

This paper presents an overview of the process of entanglement at the 25th International Philosophy of Nursing Conference (IPNC) at University of California at Irvine held on August 18, 2022. Representing collective work from the US, Canada, UK and Germany, our panel entitled ‘What can critical posthuman philosophies do for nursing?’ examined critical posthumanism and its operations and potential in nursing. Critical posthumanism offers an antifascist, feminist, material, affective, and ecologically entangled approach to nursing and healthcare. Rather than focusing on (...) the arguments of each of the three distinct but interrelated panel presentation pieces, this paper instead focuses on process and performance (per/formance) and performativity as relational, connected and situated, with connections to nursing philosophy. Building upon critical feminist and new materialist philosophies, we describe intra‐activity and performativity as ways to dehierarchise knowledge making practices within traditional academic conference spaces. Creating critical cartographies of thinking and being are actions of possibility for building more just and equitable futures for nursing, nurses, and those they accompany—including all humans, nonhumans, and more than human matter. (shrink)

Siopis has always engaged in a critical and controversial way with the concepts of ‘race’ and ‘ethnicity’ in South Africa. For politically sensitive artists whose work has involved confronting the injustices of apartheid, the current post-apartheid situation has forced a reassessment of their practice and the terms on which they might engage with the fundamental changes which are now affecting all of South African society. Where mythologies of race and ethnicity have been strategically foregrounded in the art of any engaged (...) artist, to the exclusion of many other concerns, the demise of apartheid offers the possibility of exploring other dimensions of lived experience in South Africa. For feminists, this is potentially a very positive moment when questions of gender – so long subordinated to the structural issue of ‘race’ under apartheid – can now be explored. Penny Siopis’ work has long been concerned with the lived and historical relations between black and white women in South Africa. The discussion focuses on the ambivalent and dependent relationships formed between white middle-class women and black domestic labour during apartheid. Siopis’ work engages with how the appropriation of black women's time, lives, labour and bodies has shaped her ‘own’ history. (shrink)

We propose that the isomorphism generally observed between the representations composing our momentary phenomenal experience and the structure of the world is the end-product of a progressive organization that emerges thanks to elementary associative processes that take our conscious representations themselves as the stuff on which they operate, a thesis that we summarize in the concept of Self-Organizing Consciousness (SOC). Key Words: Associative learning; automatism; consciousness; development; implicit learning; incubation; language; mental representation; perception; phenomenal experience.

In this study, we examined the perception of actual and ideal ethical climate type among 95 nurses working in the internal medicine wards of one central hospital in the state of Israel. We also examined whether nurses’ demographic characteristics influence that perception and if a relationship between perceptions of an actual and an ideal ethical climate type influences nurses’ job satisfaction. A questionnaire composed of three subquestionnaires was administered and the responses analyzed using multiple linear regressions, analysis of variance and (...) Pearson’s correlation coefficient. The results demonstrated that demographic characteristics (such as: gender, job tenure and level of education) partially influence the perception of an ideal ethical climate. Incongruence in perceptions of ‘caring’ and ‘independence’ climate types indicated a decline in nurses’ job satisfaction, while perception of actual ‘caring’ and ‘service’ climates positively influenced all aspects of job satisfaction. We recommend constructing training programs emphasizing the ethics of nursing practice and also to help lead nurses to clarify an ethical framework and guide nursing staff in dealing with ethical dilemmas. (shrink)

Background: There are numerous benefits to ethics consultation services, but little is known about the reasons different professionals may or may not request an ethics consultation. Inter-professional differences in the perceived utility of ethics consultation have not previously been studied.Methods: To understand profession-specific perceived benefits of ethics consultation, we surveyed all employees at an urban tertiary children’s hospital about their use of ethics committee services (n = 842).Results: Our findings suggest that nurses and physicians find ethics consultations useful for different (...) reasons; physicians were more likely to report normative benefits, while nurses were more likely to report communicative and relational benefits.Conclusions: These findings support an open model of ethics consultation and may also help ethics committees to better understand consultation requests and remain attuned to the needs of various professional groups. (shrink)

From psychotherapist and TikTok personality Dr. Annie Zimmerman comes a toolkit to transform yourself and your relationships, with advice on how to heal past trauma, build sustainable connections, and take ownership of your mental health. Every day, psychotherapist Dr. Annie Zimmerman meets clients in her private London practice who are struggling with their lives. They're committed to achieving personal growth, making changes--but they're struck at the question stage. They ask: Why can't I sleep? Why do I keep going (...) back to a bad relationship? Why did I lose my temper? What is wrong with me? Here's the answer: nothing is wrong with them. It's just that they're asking themselves the wrong questions. In Your Pocket Therapist, Dr. Zimmerman helps readers delve into their past to identify old, unhelpful patterns and teach them how to unlock the present. The book combines practical tools with anecdotes gleaned from the therapy room, distilling complex psychological concepts with her signature warmth and empathy. Her belief--galvanized by her hundreds of thousands of followers--is that if we learn to understand the roots of our suffering, we can bring about meaningful--and permanent--change in our lives. It comes down to learning how to ask the right questions. A brilliant, necessary toolkit for those who want to break free from past patterns and embrace a life of abundant self-awareness and connection, Your Pocket Therapist is an absolute must-read in the field of psychology. (shrink)

This paper argues that the augmented reality gaming application for smart devices, _Pokémon GO_ shows the fate of the legal subject as a neoliberal monster subjugated to the limitations imposed by hypercapitalism. The game, derived from Nintendo’s iconic Pokémon franchise, reveals the legal subject as a frenzied, diminished and impulsive being, allowed to see, move, catch and accumulate but unable to participate in more meaningful self-narration. It is not that the game is lawless, notwithstanding, anxieties in the semiosphere about users (...) trespassing or engaging in criminal behaviour. Rather the game is over structured and highly limited, both within its game-play which is repetitive and impulsive, and in its absence of narrative. Unlike the classic Nintendo Pokémon games which are within the role-playing game genre, _Pokémon GO_ abstracts the seeing, moving, catching and accumulating features of the classic games without the overarching narrative, questing and competition. In this _Pokémon GO_ manifests the transformation of the liberal legal subject of capitalism to the neoliberal subject of a digital orientated hypercapitalism where seeing, moving, catching and accumulating is immediate and impulsive, obliterating the ‘prudent’ subject participating in their own self-narration. (shrink)

Policies and position statements regarding decision-making for extremely premature babies exist in many countries and are often directive, focusing on parental choice and expected outcomes. These recommendations often state survival and handicap as reasons for optional intervention. The fact that such outcome statistics would not justify such approaches in other populations suggests that some other powerful factors are at work. The value of neonatal intensive care has been scrutinized far more than intensive care for older patients and suggests that neonatal (...) care is held to a higher standard of justification. The relative value placed on the life of newborns, in particular the preterm, is less than expected by any objective medical data or any prevailing moral frameworks about the value of individual lives. Why do we feel less obligated to treat the premature baby? Do we put newborns in a special and lesser moral category? We explore this question from a legal and ethical perspective and offer several hypotheses pertaining to personhood, reproductive choices, “precious children,” and probable evolutionary and anthropological factors. (shrink)

Twenty-first-century biology rejects genetic determinism, yet an exaggerated view of the power of genes in the making of bodies and minds remains a problem. What accounts for such tenacity? This article reports an exploratory study suggesting that the common reliance on Mendelian examples and concepts at the start of teaching in basic genetics is an eliminable source of support for determinism. Undergraduate students who attended a standard ‘Mendelian approach’ university course in introductory genetics on average showed no change in their (...) determinist views about genes. By contrast, students who attended an alternative course which, inspired by the work of a critic of early Mendelism, W. F. R. Weldon, replaced an emphasis on Mendel’s peas with an emphasis on developmental contexts and their role in bringing about phenotypic variability, were less determinist about genes by the end of teaching. Improvements in both the new Weldonian curriculum and the study design are in view for the future. (shrink)

In their article “Two Minds, One Patient: Clearing Up Confusion About ‘Ambivalence,’” Moore et al. argue that “different kinds of ‘ambivalence’ may call for different approaches” to resolution in c...

This book helps teachers and other professionals working with students to reflect, improve, and implement inclusive practices.

BackgroundTrial registration helps minimize publication and reporting bias. In leading medical journals, 96% of published trials are registered. The aim of this study was to determine the proportion of randomized controlled trials published in key nursing journals that met criteria for timely registration.MethodsWe reviewed all RCTs published in three (two general, one mental health) nursing journals between August 2011 and September 2016. We classified the included trials as: 1. Not registered, 2. Registered but not reported in manuscript, 3. Registered retrospectively, (...) 4. Registered prospectively (before the recruitment of the first subject into the trial). 5. Timely registration (as 4 but the trial identification number is reported in abstract).ResultsWe identified 135 trials published in the three included journals. The majority (n = 78, 58%) were not registered. Thirty-three (24%) were retrospectively registered. Of the 24 (18%) trials that were prospectively registered, 11 (8%) met the criteria for timely registration.ConclusionsThere is an unacceptable difference in rates of trial registration between leading medical and nursing journals. Concerted effort is required by nurse researchers, reviewers and journal editors to ensure that all trials are registered in a timely way. (shrink)

In this article, Annie Schultz argues that there are messages to be found in mediums. As an addition to media literacy education in the digital information era, Schultz joins in conversation with philosophers of education who have turned to aesthetics and visual culture studies as a way of interpreting digital misinformation. She suggests that themes in art and issues raised in art criticism provide tools for understanding critically how digital media impacts us aesthetically and affectively. Modernism, in particular, is (...) a movement in art that offers interpretive tools for understanding how all the mediums of our information-fueled world impinge on our lived experience. By attending to mediums, we can develop the self-awareness necessary to understand critically how digital mediums influence how we make meaning. (shrink)

The extremely preterm infant, born before 28 weeks of gestational age, has been the focus of much ethical discussion. These infants have a significant risk of mortality and morbidity, and it is not...

Wexler and Sullivan (2023) recommend integration as a guiding principle for translational neuroethics. We agree that collaboration between neuroethicists and other professionals can advance the fie...

Les contributions réunies dans le présent recueil ont, pour la plupart, fait l’objet de communications à l’occasion de deux Journées d’étude organisées l’une à l’Université de Rouen Haute-Normandie par l’ « Équipe de recherche sur les aires culturelles » (ERIAC), l’autre à l’Université de Rennes I par « Philosophie des normes », respectivement les 23 et 25 janvier 2008. Leur ensemble ne donne pas une cartographie complète, même dans les grandes lignes, de la conception aristotélicienne de la rationalité sous ses (...) divers visages : la pratique scientifique d’Aristote et sa conception de la physique, par exemple, ne sont pas considérées ici, pas plus que la contribution décisive du Stagirite à l’histoire de la philosophie première, ontologie ou théologie. La forme achevée du recueil reflète l’esprit dans lequel ont été envisagées les deux Journées dans le prolongement desquelles il s’inscrit et lors desquelles ont été privilégiés les aspects publics et éthiques de la rationalité telle qu’a pu la concevoir celui qui, comme auteur dudit Organon et héritier de la dialectique socratique et platonicienne, est tout d’abord le fondateur de ce que nous appelons « logique », dont il envisage aussi, dans les Seconds analytiques, les prolongements scientifiques (didactiques et démonstratifs). L’ouvrage, qui traite à plusieurs reprises de l’influence d’Aristote, comporte ainsi trois sections : « De la dialectique à la science », « Art oratoire et poésie », « La rationalité éthique ». Ont été réunies, dans la première section, des contributions de Jean-Baptiste Gourinat (« Dialogue et dialectique : la place de la dialectique dans l’organon d’Aristote »), Pierre Joray (« Principe de contradiction et ecthèse dans la syllogistique d’Aristote »), Franck Varenne (« Le rapport entre science et logique chez Aristote vu à travers la critique de Dewey ») ; d’Annie Hourcade (« Le conseil dans la Rhétorique d’Aristote »), Jean-Pierre Cléro (« La Rhétorique d’Aristote et les penseurs des passions du xviiie siècle »), Michele Corradi (« Aristote et la réflexion de Protagoras sur les noms »), Maddalena Vallozza (« Entre poésie et histoire. Aristote, Poétique 1451 a 36-b 11, et l’Évagoras d’Isocrate ») dans la seconde ; dans la troisième, de David Lefebvre (« Avoir un èthos et être philotoioutos. Sur le sens de la notion d’èthos dans les Éthiques d’Aristote »), Michel Narcy (« La phronèsis entre Platon et Aristote »), René Lefebvre (« Syllogisme de l’action et délibération : deux formes de l’alternative pratique chez Aristote ») Marco Zingano (« Décisions morales et interdictions absolues chez Aristote »). (shrink)

Etienne Balibar, Olivier Bloch, Jean-Claude Bourdin, Isabelle Garo, Alain Gigandet, Pascale Gillot, Annie Ibrahim, Irène Pereira et André Tosel se penchent dans cet ouvrage sur les problèmes et les perpectives induites par le matérialisme althusserien. " Jamais un coup de dés n'abolira le hasard ". Althusser fait un bref commentaire de cette célèbre sentence mallarméenne dans un texte de 1982 - Le courant souterrain du matérialisme de la rencontre. II y conclut que l'histoire n'est que la révocation permanente du (...) fait accompli par le "fait à accomplir" sans qu'on sache à l'avance ni jamais, ni où, ni comment. Affaire de jeu de dés à jeter sur la table vide... Ainsi est déterminée une position en philosophie et en politique, assiette inédite qui en appelle à l'aléatoire et se donne comme un " chantier " ouvert à nos explorations. De fait, les catégories du sujet, de l'aliénation, de la dialectique, de l'idéologie, sont bradées ou ébranlées au profit du processus hasardeux et de la vicissitude des formes. Pourtant, ni le primat de la lutte des classes ni la thèse de la matérialité objective du monde ne sont sacrifiés au nouvel horizon de la conjoncture. Il se peut qu'il y ait deux voies du matérialisme, aussi légitimes l'une que l'autre - matérialisme de la nécessité et matérialisme de la rencontre. Gageons que ce dernier puisse faire que les éléments vivants d'un ensemble politique"s'accrochent " entre eux et au tout de telle sorte que ce qui est vrai en théorie le soit aussi en pratique. (shrink)

Despite recent critiques of agrofuels, the industry is booming, signaling transformations in the world's food and fuels systems. International financial institutions, biotechnology firms, governments, and agribusiness are restructuring control over land, genetic resources, economic space, and market power. These moves prefer transnational capital at the expense of farmers in the North and extensive areas vital to the livelihoods of small producers in the Global South. This article suggests that the agrofuels boom may be a new—and particularly destructive—stage in industry's extractive (...) transformations of agriculture. The movement-based logic of food sovereignty—people's right to define their own food and agriculture systems—suggests a rollback of the “agrofuels transition” is possible. (shrink)

Comte présente souvent sa classification des sciences fort dogmatiquement. Nous étudions ici sa genèse à partir des oeuvres de jeunesse. Un double mouvement est analysé: d’une part, la présentation d’« états» successifs des connaissances est peu à peu promue en « loi »; d’autre part, dans ses énoncés de l’ordre des sciences positives, Comte, multipliant et affinant ses critères, finit par établir ce qu’il appelle son «échelle encyclopédique» et sa «hiérarchie des sciences». Nous montrons comment Comte fait se correspondre les (...) opérateurs de distribution – théorie/pratique, général/particulier, fondamental/appliqué, abstrait/concret – et comment il les articule hiérarchiquement. Les enjeux de la classification comtienne sont aussi précisés: toujours liée au souci d’établir un plan d’éducation scientifique, elle l’est aussi à des visées socio-politiques générales car une bonne éducation scientifique est pour Comte la condition d’une régénération sociale. (shrink)

In an age of professionalization and specialization, the practice of clinical ethics is facing an identity crisis. Are clinical ethicists moral experts, ethics experts, or merely quasi-lawyers giving legal advice? Are they extensions of the hospital, always working to advance the hospital’s interests? Or is there another option? Since 1998, when the American Society for Bioethics and Humanities first issued its Core Competencies for Healthcare Ethics Consultation, there has been debate about the role of standardization and proceduralism in clinical ethics (...) consultation. Now, as ASBH continues to move forward with its credentialing program, proceduralism in clinical ethics must be critically examined. In this paper, I argue that the proceduralist approach to clinical ethics consultation, as espoused by the ASBH’s call for credentialing, creates a demeaning experience for all parties involved and precludes goods internal to the practice of clinical ethics consultation from being actualized. As a practice embedded in medicine and in institutions such as the hospital, clinical ethics consultation must define and examine its own goods in order to bring about more than a sterile, law-like solution to difficult moral quandaries, as these sterile solutions leave patients, families, and providers unsatisfied, abandoned, and disappointed. Thus, in an effort to push back against this proceduralism in clinical ethics consultation, I will offer a preliminary exploration of what these goods might be. (shrink)

Friendship was an important topic for classical philosophers; the analysis, Value, And duties of friendship all received considerable attention. But friendship has been a relatively dormant topic among more recent philosophers. This paper (a) presents an analysis of friendship and explains its core elements, (b) discusses several different models for explaining the value of friendship, And (c) argues that there are special duties of friendship and that these aren't based solely on utilitarian considerations.

Care as a concept has long been central to the nursing discipline, and care ethics have consequently found their place in nursing ethics discussions. This paper briefly revisits how care and care ethics have been theorized and applied in the discipline of nursing, with an emphasis on Tronto’s political view of care. Adding to the works of other nurse scholars, we consider that Tronto’s care ethics is useful to understand caring practices in a sociopolitical context. We also contend that this (...) vision can be used specifically to politicize nurses, by encouraging them to think critically about the context in which they work and how they can participate to change the status quo, notably by prompting the democratization of care in institutional settings. We illustrate this by demonstrating how moral distress that can occur with aggressive or futile treatments in the intensive care unit can be reduced if nurses are systematically included in the decision-making process. By showing some ways in which nursing political actions can begin to change the status quo as it pertains to futile treatments at the end of life, we can help empower nurses to strive to be included in political spaces and voice their concerns to have their professional needs met. (shrink)

During the last two decades, the yearly number of university graduates has more than doubled. Many of those graduates have been employed in the public sector. In the recruitment policy of the Belgian ministries, some tendencies can be discovered. First of all, the recruitment of university graduates increases, while as the number of internal promotions decreases. Like in other employment sectors, the public sector as well is asking for higher educational qualifications. Secondly, the central administration is recruiting more and more (...) for specific grades instead of general grades. This reffrcts among other things the growing complexity of administrative practice. Thirdly, the recruitment philosophy is changing.While as in earlier times knowledge was emphasised, nowadays the learning capacity of people is stressed. Finally, since the eighties, a lot of university graduates are employed in non-academic jobs. T his, of course, is due to the effects of economic crisis on the labour market. (shrink)

The Mental Health Literacy Scale is the most widely used and strong theory-based measurement tool to gain an understanding of mental health knowledge and ability. This study aimed to test the psychometric properties of the Chinese version of the Mental Health Literacy Scale and to document the norm and its influential factors of mental health literacy among nurses. The MHLS was translated following Brislin’s translation model and tested with a sample of 872 clinical registered nurses. The Jefferson Scale of Empathy-Health (...) Professionals, Patient Health Questionnaire-2, and Generalized Anxiety Disorder-2 were administered to assess convergent validity. The minimum average partial test, parallel analysis and confirmatory factor analysis supported 4 first-order 2 second-order structure. The 4 factors were named “knowledge of mental disorder,” “ability to seek information and help,” “recognition of mental disorder,” and “acceptance of patients with mental illness,” with factor 1-3 were summarized into MHLS-Core and factor 4 as MHLS-SA. The MHLS-C was moderately negatively correlated with the PHQ-2 and GAD-2 and highly positively correlated with JSE-HP. The Cronbach’s α was 0.85 for the overall scale and 0.89 and 0.93 for two subscales. The test-retest reliability was good, with intraclass correlation coefficients of 0.80 for the whole scale, and 0.79 and 0.94 for two subscales. As an approximately normal distribution, the 50th percentile for the MHLS-C was 99, with 50th percentiles of 74 and 20 for MHLS-Core and MHLS-SA. Higher position, higher professional credentials, higher hospital hierarchy, other specialist hospital, psychiatric hospital and unmarried status were positive predictors. The 29-item MHLS-C, with two subscales of MHLS-Core and MHLE-SA, is a stable and validated tool to measure mental health literacy. MHLS-Core could be used independently to measure the core content of mental health literacy. It may be applicable for Chinese health professionals, but need further validation among the general public. MHL curriculum and a targeted culturally appropriate program for acceptance for health professionals, especially for those in general hospitals and with less working tenure, may be recommended. (shrink)

As a rejection and continuous reframing of theoretical humanism, critical posthumanism questions and imagines the human condition in the current context, aligning it with nonhuman and more than human entities, past and future. While this philosophical approach has been referenced in many academic disciplines since the 1990s, it has been gradually garnering interest among nursing scholars, leading to questions such as what it means to be human and what it means to be a nurse in the here and now. As (...) a deeply ethical and political project, posthumanism, which we associate with poststructuralist concepts of power and resistance, questions the formation of posthuman subjects who more accurately reflect complex times, characterized by capitalistic commodification of life—human and nonhuman. In this article, we aim to explore how the ontological and epistemological underpinnings of critical posthumanism, specifically through Rosi Braidotti's works, can be useful to understand a posthuman subjectivity that favors affirmative actions aimed at actualizing our world in becoming. Through examples in nursing practice, education, and research, we will explore not only how critical posthumanism allows us to frame transformations in the current situation that we are embedded in as nurses and more generally as beings but also how these examples allow us to move beyond critique to the actualization of affirmative actions that correspond to the creation of new worlds. (shrink)

In this paper I shall do three things. Firstly , I shall distinguish between three senses of “imagine”: one in which the word is used to report the occurrence of mental imagery; a second in which “imagined” is used as substantially equivalent to “thought”; and a third in which “imagine” is used as substantially equivalent to “suppose.” Secondly , I shall discuss Hume's thesis about imagination: both because, although this is set out as a plausible generalization about psychology, it nevertheless (...) seems to me that Hume dealt with a central philosophical problem concerning imagination—the relation of descriptions to imagery—in a way that is suggestive and fruitful; and—the main reason for mentioning Hume—because a study of the relation between imagining and imagining will help us to reinterpret his thesis from a mistaken one about psychology into a correct one about logic and language. Thirdly , I shall give thecentral arguments and the conclusion of the chapter on Imagination in The Concept of Mind , and comment on them. (shrink)

New models of data governance for health data are a focus of growing interest in an era of challenge to the social licence. In this article, we reflect on what the data trust model, which is founded on principles of participatory governance, can learn from experiences of involving and engagement of members of the public and participants in the governance of large-scale biobanks. We distinguish between upstream and ongoing governance models, showing how they require careful design and operation if they (...) are to deliver on aspirations for deliberation and participation. Drawing on this learning, we identify a set of considerations important to future design for data trusts as they seek to ensure just, proportionate and fair governance. These considerations relate to the timing of involvement of participants, patterns of inclusion and exclusion, and responsiveness to stakeholder involvement and engagement. We emphasise that the evolution of governance models for data should be matched by a commitment to evaluation. (shrink)

For a minority of children managed in the NICU, there is a need for more complex technologic assistance in order to sustain life, mitigate a more chronic debilitation from a pervasive life-limiting condition, or provide a bridge from life-sustaining therapy to a more semi-permanent treatment such as organ transplantation. This chapter will address two major types of technology assistance for infants and children—tracheostomy and assisted home ventilation, and dialysis—and the myriad complications and considerations that they raise. Some attention to why (...) clinicians may be so inclined to impose technology as a solution to life-limiting conditions will be noted, as well as why some parents may seem to insist on pursuing technology. (shrink)