Drawing upon the literature on action research and case-study research, this paper discusses similarities and differences between these two forms of research practice. The paper also highlights some of the criticisms and challenges action researchers face. It suggests ways in which action researchers may enhance the discussability of action research by: (a) increasing the transparency of their research processes, (b) declaring the intellectual frameworks brought into action research projects, (c) discussing transferability of findings, and (d) defining accumulation of results. This (...) may require an extension to scientific discourse. In particular, the paper suggests that action researchers could change the ways in which action research results are reported to increase their reach among a wider audience. (shrink)

Background As more people are living longer, they become frail and are affected by multi-morbidity, resulting in increased demands from the ambulance service. Being vulnerable, older patients may have reduced decision-making capacity, despite still wanting to be involved in decision-making about their care. Their needs may be complex and difficult to assess, and do not always correspond with ambulance assessment protocols. When needing an ambulance, older patients encounter ambulance clinicians who are under high workloads and primarily consider themselves as emergency (...) medical care providers. This situates them in the struggle between differing expectations, and ethical conflicts may arise. To resolve these, providing ethical care, focussing on interpersonal relationships and using ethical competence is needed. However, it is not known whether ambulance clinicians possess the ethical competence required to provide ethical care. Thus, the aim of this study was to deductively explore their ethical competence when caring for older patients with reduced decision-making ability. Methods A qualitative deductive and exploratory design was used to analyse dyadic interviews with ambulance clinicians. A literature review, defining ethical competence as comprising ethical sensitivity, ethical knowledge, ethical reflection, ethical decision-making, ethical action and ethical behaviour, was used as a structured categorization matrix for the analysis. Results Ambulance clinicians possess ethical competence in terms of their ethical knowledge, highlighting the need for establishing an interpersonal relationship with the older patients. To establish this, they use ethical sensitivity to interpret the patients’ needs. Doing this, they are aware of their ethical behaviour, signifying how they must act respectfully and provide the necessary time for listening and interacting. Conclusions Ambulance clinicians fail to see their gut feeling as a professional ethical competence, which might hinder them from reacting to unethical ways of working. Further, they lack ethical reflection regarding the benefits and disadvantages of paternalism, which reduces their ability to perform ethical decision-making. Moreover, their ethical knowledge is hampered by an ageist approach to older patients, which also has consequences for their ethical action. Finally, ambulance clinicians show deficiencies regarding their ethical reflections, as they reflect merely on their own actions, rather than on their values. (shrink)

Background:Many frail older persons who die in Swedish nursing homes need assisted bodily care. They must surrender their bodies to the authority of assistant nurses, which may affect their autonomy and dignity of identity. While assistant nurses claim to support older persons’ wishes, older persons claim they have to adapt to assistant nurses' routines. The provider–receiver incongruence revealed here warrants investigation.Aim:To describe the elements of assisted bodily care, as performed in a nursing home.Research design:Data were collected through thirty-nine observations of (...) assisted bodily care, analyzed with qualitative content analysis.Participants and research context:Seventeen older persons and twenty-two assistant nurses from a Swedish nursing home.Ethical considerations:The research was conducted in line with the Declaration of Helsinki, further approved by the regional ethics committee.Findings:Findings show that assisted bodily care consists of assistant nurses’ practical work, performed at a high tempo. Assistant nurses still attempt to adapt this work to the older persons’ wishes for self-determination, taking into account their day-to-day state of health. In spite of time pressure and occasional interruptions, there is room for consideration and affection in assisted bodily care.Discussion:Assistant nurses try to promote older persons’ dignity of identity, but sometimes fail, possibly due to lack of time. They nevertheless seem to know the older persons well enough to adapt the assisted bodily care according to their preferences and to support self-determination. This indicates that openness to older persons’ lifeworlds may be more important than the amount of time available.Conclusion:Nursing home contexts might benefit from adopting a person-centered palliative care perspective, highlighting the value of relationships and shared decision-making. If so, older persons and assisted nurses could agree on practices and goals in assisted bodily care beforehand. Such routines may be time-saving and beneficial to all. (shrink)

This inaugural volume of the Journal of the History of Women Philosophers and Scientists aims with its Issue 1 to clarify methodological issues that emerge when we rediscover the history of women philosophers. It is devoted to the questions which go hand in hand with the rediscovery of the history of women philosophers and scientists, asking whether and how we should place these newly discovered texts within the traditional patriarchal context. We do not know yet whether women are making different (...) ways into canonical thought, or whether we should abandon the idea of canonical thought at all. Submissions that we received for the first call for papers are subsumed under the theme “Beyond Borders.” Each article deals in some way with the writing or rewriting of women’s history, filling in lapsus in the historical canons of philosophy and related disciplines, addressing the gendered political intellectual tradition from modern India, engaging with the works and ideas of women thinkers. The light-hearted title of Karen Green’s article belies the seriousness of the question it poses. In “The Human in Feminist Philosophy: Or Woman Is a Social Animal, I’m Not So Sure about Man”, Green questions the adequacy of the structuralist account of language after critically assessing its role in feminist theory since the 1970s. Green argues that the hegemony of structuralism is as much a Western hegemony as the Enlightenment tradition of a transcendent subject. Texts historically written and published by women provide the raw material for an archaeology of the female subject, which, Green argues, leads to the discovery and exploration of the female subject. She offers an initial sketch of the results of such an exploration, concluding that many male theorists have portrayed humans as inherently self-centred and egoistic, while most female philosophers have assumed that humans are inherently social. Laura Kotevska’s contribution “Writing Women into the History of Philosophy: Contextualism Re-Examined” examines the advantages and disadvantages of contextualism as used as a methodology. Philosophical works by women have been neglected by historians of philosophy until recent decades. When such works were discussed, it was usually in the context of male philosophers with whom a female philosopher was associated in some way. Kotevska explores how different options for a contextualist history of philosophy can help explain a woman’s involvement in philosophy, or how they can undermine her intellectual authority and cloud our understanding of her work. To avoid some of the epistemically damaging results that can arise when a woman’s work is placed in her patriarchal context, Kotevska concludes with three suggestions for writing and teaching works produced by women, suggestions informed by the methodological considerations addressed in the essay. Priyanka Jha’s contribution addresses “The Shaping of the ‘Political’: Gendered Intellectual History of Ideas in Modern India (1880s–1940s)”. Her premise is that in most societies, women’s thought has been reflected in a significant and robust ‘political’ tradition, that this tradition of women’s political thought is situated in a larger universe of ideas than is commonly thought. Women have been and continue to be important interlocutors in debates about concerns and values that are central to the human condition. However, the kind of centrality and attention that should have been given to this school of thought as a “political tradition” has either been barely noticed or marginalized in comparison to other ideational currents. This act is not peculiar to postcolonial societies like India but has a global resonance and a universal scope. There are very few women who have been active as political thinkers or political philosophers worldwide. This paper locates the gendered tradition of political intellectuals in modern India by examining the works and ideas of women thinkers. In the paper on “Women and Freedom of Canonical Thought: A Propaedeutics”, Christine Lopes starts from the observation that in male or patriarchal canonical thinking there is no unified image and representation of women. She uses this broad space of presentation and calls this “the ways of women”. At the same time, she notes that even today we do not know whether women will bring different ways or possibly femininely coherent ways to canonical thought, or whether we can create women’s canonical thought or abandon the idea of canonical thought. For all, therefore, it can be stated that we are given the freedom to judge canonical thinking, to include or exclude ourselves, to adapt or not. The paper discusses some basic epistemological assumptions about such freedom. Bodil Hvass Kjems begins her reflections on “The Inclusion of Women in the Curriculum of Philosophy: Challenges and Solutions” with the fact that recent decades have made accessible an overwhelming number of philosophical works by women, but that the original conflict is still present. The sheer abundance of material is far from being adequately reflected in the curricula of philosophy departments. It therefore raises the question, as many do, of what the best argumentative strategy would be to make such inclusion successful. In doing so, the author references proposals, such as those of Sarah Tyson (2014), to frame the debate in the following way. For the author, the question is whether misogyny is an intrinsic feature of the (Western) philosophical tradition or merely an unfortunate development. That is, whether the response to the integration of women’s texts is corrective or transformative to the dominant model. In doing so, it assumes that both strategies, regardless of the ontological status of the philosophical discipline, promote engagement with women’s work in ways that revolutionise contemporary philosophical practice. In her article “Privacy, Feminism, and Moral Responsibility in the Work of Elizabeth Lane Beardsley”, Julie van Camp looks at the work of an important moral philosopher, Elizabeth Lane Beardsley. The article highlights Beardsley’s philosophical contributions. Using Beardsley as a case study, van Camp points to more general problems in recognizing the work of women philosophers and ensuring their rightful place in our professional dialogue. Van Camp considers sociological and professional factors that may partly explain why the work of women philosophers has not always received the attention it seems to deserve in professional dialogue. The article concludes with suggestions about efforts we can make to address these problems, including the selection of readings for our courses and the sources we consult for our own research and writings, as well as the preservation of records of conferences and other public gatherings that honor women philosophers. (shrink)

Background: Confidentiality lies at the core of medical ethics and is the cornerstone for developing and keeping a trusting relationship between nurses and patients. In the wake of the HIV epidemic, there has been a heightened focus on confidentiality in healthcare contexts. Nurses’ follow-up of HIV-positive women and their susceptible HIV-exposed children has proved to be challenging in this regard, but the ethical dilemmas concerning confidentiality that emerge in the process of ensuring HIV-free survival of the third party – the (...) child – have attracted limited attention. Objective: The study explores challenges of confidentiality linked to a third party in nurse–patient relationships in a rural Tanzanian HIV/AIDS context. Study context: The study was carried out in rural and semi-urban settings of Tanzania where the population is largely agro-pastoral, the formal educational level is low and poverty is rife. The HIV prevalence of 1.5% is low compared to the national prevalence of 5.1%. Methods: Data were collected during 9 months of ethnographic fieldwork and consisted of participant observation in clinical settings and during home visits combined with in-depth interviews. The main categories of informants were nurses employed in prevention of mother-to-child transmission of HIV programmes and HIV-positive women enrolled in these programmes. Ethical considerations: Based on information about the study aims, all informants consented to participate. Ethical approval was granted by ethics review boards in Tanzania and Norway. Findings and discussion: The material indicates a delicate balance between the nurses’ attempt to secure the HIV-free survival of the babies and the mothers’ desire to preserve confidentiality. Profound confidentiality-related dilemmas emerged in actual practice, and indications of a lack of thorough consideration of the implication of a patient’s restricted disclosure came to light during follow-up of the HIV-positive women and the third party – the child who is at risk of HIV infection through mother’s milk. World Health Organization’s substantial focus on infant survival (Millennium Development Goal-4) and the strong calls for disclosure among the HIV-positive are reflected on in the discussion. (shrink)

In the past decades, narrative practices have been developed, and care has been conceptualized as being narrative in nature. More recently, narrative care has been developing both as a practice and a field of study. It is necessary to make the theoretical foundations of narrative care visible to avoid the risk of narrowly defining narrative care as a matter of storytelling and listening. In this article, we develop an understanding of narrative care grounded in early feminist pragmatist philosophy, with a (...) focus on social and political activism and experience. Pragmatism holds the possibilities to open spaces for realities that are constantly in flux and for emergent situations that must be considered across time, diverse places and social contexts. With the aid of Vera’s stories about her relationship with Tammy, we demonstrate the importance of recognizing that realities are multiple, complex and uncertain. Furthermore, we discuss how the stronghold of formula stories and issues of power, positioning and inequities, restrict people’s possibilities to be, become and co-author their stories. We also argue that the playfulness, imagination and world travelling of narrative care are in line with early feminist pragmatism, which draws on a wide and diverse range of experiences. Jane Addams linked democracy to dialogue, joint experiences and social equality. This calls for the development of ethical frameworks grounded in care that are more specifically focused on relational ethics and a commitment to dialogical and relational democracy and the prioritization of community. (shrink)

Background: Worldwide, older persons lack access to palliative care. In Sweden, many older persons die in nursing homes where care is provided foremost by assistant nurses. Due to a lack of beds, admission is seldom granted until the older persons have complex care needs and are already in a palliative phase when they move in. Objective: To describe assistant nurses’ perspectives of providing care to older persons at the end of life in a nursing home. Research design: Data were collected (...) in semi-structured individual interviews and analyzed with inductive qualitative content analysis. Participants and research context: Seven assistant nurses from a nursing home in Sweden were randomly selected. Ethical consideration: The research was approved by the local ethics committee. Results: Three main categories emerged; “Death a natural part of life”; “The older person’s well-being”; and “Care in the moment of death”; and seven sub-categories. The assistant nurses described themselves as knowing the older persons well enough to provide good end-of-life care. This was achieved by making small-talk while providing daily care. Relying on experience-based knowledge, they strove to provide end-of-life care built upon respect and engagement with the ambition to strengthen older persons’ dignity, for example, by lowering the tempo of care at the end of life, in spite of organizational restrictions. Discussion: The assistant nurses offered attentive end-of-life care, focusing upon bodily care. The existential needs of the older persons were not foregrounded. Conclusion: To develop their work, and to promote an ethical foundation for such care, assistant nurses might need support and education to be able to offer a care more in line with the aims of palliative care. Furthermore, the organization of care needs to promote, not impede, the realization of this development. (shrink)

When Gödel developed his functional interpretation, also known as the Dialectica interpretation, his aim was to prove consistency of first order arithmetic by reducing it to a quantifier-free theory with finite types. Like other functional interpretations Gödel’s Dialectica interpretation gives rise to category theoretic constructions that serve both as new models for logic and semantics and as tools for analysing and understanding various aspects of the Dialectica interpretation itself. Gödel’s Dialectica interpretation gives rise to the Dialectica categories , in: Contemp. (...) Math., vol. 92, Amer. Math. Soc., Providence, RI, 1989, pp. 47–62] and J.M.E. Hyland in [J.M.E. Hyland, Proof theory in the abstract, Ann. Pure Appl. Logic 114 43–78, Commemorative Symposium Dedicated to Anne S. Troelstra ]). These categories are symmetric monoidal closed and have finite products and weak coproducts, but they are not Cartesian closed in general. We give an analysis of how to obtain weakly Cartesian closed and Cartesian closed Dialectica categories, and we also reflect on what the analysis might tell us about the Dialectica interpretation. (shrink)

For us, narrative care is grounded in pragmatist philosophy and focused on experience. Narrative care is not merely about acknowledging or listening to people's experiences, but draws attention to practical consequences. We conceptualize care itself as an intrinsically narrative endeavour. In this article, we build on Lugones' understanding of playfulness, particularly to her call to remain attentive to a sense of uncertainty, and an openness to surprise. Playfulness cultivates a generative sense of curiosity that relies on a close attentiveness not (...) only to the other, but to who we each are within relational spaces. Generative curiosity is only possible if we remain playful as we engage and think with experiences and if we remain responsive to the other. Through playfulness, we resist dominant narratives and hold open relational spaces that create opportunities of retelling and reliving our experiences. Drawing on our work alongside older adults, as well as people who work in long‐term care, we show the possibilities of playfulness in the co‐composition of stories across time. By intentionally integrating playfulness, narrative care can be seen as an intervention, as well as a human activity, across diverse social contexts, places and times. (shrink)

This article takes its point of departure in a research project studying the psychosocial problems of living with HIV. The project was intended to participate in changing practices dealing with these problems. It became a project including many differently situated and intersecting personal and generalized perspectives. The article researches the development of the HIV project as a contribution to discussions related to Participatory Action Research and Practice Research. In mainstream approaches methodological indications are often presented as rules to follow in (...) order to ensure the quality of the obtained knowledge. But situated historical and societal processes are involved in the effectuation of the HIV project, like they are in any other project. Researching the project heightens the awareness of the necessity of reflecting on situated and historical issues of power and marginalization and on the positions of the researcher in a given field of research. Methodological flexibility may also be necessary in order to encompass different perspectives. Such reflections and strategies are necessary precisely to ensure the development of knowledge and practice alike. (shrink)

We describe our clinical experience in treating patients with Tourette syndrome and other tic disorders using infra-low frequency neurofeedback, often in conjunction with cognitive behavior therapy. Following a narrative description of our approach, we present outcome data for 100 successive cases. Many of the children and adolescents that we have treated since 2005 did not derive sufficient benefit from standard treatment for Tourette syndrome and other tic disorders. In our clinical experience, based on extensive before- and after- testing and symptom (...) tracking, this patient group derived significant additive benefit from complementary neurofeedback treatment. The majority of trainees attained a higher level of functioning and were able to live up to their potential in a way they were not able to prior to neurofeedback treatment. (shrink)

This review article provides an overview of important, recent approaches to conceptual history from scholarship on South Asia. While conceptual history is not a consolidated field in South Asia, the colonial encounter has greatly stimulated interest in conceptual inquiries. Recent scholarship questions the uniformity even of well-researched concepts such as liberalism. It is methodologically innovative in thinking about the influence of economic structures for the development of concepts. Rethinking religious and secular languages, scholars have furthermore stressed the importance of smaller (...) communicative units such as genre or hermeneutical practices to shape ideas e.g. of the political. As part of global and imperial formations, scholars are well aware of the link between power and colonial temporalities. Lastly, they have suggested new sources for conceptual history, such as literature, film, and sound. (shrink)

Judith Still offers a comprehensive discussion of Derrida's contribution to the long-standing philosophical and political debate which insists on defining 'man' against 'the animal'. She makes extensive reference to the two volumes recently published, in French and English, of Derrida's seminar series The Beast and the Sovereign, with particular attention to his source texts such as Defoe, Hobbes, La Fontaine, Rousseau, Agamben and Heidegger.

In this paper we attempt to understand the intellectual origins of Albert Ellis' Rational Psychotherapy (now known as Rational Emotive Behavior Therapy). In his therapeutic practice Ellis used a 'lumper' argument to replace the focus of change in psychoanalysis: not the lengthy uncovering and reworking of the individual's personal history, but the demands in self-talk through which the client is currently dis turbed. In constructing around this the persuasive (rhetorical) package that became his therapy, Ellis drew on a number of (...) popular intellectual movements, operationalism, General Semantics, the holistic theory of emotion, cognitive psychology, and psychoanalysis itself. (shrink)

The aim of this qualitative study was to gain an understanding of the meaning that community psychiatric nurses impart to their everyday interactions with patients in depot neuroleptic treatment situations. Nine experienced community psychiatric nurses were interviewed using semistructured, open-ended questions. Data analysis was by the phenomenological descriptive method according to Giorgi. Four themes were identified, highlighting aspects of the moral meaning of treating patients with depot neuroleptics: (1) ‘benevolent justification’ occurs when nurses perceive that the patient’s welfare is at (...) stake; (2) ‘inability to advocate the patients’ best interest’ occurs when nurses feel they are at a disadvantage; (3) ‘accommodative interactions’ occur when nurses are able to respond to a patient’s expressed needs; and (4) ‘acceptable advocacy’ occurs when physicians are sensitive to nurses’ suggestions on patients’ treatment. The findings indicate that treatment care planning involving both patients and nurses is essential to enhance patients’ autonomy, which is a precondition for satisfactory interactions. This phenomenological study describes the meaning that nurses give to administering depot neuroleptic injections to patients in the context of community psychiatric clinics. The phenomenon of concern was identified as the moral aspect in the interactions with individual patients in the treatment situation. (shrink)

The place of rationality in Stoicism and REBT -- Ellis and Epictetus: dialogue vs. method in psychotherapy -- The intellectual origins of Rational Psychotherapy: twentieth-century writers -- REBT and rationality: philosophical approaches -- Rationality and the shoulds -- When did a psychologist last discuss "chagrin"?: American psychology's continuing moral project -- The social psychology of "pseudoscience": a brief history -- Historical aspects of mindfulness and self-acceptance in psychotherapy -- Marginalisation is not unbearable, is it even undesirable?

Compassion is often understood as central to nursing and as important to ensure quality nursing and healthcare. In recent years, there has been a focus on strategies in nursing education to ensure compassionate nurses. However, it is not always clear how the concept of compassion is understood. Theoretical conceptualisations that lie behind various understandings of compassion have consequences for how we approach compassion in nursing education. We present some ways in which compassion is often understood, their philosophical underpinnings and the (...) consequences these understandings can have for nursing education. We argue that it is useful for nursing education to understand compassion as a cognitive emotion and discuss how such an understanding can inform educational approaches to compassion. (shrink)

Winner of the R. H. Gapper Book Prize 2011. Judith Still sets Derrida's work in a series of contexts including the socio-political history of France, especially in relation to Algeria, and his relationship to other writers, most importantly Helene Cixous, Luce Irigaray and Emmanuel Levinas - key thinkers of hospitality. Still also follows the thread of sexual difference in Derrida's writing in order to shed light on his exploration of the complex and delicate, strange yet familiar, political and ethical dilemmas (...) of how to be those impossible things, a good host and a good guest.Hospitality is critically important in Derrida's writings, and his insights in this have been influential across a range of disciplines from geography, politics and sociology to literary studies and philosophy. It functions as a way of both thinking about relations between individuals, and analysing the community or state's often inhospitable reception of outsiders, such as refugees or migrants. (shrink)

Cognitive Science is a single-source undergraduate text that broadly surveys the theories and empirical results of cognitive science within a consistent computational perspective. In addition to covering the individual contributions of psychology, philosophy, linguistics, and artificial intelligence to cognitive science, the book has been revised to introduce the connectionist approach as well as the classical symbolic approach and adds a new chapter on cognitively related advances in neuroscience. Cognitive science is a rapidly evolving field that is characterized by considerable contention (...) among different views and approaches. Cognitive Science presents these in a relatively neutral manner. It covers many new orientations theories and findings, embedding them in an integrated computational perspective and establishing a sense of continuity and contrast with more traditional work in cognitive science. The text assumes no prerequisite knowledge, introducing all topics in a uniform, accessible style. Many topics, such as natural language processing and vision, however, are developed in considerable depth, which allows the book to be used with more advanced undergraduates or even in beginning graduate settings. A Bradford Book. (shrink)