The present paper explores patients’ experience of lived space at the hospital and at home. To expand the understanding of the existential meaning of lived space the study revisited two empirical studies and a study of a meta-synthesis on health and caring. Phenomenological philosophy was chosen as a theoretical framework for an excursive analysis. The paper demonstrates that existential dimensions of lived space at the hospital and at home differ significantly. For the patients, the hospital space means alien territory as (...) opposed to the familiar territory of home. To some extent the experienced differences are due to the physical environment; however, as our analysis shows, other and more significant meanings are also involved. For patients, lived space at the hospital primarily concerns the influence of complex institutional power structures and specific cultural and social conventions, e.g. the role of the good patient and the ambiance of hospitals. Home, on the other hand, offers familiar lived space in which patients feel protected and safe. Further, the paper relates patients’ experience of lived space to a phenomenological view of lived space in order to illustrate the radical influence of illness on patients’ lifeworld and experience of lived space. The combination of illness and general discomfort may influence patients’ experience of home negatively; the former experience of home as a sanctuary changes into feelings of being left on one’s own and burdened by too much responsibility. Consequently, in the light of the increasing focus on patients’ self-monitoring at home, it is important for healthcare professionals to recognize the influence of spatial aspects on patients’ well-being both at the hospital and at home. (shrink)

In these essays, we are concerned with virtue in journalism and the media but are mindful of the tension between the commercial foundations of publishing and broadcasting, on the one hand, and journalism's democratic obligations on the other. Adam outlines, first, a moral vision of journalism focusing on individualistic concepts of authorship and craft. Next, Craft attempts to bridge individual and organizational concerns by examining the obligations of organizations to the individuals working within them. Finally, Cohen discusses the importance of (...) resisting the powerful corporate logic that pervades the news media in the United States and calls on journalists to be courageous. (shrink)

Background: Only data of published study results are available to the scientific community for further use such as informing future research and synthesis of available evidence. If study results are reported selectively, reporting bias and distortion of summarised estimates of effect or harm of treatments can occur. The publication and citation of results of clinical research conducted in Germany was studied.Methods: The protocols of clinical research projects submitted to the research ethics committee of the University of Freiburg in 2000 were (...) analysed. Published full articles in several databases were searched and investigators contacted. Data on study and publication characteristics were extracted from protocols and corresponding publications.Results: 299 study protocols were included. The most frequent study design was randomised controlled trial , followed by uncontrolled studies , laboratory studies and non-randomised studies . 182 were multicentre studies including 97 international collaborations. 152 of 299 had commercial funding and 46 non-commercial funding. 109 of the 225 completed protocols corresponded to at least one full publication ; the publication rate was 48%. 168 of 210 identified publications were cited in articles indexed in the ISI Web of Science. The median was 11 citations per publication .Conclusions: Results of German clinical research projects conducted are largely underreported. Barriers to successful publication need to be identified and appropriate measures taken. Close monitoring of projects until publication and adequate support provided to investigators may help remedy the prevailing underreporting of research. (shrink)

In this paper I try to explain why Lakatos’s conventionalist view must be replaced by a phenomenological conception of the empirical basis; for only in this way can one make sense of the theses that the hard core of an RP can be shielded against refutations; that this metaphysical hard core can be turned into a set of guidelines or, alternatively, into a set of heuristic metaprinciples governing the development of an RP; and that a distinction can legitimately be made (...) between novel predictions and facts to which a theory might have been adjusted post hoc. Two basic metaprinciples are finally examined: the Correspondence Principle and various symmetry requirements; both of these heuristic devices illustrate the fundamental role which, according to Lakatos, mathematics plays in the progress of empirical science. (shrink)

This paper presents a theoretical elaboration of the ethical framework of classical capitalism as formulated by Adam Smith in reaction to the dominant mercantilism of his day. It is seen that Smith's project was profoundly ethical and designed to emancipate the consumer from a producer and state dominated economy. Over time, however, the various dysfunctions of a capitalist economy — e.g., concentration of wealth, market power — became manifest and the utilitarian ethical basis of the system eroded. Contemporary capitalism, dominated (...) as it is by large corporations, entrenched political interests and persistent social pathologies, bears little resemblance to the system which Smith envisioned would serve the common man. Most critiques of capitalism are launched from a Marxian-based perspective. We find, however, that by illustrating the wide gap between the reality of contemporary capitalism and the model of amoral political economy developed by Smith, the father of capitalism proves to be the most trenchant critic of the current order. (shrink)

Aldo Leopold once declared that there were two “spiritual dangers” in not owning a farm, with one being “the danger of supposing that breakfast comes from the grocery, and the other that heat comes from the furnace”. The dangers that Leopold was signaling were various, of course, but in that essay they primarily gathered around the problems caused by human distance from nature’s operations, the manners in which we can become divorced from the roots of life by a failure to (...) recognize the processes from which food and heat derive. However, Leopold did not repudiate the technologies involved in running a farm-house, and he clearly recognized that significant paradoxes are involved in the use of... (shrink)

In lieu of an abstract, here is a brief excerpt of the content:The Power of PersuasionG. Bennett HumphreyA long white coat, the title of doctor, a practiced professional persona and an appointment to the staff of a prestigious university medical center allows the physician to be a persuader of clinical decisions affecting patient management. When this power of persuasion is used to encourage patient compliance with a therapeutic regimen that might be curative for a fatal disease, there is justification for (...) trying to influence the patient to make choices resulting in a positive outcome. But when a physician is asking permission to enter the patient into a research protocol where the primary goal of the study is the hope of advancing knowledge, then much thought needs to be given to the potential abuse of this power of persuasion.In the 1960s, I found myself having to think about recruiting children into research protocols. I had just finished two years of residency in internal medicine and wanted to pursue a career in academic medicine. My primary interest was in laboratory research. To strengthen my training in research, I had competed for a position as clinical fellow in a western university. The fellowship program was designed to expose young physicians to both clinical and laboratory research. The first year was spent on one of the clinical research wards and the second year in a research laboratory. The program was open to residents from surgery, medicine and pediatrics but because there was a shortage of pediatricians in the program, I was required to work on the children’s leukemia ward for one year.The learning curve was steep during the first few months. Naturally, the faculty in pediatrics and the medical literature gave me a technical education in the use of protocols for therapeutic treatment of leukemia. For example, the first protocol used was designated as Phase III, and the goal was to try to cure the patient. A remission could be achieved in over 90 percent of children but the disease recurred. The median duration of these remissions in the mid–1960s was one year. A relapse was followed by progressive disease and death in a matter of weeks, but a new drug of unknown efficacy could be administered. This was a Phase II protocol, and while there was a chance of prolonging life for a month or so, the primary goal was the identification of drugs anti–leukemic activity.The pediatric leukemia ward experience for me as a fellow was unusual. There was more to learn than the treatment of leukemia. To my surprise, the children and their mothers gave me insight into the care of pediatric patients. Each month, the patients were admitted for five days of intravenous chemotherapy. The first day was traumatic with venipunctures, bone marrow aspirations and the establishment of an IV for the daily infusion of drugs. The remaining four days were for social rounds: listening to the children who liked to talk; talking with the ones who liked to listen; putting puzzles together with some toddlers; responding to a request to listen to the heart of a much loved teddy bear; exchanging jokes and riddles; stories about school, the family dog, or a favorite friend; enjoying the banter of the adolescents; and not invading the privacy of a few who didn’t like me, the ward or the therapy. These children were sharing their childhood with me and it took couple of months for me to recognize I was bonding with these little patients. I observed and listened to the mothers caring for their children and stood in awe of the resources that they brought to bear on having children with a fatal disease. A feeling of mutual respect and trust developed between these mothers and me. For an internist, these experiences were profound and very different from my experience treating adults.A professor, an internationally known researcher in the field of leukemia, was in charge of the ward. Formal rounds were conducted on Tuesday mornings when the result of the bone marrow aspirates and the toxicity of the chemotherapy were reviewed. The day–to–day responsibility for [End Page 101] treatment and informing the mothers on the remission status on Mondays was my responsibility... (shrink)

The decision to accept or to reject an empirical hypothesis concerning the risks and hazards of a pesticide requires assessing the cost's of error if the wrong decision is taken. The assessment of such costs involves scientists in problems which are closely related to those which policy‐makers face in deciding what to do in view of the information provided by scientists. These problems include the unforeseeable effects of agricultural technologies, the assessments of costs and benefits, and the choice of decision (...) rule to use in policy formation. I conclude that the combined impact of these problems motivates the use of prudentially weighted decision rules in forming policies which regulate the use of pesticides, and it motivates the development of bio‐environmental alternatives to chemically based pest control policies. (shrink)

This is a sequel to the author's The Language and Logic of the Bible: The Earlier Middle Ages. The period of the reformation saw immense changes of approach to the study of the Bible, which in turn brought huge consequences. This book, seeking to show the direction of endeavour of such study in the last medieval centuries, examines the theory of exegesis, practical interpretation, popular Bible study and preaching, and looks especially at the areas of logic and language in which (...) the scholars of the period had considerable expertise. The condemnation of the scholastics has tended to sink with them a proper recognition of what they achieved. In looking forward to the reformation, Dr Evans demonstrates a greater continuity of attitude than has often been allowed and describes how the enquiries of later medieval scholars opened out into the explorations of the sixteenth century made by Protestant and Roman Catholic thinkers alike. (shrink)

It is usual to read nomina, with which three interpretations are possible. The stronger arrogates to himself the titles of moderation and justice. So in the excellent Rumanian translation of 1871 by Gavrilu J. Munteanu: ‘Cându are sâ decida pumnulu, celu mai tare si atribue titlu de moderatu şi de onestu.’.

The article aims to develop the philosophy of Emmanuel Levinas as a valuable new perspective in understanding the triune drama of the Resurrection. Firstly, the juxtaposition of Levinas’ thought and Christian theology will be argued for, followed by a development of von Balthasar’s Trinitarian theology of the Resurrection. Especially, Levinas’ non-phenomenological notion of “otherness” will be used to offer an understanding of the Risen Christ’s “Otherness” as communicating the non-phenomenality of Holy Saturday to the disciples. As a result, we discover (...) significant theological openings towards a vision of a Biblical God free from the constraints of ontological thinking and phenomenal experience. (shrink)

Since these notes were written, news has come of the finding at Troizen of an inscription purporting to bear a decree proposed by Themistokles in 480, which is relevant to Part II above, pp. 33–35. If this new evience is valid, it would appear to confirm the view expressed there to some extent.

I discuss the treatment by Chisholm of the problem posed by the fact that one can produce some neuro-physiological changes by moving a limb, namely the ones which cause the motions. I concentrate largely on the treatment Chisholm gave to this question before Person and Object, and I compare it with von Wright's discussion of it, I conclude that there are correct elements about both but that both are unsatisfactory, Chisholm's because it entails that we must know something which we (...) manifestly need not know when we move. (shrink)

There is so much truth in the conception of the state as a natural organism and of man as a political animal, as commonly contrasted with the various theories of the state as an artificial formation based on contract, or implied contract, that Aristotle's proposition is rarely criticized from any other standpoint. When Aristotle said that man was a political animal, that is that political life was his nature, and consequently that the state, as the ultimate development of his nature, (...) was a natural institution, or, as we should say, an organism, he was, we may say with a good deal of certainty, speaking in the light of this contrast. But his theory must be judged on its own merits, and not on the demerits of that which he was attacking. We may grant that the state is natural; but we may nevertheless mean by “natural” something other than Aristotle means. And if our conception of Nature is different from his, it will follow that our agreement about the state is one of words only. (shrink)

A market may be defined as a set of competitive relationships in which agents strive, within limits set by ground rules, to better their own economic positions, not necessarily at the expense of other people, but not necessarily not at their expense either. A degree of indifference to the market fates of others is, manifestly, an inevitable feature of the market practice, so defined. But though indifference is clearly logically endemic to markets, it has been denied that selfishness is necessarily (...) involved in the raw competition of market activity. Thus, Hayek maintains that market behaviour is not selfish on the grounds that the market is a competitive non zero-sum ‘wealth-creating game’ in which individuals ‘use their own knowledge for their own ends’ in a system whose operations,viathe ‘Invisible Hand’, also produce unintended benefits for others. But for behaviour to be selfish it clearly need not necessarily disbenefit other people; it is enough that it is pursued, or persisted in, regardless of its effects upon others. And this is precisely what the institutional ‘indifference’ of market activity amounts to. Admittedly individuals who understand the Hayekian logic of the market know that the long-run chances of everyone's benefiting are maximized by acting in a rigorously competitive manner, and so they at least in one sense act with a ‘regard for others’. Butipso factothis category of market agents has an even stronger reason than the ignorantly selfish for disregarding thespecificinterests of all theparticularindividuals with whom they have economically to do. ‘Market selfishness’, the disregard for others' market interests, is thus a logically inevitable feature of market activity. (shrink)

This article is an attempt to clarify a confusion in the brain death literature between logical sufficiency/necessity and natural sufficiency/necessity. We focus on arguments that draw conclusions regarding empirical matters of fact from conceptual or ontological definitions. Specifically, we critically analyze arguments by Tom Tomlinson and Michael B. Green and Daniel Wikler. which, respectively, confuse logical and natural sufficiency and logical and natural necessity. Our own conclusion is that it is especially important in discussing the brain death issue to observe (...) the distinction between logical and natural sufficiency/necessity in a strict fashion. (shrink)

Obstetricians face difficult decisions when the interests of fetus and mother conflict. An example is the problem of choosing the delivery method when labour begins prematurely and the fetus is breech. Vaginal delivery involves risks for the breech fetus of brain damage or death caused by umbilical cord compression and head entrapment. Caesarean section might avoid these dangers but involves risks for the mother, including infection, haemorrhage and even death in a small percentage of cases. If a caesarean section is (...) performed the infant might die anyway, due to complications of prematurity. Thus, decisions about delivery method involve balancing the risks to mother and fetus. Uncertainty about the frequency of fetal injuries in vaginal breech deliveries adds to the difficulty of these decisions. (shrink)

The dialogue being a form of communication represents a dynamic structure. Speech communication analysis is mostly based on the material of spontaneous dialogue, but it can be analyzed on the material of a fiction dialogue as well. The fiction dialogue appears to be the product of one of the most complicated types of communication. It refers to fiction and literature and its subjects are the author, the readers and the characters. The functional-communicative approach in the analysis of a fiction dialogue (...) reveals new possibilities for the communicative analysis of the communicative behavior of a certain character. The article deals with the description of the dialogue function in the stories by V. M. Shukshin. The specificity of the artistic dialogues is defined by its aesthetic function. The dramatic category becomes the principle of V. M. Shukshin’s poetics. Verbal and visual form created by the writer is a peculiarity of his artistic system. Polyfunctionality of the dialogues in Shukshin’s stories determines his dominant, text forming function. The dialogue in this case possesses a high level of informativeness: it moves the action, develops the plot, exposes the interrelation between the characters thus defining their behaviour. The test of the characters in Shukshin’s works is made by means of dialogues, that’s why the characterological function is very important. It represents an essential feature of the writer’s prose style. The dialogue is a means of modeling the ‘speech mask‘ that reflects the peculiarities of speech behavior of Shukshin’s characters. In Shukshin’s stories, the dialogue performs an evaluating function as it gives the opportunity to deliver some evaluating positions. The evaluating position is the perception and evaluation of the depicted objects by the author and actors. It’s the dialogues that expose the Shukshin’s characters’ peculiarities of the worldview, ethics and values. (shrink)

From early modernity, philosophers have engaged in skeptical discussions concerning knowledge of the existence, state, and standing of other minds. The analogical move from self to other unfolds as controversy. This paper reposes the problem as an argumentation predicament and examines analogy as an opening to the study of rhetorical cognition. Rhetorical cognition is identified as a productive process coming to terms with an other through testing sustainable risk. The paper explains how self-sustaining risk is theorized by Aristotle’s virtue ethics (...) in the polis. Moral hazard is identified as a threat to modern argument communities. (shrink)

Plotinus (204/5–270 CE) was the first and greatest of Neoplatonic philosophers. His writings were edited by his disciple Porphyry, who published them sometime between 301 and 305 CE in six sets of nine treatises each (Enneads), with a biography of his master in which he also explains his editorial principles.

Purpose: Demonstrate that cognitive and social approaches towards understanding do not at all oppose but rather they complement each other. Constructivist concepts of understanding paved the way to conceive of understanding as a cognitive-social "mechanism" which mutually regulates processes of social structuration and, at the same time, cognitive constructions and processing. Findings: Constructivist approaches bridge the gap between the cognitive and the social faces of understanding. They demonstrate how comprehension and cultivation, cognition and cultural reproduction are mutually linked to each (...) other by the cognitive-social "mechanism" of understanding. As a consequence, the unavoidable immunisation against communicative demands from others jeopardizes the achievements of our communicative culture. Practical implications: Communicators are even more responsible for success or failure of communication than recipients. Moreover, as educators they are responsible for both cultural reproduction and the reinforcement of creativity and innovation. This double bind can only be managed with strong and resistant personal relations. All construction of meaning and all interpretation should be conceived of as a pro-construction, a hypothetical provisional reading made for the tough going of public or scholarly discourse. Original value: Concept of understanding integrating philosophical, psychological and sociological approaches within a constructivist theory of communication and reception. (shrink)

In the course of Demosthenes' lifetime, indeed within a mere decade, the whole balance of power in the Greek world was destroyed. By 338 the city states were completely overshadowed by the national state of Macedon, and it is the concern of all students of Demosthenes to analyse this dramatic change. The task is not easy. The evidence is most unsatisfactory. None of the great historians of the age has survived in other than a few precious fragments, and in the (...) absence of Ephorus, Anaximenes, Theopompus, and the Atthidographers the pale reflections of some of them in Book XVI of Diodorus are poor consolation. It is on the Athenian orators that we have to rely, the very men most concerned in the politics of Athens, in the act of glossing over and denying their own share in the disaster and of misrepresenting that of their opponents. Memories were no longer then than they are today. In 343 both Demosthenes and Aeschines in discussing the events of a mere three years past denied all responsibility for the making of the Peace of Philocrates; one, at least, was lying, confidently. The formal documents were, generally speaking, merely heard, and only in part at that, and the orators were well practised in exploiting such material. If Aeschines and Demosthenes could lie so freely within three years of the events, what they had to say at a longer interval must be much more suspect. (shrink)

The debate about constructivism in physics has led to different kinds of questions that can be conventionally framed in two classes. One concerns the mathematics that is considered for the theoretical development of physics. The other is concerned with the experimental parts of physical theories. It is unnecessary to observe that the intersection between our two classes of problems is far from being empty. In this paper we will mainly deal with topics belonging to the second class. However, let us (...) briefly mention some important problems that have been debated in the framework of our first class. For instance, the following: to what extent do the undecidability and incompleteness results of classical mathematics affect fragments of physical theories, in such way as to have a “real physical meaning”? are the mathematical arguments that seem to be essential for physics justifiable in the framework of traditional mathematical constructivism?The first question has recently been investigated by Pitowski, Penrose, da Costa, Doria, Mundici, Svozil and others. As expected by most logicians, one can construct undecidable sentences whose physical meaning seems to be hardly questionable. This happens both in classical and in quantum mechanics. (shrink)

In REG 73 and 75 I discussed various points connected with the Peace of Philocrates, a number of which have been assailed by M. M. Markle in CQ N.S. 24 in an article entitled ‘The Strategy of Philip in 346 B.C.’. Time passes, and, although de Ste. Croix in his Origins of the Peloponnesian War , p.105, felt able to declare that ‘a book shortly to be published by M. M. Markle makes a valuable and original contribution to our understanding (...) of the Peace of Philocrates’, and Markle himself confirms that a book is indeed forthcoming, some comment on his preliminary comments may be permitted. (shrink)

The work is aimed at interpreting text and paintings in D. Rubina and B. Karafelov’s book ‘Okna‘. The authors of the article conduct an analysis of episodes with pictorial ecphrasis in the stories from the book and an iconographic analysis of paintings inside the stories. The chosen topic is actual, because it provides an alternative way to solve a problem of word and image relations in the text. The article is aimed at the search for new methods to reflect a (...) protagonist’s character. In this context, the authors of the article compare images in D. Rubina’s texts with B. Karafelov’s paintings, analyze the symbiotical connection of pictorial ecphrasis and reproductions of paintings. The most of the stories are autobiographical what makes them representative in terms of transferring the narrator’s position through the pictorial ecphrasis. In that book, paintings are not just illustrations and not visualization of ecphrasis. Pictures were introduced into the text of novels for presenting main motives and enriching stories by new images and meanings, which could not be represented by text. Colors of paintings are accentuated by color-designation words and are converged to tonality of text. Thereby a reader can interact with a writer and a painter simultaneously. After analyzing of text and pictures, the authors of the article made a conclusion about efficiency of word and picture synthesis for disclosure of the same themes in multiple artistic planes. (shrink)

Following Fine [3], p. 20, we say that a normal propositional modal logic is canonical i all its theorems are valid on the frame of its canonical model . In this paper we prove that K1:1, i.e. S4+ J1 L p) p is not canonical y . We say that two points x and y in a frame are co-accessible i xRy; yRx, but x =6 y. Our proof proceeds by showing that A. The canonical model for K1:1 contains a (...) pair of co-accessible points; and B. J1 is not valid on any frame with a pair of co-accessible points. Clearly our result follows immediately from A and B. (shrink)

A world in which time travel into the past occurred would seem like a most strange world. Nicholas Smith, however, in his ‘Bananas Enough for Time Travel’, argues that time travel is not so strange as we think. In particular, he argues against what he views as the main reason time travel worlds seem so strange – the claim that time travel entails unusual numbers of coincidences. I shall argue that Smith's argument for rejecting the claim is inadequate. Hence, the (...) debate over the consequences of the coincidences of time travel cannot be avoided by denying the coincidences themselves. (shrink)