Nurses facing impediments to what they perceive as moral practice may experience moral distress. The purpose of this descriptive, cross-sectional study was to determine similarities and differences in moral distress and avoidance behavior between critical care nurses and non-critical care nurses. Sixty-eight critical care and 28 non-critical care nurses completed the Moral Distress Scale and Impact of Event Scale (IES). There were no differences in moral distress scores ( F = 0.892, p = 0.347) or impact of event scores ( (...) F = 3.80, p = 0.054) between groups after adjusting for age. There was a small positive correlation between moral distress and avoidance behaviors for both the groups. Moral distress is present in both critical care and noncritical care nurses. It is important that nurses are provided with opportunities to cope with this distress and that retention strategies include ways to reduce suffering and mitigate the effects on professional practice. (shrink)

Background: The phenomenon of forceful physical restraint in pediatric care is an ethical issue because it confronts professionals with the dilemma of using force for the child’s best interest. This is a paradox. The perspective of healthcare professional working in pediatric wards needs further in-depth investigations. Purpose: To explore the perspectives and behaviors of healthcare professionals toward forceful physical restraint in pediatric care. Methods: This qualitative ethnographic study used focus groups with purposeful sampling. Thirty volunteer healthcare professionals (nurses, hospital aids, (...) physiotherapists, and health educators) were recruited in five pediatric facilities in four hospitals around Paris, France, from March to June 2013. The data were processed using NVIVO software (QSR International Ltd. 1999–2013). The data analysis followed a qualitative methodological process. Ethical Considerations: The research was conducted in compliance with the Declaration of Helsinki. Written informed consent was collected systematically from participants. Findings: This study provides elements to help understand why restraint remains common despite its contradiction with the duty to protect the child and the child’s rights. All participants considered the use of forceful physical restraint to be a frequent difficulty in pediatrics. Greater interest in the child’s health was systematically used to justify the use of force, with little consideration for contradictory or ethical aspects. Raising the issue of forceful restraint always triggered discomfort, unease and an outpour of emotions among healthcare professionals. The findings have highlighted a form of hierarchy of duties that give priority to the execution of the technical procedure and legitimize the use of restraint. Professionals seemed to temporarily suspend their ability to empathize in order to apply restraint to carry out a technical procedure. This observation has allowed us to suggest the concept of “transient empathic blindness.” Conclusion: Using physical restraint during pediatric care was considered a common problem by participants. This practice must be questioned, and professionals must have access to training to find alternatives to strong restraint. Conceptualizing this phenomenon with the concept of “transient empathic blindness” could help professionals understand what happens in their minds when using forceful restraint. (shrink)

A text for normal schools and teachers' colleges.

« Une Petite sœur toujours actuelle » ; « La place qu’elle fait aux femmes dit de notre culture quelque chose qu’il est temps d’entendre » : les intitulés que Michelle Perrot et Christine Planté donnent respectivement à la préface et à la postface qui encadrent cette réédition de La petite sœur de Balzac disent la pertinence d’un ouvrage devenu en vingt-cinq ans une référence incontournable de la réflexion sur la question du genre et les questions de genre en littérature. (...) Paru en 1989 aux éd... (shrink)

Definitions Axioms Prop. I. Substance is by nature prior to its modifications Prop. II. Two substances, whose attributes are different, have nothing in common Prop III. Things, which have nothing in common, cannot be one the cause of the other Prop. IV. Two or more distinct things are distinguished one from the other either by the difference of the attributes of the substance, or by the differences of their modifications Prop. V. There cannot exist in the universe two or more (...) substances having the same nature or attribute Prop. VI. One substance cannot be produced by another substance Prop. VII. Existence belongs to the nature of substance Prop. VIII. Every substance is necessarily infinite Prop. IX. The more reality or being a thing has, the greater the number of its attributes Prop. X. Each particular attribute of the one substance must be conceived through itself Prop. XI. God, or substance consisting of infinite attributes, of which each expresses eternal and infinite essentiality, necessarily exists Prop. XII. No attribute of substance can be conceived, from which it would follow that substance can be divided Prop. XIII. Substance absolutely infinite is indivisible Prop. XIV. Besides God no substance can be granted or conceived Prop. XV. Whatsoever is, is in God, and without God nothing can be, or be conceived Prop. XVI. From the necessity of the divine nature must follow an infinite number of things in infinite ways--that is, all things which fall within the sphere of infinite intellect Prop. XVII. God acts solely by the laws of his own nature and is not constrained by anyone Prop. XVIII. God is the indwelling and not the transient cause of all things Prop. XIX. God and all the attributes of God are eternal Prop. XX. The existence of God and his essence are one and the same Prop. XXI. All things, which follow from the absolute nature of any attribute of God, must always exist and be infinite, or, in other words, are eternal and infinite through the said attribute Prop.. (shrink)

The “gift exchange theory” articulated by Marcel Mauss, along with his core concept of a threefold obligation, is the dominant theoretical framework used to explain the majority of gift issues in marketing. This perspective assumes that some interest always lies behind gifts, such that a gift always implies a counterpart of receiving something in return. Despite the relevance of this approach in understanding the day-to-day consumer behavior, this paper presents empirical cases where the consumer is also able to give freely, (...) that is to say without implying a counterpart or even expecting it. To explain those empirical cases, we mobilize a key teaching of the Catholic Church: the “gratuitous gift” and then introduce the concept of the “need to give.” We show that gratuitousness is a relevant concept to understand most of gifts made by consumers, and we develop the normative aspect of gratuitous gift for ethical marketers. We also show that Catholic Social Teaching offers an appropriate anthropology to understand consumer behaviors motivated by this need for gratuitousness. To conclude, we propose further avenues of research. (shrink)

La textométrie propose une approche et des outils pour analyser les corpus numériques, que les chercheurs en sémantique interprétative mettent à profit depuis une quinzaine d’années. Pour éclairer ces réussites, on entreprend ici de repérer des adéquations essentielles entre la théorie linguistique de la sémantique interprétative, et les principes fondateurs de l’approche textométrique. Les connivences sont nombreuses : la place centrale des textes à toutes les étapes de l’analyse, le souci de rester au plus proche du texte et d’éviter toute (...) préconception réductrice, le rôle déterminant du contexte global construit par le corpus de référence, le fonctionnement différentiel des calculs contrastifs comme des tris… Dans le contexte de renouveau actuel des logiciels textométriques, la sémantique interprétative est appelée à nourrir la réflexion théorique sous-jacente. (shrink)

Edith Stein est l’une des premières phénoménologues formées à l’école de Husserl à s’intéresser à la question féminine, puisque sa réflexion sur le sujet remonte aux années 1928-1933, et précède donc d’une vingtaine d’années la publication du Deuxième sexe de Simone de Beauvoir. Or son rapport à la question féminine est complexe. Féministe militante lorsqu’elle est lycéenne et jeune étudiante à Breslau, elle perd tout intérêt pour la question à l’époque où elle rejoint Husserl à Göttingen, en...

What does evaluation mean? This article examines the evaluative process as a practical judgment that links a situation to a set of values in order to decide upon a course of action. It starts by discussing A. Sen’s “relational” and “comparative” account of evaluation, built in critical dialogue with J. Rawls’ deductive theory. Comparison, incompleteness, reality, and deliberation are the key principles of Sen’s approach, which, in some respects, echoes that of J. Dewey. The second part shows the relevance of (...) completing Sen’s approach with Dewey’s pragmatism, since Dewey’s emphasis on practical judgment is a useful counterbalance to Sen’s focus on evaluation as a cognitive process. Dewey introduces a shift from values to valuation and draws a distinction between prizing and appraising, which makes the logic of inquiry and the search for consistency between means and ends in a given situation the fulcrum of evaluation. The third part of this paper addresses the relationship between values and norms in evaluative processes. Neither Sen nor Dewey deals with this question in a systematic way, although norms, which are both similar and different from values, contribute to frame evaluations in different ways: as horizons, resources, or constrains. Bringing norms into the picture means completing the pragmatist account with an institutionalist perspective, as we suggest through the example of the evaluation of work. (shrink)

À la croisée des institutions, des marchés et des discours, l’expertise artistique sous Louis XIV cor stitue un angle mort de la recherche. Les « experts » ainsi désignés relèvent alors di; domaine judiciaire: ils sont appelés à décrire, attribuer et évaluer peintures et sculptures dans des procédures contentieuses ou amiables et lors de la rédaction des inventaires après décès. Nommés par un acte performatif, à la discrétion des parties ou du juge, ils sont souvent, mais pas toujours, artistes, et (...) indifféremment maîtres ou académie ens. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:SCRIPTURAL GROUNDS FOR CONCRETE MORAL NORMS 1. Is JJ1oral Theology Really Theology? 0 BE CHRISTIAN theology moral theology ought to be firmly grounded in the Bible as understood in the living tradition of the Church. Yet the moralist who asks help from the biblicist today is to be met with a host cf objections.1 I will mention eight I have encountered: l) Attempts to develop a biblical theology unified (...) by some central concept such as promise fulfillrnent, salvation history, or liberation have all broken down. The Bible contains many diverse, even contradictory, or at least dialectically opposed theologies and ethical To harmonize them is to distort them.2 1 See Charles E. Curran and Richard A. McCormick, S.J., eds., The Use of Scriptures in Moral Theology (Readings in Moral Theology No. 4. New York: Paulist, 1984) for a representative selection of essays, and Robert J. DaLy, S.J. in cooperation with.J. A. Fischer, C.M., T. J. Keegan, O.P., A..J. Tambasco, L. J. Topel, S.J., and F. E. Schuele, Christian Biblical Ethfos Ji'rorn Biblical Revelation to Contemporary Christian Praxis, Method and Content {New York: Paulist, 1984) for a more systematic argument.. In these notes these will be referred to as US and CBE. See also William C. Spohn, S.J., What Are '!'hey Saying About Bcriptiire a,nd Ethics? (New York: Paulist, 1983) ; David Kelsey, Uses of Scripture in Recent Theology (Philadelphia : Fortress, 1975); and Bruce C. Birch and Larry Rasmussen, Bible and Ethics in the Christian Life (l\finneapolis: Augsburg, 1976). Valuable hermeneutical suggestions ·will be found in Rudolf Schnackenburg, The Moral Teaching of the New Testarnent (New York: Seabury, 1973) and the two works of Pierre Grelot, Sens Oh1·etien de l'Ancien Testarnent 2nd ed. (Paris: Desclee, 1962) and Problemes de ilforale JJ'ondarnentale: Un eclairar1e biblique (Paris: Cerf, 1982) and the essa\)'s in :M:. Gilbert, J. L'Hour and,J. Scharbet, Morale et Ancien Testament, (Universite Catholique du Louvain, 1976). 2 See H. G. Reventlow, Problems of Old Testament Theology in the Twen· tieth Cent·ury (Philadelphia: Fortress Press, 1985, pp. 44,65; 125-133, and 1 BENEDICT M. ASHLEY, O.P. 2) The predominant literary form of the Bible which holds it together is narrative. How then can we draw moral principles from such narratives? To treat them as cautionary tales with an obvious moral does great injustice to their psychological richness and moral ambiguity.3 3) The Bible primarily uses not a literal but a symbolic type of language appropriate to the mysteries it reveals. These symbols or images can mold ethical attitudes and affections but they cannot be reduced to literal concrete moral norms without danger of distortion.4 4) Granted that both Testaments contain many prescriptive statements, they are so embedded in their historical contexts and so related to situations that are now obsolete, that it is impossible to believe they oblige us today. Can we really believe that women must be veiled (I Cor 11: 10) or that slaves should obey their masters (Ti 2: 9)? 5 5) The early Church, and perhaps Jesus himself, expected the eschaton within a lifetime. Consequently, the New Testament provides only an " interim ethics " which is useless as a guide in a continuing sinful world.6 6) We read in Ephesians 2: 15 that Jesus "in his own flesh John H. Hayes and Frederick Prussner, Old Testament Theology: Its Nature and Development (Atlanta: John Knox, 1985), especially pp. 254-279 for a discussion of the search for a unifying concept for the Bible and its present status. s James A. Fischer, C.M., "Story and Image", CBE, pp. 156-169. 4 CBE, pp. 289-295. 5 Thus James M. Gustafson, in an influential article, "The Place of Scripture in Christian Ethics: A Methodological Study" (US, pp. 151-177) distinguishes the uses of Scripture as moral law, as moral ideal, as moral analogy, and finally what he calls its "loose" use to inspire reflection on current problems. He is especially critical of the first method and gives preference to the last. s" To put the matter most sharply, Jesus does not provide a valid ethics for today. His... (shrink)

Penser l’hospitalité, c’est avant tout enquêter sur les formations sémantiques qui ont présidé au concept et l’ont façonné. Suite à ces prolégomènes lexicographiques, une réflexion sur l’altérité en régime chrétien et son corollaire pratique, l’hospitalité, propose six pistes de questionnement : la question de l’universalité, de la réciprocité, de l’hospitalité dans sa dimension spécifiquement chrétienne, de l’altérité religieuse dans son vis-à-vis à l’identité chrétienne, de la responsabilité éthique et enfin de l’hospitalité monastique aujourd’hui en régime de post-modernité.

Si Edith Stein est aujourd'hui connue pour son parcours exceptionnel d'intellectuelle allemande, née juive, devenue chrétienne et carmélite, morte à Auschwitz, ce livre entend combler un manque : celui d'une introduction générale à sa philosophie, et relever un double défi : rendre abordable une pensée réputée difficile, tout en montrant sa vigueur et son actualité, à travers l'approche renouvelée qu'elle propose de la notion d'âme.00Dans un XXe siècle où l'âme a été considérée comme une notion désuète, inappropriée même pour penser (...) l'humain, où la philosophie, les sciences humaines, et la théologie ont cru pouvoir s'en passer, Edith Stein montre au contraire que renoncer à l'âme, c'est s'empêcher de considérer certains aspects fondamentaux de la vie humaine.00À travers une démarche qui allie phénoménologie, métaphysique et mystique, et par ses talents descriptifs, elle nous rend attentifs à l'expérience vécue de l'âme, mais aussi au tragique d'une vie qui en est dénuée. Elle réveille ainsi en nous le désir de ce ± supplément d'âme?, qui donne à notre existence sa profondeur, sa vitalité, sa couleur et sa saveur... telle l'âme du violon qui, bien qu'à peine visible, assure l'unité de l'instrument et en déploie les résonances à tout le corps. (shrink)

Cet article s'appuie sur la pensée de Wittgenstein pour comprendre comment des règles économiques agissent. L'étude (1993-2000) d'un Atelier de réparation de la RATP dans lequel une nouvelle règle de rendement a été introduite en 1993 met en évidence trois conclusions. Tout d'abord, dans la sélection des tâches, les opérateurs n'appliquent pas les règles de façon mécanique ; ils n'interprètent pas non plus les règles en faisant table rase des usages. Nos observations montrent que « suivre la règle est une (...) pratique ». En second lieu, les équipes développent des stratégies différentes pour obtenir la prime, ce qui illustre une autre thèse de Wittgenstein : « La signification de la règle se constitue dans l'usage. » Enfin, les opérateurs s'appuient sur les règles de l'usage pour trouver un certain usage de la règle. (shrink)

El artículo trata del papel hermenéutico de Hch 9,4 en las enarrationes agustinianas, señalando que, por el lugar y función de esta obra, ese texto bíblico es una herramienta hermenéutica útil para entender toda la exposición agustiniana de los salmos.

La question du caractère opératoire du « territoire » se pose avec acuité en situation transfrontalière. Plusieurs formules institutionnelles et théoriques ont été explorées dans le cas du territoire franco-belge Lille-Kortrijk-Tournai, à l’urbanisation dense et polycentrique, pratiquée historiquement comme région de transit. D’abord, l’Eurométropole, premier Groupement européen de coopération transfrontalière, qui n’a finalement pas abouti à une vision intégrée. Ensuite, une réflexion sur la bio-région unifiée autour d’une vallée, d’une plaine ou d’un bassin permettant de transcender des limites administratives arbitraires. (...) Enfin, le modèle de la « ville horizontale », qui s’est concrétisé par le projet de Parc bleu autour des structures hydrographiques et une urbanisation continue qui s’étend de la Belgique à la Ruhr et la Randstad. L’enjeu est de vivre dans des systèmes territoriaux qui rassemblent, avec multiplicités et interdépendances. (shrink)

As a concrete basis for thought, we first share the experience of a correspondence analysis applied to a morphosyntactically tagged corpus. The automatic tagging has been partially checked and shows errors. Knowing how factorial analysis works, and having identified the noisiest tags, we adjust the data to be submitted to the analysis so that it is both reliable and clear, making sense for the interpretation of the results to be drawn.This experiment calls for a three-fold discussion. Firstly, about the evaluation (...) of such a process: indeed, by bypassing (rather than correcting) errors (noise), we shift the analysis framework, which no longer allows an evaluation based on the usual comparison of results and improvement measurement. Next, we justify how tweaking the data can still be a sound scientific approach, when the process is methodical and transparent. Then we consider whether corpus size matters, in relationship with the law of large numbers: statistics neutralize the noise of random fluctuations, but not that of repetitive bias.Thus, we argue for “taming” noise: that is, knowing your corpus and your tools, so as to be able to design quality analyses while managing the residual noise, and freeing yourself from a prior and probably illusory requirement for data perfection. (shrink)